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1186 Kinglet Ct SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO 8910 WENTWORTH AVENUE SOUTH MINNEAPOLIS, MN 55420 952 881-7739 TEST RECORD i ADDRESS G- C-~ CITY AA OCCUPANT OWNER r` ` + 7' SOLD BYv INSTALLED BY 7- MAKE MODEL ~r Pp 3&(3D77D SERIAL NO. f~ 2 ~~11 INPUT (v YJ THERMOSTAT\)f) DAD VENT SIZE VALVE TYPE OF LINER LIMIT-/ 60 LINER SIZE LIMIT SETTING FILTERS: SIZE NUMBER FAN SETTING ` WIRING -514VIII h PILOT TYPE TEST TAG IGNITION MODEL LIGHTING INST. PILOT TIMING 6-2k10 DATE TESTED PRESSURE J ` ~ PERCENT COZ<03" 7 Cit INPUT CFH 6 0 d0 PERCENT 02 COMPANY TESTING 4 f/~/ f STACK TEMP. %9_ PERCENT CO "4:5 NAME OF TESTER FORM 235 (REV. 6/08) FORM IBUTION: WH4 COPY - JOB FILE YELLOW COPY - CITY . r - - - - - - - - - - - - - - - - - D Permit I City of E9 D , I JUL- 1 3 2009 I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 , Fax: (651) 675-5694. I Staff: L -----------------I 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: -7/1plog Site Address: Angela Mitchell Tenant: Suite 1186 Kinglet Court RESIDENT (OWNER Name: Eagan, MN 55123 6516814489 CONTRACTOR Name: NQRB-LQM-PLUMBING CQ.- License O(P (5~ Address: (612) 827-4033 City: 2905 GARFIELD AVE. SO. State: Zip: MINNEAPOLIS, MN 55408 Phone: Contact Person: TYPE OF WORK -New Replacement -Repair _Rebuild -Modify Space - Work in R.O.W. Description of work: W x p ea w PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures L- RPZ / _ PVB) L_ Main - Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 1 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. Applicant's Printe Name A icant's Signal ure FOR OFFICE USE Reviewed By: Date: Required Inspections: ; -Under Ground Rough-In Air Test` Gas Test Final I PERMIT City of Eagan Permit Type: Mechanical Eagan. Permit Number: EA094569 Date Issued: 06/22/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 1186 Kinglet Ct Lot: 3 Block: 2 Addition: St Francis Wood PID:10-65900-030-02 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions 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 Valuation: 10204.00 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Sedgwick Heating & Air Conditioning Ira C lolitchell 1408 Northland Drive, Suite 310 1186 Kinglet Ct lolendota Heights NIN 55120 Eagan NIN 55123 (952) 881-9000 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature CITY OF EAGAN Remarks -?- Addition ST. FRANCIS WQOD ' Lat eik Z Percel 10 65900 030 02 oWner?'? street 1186 Kinglet Court State Eagan. MW 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. 1TIp. . , GRADING *SAN SEW TRUNK 4-31 1980 $ 90 ,tSEWER LATERAL WATERMAIN *WATER LATERAL #WATER AREA • *STORM SEW TRK fSTORM SEW I.AT 198 15 ? CURB & GUTTER SIDEWALK STREET IIGHT VMATER COfVN. 270. 00 15211 7-19-79 BUILDING PER. # 5AC ? PARK ? ? CASH RECEIPT ? CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNE50TA 55122 DATE 19 RQC6IVED . 1 FROM AMOUNT $ I _ & DOLl.ARS ioo E]CASH ? CHECIC ? FUND CODE AMOUNT ; -- ~/ _.- - --- r =?_ -} -- - --- c- V `? J ?, . ?'/ . L . . . . _ / l / I r'?? , l. Thank You - - ? ? 15 21 t White_Peyers CopY Yellow-Posting Capy Pink-File Copy ? . -? . , . CITY OF EAGAN 8795 Pilot Knob Road Eoyoe, Minnesota 55122 Phowe: 454-8100 PERMIT No. 1-r. 39 Dnte: ? ' Receipt No.: . Single Site Address: 11 ` F Y. inct 1 e t_ COU I"' Residential Lot ? Block " Su6/Sec. _'`t. ` r`3nCi5 I •MuIH Res., Comm./Ind. Name New/Alter /Re air . p [-rrer ; Addreu Cost of Instollation _ O T,•.t - , . - City Phone: Permit Fee =:rninaton r?lba.& :i+c-. Name Surchorge ¦ _ ? Address V , . City Phone: Total This Permit is issued on the express condition thot all work shall be done in accordance with all applicoble State of Minnesota Statutes ond Ciry of Eagon Ordinonces. Building Official naaress Address Assessment _ Ciry Phane Water & Sew. Pol ice Name Fire Addrass Eng. City Phone Plonner Council Surchorge Pian check SAC WoYer Conn. Water lWleter I hereby acknowledge that I harfe read this opplication and state that gldg. Off. the informntion is correct and agree to comply with all opplicuble APC Total State of Minnesoto Stntutes and City of Eagon Ordinonces. Signature of Permittee A Building Permit is issued to: on the express condition that all work sholl be done in accordante with oll applicable State of Minnesota Stotutes and City of Eagon Ordinances. B ql 'nR,;;Officiol ' _l _ .. . . .? . _. . .. •" . . . _ . .. .. ??? 7- 3 l 3 1 ...?,- , cITr oF Uc,??N JOAO 5315 • 3795 P U o t K n o b R o a d E o g a e, M N 55? 1 Z 2_ l QN- I, PHONEs 454-8100 , ? I? 1?? w BUILDIHG PERMIT ?? Receipt # . ParnM # Deh Istued P Plumbing f t Mechanical yt INSPECTIONS DATE INSP. Rough-In Flna! Footings - Date Insp. Date Insp. Foundation Plumbing Frame/ins. -- Mechanical Final _ 1- Remorks: I-CMD 00 ? ?. ? ? ? ` ?. CITY OF EAGAN SEVI/ER SERVICE PERMIT 379; Pilot Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: . .. .. .. .-,:..: Address: Site Address: ? 47 Plumber: I agree !o aomply with fhe City of Eogan Cannection Charge r. r, : - „-:- •, T Ordinonaea, By Dote of Insp.; I nsp.: eiTr oF ?,GnN WATER SERVICE PERIVIIT 3745 Pilot Knob Road PERMIT NO.: Eagan. MN 55122 DATE: Zoning: ? No. of Units: Owner. Address: 5ite Address• Plumber. - Meter No.: Connection Charge: Size: Actount Deposit: Render No.: Permit Fee: 1 egt?ee to aomply wil?h 4he City of Eagen Surcharge: Ordinances. Misc. ChQrges: ' ''' • ?`,' Totol: By Date Paid: Dote of Insp.: lnsp.: Account Deposit: . Permit Fee: 5urcharge: Misc. Charges: - Total: CITY OF EAGAN ' 3795 Pilot Knob Rm+d: Eqgan, MN 55124 PHONB: 450.8100 BUILDING PERMIT APPLICATION Receipt # To be uaed for SF DWlg & G3x'dg2 Est. Value 58, 000. Date - Site Address 1100 Aunaa.ec wu Lot 3 Blxk 2 Sec/Sub. Pa,cei # 10 65900 030 02 rc Name Russel J. & Shaxvn L. Dreyer z Add 3.nD 35eniM?''?r 147th _ Name _ 0 Addreu wW Name CaPP HQMS ~ x?z Address 4040 Cedar Ave. So. ?z F-a4an .,. 5 -_800 N"_ 5315 19 Erecf Z] Occupancy n? Alter ? Zon(ng R]. Repair ? Fire Zone 3 Enlarge ? Type of Const. V Move ? # Stories Z Demolish ? Front 60 N. Grade ? Depth 28= ft. Approvals Fees Assessment _ Water & Sew. Police - Fire Eng. Planner - CAUncil _ Bldg. Off. - APC Permit 1]L.SU 5urchorge 29.00 Plan check 76.25 snc 525.00 Water Conn.270.0? WoterMeter 60.00 I hereby acknowledge that I have rea is application and state that the in4ormation is correct and agr o comply with oll opplicable State of Minnesofa Statutgs an ' ot EoganOrMces. Signmure of Permittee A Buiiding Permit is issued to: RUSSel.DY'eyeY cll work shall be done in ac br??e wkh o piicable Sta?te ?of Mi?nr Buildin9 Official Toto 1,112.75 on the express condition that Statutes and City of Eagan Ordinances. CO RECTION NOT6CE Owner/Agent Ordinance Nos, and Corrections - Correct By For reinSpecCion Eagan Dept. of Inspection ,3795 Pilot Knob Rd. Eagan, Minnesota 55122 4$4;8YJ0 4 DATE: C:? Site Telephone Inspector: 2" Dept.: CORRECTION NOTICE ? . DATE: Address %11 n (/ ' `:?-??C' SiteName Owner/Agent Ordinance Nos. and Corrections - Correct 8y iForreinspection Ea9an Dept. ot Inspection InSpeCtOf: `"`-'4 ?/? ? -? 3795 Pilot Knob Rd. E3ga?, Minnesota 55722 454,8700 Dept.:_???•f t-.f-Fzs,) -?-? ?? Cities Digi itv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. . CITY OF EAGAN 3794 PiIM Knob Road , Eagun, Minneeota 55122 Phone: 454-8100 PLT1iT-Til(7 pERM1T Date: 10/13/79 Site Address: *1 i$$ RTry12t COUi't Z Lot u O E P 0 Nome 81ock 2 Sub/Sec. 't' rranC3'S T°7dg, -L)reyer Address 13Fr, L:pjJ°T 147th i City - '?Si'¢° Phone: Name Address 23':3t C`h1UD?P:GGd?E' %.V°. No. I535 Receipt No.: IC335 Sinqle 1 z Residential Multi Res., Comm./Ind. New/Alter./Repair P Cost of Installation Permit Fee Surcharge ? VI . _.___. '_ '" .- `tfi i " I ? i.. I City Phone: Total This Permit is issued on the express condition ihot oll work sholl be done in occordance with all opplicable $tote of Minnesota Statutes and City o4 Eagan Ordinances. o 511 Building Official ?????C.TfON NOnCE ,? .,. - ' ? ' - ? DATE: Address Site Name Owner/Agent Telephona Owner/Agent Address ? Ordinance Nos and Corrections - Correct By ???Lil'"+?7'?CTA 'Z??"?i r.eit 1 For reinspection < Eagan Dept-of lnspection InSpeCtOf: 3795 Pibt Kno6 Rd. Eagan, Minnesota 55122 4546700 Depi.: ?" / ? ,/GfxC[CJ (2 c° L?cL?-J . /? ? J This request yoid 18 months from Date of`this Requestact. B, 1979 I ? 4113 I, as 0 Licensed Electri al C ntractqr? O r do hereby request inspection of the above electri- calwiringinstalledat-5?. ?Hanciswoar?lbd. 1186 Kinglet Ct. Eagan Street Address or Route No. City Section Township Range County Dakota Which is occupied by Russ Dreyer (Name of Occupant) Is a roughin inspection required on this job? No ? Yes n Ready Now ? Will CaM] PowerSupplier D.E.A. Address Farmington ElectricaCContractorGorrigan E lectric Co Contractor's License Nd437673 (COmvany Name) MailingAddress 3065 45th St. W. Rasemount, minn. 55068 (Elecirf I Co ractar o? OWner Making TDIS Installatlon) 4231131 Authorized Signature Phone No. (Electrical Contfa T or Owner Making hls InStallatlon) ??n?J (' ?n^ ?0?? Th speetion reque Pwill n?t he accepted 6y ffie o u z ???U State Baard unless Pra er ins ection fee is encloasd. Minnesota State Board of Electricity 1 University Ave., St. Paul, Minn. 55104-Phone 645-7703 `R?EQUEST FOR ELECTRICAL tN5PEETION CH = KsBELOW WORK COVERED BY THIS REQUEST s - 4113 Type o[ Building New Add. Rep. Check Appliancea W'ved Foc Check Fquipment WQed Foc Home Duplex Apt. Bldg. Commeicial Bldg. Industrial Bidg. F ? ? ? ? ? ? ? ? ? ? ? ? ? ? Range WaterHeater ? Dryer Fumace ? Air Conditione[ ? d18 m581 Tempoiazy Wicing LighdngFixtures Electric Heating Silo Unloader Bulk Milk Tank L ? ? ? ? ? arm Other Q ? ? H ? `3 Wa3 er ?e erS the?s ? ? COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fce Feeders&Subteeders: # Fee Crscuits: # Fce 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 7 J • 101 to 200 Amps. 17 100 Ampeces 31 to 100 Am eres Above 200 Amps. M A;bove 100 Amps. Above 100 Am s. ; Transformexs teConVoLGir Partialorotherfee 11 S' ns al Ins ection ' "\ Minimum Cee S Remarks I, the Electrical Inspector, hereby (Final) This request void 18 months from I TOTALFEE ?p'??%yo•`?? Q.has been made. VDate ?,9ate? ;tJ ities DiLrital Oualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. i::T`? .,? _"C?•? ","'_. ..,/c'f•,;,'vy.l 'T';.t•?. ?.: ;??? 1 .,. : ]" .. .-_ . , . r.t- - 1. ?•: ?. ? . ., ?? ?? -i .. . . A.. . ,1 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN _ !-? 3830 PILOT KN08 RD - 55122 ? 651-681•4675 '? 1'? •`? ? New ConshueHon ReautremeMa Remodel/Reoair ReauiremeMs > 3 reglstered slFe suneya showing sq. R. of lot, sq. (1. of house and all roofed areaa I20% maximum bt eoveraae allowedj ? 2 copfes W plana (show beam a window atcas; pouied fid. design; eTc.) D 1 sM W energy calculafians D 3 eopiea W hee preservaHon pian G b1 platFed aker 7/1/93 DATE: / v" -/ 6 DESCRIPTION OF WORK: 2 eopies of plan 7 set ef energy coicuVcHons tor heafed addHions 1 aMe survey for exleriw addiNons a deeW CONSTRUCiION COST: J STREET ADDRESS: 1V LOT: --$- BLOCK: ? SUBD./P.I.D.1k: Name: P h o n e PROPERTY ??? FM OWNER ?I ? StreetAddresr. ?,?f,? ? City State: Zip: Company: Phone #: ??2? SELA ROOFING & REMODELIN(=, INC. (area code) CONTRACTOR 4100 EXCELSIOR BLVD. Sfreet Addreu: License # f Exp. Ci1y ID #0001950 Stat?: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Stree4 Address: Registration ik: City State: Sewer 8 waFer Ilcensed plumber {rec ulred for new conshuctlon oniv): PenaNy applies when address change and lof change is requesFed once permR Is I hereby acknowledge fhat I hove read thia applicaNon, state thallhe State ot Minnesota Sfatutes and CHy of Eagan Ordinances. Signature ot Applicanh OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree PreservaGon Pian Received Yes No - Not Required Zip: Zip: wffh all applicabl 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 ? 22 Porch/Addn. (4sea. ? 03 i of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments 0 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Sofrits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bidg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof • Give PCA handout to applicant for demolition permit GENERAL 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 No. of Units No. of Bldgs MC/ES 5ystem City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee Surcharge Plan Review License MC/ES SAC : City SAC Water Conn. Water Meter ACCt. Deposit S/W Permit 5/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ SAC Units %"SAC DATE 7-6-79 BL'ILDItiG PER'!IT ?3?LICATIOS Include '? se[s of plans, 1 site plan w/elevations and 1 set of energv caicuations. To be used fot-Y? Valuation Site Address: Lot Block Sec./Sub. 3 2 sr.F?ea? ?r We ?-?' Owner /IdSSEtI ? ?SHABO.Ul, y?i? Parcel \ur;6er /a -6svoa-C3a-oz ?. Telephone Address //-06 /'zR/G[6"'T COaCT E/449 A/ ^'1 /NN ?m S 4??AIBImN?tO/nvt) Telephone y/Z3-33S/ Contractor ? . C Ad3ress 33 9D (J?Od-A 04/ 7 41' 449fe-A 0 wJ7' Arch/Eng. nomdo ?r Telephone 9?.r2 - 5-'-0 0 Address glaie0 CEA/9e gYE" SA ?.7?--? S?-+?/? -/?---/??'/"' _ E'A6An), /?'i/.rw .sT/2 / OFFICE USE ONLY ? Erect ? Alter Repair Enlarge Mave Demolish Grade Da[e of Approva2 and Initial ,• Assessment Water/Sewer Poli'ce ? Fire Engineer Planner councii Bldg. Off. A.F.C. ..,.: Occupancy e- 3 ?,p Zoning /r-/ Fire Zone Type of Const. # of Stories Front b? Depth Fees Permit • ??S h Surcharge ? Plan Check .71 SAC S`.?Z'? Water Connection Water Me er f'J ^ TOTAL ,14 ,. ?v ? ? ? -T'?, fJ"G I ,40,PmOgbe 6ngi?eerin.q Compcxny P?/ 7'?-cstre2?r'?r ?'r-aZ Bz[.rnszi-?IZe, T7Zi? phosts 0-47I0?+?- ; Leqal Description: Lot 3, E31ock 2, St. francis Wood, Dakota County, Minnesota CEKT IFICATE °F SURYEY ?m ?$?b.v) . c?` a , b c ? .e ? . .? I ` N O RT 1--( i SGALE 1"=30' C °' ?•'S?„ NarE; q??L, 6Et>A?N45 SNawN A.F.1a' P.55?ME4 89j3 ?? ? LoT AREA = i??9 ?°1 Sq,c'T. 50°.??? ? ?E}°I{.o?-?PEPbTE.S PROY+OY?? ELGJATIo? ? ?a• ??,o;e L_ J i t_ ?.'? V' r -1 ?Qp¢??f • I ' P? ?O? M IR?r ?.' _e] m 0 3 "Y, `' vy.a• , 1?.d 3,,0 ` ?'d ?,. L ?w g? 44ZI 0 ? ?gg?rl N / y3 L GK Z w j o p? j?/ / C886.5) 9 my/?00 \ 6- g 1 ? v ' ? ? k? WALE 19eM??!- ,. ?a10.00 ORA1HArn£ <ae?.o, sss° oz00" w /1 I hereby certify that this is a true and correct representation of a tract of land as shown and described hereon. As prepared? " by me on this 5 day pf t7arch 19 79 . ' flinn. Reg. Yo. 5158 c:r.rv or- EAGaN r..aywIr_r,. s rE:r.MtNai_ No: 7r,4 DFl'PG1 06/29/99 l"It9f.-_: 07;::1.7:45 m? NAME-. ,av s r.:Fir:1:;r°«NSoN 321.2 9001 11.06 FCTNGL.CT C'T' 30.00 c"i'.35 300:1. 1186 4,TNGI._El' C.T 0,.50 32:10 9001 iiS6 KTN(;,I..C7 CT 60.00 2V55 9001 1186 4:INr,,I.,,EI' CY 0.1 p 3430 9001 E F f-URFi 1.Q0 7a+,a7. fieco=ipt Amoitnt: 32.00 Cf':i, i?i.90 USEfi IDe NANCY 1999 BUILDINC PERMIT APPLICATION tRESIDENTIAL? ???3? New Conshuclion ReaulremeMs CITY OF EAGAN 3830 PILOT KNOB RD - 651-881-4675 ? 9 registered sNe surveys showing sq. fl. ot lot, sq. R, of house and all roofed areas (20% maximum lof coveraae allowed) ? 2 copks of plans (show beam d window slzes; poured fnd, design; etc.) ? 1 sef W energy calculafions ID 3 copies of hee preservaFion plan M IW platfed aHer 7/1/93 Dare: 6 /Z 5i9 7 6a ?/ 55122 Remodel/Reealr Reauirements 2 copies W plan 1 set of energy cafculWfons for heaMd addHfonf 7 aRe survey for exierior addNions 3 decks CONSTRUCTION COST: DESCRIPTION OF WORK: I? ? v?:S Iti ?AS ewxl STREEf ADDRESS: LOT: -) BLOCK:-D- SUBD./P.I.D.#:?"? CSI ?( l-3?4 Name:??t'?S???MSw'\ Phone#: ?"- PROPERTY Lcst First OWNER Street . J City ?Q @ uNL State: 1/A ??, Zip: '?-S fz-3 Company: ? C". V^-Y. Phone #: ° (area code) CONTRACTOR Street Address: License # _ City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( Streel City State: Sewer 8 water Ilcensed plumber (reauired for new consiruction onlv): Penalfy applies when address change and lot change is requested once permR Is Issued. Zip: : hereby acknowledge that I have read lhis applicaNon, stafe that the tnt motlon is conect, d ag e o omply wHh all applleabl State of Minnesota Stututes and CNy of Eagan Ordinances. ? Signafure of Applicant f _ OFFICE USE ONL '7 Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes No _ Not Required?: Regisfration #: ? `----- -- OFFlCE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-piex ? 16 Fireplace ? 21 Porch (3-sea.) 02 5F Dweliing ? 07 5-plex ? 12 12-piex ? 17 Garage ? 22 Porch/Addn. (4sea. 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments X 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-piex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia 32 Addition 0 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair L] 34 Repair ? 38 Demolish (Interior) D 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFOR MATION Const. (Actual) Basement sq. ft. Census Code ?L711 (Allowable) Main level sq. ft. SAC Code -5)L UBC Occupancy sq. ft. No. of Units ?L Zoning sq. ft. No. of Bldgs O # of Stories sq. ft. MClES System Length ? sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building ? Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SlUV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC L ? CITY USE ONLY O ? RECEIPT #. Ic:/? G I / SUBD. ? BL RECEIPT DATE: PERMIT# 31051l I 1999 PLUM$INfi PEiMTT (RESIDENTIAL) crrY oF E,a?s,ax 3930 Pv.or icNoa [tn EAfiAN, MN 55122 (651)681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? 6ackflow preventer for underground sprinkler system FIXTURES EACH #i SOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in OUtlet ' minimum - 7 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alterations to existin dweilin 30.00 x = $ -so, Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3_00 x = $ Watef SoftenOr if dwelling under construction 5.00 X = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x 11 ---- _ $ State Surchar e .50 --> ----> ----> $ .50 Total --> --> ----> -•--> $ o , S Reminder: Call for inspections of aiterations, i.e. water heaters, water softeners, etc. .. ---- ----- •-------------- ----------- --------------------------- -------------- --- ---------- I hereby acknowledge tha[ I have read this application, state that the information is comec[, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYS responsibility to nohfy the property owner that the City of Eagan assumes no Iiability for any damages caused by the City dunng its normal operalional and maintenance , activities to the facilities constructed under this permit within Ciry property/right-of-way/easement. SITEADDRESS: lr.y `124- CT T?_c3.?Cs???/1V,? S?IZ? OWNER NAME: : TELEPHONE #: 661 q T 7 - ?C' (AREA CODE) INSTALLER NAME: S0-? TELEPHONE #: (AREA CODE) STREET ADDRESS: C I TY: STATE: --- _ __-- SI AT E RMITTEE Job Locetion Eerthwork Controclor Arrive Job Totel Hauts OnJob SOBTESHqMEAN ????c INC. 7415 Wayzata Blvd., Suite I I I Phons:546-6938 oa+, A K.J Summary of Techniwl and/or Enginearing Services performod, ixludiny Fald Tasf pata". Locetiom, Ekvsiimrc, end Dapth+ a'a asfimsted: Inspected base of excavation at Lot 3, Block 2. The excavation is app- roximately 12' deep at the southwest corner, grading up to 51-6' deep to the, north, and B' 4' deep at the east The excavation is oversized beyond the building lines to the rear oE the house , 11' in the garage area and s' in the house area The excavation is dry, except for a 1' pool of water in the soutl west corner of the excavation. All undesirable soils have been removed, exp( ing a brown sandy clay base, except for an approximately 10' wide strip in the eastern part of the house interior. At this location there is a 3' to 4 of fill over organic soil The organic soil is decomposina and aiving off a bad odor. It is recommended that the area under the support beams for the patio be excavated down to firm inorqanic soil to avoid future settlement. The organic soil pocket under the floor interior should be excavated and vented, to eliminate the odor problem. UISTRIBUTION jr-c- 1j_r,_ •,cse'l( j)rr,uer 1 rr F tuzn v% 910%, 2VI$?, +T_ Ico P??be 1rt9a. C!e, ter, u01-,6c,?Orov?i By SUB ERRANEAN ENGIN RING INC. Field Tect Dete ie sttime}ad pending finel leborotory tast raulh. SUBl'EHSANEAN Phone:546-6938 Fa16INEEBIN6 IHC. Dets 7415 Wayzata Blvd., Suite I I I Minneapolis, Minnesote 55426 Jo6Neme -3A, F-rav-NC_1Ci W t-%C)A JobN, Job Loca4ion ,^ Eerfhwork ' Confratior Cliant (+ LO. Arrivedob Milaa9e yco",; DepedJob Trovel Time + Chergeeble Leb.Timo - HOYn /???• Totel Hours OnJob 1vNr,. ReparlTims Summary of Technicel and/or Enginaering Services performsd, including Field Tecf Defas. Lowfiom, Elevstions, and DepfM are eatimefed: _ Attempted to inspect base of excavation on Lot 3 81o k2,_S,t Francis Wood. Approximately 8' of fill has been placed on thig lor 3 hand auaer orobes were made directlv behind house pad 'I'hgse probec revealed black oraanic material 2"-4" be1Qw s?rf.3ce Based on pv-pQP„t information, soils at this lot cannot be aop,T-oved It is recommended that s V raj, Aat $;+Q ?-Id•hP aY + a _ with a backhoe so tha a morP +h.,,-.,,,a jLingFp ion n3n ha mada DISTRIBUTION SUBTERRANEAN ENGINEERING INC. Field Tast Dete is estimetad pending ??,? r 4inelleboretory Tssfrssults, S0B'tEBSANEAN •• fiAciAfifiWRO WY. " 7415 Wayuta Blvd., Suita I I I Minnaepolis, Minnesota 55426 Sl..-Ft'a?nc5 f.?.boa?' Job Neme Job Lxation ?'?VlG4'?ehwn ClienT ArriveJob 130 v Mileage VA y11, 3 • /?? 7revel Tims (.§ M r DaparfJob '7 Lab.Time tilr Total Hours hr J,, On Jo6 41 Rsport Tima r Phons:546•4938 Dafe l? lS7 Z iGabNo. s^'7 Torei Int? Chargeeble Houn AIll/ i ?. Summary of Technicel and/or Engineoring $ervicet parfwmed, including Field Teet Da4e*. Loea+iau, Elavaiiom, and Dopths ere estimafed: Inspected fill area for a single family dwelling at Lot 31 Block 2, St. Francis wood. An additional 1h' of brown medium to coarse sand fill with 1/8" gravel was placed and compacted in the basement area and an additional 4' in the garage area. Performed 2 field density tests See Compaction Qualitv Control Te?t Report No. 3 for test results and locations. DISTRIBUTION Ir-c ir. Russel f DreTe, e I re- RLW1J ? Ice Pcobe £???ra Icc Eoaa,'. 9Ida • 2vis j?, Drp-I By N / SUBTE RANEAN ENGINEERIK INC. Field Tesf Dete ic eatimeted psnding final lebora4ory fnt resulh. - BIIBTERRANEAN ENGINEERING INC. ? MINNSAPOLI$, MINNSSOTA. Ph. 648 - 8985 Compaction A,uality Control Testa Project Single Family Dwelling, Lot 3, Blk. 2, Report No: _...3..._?. St. ranc?.s oo 5-?825$ C' aa1-ri?? T G L•?'rlg n WaYFag?Mn Job Ho Sand Cone Method [a Nuclear ? Other ? De th e ow ? dN? a.t M loutlon °ie ? pdow flll? wrtaeo '"? ??sily mdduro ee?M % a.y " d?mfy labo:ts y drY?b ?len r.earon.ea.?kons , . ig. 17 379 6 See Plan elev. 995.0' woom 123.4 3.8 113.5 113.8 99.7 APPROVED iq. 17 379 7 Below 991.0' 123.5 3.6 113.1 113.8 99.3 APPROVED ....... ' Notee= All testa correoted for stone content, wnere appiicaoad. ?o•-•• Indioated Percent Compaction El% Max• Modified PrOCtor DrY Density D-1sb7 ?% 1ylax.8taudard Prootor Dry Density D-688 Distribution : cc Mr. Russell Dreyer cc Husting & Engstrom cc Probe Engineering Service cc Eagan Bldg. Insp. Dept. "' ? I Lt L d" , Lo ? ? ?c ?1 919 . ? SUBTEBHANEAN Phone:546-6938 EN6tNURtNG INC. , Date ,- " 7415 Wayzata Blvd., Suite I I I Minneepolis, Minnesota 5W,4.? ?JobNeme SI ! /1oile 4%1'I??U nldlilt'Qo. ? 1-0 ,%_. Jo6Locefion.f(-'?j^?'(''GfC' C' . 4t(.?IC.GIOOVI U?CCl, Earthwork . r V v Coniroctor Clien+ J I/ " Arrive Job 1.Is Mileege ?/ A M, 1` Total ? Depah Job Travel Time i S Chergeable ?Leb. Time ,7 Fl I' Houn Tolal Hours '? On Job `Z hf Report Time 7?n r' Summary of Technical and/or Engineering Services perFormed, ineluding field Tast Data*. Locafions, Elevatioru, and Depths are estimated: Iacpoctecl fill placement proc?udures for e sinr:lc fa_nily dt9; llinq 3, Elo<:k 2, St. i'rarici3 Wood. An additional ?_?' ta 3' af mciuir Lo coarei ?ar d with 1/8" si zo gravel :?? 11 ha3 been plac?d i,nd contpac,:nd s:rc? 1aOt __•1:. density tasts wer? talccn. Fi?.l viar, compacted wtth s viaratinn s:i -r. Loo- -oJ.l--z pull.:d behiiic a cat bulldcaer. _ Porformed 2 Fi-,lci d2nsity tants. Sce Conpaction 4ualitv Lo±:•L_ol ^,,t- R??oxt No, 2 for tasL results aizci locac DISTRIBUTION 1 ?.. /'ar. ?uSsntl l? ret?a? J j i`C ? US? d C, „?? .? Inm I o r t-) ICC . ??duP F'= nc - c, . ? C?,. v V v15 D. t J?lJ I. \ sv ?J,?1 .i.., %"SUBTERRANEAN ENGINEERING INC ? Field Test Da4a is estimated pending finel Iaborotory Test resul+s. d REC? ?? AUG 201979 ._ ? BUBTEARANEAN ENGINE , DI[INNEAPOLIS, KINN$80T/ C.OII1p80t1Ori QLlallty Ci011 PrpjecL Single Family Dwelling, St. Franc 0 Crestridqe La. & Widgeon Way, ag Sand Cone Method ? Nuclear ? Uther ? ,. , FtINC4 TNC ? ?. v ?'h. 64S - 89?? ? ? ? ?, Test . li J ? . yy . ,.:WOQ4 ?BDQTti:?1• 2 ? E , Tg S-7 . M?`• ao1 o? 825e ? r ? '? ? ?? i • ? ' ? ?.; ' , ' ' , : , , ,? •f P'. .;l i p ; ;., '; ' ', ?? , ' 4,,' . i ? ? ? : ? ? , . . „ i ? ? ? ?? ' . ' ? ?' ; ? • ,; ?'. ? De th ;Sj •aw ? u.? ? q wa mo+nuh n. ?, M ? dap tea loaatlon Mlow III deMily 7".: - no. ? faco CJ s Pc} ur ? ' 3t I Nug. 1979 4 See Plan ° 889:5! 17,3.0 f • A?F?{D=t t' 1 11? L ?:{l? lug. 5 Below 5? 889 123.4 ? 3; 9j ?, A?F,1??! 1979 . ^ 'y h y 1 ( j ' `'I . '•? , . ? ,. ? ? . " A 3? ?,n1t' 4.' Notea: ALl teats correoted for atone conLen{, wnaxe app110u,wn. indioated Percent Compaction 0 °b,Max• Modified Proctor Dry Dertslty 0^W7 ?04fo Max. Staudard Prootor 'D" petntY 11-608 ',,; . " piatributions ' `1 cc Mr. Russell Dreyer { 1 cc Hustinq & Engstrom 1 cc Probe Engineering ? Service y, 1 cc Eagan Bldg. Insp. Dept. , ? COMPACTfON TEST TRIAL NUMBER naLo NUMBER WT SOIL WET + MOlO r WT MpLD H wT soiL weT z ? VOWME MOLA (CU FT.) WET DENSITY PCF OHY DENSITY PCF CONTAINER NUMBER .F? WT WET SOIL + TARE ? WT ORY SOtL + TARE z ? WT WATER ? TARE CONTAINER b WT ORY SOIL g % MpISTURE COMPACTION PROCTOR O MODIFIEO PROCTOR Ii HARVAHD MINIATUHE (3 OTHER (DESCRIBEI Sample air dried and passed thYOtjgh a #4 ateire_nrtnr rn . testine. 1 2 3 4 2 2 2 6454 6525 6588 4683 4683 4683 1771 1842 1905 A-22 323.0 309.0 4.9 A-27 0 332,0 11.0 }L }- .-1 ,..+ 7T, + 4 1-" 5 lavers 25 blows ner laver MOLD DATA 4 MEIGHT 4.62" n pAMETVR 4.a00" voLUME 1/30 Gu. ft. t TVPE OF TAMPER N Z ? 10 lb. hammer lA" droo - ? 2° diam_ rir ular face SAMPI.E DESCFIP710N Brown medium to coarse sand with 1/8" gravel 15% Rton on ant TEST StNMARY MAX OAY DENSITY 113.8 p.c.f. OPTIMUM MOISTURE 10.0°,G ASSUMED SPEGFIC GRAVITY = ZERO AIR VOIOS DEN5ITY (fN2Y1 PCF % MOISTURE PtpJECT Single Family Dwellii SAId+LE7m?nnrYPd gand fill . LOCATION St Francia WnnA Ras AAOISTURE , JOB NUMBER 5-79268 . 5 6 7 . -rn o?Q SOIL MECHANICS LABORAIUKT SUBTERRANEAN EPIGINEERWC INC. Mmneapotls Mimesa4o SUB'lEBBANEAN Phona:54b643B ? {::: ?? • f WBY MY miOimf Deta i i e A, " Blvd., Suite I I I 7415 te ?, M' eep 's, innesote 55426 ittrc,3 $? Job Neme CPA Job Job Locatfon r . 2 %? I Eerfhwork Contactor O1? }'? y1Q?' GNQS-+KJVNCI'ent&( pVSS[ ll Otec,er ArriveJob jQ.liJr Mileege 7A bViI DapeMJob 1"(5 Total 0 TravalTims I?kf Chargsabl s ' Leb.Tims kr Houn rorei Hour, OnJob kIS ReporlTima y, f, I PVkJ, ' }i Summary of Technical and/or Engineering Sarvicac perFormed, ineluding Field Tesf De4a". Lxetions, Elavetions, and llepths ere estimatad: Inspected fill placement for a single family dwelling at Lot 3. Blopk 2, St Francis Wood A medium to coarse sand with 1/8" size aravel fill_has been placed and compacted to a depth of 2' at the front of the house area, anc 7' at the rear. Fill is being compacted by a vibratin4 smooth drum rollgr bea pulled behind a front-end loader. Performed 3 field densitv tests See Compaction Qualitv Control Test Re ort No. 1 for test results and locations. Also approximatelv B' 10' wide area of black oruanic aQi I and areyorg4 ic clavey silt was discovered in the eastern part of the house inre ?o A 7 wide 4' deep area was cleared of all dp go?? '^d the ho?e oras aR.-at?? Fill placement mav resume usinu normal fill 81acATMA }-nd romnactian grr,r u;' DISTRIBUTION tl'!' A/1" eUSSPi) Df?et' v ? C.C 14 US-Eix? ?'-?,S ?idv?? IGC PrD6e Emfo Cp lc??a?_?Ida - ??_ By SUBTE NEAN ENGINEERIN INC. Field Tasf Da+e is eclimetad psndiog final leboretory fssf rosulis. • BUBTERRANEAN ENGINEERIN(} INC. MINNEAPOLIS. MINN88OTA. Ph. 648 - 898$- • .?., f ;.; Compaction Quality Control Tests PrOject Sin le Famil Dwelling-St. Francis Wood, Report Np, Crestridge La.,& Widgeon Way, Ma; Jbb No S-78258 Sand Cone Method ICI 'Nuclear ? Other ? De th s ow El dab Iaat no. lowtlon ???? wrl?e? ? wN dendly Vef mofNun aoMent 96 dry ouy+y ma:lmum "Welmy Orypd 1 " o?M??ien ?m"nwl!1' Aug. 15 1979 1 See elev. 882.5' 128.3 7.3 117.0 123.8 94.4 APPROVED'.•. Aug. 15 1979 2 Plan 885.0' 125.4 4.4 116.8 123.8 94.3 APPROVEA . Aug. 15 1979 3 Below 887.0' 127.6 4.9 118.4 123.8 95.6 APPR0VEA Notes: All tests correoted for stone content, wheie aPpiicauie. •+o•N+ Indioated Percent Compaction JM% Max. Modified Pr°°t°r Dry Deneity D-1567 I"1% Max. 6Laridard Prootor Dry Density D-8lp8 Distribution 1 1 cc Mr. Russell Dreyer 1 cc Hustings & Engstrom 1 cc Probe Engineering Co 1 cc Eagan Bldg. Insp. Dept. ? s 5?+ 131 o r 2 AUG 17 1979 SUBYEBSRNEAN Phona:546-6939 ..• ': FJGI„Ma IN1h Dats 7415 Weyieta Blvd., Suite I I I J hdinnep lis, innes q 5542 ?+,le ?. ?aru ?? ?'weI?iN `?,f3 ?X 2 Neme JQI?It T?Ql?]f.S? S? ?i,.ti r?,. ? S' 7Sr7 <^G Job Loce+ian Eerthwork Arrive Job f . Y,S Mileage V-s: ? DeperlJob ?DL i3Q TravalTime ? 14 {f ? `, Leb. Tima -? Total Hourc On Job Report Tims Telal Che.gsable Houn I-C 4oQMi Arl.. .e?» y- co, Summary of Teehnical and/or Enginearing Servicac perFormed, including Fisld Tesf DafeW. Locetions, Elevstions, end Depiht are eatimeted: Approximately 8' of fill was laced on Lot 3 Block 2 in the summ r of 1478. On July 16, 1979 we visuall ins ected the house area erforme some hand auger probes, and recommend that test its be du to furth r investigate the conditions. On July 16, 1979 we met the excavator at the site and observed 2 test pits. Test pit 1 is approximately in the middle of th h' td; ng area F near the common wall line between the house and ara e _pit is 19' north of the southwest house corner h ma founj ;n this excavation are: 01-61: Brown inorcranic_sand silt fill 6'-6?': Black organic silt Wet Soft 6#'-8': Brown sandy silt. Test pit 2 is at the south-east corner of the garage, where it abuts on the house portion of the building. This excavation revealed: DISTRIBUTION ! cc. Le,x,115 o", pP?? s_?., p?± Ca . I cc frebe f?na iti eers'vtc Co ev ??? N i1rK??? SUBTERRANEAN ENGINEEKING INC Field Test Date is estimaTed ponding finellebora+ory tecf reaulh. z 0'-8' : Brawn inorganic sandy silt fill, root pieces within the fill 8'-151: Black peat and organic silt. 15'-171(hand auger at base of pit): Black organic silt. 171:'Brown sandy silt. ANALYSIS OF FIINDINGS It appears that the fill was placed over the original natural without their prior remval. The buried organic soils must be renoved from the building area. It is reccrmiended that an excavation should be made along the rear wall line, approximately 18' wide centered on the wall line. This slnuld be i.nspected and approved prior to backfilling. Fill used should be a clean inorganic soil, caipacted to 92% Maximinn Modified Proctor Dxy Density. d0 9 ': i r,•. n SUBTERRANEAN ENGINEERING INC. MINNEAPOLIS, MINN. ? SUBTESHANEAN Phons:546-6938 ENGINEEBIH6INC. °°'° x* x 7415 Wayzata Blvd., Suite I 1 I Minneapoli, Minnesota 55426 y Job Neme??,.I?Z" J o b NoS'/pp?,?p? O Job Locelio ? , E ??- ?(/ ` ?,,(J• Earfhwork ' • Conirector 1 Arrive Job /fMilaege / Totel DeperiJob TraveiTims<A$//? Chergeable ?f Leb. Time Houn Total Hourz OnJob ? ReportTime a Coe r Ce- Summary of Technical and/or Engineering Services performed, including Reld Test Deta*. Lowfions, Elava#ions, and Depfhs are estimated: Re-inspected the fill placement at Lot 3, Block 2, St. Francis Woods. Footinq trenches are being dug and are penetrating below the organic soil found in our last inspection The base of the trenches at the rear of the building consist of a soft moist brown silty sand with a little 4ravel. At the front of the building the base is a stiff, toughi brown sand silt. The undesirable organic soil in the interior of the building has not been removed. The footin? trenches exclusively are approved for the pourincr of the footings. RECOMMENDATIONS 1. Remove all organicsoil buried beneath_the fi11.Lfrom theinterior_floor area of the building,_toprevent basement_floor from_future settlement and crackin4.-_ ------------ 2. Refill and re-compact_excavations. 3. Widen all footings from 20" to 30" and add one re-bar for a total of 3 to prevent settlement on loose moist base in rear of building. 4. Rear footing wall will be approximately 20 courses of block high. Caution should be used when backfilling against DISTRIBUTION 'a/AJ ? aY this tball o pre ?nt a 1 om crackin SUBTERRANEAN ENGINEERING INC. Field Tast Defe is estimeted panding final leboretory tast rezults. :. 4?: . Y:'. SUBTERRANEAN ENGINEERING INC. MINNEAPOLIS, MINN. RESIDENTIAL o _C) Q BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-6814675 Naw Construction Reauiremenk RemodeUReoair ReauinmBMs • 3 registered sRe surveys shaxing sq. R of lot, sq. ft. af house; aiM all roofed areas • 2 copies W plan (20% maximum bt coverage allowed) • t set M Energy Calalations (ar heated additions • 2 capies of plan showirig 6eam 8 window s¢es; poured found design, etc.) • 1 site survey tor exteiior additions 8 dacks • 7 set of Energy Calculations . Indlcale if home served hy sepGc systan for additians . 3 copies nt Tree Preservation Plan'rf lot plaCed after 711/93 • Rim Jaist DetaB Oplions seledian sheet (bldgs wifh 3 orles3 unAS) DATE I / 0? JOB SITE ADDRESS IF MULTI•FAMILY BUILDING, HOW PROPERTY OWNER?u- TYPE OP WORK '?>CC IL APPLICANT ADDRESS PAGER #`I S Z-?l ? ?' ?FC7 VALUATION c I , C k CELL PHONE # NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor. _ Plumbing System Includes: Mechanical Conhactor: _ Mechanical System Includes: Sewer/Water Contractor: All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state t at the with all applicable State of Minnesota Statutes and City of Eag n Or< Signafure of Applic nt Certificates of Survey Received - Tree Preservation _ MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submittetl _ Water 5oftener Water Heater _ No. oF Baths Phone #: _ Iawn Sprinkler _ No. of R.I. Baths Air Conditioning _ Heat Recovery 5ystem Phone # Phone # Fee: $90.00 Fee: $70.00 to comply _ Not Required _ Updated 1/Ot fIREPLACE(S) _ 0 _ 1 _ 2 _ PHONE#r.SSI-C/9'4-66CZ ZIPCODE S S f2- ? FAX # OFFICE USE ONLY ? Ot Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ,X'31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) 0 22 Porch/Addn.(4-sea.) ? 23 Porch(screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt- Multi 0 33 E#. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors 'DemoliUon (Entire Bldg only) - Gfve PCA handout to appllcant Valuation o0 , G0 .2 4 Occupancy MC/ES System Census Code 143y Zoning Cily Water SAC Units oI Stwies Booster Pump Nbr. of Units G Sq. Ft. PRV Nbr. of Bldgs ? Length ?d S Fire Sprinklered Type of Const Width (U REQUIRED INSPECTIONS _ Footings (new bldg) ? Footings (deck) FinaUNo C.O. _ Footings (addition) Plumbing Foundarion Drain Tile Roof Ice & Watet Fina] Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Fu?al _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water 5upply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Qther Total ? 07 OSplex ? 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex Deck O 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N F;?vc.o. ? I?VAC +u ?+ ? ? * ? ?.? 4l???'1air? j S4• W Ai + , ? , IL , lo- . • ad 13 i f t 9 4% ?" 6NOM? ? 1M? "? w %* M .a. ? j 4 7 3 « ` ? ? , ? sD • ? ?? ?,i ? 1 ?t? .;'o 7,f=M`-F (?F? ?• ? a!' a. ?_?+? ; . ? ? t???'=?? 23 ; e 4 •'?'*? ? ? ??' • O-W + ti t r , . ' ?. R;? y ? ?i ? {. hl 4?d ? * ??,o.. ? ?,..? ? l-? ? • ?/ ??1 mm 1 _ • ?' _- ?-,?, + ? • +? ? j a tA ! i i s ? ! ?i?`i ?p k +1 ;'" _ _' ?" - ? . .. .. ...: . .. .. .. .. , - ? - __ 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq H, of b6 sq. ft. of house; and all mofed areas (20% mazimum lol coverage aliowed) 2 copies of plan showing beam 8 window sizes; poured (ound design, etc. 1 sel of Energy Calculations 3 wpies of Tree Preservatron Plan if lot platted afler 711193 Rim Joist Detail Options seledion sheet (bwldings with 3 or less units) Minnegasco meehanical ventilation form RemodeVReoair ReouiremenGs 2 copies of pian showing fooGngs, 6eams, joists 1 set of Energy CaiculaGons for heated addNons 1 site survey for additions & decks Add'Rion - rndicafe if on-site sephc system M 2 02W? ?b,z Office Use Onlv CertofSurveyRecd _Y _N Tree Pres Plan Recd _ Y_ N, Tree Pres Required ' Y _N Oo-sAe SepGC System _ Y_ N ?'}`' / e Construction Cust ?'? Address ? ? St g _ i`p.?tj?,?; ?,?- V? , UniUSte # Description of Work t ??.,6 4??? !\W ?? ??Y \?,i W?L^l,'? ? XZ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 < 2 PropertyOwner ? ?Cy?LI"1 lll,?l (,? Telephonek(lyi ) (061r4vS Cootractor - dbe1?10l.IIr?1hi - Address _ -V?w ?N20lp Vft p. RSOV616 Aiiiii,_ City State WNMWVIIM. iII M11?•?? Zip Telephone #( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy CodE Category . Resideniial Ventilation Category 1 Worksheet • New Energy Code Worksheet (dsubmissiontype) Submitted Submitted • 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? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the woxk will be in conformance 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, and work is not to start without a permit; that the work will be in accordance with the approved plan in e case f rk which requires a review and approval of plans. Applicant's Printed Name Applica 's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwetling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'DemoliGon (Entire Bldg) - Give PCA handout to appliwnt D@SCt'Ipt1011: WaterDamage_ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pumpa?_ # of Units Sq. FL '?MM emim # of Bldgs Length Fir Type of Const Width sr ? t?r 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 Ftgs AidGas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Totai Building Inspector PERMIT City of Eagan Permit Type: Building Permit Number: EA105614 Date Issued: 0712312012 itj of 0n Permit Category: ePermit R Site Address: 1186 Kinglet Ct Lot: 3 Block: 2 Addition: St Francis Wood PID: 10-65900-02-030 Use: Description: Sub Type: e-Siding Construction Type: Work Type: Siding Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: Surcharge - Based on Valuation $4K $2.00 9001.2195 10,744.00 Total: $105.25 Contractor: - Applicant - Owner: Hastings Siding & Remodeling Ira C Mitchell 803 West 9th Street 1186 Kinglet Ct Hastings MN 55033 Eagan MN 55123 (651) 437-7263 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142114 Date Issued:04/14/2017 Permit Category:ePermit Site Address: 1186 Kinglet Ct Lot:3 Block: 2 Addition: St Francis Wood PID:10-65900-02-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ira C Mitchell 1186 Kinglet Ct Eagan MN 55123 (651) 261-3112 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA152567 Date Issued:10/22/2018 Permit Category:ePermit Site Address: 1186 Kinglet Ct Lot:3 Block: 2 Addition: St Francis Wood PID:10-65900-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Ira C Mitchell 1186 Kinglet Ct Eagan MN 55123 Uptown Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature