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1381 Quarry LaneCITY OF EAGAN Remarks Addition Section 10 Lot Bik Parcel 10 01000 050 jQ Owne ?A< <•? Street 1381 Quarry 4d• L-4 State Eaga11,MN 55121 A I Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. * STREET RESTOR. 1975 GRADING SAN SEW TRUNK 1 O 180OO 20 2 # SEWER LATERAL 1275 1 WATERMAIN # WATER LATERAL 8t St,litlS 1 * WATER AREA STORM SEW TRK p 1984 495.00 33.00 15 STORM SEW LAT 1984 495.00 33.00 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. sAC 2.00 1592 11-1 -7 PARK fRE51DENTIAL ?O BUILDING PERMIT APPLICATION CITY OF EAGAN M P? tila 6.35 3830 PILOT KNOB RD - 55122 rp r _( W ) 3 w 651-681-4675 New Construction Reauirements • 3 registered site suneys showing sq. ft of lot sq. ft of house; and all rooted areas (20°k maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calc;.:a6ons • 3 copies of Tree Preservation Plan if lot piatted after 711/93 • Rim Joist Detail Options selec6on sheet (bldgs with 3 or less uniis) DATE .;JB SITE ADDRESS l Zd' I &U/4(2,(>?`f ?3q, q(o 5c?.s6 J0- sb RemodellReoair Reauirements - _7.3?? • 2 copies of plan 57 , • 1 set of Energy Calculations for heated additions . 1 site survey for exterior additions & decks ? _ VALUATION (EXCLUDING LAND) 2 41 V U v LA NE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER 13 f 1 E f?C- Ef?, TYPE OF WORK N,Q FIREPLACE(S) _0 _1 _2 _3 APPLICANT 9 EyU`A t Be-E''S-evLl+ NPHONE# fnS`I 6Y3 9 6 1 b' ADDRESS I 3 81 cA t,< E-14 A4 '`J ZIP CODE S_?S_ PAGER # CELL PHONE # 45-5-1 Z FAX # NIE1' RESlDENTIAL BUILDING ONLY - FILL OUT COMP Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Su - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Piumbing Contractor: Plumbing System Includes: Mechanical Contractor: _ Nlechanical System Includes Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # ?-- r ;'d?1 UG- D i Zcar " Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all appticable State of Minnesota Statutes and City of Eagan Ordinances. Certificates of Survey Received _ tiVater Softener ? ? Water Heater _ No. of Baths Signature of Appllcant f? ?k Tree Preservation Plan Fteceived _ Not_ Required _ . Phone #: L,awn Sprinkler No. of R.I. Baths Phone # Updated 1/01 OFFICE USE ONLY ? r ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti ? 03 01 of _ plex 0 09 07-piex ? 17 Garage 0 33 Ext. Alt - SF 0 04 02-plex ? 10 08-plex 018 Deck ? 23 Porch (screened) O 36 Multi ? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Misceilaneous ?v 31 New O 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* 0 43 Reroof ? 46 Windows/Doors 0 34 Replaceme nt *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 s? Width _ Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water Final 7p Framing Fireplace R.I. Air Test Final 22 Insulation REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbing HVAC Other Pool Ftgs Air/Gas Tests _ Final Siding Stucco Stone Windows (new/replacement) Approved By - , Building Inspector --- - - ----------------------------------------------------------------- Base Fee Surcharge 7 Plan Review MC/ES SAC 116 L ? s a U City SAC L S 7a - ! Water Supply & Storage S&W Permit & Surcharge Treatment Plant "Y) 1:.-V Plumbing Permit Mechanical Permit license Search Copies Other Total WELL ADDRESS /3 8/- DRILLER'S SIGNATURE DAT? PERMIT NUMBER /3 ?, 2- BISSON'S WELL & PUMP C0. 6480 W. , PHONE 9R#40* s?sy?v5?7 SIZE OF WELL y INCHES WELL DEPTH FEET CASING DEPTH Z -;?-/ FEET WATER LEVEL e!??? FEET DRAW DOWN -- FEET CAPACITY GALLONS f? v C'J PER/HR. CASED WITH DEPTH OF IMPERVIOUS FORMATION , FEET WELDED JOINT ? SAND POINTC/I FEET G INCHES/BY ?INCHES SCREWED JOINT rl"V' MAKE AND TYPE MATERIAL: ? WELL REGORU REMARKS: Kind of Formation Color Started Depth Ended Depth Width of Forma. Remarks ?. ? ? i, p.. ?/ .. v,y `, ?? ? 5 ? w.. ? \V I EAGAN TOWNSHIP ? BUILDING PERMIT -- ?!.•--??ee ?•-•------ •- Owner ?4)?-- Address (prese.?5 .. ............. `?'.?.._..??...??----._o//? Builder ••••-•--•-..._._- ......-----•••--•-......--•••••-•--•--•---•-•-•-• - Address .•--••-----•---•-• .................•••-.......--•---•-•-----•---•-•-••-•-•---•-••--•••••-••--- DESCRIPTION x? 2759 Eagan Township Town Hall Date Q..."`.r.?c.?'...'.?. ?-=---• 5tosies To Be Used For Fron! Depth Heigh! Est. Cos! 'Permi! ee Remarks f /a - LOCATION Slreet, Road or other Descripfion of Location I Loi Block Addition or Trac! This permii does aot suthorxe. the use of stree2s, roads, alleys or sidewalks no: does it give the owner or his agen! !he righi to create any situatibn which is a nuisance or which presents a hazard !o the health, safeiy, convenience and general welfare !o anyone in the community. THIS PERMIT MUST BE P ON/ TH R E WHILE THE WORK IS IN P S. This is 3o certifp. lhat? .,/?-.•-.-• ••-••-----.has pesmission to erect ? ._ ..... .. ._ `...--•---P-•--•--••-----_upoa the above d scribed P 7 r misect to !he Provisions of the Buil ' inan for aB o s ado ted APril 11., r 195 _ Per -••• --•••- •• -- •••--- .:...--• .................. .. . . . .. .. . .. •- •• • - •- •• -- - . ..- -- - •• -•-•- - -• . _. . .......... ........................................... Chairman of Tnwn Board Building Inspector Cl 7°Y of EAGAN BUILDING PERMIT Owner ........ME.RRILL.,_.,_EUGENE,_,R :...................... Addsess (Presen!) •-• 1.3.8.1 O u a.r r.g... La n e ................•-...... Builder .......... S.dxU.e .............•••••••...............•••..._................................. Addresa .....................................................................•••••••••-•.............. DESCRIPTION W ;. N2 _ 4110 3795 Pilot Kaob Road Eagan, Minnesota 55122 454-8100 Dale ..10?:12??.6 ....................... 6tories To Be Used Fos Front Depth Heigh! Est. Cos! Permi! Fee Remarks Single Garage 26' 32y 6,000 21.00 3.00 s/c LOCATION Streel, Road or ofher Descriplion of Localion I Lo! Block Additioa or Trac! 1381 Quarry Lans /Q This permii does aot authorize the use of streels, roads, alleys or sidewalks nor does it give the owner or hfs ageat the righ2 to create any situsiion which is s nuisance or which presents a haaard to the heallh, safelp, conveniencs and general welfare to anyone in the communily. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is !o cerlify, that. ...E3?J.e.i1-e ---.?3e?:S.l.l,l--••--•••••-••-.has .Bazoj . to erect a_._..?5. ? s?.l.e... ?.?X.s?aa ................. _upoa the above described e se su4?ject to the provisions of all ap licable Ordin nces for f of Eagan. •• • ................. . .......... ...._ . .._.. .................... Per ._.?ilit_••. ............... J ........ ..........•-.............. ... . .-- -- ... ayor BuildiaQ Inspector CITY o; --EAGAN BUILDING PERMIT Owner ... . . . ............................... Address (Presen3) ..... /I.8.-(.•••-••••......••?.._.t/.LaE?..?.... Builder ............s"CJ .............................•-••-...._.................._._....... Address .............................................................................................. DE3CRIPTION wiw Np 4019 3795 Pilof Knob Road Eagan, Minnesota 55122 454-8100 Daie ..2::A?L.2J.G ................... 5tories To Be Used For Fron! Depth Heigh! Est. Cos! ' Permi! Fse Remarks LOCATION Sireet, Road or other Descaiptioa of Location I Los I t310cK I nctatiioa or i-racs This permit does nol. iYuthorize the use of streeis, roads, alleys or sidewalks nor does it give the ownes or his agea! the righ! 2o create anp situsiion which is a nuisance or which presents a hazard !o the heal2h, safety, convenience snd general welfare 2o anyone in the communiip. THIS PERMIT MUST BE KEPT ?ON `THE"P?R?EMISE WHILE THE WORK IS IN PR02PESS. This is io certify, that_ .:,//t.tlr?2GC.C .......................has permission 3o ereci the above described pr ise subject to the provisions of all applicable Ordinances for the City of Eagan. Per ..cx„??"•=r.t?-.??.•-••-•-•........ ........... ....... ? .. ......1.?./.r???.!?.a-?r.--•._...-••ayor ........................................ Bu2il Mding Inspecto a/4?0 VILLAGE 0F EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT N0. c 7 39 The Vi].].age of Eagan hereby grants to Bissan UTell Coa of 36r? KemebeC Drive a WELL Permit for: (Owner)Stat? inte7.s4ri at 1381 Qttam Rpad , pursuant to application dated 3/27/73 . Fee Paid: $10.00 dated this 27th day of Mwph 9D ? .>0 8 C Building Inspector Nechanical Permits: Bid Totalo jd v?o? a.s? .sc? T0:?N OF E.AGATd 3795 P3.lot Kiiob icoad Eagan, Minnesota 55121 PEP.MIT N0. 124 The Board of Supervisors hereby grants to Wenzel Plurabing &Heatirg of 3600 Kennebec iJj i.vef ++aaan 55i22 3eptic taaik ? a Cessp0ol Permit for: (Owner) St311 F3.nkelsan at 1381 Quarzy Road,, E-gan , pursuant to application dated _ 9/20/72 . Fee Paid: $10.00 Dated this 21,9t day of .Osc . 5eptemaber , 19 ?2 . Buil3ing Inspector viLLksE af FaoAN SEWER SERVICE PERMIT 3795 Pilot Knob Rood ' PERMIT NO.: 2643 Eogan, MN 55122 DATE: 11/14/75 Zoning: RII No. of Units: 1 Owner: _ St-?nley Finkelson Address Site Address: 1381 Quarry Road Plumber: Wenzel Plumbinq 1 ogres to eomply with the Villoge of Eogan Connection Chazge425. 00 pd Ordinancas. Account Deposit: 15. 00 pd Permit Fee: 10.00 pd Surchazg• e• .50 pd i By: Date of Insp. Insp.. - Misc. Charges: Tocal: Date Paid: YILL#,!;',E Af.EAGAN WATER SERVIGE PERM.IT 3795 Pilot Knob Rood PERMIT NO.: 1884 Eagan; MN 95122 DATE: 11/14/75 Zoning: RII No. of Units: 1 Owner:_ Stanle y Finkelson Address: .10 f),/p06 "6aw) Site Address: 1381 Q uarry Lane - WATER TiJRNED OFF AT CURB Plumber: Wenzel Plumbing & Iieating Meter No ?'? ? 44 , ? Co?e [ on Charge: . Size. ? ccount Deposit: Reader o.: Permit Fee: 10.00 Ad 1 agree to tomply with the Villogeeb`f Eogun Surcharge: .50 pd ? ? Ordinonces. Misc. Charges: 60.00 pd l Total: • BY Date Paid: Date of Insp.: Insp.: Ordinance No.114: WELL CONSTRUCTION AND ABANDONMENT WELL PERMIT DAKOTA COUNTY PUBLIC HEALTH DEPARTiviENT ENVIItONMENTAL HEALTH SERVICES SECTION WATER QUALITY MANAGEMENT LTNIT 14955 Galaxie Ave., Apple Valley, MN 55124 Telephone: (612)891-7556 Minnetonka, MN 55345 Pemut No. WHEREAS, the NON-TRANSFERABLE PERMITTEE/DBA: Don Stodola Well Drilling ISSIIED TO #27172 ADDRESS: 15306 Highway 17 REVIEWED BY JML 91-9272 has submitted a permit application, has paid the sum of one hundred ($100) dollars to the County of Dakota as required by Ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary for obtaining this permit to permanently seal the well(s) described herein: An abandoned well(s) with a casing diameter of 4 inches, depth(s) of 169 feet and completed in drift will be permanently sealed. The well(s) shall be cleaned of equipment and debris, disinfected, neat cement pressure grouted and terminated at least two feet below grade. The well is located in the municipality of Eagan as follows: Well Location: Property Owner and Aell Owner and Address (if different) Address (if, different) 1381 Quarry Lane Ruth Merrill ? Eagan, MN . NOW, THEREFORE, Don Stodola Well Drilling, Inc. is hereby permitted and authorized to.permanently seal the well(s) described and located above for the period November 1991 to November 1992 subject to all provisions of said Ordinance, the Minnesota Water Well Construction Code and any conditions attached on the reverse,side of this permit form. Given under my hand this 30th day of December, 1991. ATTEST ? ENVIRONMENTAL HEALTH SUPERVISOR iiW0NMfNTAL HEALTH DIRECTOR MASTER CARD LOCATION OWNER STRUCTURIE AND LAND USED AS , Permit No. Issued Issued To Contractor Owner BUILDING ? '.,, ??•,6 PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING FOUNDATION FRAMING FINAL ELECTRICAL HE/aTING GAS INSTALLATION SEPTIC TANK CESSPOOL \ DRAINFIELD PLUMBING WELL SANITARY SEWER I SEPTIC CESSPOOL TILE fIELD FT. DEPTH Of WELt Violations Noted on Back COMMENTS: ? COMPLIANCE I14SP19CTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. a ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? NQN-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DEGsAYED BY CONDITIONS BEYOND CQNTROL. ? REINSPECTION REQUIRED REINSPECTION REVEALED DATE OF REINSRECTION CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions oL-served to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUtLDING INSPECTOR COAAMENTS: DATE 23 nate ; 710 BUSZ,DTT3G PM2IT kPnL..CA.x:ON LOT O 6-V BLCti K 30 ADDT y ION PARCEL & SECTIO;:t NNMWR TF U11'PLAT3'ED .AIJDRFSS OF EAi2CEL ZOi3IT3G OCCiJPAtt',CY ITSE EaTIM.ATED COSl r , aMIrER TErEPxc?NE IL40 AT7DP.ESS 1'30Z 12g4Ih/' // 1-&2°? - COIy1fiRACTOR TELEFHOY+TE PIO. 1'/`6'd/ "' '?/`t?3- ADDRES5 f .%,1? 41 L, d /? ? - Note° Incl?.de site plan, building plans, and energy calculatians waith this application Signed?_,???? OFFICE USE ? VALt7ATION ?,qtlQ SAC UIATER COHNECTIOIa , VJ1a,'I'ETi I4ETER BUILAING PERMIT FEE SURCHARGE FEE PL'AF3 CFECK FEE PARK DEDICATIOTl FEE OTHER TOTAL* c .?? Pil?$piQtTAL$ : ASSESSMEiiT CLErtK BUII,DING POLICE DEPTe ? 1 ? N7ATER & SEF2ER DFPT. FIRE DEPT4 /_ PARIC DEPT. . ? 0 ?EIV ? ED?U?17 WELL DR/LLlNO FOR fOUR OENERATIONS 1992 L Ng Renner 15688 Jarvi: Street N.W., qk Rlver, MN 55330 INCORPORATED (612) 427-6100 Fax: (612) 427-0533 Date: JLnNE 16,19_q2 MINNESOTA DEPARTMENT OF HEALTH 717 SE DELAWARE STREET DIVISION OF ENV'IRONMENTAL HEALTN MINNEAPOLIS, MINNESOTA 55440 ATTN: Mr Jim Nye (612) 623-5339 SUBJECT: WELL ABANDONMENT RE: NOTIFICATION Dear Mr Nye, SITE DIAGRAM NORTE This letter is to notify you of a water well in your district that should be sealed according to the Water Well Construction Code MCAR §4725.2500-2900. E.H. RENNER & SONS, INC has been notified by the owner of this property or an interested party and have subsequently submitted to them an estimate for the sealing of this we11 under our LICENSE #71015. We have also included a copy of the current code with our estimate. In submitting our estimate, the owner may also receive additional estimtes and hire any number of Minnesota licensed water well contractors in the area to seal this well. However, there is a possibility that this well may not be properly sealed and thus jeopardize the ground water and Pubiic Health. E.N. RENNER & SONS, INC. wishes to provide you this information for future reference with the abandonment report when submitted. PROPERTY OWNER: RUTA MERRILL PHONE # 454-4039 ADDRESS : 1381 pUARY LANE EAGAN, MtJ_ 557 91 DATE 1I-25-91 LOCATION: SAME WELL DIA. 4^ DEP7H: 250'+ Sincerely Submitted, Raymond T. Renner, V-President E.H. RENNER & SONS, INCORPORATED STATE LICENSE #71015 CC : CITY OF EAGAN 3830 PILOT RNOB ROAD EAGAN, MN. 55122 ATTN: Equal Opportunity Employer ? ? fAlEl?. 45, 630JU-t?10 STATE OF MIVASOTA DEPARTMNT OF HEALTHRECEIVED Jpr 8?g ABANDONED M?7.L RECORD 2 t. LOCAT10N OF 11ELL MINMESOTA UNIQUE MELI N0. (law blak 1t aot kno?a) County Nuo Da}COtd Tawnship Man TamsMp Nutbgr lyn" IMriber Sectton No. Frtction 4. YELL DEPTII (Wmqteted) DtLe :Nled M E 4 y of ,4 Eagan 27 s' 23 ?r lo rata sw r?a IG? ". 1 a I a'7 ? R 1 I4wMu1 Stnet Addwss and C1ty of iNll Wuttoe or O1sUaes fem Road S. DRILLINC 1ET1100 (tf knoMn) Interuction 10 Ca61• tool 40 ftwfw 70 Ortwn ia] Duq '1381 Quarry Lane, Eagan, Minn. 55121 ~ go M0"0M "0d ???r go GO1"i0 1C N Sha+ u ?woary eQ J.cae sp ro?.? ?w9.r utt loutlon of iw11 (in sation yNd ritA 'Y•) Swtth n0 ot rtil locatloe 6. OBSTRIKTIONS N INII obttrrctN? b M t . • ? ?? • -• ?- ? .. .? , ? .w :. .;. : Obtnatlaa e?owd ?Yn ? Ib If oestnrctions unnot 6e ? . - r'M1DYld. COIILiCt Inll E hetore tey. ? T ^p?? ?a 7. !MDorrsiie - Q IbnltoM" 013 IleaLt Loop ? tD trrty.sto. ep vdsitc sp tna,strr S 30 r.sc wn 40 wa+oiwl icp cmmKi.i ?-- i .:r.-? 2, iROiERTY OYNER'S MAK Ilaiiteq Addnss if dltttnnt thae property addnss 1nd/caLed above Ruth Merrill SAME WIRONESS OF 3. FOWMTION L06 COIOR FOiI1NTiON FRO1 Tp tf not kno.ai, indtute fonrtlon log from mw wtl o? nNrOy retl. I 16. REINRKS. ELEYATION. SOURCE Oi pATA - CASINGS REIDYEO. CASI11ii PERFORATED. ETC. Grout 4" Well 169' Deep. 14 Bags Cesnent 16 # Bentonite 2 Men, Rig & Gement Grout Rurp. ? I i . . FFICIAL ABMOONED YEII ItEWRC (May bg usgd for ?roarty Transter) zAPaRra+rr: nrs nrzra asaa 7p Atr caetetoeray 110 a us NGis) Blut ?Thnad?d ' 7[] 44, 2p G.l.. sp wiaa ' 3p nas:ic 10 stat.l.:s sr..l i., co 165 n. ie. te ft. 9. SCREEN 0 Scrwned rrl T trem 1 Fi S!!. WQ, Fi 9 ft. • (If tnomi) 0 0pen Nole from _ ft. to - tt. . 10. STATICw TEit ?ErE 11 ? ft. eNor ?abow ? a ?? tud u au Nuw+rd 11. LUIEAD COIILETtON P1tUtt AMOf,er 40 fpr/ MMed 10 Mt Ofltot ? IC] Wll ?ft 12.?INi INFOpNTiOM ¦ae t.r.e Q a.wie. 30 bwt maw1a1 f?r jidcoz tt. a. rM 17. KAUST f0WACLf Of CMAIIIINTI011 d1het1M Q? 1411 NHthetM Mfm m11Mt Q M 14. MM M?swr (? Not Mw?t Type: SYO?tiYl? 30 L.S. Tw*tae 10 pcloroeatisq go Jet 40 CMtMfipal 40 1S. EXISTIMG iE1L5 (P1Np sYKeM louttoes of a0andoned and ut/w retls 1s rwrtf or ou bat.) Otwr wu lkd 11(s) on prootrtyt 0 r?s Mo ?e.Aow?a:r.?t Q t..vot.rr p t iw 17. iYITER IEII CONTIIACTORS CERTIFICA720M Tbis mii was swiN uak? qjvHtdlettoa and tUtt n0ort t• trw to tM best of q taorlNqe &d beitet. DON SMDOLA WELL DRILLING CO., INC. 1lcsaste Ow1ne:s Nr UcMn172 Aden:i 34 St?d ? au aa Ila?r o? 1 •? - , MASTER CARD LOCATION OWNER -.?3o STRUCTURE AND or LAND USED AS -)0440 Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING 7,S _?? ?_ s?IF ? CESSPOOL - SEPTIC TANK W E L L EIECTRICAL HEATING GAS INSTALLING SANITARY SEWER ?- OTHER 07HER / Items Approved (Initial) Date Remarks Distance From Well FGOTING SEPTIC FdUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD ? roo PLUMBING ? WELL SANITARY SEWER r?•o - 1 R °'' V;olatio ot on Back COMMENTS: W14 I ? • ? ? COMPLIANCE INSPECTION REPORZ'S TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION 17 NO EVIDENCE OF NON-COMPLIANCE OBSERVED. 1:1 ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED REINSPECTION REVEALED F-I NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL DATE OF REINSPECTION CERTI FICATION -1 certify that I have carefully inspected the above in which i have no interest present or prospective, and that I have reported herein all significant conditions ot;served to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR COMMENTS: DATE ?J 23 Job Site Address ??-? rm A N/?-) (38 ? C?udq2('Y cAr,E "CATEGORY 1" ALTERNATE F ONE & TWO FAMILY DWELLIN INSTRUCTIONS: This alternative may be used for one- and two-family dwellings built to meet the Category 1 requirements of Ntinnesota Rules, Chapter 7670. Complete Parts A, B, and C. Clearly mark plans with: insulation R-values; window and skylight U- values; size and type of equipment; equipment controls; and location of vapor retarder and windwash bamers. More detailed information can be found in the Minnesota Energy Code summary sheets avai(able from the Minnesota Deparhnent of Commerce. 9nR Part A. BUILDING ENVELOPE Check proposed anvelope joint sealing option 4 ? Prescriptive (cautking, gaskets, etc.) ? Performance (test per 7670.0470 subp. 7.C.) Check thermai energy calculation option used 4 ?"Cookbook" (complete worksheet below) ? MnCheck method (attach report) ? Performance (attach U-value calculations) ? Systems Analysis method (attach analysis) "Cookbook" Worksheet INSTRUCTIONS Step 1. Check item(s) that design meets on Minimum Requirements list to the right. Must meet all items to use "Cookbook" option. Step 2. Indicate proposed wall type on tab(e below. Step 3. Indicate Window U-value and source. Step 4. Verify total window (including azea of all foundation windows) and door area is equal or less than allowable percentage. MINIMUM REQUiRENiENTS (for "Cookbook" o Hon onl ) O Ceiling Insulation: Minimum R-38 with 7'/z" energy heel; or Minimum R-44 with low truss heel; or Minimum R-38 with R-5 sheathin when no attic. ? Entry Doors: N1ax. U-value of 030 or 1'/<" solid wood with storm ? Rim Joist Insulation: Minimum R-19 ? Floors over unconditioned s aces: Minimum R-24 ? Foundation Insulation: Minimum R-10 ? Foundation windows: '/z" insulated lass, wood or vin 1 frame TABLE FOR DETERMIiVING MAXIMIJM WINDOW AND DOOR AREA MaYimum Allowable Total Window and Door Area as a Percenta e of Ex osed Wall 12% 14% 16% 18% 20% 22% 24% J 26% T8% Wall T e Standard Frainin : Maximum Avera e Window U-value exce t foundation windows : ? 2x4, R-13 insulation, R-7 sheathing 0.55 0.47 0.42 0.36 0.33 030 0.27 0.25 0.23 ? 2x4, R-15 insulation, R-5 sheathing 0.52 0.45 0.39 035 0.31 0.28 0.26 0.24 0.22 2x6, R-19 insulation, < R-5 sheathin 0.48 0.41 036 032 ' 0.29 0,26 0.24 0.22 0.21 ? 2x6, R-19 insulation, R-5 sheathing 0.56 0.48 0.42 037 034 0:31 0.28 0.26 0.24 ? 2x6, R-21 insulation, < R-5 sheathin 0.51 ' 0.43 038 0.34 030 0.28 0.25 0.23 0.22 ? 2x6, R-21 insulation, R-5 sheathin 0.58 . 0.50 0.44 0.39 035 032 0.29 0.27 0.25 Wall T e Advanced Framin : Maximum Adera e Window U-value exce t foundarion windows : ? 2x6, R-19 insulation, < R-5 sheathin 0.52 0.45 039 035 031 0.28 0.26 0.24 0.22 ? 2x6, R-19 insulation, R-5 sheathin 0.58 0.50 0.44 0.39 035 032 0.29 027 0.25 0 2x6, R-21 insulation, < R-5 sheathin 0.55 0.47 O. 1 0. 36 0.33 0.30 0.27 0.2 ? 2x6, R-21 insulation, R-5 sheathing 0.60 0.52 E 6 0.41 036 033 030 0.28 0.26 Window U-value: ? Source: ? NFRC ? ASHRAE 1993 Handbook J ? 100 x C _?d ?.. oa o ?? window & door area gross exposed wall area DESIGN ALLOWABLE (from table above) IVIINNESOTA ENERGY CODE - WH/CP-1 RULES MAY I USE ? TYPE OF RESIDENTIAL BUILDING APPLICABLE RULES Detached R-3 occupancy 1- and 2-family dwellings Chapter 7672; or Exam les: sin le famil , twin homes, du lexes Cha ter 7670 "Cate o 1" with statutory de ressurization and ventilation re uirements Attached R-3 occupancy dwellings Chapter 7674; or Exam les: trilex townhouses and row houses Cha ter 7670 with either "Cate o 1" or "Cate o 2" rovisions R-1 occupancy buildings of 3 stories or less Chapter 7674; or Exam les: condominiums or a artments Cha ter 7670 with either "Cate o 1" or "Cate o 2" rovisions R-1 occupancy buildings over 3 stories high Chapter 7676 4 Exam les: hi h rise wndos or a arhnents 15- EAGAN n _.NEW C4NSTRUCTION ONLY - Part B.'DEPRESSURIZATION PROTECTION . .. Check•option used: ?? Fuel burningequipment (complete schedules below) ? No fuel burning equipmenC IrrsTxUCTtorrs EXHAUST ! MAKE-UP AIR SCHEDULE* Step L Complete the Combustion Equipment Schedule below. Only equipment Exhaust devices over 300 cfm Flow with a Y(Yes) may be selected under the "Category 1" alternate. cfm Step 2. Complete Exhaust/Make-up Air Schedule on the right if direct or power cfm. vented or solid fuel atmospheric vent space heating equipment is cfm selected. COMBUSTION EQUIPMENT SCHEDULE (check all types ro osed) Space heating - nonsolid fuel ? Sealed combustion Y Hearth - nonsolid fuel ? Sealed combustion Y ? Direct or power vented Y* ? Direct or power vented Y Atmos hericall vented N Atmos hericall vented : N. Water heating - nonsolid fuei ? Sealed combustion Y Space: heating - solid fuel ? Atmospherically vented ' Y* ? Direct or ower vented Y Water heatin - solid fuel ' ? Atmos hericall vented Y; Atmos hericallvented N Hearth - solid fuel = 0 Atmos hericall vented Y * If atmospherically vented solid fuel or direct or power vented nonsolid fuel space heating is instatled; then malce-up'air to match flow is re uired for each individual exhaust device which exceeds 300'cubic feet er minute. ' Part Cl. VENTILATION VENTILATION QUANTITY (Mechanical ventilation must be provided per the iarger quantity calculafed below) cubic feet x 0.00583 /minute cfm x 15 cfm/bedroom) + 15 cfm cfm volume of habitable rooms number of bedrooms Check method(s) proposed 4 VENTILATION FAN SCHEDULE 1 0 Exhaust only ? Balanced (heat recovery ventilator, air exchanger, etc.) Fan descri tion or location 4 TOTAI,S VENTILATION Intake cfin cfin cfin cfm cfm AS DESIGNED Exhaust cfm cfm cfm cfm cfin Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Applicant (print name) Part C2. VENTILATION (Submit Part Cz upon completion of system verificationt) °eG----------------------------------------------------- .---------------- Job Site Address: Permit Number Fan descri tion or location TOTALS MEASURED Intake cfm cfm cfm cfm cfm PERFORMANCEt Exhaust cfm cfm cfm cfm cfm jVentilation rate must be measured and verified when the performance option is used in lieu of the prescriptive option for the sealin of 'oints in the buildin conditioned envelo e(from Part A. Signature Date Telephone number Compiiance Statement: Installed ventilation system is in compliance with MN Energy Code and is sized to provide the design air flow. Applicant (print name) Date Telephone number Signature t ? GERT'iFICATE oF SURVEY ?O/??AL D F MEYE,?'' 985 Jessie St. St. Paul, Minn. LA2dD SURVEYOR I hereby certify that this survey was prepared by me e.nd that I am a duly tcegistered Land Surveyor under the 1?lns of the State of Minnesota. No.9051 nate : June 26, .1976 ; F N. Z,*,7P ' , , ? • ?- r? N ? o ? ? ?-- ?28 2 ?\r1• ?.` ? v ? ? . ? ,. C , 3 ?? ? ? t M ? o? ?o `•. -•-?5.6 - -- Rl ? `-eric k fro.- ?' ? . . r. - _ .. ? -- . .S. n { 1411 21111 The East 218.2 feet of the Peest 446.4 feet of the South 199.63 feet of the North 399.26 feet of tha S741/9 of the NW1/4 of Sect.ion 10, T27N, R23v°r , Dakota County, hiinn., subject tQ a road easement over the Southerly 30 feet thereof, s r,}1:p ? ?;. M ? v? ? ? ? q4 .t V ? 4J _ ,_ • ? r. 0 hl 1-J L'. CITY USE ONLY PERMIT #: RECEIPT DATE: RUIDENTIAL MECHANICAI. PERMTf APPLICATION crrY oF Eke&x 3$30 PII.OT KNOB EiD EA6u4R MA 55188 651-6$1 4675 Piease compiete for: ? single family dwetlings • townhomes and condos when permits are required for each unit Date SITE ADDRESS: 13 g( QUPrR'R l( --A NE: OWNER NAME: I5'L-- R'?'j "G OF-c- PJMANN INSTALLER NAME: S A- VA'E STREET ADDRESS: CITY: 9AG4A.) STATE: MN ZIP: Dlnrc = ncar4 rv»rL ncvt tn tho ncrmit wnr4 tvnc V's- IZ) New residential dweiling unit under constructionand not owner/occupied $ 70.00 ?C Add-on, modification or altera ion to existin dwelling unit $ 50.00 • umace replacement • air exchanger • air conditioner - ? - other t ? :.,s?, • ??? 1?V Nature of work: . t - ? State Surchar e $ .50 Tota I $-52---50 Reminder: Call for inspections. Gy &e"' SIGNATURE OF PERMITTEE I:? s- \ 6, u8 2+24 t.B NC? TELEPHONE #: Cv S'- ( (' &- 3 g (AREA CODE) TELEPHONE #: ( . S 1 q93 f 0 1 Z' (AREA CODE) Updated I/01 CITY USE ONLY PERMIT #: RECEIPT DATE: APPROVED BY: , INSPECTOR CObI1VIERCIi4I. MECE"CAI. fTJRMIT APPLICATION CI'I'Y OF E46m g$an pri OT KNOB RD KAGM, htx 55 122 651-6$1-4675 Please compiete for: ail commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: WORK TYPE: New construcrion Interior Improvement Processed Piping PHONE #: - (AREA CODE) STATE: ZIP: Install U.G. Tank Remove U.G. Tank Specify Nature of Work: When instal[ing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspecton Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x 1% _$ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1 /O 1 PERMIT # q ? S 3 (p RECEIPT DATE: O a _0 + Rnll?E1VTIAL PLiJMIN6? Pf"IT i4PPLICATION crrY oF EAsM 3$30 PII.OT KNOB fiD EA6M. MN 55188 651-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITEADDRESS: 13 R' t QoA'aA `t L,A'NC OWNER NAME: : (??i2N(C (?L=/72_wt?-N!J TELEPHONE #: &S-I (`o S 3 P (AREA CODE) INSTALLER NAME: SA-n% t;-7- TELEPHONE #: Gg-( q g 3 (O ? Z- (AREA CODE) STREET ADDRESS: CITY: ??cz., A nJ STATE: 04N ZIP: 33,( 2 1 Place a check mark next to the permit work type _ New residential dwelling unit under construction and not owner/occupied $ 90.00 Zs Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround " AUG ? Nature of work: (e_crz,4c-n.? vz,? 10 o QVI I Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 50,50 Tota I $ Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the informaUon is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. ! C i?-640!/6 SIGNATURE OF PERMITTEE Updated 1/01 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT 4111 City of Eat Permit Type: Building Permit Number: EA109262 Date Issued: 02/25/2013 Site Address: 1381 Quarry Lane Lot: 005 Block: 030 Addition: Section 10 PID: 10-01000-30-050 Use: Description: Sub Type: Single Fam Construction Type: Work Type: Day Care Inspection Description: Census Code: Occupancy: Zoning: Square Feet: Comments: Millie Gadalajara - 651-366-0623 Fee Summary: Day Care Inspection $50.00 1221.4216 Total: $50.00 Contractor: Owner: Millie Guadalajara 1381 Quarry Lane Eagan MN 55121 - Applicant - 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 pot Issued By: Signature 41011 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 676-5875 Fax: (661) 876-5694 Use BLUE or BLACK Ink For Office We Permit #: /13141Z, Permit Feer Date Received: Staff: zz, Date: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: S 9 a. u`Lre- y (v). Unit Est: IJ Name: ��'(rk (-Lei/1'6 UGC. �. �<,. I ;- Address / City / Zip: 15 1 Q ✓we- y t --t • Applicant is: Owner f>c Contractor Phone: 6' s--7' 34 ' 623 tet..✓ s"5 l2 Description of work: op,/ t Construction Coat: Company: 1,"/1/N.4.14 1.-)0 �� t Address: 2Z.1 < cAm- State: M' 6C55-6 Zip: �11 D 4l License #: 6C 3 5"6 7 /'et›..) Multi -Family BuIlding: (Yee / No AL ) Contact: (' city: gv.�L�. �7L. L‘wl 57.770— (/ Phone: Lead Certificate #: /V4 -r' s-5-72-1 If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A EIEW IUILDING in the last 12 months, hes 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: CALL InFOR3 YOU DIG. Call Gopher State One Call et ( 661I 48+-0002 forprotection against underground uElllty damage. Cell 48 h before you Intend to dip to receive locates of underground utilities. w.�hereteteonecall.gtp ours tiwv I hereby acknowledge that this Information la complete and accurate; that the work will be in conformance with the ordinances and codes of the CPty or Eagan; that I understand this Is nota permit, but only an application fora permit, and work Is not to elan without a permit; that the wolf( will be In accordance with the approved plan In the cage of work which requires a review and approval of plane, Exterior worts suthorizad by a building permit issued In accordance with the Mlnnasota State Building Code must be completed within 180 days of permit Issuance. C^d�Lkv �t ll,� Applicant's Printed Name A Apphcant'a Signature Paye 1 of 3 Xdd 13Ca3S1:11 dH WET I : T T E1O2 b0 -1dd S%1 ala �a - DO NOT WRITE BELOW THIS w LINE SUB TYPES Foundation _ Fireplace Ci Bingle Family _ Garage Multi _ Deck 01 of _ Plea _ Lower Level Accessory Building WORK TYPES New _ interior improvement Addition Alteration _ Replace Retaining Wall Move Building Fire Repair Repair DE%RIPTION Valuation Q Plan Review (25%_ 100%_1) Census Code # of Unita # of Buildings Type of Construction \ I REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain 711. Root: Ice & Water Framing Fireplace: iRough In insulation Sheathing Sheetrock Reviewed By: Final Porch (3•Seaeon) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width _ Siding Reroof Windows _ Storm Damage Exterior Alteration (Bingle Family) Exterior Alteration (Multi) Miscellaneous Demolish Building" _ Demolish Interior Demolish Foundation Egress Window Water Damage 'Demolition of entire building — give PCA handout to applicant ,t)\L i– MCES System .144/A)7(.9,31 SAC U n its City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _Final Siding: `Stucco Lath __Stone Lath _Brick Airiest Final _. - Windows r.:t.(F fS Retaining Wall: , Footings — Backfill _ Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL. g•d Page 2of3 Xd.J 13Ca3Sd1 dH WUT i : T I CTO2 tr0 .idb PERMIT City of Eagan Permit Type:Building Permit Number:EA115418 Date Issued:09/25/2013 Permit Category:ePermit Site Address: 1381 Quarry Lane Lot:005 Block: 030 Addition: Section 10 PID:10-01000-30-050 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mikkie K Guadalajara 1381 Quarry Lane Eagan MN 55121 (651) 366-0623 Window World Aka Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA132902 Date Issued:09/10/2015 Permit Category:ePermit Site Address: 1381 Quarry Lane Lot:005 Block: 030 Addition: Section 10 PID:10-01000-30-050 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 - Mikkie K Guadalajara 1381 Quarry Lane Eagan MN 55121 (651) 422-4395 Window World Aka Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA140066 Date Issued:11/22/2016 Permit Category:ePermit Site Address: 1381 Quarry Lane Lot:005 Block: 030 Addition: Section 10 PID:10-01000-30-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Mikkie K Guadalajara 1381 Quarry Lane Eagan MN 55121 NMC Exteriors & Remodeling 14276 23rd Ave N Plymouth MN 55447 (763) 684-1662 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152391 Date Issued:10/15/2018 Permit Category:ePermit Site Address: 1381 Quarry Lane Lot:005 Block: 030 Addition: Section 10 PID:10-01000-30-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 - Felix A Guadalajara 1381 Quarry Lane Eagan MN 55121 (651) 422-4395 Window World Twin Cities 2106 11th Ave E N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature F- i 00 I �'1 For Office Use x k ; ,� Permit#. l && 1 1 `J 11 ,,,,,,,,,,t,..it %,,,, E AG APermit Fee: /7.2 40...::,..---,..... P4E C E J V Date Received: - -1q 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-56751 TDD:(651)454-8535 FAX:(651)675- MAY 2 2 2019 Staff: buildinginspections@cityofeaaan.com I.BY:_____ 2019 RESIDENTIAL BUILDING P� MIT APPLICATION Date: 5/LUV Site Address: 138' a( L+..nir* unit#: Name: 1 dtE C k c\L( (t,>,D 6Ack A.(-CA,- Phone:(06\ -3(A°- 0 tQ L S Resident! Owner Address I City/Zip: .1 _, , •- It* O.' Ct-r S'Jt2. Applicant is: Owner contractor '/ _ ' "� _ 14'./.{ 11 e yrs.,(.0 Type of Work Description of work:kfT•e4 t k i't7 'x r it/JAVA Cht'n 1r ,{ ,ce\(c ccx AN)Crr-\ wfie ocr� . Construction Cost: C'(-.‘ 1" C3Multi-Family Building:(Yes 1 No ) Company: 9r0 � l 7UCbPl�� Contact: Silk"? 7411_f('e \t Contractor Address: Cl I kk ZL\U'7 2.•1-- City: PV'{ _ \CL Mali t� 2 1 State:M3 Zip: 2-'i Phone: q-Z" 2'�Email: cA-kicceckm nyleyokockotet r''-tit't-Cowl License#: 1 ,"1531 1 l Lead Certificate#: d--3 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? ih► 9 Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Pians and supporting documents that you submit are considered to be public information._Portions of die Information may be classified es a• •ubiic if • • .vide-,. Mc reasons that would . ; it the C to conclude that the and 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.citvofeaoan.comisubscribe. 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 pproved plan in the case of work which requires a review and approval of plans. x • T iftlU x Appli.. _'•tinted Name Applicant's Sig ture ggi OualuGi /07] - - / 5-‘6,/ PO NOT WRITE BELOW THIS LINE / SUB TYPES Foundation — Fireplace Porch(3-Season) Exterior Alteration(Single Family) Single Family yGarage Porch(4-Season) Exterior Alteration(Multi) — _ Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous — _ 01 of Plex Lower Level Pool Accessory Building WORK TYPES New - 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 (11Qt9 Occupancy ‘,64 MCES System I Plan ReviewCode Edition i A *JO 1,5-SAC Units (25% 100%X. ) Zoning li City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V64 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) y Final/No C.O.Required Foundation Foundation Before Backfill HVAC 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 C.ntrol Shower Pan )( Other: ' ak A il,is 011.1.1116- 00-01,4i1 Reviewed By: 1 7 , Building Inspector RESIDENTIAL FEES Base Fee ‘,"1! Surcharge Al'Nrn Plan Review 1(111 ive pck, MCES SAC City SAC Utility Connection Charge ,9 0 0 N3 S&W Permit&Surcharge 1 Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 1 PERMIT City of Eagan Permit Type:Building Permit Number:EA156914 Date Issued:07/24/2019 Permit Category:ePermit Site Address: 1381 Quarry Lane Lot:005 Block: 030 Addition: Section 10 PID:10-01000-30-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 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 - Felix A Guadalajara 1381 Quarry Lane Eagan MN 55121 Window World Twin Cities 2106 11th Ave E N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature r,0 E AGA N For Office Use `,' ,, 9 i rIf Permit#: j/�t) �� I �I�"' +�� Permit Fee: 60 � 11-14C //11 EI VE' Date Received: 9 .-)0--i/C 4 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-569 DEC 20 20s Staff: buildinginspectionst citvofeagan.com BY: 2019 RESIDENTIAL PLUMIT3ING117ERIVIIT APPLICATION Date: /424/I 9 Site Address: 3029 Pi ADI-1E Ce Tenant: Suite#: Resident/Owner Name: AND12.6VJ ?-)/senvIEiZnN. 4nr J Phone: f 5(3l'1- 7I Address/City/Zip: 3b : "111rF lz+Dt,& Oa 69-61 14--Al SS1Z7 Name: License#: Contractor Address: City: State: Zip: Phone: Contact: Email: _Replacement _Repair _Rebuild /Modify Space —Work in R.O.W. Type Of Work —New Description of work: 1L)7C,E 1rA! -- 1.- 1VWA Y , i zZ L_ Tankless Water Heater Lawn Irrigation ( RPZ/_PVB) Standard Water Heater —Description Add Plumbing Fixtures( Main/_Lower Level) p Water Softener Description: Septic System FNew Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+ $290 for Meter and $190 for Radio Read = $540 *Sewer&Water Permit also required for connection charges I TOTAL FEES $ L _ ( 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 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.citvofeaaan.com/subscribe. 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 Ft NI)f2EvJ 7i(Nt6RP4IMN x ..••�- Applicant's Printed Name Applic nt's Sign re Page 1 of 2 FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 buildinainspectionsCa�cityofeagan.com Page 2 of 2 1)6T) t r For Office use I I • /5� 7a3 I G�- •.L': : E AG N Permit Fee r - ° \L. Date R - I t 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 ' G i (651)675-5675 I TDD:(651)454-8535 FAX:(651)675-5694 Staff: buildinginsaectionst citvofeaaan.com �Y 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ,D' y Site Address: V3 \ Q�G�r \N` Unit Si: A Name: M.\\ c),4-CA Phone: (oS\' -SULD-U(o Z:\ Resident/ Owner Address/City/Zip: \-2) \ (Lac r 1 "-•I Applicant is: Owner Contractor Description of work. CGtE l tv.1 v� mew• o b focg's- . Typo of Work Construction Cost: I S OO Multi-Family Building:(Yes /No)( ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: M, 1 r Lad A I g� 1 %d t I.L(W' J License#: Lead Certificate#: If the project is exempt from lead certification,please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor. Phone: NOTE:Plans and supporting documents that you submit are considered to be public rnfom iaUon. Pt rtions of the inhumation may be classified as sterppubik if you provide specific masons that would permit the City to conclude that they are bade 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.citvoiesoan.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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the wort 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.— Applicant's Printed Name J Applicant's Signature 3 ( 0u,42c, / 11 . / 7o-7 DQ NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace ® Porch(3-Season)___ Alteration(Single Family) X 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 fii. Valuation _6srC: Occupancy [(2-C-T MCES System Plan Review Code Edition,44 ( 0P3, SAC Units (25%_100%/) Zoning (Z-) City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) X Final I No C.O. Required Foundation Foundation Before Backfill HVAC_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: ,Building Inspector RESIDENTIAL FEES Base Fee CJI i ,. rt�� ,`n i,.i Surcharge ��V`..MN� V.1-11...11-;o^ Plan Review o sce i-i,Iiedrzo,ti MCES SAC C kle- 4 orta) City SAC / Utility Connection Charge o" S&W Permit&Surcharge 6wr tee Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3