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1597 Pacific AvePERMIT City of Eagan Permit Type:Plumbing Permit Number:EA111885 Date Issued:07/16/2013 Permit Category:ePermit Site Address: 1597 Pacific Ave Lot:20 Block: 4 Addition: Hampton Heights PID:10-31900-04-200 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB 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. Jason Larson 25 S Sutton Lake Blvd Jordan, MN 55352 Fee Summary:PL - RPZ/PVB/Lawn Irrigation $55.00 0801.4087 Surcharge-Fixed $5.00 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 - Randy L Le 1597 Pacific Ave Eagan MN 55122 Jay's Plumbing 25 South Sutton Lake Blvd. Jordan MN 55352 (612) 868-4102 Applicant/Permitee: Signature Issued By: Signature CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 D'AN E • , 19 REC EI V ED FROM AMOUNT $ ? ? / . & oo?L^Rs +oo E] CASH F-1 CHECK FOR BY F_ YVhite-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMIT N0. . ??_? ? •? • ; - / 01-3210 Bldg. Permi 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL PERMIT # k&IvBy MECHANICAL PERMIT RECEIPT # . ` " CITY OF EAGAN 3830 PILOT KNOB FiOAD, EAGAN, MN 55122 DATE: 3d _ PHONE: 454-8100 Name City Name '? • - • ?" ' r ' c Address ? • - .; , ? ?_ C? :rC. ? i O City Phone TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater Air Cond. M BTU ? M BTU Vent. CFM $ Gas Pipina Outlets # IS FEE: F • SIC: BLDG. TYPE Sec/Sub ? Res. Mult Comm. Other WORK DESCRIPTION 41" ? -7- Add-on Repair (RES. HVAC INCLUDES A/C ON NEW FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 GAS OUTLETS (MINIMUM - i PER PEHPAIT) - 1.50 EA. COMM/IND FEE - 1% OF CQNTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) TOTAL• ?I ;w??/i, i FOR: CITY OF EAGAN 6 //o%g7 /y c- ?-? 4 /f 5 /rf . CITY OF EAGAN ?-= -; ?• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-8100 BUILDING PERMIT Phone YV 12633 To be used tor SF DWG/GAR Est. value $68 , 000 pate SEPTEMBER 16 , 1g 86 Site Address 1597 PAC T. P I C AV E Erect ox Occupancy R3 Lot 2U elock FiAMPTON HTS _ 4 seciSub Remodel ? Zoning PD Parcel No. . Repair ? Type of Const.Vn Addition ? No. Stories FRUNTIEF2 MZDW'r;ST H014ES Move ? Length 40 W o Name Address 3908 SIBLEY MEM HWY Demolish t ? ? Depth 4-8 S Ft ciry r.P. GAN pnone 454-0933 Impr. In mstall ? q. a ,o z 1- U` s ? ?Q W W rW U? ?_ ? W Receipt # Assessment Water 8 Sew. Police Name Fire Phone I hereby acknowledge that I have re, information is correct and agree to Minnesota Statutes and City of Eag Signature of Permittee- A Building Permit is issued to: all work shall be done in accc Building Official with all APC Permit -? > > + . u u Surcharge 34.00 Plan Review 168.50 sAC 575.00 •Water Conn. 500.00 Water Meter____6_J:SU Road Unit 290. 0 0 Tr. PI. 156,00 Parks Copie Total $2. 24 . JO `+"••"" `""""'?'"' on the express condition that State of NJj(mesota ;:,. -:ts and Ciry ot Eagan Ordinances. ? PsrmR Na. PermH Hdder Dats TNephone M PlumMny H.V.A.C. O I EbcMc G/? $OftMM tnspection Dab Insp. Commenh Fooflnps I ? FooNnys II Foundatbn Fnmloy aoa+ng 2 - ? -? Rouqh Pibp. l --?7- • f ,:J - V ,t., .J, jf -c; Rouyh Hty. - 7 mul. i _ g ' Firoplsce Flnal Miq. FMaI P16q. - • Bldg. Find Cert Oec. 1-7 Dsek Fty. Dsck Frmq. WNI Pr. Disp. PEAMIT # ?} 7 ?7 • . X,, ; , PLUMBING PERIIAIT RECEIPT # CRY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK pESCRIPTION Lot Block Sec/Sub Res. ' New ?. ? Name ' -- '•" ' ? ' ?- Mult Add-on ? Address ? % ? % ?` Comm. Repair c City Phone 2 -' Other NQ. FIXTURES TOTAL L Name -?-Water Closet - $3.00 c Address ''?' ?'{ " ?? I'` ^ y-• k ?--. =Bath Tubs - $3.00 p City r• ? Phone ,:' ' ,`' • ^?%-' "'' TLavatory - $3-00 T_Showef - $3.00 _ ! Kitchen Sink - $3.00 " FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE / Laundry Tray -$3.00 - MINIMUM - RESIDENTIAL FEE -$10•00 i Floor Drains -$1.50 ' MINIMUM - COMM/IND FEE -20•00 Water Heater -$1.50 STATE SURCHARGE PER PERMIT - .50 T_Whirlpool -$3.00 (ADO $.50 S/C IF PERMIT PRICE GOES .1_Gas Piping Outlets -$7.50 BEYOND $1,OOD.00) Softener - $5.00 Well - $10.00 -Private Disp. - $10.00 , f Rough Openings - $1.50 - SIGNATURE OF PERMITTEE FEE STATE S/C: GRAND TOTAL: J ? ?? ? FOR: CITY OF EAGAN ' PERMIT # - • MECHANICAL PERMIT RECEIPT # CITY OF EACiAN , 3830 PIL OT KNOB ROAD, EAGAN, MN 55721 DATE CONTRACT PRICE: 1?0 . u'.) PHONE: 454-8100 Site Address t7i c i i c , v e: . BLDG. TYPE WORK DESCRIPTION Lot Block `' Sec/Sub ` Res. ' New .. ? ° ' Name wc?ti?EL iiECriArilCA:.. Mult Add-on - 3ta0(1 i:i:rx::??bec Driv.: ? Address Comm. Repair c City Eaea"' Phone 4 5?-1565 Other ? Name F'nO.yT1±.K t;UYi PAPvIES FEES c Address392"' Siule, "!emorial H RES.HVAC 0-100MBTU -$24.00 p City Phone 4-54-04-3" ADDITIONAL 50 M BTU - 6.00 ADD-ON A1R COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK ' GAS OUTLETS - 1.50 EA. ForcedAir MBTU COMM/IND FEE - 146 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond M BTU STATE SURCHARGE PER PERMIT - .50 . (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM 5'.) 1 BEYOND $1,000.00) Gas Piping Outiets # . Other FEE 5u . SU SIGNATURE OF PERMRTEE S/C: TOUL• FOR CITY OF EAGAN (Itrttf iratt of (Orrupattrlj Citp of (tagan aFpartmPt11 id lltatt[g jwPtYiDtt T!u's Cert)lcate tssued pursuant to the requirements of Seclion 306 af the Uniforne Building Code cerfifying thar at the time ojusuance this structure was in eampliance with the vanous nrdinances of the City regulating brdldrng constructton or use. For the following.• u? c?r? Dh?1?1R aeg. ??ic r?o. l i6 -', ,- Oontanty Type Zoning District Type Caast Owoer d Buddiu{ ?~?' ? ` • Addreae Building Address I.onliry Date: Bw7ding 016ria1 AOST IN A CONSPICUOUS PIACE I cirr oF EAGAN 3830 Pllot Knob Road P.O. Boz 21199 Eaaan. MN 55121 Address: Site Addess: 1 p Plumber: S P Meter No.:- 7-4G S?! ?3 ??r?('?harge: 5nn r? Ca?t size: F° ?gt; 7 5 nnp? S „ ec/ c ?' Reader NoQ7e7 it ee: i agree to comply with 0?1 ?p f1 aaw? 5??_ Ardlnances.-?` /? Q? ?Vt??L? isc. Charges; 1 Sh fl(lna TP Tatal: Date Date of Insp.: insp•: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Raad P.O. Box 21199 PERMIT NO.: S`37I Eagan, MN 55121 . DATE: I0 --20 _r^fi Zoning: No. of Units: I Owner: rrontier Midwest Address: - Site Addess: I agree to comply wRh !he City of Eagan Urdinances. By Date of Insp.: CITY OF EAGAN 73830 Pi4ot Knob Road ;P. O. Box 21199 Eagan, MN 55121 ,7oning: . ?OYYflQR ?<<lrti,"t ?:`rr?-t• -??:-? ? Address: Site /lddresc _ ? 1?,y7 PaC i r" f - s? Plumber. "- ' I pm M eoM* wft !w Cft of Epsn Owiewnas. By Daite of Insp.: Insp.: WATER SERVICE PERMIT PERMIT NO : DATE: No. of Units: Connection Charge: -)UU.UU12;: Account Deposit: 1 Permit Fee: 10.00426 Surcharge: . S() Ru Misc. Charges: I 5f _ 0o 'TP Total: 63 Sf?„A «,aror Date Paid: SEWER SU1flCE PERMIT PERMIT NO.: DM'E: - No. of Units: - :: . . ConrNttion Choeoe: - Acaount Depodt: Pe.mNI f7o k . SYrdrorpe: Misc. Choryew ? Total: Derh Poid: Meter No.: ' Sizv. Reader No.: CITY OF F_AGAN N a 12 6 3 3 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 PHONE: 454-8100 40('1) BUILDING PERMI.T ` Receipt# ? To be used for SF DWG/GAR Est value $68,000 Date SEPTEMBER 16 ?y 86 SiteAddress 1597 PACIFIC AVE Erect 114 Occupancy ? R3 Lot 20 81ock 4 Sec/Sub. HAMPTON HTS Remodel ? Zoning pn Parcel No. w Name FRONTIER MIDWEST HOMES 3 /+ddress 3908 SIBLEY MEM HWY ° ICity EAGAN phone 454-0433 o Name SAME $ ? I Address " City Phone 1- 0 F w Name ? o Address i W City Phone Repair ? Type of Const vp Addition ? No. Stories Move ? Length 40 Demolis h ? Depth 48 Int. Impc ? Sq. Ft Install ? Approvals Fees Assessment _ Water & Sew. Police Fire Eng. Planner_ Permit $ 337.00 3urcharge 34.00 Plan Review 168.50 SAC 575.00 Water Conn. 500.00 WaterMeter 63.50 Road Unit 290.00 Tr. PI. 156.00 Councd Iherebyacknowledqethatlhavereadthisapplicationa teth e gldg.Of information is correct and agree to comply with all a li ble te Minnesota Statutes and of At,7a es. APC- Signature of Permi r.Date I Copies ToTal $2•124.00 A Building Permit is issued to: FRONTIER MIDWEST ?OME5 on the express condition thet all work shall be done in accordance with all applicable State o{ pesota Statutes an " E_4gan Ordinances. BuildingOflicial ` ?_ This request void T7 9 18.bpnths ([pm ? 8 0 0 7 8?.??? Raquest Oate Fire No. / Hough-in I pection R9qw? F[]Heatly Now - I Notify, Insuec- es ?NO tor When Ready VLiwnsed Eleclrical Contractor ? 1 heraby reouest inapecfion ai ebava ? O`nner elecVieal work installed at: Sireet Address. Box or Fou o. v„?- Cit? -? - ecuon 140- To nshi0 Nama or a. ng Counly Occ nt IPRINTI Po ¢r Suppli r Atldress Electrical Coniracmr IGOmpany N ame) Cq?trnclor's Licanse No. ?? U 2 i Mailing AdJress (COnva?? e 'ne lnstallation) RICK ru 3,AI3L+ Au orizej2 pnJr? (?'drj w ner eAakine?l? ? tion? v Phone Number `' ? . ? Y ? LE uTNIS INSPECTION REQUEST WILL NOT MINNES ? b`TATE BOABD OF ELECTqICITY BE ACCEPTED BY THE STATE BOAND Grip9a-Midwey Bld9• - poom N•197 1821 UniveraitvAve.. St. Peul, MN 56104 UNLESS PNOPEN INSPECTION FEE IS Phonef6121642-OBUO ENCLOSED. . REQUEST FOR ELECTRICAL lNSPECTION EB-00007-05 See instructions lor completi'q this brm on back ol yellow coDY. C 80078 "X" Below Work Covered by 7his Request A NeD. Type o/ Builtling APDlinncee Wi,eE Equiumenl Wired Home Range T en" porary Service Duplex Water Heater Lightin Fixtures Apt. Building pr-yer Electrfc Heaun Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air CondiTioner Bulk Milk Tank farm iher peu y tner Isnecityi t.r ueci y ther Othur Compute lnspection fee Below k F ServlceEnaanceSiza q Fae Feeders/Svbteadars N Fne Circuits U to 200 qm s 0 to 30A m s 0 tn 30 Am Above 200 qmNS 31 to 100 Amps ? 31 to 700 Amps Swimmin Pool Above 100_Am s Above 100_Am s Transtormers rrigation Booms Partial- Other Fee Si L i. <na eeetrrEa i • ?J Insoectoq nereev cenily thot the ebove Final ??tPy?;? insoection hea been mede. thb ropuast VOid 18 moMh67rom P fle? REQUEST FOR ELECTRICAL INSPECTION e instructions for complBlin9 lhis brm on beck of Vollow coOY. ""X" Below Work Covered by 7his Request E8?00007-06 ? ?,lf BuiltlinB r?lome Aoolioncee WireA Range Equiumanl Wired Temporary Service Duple.x Water Heater Liyhtiny Fiztures Apt. BuilAing Dryer Electric Heatin Commercial Bldy. Fumace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Parm O,neT peeI v .?ne.e ISper,ifvl t .! pCC1(y OLhC! nthL`f Comuute lnsoectron Fee 8elow p Fee ServiceEn[ranca5ize k Fee Fxnders/SUbieaders N Fnw Circuits ? U to 200 Am s 0 to 30 qm s U tn 30 l?n s Above 200 Amps 31 to 100 Ainps 31 to 100 Am s Swimming Pool Above 100-Amps Above 100_AmPS Trensiormers Irrigation Booms Partial,'0ther ee Signs Special Inspection TOT F Pem3rks ? RouBh-in ?°1e 1. the I Insoector, heroby certily that the a bove Final rrrAAA ins0ecfion has been metle. fhiereQuesivolOlBmonttrefrom ? ? This request void6/0 18 rrwnths from 6622 I Renuest Uate . ih-in InsPer,[inn rtetl? RcatlV Now Wiil NotifY. lnsoec- Ves ? No ?or When Ready U Licensetl Electncal Coniractor 1 heraby reques[ ins0ection ol aDove KOwngr elechical work inslalled eb Streef Address, Bo. Rouce No. S?1 Gr-Ce City E ecLOn o. Townshi0 Name or Nn. R?nae No. Cowi Occupan[ IPflINTI /' F bn0 hnne No. Power uoVlier C??ec r Atldress Electrical Cnnvactor (COmpany N&me) Contrar.tor's Licens-e No. Mailine AdJress (COnVactor or Owner Making Instaila[ion) Au[horized Siqnawre ICantracmr/Owner Making ins[allatioN Phone Number 11156 - 74Y THIS MINNFSOTq;(TATE BOA D OF ELECTRI`C' B E ACCEPTEOIBY THE STATE e0AA0T GrigBS-Midwey Blde• - floom N•191 I/NLESS PNOPEP INSPECTION FEE IS 1821 Universilv Ave.. SL Paul. MN 55704 Phonel6721642-0800 ENCLOSEO. RESIDENTIAL BUILDINC PERMIT APPLICATION arr oF eacaN 3830 PILOT KNOB RD, EAGAN MN 55122 851-681-4875 New Construetbn Heaulramena • 3 repislered site surveys dwwing sq, tt. of lot, sQ. it. of house; and $II roofed areas (20% mexdmum lot coverage albwed) . 2 copies of pYan showing beem 8 window sizes; poureC found design, etc.) • lsetotEnergyCalculatbns • 3 copies W Tree Preservation Plan tl lot plattetl aNer 717/93 . Rim Joist Detail Optbns selectlon sheat (bl0gs w8h 3 or less un0s) DATE E)-- \-"C - C?)7 SITE ADL NPE OF Water Softener _ Water Heater _ No. of Baths APPUCANT t ;??5*1-O>rC 1?Ctor?a??oA. C??VCS . STREET ADDRESS RaC4 SE '0'1)1°'CC M CIN. TELEPHONE q t4S\"I,2?4 ELL PHONE # IULTI-FAMILY BLDG _Y K-IJ FIREPLACE(S) ?'--0 _ 1 _ 2 n1,1?STATEMk?LP Fnx aLSI- u'25-6219 PROPERTYOWNER?\?- (\- \LQa TELEPHONE ------°----------------------------------°----------------------°----° ° °--°------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIIvNFSOTA RULFS 7670 CATEGORY I MINNESOTA RULFS 7672 (J submission type) • Reaidential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculatlons Su6mitted Plumbing Confractor: ___ Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Conhactor. Phone q Phone # Fee: $70.00 ----------------°----°-----------------------------------------------------------------°°---°---°---------------°-- I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply wiTh au applicable State of Minnesota STatutes and Ci1y of Eagan Ordinances.r. -?,, j I -----_ Signalure ot OFFICE USE ONLY 2? ?. 2s 12:?- " / -? pemodeVReoetr Reauirements . 2 copies ol plan • 1 setaf Energy Calculatbns for healed addttions . 1 sAe suNey for ezlerior a0tlilions & decks • Indleale N home sened by septic system for add'Aions VAIUATION Phone # _ Lawn Spiinkler _ No. of R.I. Baths _ Air Conditioning _ Heat Recovery System Fee: $90.00 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 L G120 BL A/ CITY USE ONLY SUBD. under wnstrudion Please complete for: . single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES Shower 'vVaier Ciosat Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 ' minimum - 1 U.G.Sprinkler 'fordwellingunderconst. U.G. Sprinkler ' for existing dweliing Alterations ' to existing residence Water Turn Around Private Disposal System ' Dek Cty lic. (new and refurbished systems) Private Disposal Systems' abandonment RECEIPT#: / 4 115 'yo", RECEIPT DATE: 7 9 -7 EACH MO. TOTAL 3.00 x = 3.0^ :: _ 3.00 x = 3.00 x = 3.00 x = 3.00 x 3.00 x = 3.00 x = 3.00 x = 3.00 x = -i5f1 x = 5.00 . X = 3.00 = 20.00 = 20.00 = 20.00 = 75.00 = 20.00 = STATE SURCHARGE .50 TOTAL ZO, S-O I hereby acknowledge that I heve read this application, state that Ihe infortnation is corred, and agrae to comply with all applicable City of Eagan ordinances. It is the epplicaM's responsdiility to notify the property owner that the City of Eagan assumes no Iiebility for any demages caused by the Cily during its nortnal operetional arW meiMenance acfiv' Me fadli?s consWCted undar this pertnit within City property/right-of-way/ees ?.?? JflSdN 1`97 PHCIFIC flUENUE SITE ADDRESS: ERGRN , ?1N SS ?== OWNER NAME: H 454-8953 W C??'-??L? INSTALLER NAME: STREET ADDRESS: cirr: TELEPHONE #: t ZIP: RZ4 S RE OF PERMITTEE . GROVER/ORTENBLAD I N6TS: AId. 2 1986 BDILDING PEItLiIT 9PPLICAITOH - CITY OF SAGAB SIRGLE FAHLLY DWELLIPGS INCLUDE 2 SETS OF PLANS, 3 MITST BS LICERSED iiITH THE CITY OF EAGAN MOLTIPLfi DiiELLINGS - RSSIDENTIAL OF SURVEY, 1 SET OF ENERGY CALCULATIONS RENTAL t1ffITS FOR SALS OdITS INCLUDE 2 SETS OF PLANS, CEHTIFICATE OF SORVSY - CHECB BITH HLDG. DEPT., 1 SET OF SNERGY CALCULATIONS COM!lERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OE SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND , 415171? To Be Used For: Single Family Valuation: Dat2: 9-5-86 Site Address 1597 Pacific Aveneu Lot 20 Block 4 Parcel/Sub HAMPTON HEIGTHS Owner Grover, Gary&Kim Ortenblad Address 1597 Pacific Avenue City/Zip Code Eagan, MN. 55121 Phone 456-5746 Contraetor FRONTIER MIUWEST HOMES Address _ 3908 Sibley Mem. Hwy. B1dQ. E City/Zip Code _ Eagan, Mn._55122 Phone 45470433 Arch./Engr. Address City/Zip Code Phone U Ereet ? Occupancy -fg Remodel _ Zoning ? Repair _ Type of Const Addition 4k of Stories _ Move _ Gength -lela Demolish _ Depth 4/9 Int.Iatpr. Sq Ft _- Install APPEOV9LS FSffi Assessments Permit 33 7 Water/Sewer Surcharge 5 y Police Plan Review O Fire SAC ? . Engr Water Conn Planner Water Meter ? .?. 6 i Couneil Road Unit O ' Bldg Off - 2- Treatment P1 APC Parks Varianee Copies YOTAL NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MQST DESIGBATE iiHICH ADDRESS IS DESIEED. 90 CHANG&S SIILL BE ALLOWED ONCE BDILDING PERMIT IS ISSQED. n. EXT[R[OR ENVELOFE AVf.RAGf OWNER; SITE ADDRESS: CONTRACTOR:_ FCPN]'(jer., raye t or 4 II" C0MPt1T11TI0N CAJ?'1Q?SD' L nnrr PHONE Determine working square footage of each ?. 7otal exposed wall area...... z Z43&b (0 sq. ft, x,11 = , 7 5 2. Total roof/ceiling area..... lc;1&8 sq. ft, x.02G = Total exposed wal] area above flocr- 07zabi;(e(Q, a b c d e f 9 h i ? Total wall window area ...................................... ..... otal door area ................................... - ............... Total sliding glass door area .................................... Total fireplace wall area ......................... ............... 7otal wall framing area (average lOb) ............................ Total rim ,joist area .............. . . ............. net wall area above floor...Z "............................ wall area above floor ...................... - ............... wall area above iloor...................... - ............... fram° wall nrea at founciation...... - Total exposed foundation arei=7 ?_r 3 jto k. Total foundation window area ...... .................?. l. Total net foundation area above 9rade .............. Determine "u" value or" each wall segment (e,g. window, cfoor, each separate wall section) a. t L5. 3 x b . ? ? • ?i't. X c . S{- Z X d._ 48 a e._ Z 795. &O X f._ /uU x e-__1.bb, x n. X t. i . k. ?--? ,????- • ? ? _ _-3'-C-s 'lu„ "U„ • ? _-_ r ?? ?V„ ?40 ci ? ;iq . „u,l x „u „ r „u„ x °u° -" ?._ 745. 33 x-, u,,_L5 = 11 I 3 3 . .................. ............... Total l'?8s If item N3 is the"s+ as, or less tharr iti N1, you haye metl'.ttii intent of SBC 600? 1:r.Cqrior L•`rvalopo nvnragc lU Compueacion ? , . Page 2 oP 4 Total expoued rooL/ceiling arca = JOB_ m. Total skyiight area - ° ............................ n. Total roof/ceilin, framinq area (nvcraqc lOZ)... o. Total net insulaecd roof'/ccilinq area........... . Determine "U" value for each roof/ccilinq segment M. x "U" ?? . ' n. a ,,,,., ?Z _ _ ?• G o. y q, Z a"U.- , u Z 9 ........................... Total = -? If total cP yd is the saine as, or less t:nan 112, you have met the intenC of SbC 6006 (c) 1. Alternatc Buildin Envelope Desiqn 7b utilize the total envelope'systen metllod, the values establishecl by the s,un of items !f3 and 114 shall not be qreater Chan the swn oC items I{1 and 112. 1 . 75 + 2- -U-Ze 3. _? ?? • ?. . _ t 4. ? . -?G7 _ xnoc%cEiLZNc Construction R-Valuc l, Intcrior air filn , . .0,61 2. z/8 - C::2 `f f- Y3P SIR s. _ 1ti5UL. • 44.OZ? 4. ExGCrior air f=1n (seill) 0. T°t? 2 4sgo . :nted ? . Hea[ flov ' • 4p ' FIC. +?\il?.?\V'Y?.VI:T?? '. ??'r.??.l???.1M1\24•t?? . i f- ' ?y • • . . d 1?eat Llou ap . , ? j•v¢ateJ _. ? ?. ? •-. . ' : 16.7. e _ v • ? ?l};?:-L? ? ?'?1?.?;+?=??.-. .. .r-:. • ,u_ ?? ,,...•?r•.:.:;.;.::."•.:??? ? ¦: --_1-.?'i• •... . . . •?ri? .i ? ?_?.t / LUI L-(j2 . : . .? • so:r-v?:r? ? ,'1 . : - ? , ilov up • ' . ... • • .. . ' YI ,. 27 • '?' c Fti•A+rt ? ' . I. ZnterSor nir f'LLm 0.61 3. ?k(Sv 1? 3 8. 3 S d. :ixt:r_rio: ?Iir !:i?ra (st: .T TotaL 2 = q O.f? c vA.. IrA ? c r, a s.-- 1. Inslde iir film 0.61 3 . , 4. 5. Outsidc ai.r fil:n 0.17 Total ,?.C,4p•-r E j_ Insidc air Ytltn 0:61 2_ 3. ' . . • q_ 5. Outsidc air film 0.17 I_ . Snside air film TOtal 0.61 2_ 3_ a. $, Gutuidc air film 0•17 To ta1 Tto _tc: U>ce additional sheets if morc apaco i: aecdecl for details and calculatians. ? '.up• ,?.;n i't'ano?t unll nrc,1 IJC ?/??? Itnmv: uc.n:,c•rvr.i lun c_,.??.i i??? i ??;?? r.?:.?i??•'. ,qkleA6/n._ .. __.._ . sp.418 . Y " cry. P .cl',p . . . .. . .. ._q.s if,,i„• ..??1 • ? 4.38 $?_ r4?_10 t-!+e?s..w?_ 7.c?c3 ? . '?? ; . !?.lD!?.....A1.wn.. _ .. ... _. . . . ?.Sa ? ?.,. G. F.>:Li•ri?,r nIt li'.m r' U? ,_ , -`-_? -•" -- ---- .._ ._... . .. -.r?.??.?_t.._._.....t ?? L1 . ' --- V? F1C. 6l TQ11VIF1i OF FIWtE 11nL1, . InCrrln? , ir .`ilm f1.Gl? . ? -'-•'. .._. _._... . ? ... 2. ; . '• ----?-?±?.a.,._.3.g/8_------!?--•?W . . . ? . ' a• ?i?e?w..._.... ...-------.•--._...1?40 " .-•.-=--.? 5• A4arm.__StAf?.._. .. ....t.(wl ,..? 6. f.r,l.rriur nir iilio ._._._.... p.1'I FIG. A2 ? --? ----._...---... .-1'uCal`? ? ' . ,---? . ' ? lntrrio[ air Film O.G!I . ? _...._--._?....... . .....•-'-'------.._. .• .?i ?..?._?.? 2. '$,??.??/_?1.. . . _. .. _ ....._ ........ _.._???18 3. 4' tJ C? Fc?•? ---.-- ti?:.?i ?? .• . ?` ._.___? ,.. ?----?--...__.?t 6. }.x 0. i.7 e ? . zci 7 1 ?_, ?'i?.'.' _?L• ----------(t? ' f• %' n ?. v ?? " ? ? u; . C ? .,,; I , • ? « ? '1•-°-r---=-----•---'-O 1. Int?•il???...,lr f:l?:, [ti.bn , ... - ... _ ? ' ?- „ ------- - - - ,'=Crt :•: '?'? --°?- --------C> y . • a • : ... .?. ° .. . .. ... 5.-.??......-•-- . • . •.?----• ---•- • • ,t • . v' - , • n. . Pl?.src? ]rwc.. ? . u . tiiian,dC 5. . . ? ? •? _ ...---- "---- -.'.'- ..._... __."--'-•'--°---'--• !'. _ •• ? i? .? . •"___.-_."'_."'_" "_",.-ol:?l ~(o '' ?JSt-iy , , , • r " s(.ni, ort r,tu,ur: •- • - -... .. _ .. -----°-?-. - -------..... .? . .r . ? , . , 111 - ? ?'? " , • . ?;;7 -. y .' 77 ?l/ ?!t • ?, ' /(! ?. 2-1- A u ' ?? ??l ? ? • . ' i /?I . • r. F1G. I!A f(l ? . C. 13 ? ? ' ? " . lU ?-? ?,•_•-?;; . i,? 3 ? , •. ` + I.----••{ ??rCC: ln?ll?:ar?? t.y???,, ?<l•. ?,,iiuu. ?l?:n?l? nnd I .1 . ? i?_ • I , 1 41/t1.1, rrr,17bN!I .., u"•r oC wa11 n:en Cor Iram^, cG?int?rucS !un . I ? I ?__? • - ? ? ? ' ? ` •__V' f ?'•?? 1' {. t .L?ICti ? 5t.nB nri IitW11: ? ?i+• j i y. ? 1 r ? ? ?, ' , • ?? _ =. r,, --_. ?.. „'. 1 ' J .. ? • ? . T .. , , ,.. IC ' PIC.?:N1 'i ? FIG:'f?i12 .?'? . i 1 'i , i .' 7) ' T013ViE1J OF FiuVI: senc.t, i i r. . - ---t? -.?,•?. . -7?? ('U11 :Lrnr.l tnn I:- yllu '-. _?1F2er...$.LOGK G. }:r.lcrii,r .t1: f ilw :• UI il t?.?+ r 5?...?,?! ?•r??t,?i jj, 1. 1iiCrrlr?l' lil' -- -. _ . . . .. . _------??-- --- • 2. ?. --?-•-----•-- ?- ---------_?- , S. ---- ----•---?---- -----___-_ r ,: G. Extcrior air -'-°---' ;lbLtl y r?F':4 h ?? n ?,. )ntc??qr nir ftlm f1 f,'t 1. ?._,---•.--._.. ..... _.___..._._?.?.__ ? ? ,. J - ' ---_..------•--- -._.____---?-•--- °? .:. 4. ' - ----•-•- ---•....._ -°--°---- ? n , .' S . ?-_-• ... _. ? , .>ir. 6. %CrY1OT a m ?OtnL ' . l. I71C'Y 1(1C Aif (11'•i (l ? . . _. .. _ .. __._.. _. _. . - •----- , %? ????? y, G. I::cC?•r?<?Y ,iir ,'ilr? q.ll .-.,.r,s,:;r,,,?_.. __ :, ' ....,,,......?-...._ . . ? • ?' ,4 I ?,?iriQF-1"ri? ?,c . • 1 ? `, ?,:N ! ,, 1 ? ' . ` l l ? •+? ' , 1` ? r 4 . • j t Z. .,k . , x..?. ( • . / ??? 7 ;??'?'a5ida x?;: 114 / ' , * ' ir! s. • :> ?,. ? ?I! 11'C:.: lf1lSI CGt.?. l}"?r• ??t?• V•lllil:r f ???i`, ?L`i)t?l 6'1C??':3L?+ '(?. 11 . , s F r PLAN # LirjE4 L FT, 2XposEo WAC.L ?LOGiC ; S z,?,v 4 80 {- tg a t Sa.?? j,?,1.1S5_ 4° tlel + 0(a(a. G te , ?:U L L l ? 14'b r.,6 SGZ . ?T, ?SCt?05ED WA L,t... .???.A t3Lock'? I So." K, S = 75. 3 3 ? 1?-NEE x S = a -r$. ? . v I ;! 48 X 0 ? F.P. Ab 148 Scs..?'t , i: F-1CPoSE--D GEi L11,1q Iv$8 4v DW5 1? z4144 . 4 = zdl. s ! ; ?r+f6v? 4, : Z S. - ? 2 4 36= ? ZS 2Aj3?p?' G .: 5Co To-rA L = z z&t5.(mrw D ooQS i: . . .. 7.° z- ti:1, ?AT l o , D(Z,S ?: ?--:-- ?k, ? : ,. ' t L5.3 -8iGMA SURVEYINO gEFiVICE9 3908 Sibley Memorial Highway ` Eagan, Minnesota 55122 Phone: (612) 452•3077 hGAL6 40? I u1 J 3 ? N eM ?.,.- . , Lc? ;- ; 5 ?.::..5? ,, • OR 41 NP.CaE ls , U'f•t LITY ? l?sM?T• / -? d- / V. y00?q r / h• y ?npAC?E ' / -} ^c ' '-} 00 ?°'' / N R= ?z4?. ?' 7 , ?S \ C? ? • zC)„ , L\? / ? ry V / . ? ?X875,g ? P,c, -LEGEND' 0 Qenotes ?ran Morwmnt m Denotes Woa! Ntb Set „ 0'11,0 ppnotes Existirg Spof Elevation Aerates Proposea Spot Elevation ?,?--Derrotes Orainage Oirectim -PALpERIY LESCRIPTICrI- LOi20 , BLCY'K 4-_ HAMPTON EiF,IGHTS accorCirg to the recorded plat fhereol, Dakota CoLnty, Mrmesota CERTIFICATE FOR; noMe euRne ns ? LenuneveLrnfns IL NEAUUR$ 0 COMPANIES MODEL: CAMBRIpGE ?. ? ,V? -'- ?i ? xbJz.o J -?--? WAYNE D. CORDES - 14&75 - PROPOSED GARAGE FLOOR ELEVATfON= 8160 PRaPO5£D Top o/ 8lock ELfVAl10N? $16.3 PROPOSED BASEYENT fLOOR ELEVAiION- $,3.3 w? .!LTL.- Verify all floor hei4hts Nith final Nouse Plens. ajRMYa25 f;ERTIFICATIGrI- I hereby certify tMt this survey,"plan or report was prepsred by me or Lrder my direct supervisian ard thet ! am a Euly Re9istered Lani Surveya' urdsr tle laws of fhe Sfate of Yimesota. ?e_ Date: _ NIMP 9 ??e 86 M'ayne . Cordes, Ifim. Reg. No. 14575 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *RYt?: PAW&M OF PM AT TIf`1E pF APPLICATION DOES NOr CONSTITUTE r,PPFDVAa. oF PEOsr. --------------------------------- P ease Print ??1) PROPERTY ADDRESS: 1597 Pacific Avenue, Eagan, MN. 55121 LEGAL DESCRIPTION: Lot 20 Block 4 Hampton Heights . or Tax Parce IF MSTIIVG STRCCILTRE, DATE OF ORIGINAL.B7ILDING PERMIT ISSCANC:E: ' (MOn ear .. PRESENf 7ANING/PROPOSFD LSE: 0 COMMERCIAL/RETAII./OFFICE Q INIDL'STRIAL [] INSTITUTIONAL/GOVII2NMENT ? R-1 SINGLE FAMILY " Q R-2 DL'PLEX (7too C?nits) ? R-3 TOW[s-IOOSE (Three + Units) ( Lfiits) ? R-4 APARTNJFIVT/COAIDOMINILTI ( Units ) Q'i4.? v: +ri 2) NAME: FRONTIER MIDWEST HOMES CORPORATION • ? ADDRESS: 3908 Sibley Memorial Highway Bldg. E CIT%, Sf ATE. ZIP: Eagan, MN. 55122 PHONE: 454-0433 . 3) • u ?: ?• For City Use .. f1AME: STAR PLUMBING Plunbers License: ADDRFSS: 1018 Mound Springs Terrace ?i? ? ? CZTY. ST ATE, ZIP: Bloomington, MN. 55420 ??ded , PHC7NE: 884-4149 MASTER LICENgg# 3329 Staff Inii-i'al 4) •.. •:.? RIFu5; 'L+U1ME: Grover; Gary & Kim Ortenblad _ ADDRFSS: 3575 Lexinston #419 „ CITY, $TpiTE, ZIp; Eagan, MN. 55121 PHONE: 456-5741 • •g) ? :? v r ?• :a ? ?? ._.. . . _... ?L]Y CON6ECTION TD CITY SESM ER COASIDGT20N TO CITY FATER (7TFmt 6) ? v • r ? PI.EASE FIOLD APPROVID PERNIIT FYgt PICK-C?P BY OI+E OF ABOVE -- o PI.EASE MAIL APPRaVID PERNIIT TO 1, 2, 3, 4, ABOVE : ccircle one> 7) r. r. u• ? ? - nNSPncriort oF sESH=t Arro/ox MM 10xAI=aN.s wIIa. Nom BE sc?ED- LMID amrrII. PERMrT HAs sM aprROVm. FOR -CITY USE ONLY PERMZT # ISSUED b 1 Pd w/Bldg. Permit FEES: $ X").?? $ $ $ $ $ $ $ $ $ $ $ S $ $ 507). P)Z3 $ $ j75on $ $ $ S $ S S $ $ $ ?,??'??? $ $ $ SEWER PERMIT (INCLDDE SURCHARGE) WATER PERMIT (INCLUDE S[JRCHARGE) WATER METER/COPPERHORN/OL'TSIDE READER WATER TAP (INCLODE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSZT - WATER WAC SAC TRLNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRONK SEWER LATERAL BENEFIT/TRONK WATER WATER TREATMENT PLANT SORCHARGE OTHER: - $ ?V ?SJ U' $ . . TOTAL --- -- RECEIPT - RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SOBJECT TO THE FOLLOWING CONDITIONS: APPROVEIJ BY:' TZTLE: DATE: Q: 3830 PILOT KNOB ROAD. P.O. BOX 21199 EAGAN. MINNESOTA 55121 PHONE: (612) 454-8100 Special Assessment Search Date: Atx9ust 13, 1986 Requested by: DAKOTA COiJNTY ABSTRACT CO 1250 HWY 55, P O BOX 456 HASTIhGS MN 55033 BFA BLOM9UIS1 Mayo, 7HIXv1lS EG4N A4ME5 A SMIIH VIC ELLISON 7HEODORE WHCHIER CauriciI Menwen niornas HeoGes Clly /WmUUShotp EUGENE UPN OVERBEKE Qry Clwk Re: Hampton Heights 1 .'10-31900-200-04 '-• . _-- ' On the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. In addition, pending assessments are included for improvement projects that have been ordered to be installed by the City Council if there are any on this parcel. The City's policy is to levy assessments based upon the current or existing use of the parcel, as reflected in the above assessments. If, and when, the parcel is rezoned or developed to a higher use, that parcel shall assume an additional assessment obligation as a condition of development approval. The City Engineering Division can provide further clarification of this policy if you desire. WAIVER: Neither the City of Eagan nor its employees guarantees the accuracy of the information which was requested by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration for the supplying of the indicated information on the attached form and for all - other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly.._, waived. Levied assessments can be paid to the CITY OF EAGAN. Very trUly yours, Q SPECIAL ASSESSMENf Attachment THE LONE OAK TREE. .. THE SYMBOL OF STRENGTN AND GROWTH IN OUR COMMUNIN TRANSACTTON ID: Pc763 SR£CIAL ASSES'SMENTS SPEC.7AL ASSE S9MENTS SEARCH SUMMARY PROFERTY I.D. TODAYS DA7E: 08/I2J56 ---SF'EGIAL FLAGS---- 1-2-3-4-5- 6-7-8-9-19 i 0-319i i0-:?C10-o4 . ? !2 T --------------- -- - 4 ?y ? ? ? _t __ S.A.# YR ASSESSMENT OESCR. YRS RA7E T07AL ANN.FRIN. PAYOFF COMMENT 100124 SAN SW TRk:: 69 t,.?i 8.00% 59.81 2.39 19.14 Jj?, IGi003 STREET 37I SJ 10 11.00'!. 36.73 3.67 JJ.OE] 101109 S'TREET 36 15 10.50% 14.89 .99 14.59 101110 SFN SEW LAT 86 YS 14.54% 5S.81 3.92 58.8I 101112 STOIiM SEW 7'liF: 86 IS 16.50% 445.07 29.67 5r/,ti9. 445.07 IoI113 STORM SE41 LAT 56 YS 16.50I 20•55 1.37 20•55 ,3? ' IUP451 WF,TERMAIN 00 4 .407- 627.94 627.94 627.94 FEND SUMMARY OF ACTIVE 635.56 42.01 591.52 COMM THIS YEAR'S T07 F&I 1=•84 SUMMARY OF PENDSNG 627.94 627.94 F'ress ENTER (Comments), Fi or F2 (Header Form) or F7 (liestart R763.) PERMIT City of Eagan Permit Type:Building Permit Number:EA118841 Date Issued:11/08/2013 Permit Category:ePermit Site Address: 1597 Pacific Ave Lot:20 Block: 4 Addition: Hampton Heights PID:10-31900-04-200 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Kelly Meyer 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 - Randy L Le 1597 Pacific Ave Eagan MN 55122 Hause Construction, Jg P O Box 206 Bayport MN 55003 (651) 439-0189 Applicant/Permitee: Signature Issued By: Signature , Use BLUE or BLACK ink • � Far Office Use� ^ ...—^._� / � �l { �` t . j Permit#: / �� I'� �� -� I � /,�,0.-y. �` I � Permit Fee:� s83a Piiot Knob Roaa ' ' � � Eagan MN 55122 i Date Received: j Phone:(6.ri1)675-3sz� r Fax:(�51}675-5694 i Staff: t fi �_____ .._—_—___ _a 2013 I�ESIDENT�A�. SU1L[�ING PE ' IT APPL.ICATIt3tV , � � Date:�� ' s-�� Site�,ddress:�'�� 8�� ° `�r Unit#: � � Name: � ��.�� '�.`" Phvne:�� :�.�1'�'S��t1� _ � - � � � s � � � QWC1e1' � Address/City!Zip: � � ,. ` , . , � � F Appfican#is: Owner Gontractor � ��. � . �.�� ' � Descriptian of work: � �� +�� ;��O��t)#'�C �� a � K � �onstructian Gost: � Mufti-Family Buildinc�:�Yes /No`) � �� m�� x � �„a � Cantact: �„�,��-- � � Company. � � '�� ' � � � � ��Address: �� . .�,�,� � City: ��' `�•.°.�� 'Gon�ac��r � ,�° �� ' � �� '� � £ � State: /� Zip:��,��"� Phone: � � f � ~� / � , ',� � �Lead Gerti�cate#: ��,� _��`��"/ ��.��.,�...License#��,.� ,�.� �.Y.�. :� ,�� E If the project is exempt from iead certification, please explain why: (see Page 3 for additiona!inforrnation) � � � � �_.____.__�.��„�.��,� ---------,�.��,�. �...�...� CUMPLETE THIS AREA ONLY tF C4NSTRUCTING A NEW Bt11L�l�iG � in the tast 12 months,has the City of Eagan issued a permit fior a simil�r pl�n based c�n 2�master pian? � � _Yes TNo If yes,date and address of master plan: � L'rcensed Plumber: Phone: � � � Nfechanicaf Gontractt�r: Phone: � � Sewer&Water Cantractor: Phone: '��` 111.��` f��CiS r?d clj3p�t�tfi�,t�t3t�ftF��S��A�i�;��ll��lt�a�C�`C�tt�4t�LY��iG`t1'��(J,�f�ts�#!#"�f� �Ltt'�`f(#1�,5�0� ' � ��t�ltl�{�f�"��1t"�12.1"��;�'�1�C�BSSI��i'�c'?S t1�E?f#�IU�II��..f�#fQCI�3f'GiYlt��Sp�`Cl��f�'��_'w�t�+�2:�1'�'fi�1+�4Tt��'l�`11X��+�f�`" : �.. n �.. +�+��'+�:t�� .�;��tt�ral�s��e#.s. ,_,. � �- ��Q� (;ALL B�FURE YQu DIG. Gali 6apher St�te One Galt at(651)454-0002 far protection against underground uFitity damage. Caff d8 hours before you intend ta dig to receiue loca#es af under�round utilities. tr�r qos�hersiat�oneca3l.orcl I hereby acknowledge that this information is compiete and accurate;thaf tfie work mvili be in conformance with the ordinartces at�d codes af the Gity o# Eagan; that I understand th9s is no#a permit, but oniy an application for a permit, and work Es nat to sta�t without a permi#; that the wark wili be in accordance wiih the appraved plan in the case of work which requires a revi�w a�d appruval of plans. E�cterior wark authorized by a buiiding permi#issued in accordance with the Minr�eso#a State Builtling Gode must be campleted wifhin 180 days of permit issuanee. � +$ R F p � � ' ��.� � � � �� .. � Appi�cant's Printed Name Applican#'s Signature Page 9 of 3 ,�'� � �1 � �Gr�'��G �� dQ NOT WRITE BELOW THIS L(NE �� Q�� .� --- SUB TYPES Foundatian _ Fireptace � Forch{3-Season) , S#orm Damage � Single Fami�y _ Ga�ge y Porch(4-Season} _ Exterior Alteratton(Singie Famity} _ �uiti Deck _ Porch(ScreenlGazebolPergola) � E�cterior A�teration(Mutti} fl1 af I'lex V Lower Levet Poat Miscellaneous Accessary Building � Wt�RK 7YPES New tnterior Improvemer�t 5iding _ Demolish Bu�lding* � AdditiQn _ Move Suiiding _ Reraof � Demolish lnterivr �O A#teratlan _ Fice Repair Windows .___ De►nalFsh Fvundatian Repiace Repair Egress Windaw Water Damage Retaining Wal! *Demoiitian af entire bu€Iding—give PCA handaut to apptican# Q�SCRIRTIQN Valuation �Z�c�, v� Occupancy �12�' r MCES System Plan Review Code Edition � 20 1� SAC Units (25°Ifl�1006/a�4 Zoning �_ C6ty Wa#er Census Code 8taries Bc�oster Pump #af Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction 1� � Width REQt11RED tNSRECTIdNS Footings (New Buitding) �Aefer Sizea Footings{aeck) Final f G.d. Required Faotings(Addition} �O Finai/No CA. Required �oundation HVAC Gas Seruice Test Gas Line Air Test � Drain Tiie t�#her:� Roof:_Ice&Water _Final Paoi; _Footings Air/Gas Tests _Fina( Framing Siding:�S�ueco Lath ^Stone La#h �Brick: Fireplace;_Rough (n TAir Test _Finat Windows Insutation Retaining iNali:�Faotings_Backfi8_Final Sheathing Radan Controi She�trock Erosian Contro! Reviewed By:—__j !7/1� /n : �c �-�� ,Building inspector RESIDENTIAL FEES Base�e+e Sureharge I'lan Review MCES SAC City SAC lltility Gonnection Cha�e SB�W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA133355 Date Issued:10/07/2015 Permit Category:ePermit Site Address: 1597 Pacific Ave Lot:20 Block: 4 Addition: Hampton Heights PID:10-31900-04-200 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Randy L Le 1597 Pacific Ave Eagan MN 55122 (651) 994-7809 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature