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1244 Mourning Dove CtINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: •' `? ''' Eagan, Minnesota 55122-1897 Date Issued: ` (612) 681-4675 SITE ADDRESS: APPLICANT: i,?, ilit?f?iM1NKi ilflVE: 11"T +i it. i 114 . i, ?.1, i'f',r+ 1' S1 ihANI.I^: 4!(1t?f) (W:1<') 4.13-1:AG , PERMIT SUBTYPE: TYPE OF WORK: t,y .? ;•: 1 ?? a i:?i?, ? ?:,???i ? ?a+, ? Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ?,? ` • ROUGH PLUMBfNG PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BQARD FIREPI.ACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAL &h, BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: "' 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: , rl 1i111 ra 1 Nfi bf)VE r.T 1 1 kA 1Vt 1 •, !.ltltlll ( bl .' ) ?I".'-s 1 .'yia ? I PERMIT SUBTYPE: TYPE OF WORK: k l f'AlR - ( kisirf I Mt? 1 Permft No. PermR HoWer Date Tslephoree # SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspectfon Dats Insp. Commertts Footings I Foundation Framing Roofing Raugh Plbg. c Rough Htg. a Is,l. Freplace Final Htg. Orsat Test Ffnal Plbg. Plbg. Inspector-Noti(y Plumber Const. Meter I EngclPlan Bldg. Final I Deck Ft9. Deck Fnel Well Pr. Disp. I CITY OF EAGAN Remarks Addition SZ'. FRANCIS WOOD Lot Zf? Blk Z Parcel 10 65900 260 Ol owner f ' , ' Street 1244 MoY'rling DOVe Coux't State Eagan, NIN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. L 3 ],?/Q(.$1 aaio466 8-I1-81 STREETRESTOR. J(i?.f 81 $.00 1$.00 $ $ 60.00 A01o466 8-11-81 GRADING * SAN SEW TRUNK 'i 90 15 $3170.77 A010456 8-11-81 *SEWER LATERAL WATERMAIN t WATER LATERAL • WATER AREA • ser_y?ice i oRn • STORM SEW TRK • STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. sAC 525.00 21189 10 2/80 PARK CITY OF EAGAN 1 136 7 2 3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454•8100 BUILDING PERMIT Receipt # To be used for Est. Value Date r!" r ,19 Site Addre5s - CT OFFICE USE ONLY `t Lot ? Block Sec/Sub. Frtr.; v:i)i7,3 OnSiteSewage _ Occupancy MWCC System _ Zoning ParCel No. On Site Well _ Type of Const Ciry Water (Actual) cc Name .'? _ (Allowable) W 3 Address # of Stories Length ° f ? City Phone Depth S F Total , p NBmA .'01(:E{T CONST I:.(: . . Footprint&F. ' ' 1 o? Address ' ' ' APPROVALS FEES ? A;01 , r}-- CltyPhone qssessments _ Permit F ¢ WatedSewer _ Surcharge yVj W Name Police _ Plan Review ? z x - Address Fire SAC, City - v ? Engr. _ SAC, MWCC cc W City Phone Planner _ Water Conn. Cauncil _ Water Meter I hereby acknowledge that I have read this applicetion end state Bldg. Off. _ Road Unit thattheinformationiscorrectandagreetocom plywithaltapplicable APC _ TreatmentPl 5tate of Minnesota Statutes and City of Eag an Ord+nances. Variance _ Parks Copies Signature of Permittee TOTAL ' A Building Permit is issued to: '•" `''` i' Ou1GH'f G".)'i :? on the express condition that all work shail be done in accordance with all applicable State of M innesota Statutes and Ciry of Eagan Ordinances. Building Official Permlt No. Permit Holder Date 7elephona # Plumbing H.V.AC. Electric Softener inspection Dete Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Firtaf Plbg. Bidg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. , '-' - L, ,. C?rrfifir??t of COrrupttnry Citp of (Eagan Brpttr#.mrrct nf +?uiibing 3tm.prr#iun ?his Ccrti ficatc isseud pxrsuant to the requirement.r o f Section 3116 o f the Uni f orm Building Codc cati f ying thut at the timr o f i.tsuancc thi.t rtrutturc wal in com pliancc with thc varioua ordinancu o f the City rrgulating buildireg construnion or ust. For the f o!louring: Single FAmilv Dwa/Garaae 6227 OweaofBu9dloa ?wiia.iu fViRl?Ga Addras r•vc..?? ' euidMwadross 1244 MOU2'f1iI1g DOV@ Locayn, IAt, 26, BZOC}C Z,.St,. FTRII BY nugu*t , 1981 eWwingoitdal ? naee: ? M{T IN A ?GU0Y1 'LACi .M u.S.A. y ? V f No. cinr oF E?GAN 3795 Pilot Knob Roed Eagee, Minnesota 55122 Phewe: 454-3100 PERMIT Date: ' Site Addrou: Lot Blxk Sub/Sec. INSPECTOR NOTIFICATION REQUI RED BY LAW FOR ALL INSPECTIONS Receipt No.: ? Single I Residential Multi Res., Comm./Ind. I Name 1 vorac^ ' N /R //11t i er. ew epa r. Address t f I ll C t ti ? os o ns a on o City Phone: P it F erm ee Nome Sur h r . ? ge c o ? Address e 0 V City Phone: Total This Permit is issued on fhe express condition thot oll work sholl be done in octordonce with oll appliooble Stota of Minnesotu 5totutes ond City of Eogon Ordinances. Buildinq Officfal CITY OF EAGAN ?• •-• 3795 Pilot Knob Rood Eagon, MN 55122 N2 6227 PHONE: 454-8100 BUILDING PERMIT ReceiPt # - To ba utad hr Est. Value Date , 19 Site Address Erect ? Occupancy Lot Block Set/Sub. Alter ? Zoning parcel # Repoir p Fire Zone Enlorge ? Type of Const. Nome Move ? # Stories W z 0 qddress Demotish ? Front ft. Ci Phone Grode ? Depth - ft. ? N Appirovals Fees ame Address ?:... ?--- Nome _ Address Water & 5ew. Police Fire E+9• Planner Council Permit Surcharge - Plon check _ SAC Water Conn. Woter Meter Road Unit _ I hereby acknowledge that I have reod this application and stote that 81dg. Off. the informction is correct and agree to comply with all applicable APG Tatal Stote of Minnesoto Statutes and City of Eagan Ordinonces. Signature of Permittee A Building Permit is issued fa: on the express candition that cll work shnll be done in accordonce with nll applicabie State of Minnesoto Statutes and City ot Eagon Ordinances, + Building Officiol r.mie # cbft l.w.e f.n."ti. Plumbin9 Mechonical INSPECTIOhtS OATE INSP. Rough-In Finol FoDtings Dofe Insp. Date Incp. Fo dation -?+?- Plumbing 1•1 J•7 rom ins. Mechanical inal ? - Remorks: p =4 41 iAO"Le f4a'w /of 74 A No. ?0r, CITY OF EAGAN 3745 Pilot Knob Rood Eagen, 1Nlnnesola 55122 Phene: 454-8100 PERMIT Date: ' -gl Site Address: ' Lot Block Sub/Sec. INSPECTOR NOTIFfCATfQN REQUI RED BY LAW FOR ALL INSPECTIONS Receipt No.: Single ! Residential I Multi Res., Comm,/Ind. I Ncme -4- New/Alter./Repair 3 Address f I C li i O ost o nstc ot on City Ph one: Permit Fee NQme ? SurchQrge ? Address e t? City Pho : ne Total This Permit is issued on fhe express condition thot oll work shatl 6e done in accordonce with oll appliwble Stote of Minnesoto Stotutes ond City of Eogon Ordinonces. Building Official ' CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILpING PERMIT ppPLICATION 1 set of energy calculations. To Be Used For s a, valuation Date 9- 3 0- S O Site Address: ia yy ?poaA,,,jLN4 PUbt Cr OFFICE USE ONLY Lot v? (o Block Sec./Sub. ,??,? "" Erect Occupanc Parcel #: J9 ?97X? ?( G y 7l / Alter zoning ?l ? o Repair Fire Zone q ` Owner: la/r,'fjU Enlarge _ Type of Const. v Address: /D;?S3 ??s/t573NT Nbve # Stories /f?/?. Sp, Demolish Front 9 ft. City/ZiP Code: ,Q?oorrl2.v? Ta? !9'/.v 5'y?p Grade Depth -'7-S ft. Phone a:?? y- ? y y6 w?;? /< </ s 1 s/ S/ APPxoVAuS FEES Contractor: .? G/?/?P l?o?ry??s Assessments Peimit Address: 3 ,sS /f r/l ta/,4z THA _ ?iX 933?pater/Sewer Surcharge City/ZiP Code. /'y/LNI? eifQeL.tS olice Plan Check 0? / Fire SAC Phone #: `fS? -S SU O En9• Water Conn. ? f ' ? Planner water.Meter 6 O ' Arch./F3?g.: Council Roar3 Unit .? Ed(-H Address: Bldg. Off. APC City/ZiP Code: Phone #: ZUTAL, ,? ``? k? °.? o ? ?? ?' o v? ? CITY OF EAGAN N° 13 6 7 2 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ` PHONE:454•8100 ?3 g75 BUILDING PERMIT Receipta Tobeusedfor DECK Est.Value $3,200 Date MAY 25 ,19 87 Site Address 1244 MOURNING DOVE CT Lot 26 elock 1 Sec/Sub. ST FRANCIS WOOD Parcel No ;IName RON VORACEK I Address SAME 0 City Phone 452-1180 a Name BRYAN D VOIGHT CONST INC ?p Q Addrass 3557 IiPPER L43RD ST W 0? City ROSEMOliNT phone 423-1296 F w Nan Add Q w City 1 here6y acknowledge that I have read this application and state thattheinformationiscorrectandagreetocprM?biywit IlappliCable State of Minnesota Statutesand'?itv of HaaaK Signature of Permittee_ A Building Permit is issued all work shall be done in ac Building Official with all OFFICE USE ONLY OnSiteSewage _ Occupancy MWCCSystem _ Zoning On Site Well _ Type of Const Ciry Water _ (ACtuaq (Allowa6le) # of Stories Length Oepth S.F.TOtal Footprint S.F. APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council Bldg. Off. APC INC State of FEES _ Permit _ Surcharge _ Plan Revlew _ SAC,City _ SAC, MWCC _ WaterConn. _ WaterMeter _ Road Unit _ Treatment P1 _ Parks Coples TOTAL $51.50 7 nn $ . 0 _ on the express condition that and Ciry of Eagan Ordinances , CITY OF EAGAN ' 3795 Pilot Knob Raad Fagon, MN 45122 N2 6227 PHONE: 434-8f 00 ? BUILDING PERMIT APPLICATION Receipt ?/ # a ? Te 6e med Por SF DWG/GAR Est. Volue 99.000 Date 10=2 , 19-82 Site Address 1244 MOllTril1]g DOVB Ct. Erect W Occupancy R3 Lot 26 Block 1 Sec/Sub. St. FranCis WoodsAlter ? Zoning - Rl Porcel # 10 65900 260 Ol Rep6ir ? Fire Zone 3 Enlorge ? Type of Const. V ? Name Ronald R. Voracek Move ? # stories z Address 10253 Pleasant Ave. S. oemorsh ? Fmnr 91 rr. o Ci Phone 884-96 Grode ? Depth Zg ft. ? N CaHomes APVro.ah Faes p ome ?? Address 3355 Hiawatha Ave.,P.O.Box 9334 1- r;.., MPLS, n4n. ok....e 452-5800 Name I hereby ackrwwledge that I Mve read this applicotion ond state that the informatian is mrrect and agree ro mmply with alI opplicable State of Minnesofa Statutes an City o?gcry Ordiyances. Signeture of Permittee .?7.1PS? U A Building Permii is issued ta: Capp HOn12S all work shail be done in accordan with all appli able State of Mir Buildtng Officlal / - ??-.'+ nssessA(gnt _ Woter & Sew. Police _ Fire Eng. Pfanner _ Council _ Bidg. Off. _ APC Pemit ti'+.vv Surchorge 49.50 Plan check 107.00 snc 525.00 Woter Conn. 305.00 ' Water Meter 60. 00 Road Unit Toeai 1,260.50 on the express condition that Statutes and Ciry of Eagon Ordinances. minnesota state uoam or eieccncicy Griggs Midway Bldg. - Hoom N791 ? d ?iversity Ave., St. Paul, Minn. 55104 - Phone 297•2111 '?'QUEST FOR ELECTRICAL INSPECTION CHECK BELOW WOAK COVERED BY THIS REQUEST EB-40001-02 66551 'Iype ot 8uilding New Add. Rep. Check Appliances W'ved For Check Equipment Wired Fm Home ? ? Range Temporary W'uing ? Duplex ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dcyet ? Elec[ric Heating ? Commeccial Bldg. ? ? ? Fumace m. Silo Unloadef ? Industrial Bldg. ? ? ? A"a Conditioner ? Bulk Mtlk Tank ? Farm ? ? ? List List ) Other ? ? ? p Hehei3? p } Herels) COMPUTE INSPECTION FEE BELOW Service Envance Size: # Fft Feedecs&Su6teeders: n Fft Cucuits: # Fft 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 [0 200 Ampa. 31 to 100 Amperes 31 [0 100 Am etes Above 200 Amps. Above 100 Amps. Above I OQ Amps. T[ansformefs RemoteControlCirc. Pactialorotherfee Signs S eciai Ins ection Minimum f Remazks ?? n ? 1. f"? \ TOTAL E7a,J 73 This request void 18 months from certify th abov 'n ecHon has been m3de---?/ .? ?s..c??te 87??6 ,_. {?- ? ?r l)/ ? . `L3te ? n o? ^ef'/ r . IF'a'-ar' minnesow aca e ooara oy necomery Griggs Midway Bldgi - Room N191 L, I(p EB-00001-02 . 1 rsity Ave., St. Paul Mnn. 55104 - Phone 297-2111 ??? EST FOR ELE, CTRICAL INSPECTION CHEC WOAK COVERED BY THIS REQUEST S 6 6 5 5 2 Type oi Building New Add. Rep. Check Appliances W'ved For Check Fquipment Wired For Home ? ? ? Range ? Tempotary Wiring Duplex ? ? ? Watet Heater ? Lighting Fixtuies ? Apt. Bldg. ? ? ? Dryei ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? Silo Unloader ? Industrial Bldg. ? ? ? Au Conditioner ? Bulk Milk 7ank ? Farm L is[ List Other ? ? ? p HeheIS? p Hehers? COMPUTE INSPECTION FEE BELOW Sevice Entrance Size: O Fee Feeders&Subteeders: # Fee C"vcuits: # Fce 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Am res 31 to 100 Am res Above 200_Amps. ;A Above 100 Amps. Above I00 Amps. TransCormers C onvolCire. Remote Partialorotherfee Signs cial lns ction Minimum fee 55.00 Remazks TOTAL FEE .0 ? I, t c. I? " or ereby certify that the above inspection has been ma . (R gh= ' Date (Final) ate (I - 3 (s ' k U This request void 18 months from CORRECTION IVOTICE oATE: 5- a?-$/ . ? Site Name "ner/Agent Address /o ence Nos. and Corrections - Correct By (0^/? /1 . /1 r.t / ? O 3, . __t?d/_J.e. 02 t c F?r reinspection ? 11, Eagan Dept. ot Inspection InSpeCtOf: 0 3795 Pilot Knob Rd. Eagan, Minnxsota 55122 • 454-8100 . Dept.: r,???-*? -4his re;uest void prp 9 18 months from / ? J Date f this Request /fH v 1? /` u U Fire No. S 66551 l, as (Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at Street Address or Route No. Section Township Range County ]?n ??'c__ Which is occupied by Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ? Power Supplier D2 ?0.. FL Address Electrical Contractor S ! Contractor's License NoA qowy lh? (COmpany Name) 'n? ?n / _^ Mailing Address _/ ? / , S' .' /1.?. / ?'/? / ' " `" v Authorized No.3_?Q_M (Eletntrlc?al1 contric[or or Owner?mpaking 7MS Installatlon) ( This iMpection request will not he accepted by ffie rJ u!?vn?? ? ? ? t?'(„ ? D do? ?./ v[r;i ? State Board unless proper inspeeuon fee is endased. ]'his reyaiest void dlr?/ ?O ? 18 nionths from 2 ( y ? . Date of this Request ? ??b F,? No. S' 6 6 5 5 2 I, as ?l.icensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. / p 7 7 uIbLe, (?tCit ?? Section Township Range Counry Which is occupied by !s a roughin inspection required on this job? No 1? Yes ? Power Suppiier Electrical Contractor Mailing Address (COmpany Name) Ready Now ? Will Call$, License Non . w . ? '---- -- -- - - .._. ..._.....? .?..._._.._.._.., q Authorized Signature _ r,.? ? Phone No. ?L B" 13 ? m (Electrlcal Contc r?or Owner Makleg 7hIS Installatlon) Thia impection raquest will not he accepted 6y tba rJ u G=3 State Board unless proper inspection fee is enclosed. Address RESIDENTIAL BUILDINC PERMIT APPLICATION GTY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Constmction Reauirements . S:?gisterea ;ite surveys showmg ;q, tt. ot lot sq. ft. of house; and all roofeU areas 120016 maximum ;ot coveraye allcwed) • ? comes or plan showing heam 3 xmtlcw srzes: poured found design, ztc.) • 1 ;el of Eneyy Calcula[ions • 3 ropies of Tree Preservation ?lan if lot :latted aker 7lii93 • .4im Joist DeWtl Op6o(u seleaion shee! (51dgs wdh 3 or less unils) DATE /T J 7 146 Z RemodeVReoair Reouirements • 2 wpies of plan • 1 set ot Eneyy Calculations for heated atlditians • I sde survey !or extenor addilions 8 decks . Indiwle if home served 6y septic system for additions VALUATION 7,50U SITE ADDRESS 22-? ll MO,U`LN/N Ui C% MUITI-fAMILY BLDG _ Y ;?L4z N ?. ? . ? n . TYPE Of WORK e jlRz APPLICANT C7on? PIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS f?? ? ? F?S %• SD U? C I T Y h'PfY /N TELEPHONE # CELL PHONE # 612 - /J - ?6 / >1FAX # ATE MAJZIP553Y? PROPERTYOWNER 40N V?4kI"u6 /C TELEPHONE# ?9' ??- LYS 7 ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Cate9orY _ MINVPSO't'.A RIiI.ES 7670 GV'fEC;OKY I MNNESO"G\ R['LI:S 7672 (v submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phonc # Plumbing system includes: _ Watcr Softener _ Lawi Sprinkler Pce: $90.00 Water Heater N0. of R.I. Baths No. of Baths Mechanical Confractor: Phone # ?Iccki;utic>il scstcm include,: :?ir Condiuoniit:; ???? ????>????> -- Hcat Rccovcrt• Systc„i ?U) Sewer/Water Conhactor. Pho ' . L -----°..__.------°-----°-•--°-------.._..°----°---------------------- ---- - ....................... .°----° I hereby ocknowledge thaf I have read this application, state ihai th infor a?a comply with all apolicable State of Minnesota Statutes and City of Eagan Or in ? e , Signafure of Appl(cant OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Upda[ed 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchiAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Oeck ? 23 Porch (saeened) ? 36 Multi ? OS 03-plex ? 17 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) p 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ?45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (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) FinaliC.O. _ Footings (deck) FinaVtio C.O. _ Foorings (addition) _ Plumbing _ Foundarion Hy,qC _ Drain Tile Other Roof _ Icz & Water _ F inal _ Pool Ftgs Air.Gas Tests Final _ Framing _ _ Siding Stucco Srone _ Fireplace _ R.I. _ Air fest _ Final _ Windows (newrreplacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC ` W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-65900-260-61 PERMIT TYPE: Permit Number: Datelssued: 1244 MOURNIN6 DOVE CT LQT: 26 BLOCK: 1 ST FRANCIS W000 J1//??z BUI IDING ' J 021645 08/03/93 DESCRIPTION: -? (ROOFING) Building.Permit Type Buildiny Wo,rk 7ype SF (MI3C.) REPAIR ! t ? ?? / f ? REMARKS FEE SUMMARY: VALUATION $4,000 Base Fee $63.00 Surcharge $2.00 ToCal Fee $65.00 CONTRACTOR: - Applicant - sT. Lic VOIGHT CONST, BRYAN 14231296 0006251 3557 UPPER 143RD ST W ROSEMOUNT MN 55068 (612) 423-1296 VORACEK RON 1244 MOURNING pOVE CT EAGAN MN 55123 (612)452-1180 I hereby acknowledge that I have read this infiormation is correct and agrse to comply Statutes and City of Eagan Ordinances. ? PERMIT application and state that the with all applicable State oP Mn. I lfl RAit?.? ? - APPLICANUPEFMI?EE SIGNATURE ISSUED B': SI NATURE 1?' REACTIVATE _ PEW4IT # ' 21 Ldt CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last workin9 day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work 3 Site Address: _,DLA C? < STREET SUITE M Tenant Name: (commercial only) IAT I L BLOCK ? SUSD.J$ r1 wvi? P.I.D. N Descri tion of work: The applicant is: ? Owner Contractor ? Other (Deseribe) Name /?Z, vfj Phon#4? // 1-0 Property LAST FIRST Owner qddress pft u-,_DdciE CTe ^ STREET STE 0 $21l7i1n Zi t Cit St p e a y Company '72`l? Cv-jST Phone 4d COntfaCtOr Address,TS7?_7 JT (,-f I License q6Z 3 Exp. 3 9J' City /`-rl S PState ^ '`/ Zip JJ"6 Company ? 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 I hav ad s ication and state that the information is correct and a9ree to compl h 1 pl'ca State f Minnesota Statutes and City of Eagan Ordinances. Signature of Appli nt: i ?--- ? l OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 Sf Dwg. O 03 SF Addition ? 04 Sf Porch O 05 SF Misc. ? 06 Duptex O 07 4-Plex ? 08 8-Plex 0 09 12-Plex ? 10 Multi. Add'1. WORK TYPE O 31 New ? 33 Alterations ? 32 Addition ?34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zonin9 #? of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site O Wallboard ? ? 11 Apt./Lodging 1 Baseinent Finish ? 12 Multi. Misc. Sr?1`m PosrTw ? 13 Garage/Accessory ? 18 Comn:/Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility O 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolish ? 36 Move 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 ? Final MWCC System City 4later PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? framing O Insulation ? Oraintile ? Fireplace Permit Fee ,3 ` wiuac;m: $ Surcharge G::2 gzo - Plan Review License MWCC SAL City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other „o Total: SAC % SAC Units PERMIT X CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: PermitNumber: BUZLDING 029277 Date Issued: @ 1/ 13 / 9 7 51TE ADDRESS: 1244 MOURNING DOVE CT LOT: 26 BLOCK: 1 ST FRANCIS WOOD P.Z.N.: 10-65900-260-01 DESCRIPTION: (ROOFING) Buildin}`-P.,ermit Type Building l?ark Type C-ensus Gode '-x1 .-? SF (MISC.) REPAIR 434 ALT. RESIOENTIAL tt REMARKS: FEE SUMMARY: VALUATION $9,000 Base Fee $149.75 Surcharge $4.50 Totel Fee $154.25 ? ? CONTRACTOR: - Applicant - sT. LIC OWNER: VOI6T CONST, BftYAN D 14622163 0006251 VORACEK RON 3557 UPPER 193RD ST W 1244 MOURNIN6 DOVE CT ROSEMOUNT MN 55068 EA6AN MM 55123 (612) 423-1296 (612)452-1180 I hereby acknowledg,e that T,ha:ve read thi.s application and state that the, informat3on is carrect and agree to comply with al1 applica6le State of Mn. ? 5taCutes and citsi ' o'f Eagan Ordinanses. I PLICANT/PER EE SIGNATURE MUE BV: IUNA URE CiTY OF EAGAN "? 3830 PILOT KNOB RD - 65122 ?? 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?qss,-as7s New Cemauetion Reeuiramenh ? 3 ?Mislerod sft auneye ?': copbs of plam (indude bsam 6 wirMow sitea: poured fn0. desqn: atc.) ? 1 enerpy pleulatbna 1 3 eopiea of Nee presarvatbn pNn M bl pktted aRer 711/53 isq Yes _ Nn $M,2ff cold II - n C-gx? 'ab0 ? 2 eopka of plen ? 2 sNa suneye (erterior additions d dedca) ? 1 energy ulalations Mr healed addipons DATE: f r?I ? CONSTRUCTION COST: Od a'- DESCRIPTION OF WORK: ? ??7 STREET ADDRESS: LOT 11„ BLOCK wG - (J r1??2 ? ?i SUBD./P.LD. !!: -J? =, PROPERTY Name: ''"" OYYNER ? ^•, Street Address• D City: ?? 1`7"/ State: coN7w4c7oR Company: Street Address:??e ea?(o r S-f ? ?Z City: State: Phone #: (rU _ z;p. S-S_/ 33 _ Phone #:???a?63 License #• ?- Gy.f . Zip.57-0 ARCHITECT/ Company: Phone #' ENGINEER Name: Registration #• Street Address• City: State: Zip• Sewer 8 water Ikensed plumber: Penalry applies when address change and lot change are requested once pemrit ia issued. • 1 hereby aeknowledge that I have tead this ? ptiq96'gon and stete that the intormado?s cotr?ct end agr?e to comply with ali spplicable State of Minnesota Statutes and CI of Ean Ordinances. ,,., ( ?/ / Signature o( AppBpnt: OFFICE USE ONLY Cer'6ficates of Survey ReceNed _ Yes _ No NOY 2 1 1996 Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY ^+ - ? , BUILDING PERMIT TYPE et 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling o 07 4-plex o 12 Muiti Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility m 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous a 05 SF Misc. 0 10 _ plex o 15 Deck WORK TYPE ? 31 New o 33 Alterations o 36 Move 0 32 Addition o 34 Repair a 37 Demolition GENERAL INFORMATION Const (Actual) (Aliowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Pianning Basement sq. ft. MC/WS System Main level sq. ft. City Water sq. R Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. Footprint sq. ft. SAC Code Census Bidg Census Unit Buiiding Engineering Variance Valuation: $ Permit Fee Surcharge Plan Review License MCMIS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit SM/ Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units . G 2 3 ? ? 1987 BIIILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLiIDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SQROHY, 1 SBT OF ENERGY CALCOLATIOHS NOTE: ADDRESSES FOR CORNER LOTS - CONTBACTOR/HOMEOTiiNER MQST DESIGHATE W$ICH ADDRESS ZS DESIRED. NO CH9NGES NILL BE ALLOWED ONCS BQILDING PERMTT IS ISSOED. M[TLTIPLS DWELLINGS - RESIDENTIAL RENTAL ONITS FOR S9LS OAITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECB iIITH BLDG. DfiPT., 1 SET OF ENERGY CALCULATIONS COM41ERCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: ??GK Valuatio?'?jc?OD r /NVa2/JiN ? Site Address /??-jrq- 15;PyjE err OL'FI Lot C5kock _f On :lite Sewage_` ? ? / I MWCC System Parcel/Sub ?,a On Site Well Owner o--?on1 (/U/L/!-C F,C Address City/Zip Code _ 53713 Phone -//PV Contractor SR%* 2< f/IlIG&T CaA6, Address JJJ / ?f?n ry?,S7 • /i`?? City/Zip Code Phone *")- Arch./Engr. Address City/Zip Code City Sdater - APPROVALS Assessments Water/Sewer Police Planner Council Bldg Off APC Variance Date: USE ONLY I Occupancy Zoning Type of Const (Actual) (Allowable) S of Stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road IInit Treatment P1 Yarks Copies TOT9L 51•?-d Z. Phone a{ '? ?O )I J a? ?? ?7(v/71-/'? ?-. _--- r-t d,sl, e Y 2 ? ? k N. qz? Ni w y vd•-7r Z iaJ?l t7 (J y`" ?t G/e- f OrJ VO.'e-A C- E."< /.3 `?¢ /'?I J Gt l? ?? h+ (? '?t?u e ?,T? °r. ?FCo•?,:., ` M rJ S.f f a 3 sarwN a vorcHr coNSr., wc. SW uP+Et 143RO sr. w. R08MOUNT. MN 56068 /2 R-it.., ti+G ? x 2 w/&" MKY sPNCe- _ ZX/O /b" I ? 2.4p. awr riN t. 0,0-? 2 odwoo.! k4wr-str(p ?P?Ci -LGiz . F O'¢ Aee-?? - - ? . 7' ,7? g G!G ??sNiN d? ? ?Hst( a x1y LEV6f2 / uJ/z- RGg s ? i .? ' . __... V ? O a x: N\ Q 6T ? _ _ ? ?n/ r?2um i ? ? i i ..-- ---- - ?? ?? f' ¢ ) I / I ll /1-"m„i . - ,, - l -- t , L u i- -^ c.a ?-_-?---__ _, - / ,,. .. . . i ;•`u r I hereby certify that this il 1"and as shawn and described I ? \q ?ca t'e r„ be19_ZLCL: N ' . . ; . -. pr •_ --. __ _.... . _.._ ., - =. 1 , N - ? N M? `? I DRI?IIVe'f?E ANV uT1Lt? ?? . ?, Z .04 LOT -jL BLOCK ? SUBD. ?J???% RECEIPT # 2r0 920 /9,:7 CITY OF EAGAN SEWERIWATER REPAIR PERMIT 9995 Date: 5ewer Water Fee: $50.50 Description: . 1 1 / C'?_r i J I n 1 1 , Area/address to be repaired: 6 Installer. ? 1 11 1? P n 1 U Street address: i! Vf City, state & zip: 1:')I Oi)W1UI Telephone #: Owner name: Street address: Ciry, state & zip: Phone #: 5 L -? G BL CITY USE ONLY ? SUBD. t,A EVQ,N P AWC)C) ? RECEIPT #: ). %i 9 b RECEIPT DATE: PERMIT it 1999 PLUM$INfl PEiMIT (RE.SIDEPTIAL) crrYoF ensnx 3830 Pu.or xROa Rn Sl4flAN.1NN SSl EE (651)681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? 6ackFlow preventer for underground sprinkler system FIXTURES VORACEK,RONALD 1244 MOURNING DOVE COURT EAGAN, MN 55123 (651) 452-1180 TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ GeS I in outl0t ` minimum -1 3.00 X = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x - $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x - $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler ' if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water Softener if dwelling under construction 5.00 X = $ Water softener if existin dweilin 30.00 x = $ Waterturnaround 30.00 x --- - $ State Surchar e .50 --> ---> --> $ .50 Total --> --> ----> ----> $ . 5C-) Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ----------------------------•-----------• •-•----------------------------------------•------------------------------------------------- - ordina- - nce-s. I hereby acknowledge that I have read this application, state that the infortnation is cortect, and agree to compty with all applipble City-of Eagan- It is Ne applicanPS responsibility to notify ihe property owner that the City of Eagan assumes no lia6ility for any damages caused 6y the Cily during its nortnal operatlonal and r ier this permit within City property/nghi-of-way/easement. SITE ADDRESS: OWNER NAME: : . i INSTALLER NAME: STREET ADDRESS: CITY: MINNEAPOLA MN 554OS, STATE: ZIP: SI E OF PERMITTEE EACH p TELEPHONE #: (AREA CODE) NORBLOM PLUMBING CO. ' TELEPHONE #: (612) 827-4033 (AREA CODE) G. ... F•' \. .? i? ? ...{i .4•?. .a4 1? ?,.l.eJ?lf?l??l..f L?,.N..? ONR'4et+ IFutlD C8UO-?P3,1919I§ , FRAI,E :<ALL :vZNDOWS No. yo. p. 'Glass Size Banes i9indows !L2 CQ c.$ ? '(-Ci V\-C t'5?. C.4CL.2"' ? EX205ED S9ALL A4EAS Sa. Izcy Glass 144= 13,35 Sq. Ft. 2G x ZQ x Z x ?i , 32 x-z-1_x Z xI 't_ _I f, x 5 0 x f x ! 32 r l(o x?2 x x X?X? zg X 21 X z X5- ; 144= 2OZ,G. ; 144= rp,(o ? 144= 28•q4 ? 144= (o, ZZ 144= 9GG.? 3ZIRLTOTAL Bl.5tee1 Door 3 X FrzEalc<i g2,WV==1-- . ? Door -z -7 =4z . X C. °atio Door ?p x. -7 x_L-= FOUNDP:TION WALL F7INDOWS Glass 4 Z sq. Ft. No. No. A. Glass Size Pznes 'nir.dows G12ss. 144= ?,SJ Sq. Ft. x x 149= x x x • ; 14n= Sl.Steel Do.oY x x = B2.4;ood Door x x = ? *TOtal Fra:ne Wall Area • -. :iinus: 2?16, iO I A. G7a11 Taindow area 329. Grt' ; B1. teel Door Area ??•?z' I bF! N B2. - "DOOr Arca 4-7•oe" C. Slidin9 Door Area LI?.pb ? D. Fireplace Wall Area _ i TOTAL Adjusted Frame taall Area Z479, J Z , r:inus: 2q? Q) F. Wall Framing Area (Avg. 10%) , E. Net Wall Area Above Floor 227_.C ,)) I ? *Total Exposed FoundaLion Area M1]'1U5: 55 3 ' . indow Area A. Sry 81.Stee1 Door Area H2.t9ood Door Area ( C. Sliding Door Area ? SS - TOT AL 3, E. Net Foundation Area r`,bove Grade 2254S G. *TOtal Rim Joist Area ?'7 4,?' , * *Tota1 Exposed Wall Area ?`?9`?'•? , (frame wa11, foundation ' wall, rim joists) 142r CUSTOMER NAME C. Patio Door • / ?C ! ?? ? F'n'A[.E W?.LL WINDOS95 " No. No. A. Glass Size 2a1es 47indows cr ilI x X r x 3? x ? x Z ; - - ` x x x ; v x X ? x x x ,- 144= x x x ? 144= TOTAI. Bl.Steel Door . x X = B2.91ood Door x = C. °atio Door Glass x x = Sq. Ft. FOUNDP.TIOCI WALL WINDOWS Minus: F. Wa11 Framing Area (AVg. 10$) E. Net Wall' Area Above Floor *Sota1 Exposed Foundation Area - Minus: A. hindow Area B1.Stee1 Door Area ' - B2.S9ood Door Area C. Sliding Door Asea TOTAL E. Net Foundation Area Above Grade G. *TOtal Rim Joist Area * *Total Exposed Wall Area (frame wa1l,,foundation . wall, rim joists) No. No. A. Glass Size Panes 47iadows, Glass x x x ; 144= " Sq. Ft. . - v X X . : 144- ? r. x x • - 144= . / i Bl.Steel Door x x = B2.hood Door ' . x x = CUSTGMER NAME C. Patio Coor DATE SXPOSED S4ALL A4EAS Sa. . Inch *TOtalFra^?e Wall Area Glass Minus: . 144= Sq. Ft. A. wall G?indow area / - B1.Stee1 DoorArea 144= (v.? E2.h?oed Door Area C. Sliding Door Area - 144= • D. Fireplace Wall Area TOTAL 144= Adjusted Frame Wall Area 4 WALL SECTION 1 A. Glafa R. LtS Bt. Sie010oo• fl? 1Yi0 ex. (GsrA. U. P • 0g C. SliEingGlesfCOOr fl' ].)1 D. Fi rtqixe{YallANN N 1. Imerlor Alr Flim 0.68 $. Brick CummOn ........ 4.80 1 EarniwAirFllm...... .1> . TOTAL P- 5.65 E. WallAreaAboueFloor ' ? 1. InttiiorA'vFilm...... 060 3. '6'Sbeebock ........ 0.45 ]. Insuiafon........ 19.00 0. R"FiLttLOaJ$b14... 112 5. SiJinp-12'/-1p 8. EKariorA'vFilm:..... 0.17 TOTAL H. y[.17 F. WellF.enitngarre 1. Imeria Nlr Pilm ...... 068 '!. X"Snael,ack........, 0.45 3: &°FILerEOaESMg.... t.]] a: 9h.. w5mmy.. ...... 6.19 5. Sbin9-!2 tqfo_ 0.4$ 6. Ea.eriorAirfilm_ 0,17 ? TOinL P- IOqA G. Hi mJnlstArea 1. Interinr Am Film ...... 0.68 P. _.•Inwlntion........ 3. 1K"WOOtl........ .. IBB 0, Y:'filumonrtl5M4.... I.42 5. 51ain9-JSL9P- 0.'5 6. E.ieriaAirFilm..- ' 0,17 TOTAL A: 9.w H. Founaation Winpows - R' I.Lo L FwntlafronAbuveGnde ' ? 4. IntnidhiiFilm ...t.. (I6B 1 _••Imulatian........ ], 8•• Biock .. .......... 1.11 0. ExlenwAirFnm...... 0.17 , TOTAL fl• J. Sk ylqh q_ K. flmVG'1 pf - ' p t. Interior A F I ...... 0.61 2. ? $lee k 005 3. SG. F y . .. 6,e7 ' a. Im inubron . I4.M 5.. Extel Film..:... 0.17 TOTAL R• U. FbllnsulaMdlRml Cailing. 1. Ineniw qir Film ...... 0.61 2. 'S"$heelm[k..... .... 445 3. 12"insulefon........ 3g,[O t El a. vnm....., an TOTAL e• gq,25 L2. SloyeJlnsolamtllPOOlCeilinp ' 1. In¢nwAir Film ...... Ofit 2 '/.°SM1eulrack ........ 0.45 ]. _••IVUlmion........ 4. EnleripAirFilm...... 011 TOTAL A• WALL SECTION 2 A. Glau fl • BI. S?eeiOaar P- ?]fa 82. WooEOOOr fl- yS] C SlitlinBGlesDOOr q- 2.77 O. FirMw+seWanArea q i. Imerior Nii Fllm ...... 068 2 Bridcommon........ 480 3. EnvlwAirFilm...... .l) TDTAL R. 5.65 E. WallqreaAbweFlow L Imerio. nirFilm...... 0,88 1.. %" 56»vock ........ 0A5 3. 3'/." orviauon........ n 00 <. %°FiEe.UOartl5M9.... 1.22 . 5. Sieing-_.__ ' 8. EireriorAbFlim..... . DP TOTAL X - F. WallFramingArea L Imenor Air Fiim ...... O68 2. 'G"SFeeimck........ . 045 - 3. 3°fi0n0ontl5Mp.... 1,32 a. aw°Fr,miov......... aaa - S. Sidin9-_ __ - 6. E.ieriorAirFiim...... O.n . . TOTAL R. - G. PimJOisIPnO 1. Imerior AlrFllm ...... 068 4.' _" Insulation........ . 3. 1:5" Waal .... :.... :. 1.68 C. '/P FILerMuraShty ... I.I3 6. Siainq - _. fi. EnedoiHlrFiim...... 0_I7 TOTAL fl= M. FounJnlonWintlom R• 1. FaundationAboueGhW. ' 1. Imxiw Alr Film ...... Ob8 3. _••Inrvlnion...... - 9. 8" Bixk ....... ... 1, 11 4. EAermr Ab Fiim... 0.17 TOTAL H = WALL SECTION 3 N. Giau R? 81. Si<eiDOar ? P • M60 B2 WooEOOOr H. 111 G SIIOingGbuDaOr fl' 1J7 0. FireplaCtWaIIPND F 1. ImeriorAirfilm ....I. 0.68 t. BrickCwnmon........ 480 3. Eatanor AirFilm..... .ll TOTAL q 5.65 E. Wpll Arca Nbort Floor 1. Imeia Ai, Film ...... 0.68 2 M"SM1eeVOCk ......... 045 3. ]S"Insulation........ I1.W 0. K"FiberlwartlSM0.... 1.30 6. SiEinq- 4. ErieriorAir Film..... 0.17 TOTAL N- - F. WdlFmminqAree 1. Intmiw Air Film ...... OBB 1. R"$M1¢eROtk....... .. 0.05 3. 'h"FleerboardSM1tp.... 1.I2 l 3M" Framin9....... .. 4.30 5. Soinq - _ B.' 6teriorAirFilm...... 0.17 TOTAL R - G. PimJOirzArea 1. Inrerior Air Film ..... , 0.88 2. _••InwlaliDn........ 3. M. woa0 ........... 1,88 C. Y" fl0er0oarO5M1t9.... 1.22 5 Sltling- 8. E.iniwAirFilm...... 0_V TOTAL q ? N. FaunNtionWintlows P- i. FaunmtionneaveGr.de ? ?1. ImeriwPiF Film_l.. . . . 068 4. _••Invlalion....... 3. B" Black ............ Idt J. EvteriorAir Gilm...... 0.17 TOTAL P . J. SkYliplit fl -. K. Po 1/C I' g F g 1. -IntH A' Flm .. OBI - ]. A SM1 r k ... 0.05 3. F B .. ,.. - ? a. mwiaroo.. . .. 5. ExnnimA'vFilm.:.... 017 TOTAL Lll Flnlnml.LN(Pwll Ceiling 1. Imeriw Nir Film .:.... -0.61 2. 4," $nrecrocM ...... , .. 0.45 3. -•, tr.Aiafun..'...... ' 1. E+uriorAirFilm...... Oll TOTAL B - l2 SbpeC Inmblee:floof Uiling 1 . Imeriar Air f ilm ...... 0.61 ' ]. Y," Sneevuex . _ ..... 045 3: _'Insuimion........ 4. EatniahirFilm...... 0,11 TOTAL q- To1a1 we11 area aEOVe noor - 3226 Converr•F" Facw. m^v' -_ I R l. Skv?9h? q. K. P IIL'In gF -9 1 ? I 1 - A FlI . 081 ] i Shewock.. 045 3 FramV g a Inwiafo . . ? i . Ea¢riar Aii Film...... 0.4 iOTAL H- LL Fb t InwlaiN/FmlCelling ' 1. in[wiaAbfilm...... 0,81 3. '/."Snrenxk,........ 0.05 - ' 1 . _" Insulalil . ..... , d. Ea¢nnAirfilm...... .y,!L. TOTAL P• L7. Slopeplnwlnea/NaalCeiling L Ime.io.nirFiim...... 0.81 ]. i"Sheevaek .,.,.... 0A5 3. _'•Insulmion........ ? 1. EatNiMAirFilm...... 011 TOTAL F • State of Mlnnesota Max. 67UH Allowed t.. ronae.muawun:rcn___399R..Q_sv.n....ies . 638•07 Fwmula EUUiwlml Wall-1 A. '1041 Wdll WiMpw Arts .......... ToYI R•?a' $?i Comepetl W U? Arts _17449 rBTUN 4/ Q.Zi B. TaplOOOr Area ..... ... ..... Toul N= Jf3.L CowertM lo U-.EZ9_ . a Arta ? = BTUN C. Tou151itlinp Cbss Ooor Rna ....... To191 P--Z7]- LanvertaC to U-_.3G I_ a Area J' 3.o. ? • BTUN _I$ ' BY TDWI FRO.tH QVZAna........... ToLI fl- 1.25_ ComertM pO U- .6Ie1- . Area J' Z.phf = BiUN _2L E. Total Net Wall Aroa ............ l.. Total P= ? - ComerteC to U•?.? ? Am = BTUH ?Op.2c F. TouIWallWOOtlArea.-........... TonIN= 1P.B? ComeneEwU-? RPree_19Z9L =BTUH?Z G. ToWlPimloiqArza .............' TOOIH= .?.40.- CornenW'oU-_..YLL . A.ea_224.IIQ -BtUH 59.96 Wa11-1 A. Taeal WiII WinEaw Aro ........... Toul fl-_ Lomat¢d lo U-_ x Ar. = eTUH _ B. Twal Oow Nrea ................. Totel fl=_ Canvene0 b Il'• • Arae _ • BTUN _ C. TObI $IiUing Glan Door A2........ Totil F= ComeriN m U= x Hrn _ = BTUM 0. To[ai Fireplace Wall qrca......... _ Tonl q-_ CorneneC m U=_ a u.m = BtUH E TanINet WellAre................ Tprolq - Lom¢pel U--_ vPrea =BTUN_ F. TooIWallWOOtlqrea ............. Tamlfl= CornertMroll=_ . Aro_ -BTIIH ? . . G. Talal flimlalst P, u ............. TOUI fl= Comvse0 Fo U- • Area _ = BTUM _ WSII-3 A. Tonsl Wdll Wlndow Am ........... Tatal fl- _ CanvarleE to U•_ v Aree _ =BTUH ? B. Tolal Ooar AnD ................. Taul q-_ COmenetl m U-_ x Arta -BTUH ?- G TOmI51i0ing Gla¢ Dow qree ....... Tobl R- _ Comsrttl tO U°_ x Arn _ - BTUH _ 0. Taui Firepiace Wall Aru..... ...... To[eI N- _ Coreenetl io U= a Nna _ = 9TUM-_ , E. ToWIN<tWallqrta ............._ iomlfl= Cmv[rtetlm U=_ aArea_ -BTUH ? F. TotaIWallWOCtlqrca ............. Tolelq= CamaitedloU- A. BiUH G. Toul Jlm Joist Frn............... Total P= GonvertN m U= _ n Area BTUH ' Toul expomJ founUa[lon rr - z2a fountlation A. TowIWIMawArcD ............... Tmalfl= 1.40 CanvenedmU= .LZ+I yqm?? •BTUH 2??Z W.II-1 B. - foul Svel DaarArta ............. Toul N•._ Convnletl m U. v ANe BTUH C. TotelWOOJDuorArm ............. Toielfl. _ CanvnunJtaV•_ . Am_.._..._._ .tliUe.._....?? .. D. TOtaI51i0in9 Ooor Area ........... Toul fl° _ Cameqetl M U' _ ? Area .. . ' BfUYI . ? E. TouINet WallArea ............... Toolfl• -? Corne?btlroU-?3t2 aAre. -BTpH F. TOVIP - COmenNtoU'_ . Area_ =BTUH-_ FomEe'ion A. Tarol WlrMaw Area .....:......... Towl N= _ Corneeted W U= a Are? _ =B!UH _ Wpll-] B. ToUI Smel Door Arta ...... ...:... Toul P- ComenM xo U=_ a qrea _ = BTUH ? C. Tola1 Wood Dwr Area ............ Total fl- ConveneC to U•-- a Ama • BTUH __- - D. Total SliCing Door Hrro ........... telcl P- _ CameneG m U•_ n Arte _.- = B I lIH _ ' E TOOINO WallAtti ............... ToUIR= _ LomenetlloV'_ aAero__ •BTUH ' F. Totet fl= Convenxa m 11 •_ x Aree _ = BTIIM , FouMauan A. ToialWlMOwqrn ........:....:. TouIP• _ ComntMmU•_ aArea =BTUH-_ WaIL] & ToU, Steel Oror Area .......... Toul F- ConveneE m U-_ . Aree - BTUH ? C. TOIalWO00DoolP!¢a....,. ...... TOlalfl. _ ConverleiltoU• xNrea - BTIIH D. To1e151isingD fee. .., TOlal{i• C IeD1oU•. rNrea -BTUN__ ? ? E. To?elNet Are+ . To?alfl? eOtoU ve xAm - BTUN F_ - TobIF= ¢EmU - •Area =2TUH ? ,.'ll <,. .o1.1 SW2.Q rau' A47.o . ToUle.VO*etlroo¢.Mirgvoa- ./ flmyCrilinp 1. ToGI skYli9m, vBe ............... ToUt fl. ? Convevled to ll •- x Area -- • BTUH_ M. Tobl rooilceifng lumi. ana....... Taul fl= _$?./l CoerverteE roU - r Arca -IgZLQ. =BTUH -24 .032 i. - tonm on msui.ee ,oov«nms ..... roui n=3g-2`1 core..vea m u. oz . are, 1278..42 =eruH _31.9_7- PwQCeilhoq 1. Twalskvli9htarN ............... ToltlR= ConrerleOtoU=_xAr¢a_ =9TlIH k, twdlraaf/eeilinBftitmingdroi. ,,.. TaGlfl - _ fqrn¢ntd1oU[qrca =9TUN_ ' I. Taial ne1 insutacetl mol ceiling ... . Toul P-_ Comened b V= a Area _• BTUH _ *ouiexooW .au..ea ....... roiai-_J'SWtQ roui_3223^ N3............ Tolel • 46?.0 . ...................... If 4em MJ is the ssma m, a leu [ran fl, you M1xue mel the intem o158C 6006 (q Y. . qnmn+taeuiiainyemewaoesigqn To utilize Ihe total enuelope syibm minM1Otl, & vaNes nLbliAeE by Ma wm o1 Item? 03 eM N9 fM1all rw[ ea qrel 11an M wm ot lbmrt xt antl Y]. - M< .................................. Toml I___ ?] ], iwrlrmlhellloq.,ea_fQ?f,O w.h..?p4._ Sb.Bq pmtalullaisinenmeasorImuman03.vouhnemnMemmo or5aC60081tl1. I 3. I +a i. E G R E E D A Y S 8310 Q ?r /?? /,?s/pQ??/ . a„„e? ? p?.,..g...ee?., <om..m. r/ OI Y/?D . NESiOENCE _. ? [ONqz ----ac€,K ?'?K.Ox 0PNj OLTE T , VL1N NO. +{--?- O O`O-S/1 Z ^ ------------`?_no-- -_?5- - ? Z . _ . . . . . ,., ,.,,.. i.. ... .. ... . .. ,., .. ,i.,,.,.... _ . , . ? U .' 1 ?. ?t lu I.' I1 Ib IM :1 "" :4 PF ?f VO t% 34 C ift 9(l• 9'?64. .46..4fl '0 `? '...1 Sii !iH un i.' r..l li, .i i0 {t i I?I?I.I. I.I?I,I.I?I.I. 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' 0.d ~ ~ 1 . . ~ ~ ~ ~~~r . . . ~ - ~ _i~.. ~y~.d' Al'~~ . - ~ . , ~~r; ~ 1 1 \ti ~ ~ ~ ~ ~ ~ I hereby certify that this is a true and correct re resentaiion of ~ tr P r~, . ~ ~ land~ ~as ~sh~own and descr?hed hereon. As prepar~d by on _ / ~ ~ ,~d c-iorr of a tract flf i . ~b -!'day of .~e fi ~ , 19 ~ ~ ~ ~ ~ ~ I~ ~ ' , P ~ ~ ~ ~ ~ ' ~97 nn . ~ R2g~. ~J ' 4i nra. Reg. "do ~ _ ~ , ~ ~ ~t - ~ ~ ~ r~` ~ ~ ~ ~ ~ ~ f ~ ` u~~~~.s~'`~ ~~~k~r°f', ~ ~ + ~ ~ L~RA~~~k~~- ANQ ' ' ~ L~i~~ ~ ( ° ~iV' ~ ~ ~ TOLERANCES REVISIO~S PE~C~~9~~ E~t~I~°aE.~=~RN LN61NE:ER1NC-, COMPANY . . ~ ~ ~ lexcerr ns noTeol NO. ~DATE 9Y Z,~~~~ . E ~`4 ~iF ~;.1~,..~t'•>: ~'J `F'F.At L OECIMAL ~tV ~P1 C ~gI~~~p . . . . . ~ . 1 ~V~~'d~Ht~;,_Li'M ~~iVItiVP"P~~ + LE ;V11~~E-~UTA5533-7 - a - ~~iP,io~7;:. ~~.5~~- ~ - ~ PRACYIONA6 ~ - ~ ~ ~ ~ ~ ~ DRAYdN ~V ~ . 5CA6,~ d . 3 + . SC.ktE 30P MAYEf3tA6. ~ ~ . _ Y.~~ C64K'0 DA7E . ~ . . . . ~ . . ANGULAR . ~ " ~ ,'c~ k , DiA,T~E ' CdE3AYYING hi4 ~ . ~ . . . . - • . . ~ . ~ . ~ ~ TRRCED A.F>€~'t7 . ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~g R.F>P'Gr___e__. _ ~ 6TX: :ry:nil.' :"~k":YF^~pY.'&PtSY".IIPt9Jt ~ , ^tYY++~.a~m.,~+HnR~`3~'d91z:'il&~'+Ai,R9ffiS~' Pib~ . ..ffiLt- . ~~'.'vJ~"~:£5#3S.R2¢~'.',S.°gx^ES .e. _ . ~ ' /,s y~+~ p~yp~~~y-ry~T1/~1pt~{p~/^g ~ ' ' . ~ ' . . . . ~ . . . ~ . . . Y1^ ~tCS.GLFItl:.~fVSt 1~ltE'tJL'-.iVASN ~ . ~ . . . ~ ~ . . ~ ~ . . ,...,.~a.~+~_..r--._.. ' . . . . ,r"...... . . . . . . . . . . . . ~ . . -.l.-.. ...•-y,..~..`.~... . ~ ~ . . ' , g ^ '^•a..-.... " i,...i'~-`~..-~....,...,,~, . . .r. , - ~y ~ -e._...w~.. ..~...~~..`.....*.o.- . w CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: _ Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: _ 1 agree to comply with the City of Eagan Surcharge: Ordinances. � Misc. Charges: _ Total: — By /� Date Paid: Date of Insp.: //` / Insp.• CITY OF EAGAN SEWER SERVICE PERMIT ?795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: _ Address: Site Address: Plumber: agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: _ Date of Insp.: Total: Insp.: Date Paid: • • C!ty ot6aRan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: L 20 c 0� 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 7)t '//T Site Address: A L\ 1 � ft Popo aNz_ Tenant: Contractor Type of Work Permit Type Name: \ DThevoi1 L LC Suite #: Phone: i_t'�1� c'--�-,u t -) Address / City / Zip "1:LA M1i\ IN V> - 0, A- R.Aita r -i O)1 Name: -1 t v�C \)C\ACA License #: lk' L r)(").'--1 City: 4\C Address: -7-)1J l State: \ ON Zip: L 1 `` t( Phonel 5 7E)Qap 616.LC.,1 Contact: Email: New %replacement Repair _ Rebuild _ Modify Space — Work in R.O.W. Description of work: '1) RESIDENTIAL Lawn Irrigation (_ RPZ / PVB) Septic System New Abandonment Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround 19,4 RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) I *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)UD TOTAL FEES $ I -VL CALL BEFORE YOU DIG. Call Gopher State One CaII 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.qopherstateonecall.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. Applicant's Printed Name x . _ Az fZ Appli ant's Signature FOR OFFICE USE Reviewed By: Required Inspections: Under Ground Rough -In Air Test Gas Test _Final Use BLUE or BLACK Ink r I I For Office Use I I Permit 0 1 City of EaEdfl I Permit Fee: Lam I 3830 Pilot Knob Road I Date Received: Eagan MN 55122 I T I Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 1 Staff: 1 L -----------------1 INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: 3 Site Address: A/f kd Tenant: - /~-c & SuiteM Resident/Owner Name: LIC,< k Phone: Address/ City/ Zip: olt,no~d , 5 J Name: License Contractor Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) Type of Work Sump Pump Repair Repair Other: Other: Description Description of work: _ CX_ FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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 the approved plan in the case of work which requir s a review and approval of plans. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA112742 Date Issued:08/22/2013 Permit Category:ePermit Site Address: 1244 Mourning Dove Ct Lot:26 Block: 1 Addition: St Francis Wood PID:10-65900-01-260 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Ronald R Voracek 1244 Mourning Dove Ct Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature r . 1E Use BLUE or BLACK Ink -----------------i � For Office Use � , � ,1 �la�if J � C��y of��n , ��: t �.� , , �,��: , 3830 Pilot Knob Road J � Eagan MN 55122 � Date Received: � ✓� � ��„ � Phone:(651)678-5678 1 Fau:(851)875-5684 i Staff:� , I -----------------� 20�4 REStDENTiA� BUILDING �ERnniT aPPUCATiQN Date: Site Address: Unit#: _ � , . _ . � . . _ � ,.� .�w.,x, r �... ..,._.� _ Name:__� � ��`�'� �`�� V Uha�(�-._ Phone: ��Z`/�� Residenti Owner Aaar�i c�ty�z�p: I ��I'�{ U�'ft��t2N t� l�vV�� ie-1 ApPiicant is: Qwmer �Gontrac6or / D�, st�-E�'�;� � �Z i►�-c �t�r s%-�t"�"� Ty�Of 1NOFk Description of work:��fl'��✓Z `Y'"� l�l?�i�� CJ 1 I , A,'7►�'�f ft Construciion Cost `� ,SDa> Multi-Family Building:(Yes 1 No�j , . . ,,, .,.. . . ,: Company: �/�CJ�X�K�" '��f�� 2Corrtact:�✓✓��C�--- ��--f,��/c� � Contractor aaa�: �j I�f 5 ��1.S7'�c K �c�►t4`� c�y: UC-��"". : sr��:�Zip:,� ��_ Phane:��2,'b~D�1��i: v�i4�'��2� Lus�rt-��t.�!u�- Llcense�: �U `7 3� �� Lead Certtficat+e#: _. if the project is exemp�from lead certificaa�iion, please explain why: {see Page 3 for additiortaf information} COMPIETE THIS AREQ ONLY tF GONSTRUCI'ING A NEW BUtLQING )n the last 12 months,has the City of Eagan iss a permi#fo similar plan based on a master p�n? „�Yes �No If yes,date and addr�egs of master pl : = �,..�._ Licensed Plamber: '' "`�° Phone: " Mechanical Contracbor. Phone: Sevwer&Water Contracbor: Phone: .x � __ NOT�.Plans and supporting documents that ycsu submit ane considered i+ai t�pubiic int�armation. Pbrtlwts oi the it�ormatiart may be classified as nan-pu[�tic if you provide spe�cific r+easons that woErld pe�mif i�re Giiy t� canclude that they ar+e trade secrets. CALL BEFORE YQU DIG. Cail Goph�State One Caii at(651)454-0d02 for protection agair�st underground utilihr damage. Ca0 48 hours bef�e you iMend to dig to r�ceive lo�es of underground�rtilit�es. .r�_; ��.�� .�c-�. �-� � 1 hereby actmowledge that this ir�formation is complete and accurate;that the work will be in conformance with the ardinances and c�des of the City of Eagan;that I understand this is not a permit,b�t anly an appfication�or a permit,and vwrk is not to start wiNw�a permit;that the wcxk wili be in accordarxe with Yhe approved plan in the case of wortc which requires a i+eview arxi approval of plans. Exterar work autfiorized by a buiiding permit issued in ac�cordance with the Minnesota S te BuiWing Code must be completed within 1� days of pecmit issu�ce. � X �-,� p�-�.� -. ApplicanYs Prin�ed Name p�icant's Signature Page 1 of 3 . . /a�� ov`� � /��' DO NOT WRITE BELUW TH S LINE SUB 7YPES pa�h(3-Season) Exterior Alteration(Single Family� Foundation � FireP�ce — Exterior Alteration(Multi) ✓�Single Family � C�ara9e _ Porch(4�eason) � Deck Porch(Scre+eniGazebo/Per9ola) _ Misceilaneous Multi _.,_. --- pccessory Buiiding � 01 ot_,,.Plex � Lov�r Level ` Pool -- WORK TYPES Siding Demolish Building" New i Interior Improvement , pemolish Interior � Move Building Reroof _... Addition _ — �nd� pemolish Foundation � Aitetation f�ire Repair ..._ T f � Egress Window ' Wa�r Dama9e Rep{ace � Repair licant Retdining Wall "Demolition of entire building-9�v�pCA��out to app' DESCRIPTION ( �q��System Valuation 5'p�j. •�-vv Occupancy lL�_ hA Plan Review ✓ Code Edition Z.O6_ 7�S�G SAC Units ______� Zoning ______, C�'h►Water _________ (25°r6_100°k�� Stories Booster Pump � Census Code ______- PRV #af Units Square Feet #ofi Buildings �ength Fire Sprinklers Typeof Canstruction ✓�j Width REQUIRED I�ISPECTIt?NS �e{�r Size: Footings(New Building) Final!C.O. R+equired Footings(Deck) Footings(Addi#ion) �Finai/Na C.O.Required Foundation HVAC_,_,_Gas Service Test Gas Line Air Test R�:Jlce&Water _,__Final Pool:__,_Footings Air/Gas Tests �Final , Drain Tile x` Framing Sidin Stucco Lath ��vne Lath ^Brick Fireplace:_,Ro�9h In _.Air Test „__Final w�ndows Insulatian Sheathing Retaining WaiL•____Footings_BackfiN____Fina Radon Control Sheetrock Erosion Control Fire Wal{s d��: Braced 1Nalls Reviewed By: ��"��,� ,Building lnspectar RESfDENT1AL FE�S Base Fee �°. � . r� Surcharge Plan Review � � � MCES SAC City SAC Utiiity Conneetion Charg� S84W Permit 8�Surcharge Treatment Plant Copies TOTAL �i G • ro page 2 of 3 ' Use BLUE or�3tACK Ink ----------------- � For Office Use j ► ��75�f� ► • , ��,��: � City af�a�an CCEIVED � ��F�: ��. � ; 3830 Ptlot Knob Road R` I 4 E�an�nN��z2 SEP � � ZOI� � �e R��a: ,l`.�.. � �hone:(6S1}675-5675 t � 1 Fax.(6�1)6�S�b�S4 i Staff: � ------------- 1�� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION oate: "� "�.°( ' + I Site l0.ddress: I a��-�. I�DuRrtr i,V(,r ��V� G21— Unit#: -- ��`� Name: t\.0� � /"t+4►Q-� �G� U Dle.-�� Phone: �.S 7. "' /�g 0 Residettt! Qwner Adar�s i city�zip: f �� U�t2�t.�i�- �0 V�- C.R.!" Applicant is: Ovimer �„Conb�acbr Description of work: R�I�.� � �E-�N�1� f��.� "� s� /-AU i�� d T�f�1@ Of 1��i'IC Construction Cost: � 3 �� Multi-Family Building:(Yes /No�_} Company:/�2A1�� ,�I�.SO�.) �K� K�Y�I��_�: /�y� �l�S t� Cd[t'�4't0� Addres�s: � �'7,+5 �%D�'�'C S-1[�.L`-- �� City: �Jll I��C. �V� �.S s+��: twti z�: . `�o Phone:�v�I��'��E��i: f I4-D�.i F2.ssti.��..r�t.,sFa��c.��.. �i ` L�ense#: °�o.�73 70v Lead Certlficaie#: N L "�- If the project is exem�from tead certification, ptease expiain why: (see Page 3 for additional informatian} �/�% /.� g'� �"�` COMPLETE THtS AREA ONLY IF CONSTRUCTING A NEW BUILDtNG In the last 12 months,has the City o#fagan issued a permit br a sfmilar plati based oe a master plan? Yes _No If yes,dafie and addre�of mas�er�an: Licensed Plumber. Phone: Mechan�al Contraabor. Phone: Sewwer 8�Water Contract�r. Phone: lYt7TE:Plar►s a�rd suPpc�t`»9 d�oct►lrre�`8 that�EUt�ablrtit a�e c�Ntsider�al t��S'p�i�Ortrt�t&i�t. Pb�s'S trf: 1�irt�ar�ta�on�rray be clas�ed as+�-pul�ic ff you provide spec�� , �#lrat�Id ` �Ci�y to +C�d �at �e tt� = .. .;: CALL BEFORE YOU DIG. Ca�1 t3opher State One Ca11 at(65t)454.0002 tor protection a�i�t�mmderground utili�r damage. CaN 48 hours before yau i►�tend to dig to receive iocates of ur►deiground utilities. www.aooherstateorrecall.or� 1 hereby aclmowtedge that this irdarmation is complete and axurate;ttrat the daork wil I be in cwhformancs with the ordinances and codes of the City of Eagan;that 1 underatand this ie not a pertnit,but only an application tor a pemut,and work is not to start withouf a pertnit;that the wark rall be in accordance with the approved plan in the ca�e of vwork wihich requires a review and approval of plans. Exteriorwork authorized by a buitding pertnit issued in�rdance with tl�e Minn� State Building Code rrwat be completed wiffi&�18d days of permit issu�ce. X_�/e_ �}��_ ��(�i-`,.�.- l�c..St9�.�^ AppllCanCffi Prinbed Name Ap icant's Sl�na�re Pege 1 of 3 _ , . ��l� ��-��, �r� `��,�� e�- ► �DO NOT WRITE BELUW IS LINE ��'�� SUB T1jPES _ Foundation � Firepiace � Porch(3�eason) ,_ ExterlorAlteration{Sinqle Famil� � Single Family Garage _ Porch(4-3eason) _ Exte�for Aiteration(Multi) _ 11Aulti � Deck � Porch(ScreeNGazebo/Pergola) ` Mlscellaneous _ 01 of_Plex _ lawer 4evei _ Pool i Accessory Building WORK TYPES r New � Interfor Improvement _ Slding _ Demoitsh BuiWing* _ Additlon _ Move Buliding _ Reroof + Demolish InteNor Altieraflon � Fire Repalr _ Windows Demoiish Foundation � Replace � Repair � Egress IMndow _ Water Damage � RltAlning Walt "Clertwlition of�tire building-give PCA har�t to applicant ,�ESCRIPTION Valuation J'G� Occupancy .��G- � MCES System -�� Plan Review Code Edition �ta'a7 SAC Units "" (25%_100°�� Zoning !Z•t City Water `-"� Census Code �-/3� Stories _� Booster Pump "— #of Units � Square Feet ac0 PRV """' #of Buildings 1 Length , /y _ Fire Sprinklers ... Type of Construction �/� Width �_ REQUIRED INSPECTIONS Footings(Ne�nr Building) Meter S�Ze: � Footings(Deck� Final/C.O. Required Footings(Addition) � Final/No C.O.Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pooi:_Footings �Air/Gas 7ests _,Final Framing Drain Tile Fireplace:_Rough in _Air Test _Final Siding:,Stucco Lath �Stone Lath �Brick Insulation Windows Sheathing Retaining Wail:_Footings�Backfill_Final Sheetrock Radon Control �ire Walls Erosion Control Braced Walls ..---�^ Other. Reviewed By: Building Inspector RESiDENTIAL FEES ar ="'` Base Fee &8' v2�� /� V' J�'�U Surcharge Plan Review 3'7� MCES SAC City SAC Utility Cannectaon Charge S8W Permit 8 Surcharge Treatment Plant Copies TOTAL Page 2 of 3 e . �-:; �� . � � , ., .. . . . , ...v� s.. ... ._ .... ...,.. ._... .. _ . .... .. .. .. . � � •r,� y i . � N � � � �� r'`. .� ,L] � i . .. . . � i°+,:, . , ..,�-.- � � L O1 � ��r�rr�0 • V `� 4 j, 1-� N �� .'i. . , h..� RS N " a-- ° �~-� * � ' ��° �I � .�, : � „� �� ..�j �,-� � 4- �s ..q '' Y ' '~ � � �� .�w a� o � �' t v � � r-." p � �. � r� L rt1 . �../ N 'b , I � C �_� w �y i ��M"�� . .�� .. :_�:. .� }' � � �� ' _/ r � � , "� J � , , � t .� � � •�'�` �� ,� , 7 �. �.: r =... .^; .,. � . . . � �bi� �� " ;�^ '° �� ' �� y � �', � , . �' 1 � �, � � d x r �" � .r�:�'_ � �'� � . � � � 7 �+, . :r � C� � � � + �n 5' y,,,,r,,.��"' "�.�,� � . ,� ,�� a � �, � �`i� �,� ��x � dt� ' " � . � �,�. �: , �`� . � , �, �� r1� o � ''r � C� � � � � �� ,.: � � � ' ' � +ti � vK'�,�� "�" . , al�, I � � �� ,� � � . � , , � ,� , � 9�, z � � � � t,� � � � .� � .. . x r,� r . f`� ` �� ' �� '�� ` �'Q'r °�F� �� '�`'�,,�� y � Fx �� N �� 1� 1,� �� "�°�f'` 3� c � � �' �, � d''�p �r o� ��, . ^ J a � �`'`�... � �' ��tx3P� � : � �d/ � r �•r�� • `1Y~`; �` +`� �� ,S� }a �`�� . :�A v�""` � < �� rt• G�1 wl t�� "�c��" "� , 11.,t��+'�K � � � � � � V. , ; �,,, '�, :- . , i �"p, 4��rx � ` �, �tl► r ° . r 0. � � � . 6 '1 � � � � � h � . , � _ � ,'. , . , ... �, .:� �� : � o _� ------ �� - _ .. _ . � � N Y � J` �r �'bY{ / � M�p , -� "��. o r � `''�,,`�.. ��4 ,� o , �•,� . ,; ' :`• . N j �' ��`�.� � � �• .9 �� •f'�i,, � � �'•26� "�� 1.�` C�'o "�o �s,�,� � �'w� �I�wl.v 3 �'} sA � ��°�a 1 � . ,•� .4�" ti ��`e " '�" Q4t 0' � .. r . . +� � � , �' � �T� °" •�,�,y •o �, �� r� �°o� �. � „� � ,� . � ,� b � � �� '� �� '�. y ,��'w''! �, �,' ' ,�,t ' �, � � : , � � � ,r► � � c � � r�`, �N� � � ,. ` � �*�� i��.. � � � � � �_�� - , � ` �' , � �:y�: ` � � � . , �} " `� Z s r, �;,� � � n� r ± � { ` � S � ` o O 3�.OZ� S f q ,� Cs.:.� . � ' � t � � ( � - � Z � � Y t.:�� U- �r ,. �� , + ': � � � _ .. � � , Use BWE or BLACK Ink � r-----------------� I For Office Use � ' � Permit#: /�� j Clty of �� I Permit Fee: �� V ' I 3830 Pilot Knob Road � — I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 i Staff: i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � �� Site Address: �� '7 7 ��'��G �0 U£ G✓ ��/°� /�.� Unit#: _ _ q `� x° Name:__�dN�� 1� ��r �2�G� !/tJ/�,gG��Phone: �S I - S�S� -l/€'S� 1f �2 S Res��#en#1 �w�aer :- Address i c�ty i z�p: /�`/� /no��y�� l�vr/� �1'- �f��'�� /�� y .5��._.3 Applicant is: �Owner Contractor �.PL��. ^/¢a�T 5 d�' Description of work:��l��l3G� FRoN%Dao2 c+.'� S,�D� �.�C/fTS� S�tiG�E �o,ec�f Daoti��Y�G� T7/p� Of WQrk � � Construction Cost�— �5�� Multi-Family Building: (Yes /No� � �� Company: Contact: ��C��,��, ' Address: City: 1 State: Zip: Phone: Email: License#: Lead Certificate#: 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: f11�?T�:F�ans a�tl;��py�tarttng�alvc�rner��,�cru'�ubr��ar�,�ar��`�`erepl�b��b�rc��t'flr�a�r�n. Port��s of ' ' t��itrfoi�nna�c��r rr�a;y be cl�,si�ed as�r;ri�-pu�J��'you prav��Se�i#ic�easa�rs f��t w��rJd perr��#lae Crt;�to c��lt�de th�a.it,�. are�ra�s�rets. ' 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.qopherstateonecall.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 /�o�A�/-� l/URA�G�k. X'� d�:�� ApplicanYs Printed Name p IicanYs Signature Page 1 of 3 �� LJ � :`, �fl_ �-�J(,�� D�O NOT WRITE BELOW THIS LINE -� �� SUB TYPES Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding � Demolish Building' Addition Move Building Reroof _ Demolish Interior � Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of enti�e building—give PCA handout to applicant DESCRIPTION Valuation � Occupancy �/�G -/ MCES System � Plan Review Code Edition Gi SAC Units (25%_ 100%_) � Zoning �I-/ City Water —' Census Code �/3�F Stories —" Booster Pump �" ' #of Units � Square Feet '"'" PRV ! � ', #of Buildings l Length �" Fire Suppression Required -'"" �, Type of Construction �_ Width a REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool: _Footings Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation � Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control �/� Other: Reviewed By: , Building Inspector �' RESIDENTIAL FEE /�1�,/syrs �� Base Fee / y? � � '� ��''' ��/blliY%„�`t'/O� Surcharge Plan Review �� MCES SAC ' City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 , _ _ ___. _ ,- --._ _ , � .... ..... �,.,�. _ � ��. - � � - � 1 . ,� � -�- -�::� ,.:, � . - " ��:�1,� ;��un.�,�;',��, �oe�,.� ��` ;�: �f; � _:�-�.:-�Y�` iy �: . � " . .f . . �C � y '� r• � . 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' ,-.. :... _ . ._ . � . s r•iu, �� - .. . .°- - ,� . -,,,. ., g,, P�. - -r-% . � ,,s.� . _ . . �� . , • � - <., �u:., ... -- ..� . . : . . -< �Y-'� . ` . .. . ;$��j�� . :.� � Y R - - o � :i. �.?3.- -,1; .4'G, p_Y!. ,�#..— ' Y` S} _ - - . - . ,�,. +� '�YY.�.'" ��}�.'. .'%�'.� :f`•._ c;Y ' viT'f ' a , �,�� ': s-. �.... �. . _ ;..: ;-::�; _ _ ." . ." '�� - �" - - f��:�• .��-.-�.'. =-;�'- : 'X 'e�.�.=; . ' _ ��.:�•f- a. �,� �'� � _ '',�.__ '�.y�:e,::= -= : - . w.,* � .� - o *��- • . ' . � :.��.Y /, _ �7�1��y. _ c.�":_' �� :�' � _ � �`` ''"°' � ' _ �� _ �� _ _ . � �---�--y. �: " ��i:.�� '�. k __ :. . . .�.,.. .. � : .. � -- �� _ " 4�' +_ � _ - • . - �:r�� '�M,. _ . � - ,. .. . , .. - �` j' G_ _�-. ..,-.-- .. r.,'��" � , . . „ i � -,,� _ _ .��$ OC !4'—.�� . . �'; .. . *} jR".`, _:V�:+,;,... i - . �� L.�'T� : �-�, _ —--___ � � ��~ � �� 1� 4,r - .ar�'" _ , - - . ,�l'4 �yy� � . . ' . . g`. ' - � - � - -, . %. f � a' - � � �'�'��' _ . � . s - � __ . .- ._ � - . . • . � f!Ro✓�'�" s�� . - � - ._ �_ _ � ,��lAz,�� . a � _ . _ .'""'� � . �. � - - � - . - r . _ - . -. - �. :�.. . : . : -_ . _ _. .- = . � -_ .� �:��'��9 . - � g � '�t�� : • ��_�_ ��.�� 'e e.� z.�. � . a� --� � � ,��1ib + . - n►� _ . .... —�x — 'I 1;:ri ii�t.�P�"��"�1��'�;� �4�1'�-..�"�i,iQ�14 : i p� p�a vcrc.c�� I � . . - - �"�--" --- - I � __:._ :--�- _____.___ � � ,�. . . �A _ . . . i ef �a! _ - .. . _ �" PERMIT City of Eagan Permit Type:Building Permit Number:EA144097 Date Issued:07/12/2017 Permit Category:ePermit Site Address: 1244 Mourning Dove Ct Lot:26 Block: 1 Addition: St Francis Wood PID:10-65900-01-260 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: 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 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 - Ronald R Voracek 1244 Mourning Dove Ct Eagan MN 55123 Overhead Door Company Of The Northland 3195 Terminal Drive Eagan MN 55121 (651) 683-0307 Applicant/Permitee: Signature Issued By: Signature