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1384 Rainier LaneCITY OF EAGAN Remarks Addition Country Home Heights Lot 3 Bik 1 Parcel 18300 Vi ? ? 1384 Rainer Owner'1 I • ?- ? Street State-EaggA3-m-N 55,1.21 Improvement Date Amount Annual Years Payment Receipt Date S7REET SURF. STREET RESTOR. GRADING NO SAN SEW TRUNK 1968 ].OO. OO 3 P ID **SEWER LATERAL & StUb 1 WATERMAIN 4cWATER LATERAL & Stul7 1972 Z WATER AREA v STORM SEW TRK 1984 495.00 33.00 15 495.00 008312 8-2-83 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. $z(O.QD 2968 11-13-70 BUILDING PER. sac $200.00 2968 11-13-70 PARK Lane 1NSYLC;'1'lUN KLUUKD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: VEagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: { L„I* ? 0 4y s; jj, i r r: , APPLICANT: t:A?NI kt+ I Atrs- ir?it;? ; ??a??r-sr?•,?"??r! I J: ; w,,?i Ht-: c6f) 1 ,-??,; s t PERMIT SUBTYPE: TYPE OF WORK: ( ,a r r? ;?? ,? t; M{' 1!?at?E I.9 f't3(7f Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCnvirv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? EAGAN TOWN S H I P BUILDING PERMIT owae= .... ....... -...... •V°`•'•"--'--- -------- Address (preseni) ...._? ....._ Builder ......... &? .... ................................... Ov Address .....................•-•-•..._...._.......-•-•-•-•-.--•.._........-••-••••--.............••-.. DESCRIPTION N° 2329 Eagan Township Towa Hall Date .._..1..?.?.?.?s/7 d.-•---•. Stories To Be Used For Fron2 Depth Heighi Esi. Cost ' Permi! Fee Remarks 1?7 3a? - ?9, =`' " /,?r-VW-v vZ4 -a,42t'ZOCATION Street, Road or lher Description of Location I Lo! Block Addition or Trae! . . l 3 This permit does no2 auihoriae the use of streets, roads, alleys or sidewalks nor does it give the owaer os hfs agent the right to creale any situation which is a nuisance or which presenis a hazard !o the healih, safety, convenience aad general welfare to anyone in the communiiy. ROG SS. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN P -------------- -- Thu is !o ceriify, that................................................................ has permission to erect a---= ..---..`.. ......-•-•--•..._.. .. ? upon ----- !he above described premise subject to !he provisions of the Building Ordinance for Eaga Townshi adopted April 11, 2eee ??/? ? ? ?1lS:.t-•-/C?••-- McuG..C_ ? . . ti ..... . .....---•--•. Per --•••-••-• ..........................................••-..............•-••---.-.....................•-- Chairm of n wn Board ? ? Building Inspeclor TOWN 0F EAGAN 3795 Pilot Knob Rcad St. Paul # NLtnn 'o 5519 l PERMIT NO.: .58 The Board of Supervisors hereby grants toI'rancis VonDraselc f,Nf 1224 James Averue a Permit for: (Owner) same ? at 1384 Ranier Lane.__St. Paul 55118 pursuant to application dated Npvember 13,`1970r Fee Paid: Dated this 13th day bf NnynmbPr , 1914.. ?Building Inspector ~? w?? -3 -l c, N, ?(, . TOWN OF EAGAN 3795 Pilot Knob Rcad St. Paul, Minn. 55111 PERMIT N0. e 64 The Board of Supervisors hereby grants to Tr=cis VonDraseic mf 1229 . James rlvenue a Plumbinb Permit fors (awner) same ? _ at ;1384 Ranier Lane. St. Paul 55118 pursuant to application dated November 13_'_ 11,70.? y. Fee Paid: 20_00Dated this 13th day cfNovember , 1970 . ? Building Inspector , wi? < < ?? 2005 RESIDENTIAL BUII.,DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 64-) 0 t3Uq . *-'+ New Construction Reauirements RemodeUReaair Requirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of pian Cert of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres, Required , _ Y_ N 1 set of Energy Calculations Addition - indicafe if on-site septic system On-site Septic System : _ Y_N 3 copies of Tree Preservation Plan 'rf lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date Construction Cost ? ITsU&b- SiteAddress < Unit/Ste # Description of Work cj L? Multi-Family Bldg _ YXN Fireplace(s) _ 0 2 ? Property Owner ?C r??, ? e, t,l,?j t/ Telephone #( 65) ?--? Contractor 17vr?,_c D cm 4? Address Cih' State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 CategorL Minnesota 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 corRstructed a building in Eagar, 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 wi ?t a permit; that the work will be in accordance with the approved plan in the case of work which requires a iev? approval of plans. 7l,aMa5 lV Teu6f-,- Applicant's Printed Name \1??,, Applicant's Signature -? "?, OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex Work Types ?h ? 31 New ? 35 ? 32 Addition ? 36 `?. 33 Alteration ? 37 ?? 34 Replacement T Valuation goo Census Code ? SAC Units # of Units # of Bldgs Type of Const _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile r? • ? ? ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 18 Deck 0 23 Porch (screen/gazebo) O 36 Multi Misc. ? 19 Lower Level ? 24 Storm Damage Plbg_Y or _ N ? 25 Miscellaneous . s 0 ,?OA,,,11-y??'1t??""???? Int Improvement ? 38 Demolish Interior ? 44 Siding Move Building 0 42 Demolish Foundation ? 45 Fire Repair Demolish Building* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg) - Give PCA handout to applicant ., Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS Final/C.O. ? Final/No C.O. _ Plumbing HVAC Other Roof -?C Ice & Water ? Final _ Pool _ Ftgs Air/Gas Tests Final Framing _ Siding _ Stucco _ Stone _ Brick Fireplace R.I. Air Test Final Windows ? Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? On 071?--r p? ? ? ? 7?j ? ? ! S • h- a?3 ?Y tt PL ? ? ? A), J ? ? ) /-' -«? . ? f ?. •? •?YY ? ? ??• .? ? i ° ?. ?ra, \ .? . { ? ? `.? "? ..? ? !..? ! ? ?fm.' 7 '^? 1? F 1 .;,e 1, ?? ? ?+? +,;1 y :...?. '.ir ! ?"? =3 s' ? ? 4 ?... ? ' • Y ? ' ?i:,. J( ,.? ? .. /9 q t:-11 Q '? '?. . ~ r . R .---? Petmit Number REScheck Compliance Certificate 2000 M'innesota Fnergy Code REScheck So$ware Version 3.6 Release 2 Data filename: Untitled.rck PROJECT TITLE: Teuber addition 2005 COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family WINDOW / WALL RATIO: 0.10 DATE: 09/26/05 DATE OF PLANS: 09-08-2005 PROJECT DESCRIPTION: Add a 2nd goor over existing home (Approx. 26' x 47') DES IGNER/C ONT RAC T OR : Designer : Carlson Architectural Design Framing & consulting (E-Z Building & Remodeling, L.L.C.) Contractor : Homeowner COMPLIANCE: Passes Maximum UA = 384 Your Home UA = 326 15.1% Better Than Code (L1A) Ceiling 1: Raised or Energy Truss Wa11 1: Wood Frame, 16" o.c. Window 1: Above-Grade:Vinyl Frame:Double Pane with Low-E Door L• Giass Wa11 2: Wood Frame, 16" o.c. Basement Wa11 1: Masonry Block with Empty Cells W all height: 8.0' Depth below grade: 4.5' Insulation depth: 8.0' Boiler 1: Other (Except Gas-Fired Steam), 80 AFUE Fumace 1: Forced Hot Air, 90 AFUE Checked By/Date Gross Glazing Area ar Cavity Cont. or poor iPernzeter R-Value R_Va1ue U-Factor UA 1200 40.0 19.0 20 1200 0.0 19.0 79 207 0.320 66 36 0.200 7 1200 0.0 19.0 100 1200 5.0 13.0 54 ?ti 'I Proposed and Magimum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0.302 0.370 Includes Foundation Windows > 5.6 $2 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and othex calculations submitted with the pecmit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in REScheck Version 3.6 Release 2(fbrmerly MECcheck) and to comply with the 7andto requirements listel in the REScheck Inspection Checklist. Builder/Designer ? ?-? Date ell a? MINNESOTA FEDERAL SAVINGS MINNESOt11 AT FIFTN STREET • SAINT PAUt, MINNE50TA 551011PHONE 227•7231 RIItOU11tCK BJORKLYNO JOMN A. VYORIt! OOIIOON 11. M86RNfINt OOYLt N. O1.ASS JqY A. ?RASNO[II OMAIILts N. ROOt11G /f??lA?MI N111M vIp /1'b11M1 NN No/IMN1 r11s prNMwt NNN?t1 1H?911?0 /!sapus't 24, I)Yl. Tawnshc N uf Lagan • . . 37J5 P i 1? -u Knab Road Sa6nt F'aul, Minnc?qota 5di11 : . ' l.oari Number 01--8°0,90;43 li1e.? DPASEK, Fr;.incis E. 1304 Rasii ar Lano . ... SaQint Pau?, f:innesota 55111 Gentlemen; We are holding funds to pay the folloNing assessments as soon es they ara levied on the proporty described es: Lul 3, B3ock i y..ounrwy i;csl?ia E{ei ghts y-?' San i tary Sevrer Storm Sewer Sidewaiks Street improvement Curbing Water Frontage Tax . ?....._ Sewer and ldater Service Stubs XX ?. Please notify us as soon es the ebove assessmants are levled. Yours very trulyo •t . ?C• ? ;? ("9rs.) 1. h. Knhimnn, - Mortgage Loan Depertment cc lir. Francis E. 1lon Drasek M" , . Ms?nMr FsdetN 9w1n** ??d losn Imunne? Cabn•sllal i:. EAGIN TOWNSHIP 3795 Pilot Knob Road Sfi. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date:November 13, 1970 Number: 500 Billing Name:Francis E. VonDrasek Site Address; 1384 Ra?er. Lane,,St. Paul 55118 Owner: same Plumber; same Connection Billing Address (1229 James Ave. St.Paul 55105) Meter Size? Conaection Chg. . p 11/13/70 t?d ? 1s- o.d ?o ?d?/7 i Meter No. M%?s? 7 Permit Fee 10.00 pd 11/13/70 Meter Readingi/_;° Meter Dep. Meter Sealed: Yea Add'1 Chg. N0? iTotal Chg. Building is a: Residencexxx tRultiple No. Commercial ? Indus tria 1 Other By: Chief InapecCar In considerstion of the iaeue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulatioas of Eagan Township, Dakota County, Minnesota. By. same Please notify the above office when ready for inEpection end connection. Inspected by Date Remarks: ? ? Units c. ? lia?.? ,•??e?? ???'?• ? ' '"?"?:r . , • ?'?t(?,tiiE,l? i,, V. s EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454•5242 PERMIT FOR SEWER SERVICE CONI3ECTiON DATE: Idovember 13y 1970 ? NiJMBER 659 / ?? c? G OWNER: Francis E. VonDrasek Address 1384 Rainier Lane, St. Paul 55118 PLUMBER same TYPE OF PZPE cast iron DESCRIPTION OF BUILDING Industriall Commerciall Residential { Multiple Dwelliag I No. of units Location of Connections: Connection Charge 200.00 pd 11/13/70 • .?.,. ,i /1 i7i Permit Fae 10.00 pd 11/13/70 Street Repairs Tota 1 Inspected by: Date Remarks• $y Chief Inspector In.consideration of the issue aad delivery to me of the above permit, I hereby agree to do the proposed wcrk in accordance with the rules and regulations of Eagan Toi-inship, Dal:ota-County, Minnesota By SANE Please notify when ready for.inspection and connection and before any portion of Che work is covered. ?G7;tA't?P??6#??C?i??k??X??Yti ?6Y,(hy???>F?,l'??•?Y?A??k?>t??X?X;K??? Cl:7V CJF f.-"AGf!N CAS1-i:l:1=:RNS . TEF;MINAI_ Ni7,. 768 DA'1'E::; 09/10!9£3 T.T.MEu 15o2i,.i 5 zD. NAMEu I'HnMAS N. 3210 9001 1384 r,AINr.eR L.r? 74o« 21.55 9001. 1.384 RAIN:r.Er? a...N 1a ,n ? Tota7. Rei:.ex.pt ARiatint ° 76o25 CR09 i 2'i E, ? t.)SF.::R :[Tte NAh1CY r FERMIT CITY OF EAGAN 3830 Pilot Knob Road , PERMIT TYPE: B U I L D I N G Ea*n, fAinesota 55122-1897 Permit Number: 033219 (612) 681-4675 Date Issued: 09/ 10/ 98 SITE ADDRESS: 1384 RAINIER LANE LQTe 3 BLOCKe 1 CqUNTRY MqME NEIGHTS P. I, N. s 10--18300-830-01 DESCRIPTION: pcCinniz SF (MI5C.) REPAIF2 434 flLT> RESIDENTIAL REMARKS: FEE SUMMARY: VaLuwrxaN $3,000 Base Fee Surcharge TataJ. Fee CONTRACTOR: b $7ao75 ..._...??__?____.._.._._....? 1 . 5 0 $76.25 APPLICANT/PERMITEE SIGNATURE OWNER: -- Applicant ._ "f"EUBER TMOMAS 1384 RATIVIER LANE EAGAN MN 55121 (651)452-7241 0-?3? U-?-0/;c UED BY: SIGNATURE 1998 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4675 New Construdion Reauirements ? 3 registered site surveys ? 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1193 required: _ Yes _ No DATE: C//F/q? DE C?T'1?ON OF WORK: RemodeVReoair Requirements ? 2 copies of plan ? 2 site surveys (exterior additions 8 decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; /b dd 03111 Zctv E d w- --C?!?r STREETADDRESS: 130 A'uiili e/` le • LOT: ? BLOCK: SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: / CilL'ei- Phone #: Last First Street Address: 119y ?q'.•/h i 2v'' L? fl ? . City Ea G CCIlI State: Zip: Company: Phone #; Street Address: City State: Company: Phone #: Name: Street Address: City State: Zip: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the inivrmation is coRect and agree to comply with all appiicab! State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes Tree Preseroation Plan Received Yes RZCEIVED No . No Not Requir Y: - (RESIDENTIAL) License # Registration #: OFFICE USE ONLY __ 4 BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex D 02 SF Dwelling 0 07 4-plex ? 03 SF Addition O 08 8-plex ? 04 SF Porch - ? 09 12-piex ? 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New O 33 Alterations D 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS CI 11 Apt./Lodging ? 16 Basement Finish O 12 Multi RepairlRem. ? 17 .Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous 0 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance , ? 0% Permit Fee 7 `1'? 6 Valuation: $ Surcharge . 0 Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposi# S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies TotaL o? ?J % SAC SAC Units Plb 00 y ? ? - - - -- - - • -? - - - - - ? _ _ • ? . ' -- - -- - - - ? -- _ _ _ -- _ - - - _ - ? =, - - 1 ?, ? .?,? L G ?, .? -.- - ? a_ _ - - - - 1 0 - ---- -, --- - ?- _ _ _ _ - - - ? • ? - ? - -- - - -. m,y? _ ad- - - - - - - - -- ? ?y. y g/ - - ? - - - -- - - ?- _ ???'- - -- - ? -- `? ? - - ? . - - _ ,? s - - ?? ? ? 10 00 • - o . _. -??- - - M? - - I 1- o l .._- C o tA 11 tr}? . .}- l U ? - ? _ . - -- -- - 4D ? -- ? .? • * , - - ? MASTER CARD LOCATION OWNER STRUCTURE AND /? . LAND USED AS -/ - Cf-/,/1 Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING - y I ? 9: a" CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER ,?.? SDD OTHER • Approved Items (Initial) Date Remarks DisTance From Well FOOTING ? SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEA71NG OF WELL GAS INSTALLATlON SEPTIC TANK CESSPOOL ( DRAINFIELD rd LJK PLUMBING WELL SANITARY SEWER d IA114A j-) . 1-1 1 Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS io 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: ? 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 - I certify that I have carefully inspected the sbove in which I have no interest present or prospective, and that 1 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 COMMENTS: BUILDING INSPECTOR DATE 171 • ? 23 -7 2-Ci-7 S 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Jgl i) 77Y Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date O site Address )3?9 Q.2? 0?? e:??J )'?'+N S5 /a / Unit # Property Owner -7??? Telephone # .Sl9? Contractor Street Address Z//?j 'Mt,,? ?bla20o ?? City State `S'n nJ Zip Z Telephone #(G-5'/ ? 8411- 981P Bond #: Expires: The Applicant is Owner tl- Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 V/ f Additi i t R l urnace on a _ ep acemen _ air exchanger 4Z air conditioner New _Replacement other State Surcharge $ .50 Total : ?/ $ 3n I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 ans. P 0 o?? ? Applicant's Printed Name JAN 3 200? Q Applicant's Signature 1 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaUindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is Owner Contractor Other Work Type New Construction _ Underground Tank _ Install _Remove ""see below tnterior Improvement _ Install Piping _ Processed Gas Nature of Work: "*When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installatiori/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If pe rmit fee is $1,000 or less, add $.50 => $ State Surcharge If ermit fee is over $1,000, add $.50 for every $1,000 e? rmit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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 Applicant's Signature Approved By: , Inspectar Date: 711Cq I bX8 F R„R d' ? Q1 ? N ? ? ? LA/ J GAV t ncmkv cernrsy c,-iac utis ptan, specncc* a.. ., a . r,r uncter m;- dinect swenisioq and tha# I arn a du}; Rec;ztered P:cf ssional F-r,gineer c+nd e laws flf Lhe szaLe of I??inriesoi? _ _.., .r.r batc/j?'?`"5`Registrxtion hio. .. .i9(34?., f AxA I 6x6 Add new 2x4 #2 SPF diagonaEs Z15 5hQwn 5haded. 5ecure the new mernber5 in pface wath a 3/4" CDK or 0513 pfywaod gu55et on both sides of the tru55. 5ecure the 43u55et5 in place with a rmrnmum of (I 4)-34d nai15 irt each member and on bvth Sides of the tru5s, unless 5hown otherwise. fA cor+cA*s. de'sig^ iaY,out qaas, deW& aad arrar+gements wdcated bt t*ia drswng ae the PrQPa-tY d h6-?. LIC. They xicre vasr.eei 23 msfrumenb CR 5ow,-- ?,r #he Nwv& F%Iea and sh-°3 aot be rsed or seproduced vnb)mt the exprtss xt:fty .aona&# of Ne! Sirnpt. 1.1; . NEL-STRUGT, LLC. F-au cLa«. M CoMGh-r H ? ? ? {*fE?..SO? ?J',?t.?}C?TU? EC?E?sI Lr) j L?"iG'? ?FGEN s.i'iJVI{..4n?AV Ct.n?rRE, S?i 547? {715? 836-$794 ? COTT2305 O'"°?" ?(';' ? L } l??G,J`v5 1Ci"L4'05 l i4N= 1 : ? ?h+ hecked ey FromE No. Ti : r I 5?t?? 2 N a) rr+ ro a c? ? M ? ? M CD N r-I ? a ? 0 N 0 ? 0 0 N C O O z f bXb •,' ?..•," 3 CX?7 1Gx'o ! vXG7 .J L-nV 417.0- a/6 -?z3 -i jibSA 2006 RESIDENTIAL PLU,MBING PERmir APPLicarioN " CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. , Date 17 l O ? Site Street Address 4Om/Fi? eA) Unit # Property Owner ?? /?tl,?[ ? UB?? Telephone #(6,51) *cs1- 72YI Contractor 1t,),CA1Z& A'84? V- Telephone # (aS/ ) e-IV - /S4S Address 1710 ??Xf1i{1p? dP0 City State /`'14 Zip S/Z The Applicant is:. Owner Xcontractor _Other ,- Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $. 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 ? Add plumbing fixfures. This fee includes installation of a water softener and/or water heater af the same time. If you are installing onl a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. Septic System Abandonment ' _Water Turnaround (add $130.00 if a 5/8" meter is required) Other. Water Softener Water Heater $ 15.00 new replacement Lawn Irrigation _RPZ _PVB _new _repair rebuild ` $ 30.00 State Surcharge $ .50 Total $ i hereby appry tor a Residential NIumbing Nermit and acknowleage tnat tne mtormation is compiece ana accurate; tnat tne work will be in conformance with the ordinances and codes of the City of Eagan and. the plumbing codes; that I understand this is not a permit, buf only an application for a permit, work is not to start without a permit and wotk will be in accordance with the approved plan in the event a plan is required to be reviewed and Uproved. ll`,¢eL Applicant's Printed Name Applicant's Signature 9524450677 FEB-10-2006 15:06 7167CITYWIDE INSULATION 4--A ? ? ? ? C? -?--? C? H W-bi C? U .? ? ? U ? ? ? . ?..i ? ? ? 00 kn r--? w P4 /3 L'? It Product ? bescriptiott 9524450677 P.01 FE 158 is a closed cell spray applied foam, which when installed following application guidelines adheres tenaciously to framing members and substrates, providing superior energy economy and durability while significantly reducing unmanaged moisture and sir infiltration. As a component of a"systems approach" to proper building envelope construction in bath residential and commemial cons#ruction, FE 158 provides exceptionai performance in redpcing heat transfer, moisttue gain and imnrovinQ racking loacs_ Credentiais ASTM 8-84 Cla.ss I tisted foamwith Omega point Laboratories. Thickness (4") Maxime,m Flame Spread (25)") Smoke Development (450)(') Polyurethane foam systems should not be ieft exposed in interior applications and ' must be protected by a minimum of a 15-minute thcrmal barrier. (1) This numerical flame spread'rating is not intended to re,flect hazards presemed by this or arry orher material under actual fire Processing Gusmer H2035, Gusmer GAP gun, #2 Mixing Chamber, pr+eheats ana Parameters hose 125°F - 130°F. A minimum spray or working pressure af IOOQ si. Physic$1 Properties (Y,iquid product) 7PROPEItTY TEST FE $ 00 FE 158 IV1ix Rs y Volume 1.0 1.0 Specific ASTM D-1638 1.22-1.25 1.17-1.14 Cxravi Viscosity Braokfietd 150-250 800-1300 c s RVF Page 1 of 3 ??- »asu waccrtovrer c;e? -minneapou$,MN 5544i 3785 -(800) Be&3342 -(763) 559-3266 - Fac (763)3S9-0KJdS 1703 bosspolnr Avonue - Nous[on, TX 770543707 - (WO) 796.9743-1713) 7964743 - FaK (773) 79A-1530 webww: www.foarnCnnnprkes.oom FEB-10-2006 15:07 7167CITYWIDE INSULATION 9524450677 P.02 ? . -?'=.?_glSF'? LL? -- +-4 ? ? ? ? Ct -4--J C? F---t ? C? C? .? ? ? U C? ? . ,..? ? V1 ? tn r--4 w 4.0 physical Fraperties (Finfshed Pxoduct) C i ? ? rxopERTY ? - TEsT - TYPIcaL RESUY.TS Uensity,.core ASTM D-1622 - @ z„ 2.10.2.35 4» l,8&1.99 Ctosed Cell Content (psi) ASTM D-6226 >90% K-Factor. Initial ASTM G518 0.155-0.170 Permeance (perms) ASTM E-96 2.91 Permeabili inch 2.99 Dimensiona! Stability (%.'Volume AST'M D-2126 Change) Dry Age 28 Days (158°F, Dry) *3.3 to +8.2 Freeze-!4 Da 24°F . ?_.. ). . .... . ...,..._ -0.37 to -0.96 .. Surface Burning Characteristics ASTM E-$4 ... Foam Thiclaiess q" Flame Spreed() 25 Smoke pevetopment?3? 450 These plrysical properry results are rypical}or rhis rr,urterlal as applied At our deveJopmenr fpCility under CohlroQed condlliorts. The fopm ond resultane phy,y)cp! properttes can vary tivllh cimges in the appticariop pprpmelers; i, e., temperasures, IhrcbJess, processing eguipment, mix head varrarions, throughput, elc. As a resulr, iiiese published properties pre ucefrrl for evaluafron gtddelrrres, Pfrysfcal properry specifrcarrons should be derermined from acrual production 7his nunrericalJlame spread rating is not intended to relect hazards preserued rhis or cmy orher ,naterial r.r,der crctuQ/re conditionr. The recommended application and handling procedures for the specifzc praduct being used should be lrnown and foliowed by the foam applicator. A small "test area" of spray foam should be kipplied and inspecte.ci prior to commencing the project. 'Ihis simple, low-cost test area cau indicate inadequate adhesion, improper stuface preparation and/or need for primer, surface contamination, improper substrate andlor ambient temperature, equipment malfunctions, material contamination, or improper application technique. A simple visual inspection af a sample cut from a test spray and periodic job sampics can reveal pdtential problems that may be due to one or more of the above conditions. Pap 2 of 3 FEB-10-2006 15:07 7167CITYWIDE INSULATION 9524450677 P.03 ?I Q.? Q.? .?5.: ? 03 r..? ? p ?---a Cld .0 ? ? ? Q.? T'he FE 15$ should only beapptied in 1" to 2"passes. 'I'his application procedure is in campliance with the SPFA foam agplication guidelines. The FE 158 is NO-T for use as an EXTER]OR roo€ deck system due to Z the light density of this product. The FE 158 should NOT be used in C) refrigerated strvctures or where rapid change in temperature can occur. ? FE 138 is to be applied to woorl studwall swfaces between 40°F to 120°F. Foam Enterprises' technieal service personnel should be cansulted in a1) cases where apptication conditions are questionable. ? ? The use of foamed plastic in intenor applicativns on walls ot ceil'ulgs ma.y present an unreasonable fire haaard unless the foatn is protected by U an approved, frre-resistant thermal barrier which has a finish-rating of not less than 15 minu#es. As with any airtight building envelope system approach, adequate . ventilation strate ie ?rnust be considered, ? 4.? . ?...? ?--? ? ? 00 kr) e---i >+ z ? The informiation herein is to assist customers in determining whether our products are suitable for their applications. Qur products are intended for sale to industrial and eommercial customers. We request that customers inspeet and test our products before use and satisfy themselves as to contents and suitability. We warrant that our products will meet our written liquid component specifecations. Nothing herein shall constitute any other warranty, express or implied, including any warranty of merchantsbilaty of fitness, nor is protection from any iaw or patent to be inferred. All patent rights are reserved. The exclusive remedy for all proven claims is replacement of our materials and in no event shatl we be liable for special, incidentai or consequentiat damaees, W ? Shelflife Additional Information Three months from date ofmanufacture when stored in Created an: 0&27/QS(DCD) original, unopened container (50.750F). Revised on: oV20ro5(sw/my) Revision #: 3 page 3 of 3 FEB-10-2006 ? 15:07 7167CITYWIDE INSULATION 9524450677 P.04 Processing Guidelines for Spray Foam Compounds Substrate Preparation ? Thc substrate io bc spsyed must ba Eme of gresse, oil, loose Partictas, Iuoisture, and other foe+eigo mat4x (din, 1ooAe or damaPd Protwdve matinp. A suitable primw should be spplicd to protect ttw peeparei Subebatc amd to Incmssa dh i a es on of the insulation, Cpntaa thO primer Maluf?ChM or Fwim Ente Lufor ?'Pn .?s, ' P?? ?BB?ons. Nornial applioetioes are to wood, co?, metal aad moat axisiin aubetrat s ? g . e Substrate Temperature ? Wind, ambicnt temperatwzs, building materials in sunlight affecx surface tCmperatum_ Substtaos opeiatinB mmPuavzm should aot cxceed 1$0F withoitt oonsulting Foem Entexprises, LL.C. bI1 Climatic Conditians ? Substrate temporgum shoWd be 40°F minimuun before aWlyiag the foam_ Conditions a?tcide these parenotpM conalaw sliould cansu]t with FE peisonacl. Wata- (iain, fog, c;nudC?mtion, etc.) will %sct chemicatly wit!? tlie mixed oomPonwAF a3 , adverselY affcding the foarn formation And eesultant propcrties. Conscqucntly, ihe subsbato must be dry at the wne of ePPlicetion.. Exb+eme c.aatioa muss be takcn to prevrnt overspray and fumes 5om ooatffiniimtiei 4ecmt w k N g or mms. o spreyiag s6ould be done within 5 degrees of rhe dew point, and humidiry c4oditions above 85% mu9t be monitored aod ? "nsPected ftequeotly. SPraY Paftm sarnples ehould be takcn to assess the quslity of rve polytueWene foem baing Produoed by the foem mochanic. Equipment ? Tht cquipment utilized to sprey this system must be cepnblo of inetering each componeet w;thiu plus/minus (f) 2°h of the given meter;ng ratio, 'to prpvidc sa ac??C fonin the 3pray gun must rovide inoee iv d h ? p t an t s orough mLxring of the comPonet9. The marerials in the drum3 should be at or near 70-80° at time of application. Most high-pnssuee {1500 psi ar m t } i . VME04 ° e e9u P?nt works bast when thc components Arc warmed m i 10°F as measur+cd by ingerting e hosa theeatometer under the hose insulation neaor the Sun. The optimum ranpcrstute may vary wiUi the type oF equipment aacd and the pprticular ? aPPlimtion. Cane most be exercised to be certa;n that the comppncnt A is silowcd to wme only in contscC wlth i6ocyanate Pots end pw[tps ffifd component B in wntacx with resin po[s and pumps on1Y- ArY nitrogen should blenket both ? componcnts, as moisdue will degrade boih comppngnis. U Spraying ? The SPfsYinB Operation stiould be done so dutt cnough material is laid down to wet the surfact without nming or sagging. Tbe "w'ctted" surfacc should be eIlowed eo 6omn completely before a second layer ia epplied - ugyAUy 30 - 60 seeonds ? . Work 9twulcl proceed so that a cmvenient aeea is built-up to the desittd tLickness es quicldy as possible before moving on m another area. Caut[oU: DO NOT apply exom=vc thiclmesse U l i s. sc on y n a wcll_ventilated area. Nonnai pow thidmew tp be epplicd is 1.b0" chick minimum to 4.0" thick maximum to obtairi phyeical Prope+Ues ropresented on produd deta eheat. S ra in i c b d ? p y g s o e one bY professionel and trained fosm mecla,ics only. appt,wcions nquir;ng diffeenc Way;ne ceehoiques then above should be discussod with Foazn E+?torprises, L1,G., before proevcdiag. ? A smalt "test ae+o" of sprey foam shoutd be appliad and inspected prior to oommencin8 tbe Pro1eet This simPle, low-cost test area aen indicate inadCquatc adhes;oa, improper surface preperation andJor primer susface contaminetion i ' ? ? , , mPm? substrate aod/or ambient tamperazure, ecluipmene malfunctioas, maLerial conl8mination, or improper appticef,ion feehniqu A simpte visul inspection of a sempk cut fmm a test and perioclic job saznples c? reveel potcntiai probkms thaf may bee- d ue to oac or mare of the above conditims. Rcoommended readivity r,angcs Sumnter-90+, Mid range 60690 Winter 45.60 , Storage of Raw NLaterials ? All materials should be stored in thcir originel containers aad sway from heat ared moigture, especially after dre ooMaiaers have becn opened, Both conponenLs ma c t u l il ? y r vo on a u e iagredients and s6ould be kept tighUy 9ealed and storod indoors st emPmatm betwcen 60°F e»d no more than $0°F_ ppen contaviras carefid[y, allowing any pmum build-up to be li re evcd slowly. If voletile ingrodients must be releasod as a safety presaution, an increase in foam derL4ity may be expeded. All interior Eom aPPlicx+tions must be covered b a minimu IS i y m m nute thcrrnal barrier. The Isocyanate KA" Component ShoW hcaaway t and ? Causdc solucions, tertierY amines, or water to prevent rapid polymcrization witb asaomppqying $?ran'on of prft-nre. Shelflife When ??OC?? ??P? ??ners at 50°F to 75°F, shelFlifc of the coiaponents ia approximately tfuee (3) past threc (3) mon(hs from prWuction date h cm s ow signs of slower raacdon profilos. Page 4 of 5 FEB-10-2006 15:08 7167CITYWIDE INSULATION 9524450677 P.05 .- ? . Safety Precautions for Spray Foam Work Crews , +-J ? Should have a cprnptde p6ysicw axaminafion before they etart work with, isocyanetes or palyurety=c or polyisocyanu= componencs and periodic chectc-u s if th ci u ki i p cy coa n e wor ng w th thcm. Empioyoas w;m the following condiaons showd not woric with thme matcrials: ? - Chionic nesPiratorY diseases Asthmatic or avtbmatic broachitis medicai history 13••? fliStozY or prcsance oPallagic diseastl Spray foam meohanics shel[ be properly 6ttod wit6 perdonel braething VWatm by indusuiel hygenist standards to Wcwe proPI" HrOwctiOn from respirablc MDI or rzlated isocyanaws. Refer tn AP! guidelines qX 246. Protective Equipment ? ?? For sPray cnw s6ould incdude the folbwing: - Ai (t r supplied full-faco mask or hood. Air must be oil frCC. - Fabric coveralls (MD1 [tESIST A ANT); ; Rubbers or boots (IypI RESYSTAIYT); F 1 Fabric or impervious gloves.(MDI RESISTAN'I) ' Yndoor 5praying Suitable warning sigm must be set up in obvi0us antrywayy to prevenl wninteatioaal exposure tn atomized MDL Non 9pray fpem pcrsonnel Or unprotecled obscrvers arC pro6ibited from the spray fosm a iftti pp on area, Cleaning Solvents ? 0 VEM4 5uch as Dipropyleno Glycol Methyl Ether (DPM) ssould bc uged For clcan up. Manufacmrer's pcecautiom ehouid be observod as expre9sed on oontainer labels and Material Safety Dala Sheets (MSDS). Sprinkler $ystem/ Fire Extinguishers • wswr WAY. carbon dioxido or dry Chcrrucal eztingyisher may be used for cxtinguishing fircs involving liquid urerhane cornponents. F'uafigbters sbould wear self-oontaincd breathing apparatus. ? Exposed Fo$m ? ln an intcriot application sprnY PojYurethane foam does repreftnt an exn+ema fue hazerd and av such prior to the appication o€ the fire resistant covering ALL foam must be rotecxod f i ad l hi ? p rom n enta gh incensity hm sparks or outting whic6 may contsct the foam. Sigos must be positioned and jobsite management must be notified in writing that exposed foam represptts a potential life safe4y concem Pxotective Fire Barriers " ? Ihis foam system is tltunrrtable undcr many fim canditions and shouid be covered with a minirnym of n 15 minute thennsl barrier. . ct Material Safety Data 56eets Q Mattria1 SafetY bata 5heets (MSDS) are providod for the IyMyHnaRe A oomponent aQd Resin-B cempo?ne,rt ohcmicelg furnished by Foam Euerprises, LLC. They are alsofutnished for solvents oiLs enQ coatin th t di ? , p m s suauiod by Fom tcmrises, Inc. ?hese art required under OSHA s iRight to Know^ or 6azaid cammanicetian atandard. They should be shawn and instruction given s1l peoplc workin with a pt ti l f b i g p cn a o e ng expoaed to the ehemicals in the work area, Applicatians & X1ses i Vanous products and matcrials are 8vailsble for many diffwcnt applications by pm6essional urethane foern oontr4CWis. Nol eq producrs will work for ail applications. If you have not uscd our oomponeats for a particular use or epplication i " Piev ouslY, B?ve us a call w wnfinn de proper foem compounds for your intended application. Design oonsideiations and um con also be discaisseci The Spray polyiaethane Foam Alliancc offers man s ecif caci id l y p i on gu e ines and can be wntacW ai 800.523.6154 or by mail at SPFA 4400 Fair l,alces Courc, Suite IOS FaQFax, VA 22033 or at www.s 2loem r. Spccial caesiderations must be given ibr wld sw hi h h idi ragc, g um ty and high temparature applications of polyuretltane foesn_ D'espvsal Disposal of contAiners or unused ehemical must bc done in compliancc with all applicable federal, state, oouaiiy or municipal guidelines. EmpEy eontainers that h v b a c een property prepared shouW be recyeled by contacting tlu NABADA - The Association of Containtr Reconditioners at 800,533.DRUM for tho nearest ncondic; onq near you. Page S of 5 TOTAL P.05 - ------------ I j Permit #: Cj I I ? Permit Fee: . ? Date Received: I ?? I I Staff: I I I L --------------- J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION ??.2- Date: Site Address:. l ? ? ? !` ? i•`? l e v /_ p 7 Tenant: Suite #: RESIDENT / OWNER Narne: C7,71ct 5 A/ /e "6e , Phone: ? S ? - ySr2 ?7%1 yI ? Address / City / Zip: 138q Xr? i i7/ ei" L-i'I .? ? ?p ?, /t:? 'l'r'??z / ? ; , 5 Applicant is: __x Owner Contractor x ( TYPE OF WORK Description of work: A?e- w,!%'e G k Construction Cost: Multi-Family Building: (Yes / No X CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 6nergy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar ptan 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: N?TE, Plan? ?nt? ?`t?pp?rtin? docuh?6nt? fhat y+?? s?ubi»it are cvnsrdetepi r? be publi,Jn?orrt?atiorr ?vr#ivn? ?f = r? tt?e ?n#ormatr?in m?yb? ?l?ssr?e?d?s na»,publ,c,fyotr?r?ov,dewsp?c?€?c r srr»s ihat'? ld t th??tyfc? ??iR ? ?u .? ?.?.. ?, ? ,?....?'.? . ?$ ?...??.. .. .. "conclude ttiatl'ii?p .a)i6 trade s6cre#s. t.. ?:? ??.. 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. r X /' ? X ?'?:l??F,+- ? ApplicanYs Printed Name AppiicanYs Signature Page 1 of 3 ya?e) ?Q2 ? wo. :F? ? _. DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Firepiace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-piex K Deck ? Porch (screen/gazebo/pergola) El Multi Misc. El 03-Plex ? 10-plex ? Lower Level O Storm Damage ? 04-Plex EJ 12-piex ? Miscellaneous WORK TYPES CHJ New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window El Water Damage * Demolition (entire building) - give PCA handout to appiicant DESCRIPTION: Valuation Occupancy C- ? MCES System Plan Review Code Edition ,/yJ/l Z SAC Units (25% 100% ) Zoning City Water Census Code V -3 Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bidg) Sheetrock ? Footings (deck) Final/C.O. Footings (addition) ? Final/No C.O. Foundation HVAC Drain Tile Other: Roof: _Ice & Water _Final Pool: _Footings _Air/Gas Tests _Finai ? Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _Air Test _Final Windows Insulation Retaining Wall Reviewed By: , Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge L?_. ,Treatment Plant Copies Total Page 2 of 3 S ?Te MA N: 01 A IU , M Al . ? - 208 , . .- _ -? . . 38r? ? RA 1 A/ ? ER . ? PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA133216 Date Issued:09/29/2015 Permit Category:ePermit Site Address: 1384 Rainier Lane Lot:3 Block: 1 Addition: Country Home Heights PID:10-18300-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Boiler Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas N Teuber 1384 Rainier Lane Eagan MN 55121 (651) 452-7241 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA149036 Date Issued:05/03/2018 Permit Category:ePermit Site Address: 1384 Rainier Lane Lot:3 Block: 1 Addition: Country Home Heights PID:10-18300-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. 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 - Thomas N Teuber 1384 Rainier Lane Eagan MN 55121 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature