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3481 St Charles Pl ~ + CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAIV, M11dNESOTA 55122 DATE - 19 RECEIV6D AMOUNT w $ ~ & DOLLARS oo ~ CASH ? CHECK .FOw - , , PVND COOE AMOUNT Thank You BY White-Payers Copy Yallow-Posting Copy Pink-File Copy BLDG. PERMI'P NO. , ` , t`-' J~ ; ~ r~ . \ / K 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge . 17-3860 Road Unit 20-2275 sAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter ~ % 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL • / 'i ` ' ~ . . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: rt. Ni PERIUIIT SUBTYPE: TYPE OF WORK: INSPECTION .A • ~ • ~ ~ ~ PermR No. Permit Holder Date Telephone # S/1N PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing G Roofing Rough Pibg. Fough Fltg. Isul. Fireplace Flnal Htg. Orsat Test Flnal Plbg. Plbg. Inspector - Notify Plumber Const, Meter Engr./Plan Bldg. Flnal Deck Ftg. Deck Final Well Pr. Disp. PERMIT # . PWMBING PERMiT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB AOAD, EAGAM, MN 55122 DATE: CONTRACT PRICE IC6 p, PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot ~ Block ~ Secigub Res. New Mult. Add-on ~ Name f ' ° ~ • • Comm. Repair m Address I~V A.,' Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name ~ + r - 1 Water Closet -$3.00 L Bath Tubs - $3.00 3 Address ~ Lavatory - $3.00 p Cily • ~'-r y .r . . i Phone 6f Shower - $3.00 Ki!chen Sink - $3.00 FEES Urinal/Bidet - $100 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$t 50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $300 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - t PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES ` Softener -$5.00 ~ BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 , j f Rough Openings - $1.50 SIGNATUAE 0F41ERMITTE FEE: ' STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• ~ P;r.A?.~r"IAZE rM MQt-Pt,A1d P.: TMM- 7/6/E37 CITY OF EACAN . , DT~t ~r~ ~~21 3830 PNot Knob Road, P.O. Box 21-199, Eagsn, MN 55121 ~ 13051 PHONE:454-8100 BUILDING PERMIT Receipt # To M us*d for SF` D;,:G/C.AR Eat Value $59,000 Date DECFMSER 30 ,19 86 SfteAddreas- -3481 ST cxArLr:S PL Erect 17 Occupency k3 Lotelock 2 Sec/Sub. HAMp`t0N IITS Remodel ? 2oninn $I Parcel No. Repair ? Type oi Const Y_i Addldon ? No, Storl~ FLi r1MOVe ? Lanpth 39 6 Name Oj'3 I GR COMP.AN I ES Demolish ? Depth 46 ~ Addrees -390 8 S IBI,EY MiEM H6r'Y Int Impr. ? Sq. Ft city F=A GA ti phone 454--0433 Inetell ? Name Approvab F*" ~ Addresa Assessment Permit s 310.00 6- city Pnone water 8 Sew. Surcharge 29 . 50 Police Plan Revlew 55 00 Name Fire SAC 575,00 ~ 3 Addreas Eng. Water Conn. 500 • 00 ~5 Clty Phone Planner Water Meter-63r 50 Council Road Unit 290 • fl p I hereby acknowledge that I have read this epplfceNon and state that the Bldg. OH. 1 Z/ 1}/ fiTr, pl, 156600 information is correct end agree to comply wlth ell eppllcable State of Minnesota Statutes and City oi Eagan Ordinances. APC Parks Sipneture of Permittee Ver. Date Copies tal $2,079 .00 TO A Bullding Permit is issued to: FRONTIL•'R COMPAN I ES on the expresa condition thet all work shall be done in accordence with ell applicable State ot Minneaota Statutea and City of Eagan Ordinances. Buildfng Offic(al t ~ PrrmR No. PomW HoIdK oah Tibpham N PlU~jmv ?+.v.A.c. 'y 727 ei.cwk 7~~'7 ~~e2' son~ Inspectbn Oab Imp. Commenb Footing. i Lv~ Fooeaw. n Fo,na.aon Framiny ~ir f = a , G ~ • ~ d~ (=ur,C".. r _r Rooifny ~ Rouyh Plbp. Rouyh Hty. Insul. Finplace Find Hty. ~ /100 Find Plby. 81dy. FtnN CorL OCC. Po Docic Feq. 7• j0. a 7 .dE: Dsck Frn?p. WNI Pr. Dkp. , :,~Y.~•„ , , . . . y PERMIT # PLUMBING PERMR " - RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE 'CONTRACT PRICE: PHONE: 454-8100 Site Address ~ " i-- BLDG, TYPE WORK DESCRIPTION Lot Biock 02- Sec/Sub r Res. New ~ Name ' 0 Mult Add-on ~ Address Comm. Repair c City t' H 4 AIV Phone a~ 1.5 Other NO FI%TURES ~OTAL Name r 0 K.. f! 0/Y~ E 5 ~ Water Closet -$3.00 c_; O c Address 2 5,'bi' n'? ' y j f w ~ Bath Tubs - $3.00 n 0 p City fY iPhone =Lavatory -$3.00 DC7 -3hower - $3.00 FEES Z Kitchen Sink - $3.00 3 00 COMM/IND FEE - 19~o OF CONTRACT FEE Urinal Bidet - $3.00 QQ ~ MINIMUM - RESIDENTIAL FEE - $10.00 ~~Laund Tray - $3.00 MINIMUM - COMMIIND FEE _ 20,00 Floor Dr 'ns -$1.50 STATE SURCHARGE PER PERMIT _ ,50 ~Water H ter - $ .50 (ADD $.50 S/C IF PERMIT PRICE GOES Whirtpool $3.00~ J! BEYOND $1,000.00) =Gas Pipin Outlets~i.5Q Softener - 5.00 Well - $10. 0 Private Diso. - $10.00 ~ ; ~ '1 , : ` ~:.1•,' : i ` Rough Openings - $1.50 SIGNATURE OF PERMITTEI!' FEE: STATE 3/C: :~FOR: CITY OF EAGAN GRAND TOTAL: ' ~ 1 ' ~j'S' ,S . ' . . , ' - ~p"F . ~`l1~i - . , . • y•::~. 'tJ ~ F.~ PERMIT • • MECHANICAL PERMIT 7 ~ CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EA(iAN, MN 55121 DATE 4~~~7 8 7 CONTRACT PRICE PHONE: 454-8100 Site Address J ` • 7 . BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub . r c.~ . . :1E r:ri:~'ZCAi. Res. New Mame Mult Address `:`'`•~`lebec llrivt Add-on ~ c City Phone ~ ~ ~ Repair Name ~ FEES c Address 3906 Siblev ;femoriai il~,,~; . RES. HVAC 0-100 M BTU -$24.00 p City Phone 54-u43' ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 ~ U il, . Ou GAS OUTLETS - 1.50 EA. Forced Air ~ L i M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 24.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # Other . . FEE ~U . . . i ~ S/C: SIGNATURE OF PERMITTEE ~ TOTAL• FOR: CITY OF EAGAN . , . . , i • (Itrttf iratP of (IDrrupattry Citp of eagan Eppl"bltPltf Df lltubtttg jwPtft02t This Certifcate issued pursuant to the requirements of Section 306 of the Unifor?n Building Code cerh;fying thar at the time of issuance this structure was in compliance with the various ordiirarrces oJthe Crty regulatrng building constructton or use. For the following.• uhe casfi.fion erag. Pemt Na. , oca,paocy Type znnioa U'dricc Type ccxi.u Owoerof&n7diog Addrem &n7dind Addtea Locahh, Dau: . Bu7diu6 Officiad POST IN A CONSPICUOUS PLACE ~ i ~ cmr oF EAcaH 1NATER SERVICE PERMIT I 3630 Piln! Knob Road P.(): Box 21199 PERM(T NO.: Eagan, MN 55121 DATE: 1-2-87 Zonfng: 1 - No. of Unib: - Owne~ ~rontier Midweat Address: SiteAddess: 3481 St Charles P1nce L2 °2'Iamn ?n TIPi~ t, Plumber. S Meter No.:-?1FS ]D harge: Snn nd SIZe: ~/Y" 1qocK efOfE d(1 Reader No.: a 3E 9 3Sa13 TEI FPNtI;~~~~e: tc. ' ~ I s9ree to comply iha C Q Surcharge: 50T`~ I ee ~ lJ i r ~ i Ordinan ~ ~ca E TOtel: E3 _ 50pd mPtor 4 gy Date Paid: ~ ~ Date o( Insp.: Insp.: ' l qr 16 - 1 ! cInr oF EAGnN WATER SERVICE PERMIT 3830 Pilot Knob Road P.O. Box 21199 ' PERMIT NO.: - Eagan, MN 55121 DATE: 1-7--g 7 Zoning: ~T No. of Uniis: L Owner. Rrnr?t'iPr ViA oer Add ress: I Site AddeSS: 14A1 Sf (larl P pl nPe_.? n 7 '?a:^TtOA i1P4 t r Plumber. ~rAT 'P1limF,lno Meter No.: Connection Charge: SALl, OAFd ' Size: Account Deposit: 1,.5 nn,,A Reader No.: Permit Fee: 10-r001)d I agree to eomply with the Gtr of Eagan Surcharge: 54d Ordinances. Misa Charges: 156.. 0()pd I!p - ' Total: 5np„? , gy Date Paid: I Date of Insp.: Insp.: i CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P.O. Box 21199 PERMIT NO.: 1^2 7T Eaqan, MN 55121 DATE: 1 Zoning: F 1 No. of Units: Owner. Address: SlteAddress: 3' `1 St Charles PLace L'_ B2 S.:amDtor. ttei^hts Plumber. St=ar ?'lur:bine ~9 5, 50 140.00pd I agree to comply yrlth the City of Eayan Connection Charge: 475 0011a Drdinances Account Deposft: 19 _ OrTnd Permit Fee: Surcharge: BY Misc. Charges: Date of Insp.: Total: • Insp.: Date Paid: ~~o ~o Fequest oate Fir No. Roug dn In Ner Th ough-In ~You spepion Required Ins ectionReatly Olhow must call inspeclo ~ n reatly) ~ ~Will Notity Inspector ? Ves No pate Reetl IKicansed contrector ? owner hereby request inspection of above electrical work at Job Address (SVeet, oa ar Raute No.) Ciry Section No. Township Name or No. Range No. Count JO n MPRINT-r+ ~ Phone No. Power Supplier Atltlress Electncal Conlractor (COmpany Name) Conbactor's Licensa No. (3jMn-c~ cc~ Mailing Atltlress ~ONrador or Owner Making Inslellatbn) -tree+ 5k. Po.as,1 ANhorized Signamre (ConVac[odQwner Making Installation) Phone NumOer T) D V~ t~. ~zy-zg3 MINNESOTA STATE BOARD OF ELECT IG ~ THIS INSPECTION REQUEST WILI NOT GriggrMidway Bltlg. - Poom 5128 ~ BE ACCEPTED BV THE STATE BOARD 1821 Unlversfly Ave., SL Paul, MN 5510a UNLE55 PROPER INSPECTION FEE IS VhoM (612) 612-0800 ENCLOSEO. / f REQUEST FOR ELECTRICAL INSPECTION /~`l ee(-o~oooi-os 00 3 593 ? `"ee insUUCtions for completing mis fortn on back of yellow copy. "X"Selow Work Covered by This Request ~~!•+~r~~ Ne ndd aep. rype of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Eledric Heating Apt. Building Dryer load Management Comm.llndustrial Fumace Other (Specity) Farm Air Conditioner Olher (s0ecify) Contrecto:s F~ Compute Inspection Fse Below: to # Other Fee # Service Entrance Size Fee N Circuits/Feeders Fee Swimmin Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200-Amps ove 100 -Amps $I ns Inspecmr's Use Ony: p, TOTAnL Irrigation BoomS p2`}, 50 S ecial Ins ection Alartn/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WRHIN 18 MONTHS. I, the Electrical Inspector, hereby R°"9n-in oaia cerlify that the a6ove inspection has Finai Dete 6een made. , I i I ' ()'y OFFICE USE ONLY v, Tnis requesl voi0 18 months Gom rni, st 8b'1;L 9 5 5 0 R t Da~e Fire o• qGQUIieE7 aspec'ion DReatly Now Q WilI Notify. InsPec- ?Yes ?NO tor When Ready Q.Licensed Electrical Convactor . 1 hereby re0ms[ insoection o1 above ? Owner elaclrical work imtelled at: Strggi A , ox or flo CitV~ S b ect~on a. Townshi Name or No. enge W. County D ant INT) Pe Po Ite r, lier Address " Ele i al Coniracmr ICompany Nema) onvacto L~cense No. ~~NDRICK ELECTRI ' 2- 919 MailinB Aitl~/B~AG9^V94!4[A(:~~rv rs.ivtv~.~Qy~Ckk~B~~ationl ~r AuMo i r- Q I s tionl Phone Number MINNESOTA STATE BOAflD OF ELECTflIGTY THIS INSVECTION REQUEST WILL NOT S 3 BE ACCEPTED BV THE STATE 90AND Griqps•Midwav Bldy. - Room N-191 1821 Universitv Avs.. St Paul, MN 66100 UNLESS PROPEP INSPECTION FEE IS Phone 16121 642-0800 ENCLOSED. 3~j~i~°~ REQUEST FOR ELECTRICAL INSPECTION ~a00 Ilf Sae inslmclions for eompleting Ihis iorm on beck o1 Vellow coOP - "X" Below Wak Covered by 7his Hequest - d Rep. Type ol Builtline APCliants! Wired Equiumenl Wired Home Range Temporary Service Duplex Water Heater igh[in, Pixtures Apt. Building Dryer Electric HeaUn Commercial 81dg. umace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank farm th.r pen y 1hnr (SOer.ity) t r Ueu(y t ar Other ompufe nspectron Fee Below p Fee ServiceEntranceSiza p Fea Feeders/S.bleeders b Fee Circuits U to 200 Am s 0 to 30 Am s 0 tn 30 Ani Abova 200 qmp5 31 to 100 Amps 31 to 100 q 5 Swimming Pool Above 100-Am s Above 700-Am s Transiormers Irrigation Booms Pertial-'Other Fee Signs Speciallnspection 5 5 Rema.ks TOTAL F F` f S.3y HouBh-in ~11e I, the ElecniCel ~ Inspec<or. hereby certity lhet the aEOVa Final ~ I C epection hea bean / a de. I TOlerapueetro1018mon11rolrom CITY,OF EAGAN PERMIT GUg~S9 3830 Pitot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 024785 (612) 681-4675 Date Issued: 10 /27 /94 SITE ADDRESS: 3481 ST CHARLES PL LOT: 2 BLOCK: 2 HAMPTON HEIGHTS P.I.N.: 10-31900-020-02 DESCRIPTION: (GAS) BGilding?.Permit Type FIREPLACE 1~ 9uilding Wo'rk Type NEW ~ ~ ~ ~ ~ i- ~I ~ (~rj V" u REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Totel Fee $25.50 CONTRACTOR: - Applicant - ST. Lzc. OWNER: FIRE5IDE CORNER INC 16331042 0001068 ROELFSEMA DICK 2700 N FAIRVIEW 3481 ST CHARLES PL ROSEVILLE MN 55113 EAGAN MN 55122 (612) 633-1042 (612)688-6021 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate of Mn. L Statutes and City of Eagan Ordinances. J -'1) o~~ ,~.o,I~rn~ APPLIGANTlPERMITEESIGNATURE ISSUED SI(a7Y1RE INSPECTION RECORD CITYOFEAGAN PERMITTYPE: eurLoxNc 3830 Pilot Knob Road Permit Number: 0 2 4 7 8 5 Eagan, Minnesota 55123 Date Issued: 10 / 2 7/ 9 4 (612) 681-4675 SITE ADDRESS: LpT% 2 B L 0 C K: z APPLICANT: 3481 ST CHARLES PL FIRESIDE CORNER INC HAMPTON HEIGHTS (612) 633-1042 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIp7I0N (GA5) INSPECTION DA ROUGH-IN FINAL F_ ~ L 141t6 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION ~ ~•g~ 681-4675 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: 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 IC) Val uation of work 0 CD Site Address:_ 3~g S `3~s . C.v~oS ~VCQ_, STREET SUITE # Tenant Name: (commercial only) LOT BLOCK ~ SUBD. P.I.D. # kA Descri tion of work:\n5~~ W-~- RS \_Z~ ti u~ Y 1ri_'•~" The applicant is: ? Owner Contractor ? Other (Descri6e) Name -9~S O-P.k P.~=- Phone Property LasT FIRST Owner Address S~ s STREET STE # city State z;P 551a2-~ Company a\Vt~ ~ ~~-n-~ (~16 Phone 89o - Ss Contractor AddressD7)t:b ~~'~ie~ iN-.~ License # OUI~'j Exp. City StatetY-r Zip Company Phone Architect/ Engineer Name Registration # Addr.ess ' 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 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. • ' Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessary ? 18 Comm.JInd. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. 0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New 0 33 Alterations ? 35 Tenant Finish ? 37 Demalish ? 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. tatal Booster Pump # of Staries Footprint Sq. ft. Fire Sprinkler Length On-site well Census Cade 4epth On-site sewage SAC Code Census Bldg APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? .Site ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee vai~c;~,: S 5urcharge Plan Review License MWCC SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units . • CITY OF EAGAN N2 13051 3830. Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt# Tobeusedior SF DWG/GAR EstVawe $59,000 pate DECEMBER 30 19 86 SiteAddress 3481 ST CHARLES PL Erect ~I Occupancy R3 Lot Z Block 2 Sec/Sub. HAMPTON HTS Remodel ? 2oning R 1 Parcel No. Repair ? Type of Const ITN Addition ? No.Stories 9 w Name FRONTIER COMPANIES Move ? Length oemolish ? Dapth 46 08 SIBLEY MEM HWY o Address 39 Int. Impr. ? Sq. FI ciry EAGAN phone 454-0433 lnstan ? o Name SAME Approvals Feea Address Assessment Permit $ 310.00 ~ ciry phone Water & Sew. Surcharge 29 • 50 Police PlanReview 155.00 ~W Name Fire SAC 575.00 mo ~ address Eng. WaterConn. 500.00 u a W Ciry Phone Planner Water Meter 63. 50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatihe BIdg.Ott. 12/29/$ Tr.PI. 156.00 inTOrmation is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of ~Eag~an Ordinances.~~ APC ParkS Vac Date Copies SignatureotPermittee Total $2.079.00 A euilding Permit is issued to: FRONTIER COMPANIES on the express condition that all work shall be done in accordance with all applicable Sta f Minn sot tatute City of Eagan Ordinances. Builtlinq Official C /340 Sl . . 1986 BQILDING PERlIIT APPLICATIOH - CITY OF EAG9N HOTE: ALL CONTBACTO&S MQST BS LICENSED i1ITH THE CITY OF EAGAN 3INGL8 FAIMY DHELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLS DWELLINGS - RSSIDENTIAL RENTAL pNITS FOF SALB QNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SpRVSY - CHECg fiITH BLDG. DEPT., 1 SET OE BNERGY CALCULATIONS CONAfERCIAt: INCLUDE 2 SETS OF ARCHITECTURAL & STAQCTURAL PLANS, 7 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCU[.ATIONS, $2,000 LANDSCAPE BOND '59000 To Be Used Fo • Valuatio Date: Site Address OFFICE DSE ONLY Lot ~ Hlock C.~ Erect _ Oecupancy Remodel Zoning R-% [7 Parcel/Sub Repair _ Type of Const - Addition U of Stories Owner Move _ Length Demolish Depth Address I Int.impr. _ Sq Ft Install City/Zip Code Phone /-03~3-qs7y APPROYAtS FSES Contractor Eg~~~~_ Assessments Permit 3908 Sibley Memor;al Niah~wa Water/Sewer Sureharge -zg Address Y- Bfdg. E palice Plan Review ~ g^t~, s„ }-t~-- Fire SAC City/2ip Code Engr Water Conn p D Planner Water Meter h3 sa Phone U Council Road Unit Zq Bldg Offl.?._2,q- JV~ Treatment Pl Areh./Engr. APC Parks Varianee Copies Address tOTAi, City/Zip Code Phone # NOTE: ADDEESSES FOR CORNEB LOTS - CONTRACTOR/HOMEOiiNER H03T DESIGNATE AHICH ADDRESS IS DESIBED. HO CBANGFS i1ILL BE 9LLORSD ONCE BDILDING PERNIIY IS ISSIIED. . _ , Page 1 of 4 ~~'.::.~b ~N~ ~CS tG.a • _ . . I0R EPIVELOPE AVFR{iGE "U" CODIf`117A7I0tJ Ne~. wl.1~i. ~ OWNER: DATf: SITE AODRESS: PIIONE: CONTRACTOR: ~ecoonm Determine working square foota9e of each 1. Total exposed wail area...... 1$4; 7 Z S sq. fC, x.11 2. Total roof/ceiling area..,.. 8~p sq. ft. x.026 = Z Z, 8 gj Total exposed wall area abovc ('ioor= a. Total wall window area b. Total door area (L 3 3 9.~ Z c. Total sliding glass door area,,,,,,,,,,,,,,,,,,,, d. Total fireplace wall area............ 4 8 e. Total wall framing area (average 10,"..) . . . f. Total rim joist area........ 7~- , . • 12 . g. net tivall area a6ove floor,t.~}. ~ h. 5 - wali area a6ove fioor . . . . . _ i• wali area above floor........ J. frame wall area at foundation Total exposed foundation area= k.. Total foundation window area,....... l. Total net foundation area above grade.............. Determine "u" value of each wall segment (e,g, window, doer, each separctte v1at1 section) a. 1 1 ~3 ^ x b, X liuii , 4 S c. ,r till .'4 ~ d._ A e._1._~15. 7 ~ X "ll"__~3~ f.__1_2 S X„u„ .0 3 9._ .I 3 ov, 4- _ x" u,, 3~ • o t h. X .1 ul. _ i, g _ j, X llul, _ k• X "U" If item 93 is the'sar - - as, or less than-~iter ~ Csg• Z s _ ~ #1> You have " met::the""'; _ ( 5 _ ~O intent of SBC..600 „ X (.c 3. . . , . . .~g~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . To ta 1 ~3 1, xll r;.xQ!rior Cnvolopo Avcra9c "U" Compul-;iL•ion Pago 2 oE 4 ' . , . • . ToCal expoucd rooL/ccili»g nrca = 458Q m. 'lbtal skyll.c,lit arca n. Total z-oof/ccilin, framing arr_a (avcrayc lOt)... JQ A o. Total net insulated roof/ceilin9 area........... . lletermine "U" valuc for each roof/cciling segment ; M. X U„ n. 98 „U,. ~ - ? .l~ o. "19Z a „V„ ,02 9 1bta1 If total cE ;,4 is the sama as, or less tchan I12, you have met the. znCene of ShC 60D6 (c) 1. A1Cernate IIuildinq Enve].ol?e Desiqn ib utilize the total envelope'system method, the values esL•ablishecl by the s:un of i.tems i13 and 44 shall not be greater than the sum oP items ;I1 and 112. 1. Zd~, icL_ + 2. 89 _ Z . 1 . 3 . _ + co 1. 24c~-- + 4. ~ _ _ 1 "1 ! ~ Z•~ , ~ .YI/1L1, ;.CC•I':0170 . J',l ul^•i~ilandn v.ill ntrS ful' T~ielio ' frnm•: codu.lrvcl lurt A Inl ._c~.A-S ~ a~2:ii~ li~ ~ • ~I ~ ~ ~ ~ • s. .~.tt~~.,,~ .~o,twv~,,.... . . -46g I 3:: G. F:r.l,.r~or nfi ti'.„ U.17 f . r . . ,i.r,' _l.--"~ •~•,~.~t ~3.Z~ ~ Q P1G. ql TONVIFti OF ~ . FlWtli IiALL . 1nCrrf~~i• nir .'ilm U,GfI z. • . 3~ I,.±S.a.., _3.~/~ ~~$..-~?o . • , ' a. . G. F.xcrrioc nir..iili.i..'.-- 0.17 Fic. 12 ~ -ru U1 i`- - --~0 ~ - ~ . 0 ~D ~ ' ' . Jnl.crii~r f ilin _..._O _G•`t .~i p a g ' 2. T'?' 3• 4 . `~f,At'r~ ~f_!Y_'~_•-_J'_'_.._..' VV - G. Ex:cr(or nii' i i Ira J. i.~l p -~--..._.--y 'io::i i 7 ~ I . . `~~1~ r)A. u --------1~~ Wr • ~ ~ , ~ ~r.~~-;--^:-~- --`--'--_'-Q~ 1. In[r_iv• nir filc: p.(,f1 . . . ~)IT7.Cil A y • 1~~_.kL`~~~ . ~S.-.C?......___ j~ . ,i. , ~o. • ____...-----0 _ . • 4• ..P~wr~_t~~6. ~p.~.~t~~........._...:_.. • u . ti~„~~~C s. , ~ _ ~y• r G. iuC_.iti" ~ i'l'n"_' l ) _ 1 a , ori GtLAue -/ii'< ' ° F . Ilj~;e"r~ _ i~~ iri(~r , J., • , • , l; ' ~ ' ' ~ _ . , M1 • • ~ii7 4 t~~ ' ,4~ ~ /(1 x . . . /1~.• Y . i l • . , ' ~(1 • t•tc;. ifn M } U • ~ ~ G. 13 ! • • ~ ,.~rl'C. L~.~li~:nt,:~ly~ :.i1uc~ ,1~,r.th nnd ~ o • r~. . ~yu~o,r•%cEi:.a:.c , . ~ , . • • ~ Construction R-Val.uc Intcrior air filn . .0.61 ' 3. Extcrior aii filn (still) O.G vEz ~t~ 2. 4s;8a . 1---02 • ' . pc~.A.rr ~ ~ =nCed Eea[ flou ~ 1. Ilterior air film 0.61 P Z • L• ' 3' . • • d. f:xtrcio~ ~~.ir filn (stzl ) ' . . 'Pota1 2 - 9 Q. 1 ~ F'ZG. C5 , • • . . . - ~ ~ U-.oZ~,. - - - ~ ' ~o.o~sr~'?cri 1/Ja-` 1 ~ 7._ Insidc air. Yilin 0.6). % . 2_ . 3_ 4. S. Outside . zr, fil:n 0.17 Total ---r . . L(D LG I. 2nside att" ftlin 0.61 ~ . . ' 2. . ? Y_CLC flov vp • i•~=nted . . d. • . , ' " . . ~ ' 5. Outsidc air fil:a 0.17 . , rlc_ a6.:. ~ . . . + Total • ' 3 h ~ I_ Snside air filrn . 0.61 2. . • • ."'.!1=.~ . ty_~:~''S-.>--:`:.: • 3_ - ~ . . .~~~r?`e~ 4_ `~",~'~~~~".'r~~i•":,"//i'./~~ ' 5. Out:idr_ nir fiLn 0.17 -TotaL . . ~ ~~O ~ . . . + . _ , - . • . . hQ;i_~;~ , ' ttote: Usn additional sheets i.f more cpace i: • ~ . aecdecl £or det::ils and calcu2ations. . • ~ ' RcaC ~ ' ' • . . . . ~ ilov up • ~ • , • • . ' rI._ ~P7 ' . f• . 1 . ~ ~ ' . ~ . . ~ ei_ Uc•~~~ ~ti ~1"t~l~oqun vA11 nren for frnm~{ roirucl.lun Cc,w_inu.i;.-st i ~ • ~.~7 • ---0 _t t.11 ' , , . : . . , . ~ a AiR 5Y. •-a~E _ . _ r!~ ~ ' ^ • 5 ~I.~GE...Bj~tGK . ( ~ , • • - - . _ ...i ' ..f' G. F:r:lciii,r 'II! :i;w U.17 - ~ ~ , . _ ' FIC.-.H1 11YiPV1T:d OF~ ~FINlL: IPALI,'. 1. InCrr(s,r :iir !ili:~ ( Gli . „ , . 2 . ; . • „ . , . i ~ . , . 3.. . . . : . ! 4. , ~ _ • ~ FIC. FA2 d , ~ ~ 9'uCal ` ' :a ; ~ , ~j . ;.3 ~ ~ . ; , , . r~ `2J • 1. ]ncr~~ur ~~r Cilrn--°__..___.__.._q f,9 ~ I ~,i ~_~Q - - d . 2. j ^ ' - . - ~ 5!:.al ~ ~ ~ 5• . _ . ~u~ ,S`i.i i ~ ~ 6. ).xtcrtor eir I'ilm- - -•--~).1J ~•,o ta i ~ . r) . o - (nu•i inc ~iir fll4i p GR ~ . • ~ t •~ICIi , A,~.•°_.Ji ~ ' 2. t\ Q .'---_•~.__._Q ~ , 4: - - . - - _ , - ' , u . Mr,K.~~~ 5 _ . • - ~ . ~ ~ly. G. I:.<tci ~U r .1ir i Iio 0.17 ; ' - 'i'ol,il~. t• i ~ SI~Vt f)pl ~;IL~t~I: . W, r i •kx • . • ~ ~ , Y I-1 . I~;,~ • .l~/"_\ ^ . d • ~ ~ - ~ 1r, Fic:. I!-0 tlt I 4 • ~ ~I/1 z?G. 13~ ~ 1` ~ ~ y ~ r,;ir r - .~n'~;:: ln~ll~~tt~. Ly.~ valuc~ JCpCIi nnd i~Cb:,w~.. ~ . . ,t~. - . " • .~1 .....,..1~ nf ii.:il'rio.i. ~ ~ - , . . . . PLA&J ~ ; Li &jEAL FT, E-:XposF-D W,4LL B LO G k. ; 7Z,+ 4 v.~s 1- la = r ZS.S '~4.1~E 7Z+ 4le.s ~~t d~'S PULL -7z.+ 48 + s = rz~ ~ < - Za. S - Ssci~'osED wALc,.. ~az.~A ~C ~3Lac.4C', c z~,s , S = 64.z5 ~ . )C 5 = St~. s k. E3 ~ (AV di 8 _ To-rA L Z5 ~ Sc~.,~t- ~x~os~D CEiLtUC~ ~~o ; ME: W DW_"a I~ 201-s6z 1 : sit ~7 ' Z4146~ 4= 3 Z~b z. c~cv~ ~ Z_, V= ; = ZS ~ BATl o D(ZS SIO MA HO SE CERTIFICATE FOR; SUAVEYINO "~E ANUUEEVEl01•EFS S E RVI C E 8 AEAliORS 3908 Sibley Memorial Highway FRQ~~ COMpANIES Eagan, Minneaota 55122 Phone: (612) 452•3077 MODEL: OJSFoRO I p 1 ' L Cl'~~ ~ yGALC: I~~x~FO~ ~ ~ 0~e° ~ ~ r ~ x.Sdf°!~ r„ ~01E- b~y~ 'to q i~ LaT 2 ' 0 x .`~s~ I i 4Y ? % ~~y ~ I 4 ae.o 0p zo a i1 Ji- 85pDx IA~•OO. 9S1°~05'.25".W i.01J~ j I i i . . . . . . . . . O ~ ~~y ~ , ~~t;r WAYNE ; CO 1' ' RDES , ~ ` - 14675 ' -LEGEND_ PROPOSED 6ARA6£ FLOOR EtfVATlON= SSO,O O lknotes fren Morurent PAiDPOSED Top of B1ock ELEVATfON= So,3 A Denotes Naai Hub Set PROP05ED 8ASE11ENT fLOOR ELEVAi1ON-~ 8413 x 8570.0 Denotes Existirg Spaf Elevatian MOTE: Verify afl floa'?iei9hts wifh Final House Plans. i~.~ ) Denotes Proposed Spot Elevation ~-Aenotes Drainage Direttion nX1111M CEKIFICATIOV- ! here6y cerfify fhet this surveY, plen or report _MERIY DESCRIPTIpV- was prepered by me or urder my direct supervrsion LOi ?,BLfKK 2 ard thet 1 am a duly Registered Lard Surveyor HAMPTON HEIGHTS urd r the laws of the $tate of Yinnesota. accordirg to the reccrded pfat thereof, ~A~'.~rt~& °"V"D~te: ~lNla~ Dakota ('p,~ty, Yimesota Wayne D. Cordes, Yinn. Reg. No. 14675 C,ka'ne- flodct b OxFaxo 8II4r86 1987 BOILDING PERMIT 6PPLIC9TION - CITY OF EAGAN SINGLE FAMILY DWELLINGS IHCLODfi 2 SETS OF PL9NS, 3 CERTIFICATBS OF SOROEY, 1 SET OF ENfiRGY C9LCQLATIOHS NOTE: ADDRESSES FOR CORNEH LOTS - CONYRACTOR/HOME04TNER MOST DESIGHA2E iIHICH ADDRESS IS DFSIHED. NO CHANGfiS WILL BS ALLOWED ONCE BDILDING PERMIT IS ISSIISD. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL OPITS FOR SAI.E DNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRIISY - CEECB iiITH BLDG. DEPT., t SET OF ENERGY CALCULATIONS COl'MERCIAL . INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: jzzj~ Valuation: Date: Site Address 3 ~Cq,Oa~~Q OFFICE USE ONLY Lot Block a- On Site Sewage Occupancy MWCC System - Zoning Pareel/Sub ,~(am~bYhti,. On Site Well Type of Const City Water _ (Aetual) Owner (Allowable) ~p # of Stories Address 8( ~ y~ p Q Length , Depth City/Zip Code )2!" S~1 .4 S.F. Total /Footprint S.F. Phone (J r41 p~o o vj, ~ 9PPROVAI.S FEES Contractor Assessments Permit Water/Sewer Surcharge Address Police Plan Review Fire SAC, City City/Zip Code Engr SAC, MWCC Planner Water Conn Phone Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment P1 Varianee Parks Address Copies TOTAL City/Zip Code Phone I! , %x xr ~xxxxxxrx .xz.xxasxxx . . .xq C I TY O F E A A N *"'ar~' P~,'~'":~'r aF ~Ax xn~ °F * . * APPLs=orr DoEs Nor corsrn= * * APPxovAw oF rEarsr. * ~ APPLlCATION FOR PERMIT * * INSPEGTION OF SESWEI2 ArID/OR F7A-= * ~ * IIePAI.LATIOD6 WIId, NOT BE Sam)- * SEWER AND/OR WATER CONNECTION * ~ ~M PERmIT HAS Bm ; . » r,2PitovID. * , % . ~ . * . »***#~******~*,.*x*:*::***,.***#****,?,* P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: Z Lot Block Su vision or Tax arcel ID ) IF EXISTING SiRCMIRE. DATE OF ORIGINAL BIIILDING PERMiT ISSC'AI9CE: , 1 Mon Year - PRESEBTr 7ANING/PROPpSID LSE: ~ COMMERCIAL/RE1'AIL/OFFICE ~ R-1 SINGLE FAMILY . Q IbIDCSTRIAL ~ fi-2 DL'PIEX (1Gq Cfiits) INSTIZVTIONAL/WVoW%NT ~ R-3 'IOWNHOC~SE (Three + Units) ( Lfiits) . R-4 APARThaqT/COAIDOMINILTi ( Units) 2) ~ A1AME: FRONTIER MIDWEST HOMES CORPORATION ADDRESS: 3908 Sibley Memorial Highway Bldg. E CZTY, STATE, ZIP: Eagan, MN. 55122 ' PHONE: 454-0433 3) Nl1ME: STAR PLUMBING For City Pse . Pltmibers License: ADDRFSS: 1018 Mound Springs Terrace ActiVe i CIT1'. STATE, 2IP: Bloomington, MN. 55420 ExpireAd Not recorded PHONE: 884-4149 MA51ER LICETISE# 3329 ~al 4) • • i~- ~ teAnE: . ADDxESS: CITY, SZATE, ZIP: PHONE: :3-q v . •5) ~ r i r• • : o • a~ - QX CONNECPION 7CJ CIT7 SEMCt ~ CpNNECrION 7U CITY WATII2 rl pT[IER . . 6) '&M• M1,3~ PLF.ASE HOID APPROVID PIItMIT FOR PICK-UP SY ONE OF ABpVE PLEASE MAIL ApPROVfD PEPMIT 7V 1, 2, 3, 4, ABOVE (Circle one) , 7) r. r• u• ~ ~ - ~ ' `f: ~ i' I: M ~ ~ 1~ • 1" • ~ I:A' . D h Y7i• • ~'1 ' • • D• • ~ ~ i' • ~3~ ~ w •!f}~ 1 1 1 71" ~1 • J' y . . / . FOR CITY USE ONLY PERMIT # ISSUED 3 3 ~S' Pd w/Bldg. Permit FEES: $ fb ~ S~ $ SEWER PERMIT (ZNCLUDE SURCHARGE) $ $ WATER PERMIT (ZNCLLDE SURCHARGE) $ $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLCDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOCNT DEPOSIT - WATER $ g wAc S J 7.5U-G' $ sAc $ $ TRONK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER > $ $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ /-3. c/ S $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SL'BJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: oiGC~yLz/ -r~^' TITLE: DATE: /Z4/~ 7 ~ , I ~ ~ Z~ ~ ~a00zs RESIDENTIAL BUILDING PERMIT APPLICATION cirr oF EAcaw 3830 PILOT KNOB RD, EAGAN MN 55122 851-6814875 New Conatructlon ReauhemeMS fiemotleVReoalr RepulremeMe • 3 registered sae surveya showing sq. ll. af bt, sq. tt. of house; and ~II roofed areas /~l „ D}~ • 2 copies of plan (20%maxlmumbtcoveragealbwed) (a/~r . lsetolEnergyCakuletionsforheateaadd'Abns • 2 copias of plan shaxing beam 8 window sizes; poured found design, etc.) ~i 1 stte survey tor exteYar additions & decks • 7 set of Energy Cakutatlons • Intlicele il home served by septic systam for add'dbns • 3 caples of Tree Preservatbn Plan d bt platted afler 7/1l93 • Rim ,blst Deffil Optbns seleclqn aheet (Dklgs wiN 3 or less units) DATE S-/S-Oo2 VALUATION Ja. ooot" SITE ADDRESS 3`f % . CNrtRc.ES MULiI-FAMILY BLDG _ Y LN TYPE OF WORK Rcs'„cE FIREPLACE(S) _ 0_ i_ 2 APPLICANT A FR.tev.se of 'reAc Ff4nntLY zvuG• STREETADDRESS 11D91 IoU':" ke N. CRY d C- STATEAl ZIP 5-536rr TELEPHONE # 763-293-39dN CELL PHONE # 6a-S'90-6G4a FAX # 9637`/43- 546-8d PROPERiYOWNER LiGK K OELf`SEillWp TELEPHONE#FaS+'• G98°660/ COMPLETE THIS SECiION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RLTI.ES 7670 CATEGORY 1 ap}'~~~ ~ (~J submisaion type) • Residential Ventilation Calegory 1 Worksheet Submitted wWprgy Co~ WaSk4he bmitted • Enargy Envelope Calculations Submittetl FI T 1 C U[ / Plumbing Conhactor: Phone # BY Plumbing system includes: ~ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Meehanical Contractor. Phone # Mechanical system includes: Air Conditioning Fee: $70.00 ~ Heat Recovery System Sewer/Water Conhcctor: Phone # I hereby acknowledge that I have read this application, state that the information Is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant 1)c.~J C~G-f.or„~aFr~ fXlwt 1A[> _..~~..r.,r..~..~..r.~._.~.._ ._...r. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ uPaetad aoz OFFICE l1SE 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.) O 31 Ext. Alt- Multi ? 03 01of_plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn.(4sea.) ? 33 Ext.Al[ - SF ? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10.plex ? 19 Lower Level 0 24 Storm Damage ? OB 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous 0 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Mova Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolkion (EMire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~~~q-lv 70.OD Zoos RESIDENTIAL BUILDING rERMiT nrrLicnTroN . City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsVUCtion Reouirements RemodellReoair Reouirements Office llserOnN 3 registered site surveys showing sq. ft. of lot, sq. tt. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Ged W Survey Reo] -Y ~N (20%maximum lot cove2ge albwed) 1 set of Energy Calwla5qris for heated addlCwns Tree Pres Plan Recd - Y_ N. 2 copies M plan showing 6eam & window sizes; poured found design, etc. 1 site survey for adcHong 8 decks Tiee Pres Reqmretl _Y N lsetofEnergyCalculaUons Additlon-indreateAoo-sitesep6csysfem On;site5ep6c5yslem _Y N 3 copies M Tree Preservadon Plan'rf IM platted aher 711193 Rim Joist DeWil Options seledon sheet (buildings wiU 3 or less uni5) ' Minnegasco mechanical ventila[ion fonn Date Construction Cost ~ U o Site Address 'C ~G j~ Unit/Ste # Description of Work Qv\--~ (G' c 2 Q e tl4 S`j !L~i ~ S Mutti-Famity Bldg _ Y k N Fireplace(s) X0 1 _ 2 Proper[y Owner 0'r ~ ~ae. IE3p ~._,~p Telephooe # ( 6~~ ) (~j ~ ~ ^ ~ Oz- ~ Contractor . Address CitY T .State S 1 Z ~ Tele hone # ~(9-- ~fJ- - Zip P ~ Z..`7C-(-I(0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 'Energy Code Category . Residential Venfilation Category 1 Worksheet • New Energy Code Worksheet (q submission type) Submilted Submitted . , • Energy Envelope Catculations Su6mitted In ihe last 12 months, has the City of Eagan issued a permii for a similar plan based on a masTer plan? _ Y N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( J 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 codas of the City of Eagan and the State of NIN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permir 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 Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att- SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 72 12-plex ? 25 Miscellaneous Work Tvoes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof 46 Windows/Doors O 34 Replacement 'Demolition (Entire Bidg) - Give PCA handout to applicant DeSLrIDti011: Water Damage _ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Y Sheetrock . _ Footings (deck) ~ Final/C.O. - - _ Footings (addition) _ FinaVNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final J Windows _ Insula[ion _ Retaining Wall Approved By: , Buiiding Inspector Base Fee Surcharge Plan Review " MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Tatal 76. eZ) 2006 RF.SIDENTIAL BUILDINC~i PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements RemodeVFteoair Reouiremen4s Otfice llse OnN - 3 regislered site surveys showirg sq. ft. af IM, sq. ft. of house; and all moled areas 2 coDies af pian shovnng footings, Deams, jdsfs Certof Survey Recd. ' _Y' _ N (20%maximum lot covera9e allowed) 7 set W Energy Calculatlons for heated addNOns Ttee Pres Plan Reid _Y _ N. 2 wpies W plan showing beam d vrindow sizes; poured found design, etc. 1 site survey for additions 8 Cecks Tree Pres Required Y.: N lsetofErergyCalculations Addtion-indcafeilarsilesepticsysfem On-5ile5epticSystem _Y-_N 3 wpies of Tree Preserva6on Plan'rf lot platted aRer 711193 Rim Joist De610ptlon5 selecfion sheet (6uildirgs wM 3 or less uniLS) Minnegasco mechanical ventilation fortn D DateQ C' i0 /-z j Y r Construction Cost v SiteAddress 3 ~ 6~C2- Unit/Ste k Descrip[ion of Work 01'42,• r1na61.Q 0( c e , Multi-Family Bldg _ Ya N Fireplace(s) _ 0 x 1 _ 2 Property Owner JA y k_2 L_ct?0.~d/'J 1tJ S ACA. Telephone # (65-( ) 6 Contractor F~ ~~~j~s SQ ~ " Zf` eC 57~rj Address Ly (~7 S~Cti ef~,2 /2 Ci ty IC" Gt O'\ . . State Yv/l~ Zip~~(2( Telephone#(ps) ) 27L/"W) 0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code CBtegory . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheef (q submission type) Submitted Submilled • Energy Envelope CalculaGons Submitted In the last 12 months, has fhe City of Eagan issued a permiT for a similar plan based on a master plan? _ Y _ N If yes, date and address of masier plan: Licensed Plumber Telephone fl ) MechaniCal Contractor Telephone ~ Sewer/WaterContractor 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 work which requires a review and approval of plans. A2 Applicant s Printed Name . Applicant s Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 5F Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Att - SF ? 04 02-plex ? 10 08-plex ? 78 Dedc ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 . Miscellaneous Work Tvpes ? 31 New ? 35 int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demoiish 8uilding' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •DemollUon (Entire Bldg) - Give PCA handout to applicant D¢SCrIptlOfl: Water Damage _ Yes Valuatfon Occupancy ' MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) _ Final/C.O. _ Footings (addition) _ Final/No C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs AidGas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other ToWI PERMIT City of Eagan Permit Type:Building Permit Number:EA107364 Date Issued:10/09/2012 Permit Category:ePermit Site Address: 3481 St Charles Pl Lot:2 Block: 2 Addition: Hampton Heights PID:10-31900-02-020 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dicky Roelfsema 3481 St Charles Pl Eagan MN 55122 Window Concepts MN 990 Lone Oak Rd #114 Eagan MN 55121 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121959 Date Issued:04/21/2014 Permit Category:ePermit Site Address: 3481 St Charles Pl Lot:2 Block: 2 Addition: Hampton Heights PID:10-31900-02-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dicky Roelfsema 3481 St Charles Pl Eagan MN 55122 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA129426 Date Issued:02/10/2015 Permit Category:ePermit Site Address: 3481 St Charles Pl Lot:2 Block: 2 Addition: Hampton Heights PID:10-31900-02-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dicky Roelfsema 3481 St Charles Pl Eagan MN 55122 Window Concepts MN 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature