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3895 Princeton Tr610 44!!I*. CityofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 C 57(0 2 2011 Use BLUE or BLACK Ink Permit Fee: `V, 0 0 Date Received: 5o —,j 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Leif tel' Site Address: - 96- Pr i r a TN, -- Traij ' 510.a Tenant: Suite #: RESIDENT / OWNER Name: M a---\- kik-s ` . -e) ,e I Phone: G6 / L15 ? � p Address / City / Zip:—J (� 9 5 pr i A. 0.1_ n -Tc Applicant is: Owner -Contractor TYPE OF WORKDescriptionilIP I of work: I. t� • O r S' I (i �; ©� Construction Cost: ) -1 C19,, j 0 0 Multi -Family Building: (Yes / No 'c. ) CONTRACTOR Name: L ; Y\ __�_ �..._k License # • Address: . L.- t. y,..: `Q. K. � c: 1/ `i City: State: Zip: ,: 4 Phone: 1 ! •1 .._ Contact: _ -�' Email: COMPLETE In the last 12 months, has _Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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. x !vnc cYY1ie-S1"t.� Applicant's Printed Name �J x Applicant's Signa Page 1 of 2 CITY OF EAGAN Remarks r 7 Addition LEXINGTON SQUARE Lot 5 Bik 4 Parcel Owner street 3895 Princeton Trail State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 254.53 C009747 10-12-84 SEWERLATERAL ben tT 1986 1]3.65 C010092 1-28-85 WATERMAIN 1986 68.33 4.56 15 68.33 C010092 1-28-85 WATER LATERAL WATER AREA 6 286.43 286.43 C010092 1-28-85 STORM SEW TRK k186 r0 2 ?jQl.29 CQI.QQ92 1-L$-$5 STORMSEW LAT 513.81 C010042 1-28-85 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit WATER CONN. 500OO SUILDING PER. 10658 n n s,ac 525.00 PAR K Receipt r MECHANICAL PERMIT Permit No. ?r I?, CITY OF EAGAN Fee _X-)??,? ? C_ -- Frll in numbeied spaces S/C TyQe or Prini /egib/y Tot 1. Date 2. Installation Cos `L? ?"'? • ? -> r)J ?-V??.? 1 r-. ti ?-, ls k 3. Job Address Lot ?Blk. _?:LTract 4. Owner 5. Contractor tiC ??)Q_ Phone jQ 1 6. Addresa 7. City '--)L. u- State \-A ? 2ip ' =l' ?• ?' ? :; S. Building Type: Hesidential Q' Commercial ? Institutional ? 9. Work Description: New UY Add ? Alter ? Repair ? 10. Describe 11. Tvre r?.-,,T ..?CLk? No, , EguoQment BTU - M. Ea. Forced Air t;J No. Eauipment CFM Air Handlin : Mfg. i??, g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. ? Signed: " k ` l ?. •:i _ - • ' - . = '-? , for Rouyh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 CASH RECEIPT : r CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 -? . , - DA7E 19 ` wiecovim FROM ' AMOUNT $/ 1- --7% s ooLLwws 7 oo ? CASH /b,CHECK ¦ow . f ? ?,? - ? tJ L' ? ?? i •? .?J • . ?. i;i.. i f / ? ? 0r?? . ? 1`'. -! ?-?-0-? FUNC COOH AMOUNT _ J J ? v? ?! •1 i•_ < : ? ? !? C Thank You s Y -- `? ?. Z, . White-Payers Copy ?- Yellow-Posting CoPY Pink-File Copy Receipt ? PLUMBING PERMIT Permit Na CITY OF EAGAN r F°c 64 Fill in numbered spaces S/C - Type or Print legib/y Tot. 1. Date 2. Installation Cost 3. Job Address • Lot Blk. - Tract 4. Owner 5. Contractor Phone • ? 6. Address - -- -- -- - - 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe 11. No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory 41:+. Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 sUILDING rERMIT Reteipt # _ 1O65$ Site Address EIBCt ? OCCUpaflCy .. l+:'.x .= ?ii)rr"F{ E Lot 5 Biock Sec/Sub Remodel ? Zoning . Repair ? Type of Const. Pa?cel No. ? Addition No. Storiea ? NanSe :-?,1?i't?t'i•: LITY COI.u;?T Move ? Length ?`?Y ?G Demolfah ? Depth 4 Address Int Impr. ? Sq. Ft. City ,?'Phone 507/64_`+-?b48 Instau O A Nm,e =33? ar. eu Address r- ('_itv Phnna Name _ Address City _ I hercby acknowladqe rhot I haw rood this applicotion ond stote the Informotion is correct and ogree to comply with oll opplic Srote of Minnesota Stotutts ond City of Eaqon Ordinonces. Siqnoturo of Permittes v ' w Buudinq Pen+,+r I: isu,ad w: LOLL1s'GE C] all work shall be dorn in otaordonte with a)1 applimble Buikkllp Officfol ? - ?,' A r' ' Assessment Pern?it ? ?1.14• U U Woter 3 Sew. Surcharpe 26 • 50 Police Plan Review .?• c 0 Fin SAC r n Enp. Water Conn. 5W'' . 0) Plonner Water Meter 63.00 Council Road Unit 280.00 Bldg. Off. ? 25 v?J Tr. PL 132. fi (} APC pgrks Var. Date Copies - ?. Total Cn tfN f71plm COfldi?{011 11qt sow Stotutes ond Ciry o3 Eopon Ordinonces. Pwmft No. Pamit Holder Daft TeIephone it wun,bino H.VA.C. ENetde 95 soft.r». Irqpection Oato Insp. OthN Footinys 1 ?/? Footings II Foundatlon ?? Framing (,v RooHnp B Rougn ??. Rough Htg. LJ tnsul. ? FinplaCe Final Hty. Final Plby. _ ?. Final Cert/Occ. ? Watw p.wibe Location: Well S*wtr Pr. Disp. ,?,? _, ?..,.. . . . , . 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 FIRULAC$ Est. Value ` Date i? ,19 Site Address 3693 PRINCE'L'M TA Lot ` Block M Sec/Sub. LM%WMN ?•QUARg Parcel No. . Name HAM. ?? & RSM 3 Address 3845 PRII!ICB'Pt" TR 0 City ZAGAR Phone 454--4377 °Co Nan . ? ? Add ? City Name Address City Phone 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 Ordinanees. 7 Signature of Permittee _- A Building Permit is issued to:_. !?(= 0A amm__URTZi-_ 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 . . ... ....... _.. ?... _.....-ur.,.=-%i:c:•+.,?_"_a?,?_,..;? OFFI CE USE ONLY On Site Sewage Occupancy MWCC System Zoning On 5ite Well (Actual) Const City Water (Allowable) PRV Required * of Stories Booster Pump Length Depth , S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. _ Permit 246QC. Planner Surcharge • 50 Council Plan Review Bldg. Off. _ SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks 74 50 TOTAL , Permit No. Permit Hoider Date Telephone * Plumbing H.V.A.C. Electric Softener Inspection Date Insp. COmments Footings I Footings II Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Oca Temp. LP Deck Ftg. Deck Final Well Pr_ Disp. CITY OF EAGAN 3830 Pilot Knob Rwd s? SERVICE PERM P. O. Box 21189 PERMIT NO : Eagan, MN 55121 . Zon+ng: DATE: Ownar: -- A. No. of Units: Address: ?. Site /lddresa: -'''? '•.. _ . - - Plumber. gM ? * VYll?l ? '? ? ?p¦ COflr1lCNq7 a10fpl: ? cc71nt DTposit: Prrmlt Fee: - 8 y Surclwrpe; Date of Irnp.: Misc. Choryex Insp.: Total: Dote Paid: CITIf OF EAGAN 3830 Pilot Knnb Rosd yUATER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: ° Eagari, MN 55121 DATE: ° - - -1 ZoNng: Owner: cl r jT No. of Unfts: 1 Addresx Sh! AddlQSf: ? rinGeyC]T] Plumber: ' *1= =- ?.lT-' lng MKer No.: Connection Clwrpe: ' Stze: Account Deposit: _ Reoder No.: Pertnit Fee: ,;- ? M? ft aow* whU tht Citr of F.egow Surchorye: ' tsc. Chorpes: ? Totci: . f BY Date Paid: ? Dote of Insp.: Insp.: CITY OF SAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road s.Kgr? P. O. Bcx 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zaninp• _ , No. of Units:1 ARMWf, Owner, "•?? ? 1? '' i ty C::?rts t? . ?adm?: e art? ??:-Tjnn rail lec?.l u?ilities - St» I\ddress: 33 - r: ncetcx? __. cx -- . .,) EE?r? ? ,,_t C' ?;lC - GAS Etc Plumbar: L' -1-01P.q - M~ No.: 6 s 6 Si:e: Acaourit Deposit: m Reodsr Na.: ..5?0 9 / 7 , 1;, .;,c Permit Fee: 1 pre !o ooaPlp wieh !1e Cih ef Eason Surcharge: •? Oe?li?ewas. Miae. CFarpss: 13 `• T-- , ` , ... Totat: - . i, ;x. i 1P_t ? By Dat. Pald: ? Doft of insp.: F Irtsp.: ' 55( U?REQUEST FOR ELECTRICAL WSPECTfON ' ee-ooooi o ? ' See instructiona for eomoletiny this lorm on back oi yellow copV. G7 -?/5 ?'_g54371 X'" Below Work Covered by This Request ? ??? Adeo. Tvoe of Buildina Aooliancee Wired Equiument Wiretl I rumace Air Corn N a Sarvice Entrenca5ize k Fee Fanders/SUbfaeders M Fxe Circuits + U 0 to 200 qm s 0[0 30 qm s 6 0 to 30 Am s Above 200 Amps? 31 to 100 qmps 37 to 700 qm s Swimmin Pool Above 100-Am s Above 100-Amps Transiormers Irngation Booms . L Partial.'Other Fee LI ISigns I I ISUecial Inspection I$ Nemerks f?'? TO ?? °ZCY A14 Final InsOacbr, hereby certify thet the ebove inspeetion hes been made. void 18 monlhs Irom months fmm'd 551u 3 A54371 / q L-Y, 9_ Y-g5 6 ne.qves? ?a nre rvo. rcoupn-?n mspection ??? ?} ? fleQViretl? ?AeaAY Nuw L7.riii rvo[ify Insper _ ?(/ y?S my s ?No lor When fleatlY &?LicenseVElectral Cantrnctor I herebV requast inspection of ebova ? Owner electrical work installed et: Sireet Address, Box or Route No. ?. - Ciry 3r' J ecvnn o. Tow ship Name or No. flange No. Count Occupant(PPINT) Phone Na. ?Z Power plier AAdress . Elec[ri a Con[ractor (COmpany 'm Var, or's License No. li B Address (Convactor o/r ?g? ner Mek/inp s[aila[ioni , 6??./! G/fC2"Lv Au[horizetl 5' nature bn crodOwna nkin tallation) Phone Nvmber '/ MINOTA STAT 80A0.D OF ELECTiiICITY THIS IN6PECTION NEQUEST WILL NOT Car' gs-MiEwey tl9. - Hoom N•197 gE ACCEPTEO BV THE STATE 80AND 1821 University Ave., St. Peul, MN 55704 UNLE55 PflOPER INSPECTION FEE IS Phona 1612) 297.2111 ENCLOSED. . CITY OF EAGAN N° 10658 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 4548100 Receipt .jo Y/ # / Te M ard fw SF DWG/GAR Est. Va1ue $57,000 Date JULY 26 ?q 85 SitaAddreu 3895 PRINCETON TR l.o< 5 Bloek 4 sec/sub. LEX SOUARE Parcel No. W IN.M1 COLLEGE CITY CONST ? Addm$ BOX 309, HWY 3 SO City NORTHFIELDphone 507/645-6648 A Name _ Addreu City _ Phona Name x? Address i °CW < City Phone I hereby ackrwwledge thaf I have read this opplicoeion and state that fM inlormation is torrect ond og7qe to_tyo_(nP?y with all opplicable State of Minnesotc $tatutes ayY?Gry oj'Epq?n-Ordinonus. $ipnoturo of PermiMeaCG} A Buildlnq Permit is issued to: all work zFwll be dona in ecco Buildirp Officiol e.ect CK occupancv R3 Remodel ? Zoning RI Repair ? Type ot Const. V Addition ? No. Storiea Move ? Length 40 Demolish ? Depth 44 Int Impr. ? Sq. Ft. Install ? Approrah F"s Assessmenf Permit JU4. UO .Wahr 3 Sew. Surcharge 28.50 Polica PlanReview 152. 0 Firo SAC 525.00 Enp. WaterConn. 500.00 vlonner waterMeter 63.00 Gountil RoedUnit 280.00 BIdg.Off.z 25/8 5 Tr.PI. 132.00 AFC Perks Var. Date Coples $1 984 50 ? , . raei on tha exprea cadielon lhat Lwm Statutes ord City o£ Eopan Ordinonces CITY OF EAGAN - 3830 Pilot Knob Road, P.O. Box 21 •199, Ea9an, MN 55121 N? 15 655 BUILDING PERMIT PHONE:454•8100 Receipt # d n?70 5 n To be used for FIREPLACE Est. Value $1 , 000 Date 9`? 7 ,19 b?Q Site Address 3895 PRINCETON TR Lot 5 Block 4 Sec/Sub. LEXINGTON SQUARE Parcel No. olName HARTZ SCOTT & RENEE I Address 3895 PRINCETON TR City EAGAN phone 454-9377 OFFICE USE ONLY On Site Sewage _ Occupancy MWCCSyatem _ Zoning On Site Well _ (ACtuaq Gonst Ciry Water _ (Allowable) PRV Required _ # of Stories Booster Pump _ Length Depth S.F. Total Footprint S.F. cO Name RRIICE STIENKF. ?a Address 710 W 1ST ST ?w City NORTHFIELD Phone (507) 645-7120 ?a U?y WW tz zF Uz Q W Name_ Address C ItY _ I here6y acknowledge ihet I have read this application antl state thet the information is correct and agree to comply with all a 'cable Sta of Minnesota Statutes and City agan Ordm Signature of Permitte4??? " f A Building Permit is i ued lo:_ . -$ENEE-HART-7- on Ihe express condition that al I work shal I be done in accordance with all applicable State of Minnesota S[atutes and Ciry of Eagan Ordinances. 8uilding Otficial-DZ4-k'p-? 17v , APPROVALS FEES Engr./assess. Permit 24.00 Planner Surcharge .50 Council _ Plan Review Bld9. Off. SAC, Gty Variance SAC, MWCC Water Conn. Water Meter Road Unit _ Treatment P1 Parks TOTAL 24.50 • P. O. BOX 21-199 C? VJ wuwo caoe nmounr Thank You BY N_ 54234 CASH RECEIPT • CITY OF EAGAN Whixe-Pavers Covv Vellow-Posting CoPY Pink-File Copy & OOLLARS 'oo E]CASH HECK 1988 HIIILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS tff V ffff INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/$OMEOWNER MOST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENT9L [JNITS FOR SALE UNITS # OF IINIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECB WIT$ BLDG. DEPT., 7 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: t? Valuat ion: Date: SEA7EMBfA Z% 1c7g'l Site Address PRiNr,eTsj TR OFFICE USE ONLY Lot Block On site sewage_ Oecupancy r < r MWCC system Zoning Parcel/Sub t„?C} c,? On site well Aetual Const City water Allowable Owner Z Er PRV required _ # of stories Hooster Pump Length Address ??? ?Q??L7pt? T?. _ Depth S.F. Total City/Zip Code LA_k v*? tA Footprint S.F. Phone 1=12 ^Q? - 1---=) APPROVALS FEES Contractor-:E?0CE SIEIAI?C Engr/Assess Permit ?? ? ' ?Q [ Z1 planner Surcharge So , ? Address 7 ? Council Plan Review ? Bldg. Off. SAC, City City/Zip Code ?? ?? Variance SAC, MWCC Phone ?go Water Conn Water Meter _ Aoad Unit Arch./Engr. Treatment P1 Parks Address Copies TOTAL .? . sd City/21p Code Phone ll RIGHT OF ENTRY CITY OF EAGAN IMPROVEMENT PROJECT NO. 527 THIS AGREEMENT, dated this ?O 3ay of 0 ,, , 1988 by and between the CITY OF EAGAN, called Eagan and SCOTT HARTZ and RENEE HARTZ, husband and wife, called Owners; S4HEREAS, the City of Eagan has undertaken to install certain improvements over land owned by Owners described as follows: Lot 5, Block 4, Lexington Sguare. The nature of the improvements is as follows: Storm sewer. In order to install such improvements, temporary access is rzquired from the property owners to allow the prompt installation of storm sewer lines within existing easements; NOW THEREFORE, for and in consideration of the mutual covenants herein contained the parties agrze as follows: 1. The Owners agree to grant Eagan and its contractor consent to enter upon the above described lan3s (See attached Exhibit for specific area) owned by Owners for the purpose of installing the improvements specified above. 2. Eagan agrees to restore the area to as near an equal condition as existed prior to the commencement of construction. 3. It is understood that the grant by Owner of the Riqht of Entry herein shall in no way preclude Owner from being compensated for damages to property outside of the existing easement area which the City cannot or will not restore nursuant to paragraph 2 herein. , Witness our hands and seals on the date hereinabove written., ATTEST: CITY COUNCIL CITY OF EA N By: Its Mayor Reqee Hartz ? ?? SCREENS 26,29&39 REqL ESTATE INQUIRY - NRME/RDDRESS/LEGAL PFlRCEL IU: 10 45075 050 04 PLRT NAMEs LEXINCaTON SQUfaRE LEGAL: HDMESTERD CARD ENTERED: 02 17 1989 FIRST DIVISION: 015635 09 26 1984 LAST DIVISION: FEE CURRENT OWNER- SCOTT & RENEE HARTZ 3995 PRINCETON TR EAGAN MN 55123 TRRNSFER TO SCREEN NUMBER: PF8-SCROLL FORWGIRD X I IVPNOt13 5 4 .parce f ql on (2T y' e/4d maf ?o ?7o f -aD -?/ 1985 BUILDING PEftNIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS KUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY NL?J 5l,ocnt SET OF ENERGY CALCULATIONS ? w To Be Used For: Valuation: ? Date: e)..I3AS Site Address: 3aQs Pu„".rp„3 ? rip?y) CA"r?C? ti*'f ••a OFFICE USE ONLY Lot: ,S Block _!I_ Sect/Sub ? Ereet Remodel Parcel # Repair Enlarge Owner r?_??r ? ,r [`??J ?? .?,P_, Move Demolish Address Am& 309. j,] uJ`/3 Spy-m Grade City/Zip Code h" iGW,? 5W-7 --------- Phone _S'p']_ (AS_ "4%0 APPROVALS Contractor yjo„615?, AS OvJn*lSra.- Address City/Zip Code Phone Arch./Engr. S04V%1: ps Ow?vFlt? Address City/Zip Code Phone # ? Occupancy fZ-3 _ Zoning K-t Type of Const '$L ? il of Stories _ Length 40 Depth 44 _ Sq Ft Assessments Permit 304 = Water/Sewer Surcharge 28.s' Police Plan Review ? 5 Z g Fire SAC 5z5.°- Engr Water Conn 500.19 Planner Water Meter (o 3. "-' Council Road Unit ?yp,p,°-° Bldg Off y ` ar es APC Treatment Pl 132- Q° Variance ) SZ) L? 8 Y rorni. . . 2 ? ? ?-b = .? (oc? ?? S 4- = 5 g ?o 2c? K 20 ` `??C7 K? r-. ¢ SCo24o M r d , , t bt.m 01M1Ce 611 EOE! 6076 Nphw?? Na 85 N E M'n.polW Min.u 564M sownonwt naesie ["N a MwwN [nryveru' 0 9eJ Tnruy 0 LM 4urwyW 0 LW Mwiuiy 9earing * benotes ? Denotes p0 Denotes ?? ? Denotes BwnMd4, MlnspY 65311 Certificsts ot 8urvey tor COLLEGE C/TY CONST. s Shown are Assimied. I?ro Monument. 10?Foundation Corner Stake. Existinp Elevation. W rection of Surface Dratnage. /S30' ? In . ,, ?J FROPOSED ELEYATIONS Top of Block Lowest Flbor . Garage floor 99Z 1 PR/NCETOiV TPA/C ? N D°DD"Z4"E 75 DO 09(b 1 , 0 ?. ' h . r o ,. ? "io-?---- -`-o- 20 ? i I ' n+ GP? I 0 5?p , ^ ? ? ?, •_ ? -k7---. -? 1-. o , t a h I I i ? I I i i i i ? I ? ? O,PA/NAGE jUTiUTy ESMT ? ? PER PECOKO PLA7- I ?-_------------ L 0 '95. Q0 5 o°oo'z¢"w 'S 'Ai 0\ M 0\ cj\ V) LDT 5, BLOCK¢, LFXINGTONSQUAPE Dq 1?OTA COUNTY, /I?IIN/y6-SbT,q /SS/ SBSZ97 ';q " 1 breby ur111y sMr ?MI, N, 1rw rd qn.. f rq"wwbtl" o1 • frr•oy H tM Yww1or1es *l the obwe Muv1bN Mn/, ae1 N the I9ielIM M?1); Yvll?ly M?j??w? ?wd ?11 rl 1b1e owooachroewtt, Bosr, how wcw ..id wM. 11. .....y.? w ...rhlo . ;\'?.l'r.y •f -, ?.s. 1O_ )U U??AM /MOINR!!lNO. I?IC. oqlwoon ? A : r.rl(!a Not PuWIMW; All Riphq Rwrved .'-`-•;.. ' it . . 1 • C EXTERIOR ENYELOPE AVERAGE "U" G011PUTATION DHNEIt . C'?LZx?? GTY C01,?h¢.utz•aO . , sITE auDaESS &.QL1C. (45-x??So _ , GONTMCTUR Cnj I ?%,- iTy' A.l.r,?2 DATE 7- 3- PIIONE ,,50?-LySr ?6y? . •' . Determine working square footage of each. . ]. Total exposed wall area'...... 17 z6 sq. ft. x:19 v .2. 7otal toof/ceiling area ....., 960 sq. ft. x 0 v I •7otal exposed wall area above floor = 1-7 Z E- a a. Total wall window area........................... I^I.1,1 o`i b. Total door area ................................. y3! l_ t. Total sliding glass door area ................... 8. total fireplace wall area ........................ • e. total wal) framing area (average 10%),..:......,. f. Total net wall area above floor ...............'.. g. 7ota1 rim 3oist area ............................ B 5•3??b tl Total-ekposed foundation area = 85.:'?7b, h. Total foundation window'area ......... ..:......... ? 0 1. Toal net foundation area above grade ........:... '8 ?2.37 b . ,. Determine "U"-value of each wall segment. a. 14I .b69 x puN , b. 3b.bto7 X "U" .IZS = 4 ' • O 'X PUn C. , . d. o X "U" e. (7Z.80 ? 1( b0 •U" 14.2 f. 129 I.4-88 z ???N g. 8 S. 37 ?o X "u'.'. , p d- 1 ? 3. 'S 0 fO ' ., • h . O x "uM r ? ? - i. 0 S.37b x °v .o79 ? 3 ........................ . ............iocdi If item 03 is the same as, or less than.item 11. yoo have met tlte intent of 58G 6006(c)2. 1 - • . . , ,. ... . ?' ? ' ? . • Tatal..exposed roof/ceiling area = 9to0 ' J. Total skylight area ............................. p . k. 7ota1 roof/ceiling framing area (average 10%)... 9G,; p • 1. Total net insulated roof/ceiling area..::....... g?p o ? • Octermine "U" value for each roof/ceiling segment. . X uull . k. c1b X'soull .174 = I?.'ioA. 1?: a ba-.,ot) X„u„ , Uz.z = ti?.o?a 4 ..................................lotal If total of 6`4 is the same as, or less than :2, you have met the intent of , SBC 6006(c)1. ' Alternate Building Envelope Design 7o utilize the total envelope system method, the values esta6lished by the' sum of ltems #3 and #4 shal.l not be greater than the sum of items Rl and 12. 1. + 2. _ ' 3.-- + 4, ? • .. , , „{?•iudn , U.. vALuE Wl NDaw AIMa : TyPE OF W I N.DpW S '51g" ik5uc. 6EA55 7ue ??v?,voow Uuirs /.IAvc gcc../ TFyrep ro4 "r2'=va?vart., -rWIY Aec na L.11190 ABoJG 4N0 iN.ay ¢t ?ssiyMEo?R Ot3i4N [3wrt) Vw4t.tc cr "j='s Z'8! I1J[LND7Nf4 AIR /44M5,,, ? ? poyAC4 L FOOTqGa FouN:aP,T i aw WiNOO w A+e,ra : TyPE oiff In.?„?oow : TylF- vvi" OOW U?j rs/-14 of iL (3L" 7-'LSrCP FolC'R -' Va,uC TktY ARa AS t.o A&a v'L AND M4Y 8r ASliyniLO A (7[s?4N(?ARr.,? VA"k oc •R.^r IUGF.N0 INC4 AI_R FILM> , ?2: II??, • II =? F?rA4+F + FppTAyL + .'? L f JD1Q(; 1LA5S Qoo R J?R&/4 : Typi, pa Doort : 5LI0114q qLr199 lJ0t?R5 NA,JR. B+LR'i 't4S7LP FoR-);L=Y.l4-Kty 'fNtYAiL "a3 Li.&?RO APSO6l! NAlD MAY BO AS.SI eINO"G A Dj[SJGlMGSAf[_) VALHG OF'k"I .Z.S9 146A.yy,4 41n rr&Mts u$; • V'?°1a .2 1/ _ ? ' Fvsri.4c. _ DooR fiPUA : TYP G O F J)oorz j T1-4EILMA -T-2,v DOOCZ U NIYS HAYF, 15F-6-1`4 TLSTCp ANO RouNiD To f{Ayt AAI 'FC-VA&uA dP 7. SI :1N ANry Ma FiLM3, ?r Q 1 ? . /Z$ yd1 ' ??Rd? = ? ? •?! ? l_ _ FCpTAi'c [. Sr- SPECrAc.s : TrpE : r--- ANALY515 O,f Dc7oR5 AN[] C?L..A2ED AR&qS (D varcM a-I M M Y ' R ANO U." VALuE ,qN.at,Ysis oF wAt_L SLGTIlaWS Q RiM So,sT ` I?rzL^; "R' - VA L uE •{o? -i nlreRio2 Airt fil. M - 9,0 ?usuL A r1oN CR-?9 ) `Z .ab 25132 S!{EA T!u!j BWLT' 21"TE. ?. to7 LAP $,ol ,14 ' -?,-? ?• g8 1'h" SoPrwoop 4E ,(-rF rt ia R A I rt- F1c-w1 6._ 'z4.39 TorA L'R-3?' ?A«,LG r-? ?' OL. 24- .'J o ? TOTAL 1'OO TACy? FOUr.i D qT IoN WAL L AREA CA5ovr6 qRAoS.D , i2•. VA L u. E. 46' INTERIOK Af1Z fOL-r1 s •SS . S L°OI./GR!' I'r OLOG/G Z K 4 i S -ru 21 m.v ll. O e-i I GP" at r-'..?.,?•1s.-T.. CR- ? • !? _EX7FLKIOR, AlFt FILM 12.(03 -r'OTAL 4.,4 VnLu.E- "yJla I10_14? ° II I2(o3 n Ljo7? rOTAI Fe--4!)7IyC,f, laaM t•i i4hL*R'. DA,tc 1 9'WeO .rRrANDU~ VALUE ANALYSIS OF WALI SF-G7'/OIJS ? Srun / FRAM I Nq AR.iL aq, : . FZ"- vALue IreRioR al2 F?LM t Z G?vs?LM WAC?aonev ! 3 sor r wo•o ? LRP %2„ Sia?uc, VAFk54 8A2RI" tLAiok nfrt Pi"M TA L' ?/4l. u 4 ToTAL raornG[ I-NSU.LAT&o ARLA BLTWrIN STIADS ,.R.._ vALu.c. , ?ol Iure.e,oa ,?,x r??M .4-5 Yz'l 4YPSu.?n y?/A??•6eae0 fln? INSuLNT 14N (RtiI9 ) go c_5 Hl.wTk1i44 R-YYI?? b7 '/2 _ s? o i u t, LAP .I? BArLrt.iQ'[. /1iR !'i?.M Z_ 2.ysQTDfAL NwL V A L y9- *--% •w.. l 2i 0.30. ? ToTA L roorA4e. h ai #Wwx. R, DArc: 5l4uco_ R „AND'U• VALUE ANALY5%5 GF THt g00F/CE1LiNG SEGTIqAJS JOIST/ FRAMooG tI4Eq •R-• vq Lu. E .bl INTERioR AlR PILM 4,3?5 3/Z_ SoFrwoop . .S$ 5/Wc4YPSL1M WALI.AOARO VApoFt 5A?Izrc0- -17 -I Nt6R 10fk. AiR fILM 5.735TOTAL "Rw, ?AI-t.l.E uw, : )i R.,., : TaTAI. Fcorw41L _ ,TNSuLA7eD ARtA ScrwccN thE rOISTs "R" - Va4ut - .bl IiurEaIoR AlR RILM ?n0 ??NSi.cLA7IoN CR•*;;t ) - .SS 4`/PSCLM WALL6"iiD ^ VAPaR MARRICQ, . INT+ER?oit AIR fit M 4s.36roTq L vaLLLr;. L4`9. : lxi a IdTAL rooraae. " r .4 1 •In/7& *? GArO siyr?rb ? ---- ? 2/84 I CITY OF EAGAN lAil ; APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODI (PLEASE PPINT) 1) PROPERT`! ADDRESS: 3X /-5- 7?74 v LFLAL DESCRIPTzCv: / S-- sou ? x- , (IZt/B1ock/Su:aivisicn or T arcel I.D. Ninnber) ? S'i ^iIS:'_:G S?TL'G7=E , DAT' 0F ORIGi^.AL uiIZ.DI::G :.j;':IT ISSU?NG.: ? "=_-,0 PDF.CiLT :::?17I2r./P?OPOS'TJ US: LYR-1 S= rPYILY . ? R-2 DUPT.'Y ('?T%'O IINITS) ? R-3 'IG[vNTICi?GE (`!R'_°.?. + L'*TI.S) ( Wi I^,EZ) ? 2-4 A2?.,?'I"*F?:T/CC_7?G'SIIL?S ( UA+ITS) ? C9,11ME?CZaI,/RE^•AII,/OFFI=- ? Ll'CuS=I. Q L115TI=`TI0N3.L/G0=N1E!,;T 2) APPISC?iT (PLEASE PRlnl) Ci'Tv Ce.rieT aDDREss: ??J l?op 3a 9 CTI":. ST1TS, ZIP: y?i,QT?! C'iF ?rk /"/?Y ` S•rQ.f7 PHONE: / I- Sv 7` j) pu .ipzo . "IEc NFL 1" A LE„SEPRIHT) FOR CITY USE ONLY ADDRESS: S' f_ Fi O ..5/ JV PLUNBERS LIC ?SE: CZTY, STATE, ZIP: , WZ ExpirpId PHONE: A 3 'c" PIUNBER LFCENSE N 7x-- Z A/*1 •3-- Q?n. of Record a r nici? NAME: AfJDRESS: CZTY, STATE, ZIP: PHONE: kYLGNJC Yltltllf 5) IIVDIG".TE .dI-IICH PERhIIT IS BEING REC.,UESTrD: ??? N 'IO CITY SU]ER CbNN?TIG:I 'IO CITY WATER ? 0':['ER (PLFI:SE DFSCRISE) o) uaulll,:-- v::t; ? PT.=NSE f?OLD APPP,OVID pgt,'?LLT EbR PICfC-L?'t BY ONE OF AHOVE °IFA.SE D*?IL APPROVF,D P=LIT TJ 1. 2,(j?4 AEOVE I J/ _ (Cicle one) DATE: I/-?? !OlRiM?i!+tl?:O?! ?IIYt?:sii?ir ? i f ii?i:?a It!!!fl11!!s-}?? f? ! ftli??? FOR C I T Y U S E ON:,Y • PER.`4IT " ISSUED FELS: $ $ $ S S $ $ $ S $ S 5 $ $ . $ S $ Sr.tlL.°. nF".R;1T'r (INrT.::iL JUP..?.-l2CiL) WATER PERl:tIT (INCL'uDE SliRCHARGc) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (ZNCLUDE CORPORATZON STOP) SE:VER TA? AC.^.OUNT DEPOSIT - F7ATER WAC SP.C TRliVK SVATER ASScSS:+.E;7T TRliNK SESiER ASSESSME:iT L`nTER.AL BEiQEFIT/TRUVK SE;':ER LATERrIL SENEFIT/TRU:v'K WAT°R WATER TREATMENT PLARTT SURCHARGE OTHER: TOTAL P.MOUtiT PAIDjRECEI2T ,1, DOES UTZLITY CONNECTION REQUIRE EXCaVATION IN PUBLZC RIGHT OF WAY? L, YES IF YES, THEN A, "PERMIT FOR PIORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED SY THE ? NO ENGINFERING DIV:SION. LIST AS A CONDI- TZON. SUEJECT TO THE FOLLOSVING CONDITIONS: APPROVED BY: TI:LE: DAT°: we . ,? r. .r: 9 p • - ?IIC$?Ir8Xc7k7k7kl! %h1k7k?:k.3aYr:IcM a:'k'?ni;#?:?7k7k k????k?kDkYK?K?4?. CIl'Y C'r ''r'Af;AN f ASM:CcF" JS 'E:F'MIN qI..: T?Cc ?AWTE 40/26J?33 rTME: I.teO..rt+t46 " • . . ', 9. . .1 < 4.'. . ?T ..NfiMEs `•?1AME:;:CrA,?S T??S7. '[h(';:£• , • u2! 0 DO.li. 4740 kl:;l'E'. 41:'.14I7 i 9qf1:'. 4-'40 FTI .: ki;:Mfi f>.?Cl?,` 2'.E7 536u)+ 3.r.,'J? ?t._Finr: 2:'S., °?09 339'S r.•c?,.rt[1'_CO?d p.?vjl.` , k . . . . . . ? ?;; . . . ? r'.c'.s.50 ., 1'c?.1J ft'7i;2 - •?: `k r A ' : *?c?k'?::K?k*'?.:k:<?:k#; ?•?Ac.n?:?r%?%?;X %Y:Ktkik%??R:k??K??K?ik ? i?? Q ?qb 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ? p CITY OF EAGAN 3830 PILOT KNOS RD • 55122 651-681-4675 New Conshucfion Reaulrements RemodellRecaG Reaulrements ? 3 registered sNe suneys showing sq. H. of lot, sq. ff. of house and all rooled areas (20% maximum lot coveraae allowed) ? 2 coples of plans (show beam 3 window sizes: poured ind. deslgn; etc.) ? 1 sei of energy cakulahons ? 3 copies W hee preservafion plan if lot plaHed aHer 711/93 DATE: lolaJ907 _ DESCRIPTION OF WORK: Sheet 2 ? STREET ADDRESS: J? S ??e (?l L? P I T GL,L_? ` LOT: J BLOCK: ? SUBD./P.I.D. #: I f u 16'1fnTl1V1 ?i ur& Phone #: 65/'" L7 J4- U 97z- PROPfRTY OWNER 4 o?,03 (P 1?3.7 `5l 2 copies of plan 1 set ol energy caiculaNons for heated addNlons 1 sife survey tor extedor addRions a decks CONSTRUCTION COST: <L ? City 7??) State: m?? Zfp: .5.?r? Company: AAAmericas Best Inc. phone #: 1203 ast i oa (area code) CONTRACTOR Bumsville, MN 55337 Street AddressPhone 612 707-0100 Fax 612 707-0200 License # Exp. ic #20139703 City StaFe: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Streei Address: RegishaHon #: Ci}y State: Sewer & water Ifcensed plumber (reaulred for new conslrvctton onlvl: Penalty app8es when address change and lot change Is requested once permN Is Issued. Zip: Zip: I hereby acknowledge fhaf I have read Hils applicaflon, sfaFe that the InformaMon Is cortect, and ag`ee to comply wffh all applicabl State of MlnnesWa Statutes and CHy M Eagan Ordlnances. , Signoture of Appltcant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) _ ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05-°3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE , ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Aiteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demol ition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engi neering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Total: Valuation: SAC Units % SAC APR-08-2009 15:00 My of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 P.002 ?------------- A-- pe"it#: ? Pemill Fee: ? Data Received: I I ? I SteTF. 2 I ! .? ?. L J 2009 RESiDENTIAL BUILDING PERMIT APPLICATION oate: ? SiteAddress: 3l?/s ?'t?.It? ?'7Y8N+ Tenant: // u.ko' // <Adu A'h? Suite #: RESIDENT / OWNER ??a?J?d/J? ? G? ?one: /as/ '?f5 Z " g?SZ- Name: .L Address 1 City/ 7Jp: 2rs ? -21Paa- _ Appllcant Is: _ Owner )t- Contractor -V C ' r? f TYPE OF WORK I II.0?4r Descrlption of work: Construdion Cost: $7 Z", w Muki-Famly Buffding: (Yes No License # ? ??? Az ' CONTRACTOR ,.?r • Name: _k ? Address: -?,_•, ?? 7Jp: ?s7Z.`7 State: /? . . City: Phone: OL contact Person: / COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Reaaensei veMiievon cate9ory I woncsneet • New Errergy Cade WoAcaheat Category SuWnitted Submid.ed (4 submiSSion typ2) • Energy Emelope Galcufations SWbmittetl In the last 12 months, has the City of Eagan Issued a permlt for a slmilar plan 6ased on a master plan? _Yes _NO If yes, date and address of master plan: Licensed Plumber Phone• Mechanical Contractor: Phom: 5awer $ Water Contraetor: Phone: NOTE: Plans and supporting documants that you submlt are considered to be public FnfornratFon. Poitions of fhe informaUon may be classified as non pubNc If you provfde specifrc reasons that would permlf fhe Clty to conc(ude 6hat the are tiade secrets. I hereby edcnnwledge tlwt this in(ormation ia candete and accurate: ihat ihe work wAI ba in mnfortnenca wHh the ordinances antl cotles or ine cfty or Ea9an; that I urxlers[and Mis is rwt a permit bul oNY an appllcaUon for a permit, and work is not in s1aR wilFwut a pertnit; ihat the woAc will he In accortlance with the approved plan in thq case of xork which requiras a review and approval of pl. ns. x So? 1?liflL ? Y,?.?,? ApP M's Printed Name Appll M's 3(gnature Page 1 of 3 Total P.002 City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 WOW) Permit #: cia ® 7 Permit Fee: `'7®` Date Received: Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION j' Site Address: 389s� Date: / � � ` �� Tenant: Suite #: RESIDENT I OWNER TYPE OF WORK Phone: 437- Address / City / Zip: 3 fie? 5 v� r �'L�---l�� ear/4/M" 5 / a a Applicant is: Owner �1 Contractor 14.4U240 'f �, , a- ,4: 5 0 Multi -Family Building: (Yes / No 7) Name: Description of work: so Construction Cost: 3080 ' CONTRACTOR Name: Address: _ 3 t/pR Vow AJ License #: ,BC d 60 90 O /7 City: State: i'rL►'l Zip: ,5S L Phone: -) 6 3 -)7 yS Contact Person: Po 6 LAKE COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: NOTE: Plans and supporting documents the information may be classified as no hat ubmt are con: you provide s are..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 ' 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 app al of pia X IP 1ER T L / ' r - Applicant's Printed Name Applicant's Signature Page 1 of 3 APR-08-2009 15:00 P.002 For Once Use l PermitCity of Eagan Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 1 date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff., 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Z~etid"" 7rly~ Date: '7 d Site Address: 6_ Tenant:r <1dLC Suite 401 RESIDENT / OWNER Name: A4~u Phone: lit' 4Sg3SL- Address I City / Zip: Applicant is: Owner Contractor W GG.Fo' /~~~aT etd TYPE OF WORK Description of work: n~ Construction Cost: + W Multi-Family Building: (Yes I No 41 CONTRACTOR Name: ~1~ ~a 4~ /iC 'I d3 C • License 4f Address: &(2(270- t4laia!5AA2 City: State: / Zip: Phone: IC Z 33 - _ r_ _ Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 pl ns. 1 i App l nt's Printed Name Applicant's Signature Page 1 of 3 Total P.002 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3895 Princeton Tr Lot: 5 Block: 4 Addition: Lexington Square PID:10- 45075- 050 -04 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: DeZiel Heating & Air Conditioning, Inc. 1612 3rd Ave NE Buffalo MN 55313 (612) 719 -1049 PERMIT City of Eaan Permit expired without required inspections. 1/26/09 CE ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature - Applicant - equirements should be directed to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 $0.50 9001.2195 $50.50 Owner: Michael J Matuszewski 3895 Princeton Tr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA083342 06/03/2008 ePermit ÿÿ ü û ýüü ûúþûúú øüüîþÿö þý ýüö úùø÷õ ò öõ ê õ ùø÷Þô ý ÷õ ò öõ ê à Ûà ùø÷à ê ßéÞéú Û ñ øãý ü ïÿ éøë Þ êûàÞ âï éíèõ öó õòæäçÿçÿ õø äçáçá ôóò öñð ÷÷ Ù éí à Ýà ýÛôý ïÿ ïÿá ù Þ êàÞ ü àÞï è æâï úø ô ë ý ÷÷ ý ê é ý é÷øô ÷÷ ú êàý ý ðøêü ì ýç ÷÷ ó é ýýø PERMIT City of Eagan Permit Type:Building Permit Number:EA121141 Date Issued:03/14/2014 Permit Category:ePermit Site Address: 3895 Princeton Tr Lot:5 Block: 4 Addition: Lexington Square PID:10-45075-04-050 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 J Matuszewski 3895 Princeton Tr Eagan MN 55123 (651) 452-8352 Sears Home Improvement Products 1024 Florida Central Pkwy Longwood FL 32750 (407) 551-6000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA135892 Date Issued:04/12/2016 Permit Category:ePermit Site Address: 3895 Princeton Tr Lot:5 Block: 4 Addition: Lexington Square PID:10-45075-04-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 - Michael J Matuszewski 3895 Princeton Tr Eagan MN 55123 (651) 452-8352 T&s Heating And Air Conditioning Llc 8617 Ironwood Ave S Cottage Grove MN 55016 (651) 829-0248 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139562 Date Issued:10/27/2016 Permit Category:ePermit Site Address: 3895 Princeton Tr Lot:5 Block: 4 Addition: Lexington Square PID:10-45075-04-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael J Matuszewski 3895 Princeton Tr Eagan MN 55123 (651) 452-8352 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161271 Date Issued:05/14/2020 Permit Category:ePermit Site Address: 3895 Princeton Tr Lot:5 Block: 4 Addition: Lexington Square PID:10-45075-04-050 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 - Michael J Matuszewski 3895 Princeton Tr Eagan MN 55123 (651) 452-8352 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature