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1370 St Andrew Blvd ` WK=A7!E~.1DEcx -R-M MMM 4/22/88 ~r,~ CITY OF EAGAN . ~8364AITot Knob Road, P.O. Box 21 199, Eagsn, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt ~ To be 4sed for Est Value Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage _ Occupancy MWCC System _ Zoning ParC@I No. On Site Well _ Type of Const Ciry Water _ (Actuaq a Name (Allowable) u+ * of Storiea 3 Address , Lengtn ~ City ' ftone _i„ •~i> Depth S.F. Total o Footprint S.F..- Name ~ ~ Address APPROVALS FEES P City Phone Assessments Permit JU Q Water/Sewer _ Surcharpe ~~t ~ W Nem@ Police _ Plan Review = o Address Fire _ SAC. City Engr. _ SAC, MWCC { W City Phone Planner _ Water Conn. Council _ Water Meter I hereby acknowledye that I have read this appliCation end state Bldg. Off. _ Road Unit that the information iscorrect and agree to compy with all applicable APC - Treatment P1 State M Minnesota Statutes end Clty of Eagan prdlnances. Variance _ Parks Copies Signature of Permittee TOTAI A Building Permit is (ssued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea Building Official _ Psrmlt No. Permit Holdar Dste Tslaphona s Plumbing H.V.A.C. Electric °0 Softener Inspection Date Insp. Comments Footings I Footings II Foundation Ffaming Roofing Rough Plbg. Rough Htg. 9~~7 E• y¢. Isul. -/6- E'~- • Fireplace Final Htg. a t i L-'~• /~G/i5s~~ ~ ~ Final Plbg. -1010 Bldg. Final i Y 9• Cert.Occ. Temp. LP . Deck Ftg. Deck Frmg. 14 Vt'ell Pr. Disp. I . (5rrtif traf.e of (Orrupanry Citp of Cagan ~~parbnmt ~ ltdiattto .~ertim This Cerwftcate issued pursuanl to the requiremenu of Seclion 306 of the Uniform Building Code certifying that at t/re time of issuance this structure was in compliance wich the various ordinances of the City regulaling building corrstruction or use. For the followi?cg: Use 4Lsifiption •Try~S ~ Hldg. Rrmit No. jL,uL Omu+nY T'pe Tonirq Diattict Type Contt. V owwor&am.S c~7i<Sr. Addrm ;721 KIiRWOOn bIAY. A.V. guildio6 pddrm 17,7D I.oaliry t• 16. B4. FAIWM t'n r.S Date: OCTCM 28• 1987 &alding Olfiaal POST IM A CONSPICUOUS PLACE } §.T . , ' . PERMIT # • . • PtUM81NG PERMtT CITY OF EAGAN RECEIPT # 7 7 G ~ 7 q 3830 PILOT KNOB ROAQ, EAGAN, MN 55122 OATE: 7 CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTIOM Lot Block ~ 5ec/Sub Res. L New L-v Mult. Add-on ` ~ Name Comm. Repair ~e Address VG Other c City Phone RES. PLBG. ONLY - COMPLETE TNE FOLLOWlNG: NQ. FIXTURES TO7AL Water Closet - $3.00 $ Name Bath Tubs - $3.00 c Address : Lavatory - $3.00 O Cily Phone ` Shower - $3.00 ' Kitchen Sink - $300 j • FEES Urinai/Bidet - $3.00 COMM/IND FEE -1% OF CONTRACT FEE ~ Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES ~ Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APpLIES ~ Water Heater -$i 50 ~ MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpaol - $3.00 MINIMUM - COMM/IND FEE -$20.00 ~ Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI7) (AQD $.50 S/C IF PERMIT PRICE GOES SoRener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 - SIGNIkTUR CJF PERId(iTTEE FEE: STATE S/C: ~ FOR: CtiY OF EAGAN GAAND TOTAL PERMIT # . MECHANIC4L PERMIT RECEIPT # 1 CITY OF EAGAN 3830 PILQT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: P NE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot_.! ~.~Block Sec/Sub fles. x New ~ !f ~ li . : Y~_ 1 Uy' ~ Name ; ,!Mult Add-on i'Com m. Repai r ~ Address c Ciry ~r1e?t` k.a 14 Phone 47- ':Other ~ Name ~ EES '1+ RES. HVAC 0-100 M BTU _$24.00 c Address /u ;.ADDITIONAL 50 M BTU - 6.00 p City & 4q~ ! Phone y4-q0 `(RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/INO FEE - 1% OF CQNTRACT FEE Forced Air 100 M BTU s74 > APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPUES Boiler M BTU MINiMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. CFM $ (ADD $.50 SiC IF PERMIT PRICE GOES Gas Piping Outlets # 1BEYOND $1,000) Other FEE: S/C: ' 30 SIGNATURE OF PERMITTEE TOTAL: 10 FOR: CITY OF EAGAN ti.. ~s CASH RECEIPT CI'fY QF EAGAN ~ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ~ OATE 19 weeeiven • ~ ~ FROM r AMOUNT $ I ~ & DGLLARS ~oo ~ CASH Q CHECK FOR i y FUNG CODE qMOUNT Thank You BY • • White-Payers Copy Yellow-Posting Copy Pink-File Copy BLDG. PERMIT N0. 07Q ~ . / ~ : i • f~ l.l~(, ~ _/`l1 -7/ !`il' . 01-3210 Bldg. Permit r 174, ~ r- 101-3422 Plan Check 01-3445 Surch./Adm. • 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC fl 7~~ 20-3865 Water Conn. 20-3868 Water Trmt. C~ 20-3716 Water Meter 7 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 5ewer Conn. 11-3855 Park Ded. TOTAL '4f , CASH RECEIPT °-CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ~ DATE weceIveo FROM 'w.t ! C4. AMOUFdT $ I r 3 DOLIARf oo E] CASFi G] CHECK f - • , FOR -~~J L/~/' Jl I~C i l _ , FUNO COOE AMOUNT "2 , 5 7 t C U 3 - ~ Thank You sr White-Peyers Copy - Yellow-Postiny Copy Pink-File CopY E CITY OF EAGAN Permit No: Date: ~ 3830 piloi Knob Raad, Meter No: '0- 3 S a Size; P.O. Br..x 21189 Reader No: s Dat~ ~ Esgan, MN 55121 I Owner. `'1 `r;'` ri'z i:c.'nst. ~ SiteAddress: 1370 St. Andrew Blvd. L16 n4 Fairway FIi116 Plumber ~•°lymouth Plumbit~g ~ Conn. Chg: 525.00pd ~A n : ~ Acct. Dep: 15. 00 I Fermit Fee: 10.0 ECTRIC • GAS [le- ~ Surchar e: • 5~~ 1 with the C~ ol Eagan ; Tr. Plan t 180. 011QF~Jn~~n~!~~s' " " r Meter. f~7 - 0+..34 ~ MisC.: n n'~rST'in n;By ~ WATER SERVIC ERMIT , , - . - _ - - ,,.~,,~n. ~-.~,~v.'~'~-r~,,... -..p.,...*a-:c~yY+..a4'~ CITY OF EAGAN Permit No: ~g51 Date: P - 18 "87 { 3830 Pllot Knob Road Meter No: Size: ' P.O. Box 31199 ~ Reader No: Date: ' Eagan, M : 551'21 ; Owner. Al iiermann Const. SiteAddress: 1370 St. AndreW Blvd. LI B Falrway ?I s ! Plumber. ° Ymuth P uaibing ~ Conn. Chg: = 525.0pd Zoning: Acct Dep:--_ '0p No. of Units: Permit Fee: 10• Pa Surcharge: ` pP I agree to comply with tha City of Eagan Tr. Plant 18.0. 00p d ardlnances. Meter. Misc.: „E-,^,'_iS A BOCa P. PL'*?i' gY WATER SERVICE PERMIT ~ - - - CITY OF EAGAIV SEWER SERVICE PERMIT 3830 Pilot Knob Road 10I07 P.O. Box,211,99 • ' PERMIT NO,: Eagan, N~1S5't21 DATE: y Zoning: R1 No. of Units: 1 Owner. " U Hermann Const. Address: SiteAddress: 1370 St, Andrew Blvd. L36 :s4 rairway Hills Plumber. PlYmoutl1 Plnmbinp ~Ia--8 76'i58 I04.04pd 1 ayree to corllply wtth the City oi Eayan Connection Charge: 525 . OOpc; Ordinances. Account Deposit: 15.04g?. ' Permit Fee: 10.04nd _ Surcharge: • S0Fd By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: This requesl void (}/~/C/' / • ~ ~ 18 months from D 2 g J 57L /ls ~~'~9 Fenuest Date Fire No. R~ uh~etl?,~15per,[ion ~qeadY Now ~JrV1'III Nmifv Insvec- / ,9 Yes ?NO tor When ReaAy 9/ Z7 Licensed Elec[rical Contractor I hereby repuast insoeciion of above ? Owner electricnl work instelled at: Svee[ Address, Box or Rouie No. C°° 13-70 .s/, ecuon o. Township Name or No. a~~e Nn. C Y OccuGant (PPINT) Phon No. Power upplier Adtlress 0 . ~ CJ ~CF I `Conlraeme's License No. ElecUi4al CoMrector ICompany Namel ~ 5 Mailin0~'/~~.tlJress IConVactor o Ownar MakinA Instailationl 13 9 7` ~ Gw Phone Number Insmllationl Authorized Si nature ontt ctor wner THIS INSPECTION REDUEST WILI NOT MINNESOTA STATE B ND OF ELECTPIGITY BE ACCEPTEO BV THE STATE BOAND Griggs-Midway BIdB. - Room N•197 UNLESS PPOPEN INSPEGTION FEE IS 1821 Universitv Ave.. St. Vaul, MN 55109 ENCLOSEO. Phone 16121 842-0800 REQUEST FOR ELECTRICAL INSPECTION ea-ooooGi-os q/~ -2 / See inshuctions br compleUny this brm on back at Yellow copy. '2& D 28 5'57 "X" Below Work Covered by Ihis Request FAd Reo. TVpe ol Bwitling Aool.nntwa Wired Equiun+ent Wired Home Range Teinporary Service Duplex Water Heater Liyhtiny Fixtures Apt. BuilAing Dryer Electrie He2Un Commercial Bldy. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Parm omn, ona v nmo, sne,rvj I u1 Suecify ther Oihe, ompute lnspection fee Below N Fee Service Entrenca5iza B Fee Faeders/Sublexders p Fen Circuits t B 0 to 200 qm s 0 to 13000 s OU !Above n 30 Am s Above 200 qmps~ 31 to 100 qmps to 100 Am s Swimming Pool Above 100_Amps 100_Am s Transiormers Irrigation Boort~s f tialOther e $igns SUecial Inspection ST F _ • Q RouHh-in . ~ r Date I. the ' Insoectar, hereby ~ cartify thet tha nbove Final s,r I ~e inspeetion has bean mada. This reQuesl voiC 18 monMe Imm jl - - - - - - - - - - - - - - - - - I Far D,ffice Use ~ ~ Permit Clty of ~apn I Pertnit Fee: 3830 Pilot Knob Road I ~ Eagan MN 55722 ~ Date Received: O_ j Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: I 2oos RESIDENTIAL BUILDING PERnniT aPPLicaTioN Date: SiteAddress: ~3~C) 6~ ~h~ewS RE-yb ~ Tenant: @w.+ '8? LIE Suite#: RESIDENT I OWNER Name: W26J ~V4~ ~a1~~~? Phone: 4-1 7-1 Address/Cily/Zip: 1_3 C) Cj~L ANvIti~5 dL?I> Applicant is: _ Owner -k Contractor TYPE OF WORK Description ofwork: 'CLe-CoU4 Adv~c ~ Construdion Cost: '7 oOO- Multi-Family Building: (Yes No ~ CONTRACTOR Name: -ij'J C CiO f Ikk-Cs Cdh-5T ~r--~- License#: 309 1 $3s`j Address: 455-0 _FJ4L~ Tr(41L City: P-Et-h State: Zip: 5:,S-05 / Phone: Contact Person: e) eo /'l COMPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqory 1 Minnesota Rules 7672 Energy Code . Residentiaf Ventilation Category 1 Worksheet • New Energy Code Worksheet Cdt690fy Submitted Submitted (4 submission type) • Energy Envelope Calculations Su6mitted In the last 12 months, has the City of Eagan issued a permit for a similar plan 6ased on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plum6er: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: . Phone: = NOTE: Ptans and supporting,documents that pou submit are considered.to, be public;informatfon;_ Portions oi : the informatiort may be classified as;non-public,if you.provide specific "reasons that would permif the Cify`to. ` condude.fhat the aie frade 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 fo 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 f plans. x ~L'UyY1Cr x L ApplicanYs Printed Name Ap ' anYs Signature Page 1 of 3 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construdion Raauiremanb RemodellRepair Reauiramenb • 3 registered site surveys showing sq. fl. of lo( sq. R. of house; and all roofed areas • 2 copies oi plan (20% maximum bt coverage albwed) • 1 set of Energy Calculatbns for heated addi(ions . 2 copies of plan showing beam & window s¢es; poured found tlesgn, etc,) . 1 site survey for extenor additlons & decks • 1 sel of Energy Calculaiions • Indicate if home served by septic system for additions . 3 cropies of iree Preservalion Plan if bt plafled aRer 7I1l93 • Rim Joist Detail Options selection sheet (hldgs with 3 or less unils) ~ DATE S ' Z6-OZ VALUATION ~ b C) d SITE ADDRESS 1370 f cWr_u.J ` /UJ- MULTI-FAMILY BLDG _Y ~ TYPE OP WORK e h~ fIREPLACE(S) _ 0 L1~11 _ 2 APPIICANT & 5if L^^ STREET ADDRESS ~070 Sf /'FI~cI.'1'e'ucJ GITY ~~a~ STATE/ ZIP SS 23 TELEPHONE # (,SI- 02-S-122I CELL PHONE # FAX # PROPERTYOWNER~ TELEPHONE# ~oSI' ~CS` I COMPLETE FOR "NEW" RESiDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA"CLGORY 1 MINNF.SOTA Ri1LCS 7672 (q submission type) • Residen[ial Ven6lation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculafions SuOmitted Plumbing Contractor: Phone # Plumbing system includes: Water 5ottener Lavm Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No, of Badis Mechanical Contractor: Phone # Mechanical system includes: .Air CondiUonine Q~ Hcat Recovery Systciii ~ ~ (`r, ~ ~L~ ~ p Sewer/WaterContractor: Phone '~1 2 6 2002 LJ U I hereby acknowledge that I have read this application, state that the information g~orred't'1gPee o compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinance . Slgnoture of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFlCE USE ONLY ? 01 Foundation ? 07 05-p(ex ? 13 18-plex ? 20 Poai ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 E#. APt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 72-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New O 35 Int Improvement ? 38 Demoiish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bltlg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demotltlon (Entire Bldg only) - Glve PCA handout to appHcant Valuatlon 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) FinaVC.O. _ Footings (deck) FinaUNo C.O. , Footings (addition) _ piumbing _ 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 , Building Inspector -----------------W Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total r ' /Yoo 36 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WFIICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS AENTAL ONITS FOR SALE UNITS # OF fINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.0 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, ce ~ 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: Date: ss~Y Site Address OFFICE USE ONLY Lot 14 Block -7 On site sewage_ Oecupancy M4JCC system Zoning Parcel/Sub FA IRWA''1 ~ IU,.S Ab.DN. On site well _ Actual Const Owner 'd 1~rrjoh City water = Allowable PRV required A of stories ooster Pump Length Address /3 70 Sf //,f ~(/~j-tj/~ . Depth . S.F. Total City/21p Code ~ Footprint S.F. Phone D - p S1S / APPROVALS FEES Contractor Engr/Assess Permit Planner Surcharge Address G^ 1°b~v/s7" - ~e Council Plan Review Bldg. Off. -=4 Z5 SAC, City City/Zip Code. Variance • SAC, MWCC ~~yv, `iz Water Conn Phone , / 7 Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies 1 TOT9I, City/Zip Code Phone Y • . t----- y ~`y~ ~ • • ~X~o /~a~c ' axic ~~6~ ~ • ~ ~ P 6 T - f Pi 14 ~ ~ , ~ , J j I~ ~ ~ L I~ 4r v ~ • ~3'~ ~~sl I ~ + I ~ fb~ ~ / \ • t~ ~ a, ~ f • , ~ • ~ • ~ • • ~ • i • • ~ I ~ ~ - ~ GOLD COPY PERMIT RELEASE FORM PERMIT # ADDRES S -7 C ln CJ 1~-~-~ ~J G~ . A PICKED UP BY i _ ~****f~****i***#*~#*i4~***#********# CITY OF EAGAN ~MUTW,' pA'MFJ'r aFF7M- r,x TIM°P' * *arrLIcaTTON noEs Nor ooia-riuTE * ArrRovrw aF PERrsr. ~ ~ APPLICATION FOR PERMIT ~ * rNSnncrzori oF sE,M Arm/ox WAxM * - ,*t TISSTATSATTOm WIId. NOT BE SQim-- * SEWER AND/OR WATER CONNECTION ~ULm Lwm PawT HAS Bm * * APPROVID. r * * . * ~ ~ . . - *at tr t,?*~**,t * *i.***,r*,t*t,t***,t*~* t **at*~: P ease Print ~ 1) PROPERTY ADDRESS: I37o J% , LEGAL DESCRIPTION: i~ S")Zyz C.J+~ /C~~ Lot Block Subdivision or Tax Parcel ID ) IF E7QSTING STRCCZURE. DATE OF ORIGINAL B[IILDING PERMIT ISSUANCE: . PRFSENf ZANING/PROPOSID LSE: (mbn Year ~ CO@44EtCIAL/7ETAIL/0FFICE ~ R-1 SINGLE FAhIILY " Q IAID[.'STRIAL ~ R-~ DL~PLEX (Tr,o L~nits) INSTITOTIONAL/GOVERNNg1NT r7 R-3 'IOWNEiOUSE (Three + Units) ( Onits) , rl R-4 APARTTENT/COAIDOMID7I[,T4 ( Units) 2) ~ NA[NE:4C aDnREss:.~723 CITSt, STATE. 2IP: rxorE:~k!" 3) i: For City L~se NAME: ~~-~~7?t%?TFi ~C v, v1 / h; C-~ Pltunbers License: AIODxESS: jt/ZZS C3;t`~.J-~v~ h>c Active , EScpired i cZTSr, sTATE, zIP: rrot recoxrled PHONE:~S~'f -7_'~- MASTIIt LICIIVSE# ZU(v_-ri g~tial 4) ~ i~- NAME: ADDRESS: ' CITY, STATE, ZIP: PHONE: \ S) r• • : a - v• ~ CONNECrION TO CITY SE[niER ?C7( COIVDID(,`TION TO CSTY WATER 0 OrHM 6) • • i ~ PLEASE HOLD APPROVE9 PERMIT FY)R PICK-UP BY ONE OF ABOVE /~'l_,d% ~ PLEASE MAiI, APPROVID PERNLiT TO 1. 2, 3, 4, ABDVE ~ (Circle one) 7) . • Y' • Y' I: ~ ~ ~ • I' • ? 17i' I~ . . • • • ~ ~ • r. 7. ~ ' M'..NP~ 1 J1 ~1' • ~ . : FOR -CITY USE ONLY ~ PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ fC'~ SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ IS C'-'~ ACCOUNT DEPOSIT - SEWER $ S iCS L''~1 ACCOONT DEPOSIT - WATER $ e~ z- .S-, lti 71 $ WAC $ G'"C? $ SAC $ $ TRUNK WATER ASSES5MENT $ S TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRDNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ , WATER TREATMENT PLANT SLRCHARGE $ $ ~ OTHER: $ `r o $ d1 e) TOTAL RECEIPT RECEIPT DOES UTILITY COIVNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC Q ROADWAY" MUST BE ISSDED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SOBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : 2005 RESIDENTIAL BiTII.DING PERMIT APPLICATION 70° 00 City Of Eagan S-- 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 7._._.... New ConsWction Reouiremenis RemodelA2epair Reauirements Dffics U580* 3 registered site surveys showing sq. fl. of IW, sq. ft. of house; and all roofed areas 2 copies af plan Y .~,N (201A mazimumlotcoverageallowed) isetofEnergyCalculationsforheatedadditions T[EePI2sP~R~d :Y 2 copies of plan showing beam & window sizes; poured tound design, e1c. 1 site survay for addrtions & decks Tre9 P.res 1?eijurcetl ~ N 5setoiEnergyCalculations AddiTion - indlcetedonsitesepticsystem Onsile3eptic5ysietn ...;::Y,...,N, 3 copies of Tree Preservalion Plan if lot platted after 7/7193 Rim Joist Defail Options selection sheet (buildings wAh 3 or less uniis) Date 9 / ~A,5- / t y~/ Construction Cost Site Address 1370 ~57~ /-tl`~~Vf2uJ ~6! VcA- UnidSte # ~ Z3 Description of Work ~.SI-a1lA,`h~10v~ (;0.S ~ /4 W-- L.DWJ21y' Ze-U Multi-Family Bldg _ Y!VN Fireplace(s) _ 0_ 1_ 2 rd Property Owner ~Eri Telephone # ( (S7 ) y52 ' ~/~Z~ Contractor Address City State Zip Telephone # ( ) CaMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet • (J submisslon type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan8 _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone J Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of wor which requires a review and - approval of plans. c ~a h ~f'2~P/ln_ Applicant's Printed Name Applicant's Si re OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 DS-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 Ext. Alt- SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazeho) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-PIOX 12 12-PI2X Plbg_Yor_N ? 25 Miscellaneous Work Types 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• 43 Reraof ? 46 WindowslDoors ? 34 Replacement •Oemolition (Entire Bldg) +Give PCA handout to'applieant o~c7 Valuatiori Z e o o Occupancy MCES System Plan Review ? 100%or 25°k Census Code 43 Zoning City Water SAC Units 0- Stories Booster Pump # of Units ° Sq. Ft. PRV # of Bldgs ~ Length Fire Sprinklered Type of Const ? • Width REQUIIiED INSPECTIONS _ Foo[ings (new bldg) _ FinaUC.O. _ Footings(deck) _ FinaUNo C.O. _ Footings (additlon) _ Plwnhing Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs AirlGas Tests Final V/ Franting _ Siding _ Smcco _ Stone _ Brick ? Fireplace ?RI. ?Air Tes[ ?inal _ Windows _ Insulation _ Retaining Wall Approved ey: Building Inspector Base Fee &9, a-A' Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Suroharge TreaVnent Plant License Search Copies . Other - Total ~ • 7a. ~ 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Cor.structbn Reauirements RemodellReoair Reauirements OHice Use Onlv 3 2gisteied site surveys showing sq. ft. of lol, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Ced of Survey Recd Y N (20%mmcimum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres.plan Recd. Y_,N 2 copies ot plan ;howing beam & window s¢es; poured found design, etc. 1 site survey for additions & decks Tree Pres:Required Y N 1 sef of Energy Calalations Add'Rion- indicate Aoo-site septic sysfem On-S%e SepEC System YN ; copies of Tree Preservation Plan iF lot platted aher7Mf93 - - P.im Joist De}ail Options seiection sheet (6uildings with 3 orless units) - - Pdinnegasco mechanical ventilation form J Date I t / / y / 0 y Construction Cost ~ 94U. 12 SiteAddress OA4ARx,J Unit/Ste # Description af Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 PrapertyOwner Fi ,u,UL,, Telephone#( (a$l ) 71:~-('49'- Contractor ~~}~_,c~•p~i~ Address~~~ City State Zip Telephone 2E ( 6Sl ) 0_s--0/05 COMPLETE TFfIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 (v submission type) • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet . Submitted Submitted • Energy Envelope Calculations Submitted In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber 7elephone Mechanical Contractor Telephone ) Sewer/WatarContractor Telephone J I hereby apply for a Resideniial Building Permit and acknowledge that the information is complete and accurate; that the werk 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 far 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. ' ea,r6t a,;,, Apphcant's Printed Name Applicant's Signature BOOSTER PIIMP REQliIRED CITY OF EAGAN N~ 14 0 3 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt# ~ ~ ~r`~`'~ To be used for SF DWG/GAR Est. Value $115,000 Date AOGUST 12 19 87 Site Address 1370 ST ANDREW BLVD OFFICE U5E ONIY 16 4 FAIRWAY HILLS OnSlteSewage Occupancy R3 Lot Biock Sec/Sub. MwccSys~em ~ zoning xl Pafcel No. On Site Well 7ype of Const ~ City Water X (ACtUaI) a Name AL HERRMANN CONST fAllowaele) w # ot Storiea z Address $~z3 HIGHWOOD WAY Lengtb ° City A•V• Phone 688-0696 Depth ati S.F. Total a SAME 688-0597 Pootpr~nts.F. , p Name Address APPROVALS FEES ~ City Phone qssessments _ Permit $ 548.50 WatedSewer Surcharge 57 _ Sfl W W Name PROBE ENGR Police _ P1an Review 97L. 9 S tz 1000 E 146TH ST Fire SAqCity i~n.o._e,,n nn Address - tf En r SAC, MWCC S~q,S nn aw C~h, B'VILLE phone 432-3000 planner _ waterConn. s,~P,t nn Council _ WaterMeter I hereby acknowledge that I have read this epplication and state B~dg.Off. _ Road Unit -.3,85._e~ thatiheinfarmationiscorrectandagreetacomplywithallapDlicable APC _ TreatmentPl State of Mlnnesota Statutes and C y ~ agan Ordinances. Variance _ Parks Copies Signature of Permittee ~ _ rO7A~ $2, Sfl2 25 A Building Permit is Issued to: AL •RRMAN CONST on the express condition that all work shall be done in accordance wlth all applic~pX~,~ Sta~te of Minne~so~ Statuqtes and City of Eagan Ordinance& Building Otticial ~ b~-~-c~,.( l 0 :3 % i y • 7987 BQ 4/1 PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLDDETS OF PLANS, CERTIFICATES OF SIIRVfiY, ET OF ENERGY CALCQLATIONS NOTE: ADDRESSES FOR COEHER LOTS - CONTRACTOR/HOMEOfiNEH MQST DESIGHA2E WHICH ADDRESS IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCS BQILDING PBRMIT IS ISSOED. M[TLTIPLE DftL'LLINGS - RBSIDfiNTIAL RENTAL iTAITS FOR SgI.E lT@IITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRIIEY - C13ECB 1iiITH 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, $2,000 LANDSCAPE BOND 1~5 000 To Be Used For: Valuation:dl~l k Date: Site Address i r OFFICE USE ONLY Lot _U,,_ Block 4k_ On Site Sewage_ Occupancy P,3 MWCC System v' Zoning R - I Pareel/Sub On Site Well Type of Const ~ City Water ? (Actual) Owner (Allowable) ~ # of Stories Address Length yn 0 Depth 3Fi•O City/Zip Code S.F. Total Footprint S.F. Phone APPROVALS FEES Contractor ~t ~ rt f(\ann \9,.,nT Assessments Permit syg, So Water/Sewer Surcharge 57,$O Address Police Plan Review 21u Fire SAC, City J 00.°_ City/Zip Code " Engr SAC, MWCC 5 Z.=° Planner Water Conn SZS.=° Phone - (o - X-y"J Council Water Meter 67.°- Bldg Off Road Unit ~ Areh. /Engr. A~Q &ICA (,,,,QOft t,nQ APC Treatment Pl I eip, '~-o Variance Parks Address tci~ j= i4h5t Copies TOTAL S d' ~ • ~ City/Zip Code t L,LUpSJ k,`p Phone # ? } Y il (rar.9~ = G G a 2 7,9 .2 0, a o i-1 oAs ~ - ~6 X 30 = '7~0 Io3~ x 5~ = 59g5~, Z~~ Gew e ~ z c x 30 1~655 x u4 = L4 Ily~b~~ ~ Ac NERxtiIANn/ CaNSr, RO B E CDHSULTIN6 EHBIHEf95. PEENGINECRING PIAHHEflS and LAHO S11AVE3TOflS COMPRNY, ING. 1 1000 EAd7 1461A SiRE$?, BURN`_VSLLE,Y1HHE!OSA 5=37 pH 422-l000 C4erZiti caZe 0 e t~. cl .3~~scr~o~2cr: L~T //o, BLOCfC 4, FA/RW.4Y" N/Ll~, DA1<07'A CDUNTl, M INNESO-TA DR<1/NA6E AND UTIL17Y EASE,MENT 4/ 6J°s6, S \ B9 ~2•,LV A\ scAGE u~ ~o z6 ELEVA,TiOA/ (M4-, DEti/O'~ PROf%aSc"= <a~~~; io Ioa Q~911;9 ~'?ao ELEVA T'Ol~l ryN''~ /NDlCA 7, ~ Di2E27 OF SURFA~c' DRA/NA6E ) 3~a.o v /034.33 = F/Nl_rr%EO 6ARA6E ~ 260~2 )o S•° FLD09 ELEVIIT/DN ~'~.ao~ `S~' . ~`'t.~• P i 30' FRONT BUILD/i1lG SE7,S4CK LINE FL9 I hereby eartify that thia is a t:ue and carrsci rapraaentitiofl of a tract of ljnd a: •ho"' and deacribed heraan.- 11e PrsParad by- me oa thfs Z?~a ' d:y ot ~ /ul-r 19 97 . - : _ . . ~C!"~ K~tlJle RR=• KO. /GO$S ~ 27 ~ CITY OP IIUILDIIdQ llEPARThIliNT EXTERIOR E1IVLLOPI; AVliRAGP "Ull CO(1PUTATION ~ (To 6e submitted Nvith building permit upplication) Ono or Ttivo Family llwe111ng Oi-mer All Otlier Site naarees _ 13 /0 S-}, A,,,ckne,,j t ~~UC+.• Contractor, ~-{f'n{~ 1••~I~.1`~(~1 Date Phone LIPIEAL ['EET OI' EXPOS~D V7ALL l.t~:~ ft. above grade = Z.1.'~.'n; ~IZ_ TOTAL EXPOSPD VVAI,L ARFJt SQ. FT. DPAQUE 4VIaLL COP?STRUCTI011: 'tU't Value x Aroa Det¢il _ 1='r'-L\N1C-=npii Sa. FT. I1.•F"'--` `~/-~j_(U)(n) referenco nUu x Sa. FT. (U) (A) from T' uUu x 52. FT. (U) (n) attached "U° x SQ. FT. _ (U)(A) sheets iiUii x S(~. FT. _ (U) (A) x S2. FT. (U)(A) Y7I11IXJW5: ' "Ull Value x Area Ptalte & Type uUu . yCa x 5Q. FT. IG>'1 _ . u u - l.,(U)(A) uUu x SQ. FT. _ (U)(A) uUn x SC2. FT. - (U) (A) ;iUll x sQ. FT. - (U)(n) DOORS:.'. t'U" Value.X Area . Pla:ce & TyPa nUu x Sq. FT. ' • ..D ' _ `dfn (U) (A) u n uUu X Sa.. FT. YI7. -c'~ = 1~,"1=\ (U) (A) n uVii _ x sa. FT. _ (u)(n) StUll x sQ. rT. - (U) (n) TorrLs sQ. r•T, (U)(n) AVEI2AGE "U" POTAL (U)(!t) VALUES z^~: cP5 = DIVIDLD BY'TOTAL 1'!lsLL ARLA (O:j? -L`n ~ !1VLRA6L "Ull 115 r less for 1&2 family dcrellings 300F'/CEILTNG: COTRL AREA: Detail reference "U~~ .L~Zi x Sf~. I'T. I(~-;y =7_~,(n17_- (U)(A)' from _ i'Uu x Sa. FT, s (U) (~1) nttached sheets. itUu Describe onenin X SQ' FT. _ (U)(A) u~u x 5O.. FT. - (U) (A) in roof. nUJ~ x Sa. I'T. _ (U)(A) TOTlLL (U) (A) VALUES DIVIDI;D BY T7~L~j IClhy 54,N /Uy 7_1 . WI 'POTAL ROOI'/CLILING AREA IU~L . UZ-I U AVERAGE "Ull 25 for ventilated roofs. . ~ ~ ~~l 2, C. b ~ i.~ ) ~ ~ a-"~U • C» . n ~ l / \ i N o+n15 I ° - "l..D `7 )L 4 3' > > L/~-u-- ~SG.> •`i - 7 V 1 " 7 .v. ~ r~' ° Z~.., 5x ~ ~ ~ C •ai~1 Ill[l _h l~ = Lu 6> I - I I Z..l (n I ZZ I i ~ooe5' ' : ` C.. ~1.~.~ IL - x lS y= 1 OI. FS4 .~53 ~ l5~ = 17C:,•1CP ~ .o-^;.. . tyas±.. . . . . , • _ __WAIL :iF:CTIO}1-_ "Daterm;Lning liUll vnlua? nt Roaf0 Wnll0 Iiim, uuici Colic, llloclc ROOF'/CEII,INC7 , R VAI,UE ~i 1.) Iutorior Air P•ilm O.G1 2.? 5/a~~ ayP. na. f 6 3:1 44.1 Inaulntion 150~ 5.) Exterior Air Film ,61 01 z 3 (STILL) - O . . iiUi~ a 1~R= iOZj iOTAL (p)_ 70 O W~LLI, R V/tLUE • O ' 6.) Intorior Air Film 0.68 ' 7• ~ P 'arI). Ba. :45 / . . 8.) Inaulntion 19.voL/ 9.) P~LnL-r'-P-irF Z.oq- lo.) liaeonito Siaiug ,67 • ~0 11.) Exterior Air Film ,17 iiUli TOTAL (R)=Z3.of 1"L RI)( R VALUE ~Oo--- ~ 13 ~ 12.) Intarior Air Film 0.68 / 13.) Itiaulation 19,oD~> lil.) 2" Fix Rim Joiat 1.88 - ~ 15 15.) KviGT-RiTG 09- 1G.) Ffnaonito siaing 2,67 170 Extorior Air Film ,1p , Q , UQ . . . . ' upii 3 1/R' M-D TOTAL (R)= Z~S1T FOUftDATI011 R VALU ZI , ~g Interior Air Film o,6f3 O ~ c>° go.. _/:.l 20.) d 21.) 12" Concroto Bloclt 1.28 n , 7n 22.) ~3 • ~ 23.) Extoriar Air FiZm ,17 n ' •e D° (g~ • npu c 1 •07~ ToTnr, (a)= 411° City of Ea�afi 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: \--1*--A-1 '41 Permit Fee: \mac \ Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION C S & �e%' Date: 7--0// Site Address: 13 7d ILdR-!A Q l J 6`Z (41(' 6-5-1 03 Tenant: KeQ Q, Jy \-- Suite #: RESIDENT / OWNER Name: Ke" "I" .K.L 2_ 51 e Phone (: J`"VelSZ ` ?Z/ j� " / / SI dr NA/557?-3 Address / City / Zip: /370 xc-cl ,�l lid+ Applicant is: V Owner Contractor TYPE OF WORK Description of work: c w J' a N d!`kov j g Construction Cost: 4 zsod Multi -Family Building: (Yes / No,X___) CONTRACTOR Name: /\eA/\. 6 €tint/ ., - (,J License #: Address: City: State: Zip: Phone: Contact: Email: 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- e information may be classified as non-public if you provide specific reasons that would permit the City to conclude"that they are trade Secrets.'t 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.c opherstateonecall.oro 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. Applicant's Printed Name x Applicant's Signature Page 1 of 3 rf 70 .Sf. ennckeuJ 1.(ud DO NOT WRITE BELOW THIS LINE q-77-744 SUB TYPES Foundation Fireplace Single Family Garage _ Multi Deck _ 01 of Plex _ Lower Level _ Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Pool _ Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation Plan Review (25%_ 100% V( Census Code # of Units # of Buildings Type of Construction Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: Rough In Air Test Final 4t Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* Demolish Interior _Demolish Foundation 4e Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required 114 Final / No C.O. Required HVAC Other: Pool: _Footings _Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL e ¢ Page 2 of 3 City of Eagan PERMIT Permit Type: Plumbing Permit Number: EA106187 Date Issued: 08/15/2012 • of IJliPermit Site Address: 1370 St Andrew Blvd Lot: 16 Block: 4 Addition: Fairway Hills PID: 10-25600-04-160 Use: Description: Sub Type: e - Underground Sprinklers Work Type: New Description: New Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Grant Bolyard 18500 Belgian Drive Belle Plaine, MN 56011 952-873-3940 Fee Summary: Valuation: 220.00 PL - RPZ/Lawn Irrigation Surcharge -Fixed $55.00 $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Reliable Plumbing & Heating LLC 18500 Belgian Dr Belle Plaine MN 56011 (952) 378-2251 - Applicant - Owner: Kenneth J Sieben 1370 St Andrew Blvd Eagan MN 55123 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT 41' CityofEaa Permit Type: Building Permit Number: EA106354 Date Issued: 08/21/2012 IIPermit Category: ePermit Site Address: 1370 St Andrew Blvd Lot: 16 Block: 4 Addition: Fairway Hills PID: 10-25600-04-160 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Window Concepts MN 990 Lone Oak Rd #114 Eagan MN 55121 (651) 905-0105 - Applicant - Owner: Kenneth J Sieben 1370 St Andrew Blvd Eagan MN 55123 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA109036 Date Issued:02/01/2013 Permit Category:ePermit Site Address: 1370 St Andrew Blvd Lot:16 Block: 4 Addition: Fairway Hills PID:10-25600-04-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952) 445-2840 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Kenneth J Sieben 1370 St Andrew Blvd Eagan MN 55123 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r------------------� . . I For Office Use � ' � Permit#:��� l � � Clt� 0� ����Il � ds��- � � Permit Fee: � 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 I I Fax: (651) 675-5694 � Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �v�re�J �� �tJ� � Date: f�' �7-�� Site Address: �3�� �`f-/ L�-�M .N�t�1 �SIZ3 Unit#: ��;: Name: ��"v� ����LJI/\. Phone: �S� ��Z� �9Z� Resident/ �i �. /� � Ownerf Address/City/Zip: �S/9d�F /�� ���o�-� : `. . t: Applicant is: �Owner Contractor �.� Description of work: �5l� �hp� C7bl1�,S�� Type of Work , � { '� N=: Construction Cost: �'y� Multi-Family Building: (Yes /No� � � ���i���� �� : Company: Gontact: Contra,ctor ';' Address: City: ; State: Zip: Phone: EmaiL `, License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: :. NOTE:Plans antl support�rig documenfs:that you s`ubmit are,considered to be,public inforrnation. Portions>of :the information,may be class�fied as non putilic rf:you,provide spec►fic„reasons that would permit th� City to ; :con�lude;#hat the are traa(e secrets:" CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www.ctopherstateonecall.ora 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 buitding permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. � x_ �eh./l�i"h.. s�[f'��2M1+� x ApplicanYs Printed Name Applicant's Si re Page 1 of 3 -04i { For Office Use /0J/ 1 e e /G / � IIS Permit#: / : h ,* �tt 4.. R � 1 'ECEI W J. d L.i Permit Fee: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 SEP 2 6 2015 Date Received: (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(c�citvofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION . Date: - - 1 Site Address: 15-70 11 AJr C.GL) f--\ ) Unit#: Name: (1-L.1V JL. Phone: 61Z.- 1 �n Resident/ ° 1 Owner Address/City/Zip: � 7 -� `u -'" i Applicant is: Owner '1/4.,---C'orlti-actor k Type of Work Description of work:'e-tr t1 1&Cel `j5 ' 0 nb,;..; O j t tL75L. 4? -1-1c4.-t3-4,per 75i. --(.. Construction Cost: 10 60C Multi-Family Building: (Yes /No ✓) 1 t Company:L,A\ UJZ�t� �h.'a ��'W �n►�_ Contact: .L-- MJ ?-_ I Contractor Address: 1.( )-2-- 5 r k\! Q C--- , City: � EL� State: Zip:6S 1Ct Phone:0 -417:06-3 Email:C.Pfc.L1Dl•Si =t WeD1.4V'C:, ILicense#: C--0 �7��_ ___Lead Certificate#: �AO- �- kOb`--5 ' - If the project is exempt from lead certification, please explain why: � � •�� �� � ... , "x 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: i 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- ublic ityoAprovidepecific reasons that would ermit they to conclude that they are trade secrets _ _ _ You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x _L'-C-C:-4-- At-ziv6-v hi-- , ., Applicant's Printed Name Applic 's Signature DO NOT WRITE BELOW THIS LINE // ,.3 /0 S - - di(114"-Tt.' !; ' / -/7c-R Ili SUB TYPES ' Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family) 4- Single Family Garage Porch (4-Season) Exterior Alteration (Multi) Multi _ 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 ,©O Occupancy 7 RA- -i MCES System Plan ReviewCode Edition pU9/' SAC Units (25% v) _ 100% Zoning R-1 City Water "` Census Code k 3K Stories _ Booster Pump _ #of Units 1 Square Feet -- PRV #of Buildings 1 Length Fire Suppression Required Type of Construction Width — REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) ae Final/ No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test rk Gas Line Air Test Hood Roof: _Ice &Water _Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes . 1 Hour Drain Tile Fireplace:_Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS tie 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: i Reviewed By: %/ Ufa., , Building Inspector RESIDENTIAL FEES r / ' , ?� Z ” ♦/ At i' ',0/1/1/1 Qia,Q 74 5 q� Base Fee / 3 Surcharge Plan Review MCES SAC City SAC ' Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies ,l., @-- Arli TOTAL Page 2 of 3