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1497 McCarthy Rd PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA094548 Date Issued: 06/17/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 1497 Mccarthy Rd Lot: 4 Block: 3 Addition: Oslund Timberline PID:10-55300-040-03 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952) 445-2840 CRAIG ANGELL 12253 NICOLLET AVE. S. Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Angell Aire Joseph 1\1 Becker 12253 Nicollet Ave S 1497 TolcCa thi Rd Burnsville NIN 55337 Eagan NIN 55121 (952) 746-200 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 Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature CITY OF EAGAN Remarks Addition? Oslund Timberline Lot 4 Bik 3 Parcel ?10 55300 040 3 - Owner ,S/t?rqeet 1497 JMrC'tYth3? Rna? State Eagan, MN 55121 /'°?l'i . J?-??.? /°?''! e? ?i -/-i G / .S V Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 'a(ASTREET RESTOR.PSVIII 1971 $886. 00 $88.60 A /1. GRADING IAIC) SAN SEW TRUNK 1968 $100. 00 $3.33 30 " 4e '§EWER LATERAL 1970 2005.00 $100.25 20 /* 1? * WATERMAIN 1970 ZO WATER LATERAL WATER AREA iF STORM SEW TRK 1970 20 STORM SEW LAT CURB & GUTTER SIDEWALK ' STREET LIGHT WATER CONN, BUILDING PER. SAC PARK «75?- ? ?GSD? °?? . , , ?.?. ?t.-. a?'?S 1 INSULATION INSPECTION CHECKLIST FOR RESIDENTIAL BUILDING PERMITS PROPERTY LEGAL: IDt ?f, -0 lDC,(r, 3 PROPERTYADDRESS: 1 qq'7 /A C-Ca,E_?l'ht ? INSPECTOR: 2VA) / 2 Z (d4h-6 INSPECTION DATE: 1(-m - at d o Q ? Z Z SITE GRADING ??? All slopes 3:1 or flatter? ??? Slopes steeper than 3:1 require retaining wall. Are retaining walls present? ,2 ?? Does grading conform to As-Built Grading Plan (+/- 1 foot approximately)? t7 ?? Does perimeter grading tie in well with adjacent propertieslundisturbed land? tg ? ? Is there proper grading and/or drainage around Lookout or Egress Windows? EROSION CONTROL ???' Is Silt Fence (or approved equal) installed and in good working order? ??? Is Sod/Fiber Blanket installed behind curb? ??tv Is the Rock Construction Entrance/Driveway installed and in good working order (proper type/size of aggregate, clean-not covered with soil, etc.)? ??? Is temporary vegetative cover w/ mulch present? $1' ? ? Is permanent vegetative covQr wi?or w/o mulch present? ?c?rEle one) CITY EASEMENTS AND UTILITIES ??pd Are all easements clear-no part of any building/decklporch/retaining wall/etc. encroaching in easement? C?Y ?? Are catch basins present within the property or in the street in front of the property, if so are they clean, do they have the proper erosion control in and/or around them? ?? I? Does the property have an Emergency Over Flow (EOF)? This can be found on the Certificate of Survey. If so, is it present and has it been graded properly? MISCELLANEOUS ITEMS ??? Is there tracking present on Public Right-of-Way/Street from construction site? ?? ? Is the driveway at the proper width at ROW line? (22 ft. max.)(Curb stop is at ROW line) ?? ? Is the site clean, no trash and/or construction debris lying around? ?? ? Was the proper type of building constructed according to the approved grading plans? (LO, WO, FB, R, etc.) ? FOR ALL ITEMS REQUIRING ADDITIONAL FOLLOW-UP: NAME OF PERSON CONTACTED FOR FOLLOW-UP: ll?.l- COMPANY NAME: COMPANY ADDRESS: COMPANY TELEPHONE NUMBER: DATE CONTACTED: t//-t3n DATE OF FOLLOW-UP INSPECTION: INSP COMMENTS: G:/Forms/INSULATION INSPECTION CHECKLIST FOR RESIDENTIAL.doc Revised 2-06 ?/4?ya- 2007 RESIDIENTOAL PLUniIBING PERMiT APPLICATIOPI CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please comptete for modifications to existing residential dwellings ,30.,6? Date 11 / ? / 0-1 S1te Street Address ?? q1 mG Unit # 1I" S T t l h #( ) P O 1`?l1 1 N , roper y wner e ep one ' Contractor Telephone# (tpla ktllg??(?? Address 2'? S- SL diSh L&k2 " N_VLCIty ?CL4A State_JU? 2ip S'5 The Applicant is: _ Owner 8 Occupant Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repalr (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive umbin re airs are made to a buildin . ARerations to existing dwelNng $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. !f you are installing onlv a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark neut to the appliance(s) you are installing. _Septic System Abandonment _Water Tumaround (add $136.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn trtigation _RPZ _PVB _new _,repair _rebuild $ 30.00 State 5urcharge $ .50 36 SD Total . $ I hereby apply for a Residential Plumbing Pertnit and acknowledge that the information is complE work will be in confortnance with the ordinances and codes of the City of Eagan and the understand this is not a permit, but only an appfication for a perrnit, work is not to start without a E accordance with the approved plan in the event a plan is require,?d'fd be reyiewed and approved. Applicant's Printed Name that the .??.?..?r u,,, LrT DEC 0 7 2007 D q,-.ej7a 130? p_; rmaca.snuvn, i 6d b ?1 rrrraasw !':`.1 Paovrorsrar+ou<vnoOxsMor.r mw mw.nrv,+m+? en+ro surroRmvic e a 7'CQVCR[lC9U16 SPULYAIITOPGR5M1OUPAN A ?-.?•.? ( --?'1 ? ? I :j fAiCiJN11NOV5EG'M/y1pCM?l? ccrmRae.artwawe oeR?rrcRs. e.aieanOMwcs ?zo.c. ??cw?4ot?du5 a??? rN eevo. ? I ? 2 A DRM Mit! B[ IRONDLONlO A ? .r ? . - T... - __ 1 -?? IOCAIKM'MMLELCOORDINA7C0. S1 I.'.?.. _.?7 i5w ' ? . _ - - . - •'r::l aa i?a 9'A• 7?G . ? I ii-ia.? ii ia ?:i Y? -? ------= ?c?MI L? r ?1 -t ' owecnav vs re[ .._•? r._i=_...?.:•_ _"__.___"_____ ? 9'-6' II ' MAD[OKRRXOI - - ? - ? { GR.ADC OGN. ^?l 80.5C WA119 ?' . C If ?OR 3 q? S' P5K r:I V'? §?'i . I '? § rr?cucartwlJM I St ":.. : ?__ : i-?---- • . :'. ' ' : 1 1' ? ' y"l 1 . I t d( ? ?K IM GRAO[ " 2BK ? ' ?.; •-?. ?.;.. _ ? i26•.? B-4 ?27 ??? -?' ? ,?? ??'_ _??'_a f u ...__TIP _ _ ?g ?_ _ . . ? ?_ ??:,'d`: 4 OPG'MDE9PPM4. ? § , ? ?: wuCs ,.` ....r ?.., . - ? -- - - ? - - -- --=§ `; , ? ? ,o,„OFWMI K hereby certify thr?.t t,his plan, specrificatim, I I 15K tslt ? ? e. i?nncu i? g?• Or report avas prepa,rad by me or L?nder my § ?'' i zsa zsR r•.. :,I diT6C7i SiApG'I'V2s]CT!. as^._C'? thst 3 F..?Yl 'el, clIaly ? ? .r r ? :,, •,> Pleglatered esota, Ws 4R. No. 20708 za.io• ia? is,,Z. . ? er.? . 7e-4 IMVoigt & Associates, Inc. STRUCTURAL ENGINEERING SBRYICES 4635 NICOLS RD. SUITE 204 EAGAN, MiN 55122 ? PH. (651) 686-7727 FAX. (651) 686-8444 December 12, 2006 NL'. Ray Miller Millervilte Inc Eagan, MN 55122 RE: Oslund Tunber Addition Lots 3, 4, 5 Dear Mr. Ray Miller: As per your request I have reviewed your request to substitute #5 bars for #6 bars in the grade beams for your project The following is required: • (3) #5 bazs may be substituted for the (2) #6 bars in ihe top and bottoni of the grade beams. Please center the third #5 baz between the comer bars. The inforniaYion and opurions conYained herein are based upon Lhe limiTed investigation described at ihe beginning of Yhis repon. No wananties are expressed or impiied regarding the existence of other unknown conditions not specifically addressed. Our work is in accordance with generally accepted engineering standards and is not intended to be relied upon or transferred to individuals other than the addressee. Should information or conditions become kno-vm which differ from the discussion herein, they may alter the opinions or conclusions of the undersigned. Please call if you liave any questions. Sincerely, ? Paul W. Voigt, PE I bMbY t'.9'i'thNJ V1,?LI, thtg pj8,$, b"!'8^jfiCs$j07], OI'P2j3tl3t 1?2.^ j?r27L1?J L?'?e oS'!•_??.!?cr *? (ftet $12J7c:ri%1F.;.U.':? 7sJ ItsgiSterad. k?ofe^ .rir......-n N°1' thA Of t.t?te $ta,ta ef lii:mESOta,. Rag Na 207as ???2178 C I T Y 0 F E A G A N CER`PIFIED LISTING OF POSTPONED SPECIAL ASSESSMENTS LEGAL DESCRIPTION: Lot 4, Block 3, Oslund Timberline Addition COUNTY IDENTIFICATION NUMBER: POSTPONED SPECIAL ASSESSMENT: 10-55300-040-03 Utility Assessment $ 2,090.32 Pursuant to M.S.A. 429.061, Subd. 2, as amended by the 1980 Session Laws, Chapter 560, Section 5, I hereby certify that the City of Eagan has approved the postponement of the special assessments as set forth above on the property described. Dated this First day of T, y 1987 EXEMPT FROM STATE DEED TAX STAMPS This Document Drafted By: City oP Eagan 3830 Pilot Knob Road Eagan, MN 55122 ?A aiyia reli- L E.J(T VanOverbeke Cit Clerk/Finance Director Certificate I, E.J. VanOverbeke, City Clerk of the City of Eagan, do Hereby certify tha.t the foregoing is a true and correc` c py. E. . VanOverbeke, City Clerk Exempt from DSkoft Courlty Deed TaX COUNTV CONSSFtVATinh1 homnn v n mr c ab- -JLmr, u V?/?L (???????? Dakota County 7reasurer Oni,p-r?? ?-?;, ,:, ??,`?""x'R?'" °?5317°70 OFFICE OF THE COUNTY RECORDER-DAKOTA COUNTY. MN. CERTIFIED T.HAT THE WITHW < C_g t r. , ? ? - ? ... a: r INSTRUMENT WAS FILED FOR , RECORD IN TNIS OFFICE ON AND AT .; ? 1uL 10 9 ?? Al '81 1 17 DOQ NO. JAMES N. COUNTY 8Y: DEPUTY FEE CHARG?E WCHECK HOM CqHARGE REFUND 6-7% ar /) ) a- iv ? a ? h ? ?-/(,?9 T 7G (,.??.?/,O 1.? 9_?r. ?? '- 3 q zu .I i I d?•GS-`?,? J7 S • l ? ?)? 8- ?' -9 -10 11- --1T y ? d'? m =5p 51 e-._K:1144 ??:_ri..'.?.e?r'-.e. ? _- ??j 1"_?-`?r??? a?/??.??Y ? - - ? - ' ' I ? •. __ ? I ,A _ I ? - - -- ? - - -- C - -' ' u_ _ _ '? =:2?-- ?n.cW t?%%? ? ?? : • .. i . ' ? ? _ o. I ? ' ? ? ao i .. _ _ ? ' - ? ? - - 1 - 1 . , - - -- ' - - ? ? , - ? ? - ? - -- ? - - ? < 0 L-- I ' - __ n ??ctl`,'?-¢ i -- - - - - - - i ?y-53_s! '??,e._.. ,:/ .ta.__??a? I ' ?• . .;,, - -- - - - - - - - -- ' - - 3 _'_ . . - . I _- ? - • . -_ ? - - - -- i _- - - - _ - 7 , ? - - I . . 4( . . ? ? . . . . . .. . . . I _ f3 ,. .i ... i ? ? s ?-4? ' • a i 5 ?? ? I . , ;. 3 0 I 1 ? i ^ ? i?s ? 1 I 5 I I ?,` 1 ? B \ u? ^? 4 9?? ? 'I ?? ? "? ' 3 4 ? 3 3 C't 3 t, ' ?•III .?. ? ? n i'?• •- ? ? 1 •1 tin i ?Ig ? . - " . . . . . .. . . w y1f? . .. . . . ,? b .. . . . . . .-A. ". . . . . ' . 3??1) . ? ip I favor, it i?as P.?SOL`IED to re3er.t sii oicis s:3?' t.o Ee??d.•Va?t:L'^ fcr bicla 3?tP_2 TC?;LCYT- ing and rev9.s{ng the pl..ns sa that the est3nate cnu?d comz clacer to Li:e C'SYa.mfi:`_nd '. budgeted cost of $200,000. Upou furthei riotion py Fc:.:I.n, --econded P.atn, s3=i members vcting in favor, it taas RESOLVED that the Ci_Y Adm-Lna.stYator b: att.:hoi:i.::ad to datei-mine wliether there ciculd be additional ontside fundin$ sourres thaC nas be avaitabis for construction to assist in ehe financing of the police facilaty. FTF;I: B:.FN?""N'.::tdT. Upon motion by Smith, aeconded Polz3n2 a21 members veting ?._ -__-- ?*es, ir tfas REBCLVE'D that Jarry Adams be approved as the District Fire Chief for I bta*?.aa 1rezlecte.d Lq che Fire Depattment members., ? P?,R;: DEP1XMY,rIT -- STATE ITRdDIATG. The Park Director had requested trG'. Y.nQ ^. _tN applp for state funds to help fin2nce construction of cross-countrp ski traiis i covering ths a?prcximate tiiree miles that have been instwlled. Upcq ma`lon bv ?3??n, • sscond.ed 4?acl!ter, all mc?crs voting yes, it was RESOLVED that the City be :?. --hc•ci7ed . to a_pply to the Departsen*_ cf T3aiural Resources for funding to assist in ccc?:_, {.ioL: e{ the cost of the cross-cot.ntry ski trails, and further to author3ze the ? officials to execute the necPssary applic2.tion. ! ? i TAX FOP.£ELTED PP.OPE•^.'PS. The P4ayor next reconvened the public as3es srmn* hea;:ing ; ? concerning 10 lots in ^timberline Additiou coasisting of tax forfeited proper:p. A r_sti?*,?' preparec? by the City Administrator was distributed to the Covnci.i and the a:Ltetnai-lves Fcr assessment of the lots was reviewed in detail. t7r. Svenn Borager3oa a property cFmer was present as was Mr. Sheridan Buckley, atrorney for Pir. Poferl and Pir. Fut-T3clc, lot owners. After coasiderable discuss3on, e?on notian by Smifih ` OJ? f seco:ide:IWachter, all members voting ia favor, it was RESOZzTI?D that the Counexi 5a on recacd droopir.g the present assessment against the taz fo.fe3ted lots in Timb--rl3ne 1!ddition with the understanding that the Council taaq at a future time derermine whather_ to recommence the aseeesment process again in light of. ,r.oteLtia1 ilt??, chanoes i*s the la.v or a favorable court deter?.nation concerning the I aoT. a?: AI?:iTF2M.;'i5. P2r. jake 0'Toole of the Caunty Assessot`a cifire a.rr,i-;.ed :aith tiac rec;::Qsts. inon L-ntion L3 ?olzin, seconded Smith, all members vating yea, it :•-u3 -2- 1497 McCarthy Rd Soils reportand helical pier design info are in the parcel file for 1501 McCarthy Rd Related to permit application for new single family home 11/28/06 f?p -7?iz,g 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ep 1,? 3830 Pilot Knob Road, Eagan MN 55122 -7 U '!'elephone # 651-675-5675 FAX # 651-675-5694 /New Construction Reauirements {/ 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20°6 maximum lot coverage allowed),-Fo p AN-{ vJ .; lI Z,?,f '] Soils Report if proposed building is to be placed on disturbed soif ?2 wpies of plan showing beam & window sizes; poured found design, etc. ? 1 set of Energy Calculations ?- 3 copies of Tree Preservalion Plan if lot plalted after 711193 ?Rim Joist Detail Oplions selection sheet (buildings with 3 or less units) -#4 Minnegasco mechanical ventila6on (orm Remodel/Repair Requirements Z copies of plan showing footings, beams, joists 1 sel of Energy Calculations for heated additions 1 site survey for additions & decks Addifion - indicate il on-site septic sysfem Conik GS- 7a- .?o 90• S? CD 179• ?azS' 1 Office Use Onlv Cert of SuNey Recd Y _ N Soils Report _ Y _ N Tree Pres Plan Recd Y _ N. Tree Pres Required Y N Onsite SepUc System • Y _N Date 1/ / Z Site Address /0(a L 6'f y 0oGt / Construction Cost _ 7OO No• C?SL a N c? -1-?k6t L +.2 Unit/Ste # Description of Work A)CL,.? ?o....Q Multi-Family Bldg _ Y? N Fireplace(s) Y. 0 2 Property Owner M'.ll ero,, I (e 1n C Telephone # Z3 7131 Contractor jM ` (lPt L' ? t 1f' :r_s"L- Address State /,r6 6 /hurp!i1 144u_? ?ivt tJ City ? G ?-. Zip Z Telephone #(?j(L) I 21 17/,T'?/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate2orv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (q submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a simi(ar plan based on a master plan?' ? Y ? N If yes, date and address of master plan: ? Licensed Plumber I? e 1-5j" Telephone #( C .S2 vU Mechanical Contractor pN-ttll ?;r Telephone #(?j-?fl) ? Sewer/WaterContractor 13-ePf N-•? Telephone #( y12) y32 6636 I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work 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 accardance with the approved plan in the case of work which requires a review and approval of plans. J p G? ?J ? ?So-i. ApplicanYs Printed Name I C ? /M- 6 " --_ ,---.-.._- Applicant's Sign ure DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg p 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work T es 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 WindowslDoors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant DBSCCIpt10Il: Water Damage _ Yes Valuation ? epeD Occupancy f- 3 MCES System Plan Review 100% or 25% Census Code /e / Zoning /2 -I City Water ? G SAC Units 0/ Stories ?°. Booster Pump /dd # of Units d/ Sq. Ft. 04zl PRV # of Bldgs 4/ Length //? Fire Sprinklered Type of Const ?(3 Width -2_ REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock Footings (deck) ? FinaUC.O. Footings (addition) FinaUNo C.O. ? Foundation - HVAC Drain Tile ' Other Roof ? Ice & Water ? Final Pool Ftgs Air/Gas Tests Final ? Framing _ Siding _ Stucco Lath ? Stone Lath _Brick Fireplace _ R.I. Air Test _ Final _ Windows _ ? Insulation _ Retaining Wall Approved By: Building Inspector v • Base Fee Surcharge Plan Review MC/ES SAC Cify SAC Utility Connection Charge S&W Permit & Surcharge Treatment Piant License Search Copies Other Total %y3G ?- 163'? '97 L i5= / sT F?r-- /? l`"? C?'J C? ?? ?' ? `} 3 3 5 1.aw,Ziv ij'G ,?- 33?0- g-H??? J-3/ ?36 904 1497 McCarthy Rd Soils report See parcel file for 1501 McCarthy Rd far soils report for all lots MVoigt & Associates, Inc. STRUCTURAL ENGINEERINGSERd'ICES ? 4635 NICOLS RD. SUITE 204 EAGAN, MN 55122 - PH. (651) 686-7727 FAX. (651) 686-8444 December 8, 2006 Mr. Ray Miller Millennlle Inc Eagan, MN 55122 RE: Oslund Timber Addition Lots 3, 4, 5 Dear Mr. Rav Miller: The purpose of tlus letter is to address the frost requirements at the garage. It is my professional opinion that the grade beams as detailed on our previously issued (and signed) drawings are sufficient and require no modification for frost protecuon. No further modification is required. The information and opinions contained herein are based upon the limited investigation describetl at the beginning of this report. No warranUes aze expressad or iinplied regarding the e.tistence of other milcnown conditions not specifically addressed. Our work is in accordance,"ith generally accepted engineering standards and is not intended to be relied upon or transferred to individuals other than the addressee. Should information or conditions become known which differ from the discussion herein, they may alter flie opinions or conclusions of the undersigned. Please call if you have any queslions. Sincerely, Pal w ' V Paul W. Voigt, PE I f16PebS7 ('.E11'ti+"Zr t•:k'2,t !;h1S Pl2T1? Q,yYa° ren?`..ZTt ?r.r4.Q ?rmn..aIb.7 v^-1 (;_^ R8gi5t6^gd Of ?18 ?`.?i.'. 4F L :a:Lt'CSOuR. ? r I n/ , V 16-Y? ,.?-?"°' l3o. 20709 DEC 0 8 2006 MVoigt & Associates, Inc. STRUCTURAL ENGINEERING SERV[CES 46351VICOL3 RD. SUITE 204 EAGAI3, MN 55122 ? PH. (651) 686-7727 FAX. (651) 686-8444 December 7. 2006 Mr. Ray Miller Millerville Inc Eagan, MN 55122 RE: Oslund Tunber Addition L,ots 3, 4, 5 Dear Mr. Ray Miller: As per your request I have reviewed pour plans and analyzed the foliowing basement walis; The fo(loaRng is required: . Typical basement wall at main house having a height of 9'-I 1/2" from the top of basement floor to the underside of the floor joists is to be 8" thick with #b bars Q 36" oc (2" from the inside face) aud (4) #4 horizontal bars. . Typical basement wail at garage sugporfing precast plank having a hcight of 8'-0" fram the tap af bascmcnt floor ta ttic underside of the precast plank is to be 10" thick with #b bars @ 36" oc (2" from the inside face) and (4) 44 horizontal bars. The information and opinions contaiteed herein are based upon the limited investigation described at the beginning of tlus reporl. No warraztries are expressed or implied regarding the existence of other unknown conditions not specifically addressed. Our work is in accordance uRth generally accepted engineering standards and is not intended to be relied upon or hansferred to individuals other tlian the addressee. Should information or conditions become known which differ from the discussion herein, they may alter the opinions or conclusions of the undersigaed. Please call if you have any questions. Sincerely, Pd- ? (J~ `. 7 Paul W. Voigt, PE ? g3??Gby CH^tify tI',a?A?3 pI8.T1, SD9C;f?G,tj0Ii, r, ? ?j?T . ?ns ?•n ?T?'1r?aT T ? T'P.?'..tC1's'{i Lrc •3 ?rCi,1 y.T t} ? iMdST' y??J.{Q ? ? ?l i??lif?t'.iV? _ ?.0 RJGC o A 600U 2?M. _t'Z f D t., - g?eg, lia. 20705 Permit # , Permft Date ? _-? - ' REScheck Software Version 3.7.3 Compliance Certificate Project Title: Lot 41h'$7 /tI, GaaIAY RepOrt Date: 11l14l06 Data filename: CADocuments and Settings\EdmonsonWly DocumentMFloyd Calhoun CoVNillerville 1ncWlillerville Lot 4 energy calc..rek Energy Code: 20001ECC Location: Eagan, Minnesota Construction Type: Single Pamily Glazing Area Percentage: 33% Heating Degree Days: 7981 Construction Site: OwnerlAgent: Designer/Corrtractor: Eagan, MN 55123 Millerville Inc. Floyd Caihoun Companies 1566 Murphy Parkway 7825 Washingtan Ave. So. Suite 120 Eagan, MN 55122 Edina, MN 55439 612-723-7137 952•567-8000 Pete. Edmonson @ Floydcal houn.com Ceiling 1: Raised or Energy Truss: 1523 44.0 0.0 34 Walt 1: Wood Frame, 16" o.c.: 1206 19.0 0.0 44 Window 2: Wood Frame:Double Pane with Low-E: 368 0.320 118 Door 3: Glass: 48 0.300 14 Door 4: Solid: 52 0.320 17 Wall 2: Wood Frame, 16" o.c.: 1158 19.0 0.0 57 Window 3: Wood Frame:DOUble Pane with Low-E: 202 0.320 65 Basement Wall 1: Solid Concrete or Masonry: 2352 11.0 0.0 142 Door 1: Solid: 24 0.140 3 Basement Wall 2: Wood Freme: 735 19.0 0.0 26 Window 1: Wood Frame:Double Pane with Low-E: 168 0.320 54 Door 2: Glass: 87 0.300 26 Fumace 1: Forced Hot Air: 92 AFUE Air Conditioner 1: Electric Cenhal Air: 13 SEER Campliance Statement: The proposed building design descri6ed here is consistent with the building plans, speeiflcations, and other catculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC requirements in REScheck Version 37.3 and to comply with the mandafory requirements listed in the REScheck Inspection Checklist. M.t 1le,-v? ?1311c--. I I-l-u,,, l-L)(.- BuilderlDe igner Company Name Date Lot 4 Page 1 of 4 t , - ? Report Name: City of Eagan Printed: 1 U8/2006 Assessment Search Page: 1 Special Assessments Search Property iD Lot Block Addition Addition Name/Leeal 10-55300-040-03 004 003 10 55300 Oslund Timberline 43 Propertv Address Propertv Status ----- Special Flags ----- 2006 P&I Cert: 1497 Mccarthy Rd Active 1 2 3 4 5 6 7 8 9] 0 $210.62 Eagan, MN 55121 N N N N N N N N N N SA Nbr Description Year Term Rate Total Curr Prin Payoff tatus 102731 ST 643 1997 15 7.0000 $2,224.88 $148.33 $0.00 Paid at Count P99999 POSTPONED ASSESSMEN' 0 10 0.0000 $2,090.32 $0.00 $0.00 Pending Summary of Levied: $0.00 $14833 $0.00 Suxrunary of Deferred: $0.00 $0.00 Summary of Closed: $2,224.88 Pending Estimate: $2,09032 Future Estimate: $0.00 Hookup Fee Estunate: $0.00 CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 OATE I I/I_! 20 Q (o nECerveo AMOUNT $ Q (? 7 Q v r (J 63 ? CC ? CASH ffe" CHECI( foR SA - Pos-?°"al?? lo- ?q 300- oa.o-o3 10- t?-3ar) -oSo- 01 • 10-5-93ov-o3o-0: Thank You ICP2110018 a7 1 VN ?? ? N'? 116699 Whi1e- Payers Copy ? Yellow-POSting Copy LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: 4/Mh'?/'Ii?l7e-l A DATE OF SURVEY: J//L-/O 67 LATEST REVI510N: ' I) I30L b m rn c R L U ` O z ¢ DOCUMENT STANDARDS Jd ? D • Registered Land Surveyor signature and company ;"d' ? ? • Buiiding Permit Applicant ` ? ? • Legal description ? 0 • Address /?97 Rd- ? ? ? • North arrow and scale ? ? ? • House type (rambler, walkout, split wlo, split entry, lookout, etc.) fd' ? ? • Directional drainage arrows with slope/gradient % ? X • Proposed/existing sewer and water services & invert elevation As?arbJ( £l. ?38 , SG ' ? ? ? • Street name ? 'z ? ? • Driveway (grade & width - in R!W and back of curb, 22' man.) 'z ? o • Lot Square Footage '2 ? 0 • Lot Goverage ELEVATIONS , Existina ??' ? ? ? ?J ? • Property corners F/opz?. • Top of curb at the driveway and property line extensions ? Ja ? • Elevations of any existing adjacent homes .,9 ? ? • Adequate footing depth of structures due fo adjacent utility trenches ? ;Z ? • Waterways (pond, stream, etc.) Prooosed )z ? ? • Garage floor ? ? ? • Basement floor .? ? ? • Lowest exposed elevation (walkouUwindow) ,H ? ? • Property comers ,El ? ? • Front and rear of home at the foundation PONDING AREA (if applicable) ? ? ? • Easement line ? ? ? • NWL ? ,?" ? • HWL ? ? • Pond # designation ? ,g 0 • Emergency Overflow Elevation ? ,H ? • PondNVetland buffer delineation Y ? . Shoreland Zoning Overlay District Y • Conservation Easements DIMENSIONS ? ? • Lot lines/Bearings & dimensions B' ? ? ? .2w ,e • • Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 2' orche , etc. (i.e. all structures requiring permanent footings) ,e1 ? ? • Show all easements of record and any City utilities within those easements ,e' ? ? • Setbacks of proposed structure and si setback of adjacent existing structures ,e ? ? • Retaining wall requirements: Reviewed By: Date i/ /3 D 6 /2I S?O ?a G:/FORMSBui lding Permit Application Rev. 11-26-04 Surveyor I s SURVEY FOR DESCRIBED AS : Millerville 66.2 Meas. FND IPr- i°48'S2"E 77.37 B65.0 FND IP : Lot 4, Block 3, OSLUND TIMBERLINE ADDITION, City of Eagan, Dakota County, Minnesota and reserving easements of record. Plat East 77.83 [EDD DDQ4Eo °G BUGLUNG VNSPEGT90MO CWO2150M o? o? Ln . s !n ? ?. O p Z ° O o 0 V) ? N v a? :2 ;_. OMtJRA ? 50' SLOPE EASEMENT ;- ;" ; . .., -r7 - - - - - - - - - - - - - - - - -? sl I 1 I I I ` I I I 1 ? o ? I 1 N ? i I , ZZ ? I 1 aQ I ? W ? NLP ? o Q N 840.0 1 3200`- _ ? 15.OO?n 2}.67 1 840 0 ? °o ?7 DD N Certificate o CAo ? CP_?_ $ ?: ?: \ g.00 Mg °?6 D? IP r1 ? LOT SQ. FOOTAGE = 26,205 846.1 w McCAR497 HSE SQ. F00 TA GE = 2,785 ums4p. A A, L 0 T CO l/ERA GE = 8. 37o °??M °°L, tl' (r?dcc, p PROPOSED ELEVATIONS Top of Foundation Garage Floor Basement Floor Aprox. Sewer Service Proposed Elev. Existing Elev. Drainage Directions Denotes Offset Stake HEDLUND PLANNlNG ENGINBERlNG SURVEYING 2005 Pin Oak Drive Eagan, MN 55122 Phone: (651) 405-6600 Fax ; (651) 405-6606 = 849.5 = 849.1 = 840.5 = 838.6+/- = 0 L' ??• B,?C,,,, IVQ(?,' .. RrGLP.?fD ED'oe?? _ ; 5UR`lEYOR e ` . , cP? ,0 1 d,376 s'Uhs? . .? SCALE: 1 inch = 30 feet BENCHMARK, TNHONW COR PINE RIDGE RD & McCARTHY RD ELEV. = 874.48 MIN. SETBACK REQUIREMENTS Front -3o House Side -10 Rear -5o Garage Side -5 I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF THE BOUNOARIES OF THE ABOVE DESCRIBED PROPERTY A5 SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT pURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. DATE I'/3-vIQ?2 L, F E D. LINDGREN, LA SURVEYOR NE OTA LICENSE NUM R 14376 JOB N0: 06R-464 =FILE: CAO Misc-06 I ?01 1 Gora98 °o p5ad ?g 29PciWr?I° 1.33 a 24.33 0 6 849. 1 24.50 o . ? ? N-? NcA r=848. ?• 16? ? Q ? q n;-9°1 ? o ?1ot G°oG°oMQ G°CEQMO?ED 1 3:9 Mauirnum SBop?s ov Re4aining HNa81 Will Bii RC-qUIPed ?2 2p" BSt.o FNO IP 138 ?a9.s ROAD- ° ?.--[??C D ?y? -- - Da?? ??L- ab RAGFN F'r.NC'sIldElEdZdNG'a DEff< Use BLUE or BLACK Ink ---------------I ~~P t75 1 Permit City of Eap I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 ~-S------------ -i 2009 RESIDENTIAL PLUMBING PERMIT APP I ATION Date: __t' _ Site Address: ! - Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: _ ~ yvSe/V lV - License _2--_3 I'Z Address: 1 E ¢ 9_z--_a! city: -~i^cJC2! State: Zip: -5~ 3 3 Phone: Contact Person: ~!S©!.) TYPE OF WORK New -Replace ent Repair Rebuild _ Modify Space Work in R.O.W. Descri tion of work: a tte~ tic R .1c' h ! / v~ e- PERMIT TYPE RESIDENTIAL lee (aCP ei. ,+ie IBA- e~w A/o-tiiC /`-,j~tvKC Water Heater Water Softener 5I I Lawn Irrigation Add Plumbing Fixtures i RPZ / PVB) C_ 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 $J/ 6, 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 rpl s. Applicant's P nted Name Applicant's natur - FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink For Office Use m fE?~„ : ity , ~ Permit Ron ir-, t I Permit Fee. ~f Y 15LC- `C 00 C of EaRd /I $S 3830 Pilot Knob Road 2009 I _ I Eagan MN 55122 Date Received: j Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff. ATION 2009 RESIDENTIAL BUILDING PERMIT AP Date: Site Address: / ) `4 / A ° Tenant: Suite RESIDENT/ OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: / C7 y q r e' (D` Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: `&4.17(?J(5'6 C4Pi~ i'lc License 20.S lJ oz_ Address: ` 7J^ I V" 0 t/"~--- City: z State:. i"~ ► Zip:`O Phone: t Z _ / 6, 7 2 9 1 Contact Person: A, ~L~U~ ~ - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued apermit 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. 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 wi 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 o sta ithout a permit; that the work will be in accordance with t e approved plan in the case of work which requires a review and app I of ans 1 x x Applicant's Printed Name A plicant's Si nature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy (i MCES System Plan Review Code Edition v w SAC Units (25%_ 100%_) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing' Siding: -Stucco Lath Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: Footings Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee V Surcharge Plan Review MCES SAC City SAC/, Utility Connection Charge S S&W Permit & Surcharge _f r Treatment Plant ( PI7 J U Copies ..TOTAL Page 2 of 3 Report Name: Printed: 12/8/2009 Inspection Results Grid City of Eagan Page: 1 Permit Inspection Results EA076129 - 1497 McCarthy Rd Sub Type: Single Fain Work Type: New Description: PRV required insp. Date Inspection Type Inspected By Result 04/30/2008 Grading Leon Weiland Pass 01/22/2008 Insulation Jeff Wheeler Pass garage insulation see remarks 12/13/2007 Insulation Terry Zelenka No Show doors lock no show for insp. 12/13/2007 Framing Craig Novaczyk Pass 12/13/2007 Insulation Craig Novaczyk Pass 08/21/2007 Insulation Mike Lence Partial Inspection 1 st and 2nd floor okay to insulate. 08/15/2007 Framing Tom Miklya Correction Notice see remarks 08/07/2007 Framing Terry Zelenka Not Ready CORR. NOT DONE 07/27/2007 Framing Jeff Wheeler Correction Notice see remarks 07/26/2007 Foundation Jeff Wheeler Pass 07/20/2007 Framing Jeff Wheeler Appointment Cancelled did not get to this one, ran out of time at 1491 submit an addendum for any changes to the approved plan 07/20/2007 Lath Jeff Wheeler Correction Notice see remarks 03/21/2007 Footings Jeff Wheeler Pass 03/21/2007 Foundation Jeff Wheeler Partial Inspection see remarks 01/09/2007 Foundation Tom Miklya Correction Notice see remarks 01/05/2007 Footings Craig Novaczyk Partial Inspection 01/05/2007 Foundation Craig Novaczyk Partial Inspection Forms and steel 12/19/2006 Footings Tom Miklya Partial Inspection see remarks Report Name: City of Eagan Printed: 12/8/2009 4nspection Remarks Page: 2 Inspection Remarks Permit: EA076129 Permit Type: Building Site Address: 1497 McCarthy Rd - permit cards must be onsite done tin - need elec RI done tin - need Mech Ri done tin - add lateral bracing to roof trusses as per the truss specs - add purlins to unsheathed top chord at girder trusses A2GR & A3GR (2'-10" OC, either side of front dormer) done tin - dry in roof at plbg penetrations done tm - add attic access at either side of bonus room and at front gable--(bonus room unfinished tm) - submit an addendum for adding a bonus room above the garage done tm - add shearthing nailed as per the APA at the inside of garage doors as an alt to removing siding to inspect exterior nailing - add crawl space access to each crawl space under bsmt floor (min 18" X 24") done tm - provide a min 12" clearance under untreated beam at crawl space OK TZ PER DALE (leave 18" X 24" under beam at one point or add access on the other side) - submit an addendum for change in bsmt floor frame layout done tin (adding LVL in place of grade beam) - add lateral bracing at the ends of all unrestrained floor joists at the bsmt floor OK TZ - add hangers at all floor joists with less than 3" bearing at grade beams done tin - replace 2 studs at center bearing wall in the LL cut out for plbg done tin 08/06/07 JTW addendum #4 rcVd (bonus room & beam in bsmt floor) 8/15/07 Framing TM -in basement 1 bearing wall has 6x6 and 1 LVL sistered on both sides to carry wall load and roof load plan does not show footing at this location, submit addendum -finish stairway to basement -ok to insulate 08/21/07 JTW - Addendum # 4 approved - check bolting of LVLs either side of the 6X6 2 /LF, one from each side 01/22/08 JTW garage insulation - submit an addendum to finish the "unfinished, unheated" bonus room - add attic access on either side of the bonus room - add house #s * * * OK to rock the garage Report Name: City of Eagan Printed: 12/8/2009 Inspection Remarks Page: 1 Inspection Remarks Permit: EA076129 Permit Type: Building Site Address: 1497 McCarthy Rd 12/12/06 JTW footings - RCV'D engineering (OK to sub 3- #5 for 2- #6 at grade beams) - any other changes to the approved plan must be submitted and approved prior to inspection 12/14/06 JTW footings (grade beams) - addendum submitted to raise wood frame floor 10" (to pass over grade beams instead of between) APPROVED 12/20/06 jtw - still need special inspections report on helical anchors 12/19/06 ADDENDUM TM - addendum submitted and approved to add grade beams in lieu of missing helical anchors -ok to pour footings 01/03/07 JTW engineering RCV'D - OK to epoxy in dowels at grade beams (#4 at 24" OC, min 6" embedment) (Hilti HIT-ICE or Simpson Acrylic [cold weather]) OK down to 0 degrees per Al Malecha at Voight engineering 1/9/07 Foundation TM -drain tile runs to daylite -ok to back fill -all eng. required above. before footings and fad. passes 03/21/07 JTW special inspections report for helical anchors rcv'd 07/19/07 JTW site visit Bsmt floor frame (addendum approval pending) provide a min 18" X 24" access to all crawl spaces extend ice and water barrier so that no untreated lumber is in contact with concrete at bearing points add solid blocking (lateral bracing) at ends of all joist not attached to a stud with 3 16d nails add hangers at all joists with less than 3" bearing provide a min of 12" clearance under un treated beams 07/20/07 JTW lath - install weep screed, must be 2" above pavement & 4" above finished grade - stone mfg installation instructions must be on site 07/25/07 JTW Addendum - addendum for change in bsmt floor framing approved must be attached to the approved plan 07/26/07 JTW framing - house numbers must be displayed during construction - maintain erosion control - approved plans must be onsite (with addendums attached) done tin Nov 16 2009 3:32PM JYMRSR INC. 7635489678 p.2 • M1 )YMRSA, LLC 13355 George Webber Dr Suite Q t 1 Rogers, MN 55374 763-219-8409 Ph. ' 763-463-9636 Fax. www.lymrsa.com Proposal Submitted To: Phone: Date: Kutzke Construction Inc. 612-716-9793 11/16/09 Billing Address: City: State/Zip: 7075 Union Ave Mayer MN/55360 Email Address: Work Address: 1497 Mccarther Ave Eagan, M N Items and Description: K4 to teL'j (ty n0 1 • Set up air scrubber. 2. Set up commercial dehumidifier and air movers inside the basement. Air movers ducted to outside. 3. Foam and treat sub-floor throughout the entire basement with EPA registered anti- microbial disinfectant. 4. Air and surface treatment of the entire lower level basement, duct work, and crawl space with an EPA registered anti-microbial disinfectant. 5. Scrub down staining left behind on the sub-flooring. 6. Post remediation non-cultural air quality sampling of basement. Use BLUE or BLACK Ink For Office Use s~ 11 n j Permit j 1' I Y of E a(a n I Permit Fee. . i 2LJ _ e---- 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: 2009 MECHANICAL PERMIT APPLICATION Date: / { l "o>J Site Address: r"v Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: ` Ul G License Address: City: tCl 1'/.s~t~`CIt+ State: I1 k Zip: t a1 Phone: Contact Person: TYPE OF WORK New Replacement Additional Alteration Demolition ~v11 7` f N~ I of C ~ti ~Ula 3 ,E Description of work; c L I 1 NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace New Construction _ Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $50. If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 plan i Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough In Air Test -Gas Service Test In-floor Heat Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA092274 Eagan, MN 55122 . Date Issued: 12/09/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1497 Mccarthy Rd Lot: 4 Block: 3 Addition: Oslund Timberline PID 10-55300-040-03 Use Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Fireside Hearth & Home % Trimont Re Advisor LCF Funding I LLC 20802 Kensington Blvd 3424 Peach Tree Rd NE Ste 2200 Lakeville MN 55044 Atlanta GA 30326 (952) 985-6675 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