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971 Savannah Rddflik City of Etat' 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED NOV 092010 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: ,c1 2010 MECHANICAL �,� PERMITj�APPLICATION Date: 11– ( Site Address:(1t. ocul �J�--K \ d Tenant: \ 001 `4- , nil KCI I - Suite #: J RESIDENT 1 OWNER Name: I n(11\- Ovji 1 VC_ �e Address / City / ZipPl1 (_cCA (nr1C_-t lEd Phone: CONTRACTOR Name: ?IjRNSViLLE HEATING & A/C, INC. 3451 W. Burnsville -Parkway Address: Suite 120 City: Burnsville, MN 55337 `"IS2 -(fgc1 OGS State: Zip: Phone: License #: 1--I 1 i, c -%i3 Contact:()1 k cC Email: TYPE OF WORK New Replacement Description of work: Additional Alteration Demolition PERMIT TYPE RESIDENTIAL Fumace Air Conditioner _ Air Exchanger _ Heat Pump Other----�-¢— New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ,: acc TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) OR Contract Value $ x 1% - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ Permit Fee = $ Surcharge = $ TOTAL FEE 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.gopherstateonecatt.ors 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 n in the case of work which requires a review and approval of plans. x E-AiT). efts Applicant's Printed Name x Applicant's Signature =s. ~ CITY OF EAGAN ~ - ~ ~ , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt # To be used for Est Value ~ 1~' ~ Date ,19 Site Address OFFICE USE ONLY Lot ` BIoCk Sec/Sub. • OnSiteSewage _ Occupancy MWCC System ~ Zoning Parcel No. On Site Well ~ Type of Const City Water ~ (Actual) ¢ NBme (Alloweble) W # of Stories 3 Address Lengtn ~ City Phone ~ ' " Depth S.F. Total , p Neme Footprint S.F. ~ s Address APPROVALS FEES ~ City Phone Assessments _ Permit ~ ~ Water/Sewer _ Surcharge F W Name Police _ Plan Review U~ Addre3s Fire _ SAC, City Engr. SAC, MWCC Q W City Phone Planner _ WaterConn. Council _ Water Meter I hereby acknowledge that I have read this application and state B~dg. Off. _ Road Unit that the information is corcect and agree to comply with all applicable A~ - Treatment Pt State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ~ Rermit No. Permit Holder Date Telephone ~t Plumbing ,?5~~-~~ ~~`f' _ 5 . . H.V.A.C. 7 t.~ ~ Electric ~,.~,u~, - ,$/,2~& ~ `'-o Softener Inspection Date Insp. Comments Faotings I ~ Footings II Foundation p Framing ~ Roofing Rough Plbg: . ~~r si~ Rough Htg. Isul. ~j~y~ s~3 ~ Fireplace Final Htg. ~ p Final Plbg. ~2 Bldg. Final Cert.Occ. 3v - Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. r, , , , . ` , PERMIT # ~ ' , , PLUMBING PERMIT RECEIPT q l.2.J'r.~ ;i CITY OF EAGAN ~/S j8 ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BIDG. TYPE W~FiK DESCRIPTION Lot Block ? SeclSub Res. New ~ Mult. Add-on ~ Name Comm. Repair ~ Address Other c Ciiy ~ Phone , RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTUNES TOTAL Name ~_Water Closet - $3.00 S ~_Bath Tubs - $3.00 3 Address _]_Lavatory - $3.00 p City Phone ~ - ~_Shower - $3.00 . ~_Kitchen Sink = $3.00 FEES Urinat/Bidet - 53.00 COMMlIND FEE -1% OF CONTRACT FEE ~_Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES ~ Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES ~_Water Heater -$t.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool -$3 00 MINIMUM - COMM/IND FEE -$20.00 t~ Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - ~10.00 Private Disp. - $10.00 , , Rough Openings - $1.50 SIGNAT~1F PER~ EE r FEE: w S ~ STATE SlC: FOR: CITY OF EAGAN GRANQ TOTAL: , . ~y";.~, ` • . PERMIT# - ~ , ' • MECHANICAL PERMIT RECEIPT # ~ ~ ' • CITY OF EAGAN r`~ r~ 383Q PIL~T KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot 81oc Sec/Sub Res. New \ ~ Name _ ^ ~ ~ Mult Add-on ~o Address ~ i Comm. Repair c City , ~ Phone 1" I t 4~ i~ Om~ FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 _.0 Ci~, .~~T P~a~~ ~ (RES. HVAC INCLUDES A/C ON NEW - = CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.5Q EA. TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE :c ~p APT. BLDGS. - COMM. RATE APPLIES Forced Air j± M BTU TOWNHOUSE 8~ CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM ~ STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ~ ' BEYOND $1,000) Other ,y~, , FEE: ~ ~ ' ~ ~ ' ' _ 't ~ l , S/C: SIGNATURE OF PERMITTEE TOTAL• ' ~ FOR: C~TY OF EAGAN ry . CITY OF EAGAN ~ . ~ ~Y~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for FY~~~'~C~ Est. Value 7i Date F~B Zk , ~ 9'' ~ Site Address 97l SAVA~NAt: RI; 4 i j,~~j;•~~•~.,?~ j~~ /~il OFFICE USE ONLY Lot Block Sec/Sub. Parcel No. occupancy - FEEs Zornng W Name TOr ~ LXNN KEi.LY (Actual) Const Bldg. Permit 2 b• 0~' ; Address 471 SAVAI~INAIi RD (Albwable) - Surchar e • Sn ~ Cit Phone # ot siooes - 9 y Length _ Plan Review Z~ Name H~T~~G~ Depth - SAC, City a° Address 38SQ W FI1dY 13 S.F. Total _ ua SAC. MCWCC ~ City BJ~~~SW?LLE phone ~'4~-C75A S.F.Footprints - On Site Sewage _ Water Conn ~ ~ W Name On Site Well - water Meter ~~=-y Addf@SS MWCC System Cit Water Acct. Deposit a W City Phone y - PRV Required SN4 Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SiW Surcharge information is correct and agree to comply with all applicable State of Minnesota 5tatutes and City ot Eagan Ordinances. Treatment PI 5ignature of Permitee _ ~ APPROYALS Road Unit ti~~'.r~~V~(~ Planner - park Ded. A Building Permit is issued to: on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. g~. pry_ _ Copfes Buildmg Official Variance - TOTAL " .7 ~ Permlt No. Permit Holder Date Telephone # WA~ER SEWER PLUMBING H.V.A.C. ELECTRIC Inapeciion Date Insp. Comments Footingsl Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Frep~ace 2 2~ ~r `~/0 89 /'r//,~ Final Htg. Final Pibg. Const. Meter Pibg. Inspector - Notify Plumber Ergr.IPlan Bldg. Final Deck Ftg. peck Final Well Pr. Disp. ~~i~ , . ~ . - „ PERMIT # ~ S~ / MECHANICAL PERMIT ~ ~ CITY OF EAGAN RECEIPT # ' ~ 3B30 PILaT KNOB ROAD, EAGAN, MN 55122 DATE: h~~ 7 CONTRACT PRICE PHONE: 454-8100 ~ite Address BLDG. TYPE WORK DESCRIPTION Lot~ BIoCk Sec/Sub ~ Res. New ~ , ~ Mult Add-on y Name Comm. Repair ~ Address ' . f F Other c City -~~1 ~ Phone - FEES ~ Name ' RES. HVAC 0-100 M BTU -$24.00 ; Address ~ ~ ' ADDITIONAL 50 M BTU - 6.00 O City !i ,~v Phone -=r~"~ ^ (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMI~ - 1.50 EA. TYPE OF WORK ~ COMM/IND FEE - 146 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. ~r'`, , M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .5~ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE , ; , - , ~ ~ S/C: SIGNATUR OFG PF,fiMlTfr ~ TOTAL• = :r~ ; FOR: CITY OF EAGAN ~ ~t~Ny„~-.~•r.r-. - . F~,,F;~-. ' . . . . . , . . , _ . _ , t PERMIT q ~ ~ 1r, PLUMBING PERMIT ~ RECEIPT # ~G ~ ~ ; CITY aF EAGAN ~ ~ l~ ~ 3830 PILOT KHOB ROAD, EAGAN, MN 55122 DATE: '1 CONTRACT PRICE . PHONE: 454-8100 Site Address ~ BLDG. TYPE WORK DESCRIPTION Lot Block , . , / S ~ ~Sub Res. New ~ " ~ Mult. Add-on ~ Name ~ ~ Comm. Repair ~o Address Other c City Sd 3'• Phone v~~ RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Nam Water Closet - $3.00 ~ Bath Tubs - $3.00 3 Address Lavatory - $3.00 p Ciry Phone~" r~I~ Shower -$3.00 Kitchen Sink - $3.00 FEES Urinal~Bidet - ~3.00 COMM/IND FEE - 19b OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 T(JWNHOUSE 8~ CONdO - RES. RATE APPLIES Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Wh~rlpool - ~3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PEfiMln {ADD $.50 S/C IF PERMIT PRICE GOES ~ottener -$5.00 BEY D $1,000.00) Well - ~,t0.00 • ~ ~ Private Disp. - $10.00 ~ Rough Openings - $1.50 ~~-v~ SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: INSPECTI~N RECORD I C°ntrol No. ~ u;~ CITY OF EAGAN PERMIT TYPE: n~~'' 3830 Pilot Knob Road Permit Number: N~ 1~1 ~ ~ Eagan, Minnesota 55123 Date Issued: M 4 f 1 ~ ~ g~ (612) 681-4675 SITE ADDRESS: aY ~t l Or. K: t APPLICANT: 971 ~AVAMNIiH RD KLL4l~Y tHaMAS 1 FkxMBTOM ffiQUAR~ ~lYH (a~2) 61t~-~51~ PERI~A~T ~I~BTYPE~~ ~~?H TYPE QF WORK: AiT~ItATIOM . 1"NAM2MN FlNAL riREP1ACE w.mu r~o. wrmn Hoad.r o~s. ra.Pnon. ~ s~w PLUMBINQ HVAC ELECTRIC ELECTRIC inspectlon Date p~sp. CommeMs Foofir~gs I Foundgti0n F~~ 3 3/ Roofing RougA Plbg. Rouyh Htg. f3~Q ~ ~ Isul. FlreplaCe Flnal Htg. Orset Test Final PIbB. PWg. Inspector - Notlty Plumber Catst Meter EngrJPla~ ~ ~ / ~J DeCk Fig. Deck Fna! weu Pr. oisp. GOLD COPY PERMIT RELEASE F~RM PERMIT ~ ADDRESS I PICRED UP BY f^~I---...-~~.~- . CITY OF EPGAN Permit No: Dat~ 3830 PUot Knob Road Meter No: 3$S 3~oZ Stze: 3 g'~ Q~d~ P.O. Box Z1189 Reader No: Q~~q 4~ i Date: - ~ Eayan, MN~SS121 Owner.~ T ~Gtlunc~ Go-~F:~nv SiteAddress: `~7~ Savannatl ?,oau L4 FJ. ',:~,:i?:~-ron I~l' Plumber.__ ~'ic'~celson Plur~~bin~ Conn. Chg: 525.'lOpd • ??1 ~ g• Acct Dep: ~~~~P'~ N~p, qf ~nits: 1 Permit Fee: .,._~I g C~ OC?1 ,~t1IlI16S Surcharge: • tLtCTl~l~g~ ~mpiy with ths City ol Eayan Tr. Plant 1 ` ~ ~rdln Meter. ~ . , ~ L Misc.: gY WATER SERVICE PER CITY OF F.~1GAN ` SEWER SERVICE PERMIT 3830 Pibt Knob Roed e P.O. Box 211~9 PERMIT NO: 9~3`' Eayan, Ml~d ~12] DATE 4_ 3 ~ ~ 7 Zoning;, ' r.,~~>t t._ur, '''o~ ~an•;~ No. of Units: ~ Owner. Address: SiteAddreas: ~~1 Savan ~ . 1 T,eYin..^ton 5a IV Plumber. i~~~~6 , t~~ IoCB~ Il~i~lt~85 _ " K,~~ ELECT~tIC - GAS Etc. ioo . o~ ~P~; I ayree to comply wNh ~~'City ~~~an C~QcUQ rge: S~~ ~,?Td o•~^e^~••. REC~UIRED ~ ~~~~t: ~ ~ !lflnrl Permit Fee: r ' Surcharge: ~'~p~' gy Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN Pe~mit No: ~~Ev pate: 4-3u 3830 Pilot KnobAoad Meter No: Siz~ P.O. Box 21199 Reader No: Dat~ Eagan, MN 53121 Owner_ . ~~ct' •u .i t,U:.:C•3t1ti• Site Address: `a~l Savan~ah F.oa~ L4 I~Z Lexin~ton Sq ZV Plumber. `~icselson Pltnabin : Conn. Chg: 525•'`7~pd Zoning: rl Acct. Dep: ?I5, nOpd No. of Units: Permit Fee: 1~. Surcharge: • 5~pd 1 agree to comply wifh the Clty af Ea~an Tr. Plant__ 184.Odpd Ordlnances. Meter. ~7 ~p~,~ Misc.: gy WATER SERVICE PERMIT CITY OF F,~IGAN e SEWER SERVICE PERMIT 3830 PGot Knoti Rosd 3,: P.O. Box 21109 PERMIT NO.: Eagan, Ma•~12~ DATE: 3`~ ~ t. ~ Zor~ir?~: " No. of Units: . ~ _ot ~ unn ~ATI;~any Owner. Address: SiteAddress: 97I S,~vannah Foad I/{ BI Lexi~gton Sq IV Plumber. ='i~.~3Qn Plumbin . `J1- - $7 '?3k4 1~D.t~Opc 1 ayree to comply wfth the City of Eagan Connection Charge: 5? 5- ~t~T~ 1 Ordlnances. ACCOUnt Deposit: 1 S_ n~n~ Permit Fee: ~ ~ - ~ Surcharge: _ Snpr1 By Misc. Charges: Date of Insp.: Totsl: Insp: Date Paid: _ CASH RECEIPT , ~ ~~f • CITY OF EAGAN ~ - 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ~9 REC6IVEC~ ~ / l FROM ~ ~ ~ ~ ' . - . AMOUNT ~ 1 ~ DOLLARf ~oo ? CASH ? CHECK FOR ' . ~ -~~l. [ ' . FUNO CODE AMOUNT Thank You ~ - BY 'f White-Payers Copy Yellow-Posting Copy Pink-File Copy . BLbG. PERMIT N0. ~ i r~. ~ . ~ '~i , 01-32101f Bldg. Permit j?~? 01-3422 Plan Check a," 01-3445 .Surch./Adm. 01-34a46 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 5ewer Permit 79-3866 Sewer Conn. ~ ~ 11-3855 Park Ded. ~ ~ , TOTAL ~ ` ~ ~~4~~~~: ~ Request Oate Pire No. Rough-in Inspeclion Q p 7 Requi~etl? ? Reatly Now ~ Will Notiry Inspector C~ ~ L ? Yes ? No When Reatly? I 0 licensed con~ractor ? owner hereby request inspection of above electrical work at: Job Address (SVaeL Box ar Foule No.7 City °l Z l Sa,Ja ~.haL, t~? E'~ a~ Section No. Towns~ip Name or No. Range No. Counry Occupant(vRINT) POOire No. ~~+.Ow~kS ~.,2~1 Power uoPlie`I Aotlress AcO'~ ~~2C~'E'~'tC. Elecvical Conlraclor (COmpany Name~ ~ ConVaclor5 License No. -T„aw.~.s ~e.l,l Mailing AtlOress (Conhactor or Owner Making Installat ~ ~1 ~ SQJ~nv~nc.L. (7.~ ~Stnv. YV~~ ~ PWlrorizetl SgnaWre IConVacior~Owner Making Ins[allation~ Phone Number ~ 1 bg&~-&s MINNESOTA TATE BOARO OF ELECTHICITY TNIS INSPECTIDN REQUEST WILL NOi Griggs-MiEway Bltlg. - Roam S1]3 BE ACCEPTEO BYTHE STHTE BOAPD 1821 Unlversity Ave., St. Paul, MN 55100 UNLE55 PROPER INSPECTION FEE IS Ph6ne~61Y)692-0800 . ENCLOSED. ~'j/CI/~~-- RE~UEST FOR ELECTRICAL INSPECTION eaooom-oe ~ J 4 2~ 3 4 See insvymions tor com0~eting ihis lorm on Dack oi yellow copy i e~O~~j / ~ 6 "X" Below Work Covered by This Request e Add Rep. TypeofBuilding AppliancesWired EquipmeMWired Home Range Temporary Service Duplex Water Heater Eledric Heating Ap[. Building Dryer O[her (Specity) Comm./Indusirial Furnace Farm Air Contlitioner ONer (syecity~ ConVaclor5 Remarks: Compute lnspection Fee Below: # . Other Fee # ServiceEnlrance5¢e Fee # Circuds/Feeders Fee Swimming Pool D to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SigOS Inspector5 Use Only. ~ TUTAL Irriqation Booms - ~ Special Inspection ~6 Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT ~ Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby R°'~n-m ~ oa~a p~~ certity that the above inspection has Final s are l~ been made. f ~ G ~.~3'~ OFFICE USE 9NLY ~ This request voitl 1B mon~hs Irom p Il~~ftiP1'~ I~19 TAis requesl void n /~.7 /~~r 18 rtpn[hst/rom ~ 7' 5 6 2 ~ ~i , .U~ ~y~ Re9uest f] Fire No. Nauph-in'InspAr.~inn quiretl? I/ ~Ready Nuw Will Notify Insuec- es ~NO a~ ~Yhen Heady ~ l.icensed Electrical Contmctor I hareby repaest inspec~ion oi abova ? Owner eleclrical work installed at Svycl Address. Bon or Route No. Ci `i~ ~ ecuon o. Towns ip Name or No. flange o. Coumy Occ pa t IPflINT Phone No. Po+ er Suoplier Atldress .l Ele~ cal Convac~or ICompany Namel ~ Contr mr's Licen~ No. Ma~ling AdJr s IContractor or Owner Ma mg In tionl Q ~ ~ A tho ized SiBnature ~COn ctor wner Makiny Installationl P e Numb r -%~/\..'C`/V R ~ ` MINNESOiA 5T E 9 PO Oi ELECTqICITY THIS INSPECTION REOUEST WILL NOT Griqes-Midwey Idg. Room N-191 BE ACCEPTED 6Y THE STATE BpqqD 1821 Universitv Av . St. Peui, MN S6t0A UN~E55 PNOPEN INSPECTIpN FEE IS Phone (612) 642- 00 ENCLOSED. ~ REQUES7 FOR ELECTRICAL INSPECTlON . eep-o/o/oo7i-o~ 1 See instruetipns for comple~ieg this lorm on baek o/ Veliow eopV~ y Y'~+ 7, `.5 6~ '"X" Be/ow Work Covered by This Request Adtl Rep. Tyoa of BuilCing ADO~~oncea Wired Equiumem Wire~ Nome Range Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt. Buflding Dryer Electri~ Heatin Commercial Bldy. Fumace Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk T&nk Farm Othnr peci v iherl5perityl ~ uecily t~er Other ompute Inspection Fee Below p F ServicaEntrenceSize tt Fee Fexders~Subfexders H F Circu'ns U to 200 Am s 0 to 30 qm s 0 to 30 Am Above 200 qmps 31 to 100 Amps 31 to 100 qm s Swinming Pool Above 100_Am s Above 700_F+mVs Transformers Irrigation Booms Partial~~Olher Fee Signs Speciallnspection S em~rks ~ TOT Nouph-in ~ Date I, the ¢al s/~'i(j7 Inspector, heraby certity thet the above Final ~~e~19'~ inspection has bee~ ~ mede. TisrepuestvoiElBmonltmfrom ' , CITY OF EAGAN o 3830 Pilot Knob Road, P.U. Box 21-199, Eagan, MN 5512 ~ 3 4 4 3 BUILDINGPERMIT PHONE:454-8100 Receiptu ~~~/y Tobeusedfor SF DWG/GAR Est.Value $107,000 Date APRIL 8 SiteAddress 9~1 SAVANNAH RD OFFICEUSEONLY 4 1 LEXINGTON SQUARE OnSiteSewage Occupancy R3 Lat BIOCk Sec/Sub. MwCC System ~ Zoning TH ADD PefCCI N0. On Site Well Type W Gonsl Cirywater ~C_ (ACtuaq V a Name ~ THE ROTTLliND CO INC (Alloweble) w # of Storiea = Address P•0. SOX 383 -~G- 3 dS5E0 571-0304 ~ength ~ City Phone Depth 4$ S.F. Total , p Name Sp'ME footprintSF. ~Q Address APPROVALS FEES ~ City Phone Assessments _ Permit ~ 524.50 Water/Sewer Surcharge 53 - SO wW Name Police _ PlenReview 2b2-2$ ti Fire SAC,C~ty tnn_o0 x- Address - Engr. _ SAC,MWCC 525.00 aw City Phone pianner _ WaterConn. 525.00 Council _ WaterMeter 67-00 I hereby ac owle ge that I have read this application and state BIdg.Off. _ Road Unit 305.00 thattheinformation corre agreetocompl withallapplicable APC _ TreatmentPt 1Rf1_flQ State of Minnesota tat es ~ Cit) of agan rd nances. variance - Parks Copies SIgI18tUf6 Of Pefmi TOTAL $ 54~ _ ~ 5 A Building Permit is ssued t. HE ROTTLUND CO INC on the express conditfon that all work shall be d ne in accordance with all applicable ate of Minn opq te Statutes and Ciry of Eagan Ordinances Building ORiCial CITY OF EAGAN N~ 16151 - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~ ~ ~ ~ ~ BUILDING PERMIT Receipt # To be used for FIREPLACE Est. Value $1, 000 Date FEB 24 , ig 89 Site Address 971 SAVANNAH RD Lot 4 Block 1 Sec/Sub. LEXINGTON SO 4T OFFICE USE ONLY Pareel No. occ~pancy - Fees Zoning - w Name TOM & LYNN KELLY (Actual)Const _ 81dg.Permit 26.00 o Address 9~1 SAVANNAH RD (Allowable) - _ 5n Surcharge City EAGAN Phone a ot stories - Leng~h _ Plan Review ~o Name HEAT-N-GLO ~epth - SAC, City Address 3850 W HWY 13 s.F.ro~ai = City BURNSVILLE Phone 890-0758 S.F.Footprints snc.nncwcc On Site Sewage _ ~Naler Conn Fw Name On Site Well - Water Meter Address MWCCSystem - qcctDeposit aw City PhOfl@ Ciry Water - PRV Required _ SIW Permit I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Suroharge information is correct and agree to compl with all applicable State of Minnesota StatNes and City, Eagan~ rdin cgs. 1 Treatmem PI SignaWre of Permi[ee ~~v ~ APPR~~A~S Road Unil A Building Permit is issued to: HEAT-N-GLO Pianner - parx oed. on the express co~dition that all work shall be done in accordance wilh all Council - applicable State ot M/~innesota Statutes a.n,.d}~Cily of Eagan Ordinances. gidg. ON. _ Copies BuildingOflicial !„1~\R~? i!1~ Variance - TOTAL 26.50 r~33c~°1 RESIDENTIAL BUILDING PERMIT APPLICATIQN CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 ~ ~ p. ~ S 651-681•4675 New Construction Reouirements RemodellReoair Reauirements • 3 registerea site survey5 showing sq. tt. of bC sq. ft. of house~, and all roofetl areas • 2 wpies of plan ~20°ro maximum lot cove2ge allowed) . I se1 of Energy Calculations for heatee aCditions • ? cooies of plan showirg beam 3 window sizes; poured (ound desgn, atc.) . 1 sde survey `or zztenor adaitions S decks • 1 set of Energy Calculations . Indicate .f home served by septic system `or additions . J coG~es of Tree Preservation Plan if bt Dlatted after 7/i193 • Rim Jaist Cetzil Options selection sheet (hldgs wiN 3 or less uni15J DATE ~ /(~2 VALUATION~ ~Q~~13. 3°I SITE ADDRE55 GI7 I _ Y1~~IQl(~~(1Q I/~ • MULTI-FAMILY BLDG _ Y _ N TYPE Of WORK ~~-5 I~_ fIREPLAGE(S) _ 0_ 1_ 2 APPLICANT MFK Con~~;A~-~i~n , ~~C. STREETADDRESS qSS-zTo,rwQ~ ~J2 .S ~$-LZ$ C~TY~STATEI~NZIPS~~ TELEPHONE # 2 ' I ~ CELL PHONE # FAX # ~~Z~~ ~~S ~'Lp~ ~y PROPERTY OWNER ' u~ `C'' ~.I _ TELEPHONE# ~ 0[~ I~ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ 11IVNF.50'f:1 RULES iG70 C:\"CEGOR~' 1 ~II\"\L. ~.~RT-"~~ ~7`? ~ (v submission type) • Residential Venlilalion Category 1 Worksheet Submitted • New E CqdeL Otks~e~i:~mi JU • Energy Envelope Calculatlo~s Submitted By Plumbing Contractor: Phone Plumbing systcm includes: _ Water SoRencr _ I.awn Sprinl:ler Pec: 590.00 Water Heater No. of R.I. Baths ~o. of Baths Mechanical Contractor: Phone ~k ~Icch.mic>il s}~stc~n includc,: Air Condiuoning r«: ,SiO.OO Heal Rccovcn• S~'st~~n Sewer/Water Conhactor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and a~ree to comply with all applicable State of Minnesota Statutes and City of Eagan Or • f~r a c~ ~ Signature of Appllcant ~ OFFICE USE OtiLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated a102 OFFICE USE ONLY ? O1 Foundation ? 07 05-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? p8 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (3-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi ? OS 03-plex p 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish {Bldg)' ? 43 Reroof ? 46 Windows/~oors ? 34 Replacement 'Demolition (Entire 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. _ Footinas (deck) FinaUNo C.O. , _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other RooF _ Ice & Wa[er _ Final _ Pool _ Ftgs _:~ir Gas Tzsts _ Final _ Framin~ _ Siding S[ucco _ Stone _ Fireplace _ R.L _ Air Test _ Final _ Windows (new,~replacemenU _ Insula[ion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit ~ Mechanical Permit License Search Copies i Other Total ~%~Yd~~K # ~Ch~ ~k~F r%~~X~X~X~%k~k~K~X: ~K4~X~%~~~k~X~X~k k<B;k~Sc tc q<~k CITY OF E(-1[;AN C;ASH i:ER: .JS TF~1:~`1.T.I~AL N0: i i'~ nATE.~ f1?3/Ot,l.7~ T'7M~; i.fJc5:3c06 ID: NANE: ~ELA ROOFING tx REMUDGLTNG 32Z0 `1~01 3~ i SAVANI~AH fiD 12;,.25 ~j.JJ 90t1i 3i:1. S~tVFrN~`~t-1FI RD ,3.00 T'a~;al Fircei~;t Amo~lri+„ ~'£3.?5 CR:1.1.4 `14:i l.1fiL:F :[L~~ .7Ai`! YF%K~C~%~>%*~ ~kX~ m'k ~K*~ktcYcY~>X ~k ~kM M%~ X~%XX~B<~rk>kx~~X ~M~kX~~k ~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~1153 ~~~~2~ ' CITY OF EAGAN 3830 PILOT KNOB RD - 55'122 65'1•681-4675 New Con~iructlon Reaulremenis . Remodet/Reoair Reauirements > 3 regi~tered sMe suneys showing sq. R. of lot, sq. fl. ot house 2 copies oi plan and ali roofed areas (20% maximum lot coveraae allowed) 1 set ol energy calculatfons for heaied addRlons 9 4 copies of plans (show beam 8 wlndow sizes; poured fnd. deslgn; efc.) 1 ake survey for exlerlor addkions 8 decks : 7 set ot energy calculations > 3 coptes of hee preservalion plan H lot plafted aRer 7/1/93 DATE: 3~~ q CONSTRUCTION COST: S~O'~ DESCRIPTION OF WORK: ~"~°1 ICCR°°r H~~S P~~ ~oRc 6~~-~ ~-G STREETADDRESS: ~ 7I S~ ~Vf(n//j/~ f~ R~u LOT: BLOCK: SUBD./P.I.D. ~Q Lt Altil "I ~ ~~~,lle to ~ ~s ~ - ~s-~-~.s-~~- Name: y Phone PROPERTY ~a~ FU~ OWNER Street Address: S~`" ~ ~ City State: Zip: Company: Phone#: G~2 ~2~ ^~~~6 4100 EXCELSIOR BLVD. ~area code) CONTRACTOR ST. LOUIS PARK, MN 55416 Sfreet Address: License # Exp. Ciy State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer'8 water 1lcensed plumber (reautred for new consfruction onlv): , Penalty applies when address change and lot change Is requesfed once permH Is Issued. I hereby acknowledge fhat I have read this appiicaHon, stafe that the information Is correct, and agree to comply with cll applicable State of Minnesota StatuFes and City of E6gan Ordinances. ~~=-c Signature of Applicant /l OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 1 S Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? O5 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. ~ Park Ded. , Traiis Ded. Other ~ Copies Total: SAC Units % SAC " ~ 524•5U+ 53•50+ 262•25+ b`L5•00+ 525•00+ ~ 67•OU+ ~U;i•UU+ 180•00+ '2~5h2•25~ . - ~ 3~ _ 1987 BIIILDING PERMIT 6PPLIC9iI0N - CITY OF EAGAN SINGLE FAMILY DWELLINGS IACLIIDE 2 SETS OF PLAPS, 3 CEATIFICAiBS OF SORVSY, 7 SET OF ENERGY CALCOLATIOHS HOTE: ADDRESSES FOR COENER LOTS - CONTRACTOR/HOMEOWNER MQST DESIGHASS WHICH ADDRESS IS DFSIRED. NO CHANGSS WILL BE ALLDWED ONCfi BIIILDIHG PERMIT IS ISSOSD. MOLTIPLE D1~iELLINGS - RFSIDENTIAL RENT9L DAITS FOR SALE OBTIiS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SQEtVEY - CHBCB i1ITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COP4~6RCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2~000 LANDSCAPE BOND ~U7, ~ To Be Used For: ~ ~ Date: 3-30 F`q~Lti Valuation: , Site Address %'~~~p//~//,{/,/~{f/ OFFICE QSE ONLY Lot B1oEk / On Site Sewage` Occupancy ~ 3 MWCC System ? Zoning I Parcel/Sub ~(.~'/n,y~7~JSpj>q/(~ On Site Well Type of Const City Water ? (Aetual) ~ Owner ~fjy/> G~D. /N~. (Allowable) SL Ik of Stories Address ~Q, ~p~(3~~ Length ~ Depth ~ City/Zip Code ~J~~(_-l'j ,SS~~p~ S.F. Total Footprint S.F. Phone ~`"~/-p30~/ APPROVgLS FEes Contractor so ~~/l'l~' Assessments Permit .r-~Z4 , - Water/Sewer Sureharge 5 3.s-° Address Police Plan Review Z~ 2.25 Fire SAC, City ( Oo City/Zip Code Engr SAC, MWCC SZ S Planner Water Conn 5 ZS~ Phone Couneil Water Meter 6~7. Bldg Off Road Unit ''.~S Arch./Engr. gfJ/?7~ APC Treatment P1 I SO. ' Variance Parks Address Copies TOTAL a ~ - City/Zip Code Phone I! ' v. t , . 2~ x..3-~ -~~2~ x ~v ° J73o~ ' - 22x 22 4 x l2 = SBoe Z~ ,c ~g - R~~ n~- ` ~-3 ¢~Z I c~cn~~#- G!!75 111yhvay 65 N E. VO Aoi 3230N Minnrapoli~. MN 554:i7 f61'LI !JI (~fN~e~ Sl/OIIRBAN ENGINEER/11~. I11fG n~'3 Nicutle~ Avr tin Oa.~.oine, MN 55.737 !fil%1 N'HI h51~1 CL. Mwtpd i fnww~.~w~wl E^O^~~n~ ~ Iw1 wrwrM ~ Lrw Plenrvry ~ Sd Te~ny c.:t~rio.t. o: 6urv.y :or Rotf/u~ Cio. Burinss Shovn Are Asauoed ~ o Deaot~~ Iron Monwent o llenote~ Povndetion Corner Offse[ Stake. PAOPOSm A.LYAITOM$ : Denote~ L.Setin~ Eler~[lon - O Danote~ Propoeed Eleretlon Top of Block 889.~/ Denotee Mrectlon o[ Surfece Dreim~e Loveet Fioor 2,0 Oenotee Dreinege end Utilit~ Eesement 7'oP jRoK Cerege Floor ~O N ¢ = ge4sa ~ ~ ~ oo s ~ ~ . b -~~se , ~o_ ?s /r` ~ ~ ~~~A~(/ ~y9~\ 7j 2~ \ f".~ ` ~ SCM~: 1 YILiI ~~/MI Y ~ m~c6 ,y~ ~ ~ . 3 ~ o~ a~. : : ~ ~ ~3 ~ ~ ro,1 ~Fc ~ _ / 3a F~`'~/ ~i!~~~~Qov~~ \ ~ / ~ P~ZopoSF p ° ~ / ~ r ~BBSS-~ I~~• ~ / J,/ ~'usE~,, ~ ~ ,~,Q'~ " \ ~ ~ /~6~ 1~ \ ~ \ ~y S~~ \ ~"P~. 60// F, Ta,a~ ~e? ~ u Jt~ ~,y° ~'y .~~~@ a~ ~ / 3 ~ ~ \ PYep~s ~ . 6s G,a.O . a/! ~y oa,~eWw ` , ' _ ,c~ y ~ ~ ,do'~ ~ ~ .cb ~ ~Ge ~ ~8 6~.t' 6 ~ a~'~ ~ ~ , 2~~ti . ~Coe ~ \98 O \ . ~ LOT ¢ ,BLOCK 1 P~.EX~~iGi~~3N ~t~'~3~?r~E r~ ~A~~I1'I~P~Ii Subject to easments of record Dakota County, Minnesota I hareb~ certif~ thet CAfe eurre~, Dlen or report res prepered 6r ae or under mr dlrect supervielon and thac i em s du17 licenaed Lend Sur~e~or under the lewn of the State of Minneeote. ~t,p n Signed this 3_u_de~ of .~:X , A.~., 19~Z . ~[MnPMhs . . SUM/RDAN ENGINEERAI~. IN[. Not pa4lfeAed: ~ll rl~hta reaer•ad Cno7riyht 1987 SE Ca~penlea, $nAurbnn esat~~~.+~s, t~~. Ycbert g. 8tnn~Y~, Iliee. Be~. No. 1~15 ~ SE~I~L 1LLG . . . . ».w. is ~ ri: f . " ~ , . ~ ~ ~ . ~ . • ~ t I t :3t ~ . ,,r1 i .vl ~ 'f• ' . ~ ~ ~ ' . 1 ~ ~ ~ r. J I .~.~,,r, r i1 F ~ . 11 ~ Y ~r~'w~I~f 1fM~1 . . ~1~\~ 1~•~~ i-' xl ..~'S` hI 11',~ . :7±' t!~ I i T_~ Pagc S ' 'I.• 'C C r~•t :y ~ ~ . . . . ` 1 ' f,'t. $CCC10J7 : ~i. ~n'''• ileplaces ~ '"`March 18, 1983 ' ' ' , , , i , , Ffay 1, 1982 ~ . J~N 2 6'I9b/ • ' • tiNGINECRGD GARACE IILADGR; , , , ' ' . . 1. I. i i . . . . ' • 7hy ' 7,G'G X 22 in Stock ( i NOTC: AIAXIhfU~f ALLaWADLE TIE-IN SPIW 24'~° n~raTRUSSES • (65q LDS TOTAL P6R LINEAL FOOT). ~ , , --c ' ~ . . . . ~ . - ~ . - . , ~ , :.f;' 1G'G x 22~~ ; • . ~f j- (Y., . ~ ~ i : ~ 1 l . ~ I ' . • I ~ . . i . . ~t . - • • ~ :i:; ii. . . i: . II . • . . . - . i .z~ . • . . , ( ~i,.t.. ~ _ . , . ~ ~~`~r ' . , ~'^Y ~,r., • . . . . ' . ~ ' ~ i ,r~~ • . ' i.~~ ~ • ~ ~ . ' ; ~ . .'1:' . . . I . ~ 'n _ 1 ~ i~ . . i'Y' ' ' r . . ' . . ' K . ~ . i>~ ~ . i. . - 'i: ; ~fr. .~t ~ . ~ I ' ' . : . . ~ . . . t i'i :.i~ s ~ ` • . ~ i" ~ . '.1':ll: ~ ' i ~ ~ , . , • ~ ' . r'~,~~. . - .i., . f'' 7 ~ i _ A A . . ~ • ~ ' ~1.'~: _ . AUTOMATED BUtLDING COMPONENTShe1N'Co^ ; , , ; ~ j ~ Component Planlf - Excels~ ~ . ~ . Millwork Division . ---^-'--~-WI . ~ • lonp Loke. MN Ci~c~ek. ~.~1;~•.!~, ' : 611/474•1111 ~hanhatsen. MN ~ G111477•7J76 715192A-0U67 . . ~ .•i'~Y.' 61119]7.90G0 , r 3 i . , i . . . fi, .,...'~N io.... ~..i n.^.~v~Lfr yn .uj,:.[. t . . ' ~ ~wi ~ r2'r ~ ~~~i. .ypi~~ . _ . . . ~ . ' EXTERIOR :ENVELOPE AVERAGE "U° COMPUTATIDN OWNER ~OTTLV ti/D LO SITE ADDRESS ~~.~~"~/~J~ ' ~ y - CONTRACTOR S~i~[l F DATG ~~.3Q/~ PHON~ 5~71-0~'~ . Determine working square footage of each. 1. Total exposed wall area . Z~"f ~ 7 sq. ft. x.//~ ° z~~~ 2. Total roof/ceiling area /U'~2 sq. ft. x' ~~z(~ °~~~`~3 Total exposed wall area above floor = ~ . a. Toeal wall window area 1~ ~f b. Total door area S~ c. Total sliding glass door area _ d. Total fireplace wall area ~ e. Total wall framing area (average~lDY.)' 1~ f. Total net wall area above floor . 17~5 g. Total rim ~oiet area , 2 ~ `1 Total exposed foundatlon area Z h. Total foundation window area ~ ~ ~ i. Total neC foundation area.above grade 5'~3 _ ~ Determine "U" value of each wall segment. a• l ~/~1 ' f~ I,IUIt eG ~ ~ ~'1~2e~`v ' . l ~ b. 5~~ X ~~U,~ ,0~7 = 3.°tZ _ X ~~U~~ ~ o . . . . ' . X IlUll ~ . a . . . . ' ~ ' " e. X~~~~~ . ~~s 7 e 1 6~ 6 Z - . ' f . / ~ ' X ItUll ~ s0 / ~ ° / ~ OV ~ ~ ~ g, z8~ X „U„ .as~o e %i,3~ ~ . h. oJ X nUn ~ S~ ~~,g~e . . ' ~ i 5 3 X~~~,~: °o~~ Q~; u3 ~ .3 ........................~.............TOC9I. ~ ~ . •.!~~~"Y~-D ~ . If item II 3 is the same as~ or less than item 111, you have met the intent of SBC 6006(c)2. • ?h Total exposed roof/ceiling area = / U 3 Z Total gross roof/ceiling area = /G 3 Z j. Total skylight area 6 : k. Total roof/ceiling framing area 6 Z 1. Total net insulated roof/ceiling area 96 Y Determine "U" value for each roof/ceiling segment. j. (o x ~~U~~ ~`~`cf ,Zo6`f k. ~ 2 X °U" eQ2~ _ /eG7 . 1. ( X ~~UII ?OZ~ _ ~~ln~~ ~ 4 Total = 2 8.`1 ( If total of 114 is the same as, or less than ~j2, 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 !l3 and I(4 shall not be greater than the sum of items Ifl and 02. • 1 Z77o~ / .-F Z. G~O.`d3 = 30ye~~ ~ 3. 2i~.$~ + a. z~.vl = z~t3.2q , ; , ~ , unLL suu~rl~. . ruy~ ~ ol 9 t:tu~'Ec U2e 10~ of opaque wall area for ' • , ixame construction ' • ~ ~ Const_ r~ p , : c•~, . ~ . . _I`v • R-Value L ~ ~ 1. Interior air~"film ~ ~ . i .2. i L~~~-`Y(~ f3 R(~ 0.68 ~4S ' 3 ~ g, lx~ s-r~aS ' ~oFsB".. . :i K1 l~-~ 9. 2S/32 ShT~ 2,.GC~ ' EnSIC t9ALL ' . A~~ 5. S/GY.fiL~. UW E/< FEG7- ~ l a 2 ro : 6: Exteriar air Eilm 0.17 ~ Total • S. FIG. ~E1 TOPVIEW OF ~ v~ eO~~ . . ' ER71!'lE itALL . ~ . . ' 1. Tnterior air film 0.68 ' • • • 2. ~Z"G.7'P 13o'G b . . / . . • 3 . o $S. ~~';~.,:.-...__"'O (/L L ~l.~/.~l LLr~' /iLSG~L / 9. ~~JO ;f~ ----~.z~ ' 4. 2S~3L 5h'Tf~- 2 OC~ 7?IG. {i2 . . I ~O ~.,~c ' S. S/U'.fi~- OVE~ FELT / 02 6 , 1~ 6. Exterior air film 0.17 • I~--.-._..:_-__~ ' , motal 2 3, 6 Z. ~..,,_r.~~~,,•/ IJ~ ' • ~ ~ V ~ OO / ~ • ' ~1;1~ I~`"'-"U ' Interior air £ilm l.lSGr,L_J( ~ 0.G8' 'p5e.-al ~ ,lf___._'~._..~1 2. ~'%~vSVL / 00: . , ~ ' ~ ~ yo r~~L: ~~.~;:------Q s. ~2 x _ h~~..r,t l,~ 1.',.. ~ '.I~ ~caSg ~ ()~.~~p~ I ~ „ . . ~ 9. ~ 2 S~3.'Z S t-I'r~ z ~ r m I .~1~~•.~_-,-- s.' sia..~v` r v~f< ~r-~-z.T ~ 6•Z ~ I ~ a a j ;2~: ~ ' ~ ~0.. . ~ , 6. Exterior air film p I , ~.1~1TICh i • ~ A t ^ . I . ~ ' ~ . Total 2 S.O S ~ L7. ~ C~ ~ [L:' ' • . ~ ~ . . . . ~;;~~1 Q=~«='-- . „ , U_ , o ~-U ~ u • ; t\ ;.S . - I .~~Y ,r ~ 1` p f. f,"'~.,,``-~ . . • 1. Tnterior air film ' ' p , , • ~ J; . 2 • - / . /.IiSC/C; . 68 _ . . ~ . . : i U~U 3. 2,,~I F[~2 R r rf G~ 9. , /2 ~~CO.r~c, /iCOC tL /eLFf ~ 5. ' . ~ : 6. Exterior air Eilm 0.17 Total /3e/3 ; . . ~ s0•7~ r. ` 4* . , I T 6' , r , ~ . 4,,~~,. U~, ~il • '~r--_r.-..~~i~Trr k , : y~ ~ , ~ . , • , ~ . , ~ , ~ , . • . . • ~r . v ~ . , . ~ ~ . 6 . ! I!1 ~ 113 ~ . Fzc. If~ (f~ • ~f~ . • ~ / I ~ Y ~ . . . !~c k a - /r~ ~.r~~ ~ ~ . ~ ~ ' ~ y~~' ti ^ . ~ . . . " ' ~'.ROOF/CESLTNG i , , ~ ' ' . . . . , ~ ~ ~ ~ , . ConstrucL•ion ' ~ : y~i . 1t~Value . ~ 1.~ Interior air film ~ :0.G1. ' 3 ~ z. s/R" vr ~ r~ ~o o ss ~ i~,n~ , 3. ~~a~,ti iNSVt 3£i,oo . ~I ~ j~+ ~ • 9, Exterior air film (stxll 0. ~ I ~II ~ • S~7T /•I _ I~ ~ lll . . Total 3~fo8o, ~ L ~ ~ , ~ . ' . : . . ; . (l = •Q2S . • . VenEed Heat flow•' ' • ' • . ~ . • ~p . ~ ' , . , •a ~ . , I ' , ' ~ ~ ~ ~ , i. . . , , . ~ , . , ~ ~ . i , ~ , • , : , ~ FTG. #5 l~ , , • ~ . ~ ' ' . , ~ . . . . • i , . ~.ws- ~ i , ' ; , • . • ' _ i ' 1. LIn-terioz.atir fil^m 0.61 yi".J'~,y.V-:~~1f1~~'1.~`~.~~~~~1'~~~•1F..~Q~.L.C11Cw~ • Z• 1~7~V11- ~~lC~ ~S . _ = __1 -~.-i-"~,7~a,-"""Y'. ~ 3. /~?StiL ovE2 r~2U5S ' 3'-~ ~q ~~7. ' ~ , i r/~{ , 4., Extcrior air film sti . •r t%~ ~ . Total• 3co,~~f .~n~n ~ , . . , . _ • ~I Il : il ~ ~ Ir ll±~.lZ, ~ . , . ' . v =..o-~--r ~i~ ~ . - . . . ~ `--`1J ~ ~ 3 G- ' . • • . . , • . . , ' , ' . ' • ' . . . ~ , Ha~c Eloti~ up . . ~ , ( .~vente j.:' . ' , . ~ ~ ~ • ` , ~ , ,FIG. ~E6'..~ • ~ ~ ' . . . . - ~ - 1 . . I , . • ~ ~ . . . . . . . . . . _ • . . , • . • • . , . 3 ' ~ ~ v 1. Ins~.de ai.r film O. Gl . - ~ ~ 6 osL•~'-'`'-:-._ 2• i . • ~ kn1 .f.~~l--r~' .'l. ~ . i oni.Q~~.'..::l:':.•:J~~:' ~ . ~e~.~~~~:~... t;~ ~ , 5. Outside air. film 0. J.7 • : . . ~ i I 1'"~/ ~ To tal . ' 1 ~ z ~ ' . . ~ . . . . 'i ; ; ,t` , ~ , , . ~ • , ' . .NOi7-~"~• ' Note: Use additioi~aS sheets •if more cpaco is needed for cietails and calculaCians. ~ . . ~ . ' Hent ' • . ~ . ~ • • , • ~flow up ~ - ' ' ' . ' • . . . , • • ~ • . . PERMIT ~ ~°~t 10 5 3 ~ CI~Y~O"F EAGAN 383o Pilot Knob Road PERMIT TYPE: s u x ~ ~a r N c Eagan, Minnesota 55123 Permit Number: 0014 2 7 (612) 681-4675 . Date Issued: 0 9/ 11 / 9 2 SITE ADDRESS: 971 ~ 5AVANNAH RD • LOT: 4 BLOCK: 1 LEXIN6'I"ON SQUARE RTH DESCRIPTION: '~uilding Permit Type BASEMENT FINISH Building"Work Type ALTERRTION ' 1JBC Occupane,y R-3 / -_,y ~ . ` ~ ~ i,~~/ ~'~ti.\ ~...~J1,~-:~`~.~~ ~~~r~ ~!/7~ { ~L~~~~~I :J ~ ' -i~ " REMARKS: ~ a C ~ $ FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fes $35.58 CONTRACTOR: OWNER: - flpplicant - KELLEY THOMAS 971 SAVANNAH R~ EAGAN MN 55123 (612)688-851A I hereby acknowledge that I have read this application and state that tHe informatian is correot and agree to comply with all applicable State of IMm. I Statutes and City qf Eagan Ordinances. - ~ ~6-c v ~L-z_ ~ APPLICANTIPEFMITEE SIGNATURE ISSUED . SIGNATURE ~ ~ ~ ~ ~ ~ ~ INSPECTION RECORD Control No. ~ O 5 3 CITY OF EAGAN PERMIT TYPE: B u z~ o r N ~ 3830 Pilot Knob Road Permit Number: 001427 Eagan, Minnesota 55123 Date Issued: 0 9/ 11 J 9 2 (612)681-4675 SITE ADDRESS: ~ o T: a s ~ o c K: i APPLICANT: 971 SAVANNAH RD KELLEY THOMAS LEXINGTON SQUARE ATH (612) 688-8514 PERMIT SUBTYPE: TYPE OF WORK: BASEMEN7 FINISH ALTERATION . . FRAMING FINAL FIREPLACE ~ ~ _ ' ' ' ~ - . PERMIT ~ CITY OF EACAN ` r'' REACTIV`ATE 4 1992 gUILDING PERMIT APPLICATION ' 681-4675 SEP 9 RECo . SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date ~ 3 / ~ 2 Yaluation of work Site Address: ~ ~0.V~h?«~ 1Zoad STREET SUITE / Tenant Name: (commercial only) YAT ~ BIACK ~ SUBD. ~~~'IS~ 5~'i~G. P.I.D. IR Descri tion of work: ~cec.~awo~k,-oo,.,,,~.~d~ r,~c,,ll,~oo~ o~~ l,sWs G~C.aJ:~., The applicant is: ,~1 Owner ? Contractor O Other coes«t~~ Name K~-~~~-N -Tl~a~---.tis Phone b~~`~s~~ Property ~~St FIRST owner qddress `~~l ~ ~va~~~~ ~Zd. STREET STE f City I~~~~~ State ~~^Q Z~PSSIZ~ Company Phone Contractor Address License # Exp. City State Zip Company Phone ArchitecU Engineer Name Registration # , Address City State Zip Sewer 8 water licensed plumber _ N f~ . Processing time for sewer 8 water permits is two days once area has een 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 Appl icant: ' 1,~.:s~--~- < ~~51~L5C.~, OFFICE USE ANLY „ ~ r BUILDING PERMIT TYPE ? ~ ~,~a? ? O1 Foundation ? 06 Duplex 0 11 Apt./Lodging ~~`16 Baszment Finish ? 02 SF Dwg. ~ 07 4-Plex O 12 Multi. Misc. ~~7 17 Swim Pool ? 03 SF Addition O 08 8-Plex O 13 Garage/Accessory ? 18 Co~n./Ind. O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15"Deck O 20 Public Facility ? 21 Miscellaneous WORK TYPE ~ ~31 New ? 33 Alterations ? 35 Tenant Finish ~ 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst Fl. sq. ft. City Water UBC bccupancy ~ 2nd fl. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments. Engineering Variance REGIUIRED INSPECTIONS ? Site ? Footing ~ Framing ? Insulation O Wallboard ~ Final ? Draintile ? Fireplace Permi t Fee 35, 0 O vaiwc;o~: g Surcharge .50 Plan Review License MWCC SAC City SAC Nater Conn. Water Meter , Acct. Deposit S/W Permit S/N Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Cop ies Other Total: SAC % SAC Units : ~ a sa ~ w ~ ~ ; : o opy ~ ~ ~ ~ ~ , ~ ~ ~ ~ ~o~~ ~ ~ s;~ ~ ~ ~-~7 ~ . , *****~*+******+*****+:x***t**ttr***+~r • ~ ~ CITY OF EAGAN * * ,*F APPROVAL OF PFd2NlIT. * ~ APPLICATION FOR PERMIT * ~ INSPDCTION OF SE.`dIt ADID/~t 4~'mt * * TTI~PAT.7.ATTON$ WII.L I~7T HE SQjID- * SEWER AND/OR WATER CONNECTION ~ ~ ~u ~T ~ ~ * ~ . . t~xovFn. ~ * » . * * * . **~*~~**#«*.*~*.xk***x**,.***~#****.: , P ease Print) ~ 1) PROPERTY ADDRESS: ~C LEGAL DESCRIPTION: , " Lot B ock Sub ivision or Tax Parce ID ) IF EXISTING SlRCLZTJRE, DATE OF ORIGINAL BL'ILDING PERMiT ISSL'ANCE: ' ~ ' (MOn Year PRESENf 2ANING/PROPpSID L'SE: - COr'II`~ItCL~L~/RfiTAIL/OFFICE ~R-1 SINGLE FAMILY . Q I~~'~~ p R-2 DOPLEX Lfiits) ~ INSTITL'TIONAL/GOVERI~7p ~ R-3 ZaW[~i005E (Three + Units) ( Dnits) , p R-4 APAR7T'lEPPP/CObIDOMINIC~Nl Units) 2) ~ . Y / ~ L` ~'e L .~6 f? ~P7T ' . . ~ E • ADDRESS: ~S ~ S~ /I~ L ~ . ciTSt, srA~, zzP:LiNa L~zl~p.~ ~ui ~~2"i?~ " PHONE: f~"S - I5/ S/~ • 3) • u ~ME. For City Lse Plumbers License: ADDRESS: Active 'Z° ~ EScpired i CI17. STATE, ZIP:_ IVot recorded PHONE: MASTER LICEDISE# • Sta Inltlal 4) • ~ i~+- ~ ~ fi~ ..~~~~1 ~hr ~1 P o ~k.~ ~ _ ADDt2ESS: o. B o.Y Sf 3 CITY, STATE. ZIP:~S S+~ n/~h/ - T PHONE: 57~~ d 3 O S/ •5) ~ r• ~ • : o • a~ • CON[~CPION TO CITY SEWER ~Cp~pION RU CITY WATII2 OTE~t ' . _ 7- 6) ~ PI.EASE HOLD APPROVID PERMIT FOR PICK-UP BY ONE OF ABOVE ~ PI.FASE MAIL APPROVID PERMIT ~ 1, 2, 3, 4, ABC)VE ~ (Circle one) 7) r u.. ~ - ~ ~S-~7 , ' ~ `1: • i' L G ~ ~ ~ I' • P Wr i~ Y91' . . . 7~ r' • 1]ti ~ S:r MCI. •.tlP~ 1 /1 J1' • :A' • 1 :F ~ .~OR CITY USE ONLY PERMIT # ISSUED ~ ~~t Fi ~ Pd w/Bldg. Permit FEES: ' $ S • S~~ SEWER PERMIT (INCLUDE SURCHARGE) $ S S~ WATER PERMIT (INCLUDE SC'RCHARGE) . $ ~ 7~° v S WATER METER/COPPERHORN/OL'TSIDE READER $ S WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ~S^ ACCOLNT DEPOSIT - SEWER $ $ b U ACCOONT DEPOSIT - WATER $ -l~ ~ a ~ $ WAC $ ~ ~ S •A'D $ SAC $ $ .TRLNK WATER ASSESSMENT $ S TRC~NK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRL~NK SEWER $ $ LATERAL BENEFIT/TRL~NK WATER $ ~d~ ~ T~ S WATER TREATMENT PLANT SLRCAARGE $ S OTHER:' $ 5~- G D. $ r. v TOTAL ~3Y~. ~.a7~ RECEIPT RECEIPT DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMZT FOR WORK WITHIN PLBLIC Q ROADWAY" MUST BE ISSL~ED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbND2TIONS: APPROVED BY: ~G~~ TITLE: DATE : ~ 3-0 / 7 I 1989 BIIILDING PSHlIIT 9PPLICATION - CITY OF BAGAN 1 _s ~ SINGLE FAMILY DWELLING3 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - COATRACTOR/HOMEOWNER MOST DESIGNATE i1HICH ADDRE3S IS D&SIRED. NO CHANGES iiILL HE 6LLOWED ONCE BTIII.DING PERMIT IS I33DED. MOLTIPLE DHELLINGS HENTAL D~IITS FO& SALE UNITS I OF ONITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECB WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COFAfERCIAL INCLUDE 2' SETS OF ARCHITECTURAL & STRUCTURAL PLANS~ 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: ,~c.- Valuation: Date: ~~Z Site Address ~ L~ ~'~~l`~1.11~1~'~C7. OFFICE ITSE ONI.Y Lot ~ Block ~ Oceupancy Parcel/Sub ~E' - Actuag Const Hldg. Permit~ ~ ~ Allowable Sureharge S ~ Owner } c~w~, ~ 1~ lu A of storiea Plan Review Length SAC, City Address ~1~~ S'zv'an-~~u~~ ~ Depth SAC, MWCC S.F. Total Water Conn City/Zip Code q at~ S lZ-~ Footprint S.F. Water Meter Acet. Deposit Phone On site sewage_ S/W Permit On site well S/W Surcharge Contractor ~~~c- `C~ (o MWCC System _ Treatment Pl. City water Road Unit Address ~~j(~ ~~w~ PRV required _ Park Ded. Booster Pump _ Copies City/Zip Code ~~v /~1S U ~ l ~5 TOT9L APPROVALS , Phone ~ " ~SZ Planner _ Couneil Arch./Engr. Bldg. Off. Varianee Address Couneil Citp/Zip Code ; " Phone 9 NOTEs Sewer ~ Water Permit fees and socount deposit fees yrtll be included in the building permit fee. Proeessing time for aerrer and water permits is two days once a licensed plumber has applied Por a permit at Citq Aall. ~~'~a2- ~l5 ~ 2oos RESIDENTIAL PLUMBING PeRnniT aPP~icaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675•5675 Please complete for modifications to existing residential dwellings. D oate ~ ~ ~ ~~~C~ I_ 1 1 4 7[!tl5 Site Street Address 971 ~)Q ~C1 hVl ~.Y 1 ~L.1 ' SEP unit # Property Owner ~ Q-S Telephone #(~i( ) b~a ~~SI 1 r Contractor ~,5 Telephone # (~1 ) 3~p`? 13~0 Address City State~ Zip The ApplicanC is: _ Owner 7~'Contractor _Other Septic System _ New _ Refurbished Suhmit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. If you are insfalfing onlv a water soltener and/or wafer heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener ~Water Heater $ 15.00 _ new ~replacement Lawn Irrigatlon _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 ToWI $ 15~a I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordan e with the approved plan in the event a plan is required t be reviewed and approved. ~(l S l~ 1 Applica Printed Name App ic nYs Signature 1 PERMIT City of Eagan Permit Type:Building Permit Number:EA116577 Date Issued:10/09/2013 Permit Category:ePermit Site Address: 971 Savannah Rd Lot:4 Block: 1 Addition: Lexington Square 4th PID:10-45078-01-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Thomas H Kelley 971 Savannah Rd Eagan MN 55123 (651) 688-8514 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116892 Date Issued:10/11/2013 Permit Category:ePermit Site Address: 971 Savannah Rd Lot:4 Block: 1 Addition: Lexington Square 4th PID:10-45078-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Nathan Corbin 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 - Thomas H Kelley 971 Savannah Rd Eagan MN 55123 Corbin Exteriors Llc 1115 Southview Blvd South St Paul MN 55075 (651) 760-3116 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA151923 Date Issued:09/18/2018 Permit Category:ePermit Site Address: 971 Savannah Rd Lot:4 Block: 1 Addition: Lexington Square 4th PID:10-45078-01-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 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 - Thomas H Kelley 971 Savannah Rd Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165365 Date Issued:10/29/2020 Permit Category:ePermit Site Address: 971 Savannah Rd Lot:4 Block: 1 Addition: Lexington Square 4th PID:10-45078-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 - Thomas H & Lynn M Kelley 971 Savannah Rd Saint Paul MN 55123--154 (651) 688-8514 Elite Restoration Pro 1120 E 80th St, Suite 201 Bloomington MN 55420 (952) 322-7773 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173388 Date Issued:11/10/2021 Permit Category:ePermit Site Address: 971 Savannah Rd Lot:4 Block: 1 Addition: Lexington Square 4th PID:10-45078-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas H & Lynn M Kelley 971 Savannah Rd Saint Paul MN 55123--154 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature