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4485 Oak Pond Rd
90 Use BLUE or BLACK Ink For Office Use a j Permit City of Eap L% I Permit Fee: 3830 Pilot Knob Road ,►~9 1 1 Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I Staff: I Fax: (651) 675-5694 1 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Loll dn')d kd Tenant: Suite RESIDENT / OWNER Name: a(Al Phone: Address / City / Zip: G'S Applicant is: Owner Contractor TYPE OF WORK Description of work: I ` Construction Cost: CJ~ Multi-Family Building: (Yes / No CONTRACTOR Name: LLIa2D License / 7 Ad Address: City: State: _ Zip: U / Phone: 6,5 - 7D L Contact: a UL 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 Cali 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 1 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 p =it, 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 1~2 ~2 C)M6 a/ x K~~ L~,K) Applicant's Printed Name Applicant's Signature Page 1 of 2 CqSH RECEIPT CITY aF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 [r14TE 19 ?a RLCEIV EC - ' FROM . ' . ' . , .. ? .. A 9c DOLlARS ?oo ? CASH ? CHECK White-PayerS Copy Yellow-Posting Copy Pink-File Copy Thank You -? BY 1 BLDG. PERMI'T N0. 01-3210 B1.?g. Pdrmit. J 01-3422~ Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. ?- v 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Pennit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. c TOTAL %c ? ? CASH RECEIPT ? "CITY 4F EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ I ? CASH E] CHECK FUND CODE qMOUNT J ) J ? J . . • ? J - Thank You 7?I B Y / `Y7// e poLLAws 1 oo White-Payers Copy Yeilow-Posting Copy Pink-File Copy } ? ... ? 3830 Pilot Knob Ro di P.O. Bo 2G-A1 9, Eagan, MN 55121 ,v 2 13302 PHONE 454-8100 BUILDING PERMIT Receipt# To be used for ST DWG/GAR Est value $106 ,U 0 0 pate :I A 2C I i 4 19 87 SiteAddress 4485 OAX POND RU Erect L? Occupancy R3 Lot 10 Block I SeC/Sub. FAWN RIDGE ND Remodel ? Zoning RI Parcel No. Repair ? Type of Const Y Addition ? No. Stories Ki:YLAND HUIIIES n??ove ? Length 4g Z Name T Demolish ? Depth 3 o 3 Address 14450 EURNSVIIJJr: i?KWY' Intlmpr. ? Sq.Ft ? City B ? ?? r LL?hone Install ? Z o Name 0 a Address ? ,-:... .,?--- Assessment Permit 'Water & Sew. Surcharge Police Plan Revie Fire SAC 0 ? ? W Name ?•LQUIST z x a Address <W city BLMCT,-4phone 831-1875 I hereby acknowledge that I have read this application and statethatthe information is correct and agree to comply with all applicabie State of Minnesota Statutes and City of Eaqan Ordinances. Signature oi Permittee A Building Permit is issued to: KFYLAND all work shall be done in accordance with all applic Building 5 0 Eng. Water Conn. 525- 00 Planner Water Meter 67.00 Council Road Unit 305.00 Bldg. Off. Tr. PI. 180.00 APC Parks Var. Date Copies 5 53 7 ' Total ' on the express condi0on that Statutes and Ciy of Eagan Ordinances. y ? PwmN No. MrmN Holdw DNe TNphone M Plvmbinq H.V.A.-C. E,.ctric II rapscdon Date Insp. Commsnis Poo6ng. l Footlngs 11 Foundatlon Frsming y ? Rooflng Rouph Plbp. Rouyh Htp• Imul. Fireplace Final Hty. FMN Plbp. ? 47 Bldy. Ffnal Qe7 GA.Oec. r , Deek Ftq. Deck Frmp. Wdl Pr. Dkp. . PERMIT # • . . MECHANICAL PERMIT - CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: y? 3!'J 7 NTRACT PRICE: ? qx, PNeNe. asa.nloa Site Address - Lot _?/)_ m Name ?c Address 4- +??• ?--. Z; C Clty f t^'f e f Name 1?... i-..-..S! -1 ? Address 1?I ?? 4- " ' ( p C,jry TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other M BTU M BTU M BTU M BTU CFM FEE: S/C: TOTAL• BLDG. TYPE WORK DESCRIPTION Res. New M ult Add-on Comm. Repair Other FEES 'RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW GAS OUTLETS (MINIMUM - 1 PER PERMI'n COMM/IND FEE - 146 OF CONTRACT FEE APT BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS 1.50 EA. - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PEfiMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN Site Address Lot Block ? Name w Address c City Phone L Name c Addrea,s p City Phone FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR: CITY OF EAGAN PLUMBINQ PERMR` ' GTY OF EAGAN 3830 PILOT KNOB ROAD, EJIGAN, MN 55121 PERMIT # .-=- RECEIPT # OATE: BIDG. TYPE WORK DESCRIPTION Res. ? New ," Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL ` Water Closet - $3.00 ? % Bath Tubs - $3.00 . Lavatory - $3.00 Shower - $3.00 " Kitchen Sink - $3.00 > Y Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 JL--Whirlpool - $3.00 / Gas Piping Outlets - $1.50 Softener - $5.00 Well - $1 Q.UO , Private Disp. - $10.00 Rough Openings - $1.50 " FEE 3TATE S/C: ' GRAND TOTAL: ? 'Y k. e. 'f ? . . . . , .. . . . .?. . . ,.? (ttrti#trtttt of Orrupanrit titp of tagan Eepttrtmrttt nf lutlbing JWprlimt This Cerli)?cate issued pursuant to the requiremenu of Section 306 of the U»iform Building Code certifying that at the time of rssuanc,e this structure was in comp?rance with the warious ordinances of the City regalating beerlding construction or use. For the following: use akssffimtioo eiag. Peru?i rb. i 3:ii`: o-wncv eype R3 7ooing Dim« 7?re CDM. owr" otswaing KI;1"Ard'? ,+aamss ?W450 13`V1[:." ?:=lY, p,, swUnenmm 44:" L=hty LlO, Ai, FAWN R(Dl ;?lf!Y :? 3, ! `i?7 Dau: Bwlding Offiaal POST IN A CONSPICUOU5 PLACE 1 PAot Knob Road Boz 21199 - , in, MN 55121 - -- • _ n'i PERMIT NO.: 9734 DATE: -?1--31- ," 7 No. of Units: 1 )wner. Keylstld Homes 3 4 ^ "" -• ? i . c agree to comply wfth Ihe Cily af Eagan of Insp.: 1{10.oopd ? Connection Charge: 5.25 0.??^4 ? .? Account Deposit: 35 rz.cl - Permit Fee: ? POpe! ? Surcharge: Misc. Charges: Total: DAtP. PAI('I' ' OF EAGAN Permit No: ?r'- 3 Date: Pilol Knob Road Me.ler No: Size: Box 21199 Reader Na: Date: in, MN 55121 er. dCevlat.d names Raa..,- Sl.QS r)..ti t+-a r-a r i n u1 r.-,., naa.,n ri nn. Chg: 5'-1 •'9 dr" Zoning: F1 ct. Dep: =`' •001?' No. of Units: 1 rmit Fee: . 0 0. rcharge: I agree to comply with the Cky of Eagan Plant i % - ju d Ordinances. ter. 5c.: • ` Br WATER SERVICE PERMIT ClTY OF EAGAN 3830 Pllot Kn_nb Road ` Permit No: Date: -' Meter No: 3t?Y D e 3 giZe; 5$'' ?P.O. Bex 21199 Reader Na: n Dat? agan, MN 55121 wner. iteAddress: ?;??i:'S nai; 'tl lumber. C ic;4 1 flnn. Chg: oc Dep: - Y j'='? c?41?'.?!???ti?s _ ?ermiiFea: ; c1ig??11g?}?? ??-?5?1? ?iG• urcharge: to?ith the CRy of Eagan . Plant " jd?c eter. isc.: Br WATER SERVICE PERMIT CITY OF EAGAN Np 13302 3830 Pilot Knob Road, P.O. Box 21-199, Eaga _ n, MN 55121 BU D ' PFIONE:454-8100 IL ING PERMIT Rece ipt# To be used for SF DWG/GAR Est Value $10 6,0 00 Date MARCH 4 ? 9 8 7 Site Address 4485 OAK POND RD Erect LI R3 Occupancy Lot 10 Block 1 Sec/Sub. FAWN RIDGE ND Remodel ? Zonin9 Rl Parcel No Repair ? Type of Const. V . Addition ? No. Stories a Name KEYLAND HOMES ?nove ? Length 48 = 3 Address 14450 BURNSVILLE PKWY Demolish ? ? Depth-39 S ° B' ci Int. Impr. VILLFp 894-2636 ? q. Ft ty hone Install SAME o Name a $ Address C ? City Phone ?a W W ?z $a Q W a Assessment _ Water & Sew. Police Name HAi.LQjJTST Fire Address City BLMGTN phone 831-187 I hereby acknowledge [hat I have read this appl ication and state that the information is correct and agree to comply with all applicable State oi Minnesota Statutes and ?"li'?pf Eagan Ordinances. Signature of A Building Permit is issued to: KEYLAND LIIOMES all work shall be done in accordance with all aoolica e Building Min Planner Council Bldg. Off. Var. Date s Permit Y ici.j v Surcharge 53.00 PlanReview 260.75 SAC 625.00 Water Conn. 525.00 WaterMeter 67.00 RoadUnit 305.00 Tr. PI. 180 . 00 Parks Copies T,,,,, 2,537.25 on the express condition that City of Eagan Ordinances. This request void 18 momhs from e 72113 %/ 8G ,7. xqun" I -e rne ??o. nougnin nsVqciwn Heqwre ? ?Ready Npw H olify. InsPec- ?/ IV'7 os nNO tor When Ready L&t-Cicensp6 Elef>CFical Contrnctor 1 hareby request insOaction of above ? Owner elec[rical work ins<alled at: Shaet Addr ssB[ox or floute No. JU^ ? .( !'^i? Citv ? ection a. Township ame or No. ._1 er-/'/o .? ?- enge No. County ? Occupant IPRINT) Phone No. Power SuODlier ? Address Eleclric C'n actor ICompany Name1 Comractor's Licens Mailing Atldress IContr(ac'tor or Owner Making Ins ilavoN if J . .?Y%//_ '- ? /'-? Authorizetl Si a re ICo ra r Owner Ma e Inste'll onl Phone Number MINN OST `?ATE ARU OF ELEC THIS INSPECTION REQUEST WILL NOT ICITY Gripps idwey 8t .- poom N-197 BE ACCEPTED BV TNE STATE BOAflD 7821 Univereitv Ave., St. Peul, MN 65104 UNLE55 PROPEN INSPECTION PEE IS Phone(612) 642-0800 ENCLOSED. . ?7? 7 REQUEST FOR ELECTRICAL INSPECTION E?B/-OOpODt 05 1 See inaiructions for eomoleline Ihis form on back of yellow copV. C 1! "X'" Below Work Covered by lhis Request liley? Adtl TyOa of eviltlinB ? 46d.'iancea Wired EquiVmant Wired Home ge Temporary Service Duplex Water Heater Lightiq Pixtures Apt. 8uilding yer Electric Heatin Commercial Bldg. ace Silo Unloader Industrial BIAg. - Air Conditioner Bulk Milk Tank Farm Other peci v 1her ISner,ityl t er Succi(y iher Other s M ServiceEntrnnca5ize k Fee Feeders/SuEfaedars • ? Fae Circuits Uto200Am s Oto30Am s 0 to30Am s Above 200 qm is 31 to100 Amps ;S, ad 31 to 100 qm s Swinxning Pool Above 100_4- Above 100-Am ' Transformers rri ation Boorcis N Other5ge ertwrks PouBh•in Final JpeciallnspecLOn ? ,IJ OI TOTAL I, the Elactrical ? Inspecloq ?e?aby certi}y thet the abova 'f,' Oeetion hBS been tTb repuest MIG 18 ?i RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4875 Haw Canetructlon ReauirameMe • 3 reg6stered sile surreys shaxing sq. tt. of qt, sq. tt. of house; and pll roofed areas (20% maximum bt coverage albwe0) • 2 copies of plan showing 6eam & whdow sizes; poured found design, etc.) • lsetofEnBrgyCelCUlation5 • 3 copias of Tree Preservation Plen'rf bt plettetl afler 7/1193 • Rlm Jols[ oetail Optbns selectan sheet (61dgs w't 3 or less units) DATE ? /5- D,_2 SITE ADC NPE OF APPLICANT ///i/_lv? STREET ADDRESS ad TELEPHONE # CELL PHONE # FAX # PROPERTYOWNER OCILI + kG'i.?'e-AI fftS?,xT?` TEIEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNFSOTA RULFS 7670 CATEGORY 1 (??p (d submission type) • Residentlal Ventilation Category 1 Worksheet Submitted D• N E'r1?r? • Energy Envelope Calculations Submitted ? MAY 15 Plumbing Contractor: Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Conhactor: Phone gy_ Water Softener ^ I.awn Sprier Water Heater No. of R.I. Baths No. of Baths Phone ri Air Condiaoning Heat Recovery System ? Submitted Fee: $70.00 Phone q -----°----------------°--°--------------------°------------°--°°-----------------------------------°-------------- I hereby acknowledge that I have read this application, state that The information is correcT, and agree to comply wlth all applicable State of Minnesota Statutes and City of Eagan O ces. Signature of Appllcant ? OFFICE USE ONLY IULTI-FAMILY BLDG Y N FIREPLACE(S) _ 0 _ 1 _ 2 ' Lateu. L(p STATE ZIP S2y y pemoAeUlleoairHeauiroments , ?? • / S 2 copies of plan • 1 Set ot Energy Cakulations lor heate i qns /? ? • lsilesurveyforaxterioradditions8decks (? . Indipte it home served by septic system for addRbns h vaLunnoN Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY O Ot Foundation O 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling 0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. All - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Poroh/Addn. (4sea.) ? 33 Ext. Aft - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi 13 OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous ? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors O 34 Replacement *Demolkion (EMire Bidg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaVC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ RI. _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL BUILDINC PERMIT APPLICATION cinr oF eacau 3830 PILOT KNOB RD, EAGAN MN 55122 851-881-4875 ?-'?j?• ? New ConaVUCtlon Baauirements • 3 replstered sMe surveys showing sq. tt. ol lol, aq. ft. af house; and AU roofed areas (20% maximum bt coverage albwetl) • 2 caples of plan showing h9am & window saex poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan il bt pla8ed after 711l93 • Rim ,bist Datail Optbns selection sheet (6klgs with 3 or less units) DATE ?r' c-9 &- - 0 Z-- P?-? C J? y..S 7-C-?w S SITE ADDRESS MULTI-FAMILY BLDG _Y _ N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREETADDRESS `?I `7(/'o GO 11`1r&'1 CIN iuaZSTATE/"'WLP SS'120f? TELEPHONE # ??21%I"?CELL PHONE # 61/2 FAX # O'7i f PROPERTYOWNER v?y L? 13 /s `)TEIEPHONE#4'`I)_ ?SS '370(: ----------------------------------------------------------- ---------------- ----------- --------- COMPLETE THIS SECTION FOR "NE " RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RliLFS 7670 CATEGORY 1 MINNFSOTA RUI,ES 7672 (J submission type) • RasideMial VeMilation Category 1 Worksheet Submitted • New Energy Code Workshcet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor. __ Plumbing system includes: Mechanical Coniracfor: Mechanical system includes: Sewer/Water Contractor. Phone Phone Fee: $90.00 D Fee: ? MAY 2 g 2U02 I hereby acknowledge that I have read this application, state that the fnform tion is corrept, andl comply with all appllcable State of Minnesota Statutes and Ci1y of Eagan Ordina s. ? ?i G? Slgnalure of Applican ......................... --............ . --......... ..._._..r.v.??._........._.r...d .... OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 _ Water Softener _ Water Heater _ No. of Baths RemodeURenalr peaulremente . 2 copies ot plan • 1 set of Energy Cakulalions for heated addaans • 19itesurveyforeXtenoratldtti0ns&decks • Indlcat9 il home servetl by Septic system for add'Abns VALUATION /-S.^ 67 c) 6' _ Phone # _ Lawn Sprinkler _ No. of R.I. Baths Air Condition'nb Heat Recovery System OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-ptex ? 20 Pool ? 30 AcCessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_YOr_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Intariar) 0 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) 0 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolitlon (EMire Bldg onty) - Give PCA handaut to applicant Valuation Occupancy MClES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other RooF _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Searoh Copies Other Total Building Inspector 1987 BUILDING PERMIT APPLICATION - CITY OF SAGAN SINCLE FAMILY DWELLINGS INCLII?E 2 SETS OF PLANS, 3 CERTSFZCATES OF SIIRVEY, 7 SET OF ENERGY CALCOLATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOA/flOMEOWNER MUST DESIGAATE WHICH ADDRESS IS DESIRED. NO CH6NGES WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSIISD. MULTIPGE DiiE[.LINGS - RFSIDENTIAL RENTAL UNITS FOR S9LE QHIiS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVSY - CHECB BITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COLMMRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND IC) (c) `o0c) To Be Used Fors;,"/ ?e'zaluation:-=?8"? Date: Site Address j 7"(f -S crkwOFFICB USE ONLY Lot (6 Block ? On Site Sewage` MWCC System ? On Site Well ? City Water ? Occupaney Zoning Type of Const (Actual) (Allowable) f/ of Stories Length Depth S.F. Total Footprint S.F. FEES ?3 iz, I_ Parcel/Sub Owner ? Address City/Zip Code Phone Q / ? ? tfl 3 ? Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code z!i- s ? Phone # L3 L - zd? 7 ? 6PPROVALS Assessments Water/Sewer , Police Fire Engr Planner Council Bldg Off APC Variance ? 9 Permit r"J21 Surcharge 53. Plan Review Z?o.75 SAC, City (oo. SAC, MWCC S2S. Water Conn 52S Water Meter (0"7. Road Unit W 5. Treatment Pl I So. Parks Copies TOTAI. 73 M, ZCo???-` 1 Zg x ?o.? - q:22z- r( U?C 2 2? 4-4 S ZE)C7 1 c) t J}C(j ` ?a4 >? ? r U?? 1 C 6 , " ? ? 2032-_ , I Z x Z o= ??? ?_ Q-4 = I c?S?o , (aS, co q 8 /ao a E CONSIILTIHO EH(i1HEEA5 ENGiNEEt?1NG PIANNEAS end IAHD ?VRVEYO7',K6Y1'9A"JI0 COMPANY, tNC. 1000 G5T 14615 STREET, aURHSVILLE, IItHHESOTa 5!33? PN 432'1000 ccc?e ?`ZL?Ye y ZaQCI ?CJCY'?p?ZOrL: LOT /D, BLOCK /, FAWN R/D6E 2N0 AUD/T/ON, . DAKO7A CO(INTy, MINNESOTR C9z30' DENOTES (_925,o ) DENOTES EXI5TIN6 ELEVA?IOfJ PR(JPOSED ELEVAT1bN j? IND/CATES D/IZECTION OF SURFACE DRAlA/A6E 9z4,33= FINlSNED 649A6E FLOO/Z ELEVq770A1 ScALE : I'= 30' , 30' FROAIT BUILD%N6 SETBACK L/NE po i9'a$ ? 2y \a \ s L9is_ 39 \ ,? ?_ _y v „ ? N \'O ., 5 65 ° ? N w?? R ? o' ? \0 /si ?y s °p s?. / O?? ? & Q ?923.1? r / u ? 3 \ \??j? `\\ ? I \ V DRAINABE AND UT/L/TY EA.S6MENT I her:by eartify that thia ia a t:ue and correct rapraaentation ot a tract of ljnd a: ahovn'and deacribed hereon.- 11e prspared by fie oa thit zs? -aar af • i?_aeflA__y , 19 a7 . . ?tinn. EXTERiOR ENVELOPF AV(RAGf "11" COMf IITA7I(1N ---?? --------•----__._ ..._.. _ . , .... -.... WNER: K?(Lob+jp f+oMES nnrr: 4-2.z SITE ADDRESS: CONTRACTOR: PFIONE: 33?s ?} p?Eral?1. , Determine working square foota9e of each 1. Total expased wall area..... Z3go sq, ft, x.11 = 2. Total roof/ceiling area..... R? 8 sq, ft, x.026 =? ZS? Z. Total exposed wall arca above floor= a. Total wall window area ........................................... b. Total daor area.................................................. 38 c. Total sliding glass door area ..........................,.......... 40 d. Total fireplace wall area ....................................I .... - e. Total wall framing area (average l0w) ............................ t-.56 _ f. Total rim foist area.............................................. i4c> g. net wall area above floor ..................................... h. wall area above floor ..................................... i. wall area a6ove floor ..................................... 3. frame wall erea at founrJation ................................... Total exposed foundation area= II ZCD k, Totai foundation window area ....................... D.S? 1. Total net foundation area a6ove grade ..............- Ifo-}.S Determine "u" value of each wall segment (e.g. window, door, eacii separate wall section) a. 09,ep x IOu.. 3S = 5zA b. 38 xltuii .3? = 1 I, 8 c . yo x I,U„ ,35' = I4- d. ` X "U" e. Z3S g tluil .09 = ZlA f. z „u„ .04 = S.CP s. x ,iuil -7 I h. X "U" _ i. X liul. _ x ioull k. JO,s X "U" .%' _ 31 --- 1. )109,5 X fou„-.?P4_'--A4A- 3 . .................................Total = Z?-,3 i t .; ? If item 03 is the.sa as, or less than ite A1, you have met-,the intent of SBC 6006.( Alf" r Envelopc Average "U" Computation Total exposed roof/ceilinq area = `(og m. Total skyli.ght area ............................ n. Total roof/ceiling framing area (average 10%)... ? o. Total net insulated roof/ceiling ;irea........... (n ' Determine."U" value for each roof/ceiling segment Page 2 of 4' M. i g IOti,, _ ` n. X 'lUll ,oLA_ = Z .3 0• ? ? X 1OU11 IOV 9 ........... .......... .... .. 7btal = ??.1 Z If total of #9 is the same as, or less t:han R2, you have met the intent of SHC 6006 (c) Z. t I:?t rt,' Alternate Buildin F.nvelo e Desi n To utilize the total envelope'system method, the values established by the s•.un of items A3 siid #9 shall not be greater than the sum of items Iil and #2. I. + 2. Z. Z = s?J-7 3. + 4. 1??1Z r-14 e:A*:+ t ".. l.".:.i. °15i4 YS, i r:?d SV PLA&I #i? 0 L, I hi E.AL BL.oc.k ; i4o . <uF,E ' , .0-I I:ULL I ? 140 FuLL 2_ ; ?40 IP(P-EPc..Ae-E ; Tz1M: 140 N Ss? . t3LOc,K.', 140 K.M EE ,' w.o. ? PUl.l. 1 ;140 FuI.L Z 's i4o F, p, ,, RiH : 14o FT, F?xposEo WALC_ SscP)osED wALL AZ.EA K ,S x s - x - ?- x g = I I Zo k. S = ??Za ?C = ?c I = r 4o Tot?L = Z3? MSo.,pt, iEKaoSED GEI L(Uq q (,8 0 vu DWrS t 2 - Z43(o I Z. to -z.44o 40 g-i444 5$.? ? _ ?zt,o 5 I - z4z-?} 4 3 - 29 !?0 3a I ?F9,(v ? DooRS ? ZS -)g 0 ?ATlO DRs , F35M4 U L) r-f-5 4-z'Ix%4 -lo.s , ., rr.r.?•:c?t+s ? ur rpauua " St uall nrcn ror , rn?? c<??itruct lu n r . ----? - •?-•_? Ii c Q ilG. p] 7'GPV1F14 OF • FIWtE WAL4 1. inCrrlnr ni.r :11c? .•----U:6H z . ..`/:_ .? y__. ...1? 1Z ? . . .... _..._..... -- •.. _._....`t5 • . 3• 4. -?- ? - ••--- -OO 5. ..'fi)dir.o?_ . .. .. . - • • -.-•--.. . .. ...1v2 6. EAt.i•rior air lili.? (7.17 1'IC. 02 ?- ------1? ---.,?.... Z2.`1$ --? ?? . .. ^ . f" U = • ?'4 ...,. ... ('cm•?l[uc:t i;'n IF - Vnlu,; ,. gri??,_:i?.??..:''i'--'.,,.•.: -- -... ,? (? T a, ..... . _ • s. S.?c.i??.... .. . .. . ..?vz 6. F:r.li.•rivr n1[ filui •• U.17 ?r,?i??? 12= Iv.85 `-" -Q wi. ?.?---Q . i ; ?-I •? - -n--C? ?rzcx I. 1. f ?r -?-. - . - --- - •--•-0 1 A ?._rl. .._?..._.._ \?. ? u C _Jt _..h . -"' --11.('1'I s ?,. 5•?a,??.... .. ._. _. ...._. . ...._-?z ?,?foQCk 1. i??_?_,.,? .,i?•. r?i?? .._....--- _...":(:^.. 2. ...L2"__ $.4.oC.k ._..._ ........._../..2.8 ,. ....t-'_..9{??.. _ .. ......._...5..4_ s. _ .._.._..---... _.. _.. .____..._..__..-•.--•-.._. G. O.l'! -.."'-"' .... .. _..'-"-.... •-?----•- •rOuW? (t = '7.13 st,nu ciri I:iAue y r , F? ' ' • • 4' ? ??r /?`_\• y . •.? r• ?? ._...?..-..r ?. 13 ?.. , ? t`--'- '? - - -•-..... _ .. _...----.---- ?---.-._.._; _....? .? , •. , ? • . ? ,? i", ? - 1f! ?- . • '?.•_ ? -:' /'( ? " ? ? ' • /???I '.. A . -.. //I ? : '' . . • ?? /?/ .. F1(i. 04 i({ d' • ? ,.. ? /?//! ? ?l?-_J•_: ? • .... _ • _ , ? ? .T9K?'W?' /r? _? I•'r ' r?? •, zyc? lndtcato ly.,.r. , "!i" valu?., AlentL nnd ;IiPCC: . ' 111er.:rnWnt. of inamlaCinn. ivc :nted Hea[ flaw ? up F'IC. 95? ' . • ,;.; . _ . . .,: Const? ^ , R-Value r`r' 1, Intcrior air f.ilm . 0.61 z. . sR 3. 1,u5uL.. • 4440 4. ExCcri.or aiL filn (still) 0. _ rotal <- q.sgo : . . ' . . . . V? ,?2 • - . • • 4. . : FMMa ' . ' , . 1. Intenrior air film 0.61 2' _?,D.. a. ? s_r?(sutr3 4. ExLet?io.,Pii f?ln (srl •--:----- --- 'PotaL [o.t, srr2'vcri 0.61 • i 1. Snside ?ir f7lm 2. , 3. ' . ? q, ' ?• 5, Outside air.film 0'?? Total . •M ?Y.ect flov up • , j•vented • . ? • _ ,lSC. i 6: . . . . ' ' .. . . : ? . .. • • 1 \"J 1 o . I @ ? v I . I ? . I • . '..?' . • , • xa:r-v?.-ren •' • : ?' • ? ?teat ' ' ilov up • ? • y ti • . . • gxrv. f7? ?` ' ? '• Fi!'?'1?'f L'?. • • • • . 1. Ynsldc air fi1Tn 0:61 2 ' ` ' . . 3. ' . . 4' 5, Outsidc air filtn 0.17 - Total. 1. , . Xnsid'c air fil.m . . . . . - 0.61 2. ' 3. • ' 4• 0. 17 g. our.-idc ni[ film Total • ? • • ' .. • Usa additional sheets if more spaca 1V^ _tes aeccletl for details and calculativns. . . . . . , . ' .' . • • ? . . . ?' GOLD COPY PERMIT RELEASE FORM PERMIT ll 1;'5-s?3 anntuEss PICKED UP BY ? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION :*A1T?': PA7I?SFTTC OF kEE AT 7IM OF : rsrLscATzON ooFS Narr CONSTITUTE : APPROVAL OF PERHIIT. : nvsrECTIoiv oF SEWER r,rro/at wa,M . TiScTAT7.ATTQjQ$ WILI. [`Oj' ?,' $Q'ED- ; OI,ID U[dF.Q, PERNffT HAS BEES] ; APPROVID. I?t li?? Syl ia1Z Print 1) PROPERTY AnDRESS: ? LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) IE' EXiSTING STftCC7II2E, DATE OF ORIGZNAL BIIILDING PERMIT ISSC`ANCE: ? (Mn Year) , PRFSENT ZONING/PROPOSID L'SE: ? CO0MMCIAL/REfA2L/OFFICE Q ITIDC'STRIAL INSTITL"fIONAL/G?T R-1 SINGLE FAMILY ' Q R-2 DC'PLEX (TWo Units) Q R-3 TOWMODSE (Three + Units) ( Dnits) q R-4 APARIMEIVT/CpNIDpMINIUM ( Units) 2) NAb1E: ADDRESS: CITY, STATE, ZIP: PHONE: L 4 7 ?i K • 3) u c ?• NAM: ` ADDRESS: j CITY, STATE, ZIP: PHONE: 4') •?« • • i?- NAME: P.DDRE55: CITY, STATE, ZIP: PHONE: 1-1-\ =)' 1e? MASTEI? LICENSE# ?. 5) ? v ? a• ?• : ? ? ?? CONNEC!TION 70 CITY SEWER ta--COASIEC.TION TO CITY WATII2 El pit'HEC{_. 6) ? •' • r ? PLEASE HOLD APPROVID PII2MIT F'OR PICK-OP BY ONE OF ABOVE .: --- ---"- ? PLEASE MAIL APPROVID PERMZT TO 1, 2, 3. 4. AHOVE . \ n ' (Circle one) • , Plumbers License: Active ? Expired Not recorded Sta Irutlal 7) FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ fC5 SEWER PERMIT (INCLUDE SDRCHARGE) $ $ WATER PERMIT (INCLUDE SIIRCAARGE) . $ ?r 7' U-z) $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLPDE CORPORATION STOP) $ $ SEWER TAP $ $ G` G? ACCOLNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ ? Z.5 Cr D $ wAC $ $ S AC $ $ TRLNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ ??C? -U ?l $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ 7 `f 6-, $ ??• v O 1 d TOTAL RECEIPi RECEIPT i DOE S UTIrLITY CONNECTION ItEQUIRE EXCA VATION IN P[7BLIC RIGHT OF WAY? Q YES IF Y ES, THEN A" PERMIT FOR WORK WITHIN PUBLIC Q NO ROAD DIVI WAY" MUST BE SION LIST ISSUED BY THE ENGINEERING A . S A CONDZTION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: if ( C? e?, ? ?1?>-r1?-?-?.,7 TITLE: DATE: -/ aj4/f 7 CITY USE ONLY L ? 8L SUBD. V /yM7- RECEIPT p; L, ?z l? I I -?)-Q RECEIPT DATE: (, - I I ' 6) 1 PERMIT# .JI192-q (/ 1999 PLUM$INEi -PEftMIT (RESLI}EN17AL) crrY oF Ea?sArr 3$30 f-1LOT KNOB RD EAs,arr, atx 551€E (651)6$1-4675 Ptease complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Fluor drair 3.00 x = $ G2S i in Outlet ' minimum - 1 3.00 x = $ Hot tu6/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavator 3.00 x = $ Minimum fee alteratians to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal 5 stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o eniii 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ W ter loset 3.00 x = $ ter heat r 3.00 x = $ Water softener If dwelling under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e 50 --> ----> ----> $ 50 rotal --> --> ----> ----> $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that fhe information is covect, and agree to comply with all applicable City of Eagan ordinances. It is the applicanfs responsibility to notiy the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its normal ope26onal and maintenance activities to the facilities constructed under this permit within Cily property/righi-of-way/easement. SITE ADDRESS: _ 44115- 9142el /D?o A?16 OWNER NAME: : TELEPHONE #: 6? /QG (AREA CODE) INSTALIER NAME: ? z,,?;e TELEPHONE #: -,rd?-r-? - (AREA CODE) STREETADDRESS: cV6p @?imPGc/ dJ? '#5?? CITY: STATE: 1//?? ZIP: NATURE O RMITTEE --t' 3-?9 ? . . 2004 RESIDL'TN1'1AT. BU.l7.T31NG PEI2MT'T APPISCATXOl\T ?+`l 0,06 (?,'?71 11 City Of Eagau 3830 PiIot Knob Road, Eagan NAV 55122 NewConshucfion_ R_ uiremenfs ' - 3 regigtzed sife surveys showingsq. ft of Iot sq. ft of house; and alf roofed areas RemddeliReoair Reoui2menfs (20%tnae'vnumbfmveragealfowed) Zcopiesofplan ' - 2copies.ofpfan'showiqcj6eam?€wfiidowsizes;pou2dfounddesfgn,etc. ??tofEnert?yCalcuialionsforheafedadditions ? gk i sef of Enert?y Ca1cu?Sons 1 site survey for addftions $ decks 3copiesofTreepreservafqnp?'rflotpiaffedafter7/1l93 - Addrfion. Ndiq(eiforrsitesephcsys(em RimJoistDe.ta?70ptionsselecflonsheet(btdqswifh3orlessuniGg Date-lk- Site Address IInit/Ste # Description of Work MnIfi-Famiiy Bldg Property Owner Confractor Address State GOMPLETE THIS AREA Zip Eneigy Code Cafegbry `- Mmnesoh RnIes 7670 Cate o .1 (dsubmission type) .'' R?sidential Ventilafion Categay I yyorksheet . Submlffed - , En ergy EnvebPe Cafcu'lan`t?5ons'':S,ubmiHed - a.aLy1NIU'1L Aj?- . . Telephone#,-,1N a AD(p A NEW BUI _ Mmnesofa Rules 7672 . • New Erjergy Code yyorksheet Submttted Have you fee applies previously consFrucfed q building in Eqgan with a simifar p(an? S. _ Y _ N If so, 25% plan review icensed Plumber Aechanical Confiractar °wer/Water Confractor Telepfione # ( ielephone #( Telephone #( hereby apply, for a Residential Building pezmit and ac]loR,ledge that the iu#'ormation iS c9m ??I aat?t?the work will be in confoimanoe with the Qzd??c? ?d codes of the Cify of Eagaa and the S?_ata of 1VIIV ? I understaud this is not a permit, but only an apPjication for a permit, and work is not to start p,ithout a zmit> that the work will be in accordance with the approved pI in the case of work which requires a review and proval of . pplicanYs Printed Name APPlzcanf's Signafure ? -?- N ? lhreplace(s) p 1 Z G - - - ?emi` Telephone # (?s b? ?165 Ol FICE'[JSE ONL:S'_ _ Sub Types ' . . . -- - - - O- Ot 'Foundation - --- - El-07- - - 05=p[eX- - - L-]:- 13-i6'-plex= ,. ,-- --- _ -=El=-20--Pool-- - _ E7-30--Accessory Bldg -= ? 02 SF Dwefling II 08 06-plex ? 16 Fireplace. Q 21 Porofi (3-sea.) :?. . 31 Ext. AIt- Mufti . ` 0;,; 03; 01 of,?p[gz?: ' ,; 0 09 07-pfex 11 17 Garage ?-22 Porcfi/Addn. (4-sea.)' ?3 . Ezt A1t = 5F IT" ?, 04: 02 ptex::? M ?0 10 OS-plex O 18 Deck ? 23 Porch (saeenlgazeBo) ,0 36 Multi Misc: 0 05' 03=pfez ? ? Q 11 10-pfex El 19 LowerLevel • ? 24 Storm Darrtage ? 06 04plex ? 12 12-pfex' Plbg_,Yor_ N 0 25 Miscelfaneous Work Types ? 31. New ? 35 ? 32.Addition ? , 36 ? 33.AlferaHon Q 37 El 34 Replacement ? 44 Siding ? 45 . Fire Repair ? 46 Windows/Doore Valuation Occupancy MCES System Censu's Code " Zoning City Water _ SAC Units Stories 8,66ster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Widfh REQUIItED INSEECTION$ Footings (newbldg) _ FinaVC.O. Footings (deck) _ FinaUNo C.O. Footings (=?dd}hon) i ^ vYy y? 2.% 4 -'? ? ?' ti Pltilnbmg 4'? aY.?. a2?ssY ? F~ '?• ,' ?A f e • : Founda ori < . . _ E3 C.. Drain Tile Ofher Roof `.Ibe&.Waterc.<,_;. Final Ftgs.=, . :Air/GasTesfs Final . _ Frauuug? Sid'uig `_- St=ao Stone _BnCf?""' ' Fireplaca RI. "?'`rlir'Test _ Final Windows. ' _ Insulation - - - Refamiug Wall" . 'Approved By: ' . Building Ip'spectbr ? Base Fee Surcharge Plan Review ' MC/ES SAC City SAC U6tity Eonnection Charge _ •-S&W Permit & Surbharge ' - • ' TreafinentPlanf ? . ._ License Sewch . Copies Other - Total Int Improvement ?- 38 Demalish Interior Mova Bulding ? 42 Demolish Foundation Demolish Building* ? 43 Reraof 'DemotiSon (Entire eldg) = Give PCA handout fo applicant ? Installed Siding and Windows LIMITED POWER OF ATTORNEY c:viJNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a Iicensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales loca+,ed at 6E0 Mendelssohn Aver_ue North, CTO'uen Va!ley, r?IIV 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Ina ("AgeuY') as niy true and lawful attarney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attc:ney are limited solely to the express powers delineated herein and apPl_y solely tu the Work. This Limi*,ed Power of Attomey shall expire and automatically be revoked on the Zlst day of May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. INWi"i'NESS WIIEREOF this Limited Power ofAtto!-ney is e.xecirted this 21 st day of May, 2003 David . Katz SWORN TO AND SUBSCRIBED BEFOFZE ME by David N. Katz on this 21st day of May, 200? Notary P ic in for the State o eorgia N4y Commission Expires: January 21, 2006 3968t6.v3 - Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT Use BLUE or BLACK Ink r For Office Use Z x I Permit ✓v Ron City of EaRd CC,,, Permit Fee: 3830 Pilot Knob Road (3 Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Resident/ Name: Phone: 4--15) 13 8S- ~ v I Owner Address / City / Zip: ~-ys - D { Applicant is: Owner V Contractor Type of Work , Description of work: Construction Cost: Multi-Family Building: (Yes / No I Company: Contact: o4, Address: LLU . City: L-206!E.% . (k C I Contractor State: I~A,- Zip: j 5© { Phone: °(S~- aSb'0'S 9 License #:K3 L -,)k k'A S t'0 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) fL€~~F 4:, ©r y L_ 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 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.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- 1~) VIJ -\L "I ~ k -V- - x~ Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA118878 Date Issued:11/12/2013 Permit Category:ePermit Site Address: 4485 Oak Pond Rd Lot:10 Block: 1 Addition: Fawn Ridge 2nd PID:10-25801-01-100 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jay P Abbott 4485 Oak Pond Rd Eagan MN 55123 (651) 895-9256 Eagle Siding 1301 East Cliff Road Suite 117 Burnsville MN 55337 (952) 746-3046 Applicant/Permitee: Signature Issued By: Signature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`D='1');; !"XW4'/O:9 ,. '#$N*FFXW'LD&'1 ,*'C* -OD& >::'E\[''WWG67YDID,'E\[''WW!"G S7W"\\'FFW5FX4GS(W!\\'74W5G64" 2'O:B:;='D%&, @$:*I:' OD '2'ODN:'B:D*' O+9'D>>$+%D + ,'D,*'9 D :' OD ' O:'+,0 BMD + ,'+9'% BB:% 'D,*'DIB::' '% M>$='@+ O'D$$'D>>$+%D;$:'- D :' 0'E+,,:9 D'- D . :9'D,*'/+ =' 0'YDID,'LB*+,D,%:9P )>>$+%D, A1:BM+ :: '-+I,D .B:299.:*'#= '-+I,D .B: Use BLUE or BLACK Ink For Office Use Zig of nnCity / ! ll Permit Feed. " 3830 Pilot Knob Road - Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: m,c �+Name: (..:\ A-1/41 �z.- � ��tG� �o Phone:‘,5(-Sy'S--7s-x6 Resident! Owner � Address/City/Zip: (4 Li $S_ -0#-l.( nu j (cL , Applicant is: Owner /Contractor Type of Work , Description of work: Construction Cost: ,S L`- ` Multi-Family Building:(Yes /No %/--) Company: v----z.; �� .�< 1 Contact: 0.6 Vv: Contractor Address: I Sb •- �,e,,,,N [ ;� City: 1-41-C14.-. State:WIA. Zip: 54t{ Phone: Va-- -eio5`i Email: 16.L;(tL.{ k:,, a , 1•167.1" License#: Lead Certificate#: N T —f —(to ;-7 b 9 I If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit areconsidered 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota-State 'Iding Code must be completed within 180 days of permit issuance. Applicant's Printed Name 4 Applica Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147245 Date Issued:12/19/2017 Permit Category:ePermit Site Address: 4485 Oak Pond Rd Lot:10 Block: 1 Addition: Fawn Ridge 2nd PID:10-25801-01-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 - Jay P Abbott 4485 Oak Pond Rd Eagan MN 55123 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature