593 Middle LaneBUILDING PERMIT
To be usecf(or SF DWG/GAR
Est. value =97•0m
Receipl #
193 {8
19 91
Site Address - 1593 MIDDLS LAI?
LOt 3 BIOCk _I SeC/Sub. PIMMR ?? 3RD OFFIC E USE ONLY
Parcel No. occuPancy a-3• M-1 FE ES
Name Al. ltE1tR1"1ANl1 GO?i3T (Actual) Const 1t? Bid
Permit : 62b?00
= g.
Addf@SS 535 S?E ?? ?qlil 1QQ (Allowable) ?- ?
?
o '
' $urcharge '
i
City l214. H
9. Phone # of stwies
44
Pl
R
i ?? *00
L¢ngth an
ev
ew
p NBfI'12 gAl?$ Depth S
C i?•?'
= A
. Cily
fOj? AddreSS S.F. Total - 6?'?
? Cih+ Phone S.F. footprints _ SAC, MCWCC
6?'?
? On Site Sewage _ Water Conn
? W Name On Site Wett ??•?
- Water Meter
6 ? Address MWCC System ? 30
00
z
<W
City Phone
caywater
? p'?
t.? ? 4
???
PRV Required ?_ S1W Permit
I hereby acknowlege that I have read this application and state that Ihe Booster Pump - .50
information is correct and agree to comply with all applicable State of
i S+W Surcharge 274
00
M
nnesota Statutes and City of Eagan Ordinances. .
7reatment Pt
Signature of Permitee i,. APPROVALS Road Unit 370•00
A Building Permit is issued to: AL KERaIr1A11N (?11$T' Planner - Park Ded.
on the express condition that all work shall be done in accordarxe with all Council
applicaWe State of Minnesota atutes and City of Eagan Ordinances. gld9, ptf. _ Copies
293
ooe =3
00
BuiidingOffiCial . .?• _
? Vaziance - TOTAI V ,
*
...?-.. '-??+?'??.""?'!°AFC'?!'}??'? ' . ..,. . T ?.? . -_,? ??o
/18/92 CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
' Permit No. Permit Holder Date Telephone ?
WArER
SPWER
PLUM8ING
H.VA.C. . / I.s '1?7-OIo?
ELECTRIC 02
InspecHon Daie Insp. Comments
Foot;ngs 1 (?,-Z6-91 QS
I
Foundation zl
Framing 15 2 'i ?e /J?Ei ro... rr a s
Roof ing c
Rough Plbg.
Rough Htg. 7 1
l5ul.
Fireplace
Fnal Htg.
Orstat Test
Final PI
bg.
Plbg. InspeCtor- NoGfy Plumber
ConsL Meter
EngrJPlan
eid9. Firtai
Dedc Ftg. 715??=7 Ct; ?
Dedc Final
W
. . ? ....?.?qR _ . . '.?-...r -. .?,y , v. • 1
Citp of Cagan
'Brmrhtrw of Nwbing insprrtiati
n[r C,emficate issued pursuaxllo the requirenients of Seetion 306 ojthe Urriform Buildiag
Code cern'fyin8 that arlhe time of issuance thissuuctrrre Kas in campliance with the various
ordinances of 1he City regulating building cvns&ucdon or use Far the joAowing.
?
ttse clusYwian SF '? W eufg. ttrz" ria 14318
paVnc7, Type -3,111 Zaain pistria RI iype Cn- vn
owm orBaabw AL tIET444ANN .:CM. Am. 535 SM RD. MMIDOiTA FIEI(HTS
543 MTIY7f F. T ANE .... 13. 91. P7ANOR IA?E 3RD
POST IN A CONSPICIlOUS Pd ?CE
I
SEWER & WQTER PERMIT
CITY QF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE ^ JUhE -f:5, 19r 1
OFFICE USE ONLY
METER # V4141yO ! 7? PERMIT DATE 7/10/91
CHIP # 1 I? 8 7 ? 3 3--C PERMIT # 12135
METER SIZE ? S-eti' 5 B.P. RECEIPT # 113114161
ISSUE DATE ?--Rif ~ 2) B.P. RECEIPT DA TE 6/ 2 5/0i
xx pRV - BOOSTER PUMP
SITE ADDRESS 593 LANE PERMIT REQUESTED
LOT BLOCK 1 SEClSUB RkWR L;1KE 3fii)
? SEWER y WATER - TAPS
AL FIGRR??Ai:?J `;r'itdST
APPLICANT: x
ADDRESS: 535 STONE Ra - COMMlIND , - RESIDENTIAL
CITY, STATE TA ..TS ZIP 55120 x NEW - EXISTING
PHONE: 891-11Gu
PLUMBER: SCHERER PLBG
ADDRESS: 4$00 ADRIAN :;1R
CITY, STATE pRlOR LAKE Zlp 55372
PHONE: 447-67 3<<
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
.?,.?.
I AGREE TO COMPLY WITH CITY OF
OWNER: SAME AS APPLICANT EAGAN ORDINANCES
ADDRESS:
CITY, STATE ZIP
PHONE: SIGNATURE WfiEN METER ISSUED
, PLEASE ALLOW TWO WORKING DAYS FOR PROCESS?NG. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN MErER #
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP #
? METER SIZE _
DATE t3 I991 ISSUE DATE -
OFFICE USE ONLY
PERMITDATE 7r10/91
PERMIT # 12135
B.P. RECEIPT # ? % ? a161
B.P. RECEIPT DATE t•«519I
_ PRV _ BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
LOT ' BLOCK z SECISUB --IANOR L.?fE'; ';k.'% x SEWER ? WATER _ TAPS
APPLICANT. A L HERRY?<?ANtv :ONST v,
ADDRESS: 535 gTONE Rv - COMM/IND - RESIDENTIAL
CITY, STATE MF.PIDOTA HT:: ZIP 55120 '
- NEW - E7CISTING
PHONE: 691-I100
PLUMBER: SLHRRSfc PLDG
ADORESS: 4800 ADR1AA1 C01R
CITY, STATE PIR 1OR I'AKE Zip 55372
PHONE: `'47-673"
OWNER: SAME AS ApPLICANT
CITY, STATE
PHONE: -
ZIP
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
?
_ 1A ).,i ?. 21r, .. ... :. ,
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDiNANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
INSPECTION RECORD
C1TY OF EAGAN PERMIT TYPE: `;" I rf„ NQ
3830 Pilot Knob Road Permit Number: 0 J`,1 fl
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SlTE ADDRESS: APPLiCANT:
??? i ??i:i ? 1 I?I?t „ ?? ?,?I ?•i,l ? hti?
;HHN
PERMIT SU$TXPE: TYPE OF WORK: P A II?
o. & rrtROUi
? ? ? r
?
F I M °'??? ???p:
ev ., ?a«
. . . . ?. .: fi ?. .. ? F
5
?# .
s
. . ' .., ? . '
x.% E
_... ..?. ? ? ?'
.. ... _. . . .,, . _ ? . _ .?E ????.e
frVMARl'.; - Rf.l400r Wt?W;r A"ti faAVaG[ .
Permit Holder Date Telephone p
PLUMBING
HVAC
Inspectian Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIAEPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONOUCTIVITY
TEST
HYOROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTI4N RECURD
CITY OF EAGAN PERMIT TYPE: 1 14
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ' ? ` APPLICANT:
I 'I ? ;
. 14rc)M?- IAMr
MaNok taKt 1E1n (F1%1 6ab-??r?h . .
PERMIT SUBTYPE:
j! , ,1: .
TYPE OF WORK:
(f{ ,? i; l 1• f 1 ur?l i ? 1??? I;F 1?1;ii??(H .)
INSPECTION DA • .A
REOIAtPKSi A1'E'R141 f lS p11''t1ElIRF.'D FON ANY HI ECTfZXCpI (1R (•I 111401146 W+14
.:t3. p[??a„
. . . .. . Y?-.r-:c.- _
? J
Permk No. Permit Hoider Dat* Telephona N
ELECTRIC 1o5?(rg
PLUMBING
-2 0/ 7
077
HVAC . ?
Incpectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING L? 7
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATiNG
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL ??- gv?
DECK FfG
DECK FINAL
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: orf?
(612) 681-4675
SITE ADDRESS: APPLICANT:
m i i1?1i i i r,rxi t.: w i I i i Aia
skCi 446r;
PERMIT SUBTYPE: TYPE OF WORK:
, i IFftAI
MlAItP ". : A y1 Ppf+A i F !'f I:IM I I f'; i<f W? I KM 0 f r)it ANY i' I IIMIt t Nis 110 F- l i 1: ! i+ i+ AI 144110
?
?
?
?
--•r .F
Permft No. Permft Hoider Date Telephone N
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Flnal Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bldg. Rnal
Declc Ftg.
Declc Final
Well
Pr. Disp.
CITY OF EAGAN N2 19318
3830 Pilot Knob Road, P.O. Box 21•799, Eagan, MN 55121
PHONE: 454-8100
BUILDINGPERMIT Receipt# C_ I y I LP I
SF DWG/GAR $97,000 JUNE 25,
To be used for Est. Value Date 19 91
Site Address 593 MIDDLE LANE
Lot 3- Block 1 SeGSub. MANOR LAKE 3RD
PafCel N0. Occupancy
Zoning
w Name AL HERRMANN CONST (qctuap Cons?
z
?:
Address 535 STONE ROAD u9t_11on
(Allowable)
0 CitY MEN. HTS. phone soBtories
Lengih
o Name SAME Deplh
i
g Address S.F.TOIaI
? City Phone S.F. Footprincs
On Site Sewage
w Name on sie wen
,
m
30 AddB53 MWCCSyslem
,
aW City Phone arywater
PRV Required
I hereby acknowlege that I have read this application antl state ihat Ihe Booster Pump
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Citxot Eagan Ord
in
nce
a
s
.
?
,
,
`
, A
VA
S
Signature of Permitee PFRO
L
A Buildinq Permit is issued to: AL HERRMANN CONST Plenner
on the express condition that all work shall 6e done in accordance with all Council
applicable State ol Minnesota?$ tutes and City Eag2n Ortlinances. Bldg. Off.
Building ONicial y' !`-"? Variance
OFFICE USE ONLY
R-3, M-1
R-1
FEES
$ 626.00
{(n Bldg. Permit
Surcharge
49 Plan Reviaw
4.9 SAC City
xx_
%7L
XX-
48.50
407.00
100.00
650.00
660.00
95.00
30.00
30.00
.50
276.00
370.00
P
TOTAL j3,293.00
SAC,MCWCC
Waler Conn
Water Meter
Acct. Deposit
Siw aerma
SiW Surcharge
Treatment PI
Road Unit
Park Ded.
Co ies
2 6 5??? J ? OFFlC USE O LY This reqaen wid 18 monthslmm alidmi*dqk printed in thia box.
??q ?? ?l a?? 9
?
PLEASE PRINT OR TYPE
Reqvasf Duk Rough-in inspection reqm ? Yes No Inspedion Other Thon 2ough-Ire Q Ready Now @QillEall
(Yoo must mll the inspeaor when ready) 1 Rnd : ti
. . . . -
.??'- ?
I, licensed con}rador ? owner here6y requesf inspedion `of the above ele ical w rk" -
Job Mdress (SVeet, Box, or Roure
? .
Sedlon No- Township Name or Na. Range No. Fire No . Caon
Oa ant
9
m
No.
Phone
"
r ,s? 'r adareu
?
,
EI I nkoclor tCampany ame)
? CoEkocror l/im'?n?se?No. Mmhr Lic. Na. (Plam Eled. Only)
' VV
Mailiig Addros JConVacm. or ar PeAorminp Insrullafion)
tt -s -
G'?c. 5?337
Avlhonzed $ignalrre ?Co mcwr or Owner P p Inxfallotian) Phone No.
E&0000IA-10?.6/45 STATE9OAHUCOPY-,4EEINSTAUCTIDNSONBACKOFYELLOWCOPY
IIII I?IIII IIIIIII I II II III III ? Nt?I MEQ?ESTtatOe Board of ER?A? NSPECTION 74
edc
111 1827 Urn tty Ave Rm S 28 S Paul MN 55104 ?
* 0 2 6 5 2 6 5 9* Pnone (612) 642-0e00 ya yV7
Home Duplex Ap}. Bidg. Other: New Addn
Commercial Industnal farm Remod Re air
Air Cond. Htg. Equip. Woier Hfr. Load Mgmf. Other:
D er Ran e Elec. Heat Tem . Service
"X" above fhe work covere , by this request. Enter rerparks in rhis space ond on the back of ffie white copy only.
??v?.:-r- s?,? (??
Cakulate InspecFion Fee - T6is Inspection Request will not be accepMd without the comect fee:
Olher Fee # Service Enhante $ae Fee S CircviLslFeeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sireet Lig./lraffic Sig. Above 200 Amps Above 100 Amps
Transiormer/Generator INSPECiOp'SUSEONLV 70TA ?
Su
Sign/Outline Lig. Xfmr. ((i'Z
Alarm/Remofe Control
Swimming Pool
I hemb cem thot I i IIaNO dncdbed her in fhe dafes s kd
Irzigation Boam Rough-In re .
Special Inspedion
Imestigative Fee Finol D.I.
THIS INS7ALLATION MAY BE ORDERED DISCON ECTED IF N07 COMPLETED WITHIN 1 8 MONTHS.
p 14 5?1 3? 3- ??9 -
Request D te
?' 're Na. RouBh-in Inspection
Ija IredY
? Ready Now . 1Nill Notlly Inepector
'.Ves =No When Ready4
I- licensetl contractor 7 owner hereby request inspection of above electrical work at:
Job Atldress (Street Bm ar RoNg N n Clry ?
Section No. TownsM1ip Name or No. Range No. Q
4
a?uP ,P INTj Pholl
Y ?
?
wer S lier ?. \ Atltlress ?
? .
EiecV oVadry ICOmp amel
L ?
? anVector5 Icans@ No.
?f f7' r
U ??
MeiL _ I ector or nerMeki g n
? ./
V
nxe i? 'o . nr? ak. I'stan ian) Phi ?33
MINNESOTA TATE BOAP F EIECTRICITV ? THIS INSPECTION RE4UEST WILL NOT
Griggs-Mlaway Bltlg. - oom S-na BE ACCEPTED 6V THE STNE BOARD
1821 University qve.. St Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(612)84Y-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION
? See insVVCOOns lo: mmoleting this forrn on Oack of yellow copy
I 14.521 "X" Below Work Covered by This Request
??•''? E?B-0p0q01-?08
y
ew Adtl ?Fiep. TypeofBuilding AppliancesWired EquipmeniWiretl
' Heme Range Temporary Service
Duplex Water Heater Electric Heating
Apt. 8uilding Dryer Other (Spacity)
Comm./Industrial Furnace
Farm Air Conditioner
Otner (suacily) Conlreotor5 PemaBS'.
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool ( 0 t0 200 Amps 15 =S- 11 ( 0 fo 100 Amps i
Translormers Above 200 _ Amps Above 100 _ Amps
SignS Inspecror's Use Only. TOTAL .?7
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORO ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspecror, hereby Rough-in f oaie 7
« y
certify ihat Ihe a6ove inspection has
been made. F;,,ai
OFFICE USE ONLV 1
?
Th,s repuest voia 18 montM1S from
Cities Di ig tal
ity Control
The following image represents the best
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Every effort was made to capture the content
from the original page.
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RESIDENTIAL
BUILDING PERMIT APPLICATION
GTY OF EAGAN
3830 PI10T KNOB RD, EAGAN MN 55122
651-681-4675
Naw ConsWCtion ReauiremeMs
• 3 regiStered sile surveys showing sq, ft. of lot, sq. ft of Iwuse; and all roo(ed areas
(20°k maxunum lol caverage allowed)
• 2 copies of plan showiig beam 6 window s¢es; pou2d found design, etc.)
• 1 set of Eneyy Calculation,s
• 3 copies M Tree Preservetion Plan if lot platted after 711l93
. Rim Joist DetaR Optiom selection sheet (bldgs w%h 3 Or less unils)
DATE +•OC -OQ
RemodeVReoair Reauiremenh
. 2 capies af plan
• 1 set M Energy CelcuVetiorw for heated addidore
• 1 site survey for exterbr addifions 8 decks
• Indicate'rf home served by septic system for additions
?
VALUATION ???a?''
SITE ADDRESS MULTI-FAMILY BLDG _Y _N
TYPE OF
WY iSSi \? _ OQ-?; C,..OF •
APPLICANT ' RMA HOME SERVICES INC.
Home Depot Installed Sales
STREET ADDRESS 3200 Cobb Galleria Pkwy., Ste. #200
' Atlanta, GA 30339
TELEPHONE # 763-542-8826
. I BC-20268257 - - - -- -
PROPERTY
FIREPLACE(S) _ 0 _ 1 _ 2
STATE _ ZIP
FAX #
TELEPHONE#(QSI • (0& • LI4 M
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Gategory _ MINNPSOTA RIILES 7670 CATEGORY 1 MINNESOTA RUL.ES 7672
(J submission lype) . Resitlential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submilted
• Energy Envelope Calculatlons Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the ormation is correct, and agree to comply
with all applicabfe State of Minnesota Statutes and City of Eagan Or inances.
Signature of Applica
............._......._..?........_..?...................._r..__._..M_______...._?._............?___.........__................M?__..._
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Iawn Sprinkler Fee: $90.00
No. of R.L_Baths_--
OFFICE USE ONLY
? 01 Foundation ? 07 05-ptex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplaca ? 21 Porch (3-sea.) ? 31 Eut. Alt- Mulfi
? 03 01 ot _ 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 (screened) ? 36 Multi
? 05 03plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Btdgp ? 43 Reroof •? 46 Windows/Doors
? 34 Replacement `Demolitian (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Otfier
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco Stone
_ F'ueplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
_ InsulaNon _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Searoh
Copies
Other
Total
Building Inspector
Installed
Siding andhVdUMsPOWER OF ATTORNEY
oFCoaB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home
Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN
55427, having a license number of BG 20268257, do hereby appoint, name and
constitute Elder-7ones Building Permit Service, Inc. ("AgenY') as my true and tawfizl
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "W ork").
The powers conveyed to the Agent by this Limited Power of Attorney are
limited solely to the express powers delineated herein and apply solely to the Work.
This Limited Power of Attorney shall expire and automatically be revoked on the 30th
day of May, 2003, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN WI"I'NESS WHEREOF this Limited Power of Attorney is executed this
3n" day of IV?h`F , 2002.
David 14. z
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
301h day of May,
Notary blic in for the Stat of eorgia
My Commission Expires: January 21, 2006
396816.v3
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depof authorized coniractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79•DEPO
FERMIT
ClTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BusLozNG
Permit Number: 0 3 3 4 4 4
Date Issuedr 0 9 /Z 4/y$
SITE ADDRESS:
P.T.N.: 10-47277-030-01
593 MIpDLE LANE
LOT: 3 BLOCK: 1
MANOR LAKE 3RD
DESCRIPTION: T.O. & REROOF
Bu,ildiny;_:Permit Type
8,Iding 'WQ,rk Type
?2nsus Code
F'.
,
.,? -.. . ? ?r.....eb
- ?r
1
•'\/?r1I -.,
STORM DAMAGE
REPAIR
434 AL7. RESIDEN7IAL
n.-
.?
REMORMF HOUSE AND GARA6E.
FEE SUMMARY:
rnuTpe ?T?p - „PPlicanL - ? i . L i4. Rx?T-I N CO.
R?'RZZl7fl"R'09'PTN6 18903900 20012795 PGER WILLIAM
1333 LARC INDUSTRIAL BIVD 593 MIIlOLE IANE
BURNSVILLE MN 55337 EAGAN MN 55123
(612) 890-3900 (651)686-9466
I hereby acknowledge that I have read this application and state that the
informationr is corrsae and agree tQ coaLply with aTl appli¢aialo SCate df Pin?.
Statut;es and City of Eagan Ordinances.
APPLICANT/PERMITEESIGNATURE '
D? CQ?? ?
I-LBSUED BV: SIGNATUR
`5c) J09-?BZADING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
(4 q l L 681-4675
bew Canstruction ReauiremeMs ? g9modeVRaneir Reauirements
? 3 registered sfte aurveys ? 2 copies M plan
? 2 oopies of plens (Indude beem 8 window saes; poured fid. design; etc.) ? 2 site surveys (exlerior atlditions 8 tledca)
• 1 energy calculations ? 1 energy eakulationa for heated adtlkions
? 3 copies of Uee preservetion plan H lot platted after 7/11193
required: _ Yes _ No DATE: 4YI
DESCRIPTION WORK:
STREETADDRESS: S9-3 MAA o
CONSTRUCTIONCOST: - 6 -700-19
LOT 3 BLOCK SUBD./P.I.D. #.
PROPERTY
OWNER
CONTRACTOR
ARCHITECT!
ENGINEER
Name: _ (,JJU^ 9 Phone #:
u.. ?.
StreetAddress:-5-qZ 1?ikclu-
City: r?aa? State: M)_ Zip:
?
Company: ?o,-i za? Ex 1-?,-; ors Phone #: O,.?qU 0
Street Address: 13.33 G? J"?ILcI nse #: 7 0 0 --7-7 '7 s
City: k?lu vI I/z State: ?N Zip: 3"S3 3 7
Company:
Name:
Phone #:
Registration #:
Street Address: _
City:
State:
Zip:
Sewer 8 water licersed plumber (new construction only): . Penalty applies when address change
and bt change arc ,equested once permit is issued. I hereby acknawledge 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. ,-n &?
/
Signature of Applicant: ??J)L
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No SEP? 4 I ??' 3
Tree Preservation Plan Received _ Yes _ No _ Not Required BY:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool
? 03 SF Addition o 08 8-plex n 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex n 14 Fireplace n 21 Miscellaneous
0 05 SF Misc. 0 10 _-plex o 15 Deck
WORK TYPE
n 31 New o 33 Alterations ? 36 Move
? 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. it.
Zoning sq, ft.
# of Stories sq. ft.
Length sq.ft.
Depth Footprint sq. ft.
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building
Engineering
Variance
Permft Fee
Surcharge
Plan Review
License
MCMIS SAC
City SAC
Water Conn. ?
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
PERMIT
~ CIi'Y OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagdn, MinneSOta 55122-1897 • Permit Number: 0 2 9 5 3 3
(612) 681-4675 Date Issued: 0 2( 2 8 J 9 7
SI7E ADDRESS:
593 MIDDLE LHNE
LOTc 3 BLOCK: 1
MANOR LflKE 3RD
p.I.N.: 10-47277-030-01
DESCRIPTION:
(TWQ BEDRQOMS)
rmat Type BASEMENT FINISH
;,}c Type RLTEftATION
434 ALTA RESTDEN7TAL
REMARKS:
A SEPARATE PERMTT IS REQUIRED FOR ANY ELECTRICAL OR PLUM6ING WORK
FEE SUMMARY:
Base Fee $50.90
Surcharge $.5o
Total Fee $50.50
CONTRACTOR:
i
?
i
(
, I hiFS,t'eby ctiC{<!to{aE?CIJe "?h5-r? ?`',h
?.x ?.
- (y?NT%PER?h I7EE SIG RE
OWNER: - Applicant -
BREITXNGER WILLTAM
593 MIDDLE LN
EAGAN MN 55123
(612)686-9466
'
'tYt1at <tht9
_...? . _._ ,.
997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
IqA33 CITY OF EAGAN
5830 PILOT KNOB RD - 55722 (ve
681-4675
w Construetion ReauiremeMs RamodeVReoair
• 3 registered site surveys ? p oppies W plan
? 2 coples of plans (inGude beam & wintlow s¢es: poured fid. Oesign; etc.) ? 2 site aurveys (exterior atlGkions & decks)
? t energy calcutations • 1 energy calculations for heatetl addkfons
? 3 copies of tree preservetion plan if IM platted aRer 711/93
required: _ Yes _ No '
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT 2 BLOCK
PROPERTY
OWNER
CONSTRUCTION COST:
,59,3 A/"OJ/,- l r,h r
_L- SUBD./P.I.D. #:
Name: 13reiili-iigr ?-ah, Phone#: C294- 2yh4,
Street Address:
City: State: /,%V
CONTRI0.CTOR Company:
Street Address:
ciry:
ARCHITECTI Company:
ENGINEER
Zip:
Phone #:
Name: Regis#ration #:
Street Address:
City:
Sewer & water licensed plumber (new construction only):
and bt change are requested once permit is issued.
Penaity applies when address change
I hereby acknowledge that I have read this applicaGon 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: '21 Z?'-? - -
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
State:
State: Zip:
Zip: S` 517, 3
Phone #:
License #:
BUILDING PERMIT TYPE
OFFICE USE ONLY
? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging rl?'-16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaiNRem. ? 17 5wim Pooi
? 03 SF Addition o 08 8-plex n 13 Garage/Accessory ? 20 Public Facility
? 04 5F Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New al'33 Alterations o 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Al)owable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
''?r•?? ^s..?r?:y?,e? a ?;?'?'
W y
?L
d
Valuation: $
% SAC
5AC Units
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-47277-030-01
PERMIT
593 MIDDLE LANE
LOT: 3 6LOCK: 1
MANOR LAKE 3RD
PERMIT TYPE:
Permit Number:
Date Issued:
CulIiO
suILoxNc
025118
92f15J95
DESCRIPTION:
iit Type
; Type
:.
7
. . ...-r.r?,
`.
?
r'
BASEMENT FINISH
ALTERflTION
REMARKS:
A SEPARATE PERMIT IS REqUIREf7 FOR ANY PLUMBING QR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge .50
Total Fee $35.50
CONTRACTOR: OWNER: - applicant -
BREITINGER WILLIAM
593 MIDDLE LN
EflGAN MN 55123
(612)686-9466
I hereby ackriowledge that' X hov:e read t•}ra.s app]ication and stat:a that the
information is correct and agree ta aesmply wa.tM a1l apPilcalale State of' Mn.
Statutes and CSty of Eagan Qrdinarrc?es.,
? . . _ _ . ?
.
' APPLICANT/PERMITEE SIGNATUPIE ISSUED B? SIGN RE
?lt
New ConsVUCtion Reauirements
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 U
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) j. q
6814675
? 3 regislered site aurveys ? 2 coples of plan
? 2 copies of plans (include beam & window sizes; poured fid. design; etc.) ? 2 sRe surveys (exterior additions & decks)
? 1 energy plcuiations ? 1 energy celwladons for heated add'ifions
? 7 Vee preservation plan if tot platted after 711/93
required: _ Yes _ No
DATE: != ? I G; I°/-I S' CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREETADDRESS: ??? 1 /ts4/16 +
LOT -,?_ BLOCK _I SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
Name: /?S rp?e r W: ll? an Phone #:
.am
Street Address- 'Z ?" ???/l? / •: ? °
City: f ti State:,/i1,/1/
Company:
Street Address:
City:
ARCHITECTI Company:
ENGINEER
Name:
Phone #-
Registration #b
Street Address-
City: State: Zip:
Sewer & water licensed plumber:
change are requested once pertnit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this applicatian and state that the information is correct and agree to comply with aii
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Zip: cS / z 'j
Phone #:
License #•
_ Yes _ No
_ Yes _ No
RECENED
FEB 10 1995
---------------
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging by- 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Pubiic Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
? 05 SF Misc. ? 10 Multi (additional) ? 15 Deck
WORK TYPE
? 31 New r,?33 Alterations ? 36 Move
? 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Variance
5'?y
D/
?
?
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
d
Valuation: $ /,SdD
% SAC
SAC Units
CITY OF EAGAN
? 3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454 81D0
?fmwG'AY.;MPM
FOR CITY USE ONLY
PERMIT #
RECEIPT # /O S S
DATE : ? 402-
PLEASE COMPLETE UPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON
REPAIR _
FEES
OWNER NAME: /?/e
SITE ADDRESS: .S'9? ?i0?? ?'?
LOT: ?- BLOCu L susD.C?:K?, a??
INSTALLER: d??-?VZog?e IM070'L?,"t- g.rL-2_d6r
ADDRESS: 14t5-_r-
CITY: ? 'Y/? ? ZIP: .T.S /LZ
?
PxorrE
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL SO M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $
STATE SURCHARGE: .50
TOTAL: $ l?Sd
• i
S NA R OF PERMITTEE
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEYARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CDNTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
( S IGNATUftE )
$
CITY OF EAGAN
PERMIT # • =
(19.v ?
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION ????
681-4fi75 ?A Y a a Recn
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural_& structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last warking day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date S //_7/012- Valuation of work
Site Address: 5-93 /GliLaI;' c -
STREET - STE /
Tenant Name: (commercial only)
Lot _S_ aLxK ? weo. v.I.o. r
Descri tion of work: e ck
The applicant is: )9 Owner ? Contractor ? Other (Deseribe)
e
Name 91'e%-ti noey- A6-&.<aA _ Phon
Property /
LAST I FIRST h/Op/1 y 3 S- 75 I S
Owner pddress S" °i'3 /Ir dr/le L91? e
STREET $7E #
City ??2 z7g State 14W Zip S Si 2 3
Company Phone
Contractor Address License # Exp.
City State ZiP
Company , Phone
Architect/
Engineer Name Registration #
Address
City State ZiP
Sewer S water licensed plumber . Processing time for
sewer & water permits is twa days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota 5tatutes and City of
Eagan Ordinances.
Signature of Applicant: ,9:ze?z-t4
OFFICE USE ONLY ?
0__
BUILD(NG PERMIT TYPE
? 01 Foundation
? 05
Apt. B1dg ? 09
Basement fiM . r
sh ? 13 ComnJIn New
? 02 5F Dwg. ? Ob Garage/Accessory 0 10 5wim Pool ? 14 Comm/Ind Add
D 03 Two family ? 07 Fireplace ? 11 Res. Add. ? 15 Comn/Ind Rem
D 04 Multi-fam. T.H. 08 Deck O 12 Res. Porch ? 16 Public Fac.
? 17 Agricultural
WORK TYPE
P( 31 New ? 33 Alterations 0 35 Nove
? 32 Addition 13 34 Tenant Finish ? 36 Demoiish
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(A1Towable) lst Fl. sq. ft. City Water
UBC Occupancy 7-3 2nd fi. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
i of Stories Footprint 5q. ft. ' Fire Sprinkler
-
-
Length C w c On-site well Census Code
/:? 4
4
Depth i 6 u zz On-si te sewage SAC Code
APPROVALS
Planning Building 9JL.S-1-9-2 Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? Site I?5 Footing ? Framing ? Insulation
? Wallboard & final 0 Draintile ? Fireplace
Permi t Fee v.iLac;a,: s
Surcharge
Ptan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Rermit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
* ?...?. ...cc. n ?y,.
Ar 4t**
Certificate ot Survey tor:
i
CiVll ENGINEERS
2422 Eoterprise Orive
Mendota Heights, MN 55120
(612) 681-1914
AL NER 2MQ Nn/ CoNSrr:
9¢?
yA??t
?
.$
0 c
0
2
Mq v
S6'0o N 8q °z¢ '4? "r :h
i --j
k- -
a1
?-?-
J 49 51E?K
II1?5 :b.o o
?" PRaPoSCo
"` ? N+..tE
M? I
Q ,?, ?
? ? tn 26.o M _
I 3.L5 1?25 I
? I N 0
? ?ilys j ? °¢9a p=G N ?s??
94i•?`i
60
.. 9k'43 149?a
B?.a,? ,v89°y4'47'we'
a M/ODz E
?i
?- _
M
M
M y
M `
O
\
9y°Z
L
?
NORTH
•.900.o Denotes Exislin? E/evofion Pr?aosEO HousE E?1fV4.Z1oM
• oo.o bent?les Pr? ed£leva/ioij Cowes %orElevo if on 9 y1•9
-------- DenofesUrdina?erUfilily Easemenf Topot?'Blockilevalion 95v.9
-*---- Denoles Orain?'Qe FIo?J'Direclion Garagr Slob Eleva/ion o, bo
0 Dpnafes Monui0len t Bearings shown are assumEd o qPno es oV4 se ftib
LOT 3jaoCw / ,/t'jANOR LAKE 3Rp ApPrvn&/
COUrory, MINNESOTA
I hereby certify thal this suryey, plen or report wes pre nreA by me under my direcl supervision enA thaq 1 am ?7idy pegistqleA L.a/rM?Surveyo?
under the lev.n of Ihe Slate of Minneeoro, Da?eA rhis Aay ol p,p. I9J?-. . K"'.5.
Scale:1??40 « qrZ?g ?
1991 BUILDIN?/If PAPPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
?
?
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 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.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WNICH ADDRESS IS
DESIREB. NO CHANGES WILL BE ALLOWED ONCE,BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT NAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
e
To Be Used For: ( Valuation
Site Address S/ 3 mI , IP. tq ne.
Lot '?3 Block (
Parcel/Sub (m"Or L'L =
Owner
Address
City/ p Code
Phone
CoiltYactOr A5 KPNY01GlAliyL.????to?
Address ? 0-?
City/Zip Code L ke
S-:?c ( 24`?
Phone Rf - b P0
Arch./Engr. V
Address
City/2ip Code ?
(S
.t ?.tx?,
of Contractor)
9ica
Date
4bn 1 v Fm.
OFFICE USE ONLY
cl 71 Qoo r
Occupancy r?1'3 M '1
Zoning fL-I
Actual Const Y-N
Allowable V- N
# of stories
Length -yAT
Depth ?
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System v
City water ?
PRV
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. =-7,
Variance
FEES
Bldg. Permit ?Z&Oc3
Surcharge NB, SD
Plan Review 07,00
SAC, City DO,Da
SAC, MWCC $t7l00
Water Conn. 0,0a
Water Meter RS,O°
Acct. Deposit '30.00
S/w Permit 3O,oo
S/W Surcharge I --z
Treatment P1. ?2r76-60
Road Unit O,Op
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL ?agrees that all work shall be done in accordance with
all applicabTe State of Minnesota Statutes and City of Eagan Ordinances.
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2422 Enterprise Drive
* PIONEER LANOSURVEYORS•CIVILENGtNEERS ? MenAota Heights, MN 55120
? enf'?ineLrin/??,? LAnOILANNERS •lANpSCqPCARCHITECTS
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Certiticate of Survey for: A L NER 214Q NN Co,%1s7' ?
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• oo.o benofesPropogedElevafron Lowes 7oorElevaion 9`17•9
-?------ Denotes Drolna er U>ili.ly £asemenf Top o?'BloekElevplion so.
---0 --?- Denales Dnri? ? FIoW'Direcfion Garale S/ab E/PVatioi] a, bo
o Oenofes Monent Bearin?s shown are assumed oper,o es o? j se
LOT 3,BLC)CW l,/t?ANOR LqKE 3RO APQrT/on/
COUNTy, M/NNf50TA
1 hereby certlfy that thls lurveY, plen or report rye,i? p'rE/p nreA by mC under my dirotl SUpervision xnd that)))I am Auly Regitl eA LaC/2.4 ndSurveyor
under the laws of the Stete of Minnesota. ?ted thh J?[.A? day ol 19
/f
A.D. 19 r,
r? Scale:l?=?p«f ?Iz6g ? ROpERi R. GiKIfH L.S. REG. NO. 14891
.. ' , . ,A
CITY OF BUILDIN4 DEPARTMEIiT
EXTERIOR ENVELOPE AVERAGE "Ull C014PUTATION
(To be submitted with building permit applicatiott)
One or Two Family Dwelling \ Owner
All Other Site Addresa
Contractor ?L Ve?k'j?jyjfiNtU 0,-7Na Date ? Phone
LINEAL FEET OF
EXPOSED WALL ft. above grade ?
TOTAL EXPO
OPAQUE WALL CONSTRUCTION: "Ull Value x Area
Detail ---?•?tm?r nUn .o x SG?. FT. I(o0$•ZO.
reference
07 x
5q.
FT, 4'?•S
from nUII
./7?- 1 X SQ. FT. . Oa
attached x SQ, FT. -
sheete .._. ,_. .. . _. __. _.__. ....._.... uUu X SQ. FT. a
x SQ. FT._ _
WINDOWS: t'Ut' Value x Area
Make &
u Type
?lUSuL(InltT. ?:U::
?y -?- x
SQ.
FT
. 3. D a
u ti
n uU
n
x
3Q.
FT. _
nUu
x SQ, FT. _
I'U" x SQ. FT. -
DOOASS +1111+ Value x Area
Dtalse & Typa ?jt.• s0 L, ??p??_ . Jc? x SQ. FT, ,oD =
u 1: ??U?? ,?.7 x SG?. FT. ?'.oa=
X
U
5Q. ,
FT. ?
n
i?
_ x SQ, FT. -
TOTALS
TOTAL (U) (A) VALUES f toZ. W
DIVIDED BY TOTAL VYALL AREA 'z(J'Sp,Oa
AVERA(iE "U ,115 r less for 1&2 family
ROOF/CEILINas
TOTAL AREA: --J07,9-L
?,?•
?
?4-
?
Wt?
tEA'.zBQ.
• 5?+
03D ?i SQ• r'T
?
ERA4E UT:
ogo'
Detail reference x SQ. FT. 1070 ? -21-47 ' from IlUlj
x SQ. FT. ,e
attached SneetB. lo,,,, 0
. a
Describe openinga x SQ FT (U
x Sq. FT, . ?
in roof. ,iU„ (U
x SQ. FT. - (q
TOTAL (U)(A) VALUES DIVIDED BY 2" it7 T7?1.__-In70 ?f,2??
- T _
TOTAL ROOF/C?I 6 ARgp /Q-7O
" AVERA(iE 1?U ??025 or ventilate ' ?Z?
? d roofa. r!
,-?
??'
+38
Exd. I
.loy ? 38 t3o-? 32.+ 3z.? _
,isT
. S? ?. ??st38t
X f Z=
71}X = (v o X 8 -
znXq; = (o.y x 4 -
?-s
JrS 1:
? m Zf.da
SGk. = 2/, oD
" 77'?r.00
77.co?
4
.p?
Z,o3v, o4
93-5o4,
II(O, zo4
G.o-o0
49•aa
z?.ga
1?9:go?
a3o-oo
C?on??., 93. go
9l4A Il?•ZO
WDW'S 139?.go - ?'7?•$?
A??.?s -rr.oo llnog, zt4
Tp'aF =
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I,o7o ` ?
isL:!? y'ym?
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r_,,,??.
?. ?
?.
j.
> ?:...
? --VlALL SECTION--
,?. Determi,ning "U" values At Roof, Wall, Rim, and Conc. Block
ROOF/CEILINQ
1.) Interior Air P`ilm
2.) 5/801 ayp. Bd.
3.) Insulation
4.)
5.) Exterior Air Film
(STILL)
"U" 'TOTAL (R)
r
NlALL (R)
6.)
Interior Air Film Y
.ti?
?0A$`
7.) 111 ayp. sa. ;s•4?
8.) Insulation +R,ACr
9. ) 961L?TP47E Z•?
10.) MASOnite Sidirig ;•6?
11.) Exterior Air Film .17
ftUlt = 1/g= TOTAI.
.?-
RIM
12.) Znterlor Air 1+'ilm
13.) InculaEion
74.) 211 Fir Rim Joist
15.) Fo_?7 Pr'+j5"
16.) MeLsonite Siding
0.68
1QfDa
_ t_89
17.) Exterior Air Film •-;
nUu = 1/R- . Oq-'
r
TOTAL (R)a
FOUTiDATiorr 1t) vdt,vE
18.) Znterlor Air Film 0068 '
19. )
20 . )
21.) 12" Concrete Block 1.28 ?
22.) a?Iru
230 Exteriar Air Film
°p° _ t/R= • 07& TOTAL (R)a
µ }-:15
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, I?`
CITY OF EAGAN
_ 3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT
DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLZNGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH iJNIT.
WORK DESC PTION
NEW CONST
ADD ON _
REPAIR _
OWNER NAME : H ? fiC??' .?y+-'+J
SITE ADDRESS: G^sAO?
LOT:_J BIACK SOBD. _ A? e'o'
ZNSTALLER: ScJie/c/ P??.?cJ
ADDRESS: ¢Soo weiaa
CITY: M'bJ z4ftr 2IP: ?5-372
PHONE #
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00
a WATER CLOSET 3.00 ( - --
? BATH TUB 3.00 ? -
t LAVATORY 3.00
? KITCHEN SINK 3.00 z -
/ LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
!
WATER HEATER
3.00 ?
/ FLOOR DRAIN 3.00 ?-
GAS PIPING OUT.
1 (MINIMITM - 1) 3.00 .5 -
.S ROUGH OPENINGS 1.50 rZ?
OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL $ 3-ISO
ST. SURCHARGE .50
TOTAL: $ ?3 ? . ?
C??MMERGIALJII?k1?$TRIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY SUZLDSNGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRIGE:
OWNER NAME: _
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE a $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
• `' 3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE (612) 454 8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # /O e2 O
DATE: S
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR
OWNER NAME: aNST.
SITE ADDRESS: 593 Mb A.OL9 LA NE
LOT: ? BIACK I SUBD.
INSTALLER: /"1')E'T20 )qi• 62 =/)C •
PHONE #: Yv7^ FEES
ADDRESS: 169$0 C(IF-GC'p,r,E HJE, SF.
CITY: 8Lr;DR- kR04 m/?l' ZIP: .SL537'A_
ADD-ON MINIMUM $15.00
1filAC 0-100 M BTU 24,00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ 36.00
STATE SURCHARGE: .50
TOTAL:,
SIGNATURE OF PERMITTEE
RIAL;: PLEASE COMPLETE THIS PORTIDN FOR ALL COffiMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARF
NOT REQUIRED FOR EACH DWELLING UNIT.
-------- ----------------- -°-°________------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUSD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
FOR
CITY OF EAGAN
?
l BL CITY USE ONLY
? / ,,
REEEIPT #: / d(? o ( ?F'
J :
RECEIPTDATEi-
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN -
3830 PILOi'KNOB RD
EAGAN, MN 55122
(612) 881-4875 ,
Please compietefior. • single family dwellings
? townhomes and condos when permits are required for each unit -
? backflow. preventer for underground sprinkler system .
FIXTURES EACH .TOTAL
Shower 3:00 x
Water Closet 3.00 x'
Bath Tub 3.00 x . _ '
Lavatory 3.00 x =
Kitchen Sink 3.00 x° -
Laundry T[ay 3,00 z = 6
Hot Tub/Spa 3',00 x`
Water Heater 3:00 x
Floor Drain 3:00 x
Gas Piping Outlet * minimum.l 3:00 ' x
Rough Openings 1:50 x =
Water Softener ' kr dwellings under constmction 5.00 x. _
Water Softener ' for ezisting dwelling 20:00
? x
U.G. SpflflklEf ` 3:00
for.dwelling.untlarconst. '. ' .
U.G. Sprinkler "
Alt
ti
' forexistingdwelling 20.00
20
00
i
i ?
era
ons :
to ex
ng residence
st
Water Tum Around 20.00
4
75.00
Private Disposal System ' Dak Ctylic.
(newand refurbishedsystems)
Private Disposal Systems` ntianaonment 20.00 = -
STATE SURCHARGE .50'
ad '
TOTAL
I hereby adcnowledgethat Ihaveread thisapplicaLon,'sfete tfiaK.tfie iMortnation is
of Eagan oNinances It is ttre applicarrt's responsibility to?notify the property own
damages pused by the City-during its normal operetional:arM mairrtenanceadivit
City property/rig ht=ot-way/easemeM.. -
SITE ADDRESS;
UWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY: E (:?C? Gn
i
ply wrth all appliceble CRy,.':. •
asumes`no Iiability'for=any - ed':underthisl?qermit'wdhim;:
TELEPHONE
^
STATE: ZIP; SS/ 2 3
SIGNATURE OF PER I
EEL
L ? B
sus -
New Receip # 35
ReceiptDate /3
Order For Payment
Date R e uest for Inspection Number on this job r?? ,S?a
Date Fi ed 3v ?'?
Electrical Installer , C- TEC -T,!?C' - License No.C'4 OLIKI
Owner/Occupant )L[ County
7obAddress 6--7-Y lYlcoDce City CFA6?,
_Additional Rough-in inspection was required.
?A shortage of fees on the above job.
Reinspection Fee.
A Copy of this order must be retumed with payment to the;
Eagan Municipal Center
3830 Pilot Knob Road
Eagan, MN. 55122
Phone: 6814600
Fee
CompuTation Ax) 1 rZDn?A L- ? r-t /° r-tJl-I Ft LIA L-
o 44-pnC 416 4
Please retum thig with a check in the amount of S aO , payable to the City ofEgan.
The above order must be complied with by (date) ?
'
Electrical inspector, Mazk A. Mderson, PO Box 713,Shakopee, MN 55379 (612)445-2840
CI?Y 0F EAr:;AN
r:G.`:;!?:Lf:::€; e 9 TI:RMINAi.. hOe ::40
TIAT,E. 02%28/97 TIMirc.:: :L4:03"35
,.,.i ,.
'"? '.)ODi. .`?9:3 M:!S?D...G L.N =' ?...?.00
_ c.... c.
9001 cq3 MTI?I',':.::. ? r' I...P! ^%i„Q?
„i?:!.:'' ,.i.,
2155 9001 593 thI:1i:11.J!i: I_.N 1.00
'r'.i'a.i. ''''.er`P.Zpt (i!irt]i.:?lit; ?:I..O'J
00,0606
l.O'':P ;.1?c `1PNC:Y
w;t:v? d''cx>!;:M?YF?'yF?kyk#" S:Ni?k?kYfk??k7k:d'W.?k"?'M;'?;k?kXtm?k';1F%k?
t
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121839
Date Issued:04/16/2014
Permit Category:ePermit
Site Address: 593 Middle Lane
Lot:3 Block: 1 Addition: Manor Lake 3rd
PID:10-47277-01-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
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 by law in ALL single family homes .
William Krech
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 -
Carla R Motter
593 Middle Lane
Eagan MN 55123--216
(763) 744-6828
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150653
Date Issued:07/18/2018
Permit Category:ePermit
Site Address: 593 Middle Lane
Lot:3 Block: 1 Addition: Manor Lake 3rd
PID:10-47277-01-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 -
Carla R Motter
593 Middle Lane
Eagan MN 55123--216
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature