4271 Rahn RdCITY OF EAGAN Remarks Cedar Grove Acquisition See Back
Addition Lot 37 eik 1 Parcel 10 16701 370 01
owner ?j' ?? L!?? street 4271 RaYu1 Rd. state Eagan.,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1970 412.50 10 Pa1d
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL 1972 13 .QQ 52.16 2 Paid
WATERMAIN
WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, r?, I
BUILDING PER.
SAC
PARK
?Vrod-Lw
9O?
37a -7
,353 S
'r%?s
`?175 t3a$o
RESIDENTIAL
BUILDING PERMIT APPLICATION
` CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showing sq. ft. of bt, sq. iL of house; ancU roofed areas
(20°k maximum lot coverage albwed)
• 2 copies of plan showing beam & window sizes; poured fburd destn, etc.)
• 1 set of Energy Calcufations
• 3 copies of Tree Preservation Plan if lot platted after 711/93
• Rim Joist Detaii Options selection sheet (bldgs with 3 or less uniLS)
oo
RemodeUReoairReauirements ((?, ? ?V /?'
. 2 copies of plan U
• 1 set of Energy Calculations for heated additions ?
• 1 site survey tor exterior additions & dedcs
. Indicate 'rf home served by septic system for additions
DATE ?L1 `-0 I .,,, ?, ,/ VALUQION sti9o
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER
TYPE OF WORK FIREPLACE(S) _ 0_ 1- 2
APPLICANT PHONE#.74,
ADDRESS ZIPCODE? 1
PAGER # CELL PHONE # Irrl ?. ??,??? FAX # ,?C9,3
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone #:
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Waxer Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: Phone # _
Mechanical System Includes: _ Air Conditioning
_ Heat Recovery System
Sewer/Water Contractor: Phone #
All above information must be subrrfitted prior to processing of application.
I hereby acknowiedge that i have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan O?c
Signature of Appl(ccnt
Certificates of Survey Received _ Tree Preservation Plan R
is correct, and agree to comply
Required _
0'Updated 1101
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
13 05 03-plex
? 06 04-piex
#f'31New
? 32 Addition
? 33 Aiteration
? 34 Replacement
? 07 05-piex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Ptbg„Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
0 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? sO Accessory Bidg
? 39 Exi`Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
13 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 , Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bidg)* C] 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation 01060 -! Occupancy R"' 3 MC/ES System
Census Code 613 Zoning ? City Water
SAC Units p L Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bldgs l Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
Footings (new bldg)
? FinaUC.O.
Footings (deck) FinaUNo C.O.
_ Footings (addirion) Plumbing
_ Foundation
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insulation _ Windows (new/replacement)
Approved By 6& , Building Inspector
------------- - - --------- - - - ---- - --------- - - ------------- --
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge ?
Treatment Plant •
Plumbing Permit `
Mechanicat Permit License Search - Copies
Other Total
?
HVAC
-?-
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: 654
The City of Eagan hereby grants to Gary?',ngl_e _
of 4271 Rahn Road
a HFATruC Permit for: (Owner) same
at,_ aAm„ _ , pursuant to application dated 4 1/75 •
Fee Paido dated this lst day of Avril ,.?9 75 •
.50 s/c
Buildirig Inspector
Mechanical Permits:
Bid Totals
EAGAN TOWN S H I P
BUILDING PERMIT
?
-
Owner ....••-•.le.AC4 ....--Gwe ..... 4-0 :_._ - ------------. ?
Address (Preseni) ---?e1..,-•„?!???--•p?-------------------- -- -
Builder ............................. ---------- •--------------------- --- ••--------- -................ ...
Address .... ------------------------------------------------- '
DESCRIPTION
N°. 1292-
Eagan Township
Town Hall
Date -!!.-4'--:'?:/ 4L.SJ
? -•--------•----
SYories
- l T?e Use For
?- Fron2
-- Depfh
- Heigh!
-_ Est. Cos! 'Permi! Fee
? Remarlcs
--?---- -
I _ I ? .t.?... . A
LOCATION
Sireet, Road or oiher Descripfion df Locaiio-i ( Lo! Block ' Addition or 'Fraci
-
- - _?-
? f? ? I ,? °•-/ f ?( '' I ? ?-,?-? - -
.??? i• ?f / ? -
0 t3 A ?? .?? ? S ??[ :L
_. Ie7'?
_7
This permit does noi suthorize the use of streefs, roads, a2leys or sid walks nor does it give he owner or his agenf
!he right to creafe any siYuation which is a nuisance or. which presenfs a hazard fo the health, safety, convenience and
general welfare Yo anyone in the communi2y,
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
Thi; is !o ceriifp, 3hat_.&,jj6rl•.A ___4.......... has permission to erectjjL_ ? _ ___ __ .?? ..__upon
!he above described premise subject !0 2he provisions of the Building Ordinance fo ag/aya:YTownship adop! April 11,
1955. ?
................... -............ -•r???!'-"?'y---?•---•-•••--. Per ---••---• ??e r ?Lt?.
-•-•-•- •--•-•----- ••-- -. ..... •---- --
- •
-
Chairman of Tnwn Board -$•uilding Inspector -••-----•--•--••---•--• -
d.?
` EAGAN TOWNSHIP
BUILDING PERMIT
?.? ?'?!?: ?
...- =?:e^-_..---..?-_
ownei --? ?? 0> --------------- --------------------•------
Address (Presen!) ---•-•--/?
?F--1c?f--•-L-------- -?-)---.. _LaK.•-•if`.'a.'-••-----
Builder -•••••••....•-••-••----•••-•--...•--••-••-•-••-•-•--•-•--••-•----••••-••--••••-•-
Address -••--•-•--...---••-----•--•--••..__..._...-••---•-••--•••-•-•--•--•-•••---•••-•-•-•-••-••---•-
DESCRIPTION
N° 2863
Eagan Township
Town Hall
Date ..._ ? ? - 7 '?-?-?-
5lories To Be Used For Fron! Depth Height Est. Cost ' Permi! Fee Remarks
?-?'-.?-,-' '?
/1- J,?s?`? `?. ?. 6 -19 §-I ,?.e-
" " LOCATION
Street, Road or other Description of Location I Lo! Block Addition or Trac!
:3 7 '.,.1e-? -2-.
This permit does aot su2horize the use of streets, roada, alleys or sidewalks aor does it give the owner or his agent
the right to create any situation which is a nuisance o= which presenis a hasard io !he health, safety, convenience and
general welfare to anyone in !he communiiy.
THIS PERMIT MUST BE,6EPT ON HE PREMISE WHILE THE WORK IS IN PROGR?ES,?'r`S?.
This is to cerlifY• '`_thaL--J_'?? -•--•... . . ....--•• ---• ----------------------- has permission to erect a.... x:t-.-?••.-t-...?...-.? uPon
9 ?? ?•'?' '
!he above described premise su?ject to e provisions of the Building Ordinance for Eagan Townshi¢/ adopt?`d April 11,
1855.
?----•• .................... ........:4 .... 4"
.X..?••••-.......-...... * ---------- ... Per ................. !......`:c'c---..._.........:...._.:.................
Chai:man of Tnwn Board Building Inspecfor
?
CITY of EAGAN NI2 3535
BUILDING PERMIT
.... ..... ?..... ..... .....................................
o wn.: ........ .....
Address (Present) ........? a? 7-'
......... .....................................................
Builder ..................•••........-••........_._.................._............_.._......._..........
Address ................................................................•--...........................
DE3CRIPTION
3795 Pilot Knob Road
Eagan, Minnesota 55122
454-8100
Dals ...'?`.-?.. ....?:?. ..............
$tories To Be Used For Front Depth Heigh! Est. Cos! Permi! Fee Aemarks
LOCATION Ax 7 KS
Slreet, Road or olher Descrip2ion of Location I Lo! I Slock I Addition or Tsacf
S-7 I / I ?.-vi -)-
This permit does not suthoriae 2he use of streets, :oads, alieys or sidewalks aor does it give the owaer or his agent
the righ! !o create aay situaiion which is a nuisance or which presenls a hasard !o !he health, safety, conveaieace and
general welfare !o anyone in ihe communiip.
THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGRESS.
This is !o certify, thal..,......_..•- • - .?•-- '? - - ......... •--•.... has permission !o erect a.... ................................................ '..upoa
the above described premise s?Sject to'e provisions of all applicable Ordinances for the City of Eagan.
...•-•-•--•------••...........:.----P...r?._'.... .? ........:..........•----•• Per fi?^?-? ?.....................--
••-••-••••-•• ................... .........••--------•--..................:::
eqtor
Mayor -/5 Buildiag Inap?s
F ? CITY of E,A?GAN
BUILDING PERMIT
owne: ..... .............. ..... ...??..--..... .................... ..............._.........---...
Address (Preseai) .... .._.?.7 ...•-•-•G?'°. ...... !!.`..:................
Builder ................r................................................ ............
Address .............................................................................•••....._........
DE3CRIPTION
.;;.
N°_ 3727
3795 Pilo# Knob Road
Eagan, Minnesota 55122
454-8100
Date .....?.:: . ?.`.3..?. 7:s.., ........
Stories To Be Used For Fron! Depth Heigh! Est. Cos! Pesmf! Fsa Aemarks
O-V
v
1/ ( ,/?? ?- ) LOCATION .3•?C?
or
This permit does aot suthoriae the use of stree2s, roads, alleys or sidewalks nor does it give !he owner or hfs agen!
!he right !o create any situation which is a nuisance or which presenis a haaard !o !he health, safety, convenience and
general welfare !o anyone in the communify.
TFiIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.-
This is !o cesiify, ihai_. . ......•• - . -E •••• •••--••- - • ...............has permission to erect a..... • - -, ........... •........................... _upoa
the above described premise, s ject to e provisions of all applicable Ordinances for th Cify f Eagan.
:.:---....•••--••-. _.......--•......_..•--•-•-• Per •--
........--•-•......................• •-
.._..•--••---...--•---•.......•-.•--•••••• .................................
- L Mayor Suilding Ittspector
16
? i
CITY of EAGAN
BUILDING PERMIT
own.: .?ar.?.?.....R., .... I....Y:?.?.r.?...1.?..../?...- -----..t-f ??.
Address (Presen!) .........L.. Z.,7 I...........e..,(??.k.1...._.. ... .4?....
Builder ....................... Iya..M ..L°........................................._......_..
Address .......................•••........,...................._..:...................................
DESCRIPTION
to; i.
N° _3383
3795 Pilot Knob Road
Eagan, Minnesota 55122
454-8100
a8:e .av..("'-l....? o?...l ??..7
?
l
5tories To Be Used For Fron! Depth Heigh! Est. Cos! 'Permi! Fee Remarks
O 3•J%?d
LOCATION `/°c-'
Sireel, Road or oiher Descriplion of Localion I Lo! I Slock I Addilion or Trac!
42 7/ /IcZ kh t?c,/ 137 1 / I eedev e;-Yoile ;L-
This permit does no2 sutkorize the use of streels, roads, alleys or sidewalks nor does it give the owaes or his agent
the right to create anp situalion which is a nuisance or which presents a haaard !o the health, safety, coaveniencs aad
gene:al welfare 2o anyone in the communiiy.
THIS PERMIT MUST BE KEPT? N?E PRE ISE WHILE THE WORK IS IN PROGRESS ?/ f
This is to certify, thal.?i_- ?-•,i?:-•-•--....._...has permission to ergel-?a-•- --••• ?. ?.v.?°./ .................. upon
ihe above describe premise subject to the rovisions of all applicable ces for f /...... ?........?--?•• ...................................... Per •-•..,..._ .. ....: ..... .. ?.?:..?1... .Z?..._.?............ .....••-..................
Mayor Building Inspectoz
-?- 6 6 -7 z ?
ROM Product5
W,?r.4. stsfk
Director of Sales & Marketing
North Centra! U. S. Regian
6$9 Doepke Lane, Suke B
Cincinnatr, Ofrio 45237
TeL (513) 931-4100
Fax (513) 939-8100
E-mar7? RogerS@60glass. com
Fax
To: Tom Miklya of Eagan, !NN Build Dept- #(651)675-5694
cc- Jo,rv Enos:.'of Above All R'OOfiRg #(T63)4318-$290
Tom, -
Per your request aitached is a RGM Tech Bulletin that recommends fwo
_ brands of caulk. that will adhere SBS Jcegard products ta mefaL and
- --: decking. Please _foliow caulk manufactures recommendations on tube
,.:.
° for best appfication. method, climate, & temperature for application. This .
shauld salue.the perimeter adhesion issue on the prajecfs discussed.
Regards,
?
Confidenti8ility IVote: The ifiortnation in this facsimile messBgB is corrfider?tial infarnaiiori irstended oMy for tlta usB of the individU81
or entity named above. Such cyforrrmtion may also be IegaBy Privifeged• 1f ine reader of this message is nat the intended recil)iert,
yoa are hereby not+fied that any dissertlineti0n, dktribution ar wong of this telecopy is StriGtly prohibited. If y0u have reoeived this
telecopy irt errM, please immediatety notiiY aforementibned by felePhone and retum tha original message to the aforementioned
address via the United States Post81 Servioe. 1?iarik you.
Td WdSb:ZT S00Z L0 'upf 00T8ti€6zTS :'ON Xd3
poad*WJa : WOJ_?
a0T8T£62tiS
Xcegard Adhesion to Periaaneter Edge Metal
O 1/05/45
For varxous reasons when installing lcegard lo a 3" to 4" ine;ta111ange, adhesion rnay not occur. _ T.isted
belaw axe a few reasons fo;r this occurrence.
^.° Nf?ra.l flange is not etcbed. The ails fxonn the metal will negate adhesion.
=.- .- ? v[ e t a l< f l a z ige i s t o o e c i l d: '[' he cdrd metal wiil ckuill the adhesive=arid ?xot allow it to adhere
. _.. ,. ,:-. . . . ;- ; u. -
'" -•" Mvistixre on-metal flange. 'Fhe inoisture wi[I ztot allow adhesion.
• Dust on zxletal flange. Dust on metal f7ange can create false adhesioii and nzembrame w-ilt release over a
_ periad of time_
- r Mcit Fressirfg mecxibrane to metal flange at time of installation. Areas may nol adhere to metal flange
- - :: . -
-- ---- . due to-laclc of not pressing xnembrane to metal flange at time of application.
,A.s stated above these axe afew reasons far self-adhered membranes not adhering w a rnetal flange. When
` anyo£ the above reason accurs; it is su.ggested that a caulkin.g be applied betweenthe membrane and the
metal'=flange. Below are listed a few caulks that can be used to remedy this issue. _
- --
? SannebornNP 1.
• Chern Link M-l .
. Any Madified Caulk compatible with 5B5 modifed asphait producis. Product availability vanes from
..
region to region.
-•--: . Buty1 caulks which are compatzble w'ath SBS modified asphalt products_ Praducf avaxlability v_anes
_-?..
` fram region to region.
Note: The preferred caulking materia.l is NP1 and M-1. Alt national and loeai building eodcs must be
acihered to and supercede any rnanufacturer's recommendations.
Zd WdSb : Zt S00Z 2-0 'u?f 00ti8ti262tiS :'ON XdJ Poad*WJd : W02ii
PAT GEAGAN
Mayor
PEGGY CARLSON
CYNDEE FIELDS
MIKE MAGUIRE
MEG TILLEY
Council Members
THOMAS HEDGES
Ciry Administraror
Municipal Center.
3830 Pilot Knob Road
Eagan, MN 55122-1897
Phone: 651.675.5000
Fax: 651.675.5012
TDD: 651.454.8535
Maintenance Facility:
3501 Coachman Point
Eagan, MN 55122
Phone: 651.675.5300
Fax: 651.675.5360
TDD: 651.454.8535
www.cityofeagan.com
THE LONE OAK TREE
The symbol of strength
and growth in our
community
March 5, 2004
KRI5 WILLIAMS
DEPARTMENT OF COMMERCE
85 7TH PLACE E. ROOM 500
ST. PAUL MN 55101
RE: Residential Building Contractor - Above All Roofing
Dear Kris:
This letter is to inform you that Above All Roofing has been doing work in the City of
Eagan without pulling permits.
One project was located at 4271 Rahn Road; the second project was at 4765 Burr Oak
Street. Both homeowners notified the City with water leaking in their homes.
The City would like you to investigate this matter regarding contractor licensing. The
contractor has been notified that to do work in our City he is required to pull a permit. As
of today, Above All Roofing has not complied with our request to pull permits or get
inspections.
If you have any questions or concerns, please call me at 651-675-5679.
Sincerely,
Terry Zelenka
Building Inspector
TZ/ld
cc: Dale Schoeppner, Chief Building Official
Above All Roofing
MASTER CARD
LOCATION
37 --_ / ?.?y-
OWNER
STRUCTURE AND ?y,C* ?r°j?' .
LAND USED AS (,.
Permit
No.
issued Issued To
Contractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
07HER
Items
FOOTING •
FOUNDATION
FRAMING
FINAL
ELECTRICAL _
HEATING
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Approved
(Initial) Date Remarks Distance From Well
SEPTIC
CESSPOOL
TILE fIELD FT.
DEPTH
OF WELL
- ! Gt -
Violations Noted
on Back
COMMENTS:
, .
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTIQN
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
a ACCEPTABLE SUBSTITUTlONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
CE RTI FICATI ON - 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 observed 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.
1-1 ALL IMPROVEMENTS ACCEPTABLY COMPLETED
CONIMENTS:
BUILDING INSPECTOR
DATE
23
CITY USE ONLY
LOT a BL ? PERMIT #: ? 3m
SUBD.G??TG rOYQ. RECEIPT #:
RECEIPT DATE:
Date: v c ,1 I I, ov
Complete this section only if you are installing HVAC in a single-family dwelling, townhome or condo under
construction and not owner/accugied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surcharge .50
Total $
Complete this section onl if you are remodelinF, addin to, or replacing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or replacement.
New v? Replacement _ Other
? Furnace Air conditioning
Air exchanger Other
Reminder: Call for final inspection.
SITE ADDRESS: L'I ;)`I I -RA
Fee $ 30.00
State Sur:,lila:ge .50
Total $ 30.50
OWNER NAME: ° I PHONE #: ?416(,a °
(A A C DE)
INSTALLER NAME: PHONE #: ?? 4_ -:] 9) - t
STREET ADDRESS: I? n(-)l ]'1 ? (AREA CODE)
CIT1'
200014IECHANICAL PEtMIT (RESIDENTIAL)
: CI'PY OF EAfiAN
3$30 PiLOT KNOB fW
E4fiAN bIN 55188
s51f$1-4s75
TE: f)aec? ZIP: I
TURE OF
CITY USE ONLY
L BL PERMIT#:
SUBD. RECEIPT#:
APPROVED BY: , lNSPECTOR RECEIPT DATE:
8000 MECHANICAL PEftMTT (COMMERCIAL)
CITY OF EAfiAN
3$30 PILOT KNO$ $D
EAfiAN, MN 55122
651-6$1-4675
Please complete for: atl commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
Processed Piping
When installing/removing underground tank, call 651-681-4675 for inspection by fre marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 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 $
SITE ADDRESS:
OWNER NAME: PHONE #: -
(AREA CODE)
TENANT NAME (II+2PROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CIry:
PHONE #: -
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERMITTEE
MASTER CARD
LOCATION *44
OWNER
STRUCTURE AND
LAND USED AS
4*
?7-/ - .,,-
1
Permit
No.
Issued Issued To
Contractor Owner
BUILDING ?f
F
? ? • f
PLUMBING -
----
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL ?
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Approved
Items (Initial) Date Remarks Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAfNFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VICLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
COMPLETION OF CERTAIN IMPROVEMENTS
? WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
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-sit= improvemenis relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
COMMENTS:
BUILDING INSPECTOR
DATE OF INSPECTtON
DATE
23
.
LOCATI ON
OWNER
STRUCTURE AND
LAND USED AS
MASTER CARD
xZ/ 37-? .;-
?
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING
55
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING 5 4 . ? • ?'
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Items
FOOTING
FOUNDATION
FRAMING
FINAL
ELECTRICAL _
HEATING
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
COMMENTS:
Approved
(Initial) Date Remarks Distance From Well
SEPTIC
CESSPOOL
?•? J` -.? ?? TILE FIELD FT.
? DEPTH
OF WELL
Violations Noted
on Back
.
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OP OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
a 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
NON-COMPLIANCE. BUILDER DOES NOT
11 INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
DATE OF REINSPECTION
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 observed 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
23
MASTER CARD
LOCATION ' /? f ? + • Z?
OWNER Las G _ GL'AnI
STRUCTURE AND ' ???
LAND USED AS ? ?/? ? S ?
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Approved
Items (Initial) Date Remarks Distance From Well
FOOTING /"% SEPTIC
FOUNDATION CESSPOOL
FRAMING ? ?•TILE FIELD FT.
FINAL
ELECTRICAL
DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
(? ..
? Violafions Noted
.on Back
COMMENTS:
Oil
? - ? -- - -• - - - -
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
DATE OF INSPECTION
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS: -
? 4.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
a COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
DATE OF REINSPECTION
CE RTI 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 observed 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.
17 ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COMMENTS:
DATE
23
VE ALL ROOF IN G&CONTRACTI NG
„1'he Raofing Specialist°' 5089 SALEII/i LANE IVURTH
LORETTO, MN 55357
512-498-8888
After Checking with the Rest-
Ga wifih the Best!! Fax 512-498-8210
?'. -y So Department of Administration
April 19, 2002
Jeremy Keesling
4271 Rahn Rd.
Eagan MN 55122
RE: Chair Lift - Elevator ID# 02-08034PT02-28R
Residence: Keesling, John Residence
4271 Rahn Rd.
Eagan 55122,
Dear Sir/Madam:
Minnesota Statutes Chapter 16B provides that the Department of Administration, Building
Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and
manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the
Elevator Safety Section recently inspected your residence and determined it meets
requirements of the Minnesota Elevator Safety Code.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for
Elevators and Escalators does not necessarily assure compliance with, the
Americans With Disabilities Act of 1990. Sincerely,
U1L ING CODES AND STANDARDS
John P. Roche
State Elevator Inspector
jpr/rkr (CE-2)
c: Schoeppner, Dale R., BO, City of Eagan
Jackson Medical Equipment, Inc
? uPR 2 2 zooz
Building Codes and Standards Division, 408 Metro Square Building, 121 7th Place East, St. Paul, MN 55101-2181
Voice: 651.296.4639, Fax: 651.297.1973; TTY: 1.800.6273529 and ask for 296.9929
4 ol
RESIDENTIAL BUII.DING
Permit Application ? I (p
, City Of Eagan
3830 Pilot Knab Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construcdon Reauirements RemodeUReoair Reauireriienis. . . ? Office Use Oniv .
3 registered site surveys shawing sq. R of lot sq. it of house; and ?II roofed areas 2 copies of pian Cert of Survey Read (2096 maximum lot coverage allawed) 1 set of F.nergy Calculations for heated afditlons _ Tree Pres Plan Reod
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site swvey for addi6ons & decks _ Tree Pres Not Reqd •
1 set of Energy Cakxrlations Addifan - indicate if on-site sepbc system _ On-siUe Septic System
3 capies of Tree Preservation Plan if lot platW after 711/93
Rim Joist Detail Optiais selectia? shcet (bldgs with 3 or less units
Date / 03
f Construction Cost o6Q
Site Address ?71 /'
jq An1 d , Unit/Ste #
Description of Work LUP N r21' I'0rx?e l ?'P.rY? p??? l el' St,eOGkA, wa't
Multi-Family Bldg _ Y X N Fireplace(s) ? 0_ 1 _ 2
Property Owner i-a ? N Cl e?. 5 L? r u G Telephone #( 6 j ?) h Sb " S?j ?,?
Contractor ?. C..,,S. Ba;O e1"5
Address ="VA&5 ?,_uc _ City Ch?,?Skl? _ .
. State ? ?) . . Zip Telephone # (96,1, ) 368 ' y dqq
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Catesorv 1
(d submission type) • Residentlal Ventilaaon Category 1 Wa?ksheet
Submitted
• Energy Envelope CalculaUons Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worlcsheet
Submitted
el ne
?p?o
Telll pFl8ne # ( A J
, `
Telephone #
GV _ ---"` -
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.
kChpe. I Af-J jm 0 p
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation 0 07 05-plex ? 13 16-plex O 20 Pool O 30 AccessoryBidc.
0 02 SF Dwelting ? OS 06-plex 0 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-piex ` 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 04 A2-ple?.; V, ? 10 08-piex , ? _.18 , Deck ? 23 Porch (screen/gazebo)- ,: ; :O , . 36 Multi:'Misc.
? .05 ',03-plex . - 0. .11.
. 10-plex . ..
.
. ? . 19 -Lower Level' 0 24,`Storm Damage , ., .
. ;
.. ;
, . •
?' 06 04-plex°-.` ? 12 12-plez - Pibg_Y or _ N 25' Miscellaneous .
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
0 32 Addition 0 36 Move Bidg. 0 .42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration 0 37 Demolish (Bldg)• ? 43 Reroof O 46 Windows/Doors
? 34 ReplaCement 'DemoilUon (Entlre Bldg) - Give PCA handout to applicant
Valuatlon Occupancy i L` 3 MCIES System
Census Code L4 3_t"? Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const V? h Width
'
,
.. REQIJYRED INSPECTIONS -
. -
Footings (new bldg) .
; _ . . _ . ._..._ . ..__ _.. FinaUC.O..
Footings (deck) ? FinaUNo C.O.
Footings (addirion) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framing _ Siding Stucco _ Stone
_ Fireplace _ R.I. -Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
ApprAVed By
Building lnsnector
------- - -----
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
. S&W Permit &?Surctiarge ? ,. . .. , ? . . ..,
? ?. . , . ?, .: . .. . . .. . - . , •. -•.
L.. ,.., ,,.. :.. - ? , . :
? ?:
. . _ :.. :.. . . .
,. , Ti-eatmenf Planf
r . :License Search ,. : • ? . ? . ? .
Copies
Other
Total
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
,,,?--- 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsVuctbn Requirsments
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and ?II roofed areas
(200/o manimum lot coverage albwed)
• 2 copfes of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan ff lot platted after 7/1/93
• Rim Joist Detail Optbns selection sheet (bldgs with 3 or less units)
DATE
SITE ADDRESS
NPE OF WOR
APPLICANT
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS CIN?/'?Prlo?i ?TATE,?!?ZIP
TELEPHONE # CELL PHONE # SGG?--? FAX #;Z,?
?--/
PROPERTY OWNER TELEPHONE #6.S/-6Z6
---------------------------------------- ------------ -------o------------ -----------------------
COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Caiculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes
Sewer/Water Conhactor:
_ Air Conditioning
_ Heat Recovery System
Phone #
1, 1 3 .-I ??
Fee: $90.00
?
? MAY 2 0 2002
-------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is c
with all appiicable State of Minnesota Statutes and City of Eagan Ordin9nc?§9.
Signature of Applicant
OFFICE USE ONLY
_ Water Softener _
_ Water Heater _
_ No. of Baths
RemodeURepair Reauirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
. Indicaate 'rf home served by septic system for additbns
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
• Phone #
AULTI-FAMILY BLDG _ Y 3d4
VALUATION Zno-
----------------------- P--
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex. Pibg Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
13 36 Multi
? 31 New ? 35 int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ,ff 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demoiition (Entire Bldg only) - Give PCA handout ta applicant
Valuation Occu pancy MC/ES System
\
Census Code Zoning\ City Water .
SAC Units Stories ? Booster Pump
Nbr. of Units Sq. Ft. PRV ;
Nbr. of Bidgs Length ? Fire Sprinklered
Type of Const W idth ?
,
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final ,
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
of )0
r?? I 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
{p b City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
ok (0 0 4
New Construction Reguirements
3 registered site suroeys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
RemodellReoair Reauiremenis
2 copies of plan .......................
F3ffr?e Use Onl?r
C? af ?vrvey Recd
Y t?
(20% maximum lot coverage allowed) 1 set of Energy CalculaGons for heaied additions T.ree F. re s:3'[8n f?ecti; 3 I?:
2 copies of plan showing beam & window sizes; poured found design, etc. . 1 site survey for additions & decks 7ree ?res ?equired : N ?1
1 set of Energy Calculations Addition - indicate 'rf on-site septic system OWNte:SeFtiE
3 copies of Tree Preservation Plan if lot piatted after 7/1/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date /-5-l QL Construction Cost
Site Address CC 0 e/w Unit/Ste #
Description of Work 49,
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2
Property Owner Telephone #( )
Contractor 24 6t
& /4 w
6
:
2
Address t"-6.?
? ,[M C,/V City
_
State Zip Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ 1Vlinnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
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.
La
Applicant's Prin ed Name plicant's gnature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex 0 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement 13 38 Demolish interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg ) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ FinaUC.O.
_
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Ice & Water
Roof Final Pool _ Ftgs _ Air/Gas Tests Final
_
_ Framing _ _
_ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ RI. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utilify Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
RR
Xce ard Adhesion to Perimeter Ed eMetal
41/05/Q5
For various reasons whr:n installing lcegard lo a 3" to 4" metal flange, acihesion may not occur. Listed
below axe a few reasons fox t,his occurrence.
• Metal flange is not etched. The oils from the metsl wiil negate adhesion.
. Metal flange is too cold. 'I'he cold meral will chxll the adhesive and not allow it to adherc.
• Moisture on metal flange. The inoisture wi[I not allow adhesion.
• Dusi on ntxetal flange. Dust on metal flange can create false adhesiou a.nd inembxane wili release over a
period of time_
• Nflt pressing metxibrane to metal flange at time of installation. Areas may not a.dhere to metal flange
due to lack of not pressxng membrane to metal flange at time of appixcat:ion_
.A.s stated above these are afew reasons for self-adhered rnembranes not adhering w a metal flange. When
any of the above reason occurs, it xs su.ggested that a caulkzn.g be applied between the membrane and the
metal flange. F3elow are listed a few caulks that can be used to zemedy thi.s issue.
• Sonneborn NP 1.
+ Chem Link M-1.
• Any ModiPied Caulk compatible vtrith SB5 modified asphatt products. Pxvduct availability varies from
region to region.
• Butyl caulks which are compatible with SBS modified asphalt products. :Product avaxlability varies
&am region to region.
Note: The preferred caulking material is NP 1 and NI-1. Al1 national and local building codes tmust be
adhered to and supercede any manufacturer's recommendations.
., . . . • ::: ,.. , , .. .
Zd WdSb:ZT S00Z 2-0 'u?f 00ti8T26€TS :'ON XkiJ P°ad*WJ2i : W0ai
- ------------
? For O?ifice Use ?
City of EaaPermit#: b ? Permit Fee: 110 ?
3830 Pilot Knob Road
Eagan MN 55122 i Date Received: i
Phone: (651) 675-5675 i statr: - i
Fax: (651) 675-5694 i ______ I
2008 RESfDENTIAL BUILDING PERMIT APPLICATION
Date: 7/3C) /M_ Site Address:
Tenant• Suite #:
RESIDENT / OWNER . Name: 1, n - , , Phone: S? "G
Address / City / Zip: AC 194AI-(-
Applicant is: Owner Contractor
TYPE OF WORK Description of work: ?- S,-3 `
Construction C.ost: W"l, s00 Muiti-Family Building: (Yes / No ?
CONTRACTOR Name: UX-` • W _ License #: Wl o26f 7
Address: Cf766 A,?1/GY1 Q?e-
City: /" lCln 4,cd_1(C3 State: Zip: ss3l' ?'
Phone: 70/ , "Z7? Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Cat@g01'y Submitted Submitted
N submission type) • Energy Envelope Calculations Submitted _
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting alocuments?tliat you submit are cons?dered to be public. mformat?on,.Portions of ?
the information may.be class?f?ed a.s non publ/c ifyouu provide specific reasons that;would.permif;the,City to .`
,. ,
• ? conclude ttiat the . are trade secrets .., `
I hereby acknowledge that this information is complete and accurate; that the work wiil 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 ::rl/ff ?_ ?? bt"r6 X JLA??
ApplicanYs Printed Name App canY ' ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113801
Date Issued:09/09/2013
Permit Category:ePermit
Site Address: 4271 Rahn Rd
Lot:37 Block: 1 Addition: Cedar Grove 2nd
PID:10-16701-01-370
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Rich Rybak
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 -
Sabrina J Southworth
Po Box 650043
Dallas TX 55122
(612) 598-2402
Rybak Brothers Construction Llc
2206 East 117th Street
Burnsville MN 55337
(952) 405-8871
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137651
Date Issued:07/14/2016
Permit Category:ePermit
Site Address: 4271 Rahn Rd
Lot:37 Block: 1 Addition: Cedar Grove 2nd
PID:10-16701-01-370
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 -
Sabrina J Southworth
Po Box 650043
Dallas TX 55122
(612) 598-2402
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r For Office Use —I i ft
*''
Cityof Eaaaft -----------. Lit/55-7 Permit#: i , ,
Permit Fee: .6 0aoq icfri
3830 Pilot Knob Road ' "
Eagan MN 55122 Date Received:
Phone: (651)675-5675 _ ., I
Fax: (651)675-5694 Staff: 46) I
I
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name ll.‘C 4kZ � � M... Pone: .,19 9 77/8 4101at .
Resident/ / iint
Owner Address/City/Zip: q 2 f 'T "h 1 )(})C64
Y ,
i Applicant is: Owner Contractor en/4_,
T yp of Work Description of work: ( ,\\ {'t� , ' � �Jl��Y
a construction Cost: ( e— , Multi-Family Building: (Ye /No ) i
fr'
I Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
i
License#: Lead Certificate#:
'-------- )-- n
If the project is exempt from lead certification, please explain why:
,
_io 7 /J It/ #.
v1.Co' 'LA c 'A
��
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 4. 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 information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
_. __ ,. _ ., ,,. _ conclude that they are trade secrets.' , ,,,, ..,r . ...... 4. �:
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x AL,--_, L , . alPA.1 x 1"°'.ei 4- 1
Ap.licant's Printed Name Applicants S •nature
Page 1 of 3
at ,q{�fi a DO NOT WRITE BELOW THIS LINE l 4/6FS7
SUB TYPES
Foundation Fireplace Porch (3-Season) Exterior Alteration(Single Family)
j` 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 5 Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair 1(� Windows Demolish Foundation
Replace Repair ✓�' Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation d0 Occupancy ,I RG ../ MCES System —
Plan Review Code Edition 1.0/j SAC Units ti-
(25%_ 100% ✓) Zoning R-./ City Water —
Census Code 3 Li Stories Booster Pump —
#of Units / Square Feet PRV ---
#
~#of Buildings ! Length Fire Suppression Required
Type of Construction /a Width —
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) 4- Final/No C.O. Required
_ Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Iced&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: ?-7k
, Building Inspector
RESIDENTIAL FEES 5/ei441 !l!4
Base Fee /3
kik,
Surcharge W� ''N Row 0��'"""! OLa.v e.
Plan Review In P-
M C E S
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
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