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4814 Richard LaneBUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 4548100 Receipt # _ 4F1-r R7C:'1.k?2D LAt?.?? Site Addreat - Erect L{ Lot 81DCk ? SeCI$ub. . ernpdBl ? ? ? Parcel No. epair ti Name Enlarge Move D h li ? ? ? ; Address 1.? 366 :?`i R emo s Grade ? b C. 2?nne _cn - r-i 9959 Occupancy Fi- + Zoning r? _ 1 Type of Const. No. Stories Length 4 Depth Sq. Ft. 0 Neme SA1`i6 - t ot; Address ASSe55ment u? City Phone Woter b Sew. P olice ?W Name Firo FW x- Address Enq. ? , ?W City '.EPhone Planner I hereby ocknowledqe thot I how reod this opplication and ttate that Council gldg. Off. the inlotmotion is correct and agree to comply with all opplicoble n Ordinances f Minne ota Stot d Ci of E t St t APC . ry o u es an a? e a s 411 Permit . ^ l O Var. Dete $urchoryt 3" ?0 Plan Review 1- 6 2 • t C SAC `s 2 _ O Q Water Conn. Woter Meter Rood Unir ? ?t'' ;Paikf ?' ti• ? - - f P a+?+. w T_ 7 n S K 5lqnoture o ermittee A Buildinq PeRnit is issued to: L - `j'' on the exprcss condifion ehai oll work sholl be dona in occordance wifh all upplicobla Stafe of Minnesota Stntutes ond City af Eaqan Ordinonces. Buildinq Offitiol Permk No. Permit Holdar Data Telephons # Plumbin9 5? T 7!- H.VA.C. Electric 5oitemr Inspaction Date insp. Othar Footinps --?.? Foundation Framinp ? Roofing Rouyh Pibq. [? S ? Rou9h HVAC Insulation .? . Finai Plbp. Final HVAC Final Cert/Qcc. (G ( CA) Water YVell Dascri6e Loea Ssvrsr Pr. Dbp. _.. OEF°W -:'?x'-?,r.-?-R.-..,.,..p?,?.e•.,ti?.H-•?-?`?'7--+;.?-r?„t?..,.,,?,..,?,p-?_•.,,?e?.,r__?-... , CITY OF EAGAN 4_fl 17842 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 ? BUILDING PERMIT Receipt # 17 -' ? r., ti--A r,,. N= F?4 W.i.- 41,000 n.#e HAY 10 l0 90 Site Adiess "'- "`-'-- ' TWL OFFICE USE ONLY LDt BIOCk SeC/Sub. P3fC@I NO. Occupancy - FEES ??s ?? Zoning 2s?? Name (Aclual) Gonst _ Bldg. Permit W ; Address (Albwable) - S h . 50 0 WAIIIII urc arge Clty PhOfl@ ol Stories # -2r Plan Review $AM Length o Name Depth SAC. Ci?y , Z4 0 Address S.F. ro?ai - 0 m sAC, Mcwcc City Phone S.F. Footprints - Water Conn On Site Sewage _ Name On Site Well - Water Meter l l AddfeSS MWCC System - z - Glty Phone City Wa1er Acct. Deposil _ S/W Permit PRV Required _ I hereby acknowtege that I have read this application and state that the Booster Pump - S/W Surcharge information is correct and agree fo comply with all appliCable StBte oi Minnesota Statutes a4d,C4 of Eagan Ordines ./ ? !. Treatmenl PI C. .c ...._ Signature of Permitee ? APPROyALS Road Unit A Building Permil is issued to: ?RRM8 LMMRT Planner - Park Ded. on the express condition thal all woric shall be done in accordance with all Cou^cil -- 050 applicable State of Minnesota Statutes and City oi Eagan Ordinances, gl?. p?{. _ Copies 26 ? ? r- Building Otticial Variance - TOTAL ? ? PermR No. Permit Holder Date Tekphone # WATER 9EWER PIUMBING H.VA.C. ELECTRIC Inspection Date Insp. Comments Footinqs I FourMation Framirg Flootin9 Rou9h PIb9. Rou9h Htg. Isul. Fireplace Fnal Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notify Plum6er Engr.lPlan Bldg. Final Dedc Ftg. Deok Fnal WeA Pr. Disp. Receipt MECHANlCAL PERMIT CITY OF EAGAN Permit No. Fee Fill in numbered spaces S/C Type or Prinf legibly Tot. 1. Date 2. Installation Gost 3. Job Address' &? Lot Blk. 7ract 4. Owner 5. Contractor • ' ' Phone 6. Address 7. City State • "- Zip 8. Building Type: Residential Ll Commercial ? Institutional ? 9. Work Description: New L1 Add O Alter ? Repair ? 10. Describe Fne1 Type 11. No. ' F,guinmeLit 8TU - M. Ea. Farced Air No. Equiament CFM : Air Handlin Mfg. g 8oilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and cades gaverning this type of work. Signed : for Rough Final Inspections: Oate Insp. Dete Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ! ?. Receipt Jl ? I ? 1 PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Prinr legibly ? I l Permit No. Fee S/C Tot. 1. Date 2. Installation Cost ? - - -- ? 3. Job Address Lot Blk. % Tract ? • i 4. Owner Y . ? • .r- 5. Contractor y?. ? r i???,: -• ,//?°? ? ' Phone ?v?- 6. Address ? "' ! -''? • ? ? ?I?/ 7. City ? ? • State Zip 8. Building Type: Residentiai Cl Commercial ? Institutional 11 9. Work Description: New El Add ? 10. Describe 11. Alter ? Repair O No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p 5eptic 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 I agree to comply with all ordinances and codes governing this type of work. ?.. Signed : > . ??., i'?-; -•:r •• r ? for Rough Final Inspections: Oate InsP. Date Insp. This is yo(ir permit when numbered and approved. Approved CITY OF EAGAN 454-8100 INSPECTION RECQRD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: •?•"+?? t> .' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i l 1? l?l . I t l l t31 f. rd l l li I, I ?? I. ? .. ??' a; .. PERMIT SUBTYPE: TYPE OF WORK: ?; , Permk No. Pormit Hotder Date Telephona M ELECTRIC PLUMBING HVAC Inspection Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL CiYP BOARD FIREPLACE W- ? FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Addition Q'7 n n .--, .r , I g-- /A .ew Manor Lot 9 eik 5 , Parcel 10 78200 090 OK ?- ?'?b5teet 4815 Er7.ks Blvd. state Eagan,MN 55123 , , Improvement Date Amount Annual Years 95 Payment Receipt Date STREETSURF. -5 1960.12 A016d -10-8 STREET RESTOR. GRADING SAN SEW TRUNK 1976 195.00 1.00 1 65.00 A01Ej0 -10-$ *SEWER LATERAL t?- 3489.40 WATERMAIN *iNATER LATERAL 1985 WATER AREA 9$0 ZHO OO I8.67 iS *Services 1985 STORM SEW TRK 1985 711.15 142.23 5 68 . 2 *STORM SEW LAT 1985 CURB & GUTTER 51DEWALK STREET IIGHT $280.00 50026 3 11 85 WA40 c . 500.00 13UILOING PER. 9959 SAC PARK CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road p??T NO.: P. O. Box 21199 Eagan, MN 55121 DATE: Z?ing: f' 1 No. of Units: ? Owner, Address: 5 1 1 Site Address: .. Plumber. ?ii:C!T1110''-i 1 prN to eeoPly whb tIN Cilq of Eagas Ordimnoec By Date of Insp.: Connectian Cha?oe: i 2 ? - 0 /ltcotmt DepOdt. Permit Fee: c - , $urchGnpQ: - Miac. CF+orpes: Totol: Dc,te Pold: c.37 Y L F t+%tj^,y WATER SEitVIC:E PERMIT 3830 Pilot Knob Road NO ' P. O. Box 71199 P?MIT .: 55121 NMI Eagan DATE: ; , Zd.,ang;' No. of Units: ?',Ene Eldeen Const O wrwr; 1,dd1o54: S? ?,e?; 4 314 Richard Lane P ' ? 18IIOI 1 L9 B5 ?? umher . Meter No.: co??i«, c??: sno. oo ?a ?, . Size: Acoount Deposit: t _ . Reader No.. Permit Fae: 1 yrM to csmph? whb eIM Cky of Ea"m Surchnrge: 132 . 00 ?d ?nom M(st. Chorpes: - ' Total: f i n!l ?.t ma_reY' pote Paid: e of Insp.: Insp.: m OF EAGAN WATER SERVICE PERMIT 'ilot Koob Rwd ox 21799 PERMIT NO.: MN 55121 DATE: ?i No. of Units: ner O . w : ' ?i ? ? t: ?, ,. . • . fiddrosx ' ? 'F KBP?in ??rt::+aae T.9 a3 ?ianar 1 ?te /lddr's= mber - u . 9 a 55' : .3 AAeter No ? Cqnnection Chorpe: Y.M. ?[? p3 -- / . ?( e: 5?8.? f? ?? `?'Sil lboU?Itf bep05jY: 1 - • . . Reoder No.. / lJ 2- o? ?? /,f Pertnit Fee: 1 qm 1o aowiplp whh Hw Ci ?orge: . OldIMAaM. . Charpes; 13 3.•J ) ` : ZA g Paid: y e of I nsp.: ? I rup.: 7 ' CITY OF EAGAN N2 9959 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? ? PHONE: 454-8100 BUILDING PERMIT RKeiw # ? Te M mad ie. SF DWG/GAR Est. Volue 77,000 Dote N LAR(`H 1 1 , 19--&5_ SiteAddress 4814 RICHARD L.ANE Erect ? Occupency R-3 Lot 9 Block 5 Sec/Sub. T OWNVTF.W MANnR q1?el ? Zoning R-] F?epair ? Type of Consc V Parcal No. Enlarge ? No. Stories Move ? Length 48. a Neme rF NE ELnEFN CO N4T_ li h ? h r D Z Demo s ept 3 ? Address 73 366 VOSFM7TF ? . AVF. Sn - Grede ? Sq. Ft. City SAV AC.F Phone 8 94-6098 Install ? Ae.meM Faes rc f u ? Name SAMF. Address City - Phone Neme FEFIInNS ARCH Address City aDD_,7ar.rT.`nROne Asseument Water 3 Sew. Palice Fire Enp. Planner Council I hereby ackrrowladge thot 1 hove read fhis apvlicurion and sfore fhat Bldg. Off.Z/Fi /fS 5 the inlormotion is correct and ogree to comolv with oll opDlicobla APC 51ota of Minrrosota Srotute ond Ciry of?n/Ordirwnces. J;.-/? ..?, Permit _ 264 0 $urchorpa ?Q $ Q Pian Review 12- 0 5AC 525_OQ Water Conn. ?_Q-4 0 warer Meror ?+ ? n p Rood Unit 2Rn np g??iT_P. l'27 nn }LT4?C B?-??-?-^ 7 519nntumofPermittea --?-'- Var. Dete 'fOTAL: 2,085.50 A Building Permit is luued to: 6gN$ El ,D$$pl 69D1SM on ths express tonditbn thot all work sMtl be done in cc5qrdoncp wieh A appliwble State of Minnesoto Statutes ond City of Eapan Ordinonces. Buildirp Offtcial BUILDING PERMIT To be used for DECK CITY OF EAGAN Np . ? ?s42 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 n .-1-7 2/ _ Receipt # ??? n1lY Est. Value $1, 000 Site Address 4814 RICHARD LN Lot 9 Block 5 SeGSub. TWIN VIEW MANOR OFFiCE uSE ONIv P2fCBl NO. Occupancy - FEES Zoning _ w Name TERRANCE LAMBERT (Actual) Const _ Btdg. Permit 25.00 3 Address 4814 RICHARD LN (AllOwable) - 5 O ° Surohar e 9 . City EAGAN Phone 895-3113 d or stodes - ' Plan Raview Length 2-L F Name $AME DeOth -141 SAC Cit i ga Address S.F.Total , y - SAC,MCWCC ? Clly PhOnB S.F, Footprints - Wat r C n On Site Sewage n e o _ ? OW w Name onsaewen t - W M l W s? AddfeSS MWCCSystem a er e er ? AccL Deposit c Clty PhOn@ Ciry Waler _ P PRV Requiretl ermit - S/W I hereby acknowlege that I have read this application and state Ihat the Booster Pump - gryy Surcharge information is correct and agree to comply with all applica6le State of Minnesota Statutes and Cit ol Eagan Ordinar?ces? Treatment PI SignaWre of Permitee?a? Y APPROVALS Roatl Unit TERRANCE LAMBERT A Building Permit is issued to: Planner - park Ded. on ihe express condilion that all work shall be done in accordance with all Council -- 50 applica6le State of Minnesot a S taWtes and Cily of Eagan Ordinances. BIOg. ON. _ Copies . ? .p ? ?J(y BuildingOfficial?(II I'•Ol 1_Jjl,f, ? 'C? Variance _ TOTAL 26.00 ?A"5? REQUEST FOR ELECTRICAL INSPECTION EB'O00°7/'a?d ' See instruciions /6r completiag this fmm on beck oi yallaw woY. 1/ I 1 y l.? 023488 "1(" Below Wnrk Coveied by This Request ?r << ?°J Typa Of Buildin9 APOliamea Mired Epuipmenl NirM Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt Building Dryer Elecuic Heafin Cormnercial Bldg. Furnace Silo Uniuader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Orner cec:.Tv ther Isw:citvl t r SueciW ther Other omnuie Insoection Fee 8elow N Fee ServieeEntreneeSiie q Pee Faeders/5ubteeders k iee Ciauits Oto200Ams 0 to30q s ?to30Am Above 200 qmps 31 to 100 A?s 31 to 100 Amps Swinnning Pool Above 100-Mi ? Above 100_A Tra?formers Irtigation Booms Partial%Other Fee , I Sigis ? I ISpecial Inspec!fon 'S Berrarks TOTAI F ? .? ? . 42.50 ?? / Nouph-in Date ?j '? ?? ?he Bachical . ?./ Inspec[or. ?erebv r1ifY that the above Final Dit i?peclion has been P mede. ThprepuescvoW 18manlUSM1Un This reQUest wid ? O% ?0 .? l? al q 5 18 B73 h?frT8 L-9 65 1`oW r%j;p"? 14-A?l.r'f .cv Repvest Dato Fire No. PouBh-in Irepection lieqwred? ?11eadV N. [OWill NolitV. InsPec- Yes ?No lur Wh¢n ReadY ? Licensed Elecnical Con[raccor 1 herabv requesl inspection of abme ? 0,+.er electriol work installad at Sveet Address, Bon or Noute No. Gry 4814 ichard l ecl?on Township Name or No. Range No. Couut Uakota OcruDant (PRINT) Phom No. Gei,e Eldeen Powe. SupDlitt Aadress Dakota Electric Farmin ton Elec[ri?cal Con[rac[or (Company Name) ConUacmr's License No. Petierson Electric Co Mailind Atldress IContractor or Owner Makinp Iretailationl 13359 Foliage Ave Apile Valiey Mn 55124 Authorized Siemnre (CantractaJOwnrer MakinB Installation) PM1Om Nurnber 4s2-4022 MINNESOTA STATE BOARO OF ELECTAICITY THIS INSPECTION REQUEST tI1LL NOT Grigqs-Midwey Bldg. - Room N-191 BE ACGEP7ED BY 7HE STA7E BOARO 1821 University Ave., St. Paul. MN 55104 UNLESS PpOPER INSPECTION fEE IS Phone 16121297$111 ENCLOSED. 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-615-5675 Please complete for modifications to existing residential dwellings. 0?/ 5. -s-o Date ',;? 1 /Y' I f% / Site S4reet Address y,? /'?i? /'?c /Z ? f_,r'//U -? Unit # Propeity Owner Alle .?/ 2L Telephone # (?3 ?} 015! S -/ V Contractor /1 -2 Telephone # ( ) 6 :C?i;z51.1e0 Address .3 fl . City 6 State M/L) Zip The Applicant is: _ Owner ? Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heate r--complete next section if installing these appliances). _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener ? Water Heater $ 15.00 _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total ? S•?a I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. (1,?1-2?lU h?'ie ve,? 2 ApplioanYs rint d Na e ApplicanYs ' nature Cjq141 RESIDENTIAL BUII,DING ? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 SMA: New Construc6on Reauiremenk RemodeVFieoair ReauiremenLS Oifice Use OnN 3,regstered site surveys showing sq. @. of b4 sq. ft. of house; and all roofed areas 2 copies of plan Wrt of Survey Rerd (20% maximum lot coverage allowed) 1 set of Energy Calalations for heated addNons Tree Pres Plan Recd 2 copies of plan showing beam 8 windax sizes; poured found design, etc. 1 sile survey for addi6ons 8 dedcs Tree Pres Not Reqd 1 set of Eneigy Cakulations Adddion - inMicete if ar-sife seplk system _ On-site Sep6c System 3 copies of Trea Preservation Plan rf lot platted after 711193 Rim Joist Detail Optrons selecfion sheet (61dgs with 3 or less units l Construction Cost Date -6s / D tIJ 0 3 Site Address 4 14 e"(-/y421i Z*?),E Unit/Ste # /VaJ 5- /a 2_ Description of Work / q &, "i Multi-Family Bldg _ YYN Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # (&S ( ) 4SCo -D7Sg Contractor ?5 p? I ? ?/SLpti1s ?k'S d- ?,J1?S?05 ! Address //( S State 121 H ??4(vc-,j /RL(,1D _ Zip ?Q7 City 7[`F 7- T+-, I I Telephone # (6S/ ) 1-f53 -NUG COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 9670 Cateaorv 1 . _ Minnesota Rules 7672 Energy Code Category . Residential Vendlation Category 1 Worksheel • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Telephone #( Telephone #( Sewer/water Contractor I hereby apply for a Residential Building Permit and acknowledge that the i that the work will be in conformance with the ordinances and codes of the MAY p accurare; e of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is noY to start without a permit; that the work will be in accordance with the approvedylarf-iij the case of work which requires a review and approval of plans. ?- ??? ? Applicant's Printe Name OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex Work Types ? 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Replacement ? ? Valuation Census Code ? SAC Units Nbr. of Units Nbr. of Bldgs Type of Const -" 061W ? 13 16-plex ? 16 Fireplace ? 17 Garage 18 Deck ? 19 LawerLevel Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4-sea.) ? 23 Porch (screenlgazebo) ? 24 Storm Damage ? 25 Miscellaneous , I ? ? ? 30 Accessory Bldg ? 31 Ext. Alt - Muiti ? 33 Ext. Alt - SF ? 36 Multi Misc. Int impravement ? 38 Demolish (Iriterior) ? 44 Siding Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors •Demolition (Entire Bidg) - Give PCA handout to applicant Occupancy 11" 146 MC/ES System Zoning Gity Water Stories Booster Pump Sq. Ft. 77?4 pRV Length Fire Sprinklered W idth Foatings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Fina] _ Framing - _ F'ueplace _ R.I. Air Test _ Final Insulation REQUIRED INSPECTIONS FinaUC.O. FinallNo C.O. _ Plumhing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Smcco Stone _ Windows (newJreplacement) _ Retaining Wall Approved By? / -2- , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatment Plant License Search Copies Other Total 09,-k- -'-" ? RESIDENTIAL BUILQING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651•681-4675 New ConsWCGon ReauiremeMa . 3 registered sile surveys showing sq. ft. of lol, sq. ft W house; and all roofed areas (20% maximum lot coverage allowed) . 2 copies of plan showing heam & wiiMow sizes; poured found design, etc.) . 1 sel of Energy Calculatioos . 3 copies o( Tree Preservation Plan H lat platted after 7l1193 . Rim Joist Detail Optiore srJedion sheet (61dga wnh 3 w less umfs) DATE JOB 51TE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? /Va PROPERTY OWNER I'fc b: n? yYtar? 345?tr5ov? O TYPE OF WORK reur41f Rcrod-it f(,'? iMnc4 15c laiv^ FIREPLACE(S) _ 0_ t_ 2 APPUCANT `?i A R(1(1FM .6 RFM(1T1F.i,iN[:iNf: PHONE# 6Q- r6 23-$0L/6 ADDRESS 4100EXCELBIORBLVD. ZIPCODE PAGER # HONE # FAX # Nm RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RiTLES 7670 CATEGORY 1 (check one) - Residential VeMilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plumbing System Includes: _ Water Softener ! Lawn Sprinkler Fee: $90 Water Heater No. of R.I. Baths No. of Baths Mechanical Conhactor: Phone Mechanical System Tncludes: _ Air Conditioning n? _ Heat Recovery System I o? n uAn 'I O nnnn Sewer/Water CoMrocior. Phone All above information must be submitted priar to processing of application. I hereby acknowledge that I have read this application, state thai R-F ation' ct, a nd agree to comply with all applicable State of Minnesota Statutes and City of Eagan es. _ Signafure of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 RemodeUReoair ReauiremaMe • 2 capies of plan • 1 set of Eneigy Calculatlare fir heated additions • 7 site survey for exterior additians 8 decka . Iridicate iF home served by septic system tor addNOns VALUATION ??? SG 0.-- OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 76-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Ak - 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 O 24 Storm Damage 13 06 04plex ? 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 Alteretion ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applfcant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) FinaVNo C.O. Footings (addition) Foundation Dnin Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total FinaVC.O. _ Plumbing HVAC . i 1985 BUILDING PERTfIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: `??F- C)W(a-I&L&< Valuation: ?, Date: Site Address; / Z?.,v c OFFICE USE ONLY , Lot: ? Block ? Sect/Sub Erect Remodel Parcel ll Repair Enlarge Owner Move -7 Demalish Address Grade City/Zip Code ' 5 < e;, ---? Phone V5' /- ?` Contractor (,Z'CcGrr.? ?'o•?.t?'` Address /3_3?Z. %SP,,,,le City/Zip Code&,&??,= S S 3 ? k Phone k-? S2 Arch./Engr. c..,3s /-),L: l Address City/Zip Code /),0,0/? Phone fi 4-1 ? / - 6- ob? ; r ??? l?? 1?? IL?? G APPROVALS X Occupancy R'3 _ Zoning (Z-I Type of Const fi of Stories _ Length 48 Depth 53 Sq Ft Assessments Permit -1j(A 4.?? Water/Sewer Surcharge -58So Police Plan Review ? g2 °- Fire SAC SZS. °" Engr Water Conn Sc)o. ? Planner Water Meter Lo'3. m Council Road Unit 2.£30, m Bldg Off? J,,- Parks APC Treatment Pl 32.°= Variance 2 C?oP??7 I . = TOTAL J r2 ? ?'?? C? ?^J o??? 2Co x q °v = 1248 x5¢= (o l'2RZ j Zfa K 2 ¢ " (02 ¢ x ( I - (PYa(o¢ -7? S f. I A I I R I f C I I B I I E I I F I I G I! N I 11 21 EXTERIOR ENVELOPE AVERRGE "U° COMPUTATION 0 JI kIOWNER TERRY ANQ 6INA LRMFiERT SISITE ADDRESS------ 4815 ERIKS BLVD. EAGAN, MN. E,ICONTRRCTOR GENE ELDEEN DATE 8-21-84 PHONE 454-5927 -------- ----- ---- 71 81 DETERMIfVE WORKING 50UARE FOCITRGE 91 1011. Tr,tal exposed wall ar•ea 2490.38sq.ft. x.il 273.9418 1112. Total r-oof/ceiling area ls4^csq.ft. x.026 34.892 12;13. Trtal floor cant. area 20sq. ft. x.08 1.6 131 tover unheated enclosed areas> 1414. Total f1oor- cant. area 16sq. ft. x.02E .416 151 nver unheated exposed areas7 161 1715. Tntal expased wa11 area ab-Dve the floor-. ___________ 2252 1.81 131 a. Tr_ltal wall windi,w area .................... 284.5717 201 b. Total door ai^ea . . . . . . . . . . . . . . . . . . . . . . . . . . . 55. Ec78 211 c. Total sliding glass door ar-ea ............. 80.04 221 d. Total fir^eplace area ...................... ^c31 e. Trtal wall framing area (ave. 10%)........ 225.2 241 f„ Total net wsil area abnve the floor....... 160E.561 25I g. Total r•irn ,7oist ar^ea . . . . . . . . . . . . . . . . . . . . . . 1E2 261 271 TOTRL EXPOSED FOUIVDRTION ARER ................ 76.38 28 1 291 h. Total foi_iridatic-n window area .............. Q 301 i. Total net faundat ion area . . . . . . . . . . . . . . . . . 76.38 311 321 beter^rnine "LJ" value of each wall segriient 331 a. 284. 5717x "U" . 46= 130. 9030 341 b. JJ.E{?(]41?y278x "U" .0E= 3.337G{68(? JJ I C. 0e(Jy Y.??'FH 111lJ111 • JpJ- uS1.L.ISG 361 d. Ox "U" 0= 0 371 e. 225. 2x "u" . m697aa7= 15.71528 381 f. 1606. 561 x"LJ" . 0431965= ' 69. 3978E 391 9. 162x "U" . 0406669= 6.588044 401 h. 0x "U" .AE= 0 411 i. 76.39x "l.J" .0824402= 6.296785 421 4316 .......................................Tota1 263.4542 4411f itern #6 i5 the sarne as or less than iterii #1 you have met the current 451energy code. 2 MCRR 1,16008 A AND ?. 461 471 481 491 501 511 521 531 . 541 551 5E1 571 561 L02I 401 E11 621 TOTAL EXPO5ED ROOFICEILING ARER 1342 E31 641 j. Total skylight area ....................... ESI k. Total flat rorf/ceiling framing ar^ea ...... 134,^c 661 1. Total npt flat t-oof/ceiling ar•ea.......... 1207.8 E71 681 691 701 Determine "U" value for each roGflclg, segrnent 711 j. Sx W. 0= 0 721 k, 134.2x "U" .0269251= 3.613355 731 1. 1207. Bx "LJ" .0227946= 27.53134 741 751 7E1 771 7817 ...................................Tota1 31.14470 791 80IIf item #7 is tne sarne zs or ].ess than itern #2 you have rnet the Bliener•gy code 2 MCRR 1.16008 R AND 0. 821 831 TOTAL FLOOR CANT. RRER (enclosed) 20 841 851 o. Total floor cant. frantirig area (ave. 10'/.). 2 861 p. Total net insulated flaar/cant. area...... 18 871 881 Determine "U" value fur each floorlcant. segment 891 0. 2x "U" . 0J66J72= .1133144 901 p. 18x "U" .0277085= .4987531 911 9218 ...................................Tota1 .6120E76 931 941If item #8 is the sarne as nr less than iteni #3 you have rnet the 951 energy cc,de 2 MCRR 1.16008 G AND 0. 961 971 Tq7RL FLOOR/CpNT. RREA (expoaed) 16 981 991 q. Total floor-/cant. framing area (ave. 10Y•). 1.6 1001 r. Total net insulated flsor/cant. area...,.. 14.4 101! 1021 Deter•mine "U" value fur each flnoT-/cant. segment 1031 q. 1.Ex "U" .0584795= .0935673 1041 r. 14.4x "U" .0281373= .4051773 1051 10E19 ...................................Tata1 .4987445 1071 1081If item #9 is the sarne as or Zess than item #4 you have met the 109lener•gy cnde. 2 MCRR 1.16009 A AND 0. 1101 1111 11211 HEREEsY CERTIFY THRT I HAVE CALCULRTED THE "U" FACTORS RND "R" 113IVRLUES HEREIN AIVD THRT THE BUILDING HERE DESCRISED MEET5 OF EXCEEDS 1141THE STATE OF MN ENERGY CONSERVATION ACT. 1151 1161 ---------------------------- 1171 (signatume) llai 1191 1201 ------------------------- i2li (date) 1221 • 1231 i Dp ii BB ii bc 11 Bn i 11 "DETERMINE "U" VALU ES" 21THftU STUD WITH 5IDIN6 & S. R. 31 411nteriur Air ............... .E8 SlSheet Rc+ck ................. .45 61Thermo-5reak ............... 6 71Stud....................... 4.35 815heathing .................. 2.06 9lSiding ..................... .79 1OIExterior Air ............... .17 111Tota1 "R" Value...... ...... 14,33 1211/R = "U" Value ............ .0697637 131 141 151THRL1 INSULATION WITH SIDING & S.R. LE( 171Interinr Air . . . ........ . . .. .68 281Sheet Rock. ................. .45 131Thermo-br^eak ............... E, coI I nsu1 at i on . . . . . . . . . . . . . . . . . 13 Ei{5heathing .................. 2.06 2: ISicJing . .... ..... .. . ........ .79 231Exteriar Air ............... .17 241 251Total. "R" Vali_ie............ 23.15 2611/R = "U" Value ............ .41J431965 ^c71 281 291THRU CEILING MEMAER ? 301 311Inter^ior Air ............... .68 32I Sheet Rock . . . . . . . . . . . . . . . . . .58 331Ceili.rrg Mem6er ............. 4.35 341Insulation ................. 30.92 351Sti11 Air .................. .61 361 371Total "R" Value............ 37.14 3811/R = "U................... .026'3c51 391 4@! 41! 421THRIJ CEILIN6 INSULFITION 431 4411nterior Air ............... .E8 45ISheet Roek.......o.......... .58 irElInsulstiort ................. 42 471Sti].1 Air .................. .Ei 481 49fTotal "R" Va1ue,........... 43.87 5011/R = "V................... .02c7946 511 521 531 541 THRLJ CONCRETE BLOCN. 551 561 Iriter^ior Air .............. .68 57 I Coric. B 1 k.. . . . . . . . . . . . . . . . . . 1.28 581Insulatinn ................. 10 591Sheet Rk. (Opt.)........... 0 60IEXtet^ior Air ............... .17 oLl 62lTota1 "R" Value............ 12.13 E3I1/R = "U................... .082440c 64! E51 661THRU RIM TOIST 671 68Ilnterior^ Air ............... .E,B 691 Irisulat ion . .. . . . . . . . . . . . . .. 29 701Rirn Soist ................. 1.89 711Sheathing .................. 2.06 7^clSiding .................... .79 731Exterior Rir ............... .17 741 751Tata1 "R" Value............ 24.59 7611/R _ "U................... .040EE69 771 781 791 "U" value for• windnw....... .46 801"U" value fc,r doors........ .06 811"U" vali_ie for Patir Dr-s.... .39 821 831 841 THRU CRNT. @ MEME+ER (Encl osed) 851 BEIInterior Rir ............... .68 871Finish Flooririg..........., 1.23 881Underlayment ...... :........ 2.06 891P1.ywood.................... .93 90I.Toist...................... 11.5E 911Sheet Rr_?ck.... .............. .58 921Sti12 Air .................. .67. 931 941Total "R" Va1ue............ 17.E5 95I1IR = "U................... .0JEEJ72 961 971 981THRU CRNT. id INSULATION (Enclosed) 991 1001Interior Rir ............... .68 1011Finish Floor-irig............ 1.23 1021Under,laynient ............... 2.06 1031Plywood .................... .93 1041Insulation ................. 30 1051Sheet Rock. ................. .58 10EISti11 Rir .................. .61 1071 1081Tota1 "R" Value..........,. 36.09 10911/R = "U................... .0277085 1101 1111 112ITHRU CANT. @ MEMBER (Expased) 1131 1141Inter-ior Air ............... .68 1151Finish Flonring............ 1.23 1161Underlayment ............... 0 1171P1ywood .................... .93 1181Jr_iist ...................... 11.5E 11915heathing .................. 2.0E 120I8offit ..................... .47 1211Exter•i.or Rir ............... .17 1221Tota1 "R" Va1ue............ 17.1 12311/R = "U.......... ......... .0584795 1241 1c:JI • 12EITHRU CRNT. Ca IN5ULATIDN (Ex ter•ior) 1 G ! 1 1Z81Interior Rir ............... .68 1291Finish Flooring............ 1.23 1304Underlayment ............... 0 13llPlywnod .................... .93 132 I I nsu1 at i on . . . . . . . . . . . . . . . . . 30 133ISheathing .................. 2.0E 1341Soffit..................... .47 1351Exteri??r Air ................ .17 1361 1371Tota1 "R" Value............ 35.54 13811/R = "U................... .@^c81373 1391 1401 1990 BUILDING PERMIT APPLICATION ? t 1i=eTY O? z SINGLE FAMILY DWELLINGS MULTIYLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SiIRVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALClILATION5 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQiTESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUE?. NOTE: ADDRESSES FOR CORNER LOTS - 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: ?L c- K Valuation: Site Address L/U Lot -17 Block ? Parcel/Sub -TWf/q vji.1ti; MANpk,,_ f?;r Owner ? ?????GG-? L-??vtlgEq't-( Address GRU City/Zip Code ???Sfl o'? SS !L Z Phone ff? - YS Contractor Address Si7?zG City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # I D00 Date: OFFICE USE ONLY FEES Occupancy Zoning Actual Const Bldg. Permit :)b' C a Allowable Surcharge i5"0 # of stories Plan Review Length '?2`'1 SAC, City Depth SAC, ML]CC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ S/W Permit On site well _ S/W Surcharge MWCC System _ Treatment P1. City water _ Road Unit PRV Park Ded. Booster Pump Copies .? D _ SUBTOTAL APPROVALS Penalty Planner TOTAL ' 1, . c o Council Bldg. Off. Variance i t.i- ? ,,,__ •C ` :v?? 2/84 'T CITY OF EAGAN i; Il aPPLICATION FOR PERP4IT -' SEIVcR AND/OR WATER CONNECTIODI . (PLEASE PRIHT) ?/ 1) P!?OP= ADDRESS: ?Vlellll zal?J r.=rm,i, DES(^,c'vT°TIC:I: Z 90 7vlqe' /P?./ ?is+HOv (Lc)t/31cck/Subdivision or Ta{ Parcel I.D. Numberl 1: `.'.I:T-_.C =RLL. .:t., DAT Clz- OR=-LIAL :A/l=-:Ci _-_'1m TCS'?,:i.CZ_ . ' I PP:-=- ,,..T-l•,r?.-"CFCS.^_?`.i ??': 0i'R-1 SINGLE rp'uTZ,y .. --'=-' -- • ? R-2 r:JPLE{ ('?WO LNITS) ? R-3 'IC•i,?'=iSE (THTcF"' + L?7ITS) ( UNI_'S) ? R_a APagm=m/C?,..?-a'.1rT:iu:1 ( II:il:?i ? CQ`,nET).CL=wi'Rr."Tr1IZ?OEFIC:: Q 7".'DCSi.2Z.:?L Q NSTI'IL'PIONPL/Ca7aRL\=^' 2) ii°LIG`"P (PL `Sc PRL4i) ADDRESS: CZ':'Y, STA'!E. ZI?: ? PxeNE: (?-C)E? 3) PL:.:M-E'. `a,?E P N 1) NP??+.E: f?/'ff?f1? ' P ?PV ? - FOR CITY USE OYLY ADDRESS: PLUHQEAS LICE45E: r7-1 Aeti CIT:, STATE, ZIP: , ve = Expired - / ?2 ? t7 PHODIE: Zj7 7' ?J ?? PLpNBER LICENSE N = N Recar arr ?nlna 4? OCCUP2%,,?1Cr,.T,-E-1 NA (YLtASEPH1Ni) C?: ADDRESS: CITY, STATE, ZIP: PHC}:IG: 5) INDICATE WI-IICIi PEPtiLLT ZS BEP:G RDQUEST::D: ? CC:u"`]ECi'ION 'It7 CZTY SE7e7E2 ? CC:IDIDCtICV 'Ib CIT!,' LJATER ? Ci'Im (PLEASE DF,SCitIBE) b) (i:.:.. ? PT,.: aSE F:OID APP2Z7ID PMLIT FOR PICi:-UP BY ONE OF i1B(7VE ? D7EaSE tiTAIL r1PPR= PEP:tIT TO 1, 2,0 4 r'1E07E (Circle one) 7) siGa=RE: oazE: p ??- MM D! il:ia+lia? i ! ?t:f-zs M as MMW?Wi:a? M o F F 0 R C I T Y U S E 0 N L Y ? PERMIT °- ISSUED FEES: $ $ $ $ $ $ $ S $ $ $ S $ 7/. ? D 5r:1:G`: nL'AtiTi ('?; ?--?? Dr`r7- ?--•? WATER PERf1IT (ILNCLCtDE SURC:?ARGE) WATER METER/COPPERHORN/OUTS= REauER W?.T: R ':aP ( INCiUD : COR?CRATIO:i STC? ) 5°:iE?? ...rm ACC^vUNT GE?OSIT - SE::ER ACCOUNT DEPOSIT - WA:°_4 wac sac T?2UVF SJAT°_°. ASj-ESS:'-?: \T TRliVR SE?4ER ASSESSt•SENT LATEP.E,L BENEFIT/TRU?'K SE[•iER LATEF2P,L BEidEFIT/TRU:Ii: SdAT°R OTHER TOTAL A:"OUNT PAID/RECEIPT $ - -Z? DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THELI A"'PERMIT FOR WORK SJITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO E[VGINEERIDIG DIVISION. LIST AS A CO[VDI- TION. SUBJECT TO TfIE FOLiO:QIDIG CONDITIONS: APPROVED BY: TITLE: DATE: ?M OtN w MMa f,w wM wa §%? w Rw l? WFQ ma wt Wm a"+ w_? rcMM ne w on mm , L.YT4 C7 EAC:-SON 9 " rTr.qr,rNlw VC.;, 34.0 0?12f3/:37 T14i_a o iZ: w A'.L.TiCTI '_'iJf .:O 9C7+. :8.^.4 ft,,..r,AqD LN 50.01 _'M 9111 404 'f>.'.^„^'ARLi A _ :':f1 .A,..T FY .--e; r x ia:; ri: oi. . 59.51 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 029562 02J28/97 SITE ADDRESS: 4814 RTCMARD LANE LOT: 9 BLOCK: 5 TWIN VIEW MANOR 1ST P.I.N.: 10-78200-090-05 DESCRIPTtON: Building`?k?,ermit Type Building W?r-k Type Censws Crrde ;r FIREPLACE NEW 434 ALT. RESIDENTIAL r?` ? ] l ! , ??j;. rc j . ` . , . .. .;,.. _?... REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge .50 Total Fee $50.50 CONTRACTOR: _ Applicant - sr. Lzc OWNER: HEAT-N-6L0 FIREPLflCES 18900758 0002960 JASPERSON KEVIN 3850 W WWY 13 4814 RICHARD LANE BURNSVILLE MN 55337 EAGAN MN 55122 (612) 890-0758 (612)456-0758 I hereby acknowledge that I have read this application and state that the inParmation ia correct and agree Go.compJ,y wfith all applicable State o'F Mn.. ? StaCUtes and City of Eagan Ord3nances. - . APPLICANT/PERMITEE SIGNATURE ISSUED Y: SIG E ???? ? CITY OF EAGAN PSO• SC) 3830 PILOT KNOB RD - 55122 1997 FIREPLACE PERMi'P APPLICATION 681-4675 DATE: -/7 PERMIT FEE: $50.50 DESCRIPTION OF WORK: _ CONSTRUCT NM FIREPLACE _ ALTERATIONS TO EXISTiNG ZO INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTfER: STREETADDRESS: "ru / -r" ? LOT / BLOCK 5' e..c+Afz,n L A &ve- SUBD./P.I.D. #: ul?•w APPLICANT: (circle one only) OWNER Name: ,)4S C'?62 36-AJ Phone #: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY OWNER FII2EPLACE INSTALLER GAS LINE INSTALLER Signature: Street Address: -4-614- ciry: )?-A 4 A Q state: ?LL ,? ?Tawz n? Company: ? 1ra? ? Signature: Street CONTRACTOR -u-1 -14/ 0- ?3 Cit,l') YZN S?/ t LL? State: Company: Name: Signature: Street Add City: 4Slo 'd7.5-8 ziP: ?.?' tlZ 2 gy o -o 758 Phone G 3 3 26-6 / License #: 10 6 8 ziP: c 53-3 ? n,.--- 4,. State: Gip: OFFICE USE ONLY BUILDING PERMIT TYPE 0 14 Fireplace WORK TYPE ? 31 New a 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKC Chimney/flue must be inspected before concealing. -1 C)k'I I 2005 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single fsmily dwellings & Wwnhomes/condos wlien permits ere required for eachunit ?.? Date Sit Add e ress Unit # Property Owoer ?V i 1 I-JLls n Telephone #{055h' 245' K?V-7 Contractor Str et Addres a2 l U l lJ Ci ? 1? i 1 U e s ? . ? ty / J ,Y . State pv I I U ZiQ Telephone # PP )1 /? f OM Bood #: Ei ires: 1??! o- p The Applicant is _ Owner ? ConVactor _ Other. Add-oo or alteration to exisfing dwelling unlt $ 30.00 ? . fumace _Additional %?Replacement air exchanger air conditianer Z New "VReplacement other State Surcharge $ .50 TotaL l I hereby apply for a Residential Mechanical Pertnit 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 with the Mechanical Codes; that I undeistend this is not a permit,: but only an application for a pertnit, and work is not to start without a pennit; thaf the work will be in accordance wittl the appro lan in the case of work which reqvires a review and approval of plans. ved ,. r il lc" Applicant's Printed ame Ap , icant's Signatur ? !` ?? AUG.0 9 2005 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 TelepLone # 651-675-5675 Please c,oinpleh for. commerciaUindustrial buildings . multi-family buildings when separafi permits ere nQt required for each dwelling unit Date Site Stieet Address Unit # Teoant Name (ifapplieabie) Previous Tenant Name Property Owner Telep6one # ( ) Cootrector Street Address City State Zip Telephoae # ( ) Bond #• Ezpires: The Applicant is ` Owner _ ConVacWr _ Other Work'i'ype New Construction _ Underground Tank _ Install _Remove '"see below Interlor improvement _ Install Piping _ Processed _Gas Nature of Work: "YtMen Insta!ling/removing undergiround tank, call for lnspecBon by Ffre Marshal and Plumbing lnspector Permit Fees: S7050 vnaergroune taok insmnsaonhemovel : $30.50 Gnam (includes Sure Suroharge) or Contract Value $ x 1% _ $ Permit Fee • If pe it fee is $1,000 or less, add $.50 ? $ State Surchazge If nermit fee is ovet SI,000, add $.50 for every S1,000 DCIRII( fee $ Total Fee I hereby apply for a Cammercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; thaz I understand this is not a permit, 6ut only an application for a permit, and work is not ta start without a permit; thatthe worlc will be in accordance witti the approved plan in the case of work which requires a review and approva] of plans. ApplicanYs Printed Neme ApplicanYs Signature Approved By: , Inspector ., . ,. w . ' ..-..b:.:l. y x4 ? tl N ? t ?N ? O ='r ? , .-, W u v o : a G ,vie ' N oa 1N i _ O ?, ti• N a•9'44 ? 4S..o I t7 FLcz, , N -- ?= ----- , . : ?. •? ¢M.E , `\ • \ i,.,r ; ..S,bV ? h?-f$ '?. 4.v? ? °. i ? DRiYE %10. Od lo (I T H _ 46 iZl GFIA.RO Tov rod+? ?.. ?. 1.1 ?. E4?-Q-? PT to?.t L. O "r 9 ) ?L.OGIL 'r7 J Tw1?J V1EW M4t.tpizO PAItoTA CouNT'Y. M1Nt?EyoTA I hereby certify that this survey was pre?ared by. me or I under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesata. LeRoy I? Bohlen Registered Land Surve,yor No. 10795 ?? ? J ? . , i t?77 ? ..l ,ozto.9 . e?? ? . w r? ?Q 0-00 1 . _ Nd?t.TH yc?LE ?'.30. ALG ?kAR1N4f ??E? o pENot'Ey 1PtaJ NbNUMf•?AT Ex?ST i b.,9 F?e1 ?Olb? ??? ? i ? -- A N A, ?N ? O n P ? ? H oa KN -11a.oo 0 ' ?. W V ? ??"? \ ? • : u ?N - °o f N a ~~ ! / r ? 48.0 - r QQ..oPa ?7?-V, ? ? 1?oV<ie ? ? _' a? U N ? 'rr \ l5? ? ,+ Q +e ? I ` FLQ , ? N ti t°i7. s 2k,5 ? .`5'5 102m?1 ? h?-?$ ':. • _ ? 5,34 ? 4.IA' ` VE ??A ???/ CyuST l02(0.9 F? ?I lOZ b, g . tp% tJbst.TH y4?.L? ,??.30• A%.t. um%rwy 4bsu?Wao o DENvTf* 1RwJ IUbNUtumT ?x?a lot9?lo ??O.Od ex?bT i 9 Mo a T N F„? ,o?b, V ToPWW GOUC.. cu?t?} TvPC?0.B ? (00??2'I ?od7 ? la3 L. oT 9, b4.aaie. TWIu VtSW MAt4vit., DA1?LoTa6 couw'T'Yi MiN NESaTA I hereby certify that this survey was pre?ared by_ me or under my direct supervision and that 2 am a duly Registered Land Surveyor under the laws of the State of Minnesota. LeRoy W. Bohlen Registered Land Surveyor No. 10795 PERMIT City of Eagan Permit Type:Building Permit Number:EA166143 Date Issued:12/15/2020 Permit Category:ePermit Site Address: 4814 Richard Lane Lot:9 Block: 5 Addition: Twin View Manor PID:10-78200-05-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 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 - Kevin D Jasperson 4814 Richard Lane Saint Paul MN 55122--278 (651) 245-1964 Home Improvement Partners Inc 808 Welcome Ct Burnsville MN 55337 (612) 423-1653 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169506 Date Issued:05/28/2021 Permit Category:ePermit Site Address: 4814 Richard Lane Lot:9 Block: 5 Addition: Twin View Manor PID:10-78200-05-090 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Kevin D Jasperson 4814 Richard Lane Saint Paul MN 55122--278 (612) 254-8060 T 10 Construction Services Llc 16754 US 10 Bldg 2 Elk River MN 55330 (612) 254-8060 Applicant/Permitee: Signature Issued By: Signature