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1375 Michelle DrINSPECTION RECORD p C.'ffY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: ,„ l ,o I ' PY tlilI I 1! Uft H 1 1?UI N V/1i 1 f' Y ; APPLICANT: 1!ill(4 .-If (hl<.') htih Wt,N/ D I No$ N.. 1 q Y. N!/t 4/ti i II'I tRl:.? ? I PERMIT SUBTYPE: TYPE OF WORK: MI 4J. :'A' x 1." ! H' x 1 H' ? Permft No. Permit Holder Date TNephone # S/1N PLUM8ING HVAC ELECTRIC ELECTRIC Inapection Date Insp. Commertts Footings 1 Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Noti(y Plumber Const. Meter Engr./Ptan Bldg. Final oeck Fc9. 1?3 Deck Final 0 wen o?, ? 'r ?l tn o Pr. Disp. S?4 irS ?' s-93 S ;«..z-:.;M I "t M . . . . ..,. .,,? ?..... ;._ 77 , . ? ... . .. . ? . _ . , . ?, . , , . .. . ?? ?'' • ?? CITY OF EAGAN 7•ift 17808 ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 "? l? BUILDING PERMIT PHONE: 4548100 Receipt # 5 To be used for SF p?/GAR Est. value i135,000 Date MAY 4 1990 Lot 16 Block Parcel No. ¢ Name . . ...r...... .. .., t Addres 944-707- ° City Phone IS Name &um Address ? City Phone Name Address OFFICE USE ONLY Occupancy R-•! M-1 Zoning (Actual) Const Bidg. Permit . -!1 (Albwable) # of stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Wa1er PRV Required Booster Pump APPROVAIS FEFS 7b2.00 67.50 495.00 100•00 - Surcharge ?y Plan Review SAC, City A M - 6oo'oo C, s cwcc ^ 635 ?? WaterConn ?.00 -m Water Meter ?- Acc1. Deposit ??? ?r 30.00 S!W Permit .30 - SIW Surcharge ' 25Z•QQ ? Treatment PI Road Uni1 335.00 Plannar - Council - BIdg.Otf. - Variance - Park Ded. Copies 447 40 3 TOTAL . . Date W,ATER SfV,yER PLUMBING H.V.A.C. EIECTRIC r ? .., ... (gex#ifirate uf (Orrupanril titp of Qlagan IpparbtlPtlx Df W1tiM" JnvPl'twn Tlris Certifrcate rssued pursuant tn the requiremenu of Section 306 of tlre Urrifor?n Building Code certrfying that at the tfine of issuance this slructure was in compliance with the various ordinarrces of the City reguladng building corlstrucu'on or use. For 1he following. um clAssificuion SF IJi,G/GAR R eft. remiit No. 17808 Ownwa TYWdi M ALJ?N IlUME1S MES IlVC Addmu 7900 I+lFtq RO?D, F.?i PRAIRIE 1375 ? MIQi?d1E DRIVE ? L , B, HIIEHN VALTEY j; . Dew. AUC?JSf 29, 1990 officily/ PQST IN A CONSPICUOUS PLACE AV SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199" ? Eagan, MN 55121 , OFFICE USE OMLY PERMIT DATE j 5/:: 7 j fjC WATER PERMIT # SEWER PERMIT # i I:5 7 4 METER # B.P. RECEIPT # C 7 YYy READER # B.P. RECEIPT DATE 0, 5 / 0 METER SIZE ISSUE DATE Y PRV - BOOSTER PUMP i +SITE ADDRESS LOT BLOCK SEC/SUB APPLICANT: ADDRESS: ' y" CITY, S7ATE i ZIP j , . PHONE: ?r PLUMBER: ADDRESS: CITY, STATE ZIP PHONE: OWNER: CITY, STATE ZIP PHONE: PERMIT REGIUESTED -? SEWER ' WATER -TAPS COMM/IND ?)(RESIDENTIAL _YNEW - EXISTING I AGREE 70 COMPLY WITH CITY OF EAGAN ORDINANCES: f= r SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STOfiM SEWER PERMITS, CON7AG"T ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rck P.O. Box 21199 Eagan, MN 55121 OFFlCE USE ONLY PERMIT DATE ^ ' ? WATER PERMIT # SEWER PERMIT # METER ? (o B.P. RECEIPT # ? 7 1jcji; READER # 53 -97 B.P. RECEIPTDATE U5/(_'ir Gt) METER SIZE pG 15SUE DATE 17 ' 90 X PRV _ BOOSTER PUMP SITE ADDRESS LOT ' BLOCK ? SEC/SUB APPLICANT: ti' e . ADDRESS: CITV, STATE t' N?v ZIP T5?31"? PHONE: ? `' `' - 7')% PLUMBER: r?:? L1?''??/?L' ?- CAt/A'r`,nvG- ADDRESS: ?A) /Yt 0:? N N4,; p CfTY, STATE Cc`C'?% ?',?rTt r,? /y?. ??/1• • ZIP ? sy1. PHONE: 't/' , 7 OWNER: _ ADDRESS:_ CITY, STATE ZIP PERMIT REOUESTED ? SEWER X WATER _ TAPS COMMIIND __X NEW ? RESIDENTIAL EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: . , 1 Sl ATURE HE ISSUED PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMI'TS, CONTACT ENGINEERING DEPT. II I 7 r0Pi r * MECHANICAL PERMtT , PERMIT # - ` ` cIT1r o F EI?c,AN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 ' CONTRACT PRICE PMONE: 454-8100 DATE: Site Address ? '.= t ??/ ? ??' ?? gLDG. TyPE WORK DEBCRIPTION l.oty:. Btock ;? ,? 4 Sec/Sub Res. / New ? . - . Name Mult Add-on m ! Address,'/ u .'r i,r - !?- ; ? ? lJ,tf i;J Comm. Repeir ? C?y Phone Other FEES - Name !4 RES. HVAC 0-100 M BTU - $24.00 c Address ADDITIONAL 50 M BTU - 6.00 p Ci1y Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMI7) - 1.50 EA. TYPE OF WORK COMIIA/IND FEE -1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Bofler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES Unit Heater M 8TU IiA1NiMUM RESIDENTIAL FEE - ALL ADD-ON & Air Cond. , M BTU REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 Ve?t CFM , STATE SURCHARGE PER PERMIT - .50 Gas Piping Outtets 1? ? (ADD,$.'SQ S/C PER EACH $1000.00 OF PERMIT FEE) Other PERMIT FEE: - " SIGNATURE OF PERMITTEE SlC: TOT/4l: FOR: CITY OF EAGAN .- . PLUMBING PERMIT For Office Use ? I CITY OF EAGAN PERMIT # CONTRACT ?? PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT V `' ?" PRICE _ PHONE 4548100 DATE: Lot .? ? ? c c Add ? City sLDc. i-YPI? Res. Mult. Add-on Comm. Repair. Other RES. PLBG. ONLY - COMPLETE THE FQLLOWING: NC? FIXTURES JOT O Water Closet - $3.00 $ ?• ? Bath Tubs - $3.00 ?- Lavatory - $3.00 ? ? Shower - $3.00 7_ Kitchen Siflk - $3.00 ?- FEES COMMJIND. FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNNOUSE & CONDO - RES. RATE APLUES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND.lFEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.',50 S/C PER EACH $1,000 OF PE-RMIT FEE) ?") FOR: CITY OF Laundry Tray - $3.00 -t ? ? Floor Drains - $1.50 ?- Water Heater - $1.50 7' Z Z) - ?- Whiripool - $3.00 ?- -0 - ?- Gas Piping Outlets - $1.50 T? (MINIMUM -1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. -$10.00 ?- ? ? Rough Openings - $1.50 PERMIT FEE: STATES SlC: S D GRAND TOTAL: J? ? , CITY OF EAGAN Np 17808 38P0 PilotlCnob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 ? M SGjGj BUILDING PERMIT Receipt # To be used for SF DWG/GAR EsL Value $135, 000 Date mAY 4 ,1 y90 Site Address 1375 M16CHELLE DR Lot 10 Block 1 Sec/Sub. HIDDEN VALLEY Parcel No. w Name ALLAN THOMAS HOMES, INC o Address 7900 EDEN RD City EDEN PRAIRIE phone 944-7107 o Name SAME ?? Address ? Ciry Phone MzW Name Address City Phone W. hereby acknowlege that I have read this application and stale Ihat the inlormation is correct and agree to comply with all applicable State of Minnesota Statules and Cily,ol Eagan Ordinan s. . Signature ot Permitee - ^^??, p ?4` A euildinq Permit is issued to: ALLAN THOMAS HOMES on the ezpress condition ihat all work shall be done in accordance with all applicable State ol Minnesota Statutes and City ot Eagan Ordinances. Building Official - - 0114 R•Q1,( l r OFFICE USE ONLY Occupancy R-3 M=1 FEES Zoning R=1 (ACNaI)Cansl V=N BIdg.Permit 762.0O (nnowable) V-N Surcharqe 67.50 :Y ot Stories 56 ' Plan Review 495.00 Lenglh oeplh 92 SAG Ciry 100.00 S.F. Total - SAC, MCWCC hn0.00 S.F. Faolprints _ 625 00 OnSireSewage _ WalerConn . OnSileWell - WalerMeter 90.00 MWCCSyslem XX Ciry Water X?7_ AccLDeposit 3n-nn PRV Required ? S!W Parmil 30.0? Boosler Pump - S/W Surcharge 0 .5 Treatment PI 252.0 ? APPROVALS RoadUnil 155-111D Planner - Park Dad. Cauncil BIdg.Off. _ Copies Variance - TOTAL 3,407.0 ? d ee-ooom-m REQUEST FOR ELECTRICAL INSPECTION "?f`}A??41 ? See instmctions for completing ihis form on back ol yellow copy. E? 1 C? ,? 68 2 2 ? "X" Below Work Covered by This Request ?'? e Adtl Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Healer Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Furnace Farm Air Conditioner Other (specify) ConVector's Remarks: Compufe Inspeciion Fee 8elow: # Other Fee # Service Entrance Size F # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Translormers Above 200 _ Amps Above 100 _ Amps SigOS Inspeclor's Use Only, ? 7 pTq? Irrigation Booms ?? fp g ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER i CONNECTED IF NOT Other Fee A, • COMPLETED WITNIN 18 MOMHS. ( I, ihe Electrical Inspector, hereby certify that the above inspeciion has been made. Ro.9n-m Final /- oaie ?g ? L?? OFFICE USE ONLY ? This requesl void 18 monlhs Imm . ?l/8/90 99 so7 (a 36822 a, qli OloS °v Request Dare ! tI v/:''\ 7 No. Rough-in inspetlion F iretl? ? Reatly Now ill NoAty Inspeciw Wh d ?es ? No en Ree y? (Q licensed o t a t p h b t i i f b l i l , c n r or c owner ere y reques nspect on o a ove e actr ca work at: Job qtltlress (Street. Box or floWe No.) n 1 ? 7 Ciry?^ I•`( C ,3 ??? 5 V Section No. Townsnip Name or No. Range No. counry ka OcEUpant(PRINT)? Phone No. Power Supplier qtlpress , ?2 Eieclrical ?ConV+aaor ICOmOany Name) Comrector's License No. Mailing Atltlress (COnnactor or paner Making I a10 sl61e? tallation) ALl / w hor ea Si aWre ?G c rlOaner Ma ' g Installation) T ?. Ph e Number 3-9 f/7a MINNESOTp STkE OF ELECTRICITT ? THIS INSPEGTION REOUEST WILL NOT GrigqaMlGwey BI - Room 5-193 BE AGCEPTED BV THE STATE BOAFD 1821 Unlvernity pve., St. Vaul, MN 55104 UNLESS PROPER INSPECTION FEE IS PMne (612) 842-0800 ENCLOSED. RESIDENTIAL BUII.DING Permit Apptication City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 4 a,-( 14r 9?57 New Construdion ReauiremenLs RemodeVReoairReauiremenls Office Use OnN 3 registered site surveys showing sq. Rot lot, sq. ft. of house; and all roofed areas 2 copies of plen Cert of Survey Reoi (20% maximum lot wverage allowed) 1 set of Eneryy Cakula6ans for heated addNons Tree Pres Plan Recd 2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey for additbns 8 decks Tree P2s Nat Reqd 1 set o! Energy Calculations - AddiUon - indkate 'rf onsite sep6c system _ Oo-sile SepOC System 3 wpias of Tree Preservation Plan 'rf lot platted after 7103 Rim Joist Defail Options selection sheeC (bldgs with 3 or less unils Date C:4 / '?')(? / ?_ Construction Cost SiteAddress lian-rj UniUSte # Description of Work Multi-Family Bldg _ Y )r( N FJ? ace(s) ? 0 2 Property Owner O Telephone # (1,?5 t Contractor C _ ????N_-) s2?Q _ ` Address 9Jq?f) i LjL Sta[e ?11D \,VVG.._ SA . Q ?A-r 1-c) City Zip Telephone # (j& k) `}5lA -4Q? COMPLETE THIS AREA ONLY 1F Energy Code Category - Minnesota Rules 7670 Cate¢orv 1 • Residential Ventilation Category t Worksheet (J su6mission type) Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #( Telephone #( aPR 3 0 2003 I hereby apply for a Residential Building Permit and acknowledge that the i formation is complete d accurate; that the work will be in conformance with the ordinances and codes of the -Eagan 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 the case of work which requires a review and approval of plans. A icant's Printed Name pplic 's Signature OFFICE U3E ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 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) ? 36 Mufti Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_r or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement `Demolition (Entira Bldg) - Give PCA handout to appliwnt Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories 8ooster Pump Nbr. of Units Sq. Ft. PRV Nbr. of 81dgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fraxning _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ RetalRlng Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cmr oF EAcnn? I 3830 PILOT KNOB RD - 55122 651•681-4875 y? p p n(?_? ?x ?Q? ? 3 reglateretl flfe wrveys showiny sq. R o} bl, p. fl. of houae 2 copies of plan and pJj rooled areas (?0°6 maxlmum bt covamae allowetl) t aef of energy calcuhllons for heafed adtliflons ? 2 copies of plpns (yww bearn & wintlow sl:es; poured Ind. dasign; etc.) 1 tlfe wrvey for extedor addlHons a deeks a 1 ibt of en9ryy CdCUIOtIOnt > J caples of hee PreservaHOn plan H lot platletl afler 7/1/93 DATE: I G- S C6 CONSTRUCTIONCOST: .IC?ioc?D. ? DESCRIPTION OF WORK: n=acc-?EQ rcACLQtCXE_ kApo? STREETADDRESS: ? ?,-IS (M<c)vs21.?.sL 71:)(IL', LOT: I C) BLOCK: 1 SUBD./P.I.D. t: V\-? UQ in V0.XX tA.. , Name: 7?YOh'n?? Ik9? Phone N: As? - C:'BG"" ce47 PROPERTY last Flrst OWNER , Sheet Address: M+ 1?'7 ? I 1 I( Ckl2??Q .?%U-2 , cny state: M(? np: Company:`?`Phonec G-?; t -T-7 $-I3aa` (area code) corrrnACroa Sheef Address: ozsJ \ke' r/S ucenseaot lXYa??F-Exp. Ciy T?(' State: Mt? iip: s? 1(2 _ ?t ARCHIIECT/ ENGINEER Company: Name: Telephone Y: ( ) Sheef Address: ReglstraHon #: CNy SMte: Sewer/water licensed plumber (H installina seweNwaterl: Phone #: I hereby ackrwwledge Mqt I have read thffi applicatan, sfate that ihe indoffrKrhon of Minnesofa Stalutea and Cify of Eagan Ordinanees. Signalure of OFFICE USE ONLY Zlp: and agree to compty with atl appGcable StWe Certificates of Survey Received _ Yes _ No ' Tree Preservation Plan Received _ Yes _ No _ Not Required 7- OCT 0 5 2C00 L-_- - -- - OFFICE USE ONLY BUILDING PERMIT SUBTYPES 0 01 FoundaUon O 07 OS-plex O 02 SF Dw211ing ? 08 06-piex O 03 01 of _ plex 13 09 07-plex O 04 02-piex ? 10 08-plex ? 05 03-plex O 11 10-plex ? 06 04-plex ? 72 12-piex WORK TYPE 0 31 New 32 Addition ? 33 Alteration 0 34 Repair ? 13 1Eplex pb 17 Garage ? 18 Deck O 19 Lower Level Plbg _Y or _ N O 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous 0 30 Accessory Bldg. O 36 Move Bidg. ? 43 Reroof ? 37 Demolish (Bldg)' ? 44 Siding 0 38 Demolish (interior) ? 45 Fire Repair 0 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code ? No. of Units ? No. of Buildings Const. (Actual) ? (Allowable) S UBC Occupancy ?R Zoning # of Stories Length W idth Basement sq: ft.. Main level sq. ft. f ,ea? _sq.n. sq.ft. MISCELLANEOUS INSPECTIONS O Stucco/Stone APPROVALS _Ala sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Planning Building ? Engineering Variance Permit Fee ValuaGon: $ l? UOU Surcharge ? - Plan Review G? r a q? License MC/ES SAC city sac ?m Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units °k SAC 0 31 Ext Alt - Mutti O 33 Ext. AR - SF ? 36 MuRi . ,.- ' CtRTIX'ICAZ'E or svnvEx £ $?' ? r 0 h fCR: ?- ?.Y? ta` ? ? ?D3 1 t ? l ? ?8,o7 ' I 3& y ya? 1 E? ?' gq./.7 N ti a B3S8 • ? 3 63Q?' ? 5 f 8?.0 . r ? z ? ? ?,??• j ' 1 ' ??g,b A* 15''fl'-4S" L ?77. t34.? ? w: ? ?a ., ? sF? _ lS,t4$ .R.VGACRgQj1jraE4? r-- y?1El,d.?.G?Rty?? ?. ?- ? ?,sg9 Lor 10, c3w4x 1, H! OpEN VACL EV, 06K07R COVNTY, MN ?= WOOD STAKE PLACED O= IROIV MON. SET •- IROfJ MON. INPLACE B•M•' 70 J5' dF Cu.PB .vT I'?u COdF L.r Jd..e[oc?C i EL?'?. 934.6 BEAFiINGS ON PROPOSED INfOflMATION ASSUMED pATUM 78t fl00Fi ELEV, V73 GARAQE FLOOR ELEV. R30. 6 BASEM£NT ELEV. -039.1 TOP BLOCK ELEV. --? •= DAAlNAGE 060.0 = EXIST. ELEV. 000.0 = PROPOSEO ELEV. E E' P- EXIST. & PROP. ELEV. 000.0 - I hereby Certi(y that IhiB plen, survey or repOrt was JOB 9 . SCHOBDRG prepared by me or under mydirectsupervigion and that I am 3(e3/ N D SU RVEYI N G a duly Flegistered Land Surveyorunderthe laws of the $tate eooK - Pa?,e ot Minnesota. 1NC. , ' - 17-20 2 scale R`•'• 00i208 Dale: .1-7 / 9 90 Registration No. 14700 972•3:21 0014n4.MN 55326 REACTIVATE _ PERMIT ? CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 681-4675 14 ? ( 1 ? SINGLE & MULTI-FAM Y 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architecturai & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2} address is changed or 3) lot change is requested once permit is issued. Date 4 R 3 Yaluation of work Site Address:437S M1G1aE"F, ?. V(Ad,djN SS/23 STREET SU1TE / Tenant Name: (commercial only) LOT ? BIAC% SUBD,J?j P.I.D. M Oescri tion of work: The appl i cant i s: Owner ? Contractor 0 Other (Describe) Name Phone ?5''?-Ody7 Property LAST fIRST Owner Address 1.375- 4i1cNEi-LE IX. STREET ' STE # City _C/l(ti lV state /?1Al Zip SS123 Company Phone ' Contractor Address License # Exp. City State Zip Company St9 P'1e ? Phone Architect/ Engineer Name Registration Address City State Zip Sewer & water licensed plumber . Process9ng time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicableIZ*ate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: - OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation O 02 SF Dwg. p 03 SF Addition ? 04 Sf Porch ? OS SF Misc. ? 06 Duplex ? 07 4-Plex ? OS S-Plex ? 09 12-Plex ? 10 Multi. Add'1 woRtc rYPe 1 New ;6832 Addition ? 33 Alterations ? 34 Repair . t . ... , .. .. ? 11 Rpt./Lodging ? ?,.16; Baseme.nL'Finish ? 12 Multi. Misc. '017 5wim P'oo1 ? 13 Garage(Accessory ? 18 Comm./Ind. 0 14 Fireplace ? 19 Comm./Ind. Misc. 15 Deck ? 20 Public Facility ? ? 21 Miscellaneaus O 35 Tenant Finish O 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy, ? Zoning # of Stories Length Depth p ? APPROVALS Planning Engineering REQUIREQ INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst fl. sq. ft. 2nd F7. sq. ft: Sq. Ft. total Footprint Sq..ft. On-site well On-site sewage Building Variance ?Footing gFinal ? Framing ? Draintile ? / 0 ? Insulation p Fireplace Permit Fee 5 JJ v.iuae;a,: Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Oed. Copies Other Total: $ ? 31 Demolish MWCC System City Water PRV ReQuired Baoster Pump Fire Sprinkler Census Code SAC Code Assessments SAC % SAC Units r ?k, CITdf-0F EAGAN PERMIT 3830PilotKnobRoad PERMITTYPE: BuILDIMG Eagan, Minnesota 55123 Permit Number. 021432 (612) 681-4675 Date Issued: 0 7/ 13 J 9 3 SITE ADDRESS: 1375 MICHELLE OR LOT: 10 BLOCK: 2 HZODEN VALLEY P.I.N.: 10-32900-100-01 DESCRIPTION: 2e'x 12' 10!x le' 0,xfildin Permit Type DECK ilding rk Type NEW C poGUpanc AR-3 ?D R'V W (ongon REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRAGTQR: owweR: - APP,.icenz - JOHNSON JEFFREY 1375 MIGHELLE OR EAGAN MN 65123 (612)686-0647 I hereby acknowledge that I have read this application and state that the informatinn is correct and agree to comply'with a12 applicable State of Mn. Statutes and City of Eagan Ordinances. ?--- - - - - - M - AFPUJ?W ?-- - /PER SIGNATllRE _ I : ?ssuo?s : s ?i ""? TURE N CET•tTtIFICATL Or S'(3R'VEY FOR: ! ?,?lV rNaMRS____?._.. ? h? ,,?E N "3- W=+?• 74a.? gal.'1 ?'I ? ? ? g9?7 ? ` o ?? ? PR? ? I ? /$.p? , ? 6?6• ' 1 1 ?, 1 }V ? ? ?Y83H.s ? ;- + f-AGAN I R E V I E W E D ' _.....-,......,_:.-?- Q?2 jY V? \?c? u,'3'1 -- n r ? °s.b Q• )S' 91 q5- " Li Y! N ?3Sd 1 33bb 6,? iAGAN GINEE:RING DE'"ri ?EI 1_D ........ P.. ?3¢q . R. )[ev,?R WAJ?,fj E ['.? 1oT io, ticoLK J, HI017EN YAU EY, Or3K07A CDUN7Y, MN ?= WOOD STAKE PGACED o= IRON MON. 5ET •- IRON MON. INPLACE B.M.- ior?<rr' Ca.ePB ?Y7" I'?t? C'O?Pl/eFP' 41F LsT EGz?. 934.6 BEARINGS ON PROPOSED INfORMATION ASSUMED pATUM 78t FLaOA ELEV. 9373 GAFiAQE FLOOR ELEV. R30.12 . BASEMENT ELEV. 039- 1_ TOP BLOCK ELEV, --? = ORAINAGE 000.0 = EXIST. ELEV. 000.0 ; PROPOSED ELEV. E& P- EXIST. & PROP. ELEV. 000.0 - URVEYI ..... ^ flL t. Bua 206 , I heteDy certify thal this plan, survey or repori was JOB 4 prepared by me or under mydirectsupervision and that I em a duly Registered Land Surveyor under the laws o} the State Book - Paqe of Minnesola. ; /7 2D scale Date: Rf'? iy4T-217qo- Regisiration No. 14700 ?'? 3O' ' . 1 1989 BOILDING PSIMIIT APP ICATIO CITY OF EAGAN 3INGLE FAMILY DWELLING3 111 1 ov INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs 9DDRE33ES FOA CORPER LOTS - CONTRACTOR/HOMEOWNER MUST DE3IGNATE fiHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS 23SUED. MULTIPLE DiIELLING3 RENTAL DNITS FOH SALfi UHITS # OE UNIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COh4SEACIAL INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENEHGY CALCULATIONS wpR 2 7 RECO - ) 3?) poo To Be Used For: ? F??MY Valuation: Date: Site Address Lot 10 Bloek ? Parcel/Sub ?-?ry?FeN lM L GL! 'Ill owner k1,'ltv 7"14m'?s f?,nks iniO. Address "?' y0 U City/Zip Code t(),?rF? 16;64IF6F S S 3 cj y Phone Contractor S Address City/Zip Code Phone Arch./Engr. fil ,T/v,V"'rrTG/L/!(!? OF-f/?!l'' Address 8 v L), i 97-/; ST, City/Zip Code 0 Wr-wsJrs 3i 7 OFFICE IISE ONLY FEES Occupancy M"! Zoning Actual Const V/V Bldg. Permit 76Z Allowable Surcharge # of stories ?7? Plan Review y9S Length ? n SAC, City /QO Depth -3 61 SAC, MWCC (000 S.F. Total Water Conn ZS Footprint S.F. Water Meter 9e Acct. Deposit 3p On site sewage_ S/W Permit zo_ On site well S/W Surcharge ,cSO MWCC System ? Treatment P1. 252 City water ? Road Unit 3S S PRV ? Park Ded. Booster Pump _ Copies SUSTOTAL APPROVALS - Penalty ? Planner TOTAL Council Bldg. Off. Variance V J Phone t I 3T 7""7 yU NOTEs Sewer & Bater Permit fees and account deposit fees will be included in the building permit fee. Procesaing time for aewer and water permits is two days once a licenaed plumber ha8 applied for a permit at City Hall. ?PPe? 3 8 ,? z z 6 ar Z Yk z ?. 3 l 2d( :7- y$ •?'- ,..; ?----- ,? ` Iz??.? -: ? zdc. y9 . ? /. .? ?36 __----- 3, F5 LZ ? o ?)? ? EXTERIOR ENVCLOPE AVfRAGE °U" COMPUTFI'fION ?OWNER: P&rRA1V I --?-j B ---- SITE ADDRESS: /??,y ?1 CONTRACTOR: rt L_Ai-L 77d-?lmAs Determire working square foota9e 1. Total exposed wall area.....z.s sq. ft.. 2. 7otal roof/ceiling area..... 1 30cP sq. ft. Total exposed wall area above.floor=Zgf17 L 3 3,3'3. ` a. Total wall window area ......................... ....: ... ......... .. . ? b.. .Total door area ................................ ..•.,............... . 7o?'t,.:, :,.• c. Total sliding glass d'oor area .............. d. Total fireplace wall area ...................... ................. . 4 8 e. Total 9 - ) .......... wall framin area (avPi'a9 e 10Y ............. • • • • ' -` ' Z48•?7- '' ' ' • ' f. Total rim joist area ........................... ............. - z79 , g. net wall area above floor ...............:... ............. Z 54 s:3' ? h. wall area above floor ................... ... ........ ' '` i. , ...... wall area above floor ............. ............. . . , . `°• `,`" , : j. frame wall area at.foundation ................. ............. .. .. .- Total expused foundation area= 7 S?S k. Total foundation window area................... .... 3.3 0 . =;.. ,:. .' , ... l. Total net Toundation area above grade.._....... .... '7s, z Determine "u" value of each wall segment (e.g. window, door, each separate wail section) a. Z33.33 X llull . N7 . b. ?0•4 X liuii ,31 = ZI•S < ? 3Z q x liuii `?'a =_ ! S• $ „" X ?lull 3 d . X ?lull - D F e. = 25? X 'lull ,a4- = ll•?41 .., : -.. . ? , _ : ,... g. ZsG8.3 X 'lull . o+ = I o3, ? , ,. h. x ??UN _ X 'lull i . X liuii If item 13 is the sarift 3-3o X "U" o -1`7 k as, or less"than item:. " ' , .met the #1 , you have ?7s' Z X"U" •(`F' 1 = I°• s i ntent of SBC 6006 (c; . 3 . ..... ............................Total = 3??• `f". ?-?:?::,??, -- , _ ?. _ . ._ :, ? LINEAL FEET ERPOSED WALL BLOCK: SZ+ 1933 4- 5-4- 124- ¢'7+ Z4.33 - /S4.G? ?o-FI 9y3 "35 _ ?30•G(P . KNEE: 1d.A.6?9ti-P-r' FULL 1: Sz?-I?}3'??- S+ II_coCo-I- 4-1- z4--' }z+ 33-}Zv = 1 54.19 FU L L 2: Z z4- 4-1 4 Jz-h 3 a = I z v FIREPLACE: ? . RIM: * SQUARE FEET EXPOSED WALL AREA BLOCK: rS--7 x .5 = 78,s • KNEE: ?31 x 5= C>s5- x 8 = FULL 1: x 8= JZS(i FULL 2: ?z2 x 8= R-7 6C FIREPLACE: L x o== 48 RIM: 2-7 4 x:L = Z"T TOTAL 3? qZ.s SQUARE FEET EXPOSED CEILING WINDOWS: DOORS: , -itii'h11-2¢3cp = CrLr cro (-3° = Lo _ 70.4 -Tµyy}µ- ZoLO = ?•3 ° 8?"3? PATIO DOORS: ?I- IZCvo = = S ?v I -t?e , 3 z. 4 ?11-24'C?° _ ? ° _ 3a BASEMENT UNITS: ???Z . 1-Z0i"7 =3,30 8 = 40 _z948 = SKYLIGHTS: 33.-3g z ? C. ` "4. ';OTAL EXPQSED ROOF/CE(LIPlG CALCULATIOtlS: Totz1 exposed roof/cei l ing area........ ? 30(, sq ,ft . . . j) Total skyliaht area....... ''- sq ft x ;._ .n "U" ....,... . .. . k) To[al roof/ceiilnq framinq area (Average 1ns;)..,..?. 13?? sq ft x "U" 1) Total net insulated roof/ceil inq area....... )I-7S. g sq ft x ??U" oZ•.;,'': :,? Z 3,S'_,,;_. ' 4. .. TOTAL thru l) • . . .y,d ` ? lf. total of ?'4 is the same as, or less than N2, y ou have met the intent:'of . 2?rC?..1 1.16008 A ar_d 0. ALTERNATE BUILDIMG ENVE LOPE DESIGN To uTilize the total envelope system method, the values established„by:the sum of items .°3 and 14 shall no[ be 9reater than the sum of items H1 and 1. 3 co2. 1 7 + 2. 3 q- = 39'4:17 , 3. 31-7, 4- + 4. z4. 4-1 ,r.. : ? ?;:? i _ . . . ' . :.Itik • , .. . . . . 'A 3 .S. . . . ; ?E' , ' . . . . . ' . . . , l. . . . . . . - . . . - . :.„ . , . ..4? . , _ . . .t CONSTRUCTION--- FRAMING 1. INTERIOR AIR FIIM R-. VALLTE 0.68 2. ? G .4 3. 5 1 2 SOFT WOOD 6.8 4. 5. SIDTNG .B 6, OR R FILM - 0.17 TO ML _ 10.89'- U= .09 pRqrtE NrtLi NEI' 1. INTERIOR AIR FILM . 0.68 R. ' /2. GYf'BD .45 3. 4. 32 SHEATHING 2.06 s. s. INc .s 6. . R A LM ()-17 U= ..04 s;Lt I SEhLa 9, l. INTERIOR AIR FIIM ' 0.68 2. 6 S[JL. 19.00 3. x JO 4. 25/32 G 2.06 5. M-TN-G 6. EXTERIOR AIR FT . U= .04 ' . {?NDAT7L? WhLL BLOCK 1. INTERIOR AIR FILId 0:68 2. • 3. 0 5.00 4. PROTECTIVE BARRIER 5. 6. F fm-- . 43 6 c+ / ? r ? ?* `- SLAB ON GRADE TOTAL R= 7.23 U= :I4 . o - .? '. ?. ? ? • ?[ ' ?? ?r"' '• ? - k a ?c S iN- %? • p , ,,? -J1i 1t P;.G. srA NOTE , ? Ill S. - _? l1t ? INDIGATE T'YPE, "E2" VAIIJE. DE1"iH ANID PLACIIMEN'P OF INSUI.ATION. yrnu ?ti,Tx:ro of opaque l.w ( V area fc7r ' fvame ccxwSFruGf %on ? ? VEN'I' FIG. #7 A HEAT Ff]Orrl 4_.t UP ? £IG. #5 _t .. CONSTRUCTION °.: 1• INTERIOR ATR FTT.M 2. 8" GYP BR " • ??.; ' R VALiJE?s.'a, r?. 3. INSULATION nn 4. EXTE 45 80 U 02 s? ' - w- FRA ME ` 1. INTERIOR AIR FILM 0.61 2. 3. SULATION 4. . R AIR FILM =?- 0 . - . ? ?? U = 4 ''0 ? • 5X6,- . 02 4 ?.;. CON S'I'RUCTION 1. INSTDF AIR RILM• -0_61 •: ? 2. 3. ,1 Y . ' ' _ . .. ..).$. 7 5 TTT-TDF . :?„$ T OTAL :?' :: . U FRAME ' . ., . ?: . . . . y: 1 INSIDE AIR. FILM,;????:>'. • 0.61 ':?`• '- 2. ?, - " 3: 4. 5: OUTSIDF ATR F7T U = - 1 INSIDE AIR F I L M A;,: . 3. 4. ... 5. R FILM 0.17 TOTAL ? U ":.:. f .? , -. . ; : NOTE : USE ADDITIONAL SMZ'S IF MkE SPPCE I5 NEEDED FOR DETAIliS AND CAL.C[JiATI0IIS. ' ROOF-CEILING FIG. #6 • N(ON-VLN1Lll , r HFAT FIAW L1 UP , VQ7ERAN5 ADMINISTftATION, U.S.D.A. FARMEHS HOME ADMINISTAATION, AND Furrti Apyioor, U.S. DEPARTMENT OF MOUSING ANO URBAN DEVELOPMENT OMB No 2502-019: HOUSING - FEDERAL HOUSING COMMISSIONER lFar eccurate ie9ister o/ carbon copies, /orm may be separaied along above /old. Sraple completed sheeta rogethei in oriyinal ordar.l [? Proposed Consfrucfion DESCRIPTION OF MATERIALS No. p Under Constriidion (T'u De inamrd bY F'lf.l, V.l u. P'm71:1 Properfy cad,.u Cify 9449l!•C,•1 Stafe A,? . Morlgcgor or Sponsor ?Namel IAJJrosJ Conbadoro?8uilde? E1I.LAN THOMAS HOMES2Inc. 7900 Eden Rd., Eden Prairie (Namel - twJa.n.l .-?..r INSTRUCTIONS 1. for addifional iNormafion on Aow this /oim ii ta be submifted, 3. Work nat spec7flca7lV tlescribed w shown will na[ be consi0ered numGer of coprey ete., see Me instrucfions applicabJe to rhe HUO Applica unless required, ihen the minimum atceptabJe will bx assumed. Work ex- tion Ior Martgage /nsuranca, VA Rpueat )or Darerminarion o/ Reasoneble ceeding minimum requiremrnrs cannot ba concidered un/ess speci/:caNy Value, or FmHA Proparry ln/ormation and Apprairal Heport, as fhe cate described. • mgy ye. . 4. lncfade no altarnaros, "bi equal"pArases, or contradicrory irems. 7. DestriGe all maferiafs and oquipmen[ ro be used, whetAar or nof lConsiderotion at a ruquesr Ior acceptance u1 suDstirure mareriars ar equip• shnwn on Me dnwiiy;, by markiny an X in each eppropriate check-box mnnt ia not therebY Grecludad.) and antarln rha inlo?mation ealled /or oech space. !/ 5. !nclude signarures raquired at tAe rnd of tnis Iotm. 9 space ia inadequatG 6. The conrtruction snall bn eomplrfed in comp/iancr wiM rAr re- enrer "See miu."and describe undei 1[em 27or on an arreched sheet. laretl draivingc and speci/icationL a: amended during processing. The THE USF OP PA1NT CONTAlNlNG MORE THAN THE VERCEN7AGf spetilications inNude thif Ovuription oFMaterials and Me appticeb/e Mini• OF LEAD BY WEIGHT PERMITTEO 8Y LAW !S PROHlBfTEO, mum ProparfY Srandards 1. EXCAVATION: ' gy,r;ng wd, type Sand/Clay 1. FOUNDATIONS: Fooiingt: mncrem mix Paured Concrete ,irrngin p.i 2000 Roinfwcing Steel Rod Foundation wall: matcrial $" OT 12° eonerete block ReMforcin6 Imerior foundaiian waU: mamrial $" OT' 12" cOnCxete bloq;rty loundation waU . Columns: maurid acd sim Pien: maicrial and minlurcinq POUie concfeCe Girdm: mataial and sizn Sills: maierial 8aumenl entnnct a`eawsy Window arcawaya waurproofing Trowel on Master/6# Mill Poly FmLing dr.ina 4' Drain ti e openings per b-Dock - Termiu prvtaLion Baxmentkss spice: ground cover ; inwlalion : foundation vrnts gprcW fwnd,ipm Front stoop and garage door opening nddidon,1 infarmati9r: 24 x 8 paured steel reinforced footings 12 course 12 b oc - smt ; course Vd" oc - nee wa s 3. CNIMNEYS: Matnial DSL 2Qet11 SSbeSt05 prc(abricaud(anbandrirr) C14S4 B-6 Flue linin material - • " S? Hca[er Hur ntt Firiplace flue uu _ Venb (marria! aidiicU: ps or al heiter ; wamr heaier. 3' Galranize ue Additional informatim: - 4. HREPLACfS: Type: (a wlid furl; ? gaa-buming; ? circulaior (makf ad iite) Mh dump and cleanout Fircpiaa: facing .; lining ; hearth : mamel rorlar Additional information: . s. ExrERIoR wnus: Wpod fnme: wood gnde, and apeciesDou las Fir 14% dried Corner bneing. BufWing puper or fcli Corner wrapping ? Builtrite 25132 4x8 SMsthing thickness _. : width aolid; f]. apa " n.e.: ? diagonal: fjd I A um al Siding Brade lypk size SFE : exposure __. JOC°; fastening 'Shingles ; grade ; lypc : size : eaposuro- °: Gauning ? Sluceo . . _ ; Ihicknns , Lath : weight 16. Masonry renear Silb Liniels Baae flathing Mawnry: Q nGd ? Gced C) uuccocd; wul.wall thic4nrn ": facing thickrrcaa "; ficing maitrial , BacYup material : ihickneu "; Jwndinp Door silb AluIR Window aills WOOd lintela Bax flashing Interior surficn: damppraofing, coau of ; furcing Addoional informaiim: Exarim yioiing: maurul Fleld Applled C;77}"„1 p^,„! r- ; number of coats Gabk wall eonslrunion: 6 same as main walls; Q aher eonnruaion a. FLooR FRanrurw: Ja+u: wooJ, gra de, and sprcies Dk' 2x10 160c ; Wher ; luidging 1x3 Pine anchorx Me_al - ?_ Conc¢le dab: 6 basrmml floorJ ? firal flool; Q ground aupponeA; (] ulf•supponing; mix ?-' : thiclurcu ? . rcio(??g Wiie meSll t?ar8ge) ; insulation ; membranc FW underslab: material sdnd ;thicknas 4 Addiiional infomuiian: Z X 1OU-]oist hdngeT'S 7. SUBFLOORINCi: (Describe underilooring (or speciol Aows under ilem Y 1.J Atuerial: grade and species 314" Ton$ue & GI'oove & Glued si_c 4X8 trpe Dxboard Laid: ? fini flaor; Q aeeond floor, Q auie ty. Q-; ? diagonal: Q right angka. ..Additional inkrmation: 1/4" MahoQanv 4x8 Plv under Vinyl 0. flMISH fLOOWNG: (Wood onfy. Describe olher fmish Rooring under itsm ?l.) Locni? 0.00w Ga.ce 5P[ciu Th¢asras WImM 9Lw. PwnA F?w?ar? Fuu Noor Sewnd floor Attic Ilour ui. li. qdditional inlormation Wwious Edition May Be Usad Until Supply is Exhausted ? .- DESCRIPTION OF MATERIALS - HUD-9200516-71 , ' VA form 26-1852, Form FmHAi DESCRIPTION dF MATERIAL 9. PARTRION FRAMING: Swdt: wood, gr+de, and specio DF 19% MC size and spacing 2x4 16"oc pih, Double Corners nddiiia,al infomuiion: Door & window headers 2x10 on bearinQ walls 10. CBUNG FRAMING: Joiau: wood, gnde, and apxiet _DF 19% MC 2x10- pther gridging 1x3 Pine ndditioml inrwm,uon: All 16" oc 11. ROOF FRAMIN(3: Raller:: wood, grade, and ipec;ea Manuf actured Truss Roof waua (see deuil): grade and ipecia Addicioml informuion: Garaee Roof Trusses 14. ROOFtNd: ..~:: Sholhin wood, de, and s g: gn pec;e, '-s" Oxboard 4x8 ; p wlid; p.p.ud ?!?? o. Roofing 240 # Asphalt ; grade GAF ;,;tt 1206 ;lya Seal Tab Underlay felt ; wrigho athicluacats 1511 ; s;tt 36" ; r„in,;,,g staple Built-up roofing ; num6er of pl'ia ; wrfxing material Flashing: material Metal ; gage or weighl ; 0 grivel sioq; 0 frow guan wdditional inrorm,don: Metal Va11 ys 13. GUTiERS AND DOVNNSPOUTS: Gut[en: material ; gage or wc:ghl ;. sue ; shape Downspoub: material ; gage or wtight ; size ; shape ; number Downspoub connccted io: 0 SWrm ttwer; Q ttnibry sewer; [] dry•-well. ? Splash blxlu: material and sue AdJitional infwmaiion: Rain dive rters ov r uncovered entFies 14. LATH AND PLASTER , l.ath ? walls, liceilings: material Gyps um ; weight or thi[kness 5 8" Mutcr: watf 3 ; finifh Spray-texture Dry-wall M walb, 0 c<ilings: maierial G yosum ; ihictM,s_15finiah Sand, prime, &Daint Joinl Ircalmcnl 3. coats joint co mpound over ta;e. metal corners nailed 15. DECORATING: (Painf, wollpoper, eh.) ' ROON? WALL FANbN IYfkT1I14L AMD AlrpGilON CLIIJMO FINIfM Merui.u ewo Anuutax K??<hen - ex u Bath e Oiher Spray-texture _ Additional inlormatian 16. INTERIOR DOORS AND TRIM: 6oon: type F1 nch Nnl l nw !`nra ; malerul 08k VeneeY ; thirknea 1 3/811 Doer Irim: IyFx prinr! ; material Oak gase: iyp, Princeton ? maierial Oak ; aiu 211"? Finish: doon Rtainad 9 rnatc catin varnich ; trim stained 2 C08t5 satin V8TIl15h Othertrim(ifeix,fj•ptandloralron) All Yrim Oalc Add'rtional information: Lin11n*n rnro (lak Aifnld dnnrs ? V. WINDOWS: Winrbws: type raEe+^pnt ? may.e EP.GLE ; maicrial Al111pinum C18a __;.mh thickness Clasa: qradt ecI' ,..m,1 ntuA ? QSash weighu; ? balances, lype cimnrPCCion ; head Auhing C011112TESSlOIl Trim: tYPe plstuTe : material rroaroA Pino Paint F.rtario T.a x ; number cwu 2 Wcmhrrstripping: type CnmY r°ecinn ; materylVjn}'1 6 Rubber &orm smh, numbcr Screens: $J full; Q half; type A 1 .i_Fza*^e ; numbcr A17 ; xteert clwh material FibeTOlass Easement windows: type ?^+?e ; materW ? ; acrerns, eumbet All ;&orm tash, number Special windows Additional informalion: 16. ENTRANCFS AND EXTERIOR DETAIL: Main entraMt daor: mairrial- 5^1+.1 Ll^^A ; width2 t?; thickness-L-l'1F,1 Framr. material WOOd ; thickMp 3 4 Othcr entnnce daon: material Mor?l C? ari ; width 9'A"? : thicknessL,V44 Fnmr. material WOOd ; thicknns 3 4 Head flmhing Q,]O el-,., WGthertiiripping; typI! Vin3r1 MagnetiC ; saddla Alum. Viml Screen doon: thickMSSJj_"; num6er D. r;n ; screen cbth material FihurolacSStorm Joon: thitknessnum6er Combinmion swrm and xrecn doon: ihickness 1number_: mreen cbth maletifl ' Fi hPrEl asc Shutten: ? hinged; ? fixcd. Rwiling, , Attie kuven Exter'wr millwork: gnde and apeeio W-.pQ _ 1'aint F.iN-nrinr T.aYax ; number cwws2 Additiomlinformalion: 61y6isi" I`1'A' g A ati 'S il rk 1 la 'ns 1a d elass 19. CA91NET5 AND INTERIOR DEfAIt: ; tiircrcal kti of shdvrs ; shrlf width Kitchen nbincu, wall unin: material O1k faced Cus*^*" 12" Bax unitr maierial. n.,i4 c.,,.,.a ,. .Sr,,,., ; coumer wp FnrmiPa ;edging fnrmi a 6ack and end aplaah _f.p,tmi.ca Finiih of cabineb ctai n G varni Sh ; number cwta? MeJicine nbinets: make ; model Other ra6ineu and bui11-in futnilure $arh 0i7LVSA't' (7nL faraA rnetnm Addiiional informalion: 10. STAIRS: ' Sr TREAW Rnw Snunu+ HAvu111,411. BumnKr s?? Materul Thit4nse Mateeial Thickness MauriJ Sx MateriJ Sia FLueul 3iae Baxmem Fir 1 P Cte ir x M??? Partic e ne Attic Diaappearing: makr anil modcl numbrr Additional information: HUD-92005 16•7' VA Form 2G1852, Form fmHA 424 "• SFECLAL ROORS AND WA???*. (Describe Carnet as listed in Certilied Products !)irectorv) Iaxlpu MnTUw., mtoi BomzR Sw; Gate? Etc .. TwuMw.o Alw? Wau 8ua MAna? Uwo[vwoa M..rtu.? 1Cialrcn ? Buh r . Lar.nox Mwteaw.. Ccyoa, Boaou. Gr. Suf+. Cncc, Erc. Hucnx HucHr Ovu Tua Hucxr 1w Swwus (Fpo. Fwue) ? Buh u u u 7 3 Bathroom acoesnries: Q Recwed; maierisl _.Ca:a.: j^ i number_-2---: 0 Atwchcd; mawrial CeY n^,; n ; num6er Additionalinformarian: Suap dishT^r'_pe" hjAQ,-r,S, r^•.,Pl 6ars Y!. PLWdBIWG: Flznst Nurma LorwTwx Mwsy ; Mrt's Fnrvx[ IoexnncwTwn No. Sui Oo?na y? 1 Kitchen Sterling x S.S ?valory 1 Bath Kohler k-290 roun ite Wua clowi 1 Sath Kohler k1200 x itE guhtuy 1 Bath Kohler k-715 x ite 5Mwer over wbi? 1 Bath Eljer SWl ahower0 . y„ndry uap Baseinen Mustec 26111 x itE 23. House drain (ioside): W cast iron; ? tik: ? other House ieww (outside): Q faat iron: ? tilc; 0 qher WamrPuPa6:0 6alvanized uecd: [.1coPPer tu6ing; Q other Sill cocks. nwnbcr 2 Domatic w"r hnmr: iYPe-F.h6cam-Lucy : malee and model - : hnting capaciry? - 37.5 a?+? 1?' ?x• sar,ee u4t: ?r? Glass ine stee ; U?itY g,?lmo Gu rcnice: 0 uliliry comW°Y: ?lW P« 6y: [3 dher?"j36?,aj -?.^as Cu WPinB: ?cooki^H: $I houu heating Foaing dniiu comaLed w: Q atarm sewa: ? aaniury tewer: ? dry Well. Sump pump; make and modcl R?L'.^« ;?^eall^'? &[I Cunaia rod A? Door 0 Sla:rer ya: maietial Wrier aupply: [ipublic: ? wmmuniq syuem; ? iadividual (private) tyuem.* Scwage d?l: Q puWic; ? commmity syran: 0 iadividua! (private) syuem.* . *SAau axd dnmbt indiaadml ryrism in-rumPlrfe drtni( in xporatr diauingt and sprifuc7iau armrling !o rsquiamrn/s. .. Only : capxiry FIEATM. ? Ha wamr. ? Swm. ? Vapor. ? One-pipe syuem. ? Rad'ulon. [] Cmvetwn. ? Baaeboard radiatioo. Radiant paoel: Q floor, ? wall: Q ceiling. Pancl toil: ? Cimulator. ? Anum pump. Malee and model _ Bdkr. make and model tapacity Output &uh.; nct rating gpm Skuh Warm au: 0 Graviry. (51Foreed. Type oCiptem Duct rtuierial: supply '" 6g1v: :.. . . ; tewrw ggl y [naulaiion . [hickness9ACyL. $] Oueside air inuke Furnace: make aad model _. Carr#er Input_ Btuh.; outpuc Btuh Additiaul inkrrtutiaa: . .. . .. Mdiliwul in(ormation: ? Space hwtn; [3 floor furaace; ? wall huiu. lnput &uh.; ou[put Bmh.; num6er unlu Make, nackl Additionul iaformation: C,o„uols. m,ke and typn Honeywell Additio`ul in6mwtron: Fuel: Q Coa1; Q oil; ? 6ar Q L'9• pet. gas; ? elecuic; Q other ; smrage capaciry Additional information: Firing equipment fumuhed wpantely: 0 Cai 6iuner, convmim type. [] Swker: hoppcr feed [3; bin ("d 0 Oil 6umer: Q prexurc aWmizing; Q raponwng Makc ud model /KWitianal informaum: Control F,Iec(ric ho[ing qsmm: rype [npw __watta; valts; owpu[ &uh Additional infannairoo: Venulating equipwent: auic fan, make and model Kenmore 53388 capaxiiy cfrn kitchm exhawt 4n, make and model OLher hulirg, venli4tiny. or cooling equipmcnl 14. BFCTRIC WIRING: Srrvice: Q ovuhead: 6(] underground. Panel: Q fuu 6oa; ? circuit-brcakcr: make .?g AMP't I nn No. circuits Wiring: [] woduit: Q rrmored nble; tj nommoallic ca6k;4 (] knob and wbc; 0 othcr Special wtku: ? rmgc; 0 water neatcr; ? other r,x2eri9r 6exESide weEef-pE66€ S$'1 $aT.h [a Doorbdl. ? Chima. PWli-builon locAtions Additional inrormaaon: Cgi,13ng lights Or switchi- ss. uc.HrtiNG rLXTUaFS: Tolal numCcr af fuctures Per plan 'Toul allowancc for fixturn. typiul installation, f Nontypical imullatim Additional informadoa: s DESCRIPTION OF MA7ERIAL: , Huo-szoos ie-7s VA Form 261852, form FmHA 424- diuhugea inw ? Two-pipe rystcm. Make and madel _ DESCRIPTION OF MATERIAL ' sa. wwunoro: Roof _ Ceiling w.u _ Fkw _ 27. MISCELLANEpU3: (Dsscrib* ony main dweNing mabriols, puipmwnl, or caukueNon 1Nm, na,hown •h•whM., w use ro pro,?;d?. addNonaf inlormation wh?n fM 5pon prorid?d wa? inodpvoN. Alwyi nl?nnt? by iMm numbrr b eorrapond to numbirins usd on lfat form.J .i ? NARDWARE: (moln, maMid, ond flnirA,) Kwickset Brass. Kitchen hardware Brass nlated all exterinr lnrka aved]alikA ' SPECIAL FOUDMENT: (S1ab mehrial w molw, mode! ond quonHty. , Mcludo oMy puipment ond oppfionns which on accpF able by focal low, 'cus/om and opplicobb iHA alandarda. Do nof inchudst iMma which, by esfoblished ewfom, we wpplied by xcupont and nmowd when M vacoiN M+maet or chaHlos prohi6lhd by bw kom becoming rwly.) nichwach r 14405KPnmnzp O Ranga_Hnnd Slaql K mor S 3 yRAlIOpY V O ?ORCHES: c._. TRRACES: . ..''.rr : . .. ? . ? dAJtAGO7 Size ver nlan. Construction same as house slab reinforced with wire mesh 160 Masonite flush door Torsion spring 5/$" Gypsum firewall Keyed locks 3 x 4' slab a vi door WAlKS AND DRIVk1NAYSe Drivewry: width16'_: bau muaial cl ; thickrcu 4 wrfuins m?urial $ftumiriouS ; thkknm 2 From walk: width1? : matcrid: , on 'r e tAitkneu 4'".? Service walk: widih : mawial :thicknea Stepr. maurial ---- : treads ": ri?en . CAtek waW OTHER ONSITE IMrROVE1+1Wi5: (Sysrb a!t rxrmer suieo imOnuelnrnh est diunkAtloivAm, iiwfr/iwj IIfN!!Y(A If Y11WWI()1I111g, Jnriur a(ndrm, nnining wafh, jeRa, h'hiter, and armHq ilrrrtmrn.l . I.ANDSCAPINGr nANTROO. AND fINISH d?DINGC . Topioil A " ihick: ['?6ont yud: In oide 7ard+: d[rear Yard.a All - tad behind main buildins. Lawnt (irehd, mddrd, s aP^d6rd1: [3 fratl yard : 0 ark Yardt :? rcat Plaming: Q aa speeified and thowo on dnwinp: ? u fullowr . .. . ,. - Slyde uem detiduoua " uGper. Evergrem troes. ' to '. B 6 B l.ow Hawerins trea, daiduoug. ' ro_ 6innrgraen sMrbL ? te '. B! B High-`rowins shrubs, deciduou+, ? m-' V{on, 2-Ynr Mdium-growin` aArube, dcefduous, ' ro- ' . . Low.6rowin6 thrubY, dcciduoua, 'ro_ .... . Faumnanow.-'Ihi? ahibit ih&11 be ideetified by ehe dpstuee d the builder, or Rmeor, aed/or tha piopo?ed matpdw if ae 4torr i lonowo ac We rime o[applieuioe, Builder reserves the right to u products of qual.or better quality. n.oe `IC, /-;7 oU.S.00VERNMENTPRINTINGOFFIGE:t987-351.p1V1JeY.7 4. .. ,. ,, DESCRIPTION OF MATERIALS . , HUD-92005 (6•79: - . . . . _ ? VA Forrtr7E1852. Form FmHA 424; 04-26-90 09!36 FROM , t FOR: CERTIFTCATE OS` S'CJR't'EX `Y 7?. N,?" ? ? ? ? ? N ?I $ 7 (g39 7 ? 63 y.0) ? ?#p 3 F'S 83E+h r6o? 83?5 ? Sti ? .? r?.?? --0'.0 N 1 B4V' 7 n N ? ?358 F?- a? SF z_ i4SS ? ' --rZ ? ? G ? ? z ' tA Aav GIIVEERIIVG D??? REViEwED ? ? PRED D S _1?-° b * 75' ? ?S" LF 77. VCx9L° 4 5 0 OT LU? !0o L3G,OLK 1, . ??,?? ? fl35?6 93z,? 93?9 H/DDEN YACLEY, ?C ?EFRLYE 06xaM caLiNrr M?v 83?'9 83i. 0= w00D S7AKE PLACED Cc IRON MON. SET •- IRON MQN. INPLACE B.M.- ief?vr` cuQS Ar s'4,? caPr?? oF t.r- io, cito?,? i ?c??. 934.6 BEARINGS QhI PROPOSED INFS3RMAT10N ASSUMEQ pqTUM 18t FLOOR ELEV. 0??73 GARAQE FLOOR ELEV. R3D.6 BASEMENT ELEV. --639- L_TOF BIOCK EIEV. ---?'= DRAINAGE 000.0 = EXIST. ELEV. 0000 = PROPOSED ELEV. E & p- EXIST. 8 PFtOP. ELEV. 000.0 - 1 hereAy Certify thdt thi8 pl9n, survey or repvrt was JOB X • SCHOBORG preparedbymeorundermydirectsupervisionandthailam 3{e3( a dul Re lstered Lantl Surve orvnderthe Iaws of theState N D SU RVEYi NG y g y gook - P e of Minnes4tR a 9 lNC. . /f 2D Scal at. ,. so, 208 , oate: AP,E', rE? 9 90 `r}T Registration No. 14700 e J o.l.no. MN S532e I----- For Office Uso J Cit OT EaRd Permit of I ~ I Permi t Fee:' 3830 Pilot Knob Road I I Eagan MN 55122 /3 j Date Received: 10- Phone: (651) 675-5675 I e 6' 1 Fax: (651) 675-5694 Staff: I 2009 MECHANICAL PERMIT APPLICATION Date: V:)-i~ _0C I Site Address: ~ U~Jr Tenant: _ "e4 A)S(n Suite RESIDENT i OWNER Name: kcf _kw w w Phone: -5 (96 -C001 0 Address / City / Zip: CONTRACTOR Name: _BURNSVILLE HEATIO & A/C INC, License Address: 3451 W. Burnsville Parkway City: Rurnsville. MN 55337 State: Zip: Phone? -04"6(,0S- Contact Person: 6~( ~1~q TYPE OF WORK New 1)( Replacement Additional Alteration Demolition Description of work: wyjk66 04~j .,(III L2~ NOTE: Both roof mounted and ground mounted mec nical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL 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) $ ~J t 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 = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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 wor which requires a review and approval of plans. X ~ M X Applicant's Printed Name Applicant's 131gnature 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 Permit Number:EA109195 Date Issued:02/19/2013 Permit Category:ePermit Site Address: 1375 Michelle Dr Lot:10 Block: 1 Addition: Hidden Valley PID:10-32900-01-100 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - 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 by law in ALL single family homes . 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 - Jeffrey S Johnson 1375 Michelle Dr Eagan MN 55123 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA131406 Date Issued:06/17/2015 Permit Category:ePermit Site Address: 1375 Michelle Dr Lot:10 Block: 1 Addition: Hidden Valley PID:10-32900-01-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Jeffrey S Johnson 1375 Michelle Dr Eagan MN 55123 (612) 590-6210 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA141960 Date Issued:04/07/2017 Permit Category:ePermit Site Address: 1375 Michelle Dr Lot:10 Block: 1 Addition: Hidden Valley PID:10-32900-01-100 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 - Jeffrey S Johnson 1375 Michelle Dr Eagan MN 55123 Liberte Construction Llc 815 W Lake St, Suite 1A Minneapolis MN 55408 (651) 269-7612 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162308 Date Issued:07/08/2020 Permit Category:ePermit Site Address: 1375 Michelle Dr Lot:10 Block: 1 Addition: Hidden Valley PID:10-32900-01-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Jeffrey S Johnson 1375 Michelle Dr Eagan MN 55123 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature