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3847 Princeton CirCity orBag,au 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 qo o Use BLUE or BLACK Ink Permit #: c'-1 Permit Fee: (z:"\C) Date Received: Staff 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1)1 1 1 0 Site Address: Tenant: 38N� finulo kin CI it It J Suite #: RESIDENT / OWNER Name: IC 14 a e,( To 1(t ( 0 \ 1 Phone: ID51' / gg :391c Address/City/Zip: 5U(1-1 Viit\C L,'Iv• kr A Vl! :Tj/23 , Applicant is: Owner Contractor TYPE OF WORK fri /1� t- Description of work: I fit.t? ( - / /l vvu/�" I j V rt - Al~J or ConstructionMulti -Family Building: (Yes / No >6) Construction Cost: CONTRACTOR Name: The Window Store Home Improvements License l / 32 Address: p-. 1j jljiiJ6 k w Ut h/SV1City: •.e'Ti'1 State: ) ) Zip: -� 1 I.- Phone: (9 7. ' 53 .6-7 O t M �__�J "� tYl //J ✓�n � Contact: (C /LPI Email: a/1/1 3r1,Lit[ 1 q /JN_In 'rCeYY1 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: i CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. OV Applicant's Printed Name e(SC -v xi / s>`47 1 Ap icant's Signature Page 1 of 3 1NSYE(:'1'lUN KLC;UK1) CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date issued: (612) 681-4675 SITE ADDRESS• ? ? ?., ? . ?;? ??? F . ? ?i? t sv c: r? i? t? r- ??? I r :, I N r: r (?N 4+{lA F+F: ts?t i ?to t q ? ?:.Clfti i? ?? / 1 rs I?? 8 ? APPLICANT: c b t, .! 1 ?• t1 1 PERMIT SUBTYPE: TYPE OF WORK: . , KI R't4ii iif ,t.1;' I fClN P E Hf1f1 l 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 GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAI PLBG FINAL HTG OFSAT TEST ' BLDG FINRL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCTivirv TEST HYDFiOSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 1 "t N" 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ( hl PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D, . .• R!FlARA>s A'.J l'ARATt f>f R14 1'f T': IifG}UlRED 1++1t nN1l V Ef r1'irlr,qi Uit PI4JMNINti b1010 ?. ','???'_ , ?: ? a ? ,:,_--. :±r? . E`' 'a't • _ ; y -y ?,rn r ? ?.?' , 15'?;'. ? s ??. ?> ? s3? .otiv= Parmlt No. Parmit Holder Data Telaphone k ELECTRIC ,y/?/'7j- PLUMBING a5 HVAC Inspsction Dab Inap. Comments FOOTINGS FpUND FRAMING (1t?? ?? ROOFING ROUGH PLUMBiNG ? PLBG AIR TEST FOUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FlREPLACE RIR TEST FINAL PLBG FINAI HTG ORSAT TEST BLDG FINAL P BSMT R.I. BSMT FINAL DECK FfG DECK FINAL .?, GEO. SEDGWICK HTG. & AI R COND. CO. L3 f ? HOUSE HEATING TEST RECORD r ADDRESS _Y ?`I 7 Ef ? Uc c << t. CITY OCCUPANT maa Jci•.s OWNER HEAT LOSS DATE HTG. INST. SOLD BY `- ??q =1 •? INSTALLED BY Electrical Work By ?' L! i! : Gas Line By TYPE OF HEAT GA_ FAA HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE -- ?? 4 1'• ?' MAKE OF BURNER Model_- Model - ---~ Serial ! j A!4 Max BTU Rating ~ , INPUT MAKE OF FURNACE ' Model '-" CONTROLS THERMOSTAT ?-" Heat Plug --?` Vent Size ?tv? P' Valve 3SrS k KIND OF LINER SIZE NONE Limit ? 4 t rrC ci - Draft Hood Regulator _ Limit Setting -;r, V?? °F Filters Size Number Fan Setting Chimney Location Inside ` Outside Pilot Type ?• < < ' < r Chimney Construction c 7, Pilot Make Pilot Model Smoke Bomb Wiring rF •'r Pilot Timing Draft " Test Tag L.W. Cut Off --'?" Door Pressure Lighting Inst. Pressure Percent COZ ; Date Tested ? T? Input CFH -'- ? Percent O 2 Company Testina ._?? Stack Tem ' p. Percent CO Name of Tester Form 235 CITY OF EAGAN Remarks Addition LEXINGTON SQ(TARE Lot ? Blk 1 Parcel 10 45075 030 ()1 owr,er Street 3847 Princeton Circle 5tate Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 5AN SEW TRUNK 1985 254.53 16.97 15 254.53 C009676 10-12-84 ? SEWERLATERAL 1 173.6$ COIOOZO 1-28-85 WATERMAIN 1986 68.3 4.56 15 68.33 COZOOZO 1-28-85 WATER LATERAL WATER AREA 286. 43 COZOOZO 1-28-85 STORM SEW TRK 1986 501.29 33.42 15 501.29 C010020 1-28-85 STORMSEWLAT 1986 513.8 34.25 15 513.81 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ?". , '91?' ;- BUILDING PERMIT To be used for r'IjtBYWL Receipt * Est. Value $1 D000 Date SePT 20 ,19 ?$ Site Address 4W401 rR1lY4G ?{!tf vaa Lot 3 Block I Sec/Sub. UM?M 5WAU Parcel No. W Name z Addre o rif„ °C Name .o ? < Address ? City Phone VWyu Name W f i z., Address `W City Phone I hereby acknowledge that I have read this application and state that the fnformation is correct and agree to comply with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. .. Signature of Permittee 1?iCi? A Building Permit is issued to: -G_iiZ:G OK tPAC?Y Pi _- on the express condition that all workshall be done in accordancewith all applicabYe State of Minnesota Statutes and City of Eagan Ordinances. Building Official_ ' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const Ciry Water (Allowable) PRV Required * of Stories Booster Pump Length Depth S_F. Total Footprint S.F. APPROVALS FEES Engr.lAssess. Permit 24.00 Planner Surcharge • 50 Council Plan Review Bldg. Off. _ SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL 24.50 f?.??:? ? ?sG?.:r •?-.;? _. • Permit No. Permlt Nolder Dats Telephone X Plumbing H.V_AC. Electric Softener Inspeetion Dste Insp. COmments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace ?, / ?> ? • ? f+ ?; /L u??C -t?i - Final Htg. Final Pibg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. . CITY OF EAGAN 3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12 Q'P-1 . PHONE: 454-8100 BUILDING PERMIT Receipt # Tobeusedfor SF DWG/GA.t Est.Value $76,500 Date `fUNi' j ,19 d6 Site Address 3847 ?R I2]C%,TOa C i g Erect 1?1( Occupancy R 3 Lot -3 Block 1 Sec/Sub. LEXING TON SQ Remodel 0 Zoning R. I- Parcel No Repair ? Type oi Const Vill . Addition ? No. Stories W Name i-,f?iZV ItV GEURGE BLDR S Move Demolish ? ? Length 3 ( De th 8 p ; Address '? •?• kOX 428 lnt Impr. O 5, Sq. Ft ° ;:1:iCi.T ' 3t39-32Q1 City i? ?Ft?ne Install ? o Name : t: ,i: APProvala = ou -c Address Assessment Ciry Phone Water & Sew. W yWj Name ;•;11,;F3 1;1C Police Fire ? a Address 1J.0. t3JY. 4 2?i Eng. la ciey 389-3201 • Planner Council I hereby acknowledge that I have read this application and state tfiat the gldg. Off. 6/2 / 8 6 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC ? t , Var. Date ? , ' ? ? Signature of Permittee ' i 1ARVTN GLOKG BL R r D S A Building Permit is issued to: o all work shall be done in accordance with all applicable State of Minnesote Statutes and City ot Eagai Building OHicial ' Permit Y ? "'? • "" Surcharge 3$.50 Plan Review1U2--..90 SAC 575.0V Water Conn. S00 . 00 Water Meter6 A , 50 RoadUnit ZyU-00 Tr. PI. 156.00 Copies - 50 Total $2.169.50 i the express conditfon that r.Q_- I I PermN No. I Psrmn r+ad.r I o.e. I T.l.pnoo. s I -I.E I - Dafe Ht9• Final Oec. Obp. PERMIT # -7/ ?- ? ' ? • ?" MECHANICAt PERMIT RECEIPT # ?c)' • CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: -Af ?- CONTRACT PRICE: PHONE: 454-8100 Site Adl? ess ' f( ' BLDG. TYPE WORK DESCRIPTION Lot ? Block -? Sec/Sub . I _ ?,'. ,,, Res. ? New ? Name . " t 2 Address 1001 YENIA A`.'E. S?:... Mult Add-on a to MINNEAPOLI, Comm. Repair c Clty e Other r ? Name c Addre p3 CitY - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other 7`s M BTU M BTU M BTU A2 M BTU CFM / FEE: S/C: TOTAL: FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) . SIGNATURE OF PERMITTEE FOR CITY OF EAGAN ' PERMIT # ' L U 'PLUMBING PERMIT RECEIPT # ('e'- C?j CITY OF EAGAN i 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 12 -a 6?? T PRICE J)(,, ?, PHONE: 454-8100 Site Address J• y 1 i"? ."'•: Z? ?. 4 Lot- E Block ? Sec/Sub ? Name m Address c City Phone Name 1- U,ey v 3 Address Q C,jty FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) R r SIGNATURE OF BLOG. TYPE WORK DESCRIPTION ^ ? Res. New Mult Add-on Comm. Other Repair FIXTURES . Water Closet - $3.00 ? LTOTAL 4Bath Tubs - $3.00 _ Lavatory - $3.00 - ? - Shower - $3.00 T _ Kitchen Sink - $3.00 T Urinal/Bidet - $3.00 ?Laundry Tray - $3.00 ? Floor Drains - $1.50 - L Water Heater - $1.50 ' ?Whirlpool - $3.00 Gas Piping OuUets - $1.50 So(tener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 " FEE STATE SlC: GRAND TOTAL: 3 3 S L- FOR: CITY OF EAGAN CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt To be used for BASM" Est. Value $1,,500 Date _ Site Address 31547 FtT::CET'Gp CIit Lot 3 Block 1 Sec/Sub. UMMMIM MUA" Parcel No. a LName ?M a = ddress O it,, o?,nnn , o Name `??' ? Q Address ? City Phone 1- Q V W Name _ WW ? Address `W City- 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 Ordirranyes. Signature of Permittee A Building Permit is issued to:--t'ftG ,_ jrl-NCI' - on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official______ 1579{1 19 OFF ICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required * of Stories Boaster Pump Length Depth S.F. Total Footprint S.F. APPROVALS Engr./Assess. _ Planner Council Bldg. Off. Variance FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL $34•00 a!w $3g•00 Permit No. Psrmit Holder Dste Talephons it Plumbing , H.V.AC. Electric t? y o i s ?? a6 ? Softener Inspactiun Date Innp. Commenta Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Finai Plbg. Bldg. Finai Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. // ?D ? - •?R?:41R0"i;;: . . . . . . . . . . . . . CASH RECEIPT 11 J - CITY OF EAGAN Y 3795 PILOT KNOB ROAD EAGAN, MIIyJNESOTA 55122 DAT weca?v?n FROM i AM OUNT ? CASH D`CFII-E-CK FOR ; 0 ,??• r c'IT pUNO CODE AMOUNT C2 4 r 41 I L.{ ? Thank You . BY --: 65o 2io White-Payers Copy Ye{fow-Posting CvpY Pink-File Copy ? T Ir . . ... ' ? . ? ? ? ' . ? . ?CITY OF EAGAN ?U ?wa ? •3830 Pilot Kno6 Road W ;P. O. Box 21199 PERMIT NO.: Esgsn, MN 55121 I DATE: ZO^i^a: Na of Units: 'O1M1fer: 3eviSt ?.t'•.?T?B i:-1?' ' 2' . ?ddress: Sih Addross: 3347 Fri nce` -l.ct- (? Plumber. _ Vn 1 t AZ P! I s/eM b?eMll ?rll? fV Clqr aF y«n Connedbn CJwrqe: ? Or?iwaeN, Aomiwrt Depaits Pr/rr1Ft FM: ' n Suedwrgo: By Miac. C1wrpes: Doh of Insp.: Totd: fr - 4i I^qL: DoM Rald: I CITY 3830 OF EAGAN WATER SERVICE PHtMR Pilot Knob Road P. O. Box 27199 PERMIT NO.: , Esgan, MN 55121 DATE: ? Zoninp: No. of Units: ! OMlflff: •?;"?n; L., I'--??r?,?. [= . ? Add1rff. l Sih /1ddr+ess: T ? ? PlumMr -- ? Meftr No : Connecrion Cho?ps: , ? . i Size: i ACCOUM DeposiY. 1.:. ; Reader No.: Pennit Fae: i . t.em a o..ply .Ib Ir. Cry .f fN.. surdw.ye: ? Orliagoaw. Mlsc. Chargm Taol: . , ?.: t } By Doh Paid: ? Date of Insp.: Intp.: , ITY OF FAGAN WATER SERVICE PERMR 0 Pilot Knob Rosd . O. Box 21199 PERMIT NO.: .., egan, MN 55121 DATE: 1 irq: ? i Na of Unit:: 'r?c-ti?_:z GeOT'Qe (!T': r. llddrcu: "ri ;?ceton o' (, '1 , ? , ? _,?• 1r.?e umbsr. , r No.: 7•? S/ on Charps: _•. ? ?. : r No. r ?c ltg.?0 .5.2. hag .pm eo e..plgr wNb ew ? ?Ng al . ??... Ep?ONE • i\` ?? . rD `E? jp .EpA? aon. Poie: ? . ? i??,c.: tnsp.: ??zo-8? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15618 BUILDING PERMIT PHO N E: 454-8100 Receipt # 1? -)1---)?? I To be used for FIREPLACE Est. Value $1,000 Date SEPT 20 ,?g 88 Site Address 3847 PRINCETON CIR Lot 3 Block 1 Sec/Su6. LEXINGTON SQUARE Parcel No. : Name GREG & TRACEY FINCK 3Address 3847 PRINCETON CIR = 0 City EAGAN Phone 456-0494 343-4730 a Name_ .o ? Q Address , Ciry_ . ,? u W Name _ wW • i? Address ui ew CitY_ I here6y acknowledge that I have read ihis appliwtion and state that lhe inlormation is correcl and agree to comply with all apDlicable State ol Minnesota Statutes antl Ciry of Ea an rAinances. Signalure of Permittee 4'fe A Building Permit is issued to: GREMACEY FINr.K_ on ihe express cond ition that all work shall be done in accordance with all applicable Slate o,ffM?i?nn??e?sot{a? Statutes and City of Eagan Ortlinances. Building Official_?..yjjtA.(/_L\?pl? r' I ' OFFICE USE ONLV On Site Sewage - Occupancy MWCC Sy&tem _ Zoning On Site Weli _ (Actuap Const Ciry Weter (Allowable) PRV Requiretl # of Stories Booster Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS Engr./ASSess._ Planner Council _ Bldg. Off. Variance FEES Permit . Surcharge Plan Review SAC,Ciry SAq MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL 24.00 .50 24.50 CITY OF EAGAN Assessment water & Sew. 3830 Pilot Knob Road, P.O. Box 21-199, Eagao, MN 55121 N_ 12 O?? PHONE:454-8100 BUILDING PERMIT Receiptn T iobeusedlor SF DWG/GAR Est.value $76j500 oate JUNE 9 19 86 SiteAddress 3847 PRINCETON CIR Erect LN Occupancy R3 Lot 3 Block 1 Sec/Sub. LEXINGTON SQ Remodel ? Zoning R1 Parcel No Repair ? Type of Const, yfl . Addition ? No. Stories a MARVIN GEORGE BLDRS Move ? Length -46 W z Name P BOX 428 O Demalish ? Depth-?8 . . Address t I c I ? S Ft o PRINCET?n 389-3201 Ci n mp Instell ? q. . ry e i o Name SAME $ ¢ Address ? City Phone u_ a Name MGB INC w ¢z Address P.O. BOX 428 aw ciry PRINCET9,Ne 3$9-3201 Police _ Fire - Eng.- Planner Council 0 Permit $ 364.00 Surcharge 38.50 Plan Review 182 . 00 SAC 575.00 water Conn. 500, 00 Water Meter 63.? 0 Road Unit 290.00 Tr.PI. 156_00 Iherebyacknowledgethatlhavereadthisapplicatlonandstatethatthe gldg. information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci" Eagan Ordinances. APC. Signature oi A Building Permit is issued to:' MARVIN 'GEORGE BLDRS all work shall be done in accordance with all applicable State of Minnge Building Official ` Var. Date Copies - S 0 Total $Z • 169.50 the ezpress condition that CITY OF EAGAN _ 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 N? 15790 PHON E: 454-87 00 BUILDING PERMIT Receipt# To be used tor BASEMENT Est. Vaiue $1, 500 Date OCTOBER 26 ,19 88 Site Address 3847 PRINCETON CIR OFFICE USE ONLY Lot 3 Block 1 Sec/Sub LEXINGTON SQUARE On Site Sewage - Occupancy . MWCCSystem _ Zoning Parcel No. On Site Well _ (Actual) Conat a Name GREG FINCK Citywater _ (Allowable) w z Address SAME PRV Required _ # of Storiea ° Ciry Phone 456-0494 eooster Pump _ Lengtn Depth , p Name SAME S.F.7otal ?a Address FootpriniS.F. , P City Phone ApPROVALS FEES Name Engr./Assess. Permit $34.00 ?w Planner Sumharge 1.00 i? Address Council PlanReview aw City Phone Bldg. Oft. SAG City I hereby ecknowled9e that I have read this aplion and state that the Variance SAC, MWCC information is wrrecl and agree to comply i all applicable State of Water Conn. Minnesota Statutes and y of Eagan rdi es. Waler Meter Signature of Permittee _ - - Road Unit A Building Permit is issued to: REG FINCK Treatment P1 on the enpress condition that al I work shal I be done in acwrdance with a II applica6le State ol Minnesota tutes and Ciry EaBan Ordinances. TOTAL Parks $35.00 Building OffiCial__? _ ??? OFFICE USE ONLY This requesl void 18 monllis (rom volidolion dole prinlad in Iliis 6ox. IIIIIIIIIIIII? II?IIII IIII IIIIII I?IIIIII?????. ?C??GC4/G? /? V dp * 0 4 1 6 1 7 3 3* PLEASE PRINT OR TYPE Jo Requeat L? j? ? ? Roughin inspection reqwred2 ? es ? N. Insptttion OiMr 7fian Roughln_ ? Reody No ill Coll X ( (You muu mll ihe inspecmr whm rcody) Wb Ready: I, ? licensed conhactor". dqwner hereby requesf inspection of the above elechicol work aY. m6 aed,ess ts eo., « a e ? U? 6 cy rP coae ? Seclion No. Township Nome ar No. Ronge No. Firc No. Cw?nry Dcc?pon? Poona Na. Po.wrSupplier Addrees Eleclricol C. rco r(Company Name? Conn octa Licame No. Master lic. No. (Planf EIecL Only) 1 ?? e,? w!? Matli - dress JCmnacror a Owner Performing Insmllafion) Authp[ixed' Nre ?Conhacbr or r Performing Inslallatlon) ! Phone N o. CY?-.c-^?. ? '?L 1 p ?G t] I- Of 7k, aja5/F 7 416-17.3 0 REQUEST FOR ELECTRICAL INSPECTION 7 - Minnesota State Board of Eledricity 7821 University Ave., Rm. 5-128, St. Paul, MN 55104 Phone (612) 642-0600 Home Du lex t. Bldg. Other: 7 ? ? New Addn Commercial Indushial Farm ?.?S?y? ' Remod Re ir Air Cond. Hf . E uip. Woler Htr. Load Mgmt. plher: Dryer Range Elec. Heal Temp. Senice "X" above !he work corered by fhis requesl. Enter remarks in ihis space ond on fhe back of the white copy only. Colculate Inspection Fee - This Inspechon Request wilf not be accepled without the correct lee: Other Fee M Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Slall 0 to 200 Amps 0 l0 100 Amps Sheet Ltg,/Tmffic Sig. Above 20Am s Above 100_Amps Tronsformer/Generator INSPECTOR'S USE ONLY T QT? ? Sign/Oudine Lfg. Xfmr. ? y / L? Alarm/Remote Conhol $wimming Pool I hereb certi fnat m tl ' smll ' 'bed herein on IM doks s Iffl ahOn gOOm pa??Jn p? Speciallns eclion p Investiga}ive Fce F,nol ? ?kV ,/ ya THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITXIN 18 MONTHS. This requesc void IB months lrom E 14015 ? 41,? Renuest Ua[e? J ? Nuw Q W. II Notity InsPec- mr When ReadV ? Ucenspj Electrical ConVactor 1 hareby request inspec[ion ot ebove ? Owner electrical work installed al: Slreet Address,g ? ? r Route No. J C1QCL L I ?I ??ty ? ?AGP)j Ui h1CL f . . ectmn o. Township Name or No. Rnngc No. ,? 6k)07 Occuuant (PflINT) EG ?1Kklc Phone No. yS? 4? 1-1 Powet $upplier fll}I??T? EL??• Acldrpss 3g?? P?Zi1JC?Td LI?C-? Elecbical Convactor ICOmpany Name) Contra?noe's licr.nse No. MailinB Address ICOnVactor or O ne, akind Instailaiionl Authorized Signamre 5ntractorC0"wn^ MakinB Imtallatiun) Phone Number MINNESOTA($yqTfi BOAflD OF EIECTqICITY TMIS INSPECTION REQUEST WIIL NOT GrigBS-Mitlwa{?¢Idg. - Nd91 BE ACCEPTEO BY THE STATE BOAND Poom 1821 Univarsitv Ave.. Sc. Paui. MN 55104 UNLESS PflOPEP INSPECTION FEE IS wn........... .nann ENCLOSE?. REQUEST FOR ELECTRICAL INSPECTION y. ?Ejpa-o/oooi-os / Sec insnuctiens lar co ?ole<in9 this torm on Dack oi vellow co0v. ? DC/JS? E f4015 *'X" Befow Work Covered by Ihis Request Add Fep. TVae ol BuilAine TpPl..n.a W,raC Equiument Wired Home F+ange Ternporary Service Duple,x Water Heater Liyhtiny Fixtures Apt Building Dryer Electric Heatm Cominercial Bldg. Furnace Silo Unloader InAustrial BIAg. Air Conditioner Bulk Milk Tank Farm Otner peuW Omrr ISpecIlyl ? .r Suecifv Orher Oth.r omaute Insaection Fee Below p Fae Serviee EntreneeSize B Fea Fexders/Subienders N Fe,e Circuits 0 to 200 qm s 0 ta 30 qm s 0 tn 30 nm s Above 200 qmps 31 to 100 Amps 31 to 700 Am s Swimming Pool Abave 100-Amps Above 700_AmPs Transiormers Irrigation Boorris PertiaLOther Fee Signs Specfalinspection $ zo ? TOTAL jY/ flem?r _ ?. Tt ?1 fMl1 w / . 7 i?_ / Date )/ c I. Ihe Elec al ?I Inspector, nerenv 1W J" cer(ily that Ihe above Final e . D t^ inspection hes been ThIarvoueatvalGl8mon11ufrom , ?,REQUEST FOR ELECTRICAL INSPECTION ddl& Eg'O00D1'°4 74`?? ' See imtruetions for completing ihis torm on haek of Yallau cuoy_ R KJ ??3 3 O0.1._7 "1(" Be/ow Work Covered by Thrs Request Nn4 Addj aeo. Tyva oi Buf laine Aoolianc.s Mcr.d Enuiymem wirea - Home Range Tenilfor-ary $ervice Water Heacer Lighting Fixtures . BuilAing Dryer EleCtricHeatin ' Comme?cial Bldg. furnace Silo UnloaAer industrial Bldg. Air Conditioner Bulk Milk Tank Farm olne, peury tne. 15merihl t P.f IIC[:I y OL Cf O1hCf omDu[elnsaection Fee Belaw p Fee ServiceEntrance5ize p Fae Feedars/5ubfaeders W Fee Circui[s •.j 0 to 200 Am s 0 to 30 qm O to 30 Am Ahove.200 q,npy 31 to 100 Amps 31 tn lOQ An4fs Swinming Pool A6ove 00-Ampsi A6ove 100_A?ys Transfortners Irtigation Booms Partial-`Other Fee L? I Signs ' I ISpecial Inspection ' r.? Re?rks ?,,r TOTAL?E????/? /r7 /J / f ( ? ? flou0h-in Datr?7( 1 the EI " , ? ,? ? KQ . I?peclor? 1?ebY csrtify ?Fat ihe above Final ? f? i?pec?im Ins heen I opAe_ tIW reyuestrolA 18montrtvlrom Thix repuest voitl ? aS-e-c-l 1176NI 7 3 - 6 t' 1 ln,yl?1 sos& qyqSLt uate - Fve NO. ROUBh-?? lRSpfc lfon N f Requ r ?NraW i ? ?l No?iH. ??saec- owr tor , ?? ? No Mlhen IleadY censed Elecirical Contractor I hereb y request irmpeetim oi above ? Owner elecMifai Yrork irmulled atc Street r , Box or te No_ Cily 3 T ('? , ectwn o. ownshio Name or No. NanBe o_ ' C Occupan[ (P flINT) Phone No. / L Power u Oliee Addr s i Electrica C. tr or (COmuany me ontractor s Lice?tse No. v o - Mai ' B AtlJres on c[or or wner Makinp Installe 'onl ?1 n ? ' ? ? Au riz Sign t e( onhactor Owner MakinB I Ilationl ?M1 r a- y YINNESOTq STATE BOARD OF ELECTNICITY THLS INSPECTIOM REQUESf A1LL NOT Gripgs-Midwey Bidg. - Room N-791 BE ACCEPfED BY 7NE STA7E BOARO 1821 University Ave., St. Paul, MN 55104 UNlESS PIIOPEN IMSIECTON FEE IS ' Phune (812) 297_2171 ENCLOSED. 00 ??)c 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constnictian Reouirements 3 regislered site surveys showing sq. ft of lot, sq, ft. of house; and all roofetl areas (20%m:imum lot coverage allowed) 2 capies of plan showiig 6eam & windav sims; paured ia1nd design, etc. 1 set of Energy Celculations 3 capies M Tree Preservabon Plan rf lol platted after 711i93 Rim Jast Defail OpGOns seleCion shaet (buildings with 3 or less unils) Minnegasco mechanioal ventilation form RemodellReoair Reauirements 2 wpies of plen showing foofings, beam, jcds5 1 set of Energy Calwletians (a heated adtlitions 1 ske survey for addNOns & decks Add(fion -irMlcate ifonsitesepAcsystem ? ? officeplijonly CertoFSurvey Rood _Y _N TreePres.PtanRectl _Y _ty Tree Pres ReVired _ Y_ N On-sb,Septic...Syslem _Y _N Date n ? Construction Cost 4? i too SiteAddress 31?7 P,tlNL?O UR-t-u%'ERQ..R+J, M1J 5sl`Ja Univste # Description of Work 1_r_ NACIvs- QW1> Q-vLAG- PLAC7F Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner M 1P a-IPF1r I?OL..I_ Telephone #(jP 5i )',`a -3T7s- Contractor ?SS ?=?E2i02S Address State ?INNESC7? Zip - S 41-1 ?tt-/??APOi??g City Telephone # (tela ) ri ce(p (p? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEYY BUILDING - Minnesota Rules 7670 Cate2orv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Cotle Worksheet (J submission rype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 monihs, has ihe Ciy of Eagan issued a permiT far a similor plan based on a master plan? _ Y _ N If yes, date and address of masTer plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is wmplete 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. z ApplicanYs Printed Name Appl cant's Signature RESIDENTIAL MECHANICAL Pertnit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Fanuly Dwellings & Townhomes and Condos when permiu are required for each unit $30's-0 1 Date / 62ti --) /r? ?./? q`7 nCOtn C'p Sit Add ? ? Unit # e ress 1 Property Owner Telephone # ( (?( ) ICI`I`t_,P02, ' (??? ? 4' WI Y?J I! L Contractor Street Address `L C.??? I L L ?? ` 1l.iV? 1? State / 1/ Zip Telephone# (pS-() 4? r ??^ Bond #: f,l qExpires: 0, 2 LO J The Applicant is _ Owner ?k Contrector _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 ? f r l t u nace rep acemen air exchanger ? i diti N ? R l t a r con oner _ ew ep acemen other State Surcharge $ 50 Totat Ul, 15 U SEP 0 3 2003 ??i? $3G Sn ?LJI I ? I hereby apply for a Residential Mechanical Pemvt and aclmowledge that ffie66imarionis c p ete d accurate; that the work will he in conforxnance with the ardinances and codes of the City oF Eagan and with the Mechanical Codes; thaf I understand this is not a peimit, but only an applicafion for a permit, and work is not to start without a pernut; that tLe work will be in accordance with the approved plan in the case of work wMch requues a review and approval of plans <?k r, N I 9?wY?? (?' abk Applicant's rinted Name Applicant's ature COMMERCIAL MECHAPiICAL Permit Apptication City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please wmplete for: commercial/industrial buildings multi-family buildings whemseparate pemil[s are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner 1'elephone # ( j Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New construction _Install _ Remove Underground Tank Interior Improvement Schedule inspection during installation or removal of fank Processed Piping Na;ura of Work: Pe1'[Ilit Fee $50.50 Minimum Fee (includes Siate Surcharge) ContractValue $ x 1% _ $ PerntitFee • If perarit fee is $1,000 or less, add $.50 => $ State Surcbazge If pernut fee is over $1,000, add $50 per $1,000 Petmit Fee $ Total Fee I hereby apply for a Couunercial Mechanical Pemut and aclmowledge that the informarion 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 pertnit, 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. ApplicanYs Printed Name Applicant's Signature Approved By: , Inspector Date: PERMIT CITY OF EAGAN 3830pilot.Kr4ob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: ausLortiG Permit Number: 0 3 3 2 9 8 Date Issued: 0 9/ 18 / 9 8 SITE ADDRESS: 3847 PRINCE7pN GIR LOTs 3 BLOCKs 1 LEXINGTON SQUARE P.I.N.: 10-45075-030-01 DESCRIPTION: ?%m43i? REROOF B?kiS144 ?Permit Type ?G??.k??crc,? ta ?rk Type .e? ensus Gotie,?`°1F?? ,?'` . .;.. ,. -?` ? STORM DAMAGE F2EpAIR 434 ALT. RESIDENTIAL a?s x z^n. «FS .?'T'°^,. i? t:[`:?; ?°`?°??a '? t?.w s ??i i & a ?? m9 ?? a 4. ???Y aw REMARKS: FEE SUMMARY: CONTRACTOR: OWNER: - Applicant - gOWE JAMES 3847 PftTNCETON CIR EAGAN MN 55123 (651)681-0176 F :j #soro13;y ,.tF1at ? have read this 4P;P110atian and Statt: thdt 'Che: ?,etfs?rma?l??t..?:s enrr4et a?r1 aqree to anmp?k3? wit#? 411:ap?rl?.oa1??.e" state srf P1n= Is tatuteo a" Gl-Ay of Cogan 01-4inances, . APPLICANT/PERMITEE SIGNATURE I ED BY: SIGNATURE ? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 ? q ? 681-4675 q _ S g _ ? New Construction ReOUiremenls • 3 registereC site surveys ? 2 copies of plans (include beam & window sizes; poured fntl. design; etc.) ? 1 energy calculaUons ? 3 wpies of trae preservation plan ii lat platted after 711/93 required: _ Yes _ No DATE: V181 9g Name: /?o L? e- 4u^^ e 5 Phone #: O? 7!o LasC First DESCRN OF WORK: p D'?n ? STR T ADDRESS: s 84/ 2 ;>l' atC p4ort C+ f c( p _ LOT: 3 BLOCK: ?l SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECTY ENGINEER Street Address: .3 8417?/" ? n c e-7'0 h C? c l e City K T K State: Zip: .S"i /41 ? Company: Sa ? e Phone #: Street City RemodeUReoair Reauirements ? 2 copies of plan . ? 2 sile surveys (exterioradditions 8 decks) • 7 energy calculatioos (or heated additions CONSTRUCTION COST; 4SDl7-aa State: Company: Phone #: Registratian #: Street City State: Sewer & water licensed plumber (new construction ony): and iot change is requested once permit is issued. Zip: Zip: Penalty applies when address cham, I hereby acknowledge that I have read this applicatlon and state that the infortnation is coRect and agree to compy with all applicat State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes No License # SEP I S 1998 Tree Preservation Plan Received - Yes - No - Not OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 5F Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alierations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of SSories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscelianeous Basement sq. ft. MC/WS 5ystem _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bidg Census Unit Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit SJW Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ °k SAC SAC Units h i j i l; ?X ?;i(sk?k+{?4Y•W,'?Rfi?`;%'7Y??k`i^!?.'s.:?(Y'n :CY11`,'??'1f:"h)FYCk7;:YS?w r.i:rv cF Er,cfiN T:M'M.' \Fi:.. tC' iR nATF_ : 22/25! 97 • "T' i 05'309. i: 'dAMEr WMES ' PONF 2155 9UC' SE?47 ('UNCETM II i,. Fi(' 7f.'3Q c1f].?.i . ?'8:,7 , ['.?, •v r.?.? .NLF-???,i ' i f'?i MA nOnI 2947 F'F;TNG':'rOV ° i:l;? ?=1? 9Oi- 2E347 R"iC=TC": °u.0:7 900'. 'oQ7 1"71!+iCi:-rr1K, i q.0.(3t? vFyUy u,r.r- .?..`A'T...° k i? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (672) 681-4675 PERMIT PERMIT TYPE: B U I L D I N G Permit Number: 029513 Date Issued: 0 2/ 2 5/ 9 7 SITE ADDRESS: 3847 PRTNCETON CTR LOT: 3 BLOCK: 1 LEXING701V SQUARE P.I.N.: 10-95075-030-01 DESCRIPTION: u.ilding`-?ermit Type uilding Wtir-k 7ype emsus Cod!e „ BASEMENT FSNISH ALTERATION 4,34 ALT. RESTDENTIAL ? °? J?, C`?'i f r?•, F r JF?? REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ElEC7RICAL OR PLUMBING WORK FEE SUMMARY: Base Fee $50.00 Surcherge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - BOWE JAMES 3847 PRINCETON CIR ? ERGAN MN 55123 j ' (612)681-0176 ? I hersby a?cknowledgethat T hteWe read this appli.c&Cio+l and state tMat the informati.on is corrett snd agree to comply with alY applicable State of Mn_ ? Statutes and:Gi,ty of Eagan Qrda.nances= - lLt?wc?? l--l-lJ-t? ;L APPLICANT/PERMI7EE SIGNATURE ISSUED BY: 61GNATURC ?ag 5, 3 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) cin oF eacaN ?, T 8830 PILOT KNOB RD - 55122 CQ r,Z( 681 -4675 rements RemodeVRenair Reoui ? 3 registered ske surveys ? 2 copba of plen ? 2 cwples of pWns (indutle 6eam 8 window sizes; pourad fnd. design; etc) • 2 site surveys (exterlor eddilions 8 dedcs) ? 1 energy calculations ? 1 energy celcuiations for heated addRions ? 3 copies of tree preservation plan tt lot plattsd efter 7/1/93 required: _Yes _ No • DATE: ? I/c/ 7 CONSTRUCTION COST: ?g 0? DESCRIPTION OF WORK: -B cL S e nnxn4 Fi vr STREET ADDRESS: 3 2117 Ari v%c PIc LOT -5- BLOCK / SUBD./P.I.D. #: PROPERTY Name: o w (f, 4a-.-YAeS Phone #: OWNER Street Address: 3q 7 /?r• ?? ??-h ? ?? ?. r c(? , City: State: Zip: -4 -? CONTRACTOR Company: ? f1'.^1 E Phone #: Street Address: License #: State: ARCHITECT/ Company: ENGINEER Zip: Phone Registration #: Street Address: ..? _ City: State: Zip: Sewer & water licensed plumber (new construction onty): . Penatty applies when address change and lot change are requested once permit ia issued. t hereby acknowiedge that I have read this application and state that the infortnation is correct and agree to compry with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: `?' ??^'?""? ?• ? gL??? OFFICE USE ONLY Cerbficates of Survey Received _ Yes _ No FEB 18 1997 Tree Preservation Plan Received - Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE M1 0 01 Foundation o 06 Duplex o 11 Apt./Lodging a' 16 8asement Finish ? 02 SF Dweiling o 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool a 03 SF Addition o 08 8-plex ri 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex o 14 Fireplace n 21 Miscellaneous n 05 SF Misc. 0 90 = plex o 15 Deck WORK TYPE n 31 New .0'33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Canst. (Actual) Basement sq. ft. MCIWS System ? (Allowabie) Main level sq. ft. City Water ? UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. R. Booster Pump Length sq. ft. Census Code. d 3 Depth Footprint sq. ft. SAC Code n i Census Bldg i Census Unit ? APPROVALS Pianning Building /LAI?, Engineering Variance Permit Fee Valuation: $ Surcharge Pian Review License MC/WS SAC . City SAC 1Nater Conn. Water Meter Acct. Deposit S/W Permit SNU Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Dther Copies „ Total: % SAC SAC Units L 2i BL CITY USE ONLY I SUBD?.2.kG. Xw.ZaaCP_ REGEIPT#:. 7Od29•? - RECEIPT DATE:; .. .-:?.... r. x . . . - h _ 4'? ?kS?.?r 1997.PLUMBING PERMIT,(RESIDENTIA4,) ,. . . , , _._ . CITY OF EAGAN 3830 PILOT KNOB:RD ; , R ..;. . EAGAN, MN 55722 ` -" (612) 681a1675 - ; ` Please complete°for. . single family dweilings ? townhomes and condos when pertnits are requifed for each,unit, ' ?' .. '. backflow preventer for underground sprinkler system ? - . ?.. . V ? FIXTURES EAO NQ` i0= `_s ; - Shower 3.00 x .. ' ' ? Water Close! 3.00 - Bath Tub 3:00 x Lavatory 3.00 x ? •? -;? - ? Kitchen Sink 3.00 x •?' ?? t'r Laundry Tray 3.00 x Hot Tub/Spa 3.00 x ' Water Heater 3.00 x fi ' Floor Drain 3.00 x' _ Gas Piping Outiet ' minimum - i • 3.00 x`- Rough Openings 1.50 x - WaterSoftener `fordwallingsunderconsWCtion 5.00 x Water Softener " Por existing dwelling 20.00 x U.G.Sprinkler `fordwellinqunderconst. 3.00 U.G. Sprinkler r* tor existiny dweumg 20.00 .. _ ? Alterations ' to existing residance 20.00 ~ ? .. r,: WaterTurnAround._. : . _.._ --._ . . 20:00 ?-_.,..,,.... , ? ? .? . ....,..--_._. Private Disposal .System ' Dak Cty iic. 75:00; ?,; 3 (new antl..refurbished systems) . . '? -. Private Disposal Systems ` Abandonment 20.OQ STATE SURCHARGE ":50 ?1•???.: TOTAL I hereby acknowledge that I-hava reed fhis applicatlon? state that the inkrtnation is cbrted, a of Eegan ordinanoes. R is theappiipnPs responsibility to notify the property oxmer thal?fhe damages pused by the Cily during ds nortnal operalional and maintenanceactivities'to tlie f Giry propertylright-of-wayleasement. - SITE ADDRESS: 3 8 y OWNER NAME: Z , ? ?....?.? INSTALLER NAME: ?I4..,.? o c L. n.L e TELEPWONE #: '?? R7 fJ/x v STREE7 ADDRESS: CITY: ,E'_ C?? STATE: M.N ZIP: =0q"rTP)3 . SICvP ATURE OF PERMITTEE:'; ' `•>< ' ., .. y._ ?: . .f' . . _ . .?E--.. ' . 1988 BUILDING PERMIT APPLICATION - CITY OE EAGAN SINGLE FAMILY DWELLINGS I '?:) 7 9 v INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOA/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ??v?'-EM011T' F/N/SN p ,/ To Be Used For: ?FAMJ4y RooM? Valuation: Date: OcT 2?, //gd Site Address -V9 41 '7 Y[Snr, i, C, tU9¢ I OFFICE USE ONLY Lot 3 Block ( Pareel/Sub Lc XINb7iJ? 5AuAIZe Owner rnn ? (- ? t1 Address 3?67 R"ACP10•'\ cIrd& City/Zip Code Phone (-I S?' b q? I? Contractor ?A'%jk Address Ll City/Zip Code `l Phone ti Arch./Engr. Address City/Zip Code Phone !i On site sewage_ Occupaney MWCC system _ Zoning On site well _ Actual Const City water _ Allowable PRV required _ # of stories Booster Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Planner Council Bldg. Off. Variance Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 3y.'s l? .So 3S.S'a - --- -- -- -- ?-- -- --- - ? i . - -- - -- - - - - - - u -- - ! - -- --- ? - ? - . .. ..- - ---- ? -- -- - - - -- ? ? --- - -- -- - -- -- -- - -- --- - - --- -- -- - - -- ?-- -? -- -- -- --- - - -- --- - - - - _ _ a - - - - -- - - - -- - - - -- -- -- --- - _ QY _ - .._ - -- - -- -- -- --- _ - - - - - - - -- -- - -- -- - - - -- ? °- - . - - - -- - -- - --- - - - - ?_ ? _ - _ - ? - - __ _._ - u . -- - _ _ S - - N - - ? - - -- -- _. .__ -- -- ? - _ ? a - { ? - - -.. _ . . .. - S. ? ? --.. . - - -- - J ; ---- ? -... - - ' _- ? - . . .-- -- ... -- - ? ---- - ? -- -- • - - . - - -? ; '-- --- - ---- - - --- - -- -- . - - , - --. --- - .. _ _. -- _ - -- - - - - -- _ I ? ., - .,... ? . - __ _ .. .- - - - - - - - ' ' ? -- - - - - - -- - -- - - - - -- -- - - - - -- - - -- -- --- -- -- -- -- - - - - . -- - - -- - ? ? :.- -- . . -- _ -- - - _ L - .-- ?- -- - - - - -? _ _ _ - -? - - - - - - - - - -- ? ? -? -- - - ` I -- - -- - - -- -? -- - `- - - - - - - - ' - - - -- - - - I i . ? ? I - __ -? . _... r . _ A. 1 ?,?7 _ f ??^ _ _ ? . ? . . . _ _ .._ - ... I ... ? ? . . .. .. _ . . . _ .. . ? .. _ I . ` i( . . . _ ._I ..._. . _. , ._. ? . . I . ... ? . _ I . _ I . . . . . _ . . . . _ _. .... . .. ... I . _ I -I -- - - -- - ; --- -- - . --f I .. - - . - _ -- -_.. - - ? - -- _ -- - - -- -- -- -- - -- -- ! I -? I ? -- ? _ _. ? ___ __ _._ .... ? . ` . .. ? _.: , -- 7988 HUILDING PERMIT APPLICATION - CITY OF EAGAN ? ? SINGLE FAMILY DWt-LLINGS ? INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURUEY, 1 SET OF ENERGY CALCULATIONS ' NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/BOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS 0 OF UNITS ZNCLUDE 2 SETS OF PLANS, CERTIFZCATE OF SURVEY - CHECg WITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COhIIMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS SEP 16 1988 To Be Used For: ?e .(( eJL Valuation: ??L')J Date: 911 ? t /?i Site Address 3.Lf? //zt?7 P/! h.(k'IGi? L.r OFFZCE QSE ONLY Lot 6 Hlock Pareel/Sub Owner ( 7_ /T -? ? r ? Address ?i ,,9 C?'7" cl2V City/Zip Code C a Phone ?- `l5& -Cyc/1 i L 3`l3-q73C Contractor Address City/Zip Code Phone Arch./Engr. _ Address City/21p Code Phone l1 On site sewage_ MWCC system _ On site well _ City water _ PRV required _ Hooster Pump _ APPROVALS Oecupancy Zoning Actual Const Allowable lk of stories Length Depth S.F. Total Footprint S.F. FEES Engr/Assess Permit Planner Surcharge Council 4? Plan Review Bldg. Off. Tf??lq SAC, City Variance SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Capies TOTAL 5?, o0 .? ?N,? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *i0T5: PAYMF'NP' OF FF.E AT TIIdE pF APPLICATION DOES NOr CONMMM APPROVAL OF PERNIIT. nNsPncrzorr oF sF.M Arm/ox MM ? TAR^'I`AT.7ATTQN$ WnL NQ'r $E $CHED- ' ULID UN1ZL PII2NIIT HAS BEEN ' APPRaVID. ? ? 1) PROPERTY ADDRESS: ? ? 7 t?7' / /'] C E' 6 1'1 C •- LEGAL DESCRIPTION: ? "- Lot Block S bdivis n or Tax Parce ID IF EXISTING STRCCIL72E, DATE OF ORIGI ? NAL HL' ILDING PERMIT ISSL`ANCE: - - PRESENf ZONING/PROFOSID L'SE: (Mon Yearl CD CO-MPE[2CIAL/FtETAII,/OFFICE ? R-1 SINGLE FAMILY ' Q IDIDC'STRIAL r-I R-2 DLPLEX (Tr,o IInits) ? INSTITL'TIONAL/GOVEE2NMENp ? g-3 qpWNHppSE (Three + Units) ( C?nits) . ? R-4 APARTMENf/CONIDOMINZOM ( Units ) 2) ' ? : NAME: e v ? v? ? or ? cv c??a's ?hs ADDxESS: G x ?./ .- CZTY, STATE. ZIP: Fi' i i'1 C? O Y7 /P /7 7? PxorE_? 0 / 3) • u ?: ?• NAME. For City Use . Plumbers License: ADDRFSS: Active FScpired CITY, STATE. ZIP: Not recorded PHONE: /c?2 I MASTER LICIIVSE# St?initial i 4) •?• • ? tu,ME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) ? ?• ? r• • a• : o • ?? - ?? - - ? CON[+E(.TION 7C) CITY SES9ECt 03 COIa1FX.TION 70 CITY WATER ? OT[IER_ 6) ?? • • i- ? PLEASE HOLD APPRpVID PERNIIT F'OR PICK-OP BY ONE OF ABOVE ? PLEASE MAIL APPROVID PEEiMIT 7O 1, 2., 4, ABOVE ' . •? . ?('irrle .-.ne\ FOR CITY USE ONLY PERMIT # ISSUED d Pd w/Bldg. Permit FEES: $ S yj/, 60 SEWER PERMIT (INCLC•DE SURCHARGE) $ $ /O -5 C? WATER PERMIT (INCLUDE SCRCHARGE ) .. $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCL(]DE CORPORATION STOP) $ $ SEWER TAP $ $ ?S• f3Z? ACCOLNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ hrJ $ WAC $ 57J+ $ SAC $ $ TRL'NK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRC'NK SEWER $ $ LATERAL BENEFIT/TRL'NK WATER $ $ WATER TREATMENT PLANT SDRCHARGE $ $ OTHER: $?? ! y S O $ 0 TOTAL l? 3y?-5 RECEIPT R ? ECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q NO ROADWAY" MUST BE ISSLED BY THE ENGINEERING DIVISION S . LI T AS A CONDITION. SUBJECT TO THE FOLLOWING CO[VDITIONS: TITLE: DATE: L 3 ?? ? , ?.?.?? ? ,osscALcuLnrior,s HEATING A R O DITIONING CO. MINNEAPOLIS,MINN. etherstrips A.S.H.V.E. Construction No. . Insulation low8 poorg Guide Reference Out. Wall Inl. Wall Csfling Root Floor Kird How Applied s-No Yes-No 19__ , . ' I. ,i7l a floom Length$ Wldth Helpht' F1. Noan Lenpth Width HeiBht Windaws and Doors-CraCkege and Area Win dows an d Doars-Cracka ge and Are a ol enx Ma?phl ol en? Na. ol li hts l?nael O. o/ r 4nn Gq. 11. . No. Wie?n ol ens Hm0?1 o/ ena Nn. ol 11 hl• 4n6n1 It. ol aeek : rel. Coet Btu Coe1 Bt? InliNrBtim AL7 Inliltrelion Glass Glese Exp. well V Exp. well _ Net exp. well Net axp. wall ` tnt. well ' - Int. well ' CelHng _57& 1 4 q7a,7 Ce1Nng ' . . . Floor . 5 Floa ' . Totel Btu. a t? ^TOtal Btu. Required sq, ft. E.O.H. or sp. Ins. W.A. Leader erea FI Roan lenpth Width Q Height Windows and Doors-Crackage and Area Required sq. It. E.D.H. or sq. Ins. W.A• Leader orea FI. Hoom LenBth Witlth Heidht Wiadows and Doors-Crackage and Area No, yy d?n l ? Heiqhl of ?na No. ol b hU l?neel It. ol r ck A.an o. 1?. No• yy A?h Eona ol N??,pht nl nnu No. ol h hb l?nenl It. ol r k Alen •. fl. ene o a iL a 5 ? , Coe1 Btu Bi Infiltration s 1 471 1175 Inliltretion Gless 1 5o Gtass Exp. welI Exp, wall Nat axp. wall (o G Net exp. well Int. well Int. wnll Ce?linp Ceiling Floor Floor iotel Btu. Total Btu. Required sq. It. E.D.R. or sq. ins. W.A. Leeder area Aequired sq. ft. E.D.H. or sq. ins. W.A. leader area i FI. .? Ropn len8th ? Width Heipht j?. FI. Room Length Widlh Height Ylindows and Doors-Crackage and Area W indows a nd Doors -Crack age and Ar ea Nn. W?eon Me.ant Na, ol 'l t?neol 11. l Aroo sp h o. N wi mi, uf an Na?p1n ul nnn l rva. n b hte L.neel h. of vack /?len e7??• of ane oi nna i hu cra k o . . • Coe1 Bta Coef B Inlillretion 5 '/ 7 ? s Inliltrptipn Glass ?p 50 O b Glass ' Exp. wall . Exp. wnll Net exp, well (p? 31;?j Net emp. wall Int. wall Int, well ceii;na f Ua 4 530 _ caiiine - -. Floor - 1 rlour 7uta1 Btu. a 67 7otal Btu, _ W 0 I dbdH PfPT 1EX?al?arO,?s? HEAT LOSS CALCULATIONS HEATINGBAIR CONDITIONING CO. MINNEAPOLIS, MINN. WeatherSlrlpa A.S.H.V.E. . Construction No. Insula[ian Windows Doors Guide Neference Out. Wall Int. Well Cafling fioof Floor Kind ? How Applied Yas-No Yea-No 19 __ FL Noom llnpth Wldth ,?p Helpht ? Roan L4n9th J 7 Wldth 7 Height YJindows aml Doors-Crackage and Area Windows and Doors- Crackage and Are a W?phl 1 m? No. ol li h f Un:tel 11. l Atan •, p. . N o. nano Naph of eno Nn, / 1 hI• l-nanl o rack Aren Y. 11. D ft r 17 /9 ?o ' D 9 Coef Bw Coe?( Btu Inliltration 8 Sl09La Inlilt?etlm 7 / ? Gless ? ,270C) . Glase -so /900 E,cp. wall Emp, well Net exp. well (p C/ Net eMp. well !? ?o 011- Int. . wall Int. wsll CelHng Floor • LL rotel Btu. O ? (o Celling ' . . . ? ? Floor ' . . I/ S Total 8tu. `f7 S'?/S .?J Repuired sa. It. E.D.R. or sq. Ins. W.A. Leeder erea Requfred eq. ft. E.D.H. or sq. Ins. W.A. Leader erea FI. 1 i//,V Room Lenpth Width 3 Height FI. C f Roan LanBth ?L` Witlth ?y Heiyht y Ylindows and Doors- Crackage a Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea No. o ena Heiph? ol ene No. of 1i ht, L?noel 11. al r tk 4tan o. 11. . No• W.dih oi ane Hu?ph? ann ?? No. u! I? ht? Unanl tl. of cr c4 Aree •???• / tO ? ?L ? / V / Coel B tu Coel 8 tu Inlillretion 917 c-WQ Inliltration ?- q 7 Gless ? - .cj Glaes ` JO 501 o2$00 Exp. wall EHp. well Net exp. well Net exp. wall /7 ? O Int. WeII Inl. WAII Ceiling CeHiop Floa Floa ?? Totel Btu. . . ? s Total 8tu. 0 2- equired sq. ft. E.D.R. or sq. ins. W.A. Leader ereo Raquired eq. It. E.D.R. or eq. ins. W.A. Leader aree FI. jTn.,4;:jA4 oan Length Widlh Heipht Roam lenglh . Widtb yr HeiObl .Q Windows and Ooors-Crackage and't3rea W indows a nd Doors -Crack age end Ar ea No. a,n x Me'pnl l No. ol ' li h Onael It. l re k 4raa It • No. ul1,1nn04 u rli.nts -0- olncraeit. a•eli. 2 ens nne • o u o c • • , , PD 3ct yo - - . . cal ew co.7f st u Inliltration 5 (1 7 I^filtratio^ Gless .51 50 Glaes ' Exp. wall . Ne1 exp. wall Exp. wnll . . Net exp. well / 7 I 0 Int, wall eifnp Flopr utal Bfu. , Int, wnll Ceilin8 rloor S totel Dtu. - F0 ! 1720 It. E.O.B. or su, ins. Yf.A. Luodur area 1986 Bi)ILDING PERMIT APPLICATION - CITY OF EAG9N B0'iB: ALL COATR9CIORS MOST BB LICERS6D IiITH TEE CITY OF EAGAH 3I31GLS F1lIILY Di1ELLIHGS? INCLUDE 2 SET3 OF PLANS, 3 CERTIFICATES OF SQ[iVEY, 1 SET OE ENERGY CALCULATION3 MQLTIPLS DNELLINGS - RESIDENTIAL INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS CO!!lERCIAL HENTAL ONITS FOR SALE UHIT3 - S OF SQBVEY - CHECB NITB BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, E2,000 LANDSCAPE HOND 7b,5oo g [vr To Be Used For: ?q?;?? Valuation: Date: Site Address , '7' Lot 3 Hloek I Parcel/Sub L-alAe, 7-oN -,Sntiwe Owner 1'UlA02tN6 ) tOW? Address V"CJ (,?gyG City/21p Code ?1.V(CeTw f, l/i • ? Phone 6a-3$5-?of)/ Contraetor Addresa ? Clty/Zip Code ? Phone CI Mch./Engr. ???[ Address /O &9C. 42.q City/Zip Code Wl1lC*il? Ak'LM7/ Phone caa'?i?Q- Erect c? Remodel Repair _ Addition _ Move _ Demolish _ Int.Impr. _ Install _ AePeovAs slzglsb Occupaney Al? Zoning el Type of Const +4 of Stories Length Depth ?j Sq Ft Fses Assessments Permit '34W Water/Sewer Surcharge 3 ,M_ Police Plan Review /PZ Fire SAC ? Engr Water Conn Sc;u Planner Water Meter !°3, SZ-) Council Road Unit U Hldg Off4gjAlg& Treatment P1 1:5j!2, APC Parks Variance Copies o mrAt. - . S d a s? ? Alcl12a-c.J BTOTEs ADDBESSBS FOR CORNEE LOTS - CONTAACSOR/HOHE08NER MQST DESIGHATB WHICH ADDEES3+ IS DESIRED. NO CHANGS3 fiILL HE ALLOiIED ONCE BQILDING PENNII? I3 ISSOED. i. ; zs? x 3z = oy? ?- ?? ' 3?IZU ? -7?>2 ?2 < Dt) 364•00} 38•50+ 1B2•OOF 575•00} soo•ao+ 63•50+ 290•00} ? 15o•OOf 0•50F 2169•50* " ?? •. ;, ? , . ExreRlmc ? ENVrinPr I ur.xr;hi Ta,rr;,i ; ?;,,r.E RN ,., d ? PAGE 1 + S . ? IdNUARb AYiRY.Si1F(T Lexinytun Sltf Address : --- _ _ . . .. . .. - -- -- - ,1?.? . , a YIO wMus ' Conerecwr - oate -2 "sTjtyo /.?sA Dwfldfn T 9 YDt (check one) ( - 1 One arJ iwu famliy ftw«!illn9 -- - O[her j , /S-4fC[o/UAI? y _ _ • AsslilLly (DcscrlDe type Sf10M C]7CU ?:f! from Tebl,• 3 or on• 1 O f' • A, !•a (A) U-Value U x A '_ " , rl , J : Insulated Arra ---- . .. ? frnwtn Area . ------- /?? --- .02? 3. ?0 .. Q d( Sk 110h t s Tae - S Other describe "'_'- ---- -- -- -- - - ,s a8.311 a9e U-Yalue. IUxA A lrom linP 1 "*t"?'? p, ? w*?rt* ?LLl--.-_-_- - - ired ll-Yelue frum te,c( 1.. d Area 70 .,A47 2 [ln ?/i_ ro ri- V • v77 /a.& Nindows, Tme 5 93 Doors T e u , 57-ErL= 2 3 q 46 kim Joist Arra gg -- Fire lace kxll -- --- -- - 03-0- a- ? e Foundation Wnll a:?avr , 1 0? ?.93 ? Poundatlon WiriAows, 7yj_e ? p- SS -v' ___? • ._ Other descrll?r _O_ ? SS - ? _ Other eqp D Other desu-iDe) 4 Totals S Avera e U-Valur, Ux?1??- (A? fror Line 4 ' Mrw?r;? 6 R uired U-4aluc frem text -=---i-_ Z *++t?« ? f*w#?; lf }ol L1ne 2 Ss grcater thnn linc 3, nr ltne 5 lowi grW?r than Line 6, complete thr. n to dP:ermine. altrrnative Ualre - ? for tnrnl extrrior emelope. _.--?-- --- -- $ ) Area (Ltr?e 1) • A,•ra ILine 41, ' j V _- 8 UxA (Line 1) * UaA(Line 4). ? 9 - ------- - ---- '-. _. _ . Aree (:1ne l; x U-1'alue (I inc +) . ? - -. -- +wa++r o 'm 10 - "' ?------------ ?----- Area (llne e) a U-Yaluc i'l inr 6) . _, ? _ . •??k+• --- Y 11 ----- ---- "Budpet", line 9? li,,c lU --- - ita*** o •' lt '---_. - '--?------ .- .--... Alternative U_Value. I ine 71/i t??, 7 _ . -- . }*tt#* If l1n! 8 If 9e'GdtOr th,:n I.mr 11, e1 1 cr nSS r., reqijIreA 50 l {nP U does not exued Une U. . n u i, Cities Di?ital ity Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. L,tItK1UIi UIVLLOPf 511Nf)NlU W(1itY$IIFF:1 n;p.??,._;--• - 1?tis????l,Iv er a Qescribe liiickness Et-ValM, tknoss ,• ..SG ' - --- ---?---=- - ? Trl iji r{? , i -' --..-- .._.'lr?`??A. --' 'v ? +? A. r or . a u ffe Table 2 1r?terior f--Valur? ce Tabte 2 --- "' Ex sce Tap p 2 ,, ar?Ass aapb a S '(h rmel Resistance ??- -trr?iur f-Value see Ta lt - ------- 14ssemb Y U- a u+e see able 4 yS,?g- _ Tota-l, _ f?sse,nb? 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M????1?lNII swInwtK. rorw w?... r.?.... ?wi PafnrCETOAI ChRCI E ? EAGAN REVIEWED Y--i DATE Dmofea Drainoie j Ufiliy Barlnqs Shown are Aisuwd. o Dawtes Iron obnument. a Omta to'm Founatton Lorner 54ke. eao.oDenoteE Exlsttng Elevation. ..W- OMwtas DI roctlon oI Surfaq prainayt. Eosemeni VAOP05E0 ELEYATIONS ToD of Block Lawest Floor Ganye Floor 898.33 LoTj_ , &ock ? LEXINGTON s UARE, oqKOrA C«,wTr,Ml1VN. Subjeci fo d?-Qjncre 4 U.filj }j easernenfs . . . 1 "n61, $*r*l/y 1??? oilI, NI Iw, W'wr0sr iOpmNoto11M M??w.?t N ?M MwMrbe dtM yqw MNdYod rN, mN N'IM IMeU" M dl wllA wN?p? qd ?11 • I?N wuwsM???y 1/ w?? Irr ?r ? M1r bM. 4 r??N?? h r?AI?.2 9M? d •J. 1 ? i-u r, ua?wN ?waw???i o, Nc. ca/e: 1,:c :3p « ?....; ,' ? .... .. w ? ? ? 00. ? ? , ?'2T33 ^. Z. I ?n • ?? ao W w ? i e ao io ? O '?_33 / \ V Yl ?- ? ? ? \ h v; - t , -- -... ;55? Ss626o 101° C!tyofEaaau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 go.00 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 321f7 90 e 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Tenant: Site Address: fig `'' I J Suite #: RESIDENT / OWNER Name: NA \ . i\tft 1 4" L T � I l Phone: (sJ 1 Address / City /Zip: -;,C51-4-7 `� e i rl t ► L i e r - n, 1A A' CTS ..173 Applicant is: Owner Contractor TYPE OF WORK Description of work: Irk ( 1 i'L L l li ll . ( LL.) 1 r Y. Y Construction Cost: �� Cl � Multi -Family Building: (Yes / No ) CONTRACTOR NameTrAQ dig/aYkref i1 e /i/a41mLicense #: W(3 o/ 3Z Address: 7,‘12 4 `ii'tti4?, Y1..2 State: AA IV Zip: ()5 -Li ( Phone: (/' 17 -3c) 3 4 7 ?V Contact L Alta. Email: a, ZIA CL i di -C't '(,) 04/4, j n,C 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: CALL BEFORE YOU DIG. Call Gopher State One CaII 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.Qopherstateonecall.ora hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Sfue5cr) Applicant's Printed Name x 114,4/(0-44 Applicant's Signature Page 1 of 2 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3847 Princeton Cir Lot: 3 Block: 1 Addition: Lexington Square PID:10- 45075- 030 -01 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Window Store LLC 9909 S Shore Dr Suite 270 Plymouth MN 55441 (763) 412 -4280 Total: Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Expired Permit - Closed w/o Required Inspections. Letter sent to homeowner 1/15/09 pf A framing inspection is required when installing a Bay or Bow window or if the opening is altered required in all sleeping rooms prior to final $88.50 0801.4085 $1.50 9001.2195 $90.00 Owner: Michael K Coll 3847 Princeton Cir Eagan MN 55123 -1520 Permit Type: Permit Number: Date Issued: Permit Category: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Issued By: Signature Building EA082603 04/16/2008 ePermit Smoke detectors are PERMIT City of Eagan Permit Type:Building Permit Number:EA122222 Date Issued:04/30/2014 Permit Category:ePermit Site Address: 3847 Princeton Cir Lot:3 Block: 1 Addition: Lexington Square PID:10-45075-01-030 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 by law in ALL single family homes . 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 - Michael K Coll 3847 Princeton Cir Eagan MN 55123--152 Universal Windows Direct Twin Cities 2200 West 66th Street, #119 Richfield MN 55423 (612) 866-2888 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA136614 Date Issued:05/24/2016 Permit Category:ePermit Site Address: 3847 Princeton Cir Lot:3 Block: 1 Addition: Lexington Square PID:10-45075-01-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Michael K Coll 3847 Princeton Cir Eagan MN 55123--152 Pro Exteriors Llc 9072 Lyndale Ave S Bloomington MN 55420 (952) 250-0767 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA137192 Date Issued:06/21/2016 Permit Category:ePermit Site Address: 3847 Princeton Cir Lot:3 Block: 1 Addition: Lexington Square PID:10-45075-01-030 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 - Michael K Coll 3847 Princeton Cir Eagan MN 55123--152 Pro Exteriors Llc 9072 Lyndale Ave S Bloomington MN 55420 (952) 250-0767 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA150448 Date Issued:07/09/2018 Permit Category:ePermit Site Address: 3847 Princeton Cir Lot:3 Block: 1 Addition: Lexington Square PID:10-45075-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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 - Haile Tesfaye 3847 Princeton Cir Eagan MN 55123 (763) 221-7164 Advantage Construction Inc 18563 Vermillion St Wyoming MN 55092 (763) 354-8441 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165502 Date Issued:11/04/2020 Permit Category:ePermit Site Address: 3847 Princeton Cir Lot:3 Block: 1 Addition: Lexington Square PID:10-45075-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Haile Tesfaye 3847 Princeton Cir Eagan MN 55123 (763) 221-7164 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature