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1522 Lakeview CurvePERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169894 Date Issued:06/14/2021 Permit Category:ePermit Site Address: 1522 Lakeview Curve Lot:4 Block: 4 Addition: Stoney Point PID:10-72600-04-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Barry D & Paula M Amatuzio 1522 Lakeview Curv Saint Paul MN 55122--139 Mcquillan Brothers Plumbing & Heating Co 1711 East Highway 36 St. Paul MN 55109 (651) 292-0124 Applicant/Permitee: Signature Issued By: Signature 1 ? CASH RECEIPT ? .. . , CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 y ?> DATE / C --- 19 = J FIEcervEo cWOM AAAOUNT $ - I c 8 DOLLARS ,oo ? CASH CHECK •i f ' FOR ? ?I7? ? - ? ?'? ?' BY VMite-Peyers Copy Yelbw-Postin9 CoPY PiMt-File Copy Thank You ,, ? • CASH RECEIPT • , • CITY OF EAGAN • 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 FROM i Y f ' AMOUNT 8 loo DOLLARS ? CASH 0 CHECK FUND OBJECT AMOUNT 37/3 o ?? -3 7 ?/ 3 ? i s"S ? Thank You . BY . Whfte-Payers Copy Yelbw-Postin9 CaP4' Pink-File Copy CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21-199, Esgan, MN 55 121 PHON E: 454-8100 BUILDING PERMIT Receipt To be used for SF DWV f GJIR Est. Value ?' 86. 030 Date ()CTQ}le:R () Site Address 1522 U'?t?.VIEii CURYE. OFFICE U3E ONLY Lot 4 Block 4 SeC/Sub. STNE Y POIN'7 On Site Sawage Occupancy V 1- 1 _ MWCC System ? Zoning a-1 Parcel No. Y I1 - On Site Well (Actual) Const - a Name 1)$2U8IK P.1fILril$uS, I1dC CityWater X (Allowable) Y-AI W = Address 4S70 CilL'.CHZLL ST PRV Required * of Stories ? 0 Gity SHORW7r7.'J Phone 682-0039 Booster Pump Length 42' 0 Depth 449 a o Alame SAI?tE S.F. Total . o ` p,ddress Footprint S.F. U ? City Phone APPROVALS FEES Q u W Name En r./ASSess. 9 Permit 318.00 0? 43 ? = Ptanner Surcharge . _ - ?z Address tit PhOn Council PlanReview ??g•? W ? y B Bldg. ON. _ SAC, City / Y?•? I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550• 00 information is correct and agree to comply with all applicable State of WaterConn. 550•00 Minnesota Statutes and City of Eagan Ordinances. Water Meter 67.0 Signature of Permittee Road Lnit ,325-QO A Building Permit is issued to:_PE#r3LPLZK_WI1-DP-gy , IhL 7reatment P1 2O4. on'the express condition that aIl work shal I be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Cffficial_ TOTAL 2 •b16.00 Pf ' ' - .. . . ? . ? . , . . , CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?9 13 0)? PHONE: 454-8100 BUILDING PERMIT Receipt # ! { j=%:-?'.??' Lot _1? Block 4 Sec/Sub. 121XY fM Parcel No. W Name JM D. ylniR ? Address _ 15?? 71JMI'' 1- ' 0 City FAL;a: Phone 1=*''7-{+" _ ¢ Name 0 0? Address _ City Phone ? W W Name ? ? ; Address a W City Phone Building Otficial Occupancy I hereby acknowtege that I have read this application and state that the information is correct and agree to cAmpiy with all applicable State of Minnesota Statutes and Giry of agan1,Orplinances. 5ignature ot Permitee ? ' A Building Rermil A issWd to: on the express conditibn that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Zoning (Actual) Const (Allowable) # of Stories Length Depih S.F. Total S.F. Footprints On Site Sewage on site weli MWCC System City Water PRV Required Booster Pump AFPROVALS Planner Councii Bldg. Oif. Variance OFFICE USE ONLY FEES Bidg. Permit Surcharge Plan Review SAC. City SAC, MCWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI Road Unii Park Ded. Copies TOTAL 25_m AA 25.50 Pertnit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.VA.C. ELECTRIC lospection Date Insp. Commenu Footings I /V, - Foundation ? Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Nptify Plumber Const. Meter EngrJPlan 81dg. Final Deck Ftg. Deck Finai Well Pr. Disp. --'? - ? r . ° CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55 121 ?: ?? ?'r? ' , ? . . . PHON E: 454-8100 . .. . ?sl ?. BUILDING PERMIT Receipt ? To be used for Est. Value Date SiteAddress 1522 LAK4!`1L-c,W CIUVIF O FFIC E USE ONLY t'TClNEY PO1.Al7 Lot Block 4 SeC/Sub On Site Sewage Occupancy R-.1 ??-1 . MWCC 5ystem w Zoning K-1 Parcel No. v-"i - On Site Well (Actuaq Conat a Name :>illLDE8S. IIOC City Water X_ (Allowable) V-n 3 Address ' 7?; ! `!'_'RC'?ILL S7 PRV Required # of Stories ? City Phone 482-GU39 ??ter Pump Length 4? Depth 441 a o Name S.F.Total . ? < Address Footprint S.F. ? City Phone APPROVALS FEES << ? a Engr./Assess. Permit - ' ' L u Name t'0 43 L u Planner Surcharge . Address L59 00 a Council Plan Review • W < City PhOne Bidg. Off. _ SAC, City C?{' I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC ?3fl• m intormation is correct and agree to comply with all applicable State of WaterConn. 550•00 Minnesota Statutes and City of Eagan Ordinances. Water Meter r 7, 10 Signatureof Permittee Road Unit 32s.00 ABuildingPermitisissuedta _ r??-?•?? j=? ?????'?'?, ?:rt4___ TreatmentPl on the express condition that all work shall be done in accordance with all Parks applicable State ot Minnesota Statutes and City of Eagan Ordinances. 2 t'a?•? Building Official_ TOTAL + Permit No. Permlt Holdsr Dab Telephone ?t Plumbing H.v.ac. Electric Softener Inspaction Date Insp. COmmentS Footings I Footings II Foundation Framing ?s Roofing Rough Plbg. Rough Htg. ISul. D k-) /- /I 89 Fireplace Final Htg. Final Plbg. Bldg. Final Cert occ. p 6e?,•' :4 a ? Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ,, . ?. ITRACT PRICE Address Block ? Name ? ?c Address c City ! ?. ? ? Name c Addre O CitY - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Piping OuUets # .. • . _ _ rv PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ' 3830 PILOT KNOB ROAD, EACAN, MN 55122 DATE: PH4NE: 454-8100 BLDG. TYPE WORK DESCRIPTION Sec/Sub Res. ? New Mult Add-on .r? Comm. Repair Other ione ' FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ione (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEFir/lM - 1.50 EA. (:C1MM/INf? FFF - 1;1n nF CONTRACT FEE i M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES M BTU MINIMUM RESIDENTIAL FEE - ALL ADO-ON 8 M BTU REMODELS - 12.00 M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) FEE: S/C: SIGMATURE OF PERMITTEE TOTAL• -? ? FOR: CITY OF EAGAN 1-. :4 ? Nan Add , c City PERMIT # PLUMBINCa PERMIT r'? i? ?- CITY OF EAGAN RECEIPT # r>? i?' % 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 28 •_ c'P PHONE: 454-8100 V 1'(1 '` ?VA ` V f, BLDG. TYPE WORK DESCRIPTION ? Sec/Sub Res. New Mult. Add-on L un:b i n Comm. Repair R I.,rd Other Phone Name "C "L.Lx Al 1 ll r L a c Address 4570 Cl-iurcli.'.11 St ? p Ci ty 91)nrflv'Cew P h o n e 487-0034 FEES COMM/IND FEE - 1°rb OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPUES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES OF FOR: CITY OF nca. rLoaX. ?- vvmr1616 1 c I nc rv16a.vv19V?. NQ. FIXTURES TOTAL 4,,. - Water Closet - $3.00 ?_Bath Tubs - $3.00 - ?-?.Lavatory - $3.00 Shower - $3.00 -t-Kitchen Sink - $3.00 " Urinal/Bidet - $3.00 ?Laundry Tray - $3.00 ? Floor Drains - $1.50 Water Heater - $1.50 Whiripool - $3.00 _T ?Gas Piping Outlets • $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ? FEE: ? STATE S/C: - GRAND TOTAL: V a r 10 ' (ter#tfiratr of COrrupariry Citp of (Eagan ? arpartmeni of luddino itmprriinn Thrs Certifreale issued pursuant to lhe requirements of Section 306 of tl?e Unifarm Building Code certifying that at the time of issuance thr's structure was in compliance with the various ardinances of the City regulating building construction or use. For rhe fallowing: u. a..r.dooSF DJG/GAR eidg. Pe,n,i, ro. 15685 0-p-cr 1Yx R3/L41 zo,u„g n;,a;a R1 Trv, coori. VN owner of auiiaing DEZUUK MIIRS, INC. Add= 4570 MO= ST, 9iXWM ?m Addrm 1522 I.AKEVIM aJRVE LWAuty Ik, B431 SIrNER POINT D.u: JAIVtIARY 25 L 1989 BwM'ing Officid POST IN A CONSPICUOUS PIACE CITY OF EAGAN Permil No: ` date: I0-24--08 3830 Pfiot Knob Road Meter No: ?/ 3?? f 33 Size: SZR RWL&[0 P.O. Box 21199 Ea9 MN 55121 Apor No: Date: 1-7- an, Owner. T!e: u ri_'; L,1drs. SiteAddress: 1 S:?2 Lakeview Cuzve if+ 34 Stonev !'oint Plumber. Plumb1nF Conn. Chg: 5 Su ...(ltlpi ACCt Dep: 1 Si ??t??Tysl Permit Fee, ' o [)';W,' Surcharge: Tr. Plant 2Qts,,.0i?*+? Meter. . Zoning: _ No. of Units: I agree to comply with the City of Eagan Ordinances. ? dY " 6p WATER SERVICE PERMIT : I ?-24-3° 111?t CI'TY qF EAGAH Permit No: 7 f) 1 Date: k- ' 3830 Pilot Knob Road B/ P No: Date: P.O. Box 21199 , Eagan, MN 55121 - J )esurik Bldre. Site Address: MWCC: .. . . . n?. City Chg: ' Acct. Dep_ Permit Fee: ` Surcharge: is4 Staney Fa 2oning• .. No. of Units: I agree to compfy with the City of Eagan Ordinances. 5 "f, 44nd Conn. Chg Acct Oep: I ? ond Permit Fee: ? =? • 2!!n 3 Surcharge: s?-'?. Tr. Plant ? 4 00.^`l Meter. 67 o^pi Zoning: - No. of Units: I agree to comply with the Ci1y oi Ordlnances. By WATER SERVICE PERMIT CI7Y OF EAGAN Permit No: ?1111Q"?'L Date: 3830 Oilot Knob Road Meter No: Size: P.O. 8oz 21199 Reader No: Date: Uagan, MN 55121 DATE: 3/29/91 RECEIPT: 100612 51TE ADDRESS 1522 LAKEVIEW CIIRVE Unit # Permit # j 2884 B 4 Sect./Sub. INSPECTION INSPECTOR DATE COMMENTS */ C- ?1i/ ?/s14v L ?'?`'"' • "V 456 9o BUILDING PERMIT To be used for FIRFPf J Est. Value $1000.00 Site Address _ 1592 i ouFVrFW Ont« Lot 4 _ Biock _4 SeGSub. S'IY)r1Fi' POINT Parcel No. W Name JAMF.S D. SME o Address j-522 L4KEnF'ra c'CiRVE Ciry EA'-AN Phone 687-0444 _ o Name SBME I $Q Address ? City Phone W w Name Address aW City Phone I hereby acknowlege ihat 1 have read Ihis application and staie that the informatron is corred and agree to cpmply with all applicable Stale of Minnesota Statutes and Cn o/f aga r manc/es. Signamre ot Permrtee ?r '`?'? A 8wlding Permrt 4 i s ed io: 1?5 Tl- TFHR on the express condition that all work shall he done m accordance wrth all applicable State of )"sola Statu nd ity ol 5?gan Ordmances Bmldinq Ofliaal CI') Y OF EAGAN Np ? 9627 3830 Pilot Kn6'ti Road! P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 /? fr ^ Receipt # Oaupancy Zomng (Aduap Const (Allowable) N of smnes Lengfi Oeplh S.F. Tolal S F Footprmts On Sile Sewage On Sne Well MWCC System Cily Water PRV Required Booster Pump APPROVALS Planner Counal Bldg OfI. Vanance OFFICE USE ONLY FEES Bidg Permit Surcharge Plan Remew sAC, ciry SAC,MCWCC Water Conn Water Meter Acd. Deposit S/W Permil S1W Sumharge Trealment PI Roatl Unn Park Ded Copies TOTAL 1 25.00 .50 25.50 CITY OF EAGAN . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15685 PHON E: 454-8100 BUILDINGPERMIT Receiptn 6?G6 ?4 7o be used for SF DWG/GAR Est. Value $86,000 Date OCTOBER 6 ,10 88 Site Address 1522 LAKEVIEW CURVE Lot 4 Block 4 Sec/Sub. STONEY POINT Parcel No a Name DEZURIK BUILDERS, INC 3 Address 4570 CHURCHILL ST 0 City SHOREVIEW phone 482-0039 O Name SAME °C . ? a Address ? City Phone a w Name_ W ? Address ? w CitY_ 1 hereby acknowledge that I have read this applicatwn a stat thal the inlormation is correct and agree to om I with all a p cab State ol MinneSOtaStatutesandCityof A:'VTa, na --_-- Signature of Permittee ? A Bwlding Permit is issued Io:--DE? ILQEESiIHC- ontheazpressconditionthatallworkshall6 one in accordance with all applicable Slate of Minnesota Statutes and City of Eagan Ordmances Bwlding ONicial?,?,ed?..?.?y-_-_ -- OFFICE USE ONLY On Site Sewaga _ Occupancy R-3 M-1 MWCCSystem X Zoning R-1 On Site Well _ (ACtual) Const V-N City Water X (Allowable) V-N PRV Requiretl - # of Stories Booster Pump _ Length 42' Depth 44 ' S.F. Totel Footprint S F. APPROVALS FEES Engr./Assess Permit $18.00 Planner Surcharge 43.00 Counal PlanReview 2$9•00 Bldg.ON. SAC,Ciry 100.00 Variance _ SAC,MWCC 550.00 Water Conn. --55-Q-,Q0 Wa[er Meter 67.0 RoadUmt -375_00 Treatment Pl o 204"0 Parks TOTAL 2.616.00 BLDG. PERMIT NO. I S ?0 ?S L? -F:,1 0 tt,-- 4 n-kw"D? P 01-3210 Bldg. Permit 5 I?' cO 01-3422 Plan Check aJ? ? 07-3445 Surch./Adm. -CIC 01-3446 SAC/Adm. ?- Ot-2155 Surcharge )4,D 75-3860 Road Unit 305 cx? 20-2275 sAC 544 50 20-3865 Water Conn. 55D OG 203868 Water Trmt. a-? 4 cx? 20-3716 Water Meter C? -Cc 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. v o OC 28-3855 Park Ded - . TOTAL (-P ?C 1001W - REQUEST FOR ELECTRICAL INSPECTION EB-00001-07 '. ? See insWCbons lor compleLng Ihls form on back ol yellow copy ? 67.72'6"' X' Below Work Covered by This Aequest ew Add liep. '..TypeWBmlding AppliancesWired EquipmentWired Home Range Temporary Service Dupleu- Water Heater Eledric Heating Apt-Building Dryer O[her (Speciy) CorririiJletlustrial Furnace Fartn ,,.%. I Air Conditioner Oltier(specHy) ConVactor9 Remaft: Compute Inspebtion Fee Below: # Othei Fee # ServiceEnhanceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers A6ove 200 _ Amps A6ove 100 _ Amps Signs insPemrs U. orvy: TOTAL Irrigation Booms-= ? Special Insp"ection; Alarm/Commurticfltion (D J O[her Fee •"? ? II•23-`Sh ( I, the Electrioal Inspector, hereby RO1gn-,n oe /' cenity thattheaboveinspectionhas been made. Final o e OFFlCE USE ONLY_S mis requesl void ae inonms ftrom // 3 O/3"7 F9J`J" /'7 I? 7 7.2t /,/ ReQuesfpxte-„ ',. Fire No. ouBh-in InepecYan Feq tl7 ? Reatly N. ill Nohy Inspectw !? ' p? ?- ? ? Na When Heady? I p licensed?contrac[or ? owner hereby request inspection of above electrical work at: .bb Pqtlress ($lreM; 0mx or RoWB No ) Cily l5'010"? car) Sedwn No ,,- Towrehp Name or No. Range W. Counly ' K OccuParn (PRIMJ' .= Plrone No Power Supplierr: Atltlress Elenricai Contractor (Compeny Name) Con[mctor5 4cense No. 5 nr-? i 3Q??`b-? Maihng Atltlress (COntracior or O.mer Meking Instelletbn) Ave. ` RS rJ ; 5' Authorizetl $ignaWre (ConVactoVOwrier Malting InslellaLOn) Phona Number MINNESOTA STATE BOAPO OF ELECiRICITY THIS INSPECTION REOUEST WILL NOT Grigge-Midwey Bltlg. - Roam S173 eE ACCEPrED BV THE STATE BOARD 1821 Unlverairy Ave., St. Paul, NN 55106 UNLESS PROPER INSPECTION FEE IS PhoM(612)603-0800 ENCLOSED ??V?9? r '• ? 45690 /0 0?v6 Repuest Date Fire N. gh-in Inspedion eQwred7 ? Yes eatly Now ? Will Notdy Inspedw When Reetly? ID' ensed contractor ? owner hereby request inspection of above electrical work at: Jo0 AtlOress (Slreet, Box or Route No ) / ,, - L e5: TE C// E uJ . Qry c fW 4 6? Section Na Town5hi0 Name or No Range W Couny Occupant (PflINT) 'T -D - Lc hR Phone No Power Supplier AOtlress Eleclncal Conireclor (COmpanyrameI ? CAMrador5 License No MarLng Adtlress (Contrector or 0 ?l?s AutM1OnaeC Srgnat on wner Making Installaoon, P1one Number MINNESBT Tw cTq E BOARO.?SkEC1RIQTY ?` TMIS INSPECTION REpUEST WILI NOT Grlqga-MlEwey BI ?nrS?iil? S? BE ACGEPTED BV THE STATE 60ARD 1821 Unlv ve.. SI peul, MN 55106 / 0?,6 Z UNLE55 PROPER INSPEGTION FEE IS G hbrNM12) 642-0800 ?-? ENCLOSED i//3/If/ II Y wT56M REQt1EST FFOR ELECTRICAL INSPECTION fl? See insVUdions ior compleling Ihis brm on back of yellow copy "X" Below Work Covered by This Request Ee-ooom-oe ??04,?P? ew Adtl Rep 7ypeof8uilding App6ancesWired EqwpmeMWired Home Range Temporary Service Duplex Water Heater Electric Heating Apl. Building Dryer Other (Specify) Comm./Industnal ' Furnace Farm Air Conditioner OiM1er (specity) CoMracbr5 Remarks ? Compute lnspection Fee Below: # Other Fee # ServiceEmranceSae Fee 8 Crtcurts/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ AmpS Above 100 _ Amps Siyns Inspector5 Use Onry TOT9L( ` Irrigation Booms r O / J Special Inspechon Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT O[her Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspecror, hereby Rough-in oa?e certity that the above in5pection has been made. Finai . oaM / Wr OFFlCE USE ONLY , This request voitl 19 months Irom CITY USE ONLY PERMIT #: RECEIPT DATE: 2002 RESIDENTLAL MECHANICAL PERbI1T APPLICA'TION CITY OF EAfiAN 3830 PILOT KNOB iiD EAfiAN MN 55188 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: O ' (_-)? SITEADDRESS: ?iu^0 C-- OWNER NAME: An,/+n1d 0,7(; ?4TELEPHONE #: fg? 77F`7 INSTALLER NAME: Co.vTl9?? ?.?r TELEPHONE #: 44. Fi C5 0 2. STREET ADDRESS: -?/,?Wn /? CITY: ?? ? STATE: /? //?J . ZIP: ? Place a theck mark next to the permit work type ., ??-? ???? modification or alteration to existina dwelling unit 'I ? I IT i Add-on $ 30.00 _ , , " U ?? • furnace replacement • air exchan9er AUG 3 0 D ? 2002 uLl • airconditioner? • other R? -- ? Nature of work: State Surchar e $ .50 TOt81 $ ? ? - • Z - .cG=-e;l0 IGNA"PIJRE OF PERMITTEE tloz 5 3Q ?j? RESIDENTIAL ? BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILDT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Raawrements . 3 registereo sde surveys showmg sq ft of io[ >q ft oi house, antl all roofed areas i20°io maximum bt cove2ge allowed) • 2 rooies of plan showmg oeam g,vmdax s¢es; poured found design, etc ) • i set of Energy Calcula[ions * 3 copies of Tree Preservation Plan rf lol Dlaped affer 711l93 • Rim Joist Getail Opuons selection sheet (bldgs wAh 3 or less units) DATE T/9?ex'2' SITE ADDRESS /SLZ- ?i?y"?(H t.? C<-eK?i? TYPE OF WORK A64 APPLICANT 6.c1/zk MULTI-FAMILY BLDG _Y _CN?_) _ FIREPLACE(S) ?? 1 _ 2 STREET ADDRESS /cSLS ??e'?,J cirr STATE "k^IZIP -Sr3__b 7 TELEPHONE #??'fs S?Zzf?SCELL PHONE # FAX # 65??f<S,}"- Zzo? PROPERTY OWNER _ 13"1 's+ ??1`$ 11?/y?71r ?!/ o TELEPHONE # COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ %IINvF,90T.1 RULES 7670 C:\TEGORY I -MIVNES(Yl':\ RI'L1:5 7673 (J1 submission type) . Residential Ventilation Category 7 Worksheet Submifled . New Energy Code Worksheet Submitted • Energy Envelope Calculations Su6mitted Plumbing Contractor: Plumbing systcm includes: Mechanical Contractor: N-Mcchanic.il scstcm inclu(ics: Sewer/Water Contractor: Air Condiuonin; _ Heal Rccovcry S}stcm Phone # Phone # -----°----------------------------°--°--------°--°-------------------------- I hereby acknowledge that I have read ihis application, state ihat the inforn with all applicable State of Minnesota Statutes and City of Eagan Ordinanc SlgnatureofApplfcant ----------- ----------------------- ----------------- ----- ----- -^-------- ^----- ---------- -------°--° OFF[CE USE ONLY Certificates of Survey Recerved _ Tree Preservation Plan Received _ _ Water Softener 4Vater Heater No. of Baths _ Phone # Lawn 5prinkler No. of R.I. Baths RemodeURaoair Reouiremen4t I • 2 copies of plan • 1 set ol Energy Calculations for heated addihons • 1 site survey for extenor adCitions 8 Gecks . Indica[e d home served 6y seplic system far additions _V?IUATION IS0,60) 5U.a? g? P'ee: $90.00 ['cc: $70.00 lp P? Not Required _ Updated 4102 OFFICE USE ONLY . ? 01 Foundation ? 02 SF Dwelling Cl 03 01 af _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex C3 07 OS-plex ? 13 16-plex ? 08 06-plex ? 76 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex ? 18 Deck ? 11 70-plex ? 19 lower level ? 12 12-plex P16g_Y or_ N ? 20 Poof O 21 Porch (3-sea.) 22 Porch/Addn.(4-sea ) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding ,X 32 Addihon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Ooors ? 34 Repfacement •Demolition (Entire 81dg only) - Give PCA handout to appiicant Valuation Occupancy A"3 MC/ES System Census Code l,?34 Zoning n? 1 City Water ? SAC Units ? Stories Baoster Pump / Nbr. of Units " Sq. Ft. ? PRV / Nbr. of Bld s -" g Len th g Fire Sprinklered Type of Const 4ZA2 Width ? REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. Footmgs(deck) ? FinaWi o C.O. ? Footings (addinon) Plum6ing ? Foundatio? ? HVAC ? Drain Tile Other Roof ? Ice & Water ? Final Pool Ftgs AinGas Tzsts _ Final Framin _ Sidmg Stucco _ Stone _ Windows (new/replacement) Insulanon _ Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatmen[ Plant Plumbing Permit Mechanical Permit License Search Copies Other 34? ? ? 30 Accessory Bldg ? 31 Ezt. Alt - Multi ? 33 Eut. Alt • SF ? 36 Multi Building Inspector / J.)- ?`4a ?/ - J?Y?r 902 ? a rB J,Vlc,iii r-A4/ i .20?C 7?a.40 Approved By Total RUN ? f / t" x ' ' y ,v? f T•• ? +f G F e?(ui9 '^a'n.v-c-T' ^+'uwmar ? Prape[ty C6mments' ? . -;Sales I Value.. . ? Ownerln(o," i? •rZoning / Land llse lriformdSipn .` ,,' • `'_ ; < ; :: _ '. '' ? LandArea.`(sq t dcre aye - ??. UnifCount "- p." ; 12763?8 ` rp.293 ,-! - ,., Flood.Zdne Commumty?Paltel.#?-.Banel Date? ;s, „_ _- ? ]C 27010300018 Augustl7 1978 -- . k? , ? --a Zomng DesignaUOq.,? JR-1 iResidential Single Family New•ZoinngDesignahoov .s___'?,..,.,., ?°'"---- +19•1 Residential5ingleFamily TJewLerid`U. se;Degi 9'= atio -'`'??`'``?°''•:"'-"?----- - ?':- -- -- _ , LQ? Low Densiry (0-4 unitslacre) :'- xd ; Locaie Rarcel ' = =.Ezis ?h , 117 W CURVE^ 5[anaara 12Z(--5 x , 7- c) = 25'Sz?'f At-"wn-o l'7? I¢i e-c nlt.? $ t 1 c?i TO 13U6L-D 07?02'2002 19:21 FAS 952 9320694 Lampert Sards Z t701 Q°C1TIt ??nttei _• MECcheck Coenpliance Report ?000 IECC MECcheck SuBware Versioa 33 Release Ib Data fileaame; C:\Proi ram Files\Check`,;v1ECcheck\DAHLSTROM.cck TITLE: DAHLSTROTn CIT'X: F/?G--4N STATE: M:nnesota HDLJ: 73Sc CONSTRUCTION T1'PE: Single F3mily D/aTE: 97,'02/02 COIvipT.IANCE: Pas'ie,s Ma,Yimum UA = 113 Your Eiome = 100 11.5g'o BctCZr Than Code Cciluig 1: F1al Ceilmg ui $unout Tauss wall it Wbcd Frame, 16" o_c. Windaw 1: Metal Frame with Thermal Dreak, Doub3e Pane with I.ow-E Checked Bylbate Gl'035 Cii3Zlilb Arca or Cavitv Cont- or Aoor Par,meter R-Valuc R-Vfllue U-FacYOr UA 342 OA 40.0 S 950 19.0 0.0 44 140 0.310 43 COMPLIANCE STA.1CEMENT: The proposed building design described here is consisterrt with the building pl2ns, specifications, and other calculaNons suhmitted with the parmit applicarion. T'he pxoposed building hes been dnsigned to meet the 2000 IECC requirements in MECcheck Version 3.3 Release 16 and to comply with the mandatory requircmen,ts listed in the MECcheck t pection Checklist. BuildedDesigner l ' l?•!? z?-_ ??u?aze / ? ?'"' 07i02-2002 10:21 Fax ssz 4320694 L&mpert Yaras INn? MACche.ck In.spection Checklist 2000 IECC MECcheck Software L"ersion 3.3 Release 1 b T)ATc: 07'0102 TI"CLE: DAHLS'fRCT•1 Bldg. ' Dept. I Use i I 48iling5: [) I, 1. Ceiling 1: Flat Ceiling or Scissor'lYuss, R-40.0 con6nnous insulation Coumzents. ------------------- i Above-t+r;ade Walls: [] ? I. Wa;l 1: Woud Frame, 16" o.c., R-19.0 cavity insulazipn . Cortuncnts: . --,-- ? VVindows: [] ? l. Window 1: Metal rrame with Thermal $reak, Double Pane with Low-E, U-factor: 0.310 I For windows without labelzd'U-factors, dascribe features: # Panes _ Frame Type----_ T'hermal Break? I 1 Yes [] No ' Convnents: __ ?-----.--------?..--? ? AirLcakage: [] ?]oiMS, peneixations, and all other such openings in the buildin; envelope that are sources of air ? leakage must be sealed. (] ? Recessed li ghts must be Type IC rated and instailed with no peneRations, or Type ]C or non-1C ? rated installed inside an appropriaes air-tight assembly with a 0.5" clearance from combustible I materials and 3" clearance from insulation. j VapurRetarder. [] ? Required on the warm-in-winter side of all non-venced &amed ceilings, walls, and floors. i Materials lidentiTication: []! Materials and equipment must be installed in aeeordance with the manufacwrer's installation instructions. [] ? Materials and equipment must be identiried so that compliance can be de#ermmed. ?;vtanufacturer manuals for atl installed heating and cooling equipment and service water heatin; ? eyuipment must be provided. [] ? Insulation R-values and glazing U-factors must be cleariy marked on the building pians or specificaaons_ I ? Ducklnsula.tion: [] ? Ducts in tuiconditioned spaces mnst 6e insulated to R-5. ? Su?? vwa??lc dM Uuiidiug Iuuni in, uuulmw, w 1f-8.6_ ? Duct Con±.truc[ion: [ 7 ? AII jaints, ,sr,attaa, and oonncchoQa mwE 6a s66,,.6ly £a5ka.?efl ,vi4k walds, ges!cate, aiastiae ?(adhesives ), masvo-plus-embedded-fabric, or tapes. Duct tape is not permitted. ?&zceptionr Gontinuously welded and locking-lypc longiluGinal joints ftnd SeAms on ducts I operating at less than 2 in. w.g. (500 Pa). [] ? Ducts shill I?r snpported eeerv 10 feet or in accordance with ihr manufarbver'S inRtmctinnN [] ? Cpolino ducts with exterior insulation must be covered Wich a vapor retarder. []; Au filters aue zeyuired in the recum air system. [] ? 77ae JIVAG system musc provide a means for balancing air and water systems. 07i02-2002 10:22 FA1 952 4320694 Lainpert Y'ards I Tempera[ureCOUtrols: [] I Thermost:?t; are requaed for each separate HVAC system. A cAanuai or automacic means to ? panialiy restnrt or shut off tUe hea:mg andior cooling inpet to each z4ne or floor shall bc provided. 1 Service Watcr 13eating: { j I Water heaturs with vertical pipe risers must have a heat trap on both the inlet and outlet unless the , i water neater nas an integral liea[ uap ar is pnn uf x i;irculadug ?ptclu. [] I insulate cir.alating hot waccr pipes to the levels in Tabie 1. 1 ! Circalatin, Hot Water Systems: []; Insulate ciraslating hot water pipes co the levels in Table 1. I ? Swimming 1?ools: [] I All heaied swimming pools must have an on; off heater switch and require a cover wilc;ss over 20% ? of the beating energy is from non-depletable sources. Pool pumps raquire a time clock. ? ? Heating and Cooling Fiping Insuiatian: (] I HVAG pipuig conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the ? levals in Ttihle 2. 2 ena ...-- o 570 Churchitl St. MN 55126 . • SEP-19-1988 15:05 FROM E.G. RUD & SONS TO PE ZUF.II: P.lil CERTIFICATE OF SURVEY For: DEZURIK COMPANIES 0:1CV04 IE* ?. ..?Ob R>ti i ?; • DD 36 M' N . ? 1i,? =1 N z O° K . K ? o W k n w ? ? i?1 ? IO' c I ? . ?O \ B-70 .3 _ RSrn?. Flr. : BGI. S oC bloc•: : 9 in -'i ) \ ? 0 Jenot?t ..?'? ?- dc..vttr / cfitni d \ l J ?p5 5 `'? / C U?s Ikj C ' q7 G qL o ? ?i'q AS ¢?. . ?.--' P,?Qo.cb ??S 4 ? r• 1 A l t y ? s?w1v al SJrIcf.[ ??m...r. ;. DY'n1:o5?.(? P.???•.*1..?... . Lot 4, DlOCk 4, STONCY POINT, DakoCa Cauntys Piinns;sot(i, ;s :4T •33-77.a5-' o Denotes wo hu 11 f SCALE:i Inch=ILFeet o Denoies iron Beorings shrnmore on on ossumed datum. Job No.UJ5,6 Fsooh..:- ??'Y'- wa nsreby oertify tnet this I+ a t.u• and corrsct revresentation or asurrev 7 th• E.G. RUD & SONS, INC. DounEOries Of 1he abov descrlDed lond an0 of 1he lototlon of oll Duiidinpt, if OnY, IhoWn, ond oll riaiEla •nc,qaehmtnts, if ony, from or on said lond. _ ^ LAND $UfMl'uRS 7988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ? 0. SINGLE FAMILY DWELLINGS f? G ? S INCLUDE 2 SETS OF PLANSt 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CDh1MERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS 8EP 2 7 198e To Be Used For: -SFD Valuation: G p b DOt? Date: Site Address 1 S2Z La ?cvrew ?uRde Lot ? Block 4 Parcel/Sub STO N e y ? Y'o'^ji Owner Address City/Zip Code Phone Contraetor ?£ z ?,e I ,e ?ui?c?edstlivc , Address -457U G°ti un?L?l SL City/Zip Code Phone oo3y Arch./Engr. Address City/Zip Code OFFICE USE ONLY On site sewage, Oecupaney -R 3 M-1 MWCC system ?G Zoning R-? On site well _ Actual Const V City water ? Allowable V-N PRV required _ # of stories Booster Pump _ Length y 2 Depth 4.1 S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit S1 0, Oo Planner Surcharge 'Y3, o0 Council Bldg. O£F Plan Review SAC, City Z59, Oo 00•OC) Variance SAC, MWCC 550, p0 Water Conn 550•00 Water Meter 67,60 Road Unit 32,;. Do Treatment Pl Z oy,Ov Parks Copies TOTAL ?. Phone IF VA LVAT ?0K1 .-• - _ . ?A 2A?E ? • • ? X20= y8c? 1 46?x I?rGS/o BqSEM7--u 7- Z4 x zla::: 9(00 18X16 _ZSg (2 o) ? l2U3 x 13= 1615`I ' ?.. Hou n? p?v?' 518•00+ ? /21.i3 43•00+ I ys 2 ? 259•00+ 1Y796•OU+ ZX 6= ? L- I 2•616•00* - ?.._,_.?_.. ?..,_,w....?....?_. 128s xy?? 2 -? r- d$? S?1 SEP-19-1988 15:05 FROM E.G. RUD & SONS CERTIFICr4TE QF SURVEY For: DEZURIK COMPANIES ° AK,?y'1EW GV ? ?. .....- :' R,110 •? `F? DDaD6D 3 k ? A ?F ? 1 ;a7_URIK COMPANIES u570 Churchill St. .•?wew, MN 55126 TO 6E tUF, i l< N ? P.OL % G.rope?xd C-le??-?o.. s : _ BSrnE. Flr. -rop. oc 51oG?i ; g i? t Q denofcs dCNefCG d 5? s,'4t<; \ ? P \ . ?t„i o ?ase sfak, at t?;? ?{T?:.? $UYjef.6 7,?e.? rn ;? o ??b ?139 A5. R= • 'S1 p•, bq ?,?. U de?l?-? 0IV V* ?aY•9° "' ?.? `--'` pv,e,tiaa * ?usC - ?J I ? 1 . Y. A 0( / Lot 41 dloCk 4, STONCY POINfi, Daketa County, Mifl?OWA, :4 : 4? •i3=7?.a5? o Denotes w0 h 11 SCALE: i InCh=ILFeet o Derrotes Iron Beorings shown are on an ossumed datum. Job No.? Book.._= Wqc- we hsreby eertify tAat tAis is a trv and corrsct representafiofi of a aurvey ot tha E.G. RUD & SONS, ?NC, DounAOries ot 1he abore dsscrt6td land end oi the locofion of all Duildinqo, it ony, ?N? SUfN[YURS 1Mrson. an6 911 vieiEla *nc.ja[henenle, i} ony, Trom or on soid lond. ._ ...? CITY USE ONLY PERMIT #: 4 L4 2?I I RECEIPT DATE: ? L v RU1D£N17AL MECEi4NICAi. PEfiMIT APPI.ICihTiON crrY or $nsax ssso Pn M xxos Etn £RBAA MLY 551 EE 651-691-4675 I Please compiete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: ? "3- (? I SITE ADDReSS: 4c5 o? ?L L0-10- v15" l..(ffve_ Ob'vNERtiA,V1E: (AYYlI.ci'VZfv TEIEPHONE #: Ce S l YS.y ?,-Xp 7 (AREA CODE) INSTALLERNAME: ?ur LSt ri911-?\V?G _ TELEPHONE#: 96--'- W V V (AREA CODE) STREETADDRESS: ?-YIOC?Q (at1(S. /?U S CITY: 50-10.?19.. STATE: "rs ZIP: 5 573 '7? New residential dwelling unit under constructionand not ownedoccupied $ 70.00 ? Add-on, modificati allerktion to existin dwelling unit $ 50.00 • urnace re lacement • air exchanger • air conditioner • other Nature of work: /At-i?? State Surchar e $ 50 Total , ` ,? ?? _ Reminder: Call jor inspections. ? aPR o c ?uu? U ' -r ??z SIGNATtTRE OF PERMITTEE Updated VOl { 1991 BIIILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS IfITLTIPLE DWELLINGS PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: i e la?? Valuation: ???OC)• 00 Date: D-3t-9/ Site Address 144eviru) (..urJL Lot Y alock Y Parcel/Sub S-Le (6%i17? Owner TmtS D, Le?.r Address 15-sZoZ /.?.KerhPuJ Cirrc/G City/Zip Code C4 aH ? ???? Phone ?8 7 - o yyy Contractor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # ?'lCoa? 7 COMMERCIAL IISE ONLY FEES c? Occupancy Bldg. Permit c?6- Zoning Surcharge .Sa Actual 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 _ SIIBTOTAL APPROVALS Penalty Planner Lot Change ? Council TOTAL Bldg. Off. Variance Sewer/Wa er Li sed Contr. `?• agrees that all woik shall be done in accordance with gnature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS _# OF FOR SALE UNITS APFLICATION 1=0R PERMIT SEWER AND/OR WATER CONNECTION . . .. ....... . , ? N07'E: PAYFIIWf OF PEE nT TSME OF ,*t APPLICATION DOFS N(r CON- i STI7VPE APPfi('iJN. OF PII76ffT. i i INSPkZTION OF SFAffit AlID/OR WA4FR ; ixsrauATxoNS wu.r. xCfr ae sccEnuLm ; ? ITNfIL PERMIT FfAS BEFSI APPROVFD. ? f I`4 S f t 1 M 4 i i't Y 11 }} R i i i i'Y! *> fe f f 1/ M1'k # t* fi 4 ?F (zcoy?_Yn (PLEASE PRINT 1) PROPERTY ADDRESS: T FY:AT. DESCRIPTION; Lot Block Sub ivision or Tax Parcel ID ) IF EXISTING STRCCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Mont Year IY R-1 SINGLE FAMILY El R-2 DOPLEX (3tNo Units) Q R-3 TOWNHOOSE (Three + Units) ( Units) = R-4 APARTMENT/CODIDOMINIUM ( Units) PRESENT ZONING/PROPOSID LSE: ? CONllMERCIAL/RETAIL/OFFICE Q INDL'SIRIAL Q INSTITC'TIONAL/GOVII2NNIENT 2) NAME: C u- ADnxESS: Ik? F' ` /11a?? ? CITY, STATE, ZIP: PHONE: 3) iMUrM NAME: ADDRESS: CITY, STATE, ZIP: PHONE: MASTEE2 LICENSE # I? Active Expired Not recordec -gt-af-f Initia 4 ) o'1s79?M NAP7E: !, ADDRESS: CITY, STATE, ZIP: PHONE: 5) 6) L<D-C6NNECTION TO CITY SEWER (?CONNECTION TO CITY WATER E] OTHER .r*t*:t****,t***t,r****?****?+??*,t*?:t:t,t***+****?****,r***+******,t*?,rt**?***?+***,r***:?**?***,tt**+****??*?? t * THE GOI]D COPY OF R'[IE PERMIT WILL BE SENP DIRFCrI'LY TO PLBLIC NDRKS 1U FACILITATE MEPII2 PICK-DP. y *k PLEASE ALLOW 7W0 FARKING DAYS FOR PROCESSING. SOMWNE FROM 'im CITY WILL CONi'ACf YOU IF 7Y-IERE * ARE ANY PROSLENS. $****+*?*****x*,r*t**,r*?*x,r*?+****+r?:*****************+*?****,t**?**+*?***tr*******+******?:****++?**+: FOR CITY IJSE ONLY PERMIT # ISSCED Pd w/Bldg. Permit FEES: $ $ /C - SEWER PERMIT ( INCLDDE SURCHARGE ) $ $ ?O- Sv WATER PERMIT (INCLDDE SORCHARGE) $ 6-7'B? $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLPDE CORPORATION STOP) $ $ SEWER TAP $ $ / "5--•vv ACCOPNT DEPOSIT - SEWER $ $ ACCOCNT DEPOSIT - WATER $ $ WAC $ ?o S 0? $ sac $ $ TR(!NK WATER ASSESSMENT $ $ TRC'NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRCNK SEWER $ $ LATERAL BEN°FIT/TRONK WATER 6r71 $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ / q??` S TOTAL O 7 :51 RECEIPT RECEIPT DOES CTILITY CONNEC TION REQOIRE EXCA VATION IN PL'BLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK S+7ITHIN PL'BLIC Q NO ROADWAY" MCST BE DIVISION ISSliED BY THE ENGINEERING . LIST AS A CONDITION. SU BJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : /U ? Apf ? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 7 l / 3830 PILOT KNOB RD - 55122 651-681-4675 New ConshucHon Reauiremenls ? 3 regisfered sMe surveys showing sq. R. of lot, sq. ft. of house and all rooted areas (20% maxfmum lot coveraae allowed) > 2 copies of plans (show beam S wlndow sizes; poured fnd. design; Mc.) > 7 set of energy calculafions ? 3 copies of }ree preservWion plan tl lot platted aker 7/1/93 DATE: '4e -f -- 'y ' ?? p DESCRIPTION OF WORK: STREETADDRESS: ,?saa Remodel/Reoair Reauiremenft 2 copies of plan 7 set of energy calculatlans tor heated addHions i sHe survey tor exierlor addMlons S decks COST: H - e$'7o/1.m G?a-ma6F1?-„ dt2'awG?- LOT: `{l BLOCK: '+ SUBD./P.I.D. #: ..? ? ? J- PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Namej-64W,V `??//?/?rt ftMl?TtlZ/d P h o n e #: 776 7 LaSt First ? Street Address: !'3?-? 64PVGs city E?A-? store: /V') zip: 5-15-laX company: )4rr5L91cfA1x&e«v1,AC 60744e-46es Phone #: (area code) Street Address: /'?-2 License #? a44??-383 Exp, -3 o 0 City ?c? .u3'oYae? State: /W' Zip: Company: Name: Telephone #: area eode ( ) Street City Sewer 8 water Iicensed plumber (reauired for new constructfon onlvl: State: Penally applies when address change and lot change is requested once permR Is Issued. Zip: I hereby acknowledge ihat I have read this appllcation, stafe fhat the Information Is correct, and agree to comply with all appllcable State of Minnesota Statutes and CMy of Eagan Ordinances. ? Signature of Appllcanh ! OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received _ Yes No No Registration #: Not Required „ _ CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FEES pgrTfgN'X`.T4};T;_t,; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ -------------------------------------°----------------- WORK DESCRIPTION FEES o 'y ? NEW CONST _ PAPoti? ADD-ON MINIMUM ? a15-0?j ADD ON ? P`G HVAC 0-100 M BTU ?2 ??."oo? REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: fa 7J. Le/ir' SITE ADDRESS: /Saa ?w.E'c?iewGurv? ivi:? nivCn 4/ oU&D. ?'^ • INSTALLER: .. _._ .._ __.._...,..??m 1 ADDRESS : 410 WEST LAKE STREET ' L kHliltEM?A6fS.A4P1 F?•aoa PHONE 8242658 CITY: ZIP: PHONE # 18 OF CONTRACT FEE. STATE SURCHARGE 6 $.50 FOR EACH $1,000 OF PERMIT FEE. PiCUt:ESSEJ P1PiTVG - j25.00 $25.00 MINIMUM FEE. POMMERCSwINpV5TAIAf.PLEA6E COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: FOR CITY IISE ONLY PERMIT # a ? RECEIPT a OOCa/?-- DATE: SUBTOTAL: $ ! ; , 0 O STATE SURCHARGE: .50 1;rH;.: S ? v ? SIGNATURE OF PERMITTEE $ (SIGNATURE) CITY OF EAGAN 4 oF 3830 PILOT KNOB ROAD THa`^'°`5 EGAN EAGAN, MINNESOTA 55144-1897 WayOf PHONE (614) 454-8100 DAVID K GUSTAFSON PAX. (612) 454-8363 PAMELA McCREA TIM DAW1ENiY THEODOIiE WACFiiER Counol Manbers THOnMS HEDGES Gry Adminis[rator September 24, 1991 axENeVAN ovERBeKe CM1y Clerk JAMES D LEHR 1522 LAKEVIEW CURVE EAGAN MN 55122 RE: CUSTOM FABRICATED METAL FIREPLACE HEAT CIRCULATOR Dear Mr. Lehr: Pursuant to Section 3707(e) of the Building Code, we have reviewed and approved the proposed design of your fireplace heat circulator. Sincerely, Joe Merchak Construction Analyst Protective Inspections JM/js Enc: prePosed 8Q-6Sn CC: Doug Reid, Chief Building Official THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROVJfH IN OUR COMMUNITY Equal OpportunNy/Affirmative Action Employer 9-s-9t CUSTDMER_F.A_3Rt??D tYtT,?(__ -R E-- E: N -- - - ------ I v`?''_U3h?i_?_T?f?D ?QR -?.?"P?i20??.?T. SOU6H%_ MPUA.t)c9_ ------ ? -- ? r - - -- - -- ----- ? I U N 1 T ?! 1 L l_ A-Si R S ? _ A J7?l!?c??_?? 'jj?, ox _ i?,?LAB W1711 _ T ?I-''-??/?S ii -' RC_T_?ng1•t_=T_?7_ -?a?-w ITI-1__-AN_ C?MM-ET?"r--C-k G?uE5?drtS, i ? ? ? ? ? LL_ R" ,,_ d ¦¦ KRECH O' BRIEN MUELLE R Hc WASS I NC , , . , . 6115 Cahill A v e n u e ¦ Inver G r o v e Heights • Minnesota 55076 ¦¦ 651 451 .4605 ¦ fax 651 451 .09 17 ¦ komw@komw.com ¦ www.komw.com PROJECT PROJECT # 0 Z Z.3: C. SHEET ? OF LOCATION DATE CALC BY -? ? . -_ ? Z4 - ??-AA--I-Lssto 7-0SrAwCo- 1F-?rni0= la.Z ?f2. !5z"z_ (?K.,FJIE?I C L'g4a- . i?7115(- STvDS 5?F?, r?,?,., ss r Z c? 14 rz-v- p.-?L grryo^A - C o Npz?,9. vJ 4-1.(- SouTf? , ''" S OJ -M' W P'i,. "D -t <7-rvDs ?- yj er?T VJ a-UL-- 2Xb (p, Ibv o.c F7t)t.L ttT 1-3ar?-E- 5r??s dF ok- 4k1Z 7a7 Architeeture ¦ Structural jEngi.neeririg + I n t e r i o r ae3•ign ;,,,,,•:: ?_.: 1?7Z._ _?-A,KtiV\?W._CUR??.,_'?sAN.,?h1 ` ..._ - .--'. Z-?3 ----- ? , ]'% . ' ??r-•:i?'•:??' .:?;:?ylhr? ?n. r??(t ?^?f/?;r r" r-(tC<<: ? +nr n` r.Xi?.. rOJccrl WLv. : ?`?.` '?? i. . : . i?? . . ... X _.. ?v'1??v •-,?r•??p?,? .:?1?.. /vi?.i_l?1 .r.r,._(.?..?? I'TrCNJ: r± ............... ?- ---- sq. . 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'??..?......?y?.-...^.. . .. . -.. _ . . - .. ..?..... ... . ... .. .. ....?_?...?.--..+-.+.-? ..:.... ........?........... «.« Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use I t=: Permit City of Eano~ ; Permit Fee: 05 a s 3830 Pilot Knob Road I q I Eagan MN 55122 Date Received:. _ l 5 13 I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: _ I 1 a 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5- l 3 Site Address: Unit M 3 Name: A w-Z_,'0 Phone: A/2 55a T Z I Resident/ Owner Address / City / Zip: ~`L C'`t~-~ C~•-•r Applicant is: Owned- Contractor Type of Work Description of work: ► 1 Construction Cost: 1 Multi-Family Building: (Yes /No A i Company: "mss _r, Contact: t!~X ` Address: 0 City: CZA-, k S_ , Contractor State: /4'N Zip: 3 1 `7 Phone: 6 12 V T 3 ~L License 1.z__ -00317 12- Lead Certificate I At 7162y' 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 6 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: I t Sewer & Water Contractor: Phone: I 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 the 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Build' Code must be completed within 180 days of permit issuance. - ~A x qf - x Applicant's Print d Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use City Of E8 ll Permit#: /6--/q66-79 Permit Fee: i157--; 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 buildinginspections(d).citvofeagan.com Staff: L J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 Site Address: S l~_ A r v-i ( ' I ` Unit#: /f`3 C't , '7C i�' ( jP i L YA ) Phone:(0 t O Name.. � 1 (0 4 S Z -7-10 Res: ovinero, Address/City/Zip: .1 ) L . L 11�� i;i t`e cu f`\" Applicant is: Owner Contractor � Description of work: VL C11*:1` V 4 Construction Cost: 1 S .5. rj I {j. Multi-Family •Building:(Yes /No ) Company: S V/4 t.) -1\4 l contact')S 2 .. Ll 1)4v-e„, 7'77 47 Address: 14 SContractisr (� City: C lkf‘ I S S �� X30 p Stater 1\ Zip:c 7 Phone: 9 7 O r Email: IV C t� s T-we C_o wl License#: Tic 00 l �^ Lead Certificate#: A 1' - (. - �- If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that.you submitarecon deelid be'ilibikOgbanadwil the'"T Information may be elasebled as ifr providespecific rens mat would the Citi to ude t� are trade secrets. b r, ra,h 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.citvofeagan.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 thiis n. 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 th a.• ove an i. the case of ork which requires a review and approval of plans. X f)1\ \(- C"'L\jA Ap li a is Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use (� City, X11 Eaa all Permit#: y / /1 _t as Permit Fee: /05: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 buildinginspections(d2cityofeagan.com Staff: V J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: t ,a n Name: (41/4k)(41/4k) L4 A�A� J 7-j D Phone:`++o)1 5$Z /p Z f i s Address/City/Zip: I S ZZ LAW% Q Q W CI) V k. Applicant is: Owner 'X Contractor pp Description of work: t'�-e. IAL-- S ) ) N N 9 5 LK P V,)1N1J�1� N �X s �� p�N� 7 Construction Cost: 1-,t 00 Multi-Family Building:(Yes /Noo ) . I+R I r company: +/p Contact: PA ISL (KSvY Address: N D .1)AR.j( J, j City: /.N j4priz,oJ Stater f Zip: S S )7 Phone:9 L-7 n0 Email: PA Ve ��C �S I1R6 N ./U6 .0004 '` License#: C f Lead Certificate#: a 3 r zb Zo ll y If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE Plans and g d 7 N r bust you to be Informatf x c oni ` ':.1'� �'' 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.citvofeaoan.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. x U <C:67/11 Applicant's Applicant's Printed Name Applicant's Signature Page 1 of 3