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1310 St Andrew BlvdDate: City of Ea�ali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: q51/0 CO 2010 RESIDENTIAL BUILDING PERMIT APPLICATION 7—C:77-;‘901° Site Address: / �J' In 51 Ar z Le Tenant: Suite#: RESIDENT / OWNER Name: _ eke_...�®h25rG\ Phone: 6S1 r L/S'/-- J/ZZ 1 / [ Address / City / Zip: - / b 5'4: R pa s ),Aft - Applicant is: Owner Contractor TYPE OF WORK Description of work: Jfr1 PJB ( j2 ( JO CEJ Construction Cost: .1t 66e' Multi -Family Building: (Yes / No V ) CONTRACTOR Name: J t k irki SE:5(0 st 10/1-S cense #: ea3Z7 c Address: 7(Q S) gve/ S4 Ci : L ®.e� 71i State: / 7t Zip: 5535 2 Phone: /c ' 5� 2.-26.5 -.-J:ex9L r'7' Contact: 16,PiD Email: t' 0 5%i ' ea'y1 ! COMPLETE In the last 12 months, has Yes If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _No Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information Portions of the information may be classified as non; public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance •ais, the ordi Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start w accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant' inted Name odes of the City of at the work will be in INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: fill I t D 1 146 3830 Pilot Knob Road Permit Number: N.' t ! Eagan, Minnesota 55122-1897 Date Issued: ?t' • I ? ! ?? r, (612) 681-4675 SITE ADDRESS: 1 „ 1 1 ,,, ; APPLICANT: j; lt 1 + I ANI?RLW ICI VI) E1??11M I 1,1044 C I r11t U(?'f IIItI'; ! .1 <+ `4210 PERMIT SUBTYPE: I; I,'.1 M, N t ! 1 N I "it TYPE OF WORK: At IUPA1 Ir)N INSPECTION TYPE 1 r;,, .DATE INSPTR. INSPECTION TYPE DATE INSPTR. Itr?llr?11 1 14 1 1 1... t 1 NAt Permit No. Permit Holder Date Telephone k ELECTRIC jga"i J? PLUMB G yG _? HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING (?a /p 77 f? ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING l GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Algr I/)^0407M 1'6l *AleE V1-r}F ' - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for k Est. Value $114, Ouc Date Site Address ' ' • . ? ` ' 14 4YD Lot Block Sec/Sub. %IRWAY HILLS Parcel No. s Name ...,... z Address O City Phone ")8e-b07 Name •o Address City Phone Name _ Address City _ that I have read this application and state Receipt JULY 14 1.3907- ' ,19 1 OFFICE USE ONLY ' On Site Sewage Occupancy MWCC System Zoning i. On Site Well Type of Const City Water (Actual) (Allowable) * of Stories Length Depth S.F. Total Footprint S_F. APPROVALS FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC, City D Engr. SAC, MWCC Planner Water Conn. Council Water Meter Bldg. Off. Road Unit APC Treatment P1 Variance Parks - Coples Signature of Permittee TOTAL A Building Permit is issued to: on the express condltion that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone Plumbing l HN.A.C. J Electric 1 f "- •?! ?c La .c i . f G? ??? "mil j ` ` Softener Inspection Date Insp. Comments Footings I Footings 11 Foundation Framing Rooting Rough Plbg -( Y Rough Htg. ?.? Isul. Fireplace Z Final Htg. Final Plbg. Bldg. Final --r! Cert. Oca 4 .7 Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. g •. .r (Urtifirate of (Orruvaury citp of Cagan 18rVortmnd of % lbing 3Wrrhon This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Uje Mssi6muon 87dg. Permit No. °'•• orc„WXy Type zoning District 'Type c?? Owner ofBuMeg w?iITENMM DEVM CUP? Addreat 11463 CUIMW, ST, .tiGti RAYIDS Building AM. 1) ST. AwYl ; T, L-MY Ui, B3, FAMW HII.ZS Date: ` -j- ;7 Building Official POST IN A CONSPICUOUS PLACE ER SERVICE PERMIT CITY OF cAGAN 1 d SEW O 3830 PlloNnob Roa : o _? 1_87 PERMIT N P.O. BOX J198 DATE: 1 Eagan, MN 55121 No. Of Units: D ?, Zoning: Burr Oak Bldrs• Owner. II ills Address: drew Blvd. L4 B3 Fair?a Site Address: x•310 St. An take Side Plumbin 100.00pd plumber 7 7553'+ SAS OOnd_- 7 14 ° Y of Eagan Connection Charge: i S nand I With the CH r agree to Comp y Account Deposit: } nOncl_ Ordinances. Permit Fee: Surcharge:- Misc. Charges'. By Total: Date of Insp.: Date Paid:-- Insp.: l _X ,N . Permit No: o ? Sys a3?. 3? Road Meter No: a o Reader No: P.O. box Eagan, Mil 55121 Burr Pak L'ldrs• B vu. L, n Owner. gt• paidrew Site Address: Lae e P Plumber. 525.00P in Conn. Chg: Y 468?.#45t Acct. Dep: RIC -GAS Permit Fee: r Surcharge 11<p??_I Date: Size. P1 with the City of Eagan Tr. PianL Meter. Misc.: WATER SERVICE PERMIT CITY OF EAGAN N2 1 3 9 0 7 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 454-8100 Receipt 7?.?.3? BUILDING PERMIT' # To be used for SF DWG/GAR Est Value $114,000 Date JULY 14 1g 87 Site Address 1310 ST ANDREW BLVD Lot 4 Block 3 Sec/Sub. FAIRWAY HILLS Parcel No a Name WHITEHORSE DEVEL CORP 3 Address 11473 GOLDENROD ST o City COON RAPIDS Phone 688-8077 o Name_ Address City- m Name W .w Address Mm City Phone I hereby acknowledge that I have read this application and state that the information iscorrectaa mply with all applicable State of Minnesota Statutes Can Ordinances. Signature of Permittee lvg A Building Permit is issued to: all work shall be done in accordance with all Building Official OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well Type of Const City Water (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council Bldg. Off. APC Variance WHITEHORSE DEVEL CORP of FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks Copies TOTAL R3 R1 V -V_ $ 545.50 57.00 -2 T£75 X00 525.0?0 ?T.D0 305.00 180.00 $7;25 on the express condition that f,City of Eagan Ordinances. CITY USE ONLY PERMIT #: J ' RECEIPT DATE: 2002 RESIDENTIAL MECHANICAL PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB III) KAGAN INN $5122 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: 4Lo 21 SITE ADDRESS: OWNER NAME: ?r l STANDARD HEATING & AIR CONDITIONING CO. INSTALLER NAME: 410 WEST LAKE STREET MINNEAPOLIS, MN 55408-2998 612-824-2656 STREET ADDRESS: CITY: STATE: Place a check mark next to the permit work type TELEPHONE #: TELEPHONE #: ZIP: n? ?? ? F 101 ? "S Add-on, modification or alteration to existing dwelling unit >\\? $ 30.0 furnace replacement air exchanger air conditioner other /? C r ?C 2/ Y L L ? Nature of work: State Surcharge $ .50 Total $ SIGNATUR ERMITTEE 1102 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: 2002 COMMERCIAL MECHANICAL PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD F.AGAN, MN 55122 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: STATE: ZIP: TELEPHONE WORK TYPE: New construction Install U.G. Tank interior improvement Remove U.G. Tank Processed Piping Specify Nature of Work When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1 % = $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 1072 Payne Ave. St. Paul, MN 55101 651/772-2449 LAST 00 yln cry FIRST Or romf ADDRESS 1310 Si Arac/veAd deft/ CITY r'g# n ZIP 55, Ia3 HM PH (C,51? WK PH TECH T r>) DATE TYPE r vnd Sd? MAKE r p? MODEL ?'/S+4?U6 9a SERIAL .30o G 3/cr INPUT g8 daa ORSAT TEST RECORD C02 7, % METERED INPUT Cfh CHIMNEY TYPE ?- V e n f - 02 $? % LIMIT SETTING ° FLUE SIZE In. CO % PILOT OUTAGE (nSkn; sec CONNECTOR SIZE In. NET STACK TEMP SP I 0 TOTAL CHIMNEY INPUT a btuh GAS WORK ORKR . . STANDARD b HEATING 410 W. Lake St. Minneapolis, MN 55408 612/824-2656 & AIR CONDITIONING A Blue DoC Service Co. EQUIPMENT INFORMATION RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN Q 1 3830 PILOT KNOB RD, EAGAN MN 55122 - 651-681-4675 New Construction Requirements Remodel(Reoair Requirements . 3 registered site surveys showing sq. ft. Of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks 1 set of Energy Calculations . Indicate if home served by septic system for additions 3 copies of Tree Preservation Plan if lot platted after 711!93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE ?- 19 -©2 VALUATION SITE ADDRESS ? ?JI 0 r 6jZf u_) MULTI-FAMILY BLDG -Y _N TYPE OF WO Water Softener Water Heater No. of Baths SELA ROOFING & REMODELING, APPLICANT 4100 EXCELCInA R! yn STREET ADDRESS ST. LOUIS , PARK, MN 55416 CITY STATE ZIP TELEPHONE #UZ g2_Z,- re V?L )CELL PHONE # FAX # PROPERTYOWNER fa?fPM c kmS6y1 TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 submission type) • Residential ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ____ Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning Fee: $70.00 Heat Recovery System Phone # JUN 1 9 ?VUL ---------------------------------------- ---- --------------- I hereby acknowledge that I have read this application, state that the information is orrect, and agree -- --- --------- ---------------- with all applicable State of Minnesota Statutes and City of Eagan Orin antes. `gy Signature of Applicant OFFICE USE ONLY FIREPLACE(S) _ 0 _ 1 _ 2 Phone # Fee: $90.00 Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire B ldg 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 Width REQUIRED INSPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) _ Final/No C.O. _ Footings (addition) _ _ Plumbing - Foundation HVAC Drain Tile _ Other Roof _ Ice & Water - Final _ Pool Ftgs Air/Gas Tests Final - Framing - _ _ Siding Stucco Stone - _ Fireplace _ R.I. _ Air Test _ Final _ _ _ Windows (new/replacement) - Insulation - Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-25600-040-03 PERMIT PERMIT TYPE: Permit Number: Date Issued: 1310 ST ANDREW BLVD LOT: 4 BLOCK: 3 FAIRWAY HILLS W?75l BUILDING 027617 05/21/96 DESCRIPTION: BASEMENT FINISH ALTERATION 434 ALT. RESIDENTIAL M, ?g REMARKS: FEE SUMMARY: Base Fee Surcharge Lic. Search Fee Total Fee $50.00 $.50 $5.00 $55.50 CONTRACTOR: - Applicant - ST. LIC.OWNER: ADAMI, JAMES C 14399218 0007348 JOHNSON JERRY 1311 S GREELEY ST 1310 ST ANDREW BLVD STILLWATER MN 55082 EAGAN MN (612) 439-9218 (612)454-4122 1;. herF infO& St?1u1 CITY OF EAGAN ((?? n 141 3830 PILOT KNOB RD - 55122 ?L?? G T' ? 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)?? r? 1(1 6814675 nts Remodel/Repair Reaviremen ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured Ind. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? i energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7!1/93 required: Yes No DATE: ?1.3 T ! 9 C. CONSTRUCTION COST: /C '4n DESCRIPTION OF WORK: ?? C "'T f/ NI s /t STREET ADDRESS: ?3?G ST ?/VpljTrLvji Qp?JG (/D LOT BLOCK SUBDJP.I.D. #: _ dlLI112?rP N/xya TAE MY PROPERTY Name: T6ff'v 6',"j KAKFAI Phone #: fY/.z2 OWNER ,.r. FIRST Street Address* 13/6 ST ff.v?R?w II? v? City: E11GAn? State: /-7 Zip: CONTRACTOR Company: '7/11 AVA112: U?/+irtrirzd TNC Phone#: Y3 ?;Z SAG O v6R S i1? Street Address: 1311 S C,,f EY ST License #: - City: ST1L L ?.//I ?i?'q State: h Zip: SOU ARCHITECTf Company: /LO NE Phone #: ENGINEER Name: Registration #: Street Add City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and tot change are requested once permit is issued. f ' C r I hereby acknowledge that I have read this application and state that the infor cor nd agree to ply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant:,.. OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received - Yes - No RECf-V-EDI MAY ; 3 1996 OFFICE USE ONLY BUILDING PERMIT TYPE r. . ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ,-ff'16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Mufti Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. {Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ O % SAC SAC Units L '/ BL d/ CITY USE ONLY SUBD. 9CUu/ 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 RECEIPT #: 5 X?'??lis DATE: CP q Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH N-Q. TOTAL Shower 3.00 x = Water Closet 1"je3:,0,0 x Bath Tub 3.00 t = .,,,,'± Lavatory 3.00 x + Kitchen Sink 3.00 c Laundry Tray 3.00 x Hot Tub/Spa 3.00, q' Water Heater 3'.00 x = i Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x _ Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler' home under const. 3.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL ao -° SITE ADDRESS: 131,9 OWNER INSTALLER STREET ADDRESS: 6 -:7- ? -'-? CITY: .57--K STATE: i? ZIP: -5--f -Z-9 J-' PHONE #:(6ia-) 69?-2 -7.;2 S"' ??? SIGNATURE OF PERMITTEE OFFICE USE ONLY L BL RECEIPT #: SUED. DATE, 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commerciallindustrial buildings. multi-family buildings when separate permits are pQt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? - YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? - YES - NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pglallt fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: - ADDRESS: . CITY: PHONE #: SIGNATURE: OFFICE USE ONLY STE. # STATE: ZIP: APPLICANT METER SIZE: DATE: INSPECTOR: SINGLE FAMILY DWELLINGS /V3 910 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES. OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS - COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND h 4,ooo To Be Used For: Single Family Valuation: -gg70007ftQ- Date: 6/29/87 Site Address 1310 St. Andrew Blvd. Lot 4 Block 3 Parcel/Sub Fairway Hills On Site Sewage_ MWCC System ? On Site Well _ City Water ? Owner Whitehorse Develnnment Corp. (Burr Oak Builders, Inc.) Address X1473 Goldenrod St. City/Zip Code Coon Rapids. Mn. 55433 Phone 688-8077 Contractor Address City/Zip Code Phone Arch./Engr. Russell plan Design Address 4940 Viking Drive City/Zip Code Edina. Mn. Phone # 835-5970 Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance OAKCLIFF 2-STORY A- Occupancy 3 Zoning I Type of Const (Actual) (Allowable) -? # of Stories Length 5?c Depth 3G S.F. Total Footprint S.F. FEES Permit 5 4 5.s" Surcharge S-71 Plan Review 2-1 2 7.J SAC, City Ino. SAC, MWCC 52S Water Conn S2- 5-Water Meter (?-7. Road Unit 3oS Treatment P1 1?. Parks Copies TOTAL a $ 7 7 3--? I¢x Z52xSE>= (4-(o ((o f2x1?+? I&Ft:> ),-' 6 = 134- 2.2 x 2 2 = ?? ? K Q- ((3s?? r 59 8.01 PFRC)u WHITEHORSE pLANNEAS und0lAN0 S3UAVEYOBS ENGINEERING DEV. compaNYr INC. CORP. 1000 EAST 146th STREET, BURNSVILLE, MINNESOTA 5537 PH 432-3000 ?e?al DtJC7^>SPt'ia?t: LOr 4, BLOCK 3, FAIRWAY HILLS, DAKOTA COUNTY, MINNESOTA (.oCali ) DENOTES EXISTING ELEVATION (fo29.5) DENOTES PROPOSED ELEVATION 4? INDICATES DIRECTION OF SURFACE DRAINAGE 1029.83 = FINISHED GARAGE FLOOR ELEVATION SCALE: I"= 30" o? 1oN ? .3 0 `t rya (io o w `.aZ , e ?/p 00 R s ,r•? "o? \ \ 9 ` •J1 \ c? Is N No ?sFFO oo? 17 ? / ego ?• // Q) r` / 09 fio'.d a?'E ? 8'sJ 3p' BUILDING ?.,ETBAcK LINE ., 568, DRAINAGE AND / F UTILITY EASEMENT I hereby certify that this/is a true and correct representation of a tract of land as shown' and described hereon.. As prepared by me on this f??_ day of J0,v , 1917 . ?,. Minn. Res. Ho. /Gesr v 379-4947 SINS El credit a aaeocleroe, Inc. cr I A yni o 65413 ? P EKTERIOR ENVELOPE AVERAGE "U" COMPUTATION Id _/ 76 OWNER PLAN NO.16 >4'y1K SITE ADDRESS Determine working square footage of each 1. Total exposed.wall sq.ft. x ,H _ 2. Total•roof/ceiling area......; sq.ft. x A= 3. Total floor/cant. area....... sq.ft. x Total exposed wall area above floor lrz?ll a. Total wall window:8?ea .............:......... b. Total door BTOa.......a• ..................... . c. Total sliding glass door area... ............. d. Total fireplace wgll area .................... e. Total wall framing area (average 10%)........ `-? f. Total net wall area above floor .......:...... Z g. Total rim joist area .........................• Total exposed foundation area iii .........o•? ? h. Total foundation window area... *so is Total not foundation area above grade........ = 6-?- Determine "U" value of each wall segment b. ?` x "U" ZCs = ??', c.? x "U" do- X "Ulf e.. lam? x "U" _ fx "U" "II" Is S, _ t s g z . ... x I. x "IIn "U" _ z = 12 1 4 . ................................... Total = If item #4 is the same ast or less than item $1g, you have met the intent of SBC 6006(c)2. Or ?' Total exposed roof/ceiling area j. Total skylight area....e.•..• ........................... k. Total roof/ceiling framing area (aver. ( 10®16"o/c)•.., (.0625924"o/c)... ?? 1. Total net insulated roof/ceiling area .................. Determine "U" value for each roof/ceiling segment j "U" --- -? - x "U" - e Total = q- o . ...y.•.......e..••se..e.e e.e H ..y...e OO. H •..•e• 5 If total of $5 is the same as, or less than #2, you have met the intent of SSG 60060116 Totalfegposod floor/cant. area me Total floor/cant. framin area (average .10'?)•..••••••• a. Total net insul.ffed floorloant. area .................... Determine "U" valuo'for each floor/cant. segment X "U" m.® X no. 6 Total If-total of J6 is the name as, or less than #39 you have met the intent of SBC 6006('0)3• ALTERNATE BUILDING ENVELOPE DESIGN I i' thanestablished To utilize the total envelope system method, thevalues sum by the sum of items f4a f3 and f-6 shall ngt be greater of items #19 ¢2 and #3e 10 2 4. 14Di.?°? 5• ?? 1r? 6._ fldt. 115 f' Prepared by is Date L I7 0 ro; C10C4 q [ECEMED MAY 2 2 2008 i Permit #: j Permit Fee: ?V I Date Received:- I I I I Staff: I ----------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION CopleS A 3 •oa Date: Tenant: Site Address: /-J /d ? 4 n nlA/ SY/ Z. Suite #: RESIDENT OWNE n Phone: 6S-1, 33V- 379L Name: /<'ciren i Jr_rrg -t TA iln Sa n '5-,5-/ Z,3 41 tj Address/City/Zip: %310 :?f 4,Irta4?IV Ltn . 1 Applicant is: _ Owner )< Contractor TYPE OF WORK Description of work: /A) > J )d ! Construction Cost: ;A `3 3;? S-0 0 Multi-Family Building: (Yes _ / No CONTRACTOR Name: bex L i Utle- 6 License e--6'1-52 5/ ? t r/ Address: /o6, 0 /s/ / City: ? L t14 / &-L' State: M tV Zip: Phone: gia 19,13,X 43 Contact Person: 5- lrn COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category I Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE:.Pfans, and supporting documents that you submit are considered to.be public information. Portions of the information may be classified as non-public it you provide specific reasons that would permit the City to conclude thafthe are trade secrets. 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 ns. /J X T ) C YI 1-'L I l l 07 Q -Q. r Applicant's Printed Name ?Ap icant's ature ? Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex F Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES 77 New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Bui lding ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation , Do0 • Occupancy TC_ t MCES System Plan Review Code Edition a ec'-7 /1lv?- SAC Units (25 / _ 100% Zoning R_ City Water Census Code `I 3 Stories Booster Pump # of Units Square Feet PRV G # of Buildings Length Fire Sprinklers Type of Const. Width ?0 Footings (new bldg) Footings (deck) Footings (addition) _ Foundation Drain Tile Roof: _Ice & Water -Final Framing Fireplace: _R.I. _AirTest -Final Insulation Ike . Reviewed By: RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total _ Sheetrock Final/C.O. Final/No C.O. _ HVAC _ Other: _ Pool:-Footings -Air/Gas Tests -Final _ Siding: -Stucco Lath -Stone Lath -Brick _ Windows Retaining Wall Building Inspector T-10.9-r l-e e? Page 2 of 3 pC S9 8.01 IR13E CONSULTING ENGINEERS N EHORSE ENGINE f?lNG PLANNERS and IAND p?V CoMP 4 4 t?NY, NC. CORP. I 1000 EAST 146th STREET, BURNSVILLE., MINNESOTA '5337 PI{ 432-3000 C41ff 7--ztK},i cLZze 9 ? Y Zeal 014C7 -L.,o2ion • LO'I- 4, BLOCK , F11IRWAY. HILLS, DAKOTA COUNTY! MINNESOTA f? .s h DENOTES EXIST-IN6, ELEVATION (ro29.s) PL:NOTES PROPOSED ELEVA'T'ION -.a-- INDICATES DIRECTION OF SURFACE PRAINAGE 1029.83 = FINISFIE"D GARAGE FLOOR CLE.VATI0N SCALE: 1"=30' °oh J ?F /s v . r (? / S oa ?5r ^ O o°/ n Cq .BS J 3C,' ]3VllDlN(7 ?,L I"ancK LING C: G ?TT ,V i ., S68'a 60 DR/11NAGE AND 2?? UTILITY EAsEmCNT F .9 % 47 I hertby certify that this/is a true and correct representation of a tract of land as shown' and described hereon,. As prepared by me on this 8'nl -day of Jury 1 1917 . Nine. Rag, No. /Gass'• v PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA109663 Date Issued:03/26/2013 Permit Category:ePermit Site Address: 1310 St Andrew Blvd Lot:4 Block: 3 Addition: Fairway Hills PID:10-25600-03-040 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. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Jerome L Johnson 1310 St Andrew Blvd Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA129578 Date Issued:02/24/2015 Permit Category:ePermit Site Address: 1310 St Andrew Blvd Lot:4 Block: 3 Addition: Fairway Hills PID:10-25600-03-040 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Jerome L Johnson 1310 St Andrew Blvd Eagan MN 55123 Hearth And Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA132789 Date Issued:09/03/2015 Permit Category:ePermit Site Address: 1310 St Andrew Blvd Lot:4 Block: 3 Addition: Fairway Hills PID:10-25600-03-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Jerome L Johnson 1310 St Andrew Blvd Eagan MN 55123 (651) 454-4122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature ,.. (I For Office Use/i 1 A ..,„„. .... Perrnit Fee: / : ., 6--/-i Date Received: _ & 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 REC :' T.'-) 011f (651)675-5675 TDD:(651)454-8535 I FAX;(651)675-5694 JUN 0 1 2018 Staff: mowswew g...... buildinginspections@cityofeagan.COM " 2018 RESIDENTIAL BUILDING PERMIT APPLICATION 6/1/18 1310 St. Andrew Blvd Date: Site Address: Unit#: 1 Name: Jerry Johnson Phone: .651-454-4122 ResidAddress I City/Zip:ent/ ' 1310 St. Andrew Blvd Eagan MN 55123 X t:,.•), °Mier , — Applicant is: Owner Contractor i 1 ; i Remove top 2.osea at.*relay 2 courses wal new bncic and vnixtar.Pour con .to,aoiren wAh Op edso and avanamonjotlAs at Usp Type U,..,. i Description of work: "i Chirreirec-f of%Nor* i i $2548 90 Construction Cost: ' Multi-Family Building:(Yes I No ) , ........,„--_,.... . ...._,.......... _,...... Company: Chimney Doctors Contact: Lindsay AddressPO Box 240722 Apple Valley I : City: Contractor i i State: MN Zip: 55124 Phone: 952-888-5252 Email: chimneydoctorsmn@gmail.com t f ii. 1 1 License#: Lead Certificate#: I . , is , If the project exempt from lead certification, please explain why: Specialty Trade COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? I1 Yes No If yes,date and address of master plan: Licensed Plumber: Phone: 1 g 1 g Mechanical Contractor: Phone: t 4 Sewer&Water Contractor: Phone: i_I Fire Suppression Contractor: Phone: _ ____ 1 NOTE:Plans and supporting documents that you submit are considered to be public information. Portions ofthe information may be L classified as nonpublic if •u .rovide a•gcrik reasons that would permit the City to conclude that the are trade secnets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvoleaban.comisubscribe. Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. , CALL BEFORE YOU DIG. Cali 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.qopherstateonecalLorq 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 app Steve Trumble Applicant's Printed Name Applicant's Signature - /---2- /0 /11/16e6G0 1/ 116( • /41‘) C)0- DO NOT WRITE BELOW THIS LINE 7 SUB TYPES Foundation ____ Fireplace Porch(3-Season) Exterior Alteration(Single Family) Single Family Garage ____ ___Porch(4-Season) Exterior Alteration(Multi) — _____ Multi Deck Porch(Screen/Gazebo/Pergola) 7 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 1 Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION 2 Valuation .- --1-(9t2 Occupancy -'L- A- MCES System Plan Review Code Edition 14401.2/i". SAC Units (25% 100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) - Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) y Final I 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:.441pMets1.444___Lis ifpryay... Reviewed By: / , Building Inspector 1-) RESIDENTIAL FEES Base Fee 1\)41 Surcharge 0/11t\i‘ Plan Review MCES SAC City SAC ' driNd Utility Connection Charge f\- S&W Permit&Surcharge Treatment Plant \4 IY: i / 9/ (9 Copies TOTAL f 11.1111/ Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA162411 Date Issued:07/14/2020 Permit Category:ePermit Site Address: 1310 St Andrew Blvd Lot:4 Block: 3 Addition: Fairway Hills PID:10-25600-03-040 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 - Jerome L Johnson 1310 St Andrew Blvd Eagan MN 55123 (651) 454-4122 Bn Builders Inc 6035 235th St W Farmington MN 55024 (651) 423-7248 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169705 Date Issued:06/07/2021 Permit Category:ePermit Site Address: 1310 St Andrew Blvd Lot:4 Block: 3 Addition: Fairway Hills PID:10-25600-03-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Jerome L Johnson 1310 St Andrews Blvd Eagan MN 55123--215 (651) 454-4122 Angell Aire Inc 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature