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4650 Pilot Knob Rd Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - For Office Use I I City of EaRd Permit#: I Pe rmit Fee: C/ I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10 ` Site Address: 4L~~ ` Ab Tenant: QzA-i-,1Q~ i' 1 Suite RESIDENT/ OWNER Name: ka ~ { Ca ELe o Phone: Address / City / Zip: k _ Lk_r Applicant is: k owner Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No ) CONTRACTOR Name:- License Address: City: State: Zip: Phone: Contact: 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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will i 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, an wo k is not to st rt without a permit; that the work will be in ac awth the approved plan in the case of work which requires a review and appr val f I A ti~ x x Applicant's Printed Name Applic nt's Sign ture W Page 1 of 2 i*??'Rsr'?i'y.Q . , . .. ?. r. .. . .. ,. -. . .. . .. .' __, . . „ CITY OF EAGAN ..,?.. -. ... . -• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used tor SF ?/GAR Est. Value $131,000 Date Site Adc? ss , Lot Block Parcel No. cc Name ^L ?LLllll?lill?l? VYPJIRVVi?Vf• ; Address o ? City MENDOTA one ? Name O ?Q Address '- City Phone U¢ WW Name F a W x= Address i W City Phone I hereby acknowlege Ihat I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Stawtes and Ciry oi Eagan Ordinances. Slgnature of Permitee A Building Permit is issued to: ???MNN WM; on the express condition that all work shall be done in accordance with all applicable State oi Mi ?sota Statutesapd City af Eagan Ordinances. Building Oflicial ? `. ?'?. ?-` • ti SeclSub. ? ... _?; ?.. . ., . ? ImOm 17419 _. ' JAN 2 . i s 90 OFFICE USE ONLY Occupancy it-3 h"1 FEES Zoning R--JL V-N '?•? (AC1ual) Const V-N 81dg. Permit (Al1ON'ab1e) - 65.50 N of Stories Surcnarge Length --1 Plan Review 486.00 Oepth 451 SAC, City 100•00 S.F. Total _ SAC. MCWCC 600.00 S.F. Footprints - 525.00 On Site Sewage _ Water Conn 90.00 OnSiteWell - WaterMeter MWCC System XX 3Q.Qo Ciry Water xR Acct. Deposil ?9'? PRV Required - S/W PermN Baoster Pump - S/W Surcharge 1.00 252.00 Treatment PI 355.00 APPROVALS Road Urnl Planner - 20.00 Council BIdg.OM. _ CoPies 3 140, . 50 Variance - TOTAL Permit No. Permit Holder Date Telephone # WATER A/L? ? SEWEfi 1. PLUMBING H.V.A.C. GtI'C., ELECTRIC Inspection Date Insp. Comments F??ingS I Foundation F??ing ? - ?- 9c 5 Roofing Rough PI6g. Rough Htg. GG G? lsui. p 4J.? Fueplace C Final Fny. 3-/?` i ? S - i•. • Fil121 Plbg- "??a -"l ? ? ?.?"'? - ? ' ,. r9 ? r, Const. Meter ? Plbg. Inspector - Noti Plumber EngrJPlan Bldg. Final Deck Ftg. OBCk Final Well Pr. Oisp. f 4n ? fallr ?,J ? 1' ? ?e..s? ?,?. •? '.. : ?. f'. :., .-?{? .. 3 ', _ (gtr#tfira#t uf (Orrupanxy Citp of (gagari Eqartmm af wuilbmg inLipcctimc 7hts CuWJFCWe tssued pwsuartt !01he reqrdrements of Section 306 of Ihe Unijorm Building Code certijying thctat rhe linre ojissuance thismwxwre xas ia onnipliance wilh the ?+arious ordinaitm of 1Jre Crty reguladng buil&itg oorrstncction or use For lhe fo!lowin,g: [hcaF=i&Md. SP.?,?? FW=k ?-&x 17419 OOMPS-TTyvX I3,CG4 I ?s ? R? Tj?pe .n.r VN owoaofeWte:e •? ?,z-•,LLaW-, ,,,•,=X=rr,u.... 535 Str[E u(lAn, ME+IDM HEI(HTS POST IN A CONSPICVOl1S PUCE ? • CONTRACT PRICE Site Address .. Name ? Addre = Cicy ? ra.WmdInM rcnMl I Fol' OffICe Use Ot11y CITY OF EAOAN PERMIT # ? 3830 PILOT KNOB ROAD, EAGANj MN a5122 RECEIPT #! ?. PNONE 4548100 DATE: 'S U 190,10 a l1NuB 1< BLOG. TYPE - WORK DE5WPTION Res. New Blodc S u MuR. Add-on 414~6 ^ Comm. Repeir „ , , . Other ? I Address - ? City Phone FEES COMMIIND. FEE -1% OF CONTRACT FEE APT. BLOGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SUACHARGE PER PERMIT ,50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) i SIGT OF EE FOR: RES. PLBG. ONLY - COIiAPLETE THE FOLLOWING: NO. FIXTURES TOTAL ? Water Clos'et - $3.00 $ ? c. ? Bath Tubs - $3.00 ? LBVetory - $3.00 ` r ' Shower - $3.00 ' Kitchen Sink - $3.00 UrinaUBidet - $3.00 ? Laundry Tray - $3.00 ? Floor Orains - $1.50 ? Water Heater - $1.50 ? • ? Whirlpool - $3.00 1 Gas Piping Oudets -$1,50 (MINIMUM -1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp, - $10.00 Rcugh Openings - $1.50 U. G. Sprinkler System - $12.00 PERMIT FEE: 777 v STATES SJC: • GRAND TOTAL: For OIHce Use Only: PERMff # , . MECHANICAL PERMIT CITY O F EACiAN RECEIPT # ? -- ' 3830 PII OT KNOB R OAD, EAGAN, MN 55122 DATE - CONTRACT PRICE _?,;PHONE : 464-8100 : Site Addrpss BIDG TYPE WORK DESCRIFTION Lot Block Sec/Sub . e Res. New 2- - . c , : Q Mult Add-on 2 g Name 8 Addre?s ti?0( ffi u ?ac), ( ? Comm. Repair ` ? c ? ?( o Ci L'" Phone 44 `-? 1 Other FEES L Name (- l4c-Y c ft'? f?j RES. HVAC 0-100 M BTU -$24.00 c Addrfkss ADDITIONAL 50 M BTU - 6.00 39 p City ? ??- ^ 4 { t Phone ?` I- f`• ?Y? (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS QUTLETS (IYIINIMUM -1 PER PERMin - 1.54 EA. TYPE OF WORK ?y ? ? COMM/IND FEE -19b OF CONTRACT FEE Forced Air ? M BTU - APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOl1SE 8 CONDOS - RES. RATE APPLIES Untt Heater M BTU ININIMUM RESIDENTIAL FEE - ALL ADD-ON & Alr Cond. M BTU REIYWDELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping Oudets # (ADD a.50 SiP PER EACH $1000.00 OF PERMIT FEE) Othel' PERMITFEE: , - SIGNATURE OF PERMITTEE S/C: TOTAL: "?' FOR: CITY OF EAGAN SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 SITE ADGRESS 7'0-2 -r f. - LOT BLOCK / SEC/SUB OFFICE USE ONLY PERMIT DATE ` ?' 3 , ' ' } WATER PERMIT # 1? SEINER PERMIT # METER #q 35'a B.P. RECEIPT # 5509 g,P.RECEIPTDATE 11-L?-'n METER SIZE .!?Z& kc? ISSUE DATE -3 ? - PRV _ BOOSTER PUMP APPUCANT: 17 ? /•/?'{if?fJ1'!?0'i?'' ADDRESS: CITY, STATE ZIP PHONE: CY PLUMBER: t . ADDRESS: CITY, STATE ZIP PHaNE: • -?S??J- -'% i..3? OWNER: _ ADDRESS:_ CITY, STATE PHONE: ZIP PERMIT REQUESTED .?(SEWER 4 WATER _ TAPS COMM/IND 4 RESIDENTIAL 4z NEW EXISTING I AGREE TO COMPL.Y WITH CITY OF EAGAN ORDINANCES: SIGNATURE WHEN METER ISSUED ,(/ `s"eAl PLEASE ALLOW TWO WORKING DAYS FOR PROCES5ING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 SITE ADDRESS ` LOT '- BLOCK ? SEC/SUB APPLICANT: CITY, STATE PHONE: 4 RESIDENTIAL EXISTING PLUMBER: ADDRESS: - 1 AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP EAGAN ORQINANCES: PHONE: OWMER: - ADDRESS: - CITY, STATE PHONE: - ZIP -- .? NEW ZIP OFFICE USE ONLY PERMIT DATE ? •' WATER PERMIT # SEWER PERMIT # METER # B.P. RECEIPT # ? 55q READER # B.P. RECEIPT DATE METER SIZE ISSUE DATE - PRV - BOOSTER PUMP PERMIT REOUESTEO ASEWER • WATER -TAPS COMM/IND SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. 0 CASH RECEIRT ? ?_.., CITY OF EAGAhI ±3830 PIIOT KNOB ROAO EAGAN, MINNESOTA 55122 DATE 19 ? RECErVEo fROM `. T. .y?. l?? • .?? ??? ? i AMOUNT S ? -'I 0 & DpUARS loo O CASH ? CHECK fa+ r ??I ? ? ???/'// - ????'?l l? ?J. .iC%? • '! -'__? C g? ?a9 ??? Yel+ow--Posdnw Copy wnk--Fxe cWy Thank You sY ,T i DATE: 1/3/90 4650 P1LOT KNOB ROAD, L2, B1, FA1RWAi H1LLS lI a, RE: xx 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 YOUR PERMANENT WATER TURN ON. r 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 cannot 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 Ffouse (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. DATE: 1/3/90 BE: 4650 PLLO'f iti+14B RDAD. L2, Bl, FAIRWAY H1LLS 11 xx A YVur 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 YQUR PERMANENT WATER TURN ON. it _ Your Sewer 8 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 cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS OMLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-6700) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES-TELEPHONE, ELECTRIC, GAS, ETC. - REGtUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. . CITY OF EAGAN N- 17419 36:?0 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 J, BUILDING PERMIT Receipt x Tobeusedtor SF DWG/GAR Est.Vawe $131,000 Date JAN 2 11990 Site Address 4650 PILOT KNOB ROAD Lot Z Block 1 SeGSub. FAIRW Parcel No. w Name AL HERRMANN CONSTRUCTION ? Address 535 STONE ROAD City MENDOTA HGHTPhone 891-1100 ,o Name SAME z? g? Address IE City Phone ?Q ?w Name w m; Address aw City Phone I hereby acknowlege that 1 have read Ihis application and state that the information is correcl and agree to comply with all applicable Sta1e of Minnesota StaWtes and Cit f ?Eajg?an?Or yina?nces SignaWre oi Permitee A euildinq Permit is issued ro: AL HERRMANN CONST on the e:press condition that all work shall be done in accordance with all applicable State af Mit Stalutes.aptl City Qf Eaqan Odinances. 1? Y Builtling Official ??5.-l [ ? OFFICE USE ONLY Occupancy R-3_M-1 FEES Zoning R-1_ (ACtual) COnst V-N BIdg.Permit 74$.00 (A1lowable) V=H- Surcharge 65.50 8 oi Slories Lengih 441 Plan Review 486.00 DePth 4-51 snc, ary t nn _ nn S.F. Total - SAG, MCWCC 6no Q0. S.F. Footprints - On Sile Sewage Water Conn b 7 5• 00 On Site Well - Water Meier 90.00 MWCC System x? Acct. Deposit 30.00 City Water PRV Required _ SM/ Permit 29.00 Booster Pump - SlVJ Sumharge 1.00 Treatment PI 9 57 .00 APPROVALS Road Unit 355.00 Pianner - emmlYy 20.00 Council BIdg.OH Copies Variance - TOTAL 3+401.50 ? S I> ? ? ? 64716 f ReQUest Date ?0 Fire Na. Rough-in Irsp Feq?iretl? ? FleaOy Now ? ill Notiy Inspeclor R ' Yas ? a? I licensed contractor ? owner here6y request inspectio of above electrical work at: .bb Atltlress (Sireei, Box a R No.) n City O o J-? G ? Section No. Township Name or No. Renge No. Counry ? 0+Zl-- Occupam (PqINn f-?vvmcxhh ?hs f Phone Na. B' - /6 POwef upplier ? _ ? ? ^?/y,` Adtlress 01?` Electrical Contrector (COmpany Neme) ?? E ' ' ( onbaclor5 License No. -L_ c. e r a 55 Mai6rg qdGrees (COntraclw or Ownet Makirg I a1laVOn) ?"37? AN ' re( ract0 /Owrier kirg Inslellatbn) Phoire Number -5 9 MINNESOTA STATE BO? OF ELECTRICITYx THIS INSPECrION REQUEST WILL NCTr Grlgga-Nitlway Bltlg. = Faom S173 BE ACCEPTED BY THE STATE BOARD 1821 Univerelty Ave., St Paul, NN 55f04 UNLESS PfiOPER INSPECTION FEE IS PMne (612) 602-0800 . ENCLOSED. l/ji?,? P 64716 REQUEST FOR ELECTRICAL INSPECTION ? See in&nictions br completing this (ortn on Oack ot yellow copy. ?C" Below Work Covered by This Request E&00001-0] ' 9574/S ew Ad,7 f1ep. ' TypeofBuiltling AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Building Dryer Other (Specify) -- Comm.lindustrial Furnace Farm Air Conditioner Olher (specily) Contrecmr5 Remieft: Compute lnspection Fee Selow: # Other Fee # . SarvicaEMranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 1 0 ta 700 Amps ( Transforrners Above 200 _ Amps Above 100 _ Amps SIgf1S Inspector§ Use Only: / TOTAL pQ Irrigation Booms ? Special Inspection Alartn/COmmunication Other Fee I, the Eiectrical Inspector, here6y certify that the above inspection has been made. R°°9n-m Finai ? oare/^ a o?ce ?j? . OFFICE IISE ONLY This request wid 18 monihs irom PERMIT # RECEIPT DATE: v - ? 2- 8008 RUID$PTIAL PLUM$IRH PEiiMiT !lPPLICATIO1V c1zY og EAsAx 3830 Pv.oT xxos itn f.AHAN, MLY 551 EE e51-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: `7?e?o ??, ? O + KYIc) I0 OWNERNAME:: CYJ??OI?XI ??? TELEPHONE#: ?? ? ?J?"uCl?D (AREA CODE) INSTALLER NAME: y-" TELEPHONE #: STREETADDRESS: (AREA CODE) I?^I?-Ll7 ?Cr? p CITY: _ ?,GI.?,C.M)u , STATE: MN? ZIP: St?0(4y _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATIONlALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fiutures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 518" meter if needed - $118) Other: _ RPZ: new installatian/repair/rebuild $ 30:00 _ lawn irrigation system Replaceme Uadditional: ? water softener _ water heater $ 15.00 State Surcharge $ .50 IS `? TOtal $ I herebyacknowledge that I have read this application, statethatthe information is cortect, and agreeto compiywith all applicabte City oiEagan ordinances. It is the applicanPs responsihiliry to notify the property owner that fhe City of Eagan assumes no ' bility fo? y da??es caused by the City dunng its nortnal operational and maintenance activities to the fadlitles consWcted under this permit within pr?perty ht-of /easement. OF PF,NfvfITTEE / / 1f02 RESIDENTIAL BUILDING PERMIT APPLICATION ?-- ?j CITY OF EAGAN 3836 P1L0T KNOB RD, EAGAN MN 55122 651•681-4875 New Construction ReauiremeMs • 3 registered stte surveys showing sq. ft. W lot, sq. R. of house; and all raofed a2as (20% ma:imm lot caverage allawed) . 2 copie5 of plan showing 6eam 8 window sizes; poured fourM desgn, etc,) . i set of Energy Calculations • 3 capies of TRe Preservation Plan if iot pfatted after 111l93 • Rim Jaisl Detml Options seleclion sheet (hldgs wifh 3 or less unils) DATE Z _24-0-7-- 51TE ADDRESS A I V? )4-VO ? 0 MULTI-FAMILY BLDG Y N TYPE OF WORK /-4>a r Ut`t- FIREPLACE(S) _ 0_ 1_ 2 APPLICANT 7-s 04 ? STREET ADDRESS 13 3 70vvL-:i-c? CITY CoI I TATEY?1n ZIP?? Z-Z TELEPHONE #,'763-54Z /7dSCELL PHONE # P2`:21 Z -bZVFAX # ? ` GSl S?S? -??i'l7 PROPERTYOWNER lg'l""? TELEPHONE# ?- ----------------------------------------°------------------------------------------°°------- COMPLETE THIS SECTION fOR -NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 _ N (Jsubmission type) • Residential Ventilation Category l Worksheet Submitted • • Energy Envelope Calculations Submitted Plumbing Contractor: _ Plumbing system includes: Mechanical Contractor. Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery Systcm Phone # Phone # ?S ?7E I'ee: $90.00 Pee: $70.00 °---------'----°---------°--------------°-------°----------------L0jr' --°-._.. ...-------------------------° I hereby acknowledge that I have rend this application, state thais , and agree to c ply with all applicable State of Minnesota Statutes and City of Eagaes. Signature of Appllca n ? OFrICL USI: ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 _ Watcr Softencr _ Water Heatcr No. of Baths _ Phone # I,awn Sprinkler No. oF R.I. 13aths Remodel/ReoairRaouiremenb q ?. . 2 copies of plan . 1 set of Energy Calculatiore for heated additbns • 1 5ite survey for extenor additions 8 decks . Indicate if home served 6y septic system for additions JUN 14 7 t? o VALUATION ..7-/So OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. 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 (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Pibg_Y or _ N ? 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 WindowslDOOrs ? 34 Replacement 'Demolition (Entlre 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 Sprinkiered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaUC.O. _ fiootings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Firepiace _ R.I. _ Air Test _ Final _ Windows (newlreplacement) _ 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 Search Copies Other Total Building Inspector ? ? SINGLE FAMILY DiIELLIBGS 1989 8UILDIPG PERhITT IPPLICAYION CITY OF EAGAN ?I lIOLiIPLE P SETS OF PLAHS ' 3 REGISTERED SITE SORVEYS 1 SLPP OF ENERGY CtLCS. 2 SSTS OF PI.ANS HEGISTHAED SITE SDRVET3 - (COECE iRTH HLD(; DIV, ) 1 3Sf OF F.BEHGI ClLC3. COMMERCIAL 2 SETS OF 1HCHIlECfURAi. i STBOCTQRiL PLiN3 1 SET OF SPECIFICATIONS-? 1 SET OF F11EEGt CALC3. . lIfTL.TIPLfi DiiELLING3 AENTAL DNITS FOR SILE D6IT8 I OF U6ITS yOTEs IDDRES3ES P08 COAIPEA LQTS - CORTR?CTORl8OME051fiEA MIDST DE.4IGPATE Y8IC8 IDDRESS IS DESIRED. SO CHANGE3 IiII.L HE lLLOiiED ONCE HOILDING PEHKIT I9 ISSOED.. SEWEA & YATER PERMIT FEFS lAD 1CC00liT DEP03IT l6ES NII.L BS IACLIIDED WITH ?8E HOILDINO 4EiMTT FEE. PAOCESSING iIME POA SEWEA AAD YATER PEAliIiS IS Ti10 DAYS ONCE A PERMIT HAS SEEN (OMPLETED INDICATIAG A LICEN3ED PLIE'IDEA. PENALTY APPLIES WHENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS AEQOESTED ONCE PERMIT IS ISSDED. DE? 1 5 1989i1E.N ? ? ?sa? , To Be Used For:.il1LLlJ/,O?xo Yaluation: ? Date: ?a,Liy/?9 Site Address Ad Lot ? Block / Pareel /Sub ? Oimer Address City/Zip Code Phone Contractor Addreas City/Zip Code Phone P21- //40 _ Arch./Engr. eaare9s / 5 %oo 9 vrritX we oecupancy R-3 M- I Zoning T2-1 Actual Const V - N Allowable V - N t of atories Length 4 ! ' _ Depth Wo? S.F. Total Footprint S.F. On aite aexage On aite well MWCC Syatem v CiLy vater ? PRV required _ Hooster Pump _ lPPROYELS Planner Couneil Bldg. Off. va-sance FEES Hldg. Permit Surcharge Plan Aeview SAC, City SACO MIiCC Yiater Conn ftater Meter Acet. Depo L S/A Yermi S/ii Sure rge Treatme P1. Aoad Un Park Copies • SQBTOTAL Penaltq SDTAL ±t7tiz/i a ? S? ? ? 8, o0 I qqa T1y8.oo 65.SU '486.oc )00,00 6ov. o 0 GZS•oo yo.ao 30, ao Z9.oc I.oD 252.00 355,cn CitqlZip Code I i Phone # r? ?:..: ,vAI.,U:?T 1a?1 --.----- GA2?GE , `?'t ?. ? ?"11 z ? ?3?? 4 s-0 Usm? ? ?si -T7LoDp 33? 6 = i?s (bXF? = Z?lb 1 l ?`'t x b`? = '7?c?yb ? ?f ay 1? ? ? `? 5 2-00 13O , \ '-l lp ' •a 9 ? .• , GITX OF BUILDINQ DEPARTMEIJT ?/QQ KTO Z.C? (l) -• EXTERIOR ENVII,OPE AVERAGE IIUII COI4PUTATION / f (To be submitted ivith building perroit application) Oae or Two Family Dwelling Owner All Other Site Addresa Uc,T 2i 13Lor.e ? :FAIRWA\/ ki?LS 2nj'r> Contractor ?4L?.?!(?'rl Date ? Phone LINEAL FEET OF N N EXPOSED RIALL ft. above grade TOTAL EXPOSED YVALL ARE:A SQ. FT;OPAQUE WALL CONSTRUCTION: "U" Value x Area Detail-1!%KNh1F nUn_ ?t SQ. FT. I?1?7' ?CJ'(,OZ.?U)(A) fromreace liult_ t p-7 lp x SR, S FT. ( 0 Z (U) (A). : :: x Q. -FT. Zt 'd= (U)(A) attached I U x SQ, FT. = eu) (R) sheeta tiU'l X SQ. FT. - (U) (A) nun x SQ. FT. _ (U)(A) WINDpW5i "U" Value x Area Make & Type /1^J?I.I(?.? 1iYti1T itUst ,'"t? x Sq. nUn 11 ,1 x Sq, n nUu x S . u uun x sQ. DOORSt "Ull Value x Area Make & Type n n n' u JYJ ??-•. 11(ill 1 I•. T? p nUn x SQ. x SR npn . iiUu X sQ. x SQ, TOTALS AVERAaE "Uvl FT.?--?Z,L-9= 1Lfi U)(A) FT. _ (U)(A) FT. _ (U)(A) FT. ? (U)(A) FT. FT. ?? o ?U? (U) (A) FT.??o FT. _ (II)(A) (U) (A) F'T._ 22 11 ?J ? (ll) (A) TOTAI, (U) (A) VALUES DIVIDED BY TOTAL WALL AREA AVERA(3E "U" .115 or lesa for 1&2 family dwellings ROOF/CEILINq s t,-??? TOTAL 'AREAs Detail reference from liu,l In-7_ I p f10Z-(p)( ? attached sheete, nUl? x iiUi, SQ. A) FT. : (U)(A) Deacribe openinga „U,? x SQ. FT, _ (U)'(A) in rooY. x SQ. FT, _ (U) (A) x Sq. F?P. ([J)(A) TOTAL (U) (A) VALUES DIVTDED BY TT?L4j ?\ ) TOT - ? AL ROOF/CEILINCf pREp AVERA(3E "U ll" l .025 Cor ventilated roofa. ? UZ'I L?- .?„ 40 4??Z 3-4 28) ' IL`l ? , 44' (?x1??z?+-z??= z??18?,3z --r DAK? ' 0-7X I? IZ F?t m i U.?Jx 12..kD = I Iz- I?U J - z4 /,, 4E> ` 3 - z`? X (90 = Z - Zv ?C?B ? z - Ico k7:;A-o _ 3???? X I = 33,?? 2z,?X3= C.o??so ? I , z?-x2= 82? 5 2.?Z-i2s v < ?I?a 1Z WpN ZIZiZ? G? ? ??Ib 5U7'? 1`?c11??7 , --V7ALL SECTION-- Determining "Ull values at Roof, Wallo Rimp and Conc. Hlock ROOF/CEILIN(i R V/ILU: 1.) Interior Air F'i1m 0.61 z.) 5/8,, ayP. Bd. .56 3.) Inaulation 4C p 4.1 5.) Exterior Air Film .61 (BTILL) nUu o 1/Re 'POTAL ?.-- (R)= VlALL R VALU] 6.} Inierior Air Film 0,68 7.> i" Gyp. sa. .45 8.) Insulation 1110 9.) Ja+JII.1" F_? 2 l04' 10.) Masonite Siding .67 11.) Exterior Air Film ,17 "Utl = 1/R= Id4b TOTAL (R)= Z?j,YJ r Rlbl 12.) Interior Air Film 13.) Insulation 14.) 2" Fir Rim Joist 15.) 17--t1IL"f 'p-i"IE 16.) Masonite Siding 170 Exterior Air Film R VALUI 0.68 /9, o° 1.88 Z , V`F' .67 .17 IIUII = 1/R= TOTAL (R)- 7,41.1 -7 FOU27DATION R VALUF 18.) Interior Air Film 0.68 19.) zo. ) 1 NA*A.A17an? P, Do 21.) 12" Concrete Block 1.28 22.) 23.) Exterior Air Film .17 liUn = 1/R= .01P TOTAL (R)= I?Ji?; r Ac ffERRMSIAW CorAisT ?/flOSE ?IVGI?V??fll(VG COMPANM, I(VC. IUUU EA9T IhBm STREE7, ?z?.oi CONSUIjIN6 (NOfNEFflS PIflNNEBS and IflND iURVEYONS BURN5VII.LF:, MINHESOTA 6633T PH 432'30UO Certificate of Survey L6gill DBSC1'1nL1Q11: LOT 2, BGOCK ; FA/RW4Y y/LLS 2NU ADOi7101,,/, L4K074 COUrV7Y, M/NNESOT<j ((oob.o ) DENOTES EXISTING ELEVATION (/oofo.o) UENOTES Pf10POSEU ELEVATION ? INDICATES UIfiHC:'I'IUN OP SURFACE URAINAGE 1006.33 = PINISI-IEU (UAIiAUE fLUUR ELEVATION 9956Z = gpSEMENT FLOOR ELEVATION 006• 66 - TOP OF BLOCK ELEVATION E A G A NI! REVIEltdE3 SY ? D9TE I 2- ? li - c9q ? FRONT B?/?LO/N? ?SET&ACFC' L/NE D?9?Nr46E <Ia/D r ( UTici75' EA66;VEaT , , ; - 7- f 23,0o L_?-/ 1 (999.3) N B9° a3' 46" E j !999: ?, /3D, 49 T ?_ p I ? Z O 149 I ~y t m? , \1 ? J7 ?. ??lod .o) o1 . 9 z3 So 998,5? `? io?ll ?? 'O ? I CIODb,G g S,oo Q 1I 3o,Ao +? ° /o, o ?e ? °• GR.F?iE L (/006.0 29.B? 'L?ll ?? /0 I ?7.B? I 0 ?! ? o - - - - -Jlal i 30. 4 9 Lpoq; 5. ?a? $? N 89° 03 46 E/? ?} ?. ? r1-r=c I7 ^ ?-' % `;1 ,/'??,? V-1 ??;/rn `??? ?1 I^?, a/•? ?, ? ? ?.-, j? .?. ?? d ? I. ny Dat8 EAGANT ENCINIEExti_ ?ooo,s? ? O 0 14) `OO?Oj Qooq-.o? 1 bereby cerlfly lhal 16is is a true aud correcf repieaenlalion ol a iracl o( land as shown and deacribed hereon. Aa piepared by me on 1his ??day ol I REVi-e,62:7 /Z-/2.-59 Ft iohD f?SE G Minn, Rey. No. /6099 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA087703 Eagan, MN 55122 . Date Issued: 12/08/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4650 Pilot Knob Rd Lot: 2 Block: 1 Addition: Fairway Hills 2nd PID 10-25601-020-01 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen Peter J Sichko 1920 County Road C West 4650 Pilot Knob Rd Roseville MN 55113 Eagan MN 55123 (651) 264-4777 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA133492 Date Issued:10/16/2015 Permit Category:ePermit Site Address: 4650 Pilot Knob Rd Lot:2 Block: 1 Addition: Fairway Hills 2nd PID:10-25601-01-020 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 - Peter J Sichko 4650 Pilot Knob Rd Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature C!tyofEa�au 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 FIVED JUN 0 31016 r Use BLUE or BLACK Ink For Office Use Permit #: / g 70/5 Pr Permit Fee: / ! a ` 0 Date Received: ►y' : 1 T Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date:Site Address: 4-(# So 1 ; t°4' k -w Unit #: Name: f e"� `v t4 Colez✓) S, c-hlCzs Phone: Address / City / Zip: 1-44 S PJ J °4' k -+i Frol 4 Applicant is: Owner x Contractor (oft -8fe-7-0938 Description of work: dello exk5k.'19 d¢8k cvxd c §r(u& (lei d.grk SI Construction Cost: •-y 1 °o0, 6. Multi -Family Building: (Yes / No )( ) Company: :lei-scIilto S44e.s cold Se -0411c -e5 Contact: 't3;t 1 .71-1114-5 CW0 Address: 1530 F uv d C: v -c _ City: -1-4,1 CO etvara. 4ee5V4 State: MN Zip: .5.50-70 Phone: (o51--911- I `i) Email: WO t�• qw+ •i it ei sctiWs e, g ri ll License #: 7033 o3 Lead Certificate #: Nle 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: Fire Suppression Contractor: Phone: 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 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 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 (1tJ i l l i ok _TI e/ck k.o Applicant's Printed Name x Applicant's Signature Page 1 of 3 [6+ yzo DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex WORK TYPES New 4.Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair o lots Porch (3 -Season) Exterior Alteration (Single Family) Porch (4 -Season) Exterior Alteration (Multi) Porch (Screen/Gazebo/Pergola) Miscellaneous Pool Accessory Building Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: Rough In _Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 4 I/01 066 d 1-37c/5 Ac /Ek'NJ#/u+/ mar AGAE #21086•Di ENGINEERING COMPANY INC. ......�..r..�....JUUO EAST 146111 STREET, BURNSVILLE, MINNESOTA 6533T PH 43I -B000 C©NSUI I O l6Na NEERS PLIMPIEJI$ and AND SURVIVORIS Certificate of Survey Legal Description: LOT a, BLDCA" FAIRWAY HILLS 2ND ADD//oA a4K©7A COUNTY, M/NNN'.%74 (1-07)17.-F) DENOTES EXISTING ELEVATION Q/006.o) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE /006.33 = FINISHED GARAGE FLOOR ELEVATION Y28,62 = BASEMENT FLOOR ELEVATION /4o4.66= TOP OF BLOCK ELEVATION gc4Le ' /,r 3o' EAGAr REVIEWED 8Y DA 12 -=smog= m=s A-Rober eiyzo/A/a1 56 TmCK' L /A/E r 23.0o 441 1 1 hereby certify that this owe_ 5fri(Lvil serr'-'*/[ 046 (A( t I( If vwiV•9GE 44/ iT/L/TY ER%47ENT L_ ka 0.2_07.47,4) Qo04:.6 By Date EAGAN ENGINEERS G DEPT Is a true and correct representation of a tract of land as shown ;a- /3o. 49 N 82• pg' 46” e 11"/ and described Wagon, As prepared by me on this Rev/56z /2-14-89 oc't /P.+) //5 nig day 'of 1 En18EC .Tg 89 Minn, Reg. No. A ogg PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159552 Date Issued:12/30/2019 Permit Category:ePermit Site Address: 4650 Pilot Knob Rd Lot:2 Block: 1 Addition: Fairway Hills 2nd PID:10-25601-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Peter J Sichko 4650 Pilot Knob Rd Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature