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4281 Rosemary Ct ~ INSPECTI4N RECURD _ CITY OF EAGAN PERMIT TYPE: s~ ~ i~~ N~i 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: ; i (612) 681-4675 ' - SITE ADDRESS: APPLICANT: , ; ~t; j~ • ~ , ~ ~ ~ ~ , . . r T . ~ , ~ , . . , ~ . . PERMIT SUBTYPE: TYPE OF WORK: ~ INSPECTION . i::~•.i~f :':i ~,~tr ~ ~t~fi~ , rtnt• r ~ ' , - Permd No. Permk Molder DaLs Telepfwns # SNV . PLUMBING xwij Hvac ELECTRIC ELECTRIC Inapectbn Date Insp. Commsnts Foatings I s.~ Fourxlation Framing '7 ! l3 ~ Roofn9 P-i9h Pbg• ~ l? "!~"D A°"gr' "'g' l3 33 S Flreplace S -t _ 3 F?al Hig. Orsai Test ~~l Pbg. 1~ P~. l~-?~uy ~ Const. Meter EngrJPI&n eldg. Final t2--2?-93 ~ S Dedc Ftg. Deck Fnal Weil Pr. Disp. ~ (Fertificate nf Cccupanc~ WU4 o~ mowdmmt of 13xft" ano«ti" This Certificate issued pursuant to the requirernents of the Uniform Building Code certifyirtg that at the time of issuance this structure was in compliance with tlie various orrtinances of the City regulating building construction or use. For the following: SF DWG 20496 Use Classification: BWg. Pmnit No. B VN OccuQancy Type Zuning Distrid T e Canst. IV~ZIY AVE, ST PAUL Ouvrcr of Building Addnss ~ Bu' ing Address Localjq' s • ,J • ~ ' '7 -7 auiwingrn~~ial POST IN A CONSPICUOUS PLACE \ r INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: ~r r/~a (612) 681-4675 SITE ADDRESS: APPLICANT: ' I ~ • ~i~ ~ . I. „ i ~i f•I~ti•. ( f 1 I Ili ! ii . I~l NN I`. ilr~:~llilll.Nl I,lii,~l~', :I; ~ 1 ~ I'••I ~i'~cti~i PERMIT SUBTYPE: TYPE OF WORK: . INSPECTION . ~ ~ Permit No. PermR Holder Date Telephone k SNY PLUMBING HVAC ELECTRIC ELECTRIC Inapsctbn Date insp. Camments Footings I Foundation p ~ dtl /L r Framing Roofing Rough Plbg. Fiough H1g. Isul. Flreplace Final Htg. Orsat Test Flnal Plbg. Pibg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final DeCk Ftg_ ZeQ( 66k Deck Final Akr- y Well Pr. Disp. d 22493~iaj~~ RaQUe-+t 091- Fire No. 1Raugh-in Inspeclion RequiredP ? Ready NowiJilrNOtiy Inspacim (,p 3 ~i'4s u No ~ Wnen ReddY? 112, icensed contractor ? owner hereby request inspection of above electrical work at: Job /Altltl/ress (Street. BoJv or Roule o ~ City ~ Sectwn No. Townsnip Neme or No. Range No. Count Occupanl(P INT) Phone No, PawerSuO - Atltlress ~ Electncal Co r (COmOany Name) / Contrs Li No. Dai 9 UQAT Maning Atlaress ICOnRacmr or Owner Meking Installationl _7 Aumorbgtl namre tConhamovOwner Me'aing instauetio i Phone Number / O ~ 3fa 'ESOTA $TATE BOARD OF ELECTRIGTY THIS INSPEGTION FEQUEST WILL NOT MlOway BIEg. - Room Stl3 BE ACCEPiEO BY THE STHTE BOAfiD ersity Ave., Sc PeW. MN 55106 UNLESS PROPER INSiECTION FEE IS ~6C2-0800 ENCLOSE . ^cWUesi FoR ELECTRICAL INSPECTION a"1bi~ " ? See Insbuctions lor compleling this larm on pack ot yellow cppy. 4e E0~-00001.08 E' t0 d 2 4 9 3 •X~~ 8e/ow Work Covered by This Request ewtAd Fep. TypeofBUiltlinq AppliancesWiretl Home Range EquipmentWired Duplex Temporary Service Water Heater Electric Healin Apt. Building Dryer 9 Comm./Intlustrial Other-(Specity) Furnace Farm Air Conditioner Other(syecify) Canvacmr§ Remarks: Compute Inspectron Fee Below: # Other Fae # ServiceEntranceSize Fee # Swimminq Pool Circuits/Feetlers Fea 0 to 200 Amps 0 to 100 Am Transformers Above 200 _ qm KY) ps Signs Inspacbr§ Use Only: pS Above 700 _ Amps Irrigation Booms TOTAIQ ~ O SpBCial Inspection Alarm/Communication THIS INSTALLATION MAY BE ORpE„RE.f~SCONNECTED IF NOT Other Fee ~ COMPLETED WITHIN 18 M S. I, the Electrical Inspector, hereby Aough-in /oe certity that the above inspection has F~~ai f been made. L- D81D OFFICE USE 3NLY This reqvest voitl 19 months lrom _L Address 4281 xpSEAfnttY Cotlxr Zip 5512 3 Lot 3 Blk 1 Sub HnwniolaiE taooW wEST THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECPION. Date: jLU Yes No Inspecror: Final grad (6" m siding) ~ Petmanent steps (gazage) ? Permanent steps (main entry) Permanent driveway Petmanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contacf engineering division a[ 681-4645 before working in rightof-way or insNalting underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contracmr Copy ~ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 0 C) 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constructfon Reauiremenls RemodeVReoair Reauirements Offise~kke~OnW 3 regislered site surveys showing sq. fl. of bt, sq, fl. of house; and all roofed areas 2 copies of plan Ce~SaF Survgy Recd Y N (20°k maximum lol coverege allowed) 1 set of Energy Calalations for heated additions T~CePres Plen ReCtl _Y 2 copies of plan showing beam & window sizes; poured found design, etc. i site survey for additions & decks Tre~ Pres R~jmred ~ Y,,,. N lsetofEnergyCalculations Addition-indicafeiionsitesepticsystem Dr[-4teSE0eSyslem ._Y ~N~3 copies of Tree Preservation Plan if lot plafled afler 7/1/93 Rim Jaist DeWil Optians seleclion sheet (bldgs wAh 3 or less units Date Construction Cost ! Site Addreas rl oSEyrr~y a-C"y UniUSte # Description of Work F6(ZP/'0c- I(p11~ Multi-Family Bldg _ Y)G N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner Pow*ls ~wl-GLUS Telephone#(&51 ) y5-31l 0c)D21 Contractor Address jZ31(> '(.j~GOG!/J'i) ALl, c!:r- City State ~ftN Zip 5-5-33-7 Telephone #(!?i z) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catesorv 1 Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Su6mitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # Mechanical Conhactor Telephone # rp~~ii l UG 1 0 Z004 Sewer/Water Contractor Telephone # By 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 ApplicanYs Si at e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (&sea.) ? 31 Ext. Alt - Multi ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 AddRion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement •Demoli[ion (Entire Bldg) - Give PCA handout to applieant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIItED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Dnin Tile Other Roof _ Ice & Water _ Final _ Pool _ F[gs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Firepiace _ RI. _ Air Test _ Final _ Windows _ Insula[ion _ Retaining Wall Approved By: , Building Inspector - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 6 Surcharge Treatment Plant License Search Copies Other Total T ' R 1 acheny Roofing & Sidiag Inc. 2980 Rice Strcct Littlc Canada MN 55113 Licenee #7596 Apr I 2004 Cit) of Eagan 38111 [1 Pilot Knob Rd. Eac ;:in, MN 55122 Re :Perntit Refund De i:r Jan: Ta lzeny Roofing & Siding, Inc pulled a pernait for a re - roof on Octobcr 7`h 2003. T"he homeowner has now decided to not haye tus roof done, we are set 'dng a refund on khe permit that we pulled. 'Tk' r.; address is 4281 Rosemary Ct. Ez gan, MN 55122 'Il,:; permit number is EA061685 Pl ase call our office at 651-484-1466 if you have any questions or to reach u. T i ank you, S :imu?on Tacheny J? oduction Supervisor v~_ ~4~ ~ _ C) . Taehelpi BOOIN & Si", inc. f ~ 2980 Bice 5t., Little Cmda, MN 55113 , . : Phane: (651) 484-1466 Fax: (661) 482-8377 IN: k c~ . S . . ' a+~xrile tr'ansrrntW . Cqty of Eag2`Fax: 651-675-5694 Attn: Jan rM,,: shamon Tacneny oee: 4-8-04 r•to: PermSt Refuod Pages' 2 i;CS[ ~ . . ~ ~ , . • • ] u~lt '~f For Review ? Ple~e carm+a~~t ? Pl6ase RadY Q Please Recyda - , . _ ~ , -t10 ~a a~s-a5 L() 1 (0 s ` j RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 NewConsWdlonReauiremenls RemodeVReoauReauirements OfficeUSeOnM 3 registered site surveys showing sq. ft of lot sq. ft of house; and all roofed areas 2 copies of plan Cert of Surrey Recd (20% mazimum lot mverage allowed) 1 set of Energy CalalaUons for heated addiUOns _ Tree Pres Pmn Recd 2 copies of plan showing beam 8 wiMow sizes; poured found desyn, eta 7 site survey for additlons & decks _ Tree Pres Not Reqd 1 sat of Energy CaUxilations Addifion - indicete i/onsde sepfic system _ Onsite Septic System 3 coDies of Tree Praservation Plan it lot platted after 711193 Rim Joist DefaB Options selection sheet (bldgs wiM 3 or less unib Date I(--) /C) Construcdan Cost I O 00 - l~0 Site Address 47=4's 1 f)) OcliE. Mfl r C~- Unit/Ste # Bescription of Work T/ (7-, P'1 00 -P Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner ~P n rl i ~3 1 he 1 La c, Telephone # ( o I Z CA la "l QG Contractor '7-6 c, y-)p nS j}ZOc)-Pi !l Q Address 2-9 S~Q P) i (+p q-} City 2i-4IP- State Mfl Zip ~)a Telephone ) yS Cti 141 LD ~1L COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesob Rules 7672 Energy Code CategOry . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Su6mitted Submitted • Energy Envelape Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/WaterContractor Telephone n r i • ,nn ~ I) ' ~ ~ V I. . VJ J{I 1 I .I LI I hereby apply for a Residential Building Permit and acknowledge that the info tion is compldc_andiaccurate; that the work will be in conformance with the ordinances and codes of the Citof 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. ?~t~2n~c~ -l~acrP~l~ ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY sub ryPes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex 18 Deck ? 23 Porch (screen/gazebo) ? 36 MWti Misc. OS 03-plex 11 10-plex ? 19 Lower Level O 24. Storm Damage. ? 06 04-plex ? 12 12-plex Pibg_Yor_N ? 25 Miscellaneous . Work Types ? 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 (Bidg)' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement ~ 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCIES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr, of Bidgs Length Fire Sprinklered Type of Corist Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Founda6on HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ FramLnB _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By , Building lnspector Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total RESIDENTIAL BUILDING Permit AppticaUon Clty Of Esgan 3530 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New CansUUCtlon Reauiremen6 . RemodeYRenalr Rmu'vementa - Office Use OnN 3 regismred tim wrveys showlig sq. R of bt s4. ft of Aouse; aM ~II iao7ed area 2 oopies af Plan Cert ot Survey Recd (20% maximum bt aoverape aDaweO) t aet of F.mgy Calalatlono (ar tea0ad adEitlais Tree Pres Plan Reod 2 capies ot plan slnvr6ig beam & wuMow shm; Poured fauM daslgn, atc. 1 stte swveY fw adCitlons 8 decks _Tree Pres Not RaqA lsetotF.rceigyCakulatlons AdSflm-indkafeBmsdesep'csyslam - On•si00SeptlcSysOem 3 mpies of Tiee Presemtlai Pten d bl platled aRer 711N3 . Rim JoW DetmlOptlons xlectlpi sheet (bkgg Wilh 3 w less wils Date / 7 16~? CoostructlonC 3,5a)•oU site Address ~Z2_K/ 4205e mQry (~p~vy~- ~ Uuiuste # Description of Work /?~r[~/') J~~~~CO 6LO%LtJ Q`or{n~ GC1',5 Multi-Family Bldg _ Y Fireplace(s) _ 0 _ 1_ Z PropertyOwner V~l1Ls ~hell.iS Telephone#(~~(~~/) 757 -07~~ Contractor 'UoM ( I S da(Co Address 2-SO(~~ City f~f,0 ~5 State )w Zip ,55~10(, Telephone #(,~./.2) ~7~Z'~ 7 2077 COMPLETE TNIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 (4 • Residentlal Ventilatlon Catepay 1 WaAcsheet • New Enerpy Code Worksheei Submitted SubmiCed • Energy Envelape Cslalatlons SubmitEad Licensed Plumber Telephone ) ! I Iu~ r4 ' Mechanical Coniractor Telephone ;~J 5 F~ L5 t) u LS Sewer/WaterConiractor Telephone ~11 )rT 3 9T13 IU I hereby apply for a Residenrial Building Permit and aclaiowledge that the inforntation 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 pemut, 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. A~ 6.,-/oo~ Applicant's Printed Name Appl' ant's Signature OFFICE USE ONLY Sub Types O Ot Foundatlon O 07 OSplex O 73 16-plex p 20 Pool ? 30 Accesapry81dc 02 SF Dwelling O 08 06-piex 0 16 Fireplace O 21 Porch (3-sea.) O 31 Ext Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4-sea.) ? 33 Ext. Att - SF ? 04 02-plex O 70 08-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc. ? 05 03-plex O 11 10-plex O 19 Lower Level O 24 Starm Damage ? 06 04-plex ? 12 12-plex Plbg_Y w_ N 0 25 Miscellaneous Work Types O 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 0 32 AddiUon ? 36 Move Bldg. ? 42 Demol(sh (Foundation) O 45 Fire Repair x 33 Alteration O 37 Demolish (Bldg)' O 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'DemolWon (Entire Bldg) • Give PCA handout to applicant Valuatlon Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. FL PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width ~ REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) Y FinaUNo C.O. _ Footiags (addition) Plumbing Foundation HVAC Drain Tile Other Roof Ice & P/ater Final Pool Ft s Air/Gas Tesu Final ~ Fnming _ Siding Ncco Stone Fireplace _ R.I. _ Air Test _ Final _ Windows ( acement) ~ Insulatioa _ Retaining Wall Approved By T Z , Building Inspector Base Fee Surcharge Plan Review ST~L-LU MC/ES SAC City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatment Plant License Search Copies Other Total INSPECTION RECORD CITYOFEAGAN PERMITTYPE: auiLoiNs 3830 Pilot Knob Road Permit Number: 024023 Eagan, Minnesota 55123 Date Issued: 0 7/ 01 / 9 4 (612) 681-4675 SITE ADDRESS: APPLICANT: Lar: s BLOCKa 1 4281 ROSEMARY CT PHEIUS OENNIS NAWTHORNE WOODS WEST (612) 454-6908 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION . FOOTINGS FINAL ~ ~ PERMIT ~ CITY'OF EAGAN ~7 3830 Pilot Knob Road PERMIT TYPE: PermitNumber: BUILDING Eagan, M innesota 55123 0 2 4 0 2 3 (612) 681-4675 Date Issued: 0 7/ 01 / 9 4 SITE ADDRESS: 4281 RO5EMARY CT LOT: 3 BLOCK: 1 HAWTHORNE WOOD5 WEST P.I.N.: 10-32170-030-01 DESCRIPTION: Building Permit Type DECK Building Woek Type NEW ~ ~ . % REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - PHELUS DENNIS 4281 R03EMARY CT EA6AN MN 55123 (612)454-0908 I hereby acknowledge that Z have read this application and state that the inform 'on is correct and agree to comply with all applicable State of Mn. Statu es nd City of gan Ordinances. J L PLIC NT/P RMITEE IGNATURE ISSUED BY: IGN TUfit 1 ki . ~ CITY OF EAGAN 10 1994 BUILDING PERMIT APPLICATION ~ 23 -681-4675 ~ cn cl SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered s te survey , 1 y of energy calcs. JUN 2 8 1994 COMMERCIAL 2 sets of architectural & struc uC3.l plans: 1 set f specifications, 1 copy of energ.-' Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work Site Address: SiREET SUITE # Tenant Name: (commercial only) LOT ~ BLACK ~ SUBD. 6jj' ajU_ l.@/ ~ IOA 064 P.I.D. # Descri tion of work: The applicant is: Owner ? Contractor ? Other (Describe) Name ~ ~ \ PhoneQO% Property LAST FlRST \ .p ~c,z, gcb~O Owner Address C'\ ~11~" SiREET STE # City E--V" StateZipG7)~~ Company Phone Contractor Address License # Exp. City State Zip Architect/ Company Phane Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have ead this a ication and state that the information is correct and agree to compl with 11 applic State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ~ ~ ~ BUILDING PERMIT TYPE ~ ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 13 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Poal ? 03 SF Addition ? OS 8-Plex 0 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch 0 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. [3 15 Deck 0 20 Public Facility ? 21 Miscellaneous WORK TYPE 13 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code Census Bldg APPROVALS Census Unit o Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site p Footing ? Framing ? Insulation ? Wallboard p final ? Draintile ? Fireplace Permi t Fee veiuac;on: g Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Oed. Copies Other Total: SAC % SAC Units . . _ - .171.. 7. 05. . ..c.. ..a: :ao:a cUsirirAtS na: S14 M A SURVEYINQ 8ERVICE$ iNC. ~OD ,,,«~~.SW+~E. BRE E,G.,l ,.n,..ot. 96122 .+,or•:.a1n 4U-3077 H O M E S, • I N C. 1 ~;!{~~1_ YTILRT [~NK~IT~ Y~ ~ J ` • ? va~ ,o ,ir ~ \ A n r Wn[.i v~ P'^ o„ - '~a 1.6 ~,n Lwft.u Nw... I L.0S- ~ ° fS ; 0"b.~ 4A \rN/ '`'l^ Z\9 ~ . ~ . ~ l ?o ~ o ~ '•~f7i.oJ~~~% ~~e ~ ~1Y. 1 9zt{.K . a ~r rt~~ e r~ ~ ~ 3 ~ ~ ~ ''ti; ~ ~ ~ ~ • V, ~ , • ~ M r- ~ \ ~ i,oLy~cr ~tiy' ttSA d~ ~ a ~a£w9 c~,~-- . ~ ~oti° • ~ ~ ~ 2 • \ .u ~ cV' 4 s . a y2~ ro [f'f Q ~ ~ ~ •~,°v•~,.~.~ . a ~ ° o0 ` ~ Scs1e . I "=30' / -i.EtiEND- ~ ~ ~ .9 3T 2 ' m Denotes lron Monument F" PRDPOSED CARAGE FLOOR ELEYATION- Dano;es 11ood Hub Set PROPOSED TOP OF BCDCK ELEVATION= q 3 7. S ~v-s5.) uenotes Existing $pot flevati`r~ ?ROPOS£D EASEHEN7 PLOOA, cLFyprtnN= q (•137•' 1 Denotes Proposed Spot Elevatton f---- Denotes Uratnage Directton *Nl7iE: Verlfy aii oiag. Dlrrzns9ar.; and Floar He?gh:s rrlth F1na1 Housc Plens. ' -pRprCRTY acSCR1PT10N- I - -SURVEYORS CER'iiFiCATiON- PERMIT ~ ~ ~ CITY OF EAGAN ~7~-~ 3830 PilofKnob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: s.,• (612) 681-4675 Date Issued SITE ADDRESS: ri0'i'=biAi2Y : T I.OT: 3LOCK- 7 HAbJIH01RP!Ii WOI:)US 6: 1. f-'_S.N1':I -37:1?0 -i-0. 1 DESCRIPTION: ' F~ iiilr);.ni~,Parmit 7e Sr ?Wf-, 'r;uildl'iq LTot'I: Ivpt. I18L: Ocnupqricy~ R-3 01 1 C(Sr}*:Ci .!cT.ie+i1 'J-PI i Of1ti'iq II li;~t; L1, 7,9 t3u'2c; iWidi,n :45 . j ~ r . REMARKS: Fx W '1'L4i1; V11LEY PL(I f3 FEE SUMMARY: 'J71L4JATtpi1 - `h2oo 0 0 $100 Pi1SC1-IIAN~DU:i 9.L,_-~cr , la!i i2eV1;•W b°1.:.E4 Sur'cfl~r,)e $10Ci.S0 SAC 0 snc , 0e P,C Uni t=s - I n I Sub i:.oTel 2 ,`o2G,C:49 /'J CONTRACTOR: - A F;3 la_oai si. t~tr. OWNER: FRCtirwono H o)1 es, 6 6 52 9 0 0 9 tb I_~~ ~;RLN rwoan 1-101`11 s 'I 554 UI@?VEhi; 'T'Y 1'iVF W 1 S, o^ UPQTVi=R71 Y^V" Si PAUL t4M1d 551.0 4 ST PFlUI. SSi {617) 6<Ih -~t,29 (51>_)b~~ti . I!..rsby .clrnowL:d~., tliot t n,:~,e r-vad i.hL•: ap1i'c.con c;nd ...at: ~I~.:+. in'ro rrj ..r.iori ;r- c,`orx^e.c ,ind ~acirze f.o coniy,y w?IYi , :.1 ;.p 11~..._,J.: rt.l., ,.,i :t.: `.ute~, 3nd C i ty o i P r:n,a n UrdinLirir.es. ~ ~ Z~z /s~~;~ ~ mus~ R A:r,l 1 lh~l APPL ANT/PERMITEE SIGN URE $S~UED BJSIGNATU E PERMIT I! CITY OF EAGAN ~~,27I tD REAi:TIVATE _ (pl 113 ---99`t'BUILDING PERMIT APPLICATION 681-4675 R 1 2 RECa jLoqqAAk SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typiny of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date 3 / 5 / % 3 Valuation of work 2 2 - C7lXJ r Site Address: Z V4 1 72 0sE-,»,42Y C zT STREET SU17E R Tenant Name: (comnercial only) LOT i BIACR I SUBD. ~ALjTff0P4t wcv4 P.I.D. ie il,.RF Descri tion of work: S Na e.E - r- f+M -,L c_, The applicant is: 15 Owner 91 Contractor ? Other (Describe) Name _;8pc-.vrwr,oa /-tvme's PhoneZ, 4 6 --G•.IrZ~Q Property LAsT FIRST Owner Address _ZSe :i U,v, ?r-ns ; r Y i4 ?G STREEi STE • City /-7t+u~ State M161 Zip 6~~/(24 Company 5t1Mt Phone Contractor Address License ~ Exp. CitY 5tate Zip Architect/ Company Y Phone Engineer Name Registration # Address City State Zip 5ewer 3 water licensed plumber V.ac.L_L= /7Lt)mj A?t~, . Processing time for sewer 8 water permits is two days once area as been approve . • I hereby acknowledge that I have read this application and state that the information is correct and agree ta comply with all applicable State of Minnesota Statutes and City of Eagan (lydinances. Signature of Applicant: ~ l~~ OFFICE USE ONLY ~ ' . BUILDING PERMIT TYPE ~ D 01 Foundation ? 06 Duplex ? 11 Apt./Lodging " "C]Bes~ Finish ~ 02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comn./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facil9ty , O 21 Miscellaneous WORK TYPE Pf 31 New O 33 Alterations O 35 Tenant finish ? 37 Demolish O 32 Addltion O 34 Repair p 36 Move GENERAL INFORMATION Const. (Actual) d- N Basement sq. ft. MWCC System YO (Allowable) v-N Ist F1. sq. ft. City Mater Y~ s UBC Occupancy R_3 M_) 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Boaster PumP # of Stories Footprint Sq. ft. Fire Sprinkler Length -TS-7-- On-site well Census Code iol Depth 35, On-site sewage SAC CuoSd4,~ o! APPROVALS ~t.vtgws un~~ Planning Building 3 L93 6S Assessments Engineering Variance REGIUIRED INSPECTIONS ? Site ? Footing ? Framing • ? Insulation ? Mallboard p Final ? Draintile ? Fireplace Permit Fee voimtion: g_ 'POrLppJ"` Surcharge Plan Review G4rz4~~; license 32- X ~~I~ `~6g MWCC SAC 9~c 20 = y S City SAC gpg X I~ = I'~,QZQ~ Mater Conn. Water Meter . Acct. Oeposit 4 b N32~ 14qZ 5/W Permit S/N Surcharge J X~J = 415- Treatment Pl. Road Unit ~ S~J'~" - 92, r?,5S Park Oed. Trails Ded. Copies g~z~ 1 xZ Other Total: ~SriIT= 15I7 sac % ~ D 82,2~6 SAC Units ' y6,K ay~.-- ~s6v I,7SxI~/z= 2- ...-'5Y= 8`d~S 11.10 8 012 452 307, 51uMA n..n..ci'.15 r.82 ~tl8i~ L'l1tt~TICA~C o SIGMA ` SURVEYINQ SERVICE8 1NC. t911 Sewaes Noed •4wie E• MY ~ RE OOD rwW~661II7 H p M E S, • I N C. ~ ~~ef~~_ nwrrr awstrsy~.w~ ~ s c~ p A , • 'j 9~~ wm ';r ~3 r~? O ~/~.W\~ ~ ~Z / y1% ~p~dt " 0 zl 113e.~ i_.-~ 0 434 Z7 ~E ~ ?r3v'ro f o o 1~ [ S ~s•. 1 \~y\ ! 1y'/ i~ r ~aei7'-g ~1¢D 43SA ~ y ~~ra. / ~ $ & \F,~ ~ ~ ~C ~ 9 \6 ~ a~' • . ~ . ~ ~S4 V~ ? 3 , o a 9 _G ' ` ' ~ , , ~ ~i_..?, z 9.~4 q r •Y Diit+l 27 ~G • ~ xAGAl~! ERTGINEIERIPIG DEPT ~ -LEt#EAiD- ~ ~a Denotes Iron Monument Fo~A PROAOSfD GARAGE FLOOR ELEVATIONa ' c Dertaias Ylood 4luD Set PROPOSE9 TOP OF BLOCK ELEYATION= 9 3 ~.S „9a63 Uenotes €xisting Spot Eievatton PROPaSED SASEMENT FLO4R El.EYA7ION= 7-9,5 W~d (.937•z) Denotes Proposed Spot Elevation Denotes Drainage Dlrectlon *NOTE: Verify ali 81dg. D7mensions and Flaar Naights wSth Finai Hoiese Plans. -PROPERTY DESCRiPTtON- _$URVEYBRS CERTiFiCATiaN- ! 1 fiereby certify that thls survey, pian ur iot 3, Liock i, 'rfikWTHO2NE W(Jii1fJ5 ~IeST "eport was preoarpd by me or under rtl_y ~ fj direct supervlston and that i am a duly WEST, acsardfng ta the r2corded Registered Land Surveyor under the laws of plat tlsere~f, 4nkota County, the 5tate of Minnesota. Minnesota. „ iieyne D. Cordes. Min~. R~. Na. 14575 Los SII3tVZY C8ECICLICT !OR AEBIDLNTII?L ~ fDILDIX! pEit1[IT appLIC11 ON . PROPZLTX ~ Date O! inrveyt Intla D9C NT eT1NnRenn D • Registerod Lnnd 8urveyor siqnature anG company 0~0 D • Suilding 8ermit 1lpplicant • Legal Cescription B'~El 0 • 1?ddress B~ A G • Horth arrow and bar scale g~0 D • xouse type (rambler, ralkout, spiit v/o, split sntry, lookout, *tc.) ' ~ 0 • Directional dzaiaage arrws vith s2op*/qradient t. 0 • Proposed/axiating sewer and vater servicea 0 • Street name 0 0 • Drlveway LLEVATIONB Existina D/ff 0 • Sewer service _ ? • Lot corners 0 0 • Top of cuzb at the drivevay V~IL3 D • Elevations of any existing adjacent homes ~ proDOSed 0 . Garage floor ~ /0 D • First floor B" 0 0 0 • Lowest expoaed elevation (walkout/vindow) V D • property eorners D • Front and rsar of home at the foundation P4A'DIHG AREAB fif aoDl3Cab1e1 D' 0 0 • Ensement line d o o . NWL - e~o n • xwL ' 0~ 0~p • pond A desigaation D Q~ p • Emergeacy Ovezllow Elsvation a=rsExszoxs • ~D D • Lot lines 0 • Riqht-of-vay and street width (to back of curb) g ~ 0 • Proposed home dimenaions including any proposed decks, overhangs qrenter than 20, porches, etc. (i.e. pll structures requiring permanent footings) ~G D • Show all •asements of record and any City uLiliLias within those easements tyD ? • Setbacks of proposed structure and setbaek of adjacerft existinq homes a n • Retaiain r nts, if any • Reviesaed: " J Z. ame / Date . . - , ` ' EXTERIOR ENVEIAPE AVERAGE '•U•••COMPpTATION :b owriex ~ RE1?~7 Wbc~ i~> ; szxE r.DDxESS `fZ 8/ v A2 Cov r E.9 C oJ OpNTRACTOR aR,6-N ryVo oo H0mES DATE PH0KE__6-t~p Determine aorking square footaqe of each_ • 1. Total exposed wall area Q sq_ ft. X~_ 2. Total roof/ceiling area ~6-7 sa_ ft. X+ U7i4O A. Total wall vindow area.......................... B. Total door area................................. 5 f3 C. Total sliding glass door area R ~ D. Total fireplace wall area jnJSui., E. Total wall framing area (averaqe 108)........... F. lbtal Rim joist area---------------------------- 2 G 7 G. Total Net wall area above floor----------------- LO Total exposed foundation area - 262 H. Total foundation aindow area.................... -xJoN E I. Total net foundation area above grade........... Zig 7 Determine "U" value of each wali segment. a_ 3810 X ..ti.. ~3C?_ b. 58 X ••u.- 4 C. Be X ,.U.. d. X "U" e. X ..U.. f. Z~ X l'U.. > D~ = I I g-2.3Z_Q X ..v.. 04 = 93 n. ^ X ..U.. .r- _ - z87 X..u- • i3 = 3 7.3 . 3...-•••••-••-• .....................TOtal = O.~ G~ Q z o ~ Q K If item p3 is the same as, or Less than item N1, you have :net the intent of i SBC 6006(c)2. I }fj ~n r a a ` A t P i 1s . . i . . ~t i ~ . y..t ~ . . . . ' . . . . T`~5 , ' . , . . . . . Total exposed roof/ceiling area = /!o ,z7 j. 1bta1 skylight area . . . . . . . . . . . . . . . . . . . . . . . . . - - - • • NpN C- k. lbtal roof/ceiling framing area (averaqe 101)...... 2-,'7 , 1. Total net insulated roof/ceilinq area I Determine "U" value fo= each roof/ceiling segment. ] • ' X U. k. ~ 62 , 7 X••u- i: M613 x^o° .02. 29, 3 4 Total = 3 4Z . ' 3••~K 2f total of C4 is the same as, or less than #2, you have met the intent of SBC 6006(c)1. Alternate euildinq Envelope Design 7b utilize the total envelope system method, the values established by.the svm of items $3 and 44 shall not be greater than the sum of items $1 and #2• l. + 2. _ "J. + 4. - 4 j t~ . . . . . . .a...,.... . . . . 1993 PLUMBING PERNIIT (RESIDENT7AL) CITY OF EAGAN 3830 PILOT KNOB RD FAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf. NO. FIXTURES EACH TOT~ I Sri0'JJEaZ 3 1M L1 WATER CLOSET 3.00 3 BATH TiJB 3.00 q_ S LAVATORY 3•00 " ~ KITCNEN SINK 3.00 3 - ~ LAUNDRY TRAY 3.00 3 ' HOT TUB/SPA 3•00 J_ WATER HEATER 3.00 3- ~ FLOOR DRAIN 3•00 3 - i GAS PIPING OUTLET • m;nimum -1 3.00 3- ROUGH OPENINGS 1.50 _~v WATER SOFfENER 5•00 PRIVATE DISP. • Dai.ay. uc. 15.00 U.G. SPRINKLER • 6ome undcr const. 3•00 ALTERATIONS • [o coating 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: r~- STTE ADDRESS: r'~ ~c-\l OWNER NAME: WSTALLER: v A~` { Plb' - ADDRESS: 4,0 CITY: Se . c\ ,n d STATE: ZIP CODE: PHONE SIGNATURE OF PERMITTEE a y f 3~ a ¢ a a aF t ~,F$ > b.: s ~ .:w ..r. Y .~s..:. r . %....a~~.S~x+fi~.L3'w....s ¢~r..'~~..~la.Fr..><•`L"aYTax~~..$i~4i4i.. ~3.~~'..a~m ie~..~.'>za3KY~'~~,sE?ia~. 1993 PLUMBING PERMIT (COM144IERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COIvMERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UN:T. _ NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACf PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.SO FOR EACH $1,000 OF FE& MINIMUM FEE $ 25.00. CONTRACf PRICE X 1% $ STATESURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAAZE: ST'E. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHOA'E FOR: CITY OF EAGAN APPLICANT y~ yL ~k S °1 CY 5. F.C x `"a 0rV<Cf X.)T, f'. s:`',sC...:.. s ' w~~ ~',?s ~ : skkm4 ~ . . MECHANICAL PERMIT (RESIDENTTAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELI.IIYGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. X NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE k FEES HVAC: 0-100 M BTLT $ 24.00 ADDITIONAL 50 M BTU 6.00 IWAS OUTLETS (MINIMUM 1 @ $3.00 EACH) 67,0o ADD-ON/REMODEL (MsMuvG coNSTxucr[ox) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS:'7 Wtlrl- OWNER NAME: < TELErxorrE#: - IDDD INSTALLER: GENZ-RYAD7 PLUFmING & HEATING Co. ADDRESS: 14745 South Robert Trail CITy; Rosemount STATE: M ZIP CODE: 55068 TELEPHOIVE (612) 423-1144 • 5wi ./&o liAl',alJ SIGNATI,OkE OF PERMITTEE L , z gL r CITY USE ONLY RECEIPT ( 6S ~ ~ m lJ { suao. 4AVY'W14CYlP. INn(SdSWLSf RECEIPTDATE: S~ 3'do PERMIT# 40701 8000 PLUMBINfi PERMIT (RESIDEN17AI.) crrYoFgwsnx 5830 PDAT KNOB {{D p.AHAN. bIN $S 1 EY 651-881-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwel~li1Q - minimu fee Describe:/-/ ~ul~. ~~VP•"~d~u/r $ 30.00 ~Q a. Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet ' mmimum - 1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ S2 tIC S stem newlrefur6lshed • requires MPC lic. 75.00 x = $ , Se tic S stem abandonment 30.00 x = $ I RPZ new installadonlrepairlrebuild 30.00 X = $ ~ Rou h o enin 1.50 x = $ Shower 3.00 x = $ ~ Under rounds rinkler ifdwellin isundercooswraion 3.00 x = $ Under round s rinkler ifexisen dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ W ater softener if dwelling under eonstruetlon 5.00 x = $ Watersoftener nexisein dwemn 30.00 x = $ Waterturnaround 30.00 x _ $ State Surchar e .50 $ .50 Total $ 6 Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. • • I hereby acknowledge that 1 have read this appliptlon stale that Ihe information is correc[, and agree W comply withall appllpGle Cityof Eagan ordinances. It is the apD~ica^t'g responsibility W notify the property owner that the Cily af Eagan assumes no liability for any damages caused by Ihe City during its nortnal operational and maintenance acGviUes to the taGlities consWCted under this permit within Ciry property/rightot-way/easement. SITE ADDRESS: OWNERNAME:: (AREA CODE) p I l INSTALLER NAME:/ u `a TELEPHONE T (AREA CODE) STREET ADDRESS: Z / t° y e 4 CITY:~ STATE: ZIP: b ~ SIGNATURE OF PERMITTEE CITY OF EAGAN CASHIER: JS TERMINAL N0: 947 DATE: 04/07/00 TIME: 11:32:32 ID: NAME: DENNIS OR SANDRA PHELUS 3210 9001 4281 ROSEMARy C 60.00 2155 9001 4281 ROSEMARy C 0.50 Total Receipt Amount: 60.50 CR125679 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ~o I9D 3830 PI651- 8/48 5- 55122 New ConshucNon Reaulremenh Ramodel/Reoair ReauiremenC-- ~ > J registered tlro wrveya slwwlip aq. k. ol bl, aq. H. of haue 2 copies ol plan and 5lrooled areas f20% moxlmum Wt coveraae allowefi 1 aet of energy caleWaHons fw heated adcUHOns a 2 coples ol plans (staw beam & wlndow a@ea; poured Intl. tleslgn; elc.) 1 site wrvey for extedw addiMons & tlecb ? 1 f6t 016116fQy CmCUhNOn6 > J coples of hee preservaHOn plan H IW platted aflet 7/1 /99 Jp DATE: CONSTRUCTIONCOST:~ DESCRIPTION OF WORK: STREET ADDRESS: "-7 02 S I ~~S e 1V) 0.V~J C~ LOT: ~ BLOCK: ' SUBD./P.I.D. Y: 1t Q lti IAl o 0&o Name: Ph.e,ius D-P- nntls PhoneCLo 6I-~S4 -09D~ PROPERTY wst Flnt OWNER ,I m Sheef Address: `7~iS,I OS.QY~I CL Y'1~ L - city a q avi - sta+a: lyl i n v~ zip: `~~h l Z 3 . Company: Phone C. (area code) COMRACTOR Sheet Address: lkense • Exp. CNy State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone N: ( ) Sheet Address: Regishaflon M: CMy State: Zip: Sewedwater licensed plumber (H Installina sawerhvaterPhone I hereby ackrawiedge Ihat I have read Mis applicatbn, afate Niat the form f n is rt and agree fo comply wHh all applkcdble State of Minnesota Stahites and Cify of Eagan Ordinances. - Signature of Applf OFPICE USE ONLY Certificates of Survey Recelved _ Yes ~ No ' Piwt 2 9 Tree Preservation Plan Received Yes No ~ Not Required _ - ~ OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Poroh (3-sea.) ? 31 Ext. Alt - Muld ? 02 SF Dwelling ? OS 06plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Aft - SF ? 03 01 of _ plex 0 09 07-plex 0 18 Deck ? 23 Porch (screened) ? 36 MuRi ? 04 02-plex ? 10 OS-plex ~ 19 Lower Level ? 24 Storm Damage ? OS 03-plex O 11 10-plex Plbg _Yor_N 0 25 Miscellaneous ? 06 04-plex 0 12 12-plex ? 20 Pool 0 30 Accessory Bidg. WORK TYPE ? 31 New ? 36 Move Bidg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' O 44 Siding K 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair O 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code U L (Allowable) h/ Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning ~ sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS O Stucco/Stone APPROVALS Planning Building ft, Engineering Variance Permit Fee Valuation: Surcharge Pian Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. ~ Trails Ded. • Other Copies Total: SAC Units % SAC 41/i° CilyofEaffall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 5J 7 2010 RESIDENTIAL PLUMBING nPERMIT APPLICATION Date: ,9)S ° t 0 Site Address: Lin( t "t / 0,1' Iya (41 OA - Tenant: Suite #: RESIDENT / OWNER Name: n n (C/ Ph( A, Phone: (.651•. "t"J`f ' 0q®U Address / City / Zip: 11\-C< i 126e126e1/a. (41 `+ CONTRACTOR Name:A^nIiance Connectio' sc4flc#. Address: 1313 Danita CiCity: State: Zip: ShakOp1N 55379 952-445-4803 Contact: Email: TYPE OF WORK New Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ _ _ _ Description of work: PERMIT TYPE RESIDENTIAL Water Heater k Water Softener Lawn Irrigation Add Plumbing Fixtures ( RPZ / PVB) (_ Main Lower Level) _ _ Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) n L, ) bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) ..---t--)L TOTAL FEES $ J 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 plan (1. 1A Applicant's Printed Name x Applicant's ü ÿ þ ý þýý üûúû ú ùýýü ÿúý öô ÷÷ ÿ þý÷ üûúùø ÷ ô ô ÷ôùø ó ö ÷ ô ô ã ôüØ ã ôùø ã ûé ûô ü ô óû ú ò óû ú üØ ý ó ÷ô ù ÷ ö ù ûôë ýãó ô í æêäêðä öù üûô ô íè æê ê õøôø ÷óò øø Û Øòù û úÚ ó û ÷ ðäò ôùñ ûôë þ ãó Ý Üß ô úù ö ë ô øø éô ôô ô øùö øø ú ü éã ü û ñùéþ ìô ê øø õ ô ü ûô û ùü ûô Jun, 21. 2017 2: 55PM No. 0700 P. 3 Use BLUE or BLACK Ink For Office Use Pennil#: /V3411' City of Etail P ; 7(2 ;;; s Permit Fee. 3630 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)675.5694 Staff: L 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6/21/2017 Site Address:4281 Rosemary Court Unit#: Name: Dennis Phelus Phone: 612-867-0453 Resident/ 4281 Roasemary Court Owner Address/City/zip: 91-9C\ \ C Applicant is: _Owner X Contractor Q Type of Work Description of work: Re-roof Construction Cost: 27,602 Multi-Family Building:(Yes_/No x ) Company: Prominent Construction Contact: Kristine Palkovich Contractor Address: 2855 Anthony Lane S #130 city: Minneapolis State: MN Zip: 55418Phone: 612-345-4799 Email; kpalkovlch@prominentconslructionllc.com License#: BC660493 Lead Certificate 4: NAT-Fl 09315-1 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. CALL BEFORE YOU DIG. Call Gopher State One Call al(661)454.0002 for protection against underground utility damage, Call 48 hours before you Intend to dig to receive locates Of underground utilities. www.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be In conformance wilt,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 Mlnnesofa Stara Building C e must be com+ In 180 days of permit Issuance. Kristine Palkovich x x ,�IJU tfLC . b A Applicant's Printed Name Applicant's Signature t.age 1 013 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA148699 Date Issued:04/16/2018 Permit Category:ePermit Site Address: 4281 Rosemary Ct Lot:3 Block: 1 Addition: Hawthorne Woods West PID:10-32170-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dennis N Phelus 4281 Rosemary Ct Eagan MN 55123 (651) 454-0908 Mnp Mechanical Llc 452 8th Ave SW Lonsdale MN 55046 (952) 292-9238 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153300 Date Issued:12/07/2018 Permit Category:ePermit Site Address: 4281 Rosemary Ct Lot:3 Block: 1 Addition: Hawthorne Woods West PID:10-32170-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dennis N Phelus 4281 Rosemary Ct Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162776 Date Issued:07/28/2020 Permit Category:ePermit Site Address: 4281 Rosemary Ct Lot:3 Block: 1 Addition: Hawthorne Woods West PID:10-32170-01-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or 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 - Dennis N Phelus 4281 Rosemary Ct Eagan MN 55123 (000) 000-0000 Midwest Roofing, Siding & Windows 3543 88th Ave NE, Suite 300 Circle Pines MN 55014 (763) 427-9696 Applicant/Permitee: Signature Issued By: Signature