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4168 Raptor Rd04/21/2014 12:20 Les Jones Roofing, Inc. (FAX)9528817009 P.0111011 4111' City of Eaaa 3630 Pilot Knob Road Eagan MN 66122 Phone: (651) 675-6675 Fax: (651) 675.5694 Use BLUE or BLACK Ink For Office Uso /Permit #: Permit Fee: 361: Date Received: Staff: J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION 'z52%/9 Date: 470431/54 f Site Address: WO- 4i// S/-W(a8 */?. if'4P12, Roo' Unit #: sn�� , � � ice. o ; �� ���at� ��,,�,,,,-1 �� -� ,, � tzcam.;, "' y 0 G �vG. 94 Name: a f� T� rt�.�" � Phone: �' �� �9 Address / City / Zip: y p: Applicant Is: , B 2 5 v �O 01c ?� /N a2� G�o�.s 6,r�-s /12i✓ 5324ro Owner _X. Contractor 1. � sh ; '''p'a,- ' ,'�t .:'st''' ` Description of work: Construction Cost p' ,4ii/t.1 Z16PMC.E44"6 - 2-9 c2 , 2. 9s Multi -Family Building: (Yes...X./ No ) � � 1,: li%- it 4'Address: rho a fw a��o)` v 'ql 0 .' r: `: ; -'; To QaFin1C�` � nTG Contact CH�RtS �jp51�.`�� Company:• L Ott W S' L—� -�City: .3.hDM.troCTT?Al State: MLN Zip: S----.14-2-0 Phone: Si9'—$g(-2-241 License #: (aSc,O Lead Certificate #: NAfi q0.372--1 If the protect Is exempt from lead certification, please explain why: (see Page 3 for additional Information) In the last 12 Yes _No months, If Contractor: Contractor: COMPLETE THIS has the City of Eagan yea, date and address AREA ONLY IF CONSTRUCTING A NEW BUILDJNG Issued a permit for a similar plan based on a master plan? of master plan: • Licensed Plumber: Mechanical Sewer & Water Phone: Phone: — Phone: c"ii ` c U e4o e r, ° aro " i',`he ff., " �q �i i k. d i //( (/,.�� �� 1 4 � it 1. � r ...-" i) /i��"�'e� �� / 1� , u���- ity�,`�dt(ij ;p{' s ' � �t .,Ai Idy�A ..', / " e`'° e r k 'j. .i I i4 (} � X 77 �j�A''' r��Y it .d.i0° ri02' ) ° Ir° 1. 91l / 9411 �7�ri u% '�"o /2y�,C �..}1�i. t;, 'k/�-. 1. ������� �l � y 4'���,i9s� G i��l��q)�!� �'L(�yiyPLb C71(�rr�'_ ��'.n rF 1 �, ��' n r /n Y Cl �y 1�,, �,1. ! °Y�°.f?.t'° �f u.li10;i ik°F J ��01*;, 7 �'¢A� ).0 1i° 4/, �Q, �r�t( jrtfo '� ;�,yf��,r. ��'�'•' ,�.cl � �r ' � � ' .. � fyr�-ppb-y'� ii �� (�;i'XAA° r al-l�A� 0,?f, 1-i(-0' A I �trJr..l. r. t. ,,: ,.r; ,,,,, !r•. .:i 's : "jF CALL_BEFORE YOU DIG. CaN Gopher State One Call at (661) 464-0002 for protacUon against underground utility damage. Cab 48 hours before you Intend to dig to receive locates of underground utilities. www.000herstateonecall otq I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the ordinances and codea of the City of Eagan; that I understand this Is not a permit, but only an application for e 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 leeued In accordance with the Minnesota State Building Code must be completed within 180 days of permit leeuence. 40.14is 47%/4e-72,5 ate! x Applicant's Printed Name X Ap Ilcant's Signature Page1of3 ? ??&q 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Piease complete for modifications to existing residential dwellings. ,? ??' i-V Date Site Street Address Unit # Property Owner Telephone # f-L47,01,/2 fd .l T-?2. Telephone # Contractor 4 - Address Z6q"??? Eity Z? ?/,?/l? State?? Zip The Applicant is: _ Owner Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Abandonment _Water Turnaround (add $125.00 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 apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printed Na e App i ant's Sign re Geo pier soil strength Engineering and special inspections Info for this address is in the parcel file for 4172 Raptor rd /O T l &P.4 ..,.,, ?-- ?$--w (' c l s-p'- 6P-- (" 2- q RESIDENTIAL N\ V_ ,?,-? '_7 o BUILDING PERMIT APPLICATI?N CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 { .?- ?4 ? "i ?" ?( New Construction Reauirements Remod&il?teaair Reauirem nts • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20°k maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot plalted after 7/1/93 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE JOB SITE ADDRESS ?c-i ,r) ? /13a, 6v-e\jj\&.,,jk. IF MULTI-FAMILY BUILf5ING, HOW MANY UNITS? 4- ? PROPERTY OWNER,M W J 0 I") l'150 0 l D? ?- TYPE OF WO REPLACE(S) 0V**1 2 APPLICANT ADDRESS ? ??,o AcJ ? I PAGER # CELL PHONE # VALUATION I DO PHONE# a??--- '69:> 70-10 ZIP CODE C6 04 + 6la- '70i ?; (o 0-"7 FAX # ?5?-- S9-_)- 5961 - FILL OUT COMPLETELY Energy Code ?Qr?i? "\\\\ MINNESOTA RULES 7670 CATEGORY 1 (check o Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted MINNESOTA RULES 7672 X ? ,/ - New Energy Code Worksheet Submitted Plumbing?itractor: Phone #: qj'"7 a o Q?G ?" 7? Plumbing System Includes: _ Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths ? No. of Baths Mechanical Contractor: ? ?r e, Mechanical System Includes: r/ Air Conditioning v Heat Recovery System Sewer/Water Contractor: ?eo-JI) Phone # 7 (ll 3A 7 (o 7 Fee: $70.00 Phone # V0 )`r J4? ?55;-6 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 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling s4 03 01 of k 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 Plbg_Y or _ N .-- , ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ,A 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration O 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Gt? -6w ? Occupancy /c `3 MC/ES System ? Census Code 10 Zoning PI) City Water V SAC Units Stories ?. Booster Pump ? Nbr. of Units ? Sq. Ft. Jl 1>'L PRV ? Nbr. of Bldgs ? Length Fire Sprinklered Type of Const -i? Width ?d REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. Footings (addition) _ Plumbing ? Foundation HVAC ? Drain Tile ? Other 9 PJ?Gigc, -710P Roof ? Ice & Water Ll? Final Pool Ftgs Air/Gas Tests Final ? Framing py?,y _ Siding Stucco Stone _ Fireplace _ R.I. 4 Air Test _ Final _ Windows (new/replacement) )k Insulation _ Retaining Wall Approved By Base Fee pj ? 3 2 -'?- Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies " , aS Building Inspector & i? `= 6 f ?= /"Lctti 7???C 76 ?o 00 Other Total ?. MNcheck COMPLIANCE REPORT I I Minnesota Energy Code I Permit # ? MNcheck Software Version 3.0 I I I I ( Checked by/Date ? COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 1-2-2003 DATE OF PLANS: 01/02/03 PROJECT INFORMATION: Lot 2 Block 2 ? Greyhawk Eagan, MN COMPANY INFORMATION: MW Johnson Construction Inc. 17645 Juniper Path #100 Lakeville, MN 55044 COMPLIANCE: PASSES Required UA = 417 Your Home = 282 32.4% Better Than Code ' Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA -------------------------------------------------------------- CEILINGS 1850 44.0 0.0 ------------ ----- 50 WALLS: Wood Frame, 16" O.C. 2322 19.0 2.0 130 BSMT: Conc. 4.0' ht/4.0! bg/4.0' insul 464 10.0 0.0 32 GLAZING: Windows or poors, Above Grade 119 0.480 57 DOORS 38 0.350 13 HVAC EQUIPMENT: Furnace, 90.0 AFUE -------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described ------------ here is ----- consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the emen the Minnesota Energy Code. Builder/Designer Date o U?2, LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION Q Oz [iV ? ? ? 6' ? V? v ? O/? D/? a/ ? M"' ? ?/ ? PROPERTY LEGAL: ? - zr'- H lD c- l? -,-)- Lu, K DATE OF SURVEY: LATEST REVISION: 12-- 2 b- 0'2 m m c ?v t C? V a DOCUMENT STANDARDS ? • Registered Land Surveyor signature and company ? • Building Pertnit Applicant ? • Legal description ? . Address ? . North arrow and scale ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ? • Directional drainage arrows with siope/gradient % ? • Proposed/existing sewer and water services & invert elevation , ? • Street name ? . Driveway 0 . Lot Square Footage ? ? • Lot Coverage ELEVATIONS Existin o ?tY Q • Sewer service (or Proposed) P/ ? ? . Property comers ?Vo. . Top of curb at the driveway and property line extensions ? @/ ? • Elevations of any existing adjacent homes ? . Adequate footing depth of structures due to adjacent utility trenches ? 0 • Waterways (pond, stream, etc.) Proposed G7/Q ? • Garage floor P/ ? ? • Basement floor P/ ? ? • Lowest exposed elevation (walkouUwindow) ? ? • Property comers C? 0? • Front and rear of home at the foundation PONDING AREA (if appiicable,) 15/ ? ? • Easement line V ? o . NWL V? [I . HWL ? ? • Pond # designation Cf a? • Emergency OverFlow Elevation ? V/0 . Pond/Wetiand buffer defineation DIMENSIONS • 9' 0 0 . Lot lineslBearings & dimensions Vic] ? . Right-of-way and street width (to back of curb) QiF? Cl • Proposed home dimensions including any proposed decks, ovefiangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) ?? i 1 • Show all easements of record and any City utilities within those easements ??/? Cl • Setbacks of proposed structure and sideyard setback of adjacent existing structures t,Ct C) • Retaining wall requirements, if any Reviewed: Name Date G:/FORMS/Building Permit Application /- Z -- z 3 w ' Bohlen CERTIFICATE [IF SURVEY Surveying & Engineering FOR 31462 Foliage Avenue 4735123rd Street W. Northfield, MN 55057 Suite 200 g E Savage, MN 55378 .W:: JOHNSON CONSTRUCTION Phone: (507) 645-7768 Phone: (952) 895•9212 24,7 Fax: (507) 645-7799 Fax: (952) 895-9259 7 bohlen@rconnect.com bohien-e@integraonline.com "?'? ?z?, a?" " 0 30 60 90 --b6 ADDRESSES: LOT 1 - 4172 Raptor Road LEG E N D '''?° '`\ ?~ ??'a ?r• 1 LOT 2- 4168 Raptor Road j LOT 3 - 4164 Raptor_RoaCl (IN FEET ) i L 0 T 4- 4160 Rap tor Roa d -- - - - - - DRAINAGE 6 UTILITY EASEMENT PROPERTY DESCRIPTION -----898^-- ^--- EXISTING CONTOURr TLOAREAS• LOT 1- 35,345 sq. ft. LOTS 1 THRU 4, BLOCK 2, GREYHAWK ADDITION, ; LOT 2- 2,802 sq. ft. CITY OF EAGAN, DAKOTA COUNTY, MINNESOTA, LOT 3 - 2,700 Sq. ft. 900 PROPOSED CONTOUR`a -;0 LOT 4- 3,799 sq. ft. PROPOSED STORM SEWER 6 CB Ij • ? ? ,, , ?? ?? I HEREBY CERTIFY THAT THIS SURVEY WAS PREPARED ?:, BU1LD]NG AREAS: BY ME OR UNDER MY DIRECT SUPERVISION AND THAT •+; I ? ?? ?" ?s \ ? LOT I- 1,211 Sq. ft. (3.4%) I AM A DULY LICENSED LAND SURVEYOR UNDERTHE • DENOTES ]RON MONUMENT FOUND LOT 2- 1,218 sq. ft. (43.5%) ? LOT 3- 1,218 sq. ft. C45.1%) S LAWS OF THE STATE OF MINNESOTA 0 LOT 4- 1,211 sq. ft. (31.9%) I } ? ?\? a f.??{ROY H. BOHLEN, R.L.S. TB-926x3 DENOTES PROPpSED TOP BLOCK ELEVATION DATE: 1-20-02 REG. NO.: 10795 2a ? DENOTES PROPOSED GARAGE fL00R °j q?i 0 N0) ? DATE: 12-26-02 revised 926x0 r J ,,.- 'I"?1A /\\ ^?p M)O DATE: 12-31-02 revised ? DENOTES PROPOSED ELEVATION ?V N ?• XL- o o o¦ a D E N O T E S E X 1 S T] N G E L E V A T I O N / ?,,? \ f Fd ^ ? N `co ? D E N O T E S P R O P O S E D D R A I NAG E D I R E C T 1 p N g Z a ti a? " ? f ? n ? , . CONTRACTOR SHALL MAINTAIN 2% MININUM SLOP P O N D l 1? ? O. Q? cGRB 8 FROM SERVICE END TO SEWER. NWL- _917.9 Sp STORM WE XXX.XX UENOTES SAN]TARY SERVICE ti ? t I °i HWL=922.0 INVERT 2 END OF SERVtCE LINE 2 XxX.XX CS DENOTES TOP OF CURB ST ? ( ELEVATION ?f 921 r L ; v NOTE: ALL STORM SEWER SHOWN IS PROPb?ED N CO N?? t1 ? 9 : ' 92 ? I M ?S ilo ? Cl? \o ? SO ?,?. i??cW.ER 6?S-OCI -N-?.? _ -EASEMERJ-T--PE?DOC, N0, 82681 _ 920 °Of?'`}?.,J• 927 Sl 927 928 ?' ('? `? 2b?? ?? \ 193.94 LJ ?? f? C f?1?G? ,;,_ . 928 271.35,.--'- o --A MC_ ?O' S89'35'30"E j aN $.o, ' 326x0 X W ?j O? P ? ? ,.. N - J 926 926.4 S -1 1° 9.9% 92 4 20.0 ? 20.0 ? S 0 27x Ci 928x1 ??^ 92e x ? . 2 6.0 6.0 X 5 82 -1 S ? UNIT = . ? X ? ?7 x ? ? . 3 N . ? ? o FLP??T ? 26.0 Z 2a n ~ _o ?9es x? - a ?- M., ? 30.0 w- 930 ? ' sss•3s1a"E ? Q f j r N x NM ? ? .% rn ? S ? O ? Y,.-- --_?--? 9? x 926x8 3x0 ° EOF ?,,-? -----? yJxJ - ? o ? 82 ?o , ? i ? ? ? . ? ??????EIi JAN Q 6 2003 ENGINEERI"G ?? ?? .RTMENT . , ,.;, Address: 4168 Raptor Rd Zip: 55122 Lot: 2 Block:2 Subdivision: Greyhawk THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON Yes No Comments Final grade - 6" from siding Permanent steps - garage Permanent steps - main entry Permanent driveway ,k" Permanent gas x Sod/Seeded lawn ,X Trail/curb damage S' Gt/ UU Porch Lower level finish Deck Fireplace 2;L • Verify with your builder that roof test caps from the plumbing system have been removed. • Turn off water supply to the outside lawn faucets before freeze potential exists. • Call the City's Engineering Department at 651-681-4645 prior to working in right-of-way or installing irrigation system. d/bldginsp/forms/2002/tinal inspection checklist BUILDING INSPECTOR 03/04/04 12:27 FA% 6128927900 •???;, :*'i ;; ,s?:i,'?^y`y? ? :'a : . . ir??„?:?r `.r?_ri„'g:A?? •i "'!:, :,.?rf?'A•l,'. _` _ ' ' ?i4. I ' ' _ . ._' • ' w.Je' , MVP JOHNSON CONSTRUCTION rMoo2ioo2 Subd• . . -? .. .. : . . , . ; ` air tl 8uildin Requirements for insulation Protection, :,Mi,; sota Energy Code, Category 9 n that khe foilowing information be r?i? ??'??;•2? ., a t e s u f t t h o f Ea g a n i s requir? g dadopted. As , e City a Certificate of Occupancy. - , ? , ,.. . ? . , ?stmctu . ? ? ?•' IfiS1?.sVi[c,ti?r?;` ? . . . ' •} . .? . ' . ?` - ' ' . *t??l???fr?., 'i? , :?+W: •s n? •,;,,, • ;,?, t... , ?::r•?;f?;,.?; .Yi m ?• r'? ?'???? ?K? ?, '`'?•x'?,.?t'''. .:',1.'A?? F'... ";S ?Ir ? ;'r'`??Ll!,7?r ?' ?^ I ' :5.? ?? . y?'•?'?i .. ,.t.' • .?? ?•,,?,?' , "? Y'?y .:n ?) , ? ' : 1?:??? n•? :' .1 .? . f: . • _'}u.?. ,-.A.?? h ` : ;; ,-:.'':;n;: :.Q?? •'':`?^?? ?????? •?';1'1'??1?.'-'1'.a''Yr? ? . ,r c,`?1^.,. . c ??r-;•?y????,?,.„ .r:. .?s?''-:'?;',. v ..''S.:.."st+o ? [i: '_ ?? ?'??:??_,; ? ,y ''ya1+. ?Yk; ?'"'?Kr]- 41...•`?`: ;^,. 1.4?rSi: 'f. ;rl•' ??« - '?l y ? ? ??= Y!5?r : C a••J`1..? ' h. 1.'.i , •??? • r ? ,'1''??_ia?i.??:l ? ?''. ?n? al.? • !??'%?b'. '.?? 4 ;?:•? ,'.?1i?? ???' ?? ' ?t'';:; i:'?.?J:4 ?,co?: :: ' ? ' ;N• ??f;-,:",,? ,?"?• •??~ `.h ?.%r.I'?c,;??,,,Y.,.; 7?",.-r,?•• "•-,?? 4" ?'. Y/1,??71??y•ti ?? ^?'?,I?n1?.i.1? , ? '??" . ?i.??•r?:, "0 r 1-: ,y ':/9$.?.' ??.C'?'i?A-riP a:;??1?.,k?:?; • fa,•M?r? , r? ; ? ?? _ ?. : ?,,; •. ? . , ,..? ;`, ';? ??.. •. . ' -,,, - . 'j ''?y.rl??{? ?,i- :i: o?J• ' ?+ L P -; ? .;y'T "', ;u' •FT ? ti,`?; ??::;;?yi?? '•?? ? ?G ? , ??,,:? "? ?Z;r„ '?.". ' .?,. • r.. :? ? ., , ,? , ?,:; ??,. ; •: . . : ; ,;•' -P '•t L. 'd??` ? ':,• -;? •? t "? ,° `'s, ' ?^'"°? ? ? ?? ? ,•^,c - :??,?-I+? • ..?,.n: ??:1,+ ??i , ,;;,? :?_?F'.'?,M?re,y: ? ? ' I•?..?y.?.,!??' Y tio„';.??,,* ?:J ? 8; a.1:i?, 1'%;^:.h:•;`'::1•. 21 ,,?_?.i.i???'C,G?ti?. ???:.,,? • ???.?•?? ??,:; „ ?',,; '?,' :to? ' ?.?. ,x ? If':?•i?•) i? ?'?: ?'?'?'? ? y- _ . _.5"' • ? _u•?? ?=?;?^'d?, ??r?? ?.;r?«~n?Sl? .,., _?. :';,??. . ..., . . .. . to meet minlmum requirements of the Mn Energy Code, Chapter 7670 OR ?cted ta meet more restrictive requirements of Chapters 7672 or 7674 r') ? t Zw` W4aD Lot - 81ock - MOOEL .4#0 6014::,.W..- ?0AP[.1a t`i MODEL w /OAU!-zo QV4'F J e-7-6> yE$ NO g??g DIIMECT ATINOS ? lnformation is carrect and agree to comply with the Minnesata Energy Code and Gity af Eagan dL ?at8 the Generai Contractor. PERMIT City of Eagan Permit Type:Building Permit Number:EA133260 Date Issued:10/01/2015 Permit Category:ePermit Site Address: 4168 Raptor Rd Lot:2 Block: 02 Addition: Greyhawk 2nd PID:10-30976-02-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Heather L Clemensen 716 Pleasant View Ln Litchfield MN 55355 (651) 592-2938 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA136057 Date Issued:04/21/2016 Permit Category:ePermit Site Address: 4168 Raptor Rd Lot:2 Block: 02 Addition: Greyhawk 2nd PID:10-30976-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener 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 (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jill M Wirtanen 4168 Raptor Rd Eagan MN 55122 (612) 850-0578 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143886 Date Issued:06/30/2017 Permit Category:ePermit Site Address: 4168 Raptor Rd Lot:2 Block: 02 Addition: Greyhawk 2nd PID:10-30976-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jill M Wirtanen 4168 Raptor Rd Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature 0 r - For Office Use AG A F - * * ' • I Permit#: /54 A 3S/ .., 0 0 0„,# E /, , . . ....., .....0 Pemniffee: I's—, ,-- — ......000 ...., -.•-- t• 'i...;;;:-"A b'e-,#.. . .-/7-/ ........ .....,%....1-','.......1, k"ii 04'6 i Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 1 Wi (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675- JUN 1 7 2013 Staff: t II buildinginspections©cityofeagan,com BY: eil)J-10/11 2019 RESIDENTIAL BUILD11*----16-PERIVIIT APPLICATION 6/17/19 4168 Raptor Rd Date: Site Address: Unit#: Name: Wirtanen, Jill Phone: (612)850-0578 :,.,.... Address/City City/Zip: 4168 Raptor Rd., Eagan, MN 55122 ,;„... ll„,t il d Applicant is: Owner 6/ Contractor 19D -0)-(I/IMIOL g Bathroom remodel-replacing tub and surround only-no exterior walls Description of work: , Construction Cost: 3000 Multi-Family Building:(Yes 6/ /No ) . , Great Lakes Windows & Siding Danielle Sime Company: Contact ' City Address14690 Galaxie Ave. Apple Valley : : StateMN Zip55124 Phone952-891-3400 Email: danielles.greatlakes@gmall.com : : : SC060427 NAT 23297-2 License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: Built 2003 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: 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 et 20:65,2a)5216696mgegglgikagdpg. 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 Diq, Call Gopher State One Cali at(651)464.6002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www000herstateonecaLorg 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 approvalagans. iil Danielle Sime l x 411`00 4/.41044. x Applicant's Printed Name Appl •nt.'s Signature DO NOT WRITE BELOW THIS LINE L-//4,8' i?&p *1' .(' i/,io 3( SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) 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 4_,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 4ia_0) Occupancy .0'4'- / MCES System Plan Review Code Edition . IL SAC Units (25%_ 100%') Zoning ,1 0 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction -N Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) NI. 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 Niir 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: I , Building Inspector RESIDENTIAL FEES Base Fee ri Surcharge d16 al?.Plan Review P M✓ MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant r� Radio Meter Read t/ Copies ! TOTAL P*1(''lkiNite Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA156713 Date Issued:07/16/2019 Permit Category:ePermit Site Address: 4168 Raptor Rd Lot:2 Block: 02 Addition: Greyhawk 2nd PID:10-30976-02-020 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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 - Jill M Wirtanen 4168 Raptor Rd Eagan MN 55122 (612) 850-0578 Mn Plumbing & Home Services Inc 14105 Rutgers St NE Prior Lake MN 55372 (952) 469-8341 Applicant/Permitee: Signature Issued By: Signature