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4478 Reindeer Lane11011`* City of Eagan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit Fee: D 6 Date Received: Staff: 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION f-// Site Address: gyis ck -id €42 r L , Tenant: Suite #: RESIDENT / OWNER Name: IZcy, (2,-, M Mi V\S Phone: Address / City / Zip: -S O--42- 4- S 4-I 0 c e CONTRACTOR Name: -OLL5 A d ► e&f" et,' --.,Jr, i License #: % `i 3S..? Address: C 0 13 g I *'P City: Ceciek.>e State: Pt -JO Zip: SS V / \ Phone: '16 3- 1`cicj_ O22. Contact: 41-e.,<'Email: c2c-kXcta S oC.)10e.,r11Lc>.". L 6-0 TYPE OF WORK New YReplacementRepairRebuild odif Space~ Work in R.O.W. _ Description of work: LO VV/�- c / ,7/. Cy (l%��%/�/7i ©f1 / ith - z cJ f c%� �� PERMIT TYPE r RESIDENTIAL Water Softener Water Heater Add Plumbing Fixtures ( Main / Lower Level) _ Lawn Irrigation ( RPZ / PVB) Water Turnaround Septic System New _ Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.gopherstateonecall.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/41?r<57J`'I Applicant's Printed Name Required Inspections' Under Ground .. Rough -In x Applicant's Signature 111F Dec, 2. 2010 4:03PM City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5684 t No, 8735 P. 2/5 Use BLUE or BLACK ink Far, Office UssO, Permit ft: l —7 '9, Permit Fee: �! e) - Date > Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Lc --,(1- - 9-7D L 1-9-7D Date: data I CN5 Site Address: 44Liadef.i_ Lame. J Tenant: - Suite #: RESIDENT / OWNER Name: ILCA. \ IV\ {Till i Phone: 1_051- L15 . L61stt1 Address / City / Zip; 0 417 L o Applicant is: Owner tJ Contractor TYPE OF WORK Description of work:� 1rC � ht CY\C d €1 1 a1 r) Construction Cost: ("C'C - Multi -Family Building: (Yes f No- " CONTRACTOR Name: , .1 a 1 - License #: 7 -`.] ,Q Address: a l.! C) KlicitejfACAIG,«. Pit,oe.city: ; It e.o.. li, State: JS. Zip: 5'54L7_ Q. Phone: L9,1c-„9 '7 .' I t'1 3 .. .Je.)i`J. Email: fp c` die.. u`,e..i5Z the erte. cm, Contact;(\P\ It'LI. ( 11 11 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: Sewer & Water Contractor Phone: 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.aopherstateonecall.org I hereby acknowledge (hat 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, end work Is not to start without a permit; that the work will be in eccarda ith the approved pla the case of work which requires a review and approval oflens, x ehe(/e Lk_ ns x Applic is Printed Name Page 1 of 2 2010 4:03PM 114—m irte DO NOT WRITE BELOW THIS LINE / 7 / No. 8735 P. 3/5 SUB TYPES Foundation Single Family Multi 01 of_Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair (25%_ 100%) ) Census Code #of Units # of Buildings Type of Construction Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test ^Final insulation Meter Size: Reviewed By: Siding Reroof Windows Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building' _ Demolish Interior Demolish Foundation Egress Window — Water Damage *Demolition of entire building — give PCA handout to applicant MCES System 0,4 0 SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final I C.O. Required Final I No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: Footings _ Backfill Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL ILtraf4P at fill )0 /0(// yZo Page 2 of 2 , CITY OF EAGAN 'j Q 8$ 9 ? 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 PHONE: 4548100 6UILDING rERMIT tteceipt # To 6e wnd iw P>F t_?v ?/GAR Fit. Value 7 t} , L' (t G 4? o , SiteAddrea a• 78 1P I*;'_7I;FR L'0, E?ect Q. dccupancy Ft-i Lot 81ock 4 Sec/Sub Remodel ? 2oning ]- Parcel No, . Repalr ? Type of Const. Addition ? No. Stories ? Name `:jlt."?7 :•?',K-; )EVPI, l;t) Move ? Length [; . W Demolish ? Depth ? Address City Phone ' 2 " Int Impr, ? Install ? Sq. Ft. . ? Name Aoarovab F«s u? Address Assessment .00 PBrmit ' City Phone Wote? & Sew. Surchanpe - - Police 1 7T• 00 Plen lievlew ?W Na^e Firt SAC ' Z ?? Addresa Enq. WaterConn. ' ? ? W City Phone Plonner Water Meter U Councll Road Unit `= Z?`? •`? ? i hereby acknowledpe thot 1 hove reod this opplication ond srote that gldg. Off. Tr. PI. i i fhe informotion is correct ond ogree to comply with oll opplicoble qpC State of Minnesoro Stotutes and City of Eogan Ordinonces. Parks . Slqnoturc of Permittea Var. Date Cap1eS A 8uildinq Permit Is iuued fa un thr tx' press conditbn Ihoo t oll work shall be done in accordorxe with oll oppliwble State of Minnesota 5totutes ond Ciry of Eopon Ordinonces. 8uildirq Offtcial Pwmk No. Pamk Holdw Date Telephone * Pi??ing ? cl ? ?lyln a a? H.VA.C. 1? EM;tric Soft?r Irtq»ction Date Insp. Othp Footlnyt 1 ? Footiny? 11 FoundaUon Framing dS Roofiny Rouyh Plb?. ? ? I Rough Hty. ? ,??? y? Inwl. ,_ . Flroplace "OV 0?2 Finsl Hty Flnel Plbg. Flnal Cert/Occ. W?? Dnc?ibs Location: ? Will Sewer Pr. Disp. RoCl1pt MECHANICAL PERMIT CITY OF EAGAN Fill in numbered apaca 7ype a Print legfb/y 1. Date 2. Inatallation Cosi ? 3. Job Address `?! ' ``• ` _ ' ?; UOL ' i Blk. 4. Owner 5. Contractor 8. Address •='=;'Y I• IeY . 7. City I? I State Y Mki No. F« LC. c;C. s/c TOL Tract N ?-l54Z--i #. !: Zip 8. Buildiny Type: Residential)!?, Commercial ? Institutional ? 9. Work Description: New a. Add 0 Alter ? Repair ? i ? , (: 10. Describe :1 1r :: (- Fuel TYpe ?. - 11. No. Equjpment STU • M. Ea. Foroed Air No. Equiament CFM Air Handlin : Mfg. g Boilera Mfg. Mech. Exhaust Unit Heater Mf9• Other Air Cond. Mfg. Gas, Piping Outlsa 12. I hereby certify that the above information is true and correct, end I agree to oomply with all ordinances anq codes governing this type of work. Signe& f - for ? `Rouyh Final Inapections: Date Insp. Oate Inap. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 PERMIT # ?S•7?.``'- C? MECHANICAL PERMIT RECEIPT # 21 ?-2 o CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Site Address ? BLDG. TYPE WORK DESCRIPTIOM Lot `_ 1 _.T Block SeclSub Res. New ? Name - ?A Mult Add-on Com m. Repair Address c City Phone _ Other • FEES Name A6 RES HVAC 0 100 M BTU $24 00 . - - . c Address ? . AWIFIQAIAL 50 M BTU-= t - 6.00 p City Phone (RES. HVAC WCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PERMIT 1 50 EA - ( ) - . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. fiATE APPLIES Boiler M BTU M?VIM??9F;SID?NTIAI FFF - AI_I ?n_nN R Unit Heater M BTU RFMOD S -j2 00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # BEYOND $1,000) Other Fb FEE: S/C: " SICNATURE OF PERMITT TOTAL: ? FOR: CITY OF EAGAN f Receipt PLUMBING PERRAIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prini legib/y Tot 1. Date 2. Installation Cost 3. Job Address Lot ' BIk.L?_ Tract 4. Owner , . ? -t; 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commerciai O Institutional O 9. Work Description: New 13 Add O Alter ? Repair D 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory 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 1 agree to comply with all ordinances and codes 9overning 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 Rsoeipt PLUMBING PERMIT Permit No. CITY OF EAGAN fill in numbered spaces S/C Type or Print legibly Tot?-?•.S?% 1. Date 2. Instaliation Cost ' __S ? ?'C-'• =- r • 3. Job Address ?;c ???r•?ri ?-r'f???_ Lot Bik.' Tract 4. Owner 5. Contractor P?i Phone i . - 8. Address , 7. City j n 1-?N.1/ State 8. Building Type: Residential AD Commercial O Institutional ? 9. Work Description: NewA£1 Add O Alter ? Repair ? 10. Descri6e 02Luii, A." 1 5 11 No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield ? Bath tubs p Se tic Tank Lavatory p 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 informatian is true and correct, and I agree to comply with all ordinanCEs and,codes governing this type of work. ! ? Signed: !?._ v,, ,?,. //?' • for Rough f inal Inspections: Date Insp. Date _ Insp. _ This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 CITY OF EAGAN Remarks - Addition FAWN RTTKF. AnDTTTON Lot 9 elk 4 Parcel 10 25R0n 09f1 04 owner street 4478 Reindeer Lane State Eagan, MW 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. S',2 1981 229,35 11.47 20 / 0,6-9 - r 7 STREET RESTOR. 1984 499.46- 49.95 10 47, ? GRADING - 1981 61.26- 4.08 15 , SANSEWTRUNK 1981 205.44- 10.27 20 d, - / ` SEWER LATERAL 7 19$1 33.07- 1.65 Zff .8 •. // v Sewer Lateral 1981 23.57- 1.18 - 20 WATERMAIN WATERLATERAL 19$1 43.67- 2.18 20 ?, - WATER AREA 1981 205.44'' lO. 27 ZO Water Lateral 52 1981 27.68' 1.38 STORM SEW TRK 1985 557.79? 37.19 15 44 8p 3. STORMSEW LAT- 1984 222.51-' 22.25 10 , ?/ ? CURB & GUTTER SIDEWALK STREET LIGHT Road Unit $280.00 55095 9 4 85 WATER CONN. 500.00 11 if BUILDING PER, 10889 " 'o SAC PARK D"fl"199 REQUEST FOR ELECTRICAL INSPECTION Ea-<ooooic-oe Ii, See instructions tor completing ihis larm on back of Vellow copV. "'X" Below Work Covered 6y This Request AAd Nep. Type of Builtling AODliancee Wired EquiVment Wired Home Range Temporary Service Duplex Water Heater lightiny Fixtures Apt. BuifAing Dryer Electric Heabn Commercial Bldg. Furnace Silo Unlonder Industrial Bldg. X Air Conditioner BWk Milk Tdnk Farm Otber per.i y (hhfrl5per:ify) 1 ,r $ueci y O[hCr 01he:r Compute Inspec[ion Fee Belaw p Fee ServiceEmrence5ixe H Fee feetlars/5uhfaetlers N Fee Circuits 0 to 200 qm s 0 to 30 qm s 1 0 to 30 Am s Above 200 qmps 31 ta 100 qmps 31 to 100 qm s Swimming Pool Above 100_Am s Above 100_Am)s Transformers Irngation Booms O Partial.'Dther Fee L pema_? ISigns ? I ISpecial Inspection ?S (0„S TOTALY-tt /__n . rks 1, the ElecTnZal Inspector, hareby certity thet tha abov0 insDec[ian has 6ean maa. TNa repueat vold This rcquest void 7/ C/p 10 mpnths Irom D 25199 I-? ad ??, '7S%%/ -17,119 C-1`1 RequestDaie -"- Fire No. pouph-in Insuoction Re.nuiretl? Heady Nnw E]Will Noti1y Inspec- ' ?Yes N. , tor When Feady Licensed ElecVical Contractor 1 hereby request insvaction of above Owner electrical work instelled at: Sveej Address, Bos or Route No. C ity ectmn o. Township Name or No. Renge No. Cowuy O4A ?^fS Occupant (PqINT) RnA.? eU?,?„?s Phune No. YSa-o36Y Power SuOVlier Atldress Elecbical Contraclor ICOmVany Namel le?EcTR?? ?.'ornPAN? (2c3RR1Cs+e0 Contrar,lor's License No. o39Sv5' ? Maili,ng Address (Conhactor or Owner Makinp Instailation) Nc? (3ox "f") s, Ros<. rnoJtir 1)1,4 Ss?63' AuMo1r? d Signamre (Conlraclor Owner Making Installation) Phone Number MINNESOTA STATE 901CNO OF ELECTPiCITY THIS INSPECTION REQUEST WILL NOT Grigga•Midway Bldp. - Reom N•191 BE ACCEPTED BY THE STATE 80AND 7827 Universitv Ave.. 51. Paul, MN 56100 UNLESS PROGEP INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REUUEST FOR ELECTRICAL INSPECTION ?ee-ooom-oe K 16184 ,$ee insVUdions for completing this fortn on back o1 yellax copy. '{ ?I /07ef ? 0 "X" Be/ow Work Covered by This Request 7? ?? ew Atld Rep. Typeol6uRding AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./industriai Furnace meter Farm Air Conditioner Olher (syecily) Connacmr§ RemanMS: Campute Inspection Fee Below: k Other Fee # ServiceEntranceSize Fee # CirCUlis/Feedeis Fee Swimminq Pool 0 to 200 AmpS 0 to 700 Amps Trensformers Above 200 _ Amps Above 100 _ Amps SignS inspector5 Use Onry: ? TOTAL a ' Irrigation Booms > Speciallnspection Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elecirical Inspector, hereby certify that tha above inspection has been made. Rough-in Finel ? oeie oare i OFflCE USE 3NIY " Thls repuest wio 18 momns Imm 8 4 F?' ,??s o0 K ?9 8 ReQuest Date Fira No. Rough-in ' n Requiretl? I )Ll Reatly Now ? WAI NoiityInspector ` 9-18-92 ?ras ?w w^a"R"q'? IZ licensed contractor 0 owner hereby request inspection of above electrical work at: Job AtlOjpss (Sireet. Box or RpNe No.) Ciry 4478 Reindeer Lane Eagan Secfion No. Township Name or No. flange No. Counry Dakota Occu0anl (PRINT) Phone No. Janet Thomas Power SuOPlier qdtlress Dakota Electric Farmington Eltthical Contractor JCOmpany Namel ConVeclor§ license No. Roehning Electric CAO 1557 Meiling Atlaress (COntractor or Owner Making Installation, 14811 Endicott Way Apple Valley, Mn. 55124 Au[h gnaNre ICOnVMon Making I allationl Phone Number 423-4328 NINNESOTA STqTE BOARO OF ELECTXICITV THIS INSPECTION REOUEST WILL NOT Grigga-MlEwey Bltlg. - Ropm 5113 BE ACCEPTED BV THE STATE BOARO 1BZ1 Univenity Ave., SL Paul, MN SSfOC UNLESS PROPEH INSPECTION FEE IS PhoneJ612) 611-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Es•ooooi_oa ? ' Sea inshuctions far completing this form on back•of yellow copy. ' ) X"" Be/ow Work C_ ?n,?/ by This Request w,la)l ap. Type of Builtling APOliance?nsd EquiVmen[ Wired Home Range $BuI mporary Service Duplex Water Heater gh[iny Fixtures Apt. Building Dryer ectric Heatin Commercial 81dg. Fumace o Unloader Industrial BIAo. Air Conditioner k Milk Tenk p Fee Service EntraneaSize N 'Fee Faedars/5ubfeedere M Fee Circuits 0 Oto200qms 0 ro30qms 1 0 t2 30Am Above 200_qmps? 31 to 100 qmps / h 31 to 100 qm s SwinNiin Pool Above 700_Am s Above 100_AmPs Transformers rrigation Booms Partiab'Other Fee I I . I Signs I I iSpecial Inspection 'S 247 - I TOTAL,FEE Nouph-in . u te ? eha Electrical ? Inspector, nereby certilv thet the above Final ?ate ins0eclion has been • /!7-SJ "ea. Thia reGUeat valtl 18 monlhe trom mid55"N.I& r/-D--)-$5- L985 3 -') c,, rire rvo. noupn-in inspecuan p Reuuiretl? E]fleady Nuw??ll NotitY Insoer ?'Ves ?No tor When fleatly ? Licansed ElecVical Contrecmr 1 hereby request insoection ol ebove ' ?fQwner elechical work ingtalled at Stree[ Atldress, eoa o Houte No. Z!?/7 h 1 - 4 C ity Z-? - ,ji ke ,7c ,? ,-? .u a , ecu . Townshio N " L G ? ' / County ?L A 4 7? Z CUlJ / d j L 0 cGUpxnt(PRINT) Phone Nn. Pow Supplier . Address , Electric I Conhactor ICompany Name) " r ??c Conn,ictor-s License No. (J y? 7 y?-3 Mailin9 AdJress IContractor or Owner Making Instailation) I?Ae arr-r S SGwa P Auffiorize -5ignature ICOnvactor/Owner Makine Installntinnl y Phone Number l F1U-3555 MINNESOTA STqTE /APO OF ELECTXICITY THIS INSPECTION NEQUEST WILL NOT Griggs•Midway Bldg'. - ltoom N•791 BE ACCEPTED BY TME STqTE BOAND UNLESS PPOFER INSPECTION FEE IS 1821 Universi[y Ave.. St. Paul, MN 55100 Phone (672) 297-2111 ENCLOSED. -1( ? 07 ? ? _ 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION ? City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consiruction Reauirements RemodeVReoair Reauirements Otfice l?se Ontv 3 registered site surveys showing sq. ft. of IW, sq, ft. of house; and all roofed ereas 2 copies of pian wo Swvey;Recd _Y :N (20% mazimum lot coverege allowed) i set of Energy Calculations for heated addilions 3ree Pres P(an Ctccd _ Y N 2 copies of plan sharring beam & window sizes; poured found design, etc. 1 site survey far addAions & decks Ptee PreS ReqUVed rY M11 i set of Energy Calculalions Addifion - indicate if onaite sepfic system fl65i18 SepliC:&ys??'n '...:.Y ...?; N 3 copies of Tree Preservation Plan rf lot pletled afler 7/1/93 Rim Joist Detail Options seleclion sheet (buildings with 3 or less unih) Date PC?/?? Site Address 1147 8aK 1tADe Construction Cost ? 7. 2( 0 e(L LN Unit/Ste # Description of Work 4?1',61"e `21 0'-ebUllb Inc-4400 Multi-Family Bldg _ Y_VN Fireplace(s) _ 0_ 1 _ 2 Property Owner xf+Sr? ?'T TILkO "PrS Telephone #! ( 6S) )452- 03? Contractor Address State City Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Nlinnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . 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? _ 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 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 which requires a review and approval of plans. Applicant's Printed Name Signature I ' j?- ' u05 OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 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 OS-plex A 18 Deck ? 23 Porch (screen/gazebo) ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Abg_Yor_ N ? 25 Miscellaneous Work Types . ? 30 Accessory Bidg O 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Mutti Misc. ? 31 New ? 35 lnt Improvement ? 38 Demolish Interior ? 44 Sidsig ? 32 Addition ? 36 blove Buitdling ? •42 DemaDish Foundation ? 45 FireiRepair ? 33 Alterffiion ? 37 43emolishlFluilding" ? 43 Rerocif ? 46 Wimiiows/Doors ?T 34 ReplaCement •lDemofition;(EMire$tdg) - Give PCA handout to applicant Valuation dO. 00 tQccup9ncy R-3 MCES System Plan Review 10Q!tE or 25% census code _ Zoning Lilyr water SAC Units S4ories Emster Pump # of Units &q. Ft . ? # of Bldgs _ Eongth fsie:Sprinktred Type of Const ! _ WAth "Z $i , . REQ IJIREDbINSPER:TfIOM' Footings (new bldg) FinaUCCO. ? Foolings (deck) 7t Finalft C.O. Footings (adilition) _ p1umbml}g _ Foundation HVAC _ Drain Tile Other Roof _ Ice &Wtt?er __ Final Pool Ftgs. _ 4+ir/GasT'ests Fna'1 _ Framing Sidia?; Smaco 5tone Brick _ Fireplace __, RI. _ AirTest _ Fau?: _ _. __ Win&xvs _ Insulation Retairiirig Wall Approved By: ??' BuiIdiHH Inspector Base Fee _ Surcharge Plan Review MC/ES SAC City SAC Utility Connec4mn Charga S&W PeRnit & Suroharpe Treatment Plant License Search Copies Other Total . Dakota County Real Estate Inquiry Daq Updated 9/2212005. -;1'14 ? Legend RealEstata Parcel U Common.Owne QWater ' RhN, Easeme M Oedioated RNU L, ? a? ,tandard wmn men dwkcoc key. ? uo PIN:r_- Go Details PIN: 10-25800-090-04 2005 Est Value (Pavable 2006): $229,100 Tax Stuh Owner: JANET T THOMAS 2004 Taxable Value Pa able 2005 :$207,700 _ Address: 4478 REINDEER LN Payable 2005 Tax: $1,912.98 i5taterrrent Ciiy_ EAGAN, MN 55123 Total Acreaae: 0.22 Year Built: 1985 ? P?t tCCmp Sale This apdication v.as devebped by the Dakoq CouMy Office of GIS in cooperetion vriih ASSessinp Services, Treasurer - Auditor and Rooertv Records Departments Gick on the Dalrota CouMy Logo above ro rewm to Me home page '???KM ar? i/"Y1? BUILDONG INSPEC710Mg r&Tr'?a00R! A -' 1111114il-I Select option and clidc map: Zoom In ? Whole County I Refresh Map Small Map ????1, RESIDENTlAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConsWCtion Reauirements • 3 registered site surveys showing sq. il. of lot, sq. %. of house; and all roofed a2as (20°k mazimum bt coverege aliowed) • 2 copies of plan showing beam & window sizes; poured fouiM desgn, elc.) • 1 set of Energy Calwlations • 3 copies of Tree Preservatian Plan li lot platted aRer711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE '?> RemodeUReoalr Reautrements 619 • 2 copies of plan • 7 set of Energy CalculaNons for heated additians • t site survey for extenor additions & decks • Indipte if twme served by septic system for addilions VALUATION SITEADDRESS MULTI-FAMILY BLDG _ Y TYPE OF WORK I(' U t-55 "?--, I v?•-. ? FIREPLACE(S) _(2?_ 1_ 2 ??--c STREET ADDRESS 1- , CITY. TELEPHONE # 45_2`03C 4 CELL PHONE # PROPERTY FAX # Energy Code Category _ MINNESOTA RULES 7670 CA'1'EGORY 1 MI (d su6mission type) • Residential Ventilation Category t Worksheet Submitted • I • Energy Envelope Calculations Submitted Plumbing Conhactor: Phone # Plumbing system includes: Water Softener _ Iawn Sprinkler Water Heater No. of R.I. Baths No. oP 13aths Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Condidoning Heat Recovery Systein ------------°---------°--------°---°°-°----------------------° I hereby acknowledge that I have read this application, state that tP with all applicable State of Minnesota Statutes and City of Eagan.C Signature of OFFICE USE ONLY mAY o s zooz COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY TELEPHONE # 45-Z - v-3 cq Phone # Phone # S-S-12 --? 5 Fee: $70.00 --°-°- ---'----.....-°------ :orr, t, and agree to comply Certificates of Survey Received _ Tree Preservation P1an Received _/ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 01 of_ 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 (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolltlon (Entlre Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings(deck) Final/No C.O. _ Footings (addition) _ Plumbing _ Foundarion HVpC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ FraminB Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insula6on _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other ToWI Building Inspector 12/22/2011 THU 14:21 FAX Date: C!ty of aan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675-5694 RECEIVED DEC 2 2 2011 2011 RESIDENTIAL BUILDING PERMIT APPLICATION re+f L‘4111 Bite Address: 'i'i 9 Rtr df].. LL e Unit 6: , t' Name: �l irg.A CMmiYliTg Phone: (A. J 1- a't)5 tei+i Address / City / Zip: LIL167 1(1..4 , 'JAL, 's.5 Applicant Is: Owner Contractor la 002/ 004 Use BLUE or BLACK Ink For Office Use /ePenne If: '? .- Permit Fee: ` OC Date Received: /.9-1/ 1:':7 I A�' i 4 r'.jd. . Description of work: c?N141-NIT-01:111 �e_t �ClJ e / Construction Cost (-05��� Multi -Family Building: (Yes / Noy Company: � aContact: Address: &kn.1-S\ m r . 10" Ar.V e. city: inn PL3 State: MAL Zip: 554 LQ__ Phone: 1.o \ oZ .mac 7 — J CO.ricZ Licensed: C 1 E 2.1 to Lead Certificate #: AIM - a Lal4a; I If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information) i to TAM COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit fora similar plan based on a master plan? Yea No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: f i}1 111,L l lirilif �.d.)('� 1rE 9� 1 1 / %ii>1 X r1,1+/ itt J//rl, it rir; ! r 7R1t,iik->c (��rljlr10^)1irt it! 7i)iiii )//'X )(4t a`.11rel,rr71)1;1!1;111^)ltr'lk°1),f,• RrlSlt; ac j,Y- %/(it ,l'' -1'7,), -?.)1 Cil'1,7.7i1?"7( 7lI1111",11cT.t(�:Yi}:"tt CALL BEFORE YOU DIG. Cell Gopher State Ona Call at (151) 464-0002 for protection against underground utility damage. Ceti 46 hours before you Intend to dtg to receive locates of underground utilities. yrww.gopherstateonecail.om I hereby acknowledge that this information Is complete and accurate; Chet the work will be In conformance with the ordinences end codes of the City of Eagan; Ihet I understand this ie not a permit. but only an application for a permit, and work ie not to start without a penult; that the work witi be M accordance with the approved plan In the case of work which requires a revlew and approval of plans. Exterior work authorized by a building permit Issued In eecordenw with the Mlnnesate Stall Building Code must be completed within 110 days of Omit Issuance. Appli ant's Printed Name Appll nee Signa Page 1 of 3 12/22/2011 THU 14:22 FAX SUB TYPES Foundation , Fireplace _ Garage Deck Lower Level Single Family Multi 01 of Flex Accessory Building DO NOT WRITE BELOW THIS LINE Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool WORK TYPES New _ Interior Improvement — Addition — Move Building Alteration,T Fire Repair Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan RevleW (25%_ 100% I/ Census Code Si of Unite # of Buildings Type of Construction /t2 - '13'r RM,QVIEW INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _ice & WaterFinal Framing Fireplace: _Rough In Air That )1- insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL. Ti 33 1- _ Siding Reroof Windows Egress Window U043/004 _ Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building" Demolish Interior _ Demolish Foundation Water Damage 'Demolition dentin) building - glva PCA handout to applicant /RG - MCES System SAC Units Po City Water Booster Pump PRV Fire Sprinklers — Meter Size: Final / C.O. Required • Final / No C.O. Required • HVAC , Gas Service Test Gas Line Alr Test Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings _ t3ackflii _ Final Radon Control Erosion Control Building inspector 10 OS )-0°.. Page 2 of 3 0 kiv ?' &n , T -i 9 7 3'yy EXHAUST SYSTEMS PROCEDURE TO DETERMINE MAKEUP TABLE AIR QUANTITY FO)R mWJ$T EQUIPMENT NI DWELLINGS (Rotor to item 0 in kronen 601.4.3 to determine spplIctbWly of this tsaia) 110. Nie APFroPthio Caktina t. Feho li House Wittman oNE On MUL1iPt.E POWER VENT on DIM= VENT APPLIANCEB OR 0 COMBUSTION APPLIANCES" Femur{ itia..er�c s 0.25 b) conditioned floor area (est) (iucludfng unfinished basemen* Estimated House Infiltration cfnj: Ila ) 1b] _ or Alternative Calculation (by using blower door test)E c) conversion tactor d) CFM50 value (from blower t) Estimated House Infiltration t:M ; Ice td 2, Exhaust Capacity E0% of exhaust rating = Exhaust Capacity (ctbs): (not applicable if recirculating system or if powered m air is electrically interlocked with exhaust) 0.75 TAKE 501.4.3(2) ONE On MULTIPLE PAN. MULTIPLE AasISTED APPUANCn1S ONE ATItoIPNIPJc j,LY ATMOlPNtIRICALLy AND POWER WRIT OR VENT= OAS OR OIL VENTED 0A8 OR OL DIRECT VENT APPLIANCE' NE 0R OAPPLIANCES OR SO ASWWCr�s LID FUEL APPLIANCE. Pus. APP 015 0.I0 005 9_15 0 0,45 0,30 3. Makeup Air Requirement a) exhaust capacity Morn above) b) estimated house infiltration (from above Makeup Mr Quu nthy ('014): [3a - 3bj (if value is negative, no makeu . air is needed 4. For Makeup Air Opening Siaimgy refer to Table 5Q ,4.2 30,0 320 0.15 g/! ATM thio column !idiom aro °dim than Da.,Asaate,d or atmapherically vented BPs or oil appliance. of if there we ba combustion applimeras. litho thea CelWma inhere is one flm-amisted appliance tUte lids eelattm it there is one per vend system. Other thin atn�ospl Ely wood appliance' rosy aiw be included. cube this eoiwnm if the we fly vented (other then ihn-assisted) gee or oil appliance per venting system or ant solid Thal appliance. MMI • end solid hal epplnnhiVle atmospherically woad gas or oil appliances using a coma vent erif them nee �y vented ar cin applisaaas sAaenalternative, die Estimated Nouse Infiltration may beaaicui'edby adman a blovertloortastandauldplying the conversion hater by he CPMSteaiue. 5j M N M N accotdaace with the n *ufactuter's installation ri instructions, additional ttlakcup air is not required. ti Exception: Makeup air is not required in Items 1 to 6 when any of the lhllowing are demon- s1 stated: Exception: If powered makeup air is electrically interlocked and matched to the airflow of the ex- haust system, additional makeup air is not re- quired. 6. When a solid fuel appliance is installed in a dwelling constructed prior to 1994, makeup air quantity shall be determined by using IMC'Iable 501.4.3(3) and shall be supplied according to IMC Section 501.4,2. Exception: If a cloned combustion solid fuel burn- ing appliance is installed with combustion air in 1. A test is performed according to ASTM � Standard 51998-99, Standard Guide fir M Assessing Depressurization -Induced a Backdring and Spillage from Vented N Cambustion.liAnifa,tcers, and documents- n EXHAUST SY$TEME TABLE 1014,2 MAKEUP Alit OPENING SWIG TABLE FON NEW AND UNITING DWELLINGS y ONE OR MULTIPLE POWER VENT OR OIRaCT VENT APPLIANCES OR NO comnutnott ONE OR MULTIPLE PAN.ASSISTUD APPLIANCES AND POYAR VENT OR DIRECLuWCENT E4 TAOI.E 5014.2 —1101.4.8 ATMO ONE VENTED SAS OR OIL APPLIANCE 0R ONE SOLO FUEL APPLIANCE° MUL7IPLd ATMOSPHERICALLY PASSIVE VENTED OAS oR OIL MAKEUP AIR APPLIANCES Oft 1101,11) OPOINIO DUCT FUEL APPLIANC50 OIAMEtIRLM Passive Opening Passive Passive Open' 67-109 4266 29-46 110-163 67-100 47-69 __swum O wn 10-28 29-42 Passive i 164232 101443 70-99 43-61 Passive Opening 233-317 144.195 100-135 62-53 Passive Opening with llQotorixad Ilam er 318-419 196,258 Passive Opening with 420-539 Motorized Dem 259-332 Passive Opening with Motorized 544-679 Powered Mahon AirH >679 333-419 136-179 180-230 6 84-110 111-142 231-290 >419 >290 143-179 9 10 11 >179 not �. &Mhle P4 N M N N M N M N M M AUas ode ealume if thea am other than tYn-sseisted or aentapherically ro 'a ooluam if'm a . column them: is one atmospherically vented (other than Ihn-aadsied) yes or oil appliarme per vtmtlog system a one solid Istel appliance. nUe this ooiunm inhere am multiple Nmaspha anally vented gas Ora �lancssWog a commies vent aril shore ere olmosphedcaily vented pa or oil applisosee M and solid het applice(s). sMequivalent len lof100fast°houndaoos&mailductisrssmmd,Subtract40 the exterior hood amt tea hatot soh 90-degrseelbow todetainee the =ai d% 14n1tb bfa4aigbt duet sllowsble. rIf liable duct is increase the duct diameter* one Mob. Flaxlbla duct shell be stretched with minimal ergs. �aromenie dampers In passive m cup air oprmng§ �py matted appliance is Swelled- %weed makeup air shall be ',Menially interlocked with the Isms system. °U this vin pe a ou app1 snoea or if there aro no combustion poli rhes s one aa-meNted aMlombeticaity vented appliance GU's this it a 1.. Per "maul *dem. Other thw 'poli may silo be included. 1. In the space containing the vented combustion ap- pliances. 2. 1n the space containing the exhaust system 3. In a apace that is freely communicating with the exhaust system and is approved by the building of ficial. 51.4.2.4 Makeup air termination restriction. A makeup air Opening shall not terminate in the return air plenum ofa forced air heating system unless it is installed according to the heating equipment manufacturer's in- stallation instructions, 501.4,2.5 Separate makeup sir and cembustlon air , oaeninga. Mot bothair and combustion air openings ere required, they shall be provided through separate openings to the outdoors, Refer to IFOC Section 304, to determine requirements for air for combustion and ventilation. Exception: Combination makeup sit and combustion air systems may be approved by the building official where they are reasonably equivalent in tonne of health, safety, and durability. ww• 501.4.2.6 Makeup air effectiveness. The makeup alr shall not reduce the effectiveness of exhaust systems or N performance of vented combustion appliances, and A makeup air shall not adversely affect the heating or cool- N ing capability of the mechanical equipment. 501.4.3 Addlelona, alteration:, or Installatleas of me- g chattiest systems in emifstiag dwellings. Makeup air shall it be supplied to existing dwellings when any of the following M conditions occur: 1. If a dwelling was constructed after 2003 using the ri makeup air provisions of IMC Section 501.4.1, g makeup air quantity shall be determined by using lb- N bio 501.4.1 and shall be supplied according to IMC Section 501.4.2 when any of the following condi- N tions occur: as 1.1 A vented combustion appliance, including a M solid fuel appliance, is installed or replaced. N 1.2 An exhaust system is installed or replaced. M Eicepdon: Ifpowetmrd =Impair is eleetei. Gaily interlocked and matched to the airfloW M of the exhaust system, additional makeup air N is not required, City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: r Use BLUE or BLACK Ink For Office Use (..73- / ), Permit #: / 1 /2�, � () Permit Fee: 60 li 0 ' Date Received: Staff: L 2012 MECHANICAL PERMIT APPLICATION Site Address: Tenant: Suite #: Name: Phone: Address / City / Zip: Name: �O i W >4 T »A E C`Y41 `tG 4 GLicense?#: 0.) SS- /v, ',mile 6 % k c4. City: N f ,,$)k i State: 7'i"/ Zip: s''5s Phone: / 7 o G d 8 Contact: AP C A Email: N' i Address: New Replacement Additional k' Alteration Demolition Description of work: ..3-A/57/11_4_ r,r /l,4kfi 4.1/',4'R I -o,^ ^°`mob RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump XOther COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1% $60.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE 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.qopherstateonecall.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. �• J3t.)4,J AilisC4Soni Applicant's Printed Name Applicant's Signature City of Eagan Eagan, PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA102522 Date Issued: 12/22/2011 Permit Category: ePermit Site Address: 4478 Reindeer Lane Lot: 9 Block: 4 Addition: Fawn Ridge PID: 10-25800-04-090 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Basement Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Alex Barna PO Box 188 Cedar, MN 55011 763 444 0292 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $55.00 Contractor: Sowada and Barna Plumbing PO Box 188 Cedar MN 55011 (763) 444-0292 - Applicant - Owner: Janet T Thomas 4478 Reindeer Lane Eagan MN 55123--209 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. Applicant/Permitee: Signature Issued By: Signature 4/1"P City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: 0�( L 331 Permit Fee: Date Received: (Do 00 51(1 112 - Staff: L INFLOW & I ► TRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: /c6. ' Site Address: Tenant( ` Nam es- —cfi-• c2 6 k Suite #: \\ Phone: 6 (2- 2-3 (1- 4 z - Address / City / Zip: t•-\-4-%1--9 Name: Address: City: State: Contact: License #: Zip: Phone: Email: PLUM (Within the building envelope) Sump Pump Repair Other: Description of work: CI SEWER & WATER (Outside the building envelope) Repair Other: FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.gopherstateonecall.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 applic. - a •ermit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case • ork whic quir s a review and approval of plans. Applicant's Printed Name 1 x Applican ' Signaturd Required Inspections Under, Ground City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 H 1G12 r Use BLUE or BLACK Ink For Office Use I Permit #: /rte' / ci 6/ 1::- Permit r Fee: 9 e Date Received: C%' /I Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: RESIDENT / OWNER Unit #:' Name: Address / City / Zip: ° r 7 L Phone:V/51 L(. 036 Applicant is: Owner X, Contractor Description of work: y11y7"'a f � 2�'r! .rte l _ ey-er- .6)✓1-r. ty�Pid�a-Q 4 Via// L✓ Construction Cost: '.6 00, Mu Family Building: (Yes / No x ) Company: f(,/L 4I kat t , Contact: ma Gd M 3 c(b6 . City: (� C State: //11 Zip: 5"5-77,- Phone: c - -g ( - £, C) G,, License #: A C 33 5 )-et 3 Lead Certificate #: Address: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) AI If I9gs 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 bepublic 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.qopherstateonecall.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. 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. /I) l GA v/es T. G Applicant's Printed Name x. Applicant's Signature Page 1 of 3 1 -Lf -7g' SUB TYPES Foundation XSingle Family Multi r Ln - 01 of Plex Accessory Building WORK TYPES New Addition 4( Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Porch (3 -Season) Storm Damage Porch (4 -Season) Exterior Alteration (Single Family) Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) Pool Miscellaneous Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: _ Siding _ Demolish Building* _ Reroof _ Demolish Interior _ Windows Demolish Foundation _ Egress Window _ Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _ Siding: _Stucco Lath _Stone Lath Windows Retaining Wall: Footings _ Backfill Radon Control Erosion Control , Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA116381 Date Issued: 10/07/2013 Permit Category: ePermit Site Address: 4478 Reindeer Lane Lot: 9 Block: 4 Addition: Fawn Ridge PID: 10-25800-04-090 Use: Description: Sub Type: Reroof Work Type: Replace Description: Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes. Amanda Severson Fee Summary: BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Pride Home Solutions 2325 Endicott Street St Paul MN 55114 (763) 767-4444 - Applicant - Owner: Janet T Thomas 4478 Reindeer Lane Eagan MN 55123--209 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. Applicant/Permitee: Signature Issued By: Signature RECEIFor Office Use :::::e: E AGA N ••__ •4.•• MAY 10 2019 1 )) Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections aC�.citvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION C�1t°`t Date: 5:10 /C? Site Address: gil7g fr ,,,,IzyY 1,01/151- Unit#: Name: ‘a Maw Phone:t7 0- 3-e 2101/7/ Resident! Owner Address/City/Zip: Li Lj-70 IR,2e 4123e4--- (. _ ct, Applicant is: Owner Contractor • ) 6o r,dy ;ie.A- ►`L4-/a41 Description of work:i il i i tcu 4V-447N - 41/�-, 2 0 X Si c•-re4 Type ofWork �iP-9u Construction Cost: 7 Multi-Family Building: (Yes /No ) Company: .J a 5-r i(y/' L Contact: tel/� &4 /t�y Address: D44' ( t "'�-i TvU�- City: O! a-''r"\ Contractor �^S State:fid/()Zip: J �ZZ Phone: 1-7-�j-lo 0/6EmaiL )u'L 1 L �i� C 42 Yithld License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU 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.gooherstateonecall.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. Ar/ t /vr.g 60.12-#(7e-y- x /goelletaft Applicant's Printed Name Applicant's Signature I DO NOT WRITE BELOW THIS LINE ,l1Re_ ,,\..,,,c,...JJ� LG"R- /, C11 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 10Lower 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 DRepair _ Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation Zi foo . Occupancy .Tf?_C –1 MCES System Plan Review Code EditionZc tl SAC Units (25%_100%_) Zoning p -. City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Vi:j Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) 10 Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: j 0 Oil `A J ( 'A- , Building Inspector RESIDENTIAL FEES o L,v `.1--i 1 1 Base Fee G^ Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2of3 PERMIT City of Eagan Permit Type:Building Permit Number:EA178073 Date Issued:07/29/2022 Permit Category:ePermit Site Address: 4478 Reindeer Lane Lot:9 Block: 4 Addition: Fawn Ridge PID:10-25800-04-090 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Janet Theresa Thomas 4478 Reindeer Ln Eagan MN 55123 Restoration Builders Inc PO Box 8043 Scottsdale AZ 85252 (612) 804-1189 Applicant/Permitee: Signature Issued By: Signature