The URL can be used to link to this page

4044 Northview TerCITY OF EAGAN i -. 4" 3 3830 Pilot Knob Road; P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 ? BUILDING PERMIT Receipt# .?f To be used for `t Est Value ?' I `I '0?o Date UEC?:t-1BEN 26 19 87 Site Address 4046 ROitTNVIEW TERRACE Lot I L Block 3 Sec/Sub. LF.xIAGZON f Parcel No. a Name JOg M1LLE8 C4NST ?.AF A1'F Z Address 18133 CE? o City iaRMI ?It"1 ?:. Phone I i- :-ii,_, i . o Name ' ::A..'F ? < Address ? City_ Phone a W Name _ v = Address W City - 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. Signat ,e of Permittee A Building Permit is issued to:.__' on the express condition that all workshall be done in accordance with all applicable Syate of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY On Site Sewage pccupancy 13 MWCC System Zoning R1 On Slte Well (Actual) Const Vn City Water ? (Allowable) Vri PRV Required # of Stories Booster Pump Length Depth 36 S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit ? 50b.50 Planner Surcharge 6V • 50 Council Plan Review 263.25 Bldg. Off. SAC, City 1U0•00 Variance SAC, MWCC 525.00 Water Conn. 525.00 Water Meter 67•00 Road Unit 3U5.00 00 Treatment P1 ;qx9c bpy) ??? TOTAL BLDG. PERMIT N0. ;??`r?'i j ;`?- '? i ; _ ?( ?-- ?_ '?i r.[,c? 01-3210 Bldg. Permit 01-3422 Plan Check , 01-3445 Surch.lAdm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 00 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 4:ater Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CASH RECEIPT ' CITY OF EAGAN 3830 PILOT KNGt ROAD EAGAN, MINNESOTA 55122 ,. DATE 19 ? RiCl1VHO - , ' rROM AMOUNT $ I & DOLLARf ?oo ? CASH [] CHeCK e v I ,f Z_.. ' White-Payert CopY J - ' Yellow-Ppating Copy Pink-File Copy Thank You , CITY OF EAGAN 14493 3830 Pilot Knob Road,-P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt # r To beF#41 for ' Est. Value ?Date ,19 Site A6dre Lot Parcel No. WaRrt,vi" rERw?cE OFFICE USE ONLY On Sfte Sewaye Occupancy MWCC System ' Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required * of Stories Booster Pump Length ' Depth S.F. Total Footprint S.F. 3 ,, l•RX1NG'I'ON a Name z Address City Phone " ` 0 SAl4g' Phone City I hereby acknowledge that I have read this application and state that the information is Corcecl and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee - A Building Permit is issued to: on the express cond ition that all work shal I be done in accordance with all applicable State of Minnesota Statutes and City oi Eagan Ordinances. Building APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review • ? 5 Bldg. Off. SAC, City . `K) Variance SAC, MWCC Water Conn. - • ?? Water Meter ' ' • ?? Road Unit `ko 'x ? C"' ? Treatment P1 Pa`ks l . t3U + ? 3.25 TOTAL Permit No. Permit Holder ' Date Tslephone ?k Plulnbing '? • ' 77 77G,?- ; ?v •`? H.V.A.C. Electric c=- Softener Inspsctfon Date Inap. COmnlents Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. 2 Isul. Flreplace Final Htg. Final Plbg. Bldg. Final Cert.Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. PERMIT # 'Z" _2 , r PLUM8ING PERMIT (? ? CITY aF EAGAN RECEIPT ?k 3830 PILOT KNOB ROAD, EAGAN, MN 55122 OATE: Site Address y - BLDG. TYPE WORK DES RIP ON lot Z Block -7_ Sec/Sub Res. ? New ? Mult. Add-on ai Name Comm. Repair m Address Other c City 444 ' Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NQ., FIXTURES TOT l ? Name „SWater Closet - $3 00 ?gath Tubs - $3.00 3 Address ` Lavatory - $3.00 _O CitY ;?r??-- ?f.. Phone ?/?f e?oul __?4Shower - $3.00 - Kitchen Sink - $3.00 -.s FEES COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Ilidet - $3.00 Laundry Tray -$3.Oo APT. BLDGS - COMM RATE APPLIES , Floor Drains -$1.50 J TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$1.50 S? MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 = MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 U STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 SIGNATURE O PERMITTEE FEE: /- L'v STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _ CONTRACT PRICE: Site Address ?,::? I Lot Block m Name ? Address c City ? ? Name ; Address o city ?-..., l Sec/Sub :BLDG. TYPE WORK DESCRIPTION ?es. New 4-- Mult Add-on Comm. Repair Other TYPE OF WORK Forced Air ?•i; t?-r? M BTU Boiier M BTU Unit Heater M BTU Air Cond. _L? M BTU Vent CFM Gas Piping Outlets # Other FEE: S/C: TOTAL• FEES RES HVAC 0-100 M BTU J?- . -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS M M ' INI ( UM - 1 PER PERMIT) - 1.50 E. : GOMM/IND FEE - 1% OF-GdNTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE RPPLIES MINIMUM RESIDENTIAL FEE ALL ADD ON S - - REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $ 50 S/C IF PERMIT PRICE GOES ? '-;... . BEYOND $1,000) - SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN 's? % "- "r 1Qtatifiratr of (Orrupanry Citp of eagan Et,prwcbn.ent of Iluttding Jwprti.an This CerVficate issued pursuanl to the requiremenu of Secdon 306 ojthe Uniform Building Code cerlifying that at the time of issuance thrs structure was in compliance with the various ordinances of the Cuy regulakng building coristrucPion or use. For the following: use QaseiRnrion •?`' ?' '"?-` sldg. }trmit [vo. 14498 pocuRa-y 'tYp R3 Zoomt Drsuitt r ? Tyx Cmx. oWtw ofewUng .fCF_? tiTFTFR ',IlRUIM J'' pddew 181 3_i CM1F :1iY. ::,,'?-2-rM ewiai? naa? ??, T.12, R3, ia?M'I'il;Z?'? U,u: ?4AR( j? F7, , 1S}Rfi Bwlding OMcid - POST IN A CONSPICVOUS PLACE INSPECTI4N REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: .1 k?•itvlit. 1NVtl t.l 11 li Jr5i•IMfi10N f`Al:kV1t1.J PERMIT SUBTYPE: APPLICANT: K';Mn J t k12Y 1 ?? ? .' ) 4 c, 4 . . q 3 Fi 1 TYPE OF WORK: t??? l l ta ? r??? 4?.'t,?,.??•, 41!./1'?/`ih Perml! No. Permk Moldar Dab Telephona i ELECTRIC PLUMBING HVAC Inspection Date Msp. Commants FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD RREPLACE FIREPLACE AIR TEST FINAL PLBC FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG z DECK FlNAL ? CITY OF EAGAN Permit No: Date: 3830 Pifot Knob Road g/p No; Date: P.O. Box 21198 Eagan, MN 55121 Site Address: 'f 04 4 MWCC: 32 S , y?n?i: Ciry Chg: Acct. Dep: - % • 0111 r Permit Fee: Surcharge: Park- Zoning• No. of Units: I agree to comply with the City ol Eagan Ordinances. SEWER SERVICE PERMIT ? CtTY QF EAGAN Permlt Na Date: 3830 Pilot Knob Road Meter No: P.O. Bar 21199 Size: Eagan, MN 55121 Reader No: Date: Conn. Chg: _ 52 S. Jf3nd Acct Dep:_ 25. nn'-1 Permit Fee: I0. ?Opci Surcharge: _ .50pr3 Tr. Plant- u, o(]Qd Meter. Zoning: _ No. of Units: 1 agree to camply with the CNy of Eagan Ordlnances. sy WATER SERVICE PERMIT CITY OF EAGAN 3830 Pllot Knob Rom P.O. Bcx Z7199 Site Address: MWCC: _ City Chg: _ Acct Dep:_ Permit Fee: Surcharge: Permit No: B/P No: Date: i "' Date 7 27 ',..._; with the City of Eagan CITV OF EAC„AN Permit No: 3830 Ptlot Knob Road Date: P.O. Box 21.199 Meter N0427 O ?00 Reader No: d SiZQ' I?-- a? - Eagan, MW 55121 Date: Owner. .1"oe '?iller Const. Site Address: -4044 .Tortiiview Terxace I,I2 B3 Le;;ton Par!-_ Plumber • lr L"1GRV011i11 v ?ew Conn.Chg: T' ') Acct Dep: o `Permit Fee: t RTC••???? 7 urcharge: r. Plant IrRIY Wlth the Cihr of Eagan ? "eter. as. Misc.: t By? ------------ WATER SERVICE PERMI This request void {r ) 18 mpnffis fram ? 8 0 _ 6_ 4.-ia *, 'i c , I RAQ/?/?? r Fire o ph-in Insoection % u ed? ?ReaAy Now W.II No?ify Insoec- ?es ?No r When ReaAy J ?icensed ElecVical Con[rac[or I hereby request inspectioo of above ?ow?er elachicel work instelled at Str¢ t Address, 8as or Route No. L/ " City - p ?l ,c.44d? ecuon o. 7ownshi0 Name or No. Range No. Coonty ? Occupent (PRINT) Phone Nn. .70 £ /1131- .)00 / Power Supplier Atltlress r Electncal C nt ctar 1 o mpan N.?me) omr:ir.tor's license No. C Mailin0 AA ress IConVactor or Owner Makin9lnsMilalionl Uo - w• U.? .r? S-.s 3 Aut o?ized Signature (COn ractor/Owner Makine InstallatinM one Nwnbe:r / NNESOTA STATE BOARD OF ELECT0.ICITY TNIS INSPECTION PEQUEST WILL NOT Griyps-MiCway Bldg. - Room N•191 BE ACCEPTED eY THE STATE BOANO 1821 Universitv Ave.. St. Peul, MN 65104 UNLE55 PROPEN INSPECTIDN FEE IS PhOna16721642-OB00 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? pEB-000'01-06 c ? See instruclions for comOleting this form on back of Yellow coGY. q.? 80664- "'X" Below Work Covesed by 7his Request kJm.{Fddl peO.I Tyoe ol BuilCing I Apotiancea Wirotl ? Equiument Wiretl . J p Fee ServiceEnirenceSize fl Fee Fantlers?5ubfeeders IX Fxe Circu?ta ?, 0 0 0 to 200 qm ps 0 to 30 Am s 0 to 30 Am s Above 200 qmp] 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100-Amps Above 700_AmPS Transtormers Irrigation Eiooms Partial.'Other Fee Signs Suecial Inspection SS/ ` flem?rks - J TOT EFy C/ oV % eiact.i Final mada. the nbove I has been (hie repueat vo101B CITY OF EAGAN N_ 14 4 9 8 3830 Pilot Knob Road, P.O. 8ox 21•199, Eagan, MN 55121 BUILDING PERMIT PH ONE: 454-8100 ry Receipt# / / T 19 Tobeusedfor SF DWG/GAR Est.Value $121,000 Date DECEMBER 16 87 Site AAdress 4044 NORTHVIEW TERRACE Lot 12 Block 3 Sec/Sub. LEXINGTON Parcel No w Name JOE MILLER CONST I = Address 18133 CEDAR AVE o City FARMINGTON phone 431-2001 ,o Name SAMR ?Q Address ¢ City Phone W w w Name F s z Address a w CitY Phone I hereby acknowledge that I have read Ihis application and state that the information is correct and agree to comply with all applica6le State ol Minnesota Statutes and V of Eagan Or ncec, Signature of Permittee /? _ A Building Permit is issuetl to:_7i?OE MILLER WNST on the ezpress condition thal all w6rk shall be done in accordancewith all applicable State of MinnesotVStatutes and Citygf Eagan Ordinances. 8uilding ONicial OFFICE USE ONLY On Site Sewage _ Occupancy R3 MWCCSystem X Zoning Rl On Site Well (Actuap Const Vn Ciry Water X (Altowable) Vn PRV Required _ # of Stories eooster Pumo - Lengm 60 oeoth 38 S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit $ 566.50 Planner Surcharge 60.50 Council Plan Review 283.25 Bldg.Off. SAC,City 100.00 Variance SAC,MWCC 525.00 Water Conn. 525.00 water Meter 67.00 RoadUnit 345•00 Treatment P1 180.00 mgcany) 1.00 T225 TOTAL C6?A ?0 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtian Reauiremems 3 registered site surveys showing sq. ft. of lot, sq. ft M house: and all roofed areas (200k mazimum lot cwerage allowed) t Soits Report'rf proposed 6uilding is to be placed an disturbed sail 2 wpies of plan showing beam & windax sizes; poured tound design, etc. 1 set W Enefgy Calculations 3 copies of Tree Preservation Plan rf lol platted aRer 711/93 Rim Joist Detail Opfions selecfion shcet (buildings vnth 3 or less uniLS) Minnegasco mechanical ventlla0on fortn ? ?- Cl't- RemodeVReoair Renuiremenls Oflice Use OnN 2 cropies of plan showing footifgs, beams, joats Cerf of Survey Recd _ Y_ N 1 set N Energy Calcula6ons for heated additions Shcs Repat _ Y_ N 1 site survey for additions 6 tlecks Tree Pres Plan Rectl _Y _ N. Add'NOn-irdicateilar-sResepticsysfem TreePresRequiredY N On-siteSeptlcSystem _Y _N Plans are considered ublic information uniess ou s4a4e 4he are trade secre4 and the reason. Date P / 10 / (R007 ConstruMion Cost -P 13 000 '00 Site Address qDqLf N"V ?e,J,/) UniUSte # e cch Description oF Work ?OtVI ?UQi ????JrQ P !d! {'14 Multi-Family Bldg _ Y)( N Fireplace(s) _ 0 ?? 1 _ 2 Property Owner Ocill }°a('CKWG1, Telephone # (4?5j ) q5q-Q 3$I Contrector US WQ A{rQ}7Pv- 744G /m N, &*rYraet or ZcemcA e Address l5lb$?,?r ??}'?• CiIY ?JL State IMN• Zip -( g Telephone#(05() L{a°i-n.3$B 4r •60 611t& i COMPLETE TFIIS AREA ONLY IF CON8TRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet submissiontype) Submitted Submitted . Energy Envebpe Calculations Submittetl In the last 72 months, has the City of Eagan issued a permit for a similar plan based on a masTer plan? Y N If yes, date and address of masier plan: Licensed Plumber Mechanical ConTractor Sewer/Water Contractor a Telephone #( Telephone #( Telephone #( Building Permit and acknowledge that the complete and accural e; that the work will be in conformance with the ordinances and codes of the City oF Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and wark 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 ofplans. 2007 RESIDENTIAL BUILDING PERMIT APPLICATION TUrb( -66!J6zqlk- of fice?via?e?r ? )41c.?A Applicant's Printed Name ?,{SC q .?L• Applicant's Signature 00 77/q 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot I{nob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete foc single family dwellings & townhomes/condos when pednits are required For each unit Date 3 / d 3 / 0 -7 Sit Add U it # ress e n Property Owne?? +-, ?(, ? ? ?/'N ? Telephone # ( ?? ) 7' u 7 3 c5 ? i? Contractor BURNSVILLE HEATING 8 A/C, INC. Street Address 3451 W Bumsville Parkwav CiTy Suite 120 State o.....s,.iu., neni cr337Zip Telephone #( ) Bond #: Expires: The Appticant is _ Owner -zy Contractor Other Add-on or alteration to existing dwe113ng unit $ 30.00 furnace _Additional VReplacement _ New air exchanger 7 air conditioner heat pump other State Surchargc $ .50 MAR 2 S 2007 T , t a a I hereby apply for a Residential Mechanical Peanit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with t hanical Co I unders[and [his is not a permi[, 6ut only an application for a permit, and work is not [o start without pernuh, that rk will be in accordauce with the approved plan in the case work which requires a review and approval of plan Applicant's Printed Name App`ficant's Signature ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55722 `? (a 4i 651•681•4675 ( New ConaWetion Reauiremanta • 3 regislered sile surveys slwwing sq, ft. of lat. sq. ft. ot house: aM all roo(ed areas (20% maximum la coverage alloweE) • 2 copies of 0lan showing beam 8 windax s¢es; poured found design, ele.) • t set of Energy Cakulatbns • 3 copies of Tree Preservation Plan rf lat plaGed after 711/93 • Rim Joisl DeWJ Options seletllon sheel (Eldgs vrith 3 or less units) DATE SITE ADDRESS TYPE OF APPLICANT Ceder Valley Extsriors, f.....e. FiREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRE55 yacv w?.?,. _?p?a-•a- cnon Fi:MN CITY STATE_ZIP TELfPHONE # ' ICELL PHONE # FAX #-?j?Y PROPERTY TELEPHONE # GO ' 4S4 ??Y I -------------------------- =..................... -............................................. COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Cate9orY _ MINtiESOTA RULES 7670 CATEGORY l MIViVESOTA RULES 7672 (J submission rype) • Residential Ventilatian Category 1 Worksheet Submitted • Naw Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water SoFtener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 Heat Recovery Sys[em U Sewer/Water Contractor: Phone N ----°------•------------------------°-------°------------------ -- I hereby acknowledge that I have read this ppplication; state th ----------------- - the information is • y ct, and e to cc with all applicable State of Minnesota Statutes and City of E g OtArrpn4e? - ? S(gnature of Applicqnt OFFICE USE ONLY I c- T-1 - RamodaNtawir RaauiremeMs • 2 copies o( plan . 1 set of Enaryy Calculations far heated add'N"ons • i site survey lar actenor atlditions 8 decks . Indicale if home served hy septic system far add'Nons vaLuanoN ? (0 - MULTI-fAMILYBLDG _Y _N Certificates oi Survey Received _ Tree Preservation Plan Received _ Not Required _ updated aroz OFFICE USE ONLY I, ? Ot Foundation ? 02 SF Dwelling ? 03 01 of _ plex 0 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 AddiGon ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-si ? 23 Porch (screened) ? 24 Stortn Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multl 0 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bidg)• ? 43 Reroof 0 46 Windows/Doors •Demolition (Entire Bldg oniy) - Give PCA handaut to applicant Occupancy Zoning Stories Sq. Ft. Length Width MC/ES Sys City Water Booster Pw PRV Fire Sprink6 REQUIRED INSPECTIONS ? _ Footings (new bldg) _ FinallC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucw Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall I Approved By Base Fee Surcharge Plan Review MC/ES 5AC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N Building Inspector INSPECTION RECORD CITYOFEAGAN PERMITTYPE: euzLozNG 3830 PilOt Knob Road Permit Number: 025625 Eagan, Minnesota 55122-1897 Date Issued: 0 5/ 19 / 9 5 (612) 681-4675 SITEADDRESS:P•I•N.: 10-45e35-12e-e3 pppLICANT: LOT: 12 BLOCK: 3 4044 NORTHVIEW TER BOERSMA JERRY LEXING70N PARKVTEW (612) 464-9381 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW ? .? PERMIT UA-1K . CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: BuiLorns Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 6 2 5 (612) 681-4675 Date Issued: 0 5/ 19 / 9 5 SITE ADDRESS: 4044 NORTHVIEW TER LO7: 12 BLOCK: 3 LEXTNGTON PARKVIEW P.I.N.: 10-45035-120-03 DESCRIPTION: r-, B,Liilding P,ermit Type DECK Building W'o'rk Type NEW `. w.? ? ' r1'.4 - .._.. .....?• _ . .. ....J (..£5` ? ? . ._, REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge Subtotal $30.00 $.50 $3@.50 $1,200 COPIES $1.00 Total Fee $31.50 CONTRACTOR: OWNER: - Applicant - BOERSMA JERRY 4044 NORTHVIEW TER EAGAN MN (612)454-9381 I Mereby acknowl8dt]e that I_have read,this information 3s correet and agree to comply L Statutes and City oP Eagan Ordinances. 4ottanz- H'1j1'n'4'1 APPII T/PERMIT NATURE applicati,vn apd state thpt the with all applicabie State ofi Mn. _ ???"(t r r? ISSUED BY: IG?URE T , ? ? CITY OF EAGAN _ ??? 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) $31,?0 681-4675 New Construction Reaui2ments RamodallReoair Reauirements ? 3 registered site suivays I ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) I ? 7 enerpy calwlations ? 3 Copies of tree preaervation plan d lot platted after 711/93 „ required: _ Yes _ No II DATE: 5 - 1 ?1 - ClS DESCRIPTION OF WORK: 7 ET ADDRESS: ' °i'o ? `r `>' T I0?- BLOCK ,y3 ? 2 copies oT plan ? 2 afta suneys (exterfor addiiions & dedcs) ? 7 onergy celailatlons for heated addkions C05T: e-ul (, a rv-0.Ce- SUBD./P.I.D. #: e Lj PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER Name: ? UDEYSmG ?er?U Phone #: 1154- ?3 . .?.. Street C City: ?aqan State: zip: ?5/a3 if Company: t'fuSbAnJ ke ?p8 rs? Phone #: ? 5treet Address: SA nle qs ab°ve License #: City: 5tate: Zip: Company: Phone #Name: Registration #1 Street Address- ?i City: lu State: Zip: Sewer & water licensed plumber. ! . Penalty applies when address change and lot change are requested once permit is issued. 1! I hereby acknowledge that I have read this application and statll` that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinan6es. Signature of Appli Ilpnt: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No 11 Tree Preservation Plan Received Yes Na 11 MAY 12 f994 OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 02 5F Dwelling ? 07 4-ptex 0 03 SF Addition ? 08 8-plex 0 04 SF Poroh o 09 12-plex 0 05 SF Misc. ? 10 = plex WORK TYPE co< 31 New ? 33 Alterations 0 32 Addition ? 34 Repair GENERAL INFOftMATION ? 11 Apt./Lodging ? ? 12 Multi RepairlRem. o ? 13 GaragelAccessory ? 0 14 Fireplace ? ai? 15 Deck ? 36 Move ? 37 Demolition Const. (Actuat) Basement sq. ft. (Allowable) Main levei sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. # of 3tories sq. ft. Length sq. ft. Depth Footprint sq. ft. APPROVALS Planning Building Engineering Permit Fee Valuation: $ Surcharge Plan Review License MCNUS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge TreatmeM PI. Road Unft Park Ded. Trails Ded. Other Copies .l OD Total: f j_ ' 16 Basement Finish 17 ? Swim Pool 20 d Public Facility 21 I Miscellaneous MC/WS 5yste Im City Water I' Fire Sprinklered PRV Ii Booster Pump Census Code. ; SAC Code Census Bldg I' Census Unit I r0-00 -m I; Variance - I y3 y oi 0 % SAC SAC Units ?._. / . TRI-LAND C0. SURVEYING SITE PLAN FOR; SERVICES joE. Mi I.c $,e 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION: LOT i?-,eLocK cex"Y424' pARK"rEw ACCORDING TO THE RECORDED PLAT THEREOF ?A?Ta COUNTY,MINNESOTq 5 ;Fq• 41' !-" Fi qZ9xl2 ?5.0=+ t932A 21 5I ! ? 3 t I N VAC?NY ? I ?,? Z°?'2cK a fMS SZ YYSaY? i.: VRCAN7 q I w l?9 ? M n 04??? Q I ? ? I '°.u , .c „ . ?. e f ? ?P`? Q 2t.67 R v fY7,?1 O rr?a " 9.aa ? F ? B?Ar y47.31 N ? --- ?_' SGfkLE 5I ?? ?, -?. / = 30 c 947xg2- W'v' ? 9Y6r3Z 9ti xlz 948a3i 9`f?7+o2 ?C. T.t. G. ? .JoQ'IvYlEk/ TEPP.4CE - - - - -- LEGEND ? INVERT ELEVATION AT SERVICE EXTENSION= o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION =y,?• a DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION ?-- DENOTES DRAINAGE DIRECTION NOTE ' VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hersby certify tAot This turvey,plan or ? report was prepnrad by me or under my v direct supervision and thut I am a duly Brodley ? wenson, Mn. Req. No. 15235 e Reqistered Land Surveyor under the , Laws of the Stata of Minnesota. Date • ????'?''''` J O i? • 5 l) 'F E.) U ' `J u t' GiiS•l7i 6 2 .;•UUi `i2:i•UUr b / UU+ >Ua•UU+ 1?Fi0•UU+ 1•UU? 2 ,5?>.2y:: ?. . ? ? 1987 BIIILDING PERMIT APPLICATIOH - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SOHVEY, 1 SET OF ENERGY CALCULATIONS NOTE: 6DDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOANER MIIST DESIGAAYE i1HICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BDILDING PfiRMIT IS ISSQED. MOLTIPLE DWELLINGS - RSSIDENTIAL RENTAL i1NITS FOR SALE Q@fITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CfiECB WITH BLDG. ?EPT., 1 SET OF ENERGY CALCULATIONS COi'9MERCIAL INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To He Used For: Site Address vo-?' Lot /?- Block 3 Valuation:Date: Parcel/SubQC?.?, Owner Address City/Zip Code Phone Contractor -IL Address 3 ' City/2ip Code Phone Arch./Engr. Address City/Zip Code I2.1 vOU^' •,-`? On Site Sewage MWCC System ? On Site Well City Water ve APPROVAIS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off 2 ?S APC Variance 'WO OkO 14 IM Occupancy '\' 3 Zoning R Type of Const (Actual) V-N (Allowable) v_N -- IE of Stories Length Gn,- Depth 3}3 r S.F. Total Footprint S.F. FEES Permit $66,5O Surcharge 604SO Plan Review 2g3,25 SAC, City 100.00 SAC, MWCC , 0(7 Water Conn SZd; ,op Water Meter ' 6 OC Road Unit p pp Treatment P1 O OD Parks Copies TOTAL 2? 7 S?- Phone lk 1/A LIAATIDNI GA?? ..?,Y X Zy = 5-76 xi2 = G9?2 ?smT z 6 X 3? -.:: 936 SX 12= 60 ly X ly = / 96 ._-- Isi F?oore I19Z kl?l= 1G68? -- Ssrn? : I192 ZnLO = L/O ZX'? _ ?4 z. k 7 - 14 IZ?oX44= SS'y?lo 2 w?.°-`Z Z6x3G= q36xyu = qIjk?y ?I2 OZZN ? . . TRI-LAND C0. SURVEYING SIERVICES 1260 YANKEE DOOOLE ROAD EAGAN, MINNESOTA 55122 ? . ? LEGAL DESCRIPTION: LOT i?-,BLOCK 3, Lfx"YG-Taw PARKOEw ACCORDING TO THE RECORDED PLAT THEREOF DAK°-ra COUNTY,MINNESOTA q29 x12 0 VACANT ? ? ., ,r ?rus 947•81 0 L- I .? 5 ?1' M' ? 7 $5. co I i2 I ? ??s:s1 so.d I A ?ti9 I ta? ? ?¢? y?'i M JoE- 141 1,c?9R : I l1.5 I 1 I I p ? bA? N 5 ? I ?L ? o 9v7z8z Al ?x?i 948a3s T.c. LEGEND p 7Y7w ?7I ? .0 ` -?-- ? I ?1.5 w. v. &I ? g54.,'' k/ SITE PLAN FOR: 8 ? . ?A 2'i Vn CR^' Y d' . , _.. 0 Q ? 2 "? 1j'0QIh4 YlEh! o DENO7ES IRON MONUMENT o DENOTES WOOD HUB SE7 DENOTES EXISTING SPOT ELE VATI ON DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION TE1P?PACE ? 5 CfF L4r-, y r ?i / INVERT EI.EVATION AT SERVICE EXTENSION=_' PROPOSED GARAGE FLOOR ELEVATION= q>^2L:!- PROPOSED FIRST FLOOR ELEVA710N = -? ' PROPOSEDBASEMENT FLOOR ELEVATION NOTE: VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS 1 hersby cortify that this survey,plan or report was preporad by me or under my direct supervision and ihat I am a duly Reqisterad Land Surveyor under ths Laws of tha Stote of Minnesota. Bradley,?!Awenson, Mn. Req.No.15235 oare : 1.2 jti-/'?., ,I One or Two Family All Other CITY OF BUILDIN(3 DEPARTIiENT EXTERIOR EIVVII,OPE AVERAGE isUii COt4PUTATION (To be submitted with building permit application) Dwelling Owner ?.Y k Site Addresa LtrF 12 ? ELOU' LEX/NL,7aN T ??C / ..J Contractor L,?t?+ IA I I '? v=?•?F+•L-s=?l??` ???2ri Date Phone LINEAL F F EXPO EDWAId, -?G? N m 2?, ft, above grade ?V54? TOTAL EXPOSED WALL AREA SQ. FT. OPAqUE WALL CONSTRUCTION: "Ull Value x Area Detail t-,-v?mM "U" . 0 3 x sQ reference loull x C° Sq, from "uI' o x sq. attached IIUII x sq. sheets "Uti x SQ. -upn x sq. WINDOWS: "U" Make & Type n n n n Value x Area FT. a4?, (U) (A) FT. . t (U) (A) FT. , (U)(A) FT. _ (U)(R) FT. _ (U) (A) FT. _ (U)(A) _V?y?• CAA4-nn.ri? ??p???? -- x Sq. n - FT.?,Z,S- I '4;0 (U)(A) Un x SQ. FT. _ (11)(A) nUu x SQ. FT. _ (11)(A) iipu x SQ. FT. _ (U)(A) DOORSS "Ull Value x Area 1•false & Type ?? lt ii U ? X SQ n n npu x sq. n of uUu X sq. _ uuu x S@. TOTALS '?JD , ??USQ. Z 8 ?+ ?? ToTnr. (u) (n) vnt.uEs AVERAaE DIVIDED BY TOTAL WALL AREA.'30 ? ? D-9 AVERAQE ??U? ,115 esa for 1&2 family dwellinga ROOF/CEILIN4` ' TOTAL AREA: Z!?7 Detail reference nUu from ?? IT X $@• U x SQ. attached sheete, uUo Describe openinge IIUII x SQ, in roof. IOIIir, x sq. x Sq, TOTAL (U)(p) VALUES DIVIDED BY TT TOTAL ROOF/GEILIN(} AREA ? FT. ??O LO (U) (A) FT.-(U)(A) (U)(A) FT. _ (U) (A) r'T._ ZVi (U) (A) FT. j?34'_?5tl ? Iu I ) (A) FT, : (U)(A) FT. _ (U) (A) FT. - (U)(A) FT. - (ll)(A) AVERA(iE "U? ,025-fo ventilated ro ?f?? «r' ?M N?I I I I ,?;Tc? qzj 44,4-, = ZB,v 4)rLA Z19-1 = ?? tD P"b P'z, X2= 1Z 34? ? cop(., Ioi 1$8 ?t?n 13c?1?z waPzo 33Z,y 0P-5 I 33 ^ ? I I ? S ?s wc- _? g,oX (?? -= 4oa,v ???xl ?a???t3z?= I 5t0415L6 S, ?3 ?c ( 3? + 3co ?' Z&4z,co)= o g, Z -?- ,coi = 1l?' X,$3 = toi, 135 -k r:3Q ,Iz ? = 15715 ? X I = 1, o z?iSoX'z= 55a 9+, o1c z = S? i? x I= I? ?? 33Z? 5' ? 2 ? -?(a ` t-Mxao - 4_ zeX(ao - `Z- " 7,v X5iCo " ZoX(0a = 0 .Determining 'fUll veiluee at Roofs Wall$ . Aimo end Oono. Bloak ROOF/OEII,INQ 1.) Interior Air t'ilm 2.) 5/910 UYP. Bd. 3.) Inaulslion , 4.1 . 5.) Extierior Air Film • (BTILL) R V U 0.61 .56 44.co .61 opu „ 1/Rn .p?_l TOTAL (R).+?7S .__-- . i• WALL 60 Interior Air Fi1W 7.) 1" (lYP. Sd. 86) Inaulation 9. ) P?ulc7-?iTF 10.) Mneonite 3lding 11.) Exterior Air Film R VALU 0.68 :45 19?oa Z 67f- .17 --?- np" a IIAy • O`?'?j T9TAL (Ii)a Z3.0? ?- ? ri VALU u0u e 1/Re #04p TUTAL M'+Z¢?¢¢ 12.) Interior Air Film 0.68 13.) Ineulation 19•00 14.) 2ll Fir Rim Joiat • 1.88 15.) gvi?.r-?'-?T? z,o4 16.) Naeonite 8lding ' .67 170 Exterior Air Pilm 917 FOUt1DATI0fl R VALU 18.) inberior Air Film 0468 , 19.) • zo. ) , ??I STR?Pr?D ll.c? 210 12" Oonorete Blook 1.28 23.) Exberior Air Film •.17 IlUlt q ?/na -07(o TOTAL (R)n ? r?' APFLiCATION FOR PERMIT Q COMMERCIAL/RETAIL/OFFICE Q INDLSTRIAL Q INSTITUTIONAL/GOVERDMENT , ? NJf'E: PAYDIINf OF EEE AT TIME OF ? t APPLICATiON OOFS NClf CtlN- ? ? STIRS7IE APPR('iJAL OF PERPIIT. : ? INSPFLTION OF SEFM APD/OR WATER ; irsrncuaiais waa. r,oT sz SCED= * y l!NPIL Pk1AIIT WLS BffiN APPROVID. ? •+ae:n?s?.*:tt??xt??*?:teex.x.:»?r*+rw oF eagan (PLEASE PRINT 1) PROPERTY ADDRESS: T.FY:AT DFSCI2IPTION: . . . . .?,2. . . j Lot B oc S vision or Tax Parce ID • IF EXISTING STRLrTIJRE, DATE OF ORIGINAL BUILDING PII2MiT ISSUANCE: Nbnt Year PRESENT ZONING/PROPOSID USE: 3) NAME: ?,_:, ilreal?bi /?? ?s L.?K. __?. ADDRESS: .?. CITY, STATE, ZIP: . ?IJd??e ??wvt ,?53(09 PHONE: 41`31-.,2001 MASTER LICENSE [:I'R-1 SINGLE FAMILY ? R-2 DUPLEX ('Iwo C'nits ) Q R-3 TOWNEIOLSE (Three + Oraits) Q R-4 APARTMEN'P/CODIDOMINIUM 2) ? NANIE: :J'Uc- /4l4r. ADDRESS: CITY, STATE. ZIP: ... ?idv?n;,.3 ?,? NI?. PHONE: cf31 - 200! 4) NANE: .3'.p10mc 1?3 ADDRESS: CITY, STATE, ZIP: PHONE: SEWER AND/QR WATER CONNECTION Lnits) ( Units) Pliunbers License: I? Active Expired Not recorded Staff Initial- 5 ) ? ? • a • ?+• i • ?? . i ?e CO-CONNECTION 10 CITY SEMm Q-EONNECTION TO CITY WATEE2 O(7PI-IER 6) 4411'144? 4Y//c.r.? ?,a5! a 2. SP7 ***w*+??***w.***?*«r**+,t**+*********+*******«*?*****:r**?****:r??*?***r**+*++*+?t**+*t*******:r*??**tr*** ,r TliE GOID COPY OF 'iglE pERMIT WILL BE SEDTP DIE2EC.'PLY 'PD PUSLIC WORKS TD FACIISTATE METER PICK-L?P. ."k *k PLEASE PSSAW '1SV0 WORKING DAYS FOR PROCFSSING. SOMIDONE EROM TM CITY WZLL ODNfALT YW IF MERE * * P12E ANY PROBIEMS. k ?*?,+*?r***+*+*?**?**,rr ??*,r***+?***«**,t,r*?***** *,t??* **,r***,rtr**,t,r*?*,r****?+**??*,r?***,r **,e?***?+?*?*,t**y FOR CITY USE ONLY PERMIT # ISSUED ' Pd w/Bldg. Permit FEES: $ $ le - S? SEWER PERMIT (INCLUDEISURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ G 7'0-2 $ WATER METER/COPPERHORN/ODTSIDE READER $ $ WATER TAP (INCLDDE COR,PORATION STOP) $ $ SEWER TAP $ $ C C3 ACCOUNT DEPOSIT - SEWE R I $ $ / S ACCOUNT DEPOSIT - WATER $ ? Z S -o-0 $ WAC I $ ? Z 5 ' « $ SAC $ $ TRDNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNKISEWER $ $ LATERAL BENEFIT/TRONK WATER $ $ WATER TREATMENT PLANT ISURCHARGE $ $ OTHER: $ 7,00 $ TOTAL , RECEIPT RECEIPT DOES OTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC Q NO ROADWAY" MUST BE DIVISION LIST ISSDED BY THE ELVGINEERING AS CONDI ION . . A T SU BJECT TO THE FOLL OWING CONDITIONS: ! APPROVED BY: TITLE: DATE: PERMIT City of Eagan Permit Type:Building Permit Number:EA114918 Date Issued:09/20/2013 Permit Category:ePermit Site Address: 4044 Northview Ter Lot:12 Block: 3 Addition: Lexington Parkview PID:10-45035-03-120 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Audrey Flattum 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 - Jerry L Boersma 4044 Northview Ter Eagan MN 55123 (651) 454-9381 Storm Guard Restoration 1355 Geneva Avenue North, Suite 201 Oakdale MN 55128 (651) 738-1698 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA122872 Date Issued:05/21/2014 Permit Category:ePermit Site Address: 4044 Northview Ter Lot:12 Block: 3 Addition: Lexington Parkview PID:10-45035-03-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Jerry L Boersma 4044 Northview Ter Eagan MN 55123 (651) 454-9381 Storm Guard Restoration 1355 Geneva Avenue North, Suite 201 Oakdale MN 55128 (651) 738-1698 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK I \\(i A For Office Use �1� 44111' City of Eaall /-716Permit Fee: p20 "OL/ 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Date Received: r`` s_.' -17 Phone: (651)675-5675 I Fax: (651)675-5694 Staff: JUN 2 3 2017 2017 RESIDENTf IALBUILDING PERMIT APPLICATION Date: .�4p 4nt../7 Site Address: .V 4h4�' ?41 il(9EiA1 -7E edits Unit#: $ � ' Name: RV 13E7ry Sal 4 Phone: ep5'/--- 953- 919/ et tier Address/City/Zip: /DVV A/Oi77/VME=7c/ 7`&€1'#QC x, Applicant is: Owner Contractor Description of work: ELSE--k JCLk, 1L)d2r4) .,,vt. �j, 5/ ' �asi /146-v40'2 'Bc-' Type of Work Construction Cost: Multi-Family Building:(Yes /No ) • e4 Company: /�A/,e Cvns,'Rrcc ch or.' L L C Contact: /Pea 6/2OS Address: /020'/9 e6(ooh /weL G Ci C * ,0L, contractor City; State: /rZip: 653 4 Phone: x51€mail: r .1/P�un�L �/�5 !� G� r License#: &604.61/,/ Lead Certificate#: If the project is exempt from lead certification, please explain why: g6116tic /)ECXRA(LlieA/ciA/ 37` s O/vc y 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: NO Flans�v nd su supporting do is that . �I� � �� g + t ire considered�to be public infor� Portio • the information ma ;.e cla f �- o, ub f ou proyide stied Y d ® it the r' ,n%} de Xtha 1-:'441:10 '. e e'Secr 2 e • 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 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 /90b/Vey Mc/$L/W/G=G x ®`Zi/ 1YI .cL L i, Applicant's Printed Name App cant's Signature Page 1 of 3 zio AMIN u) ThO NOT WRITE BELOW THIS LINE /6(3 -./ SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family) Single Family Garage Porch(4-Season) Exterior Alteration (Multi) Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation I' .S`//.5*. ' Occupancy 72C- / MCES System Plan Review Code Edition /72,1 2)/j- SAC Units (25% 100% ) Zoning P 7) City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction U$ Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) e‘O Final/No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water Final Pool: Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: _Stucco Lath _Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall: _Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: -TO vvl k\ '9- , Building Inspector RESIDENTIAL FEES 3 6 ( Base Fee Surcharge Qt/S. S a ft-- Plan Review MCES SAC ,g Sr—q( C. J 0 City SAC Utility Connection Charge S&W Permit&Surchargee'x, S'� •^ � ' ' "9 5 � � Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160576 Date Issued:03/23/2020 Permit Category:ePermit Site Address: 4044 Northview Ter Lot:12 Block: 3 Addition: Lexington Parkview PID:10-45035-03-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jerry L Boersma 4044 Northview Ter Eagan MN 55123 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature