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605 Middle LaneSEWER & WATER PERMIT CtT1' OF?EAGAN 3830 Pilot Knob Rd. Eagan, MN 55]22-1897 SITE ADDRESS LOT 1_BLOCK 5EC/SUB APPLICANT: QIIrIS , ^;,t ADDRESS: CITY, STATE ZIP ?; • 1 `' ' --?- PHONE: PLUMBER: ADDRESS: CITY, STATE ZIP PHONE: OWNER: - ADDRE5S:_ CITY, STATE PH04VE: - OFFICE USE ONLY METER # PERMIT DATE CHIP # WATER PERMIT # 1..1 L t 7 METER SIZE B.P. RECEIPT # ISSUE DATE B.P. RECEIPT DATE 12111„1 1 - PRV - BOOSTER PUMP ZIP PERMIT REOUESTED ? SEWER WATER _ TAPS ? COMM/IND ? RESIDENTIAL T_ NEW - EXISTING hk SIGNATURE WHEN WfTH CITY OF r? PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERIMG DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PEFiMIT IS PROCESSED. •,? .ZZ w . • ,.7r.s•?.4?„r-? ? i? l?"'? ,° ."H'. ?`'' ? . ?Citp of Olagan . ` ?r uf Nu-OiitO jnwcrwu ,. Thrs CernJ'uwie rssued pursuarr! lo t1w requucments of Sedion 306 of tlre Unifarm Building Code cuufYyinB rhat at 1he iime o}issuance &is slructure wrrs in complicrnce with 1he various onWnanca of !he ai1y regulaling bur7ding comvrrcclinn or use For the faUMng. ir Ux Ch?iatiaa a' M/CW F Bld?. ftrmit.No. r"54 0--p-WY TYM R3/14' Zoaing DiWicY Ri - _T?com ` VN owwacawwn AL HEEMNAM OCNST. _Ad&= 535 3MNE RD, MEIDOTA IEM W5 MTT"F. T ANR i, l_ R3 _ TwlIN7'R T,AKF ?,M ? . ? ?. .?? _. S ? POST IN A COHSPICUOUS PLACE ? t OF EAGAN L1??SAS ?ON 68fi-9623 02/25/93 CITY }t? i A C? ?? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i, S 7 I PHON E: 681-4675 -- BUILDING PERMIT Receipt # To be used for Sp DWG/GAR Est. value =9g 9000 Date tiEC 11 Site Addp Lot Parcel No 605 M DDLE LIV Block 3 Sec/Sub. K?lft i.M 2lVD Nat71B AL EiERAtlAM CARST w qddress 53S 3'KkIE RD ? cfty [+IENDOTA HEIGHTS !tN Zp Name kiress Y^^ ZP I o I Licerse # I hereby acknowlege 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 PermRee A 8uiiding Permit is issued to: AL HERRMNN COPiST on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statules and City ol Eagan Ordinances. Building Official OFFICE USE ONLY R-3 M- 1 FEES Occupancy Z? t?-_1 aa9. Pe?t 63 ?.? (t+ctual) Const V=It Surcharge 49.50 (Allowable) V-N Plan Review 413.00. # of Slaries ' ?? Licem Length Deplh SAC, City t?•? S.F. Tolal - MCWCC SAC 650•00 S,F. Footprints - , 660.00 On Site Sewage _ Water Conn On Site well X water Meter 95.00 MWCC System Ci W X Acct. Deposit ??.? ty ater PRV Required X_ S/W Permit 3o• oo Booster Pump - S/W Surcharge .50 APPROYALS Planner _ CounCil -- BIdg.OM. - Variance - Treatment PI 276•00 3 70• 00 Road unit Park Ded. Copies 3, 3? . 00 TOTAL m 9 ?/3 93 tiFo V"O • Permit No. PermN Ho{der Date Telephone N sjw PLUMBWG P?. 7?r? .3 G?G-rG HvAC ELF-crRic aFCTFIic tapeeti- DeNe Insp. Comments Footings I Foundation Framing /-z2-,qd b-S t? ¢S As, Roofing Rough Plbg. v 3 ? `a? ? ? ?J( ^-?7 Rough Htg. 3 3 92 a U...,.f -- isui. l- 2? a f5S Flfepl8m Final Htg. Orsat Test ' ? - Final Plbg. rOI plyy- Inspecyw - Notify Plumber Cnnst. Meler Engr./Plan -- Bidg. Final Dedc Ftg. ? - - - Dedc Final Well Pr. Disp. SEWER 8 WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 OFFICE USE ONLY METER # (/4"4-1 ? 7 ? PERMIT DATE ?i' Z 2 :' 9 1 CHIP #? Ql b? OQ a 1 WATER PERMIT # 1?4,' 7 METER SIZE 519 S'eN Su S B.P. RECEIPT # ISSUE DATE ? i' B.P. RECEIPT DATE 191111 _L_ PRV _ 8005TER PUMP SITE ADQRESS - i I)llI.E Lfv LOT _BLOCK SEC/SUB L `!:i• ' - APPLICANT: - - - r - ADDRESS: . = ??--hy - ... _ .. .. . - CITY,STkTE ZIP PHONE: PLUMBER: ,,.,, r i .....,.. ? .... ADDRESS: CITY, STATE ZIP PHONE: 6 7 - ` OWNER PERMIT REQUESTED ? SEWER ? WATER - TAPS _ COMM/IND _4_ RESIDENTIAL T NEW EXISTING 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: l?"J ArV?,P Y ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPLICANT ANO PLUMBER WILL BE NOTIFlEQ WHEN PERMIT IS PROCESSED. CITY OF EAGAN No19954 3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 681-4675 Receipt ? 0, O U . 7? Tobeusedfor SF DW6/GAR Est..Value $99,000 Dafe DEC 11 , 79 QJ-_ Site Address 605 MIDDLE LN lot I 6tock 3 SeGSub. MANOR LAKE 2ND Parcel No. N2m0 AT. HF.RRMANN CONST Z Add?55 535 STONE RD 3: City MENDOTA HEIGHTS MN Trp cc Name SAMF ? Address ? CftY ZP Phone 8 Licerue # I hereby acknowlege that I have read ihis application and state that ihe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signamre of A euiiding aermii is issued to: AL HERRMANN CONST on the express condition Ihat all work shall be done in accordance with all applicable State of Minnesota pStatutas anYdh Ciry of Eagan Ordinances. BuildingOHicial OFFICE USE ONLY FEES occupancy R- 3 ? 635.00 Bldg, PertnR Zoning (ACWaI) Const Y--$ Surcharge 49.50 (Allowable) V=N plan Review 413.00 . # ofStories Le„qtn 56' ucense . oavth 46 ? snG cicy 100.00 S.F.TOtal - SAC,MCWCC 650.00 S.F. Footprinis - 660 00 On'Site sewage _ Warer Conn . On Sile Well - Water Meter 95.00 MWCCSystem X City Water x Acc?. Deposit 3n_n0 PRV Raquired siw aa,mn an _ nn Bo03ter Pump - SNJ Surcharge • 5o Treatment PI 276.00 APPROVALS RoadUnit 370.00 Planner - park Ded. Council - BIdg.Off. _ " Copies Variance - r07nL 3,309.00 /050&!v£/O p 7858'i Reques! Date ire No. 2! O 1-0 Rough-in Inspec[ion equiretl? ' ves G No ? Ready Now 01 Natity Ins o? h n R Y licensed coniractor ] owner hereby request inspection of above ele ical wor Q(7 Job Atlaress (Sireel. 8ax o?ROy{e NoJ S ? Ci(y Section No. Township Name or No. Fange No. Oc P m IPRINTi Phone N? o uDPlier ? Aatl ess y? 1 1 ConhacloriCOmpany Namej d- ?- e ? ; Co hactor5 License No. - r Maieng Adtlress cOnvacar or Ownw Ma4iny Installation .3,3 . ??s AmM1Oirz w iCOnr rA ner Mdaing Iwt , ,? . Pho?yp?.ber ? MINNESOTA STATE BOA F ELECTPICITY ' THIS INSPECTION qWUEST WILL NOT ' Griggs-MiCway BIEg. oom S-1]] 8E ACCEPTED 8V THE STATE BOARD tePt Ilniversity Ave., 51. Paul. MN 55106 . UNLESS PROPEfl INSPECTION FEE IS Phone (612) 641-0800 ENCLOSED. 41,091 REQUEST FOR ELECTRICAL INSPECTION ? See Insvcctions lor compleCing ihls form on back oi yellow copy. ?.'?17 R.'?1 P "X" Below Work Covered by This Request r .? E6-00001-OB ,? 16 fG6 a 11 ewAddRep? TypeofBuiltling AppliancesWired EquipmeniWired Home Ranqe Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./Indusirial Fumace Farm Air Conditioner Olharlspecity) Canirocmr's Ramarks'. Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps I SQQ 0 t0 100 Amps Transtormers Above 200 _ Amps Above 700 _ Amps Signs Inspector's use Onry: TOT AL 90 Irrigation Booms ? ;. 7 s i Special Inspection rL c?J Alarm/Communication ; THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT Other Fee ? COMPLETED WITHIN IWONT"gy 1. the Electrical Inspector, hereby - Rou9nin • Date ??G certify that the above inspection has been made. F;,,ai oa+e ? OFFICE lISE ONLV This reques[ voitl 18 montns Gom. 9 ?3 9 ? . iasv c,..?-,- "i it?o o" Reqoest Oa ? Fire . RougnFin InspeMion RequireG? 1'es G No ? RBedy Now ?Will Notlly In3ped0r VJhen Reatly? IEl licensed contractor owner hereby request inspection of above electrical work at: JoD A ress i${reeL Box or Rout .) Ci ?. Sectio NO. Township Name or No. Renge No. Coul I ( Occu ant IPRINT) II.? / ?Y?? Phona No.' lg Power p likddreas Elacvical Con}v Iw (COmpany Nam 7 ?I Comractor5 License No. Mailinq Atltlress (COnMaclor ar Ownar Making Insfalletion) aulhoriz a ignaWre Gonlracto n r [eking ?Inslallabonl ? Phone Nu MINNESOTA STATE BOAPD OF ELE PIGITV THIS INSPECTION PEOUEST WILL N01 Grlgqa-MlGwey Bltlg. - Poom S-178 BE ACCEPTED BV THE STATE BOARD 1021 Unlvernity Ava.. St Poul. MN 55100 ;5h UNLESS PPOPER MSPECTION FEE IS Phana(613)6444)800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION i-'oe// ? S9e in4huctions lor crompleling Ihis form on Oeck ai yallow ?ropy. 9Fy- ? ? ? 1 / 3 983 9 ??X° Be/ow Work Covered by This Request ?,r+ ew Atld ap 7 TypeofBuiltling AppliancesWired EquipmentWired Home Aange Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer OMau(Specity) Comm./Industrial Fumace Faim Air Conditioner Other sueciry) Conttacmr's Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEniranceSize F # Geetlers Fee Swimming Pool 0 to 200 Amps to 100 Ampa Trenslormers Above 200 _ Amps Above 100 _ Amps SignS Inwector§ llse Onry: TpTAL Irrigation Booms ? O o?o Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITMIN 18 THS. / I, the Elactrical Inspectoc hereby if Rouyn-m , ate , ^? cert y that the a6ove inspection has been made. F;nei oe? OFFICE USE ONLY Tnis request witl 18 montna 1rom RESIDEIiT1AlL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conatruction Reauiramenta • 3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roafed areas t20% maximum lot coverage edlowed) • 2 copies of plan showing 6eam 8 window sizes; poured found design, etc.) • 1 set of Emqy CalcWatbns • 3 copies of Tree Preservatian Poan H lof platted afler 711193 • Rim Jdst DetaJ Optiona selecBon sheet (61dga wilh 3 ar less uniLa) DATE IGJ'OC? -OO? C? w RemodellRSnair Reauirements • 2 cropies of plan • 1 S81 ot Energy Calcufations for heakd addillons • 1 sAe survey for exteror additions & decks . Irxlicate it honee served by sepGC systan fw additbns VALUATION )TFIJI.JIJm SITE ADDRESS CQOS mic?G? I"Q. L&,v?SL MULTI-FAMILY BLDG _ Y X N TYPE OF WORKT4S APPUCANT STREET ADDRESS _ TELEPHONE # RMA HOME SERVICES INC. Home Depot Installed Sales 3200 Cobh Galleria Pkwy., Ste. #200 Atlanta, GA 30339 763-542-8826 nr_70?6R257 FIREPLACE(S) _ 0 _ 1 _ 2 I STATE_ZIP I FAX # PROPERTYOWNER S0.'R&CA TELEPHONE#(QSI 'M •1055 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA HULES 7670 CA1'EGORY 1 MINNESOTA RULES 7672 (J submission rype) • Residentiaf VenUtatlon Category 1 W orksheet Submitted • New Eneryy Code W orksheet Submitted • Energy Envelope CalculaGOns Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Conhactor. _ Water Softener _ Water Heater _ No. of Baths Air Conditioning Hcat Recovery System Phone #- =-?--E Fee: $70.00 Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or i ances. Signature of Apptlcant i Aa/n E?. ?a'?e1 OFFICE USE ONLY Phone # CIV7 F-1? Iawn Sprinkler ? Fee: No. o E'R.I. Baths; ? ?CT 2 2 z?OZ I'? ? Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updatad 4/02 ` OF"MCE USE ONLY I O 01 Foundatlon ? 07 05-plex ? 13 18-plex ? 20 Pool II O 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi Q 03 01 of _ plex ? 09 07-plex ? 17 Garage ? ZZ Porch/Addn. (4-sel8.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened)I ? 36 Multi ? 05 03-plex 0 11 70-plex ? 19 Lower Level ? 24 Storm Damage ? OB 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) I? 44 Siding ? 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration O 37 Demoiish (Bidg)* ? 43 Reroof ii ? 46 Windows/Doors ? 34 Replacement `pemol(Hon (Entire Bldg only) - Give PCA handout to;applicant Valuation Occupancy ? MC/ES'System Census Code Zoning City Water SAC Units Stories 8oosfei Pump Nbr. of UnitS Sq. Ft, PRV , Nbr. of Bldgs Length Fire Spirinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. I _ Footings(deck) FinaUNo C.O. ' _ Footings(addition) _ Plumbing _ Foundarion HVAC I _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ A"u/Gas Tesu _ Final _ FraminB Siding Stucco Stone _ Fireplace R.I. Air Test Final Windows (newheplacement) _ Insularion _ Retaining Wall ------------------------- Approved By I , Building Inspector -- Base Fee ------ -------- ------________- _____ ____ --------------------------- ? Surcharge ? Plan Review I MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant I Plumbing Permit I Mechanical Permit ' License Search I , Copies Other Total p , Installed Siding andhWMspOWER OR ATTORNEY OF COBB 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 Valiey, MN 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("AgenY') as my true and lawful 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, Mintlesota for the installation, maintenance and repair of windows and siding (the "Work"). 'I'iie powers conveyed to the Agent by this Limited Power of Attomey are liinited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attomey shall expire and automatically be revoked on the 30th day of May, 2003, wkich date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attomey 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 WITNESS WHEREOF this Limited Power of Attomey is executed this 30?day of Mh`f , 2002. David . z SWORN TO AND SUBSCRTBED BEFORE ME by David N. Katz on this 30`h 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 Depot authorized coniractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984•0709 • Toll free (800) 79•DEPI C r, ; CITY OF EAGAN 3830 PIIAT &NOB ROAD EAGAN, MN 55122 PHONE: (612) 454 8100 1dL,G'"pwm"m FOR CITY USE ONLY PERMIT # RECEIPT # D ??`O DATE: / Cr 9?- PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST t? ADD ON REPAIR OWNER NAME : (.C--( SITE ADDRESS: 6 D,S nd LoT:? BLOCK 3 sUBD(?,,? a- INSTALLER: ADDRESS: I? `I YO ?e?tor..•.a? U'c..r _ _6. CITY: ZIP: ?.9?_32-1-- PHONE #: FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ 27•00 STATE SiR2CHARGE: .50 TOTAL: $?2 7-SO SIGNATURE OF PERMITTEE C4ItP4E.R?IALf11`JDT?STRTAI.: PLEASE COMPLETE THZS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SiIBD. 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: $ (SIGNATURE) CITY OF EAGAN CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 gm&SNG` Pk"ZT FOR CITY USE ONLY PERMIT # RECEIPT DATE: / PLEASE COMPLETE UPPER PORTION ONLY FOR SZNGLE FAMILYDWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ --------- WORK DESCRIPTION NEW CONST ADD ON _ REPAIR OWNER NAME; ftI lilrlna'-.3-1 cc5o?S'f SITE ADDRESS: L17oJ n?tc??`2 LOT :? BLOCK J SiIBL. INSTALLER: ?Y?,?? P I? i? ADDRESS: %C70 4'?i'r"? Cr? CITY: D"(lW ZIP: ---- ---°---------------- CDMPLETE THE FOLLOWING: ------ N0. FIXTURES EA. TOTAL ADD-d'N MINIMUM 15.00 1 SHOWER 3.00 3• od 2 WATER CLOSET 3.00 Cn-00 ? BATH TUB 3.00 3•°6 Z LAVATORY 3.00 1 KITCHEN SINK 3.00 3•e? ? LAUNDRY TRAY 3.00 '6•00 NOT TIJB/SPA 3.00 I WATER HEATER 3.00 3•e? f FLOOR DRAIN 3.00 3'0? GAS PIPING OUT. / (MINIMUM - 1) 3.00 3.00 ROUGH OPENINGS 1.50 4-15-6 _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL S J?, !5->o ST. SURCHARGE .50 TOTAL: S Sbf Da ?iTMMERGiAL?INUbST&IALi:! PLEASE COMPLETE THZS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: Q?,T^?ER unMO: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FEES 18 OF CONTRACT FEE. STATE SURCHARGE g $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. (:ONTRACT PRICE x ie STATE SURCHARGE TOTAL: ( S IGNATrJRE ) FOR: _ CITY OF EAGAN #?( O2$ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 35722 651•651-4875 New Cauhucflon aeaulremenh .,. (? 't ? ?G1Pt b ?- ? `.T'?? Rertwdel/Reoalr Reauiremenri > 3 reglatered alfe wneYS showlny sq. H. of lot, s4 rt. of houae and gp rooled areas G^A7. mtncimum loT covemoe dlowedl > 2 coples of plaru (ahaw beam d wlntlow alzea; poured Ind. deslgn; etc.) a 1 set of enerqy aileulaNOns * J coples d hae preaervatbn plan H Id plalFed Cfi6r 711/99 oATE: $Iq9.15 2 cOpl95 of pldn 1 se1 of energy cdeulaHOns ta heated additlona 1 aite wrvey far exfaAor addiHau 8 deCks corisTRucnoN cosr: DESCRIPTION OF WORK: SiREET ADDRESS: (pd S /l?f. Jo??e ??T?r LOT: / ` I BLOCK: ? SUBD./P.I.D. ri: )YIQnOY L0 KG 2%J ,p / ? Name: O!`( _/1 Phone #: PROPERTY Laaf Flrs1 OWNER SheetAddress: Lo 5 ? (a) ? - ciri _ stare: vP: . ComPcnY Phone q: Co/? ?????dy ' 71 ? (area code) CONiRACTOR sheer aadress: uc.r,se r2?YffS66Ecp. ciry state: zff? ziP: ARCHITECT/ ENGINEER Company: Name: Telephone i: ( Sfreet Address: Re9istratio^ C Ciry Stafe: Zip: Sewer/water licensed plumber (If installina sewerfwater): Phone #: (? 1 hereby acknowledye Mat I have read Ihis application, date fhaF itre Infortnation is a compry wHh an app8cable State of Minnesota Statufea and City of Eagan Ordinances. ? Signature o( Applicant ? OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Rece(ved Yes No _ Yes _ No - Not Required Pz .itJp! aFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 FaundaUon ? 07 05-plex ? 13 16-plex ? 21 ? 02 SF Dwelling ? 08 OEplex ? 17 Garage ? 22 ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 ? 04 02-piex ? 10 08-plex ? 19 Lower Level ? 24 ? 05 03-piex ? 11 10-piex Pib9 Y or _ N ? 25 ? 06 04-piex ? 12 12-plex ? 20 Pool ? 30 WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair Porch (3-sea.), ? Porch/Addn.(4-sea.) ? Porch (sCreened) ? Storm Damage Miscellaneous I Ac.cessory BkJg. h ? 36 Move Bldg. ? 43 Reroof I ? 37 Demolish (Bldg)' O 44 Siding ? 38 Demolish (Inte(or) ? 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) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main Ievel sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water I Booster Pump PRV Fire Sprinklered ? APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge ? Plan Review ? License ? MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. I? Other ' Copies ? Total: 31 Ext Att - Muki 33 Ext. Alt - SF 36 Multi SAC Units % SAC ? 1991 BIIZLDING PF.?T qpLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS M[TLTIPLE DWELLINGS COMMLRCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCUtATIONS (CHECK WITH BLDG. DEYT.) 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 WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: ?Valuation: ? Site Address Lot ? Block 3 Parcel/Sub mdMN Owner Address City/Zip Contractor At L?p?v f ,MA1&,v1-0 B,Cq Address City/Zip Code a ? z0 Phone CO City/Zip Code 9ql OFFICE US Occupancy -3M-1 Zoning 9-1 i Actual Const V-N Allowable V -M # of stories - Length Depth 5?fe S.F. Total Footprint S.F. On site sewage_ On site well rtwcc syscem ? City water PRV ? Booster Pump _ APPROVALS Planner _ Council Bldg. Off. ?Z'S?1/DS Variance ;1z 2 g I°91 ; Permit Plan Review 41 S,va SAC, City /00,00 SAC, MWCC (aS°0,0 Water Conn. /a0,00 Water Meter 5,00 Acct. Deposit 3a,oe S/w Permit D,Do S/W Surcharge 5D Treatment P1. 0n Road Unit 310,00 Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL 7, ,M agrees that all work shall be done in accordance with Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. , ?ALU/??(?1??,•?',r -----?-? „ ?, ? Ct/?RAGC- Z2.k?r yya ?_ G6oa 3?x2'L= ?60 -29 ?a ?? ?. sz$ /0 1C /q -- lao N?ux.s= e ],/21C 30 '1'?y f 3y i X I'+ =1B , ? S -r rLO pr?, ??GwT- 13y ! zxli= Zz Iu?: S ?3?I xs3= "1 ZG63 9 °?, boo? • w A ... ? ? ? * ??QAiEER _ ?0.NO9VpVLVpHS??IV?I[ryy?NLL11L ,? eng?neer LANOpLNINERB - LANOlGwrG qRCNREC ng ,.. ** yf1? 2422 Entarprise Driva Mendoia Haiphtf, MN 6$120 (612) 681-1914 Certificate of Survey for; Al Herrmann CQflStI'UCtlOn IYlC. Model Name: Bur und 1 1 qc,i V I ? 1 l ' l ? 1 ? ? i 30 ? ,a 5 89°z4'a?" w 101.61 ? 1 1 ? 3 8.99' ? .. ?N ?------- ?\?-------- ---- ?i ? Z O C) r 93"1? ti ? ? ? `$\i1 II , D - ^ r 'f ol" Ot '?- 3d I N ? ? \ O Lw \7y. I I?r+ ? V tO 01 a \ ? m P? r I ? I 9'r`•? w ?,o? o? ? 1! ?1 1? ? i? of \\ dCA p gl --ILL-- p i ? ? h L-43.73' z0°14'28° r? 244.64' i _ - - - ------ -' MIDpLE p ? ? I 9?,J ? 5& Y >_4'47 E r - -- - -- _. _ ._,.,- i??+ , ? i y41.7----- 3 O r'7 Q ? Z 93p,l6 ? -9367?--.._ , yr?s? ?l . PROPOSED HOUSE ELEVATION . soo_a penotes . on p t Existing Elevatton d P Fourth Level Flaor Elevation:931.6D . eno es ropose Elevation Thlyd Level F"loor Elevation:93fi 5Q _^ Denotes brainage & Uti!ity Easement . Oenotes Drainage Flow pirection Top of Blpck Elevation:939.70 . -o- Denates Monument Garage Slab Elevation:939.37 -f.,q- Denotes Offset Nub gearings shown are assumed OT 1, BLOCK 3 MAN ?RKO7A COUNTY, MINNESOTA -(??=?, there6y certity that tnis survey, ptan ur repore was pre'ppprud py niz under my dir?t s& unAer kne laws ol Me State of Minn¢sota. Dated chis....?i?..Ctfay al 1)e?(qcv? A.D. 79 Scale: 1 Lmh=30fw-, _; . [1 91528.00 ? ? CITY OF BUILDIN(3 DEPART14EIdT EXTlRIOR ENVII,OPE AVPs12AGE ItUt' C0I4PUTATION r??• . . (To be submittod ivith huilding pcrmit upplicntion) •. ' O?io or Two Family Dwelling ?? Owner f All other Sfte Address ?-oT ?,? ,E- 3 "A Contractor o? L,4tE .ZI Date Phone LINEAL FEET OF ' • • EXPOSED V1AIS, ?r1e ft, abovo grade = ZOOz?:?>g . TOTAL EXPOSED 1VALL AREA SQ. FT. ? OPAQUE WAI,L CONSTRUCTION: l[U'l Va1ue x Area e Detail"Ul' 0 -3 x SQ. FT, ? reference ' "U?? ? ??it D (U) (A) from -?IVV? npu ° 0 x SQ. FT. ? Pai ?U)(A) attached nU,i 'n? x SQ.•FT, 2?ol --=?(U)(A) sheete nUn x S@. FT. • _ (U)(R) nUII x SQ. I'T. _ ?U) ?A) ' x Sq, FT.' _ (U) (A) WINDOWS: "Ull Value x Area Make & TyPe IAl-SvL, ({1?? :"U .?(9 •?? ?? X SQ. FT. +?J0 7. ZijI nUnn x SQ. FT.----_ Uu x SQ. FT.'_ (U)(A) ??U?? (U) (A) .., x SQ. I'T. _--??(p)(A) DOORSt "U" Value x Area ` Malse & TYPe u n ? nUn- J ? .. n ?r uU?? aC 3R. FT. l? = i CP (U)(A) : u` n uUu X SQ. FT. _ (U):(A) :E _ U x SQ. FT. (U)(A) ToTai.s 2,00Zr3v°sQ. F'T. (U)(a) TO.TAI, (U) (A) VALUES AVERACIE npn ? ?U) ?A) DIVIDED BY TOTAI? WpI,L pREA ?zY7 zi 7; AVERAC3E- IlU ?115 dr less for r r 1&2 family dwellinga , ROOF/CEILIN(} s ? TOTAL 'AREA:. D.-L Detail reference from "'-^----IIU?iUI?I? r?Z x SQ. FT. d'Z. = ZZtO2 I attached sheets, "?-- ?U??A) Describe o -'-----_..IlU.' X SQ. FT. _ (U) (A) in roof, peninga SQ. FT.- _ (U)'(A) • ,_,.?_nUu x SQ. FT. X (U) (A) TOTAL (U) (A) VALUES DIVIDED gy SQ. ?? ?U??A) ? rr?L5 -= 54?r .Z4(U?A> TOTAL ROOF/GEILINa /?EA I AVERA4E t1??p"2?T? ar ventilnted roofa. / OZ ? . ? ? R ? i .; X l ?i-+?# zc?f?) = Ceoo?o? ZL4 + ?t?s+s-?,?) = 14cz? 30 7X 1M J' 10 AI Gv?? N? = Z8?oX1 = Z"o,o c?N ?c v= l?l15 X? ? I??? ?wZ?3 = ??xl= ???? GWZN2- Cw44, - ZZi 5XZ= I sg, s W I i.U J ?i = . `- `???t? W? 5Xf osEP ZovZr ?v CL?S coN?? ?8. `I?j ?IZZ?o ? n u? ?" ?? _ q ZB?oo I J-7 _1, 7,-5 * it 8co- (et5 ... :; aECPION-- ? Determinina ?? lf •;?"' „ U values at Roof,_ ....Wall, Rim, and Conc, Bloclc _----. _..... .,.. % i I ¢ j ROOF/CEILING R VALUE?- ? 1. ) Interior Air E'ilm 0.61 2.) 5/811 ayn. Bd. .56 3.) Insulation 45M7 . 4.) . 5.) Dxterior Air Film .61 _ (STILL) -?-'' nUn = 1/R= ? OZ '1'OTAL (R)=40115 , V1AI,L (R VALUE 6.) Interior Air Film 0,68 7.) P GYP. Bd. .45 ? 8.) InsulAtion " lqfpo 9.) t?1ltY?t'? ? 210 10.) Idasonite Siding 67 11.) Exterior Air Film ,17 ? npu _ 1/R= 1043 TOTAL (R)= Z 77j&I RIt•! -? -„ R VA ? LUE 12.) Interior Air FiLn 0.68 13.) Insulation 14.) 2" Fir Rim Joiat 1,$$ 15.) ?30If--r P-iT15 2I0'F 16.) Mayonite Siding . C7 17.) Exterior Air Film .17 -h°-. nUn = 1/R= ;C40 TOTAL (R)= FOUp1DATION 18.) Interior Air Film 19.) zo. ) 21•) 12" Concrete Blocit 22.) 23.) Exterior Air Film 'lUu = 1/R= ;070 r R VALUE 0.68 rl,oo 1.28 .17 TOTAL (R)= I3,I3 ; n ` ' REACTIVATE CITY OF EAGAN ?j L r) n, PERMIT # 1993 BUILDING PERMIT APPLICATION 681-4675 FE9 2 2 Reco 1-13 x& r,nuw"j SINGLE $ MULTI-FMIILY 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: 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 Site Address: STREET SU[TE / Tenant Name: (commercial only) LOT ? BIACK .7 SUBD. P.Z.D. M Descri tion of work: Sfr??rR-?GUo??C ?Y 1p1W'v1GVd The applicant is: Owner ? Contractor ? Other com«;be> Name L11S00 a5 Phone 74 '73 Property LAST FIRSi Owner Address ??os `7r1i'da1e, 4"b STREET STE 0 Zip ?sla..3 City Ea. ? State ?V!lV Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City 5tate Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this apptication and state that the information is :orrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 3ignature of Applicant: Tlu»".arn 7uqh OFFICE USE ONLY ? wO?i Af ?j BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition 0 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? OS 8-Plex O 09 12-Plex ? 10 Multi. Add'1 WORK TYPE 1 New 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION w? 2" O's % , ?. 0 11 Apt./Lodgi? ?F16Ba ment Finish 0 12 Multi. Misc. ! ? 17 Swim Pool ? 13 Garage/Accessory ? 18 Comm./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. 0 15 Deck , ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolish ? 36 Move Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage 5 sd 6lol? . APPROVALS CA4"µs wni t. Planning Building ?: . Assessments Engineering Variance I REGIUIRED INSPECTIONS ? Site ? Footing JZ Framing ? Wallboard Eg?Final ? Draintile 43 i 0 ? Insulation ? Fireplace Permit Fee 35, ov v,L,oc;o,,: 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. Copi es 050 Other Total: SAC % SAC Units REACTIVATE ? r PERMIT # ? CITY OF EAGAN ??11. n ? 1993 BUtLDING PERMIT APPLICATION 681-4675 ff a 2 2 RRO r,s 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: 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 7 Valuation of work -ydk BS m ? l Site Address: ' STREET SIIITE M Tenant Name: (commercial only) LOT ? BIACK ? SUBD. yy ,G`? ?l ( lr?r P.I.D. N Descri tion of work: The appl i cant i s: Owner ? Contractor ? Other (Describe) Name NPh8+1 7_kpmlS Phone (?36-??23 Property LxsT FIRST Owner pddress ?05 ?1?d4- z-el"?'r STREEi SiE N City F-Are?.tn State AIN Zip 55-123 Company Phone Contractor Address License # Exp. City 5tate ZiP Company Phone Archftect/ 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 a lication and state that the informatian is correct and agree to comply with all applicagge State of Minnesota Statutes and City of Eagan Ordinances. lu m Signature of Applicant: ? ? OFFICE USE ONLY 'k BUILDlNG PERMiT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex O 08 8-Plex O 09 12-Plex ? 10 Multi. Add'1. w" .? . . .,? . ; ? ? 11 Apt./Lodging ? lfi"`$asement Finish ? 12 Multi. Misc. ? 17 Swim Pool ? 13 Garage/Accessory ? 18 Comm./Ind. ?? 14 Fireplace h ? 19 Comm./Ind. Misc. ,19r 15 Deck i ? 20 Pub7ic Facitity I ? 21 Miscellaneous WORK TYPE 1 New 32 Addition ? 33 Alterations E3 34 Repair ? 35 Tenant FiMsh I ? 37 Demolish 0 36 Move i GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) lst F1. sq. ft. U8C Occupancy 2nd F1. sq, ft. Zoning Sq. ft. total # of Stories Footprint Sq. ft. Length Z-Z On-site well Depth On-site sewage APPROVALS Plannin Buildingb52-?3-93 Engineering Variance REQUIRED INSPECTIONS ? Site ? Eooting ? Framing ? Wallboard ? Final ? Draintiie Permit Fee ,zS, oo wimcia,: Surcharge Tp Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Capies .5? Other Total: MWCC System City Mater PRY Required Booster Pump Fire Sprinkler Census Code SAC Code 4'.1MS ?j wNa i As iessments I r °r- i ? Insulation i ? Fireplace SAC % SAC Units J??r , ?* * * PIONEER ? 2422 Enre'prise Orive LANOSUHVEYORS•crytLENGINEERS Mendo[a Heights, MN 55120 engh ryPP.rinf"?,IhNOPLANNERS•LANpS?q?EtlRCHITECTS * ? ** ? (612) 681-1914 Certificate of Survey for: AI Hel"?"?T1(]nn Construction, -- Inc Model Nome: Burqundv I ? i - 1 4 1 Y Y l 1 11 c 1 30 k 1 S 89°24'47" W k ' 101 61' ? l 19y3.1 . i ? ? ti (P 1 U3 38.99' \ r-------?--------------? O O_ ? 1 °13??G1 \ I ' m ` 1\ o ? ? t ?31 ? .' ? ? D 'b??ao 7°? ?h I p ? v ? I II II I . 0 S i???' z `a o? I ? ? N? o lp o ???? s f. 39 ? W \ ?? P? J (O cm \ ? I ? ti \ f ? ? I \ ! i? r D ? Yi6.7 • ,I ? wav f ? ? ? ? ur ';0 cn11 ?: \\ nc? \ ? v ? 2 0 ?? ? , ol ? \ I ? / 1\ o j i i ap -----i--- ? ---?-? g41,2------ DeeR F-?reo. >low\-, up cy;,. Afexf ?aqe. J 3 ? O LO O ? e o O ? ? z ? .2 93 y.1? 18.97' ?.7 - - -- L-43. 73' 5.00' ) ?? t16 = 10W4'28" N 8°24'47 E N R. = 244.64' --- "' ? ------ ' --- -- -- ' MlDpLE ---- _-- , ?' LANE ? , , - ----- , ? --------- ------ ? ---- , , OD/?nnnr.. ?.....__ _ PLEASE COMPLETE FOR SINGLE FAMILY DWELLIt3GS. AI.SO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES SHOWER WATER CLOSET BATH TUB LAVATORY KITCHEN SINK - LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • minimum • ROUGH OPENINGS WATER SOFTENER PRIVAT'E DISP. • nekcn. uc. U.G. SPRINKLER • 6ome under consi. ALTERATIONS • to cosiing WATER TURN AROUND SITE ADl OWNER WST c Tai. 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 15.00 3.00 15.00 15.00 CTTY: ?- t,r? - STATE: ZIP CODE: a- PHONE L ? SIGNATURE OF P RMTTTEE 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 STATE SURCHARGE .50 56) TOTAL: PLEASE COMPLETE FOR ALL COMMERCLAUINDUSTRIAL BUILDINGS. AISO FOR MULTI- FAMILY BUP _DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING U: < <T. _ NEW CONSTRUCfION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE STATE SURCNARGE: $.50 FOR EACH $1,000 OF PER]IiT{' FEE MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% STATESURCHARGE TOTAL SITE ADDRESS: $ $ $ TENANT NA111E: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN STATE: ZIP CODE: APPLICANT 1493 PLUMBING PERMIT (COMMERCIAL) CI1Y OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 (X~ Use BLUE or BLACK Ink ~r ( I - For Office Use I 11 l I Permit l I 3830 Pilot Knob Road pPermit Fee:`~~/ j Eagan MN 55122 RECEIVED I Date Received: Phone: (651) 675-5675 1 Fax: (651) 675-5694 DEC 0 6 2011 Staff:: 2011 MECHANIC A P IT APPLICATI0 i Date: 1 I lSl Site Address: ® I Tenant: Suite RESIDENT/ OWNER Name: Phone: - GG, 11 Address / City / Zip: ~v CONTRACTOR Name: one ft( licQflM t\lr License Address: I t04 yC1 i i t al i l)1 1 SieI +City: vAQS-HncAS State: ~Zip: B055 3 Phone: ~(JtJ t ~ - -7 f ,~r~ ` Contact: ~o I f II a Liman Email: ~ 4 p• wcmu la1 ~wr 1r' a~m TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: 1 NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE P~`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) Other When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ ✓ ✓ " TOTAL FEE CO':'!I"IERC/AL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with mfl\j dla in t e case of work which requires a review and approval of plans. x x Applica is Printe Name Appli an Si nat re 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:EA116944 Date Issued:10/14/2013 Permit Category:ePermit Site Address: 605 Middle Lane Lot:1 Block: 3 Addition: Manor Lake 2nd PID:10-47276-03-010 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 . Jarrod Stenzel 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 - Michael S Allen 605 Middle Lane Eagan MN 55123 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature Apr 291512:51 p AA Garage Door 651-702-0838 p.1 Use SLUE or BLACK Ink �-----------------, � For OFfice Use � �l� 0� � �Il � � ������ ; �� � � � Permit�: I j Permit Fee: �o S. �'� � 3830 Pilot Knob Road � t Eagan MN 55122 � Oate Received: � Phone:(651y 675-5675 ' � Fax: �851)675-5694 � Sta1F. � �-----------------� 2015 RESIDENTIAL BUIL ING PERM11�APPLICATION Date: � ��� �°� SiteAddress• �}�`y� �(� 1'�— l..�I !� Unit#• e � Name: � ^�: �� I 1�C.� / � �i���.�'X/��r���� � ; Residenb ,;... _ Phone: _ � Owner Address/City I Zip: ..? _� ��f C r` �'� C.v�.���� :�4}�l �� .��%,? t � �� �Applicant is: Owmer Contractor EY �.i � 7�� ,r ,'-; ; - � TYPe of Wo�k � Description of work: � �:S�1'��� I1�Vj I (��1,� �• ���L�,� •r,'�t' � F • ; � Construction Cost:��Ci,'��.�'• �� Multi-F�amily Building:(Yes J No� � � �� ! Comparry: "! ' ,�1,,�r�.�:G� ,, �� _,"•. �(_ � � Cflntact:_, � 1 �'J���'�., � ,� ' Contractor i Add�ess: � �`�f`I''i j�,`(�� ci�ry: �� � GL./� �d1�� � � � a —�`'�, �_�,�?�I.�l ���, State:�Zip: �t—i..�(.�� Phone. (!i� t,/ � EmaiL• i �tc.�JE: ��� CfCc�����r,��: �y�`'C� 1�� � � � _ / '+ � � License#: Lead Certificate#:,1�� / y �i��� � i If the project is exempi fram lead certification,please explain why; (see Page 3 for additional information) I � � _ COMPLETE THIS AREA ONLY IF CONSTRUCTING�1 MEW BUILD NGI f � In the last 12 monlhs,has the City of Eagan issued a pertnit for a similar pEan based on a master plan? � k _Yes _No �F yes,date and add�ess oi master plan; � k FLfcensed Plumber: F�hone• � aMechanical Contractor: , � - P hone: � � ; Sewer 8 Water Contractor: P�hone: t y NOTE:Plans and supporting documents that you submit are considered!cr be pu6/ic information. Portions of the information ma be classified as non- ublic if ou mvide � � y P y p specifrc reasons that woWd permit the City to � �, conclude that they are trade secrets. CALL BEFORE YOU DIG. CaN Gopher State One Call at�651)454-0002 for protection agains;t u�derground uti6ly darnage. Call 48 hours before you inlend to dig to receive locates of underground utilities. ivww.aophersta;eonecal:ora 1 hereby acknowledge fhat this information is complete and accurate;thai the work will 6e in confortrr�nce with the ordinances anti codes ot the City of Eagan; that 1 unde�stand Ihis is not a permit, but oMy an applicaGon for a p�mit, and work is not�fo slart without a permit;that the work will be in accordance with the approved plan in the case oiworlcwhid�requires a review and approval of ptans. Exterior work authorized by a buiEding permit issued in accordance with Ihe Minnesoia Stafe Building Code must be cornp�aled within 780 days of perm�t issuanoe. x IJ`�� :r"f��`G,�'� 1V•v...� x � �' .'li�.�'�l� �.i'�i�,`��r�l�,i'`f�r`✓_ [ t� Appl�cant's Pr��l�d Name Applicant's Sigriature ' Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA146488 Date Issued:10/27/2017 Permit Category:ePermit Site Address: 605 Middle Lane Lot:1 Block: 3 Addition: Manor Lake 2nd PID:10-47276-03-010 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 - Michael S Allen 605 Middle Lane Eagan MN 55123 Claim Pro Roofing 14613 Glendale Ave SE Proir Lake MN 55372 (952) 226-2280 Applicant/Permitee: Signature Issued By: Signature