4463 Reindeer Lane
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BUILDING PERMIT
To be used for DZCK
Site Address '
Lot td Block
Parcel No.
.r.?? . . , ? , . .-, ??.?. . . , . - -- a r , . . . . ,_ . .. TT, _ yq,.., 2•?s--s ; ,,. 'c.--' 'r
CITY OF EAGAN `
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 •? ??'? ??
PHONE: 454-8100 ? -
Receipt # ri -
SeclSub. gAWli R1DGE
W Name ? St?IM1D't
3 Address SAM
0 City Phone 432-6187
' Name I&1t
O
u ` v Address
? City Phone
WW
? Name H W
U ; Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
in(ormation is coRect and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
LARItY BCR!!iM
A Building Permit is issued lo:
on the express condition that all work shall be done in accordance with all
applicable State ol Minnesota Statutes and City of Eagan Ordinances.
Building Official l <
,5
oate JU1+1 11 19 91
OFFICE USE ONLY
Occupancy - FEES
Zoning
(Actual) Const _ Bidg. Permit :23.00
(Allowab1e) - Surcharge .50
* of Stories
Length lZ Plan Review
Depth SAC, City
S.F. Total -
gqC. MCWCC
S.F. Footprints _
On Site Sewage _ Water Conn
Oti Site Well - Water Meter
MWCC System _
_
Ciry water Ace
l• Deposit
PRY Required _ SJW Permit
Boosier Pump - S/yy Surcharge
Treaiment PI
APPROVALS qped Unit
Planner - park Ded.
Council
BIdg.Ott. _ Copies
Variance - i??• ?v
TOTAL
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
FoundaUon
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg• Plbg. Inspeciw - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Dedc Ftg. ?• /7" ? S ?L !, 1J STi??f?S
Dedc Final
Well I - O
Pr. Disp- f / 3 3.?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
r.i C
Receipt #
11579
To be used lor SF DWG ft;A?. Est. Value $841, 00U Date ! iARCFi 6 .19 f; n
SiteAddress 4483 REINDEER LN
Lot-1 L BIOCk -3_Sec/Sub. F'AWN RZDGE
Parcel No.
W Name tJU-I'Oi9i, CUtIS"iltUCTIOIJ
; Address -?-367 73TF1 S1' E
° ciry Phone 950-1724
Z o Name
0¢ Address
~ City Phone
F W Name_ Tl't -I.A:JD CO
_? Addrass 46:?S N ICOLS RD
i W City L%jiAt. pnone -- 4 52 - S 9 5 0
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with ail applicable State of
Minnesota Statutes and City of Eagan Ordinances.
5ignature of Permittee `R --
Erect ? Occupancy Ft3
Remodel ? Zoning
Repair ? Type of Const
Addition ? No. Stories
Move ? Length Q..fi
Demolish ? Depth 46
Int. Impr. ? Sq. Ft
Install ?
Assessment
Water & Sew.
Police
Fire
Planner
Council
Bidg. orr. 3/4/86
APC
Var. Date
Permit S 365.00
Surcharge -42.00
Plan Reviewl12_:.50
SAC 575.00
Water Conn.5 0 fl - 00
Water Meter63.,5a
Road Unit lya - UG
Tr.PI. 156_00
Parks
Copie
Tn.,l ?. . 204-. 00
A Building Permit is issued to: C0NS`1'iZUCTIUN on the expreas condidon that
all work shall be done in accordance with all applicable State oi Minnesota Stetutes and City of Eagan Ordinances.
Building Official
? Pwmlt No. PwMt Hddw Ode ToIMhonm #
PlumbMy /??LGtil? / ? d 4
N.V.A.ri: G0 -l9OZZ
? c 31 --
$on.w
Inspecflon Date Insp. Commenh
Footinps 1 ?
Footlnys II
Foundarion
Frsminq
Roofiny
Rouph Plbp. 4.17-
Rouph Htp. -14-
ln.ul.
Fk*plac*
Finsl Mty. 44 ' f?' Sr ?E4PvfSrC p? '
FNW Plby.
Bldy. Final
Cil11. OCC. a
.
•
Dock Fty. ?
Mck Fmp.
We11 ?
Pr. Disp.
?
? `??
?---- ?
,-l?8oa
PERMIT #
RECEIPT # ?
DATE
t%
CITY OF EAGAN
MECHANICAL PERMIT
454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + $.50
MINIMUM COMMERCIAL FEE • $20.00 + $.50
FEE
.... _ ;
S/C
?
TOTAL
1. Bldg. Type: Res v Comm Inst 2. New `Add Alter Repair
3. Total Bid Price 4. Job Address Z' ,?
Lot ? r BIQsk Sec 5. Owner
r
6. Contractor
(Name) 1 ? r i? (Streeq (City) Qip) ? .
7. Contractor Phone # `*-V' C) - (!'( ? ?) =' l
fiESIDENTIAI HEA7ING = 0-1-100;000 BTU's -$24.00. Each additional 50,000 BTU's orfraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's orfraction -$6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum tee
HEATING VENTILATING HOT WATER STEAM AIR COND.
eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
1--" RESl?'iAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS =.50 STA?E SURCHARGE FOR EACH $7,000 OF FEE.
'i I f
{
Signed: for l
Approved Inspections: Date Rough Insp. Date Final Insp.
: . . - _
PERMIT # ? ya Z
PLUMBING PERMIT RECEIPT SZ;?
CITY OF EAGAN ? /5
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
Site Addr - ""w ' ?I L?- `w VLr-t
Lot Block Sec
? Name ?`?' /?l U?(lN?(,
? +ZS SJ-L'L - bi
)
? Addres ll
s
c City SPhone
? Name
3 Addres s
p Cify Phone
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - a10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF PERMITTEE
BLDG. TYPE WORK DESCRIPTION
Res. ? New ?
Mult Add-on
Comm. Repair
Other
(?O. FIXTURES TOTAL
? ? Water Closet - $3.00
Bath Tubs - $3.00
?Lavatory - $3.00
Shower - $3.00
TKitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
?
Floor Drains - $1.50
-r
Water Heater - $1.50
Whirlpool - $3.00
-?
Gas Piping Outlets - $1.50
SoRener - $5.00
Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL:
FQR: CITY OF EAGAN
HOUSE HEATING TEST RECORD
ADDRESS 4 ?A (' i? 6 1 C' ? tAPT. Fl,OOR CITY =' ` f `' 1 3UBURB
OCCUPANT OWNER ' , ' ''+ ? '-;1 ? Q L--? n ?
HEAT LOSS DATE HTG,-WST.
SOLD BY `
?'
INSTALLED B
EI•efrieol work g;
? Gas Lin- Bp
TYPE OF HEAT GA FA L"
H1M STEAM?SPACE HTR. UNIT MTR.
GA; DESIGN J G
MAKE , '• ? ?'? ? ? ' ` MAKE OF BURNER
Model AAodel
S.*iol , AAox. BTU Retiny
INPUT IMKE OF FURNACE
Mod•I
THERMOSTAT Hoat Plug V.nt Si:•
Volw KIND OF LINER NONE
Limit - Droh Hood '- Rpulomr
Limit Settiny ? Filters Si:e J Number '
Fan Ssftiny Chimnwg LoeaTlon Inside Outside
Pilot T rw C7,tmn.y Const.uerioe ,
Pilot Make
Pilot Model Smoke Bomb Wirin9
Pilot Tfminy Draft Tost To9
L.W. Cut Off n. Door Presswe Liyhtfng Inst.
Preaaun ? Pereent C0
v Date Teshd I
Input CFH _ 1 ;
Pereent O Companr Testiny
Stoek T.mp. Z
Pe?ant CO ` b r Nams nF Toutw
? A t '
Form 235
CITY OF EAGAN Remarks
Addition FAM ?AMMON Lot 14 Rlk 3 Parcel 10 25$00 149 03
Owner Street 4463 RPindPPr T.anP Stace Fagan_ MN 5512,?
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, ?2 19$1 229.35 11-47 20
STREET RESTOR. 1984 499.46 - -
49.95 10
GRADING f 19$1 61.26 ' 4.08 ]_r,
SAN SEW TRUNK 19$1 205. 44 - 10.27 20
SEWER LATERAL 19$1 33. Q'] - 1
Sewer Lateral 1981 23.57-- 1.18 2
WRTERMAIN
WATERLATERAL ^,3 19$1 43 67? 1$ 20
WATER AREA 19$1 t? ?
Water Iateral "$ 1981 27 68 -- 1.38
STORM SEW TRK 9,23 1985 557.79 - 37.19 15
STORM SEW L?T _ 1984 Z22, rjl - 22.25 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
??¦
CITY OF EAGAN sEWER SBVICE PERMR
3830 Pilot Knoh Rwd
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
,
Zaninp: - No. of Units:
Owrnr:
Address: _
Sih Address: - -r•
1 MrM h Mw0lf wilh !IM GIly d gqp¦ Cornwction Chaeq:
Or?iw?aoM. Aooount Depodr
Pem+lt Fee:
Surdwrps: - ..'•
By Miu. Q+oega:
Dote of Insp.: Totol:
Irap.: Date Pdd:
IF EAGAN WATER SERVICE PERMIT
ilot Knob Road
px 21199 PERMIT NO.:
' 3N 55121 DATE:
ro. of u?its: -
.i- 'E...Oiistl'l"
Addflm 4 4 ? ? , • ., ? t°
?r No.: t?' Connection CFwrye:
/1ccoxit Deposlt:
ler No.: Ptrrr?it Fee:
N h$-wpIy Vri111 tw Ciryr oi Emoso $Urchorfle:
nopm Misc. CMrpn:
Taal:
Dote Poid:
ITY OF EAGAN
?" Pibot.Cnchr Road
. U. Box 21199
agan, MN 55121
I?: i l
?. -:Iome Cc)nStFZ1Ct
h Addrcss:
WATER SERVICE PERMR
PERMIT NO.:
DATE:
. No. M Units:
Ll4 B3 F
jm Dd
Met?r No.. Chorps: , t)C?
Size: ? „ Qeposit: i ? . 10 ?c':
? No.• y
c= ? l n c)Qr`?
NUMOTSW
Eft
? .?..'° °M"?y? "iN? N? ? ?S , ????r,ci rI?
OfJ?MOOM.
0 i
By oate Potd:
Dote Irnp.: Intp.:
(o - )0-$(o
CITY OF EAGAN Np . ? 9402
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 W ?
BUILDING PERMIT Receipt # l' J '??
/ '?
To be used for DECK Est. Value Daie JULY 11 91
Site Address 4463 REINDEER LANE
Lot 14 Block 3 SeGSubFAWN RIDGE
. OPFICE USE ONLY
P2lC81 NO. Occupancy - FEES
w
Name LARRY
SCHMIDT Zoning
(Adual) Const -
BIdg.Permit
$25.00
o Address SAME (niiowabie) - • 50
Surcharge
Ciry Phone 452-6187 ,r oi stodes
12 Plan Review
Lengih
o Name SAME Depih 12 Cit
SAC
f . ,
y
g¢ Address S.F. Total -
SAC, MCWCC
? CltY Phone S.F. FOOtpnnls -
Water Conn
On Site Sewage _
?
W
Name
On Site Well -
W
t
M
l
er
a
e
er
z z Addre55 MWCCSystem -
? ?t.Deposit
a Cit)/ Phone Cirywater _
PRV Required _ S/W Permit
I here6y acknowlege thal I have read this application and state that the Booster Pump - SM/ Surcharge
information is correct and agree to comply with all applica6le State of
Minnesota StaWles and City of Eagan Ordinances. Treatment PI
Signature ol Permilee -
tG7
&"-'4 -? Y++W APPHOYALS
Roatl Unil
A Building Permit is issued to: ARRY SCHMIDT p?anner
-
Park Detl.
on the express condition that all work shall be done in accordance with all Council
applicable Slate of Minneso " StaWtesan Eagan Ordinances. g?, pry_ _ Copies
?
Builtling Olficial e Variance - TOTAL
CITY OF EAGAN N o 11579
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 s1
BUILDING PERMIT Receiptp ??J
7obe usedfor SF DWG/GAR Estvalue $84,000 oate MARCH 6 19 86
SiteAddress 4463 REINDEER LN Erect Occupancy R3
Lot 14 Block 3 Sec/Sub. FAWN RIDGE Remodel ? Zonin9 Rl
Parcel No.
NU-HOME CONSTRUCTION
$ Name
Z3 7 7 TH ST E
3 nddress
° 450-1724
City Phone
o Name SAME
a
$ Address
a
?
City
Phone
F w Name TRI-LAND CO
Aadress 4655 NICOLS RD
?W ciry EAGAN phone 452-5950
Hepair ? Type of ConsL 17
Additlon ? No.Smries
Move ? Length 46
Demolish ? Depih 46
Int. Impr. ? Sq. Ff
Instell ?
Assessment _
Water R Sew.
Police -
Fire
Eng.
Planner-
Council
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 3/4/86
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry o/f ?Eagan Ordi nces. APC
Signawre of Permittee , , `?' ? - -a ?^e ,1 _ Vaf. Date
NU-H ME CONSTRUCTION
Permit ? aoi .vv
Surcharge 42.00
Plan Review 192.50
SAC 575.00
Water Conn. 500.00
WaterMeter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies?
T..?I 1lLI
L}
U .00
A Building Permit is issued to: on the express condition that
allwork shall be done in accordance with lica6l Stat of M' nesota Statutes and City ot Eagan Ordinancea.
Bui% lding Oflicial ? 1-z
This
18 R
vo;d U_ / S -'r L
6/Sa0
?
1 hereby reQUest inspection ol ebova
Owner electrical work installed at:
Street Atldress, Bo: or vte No.
'?!.3 ? ejhdee
L1zn? City
EQ
ecuon o. Township Name or No. Ranye No. Co ny t
Occu ant WqINT Phone No.
!V? Vm e.
Po ¢r Supplier
o-/av Elec-?r? e.
L
/?
ACd
r ss
?arrn
Electrical Comractor ?COmp ny Name) Concrar,lor's License No.
Mailin0 AdJress (Coniractor or Owner Meking Ins ailatioN
?
136
d1
E
R
d I
err
2.
i
7 c
,
, h
Authored SiBnature nhactor/ nr Mak ing Installationl Ph e Number
I
/
? J?OP-0
I
MINNESOTA STATE BOAflD OF ELECTqICITY THIS INSPECTION REQUEST WIIL NOT
Griggs-Midwev Bidg. - Paom N•791 BE ACCEPTED BY TNE STATE BOARD
1821 UniversitY Ave., St. Pxul, MN 56104 UNLESS PXOPEH INSPECTION FEE IS
vh....e 16121297.2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION E0-0000 7-04
0 See inshuclions br completing this form on back ot vellow coOV ? / `
?' $ 8 6 2 "X" Below Wak Covered by Ihis Request ? 5/??J
H.. '•+v TvVa o1 Builaing Apolinncee Wirod Equipment Wi.ed
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldy. Furnace Silo Unloader.
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Parm Otber peG v ther(Snecifv)
I 9, VC[:I(y thO! O1h(±(
Compute lnspection fee Be/ow
p Fee ServiceEntrenceSize h Fea Fexders/5ubfeaders M Fee Circuits
(1 to 200 Am s 0 to 30 Am s 0 tn 30 Am s
Above 200 qm ?s 31 to 100 Amps 31 to 100 A s
Swimming Pool A6ove 100_Am s Above 100_Am s
Transiormers rrigation Booms Partial.'Ot ee
Signs Speciallnspection $
TO
A*
Rem,irks Sa j
L PEE
Inspecloq hereby I
certify thst the above
inspeetion has been
mrorequeetvola
?11508
4p70.pO
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Nev+Consiruction Reauirements RemodeURepair Requirements 6&elke4FlN
3 registered site surveys showing sq. fl. of lot, sq. fl. of house, and all roofed areas 2 copies of plan Getl pfi Survey;Rectl YN
(20%mauimumlotcoverageallawed) lsetofEnergyCalculationsforheatedadditions IteePresPlan.RC?t'A _Y _tS
2 copies of plan showing beam 8 vrindav sizes; poured fiund design, etc. 1 site survey for additions & decks- Tr¢C Pras Required ?P ,,,,, N
1selofEnergyCalculations Addition - indicafeifonsitesepficsystem S76aiteS0ve.sysiem _N?.
3 copies of Tree Preservation Pian if lof platled afler 7I1193
Rim Joist Oetai(Oplians selection sheet (buildings with 3 or less units)
Date t C) / ZS /
SiteAddress A1 3 06
Re.iYAc4exy' L Construction Cost St 8 Z9 • OO
A 60.5A.r1 Unit/Ste #
Descriptionof Work g ?f huMkm- 0t- In WrYcl0u55
Q.? . -
1'16 C" 40
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner M I-Etrry S GhM i Telephone #( )
Contractor S-'- - = r g1' 0+K2A'S Ll ?MIO.l.Y ? •
Address itiOo
State _ ry1?.i d2 hn 4 w.d Ni •
Zip -_ 5 5 3 I(. City C-ha.MOli r1
_ Telephone #(-Tb3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categog 1 _ 114?nnesota-Ruies 7672f
Energy Code Category , Residential Ventilation Category 7 Worksheet eNew Energy,Code Worksheet'(q submission type) Su6mitted Submitted ;
.
. Energy Envelope Calculations Submitted
i I
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan6 !
_ Y _ N If yes, date and address of master plan: ,
Licensed Plumber
Mechanical Contrdctor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Per+
that the work will be in conformancewn?e
5tatutes; I understand this is not a pera?tf,but'c
permit; that the work will be in accordance with
approval of plans. %
McUrsha
Applicant's Prinfed Name
and acknowledge that the information is complete and accurate;
rdinances and codes of the City of Eagan and the State of MN
an application for a permit, and work is not to start without a
ie ?pproved plan in the case of work which requires a review and
aA.uA.A-- 4i
cant's Signature
OFFICE U5E ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt-Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 Repl2Cemen! 'Demalition (Entire Bidg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQiTIItED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Dnin Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
`-? r(rS---
?. . ? 2005 RESIDENTIAL BUII.DING PERNIIT APPLICAITON
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 '
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdlon Reauiremenls RemodellReoair Renuiremenis OFioe Use OnN
3 regislered site surveys showing sq. fl of lot, sq. fl of house; arM all roofed areas 2 copies of plan CeA of Survgy Recd -. N
(20% maximwn bt coverage allowed) i set af Energy Calculations for heated additions Trea Pres Plan Recd?_ Y'_ N
2 copies of plan showing beem 8 window s¢es; poured found desgn, etc. 1 sila survey for additions 8 decks Trea Pres Required S-- Y- _ N
7 sel of Energy CelaWtions Addition - indicete Non-site septic sysfem Onsile Sepfic Sqs[em ??. :_ Y. _ N.
3 copies of 7ree Preservation Plan if lot platted after 711193
Run Joist Detail Options selecUon sheet (buildings wAh 3 or less uniLs)
Date / t9 //0 l U'-S Construction Cost ? ?U v
5ite Address LpL, 40/ ? ?, rtl ?t? LN Unit/Ste #
Description of Work /'fo j S -1
Multi-Family Bldg _ Y 1?-N Fireplace(s) _ 0 1 _ 2
Property Owner C"'7 m .? T Telephone #( 6$ qs Z??
Contractor SELA ROOFING & REMODELING, INC.
Address ST T,pD Tfi PARU,MN 55416 City
S[ate ID #ODOlObO ZiP Telephone #( 6/Z ) Z4o• 7 77-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesob Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envalope Calculations Submitted
Have you previously consiructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone #( )
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is noLio start without a
permit; that the work will be in accordance with the approved plan in the case of work which requiresW revi w xnd-
approval ofplans. `') '? I? I1Y Ir? (r
??r r ? ? ?005 I?i
Applicant's Printed ame Applicant's Signature 'r
L' __
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 OB-plex ? 78 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AR - Mutti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Atl - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 MuRi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Founda6on ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' O 43 Reroof ? 46 Windows/Doors
? 34 ReplacemCnt 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
wq?
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
A20 ,2!?_
New Construdion Reauirements RemodeVReoair Reauiremenls Offic§. Use:OnN
3 regisle2d site surveys showing sq. ft of lot, sq. fl. of house; and all roofed areas 2 copies of plan Ced of Survey?Recd _Y _ N
(20%maximumbtcoverageallowed) lsetofEnergyCalculatlansforheatedadditions TreePresPlan'Reed _Y_N;
2 copies of plan showing beam & window sizes; poured found design, etc. 1 sile survey for addiUons & decks Tree Pres.Requi2d . _Y_N
isetofEnergyCalculations AddBlon-IrMicateHon,sResepGcsystem On-siteSepGcSystem _Y _N'.
3 copies of Tree Preservation Plan If lot platled afler 7/1193
Rim Joist Defafl Oplions selection sheet (buildings wilh 3 arless units)
Date kD /TnQAk !05 Construction Cost (a ?$'7lA
j
Sit
Add 4yU3 ?_ ?0,1, it/St
#
U
e
ress n
e
Description of Work ??.ol0,ca5 W\5 Wl?VN d?-Qll1??f?•
4_k?S`T1^
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 n
_ 1 _ 2
Property Owner ?p`t jH Telephone#(6Sl) t4 5 2? -t¢1 8"4
RMA HOME SERVICES, INC.
Contractor Home Depot Installed Sales
Address 3200 Cobb Galleria Pkwy., Ste. 4200 Ciry
State Atlanta, GA 30339 Telephooe #( )
BG20268257 -
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residenlial Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(Jsuhmissiontype) Su6mitted Su6mitled
• Energy Envelope Calculations Submitled
Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work whic?(reqtures-a-review-aa$
approval ofplans. / n 1I n ° f
2005
ApplicanYs Printed Name Applicant's Signature I?
,
Sub Types
C=FFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo)
0 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 08 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ., ? 44
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45
? 33 Alteration ? 37 Demolish Building' 0 43 Reroof ? 46
? 34 Replacement 'Demolition (EnBre Bldg) - Give PCA h2ndout to applicant -
Valuation Occupancy MCES System _
Census Code Zoning City Water _
SAC Units Stories Boos4er Pump _
# of Units Sq. Ft. PRV _
# of Bldgs Lengfh Fire Sprinklered _
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof [ce& Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 30 Accessory Bldg
? 31 Ext.Alt-Multi
O 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
WindowslDoors
REQUIRED INSPECTIONS
FinaUC.O.
FinaUNo C.O.
Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests Final
Siding _ Stucco _ Srone _ Brick
W indows
Retaining Wall
Building Inspector
. . . . ^ - . C.. .
Installed
Siding and Windows
LIMITED POWER OF ATTORNEY
UuuN i Y ur c:utsts
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home
Depot Installed Sales locz±ed at 660 Mendelssohn Aver_ue North, Golder, Va!!ey, MNT
55427, having a license number of BC- 20268257, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary arid appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Power of Attorney are
limited solely to the express powers delineated herein and apply solely to the Work.
This Limi*ed Power of Attorney shall expire and automatically be revoked on the 21 st
day of May, 2004, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN WT'INESS WIIEREOF this Limited Power of Atto!-!ley is ?_,eci.rtcd this
21 st day of May, 2003
David . Katz
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21 st day of May, 200?
I`TOtary P ic in for the State oMeorgia
AZy Commission Expires: January 21, 2006
396816.0
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
1986 HOILDIAG PERlIIT APPLICATIOH - CITY OF EAGAN
HOTS: 9LL CODITRACTpRS FIOST BE LICSIiSED iTITH THE CTTY OF BAG9N
CONMRCiAL SINGLE FAMILY DSiSLI.INGS
INCLUDE 2 SETS OF ARCHITECTIIRAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONSJ
$2t000 LANDSCAPE BOND ? OoU
To Be Used For: Valuation? Date:
Site Address 4,(
Lot 14 Bloek -13-
Parcel/Sub _IFAw/j gagQ
Owner Icha'rA }V, &Ca,jnr
Address 2_Z`Z,. PA('1(.
City/Zip Code ---%, 5 j`.
Phone -A5S'Sg00
Contractor ir F 0buAu(jo,\,
Address TM J] ? ? -,)I-, ?--
City/Zip Code
Phone
Areh./EnBr.
Addreas q 65-5 NtC015 K)
City/Zip Code ?ipvG, M(?t ?J lZ?2-
Phone # 45,'? '-?5q D-D
OFFICE DSE ONLY
Ereet X Oceupancy ?•3
Remodel _ Zoning (L'I
Repair _ Type of Const _j-
Addition A of Stories
Move Length
Demolish J Depth 4l>
Int.2mpr. Sq Ft
Install
APPROVALS FSES
Assessments Permit S-
Water/Sewer Surcharge 4 Z,
Poliee Plan Review
Fire SAC 5 ?1S .
Engr Water Conn 5?.
Planner Water Meter b3. ?
Council Road Unit 29O
Bldg Off4/q/Yb Treatment Pl (510.
APC /-I Parks
Varianee Copies
TOTAL .TO .so
NOTE: ADDRESSES FOR COBNSR LOTS - CONTRACTORIHOMFAWAER MOST DSSIGHATE iiHICH
ADDRLSS IS DfiSIRID. NO CH9NGES HILL B8 6LLOWED ONCE BUILDING PfiRMIT
I3 ISSQED.
13X 4-0 - S zc') x SE) -'30 l(- o
f?.l I?. 36 " 3%to K S? ' 22`160
SB
S8o8
22 x 22 = 4e)4- K (2 `
c>3 ?-
, >
Conit?kaAta W.
soa n. ? t o?ra.w? wa rK. ?au-?-ssn _..
'X TER?OR ENV L PE AV RA E°
P " ?
?lon ' ?+ ?2.ti-Fav Dote? 1+?
Owner
ConfraCtor
Site Address:-
I)TOTAL EXPOSEO WALL AREA ZZg? s4ftiU'"+' u?I,)
2) TOTAL EXPOSEO ROOFfEE1LIN3 AREA I? ? s4 ft.
WALL AREA CALCULATIONS:
TOTAL WINDGW AREA
f?P?- GLAZED
TOTAL OOOR AREA
TOTAL GLA55 DOOR AREA
? GLA2ED
TOTAL FIREPLACE WALL AREA
TOTAL WALL FRAMING AREA
NET INSUIp?EO WALL AREA
TOTAL RIM JOIST pREA
TOTAL FOUNDATIOtJ AREA (FXPOSED)
TOTAI. FOUhuATiON bYINDGW AREA
I !qYg;;? :q.f,.x'u°-Ad-_ -I
? Sq.ff:i"Ul. 'v' = z'
?(XJ ? sq.ftx'U"?=??
i
3?v Sq.ff.:'u" •? = I 3 ? 3
I574 5q.n.x?u"??L--r=.?.ZZ
sq.fl.x" U??
_
--
,? sq.ft.i U NA
3j'TOTAL
I` rtem 3 is the same as,a fess fhor ilem !, you hCve me1 !he infenl of
2 MCAR 7,16008 A oed, 0.
ROOF/CEtLINO CALCUlATI0N3, i
TOTAL SKYLIGHT AREA . ,
TOTAL ROOF/CEILING FRAMING AREA
NET INSULATED ROOF CEILING AREA
4a.}}.%'u'i?
? ? fq.}t.a?U??= T7• J
4} TOTAL
I/ itsm 4 is fhe wme os,a less.?hon ifem 2, you have met fhe-intant of ' 2 MGAR 1.16008 A ond 0• '
ALTERNATE BUILD?NO EMVELOPE DESION
To urilizs the rotol ertvslope sysfem maMod, ?he wm of lrems 1 and 2 sfwlf • ?
?e qrearsr rAan ?M wm of itoms 3 ond 4.
I) t2) ??9 =Z? ?f?
31 Z tl?, l4.41 'n,8 ? Zsz, S
-,
4
?,enby corfMy fha+ fh? buOdlnp Mre desc?iDO1 WWn a sxcNd: tM S?ft af Mimsaoro
EiNr; GonprraNon AN. ' . .
01? -.
2s? E!, . va+.
FRAMING SECTION
rior oir
I!
?if?ches ot soft wood
?i?v?•w ,81
eaterior oir film 0.17
TOTAL R LL•g24-
U = 1/R • ??
SECTION (INSULATED)
I inferlor oir film
R_ ? 4S
3 7-1 .1? 9 0
4 Z P" L.cxc
y V-4
6 axtarior oir film 0.17
TOTAL R Z3 • 1
U s VR 'C%4s_
IIST SECTION
? 'nteri r air fflm 0.68
Z 5?b r.a.N i..? I?v
3 I'?z V92232 4 F> R-4 Z.o+c
5 vs " c,
6 ea/ertor oir lilm 0.17
TOTAL R • 12
U = 1/R iO
4TION SECTION
interlor oir tiim
2 1 4.?
3 Iy c. ??t t •7-b
q erterior air fiim
5 0.17
TOtAL R ' ' 3
U • I/R ' Le
KYiry? •
? . .
?".,..
+
?
VENTED
EXPOSED oEAM CE?LIN4 SECTION ?
? ? ? • c alr l11m ?
(2
(3
(4 0.17
ta • d s(? (jlfn
TOTAL 11
y ? 1/11
1 4
CArlSTRUCTIO?D
CEILIlIG lECTION (INSULATEO) O?
( 2 ? . sSo
?4- •
(, oxftr(or aIr /ilm (atrll) 0.61
TOTAI R
U • 1/R • b2L-
CEIIING FRAMING SECTION • O ?
(I In!lrtor atr fllm
(4 intNia oir fllm I
ty ?nes oI sott Wood d?
' TOTAL A ?
GEIUN6 SEC710N (INSULATEDI pg?
InNrlor oir /ilm
_ t2
(3 0.61
(4 ??f?rtor afr 1Jlm (sHtl) TdTIU. R
V s 1/R
CEIUN6 FRAMING SECTION - O ?
(1.1?,j?rla olr film
(2
!3 (4 inhria olr film 0.61
(5 fncMs o1 w?t rood
TOTAL R?
-U : I /R
?ley
c?itect?J CoributtOnts ine.
?
Wa p. ? c oa[0.? ? rK. Iwtf-pafne
..._?.,,..? r,.t,.cj nor dVFI?AP,F "rt" cDWPUTA1
Plon" 6:4O Dote
Ownero
Contractor
Srte Address:_._. "'-""
?
I)TOTAL E%POSEO WALL AREA zZg? s4ft x"U??
2) TOTAL E7(POSED ROOFAEILlN6 AREA- s4ft. xU'? 33R
WALL AREA CALCULATIONS:
TOFAL WIhDOW AREA
t-:1-:; ?"' GLAZED
707AL DOOR AREA
TOTAL GLASS DOOR AREA
bbL. GLAZED
TOTAL FIREPLRCE WALL AREA
TOTAL WALL FRAMING AREA
NET INSULA?ED WALL AREA
TOTAL RIM JOIST AREA
TOTAL FOUNDATIOtd AREA (EXPOSED)
TOTAL FCUNCA7!ON WINDGW AREA
L!1!&" sq.ft. xV':-+L = t:rl •-I
:56. - g4ft:i'U`.'? = z'_-L-
?R>
34v sq.f?..'.u" r
•? =
? 3 t 3
I574 5q.ft.x??" 044?'!7=
-?? sq.R.x'U"
/ sa.r,.:'u"
3) roraL
I' rlem 3 is the some as,oi /ess thar item l, you have me/ the intent of
2 MCRR 1.16008 A ond O.
RCOF/CEILIN4 CALCULATIONS- i
TOTAL SKYiIGHT AREA
TOTAL ROOf/CEILiNG FRAMING AREA
NET INSuLATED ROOF CEILING AREA
- ?.
'?"i
4} TOTAL 33 ?15
If item 4 is the some os,a 1lss.1han item 2, you have me/ the-intenf o/ 2 MCAR 1.16008 A ond 0. '
ALTERNATE BUILDINO ENVELOPE DE3t8N
?o utilize the total envslops system mefhod, ths wm of itams 1 and Z sfwll a '
6e praatsr than IM 9um of items 3 ond 4.
? , 9 _Z851 o
1) +2)
3? Z llO? l ?„4? 'SS,B a 2.F'?.Z, S
` ^,yuby eorMFj, Mat fly puAOfrp Mro dRacribe0 moHi asxcNds rM SfcN ot h6msaoto
EMrt Confarve}fon AN. "
' , .
2L X:5)
- ,
.
,
,?' •
,
-,.// 2514.2
CONSTRUCTION
FRAMING SECTIpN
iMerior oir ?ilm
Z I/
? cnes of soft wood (nF>?
p K/a.L Yi. Rt. .cxl?
5
g eaterior oir tilm 0.17
TOTAL R •??--
U = I/R I'
SECTION (INSULATED)
j inrorlor air tilm
3
g Z ?? fLF-. ?.c?te?
5 SiO?rY-? ?
g gx?erior oir /ilm 0.17
TOTAL R Z3_11
U = 1/R '°4'_
)IST SECTIQN ?
I 'nteri r oir Iflm O.6B
p S?b P.a.44 ios 1"I<
3 1"z !.? I.b9
q Z-ota
s .Li
g ertarior oir lilm 0.17
TOTAL R • o
U a 1/R 'd
ATION SECTION
i inlErlor air lilm 0.68
? 1 " ?-fRt=• 'y .a
3 12 c, -LA-K.. ( •Zb
q eaterior oir film
9 9.17
TOtAL R -''S
U • i/R-l=_
t
?+ ,. .
;` .
`y
. Wk..._ . ..__
VENTED
CONSTRUCTION
GEILNIG DECTION (INSULATED)
(1 061
.?
. ?? ?IQJ"-f I1J[?1L
(4=xHrlor o!r film (shll) 0.81
TOTAL R 4-;,-'
U ¦ I /R . ttt Z-
CEILIN6 FRAMING SECTION • O ?
(4 Int ria oir frlm 0.61
(S_?aoches o/ toft woed d ?
' TOTAL R 17
y • 1/R •d7/e
CEILINCa SECTION (INSULATEDI 0.61
(I In?erlor oir film
_ tY
(3 O.H
(; ?xfNfOr alr ftlm (sHll)
TOTAL R
U s I/R
CEILING FRAMING SECTION - p61
( ?_?ria olr lilm
113
(41 nN?la 0.61
olr film
(5 IncMs or wr1 too4
_TOTAL R
,y = I/R
EXPOSED SEAM CEILING SECTION 0•?
(I r • t oIf /11m
(2
(3
(4 O.I7
(8 TOTAL 11 ?-
y s 1/!t
i
6 n. ?GPE!kiI?
1991 BUILDIT APPLI CATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
Cuc s
COMMERCIAL
i
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
YENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ?C- G,F Valuation: Date: '7-S'9
Site Address 14 4 63 2a, iNnEG2 L rt/
Lot 1,4 Block 3
Parcel/Sub FAwu RlOGE
Owne r L A LLH 5L M M r rnr
Address L140 2NiNne?11. LM
City/Zip Code ? q4AN SS113
Phone YS2-6/97
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
OFFICE
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
ONL
FEES
Bldg. Permit '25, vO
Surcharge ..S'e
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
_ agrees that all work shall be done in accordance with
(Signature of Contractor
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
.
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
M R-1 SINGLE FAMILY
F-I R-2 DOPLEX (74,o Units)
? R-3 ZC]WNHOLSE (Three + Units) ( Units)
q R-4 APARTI?=/COAID0MINlIIM ( Units )
' 1) PROPERTY ADDRESS: ?t (p 7j 1-7???J- `? Z? ? ? ? •••
LEGAL DESCRIPTION: "
Lot Block Subdivision or Tax Parce ID )
IF FXISTING STR(.'MRE, DATE OF ORZGINAL BL'ZLDING PEE2MZT ISSUANCE:
Year
PRESENf ZONING/PROPOSID CSE: (hbn
[:] GOKvJERCiAL/FtE'I'AII,/OFFICE
Q IDIDC'STRIAL
? INSTI'IL!TIONAL/GOVEEtNMF,TPP
2) ?
NAP77E:
ADDRESS:
CITY, STATE. ZIP:
PHONE:
3) • i: ?• NAME:
ADDRFSS:
CZTY, STATE, ZIP:
PHONE:
4) •• • mi-
NArE:
r+nnREss:
CITY, STATE, ZIP:
PHONE:
I
5
Txxxxxxxxxxx?xxxxrx:xrRwxxxxxa xxxx,.'
y* *TO'L'G': PAYMENS OF FF.E AT TIME OF *
* r,pri,zcATzorr noFS rxyr coNsriTUTE ?
* r,praovAr, oF PERMIT. *
* INSPflG'fION OF SE.pm APH)/cR N7ATFR *
y*. Tnts?ar.raTrpNS 4II.r• NOT BE SCHED- ?
»
* qI1D UNPII, PERNIIT HAS BEEBI *
?
. APPROVFD. ?
.
MASTER LICENSE#
>ers License:
Active
Expired
Not recorded
Stef'f Initial
5) u a: • ?• : ? • a? - ?? - - --
I?I CONNECTION TO CITY SEWER 0 CONNECPION TO CITY WATER OTHER.
?"•
6) u ? ? r
PLF.ASE HOLp AppROVID PERNIIT FY)ft PICK-UP BY ONE OF ABOVE
PLEASE MAII, AppROVfD PERMiT TO 1, 2, 3, 4, ABOVE
1 ?-? f r; ,-.-i o.,,.o i
FOR -CITY USE ONLY
., ,
PERMIT # ISSUED
7Y' S 2-
Pd w/Bldq. Permit FEES:
$ $ ?? •s Q SEWER PERMIT (INCLLDE SORCHARGE)
$ $ ? b• S D WATER PERMIT (INCLLDE SLRCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLDDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ 151 ? ACCOUNT DEPOSIT - WATER
S .?? O• Q f? $ WAC
$ ,57,$ ,e'J6 $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL SENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ A-7 JT' S-0 $ Sl?. G O TOTAL
_ ???z?'3
RECEIPT RE CEIPT
DOES UTILITY CONNECTION REQUIRE EXCA VATION IN PLBLIC RIGHT OF WAY?
? YES IF Y ES, THEN A" PERMIT FOR WORK WITHIN PLBLZC
Q
IVO ROAD
DIVI WAY" MUST BE
SION. LIST ISSUED BY THE ENGINEERING
AS A CONDITIO[V.
SUBJECT TO THE FOLLOWING CONDITIONS: •
APPROVED BY: -?'y(?,i
TITLE:
DATE: ??????
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+;?:? CASH RECEIPT
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1 CtTY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINJNESOTA 55122
DATE ? 19
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AMOUNT $
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Thank You
. BY? 62495 -
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White-Payers Copy
Yellow-Posting CopY
Pink-File Copy
L / ?BL I CITY USE ONLY RECEIPT #: 1779/S
SUBD. /?LLtoyt. RECEIPT DATE: q? 9
1998 PLUMBING PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3830 PILOT IQ108 RD
EAGAN, DN 55122
(612) 661-4675
Please complete for: ? single famity dwellings ,
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
-----------------------
FIXTURES ' ----????
EACH ??__???------
#
Shower 3.00 x =
Water Closet 3.00 x =
Bath ?ub 3.pn
x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/S a 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ` minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener `kr dwellings under construction 5.00 x =
Water Softener ` for existing dwelling 20.00 x =
U.G.Sprinkler 'fordwellingunderconst. 3.00 =
U.G. Spflnkl2f ' forexisting dwelling 20.00 _
Alterafi0n5 * to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems * Abandonmant 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE
TOTAL
TOTAL
.50
S6)
CeLr
------ --- --------ge that ------I have rea--------dth • ---is--applica------ ti-on-,--state--- --that--the-----infortna--ti-on--- is--w---rre-d-,----and--- -agree--to-- --comply-----w@h-- ---a l-l--app----- -- licableCity ------of--Eagan--------ordinan- ----ce--s-
I hereby acknowled.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the Ciry during ds
nortnal operational and maintenance activities to the facilities wnstructed under this permit within City propertylright-of-wayleasement.
SITE ADDRESS: --Owy L.r/
OWNER NAME: T
INSTALLER NAME: TELEPHONE #: -537 GJ?1?
STREET ADDRESS: 1?u r ,e:?_ ii's° 5/U
CITY: Zl-'ll?OaT?? STATE: .r/ ZIP: ?? -s/W
PERMITfEE
CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1998 - O ?
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- - - - - ---------,
? Foi Office Use I
?1 07 '
j Permit #: ?
5 ?
? Permit Fee:
I
I
j Dale Received: ?
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? Staff______________?
2008 MECHANICAL PERMIT APPLICATION
Date: f Q Q 7 Site Address: '1 / 6 J leLLAdB?
Tenant:
Sulte #:
RESIDENT/OWNER _Phone: /oS"/ ' 952?(a/P7
Name: ??a?i
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AddrPCS
CONTRACTOR Nar O'Connor's One Hour License #:
Adc 1904 Ver[nillion St.
Hastings, MN 55033
City _State: Zip:
Phone: Io SJI - y37-V/77 Contact Person: ?.ccJ?6a-Z.C.
TYPE OF WORK - New _?./ Replacement _ Additional _ Alteration _ Demolition
Description of work: 1f -Qtcs A:LXA
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact ttie Mechanica!'Inspecbr or one o6 the
Planners for Information on ermitted screenln methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE
V Furnace New Construction Inte(or Impravement
- -
_ILAir Conditioner _ Install Piping _ Processed
Air Exchanger
- _ Gas _ E#erior HVAC Unit
' HVAC units must be screened
_ Heat Pump Under / Above ground Tank L- Install /_ Remove)
Other " When installing/removing tank(s), call for inspeclion by Fire
- Marshal and Plumbin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 FIfO fBPdif (replace burned out appliances, duciwork, etc.) (inCludes $.50 State SUfChdfg V
TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contrect Value $ x 7%
$50.50 Minimum (includes State Surcharge)
- $ Permit Fee
- If Pennit Fee is Iess ihan $1,000, surcharge is $.50.
- If Perrnit Fee is >$1,000, surcharge increases 6y $.50 tor each =$ State SurchBrge
$1,000 Permit Fee (i.e. a$1,001-$2,000 Permil Fee requires a$1.00 surcharge).
$ TOTALFEE-
ncevrith ihe ordinances and codes of the City of Eagan; thal
?tt? w k
I hereby acknowletlge that ihis intortnation is complete and
I understand this is rrot a permit, but only an application for a?1w-i o s permiC that the work will be in accortlanca „+th the approved
T
riplans.
plan in the case of work which requires a review and apprw
AN 16 2008 /J/J?^ i A? ,O O
FOR'OFFICE
Requlred Inspections: :_Under Ground' _ Rougft In
--??wed By: _
Test ' Gas'ServiceTest
Date:
Heat _Flnai
TRI-LAND C0.
SURVEYING
SERVICES
4655 NICOLS ROAD
EA6AN, MINNESOTA 55122
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SCALE: I" ° 40'
PROPERTY DESCRIPTION
LOT_, BLOCK_,
FAWN RIDGE
aecordinq to the recorded plat thereoi
DAKOTA CauMy, Minnesmo
LEGEND
o DENOTES IRON MONUAENT
o DENOTES WOOD HUB SET
iaoxooDENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIIiECTION
I Mreby certity,tAOt tAfa survey,plan or
rsport was prepared by me or under my
direct superviaion and that 1 am c duly
Repistered Land Surveyor undar the
Laws oi the State of Minnesota
&" /L sC.lli nrded
Bradley . wenson, Mn. Rep. No. 15235
Date * 2 /a *hgc -
SITE PLAN
CHARLIE
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PROPOSED GARAGE FLOOR ELEVATION= 102.00
PROPOSED FIRST FLOOR ELEVATION = !02.50
PROPOSED BASEMENT FLOOR =
ELEVATION
NOTE * VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
' 1`Rl-LAND C0.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FORO
CHARLIE BRAUN
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SCALE i"=40'
PROPERTY DESCRIPTION
LOTIM, BLOCK? ,
xcordinq to the recadcd plaf ihareof
DAKOTA counry, Minnesota
LEGEND
o DENOTES IRON MONUMENT
* DENOTES WOOD HUg SET
iao,ooDENOTES EXISTING SPQT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAIHAGE DIRECTION
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PROP05ED GARAGE FLOOR ELEVATION= 10?.U0
PROPOSED FIRST FLOOR ELEVATION = !02,.?,iy0
PROPOSED BASEMENT FL04R -
ELEVATION,:
NOTE? VERIFY.ALL°FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I hehDp c*rtify,fAat tAis arwy,plon or ? ?// n
roport was proporsd by me or undsr my ?I17? // '
direct supxvisian and tltat t am a duly Hradley . Msnson, Mn. Req. No. 15235
RepisteroC Land Surveror under tht
Laws ot the Stata of Mimesota Date :
2?2Q/gc"
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112869
Date Issued:08/26/2013
Permit Category:ePermit
Site Address: 4463 Reindeer Lane
Lot:14 Block: 3 Addition: Fawn Ridge
PID:10-25800-03-140
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Lawrence Schmidt
4463 Reindeer Lane
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
For Office Use I
Permit #:City of EmRu RECEIVED
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 MAY 0 7 2014 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION Ca
Date: ~1711 Site Address: yy6 5 bioleee- Ln Unit Ar
I Name: L/Jrry SG ~mi/~f Phone:
Resident/ / QD
Owner Address / City / Zip: wo /`Gi/y~~cYr L,n S5123
Applicant is: Owner L,,*"'Contractor
1112
Type of Work Description of work: 01 Moor " 46220-A)
Construction Cost: 3/ 500 Multi-Family Building: (Yes / No
Company: /YIp , fi Contact: 4,&11e1--
Address: 27/0 /e l Grl City: Contractor P/w2ou i
I State: N Zip: 55gI Z Phone: a '51g- Gd mail: ~G ~o~~afh~j~~/' ►i~CO/t,
r, t~
License 6J ✓ Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of I
LL_ 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.oopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x! Nke Sfo11&71,Jtrh, { L ~r~~ c3/an x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of - Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES]
New Interior Improvement~ _ Siding Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Drain Tile
Fireplace: -Rough In -Air Test -Final Siding: -Stucco Lath -Stone Lath -Brick
Insulation Windows
Sheathing Retaining Wall: _ Footings _ Backfill _ Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge x t
Plan Review
MCES SAC,
City SAC ~Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies L
TOTAL
Page 2 of 3