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1541 McCarthy Rd' ? yir3s' SEDGWICK HEiATING & AIR CONDITIONING CO. ''" ''. HEATING JOB 146? 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 861-9000 TEST34ECORD ADDRESS !X e? ? CITY 14? OCCUPANT SOLD BY INSTALLED BY C./C.MAKE -_Zej241/L,(7--0- . SERIAL NO. THEF VALb LIMIi LIMIT FAN PILO' IGNITION MODEL PILOT TIMING lq PRESSURE PERCENT COi B INPUT CFH PERCENT Oi STACK TEMP. PEFCENT CO FORM 235 REV. 1 189) 67 MODEL fr 1(716 3; CJ0 - INPUT VENT SIZE Z TVPE OF LINER 4 I I? - -? LINER SIZE 4 q FILTERS: SIZE / 14C., NUMBER WIRING ()!f±_ TEST TAG 1?1 LIGHTING INST. ? DATE TESTED ? COMPANY TESTING NAME OF TESTER _ . FORM DISTRIBUTION: WHITE COPV - JOB FILE " VELLOW COPV CITY CITY OF EAGAN Addition OSlilrid Timberline Loc 12 eik Owner Street 1541 McCarthy Ridge Eagan, Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, STREET RESTOR. GRADING SANSEW TRUNK 40 1968 $100.00 $3.33 30 PAID * SEWERLATERAL 1970 ZO WATERMAIN WATER LATERAL WATER AREA I * STORM SEW TRK 1970 ZO STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 6UILDING PER. SAC PARK EAGAN TOV1/N SH I P BLliLDING PERMIT owner ...li??,2?s?-?- ?- -- --- -- -- -- -- Address (Preseni) ••-----.....°°-. --....................... .. ......... .. ------..... Builder ----------- 'z-..11?..... ---------- ----. -.- Address ............... DESCRIPTION Id° 1.092 Eagan Township Town Hall Dete -% .1..6?----..------------------- 5tories To Be Used For Fron3 DepYh Heighi Est. Cosf Permi! Fee Remarks ? I ?LJCA Gy? f.s' 1(v ?C/ I? ?6. c LOCATION Sireei, Aoad or oYher Description of Loca3ion Lo! Black Addiiion or Tract This permif does not au3horize the uS'e af sfreets, roads, alleps or sidewalks nor does i3 give the owner or his agen3 the righY io creafe any situa3ion which is a nuisance or which presents a hazard !o the healih, safety, convenience and general welfare !o anyone in the communiYy. THIS PERMIT MUST BE KE?P,T?, "ON °T"H?E P EMISE WHILE THE WORK IS IN PROGRESS. ±?c!? ............. has permission So erect a...? .? :...................... ~ upon This is !o certify, lha2. ?7 ?,/?w T "' _ . . the above dFSCribed premise subject io the provisions of the Building Ordinanca for E an Townshi ado i d pril 11, 1955. .............................. - -- ----•--••-••---- --•-{??+s'-?!s?"='•::••-- ".v -.. .•---.._. - -..... Per _..............4 -- -°--- ° - °..... Chairman of Tnwn Boardet.a, Building Inspector ELECTRICAL PERMIT #103897 MECHANICAL PERMIT DATE: 5/2/91 HARRISON ELECTRIC 5/2/91 RECEIPT: 100996 $15.00 SITE ADDRESS 1541 MCCARTHY ROAD Unit # Permit # 12973 L 12 B 3 Sect./Sub. OSLUND TIMBEB SF.T1(:WTCK HTr _F. A/r _ RR 1-qMl1 Vnnt?Tnre s. n/r runnrrc_nTrn INSPECTION INSPECTOR DATE V COMMENTS y ,0" ..?,?` ` . ? .?. c3 d?-> INSPECTION INSPECTOR DATE COMMENTS REQUEST FOR ELECTRICAL INSPECTION ?ctions foi complzting this forrn on back of yellow copy. 'd•.ry?= `X;?-19elow Work Covered by This Request ew Add Rep- TypeotBuilding AppllancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./lndusirial Fumace Farm Air Conditioner Otherispecityl Contractor's Remarks: ?.h Compute Inspection Fee Be/ow: # Other Fee # ServiceEntranceSize Fee k Circuits/Feeders Fee Swimming Pool 0 l0 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspecror's use Oniy: TO AL ? Irrigation Booms Special Inspection ? ..- / ? Alarm/Communication THIS INSTALLATION MAY BE ORDER ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. 1, Ihe EIQCtfIC81 Inspector, hereby Rough-in Date certify that the above inspection has been made. F;nai ? . ?` ? -,??? Oate '?? ? OFFICE USE JNLY This request voitl 18 monihs Irom ee-oooai-oa /osb3? ci d-a? 4; /S ==? p 13 2 9 5?`I ? e-s, Repuest Date 4! 13 Fire No. Rouyh-in Inspection Required? Ready Now ? Will Notify Inspector WhenReady? _Yes No )Xicensed contractor D owner hereby request inspection of above electrical work at: Job Atltlress (Street. eo or Poute N i S?- I C ?r o? City ^•? ? ?-? Section No. Townsnip Name or No. Range No. CoywLy . ? 3-EJT?? Oc art(P INT)) R i C 21 ?jC2r?t,?? Ch Phone No. Power Supplier ?Adtlress E cVical Contractor iCompany Name) ?? U1??.?-ri Contractors License No. Mailin Address (Contractor or Owner Making Inst etioni ?a?-?? Ai z=tl 5? natu:e I^Co? ac!or?Owner Making Instailation) P one Number O? 3 5 S S MINNESOTA STATE AR 0 EL TRIpTY THIS INSPECTION REOUEST WILL NOT Griggs-Mitlway Bltlg. om BE ACCEPTED BY THE STATE BOARD 1ffi7 University Ave.. eul, MN 55104 ` UNLESS PROPER INSPECTIpN FEE IS Phone (672) 642-0900 ENCLOSED . REQUEST ?FOR ELECTRICAL lNSPECTION ? SeBtinstructiS'is Tor completing [his form on back of yellow copy. "X" Be/ow Work Covered by This Request EB-00001-08 ew Add Rep. TypeolBuilding AppliancesWired EquipmentWired vo" Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./lndustrial Fumace Farm Air Conditioner Other (sUecify) Comracrors Remarks: Compute Inspection Fee Below. --? -? ? ?_ J? tt Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps S19n5 Inspectors Use Only: TOTAL 7 Irrigation Booms (Ep) S5C Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspectoc hereby Rough-in ( oace certify that the above inspection has 6een made. F;,,ai cer L OFFICE USE ONLV This request voiC 18 months Irom 1?U y y.? ? 0 3 89 7 L °° Request at ' fire No. Rough-in Inspection Required? ? eady Now ? Will Notify Inspector n Re d ? Wh ?Yes :!No y e a i l k t f l t i i b ' : on o ove e ec r ca wor a ? licensed contractor ? owner hereby request nspect a I Jo6 Atltlress (Street. eox o r R ute No.I o , / ? ^ / ? ? l SectiOn No 7ownship Name or No. Range No. Cou ?/? On No. Occ nt(PRl T) Ph ?-"J 4 ? o ( P wer Qiupplier Address Eledncal Conhactor iCompany Name) ntractOrk License No. C7 Harrison Electric 421867 Mailing Address (Coniractor or Owner Making Ins'allation) 2525 Nevada Ave. No.301 Golden Valley 55427 Authonzetl Sig ture ICOntra o ' g Instal noni Phone Number 544-3300 MINNESOTA STATE BOARD OF ELECTRICITV TNIS WSPECTION REOUEST WILL NOT Gri9gs-Mitlway Bltlg. - RoOm S473 BE ACCEPTED 6Y TME STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 ? 651-681-4675 ? ? - ? New Construction RequiremeMs RemodellReoair Reauirements . 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies af plan (20°k maximum lot coverage allowed) . 1 set of Energy Calcula6ons for heated addilions l? - (J?-" • 2 copies of plan showing heam 8 window s¢es; poured found design, etc.) . 1 site survey for extenor addilions & decks • 1 set of Energy Calculations . indicate i( home served 6y sep[ic system for addifions • 3 copies of Tree Preserva6on Plan if lot platted aker 711/93 • Rim Joist Detail Oplions selection sheet (Gldgs with 3 or less units) DATE 6-/;X0a SITE ADDRESS ?..e4-4i TYPE OF WORK G/ &i ?' ? 3Z APPLICANT ?u,Hl MULTI-FAMILY BLDG _Y _N REPLACE(S) _ 0 _ 1 _ 2 k ia pa 4;W4'-zx /d DaG, STREET ADDRESS _&&& 6) !In S i. CITYSr? STATE4ft-tIPe TELEPHONE #6tV-7,92 77G,/f CELL PHONE #lR49-<9? ?1,?? FAX #? ST-7ZG ZS?P? ? a0678 944?' PROPERTY OWNER !i!,e , 79.? TELEPHONEdkQI?O???/? COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNE50`1'A RULES 7670 CATEGORY i MINNESOTA RULES 7672 (d submission rype) • Residential Ventilation Category 1 Workshee[ Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plum6ing Contractor: _____ Plumbing system includes: Mechanical Contractor: vlcchanical system includes Sewer/Water Contractor: Wa[er Softenrr Water Heater No. of Baths Air Conditioninb Heat Recovery System ------------------------------------------------------------------------------------ I hereby acknowledge that I have read this application, state that the info a with ail applicable State of Minnesota Statutes and City of Eagan Or in ce Signature of Applicant ------ ----------- to comply OFFICE USE ONLY VALUATION _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # Fee: $90.00 ?HI_r.,0 U M #JUN 1 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Upda[ed 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Owelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-piex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ),< 25 Miscellaneous ? 30 Accessory Bldg ? 37 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof K 46 Windows/Doors ? 34 Repiacement `Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation ?(9'D Occupancy ? MClES System Census Code Zonin9 City Water '. SAC Units Stories Booster Pump Nbr, of Units " Sq. Ft. - PRV Nbr. of Bldgs Length Fire SprinRlered Type of Const ? Width REQUIRED INSPECTIONS _ _ Footings (new bldg) FinaUC.O. _ Footings (deck) x FinaUNo C.O. _ Footings (addition) Plumbing _ Foundarion HVAC _ Drain Tile Other Roof Ice & Water ? Framing Final Pool Ftgs Air/Gas Tests Sidi S Final _ ng tucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC cicy sac Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Perrnit Mechanical Permit License Search Copies Other Total W ? ??Duo ?. eTq,.y:..i:?.p.?, na?:? a.., ,?,.i:?ly...... v:..y.,,.:.?d?..?.?'r,l"i..:,-,?::..i.?.??4?,k _,+.'P.4?: y<jl '?LC 1. ?fi?r !i.::.n„i i :..::.,i Y i( . ?0 ,:.r..?. CITY !.j!: F.(ltnr'lr:! ;_,; ...i i?-.'-?-l:'.rt?:?„ .,. :.:rl::::; i ?,? ?`i._ ;v :.,; :-1:, ?, r,..- i :.. .? .l.f._??.... ?,... . Dci:T,_ ...... _:, 1 ; r? ; r,,.y ? ., ...i?... c_; ? ,;?a:. ,., t?rji::?„ ., , '',;: ?? _ . .. .,."!1..1 ; ..,L t -. ,, ?. ?. ? 4 .? ?,?;:?:r., ? ??...,i'i;_. , r ... ......... , ...,...!_?i::.i?.. .?..ii:!:rc:? ?????,??: - .•l.: ...., _. ' :.;•.,.;'t ,-,,.., 9001 . _ , ?: -, ? ?^r.:. ?. -.? i: :.?:. •,; .,.?:,,- aF..,; ??i.:e.:Ctlt? . .??,, 2155 rpr..`r?.l ,,...:?M.?. . . .I cr . .C,J/F.i.1. ....., . .. ,..?. .. . . ' i'?,l ? F'li''' ;' _!L? .??.? S?).' I _...?. ,??+i ?'? ._ ?'? U5.25 T11'i,;.i!.?. . ... ::?.? I_(?' ? ;rv:.. . w,.,r.?.. '_?...: r?? ?...?'\?,.fL'. f ,lCi:.:. ?,.?l,,.y .I"rl.: ':tny.i in.?:.' ,?.. ?.... t ... ,.. . ? .r' .... T ;,, .. . ? ? ? .. M1:e. . . . ... . . CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: auzLDxNG 029297 12/02/96 SITE ADDRESS: 1541 MCCARTHY RD LOT: 13 BLOCK: 3 OSLUND TTMBERLINE P.I.N.: 10-56300-129-03 DESCRIPTION: (wzNOOws) ld:ing,#Permit Type ld,ing WJ?r k Type , . ,... _ '° ? ? 4,?. ? ? t?? ? ' • „ar • ? ??u?;? ? ?? ? „ - ? a ???? {pr4 i0u'?` 2a, z. i au? xaaF REMARKS: FEE SUMMARY: VALUATION $6,000 Base Fee $112•25 Surcherge $3.90 Tatal Fee $115.25 , CONTRACTOR: - Applicant - s7. LTC OWNER: RENEWAL BY ANDERSEN 14397255 2004063 BARTUSCH JOYCE 1700 BUERKLE 1541 MCCARTHY RD WHITE BEAR LAKE MN 55110 EAGAN MN 55121 (612) 430-7255 (612)687-0016 I , hsrekay?; arqknowle`dg.e; i:nformatiori is car.re6? t and agree to ., : Statute%, ant1 C.itEaAOrd?a;n?anc:e 5F (hIISC. ) REPAIR 434 ALT. RESIDENTIAL APPLICANT/PERMITEE SIGNATURE . 'ISSUED W. SIGNATURE CITY OF EAGAN 3830 QILOT KNOB FtD - 55122 1996 BUILDING PERMIT APPLIC<,TION (RESIDENTIAL) 6814675 0 3 reqieterod site sunsye ? 2 eopies of plan ? 2 oopies of plans (indude baam 8 window stzes; peurod Ind. desipn; atc.) ? 2 sNe surveys (exterior addiliona 3 deeks) 4 i energy plevlations ? 7 energy colalations tor healed additions • 3 wpiea oT tree prosensdon pNn B bt plaped sRer 711/93 rsquirod: _ Yes _ No DATE: I LZ1 36 CCNSTRUCTION COST: Sq DESCRIPTION OF WORK: (.._E r.I I c--cPuv-4 s r " 6-4Q r-)L ??v ?woaW ? STREET ADDRESS: LOT ? BLOCK ? SUBD./P.I.D. #: PROPERTY Name:3AeI-Usc4 JO?(JE Phone #: 6W] •2016 OWNER • W* MSt Street Address• i -s4? ? <C-ta Q-r?? (Zo• City: 'ERa6Ac?r State: Yn N Zip: S5 l 2) CONTRACTOR Company: 64 ANDL-CSEcv Phone #: 43a•'723-5" Street Address: :1)O0 13VGXeCe- License #• Zaa40 630 City:-W411?---"6EAZ CA 4? State: 171nr Z;p. S5"? i v ARCHITECT/ Company: r.l ? ?- Phone #ENGINEER Name: Registration #Street Address• CitY: State: Zip• Sewer & water licensed plumber: Penalty appiies when address change and lot change are requested once pertnit is issued. • i fiereby acknowledge that I have read thia applica6on and state that the infortnatlon is correct and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Signature ofApplicant: ? ???? T1N\ Sc?-11-v'e S4 •Zg54q OFFICE USE ONLY Certificates ot Survey Received Yes No Tree Preservation Plan Received _, Yes _ No OFFiCE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex o 11 Apt.lLodging o 16 Basement Finish ? 02 SF Dwelling o 07 4plex o 12 Multi Repair/Rem. 0 17 Swim Pooi a 03 SF Addition o OS 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. D 10 = plex o 15 Deck WORK TYPE ? 31 New ? 33 Alterations o 36 Move o 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main fevel sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Sooster Pump length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge . Plan Review License MCNVS SAC City SAC VJater Car,n. Water Meter Acct. Oeposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 1?1'1z vr ce,ljeuv run V113 uar, vna.i 3830 PILOT RNOS ROAD EAGAN, HN 55122 PERMZT # PHONE: (612) 454-6100 RECEIPT ?k PP3iAPG_;s;t'?!Pm DATE : 1,9 PLEASE GOMPLETE QPPSR PORTION ONLY FOR SINGLE FAMILY DWELLI23GS & TOWNHOMES/CONDOS WHEN PERMI?S ARE REQIIIRED FOR EACH UNIT. ----------------------- SJORK DESCRIPTION NEW CONST ADD ON x_ REPAIR OWNER NAME: A G(/Ztzw_k T ? SITE ADDRESS: _ IAT:BIACK ? SUBD. INSTALLER: IO/17/1..,P? ADDRESS : Z ZS z CITY: ZIP: 5`SJoZ?-- PHONE #; ?n? -/vrlo S SIGNAME OF ERMITT E ?' i? ? ? SUTAL? $ ?S'?P?, eU?E ?d ? c'050 TOTAL: S 446• DQ ----------------------------- COMPLETE THE FOLLOWING: . FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 _ SHOWER 3.00 WATER CIASET 3.00 BATH TITB 3.00 IAVATORY 3.00 _ KITCHEN SINK 3.00 _ IAUNDRY TRAY 3.00 _ HOT T(TB/SPA 3.00 _ WATER HEATER 3.00 _ FLAOR DRAIN 3.00 GAS PIPING OUT. _ (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 ?02AfERGIALJiNDUSTRIAI.`: PLEASE COMPLETE THIS PORTION FOR ALL C0MIIMERCIAL/INDUSTRIAL BUZLDINGS AND x.: . . _ __ ... . MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS AAE NOT REQUIRED FOR EACH DWELLING UNIT. -------------------------- --....... ----------- ----------- --------------- --------- CONTRACT PRICE: OTJNER NAME: SITE ADDRESS: IAT: BIACK SUBD. NO FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: S ( S IGNAT[JRE ) FOR: CITY OF EAGAN /J_ -ovr/j f CITY,, OF -.EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR GITY USE ONLY PERMIT # RECEIPT # /OC? LP DATE : PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQiTIRED FOR EACH UNIT. ------------------------ -------------- WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME: _f"rrl E• AtIr f"/<<Sc'fi ST_TE ADDRESS: IS14I MeC'x?_,r•M. LOT : I? BLOCK ? SUSD. INSTALLER: HFATING & AIR COPIDITIONING C0. ADDRES S: 8910 WENIWORTH A4E. $0. Ylu , 881•9000 CITY: Zip; FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL : $ STATE SURCHARGE: .50 TOTAL : S.o ?/A 1-6 SIGNATURE OF PERMITTEE PHONE #: L_dl ??'?? d3897 ?? 5?& !/5 °o ?O?IME?i?Ifl?.?SNDRTAPLEASE COMPLETE THLS PORTION FOR ALL COMMERCIAL/INDiTSTRIAL 'dUlLDIFGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------------------------------------ ____........ _--------- ----------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) CITY OF EAGAN CITY OF EAGAN 1992 SEWER & WATER CONNECTION CHARGES EXISTfNG RESIDENTIAL pROPERTiES Sewer.connection charges Water connection charges SAC : $800:w Water connectivn $ 675.00 Date previously paid QrA4? g? ,? 0 . Date previousiy paid Receipt # . _ . Receipt # Account deposit 15:00 ,,Account cleposit 15.00 Sewer permit and surcharge 15.50 sz.k Water permit & surcharge 15.50 Water meter 95.00 Subtotal ?30.50 ? Treatmerrt plant fee 300.00 C Plumbing permit and surcharge 15.50 + Sewer t8p ? ,3 ? S ? Subtotal $1,116.00 Total + Water tap Total Sewer &water connectton charges SAC $ 800.00 Date previously paid . Receipt # Water connection 675.00 - ;` Date previously paid Receipt # `Account deposit 30.00 $ -: Sewer & water permit and surcharge 30.50 ' Water meter 95.00 Treatment plant fee 300.00 Plumbing permit and surcharge 15.50 ' Subtotal $11946.00 , + Sewer & water taps Total PRV N n OFFICE USE ONLY Properry owner J?C.?J ? --- - - -?--- Telephone no. C) b ALICIf2SS 1541 McCARTHY RD Lot -LL Blk 3 Sect P I D # Cities Di2ital Qualitv 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. 6 ? . . ii i?? s - . - ?. ? ? ? aa?'? , ?ri'Ll.T lii.?ti '?':( r?,P1r11?J" I?.F i ri... tti?_ , . ..? }? l- L _ /? ??.' ` ?• ,¢ ? ? E?1 , e " ? l. ?.? , r i ?". ? t . o} . F ?,: .+YrA? •? .t/? 'j "?d ? ?'d r,l??.?•7 t - F ? a 1 ,v ? lm Nf.: 3l &:'Jfti u GT: mr l ww h ",j s 5 ?CTTR 4440,nAtPz'lv*6ISH e? ? .? . ? ? ,, r+. ?+• ? r -c ? r: x - ? -a a 1 k E e kj;w: R. fl'?? ??d .arbS ?tt i v8i, s,m + ? " ? 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QI , l']?I,?A7 7 ? i -?-..-^? ? -- l I I i 1 ? _? ,y U?j h?` ?.J•?.- ? ? i ,?.. - s- Jc 3't. ?q ?j, j f(p p 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION ?p CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date z 1 ? Site Street Address A Unit # ^ T Property Owner (?/ ?? G e 7 Telephone # Contractor ? Address y Telephone # State ?(J Zip The Applicant is: ? Owner ? Contractor _Other F_era i ons to existing dwelling Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.40 if a 5!8" meter is required) Other: $ 50.OQ 74 Water Softener _ Water Heater ' replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total $ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ,„ n AppliEant's Printed Nam'e ? Appficanf's Signa ( óöó ú ÿþ ÿþþ ýüûüúú ùþþúû úóóö ìüûï ì ÿþó ýü ûúù ô ø ûúùç÷ ù ô Þü ÿ ÿ ù ï ñü ï ü è þý ù þàäìß þ óóìëó îú óëçõûâçõæ è ïðàõùïßåêëêóëë òù ýü ÿðÝåêäêìä ñûûð óïî ùù ýÿ÷âÿÛ ôÿõ ü óëç íþýüóèô úõ èâÿ èçì ÿèçì àäìßëëä ú÷ÿ í ùù ã ï ÿ ïùú÷ ùù ý ãèýüôúã ÿ ê ùùö ïýÿü üúýÿü PERMIT City of Eagan Permit Type:Building Permit Number:EA124705 Date Issued:07/09/2014 Permit Category:ePermit Site Address: 1541 Mccarthy Rd Lot:12 Block: 3 Addition: Oslund Timberline PID:10-55300-03-120 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. 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. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Richard Bartusch Iii 1541 Mccarthy Rd Eagan MN 55121 Hoffman Weber Construction Inc 3515 48th Ave N Brooklyn Center MN 55429 (866) 970-1133 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK ink, I For Office Use 41,1 na .., 3 1311,11 of EaRait Permit#: , A&r,,, Permit Fee: (:::C7i. 7 I i 3830 Pilot Knob Road /—7 Eagan MN 55122 RECEIVED Date Received: Phone:(651)675-5675 IF Fax:(651)675-5694 MAY 0 9 2017 Staff:_ Mad 7 ,A, ... -4 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 05/06/17 Site Address: 1541 McCarthy Rd, Eagan, MN Unit#: Rick & Joyce Bartusch Phone 651-642-1514 Resident/ I -!. Address/City/Zip: 1541 McCarthy Rd, Eagan, MN 55121 ; owner X ..... i , ! Applicant is. Owner Contractor i 1 description of workTear down deck, Re-build same footprint sc . Type of Work ; I ! ! Construction $1423027 Cost: ' ' Multi-Family Building: (Yes I No X Outdoor Spaces Design & Build Co. Jame Quinnell Company: Contact. _ '..! • Address: 5378 193rd St W Farmington City: ''. Contractor I ate PhoneEmail:MN 55024 651-235-1100 jayme@osdab.com ,St : , . License BC689582 Lead Certificate R-R-19420-16-00349 i 1 #: #: If the project is exempt from lead certification, please explain why: I 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? Y es No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: , , Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to "! conclude that they are trade secrets, . 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 VNAV.crpherstateonec-all orq I hereby acknowledge that this information is complete and accurate, that the work will be in conformance',.Ailth the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only art application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code '. - —-. sled within 180 days of permit Issuance _—__,,,,,,,,,,,, Jayme Quinneil ,- ;— '' x *_ Applicants Printed Name ___ Applicant's Signature Page 1 of 3 i2 C., 11 iii i l' (' • , — / C-2 VI in u'W 1- 0 NOT WRITE BELOW THIS LINE _.,- SUB TYPES ______ Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) Single Family Garage ____ Porch(4-Season) Exterior Alteration(Multi) Multi 4.* Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of Plex Lower Level Pool _ Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* — Addition - Move Building Reroof Demolish interior Alteration Fire Repair Windows ______ Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation p•mw Occupancy ..F126-- / MCES System -- Plan Review Code Edition oto/1/45- SAC Units --. (25% 100% s.,' Zoning R —I City Water Census Code 1/34? Stories _-- Booster Pump ___ — _ #of Units / Square Feet Atovi PRV _--- #of Buildings / Length /it Fire Suppression Required ...--- Type of Construction ....E8 Width REQUIRED INSPECTIONS _ Footings(New Building) Meter Size: lit Footings(Deck) Final/C.O. Required Footings(Addition) t- Final/No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof: Ice &Water Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFTS Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control _ Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: __ 0 _ ifp) , Building Inspector f ' RESIDENTIAL FEES of** Base Fee 4 A tr— 141-i a px.64 ig /5' I•e Surcharge Plan Review 1054-44— MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 1 1-FP/ TOTAL Page 2 of 3 %" "; ,L phi. $e I 0� = � 4 • 0.O3 1 g r i 1441' ice' 53. Silit V - ***44w, , "1/ 153 .„, ((kept 41 442, R R PS ) , ? 3dE. 00. '36 jii, * CP A 0.0000,> , ..40.1<de000000#°° 0 va . . 1 ? /• t `01'- ‘‘C.. J 400.."11"‘"P cit ‘ V 11) 4 i . .'t ,t\:‘"I's.'\...4',. ' ' -' \ '''''''''''' i' a 1" ta '3 t ip tra dt) ei . 441 \IS"it 1Wirk 1 0 LI (11 A A '' _00A rt. ..011Cril 6 ,./,,,,p/ 1h9/ PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159011 Date Issued:11/15/2019 Permit Category:ePermit Site Address: 1541 Mccarthy Rd Lot:12 Block: 3 Addition: Oslund Timberline PID:10-55300-03-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Richard Bartusch Iii 1541 Mccarthy Rd Eagan MN 55121 (651) 687-0016 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA159984 Date Issued:02/03/2020 Permit Category:ePermit Site Address: 1541 Mccarthy Rd Lot:12 Block: 3 Addition: Oslund Timberline PID:10-55300-03-120 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Richard Bartusch Iii 1541 Mccarthy Rd Eagan MN 55121 (651) 687-0016 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature