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4093 Pennsylvania Ave Use BLUE or BLACK Ink r------------------- For Office Use ~j Permit I C1 City of Eayn OUL.3 6 Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: 1 I I Phone: (651) 675-5675 i Staff: 1 Fax: (651) 675-5694 1 I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: q l3 oaLz~ ~K~ Tenant: Suite RESIDENT / OWNER Name: Phone:1i~-l :lpj Address/ City /Zip: ~(U jD Applicant is: Owner _X_ Contractor TYPE OF WORK Description of work: 1 J SConstruction Cost: ( Multi-Family Building: (Yes / No CONTRACTOR Name: Mlcm License Address: G City:C f2_Y~C~ T State: I G iA Zip: ~0 Phone: (,Psl " ~ OVy7(D Contact: & / V 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.aopherstateonecall.orp 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 4rx Glyn /4 x ~L, 6~,.~ Applicant's Printed Name Applicant's Signature Page 1 of 2 ?r? . . . ? Q) I CASH RECEIPT CITY OF EAGAN a 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 OATE NECErvEO ! ' , . f. / .1, . C AMOUNT .' 8 DOLLARS 'm Q CASH f? CHECK . • . . .- . • . • . i . ! ` ? . 1 . . Thank You ± ;.. BY C 12?91 Y??„ _ ft*-Fi.C4m DATE: APR 8, 1991 4093 P9NWY:6VAHIA AVE (AL HERRMANH CONSTRUCTION INC) RE: --- x Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YDUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannat be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. r. ar? i:, izia:v r? • M v°rl u/ 7G BRENDA BYtNE 687-9048 CITY OF EAGAN y 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 P HON E: 454-91 UO BUIIDING PERMIT To be used tor s? ?/QAR Est. Value s78+000 Site AdTiss ""~ . --.- a ". Lot Block Sec/Sub. Parcel No. W Name AL HERSAW1lf CONS'ttlfCtlOti ? Address 53 STQM 1tD ° City 'MENDOTA M Phone 891-1100 18856 Receipt # 19 9s nra s OFFICE USE ONLY ,a Name DiLrArA Address ? City Phone ? yVj'W Name e Address <W Citv Phone I hereby acknowlege Ihat I have read this appliCation and state that Ihe infortnation is correct and agree to comply with all applicaWe State of Minnesota Statutes and CitK, of, Eagan Ordinances. 1 Signature ot Permitee A Building Permit is issued to: AL liEBRMAIiN CONST on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ? Occupancy R-3 ? FEES 3 Zoning s?i?? (Actual) Const ? Bldg. Permit (Allowable) 39.00 - Surcharge # of s,«ieS *-. 351.00 Le?? ? Ptan Review 1??? Depfh SAC, City S.F.Total - 650.00 SAC,MCWCC S.F. Footprints - 660.00 On Si1e Sewage _ Water Conn ?5?? On Sile Well ? Water Meter MWCC System ? Acct. Deposit ,?Q. Qd Ciry Water 30.OU PRV Required - S/W Permd Booster Pump - g/W Surcharge 150 276.00 Treatment PI APPROVALS 370.00 Road Unit Planner - Park Ded. CounCil - BIdg.Off. _ Copies 3,142.50 Varience - TOTAL . Permk No. Pennit Holder Date Tekphom # WATER Q y SEWEIP PLUMBINC'a 9 H.VA.C. v? -10 SA/ ELECTRIC Q ? ? I3 9/ ? pp • Inspection Date InsQ. Comments Footings I Foundation Fram„ng Roofing Rough Plbg. ? -Q Rough Ht9• ?1;4,111 ?U /• 1 J? wi. Ds Fireplace Fnal Htg. 30 ? Fnal Plbg. Const. Meter Plbg. Inspeclor - Notify Plumber ErgrJPlan BWg. Final p oeck Ft9. 9 Detlc Rnal Well Pr. Disp. ? _.?:_?--.;.: ...r,..•.?.*?• ?? .---?- d--: 1 . ` • `, ? 1 ( e • ?? ? " ' , f tl . Ttr#t#tra#e of (Orrupanr"H Citp of Cagan ]grpwftnd uf %ildittg iwrrtiatt 71tis Cer[iftcate itsued pursuanl to the reqrdrernena ojSc+ction 306 of 1he Unijorm Building Code cerlifJ`in8 da1 a11he ume of ksuartce thitstructurr wrrs irt compliance wilh the mrrous ardinanaes oJOe Ci[Y reSulatiR% buWnB ovn.uruction or use For the foUowfng. tse asmTkafioe $6ac?1'-sR etei. %i tao. 18856 o,a,, R-4 /M 1 z,ic Mw;a R 1 Tra c- VN o- ar a.wivs Aee= 535 SlUW iTD , tF1+IDOtLa t-?rLM 4i .. _.. .-.s POST IN A CONSPICVOUS PUCE SEYVER 84WATER PERMIT CITY OF EAGAN q 3830 Pilot Knob Rd. " - Eagan, MN 55122-1897 METER # CHIP # PERMIT DATE "`+/ 08 /91 WATER PERMIT # 11907 B.P. RECEIPT # V 12791 B.P. RECEIPTDATE ''4IU5/9] OSTER PUMP MEfER SIZE ISSUE DATE _ PRV _ SITE ADDRESS LOT - ?" BLOCK 3 SEC/SUB S. APPLICANT: al Herrniann Cnnstmrtinn _ i-c__ ADDRESS: 35 Stone Roac: CITY, STATE "lendote fle19ZIP b1- -? PHONE: PLUMBER: -`.^.?•`--?r•N!^ Pll1nhirtc, ADDRESS: ??? ?u ADRIAN C?h CITY, STATE ZIP ? •`?-' PHON E: OWNER: ADDRESS:- CITY, STATE PHONE: _ SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 551 22-1 897 PERMIT REGIUESTED X SEWER ?_ WATER - - COMM/IND __ NEW x - EXISTING I AGREE TO COMPLY WfTH CfTY OF - EAGAN ORDINANCES: SIGNATURE WHEN METER ISSUED OFFICE USE ONLY METER #??? a? c? 9 O? PERMIT DATE 04 i O8;' 9, CHIP #0/3 WATER PERMIT # 1190 ; METER SIZE eA)A S B.P. RECEIPT # C 127y; ISSUE DATE 112 - fQ '? B.P. RECEfPT DATE 04 05 R 1 - PRV - BOOSTER PUMP SITEADDRESS ?pE,j??r,yl±yaHria AyeRu LOT LOCK 4?_SEC/SUB ';.tjaf fg rd 12}A^ -, APPUCANT: ?A ADDRESS: )L' Stone ROda CIIY, STATE ,,`>r;:`uta L-'3 i??11:5 ZIP _ 55 120 PHONE: 7- .. 71;-?`i PLUMBER: -1!'6?= P1lltnt,i r. ADDRESS: ';k00 ADRIAN C1' R CITY, STATE '' f' 1or Lal;e Zip 5 53 72 PHONE: OWNER: _ ADDRESS: PERIWIT REQUESTED X- SEWER x WATER _ TAPS - COMAA/IND 'K RESIDENTIAL> ? NEW _ EXISTING 1 AGREE TO COIYIPLY WITH CITY OF EACAI? ODINANCES: i ?? , ? Y 1 _u? v ? _ + ? . ? ISSUED CITY, STATE ZIP PHONE: Up-, PLEASE ALLOW `I'WO WORKING DAYS FOR PROCESSiNG. FOR STO SEW PERMITS, CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. CITY OF EAGAN Np . 1 $$56 3830 Pilot Knob Road, P.O. Boz 21-799, Eagan, MN 55121 PHONE: 454-8100 -14 BUILDING PERMIT Tobeusedtor SF DWG/GAR Est.Value $78,000 Receipt # ?_- [a L7?/---- Site Address 4093 PENNSYLVANIA AVE Lot 24 Block 3 Sec/Sub. STAFFORD PLACE Parcel No. w Name AL HERRMANN CONSTRUCTION 3 Address 535 STONE RD ° City MENDOTA HTS Phone 891-1100 o Name SAMF' ga Address ? City Phone r ww Name ?'a Address gW City Phone 1 hareby acknowlege ihat I have read this application and state that Ihe information is correct and a ree o co i '[h all applicable State ol Minnesota Statutes and f Ea n O dinanc . Signature ot Permi[ee ?+ - A Building Permit is issued ro: AL H RRMANN CONST on the ezpress condition thal all work 5p I be done in accordance wilh all applicable Stale of Minnesota Statutes and City of Eagan Ordinances. Building Olficial OFFICE USE ONLY Occupancy R-3 M=1 FEES Zoning R_ i (ACtuaq Consl y-N Bldg. Permit 541.00 (Allowatle) V-N Surtharge 39.00 # of SlOries 41' PlanReview 351.00 Lenglh Depih 48 ? SAC, City 100.00 S.F.7otal - SAQMCWCC 650.00 S.F. Footprinis - On Sita Sewage _ Wa1er Conn 660.00 On Site Well - Water Meter 95.00 MWCCSyslem X 30 00 City Waler Accl. Deposil . PRV Required _ S/W Permit 30.00 Baoster Pump - SIW Surcharge - Sn Trealmenl PI 276.00 APPROVALS RoadUnit 370.00 Planner - park Ded. Council BIdg.ON. _ Copies Varience - TOTAL 3,142.50 'VII590 ° Y or_hu?1'U6 *iEQUEST FOR ELECTRICAL INSPECTION P. See inslrudlons br completing this form on back of yellow copy. X" Be/ow Work Covered 6y This Request EB-00001-08 /007E'?p ew Atltl Pep" TypeolBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplez Water Heater Electric Heating Apt. Building Dryer O[her (Speciry) Gomm.llndustrial ' Furnace Farm Air Conditioner Other (specity) Conbac[or§ Remarks Compute Inspection Fee Below: # Other Fee p ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 ta 200 Amps J 0 to 100 Amps Transtormers Above 200 _ Amps Above 1-Amps SignS 6 Inspecror§ Use Only: TOTAL Irrigation Booms ' Special Inspection AlarmlCommunication THIS INSTALLAT70N MAY BE OR DISCONNECTED IF NOT Other Fee COMPLETEO WRHIN 18 MONT I, the Electrical Inspector, hereby certity that the above inspection has been made. Rough-in Illlkff, F;nai ? oaie J ? OFFICE OSE ONLY This request voitl 18 monihs Irom .: _.,. Fequest Date 7 I Fire N Fough-in Inspection Required? es ? No ? Reatly Now ill Notity Inspectar When Ready? I? licensed contractor owner hereby request inspection of above electrical work at b? Atltlr ss ( treg? or Rouie No.) 3 Ciry Section No. Township Name or No. Range No. Coun Occu n.(PRI Yl I ? O ?C?Y? PhorW?J? O o Suppli ? Atldress EI Co vaa r ?Com ame ntraaor5 Lic ns M tlress nVactor r Owner W ki 1 I n) Au rizetl SignaWre C hactotl r Ma ing inslal ion) Plhon ?er ^j ` ? MINNESOTA STATE 80AflD Of GTPICITY THIS INSPECTION REOUEST WILL NOT Gtlgga-MMway Bidg. - Roo 1)3 BE ACCEPTED BY THE STATE BOARD 1821 Unlverelry Ave., St. Poul. MN 55104 UNLESS PFOPER INSPECTION PEE IS Phoae (BiY) 642-0800 ENCLOSED. Address: 4093 PE[a7SYLVANIA AVENUE LOt 24 Blk 3 Sec/SubSF??qrtp prA!'F. t .These items wera/were not complete at the time of the final inspection. 5/30/91 Date: Yes Na Tngpprtnr- F Final grade (6" from siding) ? o- Permanent steps - garage ? Permanent steps - main entry v 'r Permanent driveway ?i Permanent gas t ' Sod/seeded grass y Trail/curb damage Porch 1/7 1 Basement finish `t Deck q Pleasa verify with the buildar the removal o£ roof test caps from the plumbing system and the shut-off of water supply to the outside lavn faucet be£ore freeze potential exists. ? ;L1tlFOMRR White - City copy Yellow - Resident copy Pink - Contractor copy RESIDENTIAL BUII.DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 J- `-t y-- a5 New ConsWCffon Reauirements RemodeUReoairReauiremenis O(fice Use Onlv 3 registered site suneys showing sq. ft. of bt, sq. R of house; and all roofed areas 2 mpies of plan CeR of Survey Reoi (20% mazimum bt coverage allowed) 1 set of Energy Calcula6ons for heated additions Tree Pres Plan Recd 2 copies of plan showing beam 8 windaw sizes; poufed found desgn, etc. 1 site survey for addNOns & decks Tree Pres Not Reqd lselofEnergyCalculatbns Add'dion-indicatei(on-s8esepficsystem _On-siteSepGcSystem 3 copies of Tree Preserva0on Plan if lot platted afler 7l1193 Rim Joist Detail Options selecdon sheet (61dgs wIM 3 or less unik p Date 6 /,s I? n Construcflon Cost L[[, / 7 Site Address 401 QU?t? T ?4 14?7 UnitlSte # Description of Work 6910r- `4ri.C_ /e V , Ivo G%PK ¢_Liti?K Multi-Family Bldg _ Y( N Ftireplace(s) _ 0 _ 1 _ 2 Property Owner Q MAJ9, Telephone #( ) Contractor Wq Address .3151 , ; City NLIh State [I[l/1/ ZipCh,2 Telephone # (763) 417-1100 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ven6lation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calcula6ons Submitted Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( I hereby apply for a Residential Building Permit and acknowl ?e that the informatio' is complete and accurate; that the work will be in conformance with the ordinances anodes?aP'The CFy of?agan and the State of MN Statutes; I understand this is not a pernvt, 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. Applicant's Printed Name Appls Signature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 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 (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35, Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 AddiSon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/Doors ? 34 Replacement •Oemolition (Entire Bldg) -.Give PCA handoutto 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) FinaUC.O. _ Footings(deck) FinaUNo C.O. _ Footings(addirion) _ Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ F[gs _ Air/Gas Tests _ Final _ Framing Siding SNCCO Stone _ Fireplace _ RI. _ Au Test _ _ Final _ Windows (new/replacement) _ Insulaaon _ 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 RESIDENTIAL aS BUILDING PERMIT APPLICATION , ? - CITY OF EAGAH ? ? 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New Construction Reouiremeab RemadellReoair Raouirements • 7:e,istarea site surveys showing sq. k. of IaC ;q. R. of housc and all mofed areas • 2 co0ies of plan t20% maximum bt coverage allowedl • 1 set of'cneqy Calcula6ons for heated additions • 2 ropizs of plan ;hcwing heam & window sizes; pcured found tlesiyn, ztc.) • 1 sde survey `or az[enor addi(ions 8 decks • t,zt of'cnergy Cakulations . Iridicare f .^,eme served oy septic sys[em fer adtlitions • J copies of Tree Preservation Plan if lot :latted after 711193 • 3im Joist Cetad Options selecdon sheet (bldgs with 3 or less units) DATE 16 ? VALUATION SITE ADDRESS Y6 ?.3 PPNN Uf- 4TMEMI MULTI-FAMILY BLDG Y N TYPE OP WORK_ 'Ne "(kOa4- FIREPLACE(S) _ 0_ 1_ 2 APPLICANT A LCvuQ '?Zlcrdri? et- SA,I^`s STREET ADDRESS (05_S S` /2?IPti' 011 1gIvd CITy TELEPHONE # 015? 1'7Y-P3f CELL PHONE # FAX # PROPERTY OWNER ?8k GY& ve TELEPHONE # COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ M[A\E:tiOT.1 A1.1ES 7670 C.A"CEGORY 1 _MINVESO"!':A RCI,t:S 7673 (v submission type) . Residential VenfilaUOn Category 1'NOrksheet Suhmitted • New Energy Code Worksheet Submittzc • Energy Envelope Calculations Submitted ?,('?n1? T C Plumbing Contractor: _ ___ Pfumbing s}s[ein includes: Mechanicai Contractor. Mcchanic:il scstcni includc,: Sewer/Water Confractor: _ Water SoRener _ Water Hcater Vo. of Baths P?io«t = LawTi Spnnkler No. oF R.I. Baths Air CoudiLioiting HcaLRccoccr? 5vstccn Phone # Phone # Pcc: y70.00 -----------------------------------------------------------------------°--------°--.._-----•-°------------•--------°-- I hereby acknowledge ihat I have read this appiication, state that the information is correct, and agree to compiy with all applicabte State of Minnesota Statutes and City of Ecgan Ordinon? ? Signature af Applicanf ? ? ----------- --------------------- - ---------- --------------- °----- ----------- __---------------------------- °---------------------- ------------------------- OFFICE USE ON'LY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 3%02 AE •P . STATFWrtir-ZIP SS3Y.? OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mulli ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 peck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 S[orm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N 0 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg 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 _ Foo[ings (new bldg) _ FinaL'C.O. _ Foorings (deck) FinaUNo C.O. _ Footings (addiuon) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & W'acer _ Final _ Pool , Ftgs _ Air/Gas Tests _ Fina] _ Framing _ Siding Stucco Stone _ Fireplace _ R.L _ Air Test _ Final _ Windows (new:!replacement) _ Insufation _ 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 1991 BIIILDING'PERMIT APPLICATION CZTY OF EAGAN SINGLE FAMILY DWELLINGS M[JLTIPLE DWELLINGS COMMERCIAL 2 SETS DF PIANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WEiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. l0 CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: RS.S Valuation: --(p-?.?"0ate: ? ? . Site Address Lot 7t Block Parcel/Sub Owner Addres City/2 Phone Contractor At L?trrNle?,?,rr?\ f?s?aS Address ,S1-c- S-{-?.d (LO City/Zip Code S 5?1? Phone Aql -1100 Arch. /Engr. ?? Jy, ,p 1 ? ? ` ?u.,, Address Z?{Z+?" ??, ?,r.pT ,Se_ D? City/Zip Code r7B,OOJ' OFFICE USE ONLY FEES Occupancy R M-I Bldg. Permit 54/1,0 O Zoning 'R-1 Surcharge .S?T.UO Actual Const V-N Plan Review 351•0D Allowable ?/-/4 SAC, City /00.00 # of stories SAC, MWCC 4,50,00 Length yi' Water Conn. 660l00 Depth 41$, Water Meter 100 S.F. Total Acct. Deposit _SL),L)C) Footprint S.F. S/w Permit C),C)) S/W Surcharge ,SO On site sewage_ Treatment P1. 296,4) O On site well Road Unit 3?D1 aO MWCC System Park Ded. City water ? Trail Ded. PRV _ Copies Booster Pump _ SUSTOTAL APPROVALS Penalty Planner _ Lot Change Council TOTAL 3 1 y a., Bldg. Off. Variance agrees that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. G?Te, A (-, -e- 20 r 22 = L{ y -o Vs X r.S°= ?- y 35 x IS= 6?25 f3S MT, 26p x 40 = foyo ?; x?t = Y, /?I ? lL) 1?? o ?ST RSMT= iu5-v x6': =1= lo ?: ? _ ID71 X S'J % 5?763 ?- 1179w% ? u A. i IOh! orZ -l$I t30o ? ? +. . Y? * * . ' • • 2422 Enlcrpitse DrlvE MendotaNeights,MN55120 ? pIC]NEEq ?AHeeunvcrwea•CIVII[NpINEEl13 „ ?M „??h „??.. ? UNDI?IINN[11l?L11NpSLpPC11NtHRECTS ?F ?* Ist21691 1914 ? ? * Certi(icete of Survey (or. AL- PepPMA ON (oNS - ??. c. -- ? j?i•INSY?-VQN? A ?V E . . gr? p?0 N 3°3o'W o `. ? I qol. _ -Iis.7 1 zo.o zo,a N I I .1 ['?. VW I 5.25Ri1S `?1 ?" i8.e H o ? ? pRpPosev r ? I HcNS6 ? I zaa •oae Lao.e_ ? r - 4,.3 ? W I? T9 ? I ? I 0 9Oy '°?--- _ J ? _ ? • 900.o Deno%s Exislin EleVa&ln PGoP03ED HouSE WEV4VION r oo•o Uerbfes propvgEd IlevoJion Lowes -7oor Elevo ion 905, 9s ---- DiernotesUrriraerU1ilYy Evsement Topot"Block£/PVOfion 9e .93 -?---?- Denoles Drr;W't-160"Direclion GaaleSlabElevafion 08,6 ° Cknoks Monuffienf Bear7?7g5 Shown are assun?d dUP?x? es q e/,fib LOT24,gLocu 3 SrAFf-ORD PLACE DakorR CbtlNryt MINNESOrA 1 herebY eerllfy Ihel Ihif furrEy, plan or roporf wes preppreA by m,e? orI unde,r?my dirnct supmvisim, nnA thnt I?m dnly flegistercA Lend Surveyor under tMe lewf ol tha Stne of Minne?ols. beted thleAay nf .?K!/ A p ? _7jG/ • Scale :limh `4V j! hel 9/083, e/ J -R sne r n cna ,ii t s, nrr.. rio. tanot 90 ?'9 D 0 .\ N 0 Z ?, .. e W O tll? _--;, i.,, ; • CITY OF BUILDINQ DEPARTI4ENT XT R = N E IOR ENVII,OPE AVERAGE I'll li 0014PUTATION (To be submitted tvith building permit application) . q,.? Ona or Two Family Dwelling Owner All Other Site Addresa STAiyo,Qt} PLA4 e - Contractor U ?.oNaT Data Phone ? , LINEAL FEET OF 11\'' EXPOSED VfALL '/J I j? YWOP , %6 7 ft, above grade a Gl::;l , TOTAL EXPOSED WALL AREA SQ.,,FT• OPAQUE WALL COHSTRUCTIONs "U" Value x Area ' Detail ?1ZfNS9? npn reference "U" Prom npn attached "U" ;<. _.. .. .._..._. __...._....__......__. r 6h66t6 -.- "ll" , . uUti WINDOWS: "U" Make & Type n n n o n u .O •' x SQ. .07 x SQ. x SQ. X sq. x SQ. x SQ, FT._?(op$.ZO. (v9•?S . FT. 93•53GL . Z FT. . o? . rvr. - FT• a FT. = '? . Value x Area ?1UZ?1G?4?171?T, u0n_ -?- X SQ. FT. .3 D 3 JC?-?j C)? UA) ir; upu x S . FT.-L._ npn Q - (11)(A). nUn x SQ. FT. _ (U)(A) x sQ. Fr. _ (u)(n) DOORSs "Ult Value x Area tdalca & Type ?• J??sv(., uUn •11 x SQ. n ° Yr?"nn npn n n x 5?,. n ??Un x S . a - nuu x SQ. ToTar,s Z03r? sn_ AvExA4E "UII TOTAL (II)(A) VALUES l?zto$ DIVIDED BY TOTAL NALL AREA Zp? p, 0 ??SD AVERA(iE "U .115 r less Yor 1&2 fami inga s ROOF/CEILIN(i--? TOTAL AREAz FT. 100 = S.SQ (U)(A) . FT. r D _ ' r' M(A) (U)(A)..? FT. _ (U)CA) ... k'T._ _ 1(07.(09 ?(U) (A) Detail reference from liUi i .p ? x Sq. FT,- 1rr??, 22•47 (U)(A) ; 1-!.? " attached sheeta. nUu x S Q• FT • _` . (U)(A).;*"..,.:. Describe openings „U„_ x SQ. FT, e (U)(A) in roof. ?IUI? x Sq. FT. _ (U)(A) x SQ. FT. _ (U)(A) TOTAL (U)(A) VALUES DIVIDED BY 2Z-7 _ To7' I. Iv7O v??2 47 CVya? ? i? TOTAL ROOF/C I (3 AREA ? 1070 • OL AVERAQE 025 or ventilated roofa. = il Mopar- ??de:E7- 'J -irv' ?xt'a..ej> ?38 + 38 -i- 3z-r?? = •l?7 ? 3S t3o-? 3z+3Z.? = ,sr • 8 ?C C3,8 t38 t,Z+-?2,, _ z,o3o, oo? 93-So4, Pb, zo4 ZoX - 5.o x jz = ?oo 71?X = (v o X 8= 4?-oa Zo x ^ (p, y X 4_ Zl?.Bv -?- ?o- sr z1.oo 2!0-ST Z/, oa . ole-7 wfaLL ??v??s 69' W?e?L Z, 030-00 L?SS (70NC.1 93.80 9114A Illv.zo ?, kibyv?s r3?.go - 4?/.Sv Ae)r->?Ll s 7100 ll?og.2o? ;_.. ,._,. ??? IJO7D ? DN-- 11, Rim. and Conc. Block i ROOF/CrILIN4 R VIIT;U 1.) Interior llir P'ilm •'0.61 2.) 5/8 1f ayp. Bd. .56 ; 3.) Inaulation AZ. v 4.) %o 5.) Exterior Air Film (STILL) °Uo = 1/R= .OZI TOTAL (R)n 17•1$ NlALL 6.) Interior Air Film 7.) P aYp. sa. 8.) Insulation 9. ) gvrc?"T'?'7E 10.) Masonite Sidirig 11.) Exterior Air Film R VALU Os68??` ? f045 , Z 6? .17 'lUll _ 1/R= rO?'3 ToTar. (R)a Z?.Ot r-- RIM 12.) Interior Air Film 13.) Ineulation 14.) 2" Fir Rim Joiat 15.) &VuT g1'z-F 16.) Manonite Siding 170 Exterior Air Film R VALU 0.68 fQ.00 . 1:88 - Z.6 .17 uUn = 1/R= TOTAL (R)e ?-. FOUi7DA'PION 18.) Interior Air Film 19. Zo., 21.) 12" Conorete Block 22.) 23.) Exterior Air Film li„ll = 1/a= 07lo ? a var,u 0.68 11.oa . 1.28 .1Z TOTAL (R)a ?Zl-13, PERMIT V ' ( 1fffit) CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681 -4675 APR 2 0 RECD SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, i copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made r lot chan e is re uested once ermit is issued. Date _Ll / '10 / 9a Valuation of work Site Address: yC'?G3 v-\ nUqv,,G STREET STE t Tenant Name:_ bRE?`1i'm LOT ?y BLOCK ? SUBD. P.I.D. / . Descri tion of work: u?1 L The applicant is: Owner ? Contractor ? Other (nes«rx) Name 2 L itE)\s-o Phone Property LA:T FIRST Owner qddress Z/0 93 1-?Ie' -sy l„µ..,'0. ,4t , STREET ' STE N _ City L0.tian State /nN Z;p 6-sia3 Company Phone C011t1'8Ct01' Address License # Exp. City State Zip Company Phone Architec U Engtneer Name Registration # Address City State 2ip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has een approved. 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. 5ignature of Applicant: vrrw? ua? vr??r BUILDING PERMIT TYPE ? 01 Foundation ? 05 Apt. Bldg O 09 Basement Finish ? 02 SF Dwg. ? 06 6arage/Accessory ? 10 Swim Pool 13 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 04 Multi-fam. T.H. ? 08 Deck O 12 Comn./Ind. WOR K TYPE P 31 New ? 34 Repair ? 37 Demalish ? 32 Addition ? 35 Tenant Finish O 99 Undefined ? 33 Alterations 0 36 Move - GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) lst fl. sq. ft. UBC Occupancy 2-3 2nd F1. sq. ft. Zoning -iw Sq. Ft. total # of Stories Footprin t Sq. ft. Length On-site well Depth zL On-site sewage APPROVALS Planning Building jjs Engineering _ Yariance REGIUIRED INSPECTIONS ? Site ? Mallbaard lp Footing IR Final ? Framing ? Draintile 0 Insulation ? Fireplace Permit Fee 5,00 v.iuat;on: Surcharge . So Plan Review License MWCC SAC City 5AC Water Conn. Water Meter Acct. Deposit S/N Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: s r - w ? ? 13 PUbrl i ? FaC. - CJ„14 Agrtculturxl O 15 Miscellaneous MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC % SAC Units ` . ???? •-, rIYNCEM U1NOfUlIV[T011!•CIVILENWNE[M `*?ng * eer ng ?. 1AN0?IANN[pg• IANDlC1119 11wpnT[Cil *?* Ceriiftcate ot SurvEy ior: 4422 Entcrpiise bOve Mendota Ileigiris, MN 55120 1612! 691 -1914 ,dL 1-IERKMA?JM CoNS- pjFNNSYL-VQN1A /-\V E . 8% o'O N 3°30' w ? q°y' 0 a ?j o 6 ? ? e 0 ? ° 3. : r-- ? Ze. i s.:gw?as v1 I A /B.e . ° $ pKaPosev I HoNSE 2;.7 4a v ;4;r T ` I ? ? I o 90''9 I 2o,-e ? I ? N N a O I ? % Ia - - - - 85 /6 itJo,eT}/ V'I Zp? w 0 M ? I 0 . ? ?- : ??. . . .. ..._.. _;,: - i ....•: __?': ?° x;?--: * 9vO.o Denoks E*xislin? Elevalion PlaevosEO NousE.E[£M • oo.o Utrdes f?ivpc? fd flev+a/ion Lowes IovrEleva ion 905.9 $ -------- Deno%sdrornrr eiUli/i?1y fasement Topor''B/ocl?f/FVa/ion 90 .93 -?--}-- Denvlrs Drni?,e Flot?V'DirPCfion Ga??aot Slab £lEVafiorJ 9oe,6 ? Uena?s Monuli3enf Bevrils shown ar-e assumfd n Ue,ves q e Ab LOT24,BLOCk' 3 SrAFFORD PLACE OAKOTA Ct)t1Nt yj MlNIVESOTA 1 herebY cer111y thet 1hN wrveY. Plen o. r.ryorl wef Prepnred AY me or nndpr mV dirqr.l spmvisinn nnd Ih?t 1 nm dnly firgis?eicd lead Survey0r under the Iwm 01 Ihe 51ue ol IAlnnnote, Ds1eA Ihle_jh V-lday ol A.D. 194k . ` /. oCcale : lhc6 = 40hel Wog 3. o, n 1i n F , ?. ?„<, ,, ,<. Pfl:. NO. 141191 ?b¢ ? ` CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT KNOB ROP.D EAGAN, MN 55122 PERMIT # AI %SO PHONE: (612) 454-8100 RECEIPT # D$ y t"IX?DATE: PLEASE COMPLETE UFPEAPORTION ONLY FOR SINGLE FAMILY ?.. . . TOWNNOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. -------------------''°-- -------^--------------------------------° WORK DESCRIPTION FEES NEW CONST _x ADD ON REPAIR OWNER NAME: C.P.E LLuc.i-? SITE ADDRESS:?? T LOT: °r T BLOCK ? ;UBD. J : TNSTALLER: METRO AIR INC. ADDRESS: 16980 WELCOME AVE. S.E. CITY: PRIOR LAKE, MN. ZIp; 55372 PHONE #: 447-81 24 ADD-ON MINIMUM HVAC 0-100 M $TU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: DWELLINGS & $15.00 24.00 6.00 3.00 $ 27.00 .50 $ 27.50 SIGNATURE OF PERMITTEE PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDZNGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: CITY OF EAGAN FEES 16 QF CONTRACT FEE. STATE SllRCHARGE - $.50 FOR EACH $1,000 OF PERMIT FSE. PkGI",E3S¢,D P1YIi?IG = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE T71 AL'-"ujl^nz?? (SIGNATURE) CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 toommm FOR CITY IISE ONLY PERMIT # I 2 6 RECEIPT # ( DATE: a PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ WORK DESCRIPTION NEW CONST ? ADD ON REPAIR OWNER NAME: //c ?'/ p??c-,"5 SITE ADDRESS: C)C( 3 C V` -4;m44- ve LOT:ow SIACK I SUBD. INSTALLER: '?C--hCl e? 0 I W i n ADDRESS: ,v- ---- --------------------- COMPLETE THE FOLLDWING: ------ N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 _ SHOWER 3.00 / WATER CLOSET 3.00 / BATH TUB 3.00 + LAVATORY 3.00 ?? - i KITCHEN SINK 3.00 -? - i LAUNDRY TRAY 3.00 _? - HOT TUB/SPA 3.00 i WATER HEATER 3.00 3. i FLOOR DRAIN 3.00 3 GAS PIPING OUT. ? + (MINIMUM - 1) 3.00 j ROUGH OPENINGS 1.50 ?b _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 SUBTOTAL ? ST. SURCHARGE .50 &0 TOTAL: C02?IMEI?GZf?IN$?S7'RTAL:: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILOINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE #: FOR: ZIP: FEES 1% OF CONTRACT FEE. STATE SURCHARGE _ $.SO FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) CITY OF EAGAN CITY: P( ?pr L??1-e ZIP: 5? 3`7 v City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use tt� Permit #: Permit Fee: (pus) Date Received: Of (3 Staff: 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. l� Site Address: / 73 /4/4 - Date: D' 3 Tenant: g2f/034- Sy #t)C Suite #: J Name:,5 f'4!J-4 ,67>,72. 4; c Phone: �6�,- 7 (4/6 Address/City/Zip:'/2 3 PeA.i »i 7,)4,0,4113 .4tJ,'+k- /L/ Name: gl.k)A )07f.. 14,4 4 fl 4 - Address: (.070 c%� .(4) ALM' Al State: M Zip: 6— 50 P02. Contact:JO E L LI A 6:E'4.1 License #: City: „-72 L- (L.4'T C ae- Phone: 67-113 7 Email: New j Replacement Additional Alteration Description of work: iCC!'1.�+t re... .,4e c e A - NOTE: Roof mounted and ground moue Code. Please contact the Mechanical lee / RESIDENTIAL VFurnace 1/ Air Conditioner Air Exchanger Heat Pump Other Demolition New Construction Install Piping Gas COMMERCIAL _ Interior Improvement Processed Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) /' , e $100.00 Residential New (includes $5.00 State Surcharge) = $ L' TOTAL FEE COMMERCIAL FEES $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 =$ =$ =$ Permit Fee Surcharge* TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in confor ance 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 nott 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. x46't Applicant's Printed Name plicant's Signature FC OFFICE U Required Inspection Underground Ro Use BLUE or BLACK Ink For Office Use--------- j Permit City of Eap 1 ~ ~ Permit Fee: loc~ 1 3830 Pilot Knob Road Eagan MN 55122 Date Received: ; Phone: (651) 675-5675 I 1 Fax: (651) 675-6694 1 Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Ql.,~ /~6 G I`~G Phone: Resident/ C Owner Address / City / Zip: ® PaA)S Y4-VA'V14 A A.` Applicant is: Owner X Contractor Type of Work Description of work: -764,%- Construction Cost: f1 Multi-Family Building: (Yes / No V) Company: Twl'J CI fib C(Yv 04( fW(- S 6kOCO Contact: 'Address: City: ~ C.UC~tG~GI~ Contractor State: nw Zip: Phone: 62 U/ License Ac Lead Certificate N A r f'l f 6_<~S7-1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that 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.aopherstateonecall.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 ota State Building Code must be completed within 180 days of permit issuance. ~ X_ ~ Applicant's Printed Name Applicant's Signature Page 1 of 3