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803 Promontory Pl. ? ? CASM REGEIPT , CITY OF -EAQAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 ` fECF?OM HO AMOUNT $ & DOLLARS 'oo ? CASH ? CHECK FIR M ? ?-_{ , C whne-Payera copy veuow-Posting Covr P(nk-File Coov Thank You ? ev SEWER b WATER PERMIT CITY OF EAGAN 3830 Pibt Knob Rd. Eagan, MN 55122-1897 DATE OFFICE USE ONLY METER # CHIP # METER SIZE ISSUE DATE PERMIT DATE $/ 7 jA9 PERMIT # 10717 B.P.RECEIPT# %, 3293 B.P. RECEIPT DATE -i4 94 _ PRV _ BOOSTER PUMP SITE ADDRESS ° PERMfT REQUESTED LOT L BLOCK `L SEC/SUB ???? p ' i ? 't IC rt`" / ? SEWER _ WATER _ TAPS APPLICANT: r v ' ADDRESS: F- ?Q I t' n d P I?s F? ??-r' r f-- - COMM/IND =`RESIDENTIAL CITY, STATE ZIP j S,` NEW - EXISTING PHONE: • Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRtSS: 4r4-t?r.?c- Credit.VyILL NOT be given for Deduct Meters. CITY, STATE ZIP PHONE• -? 5 - I AGREE TO COMPLY WITH CITY OF OWNER: S EAGANORDINANCES ?, . ADDRESS. _ CITY, STATE PHONE: - ZIP SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER de WATER PEF#MIT CITY OF EAGAN 3830 Pibt Knob Rd. Eagan, MN 55122-1897 DATE E4/ ho 9 OFFlCE USE ONLY METER #??? a23 PERM(T DATE AI 7I 89 CHIp pERMIT # 10717 METER SIZE ? -0E& B.P. RECEIPT # U 3293 ISSUE DATE B.P. RECEIPT DATE 84 89 _ PRV - BOOSTER PUMP SITE ADDRESS 9,03 /?°` p/-0 c LOT "d BLOCK SEC/SUg _!?a_o? ? • APPLICAMT: •A - ? - ? L ADDRESS: 1,710 ? 4 e +- !' C t CITY, STATE v• ZIP SS' i? PHONE: . 8 9 2 PLUMBER: A1k 1t'0 L•- ADDRESS: CITY, STATE ? ZIP M PHONE: 5-23 OWNER: Sa "r a S *e,r PERMIT RE(]UESTED ? SEWER V WATER - TAPS - GOMM/IND _L-_`!?_ESIDENTIAL if __N_EW - EXISTING Lawn Sprinkler Meters are ta be Installed Ahead of Domestic Meters on Water Line. Credit ILL NOT be!A}i en for Deduct Meters. , I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP ' PHONE: SIGNATtJR6-4YHEN METfWISSUED PLEASE ALLOW TWO WORKlNG DAY8 FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORNI SEWER PERMITS, CONTACT ENGINEERING DEPT. - . . , j?' !• , CITY OF EAGAN ?Q ? S?!?8 ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 •i ;. . ' BUILDING PERMIT Receipt To be used for $F ?/W Est. value ;216#WO Oate AUG 4 , t9 g9 Site Address 803 PRO"DWMY PL Lot 10 Block 4 SeclSub. ? WOODIAMDB Parcet No. W Name A AKOT BOW8, IMC 3 Address 7901 UPM KAMM CT o _. .ser e v.* e sv _. nee «ft% ,o Name s? ?Q Address ? City Phone ? W W Name ? ? z-?, Address a W City Phone Building Otticial - , - OFFICE USE ONIY I hereby acknowlege 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. Signature of Permitee A Building Permit is issued to: ?A MDZ BMW• INC on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordmances. dccupancy R-3 ? FEFS Zoning (Actual) Const V"N Bldg. Permit 1???•? (Allowable) , V-N Surcharga 106000 ;Y ot Stones 979 Plan Review 523.00 Length Depth SAC, Cily 100000 S.F. Total - SAC, MCWCC S75*00 S.F. Footprints - C W M0•? On Site Sewage _ ater onn On Site Well Waler Meter 90000 MWCC Syslem ? ?.? Ciry Water ? Acct. Deposil ??? PRV Fequired _ S/W Permit Booster Pump - SrW Surcharge i'00 Z2ae00 Treatment PI APPROVALS Road Unit 3?.oo Planner - Park Ded. Council 81dg.Ofl. _ Copies 3,641.00 Variance - TOTAL Pennit No. Permit No{der Date Te(ephone # WATER SEWER PLUMBING WF&t.i. M.V.A.C. ELECTRIC A 7 X/ ? Inspection Date Insp. Comments Footings I (,(L Foundat,on 44 ?? OS Framing 10 g c D Roofing Ragn Pits• 4' D? Y' C?4 c C o?•: :? S., / Rough Hig isui. Freplace /?i ? Q?' ' (J:I?'???.. ' G? . f /Y j-i v U?v,n? Final Htg. " ? ? ?- 1,/? ?: ?. .: I C " Final Plbg. Z 4 , L ? Const. Meter Plbg. Inspector - Notify Plumber Engr.IPlan Bldg. Final Deck Ftg. o? F?i w?n Pr. Disp. m •- • i ?i (Jttxtx#iratt uf (Orr?panry titp of (ilagan aPpm-tmpttf of l1tddittg JttSpQtttD'tt Thrs Certt;J'icate rssued pursuant to the requirements of Sectfon 346 of the UMiform &uilding Code certifying that at the ume of rssuance ihis struclure was in compliance wrlh the various ordinances of the City regulating building construction or use. For the following.• lhe Qasi6cation S13 DWr,/e/?? &dg. Permit No. 1?? p?ay Tya ?!+'' 1 zoning pia;a H I Tyx cous. VN ow= ot euuaing R A IMT EUMFS, I.AFr. Add,,. 7901 ta'PF.[t tiAiAET rT. , APPiE VAII.EY Hwming aaarm 803 PR24MM PIACE Loc.ii,, L 10, B4. BE WOClDEAId)S ri;/ -/1 ?, D.w. DECEMER 7, 1989 Mcling POST IN A CONSPICUOUS PLACE CONTRACT PRICE Site Lot . PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 4548100 Name ,,,?".,_ _ .,,, .- _... . Addregg a CRy j Phone - , Name ' `'y? ?> ? '4 f y Phon _ ? City V FEES COMMJINO. FEE - 196 OF CQNTRACT FEE AFT. BLDGS. - COMAA. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) ? FOR: CITY OF For C PERMIT # _ RECEIPT # DATE: - I/ BLDG. TYPE WORK DE?CRIPTION '` ? Res. New Muit. Add-on Comm. Repair Ottier RE3. PLBG. ONLY - COMPLETE THE FOLLOWING: N ? FIXTURES TOTAL 0 3 ?- Water Closet - $3.00 1 $ Y • c» • - Bath Tubs - $3.00 Lavatory - $3.00 . -3 v D ? -? Shawer - $3.00 ? ?- Kitchen Sink - $3.00 ?- UrinaUBidet - $3.00 ?- ?- Laundry Tray - $3.00 ? ?- Floor Drains - $1.50 ?- ?- Water Heater - $1.50 Whirlpool - $3.00 -?? -?- Gas Piping Outtets - $1.50 (MtNIMUM -1 PER PERMI'n Softener - $5.00 Well - $ 10.00 -?- Private Disp. - $10.00 Rough Qpenings - $1.50 ? PERMIT FEE: -, STATES S/C: GRAND TOTAL: ? ,• ?`? . . . PERMIT # ' MECHANICAL PERMIT FiECEIPT # ? CITY OF EAGAN x ? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-9100 For Office Use Only: Site Address Lot Block r? ? Sec/5ub ?c BLDC. TYPE WORK DESCRIPTION • , Res. A New m Name J , i< fj Mult Add-on Comm. Repair Address Other c City Phone FEES L Name . f- S RES HVAC 0-100 M BTU -$24 00 c 't 't Address ' / . ADDITIONAL 50 M BTU . - 6.00 p Ciry .?i/lF c? Phone -? (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) 50 EA - 1 7 . . TYPE OF WORK I 1 ' COMM/IND FEE - 1% OF CONTRACT FEE Forced Air ? M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 1200 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # BEYOND $1,000) Other Arn ,- • , FEE SIGNATURE OF PERMITTEE S/C: TOTAL• - FOR: CITY OF EAGAN PLUMBING PERMIT For Offi??,?J?% nly CITY OF EAGAN PERMIT # ? ? CONTRACT 383Q PILQT KNOB ROAD, EAGAN, MN 55122 ?? RECEIPT# gJ ?911g sv PRICE PHONE 454-8100 DATE: Site AdAess oA o3 A'(4L BLDG. T5&,r ?s WORK DESCRIPTH New Lot ' ?ilodt SeclSub - Mult. Add-on _>< BMJCE ptume-, co W_ _ Comm. Repair FEES COMM.IIND. FEE -196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.0O MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (App $.50 SJC PER EACH $1,000 OF PERMIT FEE) cin Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N0. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Kitchen Sink - $3.00 UrinaVBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whidpod - $3.00 Gas Piping Oudets - $1.50 (MINIMUM -1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ? U. G. Sprinkler System - $12.00 PERMIT FEE: STATES S/C: 0' GRAND TOTAL: z,oo •SO ?z a b? a ?( SEDGWICK HEATING & AIR CONDITIONING CO. res"T RecoRO JOBNO 3 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 887-9000 ADDRESS dO J p 1, OCCUPANT SOLD BY Se- G\ C w(C.?' MAKE " '--QNr-j (fYq SERIALNO. 1 -3 Z? CIN OWNER INSTALLED MOOEL6 Y 6od> V-364o-7(D !T II INPt/T THERMOSTAT ` 106OL-)J VALVE LIMIT TSl I ?fZ „ LIMITSETTiNG 2-210 FAN SETTING MAld ? 1 L , _ _, PILOTTVPE? ?oenM &Ay1+ G ? IGNITIONMODEL I1'J?-? ^ -• PILOT TIMING ? Aix r -• PRESSURE INPUT CFH ? ? kf) ? { ? O A/b PERCEN7C0z 6 co PERCENT Oz 1CI16 STACK TEMP. A5' PERCENT CO ? VENTSIZE :1 ?-'- TYPE OF LINER '4Z,, ? LINER SIZE 12 1? FILTERS: SI E T`1 VGCJ X I AN?UMBER ? WIRING 11N 6dLL1 ? ?Y 1.Y1?C TEST TAG LIGHTING INST. DATETESTED -1 ( I -1 OC) COMPANV TESTING NAME OF TESTER FORM235(REV.11/89) FORMDISTRIBIfrION: WHRECOW - JOBFILE YELLdNCOPY-CITY ..? i vc: n.i in ? ?7 °-" 6 4 9 2 3,? Requesl Oate Fire No. Pough-in Inspection R ?irea? ? Reatly Now ?Will Notily Inspeclor 9-13 - 8 9 Yes O No When Ready9 I licensed contraqor ? owner hereby request inspection of above electrical work at: Job Atltlress (Straet, Box or Route No.) Ciry 803 Promontory Place Eagan Seclion No. Tamshi0 Name or No. Rerge No. Counry I I Dakota Occupant(PRIM) Phone No. R.A. Kot Homes 892-6633 Powar $upplier pqtlresa Dakota Electric Farmington, MN 55024 FJecukal Convacror (COmpany Name) Contracror§ License No. Midland Electric Inc. 041610 MaIGnB Adtlress (Comrador ar Owner Making InetellaGOn) 14055 Grand Ave So, Suite E, Burnsville, MN 55337 Authoriz re(COntraclorlOwner Meking I W Phone Number 892-6688 NINNESOTA STAiE BOARD OF ELECTfi1CfFY GrlggsMMwey BItl9. - Paom 3-1]3 1821 UnWeniry Ave., SC Peul, MN 55166 PIronB (812) 841-0800 THIS INSPEGTON REQUEST WILL NQf BE ACCEPTEO BY THE STATE BOARD UNlESS PROPERINSPECrION FEEIS ENCLOSED. S 9/&'9 P 54923 REQUEST FOR ELECTRICAL INSPECTION ? See insVUClions for completlng this lortn on back of yellow copy. X" Below Work Covered by This Request G ` 9 °-si'-0i 0?95CPJ ew. Add Rep. " Type of Building AppliancesWiretl EquipmemWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Speciy) Comm./Industrial Furnace Farm Air Conditioner Other(specity) Contractor5 Ramarks: f Compute Inspection Fee Below: # Other Fee # SarviceEnVanceSiza Fee # Circuits/Feeders Fee Swimminq Pool 0 to 200 Amps 0 to 100 Amps Transfortners Above 200 _ Amps Above 700 _ Amps Signs Inspeciwk Use Oniy: TOTAL Irtigation Booms Q 00 ? Special Inspection 5 Alarm/Communicafion Other Fee r I, the Electrical Inspector, hereby Rough-in ? oa certirythattheaboveinspectionhas been made. Fnal 42 o q OfFlCE USE ONLY This reQuest witl 18 manihs from /g'C? REQUEST FOR ELECTRICAL INSPECTION a ll? Sea inaUUCtions for compkting tMe brtn on badc of yellow mpy. 4 t" U 23 6 - X"`Below Work Covered by This Request EB-00001-0] ?? g3 so y? Add Rep. Typeofeuilding AppliancesWired EquipmantWiretl Home Range Temporary Service Duplex Water Heater lectnc Heating ApL Building Dryer Other (Specify) Comm./Industnal Furnace Farm Air Conditioner Other (specity) ConVeclork FemaMS: Campute InspecNOn Fee Below # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 t0 200 Amps 0 to 100 Amps Transfortners Above 200 _ Amps Above 100 _ Amps Signs InspedorS Use Only: TO TAL Irtigation Booms PJ Z Special Inspection Alarm/Communication Other Fee I, the Electrical Inspecfor, hereby Rough-in oe?e certity that the a6ove inspection has been mada. F„y ? oale?j, ? L d O OFFICE USE ONLY ' This requesl wiE 18 monUS hom / ? o 21276,C/l? Requeat Date Fire No. Rough-in Inspedion 8-1- 8 9 Requiretl? ? Raedy Nau Will Nodiy Inspectar en Reedy? ? vea ? wo I licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (SYreet, Boz or Rouie No.) Ciy 803 Promontory Place Eagan Seqion No. Township Name or No. Renge Np. CouMy Dakota Oceupanl (PfllfJn PMne Na. R.A. Kot Homes NIl$3EZ 892-6633 Power Supplier Atldress Dakota Electric Farmington, MN 55024 Ekciricel Cqmracbr (COmpeny Neme) . Contrector5 Licenee No. Plidland Electric Inc. 041610 Meiling Mtlress (CaMrapd w O.mer Making Installalion) 14055 GrandAvenue So, Suite E, Burnsville, MN 55337 AuNOrizetl Slanclual, (COnvac4or/Owner Making IretaAatbn ? Ph orie Number 892-6688 NINNESOTq STATE BOAqD OF ELECfAICRY 1}11S INSPECTION REOUEST WILL NOT Grigga-Mitlwey BIOg. - Room 8-173 BE ACCEPTED BV THE STATE BOARD 1827 Iinhrerelry Ave., St Paul, NN 55f0! UNLESS PROPER INSPECTION FEE IS Pliona (812) 802-0800 ENCLOSED. DATE: g/7/89 qE:803 FBOMONTORY PLACE, E10, B4. THE itt10DLANDS xx Your Sewer R Water Permit for the above properry 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. - Y`.our Sewer & Water Permit for the above property cannot be compieted for the. following rgasons: . ? n? 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 metgr at Ciry Hall. Meter size must be wnfirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before isSUance. 1 . 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: $/7/89 803 PROMONTORY PLACE, L10, B4, WOODLAND xx Your Sewer & Water Permit for the above property has been compieted. 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. Ar Sewer 8 Water Permit for ihe above property cannot be completed for the foltowing reAsons: k Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECiS ONLY: Please pay tor metqr at Ciry Hail. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8700) before issuance. ? WARNING: BEFORE DIGGING, CA4L LOCAL UTILITIES - TEI.EPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Buitding Inspections Dept. NO. 01-3210 Bldg. Permit 01-3445 Surch.lAdm. 01-2155 Surcharge 01-3422 Plan Review . 79-3866 Sewer Conn. ?k 20-2275 SAC h 01-3446 SAC/Adm. ? 20-3865 Water Conn. 20-3716 Water meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 20-3868 Water Trmt. ? 75-3860 Road Unit (Y? 283855 Park Ded. ? TOTAL , CITY OF EAGAN N2 'I 6 S 9 S ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1C?`? BUILDING PERMIT PHONE: 454-8700 ? ? Receipt # (y''I Tobeusedfor SF DWG/GAR Est.value $216,000 Date AUG 4 , ig 89 Site Address 803 PROMONTORY PL Lot 10 81ock 4 Sec/Sub. THE WOODLANDS Parcel No. W Name R A KOT AOMES. INC o Address 7901 UPPER HAMLET CT City APPLE VALLEY Phone 892-6633 ' Name 5AME 0 ga Address ? Cily Phone ?w Name Address gW City Phone I hereby acknowlege that I have read this application and state Ihat the inlormation is rqrrect and agree to comply with all applicable State oi Minnesota Statutes and City ol Eagan Ordinances. SignaWre of Permiree A Buiidin9 Permit is issued lo: R A KOT HOMES. INC on the express conEition ihat all work shall be done in accordance with all applicabla SWIe oF.Minnesota Statutes and.?C^ity of Eagan Ordinances. Builtling Official AI1A ? I rl OFFICE USE ONLY Occupancy R-3 M=1 FEFS Zoning E=1 (AClual) Const V-.H Bldg. Permit 1, 046 • O? jAllowable) V-N Surcharge 108.00 F of Slories 9' Plan Review 523.00 Length Deplh 66 ' SAC, City LOD.OD S.F.Total - SAC,MCWCC 575.00 S.F. Foolprinls - On5ile5ewage _ WaterConn 580-00 OnSileWell WalerMeler 911-no MWCC System xx ' Accl.Deposil 30-00 City Waler ,? X PRV Required - SNJ Permi[ 20.00 Booster Pump - S/W Surcharge 1.00 TreatmenlPl 228.00 APPROVALS qoad Unit 340.00 Planner - perk Ded. Council eldg.OH. _ CoPies Varience - TOTAL 3,641.00 b033 ;7 KESIDENTIAL BUILDING Permit Applicatioo City OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX 9 651-675-5694 New ConsWction Reauiremenk RemodeUReuair Reouirements 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roafed areas 2 copies ol plan ?20°b maximum lot coverage allowed) 1 set of Eneyy Cakuktlons for heated addifbns 2 copies o( plan showing beam & window sizes; poured found design, etc. i sile survey for additions & decks 1 set of Energy Ca1cuWUons Addffion - iiMicate if wr-site septic sysfem 3 copies of Tree Preservation Plan if lot platted after 7/1l93 Rim Joist Defail Options salection sheet (bldgs wAh 3 or less uniLs 8 (nI.q s OKCe Use Onlv Cert of Survey Recd Tree P2s Plan Recd Tree Pres Not Reqd _ Onaite SepGc System Date IF / O 3 Construction Cost Site Address $ a 3 lppa PZQe? UniUSte # Description of Work o Multi-Family Bidg Fireplace(s) _ 0 2 Property Owner Telephane #( LS ?) `1SL - Contractor Loj1eT7? Address d - 7 Ud &vt?'R 01^? ? City 44- State J-4 Zip 5r)l o_ Telephone #(67/) 70L/- D yo V COMPLETE THIS AREA ONLY IF CONSTRtiCTING A NEW BUILDING Energy Code Category (J submission rype) Licensed Plumber Mechanical Contractor Sewer/Water Contractor Mimmesota Rules 7670 Categorv 1 • Residential Ventilation Category 1 Worksheet Submitted • EnerBY 44._ - , ., .. „ , Minnesota Rules 7672 • New Energy Code Warksheet Submitted Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an 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. WaAe Lv4b LLl, Applicant's Printed Name t Applt#'s Sioffature i ; i Y OFF[CE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 04 02-plex ? 10 08-plex 0 18 Deck ? 23 Porch (screenlgazebo) O OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demalish (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 •Demoiition (Entire Bidg) - Give PCA handout to appliwnt ValuaYion Occupancy MCIES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. af Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings(addition) _ Plumbing Foundadon HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Poo] _ Ftgs _ Air/Gas Tests _ Final . _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ W indows (new/repiacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector ?6? ?? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Naw COnatructlOn RegylrementB • 3 regiStBrBd Site suN6y5 9hOwing Sq. N. Of IOt, Sq. fl. of h0uee; end g roofed areas (20% maximum bt coverege eibwed) • 2 coDles of plan showing beam & win0ow siies; pouretl fountl Aesign, etc.) • lsetofEnergyCalculetbns • 3 cople& M Tree Preserratbn Plan if bt platled afler 7/1/93 • Rim Joist Deteil Options seledbn sheet (bklgs wlh 3 or less unHS) DATE SITE ADC TYPE OF tq a o0 APPLICANT STREET ADDRESS TELEPHONE # / AULTI-FAMILYBLDG _Y FIREPLACE(5) _ 0 _ 1 ON -?1 -EaQO,i STATE ?!? ZIP S S/ Z 3 FAX # PROPERTY0IMNER C'l i/' rxn ?,S0 IGi vn.,0 L? TELEPHONE# 6 S/- Lt-S 2- 59? / ------------------------- ---------------------- -------------------------------------- COMPLETE THIS SECTION FOR -NEWff RESIDENTIAL BUtLDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Catepory 1 Worksheat Submittad • New Energy Cotle Worksheet Submitted • Energy Envelope Calculations Su6mitted Plumbing Conhactor: Plumbing system includes: Mechanlcal Conhactor: Mechanical system includes: Sewer/Water Conhactor. _ Air Conditioning _ Heat Recovery System Phone # Phone i Fee: $90.00 Fee• R7n nn_ R ----------°°---°----°-----------------°-------------°--------------------------------°° ----------^_?-?------- I hereby acknowledge that I have read this application, state that the Information is corr with all applicable State of Minnesota STatutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Baths HemodeUNenalr Neaulrementa . 2 copies of pian • 1 set of Energy Cakulationsfor heated atlditions . isitesurveyforea1erbratltlAlons&decka . Indh:ette'rf home servetl hy 9eptic System for adtlkians VALUATION Phone # _ L.awn Sprinkler _ No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg 0 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4-sea.) ? 33 E#. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl 0 OS 03-plex ? 11 10-plex X 19 Lower Level ? 24 Storm Damage ? OB 04plex ? 12 12-plex PlbggYor_ N ? 25 Miscellaneous ? 31 New Ix 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addftion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Damolish (Bldg)' ? 43 Reraof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicaM Valuation d?O-V Occupancy MC/ES System Census Code 2oning Ciry Water SAC Units Stories ?- Booster Pump Nbr. of Units Sq. Ft. ? PRV Nbr. of Bldgs - Length ? Fire Sprinklered Type of Const ? Width -J REQl11RED INSPECTIONS _ Footings (new bldg) Final/C.O. _ Footings (deck) ? Final/No C.O. _ Footings (addition) Plumbing _ Foundation j? HVAC Drain Tile Other Roof [ce & Water Final Air/Gas Tests Pool Ftgs _ Final ? Framing _ _ Siding Stucco Stone ? Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) j? Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector ToWI ?"I O$I 7 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF 6AGAN 3830 PILOT KNOB RD - 55122 851-681-4875 New Conshuctlon Reaulrernenh Remotlel/Raoair Reauiremenh ? 3 reglsteretl sNe wrveya ahowirq sq. fl. of lot, sq. tt. ol houae and gff rooletl arecu ((M% mmdmum lo? covemae allowedl > 2 coplas of plan (ahow beam d wlntlow slzes; poured fitl. design; etcJ > 1 set of energy calculaHona a 3 caples ol t preaervatlon plan If lol plaMed aRer 7/1/93 DATE: ?? 2 copies d plan 1 set of enbryy CdculaHons (or healed addiMons 1 sita wrvey for exfedor additlons d tlecb CONSiRUCT10N COST: DESCRIPTION OF WORK: iA) STREET ADDRESS: Lor: 10 sLocK: 4 SUBD./P.I.D. A: rnC WBOd I4ndS T Name:7X-et PLrJ CL,FF?? L V-c-C_Y Pnone#: 6-?:7 PROPERTY flrst OWNER g"CJ 12o?+aarr?eJ?-`r° ?L?? Sheet Address: 3 ? ciy c7'31-e-?A-? swte: 1'-1 &1 np: S S' l Z 3 Company. s?-F Phone 0: (area code) COMRACTOR Sheet qddreys; Llcense a ExP• City ARCHITECT/ ENGINEER State: Company: St2L)E Name: Telephone #: ( ) Sfreef Address: Regishctlon M: citY Sicte: ZiP: Sewedwater licensed plumber (H tristallina sewedwater): Phone #' I hereby acknowledge fhat 1 have read Ihts applkafbn, slate itwf ihe informchon ta co a ct, and agree to comply wNh aq apPdeable Stafe ot Minneaota StafuFes and Cify of Eagan Ordinaneea Signalure of Appllcank OFFICE USE ONLY Certificates of Survey Received _ Yes _ No MAY ^ g Tree Preservation Plan Received _ Yes - No _ Not Required __C:?Ir) Zip: $ 6d.to Culled J5/1alo0 ?'r OFFICE USE ONLY BUILDING PERMIT 5UBTYPES ? 01 Foundation ? 07 OSplex ? 13 16plex ? 21 Porch (3-sea.) ? 02 SF Dweliing ? 08 06-plex ? 17 Garage O 22 Poroh/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex -'Etz' 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 17 10-piex PI6g ?& or _ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pooi ? 30 Accessory Bldg. WORK TYPE ,?Nr 31 New ? ?2 Addition ? 33 Alteration ?34 Repair 0 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bidg)' ? 44 Siding ? 38 Demolish (Inte(or) ? 45 Fire Repair 0 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code ol_ No. of Units No. of Buildings I Const. (Actual) (Allowabie) UBC Occupancy Zoning # of Storfes S4• ft• Length 5q• ff• Width Footprint sq. ft. Basement sq. ft. Census Code Main level sq. ft. MC/ES System sq. ft. City Water Sq, ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Permit Fee 160, S 0 Sureharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Totai: p CO . s D SAC Units % SAC ? Engineering Variance ValuaGon: $-LL?_ ? f• _ r r, ? 31 Fxt. Alt - Multi ? 33 Ext. Alt - S F ? 36 MuRi ;:1, 3 . T 3INGLfi F9MILY DWELLII7G5 2 SEfS OF PLANS 3 REGISTERED SITE SOR9EYS 1 SET OF E19EAGY C6LCS. 1989 HUILDIRC PEAMTT IPPLICATION CITY OF EAGAN MILTIPLE DiIELLINGS 2 3ET5 OF PLANS BEGISTfiAED 3ITE SQAVETS - (CHECS iiITH HLDG DIY.) 1 SET OF EAEAGY CILCS. NtJLTIPLE DWELLINGS AENT9L DNITS FOA SALE U1tTTS ODI9MRCI9L 2 SETS OF AHCHITECTURAL 6 STHOCTORAL PLANS 1 SET OF 5PECIFICATIONS 1 SET OF EIiEAGI CALCS. # OF D6TTS BOTEs 1DDRES3ES FOR CORNER LOTS - CONTA,CTOR/HOhEONNEA MQST DE4If3NAiE WHICH lDDaE55 IS DFSIAED. PO C99tiGES iiILL BE iLL01iiED OtICE HOII.DIIiG PERMIT IS I33QED., 3EiiER 8 iT9TER PERMIT £EF•S 1ND lCCO[JNT DEPOSIT FEFS iiILL Bfi IRCLIIDED KITH THE HOILDINO PERlIIT FEE. PAOCES3ING TIME FOA SEWER AAD W9TER PEINI15 IS TiiO DIYS DNCE A PfiAMTT HAS BEEN CAMPLETED INDICITING A LICEN3ED F'LOMBEA. PENALTY APPLIFS HFIEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQOESTED ONCE PEAMIT ZS ISSITED. To He Used For: Site Address 11989 ?-e??an?,.(Valuation: -1-4:r? Date: fg l//o°P 803 47) ?.a ? OFFICE OSfi OI9LY Lot ? Bloek Parcel/Sub ?,(?ppcf?pNCl C Owner c lddress ? qo 1 L( ,?,2c,2 ? ?e'F ? City/Zip Code A. (/ ?l? SS?L? Phone Contraetor S?i.w.Q a S cx 1-0 ve Address City/Zip Code Phone 6rch./Engr. Fe?LG ? l,r'?-e ?? AddI'e99 8 / DOm i1?E; 7`?+q ? City/Zip Code ?,I ?,Ov? Occupaney R 3 M-1 Zoning W-- -, Actual Const V- N Alloa*able • of stories Length ? Depth 66' S.F. Total Footprint S.F. On site sewage On aite well MWCC System ? City water ? PRV required _ Booster Pump _ APPAOVALS Planner _ Council Bldg. Off. Varianee E'FF.9 Bldg. Permit 1046,00 Sureharge 108.0 o Plan Reviesr Z , oa SAC, City O, ot? SAC? MWCC 5'15,0, iJater Conn Sao,oc) Water Meter ?0, oe Aeet. Deposit 30•ao S/Fi Permit a 20,0 S/W Suraharge 1100 Treatment Pl. ZZB.w Road Unit 4 .oo Park Ded. Copies SDBTUTAL Penalty TOTAL Phone 0 p g/ _S-b54 a r . , 'VAtuA.'ripN SA RACTC ? ? ? Z Zxi2 = 2 6N Zyy Zy;7- 5 76 ---- B4o x Is`? 12600 13s __ vnr. 50 x 32 - 1600 I3u Y = ? oy I?? X I?I = lq ? g?s = ty' Sx?xs? = a.d L+xsxs? do? 33x z ? 66 1 3 XZ e2A Y. 2- 62045 X'l4 =. ZSl- b3? 1sT FLOOfi ESmT a ZD4!? Zx ,j; fs . .zx?= iy S K'L = ? p ?bE3l X J'D= I UU 350 ZNP?oo? ?6X Z ? 1? I 0 y 3.G? ?6 a 3?-?L.) 2 = Ll? rZ? = 13 9 0-o-0 = ?------ ? i5b? EX"S'E"H'.TOF; EI.I'IC-:L.CiF'E. izVl::ftAGF::. °lJ" G:Oi°IF{.17F,?'IOlv OWhIC:t C]l=ii-.RE i_ R . IiFFti3 : sL• SH(, fI.AIa i JTi ,?.i ?>T 1 T-t,, ??;1 l"L. Fil>k?;a' ?"?` ? S? fl00CA_ou ty?. _.. -- {?OiJ(fsL?i iC1?i R.A. t??i Hk}P?f_St 1FF?TF g?B_L_ _ F'IrF ._592-.60 l f1E"fFFil°III"I!:c WC)hik:..I.P.iI'; 'nG1U{'ink[ F°i101'isCiF: 5413.33 1. Totet7. E:'•xpcise[I wal.l area 549:::.::59 sq„ F't. x „:I.:l 604.1629 2. lc,t<a1 roo+.'c_ei.:tin, area <:iiS' :,q,Fr .. ,026 55.09=7 .,.. _.. ac;t?:?! si.r..?c,r C?inf_e za"r-fl<:? 0 = ,y.,r -,, .. r) _ :t. ,• 0.026 (avfet- uunheated enc:l.nsrad arerzs) :. ?. ?,. ., - ? ??I. I G?{.: ?35. 'E.I. C:7CJY cant. ?;i?ee; ,.?,? :a,?.?c??k., „ 0.08 ,..,..., ? tn•?er- unheat.fad expost=rj nr e,a,e,i ,::. 5057.33 ,.?. Ci'.Ei. 42i?i<?7q8EPCI Wa?.a ?:,?-?ea r,e???•?fz tr,e ?rlo??t?-., _..... a. Toi.:r.1 yaa:L:L window areK...,,.... . . .. . . . . . . . . . 672.2226 b. tnt.a7, docar aa"er't.........,e..........,..,.,.,..„.. 57.8289 L.. T6'Li3l SIld7.1'iC] g.{:dErs CIIJrY- 2i'E?s3 ............. 1J_._'•119ti3+ d. "ic;tal fi.rep7.au.m area ..............„......„. i:) e. Tota:l wa:L'1 fr-c,.ming area Seiven .LII%f ........ ?.?tUS.. f33 f_ -I otal nF_1- wa11 area s;tc•ve h.he i l oor .. ,. ... ..3468,::?0.5 n. "S'o{[t7l rirri .joi.st area ......a.....a.,....... 355 7Cil'(tl._ i=Xh'i:t;:;tY:7 f='tiLlN9:it-;'I'IC}h1 RtuE_A .. .. . . , .. . . ,. . . . ,. . ., 79.06 h o To1.al fc,unda<`..i. on wi nclo+ra area .. . . . , ,. .. , , ., „ . O r. . i ot.a1 nfzt r c:undaf_i on area. „ . ,. . . . . . . „ . ,. ,. . . . 79„06 lle.termi.ne "ll:" valuc or cac.h ava7.1 s,s_nment. M. 67:=.2"226 .. 'U' =,.34 = 6. 57.8229 ., "II° 0.06 '_ C n 353.3099 .. "U" 0.39 : Gn l.} :. "1.1" !) ::.. P. 505.73:; .. "U" 0. 090334 -- f. 3468.235 ., "U" 0. 043215 -- c!. _rko .. °kJ" 0. 040693 _. h. iJ .. °f.l" ii..-. 9 = 1. i9.l!f? - x °k..J" 0. 076161 - / 262.1668 3.469701. 137. i'°.vi'I:;it (i 45,. 485Cir.I 149.8805 14.40331 1.021325 . . . . . . . . . ,. .r . .n v . . . . . . . n . . . . a . . . . n n .i .u TJf_ c3l ?J T? e ??'1 7 7.s 'I'_IlE"• ?. S 1' ]. 'F E'".? 7? t? . san?f? ??s nr- ler_ss t.har? :it?=:?ir? #A1 ;c:c.i hare nye+t. t.6-?,<? c::?_ir-r•en'i.: eriergy codE,:a,. 2 MCAR 1.16000 A ANU 0., i..O..y..AL ExFC:,sct:i R;:.-rc;F;'i::f.iC:[L.T.;`dC] i`'R4_'r+y 2119 , . ,, T„tal .al::y:tiUl-rt ?Yrraa...,.,,.....e..ee.,.,... C? . rt _ :- _ _ ,-? _:,, ::,, _. - O _c. . ?h ?a _ r"i!u?`r f t:7E-111 y .p.Y..?:iii77.1._?l G:rF..?F3. . ,, ,. , ,. <.l .t ., :ie Total net. F1a'h rocrfrcF.ili.nc7 idl'-E'ci........ .... 1907..L je ermine ", ." ?.Lue 4o:. r?,? _ .:?cE. t`uu4' " ':?_ . ni_ '?-?r? 'nr?•rL ?? d„?' .iq r ,i 0 11 C _ ... V k. 211.9 ., °U" r,.o:...,:::U;r,•v; - 4,.800634 l. 1."r'??I .... .i. „ "lJ" 0.019657 37.48967 . i . ., .. . .,. . .., . ... . ,. . .. , , . . .. . Tot.a:i. if i±.em #;r is ihE _arnc a=.s cir lc-.ss tY,art i{_em *2 ??t?u i•iave?? tne•t tf?e e3nt?r9t c- r.3?3-?. 2, fi°livrli?l 1,,:Le.?iit?;y F=i ?=1?dl:i f=1. ? 7'OT(;E_. !rl._OC;f•: C(-`+fdT. AItG:A ;s_nclc;sEd?. ir Lf. {Clti:tl 'E.LCeLI}- 1..rtni_. 'F}-ctR11ng nY'ca :ave. 10"J.,7. F> p. Total nEt snsu3ated filc7c.;r/cinL-. «rea..,,..,, %i 13e=term:i.ne "U" v,:x].L.s.e fcn- e:.,ch ;loori.r..arit.. sFrnment.. 0. ii ,. "i!" 0.064143 .. C) p. it ,. "YJ" 0.0293=35 -- Ci S,..a..,................a .............Tc3ta1 i) , . i+ ahFrr? >kc? x= t.FiF s•:imk- as or. }.e,>ms t.h;r7 l.l:'.effr 43 yC31.1 t-:avc- mF+t th:v encrgY coc;e. 2 I'•IG'AR i..16008 A r;f•!Ii U. TCIrAL.. Fi._CiuR;C_HhJ"I„ faRFA (E:;FtC]s4=d) n:J y. Total flvnr/cant. fr-aming ,a.re? (avr=. iC`'`). 6.5 r,. 7nt z7 net i nst.t7 at.ed 41. CID;"(CErni':.. FiY'ea . ...,. ., 58.5 Dc=_1_er-;n:ine, "t..i" v,.1llE' 'FL"3Y' f=:CzCii '{'.LoCir?r..a.nr.. ,ec,3meni.. ? .5 ._ ., ??(.1„ 0.057438 _... 0.373348 5B.5 .. °{_I° 0.027894 = 1.631799 ci' . . . . . . . . . . . . . . . . . . . . . . „ . „ . . . . . . . . . . Tntal. t.t1 14 i Io- :item #I9 is the .=.,ame as ar 7.ess Lhan itcrn L14 ;;r3u have mc-t t.he , enerGy -.c:,de:. 2 NICF`cf't 1.16008 A r`'71'vIJ I:1. ? _ ?r?.v?? ? ? ? I 1-it_i'v CFn:'f J:(?'f T'HA"f I H(•1VF i?i`?i..(_A'i°E'::' -? F1P,.it) ,?R " VALt_iE:S HFRL;:SIV ?`il?l:r 7 l"I-'i 1WE= ?;UI:LI;iY.IC; E-iEC? .: Ek:fw; [li? c::XCE=iiii:li:.i I'HE :i`'r`','f`t OF- I?7:1Vr,}EiaLJTt3 f?h.iE12CiY f'vt:]PJSL=.iiVra .._..:..,_......_.....---..__ {sigr?a.t?.trei 8-I _. ..... _. _....__. ?date> ' DE1"Ic:'il'l;:h,iFi "U" 1iAiJJL.S'' IE-ItiU :il;.}di d+1.L II-! S.'tDSh,lf=i & S.R. Interior r,ir,,,..... 0.6E3 Bf'iE'E?"Y Rock::.... „ . .., 0.. 4._i Thenrmo....Ep•ea1::.„.... ii Sl-. uci . .. . ., . .. ., . . ., .. , .. . 6. . 97., E:"the.at.hinci. ......, .. 2. 06 Si.r3i.ng ....,....,a„.. 0„ 73 . I?.;tFrior Ai.r....., 0, 17 .'..i]titl u{'iu Vcill..lE3..... .... ... 11.07 1 .'R - "lJ" Val ue. . . . . . . . . . . , tis, 0ctt>:;.;.q. fHRU :[P,ISUI_.F=(tILiltl `vJ:1"f"t{ E_:SX)TI'.If-i & S.R. Interior F;ir....o, 0.60 ShFet Ror..k.'. .„., e ,.. U„=i,"'i Therrno._.Break . . e . . . Z:i Insi..tlat.ion...,...,, 19 SflE:i?-l.'t:.h21"tq......... .::.{)f.'o ci:i. cl i. n g . „ . . „ . .,. . „ . u 0.78 E'.>:ter..i.t1r- F4ir-...... i::,.li Tot..a:t "R" L'a1ue..„.......... 23,,14 ]. iR -- "i..l" Vt, l uFa„ . . „ .. . . . . . , 0.043215 i..HnRU CEsLrnic Mu_::NBER Interior Fiir-....... 0.69 ohe.E?f:. ROf:k . . . ,. . .. . . f.f, 5¢! Cei. 7. i na t°iem6ei-. ..., 4.35 ln=t.a7. nt i on . .. , .,„,,. 37.92 at.i.ll Fiir ...,...... O.ai !'utul "t,," Va1ue . .. . . „ . .,. . _ , q.s}. :tA 1. /!-i -' "Un V<i7. uP. . ., .. . . ,. ., . ft. i72::_fa5`ri l`HRII C:E]:I_ii`dC3 :fh.iSIJI_4TICii`d Interior ?ai.r-. . , ,. . . 0.68 cihFet. f:ocEc,....... 0,68 T nsul at i orz . . . . , . . . 49 f_!-.il.l A:ir'.,...„..., 0.6, '"sata3. "R" Va7.t_iE ............. 5v0,57 1iR .-. "t;" L'i:l.uE•............ !'J.i;ltir7_°;'; i't-1f=;1.! CClhdf._:f:L"E 1= HLE7Ck: :[nt.nrir.:ar Ftir .,,.o.. it„E;ci c:onr. fi]. 1:. „ ,. , . . . ., . 1.2n InSi.t:lat.:ior'i„.„..„.. 11 Sh.=e'r. f:4::. ic;P'?-.. i . k:) 1=i:.teri.r.ir Ai.r ., . . . „ Ci.:f.':Y Total. „R" Va1 i_,c. . ., . ,. . . . . ,. , , 17P ... -W - n THRU r:r.M ,:?O.r.Sr ln'trraor cii.r.„.,... +:;.;,"rs Zt'15ul3tlOSS.....„„„ },? Fiim 7[a3.=.:>'t- ..._.. 1„89 ti hE %Ktil 7. i'l (:J . .,. . . . . . . ..: , 0.> ::)7. C7 iflil, .. . .. . . „ . . . „ 0.73 E.:'CE?P1C]r 111Y',.,,.... 0,17 Total "R V{A5. LlE'. . .. . . . . . . . „ 24.58 1!R r. uU ................. 0.040683 43„ Y i.I.i.iE' 4i:JY L^tA(iU'nw........ 0,,39 _ , L.?° 4'c3I Liri• i'CIP.. CIC'S,? ?. . . „ . „ . . U.l1C] U" ,talur> fur- }%at.i.o SJrt;.e... 0.39 IHRiJ G'iilul'. @ IriEME+[=R (enr-lc,=se>d) Snt_rri.t,r a:i.r..,..,.. Fini.=_>h F;.nor-inq.,. Ul1L'iE{,...L aymFrnt:. . „ . .. P'lvword ........... Jna..=..t,.. .... ..,..... ::ahec>t r-,aci::........ St. i :L :I. Ai r" . . ,. ,. . . .. . 0.6a 1. 2''_ i:) C>. `3:3 1 1 ..°:i6 0..S8 0.61 Total "Yz" Ve,7 ie . . . . .. . . . , . . 15.59 I./F; = "k..l"..,...,.............C?.iib<13.4::5 "f#iKEJ 1:A:UT. ;<! ]:N:a1!1_A7.t{7ti ient::laso-:di Intrrri.t:ar F-tar,,.,.. f ini.=.:h Flcror-irig ... l.lr-n1er1 ??:tYiT?F?n:_. e . a . . ( ]. Y'FdCJC1Ll n n .. . . . .. . n Ifl?,'iuj.23t'.l. C{..7. . . „ . ,. . , SI'1t.f?i,- Rr7C: E' . . .. . . . . Jh:.7l. Fi2P.,......,., t). 63 t.t_' p 0. „ 9:,'; '"ij 0. :]`cf `7.61 Total "R" Va1,a-r_,....., .... e . e _:.a..C,;i; i / R -_ ' U .. . . .i . . .. ,. . . .. . . . . i. . 0.029385 Tlif:U t,'AIV1". @ Mi_!'113E:1; i E>;: pos>ed i inf:er-i.or Air.,,..... F'inish f-..loc3rin,n,... t.tndc_r-i ay;nen't_„ . .. ., . . F'1 uuaond. . . . . . . . . . . jDla'Y.......,,.o..... Sheatl-ii.ng„ . . „..... ciir.i+f i'L'.. „ . . ., .. la.>;terior- A'sr..... . Total "i=i" Va:l.ur•..,. 1.!Pi - "li . _ . . . , . . . . 0.68 p 0.93 1 1. 56 2.06 0. . 'y @ 0.17 ......... i.7.41 . .. . . ., . . ., . 0.057438 THivIJ i:FalV'1`. (._:! TS',I`=il_lf...(-lTiOi,i (r:.xpo=.ei::i) Tnter'ior Ri.r- ..o .. , 0.6'??3 F'ini . ,.....l..?.ao?:inr? .. _ _ i .. :.?? _,...?. .?,1-? :-.. R l'v6.•Jt7f:]C{.. ?......... t.}e?r.i r. :L 1'1>U Gf1 . .. . .. . . . . .? f Y Si;esthirta. .. . . , . . . ..., C>„ ::3of4:i.t ....,.,,,.,,.. ??.79 E_s;terioe A i.r-......:, :?„ 7.7 l"at.a.l "fi" Vi1.Ll.lfZ............ _._?8 -J 7.:F: m.. " U.. ... .,,....,,,,,,,,....0 .ij_''78 94 SURVEYOR'S CERTIFICATE R.A. KOT HOMES \ REVISEO 83-89 TO SHOW NEW HCWSE LOCATION 'BY ? ??? ? ??D ------ 5 ka Date S^ 4 ?? 'AGA1V ENGINEERING DEgT ?- DENOTES PROPOSED SURFACE DRAINAGE `O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 914,3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 908;4 FEET (000.0)y DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK= 9i7;V FEET i WE.1-IEREBY CERTIFY TO R. A. KOT HOMES THAT THIS 15 A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 10, 81ock 4, THE WOODLANDS, according to ihe recorded plat ihereof, Dakota County, Minnesota. IT DOES NOT PURPOAT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS i ITH DAY OF JULY , 1989. SIGNED: J I n BY: HAROLD C. PEfERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 ? ? ? ? D _ O ? r m W n N O O D W ? O f*I O a > O 7 T PZ z -TI X . Z p ? C) m N Q) CO W -< n? James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612•884-3028 N~o nuc 3 1989.,L t SURVEYOR'S CE TIFICA,TE R. A. KOT HOMES R sH CIOw ATO r?NW 3 r+ouse 89 ? EXISTiNG ?o.o I µ0?g£ I ania.zC I^x•JI BENCH SS 1SI II ELEV!. . ??} E -? . ol ` 9140 - S?? ? 8. ? 910A 909A \ «U L T 16? ? ? 8 NAIL SET U N i N O Q ? II? .I PROPOSED DR IVEWAY ^ .0 O a ? ?D Q 1-/? A\9 w V' l =? cn ?y Q I c! rO?/ aiao p ? Q. ? ? .aia.s/ M 9CG.9 / g?\ `•O 3?7 / I fa CN\? % ? • p? O ,?? ? Y02.7 W ?Q q\ / ? ? ?? PFpF COR. IS ?p MARK BY FELT /oy 'o? / ^ LJ MARK i ¢ ? o ?c1 TRAWRMER?/ ' BENCN MARN ELHV.s RPE 0 ?TO -(pp????\ \Qr? I I ?? WAO¦ 1?C ? Faqe.z ,?Y I W , O i NAIL SETcn / i ? ? N LOT 10 I I I 8 ? 8 i - . I 51 SCALE I INCH = 30 FEET ` --- ? o (958.0) `- 100.00. 0i.,i-ri?_?.i ? `'1-ir O J ?/) D [ H ? > Z * O m cl) W m ? < y ? I I o \ - ? lo L o ? 0 0 ? (%j L?; cr- ?- LJ ? >> % 3°I3 54 W - ' (?fo4'") L, I I James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 o 612•884-3029 L 10 BL cirv use oNLv SUBD. _The_W?olilQ„4,,\ ??os? RECEIPT #: i RECEIPT DATE: 7'M-6'2 PERMIT it 17 8000 PLUM$INfi PERMiT (MIDENTiAL) crrYog ewsax 3830 euM exos sn EA6AA, AfN 55122 651-881-4675 Piease complete for: ? single family dwellings 9 townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to ex ng dwelling - minimum fee Describe: ??CLS? VY"-L VJ- $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet ' minimum - t 3.00 X = $ Hot tubls a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ I SB fiC S stem newlrefurbished 'requires MPC Iic. 75.00 X = $ Se tiC S Stem abandonment 30.00 X = $ ? RPZ newinstallationlrepairire6uild 30.00 X = $ ? Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwelling is under consWttion 3.00 x = $ Under round s rinkler if exisnn dweuin 30.00 x = $ 1 Watercloset 3.00 x = $ I Water heater 3.00 x = $ Water softener if dwewne underconsvuecion 5.00 x = $ Water softener if existin aweum 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e .50 -> ----> ---> $ .50 Total --> -a -_> $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. -----------------------------•-•--•--------.._..--•-----•---.._..-------•---------•-------•-------•-----•-•-------•------• •-----•------.. I hereby adcnowledge that I have read this application, stale thal the information is correU, and agree to comply with all applipble City of Eagan ordinances. It is Ne appiicant's responsibility b nobfy the properry owner that the City of Eagan assumes no Iiabiliry for any damages caused by the Ciry during its nortnal operaGonal and maintenance acGviGes to Ihe faciliUes wnswcted untler this pertnit wilhin City propertylrightrof-way/easement. SITE ADDRESS: p Oa '/ 2g,r4 p'TI"pyC.y V CA-'Cr - OWNERNAME:: G?-l/T&iD 7?.14L(N TELEPHONE#: 657 4-Sz--. S'? 4-( (AREA CODE) INSTALLER NAME: S?C,F TELEPHONE #: (AREA CODE) STREET ADDRESS: CITY: _ S'°°?°1 ZIP: . SIGNATURE OF P RMI EE 1 V?? X. ?v. C. T Fk?, 4EFT EHD i JT'?D LO'? X ' ? : U lateral Brac Indicates paint of 0.E0 ng. ??nt Locations ?N ? CNOROS: 2x6 FL SS T ? Braci ng MUST be positioned to.provide g? pp,p7 13) 5.73 00 5) 11.00 11 0 ??"d m 80T CNIXt05: 2x6 FL 55 SPf /k3 equal unbraced segrtents. . Z) 5.73 6) 22.21 10) IL DO 14) 0.00 ,d emuwa2+Wro/ NEBS: 2x4 Zx10 SP 1954F1.7E 3,6 T2USS RF.PFf4e }) 11. 09 7) 28.00 lll 14.00 ?++•Of?'°°"` ?? d) 14.00 8) 28.00 12) 11.00 OULE l,U 3? i, UiD. P ?' Z a OEP ,?xy imr?dm.ma,pe- ?2uS . - ; r?/?S A n C9RI?y t?18t t1114 fASit. ?OCI?ICa:i0f1. O[ repOrt 1 h?roby ?^?1 TH15 TPUSS WRS DE`?6NEb $UT ljsrncc F /15 .4 GI+?O?r was ocaparecl by mo a undar my direct sVOecvisbn i ? +w ^ 'fLUSL As .Siiou- ?s ' ',u, naer and thai i am a duly Ragistered Protossiosaf Eng ?. se ? nhb, 7 .4s R cL t DE S urtder tha laws af tha Sieta af 0.iinnasata. ?° me?? TO zevrtiR• Nhm- .4 ZX4'x I o! D.PIQ-t TO s:A. !e oF rsorrari crroza wi7t+ 10,4 ,uhttS ? 60.c. pop. Np. 12469 ? " l U 14-0?U 4 ? '2 3 axa I 1z?a-+ 0-8-f ? ? LITTF1 N LUMBER COMPANY 1596# 5S0' 73 0 ALL PLATES TO BE 7EE-LOK 20-ca U r - WARNING: REAO ALL NOTES ON THIS SHEET. e rnav oF THIS DRAWING TO BE GIYEN TO ERECTING -10.00 12-41 ,SpubElN 607.C-ya- 0-8-1 ? ? 1596# 5.50' Eng. Joh : Dwg: DeSd : CFS Chk'C : TC Uve 40•0 PSf TC 00ad 7.0 pst BC Live 0.0 paf BC Oead 10.0 pst scaie = WO: 60079 Truss ID : UutFae - Lbr : 1.15 Ourfac - Plt: 1•75 O.C. Spacing : 24.0' Design Criteria : TPf Seqn: 7a.09.e9- 7212 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 803 Promontory P1 Lot: 10 Block: 4 Addition: The Woodlands PID:10- 75875- 100 -04 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Quesetions regarding electrical permit 952- 445 -2840 Mary Kivi 8910 Wentworth Avenue So ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Elec Owner: Jay T Johnson 803 Promontory P1 Eagan MN 55123 $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA087264 11/03/2008 ePermit cal Inspector, I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144204 Date Issued:07/17/2017 Permit Category:ePermit Site Address: 803 Promontory Pl Lot:10 Block: 4 Addition: The Woodlands PID:10-75875-04-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jay T Johnson 803 Promontory Pl Eagan MN 55123 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA149679 Date Issued:06/05/2018 Permit Category:ePermit Site Address: 803 Promontory Pl Lot:10 Block: 4 Addition: The Woodlands PID:10-75875-04-100 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jay T Johnson 803 Promontory Pl Eagan MN 55123 Glowing Hearth And Home Llc 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature i For Office Use ° Permit#: /56760 t r Permit Fee: (l6',54() Date Received: -/(: . 1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 RECIEVE (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginsoectionsacityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: I Name: i CAI 0 t1,IAS Phone: 411 710 519 Resident/ G Owner Address/City/Zip: 803 ?V�o"�` k4 — Applicant is: Owner vContractor T e of Work P Description of work: c I 1 Fv a V1A Np tr' 1- lel-ek.0 "1 yY I�u, 5e� Type 1 ( Construction Cost: 5001 00 Multi-Family Building: (Yes /Noll ) Company: i t w- lC.avbi3L Contact: T'Vt"( U w- Contractor Address: 3 fe g3 k./J ort twva . TI-z v ^( City: vt_ State:11 Zip: 55.1 2,3 Phone:(,I2 87s 38.77 Email: GI U11-41,24.-- O S P �i i etill. License#: 13c C)3 59ei 59e 3, Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING U G 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: I Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-•ublic if u .rovide s•ecifc reasons that would®ermit the Cit to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval f plans. x 1 0u-k, .,r-. x Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE s'o- 60/14.04.-16,-(7 Pi. /5-6 6 q 3 - SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) C Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New Interior Improvement _ Siding _ Demolish Building* Addition Move Building _ Reroof _ Demolish Interior Alteration Fire Repair _ Windows _ Demolish Foundation Replace — Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation '-'' rOccupancy S-12-C- I MCES System Plan Review Code Edition ft 20/c SAC Units (25%_100%_) Zoning g-- ( City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings , / Length Fire Suppression Required V Type of Construction 6 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) �,p Final/No C.O. Required Foundation Foundation Before Backfill C HVAC_Gas Service Test Gas Line Air Test Hood Roof:_Ice&Water _Final Pool: Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill—Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: �© Al lW9.- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge SSW Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA168606 Date Issued:04/27/2021 Permit Category:ePermit Site Address: 803 Promontory Pl Lot:10 Block: 4 Addition: The Woodlands PID:10-75875-04-100 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jay T Johnson 803 Promontory Pl Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA172075 Date Issued:09/14/2021 Permit Category:ePermit Site Address: 803 Promontory Pl Lot:10 Block: 4 Addition: The Woodlands PID:10-75875-04-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Jay T Johnson 803 Promontory Pl Eagan MN 55123 (612) 710-5491 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA178954 Date Issued:09/12/2022 Permit Category:ePermit Site Address: 803 Promontory Pl Lot:10 Block: 4 Addition: The Woodlands PID:10-75875-04-100 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jay T Johnson 803 Promontory Pl Eagan MN 55123 (612) 710-5491 Sedgwick Heating & Air Conditioning 1240 Trapp Road, Suite A Eagan MN 55121 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature