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1794 Karis Way Use BLUE or BLACK Ink RECEIVED l Permit Cit of Eajan SEP 14 2010 Permit Fee: 3830 Pilot Knob Road l l Eagan MN 55122 ; Date Received: ; Phone: (651) 675-5675 l Fax: (651) 675-5694 1 Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - 1 " I 0 Site Address: 1-7 q y 1 I a y- T's 0.u 5 00 Tenant: Suite RESIDENT / OWNER Name: A I I u 4 b.Q n 0 6 r yi,~-av e r Phone: G 6 ~5 a o~o~ 00 Address / City / Zip: 1 ! ! t 16 r 15 W 0.y 5 J Applicant is: Owner 1 Contractor TYPE OF WORK Description of work: C O cLQ_Q. W 1Y`CV6 L-z S 1 h ~X 1 S i h q OPXhin Construction Cost: / W • O Multi-Family Building: (Yes / No CONTRACTOR Name: ~j Y1a 0 t.J COriCjQ +S License 0-7-0 / G 3 q 9 3 Address: t Cl O L O me Oak ka city: QCz a State: M/ u Zip: 66 I Q I Phone: (D ~ ~ / ~ ©l Contact: Cl VvC -:S-O Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and sWporting documents"thatyat,► submit are c idered to be public, information. Portions of the informatf€ n may be classified as non-public if you provi 'specific reasons that would permit -City.ttk conclude that they a 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..qopherstateonecall.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. x 11~2 11C Schrni eS; h x 2&1~ ___'j Applicant's Printe(d Name Applicant's Sig re Pag 2 Receipt MECHANICAL PERMIT Permit No. 7 J ? f CITY OF EAGAN - Fee ? ??•y j??? Frll in numbered spaces S/C ?• Type or Print legib/y Tot. 1. Date ` • 2. Installation Cost ? , 3. Job Address Lot Blk. -`• Tract - - ?- S ?" 4. Owner .iL CLj -' ' ? 5. Contractoc_- ? Phone -? 6. Address ' 7. City State Zip '- 8. Buiiding Type: Residential ? Commercial ? Institutional ? 9. Work Descripiion: New 0 Add O Alier-;W( Repair ? 10. Describe . . , : Fuel Type 11. No. Epuipment 8TU - M. Ea. Forced Air No. EQUiument CFM Air Handlin : Mfg. g Boilers Mfg , Mech. Fxhaust Unit Heater Mfg. Other L.? Air Cond. • Mfg. J Gas, Piping Qutlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Addition Lot 9 6 Rlk 2 Parcel #]'Q 639$0 26(L0Z Owner Street 1794 Karis Way stete Eagan, NAi 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK ? 1980 184.49 12.30 15 147.62 Coo 666 2-18-82 SEWER LATERAL 1982 1305.42 5 1305.42 C007616 12-23-81 WATERMAIN WATERLATERAL 1982 1260.79 5 1260.79 C007616 12-23-81 WATER AREA 1} n?. _ 8_82 STORM SEW TRK 1982 638.24 S 638.24 C007616 12-23-81 STORMSEWLAT 1982 955.45 S 955.45 c007616 12-23-81 Services 1982 637.75 S 537.75 C007616 12-23-81 CURB & GUTTER SIDEWALK STREET LIGHT ROAD IJNIT 240.00 #29821 4-28-82 WATER CONN. 420.00 11 BUILDING PER. 7207 s.ac 525.00 11 PARK CASH RECEIPT ' CITY OF EAGAN 2? - Z 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE __ __ _ 1 9 wEeervEo FROM AMOUNT $ I & DOLLARS ?oo E]CASH [] CHECK FOR r FUNO I CODE I At/IOUNT -`" f I I I I Thank You BY ? White-Payers Copy Yellow-Posting Copy Pink-File Copy cirY oF EAGAN =795 Pilot Knob Roed Eegan, MN S3122 PHONE: 454-8100 ? o 9 BUILDING PERMIT Receipt # To be wad fo? Est. Yclue Date -, 19 Site Address Erect ? Occuponcy Lot 81ock Sec/Sub. Alter p Zoniny parcel # Repoir ? Fire Zone Enlary e ? Type af Const. W Nome Move 0 # Stories Z Address ' •'?' : , Demol ish p Length ? r-:... • o?.,.__ - 7- Grnde !-'1 -, Depth Sa. Ft. a Nome _ z? o" Address V? F- r:... I hereby ccknowledge thot I have read this aG the informotion is correct ond ogree to corr State of Minnesoto Statutes and City of Eu! Slynature of Permittee A Buildirig Permit ls issued to: pll work sholl be done in ctcordonce with oll Buildlnq Officiol Assessment _ Water 8 Sew. Police Fire Enp. Plunner Council Bidg. Off. _ APC o? Permit Surcharge ?- Plan check SAC r,7•• Wnter Conn. ' Woter Meter Rood Unit Totol on the express condition that y of Eapcn Ordinances. Permit No. Permit Holder Misc. Psrmit No. Holde? Plumbing ?'l 5 n H.V.A.C. ar Wall Wte Disp. Sewer ei.M.ic ?0$`l3 BFt? F c Inspection Date Ins. Other Footings Foundation Freming ? S- Z Rouyh Plbp. Rouqh HVAC .?s 2 Inwlation 2 Final Plbg. Final HVAC Final Waftr J D",iba L ation: YVell a^ewer Pr. D{sp. ? Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee +.. j i? , Fill in numbered spaces S/C ? Type or Print legib/y T ot. -=„ 1. Date 2. Installation Cost 1`" •\ 3. Job Address Lot -` Blk. - Tract 4. Owner OR.T?IN TIiOM a0N HOWS 5. Cantractor 6. Address 37 '; _;ic:_: , -o . _vu. o. 7. City State Zip 8. Building Type: Residential 0 Commercial ? Institutional O 9. Work Description: New 0 Add Cl Alter O Repair ? 10. Describe ` orwd 8fx Y1Bat]rig 11. Phone - FueJ Type No. 1 EqJ ment STU - M. Ea. Forced Air 1' " r'' No. Equipment CFM Ai Mfg. r Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Othe Air Cond. r Mfg. ' Gas, Piping Oatlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Parmit No. CITY OF EAGAN Fse Fill in numbered speces S/C Type or Prini /egib/y , Tot. ?1. Date 5- 4- 8? 2. Installation Cost 3. Job Address 1794 Rar is blay Lot !7?'&' Bik. Tract 4. Owner «r r z n Thompson 5. Contractor LJenzel Mech. Phone 452-15C, 5 6. Address 36U0 KennPbFC Isr _ 7. City Eagar. State Hinn - - Z;p 55122 8. Building Type: Residential IN Commercial O Institutional ? 9. Work Description: New El Add ? Alter ? Repair ? 10. Describe 11. No. • Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Se tic Tank Lavatory ? p Softner ? Shower Well Kitchen Sink Urinal/Bidet Other ? J_ Laundry Tray f Floor Drains Drinking Ftn. - 51op Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ' ' ---?-?---- CITY OF EAGAN N ° 9112 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5 • 5121 PHONE: 454-8100 BUILOING PERMIT Receipt * 2 ;,/ Te 6e wwd fe? SCRFI;y PORCH $3,000. MAY 29 89 pate Est. Volue , 19 Site Ad dra,ss zb 1794 KARIS WAY Erect ? RIUGECLIF£'r: 1 Occupancy R3 Lot Block ? eclS b Alter p -? 60 Zonirq Parcel No. ? " "??"0 -02 Repair ? Firc Zone N/A ' E nlarpe p ROBTRT J PFEAJI?..'IN(? TypeafConst. W Neme Move Q S?E # Stories ? Address Demolish p 4 5 2 ? Length City '? Phone ' .? Grode ? Depth Sq. Ft. o Name }`nBERTS ROOFING &'1t 1k:ODELZNG Approrals Feas o Add -"' PKS"Y Assessment Permit '0 ? u ? URN _ 6VILLE 1954 U City Water S Sew. Phone Surcharpe F u Poliu Plon check {yW f Name Fire SAC ?? Address Enp. Woter Conn. tW City Phone Plonner Woter Meter Council Rood Unit I hereby acknowladge thot 1 have reod this opplicotion ond state that gldg. Off. the in(ormotion is correct and ogree to comply with olt applicoble 40.100 Srota of Minnesoto APC $totutes and City of Eagon 4rdinances. Total Sipnaturo of Pe?mittee - A Building Permir Is Issued to: oll work shall be done in oqI? Buildirq Official & i: EIMLQD i; T' on tFu express condition that wesota Statutes and City of Eoqon Ordinonces. Permit No. Permit Haldsr Misc. Permit No. Holder Plumbing H.V.A.C. Wall Water Disp. Sower EkMrie G-L ?,GJ/' '45 kd ? 1 v. o c? / A C- Inspection Date insp. Other Footinqt Foundation Fnminq Rouph Plby. Rouph HVA InwlrtiOn Finat Plbp. Final HVAC Final ? r ' Water Demibe Location: Well Sewer Pr. D'yp. CITY C1F EAGAN 3795 Pilot Knob Roed Eagon, MN 65122 Zoning: ? Owner: Address: Site Address: Plumber: 1 egree to eomphr with !ha Cihr of Engan Ordinaneea. of Insp.: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Chorges: - Total: 00 pd OF EAGAN WATER SERVICE PERMIT Pilot Knob Road PERMIT NO.: MN 55122 DATE: i? No. of Units: Address: No.: No.; M eomplr wPfk fha City of Eagan Connection Charge: Account Deposit: _ Permit Fee: Surchorge: Mlsc. Chorges: - Total: Dote Puid: This request voiA 6/1-7 18 mun[hs from M 0893 3z, K,Cc (SL 30 S88'" 30- od Request Qate ` Fire No. Rouph-in Insper.lion Pe uiretl? ' ?Ready Now4 WiII NolitY InsPec- tor Wh n R d 1 es ?No . e ea Y V+Licensed Elechical ConVactor I hereby request inspection of ebove ? Owner elec[rieal work instelled aY et Adtlress, Box orROUte No. 1?9ti I?RIS WI? Cifv E,ft60 ectwn o. Township Name or o.- Fang¢ No. CoWLLQy1'? 1,?lirv1ph OccuI IIR?TITM??? PhoiieNO. .. Power Su`O1U?lier tLF,R Adtlress 4?' ?.?'?,?krtll??f EleCtric(a?l? Convact/o?r (C(o..mnany Neme) ?Gl.l.r G?-CL7F-{.l.i . ConM^Var.tor's License No. 1V?? "Z Mailing AdJress (Comracmr or Owner Making InstailatioN ng MINNESOYA STATE BOARD OF ELECTNICITV Gripgs-Midway Bldg. - Poom N•797 1821 UniversitV Ava., St. Paul, MN 55104 oi.....,. Ifit91 1Q79111 I Pa•ssJs' THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BV THE STATE eOAND UNLESS PHOPEfl INSPECTION FEE IS ENCLOSED. 0.;) `6 y ? REQUEST FOR ELECTRICAL INSPECTION , Ses insfructions lor eovpbtiny aAis frcm on bacl[ of Yellow copv. A fl 5 - ""X" 8e/ow Work Covered by Thes Request NaelAddj Reo. . Typa of Builtlina Aooliantes Wiretl EquiDmem MiraJ 1 Water q Fee 58rviwEMmmeSize # Ae Feeders/5ubleeders tl Fae Circuita 0 m200 Amps 0 to30p 0 to30 AFrWs Above 200 Am - 31 to 700 Amps 31 to 100 Anvjs Swimmin Pool Above 100_Am A6ove 00___Anqfl; Transfomiers Irrigation Baort6 Partial: Otlxx Fee Signs Speciallnspectian $ e?mrks/? TOT •OO floueh-in Date I. the Elacbical I.Vacbr. M.sbv wrtiry thet Hr abuve Final Date ' inspeetion haa 4een . ?/_5{`4 ?aa. Th4 repuest vaitl 18moniRS kan l ?? This repuesl wid 18 monihs (rom A. _052718 ? Owner Electrical Gontrflctw bI5/Yy ` ec.G W 1 I p. a o n Inspeecion tl? Neady Now Q Will No1ih. lnsP . ?NO lor When praAY I hereby rspuasi impection of above eixtrical wrark imtellod at: Shaei Address, Box or floute No. . I i.?q.J . G..?' CilY e ion o. Townsni0 Name or No. ?e No_ Goun ? Occu n IPRIN ? Phone No. Fbwer $uPVlier Address Elechical Contractor (C M Name) -? ConVfactor's Licrose No. ?/ Mailinp Address (Concraccm or Owner Making Iosmilatlon) ---.4, harized Sipna Contr or?Owmer ki?q I?lalla?:on) one Nu.nDer 4AINNESOTp 67µ7E gpppp pp ElEG701CITT THIS INSPECTrON NEQUE3T qILL NOT Gripps-Midwev Blde. - Roum N-791 BE ACCEPiED BT THE STAIE BOARO 1821 Univerairy Ave., St. Pevl. MN 55100 UNLESS PROVEB INSPECTION ifE IS PMne 16121 2972111 . ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION „-^ EB-00001-03 See instruc[ions br Compl¢ting (his form on bnck Of VallOw copy. 893? `. Q- 'X"°? r?w Work Covered by This Request ?jQS S C? ew Ad{t Pap, TVVe of e,nai.e aaonancas wi..d Equipment WirBtl Home Range Temporary Service Duplex Apt. 6uiltling Commercial Bldg. Water Heater Dryer Fumace Lighting Fixtures Electric Heatin Silo Unloader. Industrial 81Ag. Air Conditioner Bulk Milk Tank Farm Other Socci y ther ISUer.iNl ther Sueclfy Ot cr Other Conrpute Inspectian Pee 8elow M Fae ServiceEnhanceSiza # Fea Fandors/Subfeeders N Feo Circuita 0 to 100 Am s 0 to 30 qm s 0 to 30 Am s 707 to 200 Amps 31 to 700 qmps 31 to 700 Am Above 200_Am>s Above 100_Am s Above 100_Amps Transtormers RemoteControl Circ, ,o) Partial/Other F e Signs Special Inspection S p TOTAL F Ej 9ei*w ?ks a7 , Ihe Eleccrical /?ti? / /11 / ? r• spectoq hereby certity chet ffie above Final D:i/{e >spection has heen madx, s re0uest vc nianths Irom 7 ` `/ .?I j? a? CI'I'Y°OF EAGAN Include 2 sets of plans, N ??j'l? t• ? ? , . 1 site plan w/elevations s ?? G1'? ?BUILDIN? PERMIT APPLICATION 1 set of enesgy calculations. 'Ib Be Used For qn« Valuation Date ?-a?I- - Site Address: 1"iqA a.r: S Wo..v ?i c,A ) oPF'ICE vsE ODII.Y Lot 21o slock 2 sec./sub. 1 Erect x Occupancy Parcel 0? FtirSt Alter Zoning Z Owner: Pr3dress: City/Zip Code• Phone #: Contractor: nRRIN TNfIAAPC/lni unnncc Address: a Division of U. S. Home Corporation }31}2 I IBfVfIltlS ER@53RBA0--- City/Zip Code: MINNETOnIKA, MINN. 55143phone #: 5q q- 7 333 Arch. /Eng. : Prldress: Gity/Zip Code: Phone #: Repair Fire one Enlarge Type of Const. Move ^ # Stories DeJrolish Front (?po2 ft. Grade Depth -?Z('---ft. APPROVALS f'EES Assessments Water/Sower Police Fire EnJ - P1annPs Council Bldg. Off. P.PC Permit 3 /? = Surcharge 30 Plan Check /s8 = SAC watPS Conn. y?a -9Z Water Meter (?oX" - Road Unit „2!/' 'ICYPAL ?-6 CITY OF EAGAN N? 7202 1795 Vilet KnoA Road Eegen, MN 55123 . iHONF:'4S4-S1Q0 BUILDING PERMIT Receipt # T. ee ?ba for. SF DWG/GAR Esr. vaim $61,000 Date APril 28 , iy 82 SI}! AddfG55 1( JY l.ia rvay \a io?i ivv/ Lor 26 Bloek 2 sewsun. R'dgeCliffe 1: Pa.,,i # 10 63980 260 02 rc i 9 0 z °uV ? ? Name viLUt unuPauiL ruuc0 Addreas 1712 lbpkiTIS GYossmad, Nama OWCler Addrezs Nama _ Address I hereby acknowledge thot I hove read this apDlication and state that the inlormotion is correct and agree to comply with oll opplicabie $tote of Minnewta $totutes and City of Eagan Ordirwnces. Signature of Permittee A Building Permif is issued to: Orrin oll work sholl be done in occordonce with all Buildinp Officiol Erect W Occuponcy R-3 Alter ? Zoning R 1 Repair ? Fire Zone _ NA, Enlarge ? Type af Const. V Move ? # $tories Demolish ? Length 62 6rode ? Depth-Afi--Sq. Ft.- Aoerevols Feea Assessment _ Water 8 Sew. Police _ Fire Enp. Plonner _ Councll - Bldg. Off. _ APC Permii 310 . V V Surcharge 30.50 Plun check 158.00 snc ?52.lp5.0?0?1 Water Conn.ga?e.- Woter Meter 60.00 Road Unit240.n0 roml $1749 _ 50 on tho exDress condition Ihm y 04 Eagan Ordinances. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 27•199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # Te M uwd Fer SCREEN PORCH FN vni„a $3, 000. n„r> r siteqd r ss 1794 KARIS WAY Lot ? Block 2 Sec/sub. RIDGECLIFFE 1 Parcel No. 10-63980-2 60-02 w Name ROBERT J PFENNING Z Address SI?E ? City Phone 452-9703 o Name ROBERTS ROOFING & REMODEL. o? AddreW BURNSVILLE PKWY u? citv gURNSVILLE pnone $94-4148 Name _ Address City - Phone 1 hereby ockrwwledge that I have reod this apDlicotion ond slote thot the informotian is corrett ond ogree to comply with oll apPlicoble Stafe of Minnesota Statutes and City of Eagon Ordinances. N? 9112 Erect E:? Occupancy R3 Alter ? Zoning Rl Repoir ? Fire Zone N/A Enlcrge ? Type of Const. V Move ? .?j.` Sfories Demolish ? Length_ 6rade ? Depth Sq. Ft.- n7r Aoarorols Feea Assessmenf _ Water & Sew. Police - Fire Eng. Pionner ? Council - Bldg. Of4, _ APC Permit v -+V • -+v SurCMrge 1.50 Plon check SAC Water Conn. Water Meter Rood Unit Toral 40.00 Signoture of Permittee I A Building Permir Is issued to: ROBERTS ROOFING & REMODELINGm the express condition thm nll work sholl 6e dorre in o ord nc with,all up i fe tale of Minnesoto Sfotufes ond Ciry of Eogan Ordirwnces. Building Offitiol O-C/ e ?-? P. ,Mzi CITY OF F,AGAN BUILDING PERMST APPLICATION Include 2 sets of plans, 1 Certi£icate.o£ Survey & 1 set of energv cal.culations. To Be Used For QORPKValuation ??. OpG•-' Date 5ite Address: P?. ?Aq A? OFFICE USE ODII?Y Lot Block ? Sec./Sub. , - ?i?rect X Occupancy ?-3 Parcel # : I (J ' (p 3 ?"I ? U - °? Io 6 - 0 Z Alter Zoning Repair Fire Zone N A Enlarge Type of Const. y Raner: OI?E_(2.-I"' ?' PI'GNI?II.iL ?e # Stories Address: ? 7Cj q kf{(Z-IS ?IJA? Demolish _ Front l Co ft. CitY/ZiP Code: E 2C4 fdfJ ? ILA f?j. S J) Z 2- Grade Depth I D ft. Phone #: 145a-1703 APPROTALS FEEs Contractor: R"ObEaS` R or-i tJ4 + a?rrtc;QE11qy}ssessaents Address: ( I"(-7ng f 1J •BulLl.iSv )LLE Qkw , Water/Sewer ? Police City/Zip Code: 2WSV 'j LLe ? vl" N 55337 Fire Phone #: q 1'-4 $ ??er Arch'/Eng " Council Bldg. Off. Address: APC City/Zip Code: Phone #: Pexmit 38.?jO Surcharge I, - Plan Check SAC - Water Conn. Water Meter Road Unit - TOrAI, 1?0 • 6 Ci ICp x Io ° ilao x, Io = 1co:? w 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN l(?-7 3830 PILOT KNOB RD - 55122 ??T`1 J U [ ? (651) 681-4675 ? - ?- -? New Construclion Reauirements ? 3 registered site surveys ? 2 copies of plans (inciude 6eam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 capies of tree preservation plan if lot platted after 7!1l93 required: Yes No DATE: aq/a? ` DESCRIPTION OF WORK: Remodel/fteoair Reauirements ? 2 copies of plan • 1 site surveys (exterior additions & tlecks) ? 1 energy calculations for heated additions O C9'? CONSTRUCTION COST; o1t9i1Q_ cle- ('-,.r nrri o .?/n m1 /ll .,irA .em n STREET AQDRESS: ( /`1`t 1', Qlul'?) l? LOT: ? BLOCK: ?- SUBDJP.I.D. #: Phone k: LIL?--------- ------------ ---- P120PERTY L'?t FitS1 t )bVNEIt Street :\ddress:_ ----------- ------- -------- ------5 --^------ City `?-?'-- - - ----------------------- Stuc: Z` ? ------------ P: v -- Compatry':----------------------------- Phouc #: e A3 -RAk, _ CO V "I'RAC1 OR Street Address: SEL4 ROOFING & REMODELING, INC. ?censc #Z?? __L.ep. 4iIIQ-E7CCECS10R8tV4--- ---- - - ST. LOUIS PARK, MN 55416 ?i Citq ---------- State: ------------- p' ------- -----1D?760705?-'------ ARCHITECTI ENGINEER Compart7': ------ --------- ------------- ------- Yhone #: ----------------- Registration #: Slreet CiIY ---- ----------------- ---------- State: -------------- "Lip: Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. Penalty applies when address I here6y acknowledge that I have read this application, state that the information correct, an agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? n Signature of Applicant: •-{? OFFICE USE ONLY Certificates of Survey Received , Yes _ No Tree Preservation Plan Received _ Yes _ No ^ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 5F Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New X- GENERAL 3 Alterations ? 36 Move ? 32 Addition 4 Repair ? 37 Demolition INFORMATION Const. (Actual) (Allowable) UBC Occupancy 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 Engineering Census Code SAC Code Census Units Census Bldg MC/WS System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee Surcharge Plan Review License MCNVS SAC Ciry SAC Water Conn. Water Meter Acct. Deposit S/VV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units 1794 C. R. WINDEN 3 ASSOCIATES, INC. lANO SURVEYORS TOl 643•3646 FOR: 1381 EUSTIS SL, ST. PAULP MINN. 55100 U. S. HOME CORPORATION ?- a4' N ?. , , , . o . , o 0 . D , . Scale: 1" = 30' ? 6 1,?? 1?o O Denotes Iron n ? J u ? l_lJ VN) ? N ? , s PYOp°Saa ?oUSa2o II - _ U ? , w A2 z 10 w y1 I ?? U ??J• / ? ?PR? 5 Lot 26, Block 2, Ridgecliffe First Addition, Dakota County, Minnesota. WE HERE6Y CERTIFY TMAT THIS IS A TRUE AND CORREti REPRESENTATION Of A SURVEY OF THE 60UNDARIES Of TME tANO A60VE DESCRI6ED AND OF THE tOCATION Of All lUIIDiNGS, li AN1! TMEREON, AND All VISIlIE ENCROACMMENTS, If ANY, FROM OR ON SAID lANO. Dotad this 72L doy oF AjX,) A.D. 1962 C. R. WINDEN d ASSOCIATES, INC. br Surveyor, Mienewla Rapittralion No.111(e !1r019 °93-13 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewCansWCtionReaui2mems RemodeV R uiremenls 3 reqia[ared site swvHa aha+m959. ft. d lo; sq. 8. oi hou5e: and all roa(ed ar?s ovnng footiigs, beams, Mists (20%maximumlMCOVerageallowed) r? ? ne7g alationsfwheateGaddibons 1 Sails Repart'rf proposed huifdirig is N 6e pWceA an disWr6eC soil `? 1 site survey i6are 8 Aecks 2 oopies of plan showing beam & windax sizes; poured found desig Ad?'Qqp,-Ind fion-sile septic sysfem 1 setof Eneigy Calculations t c? [UU I 3 cwpies af Tree Preserra6un plan rf id platted after 711193 JUN Rim Jdst Deiail Options selecbon sheet (6uildings wilh 3 w Iss units) h5nnegasco mechanical vai61a6on fartn /3o_v0 C u ON'ke Use OnM CeROfSurveyRecd - Y _N Sa75RePat _Y _N T2e Pres Plan Recd _ Y _ N, TreePresRequired _Y _N OnsileSepficSystem _Y _N Plans are considered public informa4ion unless tiou s4ate 4hev are t ad cret and the r@ason. Date (J1 /_Laj l Site Address -A`Zaq oqvo I KG--65 ConstractionCost )1 ? oQ(D WCc.u Unit/Ste # Descriptioo of Work Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2 PropeHy Owoer I ec.M G ) oVIe< Telephone #((gS () l o5S ?cI l 1?_ contractor _?2.?? u C9Pee? - ? Co)I4o-cf1-?'nc., naaress (Q?s3 State rv, in. T Tc? <c?ro ? Que • city Zip 2?a Telephonek((?(Z) 490- 7767 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv t Minnesota Rules 7672 Energy Code Category . Residerrtiai vemiia6on Category t Worksheet • New Eriergy Code Worksheet (4 submission type) Submitted Su6mitted • Errerqy Ertvelope Cakulatlons Submitted In ihe lasT 72 monThs, has the CiTy of Eagan issued a permiT for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: Licensed Ptumber Mechanical Contractor Sewer/Water Contractor I hereby apply for a Residential Building Telephone #( ) Teiephone #( ) Telephone #( ) that the information is complete and accurat e; that the work will be in conformaoce with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, d wor is not to starC without a permit; that the work will be in accordance with the approved p in the ase of or tch reqtdres a review and approval of plans, ?j AppiicanYs Printed Name DO NOT WRITE BELOW THIS LINE Sub Tvues ? Ot Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work T es 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garage V 18 Dedc 0 19 Lower Level ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi 0 22 Porch/Addn. (4-sea.) ? 33 E#. Alt- SF ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc. ? 24 Storm Damage ? 25 Miscellaneous ? 35 lnt Improvement D 38 Demolish Interior ? 44 Siding ? 36 Move Builtling ? 42 Demolish Fountlation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 Wndows/DOOrs `Demolkion (Entire Bldg) - Give PCA handout ta applicant D83CriDti00: WaterDamage_Yes ??fl •? ? Valuation oe, Occupancy MCES System Plan Review 100°k or 25°/a Census Code 43 q Zoning City Water SAC Units Stones Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type af Const Width REQIIIKED INSPECTIONS _ Footings (new bldg) ? Sheetrock ? Footings (deck) Final/C.O. _ Footings (addition) ? Final/No C.O. Founda[ion HVAC - Drain Tile Other RooF _ Ice & Water _ Final _ Pool Ftgs A'v/Gas Tes[s Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _.-Brick _ Fireplace R.I. AirTest Final Windows _ lnsulation _ Retaining Wall Approved By: , uilding Inspectw Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 08 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex .? . ? U: S. HOME CORPORATION C. R. WINiUtN 6 A550C.IA7E5, INC. LANO SURVEYORS i*L 643•3648 1381 EUSTIS ST., ST. PAUL, MINN. 55108 ? 85 ?? ? `. ? b ? D 6 i ? U ? -21 C. ? ? ? ? ? O `•` O O , ?o Je/ , L_lJ ? N1 ? 6- ? ` n \ ` ? ? 7 ? ?S N i V Scale: 1" = 30' O Denotes Iron ad Prop°S ? ? ?II o ? V v ?? Lot 26, Block 2, Ridgecliffe First Addition, Dakota County, Minnesota. WE MEREBY CERTIfY TMAT TMIS IS A TRUE ANO CORltECT REPRESENTATION OF A SURYEY OF TME BOUNDARIES OF TNE LANO A60VE DEStRIBED AND OF TME LOCAtION OF All BUIIDINGS, IF ANY, TNEREON, AND A1L VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAIO LAND. 7}1" doy oF ?'? A,D. 196Z C. R. WINOEN 8 ASSOCIATES, INC. Dorod this br Surrayor, Minnesota RoQistralion Ne.I I'-r. -- ----------- I For Offce Use ? ? Permit #: I Permit Fee: I I ? Date Received: ? I ? I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date:SiteAddress:/7,q11 j5a99'Al A-1L Tenant: Suite #: RESIDENT/OWNER Name:.e/// p'/1! $t45"A,_4liCx Phone:G/2-9410"3-/J7L Address! City / Zip:/7 p <j ?y/ <' laa /?_fapn A/ Jt//V Applicant is: _ Owner ? Contractor TYPE OF WORK Description of work:Tf/¢Q Construction Cost: Multi-Family Building: (Yes No ? CONTRACTOR Name:wFSTvrAL??A/ License #: ,2s/CSS'G? Address: 9&2 /? Ty ?4 vE /V City: 'LJ_L. y,GIO uT/t State: AIAI Zip: 5-5 ZZ Phone:y?.a Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Energy COde . Residential Ventilation Category t Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) . Energy Envelope Calculations Submitted , In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master pian? _Yes _No If yes, date and address of master plan: Licensed Plumber: phone: Mechanical Contractor: Phone: Sewer & Water Contractor. Phone: NOTE; Plans and supportmg, documen,#s that you submit are consi dered to be public infotmation; Portions of the inforination rnay be classrfied as n"on specrfic'reasons tfiaf i?vould ermit the Cit to ublic rf ou provrde p p y; y , ?concludeYhaflhe' are`tradesecrefs. ° - I hereby acknowledge that this information is complete and accurate; that the work will be in contormance 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 perm@; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 7GOSC 6 U cld'(??/?./'?2 ?ApplicanYs Printed Name /? ApplicanYs Signature Page 1 of 3 V I For - Office Use I I I City of Ea~~ Permit1 R,UL 0 9 2009 UUU , Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 0~01e PICAS Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 4 med plop r@v1tw I Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0 Site Address: Tenant: ite RESIDENT / OWNER Name: \K\ c-,P Pl on : 'S1 Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work Gam! Construction Cost: fi ~Iy uuiI mg: (Yes o A. ~y CONTRACTOR Name: f icense~#::,t Address: ~~-'-tom City: State: /22/0 Zip: ° Phone: V l ontact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information, Portions of 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. 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 ns. X x - Applicant's Printed game p "ant' Signature Page 1 of 3 7 DO NOT WRITE BELOW THIS LINE / SUB TYPES ❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool A Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. Alt. - Multi ❑ 01 of - Plex ❑ 07-plex ❑ Garage ❑ Porch (4-season) ❑ Ext. Alt. - SF ❑ 02-Piex ❑ 08-plex ❑ Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc. ❑ 03-Piex ❑ 10-plex ❑ Lower Level ❑ Storm Damage ❑ 04-Piex ❑ 12-plex ❑ Miscellaneous WORK TYPES ❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building' ❑ Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior ❑ Alteration ❑ Fire Repair ~ Windows ❑ Demolish Foundation ❑ Replacement ❑ Egress Window ❑ Water Damage " Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25% 100%~ Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:_R.I. Air Test -Final - f Windows Insulation Retaining Wall Reviewed By: Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review 1 Me~ MC/ES SAC " City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA086842 Eagan, MN 55122 . Date Issued: 10/13/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1794 Karis Way Lot: 26 Block: 2 Addition: Ridgecliffe 1st PID 10-63980-260-02 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840. Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Gem Ryan Plumbing & Heating Dean Obermeyer 2200 West Highway 13 1794 Karis Way Burnsville MN 55337 Eagan MN 55122 (952) 767-1000 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA086948 Eagan, MN 55122 . Date Issued: 10/17/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1794 Karis Way Lot: 26 Block: 2 Addition: Ridgecliffe 1st PID 10-63980-260-02 Use Description: Sub Type: e - Water Heater Work Type: Replace Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kim Renville 2200 W Hwy 13 Burnsville, MN 55337 952-767-1863 Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Gem Ryan Plumbing & Heating Dean Obermeyer 2200 West Highway 13 1794 Karis Way Burnsville MN 55337 Eagan MN 55122 (952) 767-1000 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature