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4872 Richard LanePERMIT City of Eagan Permit Type:Building Permit Number:EA128766 Date Issued:12/03/2014 Permit Category:ePermit Site Address: 4872 Richard Lane Lot:9 Block: 1 Addition: Hillcrest PID:10-32975-01-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael J Flynn 4872 Richard Lane Eagan MN 55122 (651) 343-2554 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature REACTIVATED FOR DECF, CITY OF EAGAN 5?8 ? 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHON E : 454-8100 BUILDING PERMIT 'CvAR Site Address Lot Block Sec/Sub. Parcel No. W Na ; At a Phone - S; smE Receipt # n...., i o Erect U Occupancy Remodel ? Zoning Repair ? Type of Const. Addition ? No. Stories Move ? Length Demolish ? Depth Int Impr. ? Sq, Ft. Install ? Approvals Faas ?u Addres: Assessment Permit Cify ' Phone Water 8 Sew. Surcharge Police Plan Review ? W . Neme' Fire SAC ?? Address Enfl Water Conn . . tW City Phone Planner Water Meter Countil Road Unit I hereby atknowledfla that I haw rood this upplicafion and stote that Bldg. Off. Tr. PI. fha informotion is torrett ond ogree to comply with all opplicoble APC Perks State of Minnesotc Stotutes an d City of Eogan Ordinonces. Var. Date C??? Slpnotum of Permittee r Total ? A Buildinq Pertnit Is Issued to: ? 1 on tM exprem condition thoo ? olt work sholl be dons in occordonte with oll opplicoble Stote of Minnesoro Stotutes ond City o4 Eopon Ordinonces Buildirq Otficiol L Mrmk No. PwmR Holdw Drte Tslephons ?k ?umaing H.VA.C. j f\A Eloatric Softowr Inweetion Dats Insp. Other Footinps 1 la-w Footlnys 11 FoundaUon Framinq Roofinq Rough Plbp. G'. - Rouqh Htg. 6.5t w Insul. ryc Flroplaes 'C? TR i Flnal Htg. v Final Wbg. ? Final Q . Cert/Occ. W??? O?ibs Location: Well S?ws? pr. Disp. Roa9pt MECHANICAL PERMIT Psnnit No. CITY OF EAGAN FM Fill in numbered sasca S/C Type or Prini /egf6ly Tot. ? . 1. Date 2. Inatsllation Co:t 3. Job Address Lot ? Bik. I Tract ?IL444Y 4. Ownsr ? ?.?,. - ,?. •:.' 5. Conuacto? Phone . 8. Address - 7. City State ' Zip 8. Building Type: Residential O Commercial ? institutional O 9. Work Deaaiption: New O Add ? Alter 0 Repair ? 10. Desaibe Fuel Type - 11. No. EqLjpm€pi BTU - M. Ea. Forced Air No. Equiament CFM Air Handlin : Mfg. g 8oiters Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Reoeipt I'D I t w? PLUMBING PERMIT CITY OF EAGAN FiIJ rn numbered spaces Type or Print legibly Permit No. - i Fes S,C _ Tot 1. Date 2. Installation Cost ' 3. Job Address Lot Blk. ? Tract' ; -, r 4. Owner i i??l7%?= ?? , -•?J ?.' . 5. Contractor,?v+T7'`?,` Phone L3 'd2SC: 6. Address ? ?/c5?? L Rlll a 7. City State ;A, ," f Zip 8. Building Type: Residential ? 9. Work Description: New 4 10. Describe 11. Commercial ? Institutional ? Add O Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Orains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough f inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 CITY OF EAGAN Remarks ??? ? !? Z?`? ?' Addition IULLCREST ADDITION Lot 9 BIk 1 Parcel 10-32975-090-01 owner screet 4872 RIC1iARD I.ANE stace ?M MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1985 2490-15 4,90-0 1 5 /9(yD•/2 ?j O1lv 3 /0 7 y STREET RESTOR. ` - - GFADING SAN SEW TRUNK 1976 183.08 • O O?10.3 ? /a /7 ?S -ASEWER LATERAL RA4 1985 3 . O ?D Itlo 3,P /O /7 ? WATERMAIN ATER LATERAL 1985 WATER AREA 66-9 1982 294.33 19.62 a??• ?S? A?/1p3?/ /O 7 STORM SEW TRK - 198+4 804.56 160.91 S 7 1/ A 06 3,P/ ?o /7 ,F,) TORM SEW LAT 19$5 * xvices 1985 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. n n BUILDING PER. SA C 25.00 PARK ? CITY OF EAGAN SKM SERVIICE PLVW 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zonin0: R i No. of Units: ' Owrer. ,Ar Ccmimt _ Address: Slte Address: Piumber: 1 Nr+e to oeaMA wMb fw Cw of iMPw Ordinanqs. By Dote of Irnp.: Canrnctlan C?wrqe: Aaounr oepatr. Z"C. .;, Pennk Fw: _ 1 `•, SurcFwryo: Mise. Charpes: Totol: Doft Pald: CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot r"(nob Road P. O. Box 21199 ' PERMIT NO.: on Ea MN 55121 DATE: - , g Zonirq: _ No. of Uran: ? Owr»r: Address: Sift Mdrcsr. PIYfrher: - Mltff NO.: COf111lCtIql Ch0fflQ: • .• , Size: ACaotmf DeposiY: . Reoder No.. Permit Fee: - ? - I N/N IO OOMIy wllb IM City of l?/s SYICFIOI'Q0: Ordiwooar. Mlac. Choro.s: . 3' . !•`hfl Total: gy Dors Pocd: Dote of Irrsp.: Irnp.: )F E4uAN WATER SERVICE PERMIT ilat Knob Rqad ox 21199 DERMIT NO.: MN 55121 OATE: Zoninp: Ownsr: Mebr No.: - 3s`?j y? ?5&CL iK L J CArkr6('6ovrga; 5 00. O;)p d Size: Sl1S' +I /Qi'--/ /ltoount Deposlt: 15. nOpd Reoder No.: tJ ln f7'1 4/ 020 -,I A, / Permit Fee: 10. OOpd 1 qw. !o wilU Ni. Cily .i E.o.. Surct+arps: . 50p:? O?+liNnor. Mist. CMrpes: 3.32• J?:: Tn TotaL r. J...ti ? l:ic ?P By Daft Pold: Oate of Insp. : Imp.: RESIDENTIAL BUILDING PERMITAPPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 r ? 651-681 •4675 'A NewConstructionReouirements RemodellReoairReauirements Ca?ird Z-zf-0 1 • 3 registered site surveys showing sq. N. of lot, sq. tt, oi house; and all roofed areas • 2 copies of plan ?^„ (20% mauimum lot coverage ailowed) . 1 set of Energy Calculations for heated addifions i! Y Y 7 • 2 copies of plan showing beam & window s¢es; poured found design, etc.) . 1 sile survey for exterioraddilions & decks • 1 set of Energy Calculations . Indicate if home served by septic system for addilions • 3 copies ol Tree Preservation Plan if lot platted after 7/1193 . Rim Joist Detail Options selection sheet (bldgs with 3 or less unils) 7 d0 DATE VALUATION (EXCLUDING LAND) 3 v DC), JOB SITE ADDRESS 9'97,2 /oL<<?"la/ L c, m, IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER 114i4-P O?Qe6 f--/c,.,re .S2. FIREPLACE(S) _0 _1 _2 _3 TYPE OF WORK CIUSe ?' P,VPti M p(. ?-jdrr5 APPLICANT PHONE #C,?'(J ?1 J- ety6 7 T-• ADDRESS ZIPCODE PAGER # CELL PHONE # FAX #(6?t(° '3t1 0/7 NEW RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY Energy Code Category _ MINNESOTA RLJI.ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULE, S 7672 New Energy Code Worksheet Submitted Plumbing Contractor: Plumbing System Includcs: Mechanical Contractor: Mechanical Systcin Includes: Sewer/Water Contractor: Water Softener _ Water Heater No. of Baths Air Condiuonirig Heat Recovcry Syslem All above information must be submitted prior to processing of application. Phone # Phone # ree: $90.00 Pec: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, an agree to conVl)?df all applicable State of Minnesota Statutes and City of Eagan Ordinances. By- _-'-'- Signature of Applicant Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Phone #: Lawn Sprinklcr No. of R.I. Baetis Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex ? 18 Deck ? 11 10-plex ? 19 Lawer Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage All 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt- Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ?32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair qv 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors C ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation . ? O Occupancy A'-2 MC/ES System Census Code Zoning ?? City Water SAC Units C9 / Stories Booster Pump Nbr. of Units T Sq. Ft. PRV Nbr. of Bldgs l Length Fire Sprinklered Type of Const ? _ Footings (new bldg) Footings (deck) ?J Footings (addition) _ Foundation _ Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation ? W idth REQUIRED INSPECTIONS FinallC.O. ?j FinalNo C.O. ! Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco 5tone _ Windows (newheplacemen[) Approved ByLZ_, Building Inspector 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 Total k 'CITY OF EAGAN N° 1 U 9 6 4 3830 Pilot 1(no6 Road, P.O. Box 27-199, Eagan, MN 55121 PHONE: 454-8100 4n ,? BUILDING PERMIT Receipt # T. ti......e 6. SF DWG/GAR c, v..i. $70,000 rl,,,, SEPTEMBER 13 ?a 85 SiteAddress 4872 RICHARD LN Lot 9- Block 1 Sec/Sub. HILLCREST Parcel No. W nleme WM HUTTNER CONST ? Address 960 WATF.RFORD DR W City F.AGAN Phone 452-3088 o Name SAME ?U Addresa 6- City Phone ?iZ Neme I,? I Addrets u ?w City Phone I hereby acknowladge fhat I have read fhis opplication ond state thof the inlormotion is torrect ond a9pe to wmply ith all 0pp1icable Sfafe of Minnesoto $tatutes of Em ? rdi es. Siprwtum of Permittee ?r? ??n i- A Bullding Permif Is iuued to: WM TTNER CONST all work shall be done in accordance with oll oppl,icabla State of A1h Eiect LQ{ Occupancy n-' Remodel ? Zoning RZ Repalr ? Type of Const. v Addition ? No.Stories Move ? Lengeh 44 Demolish ? Depth 46 Int Impr. ? Sq. Ft. Install ? Approrals Faes Assessment Permit • 00 Waler 8$ew. Surcharge 35. 0 0 PoliCe Plan Reviaw 171. 50 Fire SAC 525.00 Enp. WeterConn 500-00 Plonner Water Meter 63._00 Council Roed Unit 280.00 BIdg.Off. 9I12/85 TcPI. 132.00 APC Parks Var. Date Copies Tbei $2.049.50 on tha axprcss cwdition thot iesot Sratutac-ond Ciry of Eapan Ordlrorncea. Bulldinp Officiol This repuest void darmatfis 2?an I. y????•?o _? -- I? ?? ••?. I equired?• ..... IQReadY NowAWill NolilV. InsPec-I ?T(es ?No Ior When Ready icensetl Electrical ConiraCtor 1 hareby repuest inspection of ebove Owner electrifal work irtstnlled au Stree Atldress, Bon or Route No. ' Ciry AWIMO? ? S17 z kt L.F-- e ecUOn o. Township Name oe No. Nange No. Couvity q-xultr OccuoantlPRINTI PhoAe No. 4 ti x Pow?{ up/p/lia`r y y !4'/lOf? Lf Address . 1• C .C.l?f(. y EI [.ical Contractor (Comp ny Namel 'f' Contrecmr's License No. .tf?- (E 1.Lz?. o y iling Address (Con[ractor or Owner Mak'np InsWilaUOn) u r i v- rf tft ' aA• Avth "zed iBnamre 1 ontractod0 er Makine Ins lationl Ph ne r ?6 3L5 MINNESOTA STATE BOAXD OF ELECTRICITY THIS INSPECTION REUUEST WILL NOT Griggs-Mitlway Bldq. - Xoom N•191 ? ACGEPiED BY THE STATE BOAND 1821 University Ave., St. Peul. MN 55104 UNLESS PAOPE8INSPECTION FEE IS Pho.. 1612) 297-2711 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTIOM ' ' Sae irrstn.ctions for completiig this fmm on beek o1 vellow copy. 'm 19240 ""X" Below Work Covered by This Request ??-l, 45-, Add Rep. " iy0e oi Builtling AoPliamea 17irN Eauipment Wirad Home flange Temporary Service Duplex Water Heater Lfghtiny Fiztures Apt. BuilAing Dryer Electric Heatin Commercial 81dg. Furnace $iIo Unloader Industrial Bldg. Air Conditioner Bulk Milk T&nk Farm ther pemW Other (SUecify) t xr SuecRry Other Other Compute lnspectron Fee Below p Fee ServicaEnhanceSize k Fee Featlers/5ubleeders 4 Fee Circoits 0 to () Ams 0 to30Ams () to30Am Above 200 qmps 37 to 100 Amps 37 to 100 ArrW Swimming Pool ips Above 100-M Above 100_A? Transiormers Irrigation Boo?re s Partial'Offier Fee Signs Special Inspection $ / Rerterks ? 00 TOTAL FEE flough-in . Onte ? ? ? M , e Elec ical Irispecbt hereby . ? 1 . carlitV tha[ the above Final ? Da?,?i/(J ins0?tion has been , 1 ?'" ? made. mq fepuoel mitl 18 monthe irom ?"(Dqq0 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 Please complete for: single fauiily dwellings & townhomes/condos when permits az'e required far each unit ???? Date 'g / 2JA / W? Site Addrees LLp 1-L iv-? Grdrzt l1]Y1Q.. Unit # PropertyOwner M??Q c?'lJFaO IFIy nR Telephone#0sl )45"2--0"1 VZ- Contractor ANY "Q,(1)iC.I.Co , =Thc?- Street Address ?"?Qf ' 3 ,(? ??Q1A• ?y??' CiTy U ?`14.1, U\.. State uw w rn'i\, Zip ? Telephone # ( (p?` ) ZZ???ID?I Bond #:_ D(", jp L,p Expires: The Applicant is _ Owner ? Convactor _ Other Add-on or alteration to eaisting dwelling unit $ 30.00 4- fumace _Additional V_Replacement air exchanger airconditioner _New _ Replacemerrt other State Surcharge $ 50 T l $ ? ? ota I hereby apply for a Residential Mechanical Pemut and acknowledge that the informadon is complete and accura[e; tliat ihe work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an applicaUOn for a pemilt, and work is not to start without a pamit; tkha[ the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. T.- < 1.1 . N A ---`- n_ n. ApplicanYs Printed Name ApplicanYs Signature 2005 CONIlVIERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaUindustrial buildings multi•family buildings when separate pennits are not required for each dwelling wut Date Site Street Address Unit # Tenant Name (ifapplicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Appticant is _ Owner _ Contractor _ Other Work Type NewConstruction _ UndergroundTank _Install _Remove'^`seebelow _ Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: ""When installing/removfng underground tank, cafl for inspection by Fire Marshal and Plumbing Inspector g¢l'1101[ FCeS: 870.50 Undergound tank instailation/removal $50.50 Minimum (includes State Surchazge) or Contract Value $ x 1% _ $ Pernut Fee • If vemvt fee is 51,000 ar less, add $.50 => $ State SurcLarge If pernut fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Couunercial Mechanical Pernut and acknowledge that the informaGOn is complete and accurate; that the work will be in wnformance with [he ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permi[, but only an applicarion for a permit, and work is not to start without a permi[; that ihe work will be in accordance with the approved plan in the case of wock which:equues a review and approval of plans. Applicant's Printed Name Applicant's Signatwe Approved By: Inspector RESIDENTIAL BUILDING PERMIT APPLICATION cinr oF eaGnN ?J 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 ?J New Construetbn RauulnmeMs • 3 registeretl sne surveys shaving sq. fl. af Wt, sq. ft. of house; anA II roofetl areas (20% maucimum rot coverage allowed) • 2 coples of plan showing beam & window sizes; poure0 fowW design, etc.) • 1 set W Energy Calculatbns • 3 coples of Tree Preservatlon Plan N bt plattetl aNer 7/1199 • Rim Jolsl Deteil Optrons saleclbn sheel (bMgs wilh 3 or less units) ( _:)i- ts HemotleVNeosir Neauirements • 2 copies of plan • 7SBtOfEflBfgyC81CU121i0nS1ofh6818tleddBi0115 • tsttesurveyforexleraradd'Abns&decks • Indkete il hane served by septic system for addAans DATE G_ 15(09 VALUATION ? S?7 R 3 SITE ADDRESS L(8_?J- RIGkQ rGQ L.CIVI {., MULTI-FAMiLY BLDG _ Y _ M NPE OF WORK _+CQf'bq hf--l'DO1P FIREPLACE(S) _ 0- 1_ 2 ;sdar Valley Ex*for% lnc. 3920 zina streec APPLICANT Coen ?.m STREET ADDRESS TELEPHONE # -75S 6?90-1 CELL PHONE # PROPERTY ,l -beb ri u h TELEPHONE?(l?s?? y 5a-o?a? ----------------------------------------- °---------------------------------------- COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RIILES 7672 (4 submission type) • Residential VenGlation Category 1 Wor9csheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Su6mitted Plumbing Conhactor: Plumbing system includes: Mechanical Conhactor. Mechanical system includes: Sewer/Water Conhactor: ` Air Conditioning _ Heat Recovery System I hereby acknowledge ihat I have read this application, state with all applicable State of Mlnnesota Statutes and City of Eal Signafure of OFFICE USE ONLY _ Water Softener ? Water Heater _ No. of Baths Phone # _ Lawn Sprinkler _ No. of R.I. Baths CIN STATE_ZIP Fax: 53ao Phone # Fee: $90.00 Fee: $70.00 ?p ? ? L'I ? and Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _, Updated 4102 OFFICE USE ONLY O 01 Foundatlon ? 07 OSplex ? 13 16-plax ? 20 Pool ? 30 Accessary Bldg O 02 SF Dwelling ? OS 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mutti O 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 ? OB 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Sidfng ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Oemolition (Entire 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) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucw Stone _ Fireplace _ R.I. _ Ait Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storege S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Searoh Copies Other Total ? 1985 BUILDING PERMI? APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COl41ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For; ; atu/??CValuation: -7-04000 Date: Site Address ?j72 tvaa.t-dr/lit L Lot ? Block / Parcel/Sub 1411(-Ird?f Owner Address City/Zip Code Phone Contractor LM- 4,711 Address 9??o City/Zip Code 2pk Phone `?SZ?3Dqp Arch,/Engr. Address City/Zip Code Phone fl Erect ? Remodel ? Repair ? Addition Move ? Demolish ? Int,Impr, ? Install ? APPROVALS Occupancy Zoning Type of Const $ of Stories Length Depth Sq Ft FEES Assessments Permit ? Water/Sewer Surcharge Police ? P1an Review Fire SAC Engr Water Conn Planner Water Meter Council Ro nit Bldg Off reatment P1 APC Parks Variance Copies TOTAL .50 2-¢x 4-4 `(?51? x S"b °? 124P, - Z4-? Q- \ '• 22? 22 - , UP I sz?c, Certificate for: Huttner Conswruction Qo. ' " 960 Waterford Dri've WeBt Eagan, Minnesota 55122 DELMAR H. SCHWANZ I nNO SURVErO(K INC ' aro.s"rre Unerr lawr oi ioe S4v H Muinnws 14750 SOUTM R08ERT TRAIL ROSEMOUNT. WNNESOTA 5608! SURVEYOA'8 C6NTWiCATE Scale: 1 inch ? 30 feet ? C ? ? I ? I \ ? m Denotes iron monument Denotea set wood hub oyE ? ?o.?.ea? i Jq? ? 3/ ?"' ? a ? ? ? Z? MIOME N=12i17W Drainage and ool' Utility Sasement I ?.4 Lot 9, Hlock 1 s \\ \ qq.32 1°°Z ¢ 0 0 ? ?u N ? m ? ? >1 \ 4 ? 3/ ? D/OO 2 Denotes exieting elevation 0 99Z 6 99 6002 Denotes propoeed elevation SS I hereby certify that this is a true and correct repreeentation oP Lot 9, Block 1, HILILRFST ADDTTION, according to the reco*ded plat thereof, Dakota County, Minnesota. Also ahowing the location of a ppoposed house not stttced thereon, as of September 3, 1985. House ataked September 90 1985 ". (Fozrr Devclopcd by.thc.Statc of Minnesota LLLilulOg LOdL` ))ivisiost) . ' TO. EE SU9:tITTcD NIiFI BUILAItIC PERMIT AI'PLICATIOy J . • ? EICtEP,IOR ENVF:LOPE AVERAGE "U" C0MPUSATIOW 01,:^1ER• SiTB ADDRESS: ?$ 72 [ N a rd /-vL CONTRALTOtti 14u_6ef eoNs I DATE: 9-10 `96- P110NE: `fT1-3aP7 1. \2. 3. ,• , Determine vorking equare footage of each ? Total exposed wall area.... ..... ?S ..35. eq.ft. x'? ??'.. +F/6 85 4ota1 rooflceiling area........ .. ? a Zb sq.ft. x.oZ6 .. 6r .L Total exposed wall area calculaCions: . , Total exposed wall area above floor of PyYO 8.rOt81 wall vindow-area............................?..^;! Q?' . b:?'' Sotal door area........................ ............. ..................... c. Total sliding glass door area..? _96, . - - d. Tota7: fireplace wall area................ .......... ' e. Total wall framing area (averagelOZ) ............... .l?? . fs Total net wall area above flooz ....................., 9?3i _ g. ?otal riri joisC area ............. .................:_ " • Tota2 expoaed foundation area ? 94 h. iotal foundation vindoW area......................... = i: Total net foundation area above grade .:.............: 95? - Determine "U" value of each wall segment ' a. /Og' g nun ./f./.., • ? .?? b. ? ?. R "U't • c. n 0 X"U" a. . X uun , . Q. IT ! ' . X nUtl r 0 ? ? /O,aD • f• _ /03 x njJn 16Y ? 03Z . L7 x.,U„ , o? . s. ?. - x gl„h . .. . -1. /S . X uun , /0 ?,9r50 • TOTAI. ?? • ? ' /6Z •qq 3. •, . ? Tf iiem 03 is tha sama as. or lesa than item 61, you havo mct ehe intene of , 4. Total cx,osed roof/cciling calcula[iona: , Total exposed roof/ctiliag area.= /D Z O:. j.-Tatal skylight area ................................... k. Total roof/ceiling framing area (averape 107.)......... %D Z 1. Tqtal net insulated roof/ceiling area ..... :........... Determine "II" value for each roof/ceiling segaent . i . ' . -. _ _ . • x nBn . - ? . . k. ? O.:Z,, .. X u.? x lou„ ? 4. 'TOTAL If total of 4`4 is the.same as. or•less than 02. you have aet the intent ,'. of SBC,6006(c)1.. Alternate Building Envelope Desiga. '?:?,•, . ' .. . . . , To uttlize the total envelope system method, the values establislied by - the sum of items 03 and #4 sha21 not be greater than the sum of items $1 _ and 1 1. 3. + 2. ? + 4. ? 'S . C E R T I F I C A T I O N I hereby certify that I have caleulated the "U" factore and R.values . herein and that the buildint hera described meets o"r exeeeds the State tif Hinnesota Energy Consezvation Act. . ? (Signature). . (Aate) ' . ?: 1/?IL ? 1:J ?1.j hf4'C: I1t;c JO':. of nl,-jyu^ +:a11 arcq for framc coia::tructiun ' VIALL FIG. $1 TOPVIE[Y QF - , . . f3tT1:E hALL ?, ? _` • . . FIG. C2 C?? u O ?1.?yC•.iu?. -? . 1 -3 _o?_.1rlr . - . :Ut:il.1TIC:: TdAIS: ?? - ? d . :a • n? •~ • ll' • •0' . a , . : •r. ?, 1 ? ?1• ? . • Con<truction ?h? 0I! 4.... /? l ? 1. t ior air film R-Valuc •#? . 0.60 2. "L" "R ?'•?x ==? , Ci O g, i nches soft hOnR 4• L'!%/ ' /p 5. S!?i1P?ri ' 1,35 6. Esterior nir film : 0.17 Total ?. 13.7- Ot ?vLU. I.j t,L . , U= D 7 D9Y1,,.AL? 1. Intcrior air filrr 0.6Q 2. 3. 9. 2 ?jt y?{?1t1 trJCo . 6. Y:xLerior, air filra 0.11 Total 1c1 = z ti.91 • 1. •i tcrior ai.r fi2m 0.68 2. ?' o 34-1 1 a. ?a 3. ' 1(nr 6019 I, 4. '-'r,/17- '!f47 ,4 Z10% 5. Sr ?4vt? 1,? 5 6. ExCerior air film 0.17 Tota1 3? 1. Znterior afr film 0.68 2. 1,1777, i 1 I<,N 7.5d . • 3. I'Z" 3CJfiK I ,Zit- 4. 5. • 6. Exterior air film 0.17 Total- `, v 5 si.ns o:a cravM ?IG. 93 F•..b . p ? . • o . ' ii • , ?• ? ? ? ; P ? • • -! • .' ? ' • . ? . • ? r t n?? :L ? • ? ? ? .• ? . ? . = ? u • ? • y ' • ? >? I! 1 ':r .III ?f : . ? . • . • i ._ ? ? l . ? FIG. ?14 !f1 k • , ? • ' '• ? , Y 'rl ? ? - -_ . . /1l ? > '<' NoTE: Yndicstr. Cy;'ia, "P." valuq, denth ant] . p2acenen t of insulatian. . • R001'/CEILIt7G' ? ? VEIIT /.. 7ii?j?.'?i??? i?.??,? ; ? . Vente3 t Ecsc iluw L • up .. FIG. US lieat flaw up . vented BWWN I?S'J?.• ' - .3(prO 1. InCcrior air film ?.6T 2. /2" 3. ?- 9. Er.tcriar air film EstifIT Total i= y'Z , J l. ? -,v2- 1, Irtaidc air film 0.61 2. 's. 4. ' 5. OutsiJe air film •0.17 Total N?te: U:te lddit•ional ::licets if more spacc 3 needed for details a»d c:.lculations. . i Conetr.uction , R-Valne 1. Interior ai.r film 0.61 ' 2. " DM1Y I.,Nt? ? S 3. l$" D?GL-•? It? Sv4-. ?? 4. Txtcrior nii filia , ? .'....-.......... . ? . ' . Hea[ • , flov up ? 1P'Tr., .p7 • t , ? 1986 BDILDING PBRlIIT 6PPLICATION - CITY OF EAGAN NOTE: ALI. CONTRACTORS MOSY BE LICE9SSD WITH THB CITY OF EAGAN SINGL& FAlILY DFIELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DiiELLINGS - HfiSIDENTIAL INCLUDE 2 SETS OF PLANS, CSB 1 SET OF SNERGY CALCULATIONS C01-1MERCIAI: RENT9L iTNITS FOR SAL6 DNITS OF SIIRYSY - CHECg WITH BLDG. DfiPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OE SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND / n ?` ? !-?CiLJ To Be Used For: Y-PGk Valuation: ? Site Address ?187a ??c?nr? LGn2 Lot / Block ! Parcel/Sub Owner /V A k ((-e FAV H o Addreas ( g7? ?t??Gt ot?cr ti -e City/Zip Code E-qyon? MAr ? Phone Contraetor !-h ? Address ?J"4tk 2 City/Zip Code SG;?,e Phone J A V?' ? Areh./Engr. Address City/Zip Code Phone If Date: Erect _ Occupancy Remodel Zoning Repair _ Type of Const (T Addition # of Stories Move Length ?- Demolish _ Depth Int.Impr. Sq Ft Install APPROVALS Assessments Permit ? Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter -A-- Council / _ Road Unit ?7?? _f ? Bldg Of ? Treatment P1 APC Parks Varianee Copies TOT9L HOTE: ADDRESSSS FOR CORNER LOTS - CONTRACTOR/HOMEOiiNEF MQST DESIGNATS FHICH ADDRE3S IS DESIRED. NO CBANGES i1ILL BE ALLOpED ONCS BDILDING PERMIT IS ISSOSD. /2 ?t 23 ? 27? ? ? Ralph Hanson Construction P.O. Box 366 Rosemount, MN 55068 RALPH HANSON J? ? G ?kl A M ? r F ? \) n Y n 452-2148 423-2806 r ? - J?` ? 2/84 CITY Or EAGAN AP°LICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODi 1) PROP?T'1?^! ACDRESS: rFr.,L DFSaUIPTICV: -:IS='?:G ST^_-'i'=?=?: , D.al 0° C2T.GMAL uiILDD' :G PE=;=5: ISS.:?NC.: PDyG= ?•:l.l:/=???C?c? IIcz: F?R-1 Sm;GL: FAMZLY - ? R-2 CUP:....z'{ ('IS%O L'::I.S) ? R-3 'IC:I.?iII?Ci;SE (7=7 + LZIITS) ! Li?^S) ? t''i-4 Acsi::_TTTC'?:T?C^i::?CA.1TjIr.ti1 ( [T71=J? p CC1tiniE.;CLAI,/RET'?IWCFFIC ? MDCS?RSr1L ? L%lSTI:i,'PIC:VI./GC-v Zl APPISC.T Nrl:•:E: PcC.R: SS: C="=Y. Si: "_'?:, Zip: PEONE: 3) PLL:iBE? NP1? ; FDi,:ESS: ` CITY, ST?.:?.', ZIP: PF.CNE: 4) OCT.'GPANP/C*..:,?'•E2 NFNLME: ADDRESS: CITY, S"T.;'Ir-, ZIP: _ PFic?JIE: fOR CITY USE 09LY PLUNBERS ?rILE!iX: r PLUHBER LILENSE N - '?-- (PLEASE PRINT) OF 3) 1NDIGLTE ;-JIIICH PER:3IT ZS HEIIr, REQ[7E;TEp: - L?r CL'':.RdF'_CPIm 7l7 CITY SETr]ER [&CLD1NF=IC:I TO CITY ATATER ? Cli'[;F'R (PrrnSE DF.SCPSBE) 7) SIGzATI,'RE: ? PT.Z:?SE F?OLD APPR9,F1D PER."1iT POR PICK-Lp BY C;1VE OF ABGUE . FLENSE MAIL APPFU/ED PER.`LIT T"J l,a 3, 4 AGWg (Circle one) - --- I?r1TE: ? ?l ?IiIM}l?L.i? i !i l?g? f! !t 11f ? ?r? ? i S ?ii ?:a a ! 1!!lJ??H.? 1q ? ? ? S?iaaf F O R C I T Y U S E O N:. Y PF'KIT " ISSUED F°ES: $ J0Sv $ $ S 5 $ ?S f U $ > ? C[+U S $ $ $ s / oL' / $ 5 s /°?LGL SE.`.'LR PEB??_TT (I`.ICuJLL JUP.C.:;.P.GG) WATER PERP4IT (zr.cLunE suRcxaRcL) WATER METER/COPPEBHORN/OUTSIDv- READER WATER TAP (INCLUDE CORPORATION ST.OP) S::vE3 TAP : rCCi;:i'?' 7;Z=C•SI= ACC_OliNT DFPOSIT - WATER wac SP C TRUVK SVATER ASSESS.!E:1T TRliNK SEF7ER ASSESScIENT LATEP,AL BENEFIT/TRUNK SE;:?R LF,TERP.L BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCEIARGE OTHER: TOTAL AMOL'NT PAZD/QEC°I2T DOF.S UTILITY CONNECTZON REQUIRE EXCaVATION ZN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR 'AORK WITHIN PLTBLIC ROADWAY" MUST SE ISSUED BY THE Q NO ENGINEERING DIVZSION. LIST AS A CONDI- TION. SUSJECT TO THE FOLLOLaING CONDITIONS: APPROVED BY: TI':LE: ' DATE: 24/r •? ??cr? ?? s? y wc ??a s? wis? w? w s? w?+ ?+ ?t? w ?w ??? ??ca ?? sa ?? w?a wt? ia s? w? '_ -? _:?;.-_..._??.,p:_.. ,. ' . . . . . .. .. . . .. PERMIT# ? ?1 --t>-?D RECEIPT DATE: `? ?- J I U.SIDENTIAL PLUM$1Nfi PF"1T APPLICATION crrY or fAeAx S$SO PILOT KNOB itD EkHAN, biN 551 E8 651-661-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system ? SITE ADDRESS: OWNER NAME: : ? INSTALLER NAME: STREET ADDRESS: FLYNN,MiCHAEL 4872 RICHAFD LANE EAGAN, MN 55122 (651)452-0721 TELEPHOfVE #: (AREA CODE) _ TELEPHONE #: l Z ZZ7 "?6,33 .. (AREA CODE) . CITY: !I(aIS STATE: Mr1 ZIP: SSqdX' Place a check mark nezt to the eermit wnrk tvne New residential dwelling unit under construction and not owner/occupied $ 90.00 ? Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • waterturnaround Nature of work: Septic System, new/refurbished - $ 225.00 • includes County & Consultinp Inspector fees • requires MPC license State Surcharge $ .50 Total ? Reminder: Be sure to schedule inspections of alterations, l.e. I hereby acknowledge that I have read this applicatlon, state that the information is correct, and is the applicant's responsibilily W notify the property owner that the City of Eagan assumes no operational and maintenance activities to the faciiities constructed under this permit within Cii SI !eki6 voi?,br2"en ??, etc. D complywithallappli Ibl CiryofEaganordinances.lt for any damages raused y the City during its normal PERMITTEE Uptlated 1101 . ? C!? --W ? --I `? 3 S? i 2004 RESIDENT?Y ? , ? ??RM? ?PTICATION Cify Of Eagau 3830 Piiot Knob Road' Eagan MN 55122 -- .... _ -.-' - t?eWConshuctionR uiremenfs 3 ?egisfered si? surveys (20% showirc}sq, ry, of fof, sq. ft, of fiouse; and all rookd area.s ma?timum fofo?ver?qe ?lo4ve? 2?P? °E P?n S?n9 beam &windowsizes; poured found design, e{G 1 "'Eof Eneigy ca(cubffons 31011 ofTreepteseryaCion plan'rflotpfaffedafter7/t/93 RimJoistDefaifOptionsselec6onsheef (bldgswifh3"orle'ssuniis Dafe_1?_JW , SifeAddxess U, Description of Work Multi-Fawify BIdg Property Owner Contractor Address state .? - Y N coMPLETE THIS AREp `g `1 C) v 6 Fireplace(s) _ p y /?IQO /? 1 ll?' ?? ?? . Telephona # ((a5l ) ' ? - -a7o Zip EneKgy Code Category '- Mnnesofa Rn1es 7570 Cate (.: 1 (dsubmfssion type) - !' Residential Venfiiadon Category 1 Worksheet , Subinitted . . • Ene E .t>r<?t;•':? rJY m2lope Calcufalions Submftted Telephone # ?Qj A _ Ivliimesota ILules.7672 . • New Erjergy Code Worksheef Submitt ed `ee `iave you applies. previovsly construcfed a building in Eagqn wifh q simifar pfc?n2 _ y _ K If so, 25% pian review icensed Plumber 4echanical Contrpctor :wer/YVcrFer Confractor Telephone#[ J Telephone#( L LI Telephone #( r J- 9 nna Ll L iereby apply, for a Residential Building pe?nit ?d ??oA,l?ge that oao i? 3f thhe work will be in confomiance with the orduiances and codes o£ the the C iuf ` nityn of ti n Eagan and ?fie he State of MN atutes; I understaud #his is not a te-an?-.? : ?t> Eha# fib.e work ??t' but °nly an aPPlicafion for a permit, and k a will be ixt accor3ance yy2th the approved l in t7ie casa of work w wor luch is re not to start without ?rov ofplans, p quires areview and 4cant's Printed Name APP Acaffs'kgaaature ONL:Y OT`FICE U,SE . , Sub Sy pes ;. - 0- 01' Foundatiorr---- Q- 07 05=pfex- 0-13-1(i-plex-= -??0- Pool ---- - ? 02 SF Dwelfing ? OS 06-piex ? I6 Firepface ? 21 Porch (3-sea.) 01 of ?plex Q 09 07-p[ex Q 17 Garage ?'22 Porcfi/Addn. (4-sea) 02=plex` o 1D 08-p[ex Q 18 Deck ? 23 Porch (screenfgazetio) 0` 05 03-pfex: t0-p(ex Q 19 Lower Level ? 24 Sform Damage ? 06 04-plex Q 12 12-plex' Pibg_Yor _N ? 25 MiSCellaneous Work Types El- 30 - Accessory Bldg --- El- .31 EYt. A. Muffi 0l33 EXt.,Sft-SF ? 36 Mulfi Misd ? 31. New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding 0 32 Addition ?. 36 ' Moye Building ? 42 Demolish Foundation Q 45 . Fire Repair ? 33.Alteration Q 37 DemolishBuild'mg` ? 43 Reroof Q 48 Windows/Doors 0 3$ RePlacertlent 'Demolition (Enflra Bldg) = Giv4 PCA Bandouf fo applicant Va[uation Occupancy MCES System Census Code Zoning City 1Nater SAC Units . . . ,,;.:,.:. Stories Booster Pump # of Units Sq. Ft. PRV # of 61dgs Length Fire Sprinktered Type af Const W(dth - REQU7I2ED FNSPECTIONS Footings (newbldg) _ FinallC.O. Footings (deck) _ FinaUNo C.Q. ad tton) Footings ?. ?J ElumlSUig r , v; > ?,?,4.?; r 4 . Foundahoa ^ - Drain Tile Other '= Roof Ice;&. Wa1W Final 1 o01+ Ftgs Air/Gas Tesk Fina1 - r • . ' RiT11?-, gr • .;;?,, .. _ Sididg' ? Stucco ' . Stone _ B riCf? Fireplace _ R.I.' -`" 'AinT'est _ Final _ Windows Ae?aiu?ng Vfall•' Tnsulation _ - APProqed By: _ Base Fee Surcharge Plan Review MCIES SAC City SAG llfility eonnection Cfiarge S&W Permit & Surcharge ' Treatment Plant License Search Copies 04her Tofat Building fnspector ? Installed Siding and Windows LIMITED POWER OF ATTORNEY : CviFNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sa1es loca?ed at 6E0 Mendetssohn Aver_ue North, Golder Valley, PrIlN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-7ones Building Permit Service, Ina ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to executa, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorriey are limited solely to the express powers delineated herein and appiy solely to the Work. This Limited Power of Attomey shall expire and automatically be revoked on the 21st day of May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time 6y express revocation and shall also be revoked by the PrincipaPs death, disability, incapacity or incompetence. IN WsTN?SS WEIEREOF this Limited Power ef Attome-y is execurted this 21 st day of May, 2003 David . Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 200? ?? Notary PDic in for the State o eorgia b4y Commission Expires: January 21, 2006 396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT ---------------- ffffl? Pertnit# 943,515- Permit Fee: 6 n"`-' " Date Received: Staff: ?RESIDENTIAL PLUMBING PERMIT.APPLICA Date: SiteAddress: ' renant:. Michael Flynn 4872 Richard Lane RESIDENTIOWNER Name: Eagan MN55122 Phone: 6514520722 Address Sulte L 16 2008 CONTRACTOR I Name: TYPE OF WORK PERMIT TYPE RES/DENTIAL FEES: License #: 0(o1524 Address; L= f U? GILCA'TI fiL.GL fTV (?--A z?u. City: I' UK. State: ! 1' m Zip: W D PhoneAVM'?v'Tm ContactPersorr. ieJS _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. scription ofwork: RESIDENTIAL X Water Heater Lawn Irrigation f RPZ / _ PVB) _ Septic System New Abandonment _ Water Softener Add Plumbing Fixtures ? Main _ lower Level) _ Water Turnaround $50.50 Minimum Water Heater, Wafer Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround' (includes $.50 State Surcharge) `Water Tumaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.54 State Surcharge) . $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) G? O TOTAL FEES $ SO, r- I hereby acknowledge that this infortnation is complete and axurete; that tbe work will be In confortnance with the ortlinances antl cotles ot the Gry of Eagan; ihat I understand this fs not a permit, but only an applfcation for a permit, and w k is not to start wifhout a permit; fhat the work will be in accordance with th? approved pian in the case of xrork which requires a review and appr al f plans. X ??2?FY'P.1?1 L• f?l OY b l aYn. Appli,canYs Printe me App i anYs Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4872 Richard Lane Lot: 9 Block: 1 Addition: Hillcrest PID:10- 32975- 090 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Ludzack Construction Inc 13485 Skyline Circle Shakopee MN 55379 (952) 445 -9067 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Michael J Flynn 4872 Richard Lane Eagan MN 55122 $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA084029 07/03/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4872 Richard Lane Lot: 9 Block: 1 Addition: Hillcrest PID:10- 32975- 090 -01 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Pella Windows & Doors Turnkey Sales 15300 25th Ave N #100 Plymouth MN 55447 (763) 745 -1400 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. $88.50 $1.50 Total: $90.00 Owner: Michael J Flynn 4872 Richard Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA091447 10/05/2009 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4872 Richard Lane Lot: 9 Block: 1 Addition: Hillcrest PID:10- 32975- 090 -01 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Peine Plumbing & Heating P.O. Box 66 Vermillion MN 55085 (651) 463 -0155 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Bermitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Electrical Inspector, Owner: Michael J Flynn 4872 Richard Lane Eagan MN 55122 $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA086451 09/29/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State ñü ð÷ï þýýüûúïú û ùüüýýøïÿ üë ð ã äðïð þý ÿþýüûú÷õ à þüûú ÷ ÷õ à öõàëúó ãþ þ íäíåþúû ß ÿòþ óú çó ó òþ ó ý ó éæ õõú æ æ ó ý úéæ æ úæ é ýóè òþ ýûõ æóûó é ùêäâêììéïì éíìï öù ÿþ ê éïð é ðï Þþä é õô óò úú ÷õ ø üþ Ûùû ïäïçöÚ íìë ûóþ öïïíí öïï ñáäîíï í ýûõç úú æ ó óúûõúúýÿ æ ÿþ ûæå é úúà óÿþ þûÿþ PERMIT City of Eagan Permit Type:Building Permit Number:EA130634 Date Issued:05/05/2015 Permit Category:ePermit Site Address: 4872 Richard Lane Lot:9 Block: 1 Addition: Hillcrest PID:10-32975-01-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael J Flynn 4872 Richard Lane Eagan MN 55122 (651) 343-2554 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature r Use BLUE or BLACK .. r For Office Use 'bit J Permit#: i�J �.�/J� City �� Permit Fee: 7 C-� 3830 Pilot Knob Road /" , �l Eagan MN 55122 RCCEIVED Date Received:(7�--�� Phone: (651)675-5675 Staff: �U � Fax: (651)675-5694 JUN 1 2 2017 f! 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address:�/ Unit#: a Name: !k°Pyy = .�, Phone:6r' - 3Y� �� - / 1 Resident/ //�Zip: I Address/City/ ?' .e� . 4;‘40--1 `h , owner I (— / Applicant is: Owner f/ Contractor ( f�� s Cb/` D ✓zip�/ Type of Work Description of work: Ir ep l4-c e ,. Construction Cost: /3ii< Multi-Family Building: (Yes /No ) 4 : Company: l/ 5,'o Contact: f- 64,- f✓ y y Contractor Address: c 'jI �jf- City: 2 � t - /1„ ti . State: H Zip: 5'��j Phone: 6 l "/60-(9y Email vi /1A-41,1'-)ti )?-4.-.16° >7. ea Hi-fi6ja-333- 5,5-03 I License# p�/��y• 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: „µNOTE: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 tpei 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 B ' .1.. Code m et be completed within 180 days ofermit issuance. / x c.01\ ' ''LL.--1.-f t.•,..- . Allige'rd& Aill _ -1111baer-IIIII ApplicantePrinted ame p. ant'- Signa ur- Ill Page 1 of 3 r qg 7,3_ - .4 ��q- �lI DO NOT WRITE BELOW THIS LINE //67-? -7 ---- b /7.� + SUB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) Single Family Garage Porch (4-Season) Exterior Alteration (Multi) Multi -A Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition Wit,05 SAC Units (25%_ 100%V ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Ni Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test 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: lit, , Building Inspector RESIDENTIAL FEES ��+ Base Fee 11)CAAC ��tl Surcharge Plan Review Ott' �, MCES SAC ,r`i City SAC 1° Utility Connection Charge S&W Permit& Surcharge 277(e, Y 7111:- 1117 Lii° Treatment Plant Copies TOTAL Page 2 of 3