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1473 Lake Park Cir*ft City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink RtAWIEt Permit 4(3, c//y Permit Fee: t ' d l� Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: —7— I0� Site Address: I '1 7 L_1 -k& t14)ir tL Tenant: rt=e Dr i 2 r J Suite #: RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK - Description of work: 1Z -Roil Construction Cost d s,000 Multi -Family Building: (Yes / No ) CONTRACTOR Name: 'SVSIt4 cMirrd ' 7 "9 S os 7r iAw.-. _icense #: D0 S 9 191 S' 6 Car4A.4 t� Address: C n.' -e City: Oen I'rai'r►`�l 1 e? State: k (V Zip: i' 3 U () Phone:l� qg 01- ?3' - d to ? `` Contact: -31/'51111tXlivvd Email: t7b*6 4? 4 4Kstofrile,, f &LonirGe/. ne COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public infontlla> ort. Portions of the information may be classified as non-public if you provide specific reasonstfnd would permit the CFty tri 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.aooherstateonecall.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 1 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 app f an u JI 'Ekt,„/„d Applicant's Printed Name x A . . Iicants Signature Page 1 of 2 CITY OF EAGAN Remarks Addition Thomas Lake Addition Lot 6 sik 1 parcel #10 75900 060 01 Owner ?- ' Street 1473 Lake Park Circle State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1982 2956. 53 591• 31 5 ci? SSG. 57 3 t4O 7/7 z- 7,?o STREET RESTOR. GRADING sNj 71195 585.56 SAN SEW TRUNK 164.90 A009864 1 ? SEWER LATERAL 1981 6293 63 1259 33 S . WATERMAIN * WATER LATERAL WATER AREA m STOFIM 5EW TFIK O c) 99 7,1 r, 397.54 A009864 1 2 ! * STORM SEUU LAT CUR6 & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. SUILDING PER. SAC PARK ? ? . CASH RECEIPT • CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE weceivEo FROM 19 AMpUNT $ I d DOLLARS I oe ? CASH ? CHECK POR ? (( ? ? 1 I, White-Vayers COpy Yellow-Posting Copy Pink-Fife Copy Thank You ?e: ?' - B Y CiTY OF EAGAN ' • 3795 Pi1ot Knob Road Fagon, MN 55113 N° 6198 PHONE: 454-8100 BUILDING PERMIT Receipt # To bs uted for Est. Value Date , 19 Site Address Erect Occupancy Lot Block Sec/Sub. • Alter ? Zoning Parcel # Repoir ? Fire Zone Enlarge 0 Type of Const. W Nome Move ? # Stories Z3 Address Demolfsh ? Front ff. b Ci Phone Grade ? Depth ff. °C Nome Approvola Pees ?o ?? Address Assessment Permit ~ Water & Sew. 5urchorge Ci Phone Police Pian check ?w N°^ie Fire SAC u? Address Eng. Water Conn. <w Ci Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this opplicotion ond state that gldg, pff, the information is torcect and ogree to comply with all applitoble A? ToYal State of Minnesoto Statutes and City of Eagon Ordinances. 5ignature of Permittee A Building Permit is issued to; on the express condition thct all work shall be done in accordnnce with oll npplicoble Stcte of Minnesoto Stututes nnd City of Eagan Ordinances. Building Offic7al PwuiF #! Dah InuoA POMIliw Plumbing ,?G?,!1 ? /(J - ? - D Mechanical ? -,e ? oc-7 G1: _ / , INSPECTIONS DATE INSP• Rough-In Finol Footings Dote Insp. Date Irop. Foundation _ Plumbing - Frome/ins. Q o79-? Mechanical T0-6 Final Remnrks: No. Dote: . . Site Addrcss: Lot Block Sub/Sec. iIllSB LSk@ INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Multi Res., Comm./Ind. I Name New/Alter./Repair. ? ; Address Cost of Instollation O City Phone: Permit Fee Name , Surcharge . ? Address Ciry Phone: Totcl This Permit is issued on the express condition that all work shall be done in accordonce with all applicoble State of Minnesota Stotutes ond City of Eogan Ordinances. Building Offitiol CITY OF EAGAN 3795 Pilot Keob Road Ea9an, Minnesota S5122 Phone: 454-8100 PERMIT No. Dare: CITY OF EAGAN 3745 Pilot Knob Road Ea9an, Minneteto 55122 Plwne: 454-8140 PERAAIT 1473 .ske Park U"ir Slte Addreu: Lot Block SublSec. Thome.8 Lake Add Nome ? Address • 1 ? ,L:. ' `, . City . Phone: ? . Name ? ? 1lt'745 '.: .r . g Address City . , . Phone: - - This Permit is issued on the express condition that all work shall be Minnesoto Stotutes ond City of Eagan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS =^5? Receipt No.: Single . . I Residential Multi Res., Comm./Ind. I New/Alter.l Repoir Cost ot Instollation Permit Fee I Surchnrge I TOYOI dorie in occordance wlth all opplic.oble State of Buildinq Official ?: . CITY OF EA(iAN 3795 Pilot Knob Roud Eaqan, MN 55122 Zoning: Owner: Add?ess: Site Address: Plumber: I agroe fo eomplr with tbe City of Eagan drdinanoe:. Bv _ Dote of Insp.: Connection Charge: Accounr Deposit: _ Permit Fee: Surtharge: Misc. Chorges: - Total: ( WATER SERVICE PERMIT 1 CITY OF EAGAN 0 3799 Pifot Knob Road PERMIT NO.: MN 55122 DATE: Zoning: - No. of Units: Owner: - - Address: Site Address: Piumber: Mefer No.: Connedion Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree w oomply with the City of Eagae Surcharge: 11JOrdinanees. Misc. Charges: By Date of I nsp.: SEWER SERVICE PERMIT PERMIT NO.: bATE: No, of Units: Totel: Date Poid: I nsp.: 4",l1 . /_ jqb ? ?t? t 'Ib Be Used For site Pddress ,t11?4 ?; " Lot ? Bloclc r Sec./Sub. C CI'M OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of ener calculations. Valuation ?? ?,? •DO DatQ ? - ? o f T n rr 4 - s_ i1 OFFICE USE ONLY Parcel #: /d 176?9do 064 T / OHmer: Address: Y1o ? t,ei //O L4 S? citY/Zip Code: /?'?? t 5 S5`?f 3 7 ? Phone #: J1 jv y - 5 /e' ?z Contractor: Pclclress: city/zip Code: ?C Phone #: Arch./Fnq.: Address: City/Zip Code: Phone #: Fsect OccuPancY 19 3 / Alter Zoning _ 1? ? RQpair Fire Zone , En7-ar9e _ 2Ype of Const. Move # Stories Derolish ^ Front G 2 ft. Grade Depth 33 ft. APPROVALS FEES Assessnen' ?? Permit ) AG, .,;,n T4ater/Sewer Surcharge Police Plan Check 9 f?', d d Fire SAC 5a6 e 0 ?9 • , Water Conn. ?e r 0,4 Planner Water Meter G 0. o D Council Road Unit ?-F6,1 60 Bldg. Off. APC TOTAL CITY OF EAGAN ? ' 3795 Pilot Kno6 Road Eagan, MN 55141 N2 6 198 PHONE: 4548100 BUILDING PERMIT APPLICATION Receipt # D To 6e used For SF DWG/GAR Est. Value 86 .15n_ Date 9-23 , 19-81_ Site Address 1473 Lake Park Circle _ _ Erea XX3 Occuponcy R3 6 lot 1 Thomas Lake 81ock Sec/Sub. Add. Alter ? Zoning Ri Parcel # 10-7 5900-060-O1 Repair ? Fire Zone 3 l E T f C t V n arge ? ype o ons . w Nome S. Petersen Construc. Inc. Move ? # 5rortes Z Address 4701 W. 110th St. oemolish ? Front 62 ft. ? MPls, Mn, 55Q? 8 4-5144 Grade ? Depth 33 ff. Ci e ? o Name Sa, ApDrowls Feea A ?r? ?? Address ssess ? Ci Phone Water & Sew. Police - F? Name F Fw ire ?Z Address Eng aw f;w . P6nne Plannef _ I hereby ocknowledge that 1 hwe read is ap cation and state t Bldg. Off. the information I5 Correct and ogre to Eaply w' a o pli e State of Minnesofn Statutes ond i ggr sigiCis?ES -?S` Stgnature of itermittee ??1G A Bullding Pertnit is issued to: - all work shall be done in occordance Building Officlal Permit Iyb_(l(1 Surcharge 43.5n Plan check 98.017) SAC 525.00 Woter Conn.3.45 .0Q_ Warer Meter 60.00 Road Unit 185_00 Total 1 - 4...5Q- S Petersen GQAstructi on on the express condition fhot all 4Dpliwble Statq_of_Minnesota Statutes and City of Eagan Ordinonces. minnesota btate uoara ot tiectriciry Griggs Midway Bldg. - Room N791 1821 University Ave.. St. Paul, Minn. 55104 - Phone 297-2117 ? d TH S EQUEST ION CHECK B LbW WOEtKOCOVERED BYICAL EB-00001-02 9036V Type of Building New Add. Rep. Check Appliences W'ved or Check Equipment Wired For Home ? ? Range Temporary Wiring ? Duplex ? ? WaterHeater ? LightingPixtuces ? Apt. Bldg. ? ? ? Dryex Electric Heating ? Commercial Bldg. ? ? ? Fumace Silo Unloader ? Industrial Bldg. ? ? C) Au Conditionet ? Balk Milk'Iank ? Farm ? ? ? List List Other ? ? ? p fleheTSI p Reiers? COMPUTE INSPECTION FEE BEIAW Sesvice Enhance Size: # Fee Fceders&Sub[eeders: x Fee Circuits: # Fee 0 to 1 m s. 0 to 30 Am eres 0 to 30 Am eres $' 30 0 101 t 00 mps. 31 to 100 Amperes 31 to 100 Am res .tl Above Amps. Above 100 Ampa Above lOQ_Amps. Transformers RemoteControlC'uc. Partialorotherfee Signs S ecial Ins ection Minimum fee $ Remazks , /`? ?? . O) / ? TOTAL FEE y??•sa :s S?? y I, the Electrical (Final) This request void 18 months from ab b`' ction s been made , T?te l/ J-&U . o- This request vo;a 18 monthsfrom Z, ,??9Y? ?"t Sr. ? Date of his Request ? Fire No. s I, as LLicensed Electncal Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: 1? 7 3 `?p?_QC?? ?Q Street Address or Route No. 61O:ZhI T444 rrSL /f ?ity Section Township Range County??4- Which is occupied by /w t Is a roughin inspection required on khis job? No ? Yes f? Ready Now ? Will C21112' Power Supplier !?Cs A D? C[ G/aG&/ G Address f'a,-rnI n 4?'D Ll ,(, ? Electrical Contractor11L'n SD ,"P/7S' O ? ??e U/YG Contractor's License Mailing Address Authorized Signature,Phote xo. &S'yys'-'o ???p ?? ?O?p ?? QO??Thisimpectionrequestwillnat6eacceptedbythe StMe Board unless proper inspeetion fee is enclosed. mmnesoca aiaie noara or necmaTy ? I I?? Griggs Midway Bldg. - Poom N791 7S21?Glnivarsity Ave., St. Paul. Minn. 55104 - Plwne 297•2111 REQUEST FOR ELECfRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST EB-00001.02 90355 Type ot Building New Add. Rep. Check Appliances Wired Foi Check Fquipment W"ved Foi Home ? ? ? Range ? Temporazy W'ving ? Duplex ? ? ? Wa[etHeatet ? I.ighUngFumies ? Apt. Bldg. ? ? El Dryec ? Electric Heating ? Commercial Bldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. 0 ? ? Av Condilionec4 ? Bulk Milk Tank ? Farm ? ? ? L'ut 4 List Othet__ _ ? ? ? p H etexs? ) _ _ 9ehers}--- !i COMPUTE INSPECTION FEE BELOW 411 NI )1 Secvice Entrance Size: x Fce Feedecs&Subfceders: # C¢cuits: ik Fce 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am erea 101 to 200 Amps. 31 to 1 00 Amperes 31 to 100 Am res Above 200 Amps. Above 100 Amps. Above 100 Am s. Transformeis RemoteControlCirc. Partialorotherfee Signs 1 1 Special Ins ction Minimum fee SS Remaxks Install Temnorarv Serviee TOTAL F ? I, the Electrical lnspector, hereby certlfy that the above inspection has been m-a7e- (Rough-in) Date (Final) 757 /-7 ? Date /Q _,lo 4d This iequest void . . ??? 18 months from This request void a ?( 7? 18 months fmm, ? 90355 Date of this Request 9-30-80 Fire No. I, as El Licensed Electrical Contractor OOwner, do hereby request inspectiQn of the above electri- cal wiring installed at: Street Address or Route No. Lot 6 Block 1 ThomaB Lake Addit3on City Eagan Sectign Township Range County Dekota which is occupied by 9vend Peterson Construction (Name of Occupant) Is a roughin inspection required on this job? No 0 Yes ? Ready Now IR Will Call ? Power Supplier Dakota Electric Assn. Address 821 3rd St., FaTmington, M[3 55o2b. Electrical Contractor Ken Soreneon F] .eCtx'ic Contractoi s License No. A40836 (COmpany Name) Mailing Address Authorized Signature RAd LS BNED Q No. 854-bL.70 This inspectian request will not he eccepted by the SWte Baard unless praper inspection fee is enclosed. PERMIT# JC9 OU ? RECEIPT DATE: 8008 WISIDERTIAl. PLUM$1RG P$iiM1T APPLICATIOR CITY OF EAHtkF saso eu.or xxos Rn BA61?lY, b!ft 551E8 681-6$1-4678 Please complete for: single family dwellings, townhomes and condos when permiGs are required for each unit, backflow preventer for irrigation system SITEADDRESS: I"l -I ?) W?b 1/aa- ?ivC W OWNER NAME: : INSTALLER NAME: TELEPHONE #: (AREA CODE) TELEPHONE #: (AREA CODE) STREET ADDRESS: I lV f`1 V vy 0(",?v ff1M Y ? cirv: 1 Q'l,? ?ii1lQ, sra,re: zia: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additlons, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild . . . , 30.00 _ lawn irrigation system ? l ReplacemenUadditional: ? water softener _ water heater $ 15.00 State Surcharge $ .50 t l $ 15 ?;-o To a , - I herebyacknowledge that I have read this application, state thatthe informa0on is cortect, and agree to compty with all applicable Cityof Eagan ordinances. It is the applicant's responsibiliry to notify the properry owner that Ihe City of Eagan assumes no liability for any damages caused by the Cily during its normal ope2GOnal and maintenance aclivitles to the faclllGes consWCted under this pertnit within City prope ' Ight-o way/easemen . 1 SIGNATURE OF PEF2 ITTEE 1I02 CITY OF EAGAN CASHIER: JS TFkMINAL NQ: 938 DFlTE: 12/21/39 1'IME„ 10.46:43 IP: NAME: kENAISSANCE BUILDERSy INC. 3210 31701 1.473 I_AKE FARV; 273.P5 3422 3001 1473 LAF:F F'ARVt 181.51 ?_i`,:i$ 9001 1473 I_AF;E PARF( B.50 Tat,al F;eceipt Amount: 469.26 Ci121.439 U5Efi IDe JAN 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) anr oF EAcaN , 3830 PILOT KNOB RD - 55122 651-681-4675 New Conshuctlon ReaulremeMs Remodel/ReoaB Reaulremenis s a? la-a??°i5 ? 3 reglstered aRe suneys shawing sq. fl. of lof, sq. H, of house 2 copies of plan and gU roofed areas f20% mmcimum lot coveraae allowed) 1 set of energy calculaNona (u heafed addNfons > 2 copies ot plans (show beam 3 window sizes; poured tnd. design; etc.) i sBe survey for exterbr addXions 3 decb ? 1 set oF energy calculaflons ? 3 coples of hee preservaHon plan 9 loT platfed aHer 7/1 /93 DATE: IZ ? l3 ?? CONSTRUCTION COST: ? O.'Yn .? DESCRIPTION OF WORK: STREET ADDRESS: IOT: ? BLOCK: SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: hfQ ie C 1-re?. Phone #: Lost First SheetAddress: jq7? ( 4K i'ark C-irjc City ?- ?-?•J State: 'rnnJ • Zip: :S5'!Z7 Company: Q ??s?wc?- ?? ?Orrc Snc, Phone#: (cIZ- 425-8-9Z (area code) SheetAddress: 1-100 3 SO PL • N- License#a00GZt3Z Exp.3-.)COo City m"iz- GCoQa- State: m? Zip: 55311 Company: Name: Telephone #: area code ( Streefi City Sewer & waTer Iicensed plumber (reautred for new constructlon onlv): State: ReglshaHon #: P,enaHy applles when address change and lot change is requested onee permtf is issued. I hereby acknowledge that I have read thls applieafbn, stafe 1Fiat the fnformation is correct and State of Minnesofa Starotes and City of Eagan Ordinances. SlgnaFure of OFFICE USE ONLY Zip: comply wRh all applicabl Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage A 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex A 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 5torm Damage ? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE X 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Inte(or) ? 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) CJ "Q Basement sq. ft. (Aliowable) 5 Main level sq. ft. UBC Occupancy R-• 3 sq. ft. Zoning sq. ft. # of Stories sq. ft. Length sq. ft. Wdth Footprint sq. ft. APPROVALS Planning Building Census Code 43a' SAC Code f> I No. of Units I No. of Bldgs o MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ l ? i -75Z 'Pq": 2-02t)cc ?F = l5, 06clG'. 12cLn =^ TOTAr'L- (, (,, 1+1$2 COA* SAC Units % SAC MNCheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 2.0 Minnesota Department of Public Service 1-612-296-5175 1-800-657-3710 COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 12-8-1999 DATE OF PLANS: TITLE: IL-I-13 LaKePatK, Girrin COMPLIANCfi: PASSES Required UA = 73 Your Home = 72 Permit # Checked by/Date Area or Insul Sheath Glazing/DOOr Perimeter R-Value R-Value U-Value UA ---- ------------------------------- C$ILINGS -------------- 309 --------- 38.0 -------- 0.0 ------------- 9 WALLS: Wood Frame, 16" O.C. 418 21.0 2.0 20 GLAZING: Windows or poors 104 0.350 36 FLOORS: Over Outside Air ------------------------------- 288 -------------- 45.0 --------- -------- ------------ 7 ----- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Builder/Designer Date UduL-?cA- G2?kinlG 'ks co??va??u` ?vetn4n, '.e , at uW'c Pe..l< <o01fl bc as h?Gh o..5 P. 57 r-ImtS 2X12 Jo\s?5 ?.,.;?? ?•3$ F:?aofGt<sS <314 -ir"cMav o.(.L ? 12 P\y'??- zy'r?? u.ni Gds Fkc`PLac. 21t00 - 3\ ooc? aTU.. ,iricate for: • .nd Peterson 101 Weet 110th 3t. . -Bloomington, Mn. 55437 . DELMAR H. SCHWANZ LANOSURVEYOR qpiRatW UnEU Law% of TIN State of Wnnesota 2978 - 116TH STNEET W. - BOX M ROBEMOUNT, MINNESOTA 68088 BURVEVOR'S CENTIFICATE 180. o0 fB9-3?- 33E 0 ? , M M ?r ? EP \ ? M*A ¢¢? i 1 6' ?""« i O? (p ? qE ?5 • 3 ? . ? y. ? Po .? IAkf pARk• G/iGL£ PMONE 612 47117N SCALE: 1 inch - 60 feet ? kA , ? , 0 Z N I hereby certiPy that this is a trw w and correct representation of Lot 6, K Block 1, THOMAS LAKE ADDITION, acoording e°n to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed houae a1a ataked thereon. f Dated: September 10, 1980 Drainage & Utility easement PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. NO. FIXTURES EACH TOTAL SHOWER 3.00 WATER CLASET 3•00 BATH TUB 3•00 LAVATORY 3•00 KITCHEN SINK 3•00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3•00 WATER HEATER 3•00 FLOOR DRAIN 3•00 GAS PIPING OUTLET • min;mum -1 3.00 ROUGH OPENINGS 1.50 WATER SOFfENER 5•00 PRIVATE DISP. • DakCry. lic. 15.00 U.G. SPRINKLER • eome uneer const. 3•00 ALTERATIONS • co austing 15.00 WATER TURN AROUND 15.00 STATESURCHARGE TOTAL: _ SITE AML'RESS: i DRE I Efi FR`eG 1473 LRF'E PRRK CIRGLE OWNER NAME:_ ERURN H 454-269, .. W .50 /,5 50 INSTALLER: ??= '-'- =n??•••-•••-? 3 GARFIELD AVENUE SOUTH ADDRESS: MlNNEAPOLS MINNESpTA SSdnA 8Z7J033 - 827-43 CTTY: ?+ATE: ZIP CODE: PHONE #: ( ? SI NATURE OF PERMITTEE 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 1993 PLUMBING PERMIT (COMMERC7AL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMvIERCLALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUII2ED FOR EACH DWELLING UNTT. _ NEVY CONSTRUC7'ION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: FE& 1% OF CONTRACT FEE. STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE MINIMUM FEE: $ 25.00 " CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SI1'E ADDRESS: $ TENANT NAME: STE. # OVVNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN ,. STATE: ZIP CODE: APPLICANT Oertificate for: • $vend Peterson . 4701 West 110th St. Bloomington, Mn. 55437 DELMAR H. SCHWANZ LANDSURVEYOR RpifUrW Untlu Lawt of The Slats of MmnesoU 2878 - 146TH STXEET W. - BOX M ROBEMOUNT, MINNESOTA 56068 SURVEYOR'S CERTIFICATE I.Bo. o0 SB9-5U- 33E 0 ? ? i ? ? ? M I ? M , . PMONE 812 428-1769 \ Kv SCALE: 1 inah - 60 feet ? ? P? ? n I hereby certify that this is a txhte 'B4os- `t and correct repreaentation of Lot 6, N?"39K Bloak 1, THOMAS LAKE ADDITION, aCCOrdtng ? s°? to the recorded plat thereof, Dakota 04 ? County, Minnesota. ? Pa?pO?°4? g Also shor+ing the location oP a propoeed house Z,ia ataked thereon. M ? Dated:'September 10, 1980 i ww / LOT- / Drainage & Utility easement l0 I?E . . ?i Pv eK o .? Lf1Kf PARk. EXTERIOR ENVELOPE AVERAGE "U` COMPUTATIOPd 0WNER ',? , `/?f c ?.? / 5?7 7, c 7-t,-2i'7-. SITE ADDRESS ??'?L`i'f,i?l-? CONTRACTOR DAT? ? /UPHONE 4kr-/yS/ Determine working square faotage of eacn. l. Total expased wa11 area .... ,295/`l sq. ft. x.17 = J?U v. 2. Total roof/ceiling area ... ./ Z 9.5t sq. ft. x.05 = J1 9 Total exposed wall area,above floor = a. Total wall window area . . . . . . . . . . . . . . . . . ..? s' b. Total door area ........................ ?7-0 c. Total sliding glass area ........o...... --70- d. Total fireplace Urall area ......... ., ? e. Total wall framing area (average 10%) f. Total net wall area above floor ..,... g. Total .rim ,joist area ................... z 7.? Total exposed foundation area ?7 h. Total faundation window area ......... i. Total net foundation area above grade . betermine "U' value of each wall segment. a. ?z 3 x 4'Ur, '7 O , C ? b. Ilf) X 7rU11 CJ, / i'C ?= S. /:2 c.?^ X '°U" , O,ss = ?y oo n._s? x 51ul' o.s? o ? e. 29Y X o:Uy? 0,1/9 _ 3Y 9d' f...?zzz X ,,V .d0v9 ,= 1s6 9 X tCTTE V O, c? f 7 - , /.Z. 9 T h. o X "U4 a = _ o. i. 1/ 9 g fruc: o'{7 = S` 3 3............, .............. .... ....Total If item #3 is the same as, or less than item #l, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = f/ 3 j. Total,skylight area . ....-..... «.. k. Total roof/eeiling framing area(average 10% 1...TotaZ.net insulated r•aof/ce311ng-area..,.... / d;2 3 Determine "i3" value.for eaEh roof/ceiling segment. ? X ,V? x . x „U,; 4 ................ ............:............Tota1 If tota3 of #4 is the same as9 or less than A'2,, you have met the intent of SBC 6006(c)3. Alternate Building Envelope Design' , To utilize the total envelope system method, the values''established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. _ 3. + 4. _ L,ANDSURVEVOR Rpi{Urb UnUb Lawf of TM Sbie 01 Minnemb 7978 - 116TH STREET W. - BOX M NOBEMOUNT, MINNESOTA 66088 SURVEVORS CERTIFICATE PHONE 612 4ffi1769 SCALE: 1 inch - 60 feet W ? tA n O ? n 2 hereby certify that this is a truo N- and correct representation of Lot 61f o Block 1, THOMAS IAIffi ADDITION, accordir?g c? to the recorded plat thereof, Dakota County, Minneeota. ? .. ? 1\ . a,6 7_s .? 41kf ppRk• C/iG.[_£ Also shoNing the location of a proposed house 4p etaked thereon. Dated: 3eptember 10, 1980 Drainage & Utility easement 40!" City of Baan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: /4/73 LA Kt PA. aa 1 nuke E Unit #: Resen Owner • Name: -QLD,} PactK Phone: "i az: 5-97 _//j rG Address / City / Zip: Pi LA hL TAW-- C /ZC /tii'' 55 I.a, Applicant is: / Owner XContractor p of or Description of work: Ave -FLA (.. E Com/ /2M 1....7S- POOR- Construction Cost: #10/ 'i , Multi -Family Building: (Yes / No >4) Con�tactar � 4 Company: / //V G l �y a/79. f 14- C.- 2'k. CC) Contact: SEUL g7Ne)till) &rL / Address: 5—Z / 73f�t,it/ /91.eiv, City: /%�1 /5 c 57ae Phone: C/.5? G%7` _ C> �G� State: /19,4) Zip: ` �} License #: L3Q3'coo, ' 2 Lead Certificate #: /VA r _ 7 R 3 7 3 " t a If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Wo L-&74IP In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Plans and su 5 ortin docu documents hat ou subs a e consi considered o be public /nfarmat►o r art r sof O,-, SPP 9 Y „��, '.., tie Info matin maybe classified a� on-POblicIt f yo pr vide spe c fic reasons: ha Id t r he City�t. conclu e th hey a racy e ec CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 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 S ev SIP •r Applicant's Printed Name Applicant's Signature Page 1 of 3 4011/ C!tyofEaau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: L 5 C1j (7 `0 Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT` APPLICATION /1(4 Site Address: NTS S i-�- rr/eark `' Unit #: Name: Phone: Res` ® �; e �, Address / City / Zip: /11 7 3 1.Gal-_L. Fc k C ,ter c1 e_ 41.4 tt Applicant is: Owner Contractor Description of work: /.e� ra c'1"' ofW®n £ Construction Cost: Multi -Family Building: (Yes / No k ) Company: C/'hsi', eonScsj)8,4 ,A//d Lors7r&-Contact: e-17/75/ 73 I- tirk e,'�Lt� c.6l Address: / J�G.�. City: GJo --�aco . a ado ' MN 5 3g' �i✓r�') Z$D -if/9® £� State: Zip: Phone: Email: k : License #: 866 304 21 Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE Plana an s po ng do. :md th r sub it the ri formation may ® Iasi « as non- ® • tic rf • • cfespecific reasons " 3 conclu• that are `rad„cretwm ns of 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.ciooherstateonecall.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 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. Applicant's Printed Name Applicant's Signature Page 1 of 3 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use �Y�' Permit #: / L// 6( /j / e I Permit Fee: /6' 5 5 Date Received: Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: es en ©Wrier Name: AK/ e# ---t- 0 c -c: e,/' Phone: Address / City / Zip: I 775 Lek:6e,, Pc S C.-, C Cagan` /4-". 55 U) Applicant is: Owner PCContractor ype of Work Description of work: 9.-e- ,, c Construction Cost: Multi -Family Building: (Yes / No K) Contractor Company: ScA...t wje/ Gates Contact: ju Address: \ 09l _w. Cd St- L' City: State:Mv---Zip: fj Phone: Li 35Jo Email: License #:_10¢5S'"\ -‘,j Ll Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Phone: Fire Suppression Contractor: Phone: Sewer & Water Contractor: OTE: Plans and supporting documents that you submit are considered to be public information.Port!ons;of the information may be classified as non-public if you, provide specific reasonsthat wwou!d;permit the Ci#pito. conclude that they are trade secrets. CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 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. fa 5ct Applicant Printed Name x Applicant's Signature Page 1 of 3 Date: City of EaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 buildinginspectionsc cityofeagan.com RECEIVED JUL 1 7 2017 Use BLUE or BLACK Ink For Office Use (L/Lf3-)L l -la,-te Permit #: Permit Fee: Date Received: Staff: -2 / 7 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Resident! Owner Type of Work Contractor Site Address: Name: Ac ke v4, are °�� Phone: Address / City / Zip: 413 _Kt Pcur K C ' t - 5 53I Applicant is: Description of work: t:s-N./ Construction Cost: L 00-r) Owner Contractor Company: E CL vJ c.! Address: t Vcr, IPS': State: A "Zip: 5 5.37 9' Multi Family Building (Y"'7 No Contact: 6—a w—c e L-✓� City: Phone: t{9to -- (S51- Email: License #: p -56 — t__ Lead Certificate #: If the project is exempt from lead certification, please explain why: -4Z- 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: Mechanical Contractor: Sewer & Water Contractor: LFire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you; submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 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. Phone: Phone: Phone: Applicant's Printed Name x 9 Applicant' Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE Wvn SUB TYPES /4-13 Lc c f C. Cr Foundation Fireplace Porch (3 -Season) Exterior Alteration (Single Family) Single Family Garage Porch (4 -Season) Exterior Alteration (Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of _ Piex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation j0 Replace Repair Egress Window Water Damage C Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 4 3/80. Occupancy 5\2 C —1 MCES System Plan Review Code Edition yytyi Zoll SAC Units (25%_ 100°/ ) Zoning jL' 1 City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length /y Fire Suppression Required Type of Construction \f 3 Width / $ REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) _ Final / No C.O. Required Foundation Foundation Before Backfill HVAC _ Gas Service Test Gas Line Air Test Roof: _Ice & Water _Final Pool: _Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test Final Siding: Stucco Lath Stone Lath _Brick _ EFIS Insulation Windows Sheathing Retaining Wall: _ Footings _ Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In _Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 0 C" fr7 ; k l l , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL z52 eels:0059•�r Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA179487 Date Issued:10/06/2022 Permit Category:ePermit Site Address: 1473 Lake Park Cir Lot:6 Block: 1 Addition: Thomas Lake PID:10-75900-01-060 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Fred H & Arlene M Dreier 1473 Lake Park Cir Saint Paul MN 55122--251 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature