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4073 Northview TerPERMIT City of Eagan Permit Type:Building Permit Number:EA169875 Date Issued:06/14/2021 Permit Category:ePermit Site Address: 4073 Northview Ter Lot:15 Block: 2 Addition: Lexington Parkview PID:10-45035-02-150 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Stephanie J Goede 4073 Northview Ter Eagan MN 55123 (651) 452-8839 Window World Twin Cities 2106 11th Ave E N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office U_5~ 2 j Permit V j City of Win I Permit Fee: 43d/-3? I 3830 Pilot Knob Road Eagan MN 55122 RECEIVED j Date Received: j I Phone: 651 675- 5675 Fax: (651) 675-5694 APR 2 6 2011 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: gT%, L- 4T2,~ Phone: `7 s RESIDENT / l OWNER Address/ City/ Zip: HIV `3V Applicant is: Owner Contractor TYPE OF WORK Description of work: e_v_ \w e~ Construction Cost: Multi-Family Building: (Yes / No ) Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: 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 the 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.-goi)herstateonecall.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 fora permit, and work is not to start with u permit; that the work will be in accordance with the approved plan in the case of work which requires a ew and ap rov ans. x 7m__ Applicant's Printed Name Applicant's Sig Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex Lower Level _ Pool _ Miscellaneous 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 --2&aVV Occupancy MCES System Plan Review Code Edition Aa9? SAC Units (25%_ 100%_ Zoning p~ City Water Census Code yr 3 y Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width 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 Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink For Office Use I I I I , City of Ea an I Permit I Permit Fee: 55. 0-It) I 3830 Pilot Knob Road Eagan MN 55122 1 Date Received: :5/ Ll Phone: 675-5675 I 1 (651) I Staff: Fax: (651) 675-5694 I I 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: I U Site Address: j o 3 Iy br~ J~ e. -1 -j rs c. c t Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Lf 6-73 CONTRACTOR Name: PDAV_n-- We-mJ o. $"C < License [fib t b4 Address: e~ • . City: rSN P<--5 State: YY-" Zip: ~ 1 O /o Phone: ,P L 2 ~-7 Z 2 b Contact: o , Email: d IC k-,~~bC-V CA_ lr~ Ca TYPE OF WORK _ New - Replacement _ Repair - Rebuild Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main / Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 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) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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 ap oval of plans. X x Applicant's Pr' ted Name Applicant's Sig at e FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final • CASH RECEIPT • CITY OF EAGAN 3830 PILOT KNOB K'OAD ,• EAGAN, MINNI?SOTA 55122 DATE? 19 _ PECEIVED FROM I L? AMOUNT $ . .I ? [:] CASH & DOLLAR6 ?oa El"CHECK FOn . . a/?/.T S L I?. '? . Y. 1,'./\. i • ? ?1'. __ .. l'1 ? ..i ..V.. . • ?- .. `fZ FUNO GODE qMOUNT V ( Thank You BY - ? , 4 ? White-Payers CoPY Yellow-Posting Copy Pink-File CoPV CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOE3 F70AD EAGAN, MINNESOTA 55122 DATE M 19 NGCEIYED ? AMOUNT $ I & OOLLARf 7 oo Fl CASH ? CHECK FOR f FUND V ` i? I 1 lu ? Thank You BY VVhite-Payen Copy Yellow-Posting Copy Pink-File Copy . , . . . . . . .• " „i'WT.4F'NI BLDG. PERMIT N0:' 01-3210 Bl(fg. Permi 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 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 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt# To be usedfor ik D'dG/GA4t Est. Vaiue Date DEC EMBER 10 1987 Site Address 4073 NORTSYIEW TEb:l:AC1. OFFICE USE ONLY h3 Lot Block Z Sec/Sub. LEXi14GTON FA&t.V1I_ WOnStteSewage Occupancy MWCC System x Zoning Parcel No. On Site Well (Actual) Const x ir Name CULLF.LE CiTY GONST Citywater (Allowable) 6970 l s i-rn ;: l PRV Required X # of Stories z Address 0 City A • Phone 431- 1 Z 1 I Booster Pump Length Depth , o Name 5A1? S,F. Total ? d Address Footprint S.F. ? City Phone APPROVALS FEES yVj W Name Engr./Assess. Permit ? 533.50 55 00 ? Planner Surcharge . = Z Address 75 ? ? Z Council Plan Review 1 ' ` W Cit Phone y Bldg. Off. SAC, City 100•00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 525.00 information is correct and agree to comply with all applicable State of Water Conn. 52 g•UO , Minnesota Statutes and City of Eagan Ordinances. Water Meter 67-00 4 Signature of Permittee ?- ------ .--_ Road Unit 305.00 A Building Permit is issued to:_ COLLEGL CITY Ci.7IdS'i' Treatment P1 t?V•? pn the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks be??5 Building Official • TOTAL . , BUILDING PERMIT To be used for A? Site Address Lot Block Parcei Value c Name •<,F (;lYY C:?i'!?, = Address ° City ` Phone `?' ?• i'' ? ? a .i..-,. Address 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. Signature of Permittee Y A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Buiiding Official CITY OF EAGAN 3830 Pilot Knob Road, P.O. Bax 21-199, PH O N E: 454-8100 MVJCC Syste On Site Well City Water Planner Council Bidg. OH. Variance # .....- ? ,19 OFFICE USE ONLY le OcCUpanCy i " Zoning (Actual) Const x (Aliowabl - orStorfes Length oeptn S.F. Total Footprint S.F. ; FEfS Permit ` Surcharge Plan Review SAG City ' SAC, M WCC Water Conn. Water Meter ' Road Unit ' Treatment P1 Parks TOTAL - Permit No. Permit Holder Date Tslephona # Plumbing H.V.A.C. `7,17' i i Electric %7(L730 •: ?vr ?` J, ? ?r??J ?? ?. Jy??? Softener fnspeccfon Date 1nsp. Comments Footings I Footings It Foundation Framing Roofing Rough Plbg. Rough Htg. isul. i-PP-?? Fireplace Final Htg. •y Q Final Plbg. Bldg. Final ? Cert.Oca Temp. LP Deck Ftg. DeckFinal C?. /?? 6- - ? ? Well Pr. pisp. ? - _ G Y- .: . . ? . . . PERMIT # MECHANICAL PERMIT RECEIPT # -- ' - CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: i---^ ` --: '' ^ CONTRACT PRICE: • ' PHONE: 454-8100 Site Address ?-' `?' 'Y? •' rA •_ gLDG. TYPE WORK DESCRIPTION Lot !?7_Block -' Sec/Sub Res. New ? Name Mult Add-on ?' . Address ? ` Comm. Repair c City Phone ' c4v L4-? . Other Name I} 14 ?- ?- `'` ?- T HVAC 0-100 M BTU? -$24 00 E RES c Address '??-? . ADDITIONAL 50 M BTU - . 6.00 3: p City. Phone (RES. HVAC INCLUDES A/C ON NEW I ? CONSTRUCT ON) GAS OUTLETS (MINIMUM - 1 PER PEkMin - 1 50 EA . . TYPE OF WORK COMM/IND FEE - 136 OF CONTRACT FEE Forced Air M BTU -?? •??-? APT. BLDGS. - COMM. RATE APPUES TOWNHQUSE & CONDOS - RES. RATE APPLIES Boiier M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCtAL FEE - TATE UR HAR E PER PERMIT 20.00 50 Vent CFM - C G S S PERMIT PRICE GOES . Gas Piping Outlets # BEl(OND $1,000} Other FEE ,? . S/C: SIGNATURE OF PERMITTEE j .? TOTAL• ., FOR: CITY OF EAGAN ?, . - + - • PLUMBING PERMIT • CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE PHONE: 454-8100 Site Address Lot Block SeciSub ? Name r' f 'ia Address c Ciry ;=, •.: '? ?a: f c Phone ? ? Name 3 Address " -' ` ? • ? ? p City L, Phone COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES FOR: CITY OF EAGAN PERMIT # 1 1?- f RECEIPT tl DATE: . TYPE WORK DESCRIPTION ? New -??Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL -' ? Water Closet - $3.00 $ _?_Bath Tubs - $3.00 , - ?Lavatory - $3.00 ? Shower - $3.00 " _?_Ki?chen Sink - $3.00 u?mav aioei - )o.vv =Laundry Tray - $3.00 -d_Floor Drains - $1.50 __?_Water Heater - $1.50 L Whiripool - $3.00 _J__Gas Piping Outlets - $1.50 ? (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 -' Rough Openings - $1.50 FEE: - ' STATE S/C: GRAND TOTAL• ?' ?Y (terfifiratP uf (Orrupttnry titp of eagan EPpal"buPltf of ll1tOUtg JWPl#tolt Thrs Certiftcate issued pursumet to 1he requirements of Sectroh 306 of the Uniforin Building Code certifying fhat w the tiASe of issuance this structure was in compliance with [he various ordinances ojthe City regulaling building consauction or use. For 1he jollowing.• v. cwr?uoo SF DW3?GAR lUae. Nrmn No. E4484 0-pancy TYa R3 Zmda aWjia PD ryre c- Vn owwrote?? ?IECE CIW. CQ'TS7,ACITCUedr,. 6970 1515T ST.. A.V. 8,,,6,gA,jjm 4073 IXMtrIEN UNRAGE ,,,,c,,;y L15, BZ, IE}?.'DONT PAFKVIW a.,e: FEMM 3. 1988 &dWing OftScid POST IN A CONSPICUOUS PLACE ' OF EAGAN Permit No:_ Pilot Knob Road Meter No: _ Box 21199 Reader No: m, MN 55121 Re Citv Const. - ^- =7 s^? ?.-7'? n `i Oate: IZ •24-t?7 Sizec ' Date: Site Address: 40731 aiortliview °ferrace L15 :; ' 1-exin•:tan i :. r 1,%': -t• Plumber. S "?r °I!' it"' Conn. Chg: `? -, • ?Zoning: Acct. Dep: "M ZEM ZS •00; d No. of Units: s• Permit Fee: 10. OOnd Surcharge: _ St?ia,d - I agree to comply with the City ot Eagan Tr. Ptant Ordfnances. Meter. ? Misc.: v By WATER SERVICE PERMIT CITX; dF ltAGAN Permit Na Date: ? 3830 Pilot Knob Road B/P No: ?Date: P.O. Box 21199 Eagan, MN 55121 „ Site Address: ?ortl?V, 1,15 i32 P.. ? Piumber: "?_.=3• +l' , -- _ - _ ' r- ? MWCC: ' +"pd , _ Zoning• City Chg: 0 0?.' ? No. of Units: Acct. Dep: ? s' •oope I agree to comply with the City ot Eagan Permit Fee: ? `' • JOpd Ordinances. Surcharge: 5Q d .r Misc.: By SEWER SERVICE PERMIT CITY OF EAGAN Permft No: ? Dat? `- 3830 Piloa Kflob Road Meter No: -79 5- ? 1 S Size: 8?? oc gan, MN 55121 I,,r O.`6ox 21198 Resder No: ? Date: ner. : '_ t. • ! ;c,: .. . eAddress: ' -..?rti?vie:? '"c?rrac•.:? I,15 "'ar: umbetar u mh iaYm f??i 7 . nn.Chg: `25 ll EdO?:ct Dep: murmit Fee: rcharge: Da? t'e d?'o?n?ji ith the Clt?r of Eagan Plant eter. ..... . , -- . %?TrT WATER SERVICE PERMIT I CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan PHO N E: 454-8100 BUILDING PERMIT To 6e used for SF DWG/GAR Est. Value $110,000 MN 55121 N_ 14484 Receipt # ?cl ? 1 C? Date DECEMBER 10 1987 SiteAddress 4073 NORTHVIEW TERRACE Lot 15 glock Z Sec/Sub. LEXINGTO Parcel No, a Name COLLEGE CITY CONST ° Address 6970 151TH ST ? City A.V. Phone 431-1211 ? IName SAME 0 ?a Address ? City Phone r? ww Name ? z ? Address ui aw City Phone I here6y acknOwledge that I have read ihis application and state that the information is correct and agree to comply with all applicable State of Minnesota S[atutes and City of Eagan/Ordinances. Signature of Permittee A Building Permit is issued to: LLEGE CITY CONST on Ihe express condition that all work shall be done in accortlancewith al I apDlicable State of Minnesota St tes and City of E an ((dinances. euilding Official I?% OFFICE USE ONLY R3 pn Site Sewage _ Occupancy MWCCSystem ? Zoning PD On Site Well - _ (Actuaq Const Vn City Water ?t (Allowa6le) Vn PRV Required X # of Stories 65 8ooster Pump _ Length 28 Depth S.F.TOtal Footprint S.F. APPROVALS FEES Engr./ASSess. Permit ? 533.50 Planner Surcharge 55.00 Council Plan Review 266.75 BIdg.Off. SAQCity 100.00 Variance SAC,MWCC 525.00 Water Conn. 525.00 Water Meter 67_,_00 Road unit 305.00 Treatment P1 180.00 Parks TOTAL S2s557.25 REQUEST FOR ELECTRICAL INSPECTION pes-oo?oJo^i-os , See instruetions lor completing this form on back of Vellow caOV. pQ /' /C? a' --V6 g 3 0. "X" Be/ow Work Covered by 7his Request Phriol HRd Rep. Typa ol Building Aociiancea Wired EqaipmBnl WirerJ Home Range Temporary Service Duplex Water Heater Ligh[iny Fixtures Apt. Building Dryer Electri:: Heatin Com mercial Bldg. umace Silo Unloader Industrial Bldg. Air Conditioner dulk Milk Tdnk Farm D+nNr nea v .iner Isnz,Nl t er Succify ther Othcr Comnute Jnsoection fee Below # j Fee ServiceEnVanceSize H Fee Fee.ders/5ubteeders d Fee ',//D U to 200 Am s 0 to 30 qm s 31 to 700 Ainps mEd Swinming Pool Above 100_Ams Transformers Irngation Booms Signs Special Inspection S / _ TOTAL FE Hamarks . U K?"? ? NouBh-in Dnte t?e ElecSricnl Inspectoq hareby cer?ily the[ the abova Final r Date ins0ection has been maaa. Thla reQUasl vo1C 18 montM from rniz do es ola 18 nwnths from 0 76930 Nenyes' oate Licensed Electrical Convactur Owner 8o??2v iiredi"'uer??on lReaAy Nuw Q Will Nntity, Inspec- Yes ?No Wr When Ready 1 heraby repuest inspection oi above BIBCtrical wnr4 i ?allaA n Street Address. Boz a? Route No. y 19 y?I U eP e ti C1ty.. E , , ? ., ,v?., ecuon o. Township Name or No. Range No. Cow v D? Occuue q?11) Phone Ne. Pow lier unu Adtlress ? R ka vp ?I erh S ??..? ElectVl Conhactor lComVany Namel °? rh n r.v Cl :( ZI ( Ca, rector's License No. - . t, 6 M qO ? ? aJine Address (ConVactor or O ner MakinB Instaila[ioN 30 ??,?w i Author' etl Signat re IConhactodOwne Making Ins[allation) Phone Nwnber -^°-in ainit nvqqp OF ELECTNICITV [MIS INSPERION REQUEST WILL NOT Giri9pa-Mitlwey Bltlg. - peom N•791 BE ACCEPTEO BY THE STqTE BOAND 1821 University Ave.. St. 7xu1, MN 56704 UNLESS PflOPEN INSPECTION FEE IS Phone (612) 642-0900 ENCLOSED. 33c) -o8 135.15 V'? I?1'10 C?+t, u 3bi-0Sr> 4TO, City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone:(651)675•5675 Fax: (651) 675-5694 r -----------------, ? Permit #: ? Z'?3q I ? I Permit Fee: 7?7 I ? Date Received: I Staff: I ? I ?----------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3'o76 'O? Site Address: q07 J N OY4NIe.I.J TeY (A-C -e Tenant: 'PC+Gf-d SC'??'1C1.YlIe riACCyP Suite#: ? RESIDENT/OWNER Name: 'PekX 4 stqb1"11P &041 Phone: 1or'JI-14r'J) Address / City / Zip: 40-73 &Y+hyl E(.t) TeXIrQCP Applicant is: _ Owner _Ae!?Contractor TYPE OF WORK Descripti of work At?c01Il U lQ xdi%)Q ? Construction Cost: Wts. wo Multi-Family Building: (Yes _/ No 4,00:1 CONTRACTOR Name: ilG 11.U c?QIICP F9C+CY+f)Y S License #: cjqa)cZ?SrJ L N 4-6 0 - K 3, K n_Fl? Address: Y I&? 1 5I ary: MQoj-?_GrnvP State:MN_Zip: 553CA Phone:7b 00',?ZM Contact Person: 1..P COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateporv t Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 SubmiSSion type) • Energy Envelope Galculations Su6miried 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 Contrector: Phone: Sewer & Water Contractor; Phone: NOTE IPlans and supporteng documerits.that yoirsubmtt^are cansidered to be pu66c mformafron Part/ons of ; , the ir`itormatian rr?ay be' efaSs?f'ted a?non publrc dt you' proyide specific r??sans that wvufd permiCt6re Ciry to "; ?:eonc("udethat?the a're"(ia?desecrets: =4 = I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with ihe ordinances and codes of ihe City of Eagan; Ihat I understand this is not a permit, 6ut oNy an application for a permit, and work is not to start without a permit; that the work will 6e in accordance with the approved plan in [he case of work which requires a review and approval of plans. X t?-na i eSrrx)K X 17 ? ApplicanY rinted Name Ap icani' ignature ' Page 1 MAR 2 9 7_OOfl ' L' ITY i:tr Fi^,(:;AN Cr1SH:f.lifR." JS T£Ri1INAl. NG: i':;cl PAT;z;: 0902/99 'Y rl'IL' : Wli045 111 . varE L oN ,:Mt rH ,oaE-.cNC u ccNsrRUC r 32:lr 9I101 4073 MnR'1'O!l"I fF_ HI. • 2il 205 9Gpi. 4073 P.OPrTilViti l't: 0;`i(:1 32:i0 9001 4331 kRADt?,:IUI: T 153.25 205 9001 4381 Ti;zr,bC,OC.: T : ?rt 'f[71;:::11 ;:e('r.,:i.pt i•lr.ioul1t: c.'."i'). a00 TS't;. $.'c,`3(:)?:i t.l?_:::F: .T.Si. ,IA?a ?Jj 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Consirvction ReauiremeMs . Remodel/Reoair ReauiremeMs ? 3 registered sMe auneys showing sq. H. of lot, sq. H. of house and gl( roo(ed areas (20% maxlmum lot coveraae allowed) ? 2 copies ol plans (show beam 6 window sizea; pouted (nd. design; efc.) D 1 set ot energy calculMions ? 3 coptes of hee preservafion plan C lot plulfed affer 7/1/93 DATE: DESCRIPTION OF WORK: J<L.mou 4' rePiae? STREETADDRESS: 40?? Nor?vi?t? T LOT: ? BLOCK: SUBD./P.I.D. #: _ I[W Name: v0?dtor VG' Lo- Phone#: ?S? g83/ PROPERTY Last Firn OWNER StreetAddress: ?o?-3 04viej 1errace City !%dG?C?i Y1 State: Zfp: company: lon Phone#: 6 U 9qa -(O9?tq (area code) CONTRACTOR 3c??Q Q,Q/? ?d/? oT01`},3?,?5 D6 Sheet Address: ) License # Exp. ? ciy srate: M?) Zip: ,S S 3 y T RC T/ E EER Telephone #: area eode ( Streei City Sewer R wafer Ilcensed plumber (reaulred for new construeflon onlv): 2 coples M plan 1 set of energy calculaNOns tor heated addHions 7 sHe suney (or exferior addMions a decka GONSTRUCTION COST: Name: Registration #: _ State: Zip: Penaly,upplies when address change and lot change Is requested onee permN fs issued. I here? acknowledge ihat I have read thia appllcaNon, state that fhe InformaHon Is c nect, and ag e fo comply wRh all applicabl Sfate MlnnesWa Stafutes and City of Eagan Ordtnances. Stgnature ot Applicanf: ?'? Certificates of Survey Received _ Yes Tree Preservation Plan Received Yes OFFICE USE ONLY No _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Repair ? 38 GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Tenant Impr ? 39 Move Bldg. ? 40 Demolish Bidg.* ? 41 Demolish (Interior) ? 42 * Give PCA handout to appl Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Gas Line Only ? 43 Siding/Soffits/Fascia Gas Insert O 44 Windows/Doors Wood Stove ? 45 Fire Repair Reroof icant for demolition permit Census Code SAC Code No. of Units No. of Bidgs MC/ES System City Water Booster Pump PRV fire Sprinklered Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ t SAC Units % SAC - ? . ITY OF EAGAN 1987 B =PERMITAPPLIC IIIC SINGLE FAMILY DWELLINGS INCLDD2 OF PL9NS, 3 CERTIFIC9iES OF S[IRVEY, ?ET OF ENERGY CALCULATIOAS NOTE: ADDRESSES FOR CORNEH LOPS - CONTRACTOR/HOMEOWNER MDST DESIGHATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSOED. MOLTIPLfi DWELLINGS - RESIDSNTIAL REdTAL ONITS FOR SALOHITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRIIEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS C0??9?'.RCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND S!ky(n. F0.?r1? ? ??D OECt?/ To Be Used For:dQ?}t'i'Ch4dt /?PL? tFOntk. Valuation: Q5r ??^ M e: ? Site Address `? 673 Nd Av?-J ??l"ra OFFICE IISE ONLY Lot /5 Block ?' LEKING70AI Parcel/Sub LA.x. F?krw PAR"V?v owner Address 173. NO ?CI Ca. ?'1?(U? Gity/Zip CodeFCiAdI? 5J? 1?-z- Phone 0 5IO9? 9 d Contractor(.,6?/QQ? Address (oq70?City/Zip Code ?atY VuXXfu,? Phone q?1 `/ ?-it Arch./Engr. gQ.YNr2. Ci.S oW Il.?/-. Address City/Zip Code Phone 4l I la 0a0? On Site Sewag MWCC System On Site Well City Water APPROVALS Assessments Water/Sewer Police _ Fire _ Engr _ Planner Council Bldg Off _ APC Variance e Oceupancy ? Zoning Type of Const (Actual) (Allowable) li of Stories Length Depth S.F. Total Footprint S.F. FEES 9-3 _""'*-... 1/-N V-N -- 2 A1 ' Permit ,j 33, 5D Surcharge ,0. Plan Review p_ („y , r7S SAC, City 1UD-DO SAC, MWCC 52 , 0 Water Conn 525, oD Water Meter 6Q, 0 0 Road Unit 305,00 Treatment Pl 180,()o Parks Copies TOTAI. ? VA LU? IQti) -?---? GARAGlE Z`fnz.y; 517GK12P 6912 ? gSMT ? I ST I-LOpj` 3yx?8- cjs2 96 io 8 Gor7Bq ZN'D 1 ,-.ao? 3Y q32 Xqq = y{ 888 a , . , ' Ey-cR10R Et"LOPE AVERAGE "U" C01'"ITAT10N OYlNER r ',4"U' 4 - f (?.I??If?,fi lR--- &? &a _ S1TE ADURESS W7? Nor4-kv w-:u ?T??cx rQ - LOt17MCTOR &CL(-'Gr? C7'Y &Al:?,J-DATE )--- y'IPHONE _'?/? ?.., Detetmine working square footage of each. l. Total exposed rrall area ...... Z?oA- sq. ft. x_,,?(_ ° ZZo. d- 2. Total roof/ceiling area .... 18-I0 sq. ft. x.OZI,v Total exposed wall area above flour = a. Total wal l window area ........................... 'z 7-3 b. Total door area ................................. L c. Total slidinq glass door?area ................... O d. Total flreplace wall area .... :................... o • e. Total wall framinq area (average lOx)...:........ 1T o . f. Total net wall area ahove floor .................. IZ Go I u-?• 1G Z' g. Total'r1m joist area ................ ....... ' . Total-ekposed foundation area ? (O Q- , h. Tatal foundation window-area ......... o ..:......... i. 7oa1 net foundatlon area above grade ....... ..:... Io 4• . Detennine "U" value of each wall segment. ? • d . 'Z'? •?? X "U" 7. I la b, 55 p? X"U" ;I 2b _ '7 • Q'?- p C; !] . 'X uU„ O e? `U • d. ? X uU° ? e t7. e. 1"10 X "U" ,092. " 15.ia4- f. 1Z(4(-'0 Jf "U" g. I? Z x f,uil ' . n, o ? X NUn t. 1 0A- x itull .0h3 F ' S' J& .o4-I s 7. a7 C) ° C) ,o-r tl 8.22 3 ...... ................ ............... Tata1 ° -?O.9met lf item 03 is tiie same as,' or less tl?an item 11, y e tfie intent of SOC 6006(c)2. Total..exposed roof/ceiling area ? 17 S.G' j. Total skyliglit area..... ........................ 0 k. Total roof/ce111ng framing area (average lOX)... l-?g 1. Total net.insula[ed rooF/ceiling area..:........ ?lat) -Z. petermine "U" value for each rooF/ceiling segment. ? +U X aUn Q Q O . k. (18 x"U".? aQ- = 7•Iz , .? 1•?o'Z. X uU° 4 .......... ............... ...... ...Total rl Z.?tv lf total of #4 is the same as, or less than 12. you have met the intent of SUC GOQB(c)l. ' Alternate Building Envelope Design 7o utilize the total eaveldpe system method, the values established by tlie' sum of ltems #3 and 64 shal.l not be greater than the sum of items ;1 and €2. ' 1. + 2, F 3. .. + . . _ -•---.. _._ ..._. ._.?---•-- ..•.- - - ----- 1JID (.,C VA L UE A NA L YS15 Of L,gP-5_ ')[7 C L A2 EO ,q R&A5 WJNDGW AREA : TyPk OF W1 NDOW i TNe \NrNOOKJ yuirs NArt gsi.J Tierip Fo4 "R=VA?Kt? 7NIY Atc AS L-4190 ABoJ[ 440 /14Y C[ ADJ/y460 A PC9IlrN [!A?G) VwLK[. oF ?R?s z.f-9 14cL.upru4 AlR fJLMS, ? i = ? ? a5 ? • ? i ? -f-'-? ' z z ?j feotwpLz?.'? 4'foarAca FouNraAr i oN W,NOO w ArzsA : TyPE oF Wlr/DOW : THE VviNOaM/ LlJirs/J4VE, BL" TESTKP FoRoQ= YAU.aC,T46YA4t AS oti?LO AGey& Aufl ("4r' 9f ASIICg NLO AotSI(rn![lARLa VAWL Or- I[Z^• ?ti+G?tiOINSr AI.R RILMS . Uqta 1/4ja. a Fc.or.ny4 ? FoornyC a Q SLID)Nq (?LA55 DboR It{R6.f1 ? TYPC op 1)009z: SLIDiMrj 441,459 rJOORS N#%Vr aLR-4 71.?TR0 foR"R=vr4??t?y TH4YA8L -2 LtaTdO A60?L ANO 0141 0• H33,yNtiA A ojslc,NGs•rq yw?itL alL•Tj,"a ?au r... At0 F16aLS u9j f lf'%j r' !/ i? FVOTI.4L -_n? ,DooR ARaA : 7YP C o F f.ooR I D60R UNITS HAVL. GLLN TLaTLO AND RODUp To H/1VL AN 'FL'- VALLlA Of `7.F3? INC.a..N00N4 Alot RI"Mi, !b, r '/Ra, = I/ ? • 8?. = C? Fmrn? ?._ SPeclAL.s ; TypF. • J FaRM L-1 I?rE.! 3C? t??C' SrNEa? I ...?;-ANDVu••.VALUy ANALYZIS OF•- [ g?F/ i?iu? SEGTIVNb p ? .`? .... Jo?s-r/ FXAM,,o c, AQE., ? ?R•. vA Lu E .(ol 1NTRioR AIFt fILM ' 4,315 ?J?L' 501STwo00 .;S?J ?? ??+IYp3?1ro1 N/ALLOGnQO •` I NTLR ioR, A?R f??M 71 o7 VkI.U.E. i / ?? ¦ ? ? ._ - ' ° '? ' . ,. 'L7:73S , ToTI.L FooMG1, j:NSU.LA7ED AREA J5CfWtLN THE ?015'T'S •R,- - 471 1I47E410Q AiR FILM NSLL Ln7ioN CK•44-) _?716?CiyPSLLM WALLD0A20 ' YAPaR 5A0tR1&'Z. INTER?orC AiK fitM 4S,3&roTA L'R.?.:' vaLu.F. .. , u„q, _ I/a.,,, _ I/+S, . 3(0 = ? , o&M r, WnMStr TOrp.L rcorace. pAtu7??? f'?- AND lL VALU' ANALYS JS OF NqLI SEG7 ioNS v?7+uD ? ??ZAn? iN? AR6. wi : ' FZ• . y^Lue _??IwreK?oR a?R ?L 1?1 GYo•sr1M wwcLsoAea .?O•?lS ,§pfT`NosO Z.oN Z' ZSNe?1N?H4 01c.M-1? ._-- ?4?"? ? sioiuc, ' L? - - vnPme BARRICR. A +rcRioR n,it r?L-M to.22 YorAL' R.-,; lIA.LLAL `;.i = I/".w ¦ 1 11o.'d3 . . v -z. kI ? TorAL rootAac 1-70 INSU.I_ATt-D A1tlA BrTWLIN ST"DS "?Z"- vA Lu. [. •o' IUflQIOR V7 "4YPSu.n?+ ?/pL4doAQ0 • IQ.Q ?? lusuL..r IoN (R419 ? .b7 (AP sia1 u4 ? vAAo Pt. 1'yA w-rc. 'C Z J 7 QRrCK.icM /1In. MILM 7-_ Z l&rorA4 wwL v?LLAc. ^-y,•Vu,., l jZ2.`7 la. ? N 6i 1qh". f{, rorAL. roorna& /Z ? u.,ri7 iv.S(f"b,c,,..o_ 1? I"C AND U. VAI.u( AN,4`/si:) Oi W«Lr RiM So 1 s T tAR L n; scr,rlo?ls „R' - v/,L uE •(0_I 1-1 if-1tIOK ,112. rIL M 1q.2-J,, , I?15ULAT)ON CR•i7 ) Z.Uh %LSHcnTiNCi?LiT`??_ .J °?L? 1'?" SoFrwoop •?7_kxTf,K.IOR AI1L r-IL.in 7.4,3'j ror a L - q..:?• ??qr..u.c 4.u . ) ia., . )-24-•' -. ? o i . TO7n6 IrbrncIt ( OUMD qT IoN \1N/AL.L AREA, CABaVE- CqRAo?-3 ,.fZ,• vAL u.E. ?tcl INrEKIOR AIIZ P?L-?1 .r C.oN Ca r rr (it.ocK. I «?•F r ".:,wNf?:.4 (R• II ) ? `?.EXTLKIOQ, AIR RII.M 12 •f?3 -rornL VnLLLE- uwf.. 119-4, d Om., t•i 10401,Fb ro7AL fir"rN?,E io4- p.,ri7-?•???t?u?v I CITY OF EAGAiV APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION _...... *TOT6: PAYMRNP OF k'EE AT 7DE pF _ * ArriscrazoN ooES Nom aorszzTUTE * * P,rrxovat, oF PERMIT. * INsrncizorr oF sEiiM Arm/at MkTM * * INSTALLATICNS 41ILT. @]OT BE SCHD- * [7LID U[11'II. PIIt[•IIT AAS BEQ9 * APPROVID. ? » .......... r * . F.. x.? ?x ?,.,. wl x,. x..,.x,. P ease Print ; 1) PROPERTY ADDRESS: 1-i r)7.? A/,) L? 4In rI ,ns.1 l.?_?_?.? n .. LEGAL DESCRIPTION: _ wuuia?ucxiounaivision0or Tax Parcel ID IF EXISTING STRL'CiL?RE, DATE OF ORIGINAL BPILUING pERMiT ISSUANCE: : PRESENf 7ANING/PROPOSID LSE: Mon Year .. ? COMP7ERCIAL/REPAIL/OFFIC:E r-7 IDIDC'STRIAL n INSTIZS;TIONAL/130VII2NMEN'r 2) ? ADDRESS: CITY, STATE, ZIP: PHONE: [D?'R-1 SINGLE FAMILY ? R-2 DC?PLEX (Two L?nits) ? R-3 TOWNHOLSE (Three + Units) ( t?nits) R-4 APARTMENT/CONIDOMINIf.RM ( Units) 3] • ?:?• NAME: ADDRESS: CITY, STATE, ZIP: PHONE: r MASTER LICENSE# 3a 9 4) •• • ia• NAME: ADDRESS: CITY, STATE, ZIP: PHONE: rluncers t,icense: [] P.ctive H FScpired Not recorded Sta F Inita.al 5) ?? a• ?• : a • a? ?i B"CONNECTION 1+p CITY SEMR MNDIDC,?ION ZO CITY WATIIt ? pMM '. 6) 19112?? RPLEASE HOIdI APPRpVID PMMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVID pg2PffT TO 1, 2, 3, 4, ABOVE ? (Circle one) 7) m? \?/n .Q'n FOR -CITY USE ONLY PERMIT # ISSUED Pd w/Bldg, Permit FEES: $ SEWER PERMIT (INCLDDE SURCHARGE) $ $ ?D'S U WATER PERMIT (INCLUDE SIIRCHARGE) $ 67e o $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ /5 'G' -o ACCOUNT DEPOSIT - SEWER $ $ Z,5-' e"-r) ACCOUNT DEP03IT - WATER $ '' ?'S LrT? $ WAC $ $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ /Q o -n m $ WATER TREATMENT PLANT SDRCH R A GE $ $ OTHER: $ ? 1 l7'OCl $ TOTAL 7 O) RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q Ha ROADWAY" MUST BE ISSDED BY THE ENGINEERING DIVISI O[V. LIST AS A CONDITION. SU BJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: /T /, _ TITLE: DATE: / Z /Z Z ? 7 , TRI-LAND C0. SITE PLAN FOR: SURVEYING SERVICES C4LLEGE CITY 1260 YANKEE DOODLE ROAO EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION: LOTJ.5-,BLOCK 2t LEXINGTON PARKVIFW ACCORDING 70 THE RECORDED PLAT ?--?-?-G? THEREOF DAKOTA COUNTY,MINNESOTA SCA L E= I"= 3 0' s 0003'43" w 997x32 85.00 907z92 O T- -? I I I W L. :' i 6 !'' i LOT 15 %?_ cO_ ? ? l5' 'i to 0 o ? I ?? ao -00 ?- I cn cn ? ? I 91?,ez . I ? 919x82 ? 24, 7 c PROPQSED ? '`?? ???, NHOUSE ._ , GA?RAGE c?i ? ^` NuB 920x 2 918x22 -- ---- -- . . 30' ? pRIVEw4Y _ . ?i 914x32 W.V. ? ',- HYD. S'rJ.OO ?? 921z52 916x66 S0003 43 W 913x82 - 919x12 920x72 7.C. T.C. _ T.C. Q NORTHVIEW TERRACE LEGEND iNVERT ELEVATION AT SERVICE EXTENSION= o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= o DENOTES WOOD HU8 SET PROPOSED FIRST FLOOR ELEVATION = &14 DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR ELEVATION ELE VAT) ON DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION NOTE'• VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hersby certHy that tAis survay, plan or report was prepared by me or under my direct supervision and that I am a duly Bradley wenson, Mn. Req. No. 15235 9/0 ; Repistered Land Surveyor undsr the Laws of the StoTe of Minnesota. Date ? (9 -( `IS'7 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA092062 Eagan, MN 55122 . Date Issued: 11/17/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4073 Northview Ter Lot: 15 Block: 2 Addition: Lexington Parkview PID 10-45035-150-02 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Gopher Heating & Sheet Metal Peter Goede 12330 Ottawa Ave 4073 Northview Ter Savage MN 55378 Eagan MN 55123 (952) 890-3466 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use 1 j Permit j City of Ea Ed I v ED RECE` Permit Fee: 7 3830 Pilot Knob Road I I Eagan MN 55122 MaR 2 012 j Date Received: Phone: (651) 675-5675 1 I Staff: Fax: (651) 675-5694 I ~n I I I ~ 0 ~ < 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: /4A) 7b- Unit A" Name: / f iD ~5 /~4 Phone: RESIDENT / ~i - /J T OWNER Address / City / Zip: 23 AdRVA` W 7~'Q~ Applicant is: Owner Contractor i TYPE OF WORK Description of work: MLYR-11117elU Construction Cost: 0X Multi-Family Building: es / No Company: A 111- Contact: Address: City: CONTRACTOR I State: Zip: Phone: License 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: ZIA Licensed Plumber: Phone: Mechanical Contractor: Phone: I Sewer & Water Contractor: _ Phone: NOTE: Plans and supporting documents that you submit are 'considered to be public information. Portions of the information maybe 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.-gor)herstateonecall.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 i sued in accordant t e Minneso to Buiidin C d st mpleted within 180 ermit issuance. x 7 Applicant's Printed Name nt's Signa ur Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation - Fireplace - Porch (3-Season) - Storm Damage - Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck - Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous 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 4- - f Occupancy MCES System Plan Review Code Edition c SAC Units (25%_ 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers -----Ye o Construction - - - Width 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 Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings - Backfill - Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By:' : ` y '1240 f17'It , Building Inspector RESIDENTIAL FEES Base Fee Surcharge 3 3 Plan Review MCES SAC Z 5 City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Q TOTAL Page 2 of 3 i PERMIT City of Eagan Permit Type:Building Permit Number:EA116139 Date Issued:10/03/2013 Permit Category:ePermit Site Address: 4073 Northview Ter Lot:15 Block: 2 Addition: Lexington Parkview PID:10-45035-02-150 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Colleen Jacobsen 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 - Peter Goede 4073 Northview Ter Eagan MN 55123 (612) 308-2018 1 Derful Roofing & Restoration 2973 S Nova Rd Pine CO 80470 (303) 984-7663 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink �---------------- , i. " �;i � For Office Use � ,::( � �� I C�� O f PC� �n I Permit#: � y 1 L(l�illl i � i � Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 I Date Received: � Phone: (651)675-5675 � s Fax: (651)675-5694 . � Staff: � ��_��_�_J 2014 RESIDENTIAL PLUM ING PERM T APPLICAT N Date: �� v ��'�� YL� qn Site Address. �� jrY 1 _SC��--] v� Tenant ,�, Suite#: r�:�s.�y,t,� �� ,� �,�`. ,, 5�& ��y��Xd f�'t�`�'�� +9,n�. � w�. � j x�,£'�a`',�+e^�k �"s�a` �,�,f'' s-i7...� � �2esl�ertti/Owrre�''"� Name:: ' Phone 'ti� x��`.. :�� ,'�� . Address�City/Zip: ��-� N �U'�..Pi��.l � �� h4,�� ,��b�� `,"; �� ,�� , �{� � � Miibert ompany Inc dba Cull�ign Water��Se#: ll�/C643176 Name: ��`�'�'�� °� �A 180150t Street East � �� `�Contract{o� _.. AaaresS: c;ty: Inver �rove Hgts. �s��'��A � �. �� Y M N z;p: 55077 Phone: 651-451-2241 f State: � �,,�� .�, � �4i#e��€�� 4�r��r�r w.��'�'F��'�r �� ;"�� ,'� �ontact: W I(I I a Pl'1'::R.'M I I I�21't Emaie ��r rs�^��s f �� r y�� . � � � � � � � � � � a '� �`�� ' Mew _Replacement _Repair Rebuild Modify Space Work in R.O.W. i�"�""Type of,Wor — — — _ �"�� d J � ';�f <',Lf . �,,.�� " Desc�iption of work: ��Y�fx�� "�`` ' RESIDENTIAL r ,2��,s�w�� ;� � � � � ��,��'��'r'��`�P � Water Heater � � � �� s�"�� ° ' � �Water Softener � �� + �� Lawn Irrigation(_RPZ/_PVB) �� Pe mit,Typ� '�� Add Plumbin Fixtures Main/ Lower Level � ,��,.�� ',��g � Septic System 9 �— — ) �t��*��`��' � �� . � � New Water Tumaround �� '� � �� `�� _�` ,� . Abandonment RESIDENTIA.L.FEES: - $60.OD Water Heater;INater Softener, or Water Heater and Softener(includes$5.00 State Surcharge) , $6�.t30 Lawn�Irrigation,(inc(udes$5.0t7 minimum State Surcharge) $60.00 Add Plumbing fixtures, Septic System Abandonment,Water Turnaround*(includes$5.00 State Surcharge) �. "Water Tumaround(add$200.00 if a 5/8"meter is required) $115.00;Septic Svstem'New($10.00 per as built)(includes County fee and$5.00 State Surcharge) TOTAL FEES S CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 haurs before you irstend to dig to receive`locates of underground utilities. www.popherstateonecall.orq I hereby acknbwledge that this informa:ion is complete and accurate;that the work will be in conformance with the ordinances and codes of the Clty of Eagars; thaY I understand fhis is not a permit but only an application for a permit, and work is not to start hout a permit; that the work will be In accordance with.the ap ved plan in the case of rk which requires a review and approval of pla . n ��X�:�. - '.... �. � � '. _..._ x , . �,._ .. . Applicant's Printed Name ApplicanYs Slgnature �� `. �' �� FOR,O FYIC �US' . �_ � o. , - ��,,� . �e� B.� .;�� ti�p'��e�,��.� �� " ' ' ,`: � � � � 5 4 � �p' �lJ� , , � � ��r � � , . : � yp,i P *Re�quir d lr� peetr n� �� n � M o , �' � ��,3' 4�, � �, !' 2. EF,y � "' � � flT��¢�d r h�:: , . . °'� , � � �M�ter ela �tl 1 e e i , . ; 1 �� `,�: , � ' ��. � .m�, .��: ..:.,. �x�,�p, w� ��a� � e.,�� .� �. . �;��;�;�.� � � � � ,,�� _.,. ._. � .. ��