963 Savannah Rd REA''ITVATE F~JR D~'.(K.-PLAN ~ 7/6/8'8 f
(~R;,' :~RL_1~.431~i853 0(~]1Rty[,'POR ` CITY OF EAGAN -
LaJEI.L 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
45~~-5131(H) 221-345f~(W) PHONE:454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date ,19
Site Address OFFICE USE ONLY
Lot Block SeC/Sub. ' S'` On Site Sewage _ Occupancy
MWCC System _ Zoning
ParCel No. On Site Well ~ Type of Cons!
Ciry Water _ (Actuap
a Name (Allowable)
W ~t of Stories
3 Address ~ength
° City Phone Depth
S.F. Total
, p Name Footprint S.F_
~ ~ Address APPROVALS FEES
r City Phone Assessments _ Permit ~
Water/Sewer _ Surcharge
W W Name Police _ Plan Review
W }
s~ AddreBS Fire _ SAG City
~ = Engc _ SAC, MWCC
< W City Phone Planner _ Water Conn. !
Council _ Water Meter `
I hereby acknowledge that I have read this eppliCation end state Bldg. Off. _ Road Unit
that the informetion is Correct and agree to comply with all applicable APC _ Treatment P1
State of Minnesota Statutes and City of Eagan Ordinancea Variance _ Parks
Copies
Slgn8tUfA Of P81'rttltt@@ ~ TOTAL
A Building Permit is issued ta on the expre:~a condition that
all worlc shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea
Building Official
~
P~rmit No. P~rmit Holder Dat~ TNephon~ ~
Ql~mbin9 f: ~~I i: ~/J
G
H.V.AC. S y;L -f ~
Electric t~ ~Q 'y t~. y ° 7 ~i,/%~:i'
Sottener
Inspection Det~ Insp. Comments
Footings 1 ~
Footings tl
Foundation
Framing
Roofina
Rough Pibg.
Rough Htg. ~3s t
Isul. j
Fireplace
Final Htg. y ~fJ ~
Final Plbg. ~
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg. ~1 ~
Deck Frmg. ~/,~5 8 ' ! 3
Well
P~. Disp.
CIIY OF EAGAN Permit Na ` ~ Date: i
3830 Pilot Krti~b'Road Meter No: g 7 ~-3 Size:
P.O. Boz
21199 Reader No: d_
S~_~~~$~
0 Qat~ ~ Z -
Eagan, MN 55121
~wner. "~ttl~.ui~l Company
SiteAddress: ~avannah F~oa~' I.-:• L.exii~?ton SU 4t;; .
Ptumber. ~'alley Plumbinr
Conn. Chg: • ~ ,
Acck Dep: IS . 0~~~' ~~Nts: -
Permit Fee: S_~l , t~(~fQfe ct ~.~~:..ail lOCal tJtlithd
.SUfChBf @: r' ~
g - ~{~~~r~c~ply wlth !he Clty of Eagan
Tr. Plant 1~~~ ~ Odrdinencea.
Meter. ;7 n Q
Misc.: Br
WATER SERViCE PER
C{tY OF ~1GAN SEWER SERVICE PERMIT
3830 Ptlot~iCnob Rrad
P.O. Box 21199 PERMIT NO.: I`~~~~~
Eagan, MN 55121 DATE: F`~ 2~ ~
Zoning: rl No. oi Units: 1
Owner. Fa t tlund C.otiS~~.Zy
Address:
Site Address~,. `~~3 Savannah P.oa3 L6 B1 T,exin~;tor. S 4 tr
Plumber. Ai1Lv Plu~bing
6-'~-~7 75~51 1(~0.0~3r~'.
i ap~ee ta compty with the City of Eayan Connection Charge: ~g~---
Ordinances. Account Deposit: 15 ~~j
Permit Fee: 1~-~~~~
Surcharge: - 5~:^~'
gy Misa Charges:
Date ot Insp.: Total:
Insp.: Qate Paid:
~ OFF.I.GE ~SE.'QNLY ,
, - .
~ •
O. 01 ~ Fowndatio~ O. OT O~pl~s D 1a t~-plex Q 20 pool 17 ~4 A~e~ory, ~ -
O 02 SF ~Owelling C] 08 48-plex C] 16 Flcepi~ce D 21 Pordt (3~s8-a.). ~t~7; ;~.1 F~cl.:A1t- ~I!!ul#i : :
0 Q3 01 ot ~ pleot Q 4~ 07-p1~it ~L7 17 Garage 17 ~ Pa~h: O` ~ 33 ~ A1t ~~f
C] Qd: 42-pl~x CI if~-ptex ~ 18 D~clc ;Ct 23 Poccti .(scEeenedj _:tg „3B Mul~. .
~ 05 ~3~-P~ez C1 10-pleu CZ i9 Loserer~leve! Q 24 ~ir~n l?amage , , -
. ~
D Q6' ~4-p~tex ~ C3 1~_ 92•ptex. Plbg_Y or _ N 0 2~ MisceUaneous .
~ 31 l+tsw Q~ tnt ir~r~p~avem~nt C3 38~ Oerr~olish (Ii~Eerior~ : Q ~4 ~iQ~ing.
O 32 Add`,~on p 36 Move 8tiig. 0.- 42~ 'Demoii~ ~(C'rocmaatiort) Q:.+4~ fir~.l~ep~air
L7 33. Alterabon~ D 3'T Der~ltsh~ ~~tdg'1y 43' ReroAf ~ ~O. '~8 _~WI~ve1'D~s.:
Cl~ 34 Fi~pls~ceme~t 'Dire~olillbn (Entire Qtdq ~ityj - OIv~ PG/0. hshdou~ ta app~~ .
~
Ya[u~lfo~ SL, G~d ; .Occu~ncY „ MCdES ~fi~3~t
Cens.u~ Code ~ c Za~ing: w - "Gity lAl:eteF '
SAC lir~ l~ ( Stp~es 8oos~er~PtirnR__ .
Nbr.. of Un~ts Sq. F~ - p~f
rn
Nbr. ;af B1dgs - Let)g~h - Fire` Spr~nkle~sd
Tppe a.f~Const Widm ~
' ~
~ RE6~tJ1R~0 f N~PEGTION~ ,
- ~ao~~ga t~~v-b~s~ ~ ~uc.a~ . -
~ . Footings (d~ck). ~ ~~a!/~o C.~~
_ Fa~o~ (s~fitian) _ 1''~mbur~ . -
FQUn~ation t3VAG
_ - ~
Drain T'sk
~ Raof ke & !RVatec Fms~. Otl~er
~raRring~ _ RQai~ _~tgs T And+~ias Tr,sts _ Fi'ti~:
~ Firepla~e R.I. _ Ai# T&st _ FiaaU ` Si~yg-• _ Stnccd ~tq~~: =
L~sularion Wind+oavs (n~vl~al~cea~ioAt)
_ - .
~
~ . r -
g~ ~~a -
~rcharge
Pla~n R~vlew ~ . ~ .
MC/ES S~iC • . -
~cty~ sac _
water Suppty~ ~ ~ca~g~ ,
3&W Permit & St~lx:harg~
Treatr,nent P(a~t
Ptumbing• Pemnit -
II~lec:h~nical p~tr~tit
l.4cense ~earch
~
~c~pies; - - ~ : - ,
~ , _ - -
C~ti'ter
TotsE
~
RESIDEHTIAI. -
' ~V' ~I~~~D BUlLD1NG PERMIT APPLlCATlQ1r! ~ OU.
~ ' ~ cmr oF ~a~ {
3830 PIL~f` KNq~B RD • 551Z2 ~ p
651~681-4675 1'~ ~ t~l
t1~w~onetnKrtioq' tnin~nea I ~ _
~ 3 c~g~ered_ai~a ~cVe~y~ ~ttowinQ•~-:R: ollal, sq, R. Of#totlse:;and y~ rtrofed. areaa + 7:t~ppies of plan 1
,(Ttl9G maxhum iqt aar~r8qe
allowed) . t sel of Ene~y.C~ons (or h~Ead~ add~io~s
• 2 oopiee o( p~sn shawi~ be~m &:+Ninaow~s~ Pou?ed found desiga, e~c.) 1 all~l.u±rcY forr~d'ariaraadfl~s & decks ~
• r set~or Er~tgy:~G~laa~ions • ~ndt~.ff rwa,e 3e~r bY ~To sy~am~~urad~liG+~s
• 3 cop[es d'Tr~ Prsse~atlon Plen ~(ot plelted a~~711l83
.,Rim Jc~.aetai..8ptlar~.sel~a~GSki~! jtik~s x~h 3 cr ~sc ~a}
t
DA?T~ ~:ll " D ~ V1kLUATlQN
~os srrE Ar~o~~fss~ S~t1 fh~r ~l~ ,~,~~r. Y~t u ~
1~ M~ILTl-FA;NIILY~$U1LDlM;G, HOW hAANY'UNITS?
P"ROPER'ilf OWNER
~ ~(~t~ P~tS b/~ _
TYPE O~ W4~tK - ~tI~EPLACt~3~); _ 0_.T ~ 2~.
A~PPLIGANT PIf~NE~
ApaR~s ~ ~ ~U ~ v~ r4~f ~r~C~ YYl ~ ztp c~Q~ ~l~ ~
'P.AGER ~ CEI,I PWQNE # FAX #
p~~f'r~- _ Y-~ ~D ( f ~ ~3-9~~~~
~ IV~V RFSiDENTiA~4 BUICDING ONLY -~ILL OUt ~G~MPLETELY
Energy. Cede Catego .ry. _ M~WNFSOT~1 ~IJI.E.S 7S70:CATECO ~
~{chesli ong) . - Regidei~ti~l Ver+ttlatyvh .Categ~ry. 1. W~r.ks
F~ergy ~E~lveitope Cel~ule~c>ns ~ubmltted , ~ ~ I f
~ Q ~
~
_ D~fiNNE3OTA RIILES 767~ , ~ -
New.Er~et~y Code Workshieet 3ub~itted
By ! ~
~ Pl~mbing Co~hattor . _Pho~~ '
Piurnbing ~.yst~em includ~s: 4~ater S~fterter _ Ia.wn Spr~k,ler- Fee, _$9Q.f14
r Water ~eater _ T~T~: of R.X, Bat~as
i~io, of Ba~I~s ~
~+lechanlE.a1: Coriiracto~:~ Phone: #
:14ieclianieal 5ystem Ln~ludes: ^ A.ir'Conctitioiiing Fe~:. $~U.00
_ Heat Recovery Systern
Sev~rer/Water CoMracbr~ Phane #
All above i~ifarma~on must• be subn~ited, p~o~ ta: processir~ of applicattar~..
1 F?ere~y.ac~crivvuledge ttiat I F~ove ~e:ad t~is applicatiQn. state tho# th~ -~a#ion is ~ome~#, an~! agt'ei~ to cor~ply
with al~ q{aPlica~il,e ~S~a:f,e of ~iMinci.esota Statu#,~~ cind ~it~ of ~agQ~? C) _ ara'ces.
;
3'E~t?ature o~.Applleanf
Certificatea af ~urvey Received _ Tre~e Preser.uation F'lar~ R~ce~v No# Requice~d _
Updated 1101
0-1 0~972 ~ ~ 7ios
O
Requ s[ ~at / Fire N. ougn jn InspeIXion ired Ins eclion Olher Th oughdn
/S 9~ (VOU t call inipett r when reatly) ~ Peatly Now ~Will Notily Inspecior
Ves ? No Oale Faad
I? licensed contractor IY~ewner hereby request inspection of above electrical work at:
Job Atltlress (SVeet, x or Route No.) I I City
~'/~3 ava~~a.N ~oad
Section No. Township Neme or No. Range No. County
Occu nt(PRIN Poone No.
~l~a I Io ren
Power Supplier AtlE~ess
ElecVical Co ractor (Company Name) Convactols License No.
OMBO~/1NX
Maiiing A Gres (COntractar or Ovmer Making Installatian)
C~OV
Aut ¢etl SlgnaWre onlractodDwner Making Installation) Phone Number
- 3G y
MI "cFOTA STATE BOARD 0 LECTRICRY THIS WSPECTION FEOUEST WILL NOT
Griggs-Micway 91Cg. - Room S/t8 BE ACCEPTED BV THE STATE 60ARD
1821 Unive~el~y AvO;'SI. Paul, MN 55106 UNLESS PFOPEP INSPECTION FEE IS
Phone f6121842~U800 ENCLOSED.
G J~D,~7 h REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
~ d~Sea insWCtions lor completlng t~is Porm on back oi yaliow coOY. F& !?~,~~QS
6$
15~95 "X" Below Work Covered by This Aequest `~a~•
Ne Ad Rep. Type of Building Ap lianCes ired Equipment Wired
Home Fange Temporary Service
Duplex Water Heater Electric Heatin
Apt Building Dryer Load Management
Comm./Industrial Furnace Other (Specif
Farm Air Conditioner ~
Other(spxify) Conlraclois arks:
Syv~,'~"' n I S~"
Compute Inspectian Fee Below:
# Other Fee # Service Entrence Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Am s 0 to 100 Am s
Transformers Above 200_Amps Abo 100-Am s
$I OS ~nspedor's Use Only: . ~'~D ~
Irrigation Booms .
Special Inspection ~
Alarm/Communication THIS INSTALLATION MAY BE ~E.fl DISCONNECTED IF NOT
Other Fee COMPLETED WIT M
I, the Electrical Inspector, hereby Rough-in ~ oace _q~
certity ihat the above inspection has 4l
been made. Finai ~ oe~e ~
OFFICE USE ONLY B
This repuest vdd 18 monl~s irom
. CITY OF EAGAN N° 13 8 2 3
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PNONE:454-8100 ?S~S~I
BUILDING PERMIT Receipt# ~
Tobeusedfor SF DWG/GAR Est.Value ~69,000 Date JUNE 26 19 87
Site Address 963 SAVANNAH ROAD OFFICE USE ONLY
Lot 6 Block 1 Sec/Sub. LEXINGTON SQIiARE OnSiteSewage Occupancy R3
TH ADD MWCCSystem ~ Zoning R1
PafCel No. On Site Well Type of Const y
CiTy Weter ~ (ACtue~
a Name ROTTLIIND COMPANY (Allowable)
W # of Stories
= Address P • 0. BOX
o OSSEO 571-0304 Length 52
City Phone Deptn i.~~
S.F. Totel
, Q Name SAME FootvriM SF.
Address APPROVAIS FEES
~ City Phone Assessments Permit ~ 395.00
~ WatedSewer _ Surcherge ~30
ww Name Poiice _ PlanReview 197.50
ti Fire _ SAC,City ~nn_no
x- Address
~a Engc _ SAC,MWCC S?5
np
`w City Phone planner _ waterCOnn. 59 S_ np
Council _ Weter Meter Q
1 hereby acknowledge that have read this application and state Bldg. Off. _ Road Unit 30 . 00
thattheinfoimationiscorre t ndagreetocomp withallapplicable APC _ TreatmenlPl ].80.00
State of Minnesota Statute nd Ci o Eaga inan e. Variance _ Parks
' Copies
Signature of Permittee 707n~ 329.00
A Building Permit is issued to: ROTTLUND COMPANY on the express condition that
all work shall be done in accortlance with all ap ' a tat of Minnes tatutes nd City of Eagan Ordinances
Building Official
~ ~ (Q ~ I ~ RESIDENTIAL
BUILDING PERMIT APPLICATION ~j
CITY OF EAGAN / ~ 0 ' ~
3830 PILOT KNOB RD, EAGAN MN 55122
651 •681-4675 /Z ~
NawConsWetianReauiremenh RemodeOReoairReauirements ~ O „
• 3 registeretl site surveys showirg sq. fl. of fot, sq. ft. of house: anE a~l roofeG areas • 2 copies o~ plan g~~•~
(20%maximum lot coverage allowed) • 1 set uf Energy CalcWauons for heated additians .
• 2 copies of plan showinq 6eam & window sizes; poured found desgn, etc.) . 1 site survey lor exterior additions 8 decks
• 1 set of Ener9y Calculations . Indicate if home served by seDtic system'or adaitions
• 3 capies of Tree PreservaGOn Plan il lot platted after 7/1/93
• Rim JoislOeUil OpGOns selection sheel (bldgs with 3 or leu unils)
DATE //7 l~ JZ VALUATION,~Z~,?~d~ .oz~
SITE ADDRESS S~f~i.~i!//1/Af~ MULTI-FAMILY BLDG _ Y~ N
TYPE OF WORK J~ SFftSdif/ '~o.~'G/`~~~/317//70iU~ FIREPLACE(S) _ 0~ 1_ 2
bb5
APPLICANT G~"/lli~~~ rv,,rsr ~cG,~ ~1.c~~~ ~?~~`5~~~
STREET ADDRESS ~¢f> ~3'.tit'/F~" f/~" S. CITY,l3/_u.u~//~v~ren/ STATE~iI(ZIP ~
i!?R7
TELEPHONE # _9~';z ~1'4 ~/S/ ~PHONE # ~/L - G ~v ~ oS'7.5' FAX # 5~S'Z-PJ~~= /Sl~~
P,~o~
PROPERTYOWNER /I~~.~ SLcJEir/.Sait/ TELEPHONE#/S/ •~.P~ I
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ~II`NI:50'CA R[: LI:S 7670 G\"1'GCOI21' l ~[I\ VESO"f:\ RCI.IS 76i?
submission type) • Resitlen[ial Ventllation Category 1 Worksheet Submitted • New Energy COde Worksheet Submitted
. Energy Envelope Calculations Submittetl
Plumbing Coniractor: Phone #
Plumbing system includcs: ~Vater SoFtener _ Lawn Sprinkler Fee: S90.00
~Vater Heater No. oF R.I. 13aths
~ No. of Baths
Mechanical Contractor: Phone #
blcck~viic<il syslcm includcs: Air Condiuoning Fcc: 570.00
Hcat Rccoc~cry Systcm
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read ihis application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin nces.
Signature of Applicant
--'--.__.._.........W_._....__.__....__
OFFICE USE ONLY
Certificates oF Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
`s
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex O 13 1B-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 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plax ? 18 Deck ? 23 Porch (screened) ? 36 Muiti
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn 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 WindowslDoors
? 34 Replacement •Demolition (Entire Bidg only) • Give PCA handout to applicant
Valuation Occupancy ~~GJ~ 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 ~VJ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) ~ FinaUNo C.O.
~ Footings (addirion) _ Plumbing
Foundaaon 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 T Z. , Building Inspector
T
Base Fee
Surcharge 3 - v+u ~~d'~~°V.
Plan Review
MC/ES SAC / L/ L/ ~ ~ D _ ~ ~
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plum6ing Permit
Mechanical Permit
License Search
Copies
Other
Total
, _
Lorrrpanies GN7.5 I li~hmay G~ N.L. t?p, 13ox 32308 Minnenpolis, AIN 554J2 fGID 571 fdtt~n
SUDURDAN ENGINEERING. IN[_ re20,7N~cn1lcrnnc.5o ILi.mutlk.MN55337 r,~•r.i.y~~~~~~~~~~
Cenl. M~mcip~l A E~m.m~mm~nl /nMnenii.g L••A n o~urog ~ Cn~d I'bnnmg ~ Sd1 frnxg
CertAf~cate oi 6urvey for I~~~lund CD. _
Oeurings Shoun ~re AssumeA ~ '
o Deno[es Iron Honument ~ '
~ Deno[ea Foundation Corner Offset Stake. PROPOSED EI.EVATIONS ~
Ie . Denotea Existing Elevation ~yy ~
O Denotes PTOposed Elevation . ~ Top of Block Cr+-~. ~
Denotes DLrectlon oE SurEoce brninoge . LoveaE Flovr
._~n
~cnotea Droinnge end U[ility E~sement Carege Floor ~5~..~'j ~
u
_1=~!-:' ~ _ G~ nUL. I C~ ~t 'L . 1
~iG~~ =~vp.t~~t-~AK Y-~~~/ --~a~ ~ ~.t._ .~,c[xi-~ Et..=~-`i xo~~
~iC7 WtiCK(?U`t~1 - EL c~ C.F._ 3T~~E-T=
\ g
51E224 ~ ~£'~7` . - [_L C~: ~1~Z.~::,.C T 'tC•
~ _«~.t.:' ~~,_K ' ~
~ _ ' 'P" ~ y srJ~~ _ _ .
~ \y~ ~ TJ " Scale: 1 Inch = 30 leet
. r ~ .
~ a~ 3_5r~~~ Pvrw~
-n, ~ s esP
GC l ~3 ysP ' ~ dQ O~ J -
•~Q('~ ~1 ~p .
~ ~t, ~ ~ ~ ~ ~ 0~ ; 2
~h , 0 ~ L ~ -'1 .~Q~P
`~~h 6 / ~ ~
~ s ? ~ ~ ~
~ L~, , i a~~~ _ . _
~ ` ~.2 " ~~N,y ~ . _
~
\D ~ ~ ~~l
"9 ~
stj
~r \p
~ ~
~Y s' ~ ~ •
a ,o
o ~a ~~ti~~~h ' ,
a~ ~ ~
~ ~
LOT 6 ,BLOCK ,l ~
~.~X4'd~~T~~ ~~~.l~,~lE ~RD~I~'~~~:
Subject to easments of re~ord ~
Dakota County, Minnesota
I I~rrrb7 rrrl.l[Y ~hnf. Lhlv ai~~veT~ plon or rcpor[ vna prepnred 6r me or under my direct
eupervlslon ~ud thn[ I mm n dulY licensed 6and Surveyor under the leNS of the 5[ate of
Mlnnesota. '
Signed this AaT oE A.D.~ 19_
[ampareles
SU~URDAN ENG/NEERlNG. lN[.
~
Nat pvbltnhed; hll rlgh[s.cescr.rd -
Cop7rlph[ 1997 SE Compnntes, $abnr6nn e~R~~ee•i~a. t~~. fleberl 8. 8trenet~, Mion. Be{. No. 11915
Sl73~? /G~6
.
SCHERER
' ~ BROTHERS
LUMBER SHqKDPEE
COMPANY 3253 East 4th Avenue
' Shakopee MN 55379
Phane: 952-49E-5500
Standard Quote Fax; 95Z-496-5512
,TOHN uITTIG/SWENSEN
3253 EAST FOURTH AVE same as hilled to
CUS7~MER TIME TRFiM# DRTE LOC OS# IS# CDDES SHIPDATE
CRSNS 13:56 792447 @E0601 5 10S 31 @30@05
Mark 9uettgen
ITEMCODE ~TY ~ESCRIPTION UNITS PRICE UNITEXTEN3ION
Secti.on: 1 SWENSEN DECH
2 0721016 19 2X10-16' .40 TTD #2 PINE S4S 50E.670 69I.200 MHFT 350,21
3 9721014 5 2X10-14~ .40 TTD #2 PINE S4S 116.670 702.00Q MBFT 81.90
4 0721012 4 2X10-12~ .40 TTII #2 FTNE S45 80.90~ 702.00@ M9FT 56.SE
5 0721010 2 2X10-10' .40 TTD #2 PINE S4S 3s'.330 658.800 MBFT 21.96
6 0721212 3 2X12-12' .40 TTD R2 PINE S4S 72.000 777.600 MBFT 55.99
7 074408 ^c 4X4- 8' .40 TTD PINE S45 21.330 712.800 MBFT 15.20
B 076608S4 2 6X6- d~ .60 TTO SYP S45 2.000 23.760 PC 47.52
9 04112016 1 1X12-16' #3 ROUGH CEDRR 5152E KD 16.00@ 1906.20H MflFT 30.50
10 04112014 3 iX12-i4' #3 ROUGH CEDaR SiS2E KD 42.000 190E.200 MBF7 80.a6
il 04112N12 3 IX12-ic^' #3 ROUGFi CEDFIR S152E KD 36_000 1906.^c00 MBFT 68.62
12 0454602a 14 5/4 X 6-20' RADIUS CEDAR DECKING 280.090 1.180 LNF7 330.40
l:s 04546014 E4 5/4 X 6-14' RADIUS CEDAR DECKING 336.000 0.940 LNFT 315.B4
14 04546012 30 5/4 X 6-12' RFIDIUS CEDAR DECI!ING 36Q.000 0_97@ LNFT 343.2@
15 0444a8 12 4X4-08' SELECT S45 CEDqR 12B.000 2079.000 f~BFT 266.11
16 0426014 4 2X6-14' SELECT S45 CEBAR 56.000 1310.000 MBFT 73.36
17 D42412 4 c^X4-12° SELECT S4S CEDAR 32.000 1120.090 MBFT 35.84
18 04140@12 16 1x4-12' #3 ROUGH CEDAR S1SEE KD 64.020 1161.000 MBFT 74.30
19 042^c0H SQ 2XG-B° #2 & BTR S45 CEDAR 13.i.3~0 i;s98.6m0 MBFT 186.48
V
~ , ~
~
~
,
~
EST TOTqL TfiXY• TRX pMT 7Q7pL AMT
, 2439.65 6.500 158.56 2598.2?
page 1
Prices are subject to change without notice. THIS IS AN ESTIMATE, NOT A BID.
Parties receiving this estimate will examine i[ carefully. we agree [o furnish only the anicles and iengths specified. Errors in eMensions antl footings
TOTRL P.01
~ ~
. CQ(l~~Jaf(~CS G875 I l~gbwov GS N.E 7?Q. f3ox 3230N AHnnenpofis. FiN SSrt32 fG121 571-OOI7G
SUHUREAN ENGINEER/NG. INL_ 'ZZOJ Nknilei Ane. $o D~vnsulllc, MN s5s3~ ~r~~~ •v~~o ~,r,~~~
C/o~l. Mmkryral6 Enm.onmm~ai En,fnee.~~9 ~ Lond mm¢v~ng ~ Lond ('lo~nl~g ~ Shc Tnnng
Certificnte of Survep Lor ~~~lurd Co~
6eerings Shown Are Ass~med ~ '
o Denotes Iron Monumen[ '
° Uenotes Foundatlon Corner OfFset Stake, PBOPOSED p.EYA7IONS ~
x . Deno[es Existing Elevation rr[:
Ox Denotea Proposed Elevation . Top of Bldc~C Cz>~.~
Denotes Directlon of Surfuce brainege 6oweat Floor~
Denatea ~reinege end Utili[y Eosement Gerage Flvor ,_,-~j
?t
t~. . . -Cc~~L-- . CC_ ~I 2 -
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LE)(iiVGTUi~I SC~UI~?RE ~th ADL71T101~1
Subject to easments of record
Dakota County, Minnesota
i hrre6y ccrcl(y [6n[ ~~.~~Sv survey, plon ar report wes prepared br m¢ or under mp direct
supCrrislon nnd thnt I am e du17 licensed land Surveyor under the laws of the State of
HiiIf1250[3. ~ ~ ~
Siqned this Aaq of A.D., l9_ _
~~Carnparrles .
SUBLkHAN ENGlNEER7NG. lNC.
i
No[ pu611shed: l.11 righ[s,reserved " ~'I
Copyright 1981 SE Companles, Subarban Engineering, Inc. BOD![L H~ Sf[EOBti]~ Minn. fle`. No. 11915
5~73~? /466 I
~ •
~/3~a 3
1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, t 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 RENTAL ONIT3 FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.~
1 SET OF ENERGY CALCULATIONS
CO[~IERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: ~@c[C Valuation: Date: 7- s`~~
3ite Address ~~3 Sa~•;~•~ ~na~/ /~p0_ OFFICE USE ONLY
Lot ~ Block _L On site sewage_ Oecupancy
MWCC system Zoning
Parcel/Sub ~.eK/r1q'f0~q~ yTtJ ~ityirraterll All wablenst
d
Owner Ln e~~ Sf Cr le r PRV required _~k of stories
Booster Pump _ Length ~Z'
Address ~ .S'a„~.. • ~ ~ca Depth /2'
S.F. Total
City/Zip Co~ie G~~a. ~`j~f'/,,, S~(Z3 Footprint S.F.
`hane~
Phone 61Z- yy
y- ,~f.~0 z21'34S ApPROVALS FEES
Contractor Ct,IY`f $rt,~hh Engr/Assess Permit ~
Planner Surcharge
9ddress Couneil Plan Review
Bldg. Off. ~7~C~SAC~ City
City/Zip Code AAPLE V/blf_E~/ Variance SAC, MWCC
Water Conn
Phone y3~ - Gas3 Water Meter
Road Unit
Areh./Engr. Treatment P1
Parks
Address Copies
TOTAL
City/Zip Code
Phone S
~ ~ . ~ +
~ . ~T~ :f~y,;;~ _
+
~ ~
b
4~1W ~~S~C` / t ~~~16V YMsWERh . . . ~ Q ~ ~ h~ORkU
~ E
~ Q ~
. ~ ~lP1~6.n.Tbd ~ . . , ~ .
. . + 6. • . ~
~ . . , , ~r~ ~ ? . . . .
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~ROf~oSED . . - Z ~intn.~RS P1~(~o.
D ECK ' y , ~a'.K-
. ~ ~ ~ ,/.r' - ~1r . . . .
~ . ~ r < _ .
~ ~
~F1 ~ ~ .~y ~ ~ - ' . . .
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11 c~ ~y ~1~,r ~ ~
F, ~ k~ PgaJ~\ {`3
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+ ~ 1 ~ ~
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+ ,
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+ , . . - ~ ' + . .
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1~~ *
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. . • ~lX'NI~7 . . . . .
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. . 13 .
,
1987 BQILDING PEAMIY APPLICATION - CITY OF EA^•4N _
SINGLE FAMILY DWELLINGS "
INCLDDE 2 SETS OF PLANS~ 3 CSRTIFICATBS OF SQRVEY~ 1 SST OF ENERGY
- - O *
NOTE: 6DDRESSSS FOR CORNfiR LOTS - CO~TRACTOR/HOMEOi1NER MDST DE
IS DFSIRED. NO CHANGfiS FiILL HE ALLOitSD ONCS BDILDING PERFIIT 3 y 7• 0 J+
MQLTIPLE DNEI.LIHGS - RffiIDEN'PIAI. RBNT9L DAITS FOR SALE 01 ~p/ j 4• 5 0+
,~l 197•SU+
INCLUDE 2 SETS OF PLANS, CERTIFICAYE OF SQltVEY - CHECB WITH BLDG. D: ~ h Z 5, ~
1 SET OF ENERGY CALCULATIONS J~ 2~~ F
_ (
COi~RffiRCI9L 6 % • 0 U +
305•U0+
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, ~~~.~~_f
1 SET OF SPECIFICATIOHS AND 7 SET OF 1+329•UO~:<
ENERGY CALCULATIONS~
$2,000 LANDSCAPE HOND
~
To Be Used For: S~~/~,~ ~A~L~C Valuation: ~oa~"' Date: ~~~q'~
vwE~l.d ry c
Site Address ~j63 .SL1v~n~NRN 2~qo OFFICE USE ONLY
Lot Block On Site Sewage_ Occupancy ~ 3
MWCC System ? Zoning r
Parcel/Sub ~~NGTON So.4~i,. Irfr,_ On Site Well Type of Const
City Water ? (Actual) ~
Owner ~-r-7-(~gNl~ Gczr~~ANY ~Allowable)
ll of Stories
Address p.a. IZ6x zR~ Length 52
Depth ~
City/Zip Code ~ticEh Mn~ ~<_269 S.F. Total
~ Footprint S.F.
Phone 571-0 2n9 APPROVALS FEgS
Contractor ~~,q~~ Assessments Permit ?j~.~~
Water/Sewer Surcharge ~
Address Police Plan Review 19 '7
Fire SAC, City ~ c~o.
City/Zip Code Engr SAC, MWCC 5 25•
Planner Water Conn 5 ZS
Phone Couneil Water Meter co
Hldg Off Road Unit 30S
Arch./Engr. SAMF- APC Treatment Pl ~~0.
^ Variance Parks
Address - Copies
TOTAL
City/Zip Code
Phone #
2¢ x c~ p-~ C~ O Y~ J
v-, .~5~~0,,~
~ „ R•
~ a
~2~ ~ J~ ~ ~ ~C~ ~ ~
C~ ~ 2 O ~
22 x 2'Z =~f~ x f 2- -~a~ ~
~g~~8
~Campanres G87.5 Higbwoy 65 N.E. 1?O.Oox 32308 Minneopv~is, NN 55432 IGI'll 57L6l1GG
SUBUR6AAI ENGIAIEERIMG. ~NL. I2203 N~colfe~ i1oe. So. Ilinmuitte, MN 55337 f~ ~Y'~~~
bv~l, Mmkipal & Enui.onmmiol En9~nee~~ng • LanA mraeymg ~ Lo~d Planning ~.So~l Tesnng
Certificate oi 9urvey for ~t~lund CO.
0earings Shown Are Assumed ' , '
o Uenotes Iron Monument
~ Denotes Foundation Corner Offset Stake. PROPOSED II.EVATIONS ~
x - Denotes Ezisting Ele~a[Son ~`q
Ox Denotes Proposed Elevatron , Top of Bloc~C
Denotes Oirectlon of Surface Dreinage Lavest Fioor~fo
Deno[es Drainege and Utility Easement Gerage Floor~
- F~t = `~1-2 -
~i224 ~ - Q - ~
-
--G~~-5~~1~~c_s~ 2~~ - - - -~o~r~ - -
-C~lCC3 _W pI..KOV~'~ _ _ \ - T~ S'T'~~ET - ~9 0 ~
_5_I ~P.~4 1Z - - =-~L:_ C~
~~'~.G ~"~_S_~?
~ _--ro~
c~=~K_=~ -q--- -
` _ . ~ s h -
'\y~ / Scale: 1 inch = 30 leet
. y dsP~
/ GX/'
D~, ~i ~3~ ~ ~O' OQ
\
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i i j' 0 '
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~
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L(~T 6 ,~L,~CK
LEXINGTON SC~U~?RE ~th ~4QDIT14N
Subject to easments of record
Dakota Goun$y, tViinnesota _
I hereby certify thet [his surve7, plen or repor[ was prepareA Dy me or under mp olrect
supervision and that I am a duly licensed Land Surveyor under the laas of [he Sta[e of
Minnesota. ~
Signed thls day of A.D., 19_ -
~ Cornpanles
SUBUR6AN ENGlNEFRING. INC.
i
No[ pabllshed: R11 cights,reserved
Copyrigh[ 1987 SE Companles, Suburbun Engineering, Inc. gDbA[~ H. SI[AIIBti)~ tlion, HeQ. No ~~9~5 ~
s~~36~ /G66
~ F
I ~ • ~ •
~ S/EfZQ<l II. 1~ ~
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
04INER ~n~ ( I L L~~U C~ P~ I~l.
SITE ADDRCSS ~jbZ 5f1~lAr~flafAt~ /C~A[~
CONTRACTOR ~~`YJ~ _ DATE PHONE ~l _ o~°y
Determine working square footage of each.
1. Total exposed wall area Z20~ sq. ft. x./~~ ° 2~i`/~$7
2. Total roof/ceiling area /~7 sq. ft. x~D,Z(~ = 30.S2
Total exposed wall area above floor = /4S£s Y ,
" a. Total wall window area /5~ h
b. Total door area 3 8 , .
c. Total sliding glass door area y U
d. Total fireplace wall area 7 Z
e. Total wall framing area (average l0Y) / s'ff
f. Total net wall area above floor / y 3 U
g. Total rim ~oist area / Y ff
Total exposed foundation area = 7 O
h. Total foundation window area . -
i. Total net foundation area above grad2 7 0
Determine "U" value of each wall segment.
a. g ~~U~~ ~ cf'7' ° ~ss G-2 .
b. • ~ Ff X~~U~~ ,G 7 2 06 ~
yD X,~U,~ ~ y z =/G.~"V
a. -72 x ~~U~~ .yy = 3/.6Ss'
e. / S~' x"u" . U~7 3a7S
p. /4r3U x "U" .U5~7 = ~d.OFi
g. / ~ g "U" .~G40 = '7ri%2
h. g nUn ~
i. ~U X „U,~ ^U-7~ ° ~%3 2
3 ......................................Tota1 = 20r~,~f l
,
If item ll 3 is the same as, or less than item 111, you have met the intent
of SBC 6006(c)2.
.
.,...w......,~M~....,.~rt..:.._._,....__.......:..:.._ .
, ,
Total exposed roof/ceiling area =
Total gross roof/ceiling area = 7 y
j. Total skylight area o
k. Total rooi/ceiling framing area ~ O
1. Total net insulated roof/ceiling area //O`a ~
Determine "U" value for each roof/ceiling segment.
- X nUu - _ `
k. ~U g °Un ~ 97 = /.Fl'
1 //U`'f g ~~p" ~OLS- = 27,6(~
4 Total = 2 9 ~i5
If total of 114 is the same as, or less than 112> you have met the intent of
SBC 6006(c)1. ~
To utilize the total envelope system method, the values established by the
sum of items It3 and li4 shall not be greater than the sum of items (11 and llz•
I. z vv,ss 7 + z. 3o.Sz = z~S.3~
+ 4. 29.~f°~ _ ~3`f~3G
s. ~c~`~`,~s r
~ • ,
.
';i,~:•'= ~ ~ ' Section T-C Page S
Re~laces
~ May 1, 1982 ' ~ March 18, 1983
,j ENGINECRGD GARAGE HEADER'~Hr~ 2 G ~"f~/ .
.
~ _ _
_ . . .
16' 6 X 22 in Stock ,
NOTE: DtAXI~1UM ALLOWABLE TIE-IN SPAN 24'0" ROOF TRUSSES
(G50 L85 TOTAL PER LINEAL FOOT7,
. _ _ -:",:~::r~~.
~ : : _ I. . ,
: ;
-
~ 1G'G x 22"
~
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,
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. . .
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~i
C~'' '
AUTOMATED BUILDING COMPONENTS, INC. '
' ' Component Plants t~ Kitche~ ~ .
~ ~ Millwork Division . Excelslor, MN ~
Chanhassen, MN ` Lon9 Loke, MN Chatek, WI ~
~ ~ 612/477~7376 715/924~867 . 612l474~1111 ¦
612/937-9060 .
~ . . ' ' ' ' . . r.-.n
I _
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA107532
Date Issued:10/16/2012
Permit Category:ePermit
Site Address: 963 Savannah Rd
Lot:6 Block: 1 Addition: Lexington Square 4th
PID:10-45078-01-060
Use:
Description:
Sub Type:e - Water Heater
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Valuation: 848.00
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 -
Mark L Swenson
963 Savannah Rd
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
�-----------------,
� For Office Use �
/J '� / I
� j Permit#: /�` `�'7��� �
CIt� Of���l�Il �
�
3830 Pilot Knob Road � Permit Fee: � , j
Eagan MN 55122 I �
Phone:(651)675-5675 � Date Received: �
Fax:(651)675-5694 � I
� Staff: �
.____��________���J
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 1/30/15 SiteAddress: 963 Savannah Road, Eagan, MN 55123
Tenant: Suite#:
�. �d �_� �� �
' � " (��' �� Name: Mark Swenson Phone: 651-239-4382 �
�������i,����' ��� __�, 1
� �,
� Address/City/Zip: �
����� �a ` � � � o Name: K&S Heating, Air Conditionin & Plb LL � �
_�� y,� 9 9 �icense#: MB5216
Adaress: 4205 Hwy 14 W c�ty: Rochester
w � "�� r
� h�r��'��'�����a� =
" '� � ��i�' state: MN zi 55901 Phone: 507-282-4328 � �
a�'d�� � � p' � �
� `' ���� � � Heidi Brown hbrown ksheatin ��com� � � �
= �,� ���; Contact: Email: @ g• �
�- �_ = �_ ',� � �
�
New Replacement Additional Alteration Demolition
"����'� �� !��''% Description of work:
hI�
� �F � �I.I � � _�� '_ ������i LVi#" ��El��:�' �3iiGLF�AkCSti��l���������FI -_ "_ ' ' � �.::�
�I� � T
y� r- yw � f4�4t�
_�_ � �.'��P r .�� .���-� �III'+ .. � -. ��SL . I���E����l#�I�,�a _ .
i �- ,,,s`£�� _ '=..,�..�a.ti�.�:x .,__..,�-� ..r.,�._` .. ....i� ..� f __ .w�
="—� �e<< ��i .
�� = � 5 � ro� �i RESIDENTIAL � COMMERC/AL � � �
� � ���� � �
r, � � � �
XX Fumace New Construction Interior Improvement
� ��� �x> ��i� — � —
��
� ��" z � ��� XX Air Conditioner Install Pi in � Processed ��
�, ����@�'�t1 r �3�� � — — P 9 � — � � �
,, ,
� �����' , � Air Exchanger Gas �� Exterior HVAC Unit � �
� �ra�"�i J��" �,#� �'� — — � � �— � � �
r�� �a ��
��� _ � _ ; _Heat Pump Under/Above ground Tank �Install/_Remove) �� � �
��.�,� _ �h�r� ' �r; Other
RESIDENT/AL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ 60.00 TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
"If contract value is LESS than$10,010, Surcharge=$5.00 _$ Surcharge*
**If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
""`"`If the project valuation is over$1 million, please call for Surcharge =� TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
X Rick Keehn �
Applicant's Printed Name Applic�s Signature
,
�� ' � ��" �� ��� °�
� �� ��
i� � �� � — �ra �� � _—��`�--��1�� � ������ '� r ' V�r�i��� � �
��[#S� ��t} �� �f� _ � ' ����
'��,,,,�i' - t]� �� �- -��. �($ _ = s«r�+F, ��'Ii ; � s. 'b�h;�ir„�"' .t'x� -- __ w`zr � �'�- '�:,;�
. . ����� ` � ` " ,
y � � r.
...:: � °t�.., � �� iiG�� . ..:.._. I � ...-�.. . "' . .
I �-�, �-�
Use BLUE or BLACK Ink
� ForOfficeUse---------�
I � I
��� O� �� n}� i Permit#: J� �� j
y . �Qll � Permit Fee: / Yy-�. �j �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: � _
Phone:(651)675-5675 � �
Fax:(651)675-5694 I Staff: i
I I
� . .... ... . �����������������J
2014 RESIDENTIAL BUILDING PERMIT APPNCATION
Date:� �! ' t S Site Address: � (p � JQ U � Y7 i 1C�:�"1 �� Unit#:
���, � �
Name:_ � (� 1� � �C,f..>'{�Y) �O j'7 Phone: �O-5� r��J� `T��
Resident/-;` �� (�� �j -, �
Owner ' Address/City/Zip: �l �P� ��� y"7 Y1 GG �� �7
Applicant is: Owner J( Contractor J + �����
� �<
��,�� �� .
Description ofwork: ���� �� C.(.,l �Q.� j���Yyy�Y) �'7"
,Y
Type of Work �� � �
f e� o y
Construction Cost: 1 �J �✓ �a Multi-Family Building: (Yes /No /�)
Company:�`��i�f3,-�tiY"t i'�Tt�. �-fYl�i`�,'G`t��k'�'F{"�Contact: ����,,
,Contractor aaaress:i��i3� ��e�tc��wa�v�k.�r� c;ty: �-�- 4 �.-6L''i 5 �V �
State:1v�1�! Zip; � Q c�f,Fs Phone:���"�`���J���o��E�i1:1rY1 itl Y1�'Gt�Jt3(t�a C�°���j+�14�+G�1 hern .
License#: CfJ4� L} � �$ i✓►'iP��v�s1-t�e.rt#S . ��+'��
-t Lead Certificate#: i '�� `T 7f) `" �
If the project is exempt from lead certification, please expfain why: (see Page 3 for additional information)
�u +` i �-�-� �� ►� J���'
COMPLETE THIS AREA ONLY IF CONSTRUCfING 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 and supporting olocuments'that you submit are consialered'to be public'informationx�Port►ons of :;;
� �the�nformation may be classified as non-public if you provide spe<:�fic_reasons thaf would perm�t ftie C�ty to =
�; ; �
���� concluale that they are fratle secret�_``�� , � �,�� �
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.qopherstateonecalLor�c
I hereby acknowledge that this information is complete and accurate; that the work will be in conforao•+ance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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ApplicanYs PrinteEl Name ApplicainYs Signatur
Page 1 of 3
EAGAN
flECEIVE
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 �, 1 SEP 1 9 2019
(651) 675-56751 TDD: (651) 454-85351 FAX: (651) 675-5694 l Staff:
buiidinginspectionst citvofeagan.com
BY:
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
f For Office Use
Permit #: /Sre) 0
Permit Fee:
qs
Date Received:
Date: 9/19/19 Site Address: 963 Savannah Road
Unit #:
Name: Mark & Tricia Swenson Phone: 651-239-4382
Address / City / zip: 963 Savannah Road, Eagan, MN 55123
Applicant is: Owner ✓ Contractor
Description of work: Gas Insert
Construction Cost: 6854.44 Multi -Family Building: (Yes / No _�
company: Comfort By Design, Inc. Contact: Brenda Yohannes
Address: 240 N BroadwayCity: Ellsworth
State: WI Zip: 54011 Phone: 715-273-3658 Email: brenda.comfortbydesign@gmail.com
License #: MB648524 Lead Certificate #:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING '
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE: Plans and supportlryy Documents that you submit ale cons/dared to be: public /nfo,matlo» PoiUons of the /nformatlon maybe
Classified as; noArixiblic If you pnarlda specMc reasons that pecm/t 11,. City to:conclude that they. am trade secrets:. .
You may subscribe to receive an electronic notiflcatlon from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.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. 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.00pherstateonecaliorq
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
xBrenda Yohannes
Applicant's Printed Name Appli
ans.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163575
Date Issued:09/04/2020
Permit Category:ePermit
Site Address: 963 Savannah Rd
Lot:6 Block: 1 Addition: Lexington Square 4th
PID:10-45078-01-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Mark L Swenson
963 Savannah Rd
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature