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1019 Savannah Rd ñ þ úð ÿþýþü ÿÿ þýý üþþÿÿúüìëþ ìì÷ýûáþ ííìì ÿø û ú ùõ ã î ú ù õ ã öõãðùþñ ß î îïùþ âý ûáþ ñù åñ ææñ á ñ þ ñ çòþ ýõõùý üþò ò þñý ÿ ùçîþò òþ ùþò þþç îþ ñ÷ þ á þõ ýòþñ æñ ç þ øèÞèçç ÷ü û æþ èçëçìë àþþüç öúô øóò ùùþ þõ Ý ú õÚôþýóþ ó ìæåöÜëûþåþþæð ñæôöíÿþýþôöìì êíéí æ þõýæþæþå þæ þùùþþ þæþæò ñþ þþý ñù õæþþùùþ ûþ òô þûþ þî òÿþýþï þ ç ùùþã ñûýþ ûýþ {. ... _. .: :t CITY OF EAGAN t .c # f s 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt To be used for r, Est. Value $ l o 30?. Date : AY 2 ,19 Site Address Lot Block - Sec/Sub. Parcel No. Name z Address o rlif. M ::•"? DF nnc c Name AMt J: o< Address u F City Phone o f ,. Building On Site Sewage t MWCC S Occupancy Zonin ys em On Site Well g (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL Permit No. Permit Holder Date Telephone # Plumbing H N.A.C. Electric Softener Inspection Date Insp. Comments Footings I L? y_ St Footings II Foundation Framing Rooting Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. BUILDING PERMIT Receipt # CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 To be used for SF DWG/GAR Est Value $102,000 Date AUGUST 26 19 86 Site Address 1019 SAVANNA H RD Erect ® Occupancy R3 Lot 12 Block 2 Sec/Sub. LEXINGTON SQUARWmodel ? zoning -P -0 - 3RD Repair ? Type of Const. Parcel No. Addition ? No. Stories THE 19 R09'TLUND CO INC Move [3 Length 44 Name Demolish El Depth w o z Address P.O. BOX 383 Int. Impr. ? Sq. Ft ° City f35='?? Phone 571-0304 Install ? = o Name SAME 0 ¢ Address ~ City Phone F- a W W Name x a Address z < W City Phone 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 Permittee i '- A Building Permit is issued to: THE ROTTLUND CO INC all work shall be done in accordance with all applicable State of Minnesota Building Official Assessment Permit Water & Sew. Surcharge Police Plan Revie Fire SAC Eng. Water Conn. 22 v. u v Planner Water Meter 63.50 Council Road Unit 290.00 Bldg. Off. 8/22/8 Tr. PI. 156.00 APC Parks Var. Date Copies U 292 ' ?2 ) .- , Total - on the express condition that Statutes and City of Eagan Ordinances. N° 12520 Pormlt No. I permit Holder I Data I Telephone M Comments "tg• Plbg. Final Occ. Disp. PERMIT # ' PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 58121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot ` Block Sec/Sub Res.- New A- m Name Mult Add-on Address Comm. Repair c City Phone Other TOTAL NO. FIXTURES Name 00 s Water Closet - $3 3 Address . iBath Tubs - $3.00 C) City Phone Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE i Laundry Tray - $3.00 MINIMUM - RESIDENTIAL FEE _$10.00 ' Floor Drains - $1.50 MINIMUM - COMM/IND FEE - 20.00 Water Heater - $1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES ? Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL PERMIT # MECHANICAL PERMIT 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 Block Sec/Sub Res. New m Name Mult Add-on Address Comm. Repair c City Phone Other Name c Addre p City TYPE OF WORK, Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other Phone M BTU $ . A ) FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) M BTU M BTU CFM FEE _ S/C: _ TOTAL SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN CONTRACT PRICE: Site Address/4 /V Lot Block ' rte m Li1F/7 ~ C,O, Name (a ? Address /Q F S City Phone A Name c Address/ /VA O)Q/4 3 O City Phone r FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20-00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEY ND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # 7 PLUMBING PERMIT RECEIPT # 719 L CITY OF EAGAN 7 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 A BLDG. TYPE WORK DESCRIPTION Sec/Sub Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $100 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1 50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) _LSoftener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE SIC: GRAND TOTAL CITY OF EAGAN , WATER SERVICE PERMIT 3830 Pilot Knob Road - P O Box X1199 PERMIT NO : . . . Eagan, MN 55121 DATE: Zoning: _ No. of Units: I Owner: C-. arT Address: Site Address: .vannai, rc _ -_- - f o:' -- - -- Plumber. 'Pis Meter No.: Connection Charge: -' Size: Account Deposit: 1 17. N.. Reader No.: Permit Fee: 1 Nne to oneoph with dw City of Bosom Surcharge: onomoeoee. Misc. Charges: Total: C By Dote Paid: Date of Insp.: Insp.: CITY OF E?AGAN SEWN SBVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: Pi No. of Units: Owner: Fnrtiisnk• CouwLy Address: _ Site Address: 101 Savannah rs:. '?' ; ,-• c:r, it Plumber: I e@ree M eee01* w116 Ire C11117 of Eapa Connection Charge: 0 alaaview Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Dote Pold: _ This request void 7,9/ l/ 1S months from C 58552 t «, r3 z Lax. ???. 3rd?/700 Request Date Fire No. Rough-in Ins Portion L7 Re u red? ?Ready Nuw Will Notity Inseec- I O_ lV?, es ?NO for When Ready Licensed Electrical Contractor ? 1-hereby request inspection of above ? Owner electrical work installed at: Street Address. Box or Route No. City L 1 v ) ta-Qa,-- Section No. ame or No Township N. Range No. unty Ot Oant (PRINT) Phone No. Power SupPl ier Address E` l,wcal Contractor (Company Name) Contractor's Li-c-e?-nlse o. , ME ng Address (Contr ctor or Cjwner Making Installation) I 43 Au oriz ed Signature 1ContractodOwner Making Installation) Phone Number - 8 S wo 4 I THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY Grippe-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 65104 UNLESS ESS PROPER INSPECTION FEE IS ........... ..n ENCLOSED. 161 ?19?? l? REQUEST FOR ELECTRICAL INSPECTION ES-00001-05 See inatruetions for completing this form on beck o1 yellow cop V. J'/^ 7,9/ y [F Q 7 -X" Below Work Covered by This Request , WevAAddl Rem.i Tvoe of Suildinp I Aooliancee Wired I Equipment Wired I Water ndustrial B p -Fee Service Entrance Size k Fee Feeders/Subteeders « Fee Circuits 0to 200 Amps 0to 30 Amos -30,00 0to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Am s Above 100_Am Transformers Irrigation Booms Partia I. Other Fee Signs I Special inspection [g!/ / 7 ` , TOTAL FEE Rerrwrks ? ??-??? ? Final 1nspaC ,. hereby certify that the above inspection has been made. ,old CITY OF EAGAN N°_ 14 91 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # 8?-i k'0,7 To be used for DECK Est. Value $1,000 Date MAY 2 19 88 Site Address 1019 SAVANNAH RD Lot 12 Block _2 Sec/Sub. LEXINGTON SQ 3RD Parcel No a Name MICHAEL FARNSWORTH 3 Address 1019 SAVANNAH RD o City EAGAN Phone o Name AMRE oQ Address 1935 CO RD B-2 uF City ROSEVILLE phone 631-0450 ti m w W Name i za Address aw City Phone I hereby acknowledge that I have read this application and state that the information is correct and gree to comply with all appl able ate of Minnesota Statutes and n of Ordinances. Signature of Pe ttee A Building Permit is issued to: AMR on the express condition that all works all be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY On Site Sewage Occupancy MWCC System _ Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required * of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 24.00 Planner Surcharge • 50 Council Plan Review Bldg. Off. SAC, City -- Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks 24.50 TOTAL CITY OF EAGAN N 0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N _ PHONE: 454-8100 BUILDING PERMIT M To be used for SF DWG/GAR Est. Value $102,000 Date AUGUST 26 19 86 Site Address 1019 SAVANNAH RD Erect Lot 12 Block 2 Sec/Sub. LEXINGTON SQUAR%model Parce l No. 3RD Repair Addition w Name THE ROTTLUND CO INC Move a Address P.O. 383 BOX Demolish Int lm r City OSSEO Phone 571-0304 . . p Install W .o 00 U C W W W U0 aW 12520 Occupancy R3 Zoning PD Type of Const Vn No. Stories Length dd Depth! 8 Sq. Ft Fees Address Assessment Phone Receipt p Permit Water 8 Sew. I Surcharge _ Police Plan Review Name Fire Address Fnn City Phone Planner Council I hereby acknowledge that l have read this application and statethatthe Bldg. Off. $/22/8 information is correct and agree to coy ply with all applicable State of Minnesota Statutes and City of Ea R rdina APC Var. Date Signature of Permidee O IN SAC 575.00 Water Conn. 500-00 Water Meter 63.50 Road Unit 290.00 Tr. Pl. 156.00 Copie 2,29 .50 Total A Building Permit is issued to: THE ROTTLUND C on the express condition that all work shall be done in accordance with all applicable S of Mi nes to 5 u. spTnd City of Eagan Ordinances. Building Official '9 OF EAGAN 'ilot Knob Road lox 21199 MN 55121 WATER SERVICE PERMIT PERMIT NO.: 7951 DATE: 9-1 -8 . No. of Units: 1 'drw • 1019 Savannah Road L12 B ex gton Cq TTT Jo.: -9-/?L- XG a. !$L/ No.:rx7O7O ?fl.s comply Wob the axy of 60000 :a. Connection Charge: _500.00pd Account Deposit: 15.00pd Permit Fee: 10,00pd Surcharge: 50pd Misc. Charges: 156.00pd TP Total:- Fl- SnPA moro.. Date Paid: Insp.: Insp.: r??3-? (75G?A 76 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 0 651-675-5675 FAX 4 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Onl 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd -Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _N 1 set of Energy Calculations Addition -indicate if on-site septic system On-site Septic System _ Y -N 3 copies of Tree Preservation Plan if lot plaited after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date / ULl Construction Cost 3 &-.0 , ro Site Address I O t °1 S a V > YYV-% M ii>"A . Unit/Ste # Description of Work ??yv? ov + Vim/ Yhe. S v h t V L, t eT v.> v V s y?.w 1 Multi-Family Bldg - Y ?N Fireplace(s) 0 - 1 - 2 Property Owner N'3WN Telephone#(b??) L4S6 °',k-Aoj Contractor sue[ C Address State . Zip City Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( 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. 1 ' \Rt, rb ? R., V d o w,? Applicant's Printed Name Applicant's Signat OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-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 ? 12 12-plex Plbg_Y or_N ? 25 Miscellaneous Work Types ? 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 ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System 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 I NSPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ _ Plumbing _ Foundation HVAC _ Drain Tile _ Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final Framing - _ _ Siding Stucco Stone Bri _ ck Fireplace _ R.I. - Air Test _ _ Final _ - - Windows Insulation _ _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector 5op';y RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reaulrements • 3 registered site surveys stwwing sq. tt of lot, sq. ft, of house; and 5g roofed areas (20% maximum lot coverage slowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan Ii tot platted after 711193 • Ran Joist Detail Options selection sheet (bklgs with 3 or less units) DATE S 2_D - n - 2-SITE ADDRESS 161 TYPE OF WORK Re APPLICANT / r / l? S /t/ v(//?I f STREET ADDRESS /7 /y ? TELEPHONE # 612-6i'L L(V'CELL PHONE # PROPERTY MULTI-FAMILY BLDG -Y _N _ FIREPLACE(S) _ 0 _ 1 - 2 _CITY-) STATE _ ZIP FAX # (C"I'? rj K4r0 64i1l TELEPHONE # COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor. Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone # Fee: $70.00 miffed -------------------------------------------------------------------------------------------------------------------------- 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 OrdlnanCps.., Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Water Softener Water Heater No. of Baths _ Phone # LEY- Lawn Sprinkler No. of R.I. Baths Tree Preservation Plan Received _ Not Required _ / 4a. 7_? RemodeMe ap lk Pequirements • 2copies of plan • t set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate it home served by septic system for additions VALUATION S Y2- Updated 4102 Fee: $90.00 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire 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) - Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing : - Siding _ Stucco _ Stone Fireplace _ R.I. - Air Test - Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN J # 144 SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: /JPs711-61' //pc-.(-- Valuation: Date: Site Address /d/'0 . S409i(11i 171 Lot 1A Block Y?1T- o r ?j Parcel/Su Address /U/R City/Zip Code')-tom i Phone Contractor Address 1r?????'?n• City/Zip Code. , C dSCVi l? 5??/? Phone ,451 ?/- 0 Arch./Engr. Address 1000 - -n site sewage_ IMWCC system _ On site well _ City water _ PRV required _ Booster Pump _ APPROVALS Engr/Assess Planner Council Bldg. Off. Variance City/Zip Code Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review 02L4/Z4.SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL Noo r? Phone # +M7-e 1 a' HEAT LOSS CALCULATION -9j0_0 TEMP. DIFF. C" "'ear 12S.i_ LCV? o I?PiS?2? TrpaCmuouabn Clty Windows Storm Sash Dealer Name. FLARE HEATINLi i4 AIR flhIDITIANIaIr IW!` walk . Inc. Street - - Ceiling Ins. City Floor Wintlows and Doors-Crackaue end Area NO W1tlN1 nl YIM 1r e1? IM Ltl h N CINx ? a 3 a zs . 3r C00. 1 Btu Inf i1trat ion 4)119 1 /Zen Goats f Dp .. Exp. wall / 2 8 0 Net exp.-wall Int. wall Ceiling 3 Floor 3 .z Total Btu. ( FI (_'ly?,.?„RootILangh Width ((o Haight Windows Doors-Craekagaand Ana Me. WMa. N?1en1 M M CI M No. W L D" W h. N tl1tl Mw 11 ZY l a ?- t rl Cost. Btu Infiltration 3T- 70 1 Io 0 Gas _ 12oU Exp. well 30 8 Via NLN exp. wall 2 y Inl. wall Ceiling 1,4x / z 44 8 Floor 72H Z Total Btu. N3?.Q Total 1' FLIOIn?na. RoomlLoWh II: S Width f 1 Haidrt g 1115rF1.1 Wlndlow nd Doors-Cradwgs and Area Na WM11. N.ylq nl ly.y M M NO. OI L N LMMI h. N .It. Yo ? a ? 2Z Cod. Btu infiltration 2Z p U Glass O SO - Exp. wall ,4 S x $ o Not amp. well (O q Int. wall Coiling 11. S x tl (a Flsor Total Btu. 1 „ 1C18a- i}c.h,eylRootn1Lstath 1(.S- Width 11 H@WS Windows and Doors-Cradcage and Area Mtl. M 1011. NNeln Ntl_ M LMtlll N. A h. 1 3-;L ?8 z zo 16 Coal. Btu Infiltration KO 2ztg Glas ZIdU Exp. wall 14, k qep- - Not sap. will 50 14 Zc?cU IM. wall Calling 11. s i t 2 Floor / -11 9- Total Btu. Windows add Doors-0ackaga and Area Ns. WMM el NNrln 1 n Na.W L LWAM h. Ati• h. Q 1 sa 'as z z0 16 Coat. Btu Irdilt ration (o0 U Do Gas S 8 Sly z1fbo Exp. well 3o k 8 Z a Net exp. well 177- Int. wall ? C. p b0 a Ceiling (32 Z t `1cz Flow 2Z1 2- 41,t Z__ and Area L Nn. MM tlW IMMr No. W LOOM h. A „ ' 'l Z re 19, Owl. Bea Infiltration a- t/b Z Gks 214, /-30c) Exp. well Nat amp. wall IM. wall Cellkq ( y, SX 131 7- 2G Z Floor Lli Total Btu. 1-37109 f'a ?e WT- 15 " HEAT LOSS CALCULATION _L ° TEMP. DIFF, "mar Name rl d ? I Type (brpbuetbn V - Win 'A Storm Smh Baler Name. Wells. Ina. Street ---- Cailirq Ina. City Floor 1 I•I FosCv Room ILwyth I Width9. Neiaht R N FI.1 RoomlLetxtth U Width Maid Sf No and Door 2 Btu Exp. wall 10?c fj 1 Not axp. wall - - - IN U 4Ts wall Total Btu. Z FI?joornILargth (`] Wi Windows and Doors-Cra6mand Aran NO WM,n NOywl O, M O? M No. e1 L Lillrl n, O/ ? A1r ?1 T Coat. Btu Infiltration O 40 1(000 Goan ?) (boo ExP. wall 30 Kg- 2yo Net GNP. wag Zog 3 InI. well Ceiling I 13 z z 3 Floor Z Z NO. wrn. W Nrlaq me. e1 LM?r h. Aw h. Cod. Btu Infiltration Glen Exp. wall xQ' CAR - Not axp. will ?j Int. well Ceiling (0 Yc Z Flom !J Q Total Doors-Credcas and Aran NO. N MM NOIS01 rLle. 01 N 1 h. NO. Z 114 Daef. Btu Irdihratlon fj G Lei Glaze O e) Exp.wall ;U I[ Q _vs Net exp. well o. /I (o Int, wall Coiling Floor 33 Total Btu. 1513x'! 11 Total Btu. FI' Room f LMWh /(0 Width Ileigllt 1r P" I.I j Room I Lergth 0, Width f y. S Neigh X Windows and Doors-Creches and Area Windows and Doors-Cradtaga and Area Nn Wwlrn huh 1 rv, ,wti all NO.OI L n L~". Of W"11 A"A M rH Caaf. Btu Infiltration ` O TO Glatt 700 _ Exp. wall L No exp. wall / Int. wall Ceiling AP K 3 Flom q q 1 21, .:-? Y, • Nn. W . ".w" M No. N 1 h. Ar00 /1 . 3 a`f 2 ? Deaf. Btu Inf ilbetian J Glas U Exp. wall ? y? e0 Nat exP. wall r7 1+ Int. wall Ceilirq 10 . 5-x 1 F loor " 73 1 3=) Total Btu. II Total Btu. I Zy 2`7 U` . s 11 i HEAT LOSS CALCULATION --le -2a TEMP. DIFF.. amr Nary C?M CW Or I Typa oomtruetlon v -- .r Noma Straal City Arm No Inf iltrat ion Glass Exp. wall Not amp. wall Int. wall Windows Walk . Cellhq Floor and Room Storm Sath Ins. Ins. Na, wlmlx N.InM Ne. N LMN N, an.N.. Cat. Btu Infiltration GIM Exp. will Nat oxp• will Int. wall Cailhlg Floor Total Btu. Total Btu. FI.I Room Il Width t FI.I Room Il Width Isilift Windows and Duors-CraaaWad Ana Windows and Door-0micep and Area Ne. W?MO Noym e? M N .. No. at L Li n. N n.q Ar" Cold. Btu Infiltration Gkss Exp. wall Net exp. wall InI. wall ceiling Flom Total Btu. F1.1 Room rL - Width "eight Wxwlows and Doors-Crackago ad Ana Nn I.M.I. No"h, nl rl... nl .we No. N ll N LIe..I N. N .n ¦ N. • K COO. Btu Inf iltrafmn Glass _ E mp. wall No amp. wall Inn. wall Caihng F11" Total Btu. 1 s7? 9 iyl? y 34- ? a? 5g? Me. M I .M M.IaM / `.. N N L 1 N. w "k a?.. Caaf. Btu Infiltration Glos. Exp. wall Not axp. well IM. wall Coiling Floor Total Btu. FI.I Room IL040 WIdd IMI t Aran WWadom and Doan laid N.. wr?e N w. N.1/?1 N .n. N.. N Loh" LIw•.1 N. 1 a h. Deaf. BW Infiltration Gkla Emp. well Na amp. wall Int. well Coiling Floor Toth Btu. 1"oit . ec.Fe 1 oa g? rtsh R ;O" IbhkttJoe 'fa ll hewir+ I-cs.S CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT.HAS BEEN APPROVED. P ease Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: Lot Bock Sub 1vision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Mon Year) PRESENT ZONING/PROPOSED USE: COMMERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY r7 INDUSTRIAL Q R-2 DUPLEX (Two Units) n INSTITUTIONAL/GOVERMW R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) rT NAME: ADDRESS: Er7 /3 0 X/ a CITY, STATE, ZIP: ?c &h! i-iSO73 PHO 1 NE:/. 3-p ecl? 3) u c r• NAME. (? For City Use D Plumbers License: ADDRESS: Sl4.. dD n 5 Active CITY, STATE, ZIP: Not recorded PHONE: MASTER LICENS gt Inltyal 4) •u i:? NAME: TfF2 IRC)Zu/?)d ?U E. (?[?s.JL ADDRESS: P,0, 8Ox .353 CITY, STATE, ZIP: (I SS P O M N ?f 2(0 PHONE: s 7J . d . U (r " CONNECTION TO CITY SEWER ?Q( CONNECTION TO CITY WATER OTHER 6) U V• • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE _...-- PLEASE MAIL APPROVED PERMIT TO 1,G) 3, 4, ABOVE T (Circle one) 7) r.. 9. e _.o xo ?I 9- 3 - ss r"7•ZT FOR CITY. USE ONLY PERMIT # ISSUED - Pd w/Bldg. Permit FEES: $ $ / SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ 43- S-' $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ /Sp p ACCOUNT DEPOSIT - SEWER $ $ / IeY-b ACCOUNT DEPOSIT - WATER $ ?76O. O Z7 $ WAC $ 7.S', $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 12c7 V ?ZD $_ ?? U ZJ TOTAL /- 0 0 2- RECEIPT // RECEIPT DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PER MIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE IS DIVISION LIS SUED BY THE ENGINEERING . T AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE: ( .3 ??p -6c 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND sK-? To Be Used For:.56? LG( Valuation: ad Date: ep-I5-'y Y Site Address Aal!z f?91/.9.Un4gH ?o/kfl Lot /02 Block X Parcel/Sub L ?X/M77ZW ,Szpy,, Qr, v 3 r Owner L /T 07TAUr 0 Gad. /A/C+ Address -ea, ,t?y X 38,3 City/Zip Code QS?Ed ,? SS?3 6 } Phone S-7/ - 030 y Contractor ?A>•7? Address City/Zip Code Phone Arch./Engr. 574, rWe Address City/Zip Code Phone # Erect Occupancy f3 Remodel Zoning f s Repair Type of Const VIJ Addition # of Stories Move Length S/ Demolish Depth S/ Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit t/.56 Water/Sewer Surcharge Police Plan Review 2;1 9 Fire SAC S7S Engr Water Conn Planner Water Meter G3• D Council ^ Road Unit O Bldg Off - 2 Treatment Pl IS-j6 APC Parks Variance Copies TOTAL ??- 9 ,?_ .z NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. WSWOMAw r?/wt?wwle as Certificate '* o m wr rn •y? ti r y1 ri..rlww w+.. wn wnw,n of Survey for f t-rZU.YO C,O. 4 Bey 2jsO 8 yy NOR 1"H , i? \9 \ ?? \ a q-0 C9 e- \ / 6> Dufp 3 0 -,0 , \ ? ati 1 ?? Bearings Shown are Assuaged o Denotes Iron Monument o Denotes . ® Foundation Corner Hub PROPOSED ELEVATIONS Denotes Existing Elevation Top of Block 889 Z • Denotes Proposed Elevation Denotes Direction of Surface Drainage Lowest Floor 881s Denotes Drainage and Utilit.• Easement Garage Floor 888.8 LOTI2 , ROCK Z . LEXINGTON SQUARE 3RD ADDITION Subbed /o drainale e uldiij ea;erwnis DAROTP COUNTY, MINN. 1 YerAw /se/llf Me° Mir w e "we one .sewn dense" Iewe, wd of /ae 11111111 of all be1Nd sew %Md. N 1 Wvr" Yp r /M1 el 5co%: P . 3DT Ps Mw?uV~. An Ryon Rwl.rwl w of a . w" of Me beeaae/len of Me eMw ad ell IN!@ ewl,r be 111111 am how se se IN. 0. N£Q(-I ? Evy ? 127 q N t= w Hta V C A-1 . EXTERIOR :ENVELOPE AVERAGE "U" COMPUTATION ®ea? OWNER ?OTTLV tiD LD ?y SITE ADDRESS 112L?A?.vg.y T?O?' -- CONTRACTOR S ?Nl DATE >5? 8? PHONE 5 71 -??? Determine working square footage of each. 1. Total exposed wall area ...... 2-14°l 7 sq. ft. x 2 77. 2. Total roof/ceiling area / 6,' sq. ft. X' .OZ(o Total exposed wall area above floor --2 b. Total door area ................................... 5 C. Total sliding glass door area ...................... d. Total fireplace wall area .............. ......... e. Total wall framing area (average 10%)... ........ 1°t1 f. Total net wall area above floor .................... -17/5-- g. Total rim joist area ..... .. ... 2 'Fs `/ Total exposed foundation area - (V -2- h. Total foundation window area ......... I. Total net foundation area above grade .,.....,....••,• 5 ,3 Determine "U" value of each wall segment. a. 1 2) ? X- ?lull b. 5-(1 X null c. X "u" d. X "U" e. X nun f. 1715- X "un g• 2 8 X nun h. ?J X "u" I. 5 3 X "u" e5 `f 1o2.OC- .07 3-r1 Z 7 G.62- sot12 ??003 oa?? a ?. ?3 3 ......................................Total = ..Itr, If item 11 3 is the same as, or less than item A1, you have met the intent of SBC 6006(c)2. WALL :iLU•rl?.. ruy? 01 4 t:luTE: U'Se 102 of opaque wall area for frame construction Construction r:. • ?; .?-? J R-Value 1. Interior airfilm - 'Q 2. 0.68 L' 6z P 13 R b d 4 S 3 3. 1 x (? ,57tid S 6 o$ S L 4. 2 5'/3 2 5 H TG.- EASIC WALL 4? 5. S/G3? fiCs OtJE/< FEGT / a 2 4?1 6: Exterior air film 0.17 Total FIG. 01 TOPVIEW OF • FRAHE WALL 1. Interior air film 0.68 • 2. ILL" C?.r /? f3 QZ' D 3. pc/4 4-e r,2G. 42 ! ( '-'{? 9• _zs/3i 's?,r? 2 OG 5. fib%tiG oVEe F??r / a1 6 , ?'dP 6. Exterior air film 0.17 ?_ I- - - ? Total 23, 2- I _/I l UInterior air film O.GB' ' 5cral , 2. /( y 3 . '2 X _ 12'f «'. a 2 mCJ? 5. spa/ vG? c7 vEZ/< ' r- zT / b z ?O II •:>; n • u 6. Exterior air film 0.17 ":71TTCIri•'•? ;' ^ ( ?_ Total 2S•OS .OL/-U 1. Interior air film 0.68 2.-// .J tiSVG // OU 3 2?1 (t?2Rtr tV 4. /2'lCO.wC, /30000 /e?FS 5. 6. Exterior air film 0.17 . -/ RN 7 1-1 1l1 G. {4 /r ( V b . a •. II3 I L 1? Construe Lion _Value 1. Interior air film 0.61. 3 z. s/R" vY? r? Ro 05-18 Mln 3. GLOw.v iti5vt 3£'x,00 II 1'I1 (?I 4. Exterior air film (still 0. M Total 3?ra so, V o2- 5-Vented Heat flow. i . up 1 i.. 1 I FIG. 05 1. Interior air film 0.61 2. S/??, yYn (3?0 5 S 3. OI/E2 WeU55 4.• Exterior air film (still.) _ 0.61 Total. j (e 1'7 On, ME .......... . r. I Feat flow up. .,vented. FIG. It 6 '..1. 3 v 1. Inside air film 0:61 2. s,? r 4 5. Outside air film • 0.17 y? Total NOi1-ELI'°IED •• Note: Use additional sheets -if more space is needed for details and calculations. Heat flow up A .ROOF/CEILING ?y 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 `? Determine "U" value for each segg?ment. X "U" v / ?{ = 206 / k. /yO 2 X "U" 6627 = /e67 1. X "U" ? 2 S = 2 4fe/ D 4 ..................................... Total = 2 .v r 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 #3 and 114 shall not be greater than the sum of items 111 and fit. 1. 277.1-7 + 2. 3. 2//-feg s + 4. _ ?e0 X3,2 - 2Pi.Y/ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 p r New Construction Requirements RemodellReoair Recu remenis, (^ 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions) OO5 i 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addifions`& decks;, , 1 l set of Energy Calculations - Addition - indicate if on-site septic system 3 copies of Tree Preservation Plan if lot platted after 7/1193 ?(- Rim Joist Detail Options selection sheet (buildings with 3 or less units) 1Qy-. Recd. _Y _N Reed _Y N. uired _Y _N System _ Y _ N Date { ? l 4 r l 0113? Site Address /Q V 6 Construction Cost `? 000.00 11 Unit/Ste # '? 60d Description of Work l (? l0 $ A55( 0 Multi-Family Bldg - Y ? N Fireplace(s) - 0 - 1 - 2 Property Owner Telephone # (j)l(/ ?(UIUO Contractor fn (1AC Address ?y55?r?Q State 1 1 t city_ Zip ? Telephone#(qs? 9 Q?OG9 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _Y _N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( 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. Voles ' 1?,?' ,P I< <} ?'I Applicant! s Printed Name BUD. Applicant' Signa e I 3 I ?5y OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_y or_ N ? 25 Miscellaneous Work Types ? 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 ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water . SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) - Footings (deck) - Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS Final/C.O. _ Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone _ Brick Windows Retaining Wall Building Inspector 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date,LjL__ Okr Site Address < a c/ cc/?fidli Unit # Property Owner - / r Telephone # ( d /) (stn - Contractor Ron's Mechanical, Inc. Street Address 12010 Old Brick Yard Rd City Shakopee State MN Zip 55379 Telephone# (952 )445-8585 Bond #: R 1_= I''JU! IIIQ ?I Expires: i?lqno-q- The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional V Replacement t! Replacement New -/ air exchanger ? air conditioner heat pump other State Surcharge F OC LI) T 2 3 2006 U $ 50 Total _ $ ?•? I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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. E '. irda Jer nardet- 1 ? Applicant's Printed Name Applicant's Signa ñ þ úð ÿþýþü ÿÿ þýý üþþÿÿúüìëþ ìì÷ýûáþ ííìì ÿø û ú ùõ ã î ú ù õ ã öõãðùþñ ß î îïùþ âý ûáþ ñù åñ ææñ á ñ þ ñ çòþ ýõõùý üþò ò þñý ÿ ùçîþò òþ ùþò þþç îþ ñ÷ þ á þõ ýòþñ æñ ç þ øèÞèçç ÷ü û æþ èçëçìë àþþüç öúô øóò ùùþ þõ Ý ú õÚôþýóþ ó ìæåöÜëûþåþþæð ñæôöíÿþýþôöìì êíéí æ þõýæþæþå þæ þùùþþ þæþæò ñþ þþý ñù õæþþùùþ ûþ òô þûþ þî òÿþýþï þ ç ùùþã ñûýþ ûýþ PERMIT City of Eagan Permit Type:Building Permit Number:EA121776 Date Issued:04/14/2014 Permit Category:ePermit Site Address: 1019 Savannah Rd Lot:12 Block: 2 Addition: Lexington Square 3rd PID:10-45077-02-120 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 - Andrew J Magdziarz 1019 Savannah Rd Eagan MN 55122 (651) 235-4349 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA122689 Date Issued:05/15/2014 Permit Category:ePermit Site Address: 1019 Savannah Rd Lot:12 Block: 2 Addition: Lexington Square 3rd PID:10-45077-02-120 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 . Andrew Magdziarz 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 - Andrew J Magdziarz 1019 Savannah Rd Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162194 Date Issued:07/01/2020 Permit Category:ePermit Site Address: 1019 Savannah Rd Lot:12 Block: 2 Addition: Lexington Square 3rd PID:10-45077-02-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Andrew J Magdziarz 1019 Savannah Rd Eagan MN 55122 (651) 235-4349 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162194 Date Issued:07/01/2020 Permit Category:ePermit Site Address: 1019 Savannah Rd Lot:12 Block: 2 Addition: Lexington Square 3rd PID:10-45077-02-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Andrew J Magdziarz 1019 Savannah Rd Eagan MN 55122 (651) 235-4349 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174672 Date Issued:02/10/2022 Permit Category:ePermit Site Address: 1019 Savannah Rd Lot:12 Block: 2 Addition: Lexington Square 3rd PID:10-45077-02-120 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Andrew J & Michelle Magdziarz 1019 Savannah Rd Eagan MN 55123 (651) 208-1543 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature