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4542 Oak Chase Rd
Use BLUE or BLACK Ink " r________________.-, For Office U.7e I I V Permit#: ty!> 7 / 5r I n City of Ea R ~ I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff. I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: '0 Site Address: Tenant: 'i Suite RESIDENT/ OWNER Name: Phone: 5 2A) 7ec Address / City / Zip: A4 Applicant is: Owner Contractor TYPE OF WORK Description of work: E5g-f ~ L, S icy j j t~ ~~1~ Construction Cost: ~ C 6 d Multi-Family Building: (Yes No x CONTRACTOR Name: l_f~/ic1~cJ License 3 L/ Address: City: / j 'y /S State: /V zip: 5 l Phone: -,2 Z~ ' V L/7 Ti✓f2~ `~l. ~ ~CL,c ~ f'yl__ Contact: J ltJ -Email: 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 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. x A ft'JI .9- N~ w r' ~ x S Applicant's Printed Name Applicants- pplica 's Signature Page 1 of 3 For Office Use I j Permit City of Eajan 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I _ Fax: (651) 675-5694 1 Staff: L' l L-----------'-----~ 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 7 0 Site Address:Y Tenant: Suite RESIDENT /OWNER Name: PhoneA7 Address / City / Zip: / CONTRACTOR Name: License Address: City: ~f l~Y Xe? Stat(e~:J Zip:. Phone: Contact Person: c J C~✓~'j 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 Add Plumb' g Fixtures RPZ PVB) PL- Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge) *Water Turnaround {add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) -7-y TOTAL FEES $ <7 V, 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 accord c ith the approved plan in the case of work which requires a review and approval o X X 4A Applic Ys Printed Name Ap li Ys Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In Air Test Gas Test -Final , ~ ForOfr►ceUse , - - i j Permit City of Eaban I Permit Fee: v ` I 3830 Pilot Knob Road Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 t / , I Fax: (651) 675-5694 Staff: I -----------------J 2009 MECHANICAL PERMIT APPLICATION 9 / / % Date: -7LI 0 Site Address: _ T~ 4A6 a Tenant: Suite RESIDENT / OWNER Name: zePT Phone:lG{)/ - /C<CJ6! / 6 _ S Address / City / Zip: CONTRACTOR Name: license / L/ 61 Address: 10 - yW- -7 4e City: " State: / V Zip: 5~ /11 Phone: ct Person: Z TYPE OF WORK New Replacement Additional Iteration Demolition DoscriPftn of work: NOTE: Both roof mounted and ground mounted mechanical equipment is requimd to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screens methods. PERMIT TYPE RESIDENTIAL COMMERCIAL _ Furnace _ New Construction ! Interior Improvement Air Conditioner _ Install Piping Processed _ Air Exchanger _ Gas _ Exterior HVAC Unit Heat Pu p _ Under / Above ground Tank i_ instill Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) - If Permit Fel is less than $1,000, surcharge is $.50. Permit Fee - If Permit a is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the ally 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. r x N"I" Appli nt's Printed Name App cant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground _ Rough in -Air Test Gas Service Test -in-floor Heat -Final Exterior HVAC Screening Inspection Use BLUE or BLACK Ink ~ ~4rOffiGei.lsP I Cit of Ea a~ I Permit#: I l I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: lP j Phone: (651) 675-5675 i staff: Fax: (651) 675-5694 1 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: A- 7--42)10 Site Address: 516'Va- 0,,-k eAasP_ ?)1QLG FQ Ag, AIL, Tenant:au f' -ni li P Suite RESIDENT / OWNER Name: t'a. ll allki .Jock, 1.. e,:571 e- Phone: A,5-1- 11 ®7729 3 Address / City / Zip: 4/6-1/11 64 (y Liar e "Zlp -I-S/ z Applicant is: Owner ~ Contractor TYPE OF WORK Description of work: Construction Cost: UO Multi-Family Building: (Yes No CONTRACTOR Name:. /,*kg wry doruC 4i /t C, License 420(o31 a1138 ? T/4 _City: b'36 C~~L''PrarPp A- tyn,Sen4t)Ln State: Zip: SS7~6~ Phone: 6 /0-3J F 77'17 Contact: /44e ' Re S Email: 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 QIG. 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.aooherstateonecall.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 Fagan; 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. x parr I L t~e,'S x Applicant's Printed Name APPticanYs Signature Page 1 of 2 'CITY OF EAGAN Remarks Addition_•_.OAK CHASE 5TH ADDN Lot 6 Blk 1 Parcel 10-53504-060-01 owner street state EA?GAN MN 55123 4542 OAK CHASE -W#'f 0 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ?, ? ? STREET RESTOR. . GRADING SAN SEW TRUNK $Z-p 1984 41.78 8.36 5 SEWEFi LATERAL 'S Zi 1984 117.82 23.56 5 SEWER T S Z 1984 303.32 60.66 S WATERMAIN f1NATERLATERAL Zr 19$4 454.82 90.96 5 WATER AREA S 1984 47.03 9.41 5 WATER AREA 1984 155.00 155.00 C008422 4-26-83 +?STORM SEW TRK 1984 5 *STORM SEW LAT 1984 5 ST'OILM SEW TRK, 1984 272.50 272.50 C008422 4-26-83 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK 'CITY OF EAGAN Remarks ,4acrtior, ? OAK CHASE STH ADDN Lot 6 Blk 1 Parcel Owner?4,', a. ' ?,Af.D' ? street state EAGAN ht[V 55123 ? t?'.«r ;)qj 01 4542 OAK CIiASE Wff 2r) Improvement Date Amount Annual Years 'Payment Receipt Date STREET 5UR F. STREET RESTOR. GRADING SAN SEW TRUNK ZZ 1973 19 09 20 -- . SEWER I.ATERAL SEWER ER Z 5 WATERMAIN WATER LATERAL ? WATER AREA 1 STORM SEW TRK 1984 272.50 272.50 C008422 4-26-83 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 450,00 it of BUILDI NG PER. 563 SAC 525-00 go ?r PARK /D - Da7aa - O.// -J,,- CITY OF EAGAN 3795 'No1 Kno? Rood Eogen, MM 55122 PHONE: 464-8100 BUILDING PERMIT Recelpt # SF? llW?/G.?L I!?'. O) 0 3; ''CCoueT 7 To be wed for Est. Volue ' Dote 19 Site /lddrcss 4 ?.. a :ase " . Erect ]a- - ti ? Occuponcy t I ?'?a1: ?`1,ise ?t:Y? _ s Lot ?Igc , ? ? $Fc/5yb. Alter ? Zoning pQrcel ,? 5 ( Repair ? - Fire Zane oe Nome ? Address 4561 Oak Chase Circle i aoan ?1 517a GSG_/11 I 'A ?j NOTR Ue.niu?a -aeueiavaap L??e. F ?? Address O • ? :kpple Valley 431-5000 Name _ Address 1 hereby acknowledge that I hove read this opplicotion ond state that the informotion is rnrrect and agree fo comply with oll applicable State of Minnesota Stotutes ond City of Ea9on Ordinances. Sipnature of Pertnittee tiic Entarfle ? Type of Const. Move p # Stories Demolish ? Length Grade p Depth Sq. Ft. Approrals Fees Assessment Permit WoLer b Sew. Surcharge ? Police Plon check ? Fira SAC E?q. Woter Conn. Planner Woter Meter Council Rood Unit Bldg. Off. APC Totol - • • ':? M 8F63 A Building Permit Is issued to: on the express tondition tlunt oll work sholl be done in accordance with all opplicable State of Minnesota Statutes ond City of Eoyan Ordirwnces. Buildinfl Official : / 74 ,# ' h 5 ? Permit No. ermit Holdsr Mise. Pormit No. Holder lumbiny f V .A.C. H. Gil/?Z w.n w.?e. Disp. Sevwr ekctric /4. p pl OZ A-on &a l. Inspsction Date Insp. Other Footingt ? S3 Foundation [ Framiaq /-,g-vv .? RougF+ Plbg. ? - - ? ? f Rouph HVAC j Inwlation Final Plby. Finel HVAC Finai G,4. Water Oesc+ibe Locetion: Well _ .Sl1Mf . r Pr, Disp. • CITY OF EAGAN WATER SERVICE PCRMIT 3830 PilotKnob Road P. O, Box 21199 PERMIT NO.: Eagan, MN 55121 D/1TE: i--? Zonin9: No. of Units: ? Owner• Addtess r R 0 .SilB AddIt55: r.ha5C i1 • PlLxnber. "•? ? "??" ' Met'er No,: Connection Chorge: • ???. ?u ?;? ' Sixe: Acaount Deposit: _ Reoder No.: Permit Fee: ? 1 ayroe to oomply Mrhie the City ef Eaqa¦ Surchorge: Ordinonsa. Misc. Chorges: Totc1: BY Dote Paid: ? Date of Insp.: Insp.: CI7Y OF EAGAN 3830 Pilot Knob Road P. Q. Box 21199 Eagan, MN 557 21 Zoning: • Owner: edursat; Address: Site Addreu: ' C.2: Plumber. I ogne to eompy wp6 flw Cih? of Eayon Ordineweas. By Dote of I nsp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: ` ` - - No. of Units: Connection Cha?qe: Acoount Deposit: +•=- •-.`_ Permit Fee: SurchorQe: - Misc. qwrges: ?? r + - Totol: ?f?,,,,? CITY OF EAG?1N ,?g?(o3 include 2 sets of plans, ? pj? ??site plan w/elevations & BUILDING PERMIT APPLICATION 1 set c£ energy calculations. rl`1 r Zb Be Used Fbr D`"? GaV . Valuation Date ?-! 2 ?6 si ce Pddress O o.K C?QS? ?` ? D oFFICE uSE ONI.Y Lot 1,_ &locx sec./sub. ,g?,.ect ? ocoupancy Parcel #: /D O Co O- 6( Alter Zoning ? Repair Fire Zone O+mer: b?cwjia a S 1? ?i 14 3 c-NaS z E W S k i Enlar5e Type of Const. Address: ? S? l O?k se &i^C« M6"e # Stories Denolish Fxont 7 ft. City/Zip Code: ?R?? 551Z ? Grade Depth 3O ft. Phone #: ? sq -qf 33 APPROVAIS FEES Contractor: (-`}j" ??.-'?¢??? `Ti 1G• Assessments Permit SC3 ` T4ater/Sewer Surcharge 47 ? Pddress: a,t,VA Police Plan Check SAC ?o? 3' City/Zip Code: ? Phone #_ ?9- Water Conn. Planner Water Meter Council Road Unit Arch•/Eng• : Bldg. Off. /b• 2 r- 8s Fddress: APC City/Zip Cocle: Phone #: TOTp1, 1-` Q? rb O --?? ? '? . . CITY OF EAGAN 3795 iilof Knob Reed Eagan, MN 53122 PHONEe 454•8100 BUILDING PERMIT 7n 6e wed fn. SF DWG/GAR $102,000 N° 8563 Receipt # pOfe October 7 _ 19 83 Site Address 4542 Oak Chase r'?:ay- k J?_ Lor 6 Blxk 1 Sec/Sub.,Oak Chase Sth Por«I # 10-53504-060-01 ? m Name David & Sheila Banaszewski z Addreu 4561 Oak Chase Circle p EaQan 55123 pho,b 454-4133 o NemB Ozmun-Pederson. Inc. `o ? Address 7700 145th St. i ? 1- C; Ap ple Valley phone 431-5000 G Nome w i? Address I hereby acknowledge thof 1 hova read this applicotion and state that fhe informafion Is correct and agree fo comply with ull opplicoble $tote of Minnesota Stotutes and City of Eogon Ordirwnces. E.ece 11 Occupancr R-3- Alter ? Zoning Estates Repulr ? Fire Zone NA Enlar9e ? Type of Const. V Move ? # $tories Demolish ? Length 7$ Grode ? Depth 30 Sq. Ft.- Approrals Feef Auessment _ Water 8 Sew. Police - Fire Eng. Plonner - Council _ Bidg. Off. _ APC Permit 4,30.VV Surcharge 51.00 Plon check 219.00 snc s2s.mo Woter Conn. 450. 00 Woter Meter 60.00 Rood Unit 250.00 rorol $1993.00 Signoture of Permittee Ozmun I A Building Permir Is issued to: -Pederson, Inc. w rhe exvreu condirion thnr all work sholl be done in uccordance with oil opplicable State of ewto Statutes qfi?l City o4 Eogan Ordinances. 8uildiog Officiol i? S? cl b? RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Canstruaion Renuirements • 7 registerM site surveys showing sq. M. cl Io1, sq. R, of nouse; and all mofcd areas (20°k rnaximum lot coverage allowea) • 2 copies of plan showing 6eam & window;izes; poured found desgn, etc.) . 1 se[ of Energy Calculations . J capies of Tree Preservafion Plan if lot platted after ii1193 . Rim Joist Cetail Optans selection sheet (bldgs with J or less uniCS) DATE 0 'a2'_cP1 3ii (c,,.-IS RemodeUReoair Recuirements . 2 ccpies of plan • 7 set of Eneryy Cakulations for heateA aotlitions • 1 sde sumey for axtenor additions 8 decks . Indicate if home serveG by septic system `or addilions VALUATION 12?1 '751 2 7 SITE ADDRESS y? YoZ ?p? C L+e9 SP T?? MULTI-FAMILY BLDG _ Y //N TYPE OF WORK % O• ]??_?70? FIREPLACE(S) _ 0_ 1_ 2 APPLICANT Lct'S-{tt/`v-, R??'inr?1 STREET ADDRESS / 3,4,e J {/ CITY Prv STATE ??-?ZIP ?'55%?/? TELEPHONE # 7(-3' S`/-0 3°yCELL PHONE # / FAX * PROPERTYOWNER Pt9Nl °` JOW/ /?5/' t TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ N1IN\E50"C.\ RCLfS 7670 CXTI:GORY f MIVNESO'f.1 RULI:S 7672 (,+' submission rype) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted . Energy Envelope Caicula[ions Submitted Plumbing Contractor. ------- Plionc # ?-------- Pluinbing system includes: _ Water Softener _ I.awn Spnnklcr Fee: $90.00 Water Heater No. of R.I. Baths No. oF Badis Mechanical Contractor: Phone # Mcch.uiic.il systciii includr,: _ rlir Condiuoning Tcr. $70.00 _ E-IcLL Rccovcy Systcni Sewer/Water Contractor: Phone # I hereby acknowledge that I hove read this appiication, state that the information is correct, ancl agree to c'omply with all opplicabie State of Minnesota Statutes and City of Eagan Ordinances. ?"? 2 8 L??Z ? Signature of Applicanf ???-- ----------------------------------------------------------------------------------------------------------------------------- OFFICE USE OvLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ - Updated 4/02 2000 BUILDING ?:C?1^.I?iiiR?i.• ?.? _ ?.= ? ? PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 0 651•681-4675 -c a I Q 0 CQ, k- J-?k16b ? - Ramodel/ReoaG Reauiremenh 9 9 registered sNe wrveys showinp aq. M. of bf, aq. tl. of houae ', )l- CJ b 2 CoPies of plan antl QII rooled areas f20% mazimum lot eaveraae allowedl 1 sef of energy calculatlons for heoietl addiMOns ? 2 coples o( plans (ahow beam & wintlow sizes; poured fnd. design; efcJ ' 1 site wrvey (a extedor atlditfons & decks ? i set of energy calculotiais ? 3 capfes o( free preservalton plan If loi plattetl alter 711/93 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: ??L If mulfl-famtty bldg., how many untts? STREET ADDRESS: 4 7t-F 'G J )N11? 1Cc4 ^ LOT: ? BLOCK: ? SUBD./P.I.Q. #: Name: ) ns'I j2 Phone #: PROPERiY Lost First OWNER ??? Sheet Address: City State: Zip: Company: YLe'\Lq br.P?tn 1;.47?C???VLp1 Phone#: (ajb?` 14&(al (area code) CONiRACTOR StreetAddress:IoS3 -I rrs?--RPq(11 At"2 LicensexP.3"p) aty nate:Ov\ zip: ssf ? a ARCHITECT/ ENGINEER Company: Name: Telephone #: ( Sheei Address: Regishatlon N: CNy State: Sewer/water licensed plumber (if installina sewer/water): Phone #: Lp: 1 hereby acknowledge that I have read fhis applicatfon, state that fhe infortnaibn is cortect, and o ee comply with all applicable State of Minnesofa Statutes and Cify of Eagan Ortlinances. Signaiure of Applicant OFFICE USE ONLY Certificates of Survey Received Yes _ No ? Tree Preservation Plan Received _ Yes _ No _ Not Required ,:UL 1 7 'A? OFFICE USE ONLY BUILDING PERMIT SUBTYPES O 01 Foundation ? 07 OS-plex O 02 SF Dwelling ? 08 06.plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex O 05 03-plex ? 11 10.plex ? 06 04-Plex ? 12 12-plex woRK rvPe tll<?'31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? ? 17 Garage ? ,I a,--l 8 Deck ? ? 19 Lower Level ? Plbg _Y or_ N ? O 20 Pool 0 21 Poroh (3-sea.) 22 PorchlAddn.(4-sea.) 23 Porch(screened) 24 Storm Damage 25 Miscellaneous 30 Accessory Bk1g. ? 37 Ext. Alt - Mutti ? 33 Ext. Alt - SF ? 36 MuRi ? 36 Move Bldg. O 43 Reroof ? 37 Demolish (Bldg)' ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFQRiVtATfON SAC Code ? No. of Units ? No. af Buildings I Const. ,(Actual) (Allowable) UBC Occupancy Zoning # of Stories . Leng?h Width Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS El Stucco/S#one ?Planning Building sq.ft. APPROVALS 9(7 sq.ft. Footprint sq. ft. Census Code qlq MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance PermitFee .0 6G.Sb Surcharge Plan Review License MC/ES 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: y b Q 5 0 Valuation: $ SAC Units % SAC .T?. '?'° ?L?/•- 9'•2?? i? ? ,? ? ? i ??_ ? ? ./? /J? ?.??:.... . ,.. '?i' ? / " _ ?,? - - 'Y\ ?y? .?"?' - ?yr+'C? ? . EL?-r•„ - 7' • ?.--?. ?? '?? ? Z ? ..= ? Q ? ?_ i ,. , , ? L? . _ . __. I „.? >? ? . N ?2'-?' _----- , , ,?,, ` I a 3?,- t I ' ; ? ? ? ? , , ?? ,?? ? ?Q ?--? ? ? ? ?? ? ? ? ?? ? ? ? ? T ?1 ?? ? ? . ?, ?? - ?i . ' ?? ?, - ? ? ? __._ --- ?4 ? di ? ? ? ,' c ? - ` ?? ?L,' I' ?c ? ?: _ ?? t' ?- • ? a?. ?t?-IIS?tJ? ??..?-E.?v, ? 4? N ? .z I -?? I? ? I _ ? ,_?.,'I I ? - . I ?r'? ? I ? . ? X ? ?? i i -i 11?1;• _? yy;'::r? ?- #t IG. i h' ? ?' ?;?5.?-. ;'"??':?/?/'??''"?? _15???? ? ?7 ? ; ? `1, i ??, ? % ?..6tv/5..= ?'? !?-_k-! ?'? ?t:=C?. i . ' ??.?--}?t-i ?II?? . - g??.. <> ? ?-J'?Ml_#.; ???::'.z-±-j .ItiIG. !?-??? .!-?? ,?t?fr? ?' _?[a F•. ?/?.:! r's'' I.?IF?1_ •;.. . ,- ?' -_ IiKTER10R ENVTLOPE AVERA!:E "U" C(1MPUTATION .+ner?a„? ?-?<v Address Phone _gal Description of Property: Lot_j(:?, Block___]_AdditioiY]Av 2 Date q- ite Address AVERAGE LINEAL FEET OF EXPOSED WALL AREA ABOVE r.,RADE ain level Lioeal ft. of framed wall above gradeA!?A_x height of wall im joist area t = ?fl Lineal tt. of rim ZQ? x height of rim ower level ? 32Q Lineal ft. of framed wall above grade?x height of wall Q> Lineal ft. of masonry wall above gradeXoi_x height above grade___),?? -J??- TOTAL wall area above grade including windows and doore 'IhDOh'S: Area x "U" value lake & type ssw? r"e<--?`,.vc'.?'CS 39• ,1 11 .-, . o r- * - 7i$4• a u n a - f t. x nUr. : (U) (A) ft.? x nU.. (U) (A) ft 91U11 - . (ll) (A) ft, , ,fUll?_ --?(U).(A) ..U.. tP) (A) ft U?? (U) (A) n . ? f t (U) (A) f t ?Uu ??Us (U) (A7 ft (U)(A; f t . x nUn ? (U) (A: sq. ft. x "U" (U) (A; it is sq ft.?X ft. ?U? a ?(ll)(A? ' ?? . ? ,tUt, (u) (A u sq. X ft.? (U)(A. sq. ft. (A (L') sq. X ft. x "U" (ll) (A .•u n SCj• fi. . . nUn s (L) (A to It sq. x ft.____________ x loUlt m _ (U) ?A ;n n sq. ft. . , DOORS: Area x "U" value 8 sq La2 n x ft. (U)(p ????? Nake 6 type - w h i . sq ft. X n o U (U)(A '? to n a u o. . sq. ft. x l l U"41 °. (U)(A A n n s4. ft.?x nUn ° (L) ( OPAOUE WALL CONSTRUCTION; Area x"U" value sq. ? q. Uetail refer 8q, ence from sq. attached sq. sheets sq. sq. X tlU•• (iJ) (? ft. ?(U) ?E ft. U?? ? ft. x X u:Un? : ?(U) U ft. (i') U 7[ ?Un° , ft. VA? X nUn a (11)0 ft. f t ?--------? nUn _ (U) (A . TOTAL Wall Area Including ,???..'- OTAL (U) (A) ??• • t?Jindo4.*s 5 Poa-e : `C.5 ?!')fl• AVG. =1-------- TOTAL (U) tA) VALUES '(i??7/• UIVIDED SY TOTAL WALL AREA AVERACE "U" Minimum .17 or less for 1 6 2 family dwellings Minimum .22 or less for all other buildings NOTF.: )f avPrage "U" values as calculated above do not mee[ the Energv Code requirements, the "Alerna[e Envelope Design" as indicated on Page 5 may be used. , a ?? . ? I ? ? v N V i -z ?.: ._?c.?!^X?'1.?.- ?.?`??`;'??'? • _I???Jil ? '., ?i ..-n?{'^? ?.J??i.+;rr_=?i? •. .., ?. , . , , etfv _ 9'-2'l ?,?' ,- Z ? _ _-- - ,i ?N ' ; ?'? • aa . ? \ T: Lf=1?-?-? ?Ol 052? Z-1C3 00 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX 4 651-675-5694 New Construdion Reauirements 3 registered site surveys showing sq. tt. of lot, sq. ft of house; and all roofed areas (200/6 mazimum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, elc. 1 set of Energy Calculatlons 3 copies of Tree Preservatlon Plan if bt plaUed after 717193 Rim Joist Detail Options selection sheet (6uildings with 3 orless unifs) RemodeUReoair Reouirernents Olfice Use Onlr 2copLsofplan CertofSurveyRecd _Y _N 1 sel of Energy Calculations for heated add'rtions TreePres Plan Recd _ Y_ N 1 sile survey for additions & decks TreePres Requrcad . _ Y_ N AddMon-irrdicafeifan-s8esepticsystem OnsiteSeptlcSystem _Y _N Date ? 1 13 / 0,? Construction Cost Site Address ?/ q Cl7/i .?- 212 UniUSte # Description of Work Z: c?.J'r Oo ? ytyf.?(I" 5 2, '19 T Multi-Family Bldg _ Y k N Fireplace(s) _ 0 1 _ 2 Property Owner C,(, ) L j (- Telephone # ( (p ? 1) 1? ? ' C7 ? ?`? Contractor Llel Y I Address ff?C-r A ,V/4 City J`?!2 Li State Zip S'a 370 Telephone #( tJW )%1I 'S"L? y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COde Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Su6mitted • Energy Envelope Calculations Submitted In the IasT 12 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 master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit 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 the State of MN Statutes; I understand this is not a permit, but only an applicarion 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 Ivork which requires a review and approval of plans. Applicant's Printed Name App ant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plez ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 MuRi Misc. ? 05 03-plex ? 11 10-plex ? 18 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (Entlre Bldg) - Glva PCA handout to applicant Valuation Occupancy MCES System Plan Review 100°/a or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ _ _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector Ll2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Consiruction Reauirements RemodellReoair Reouirements OFfiCe lk8 OnW 3 registered site surveys shaxing sq. R. of lot, sq. N. of house; and all mofed areas 2 capies of plan Cerf oF Sun+ey:Rerd _ Y._ N (20% mazimum lol coverage allowed) 1 set of Energy Calculations for heated additions Ttee Prks PI9p'.R2N 2 copies of plan showing 6eam & window sizes; poured found design, eic. 1 site survey for adcfitions & decks Tree Pres f?sqwred ? N lsetofEnergyCalculations Addition - indicafeiFon-sitesepficsystem ?it6Sepiic?fem Y N!. 3 copies of Tree Preservation Plan if lof platted after 711193 Rim Joist Deiail Options selection sheet (buildings wilh 3 or less units) Date ConstructionCost ?i N5? 'tlO' Site Address Ll S"`L (D+a4,h-4a6 ?. UnitlSte # Description of Work Multi-Family Bldg _ Y?Q N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner Suo: ?-ES?c?.E Telephone#( ) 40 S-6118 'L 15 Contractor KS?but ??52•o2S I i ?1 - ?II I ) Address Sq, S%. %1QG4<11;sLc- 4octH UIV 0 ;1 City State M N ? ip 55 m? Telephone #((ys I)?-8S -(03`8 ? I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 _ MiMesota Rules 7672 Energy Code Category . ResidenGal Ventilation Category i Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 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 master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit 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 the State of MIV Statutes; 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 pians. K,Y+E ApplicanYs Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ,0'02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior 0 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors -' 34 ReplaCement ,Z . *Demolitian (EMire Bldg) -Give PCA handout to applicant V ? o°, Q' 3 aluation Occupancy MCES System Plan Review ? 100% or 25% Census Code fsg Zoning City Water SAC Units ?`? Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered , Type of Const Width REQUIItED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Foo6ngs (deck) ? Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile pihec / Roof Ice & Water Final Pool Ftgs AidGas Tests Final ? Framing _ Siding _ Stucco _ Stone _ Brick /Fireplace R.I. AirTest Final Windows ? Insulation _ Retaining Wall Approved By: p-7 , Building Inspector •------------------------------------------------------------------ Base Fee /? 3 • 1_15? Surcharge 'f . o v Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other tal T ? J o Krech ? Exteriors Siding Roofing Windows 6utters "We've got you cavered" 5858 Blackshire Path Inver Grove Heights, MN 55076 Main:651-688-6368 Fax:651-994-1388 www.krechexteriors.com MN LIC# 20349135 3. SPF Series rim joist f. Release and reinstall the existing deck (if applicable) i. Support deck as needed with temporary framing ii. Make all necessary repairs behind deck iii. Install ice and water shield behind deck ledger iv. Install proper flashing over ledger board g. Windows (Pan flashing, if applicable) i. Remove interior trim and existing windows ii. Make all necessary repairs to rough opening iii. Install building paper and pan flash the rough opening iv. Reinstall window v. Apply head flashing and membrane tape on three sides vi. Reinstall existing interior trim 5. Required repair inspection 6. Install new R 19 Batt Insulation (6" wall cavities) 7. Install new exterior wall sheathing 8. Install new 60 MN dou6le "D" grade felt paper a. Tape all vertical seams b. Tape all paper to window nail fins and flashings 9. Required vapor barrier inspection 10. Install corner and window trims (if applicable) 11. Install foam backer rod (if applicable) 12. Install James Hardie Plank Siding 13. Caulk all siding joints, windows, and doors 14. Required final siding inspection 15. Clean up and remove all job related debris 16. All surplus material is property of the contractor 17. Contractor to provide a five (5) year woricmanshiplservice warranty (on siding only projects) 18. Contractor to provide a eight (8) year workmanship/ service warranty on paint 19: Contractor to provide a ten (10) year structural repair warranty . 20. Contractor to provide all manufactures' warranties Items and Material to be used in Rehabilitation Process of Home • Insulation: R 19 Batt in 6" wall cavities • Framing: All vertical members will be 2X6 • Rim Joists: Will be all dimensional lumber 2X12 • Sheathing: %i' reinforced built rite, 7/16 CDX plywood or other • Vapor Barrier: Wiil be 60 MN double "D" grade felt paper or other • Trim or Siding Within 6" of Ground Clearance: Azek Cellular PVC 514 Trim or aluminum coil Customer Responsibilities; Excluded Services Krech Exteriors recommends that all homeowners take certain precautions prior to any work beginning and during the construction process on your home. 1. Please remove all items from inside wall of home where stucco currently exists and is intended to be removed. 2. Please trim back all landscape plants, which are within five (5) feet of house. All precautions are taken to minimize landscape damage. Krech Exteriors cannot be held responsi6ie for landscape damages. 5858 Blackshire Path Kre?h S. ExterCorS Inver Grove Heights, MN 55076 Main:651-688-6368 Fax:651-994-1388 Siding Roofng Windows Gutters www.krechexteriors.com "We've gat }rou covered° MN LIC# 20349135 Prooosal Submitted To: Jodi Leslie 4542 Oak Chase Road Eagan Mn 55123 We Propose To Furnish All Materials And Perform All Labor Necessary To Complete The Following Items Checklist: NOTE 81D 1NCLUDES: 1. PROVIDE ALL NECESSARY PERMITS. As needed 2, REMOVE EXISTING SIDING, SHEATING, INSULATION AND SHEATROCK IN AFFECTED AREA. 3. ASSEMBLE ROOF SADDLE. 4. INSTALL CORRECT KICK OUT FLASHING ON ROOF LINES. 5. REPAIR FRAMING AS NEEDED. 6. INSTALL MICROBICAL BLAST. 7. INSTALL BIO BLAST. 8. INSTALL HOUSE WRAP UNDER SIDING PER CODE. 9. INSTALL NEW SIDING, INSULATION AND NEW DRY WALL (MUDDING TAPING AND PAINT BY OTHERS). 10. INSTALL GUTTERS AND DOWNSPOUTS. 11. CAULK AROUND ALL DOORS AND WINDOW OPENINGS. 12. CLEAN UP AND HAUL AWAY ALL JOB RELATED DEBRIS. 13. ALL SURPLUS MATERIAL IS PROPERTY OF THE CONTRACTOR. 14. CONTRACTOR TO SUPPLY A YEAR LABOR WARRANTY. 15. CONTRACTOR TO PROVIDE ALL MANUFACTURES WARRANTIES base bid $7,450.00 Options and allowance are added to base price above • ALLOWANCE TO REPLACF DAMAGED FRAMING, SHEATH/NG AND lNSULATlON $TBD EXTERIOR REPAIRS ARE BILLED ARE BILLED $65.00 PER MAN HOUR + MATERIAL • ALLOWANCE TO REPAIR ANY INTERIOR DAMAGE $TBD INTERIOR REPAlRS AfiE BlLLED ARE 8lLLED $65.00 PER MAN HOUR + MATERlAL TOTAL COMBINED ALLOWANCE $ NOTE: BID DOES NOT INCLUDE NEW WINDOWS Proposal submifted by: BiU Krech Date: 1111105 Total: $ Below is a templafe some things may not appiy Stucco Removal and Repair Scope of Work 1. Provide all necessary permits 2. Remove all existing stucco a. House and garage b. All stucco and foam trim boards (if applicable) c. Wire lath d. All felt paper 3. Required sheathing inspection 4. Sheathing and structural repairs a. Remove and dispose of damaged wall sheathing and replace as needed b. Remove and dispose of fiberglass insulation as needed c. Remove all rotten framing members as needed e. Install newframing members as need to make require repairs i. Could include patching, framing, and sistering new members ii. Could include total replacement of certain framing 1. SPF 2X6 2. SPF Header material Krech a. Exteriors Siding Roofing Windows Gutters "WeYe got you covered° 5858 Blackshire Path Inver Grove Heights, MN 55076 Main:651-688-G368 Fax:651-994-1388 www.krechexteriors.com MN LIC# 20348135 3. Please remove window blinds and/or drapes if windows are intended to be removed, reset, and/or replaced. 4. Please have sprinkler system turned off between 6 A.M. and 9 P.M. on working days. 5. Please be cautious in all work zones, keep children and pets away at all times and aiways wear proper footwear. 6. Removal of brick and/or stone is never included, unless noted in the written estimate. 7. Repairs and/or replacement of walipaper, flooring, andlor ceiling is not included in interior repair allowance. 8. Window removing and resetting (pan flashing) price is for the existing window. If window needs to be replaced it will be done at additional cost. We here6y propose to perform the work specified above for the amount shown. Unless otherwlse specified, payment to be made 113 at start of job, 113 at mld point and balance to be paid upon complefion. 1. If this proposal is 6ased upon measurements taken from blueprints supplied by you and should the actual on-site measurements vary from the blueprints, you agree to pay any extra cost incurred as a result of those changes. 2. This propasal is subject to approval by our credit department. 3. This proposal is subject to the attached "Standard Terms and CondiHons" 4. In accordance with Section 514.011 of the Minnesota Statutes, you are hereby notified that: (a) Any person or company supplying labor or materials for this improvement to your property may file a lien against your property if that person or company is not paid for the contributions; (b) under Minnesota law, you have the right to pay persons who supplied labor or materials for this improvement directly and deduct this amount from our contract price, or withhold the amounts due them from us until 120 days after completion of the improvement unless we give you a lien waiver signed by persons who supplied any labor or materials for the improvement and who gave you tlmely notice. This proposal is vo(d unless we receive a signed copy of this proposal from you within thirty (30) days of the proposal date. This proposal is subject to final acceptance by Krech Exteriors Restoration Corporation. ACCEPTANCE OF PROPOSAL The above prices, specifcafions and conditions are satisfactory and are hereby accepted: You are authorized to do the _ work as specifred. Payment will be made as outlined above. Signature: Accepted by: KRECH TERIORS CORPORATION: Byz._L?'•'`- Its: Date: Date: 11- 1- u S Use BLUE or BLACK Ink I For Office Use 1 I 1 l a~ ~ Permit I City of Ea t Ig I Permit Fee: 3830 Pilot Knob Road I I I Date~Received: I [ ~ ~ Eagan MN 55122 N` I Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I I i 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Unit Date: Site Address: L4 5 `iJ Q,4 K e J_(4 G JZO-4 p Name: P,4w L- + Sof)tG L5$Gr+'- Phone: Resident/ Owner Address / City / Zip: L15 N2 ©,4 K C 1445 5 fZ-V 4T> Applicant is: Owner Contractor Type of Work Description of work: Construction Cost:-* Multi-Family Building: (Yes / No Company: `G6&t>0 Ft Co h"`IT Contact: td4VL T-ler0b Address. (003 141" ~jT F,;,57 I- City: 13(~2V5i/rG4 C Contractor State: r7 N Zip; SS3 3 "7 Phone: License 13 C g2$ N 33 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Yo,45,5 15 Net < 4~r A rTy2 1,973 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 -9 No If yes, date and address of master plan: I q 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 they are trade secrets., _ CALLa 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 oopherstateonecall oro 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. W4>5 T A-1 0,1 X_ x Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation - Fireplace - Porch (3-Season) _ Exterior Alteration (Single Family) Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous - 01 of _ Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy /eG" Z MCES System Plan Review Code Edition ow -2 SAC Units - (25%_ 100% O Zoning )IC - City Water Census Code 1~ 3y Stories Booster Pump # of Units Square Feet 1 31 PRV # of Buildings 1 Length Fire Sprinklers Type of Construction - Width Z 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 P~~~ ow D`v err -7117 Surcharge Fee 73 Plan Review Lys! MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 d4l 44 & o~ ct~'I-rl cph v GM' ■ f ` yam' r V A, ,p 1 N j r .a'' EAG . REVI -P PPW ISION a F i 3~ pop, Use BLUE or BLACK Ink I For Office Use- sge C~ 1 Permit #:I I ✓ ; City of Ea an Permit Fee. 3830 Pilot Knob Road I nn Eagan MN 55122 Date Received: Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 1 Staff: I - - - - - - - - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: 1°4ti L 4, 7-0 L>/ G L 5s L! Phone: Resident/ Owner Address/City/Zip: tdStyz ~~I( 114Sfi P 1-4b Applicant is: Owner _?-,--Contractor Type of Work Description of work: 5,1 D" .v G 0 n/ F-2o K.7' 4 F /Voa f li Construction Cost: x'15 0 d Multi-Family Building: (Yes / No ) Company: r312 p a K Cv rv5 T Contact: W4P15 > ! v~ ~ Contractor Address: 60-3 ! ~ fl t' 57- E -f!; 7- City: F3v{/?, 4/51// 4 L State: I'? Al Zip: S S 3 7 Phone: G 12 - '59$- 3$ / / License 13 e- 52VA 3 9 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) D f)"/6 Vv'+5 PE 0L4,,-G0 /4FrC-f t9 -?,K 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.gopherstateonecall.ora 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 W1p 15 -mom x Applicant's Printed Name Applicant's Signature Page 1 of 3 RECEIVED c C � tAAR 19 2019 For Office Use 4a , Permit#: -5V E AG N Permit Feer —26 Date Received: 16H1 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: 1 buildinginspectionsCcilcitvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 15—I.Z Oc.1( £^kc►5e. RA I.4156" Unit#: Name: palA� �' �V(�i LES � '- Phone: 6.51 -6,00 — Resident/ Owner Address/City/Zip: 14542 o k CIA ci.54- 1,G5 zy t'[N S Si 1) Applicant is: Owner X Contractor Type of Work Description of work: F; Ac 5 4._ 6'v5 Z;P-Le,a Construction Cost: 5'C7 000 Multi-Family Building:(Yes ��/No �) Company: Ry/ h r00lC �c,i t c 5 / e j`'�o&(f Contact: ��Yu, C Vu/74 Contractor Address: Li-5 3O I`,s i.c li t i( (4 City: pr-t C' 1 4 State: / f( Zip: S5 3 7Z Phone: (,ff2 '� 4 Email: C<ric e License#: QC-_67 3 18 I Lead Certificate#: If the project is exempt from lead certification, please explain why: 6e(.61 "ON �Cv�i�T 1/1/0.1S, �>r•1i I — (i V rLi COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the Cityofmaster plan? Eagan issued apermit for a similarplan based on a a P Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: r Water Sewer& ate Contractor: Phone: Fire Suppression 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against undergr. nd utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in co,6 rm. ce 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 wo no/o 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' .la x ��r-1/4"c. Kt-t -- x v7 Applicant's Printed Name Apt .nt'=' ignature Ot}K elrir Rd. / 6gg6-2-- DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation b(© Occupancy .1)\(11-' / MCES System Plan Review Code Editionov941 ) SAC Units (25%_100°A ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction (1/,[, Width REQUIRED INSPECTIONS 11�\JJ Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O. Required 1 Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing_0 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: 1/1/ , Building Inspector RESIDENTIAL FEES F Base Fee [t4 Surcharge 17V (iv*Plan Review MCES SAC11") --d 4 y City SAC 1T" Utility Connection Charge S&W Permit 8 Surcharge / DOGI (N ji Treatment Plant v 919/ 000Radio Meter Read Ir Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA155250 Date Issued:05/06/2019 Permit Category:ePermit Site Address: 4542 Oak Chase Rd Lot:6 Block: 1 Addition: Oak Chase 5th PID:10-53504-01-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & lower level duct work Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Paul R Leslie 4542 Oak Chase Rd Eagan MN 55123 (612) 750-9002 Metro Air 16980 Welcome Ave SE Prior Lake MN 55372 (952) 447-8124 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155687 Date Issued:05/29/2019 Permit Category:ePermit Site Address: 4542 Oak Chase Rd Lot:6 Block: 1 Addition: Oak Chase 5th PID:10-53504-01-060 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Paul R Leslie 4542 Oak Chase Rd Eagan MN 55123 (651) 905-0778 Hoagland Plumbing, Dana 410 Regency Lane W Hopkins MN 55343 (952) 935-5150 Applicant/Permitee: Signature Issued By: Signature