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1391 Michelle DrINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: F l i t I M 1 1 t E+P Mllrlil N VAl I I Y APPLICANT: 1s 1 0 4 .' '-4 PERMIT SUBTYPE: ,, .,1: 1, ; ' ; Ii 7 it TYPE OF WORK: I kiI 'r 3I I lim INSPECTION , : , , .. . i rc .. F7FMAKR';t SfPAf3Aft {'f'Ftlwfl', AIaF "NEUUttttlt 1-(ifi r1NY 1'lUM1N1Nilli I)k 1IIf:II; liA1 140kl ? J Permit No. PermR Holder Date Telephone # S/1N PLUMBING HVAC ELECTRIC !! p ELECTRIC Inspecdon Date Insp. Comments Footings I Foundation Framing ?y Roofing Rough Plbg. Rough Htg. Isul. Freplace Fnal Htg. Orset Test Final Plbg. Pibg. Inspector - Notify Plumber Consf. Meter Engr.lPlan Bldg. Final Deck Ftg. Deck Final Well ? ? ?ll6 t? ?7?? S 5 h1 - Pr. Disp. I ff- 4111M ,. ,. __. k'-MC?'IyA= FQR DP£X 04/09/93 . • . ? . AT.1 TYiI. 884-7747 CITY OF EAGAN 3830 Pibt Knob Road, Q.O. Box 21-199, Eagan, MN 55121 1:? 20 0 1 , PHONE: 681-4675 BUILDING PERMIT Receipt # t, d To be.used for SF 13WG/GAjt Est. value i laS+000 Date JAN 8 , 19 g2 Sit9 Address ` Lot Z Block Parcel No. NBme %?v ?.s.sua w a a s%.aina a w p,ddress 5970 1313T 5T 0 ? Cfty APPLB VALLEY M!I ZP Name SAME - I?dfBSS , Cty ZP Pf10flB I hereby acknowlege Ihat I have ead this applicalion and state Ihat the inlormalion is correct -agree o comJp? with all applicable State of Minnesota Statutesi?nd Ci of E n Or(,1f1ances. \ 7...`.l Sfgnature of Pertnitee COLLEGE CIT1t COlRET A Building Permit i§issued lo: on the express condition that all work sha11 be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building OffiCial OFFICE USE ONLY Occupancy R-3 kt-1 FEES Zoning Bldg. Perma 657.00 (Actual) Const 5urcharge 52.50 (Allowahle) _ 427.00 Plan Review / of Stories ? 5.00 Length - t?' ? Depth SAC, City S.F. Total - SAC, MCWCC 700*? S.F. Footprints - 675.00 On Site Sewage _ Water Conn On Site weu Water tiieter 95.00 MWCG System ? ? ??5i1 30.00 Ciry Water X 30?? PRV Required SNV Permit 8ooster Pump - S!W Surcharge .50 300.00 Treatment PI APPROVALS ppyd Unit 380.00 Plenner - Park Ded. Council -- BIdg.Ofl. _ CoPies 3.452.04 Variance - TOTAL •Pe.mrt No. Pe.o,n ?wiae. on. rekpho? # S?w PLUMBING HvAC ELECTRIC ELECTRIC ktspection Oate Insp. Comments Footings I Gl ,2 - Foundation Framing 7_ Roofing Rough Pibg. 1 7 , G L Rough Htg. isui. Z_/ 9 z d Fireplace Final Htg. ? Orsat Test Final Plbg. ._ j 7 Plbg. InspeCtor - Notily Plumber Const. Meter EngrJPlan Bldg. Fnal • Z . °oc` Ftg. 3 ncnl Dedc Final ? ., weli Pr. Oisp. . _...? ? _ _ ..:..,.. . . . , :, .. ' Ter#t#ira#e uf (Orrupanry 4Citp of eagan ?r?rtntetti nf littitdim 3wertinn Tlris Cerufuare Lssued pursuant ta the requinenients oJSeuion 306 of the uirtfam Building Code cerdf*8 tliat at the trme ojissuance Ais mrructrur xns in conrplianae widi Ihe wrious arlinances ojllee Qy regulating building construaion or uss Far the followiirg: u,e awfiaoio. SF T]G1G/(',l?R Nk h't No. 20018 0-M-y rylx R3/M I yoning DW,;a R 1 Type r-. VN D,,,G 8/4/92 . -, PdST IN A CONSPICUOU3 PLACE ? i . i__ --- - - _ • - ? - - -- -- -- --. _ . _ SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE " JAN 8 1992 l JUFFIC USE ONLY METER # y 4q lp PERMIT DATE 01/14/92 CHIP # '5- '4 PERMIT # 12488 METER SIZE B.P. RECEIPT # C 016800 ISSUE DATE B.P. RECEIPT DATE 01 p9 92 _X_ PRV _ BOOSTER PUMP SITE ADDRESS 1391 PiICAELLE DR LOT 2 BLOCK I SEC/SUB HIDDEN VALLEY APPLICANT: ADDRESS:_ CITY, STATE PHONE: - ZIP PLUMBER: GENZ-RYAN PLllMBING ADDRESS: 14745 S ROBERT TR CITY. STATE KOSEMOUNT MN z1P 55068 PHONE: OWNER: COLLEGE CITY CONST ADDRESS: 6970 151ST ST PERMIT REGlUESTED X SEWER X WATER - TAPS _ COMM/IND X RESIDENTIAL X NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WIhL NOT.be'tliven for Deduct Meters. C-f<GREE TO COMPLY WITH C OF EAGA DINAN CITY, STATE APPLE vALLEY M4'1 ZIP 55124 PHONE: 431-1211 _ ATURE WHEN METER 1 ...<.! ?p?s.??-?07'1 /? ca ?oS - ? a - PLEASE /iCLL0?0 ORKING DAYS FOR PROCE?SING. CALL 4545220 FOR IMSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. (?.: ,? ... . . . . . _ I`1F T..Y :WR & W,EITER PERMIT F?30Ty F EAGAN Pilot Knob Rd. Eagan, MN 55122-1897 DATE -' JAN 8. 1992 METER # - CHIP # - METER SiZE ISSUE DATE PERMITDATE 0I/10/92 PERMIT # 12488 B.P. RECEIPT # G 016800 B.P. RECEIPT DATE 0109 92 R PRV - BOOSTER PUMP SITE ADDRESS 1391 MICHELLE DR LOT 2 BLOCK 1 SEC/SUB HIDDEN VALLEY APPLICANT:. ADDRESS:_ CITY, STATE PHONE: _ ZIP PLUMBER: GENZ-RYAN PLUliBINC ADDRESS: 14745 S ROBERT TR CITY, STATE ROSBl30UNT HN Zlp 55068 PHONE: 423-1144 OWNER: COLI.EGE CITY CONS7' ADDRESS: 6970 151S? ST CITY, STATE APPLE VALLEY MH Zlp 55124 PHONE: 431-1211 OFFICE USE ONLY PERMIT RE(.IUESTED ? SEWER x WATER - TAPS COMM/IND X NEW X RESIDENTIAL _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WICL NOL6e"en for Deduct Meters. F7CGREE TO COMPLY WITH CITY OF EAGAN OROINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. A$dress: ,1391 pIIQiQyE DRIVE Lot Z Blk I Sac/Sub HIDDEN VpT.tEy The9e items were/were not complate at the time of the final inspection. Date: 8/4/92 Yes No Insnpntnrt Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas ? Sod/seeded grass Trail/curb damage L? Porch Basement finish ? a ?a' ?p Deck LI/ Please verify vith the builder the removal of roof test caps from tha plumbing system and the shut-off oE vater supply to the outside lawn faucet before freeze potential exists. -0a aecK?mnxc White - City copy Yellow - Resident copy Pink - Contractor copy =ij CITY OF EAGAN 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN55121 pjQQ Q 1$ PHONE:681-4675 ) BUILDWG PERMIT Receipt # C o Ilod"(?L Tobeusedfor SF DWG/GAR Est.Value $105,000 Oate .TAN R , i992- Site Address 1391 MICHELLE DR Lot 2 Block 1 SeGSub. HIDDEN VALLEY OFFICE USE ONLY FEES Parcel No. occupancy R-3 M_1 R-1 Bldg. Pe1mR 6$7.00 2oning Name COLLEGE CITY CONST (ACNap Const V-N Surcnarge 59 _ 50 W AddfPSS 6970 151ST ST (Allowable) V-N py11 RevieW 427.00 G'lly APPLE VALLEY MN Zp 55124 N ol stories ih L 62' Licerrse 5.00 ? eng Phone 431-1211 oePm 4$' snc. cicy 100_ nn N2Rle SAME S.F. Total - SAC, MCWCC _._700 .._00 ? S.F. Footprints - ? Address Site Sewa e O Water Conn 67 5_ nn n g _ City Zjp On Site Wen - water hteter 95.00 ? PhOf18 MWCC ?stem X Deposit 30.00 qcct Wate Cry . I" License # 0001209 PRV Required ? S/W Permit 30.00 I hereby acknowlege ihat I have read this applicai?t qtl state that [he Booster Pump - 0 SNJ Surcharge .5 inlormation is corr agre to comply alt? I applicable Stale ot Minneso[a Statutes nd Ci of E an Ord nces. 300.00 Trealment PI Signature of Permitee ? APPROVALS Road Unil 380.OD COLLEGE CITY CONST A Building Permi ? sued lo: Planner - park Ded. on the express condition ihat all work shall be done in accordance with all Council applicable Stale ol Minnesota S tatutes and Ciry of Eagan Ordinances. glpy, pff_ Copias Q BuildingOfficial?uet?A?. ?1.&.d 1 A12 Vanance - TO7AL 3,452.00 p 7 2 2 2 ? y c?o?? 0S8 Request Oate Fire No. Roug -in Inspec[ion Requiretl? ? Featly Now A1'Jill Nofity Inspector -Ii+ n ? Ves C No When Reatly? Iklicensed contractor ] owner hereby request inspection of above electrical work at: Job Adtlress lSVeel. Box or Rome No /I ?? Ciry ? ;ch iue ?-- Sedion No. Tow hlp Name or No. Range No. Coun 1 4 T/ Occup IIPRINTI PM1One No. / l Cd ? ? J/ ? l Power SupPliei A k. J,. 01 Adtlress ? Eledrinl Conlracbr ICompany Nam e) Con raclors License No. fc c k(l ? !W Mailing Aetlress iConlreclor or Owner Makinq Installatio 1 . lJ/l/s-' Autnorizetl i we.IConl?actooOwner Making I slalla4onI Phone Number ? f? .,?,..? _ y 9,2 - 2 2 yy MI ESOTA STRfE BOARD OF ELECTflICITY THIS WSPECTION REOUEST WILL NOT.. Grlggs-Midway Bldg. - Room 5-173 8E ACGEPTED BYTHESTATEBOAFD 1821 Universlly Ave.. St Paul, MN55100 ' UNLESS PROPER INSPECTION FEE IS Phane (61]) 642-0800 ENCLOSED_ REOUEST FOR ELECTRICAL INSPECTION f ? See InstWctions for cunpieonq tnis lorrn on bnak ol yellow copy. "X" Below Work Covered by 7his Requesf EB-D0001-OB ?y?aY ew Atltl Rep. TypeofBUiltling AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Induslrial furnace Farm Air Conditioner O1M1er(syeafy) Conlracmrs Pemarks: Compute Inspecfion Fee Below: I > Other Fee # ServiceEntrenceSize ee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps I W, Transtormers Above 200 _ Amps Above 100 _ Amps Signs Inspecmrs use only. ?)/; m OT r Irrigation Booms X Y . Special Inspection V ?? AlarmiCommunication THIS INSTALLATION MAY BE ORDERED CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT I, Ihe Electrical Inspector, hereby Rou9n-m • os?e ? 7 y ? ' certi that ihe above ins ection has ? P been made. Final ? Dete ? -2 OFFICE USE JNLY This request voitl 18 monIDS (rom $ I >:;01 I t 6 9 5 21 v NO - Repues e Fire No. ? 1 Rouph-ln InpsaMqn RBquirBtl (YOU must ins{reMar when reeEy) Ins ectian Other Than R ghtln il I l ` y Yee ? No y nspeclor Reatly Now WIII Not oareaeaa ?Z`censed contracror p owner hereby request inspection of above electrical work at: Jab Adaress (Streel. Box or Raute Na City 3 / ?T; Sacuon No. TownsM1ip Name or No. Range No. Counry Occupant (PFINT „oTe No.y_ ?-o O - 6`57?,/ Power Supplier Atltlress Eledrwal cfior(Company Na. ) GonV or ycense No- 5 r y C? o /? MaiLng Atltlress IC Paolor or Owner Meking Instapall nJ / AWM1Ori c SgndWr¢ ICOnUacbYOwner Mdhi InS?dlld? PhOnB NV I MINNESOTA STATE BOARD OF ELECiPIGITV v T TMIS INSPECTION qEOUEST WILL NOT Griggs-Mitlway Bitlg. - Room 5-179 BE ACCEPTED BV THE $TATE BOARO 1821 Unlversity Ave., St Paul. MN 55106 LINLESS PROPER MSPECTION FEE IS Phone(81Y)6dP-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION pp Dd°`°? ? ll See inslmtlions lo( completili this lorm on Oack o1 yellow cropy. "X" Below Work Covered by This Request EB-00001-08 k ??a??? 3o9a3 e nd Rep. 7ypeofBuilding AppliancesWiretl EquipmeniWired Home Range Temporary Service Duplex Water Heater EleCtriC Heating Apt Building Dryer Load Management Commllndustrial Furnace Other (Specity) Farm Air Condi[ioner Other Isyecity) Conhac[ar5 Ra1marks'. ///1 Compufe Inspection Fee 8elow: ? ? r? -"-" ' # Other Fee # ServiceEntranceSize Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 10o Amps 7ransformers Above 200 _ Amps Above 100 _ Amps Signs . InsvKIor's Use only: TO7AL ? Irrigation Booms ?O -?? Special Inspemion AlarmlCommunicalion THIS MSTALLATION MAY BE ORD DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M THS. 1. the Electrical Inspector, hereby ceitifythattheaboveinspectionhas been made. AougRin F?nai oere n,?? ? a?er OfFICE USE'JNLY This request void 18 months Irom RESIDENTlAL BUILDING PERMIT APPLICATIO ? ? CITY OF EAGAN L-- 3830 PILOT KNOB RD, EAGAN MN 55722 f 851-681-4675 New Conatructlon Beauiremenffi . 3 reglstered sRe surveys showing sq. n. of lot, sq.lt. of nouse; end fil rooted areas (200% maAmum lot coverage albwed) . 2 copies of plen showaiy beam & wintlow sizes; poured tounG desipn, etc.) . 1 set of Energy Calculatbns • 3 coples of 7ree Preservatbn Plan'rf Wt pletted arier 7/7/93 • Rim,bist Defall Opibns seleqbn sheet (61dps with 9 or less unas) ? Z DATE SITE ADDRESS /3W / r 1 I L4i TYPE OF RemaleUReoalrggguhemeMe S- g - v? • 2copiesoiplan . iselofEnergyCalculatfonsforheateaadd'rtbns • 1sAesurveyforexteraraddRrons&decks . Intlicate if fwme served by sepik system lor aOdAMns VALUATION MULTI-FAMILY BLDG _ Y x N FIREPLACE(S) _ 0 _ 1 _ 2 APPUCANT -5k bur64 t2 ?7kfe, ri vr-?, STREET ADDRESS _?q(v 6 OCc sk,°`Vfv„- S CITY (Len. /m,-+1eSiAiE ???ZIP 'L?_3y TELEPHONE # 95Z L9%4232-CELL PHONE # FAX # PROPERTY 1,0 TELEPHONE # ------- ------------------------------------ -°---------°-------------------------- COMPLETE THIS SECTION FOR °NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (d submission lype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Envelope Calcula8ons Submitted Plumbing Conhactor: Plumbing system includes: Mechanlcal Contractor: _ Mechanical system includes: SeweNlNater Conhnctor. _ Water Softener _ Water Heater _ No. of Baths Phone # _ Lawn Sprinkler _ No. of R.I. Baths _ Air Conditioning _ Heat Recovery System ----°-°--------°--------------------------°-------°------------------- I hereby acknowledge that I have read this applicatlon, sTate that ihe wiTh all appllcable State of Minnesota Statutes and City of Eagan Ord OFFICE USE ONLY Phone N Fee: $90.00 'P ?11 U L MAY 0 8 2002 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ comply Updated 4102 OFFICE USE ONLY ? Ot Foundation ? 07 OSplex O 13 tFrplex ? 20 Pool ? „30 Accessory Bldg ? 02 SF Dwelling ? 08 06-ptex D 16 Flreplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mufti ? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Multi ? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex Pibg_Yor,_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition 0 36 Move Bldg. ? 42 Demolish (Fpundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demolitlon (Entire Bldg only) - Give PCA handout to applicaM Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Boaster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Sid'mg Stucco _ Swne _ Ficeplace _ R.I. _ P.ir Test _ Final _ Windows (newlreplacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Suroharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Suroharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? CITY OF'EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT Q 243 2? PERMITTYPE: BuiLoiNs Permit Number: 024124 Date Issued: 0 7/ 14 / 9 4 SITE ADDRESS: 1391 MICHELLE OR LOT: 2 BLOCK: 1 HIDOEN VALLEY P.I.N.: 10-32900-020-01 DESCRIPTION: ??. Building-.Permit Type '?3uilding Work Type ? i?- BASEMENT FINISH ALTERATION SL REMARKS: SEPARHTE PERMITS ARE REQUIREf] FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - ROSStlW TROY 1391 MICHELLE DR EAGAN MN 55123 (612)681-0429 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 Mn. Statutes and City of Eagan Ordinances. ? APPLICANT/PERMITEE SIGNATURE . c R4AA I M2 IS D BY SIG TUREI ? ?. 14 I, 14 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION $y KO 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s ,?3????? ergy calcs. J U ?_ 1 1 1994 COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy cal ---------- Penalty y 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 Valuation of work /,d00• Site Address:/39/ -br. STREET SUITE # Tenant Name: (commercial only) LOT BLOCK 1 SUBD. P.I.D. # 1b 32900 02.0 0 l Descri tion of work: f'tnicl, ou7 ' o n The applicant is: Owner ? Contractor ? Other (Deseribe) Name R655ctJ i?o ?i Phone%87- os?a 9 Property LasT FIRST Owner pddress _/391 /y;cleA, a?- STREET STE # City Laoah 5tate lrl/J Zip ss?Z3 Company 41opP_ Phone Co ntractor Address License # Exp. City State Zip Company [nne Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that 1 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. Signature of Applicantc_r , s OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE ? 31 New LR 33 Alterations ? 35 Tenant finish ? 32 Addition 0 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? .Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ,D Final rO 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Camm./Ind. Misc. ? 20 Public Facillty ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Cbde Census Bldg Census Unit Assessments 0 Framing ? Draintile C/ 13? c/ / ? LYInsulation ? Fireplace Permit Fee 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 Ded. Copies Other Total: vatuaeim: S SAC % SAC Units MECHANICAL PERMIT (RESIDENTIAI.) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CC.INDOS WHEN PERMTTS ARE REQUIlZED FOR EACH UNIT. NEW CONSTRUCTION atnD_ONPJC ? ADD-ON FURNACE FIF2EPLACE INSERT DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXIsTnvG coNSTRUGTtoN) $ 20.00 STATE SURCHARGE .50 TOTAL Zo . 5,0 STI'E ADDRESS: 139 I Mi CLi,a ??. ?Ccct,CC,vx OWNER NAME: rD?/ Zb 55a t,) TELEpHONE #: ?S?' 6g3?5 TELEPHONE #: ( 1`t'-{ SIGNATURE OF ERMITTEE 3a?100 - 069o--01 CITY: __RoS2il?ou?t STATE: ?-? ZIP CODE: SZ?6 1994 MECHANICAL PERNIIT (COMMERCIAI.) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAT-/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR O'THER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING LJNIT. rJA?'E: `? - Xf ^- NEW BiJIL ? INTERIOR WORK DESCRIPTION -,5- u Pp (" 1% OF?;.??FEE PROCESSED PIPING: MINIMUM FEE: STATE TOTAL FEES $ $25.00 \ $25.00 $.50 FOR EACH $1,000 $ S 3t/ooo ffM FEE. .$jTF QTJj)77RCS: . . OWNER NAME: TELEPHONE #: TENANT NAME: (iMpROVEMErrrs oivi.Y) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: . SIGNATURE OF PERMITTEE CITY INSPECTOR REACTIVATE IF PERMIT # ` CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 681-4675 A P R 0 5 RECn SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 6 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 perniit fs issued. Date Valuation of work l`5 q ? l ?Olle 42 f/ ic Site Address: STREET SUiTE 4' Tenant Name: (commercial only) IAT -L- BIACIt J,_ SIISD. P.I.D. N Descri tion of work: /?VCK i , The appl i cant i s: ? Owner 0 Contractor ? Other cnescr;be> Name ? osSoyv ?-o Phone Property OWReY LAST FIR t Crl? 4e ?' " . Address ?? STREfT STE f City . 0"rL State ZiP Company ? i?n K, r ?ti 6 blrr??7zl--"5 Phone ?g`??77Y7 Contractor Address r933q W?'??J'?UOOJ C?' License a 3070 Exp.4? City T? Ibb h'llti ,? ?h-- State 4-/- xL Zip `-55 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer 8 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 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. D 06 Duplex 13 07 4-Plex ? OS 8-Plex 13 09 12-Plex O 10 Multi. Add'1 WORK TYPE A1131 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION X '; ' ,. ? 11 Apt./Lodging ?- ?[?&Blfs ment Finish O 12 Multi. Misc. ? 17 Swim Pool O 13 Garage/Accessory O 18 Comn.(Ind. ? 14 Fireptace ? 19 Comn./Ind. Misc. ?15 Deck ? 20 Pubtic Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolish O 36 Move Const. (Actual) Basement sq. ft. (Allawable) lst F1. sq. ft. UBC Occupancy e _7 2nd F1. sq. ft. Zoning Sq. Ft. total f of Stories footprint Sq. ft. Length /9 On-site well Depth fLI On-site sewage APPROVALS Planning Building Engineering Yariance REQUIRED INSPECTIONS ? Site ?Footing ? Wallboard Final MWCC System City Mater PRV Required Booster Pump F;r°?,_, t^a?...c'e?? y9c/ Census Code ? SAC Code Cars0u.S W? . ? auS t?.r?i f o Assessments 0 Framing ? Insulation ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies .50 Other Total: SAC % SAC Units vatuocion: F' i oneer tne i neer i ne 68194£38 F'. V? *n * * '? PIONE = ' * eng neer ng,•• Certificate of Survey for: House Address: fi N G N fole9?? 2422 Enterpriee Drive Mendota Haights, MN 85120 (812) 881-1914 Col leqe Ciiy_Gdnstruction 1391 MN V / I 58,0 ? ? ? ? ? fi i 1 1 ! }1 y ??? ? 1 $b • a -6? Wo LA ?co CAs? s?1 ? y20 ? ? \ ? ? ? i s06'. ?e???? o .,?p' 0 e ? a? , m 2o.i^ ? 1'1• - / ?,,E i i / / . / ?• N ? ? ? 8733yy y'y` e1? Qa?VEy1P? /? 4fJ?t°j '/ 7? p <t lk ? / ?l p ? 0 °` 3? Ft ? ? Q?\? •? ? ? - J r 'r yz . _ .- r ? sAaxrr DFPm • 000.0 Denotes Existtng Elevatfon Fourth Levei Floor Elevntion:865.06 • oa] Denotea Proposed Elevotlon Third Level Floor Elevation:869.85 - Denotes Dralnage & Utillty Eosement Top of elack Elavatlon:873.18 Denotes Drainage Flow Oirection -o- Denotes Monument , Garage Slab Elevctlon:872.83 -Ei Denotes Offsat Hub gear(nge shown ore assumed LOT 2, BLOCK 1 HInnF?A.1-LEX__ _ DAKOTA COUNTY, MINNESOTA -jPe R,V. REC? U I?. EEt ¦e 1 hvqbY alrtlly ttilt thls surwy, plan or report wet reppreil 6y me o, under mY direct supmidon md that I am duly RsylsNnd Lfnd Surveyw wWh the Iaws of tho Slote ol Mlnmfo4. DotW 1hH.'? day ot DQCew.bt- A.D. 19ot%_J .tr.:,. Scale OBE4T B. S?? ?CH L.S. REC. NO• 1a891 m 90001.02 PROPOSED MOUSE ELEVAl10N o•A 67'7•00+ 5250? 4`L7•OOt 2, 315•5i)r 31 452•00* 657 •00? 52•SOt 427-OU?- 2, 315•5p? ?m, 3 >452•004; o I? ,?M1 BUILDI G PERMIT APPLICATION _ CITY OF EAGAN SINGLE FAMZLY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MIILTIPLE DiTELLINGS COMMERCIAL 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCT[JRAL PIANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER IiUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED PROCESSING TIME FOR SEWER fi WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SROW A LICENSED PLUMBER. To Be Used For: SinE7e Familv Valuation: VEESjF?' Date: 1-7-9Q Site Address 1391 Michel.le Dr. Lot 2 Block 1_ Parcel/Sub Hidden Va71ev Owner Address City/Zip Code Phone Oooizoq ConttactoI' CallPgp (:itv Conatriiotinn Address 6970 151G1- S . City/Zip Code ApR]P Val la.,E, MfJ 55194 Phone 431-1911 Arch./Engr. Address City/Zip Code Phone # /DS,Cj= ? OFFICE IISE ONLY I c(k2 FGV=j Occupancy R-3 M -1 Zoning R _I Actual Const V -7J Allowable V - N # of stories Length ? Depth S.F. Total Footprint S.F. On site sewage_ On site well MWCC System r/ City water ? PRV L/ Booster Pump _ FBES Bldg. Permit 657-00 Surcharge S 2,50 Plan Review OO SAC, City /bOioO SAC, MWCC Water Conn. ? Water Meter DD Acct. Deposit -30,00 S/w Permit 30,00 S/W Surcharge I,5'a Treatment P1. ,DO Road Unit $a00 Park Ded. Trail Ded. Copies L%Le14seVerAl0t 5,qp.- SQBTOTAL Penalty Lot Change TOTAL APPROVALS _ Planner _ Council Bldg. Off. /'- % "1 ,bS Variance e ter Lic csed'?ontr. Je'olae-.Excavatine jlPXIf,- NO11: agrees that all wo[k shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. 4 V? ??I`noN? ? .?. .. G A P-&Ge 2zxzz= 4ls4lxls= 7260 gShi('(' , A`I x 32 = ?6 8 !Dx (o = o) ?? X y'1 = r15 Z ?'?2.o x 14= 1 q q?6o Is; ?3r 3 5 a X'7- « ?---- ! 4b9 x 53= 7?,857 , ? /Oy 997 0'\ I0Sjooor Ploneer Ensineerins 5819488 P.02 * * * * 2422 &nterprisa Drive Mendote Heights, MN 55120 * PIONE ^ !?f LAMOSV?`?F??`CIWIENGINEENB Sea *engneering,• LAne.L?nNCres.i.nNOee??e?nci+irecrs (612)881•1914 ** #-k Certificate of Survey for: COllegE.' CI'?y COIISt!"UCtEOCt House Address: 1 jq1 Mfcfielte ?Vff'-Eag9n'-MN- ? ? 2- . . / ` ,, \ \ n f ?. ? 2 ?, S ??ylpK h` e Orn? ? / * e64' ?tO,b 861,q ? ? t?. ?sE ?'• \ w W ?' 86477 ?%A El ecf g62,: ? aa % 0' 72,5 i ? •?GL ? . ?• `-•1 J ?,11 O w ? ? / Ol / .sy 3j.Ar' s ? ,- ?? .• 16 ?• ? / r ? ??G L{r-E I I . ` ?. ? ?. ? ? 1 PROPOSFQ HOUSE ELEVATiON • sao,o Denotes Existing Elevation Fourth Levei Floor Elevation:865.06 • sao, Denotes Proposed Eievation Third Level Floar Elevation:869.96 -- Denotes Drainage & Utility Easement rop of Block E?evation:673.16 Oenotes Drainage Flow pirection Gara9e Slab Elevution:872.83 ---o-- Denotes Monument -e- Denotes Oftset Hub geOrings shawn are ossumed LOT 2, BLOCK 1 HIDDEN VALLEY pAKOTA GOUNTY, MINNESOTA i ne.a4y vertiiy that ehu u a crue end conocY roprssen[eeion of a survaV ot eho bounderLaf of the oA?o??a??d1ascribed ?nd, anA of The IoeaNon of ail bvildings, therCOn, a?d all vlelble entt09Chmenn, if BnV. from ol' on seld lend. As sufvsy¢d hV me thp.?._daY of " Pr: p,p, 19q.l Re'). i-io-9z _ Ad"Vd4?x s11. c/e?s + r Scale• 1 ??ct-30faa R s?atti.s,KIC-m-L.s.aR ?. a000t.q2 EXTERIOR ENVELOPE AYERAGE "U" C014PU7tiiiaN OWNER SITE ADDRE55 CON7RACTOR ,( ou EGE DATE PHONE •?A- ? Z L? Uetermine working square footage of each. 1. Total exposed riall area ........ ZOl__ 5q• ft. x_1L ° 2. Total roaf/ceiling arca .... 1'IL- sq. ft. x,o ?,(n ° Total exposed wall area above flour = 2 0l a. Total wall ?oindaw area ........................... b. Total door area ................................. s?o c. Total sliding glass door area ................... . ? d. Total fireplace wall area ........... .. ...... f,S e. Total wall framing area (averagelOX)............ f. Total net wall area above floor ................. t12Z g. Total. rim 3oist area ............................ 13? Total-ekposed foundation area - ___c10 ? h. Total foundation window,area ........ ::::"*6* J. Toal net foundation area above grade .......::... ? 90 Determine "U" value of each wall segment. a. 2 S-7 x "u" .3Aro ° b,- A'd' X "UN 0 a ?r- C• ho ?X "UN '3d,1° _._ a. - x "u" e. 15? X "u" .092 l?- f. l39 'z x "u" •oa3 9 ( 31 x„u?? . 22Z ' A.bb h. O x "U" i. q z °uN •°7 ° ?-- 3 .............:.......................Total 1 If item d3 is the same as# or less than item 01. you ave met the intent of 58C 6006(c)2. ?. v Total..exposed roof/ceiling area a t 333 J. Total skylight area ............................. k. 7ota1 roof/ceiling framing area (average lOX).., 1. 7otal net insulated roof/ceiling area........... __, Determine `U" value for each roof/ceiling segment. ?, --- x »ul, k. I JJ? x MUN ° ??? 1• ? 1 ?l? x MUp , o'LZ a Zfo .' 4 ..................................Tota1 6 ? ..-- lf total of 64 is the same as, or less than :2, you have met the intent of 50C.6006(c)1, Alternate Building Envelope Oeslgn To utilize the totat envelope system method, the values established by the sum of ltems 13 and i4 shall not be greater than the sum of items 61 and S2. ?• 'f Z• • R ' . 3. t 4. a -=----_ . . . h( Mn t..t. - vniue- •?,. vY1 NDoW AREA :. TyPF 6/t3 ' oF W1NaaW 5 iuSvc. 60 55 Tul wi.voobu uwTS /4AV6 Iqgf4 TfstaP K04 VALµ4.. 'rN1Y Algc Ap 4161ip f4/i? ?/A4.14.i O? ??D `•8? qpoJc qyo ?w+y 44 4?s?GYSO .1A Psai 4N C ?,?c,,up„rG a+rt f74M5 ,.- ?? a t mm" ?*?q??....?l-?o.r?a??? So FauNpAr Io?.r w,Nno w ARZA : ? TYPt of W,P400w : TNC vvoHOOw ei+Jjrs N4iL BtW YrsrcD FoR'it= v,.u,.t, TMLY ARg *s W•lcA w,Dov4 wuo m41' a. ae11yNLuA Das?y,?Cp??4J VAu.c o's •R"r? I ua..walNq AIY PIi-MS , ?{qia lI44M ..froorA44 i Foorw4L • ?.---- SL1DlN9; (?L-A55 Doo P. ; ARfiq: TYPS, oIL pooR! .?.._. 5?8 IKSvt'?Gt"• 54?Pi?Ir.? 4 L495 OOORB NI+YG 061664 'f'Li790 foR"R."Y??..K+?y TNCYAif ws ?•OpTdd ADO?l Ad0 MA1 8• AJS?t?HMq A R71iJQJJ?'.f"9.l VA444 PROR."p .Z69 ?oa?enir. Aia rI".ts ug? . V'G?a s J! ' ? DOOR ?REA ? IYPG DR WOR I "rN eW-M A. Tizu pccQ UNi'fs HAYL DttN resrtv .wo rouya ro NAVS A+J 'F"-VAuu6 0r ti A64 ff/.?'li, •?Z SPeuALs ; r 1/ s FODTNCeLXR ryP,L : I?RM 7?rc? s??cr, --- CITY OF EAGAN FOR CITY USE ONLY 3830 PILOS KNOB RDAD ^ EAGAN MN 55122 PERMIT # PHONE: (612) 454 8100 RECEIPT # I/ ? DATE: G 5.?. PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & x<,........ ,...... _......... . , TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------°---------- ------------------------------°----------------------- WORK DESCRIPTION FEES NEW CONST ?C ADD ON ' REPAIR _ OWNER NAME :? SITE ADDRESS: LOT:? BLOCK ? SUB . INSTALLER: A ADDRESS : "T? \ ? ? l )..) \ZCo '??'1 S T- CITY: ?"-G 'Q- ZIP: PHONE #: aac) 1 ADD-ON MINIMUM $15.00 HVAC 0-100 M $TU ADDITIONAL 50 M STU . 0 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ ? 1uv STATE SURCHARGE: .50 TOTAL: $ o??•?v , e 1,4 C1.?_ - ? SIGNATURE OF PERMITTE PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUIT.DINGS, APARTMENT BUILDINGS, AND MITLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BLOCK SUSD. INSTALLER: ADDRESS: CISY: ZIP: PNONE FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CDNTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN ???atA 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date H ! a°? " l ??" Site Street Address ? L,+'? ??" •C.C? ? ???" ? ? n.(.LR?c..? Unit # Property Owner L f?V?huLV Telephone #( ) Contractor_ Address ?City Telephone# (V,)1t*&--bM0-, Statei Zip_,W4,Z The Applicant is: _ Owner ? Contractor _ Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener andlor water heate r--complete next section if installing these appiiances). _Septic System Abandonment _Water Turnaround (add $125.00 if a 5!8" meter is required) Other: Q. 1? " Ia-c.Q ? Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ ?jp_SD 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,.pvent a plan is required to be reviewed and approved.,, I'UQUIm rn.d.. ?, l?qtR Kqt?wwr_d- c. 1??0'10 Applic 's Printed Name ApplicanYs gnature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1391 Michelle Dr Lot: 2 Block: 1 Addition: Hidden Valley PID:10- 32900 - 020 -01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replace Description: Fumace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector, 952- 445 -2840. Cindy Lilienthal 2 1210 Eaton Ave Farmington, mn 55024 651- 344 -4253 cilienthal@controlledai r.net Fee Summary: Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460 -6022 X253 Surcharge -Fixed ME - Permit Fee (Replacements) Total: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $0.50 $30.00 $30.50 Owner: Troy M Rossow 1391 Michelle Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 9001 0801 Issued By: Signature Mechanical EA074656 08/08/2006 ePermit ÿÿù ÿ þýý ûûü úýýüðüöëþ óçú ñä þýö þýüûúùø ÷ ò ýûúù ûúùø ÷ öø÷õùô ùóý ò ý òñíýùú ð þïý î ôù ìô ëëô ïý ô ü ô ê é øøù ÿé é ô ý ùêòé é ùé ê ò üôè ïý üúø éôúëô ê îæñåæêê õú þý ë çýæñåæêäêä çýñÿê ôó öòñ ùù ø Ý ûý úþ û úãõ ø ñëìöÚñäãë úôýëãö ãöñ áàñß ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý ð ý ïú þ ý ü ÿþþ ý üûüúûû ùýýþþûû÷í ÿ ôÛ ÷ à ÿ ÿþ÷ ûúùø÷öõòÿæ ÿÿ úø÷ö õ ø÷öõòÿæ ÿóòæíö î ÿ öôúÿ ÿúÿëúö ÷ Þý ûÜú é îö îÿ î Üú ÿî ÿ ù îÿãï ýòòöýÿü ï ï îý þ ÿöã ï ï ÿö ï ÿ ã ùîá ÿ Üú ù÷ òÿýï î÷ îÿã ÿéäìäââãêâãâê öù ûú ý ÿÛ ú äìäãêàãàê Û ú üã õó ÷òñ öö õòÿç ÿøú ÷û ÿø ÷ñíÿÿò êê àñ ÷îú ñóêêþ ý ñóêê èåê ù÷ òý ÿ öö ÿ ï î ÿ ý îö÷ò öö ùû ïñÿ û úÿ ÷ïþ ý ë ÿã öö æ îûý ú ÿÿú÷ûý ú PERMIT City of Eagan Permit Type:Building Permit Number:EA106775 Date Issued:09/11/2012 Permit Category:ePermit Site Address: 1391 Michelle Dr Lot:2 Block: 1 Addition: Hidden Valley PID:10-32900-01-020 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors-New/Replacement Description:House 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Troy M Rossow 1391 Michelle Dr Eagan MN 55123 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 1 1315 1 Permit Fee: 105:5 Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �aa' 13 Site Address: 139 Unit #: Resident/ Owner Type of Work Contractor Name: SuSc,n QZoSSow Address / City / Zip: 13�t Y�`Ge" �� 'Ec,'\p-r MN Applicant is: Owner V Contractor Description of work: - Q poe• Construction Cost: ital, g l!. oil - Company: t Phone: 'OSI "" 1-13L119 Multi -Family Building: (Yes / No ) Company: C e EXIec t c 'S Address: .a3 ga C' -c& idv L Contact: City: ;a`; v'''‘-‘ n ��tOv1 State: MN Zip: GS©'),W Phone: 51 y 6 0 - %t b i License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to bep blit i orma ion. Portions of the information may be classified as non-public if you provide specific reasons that wvetl't>� pirmit'the Oi#y #o 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. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x � Applicant's Printed Name x Applicarit's Signature Page 1 of 3 41111CityofEaaafl °' 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 OC.� p 11p13 Use BLUE or BLACK Ink For Office Use Permit*: 1) tj! Li O Permit Fee' kJ • f) Date Received: / V a - Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION ��yy Date: " t 171 I k3 Site Address: J° 1 t t,L. Tenant: SAS cu,-) CZ vsSz) J Suite #: Name: ��s%�.�, �� 512N.) Phone: L'3I -(o%� 7-e\ Address / City / Zip: C --f1 \ k"\i C-VICA E l "d (. I M 12 T Name: ?cu pt WKALA .�c SZ \b\(,•s. License #: Address:�A 7� U V�'`� .j City: State: 1 "t\\:-.1 Zip: 1 L` `� Phone: io "S \ �� Contact: - �i �tkai�{ �rnall: avec.. _ New Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W. -e 16. c i c— '- Description of work: RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures (_ Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval �Of plans. x Applicant's Signature Oct 12 2016 10:24AM Liberte Construction 6123542388 Date: City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 page 1 Use BLUE or BLACK Ink For Office Use 1Permit #: / / 1) Permit Fee: /O S " % J Date Received: Staff: 2016 RESIDENTIAL BUILDING. PERMIT APPLICATION Resid enti Owner Conctor Site Address: 1 Name: - Unit #: J 30361„ V_C,c6 4) Phone: (JSI'10SI.W2" Address / City 1 Zip:-1/ti1.P [ �( 0 Applicant is: Owner /Contractor Description of work: i12 Ail kp �• 151 bi Construction Cost: Multi -Family Building: (Yes 1 No ) Company: Y / £ oink u e M Contact: t.ALLIZI (7ctr1/(,) Address: � f tj Uv am. (Ci , Sl,Ll4 i 7 City: 1inl.i!w{ _pail S X00 � State:nri Zip: j�kloR Phone: LO IZ 2,Zl Oji Email:1(t t L 1L�r.J I 1.10-610 fit 1� YI�C$ I License #: 1 -j1 L 'SG Lead Certificate #: iUkf 11 J €3,jc] 1 If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents That you submit are considered to be public Information. ,Portionaor the information may be classified as non-public if you provide specific reasons that would. iii of, -City to • conclude that the are tirade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call al (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstatecnecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit. and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x LLku, C-0 :1A Applicants Printed Name Alija/ILA Applicant' ignature Page 1 of 3 tQi PERMIT City of Eagan Permit Type:Building Permit Number:EA141963 Date Issued:04/07/2017 Permit Category:ePermit Site Address: 1391 Michelle Dr Lot:2 Block: 1 Addition: Hidden Valley PID:10-32900-01-020 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 - Troy M Rossow 1391 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:Mechanical Permit Number:EA148684 Date Issued:04/16/2018 Permit Category:ePermit Site Address: 1391 Michelle Dr Lot:2 Block: 1 Addition: Hidden Valley PID:10-32900-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - Troy M Rossow 1391 Michelle Dr Eagan MN 55123 (651) 681-0429 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152057 Date Issued:09/25/2018 Permit Category:ePermit Site Address: 1391 Michelle Dr Lot:2 Block: 1 Addition: Hidden Valley PID:10-32900-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 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 - Troy M Rossow 1391 Michelle Dr Eagan MN 55123 (651) 681-0429 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature