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4373 Nestling CirDate: City of kap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r For Office Use Permit #: Permit Fee: Date Received: Staff: () Zf i to 5 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Resident/ Owner Type of Work Name: Site Address: /- ✓ "� I I/� C r Phone: Unit #: Address / City / Zip: 3 ,3 A)'-(2-)-4)/4-/- C (1" COz- Applicant is: Description of work: Construction Cost: Company: Owner )C Contractor /oanL Multi -Family Building: (Yes / No ) Contact: Address: (j J C( �J City: 7t } 0/4 /4 c� ✓`� State: _ t AL Zip: . 53 CMZ Phone: j (L- Zf/f�"' — // Z —7 -- License #: C3 "7 3 Y I Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific' reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 B ding Code must be completed 'thin 180 days f permit issuance. Applicant's Printed tame Applicant's Signature Page 1 of 3 QUILDING PERMIT 000 4373 NESTLING CIR Site Addreaa Erect ? ??ncY R3 Lot 54 Biock 2 Sc/sub. MALLP,RD PK Remodel ? Zoning Parcel No. Repeir ? Type of Const.V Enlarge ? No. Stories it Name STEPH-AN HOMES Move ? Length 56 - - Z Add Demolish ? 7 F Depth ? ress City APPLE VAL phone 423-1179 Grade ? sy. Ft. ?C SAME Apvro vab F.e. - - - - - , F Nane ?? Addres5 11-- City Phone Name Address City Phone I hereby acknowledge thct I h sgad this opplication and stote that the information is correct d p ree 4 comply, ith oll opplicoble 5fote of Minnesota Stotutes 'ty? rdir?onces. Sipnoturc of Permittes ' STEPH-AN HOMES A 8uiidin9 Pem,ir is Issued to: oll work sholl be done in xwrdonce with oll opplicable Stote'._ o'f Mir --_ Buildinp Officfal CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # _ Assessment Water & Sew. Polite Fire Eny. Plonner Countil-?7? 9 Bldg. Off. 1 "7'' j ? " APC Var. Date 84 Permit ' - - - - - - Q Surchorfle 37.0 Plon check 17 7. 5 0 s^C 525.00 Water Conn. 470.00 Water Meter 63.00 Rood Unit 260.00 xPWcopy ) .50 Total 4 tluv o. on the exprcss condltfon 1hai Statutes ond City of Eayan Ordinonces. 1) - i'? ?. 9V I Permit No. Permit Holder Date Plumbing ? ? ?a - a ? ? ? ,? • H.V.a,.C. Electrie ? P t:f¢? $ v r? ? W?? ? by 'T'c). Sohener Inspection Date Insp. Other Footinyc Foundation Framinq /µ-„?] " ? ?+ ? „ • ? Rough PI6q. Rouqh HVAC Inwlstion ? ??? V? • Finil Plbg VAC c. E Describe Location: Sewer . CITY OF EAGAN Remarks Addition Mallard Park Third Add'tinn Lot S4 sik 2 Parcei #10 47252 540 02 Owner sc.eet?4373 Nestling Circle state Eagan, MaV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 0 Im . 1981 2698.43 5 STREET RESTOR. GRADING SAN SEW TRUNK *SEWERLATERAL 7 1981 3412.34 682.47 10-25-84 WATERMAIN * WATERLATERAL 1981 WATER AREA 0 jgz ' - STORM SEW TRK 7 1981 467.74 93.55 5 93.58 A014788 10-25-84 * STORM 5EW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 260.00 #47416 11-1-84 CONN. ' 7p. 00 A 11 ti BUILDING PER. #9661 " " sAC 525.00 '' PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. t 9 N Eagan, Minnesota 55122-1897 Date Issued: o ; (612) 681-4675 SITE ADDRESS: APPUCANT: I I?T ',?i tcl u? r i F•}) `ii ! 1 NC] f 1N rii51 I! I" T MHI t r?ttli 1'i?kk `tlt[, ( l? l:} ti9N ? 1 l 14 ? s.. - ?. ? ?.. _ - , .. . PERMIT SUBTYPE: TYPE OF WORK: 14 rw tt ,?,?? ? ??r? ( UAS ) Permit No. Permlt Molder Date Telephona M ELECTRIC PLUMBING HVAC Inapection Date insp. Canments FOOTINGS FOUNO FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING Gas svc TEST INSUL GYP BOARD FIREPLACE R TEST FIREPLACE A I HC? FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DEGK FTG DECK FINAL CITY OF EAGAN SE1NEit SERVICE PERMIT 3830 Pilpt Knob Road 7 ; -, 1 P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 p,,?; 1.-?-`' r' Z°^i^p: ? No. of Units; 1 Owner. StE-pil Azt Add?ess: 5tte Address: 4373 _Iestlixir "2 :allarc: Far?r; 3 Plumber. "''en'e -1 '?c:Z 11 ' _ _ "?:I•. . , p 1 •afe• to 008*1y wiN? e6. eie,r of E.". conneccion aarge: 425.00 pa _ ddhweas. /kcount Oeposit: 15.04 v-i Parmk Fee: - I0. `)o r•d ? Surchorpe: By Misc. CMrpes: Date of Insp.: Total• • Insp.: Dote Pald: Ci'TY OF 'cAGAN 3839 Piiot Knvb Road P. O. Box 21199 Eagan, MIV 55121 Zoning: 1 Owner. t ress: ito /lddross: Plumber, ?Meter No. SiZQ: SC9 r r Readef No.: 0 `7 L ol6 K / h 1 yrw ta oooply wtlh IiN Cihr of Eaysn Ordiwewa?. ey WATER SERVICE PERMIT PERMlT Np.: DATE: No. of Units: COn?1@tt1011 'Chorg6: 4710. 9 Permit Fee: Surchorge; Mise. Cha.pes: ., e t e Totcl: DoM Pnid: Oote of Insp.: a 7 8-S (nsp,; BUILDING PERMIT CITY OF EAGAN 3830 Pilot Koob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt $ - Te 6a umd fm SP DWG/GAR Est. Value $74, 000 Dote NOVEMBER 1 lq 84 Sireqddresa 4373 NESTLING CIR Erect ,-j' y I R3 Occupancy Lot 54 Block 2 SeclSub. MAI'I'ARD PK 3 Remodel ? Zoning -71- Parcel No. Repair ? Type of Const. V Enlarge ? No. Stories STEPH-AN HOMES Move ? Lenyth 50i ? Z Name Demolish ? Depth 46 Address 9 City APPLE VAL prypny 423-1179 Grede ? Sq. Ft. }o Name SAME Address ? City Phone Name _ Address City _ ADOrovals Fees Phone I hereby ocknowledge thaf I ha ad this opDlitation ond state thal Ihe inlormotion is torrecf o o ree Q comply with all opplicobie Sfate of Minnesota Stotutes it?of1Eag Qrdirwnces. f )" / Slpnoture of PermiMea '??"?"° = -'-? " A Building Permit is issued fa: STEPH-AN HOMES oll work sholl be done in accordance y(W,?(I oDOlimbte tafe lrynr Assessmenl - Water 8 $ew. Police Fire Enp. Planner CAUncil 81dg. Off. 10/31/8 APC Var. Date Permit T ?• "'" Surchorge '47 _ f10 Plan check 177.50 saC 525.00 Water Conn. 470. ? 0 WaterMerer 63.00 Road Unit 260.00 zp*i&(copy) .50 Total $1, $a8.00 on the express condition thoi Statufes and Ciry of Eapan Ordirwntes. N?° 9661 `Y/2l(:v Buildfng Official ? ? Du _ _ •? • ALL CONTRACTORS MUST BE LICENSED WITH THE CIT e OF EAGAN ?e- C?? c;? LUDE 0 SETS OF PLANS, CERTIFICATES OF SURVEY ?? SET OF ENERGY CALCULATIONS To Be U? ed For: Valuation: Date: Site Ad?ies : j??i.C ?4.o00.pO • •? ' Lot_? ? Block: .,? Sect/Sub: ????,?;--Erect: Parcel/#: Remodel: Repair: Owner: Enlarge: Move: Address: City/zip Codee Phone #: Contractor: Address: City/Zip Code: f? i- Phone # : Arch./Eng: Address: City/Zip Code: Ahnna$n Demolish: Grade: X Occupancy: 9_3 Zoning: R-? Type Of Const: S' # Stories: Lenqth: ?j(p Depth: ? Sq. Ft.: APPROVALS ? Assessments: ater/Sewer: ? ??Police: -r-Fire : Engr.: Planner: Council: ? Bldg. Off.: ? APC: Variance: o? Permit: 355.? Surcharge_ Plan Rev. : SAC : water Conn: Water Meter (?3. = Road Unit: ZccO.V Parks: l?r-f ? ?.? a8?.(j J Z¢x 4? = 1&a xS4 = 840 ;°lio x _>q ?? x?- C?4 x 5Q y 345? 32? 22 ??oa, x it --7-74 q- ?3?24 ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: crz0s1dl 7',J"Al BUILDING 027198 03/27/96 SITE ADDRESS: P.I.N.: 10-47252-540-02 DESCRIPTION: 4373 NESTLING CIR LOT: 54 BLOCK: 2 MALLARD PARK 3Rp (GAS) ermit Type FIREPLACE ?k,rk Type NEW 434 ALT. RESIDEN7IAL p? REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge .50 Total Fee $25.50 XK%40W 'dol , % CONTRACTOR: - Applicant - sT. LIC.OWNER: S70VE & FIREPLACE 6ALLERY 18381174 2003208 Gl1LNER DENISE 1278 COUNTY ROAD 42 4373 NESTIING CIR BURN5VILLE MN 55337 EAGAN MN (612) 898-1174 (612)681-9299 T heYeby aCleervw?edge`tE?at7'? k?asv?tP??tt.th4 sappliv'*at;3an ?l7d sYaCt t?at, ?hs ? 4 ? tc?°f3 9;f 1¢Ei r, ?informa%tib?re`?s earr?e? ?a??? a t^'? to ? ? Staxute sr andr6:ity itf ?? ,qcdi?rkan?es - ?•r E _ ' APPLICANT/PERMITEE SIGNATURE ISSUED? EIY: 51 NATURE?? 14194 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 FIREPLACE PERMIT APPLICATION 681-4675 DATE: ? DESCRIPTION OF WORK: _e)?INSTALL NM FIREPLACE: _ WOOD BURNING _ INSTALL GA5 LOG ONLY IN EXISTING FIREPLACE _ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: ??.50 Z, GAS AREA TO BE INSTALLED IN: ?i•?o,?---._??_ -_ . STREET ADDRESS: L-r 4 1 S 1\9 eS??y LOT ? BLOCK r _ SUBD./P.I.D. #: APPLICANT: (circle one only) OWNER CONTRACTOR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. PROPERTY Name: C ?U? v.-er tc.c Phone #: OWNER ust MBT Signature: Street Address• City: ? State: Zip: FIREPLACE Company: Phone #: INSTALLER Signature,%A? -? ?Street Address: t-2--t6t, C oZQ cS2 w License City?Qk-W?ILJ ,11?.sL. Nh? State: Zip:21MD GAS LINE Company: Phone #: INSTALLER '? Name: Signature: Street Address, Ciry: State: Zip: ow . v a?r, a? ?i• ?' •. ?a ?,''? s N ? i ? r ?? V•+ ?n ?? $ r ?' a0''? ? $? $ AP •''?i? .r- - ~ i ?° = Vf ; N q ._-- ??' ` ?+ ? e r: \,e? • ryq.,'?' H \ I ?i? ? 9 'qQ _'o ;:' \ e ? \ '?` ` t ?e o 4r = ?? ? 4t ;?i ? ?,I \?x vT i F'„ g3t ry ?%?? \ '?'?F T° "°e . q?? e .. ? ? _ i '"• s S \ - ? ?' M O . F,?s? ?.??9; \ / . -ti" ? • '' tl• N ?? a, p d?+.T ??a.v ? ? n• d1 ry ?. .. ? r h r ? Pi..? ?f;4.If ??S.?bPTl??+l?1 LoT 9 ? Si.a?t.t?.. Z r MALLAAD P6.R1t NORT 1k TH1QD A00Iat1 owo S?-A??-6c. l"s3ol 04MtoTA GDUNT`f, ?.1. f8CA1RWay A+41lINft MIN1.1E40TA 606NoTE.h IRWJ MoNUMeNT I hereby certify that thie eurvey wae prepared by mo or under my direct supervision and that I am a duly Registered Land Surveyor under the laws oP the 5tate of Minnesota. Date: 04fo6er 311, 19e4 Le oy ohlen Registered I,arid Surveyor No. 10795 ,A> 2/84 l J CITY OF EAGAN l ? APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODT (PLEASE PRINT) 'St 1) PI20PER'L7 ADDRESS: • /-TS'?7- _ /1JQ3'f7?Ina ? i'i`['IC /? r•F3ar, DESCRIPTION: Nla./?a.v? 1'k ? (Iot/Blocic/Subclivision or Tax Parcel. I.D. Ntmber) 1L •..LLJTJ1C??.?1?., 1\A_J ?/rlT '1'JTr???R.L ??T-iJ-i r? ? ??LL'J.T I?ili? -• v PRESEN'P Zi i7IDr,/PROPOSFJ LTSE: R-1 SINQE FP.MILY ? R-2 DUPLEX (ZY70 UNITS) ? R-3 'POWNHOUSE (THIREE + UNITS) ( TJNITS) ? R-A APAR'lPAENT/CbNDamINI[M ( UNITS) ? CU1,IERCIAL/REPAII,/0FFICE ? II'?US'IPJAL [y INSTITf.PrIONAL/G90ERIZ2PP 2) pppLICANT (PLEASE PRINT) rTlaME: 7"rN ADDRESS: ? 1'r ?o'f' T.?la? ?d CITY., STATE, ZIP: PHOLNE: 3) , P?? ?AME PlEASE PRINT) FOR CITY USE ONLY ' A WENEEt 1MECHANICAi- PLUNgERS UCEHSE: ADDRESS: yQpO KENNEBEC DRIVE. EAGAN, MINN. 55122 ? Attive • CITY, STATE, ZIP: 452•1565 C] Expired P??: PLUMBER LICENSE N 001445M2 Not o ec d a nit3a 4) OCC(JpANT/ai[,t (PLEASE PRINT) NF1ME: ADDRESSs ?- CITY, STATE, ZIP: PHOD]E : 5) INpICATE WHICH PERNIIT .IS BEINU RBQUESTED: ? CONNECrION TO CITY SD]EEt ? CONNE7CTION TO CITY WATEft ? di'fER (PLEASE DESCRIBE) 6) IlVDZGZTE ONE: Q PLEASE HOZD APPROVID Pg2MLT FdR PICK-UP BY ONE OF ABUVE ? PLFIASE MAIL APPROVID PII2hIIT TO 1, 2, (D 4 A&7VE (Circle one) ? 7) sz?sv • DATE: Fw+iiiii;ki6i+i?fr'!P+!iijq!k'..•.?rSr!?!Firy..i?.fii .,:..:... ?wrr i? F O R C I T Y U S E O N L Y pERMIT ISSUED FEES_ $ SEWER PERMIT (INCLliDE SUP CHP RG . . E) $ io S a WATER PERN4IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READE R $ WATER TAP (INCLUDE CORPORATION STOP) ? SEWER TAP ACCOUNT 'DEPOSIT - SEWER ACCnUNT DEPOSIT - WATF..R WAC $ Lr?? . ?tJ SAC $ TRUNK WATER ASSESSMENT _ . ._.. ......,.. $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ ' OTHER ,._... , _ ,. _. $ TOTAL AMOUNT PAID/RECESPT::,# DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVIST_ON. LZST AS A CONDI- TION: SUBJECT TO THE FOLLOWING CONDITIONS; APPROVED BY: TITLE : .?? DATE : 7 - ?r e-I murteap:pqwdw w_w +ww ....'-... i w II dL }+ ?. =?fr1.? ? Addrea !To{at Haat Loss [ 7 ? • P1°^ -"' _Dace "? F NEAT LOSS CALCULA710NS ' ._ .. -----u-??.? + .efi x ? ? ?Tofal Btu Input All windows a doan ero weatheratrippetl ?LI/ .. __f'.._ ../_?"! Room ? L71h. •, Wtfi. . „Ht. , ?mo. wnin rb?un? rvo,o? 6oe?u1. Aro FI. RoOT Lpth. , Wtb. oi ner.k W. h. Na. Witlth w?ipM ? No. ot linunt. An, al p?m ol p?n? / [t al enc4 p, ft. ?--?- L O J - , i /doon Co.,. 8TU ,doa,. Inlllvulo?? Wintlaw? Z 47 - IdoOn Cod. BTU 13 INilnsr;on W/ooor, 11B Infihmlon Window, 47 INih.Iilnn B/Dpaq Inl l Ivetlon W/Oaan ? 71 8 { InfOtnnon8/Doon 71 1 B/A. WYi1 !? EvP. WUI 1 tll?µ 6 Dooq 48 Q GbM d Doon ; Nn EvP. Wall 7 4a Na Exp. We11 V ? --?? ?nlilrp ' . , • Floo- 6 - pI11nG . -- S ? Tow tilu. 7 108 Flaer . - , I Tp(al BN. ? . FI. -----__' ? .. Room Lgth. Wth. " Ht. No. Wieih Haipht No.el Line. t FI. t. I Aree RtlOlfl Lgih. •'• Wth. H w f1 NO. t,.• _ ol Pan. al O?na II hh ol ttxk WidC? H.Ippt NO.OI LinwIIL Aise OI M OI ? ?" O II M? o} Crxk q.lt. ' .". R . D ,aoon ?doan - /tloan Coel. BTU Inlipntion WinUqr. 47 (Gaon Coet gn ilv?? a w? 07 in?i:vniem W/OOwi 718 IntillraHOn 178 I?tilnrtlon 8/Doon E.p. Wau 71 Infiltrit(iOn $/Dppn » - I ExD. Well 1 GI»?& Dow? 48 G Wc d Dod? ? Nrf Evp. Wa11 7 Net E?p, WNI 7 Ceir" r„wr g c.ilinp 6 ?ylsl Bry. t Tioo?e... , 6 .?. ?- ? 9p O FI. Nn. W?d ? al P. ?il?vafon WliMpw? COe}. 9TU 11 4) 118 71 l6tn. . ,. Wth. H • FI. Reom I ? ..??. • . . - . n(ihietion W/Doon ?Lqrqian S/OoOn 'u. w•n JnH d:DOCq`- a EKp.Well 411Liy 14UI r.alllro. No. W'd?? of na I H?iph? Of p?M No.al 1 n -' . '" na LIMNI'. Arx OI CrKk q, ry. IEOOH /dnon Coa1. 8TU Inflitretion W{nyaw# 47 Infilveiion W/Dpart 178 InfiltrRlonS/Doon . E.P. Wdl G4H 8 DOOf1 N-t 6 yp, Well Glllrp Floor Dete Addran Plan $k-Lu_</a .oVil Haat Lotk T x =ToEal 8tu lnut MEAT LOSSCAICULATtONS s6 +,ls ° P ? All windowli& doan are waatheratrippad .' .. ..?i . ? _ 1 . . i ? ..... . i ..r .. .. . .. I _. i n n ? I . .. 1 . . ....... . .. .?_ O ? ? PI• i' /. f1001O I LBin _wcn. f_j --- m.p - ri. noan LOSII. W vvm. p n?. "? rv4, WAnn p? yu?e M101 of pen? No.al II M, Llnmut. of cnck Aroe w. 11. Na. 1dih of . Hitfpht el • Na,ot II hU Umallt. et cnek An, ap.lt ' -_ I ' i IEOOn ftlnon 1aoors cwr. eru looo cW. aru ,iamtlnn Window, ( 47 In11IVatlon WinEOwt 47 .. , . uun wrooan 11B Inrlltntlon W/Ooon 11@ •?.i?.Ninn610oon » Inlilttatlon8/Doan il ?H.vi?n Q 1-4 ew.wall . S? ? .???.. . aaa 6 G.rn? ? alwi d Ooon . 46 iai E au. WN1 7 ' Not E.P. Woll :am, 6 C.luna ^ . 6 7 10 Fbor 7 / 'u'ni Bw. d Toul Bw. g ' PL oZ Room 4 LBth. "Wth. I '• • Nt. FI. Room L9th. "Wth. •• C)OF • Ht. No Wmth ol P.ro HaipM ol ?na No.ol " I' h9 LinwI1L al tt?ck A ru p . h. o• Itllh of Wno IrW ?iO?t of psne e.ol li h U lm.li. ol aKM m W. it. .. i ? ? - f IEeOIt Irv ItbM ? Coel, BTU L/ e Cwf, BN n?ii?mini?W?M6w? 47 INilhationWinMOw. 07 adkE 0.0 Md?re?iM W/Oaon 11B Inlihntion W/Daor1 nlitution 8/Doars 71 InRkntionSlOoon All » Q !xP. Wall EvO. Wa11 7 ,lau 6 Doon 4a Glu. & Ooon v 48 G in E.p. WaI ? 7 tiat Exp.Wall ? LLCI ? CallinB J Q 6 , v :v.or 7 10 Floor (? ? ew. Q Toul Bm. ? Room L9Ih. ' '• Wth. • " Ht. • •• FL ? p Al. . •• Wth. • ° Mt. ' Ylnbn ?tl a^+ N.iun? alN? Nn 11 nt, Lln.ll?. ol trwk A?.a M. h. No. wMtn ot n, M.laht ol ryne Nu. I p . In.let ol enck Mw N ? -- laoon laaon ' /doon Coal. eTV /tloon ckie 1. BTV n4n.afianWinAOw? O7 InfllnatlonWindows ? ,,rnrananW![loon 178 Inliltrs[ionW/OOOn lt8 nfiivaianslooon » In1lIVqlonSlDOOn 71 i.u. Well S.P. Well 6 Do. ?, 48 Glms A Doen 4a -M-9_ w F.?ip.Wall 7 7 Not EMP.Wo11 7 kL Cefin9 co?,r 106 Fbor S 6 7 10 i,;ut tlw. 4 7.1 7oaa1 Bm. (? 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit ?-?() ??o Date 7 /•1 B / 0 S Site Address S/.3 73 /VC S }? ;-7e/ r-[. 4t-+ Unit # Property Owner /vi -4 Q ? i rti Telephone #(j6S! ) J'.?(e +TS/L Contrsctar ANGLII f "010 ry' 12259 Nkoqet Aremie SipA Street Address c Ci? State Telephone # ( ) .?... Bond #: -5'$0 Sb 7 Expires: The Applicant is _ Owner Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Addition al V?Replacement air exchanger airconditioner _New ?Replacement other State Surcharge $ .50 l $ Tota I hereby appty for a Residential Mechanical Permit and acknowledge that the information is complete and accurate, that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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 i;4,case of work which requires a review and approval of plans. n r nn Ar Applicant's Printed Name Applic t's Signature ? - ra L?? SEP 9 .9 2005 Jul. 25. 2008 4:47PM R. A. UNGERMAN CONST. 0128252401 No.9459 P. 2 - __---------------- ? ? Permitq: ? I ? ? Percnft Fee: 90 . Oo ? j Date Received? I I I I Stafl: I i I 2008 RESIDEN7IAL BUfLDING PERMI7 APPLICATtON Slte Address: Nes-F-lI'Wry CI' Y 7enant: Sulte u: RESIDENT/OWNER Name: M1jW' eqlGk Phone: L-61- 33 (p?5,61 Address / Ciry 7Zip: 4"2V3 N Csjj( yjG Or. - - Applicant is ,_ Owner 11-/ Contracior - TYPE QF WORK I Description of work: M -rM r Consiruction Cost: rti O MuRi-Famity 8uilding: (Yes „` ! No? CONTRACTQR I Name: LnnafVmfAVI wV15L- L-V. License#: address:.!$Vr'Io N i'[o l ?C?` 77?VC 1--.1 .. ?,t City: 1YI?lS. - State:mi? ? Zip: 25 Phone: IVIL-?LS'?Z9QD Gontac[ Person: I ef/? r'JY?I?VI Jc-yy?,(iyV] COMPLETE 7'HIS AREA ONLY IF CONS7RUCTING A N€W BUILDING ? Minnesota Rules 7670 Catecoty 1 .MinneSota Rules 7672 Energy CodB .Resltlentiel VenWa[ion Calegory t worksheet • Mew Energy Code Worksheet Category sabmined submined Subml93ian type) • Energy Enveiope Calcalatlons Sobmitted In the last 72 monihs, has the City of Eagan issued a permit for a similar plan based on s master plan? _Yes _NO If yes, tlate and address of master plan: Licensed Plumber: Mechanical Cantracfor: .50WlP & Watel COI7tY8cfOr, Phone: Pb011C: Phone: I nereoy acKnowietlge ma[ ihts informa6on is complete and acxurala; that tbe work will be fn conl0rtnance wllh the ordinances and codes oi lbe City of Eagan, that I undersiand [his is noi a percNi, but only an applicatlon lor a permlt, and work is no1 to ta wdtwut a permit, that Ihe work will ba in accwdance wilh !he approvetl plan in the case ol work which requires a review antl appro plang. X X. App(icanHs Printed Name . App anPs S ature Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4373 Nestling Cir Lot: 54 Block: 2 Addition: Mallard Park 3rd PID:10- 47252 - 540 -02 Use: Description: Sub Type: e- Siding & Windows/Doors Work Type: Siding & Windows /doors Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 4,000.00 Contractor: Capital Siding & Windows 9673 Wynstone Dr Woodbury MN 55125 (651) 578 -9205 Total: Applicant/Permitee: Signature PERMIT City of Eaan Surcharge - Based on Valuation $4K BL - Base Fee $4K - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are re quired. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Siding: When installing ventilated soffit material, remove existing soffit material (i.e.debris that could block vent openings) and take steps to ensure maximum ventilation into attic space. Windows/Doors: $2.00 $97.25 $99.25 Owner: Michael D Begich 4373 Nestling Cir Eagan MN 55122 9001 0801 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature Building EA075950 11/21/2006 ePermit