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1031 Savannah RdCITY CF EAGAN 3830 Pilot Knob Road P.O. oox $1199 Eagan, MN 55121 Zoning:. Owner. _ Address: WATER SERVICE PERMIT PERMIT NO.: 8452 DATE: No. of Units: 1 Site Addess: 1031 Savaniaab. Road 79 112 Taxington Sq 111 Plumber: Meter No.: ,3 S 5'; 0 (o o Si t ' harge: Size: .! g&" ktc/t _ Q8je,'&44 gl??iA1 Ll olfit?ltleS 15 Mud I agree to comply with the City of Eagan Surd Ordinances. REQUIRZ tal By Date Date of Insp.: lnsp: 5-C-s'7 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P.O. Box 21199 PERMIT NO.: P1, 5R Eagan, MN 55121 DATE: w 1 "-? 7 Zoning: F1 No. of Units: 1 Owner: 7Arhmnn Rrnw Address: SiteAddess: 1 31+ Savaoash_RnAA T.9 R? i_ayingrnn SC4 ITT Plumber: K Ptu?t.?nR Meter No.: Connection Charge: 5 2 5 - L1f1 ' _ Size: Account Deposit: I S - 004 Reader No.: Permit Fee: 1 n - na A 1 agree to comply with the City of Eagan Surcharge: - SO d Ordinances. Misc. Charges: l °n 11APe TP Total: 62nnpd Meter By Date Pald: Date of Insp.: CITY OF EAGAN 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 Zoning: 1' 1 SEWER SERVICE PERMIT PERMIT NO.: 9609 DATE: -izr-? i No. of Units: 1 Owner. Zachman Bros. Address: Site ess: s:1031 Savannah Road L> B2 Lexington Sq III Plumber -K '& ,, Pyi.:mbing I agree to comply with the City of Eagan Ordinances. By Date of Insp.: Insp.: 100.00pd Connection Charge: 57 5 _ Dnpd Account Deposit: 5 - Ot7Rd Permit Fee: 1 2,. Surcharge: ?DTd Misc. Charges: Total: Date CASH RECEIPT -'`-,% ) CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 r • DATE 19 REC EI V QO , FROM AMOUNT $ I ? GASH ? CHECK FOR // ?1 1' ,1 BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMIT N0./i" y 01-3210 -'iIdg. 'Permi 01-3422 Plan Ch*ck 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Metex 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CASH RECEIPT a CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RFCEI V ED / AMOUNT Is & DOLLARS foo ? CASH ? CHECK i FOR FUND CODE. AMOUNT f_ Thank You BY t, V 7 White-Payers Copy Yellow-Posting Copy Pink-File Copy PERMIT # MECHANICAL PERMIT - - RECEIPT # °= '> CITY OF EAGAN cc 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE. PHONE: 454-8100 Site Address ra 0 0 BLDG. TYPE WORK DESCRIPTION Lot Block y- Sec/Sub l Res. )e - New ??' ` NP E Name Mult Add-on Address S, Comm. Repair S . City Phone 4'" _ I t effe l- Other J 1 4 32e Name f r?w FEES RES. HVAC 0-100 MBTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 x City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) 50 EA GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1 . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES RATE APPLIES RES TOWNHOUSE & CONDOS Boller M BTU - . MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. 7-,_ M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: S/C: EE Z ,. TOTAL r" FOR: CITY OF EAGAN DA T" 452'-n72 CITY OF EAGAN n - ; 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value X65, 000 Date JANUARY IM4 15, 87 Site Address 1031 SAVAI4NI• H ROAD Erect 6 Occupancy R3 Loth- Block ? Sec/Sub. LEXINGTON Remodel ? Zoning R' Parcel No. SQUARE 3RD Repair ? Type of Const. V' Addition ? No. Stories ac z i Name 7ACHMAN BROT HERS Move Demolish ? ? -11 b Length Depth '? 6 462U W 77TH Address ST., #104 Int. Impr. ? Sq. Ft City )'DIVA Phone 893-0755 Install ? z o Name SA-"!F s Address a W Name a 0 Address z 5w City Phone I hereby acknowledge thatYhave read this information is correct and agree to comp Minnesota Statutes and City of Eagan On Signature of of Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Var. Date Permit ; Surcharge Plan Revie Water Conn. Water Meter 67.00 Road Unit 305.00 Tr. PI. P k 180.OU ar s Copies ?, T-+.1 +,I a2 ,306.U0 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 .4L f' Pura No. Permit Holder Dab Telephone N PluMbIng 747 1 Electric /2 ?J ?C Sallee r Impedbo Dab Imp. cones m ft Footings I Footlnga g Foundation Fro-Mil Roofing Ragh Plbg Rough Htg . / In" . 1,F7 r Fkeplace An 1!- 61(- Fled HOW Final PBlg. z/ .. Bldg. FbW cert. Oec. ?? ,+,yb •, S 2 Dods FW Deck Frmg. 7 . 1NiM Pr. Disp. PERMIT # - PLU MBING PERMIT RECEIPT # CITY OF EAGAN % 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PH ONE: 454-8100 Site Address J `-= i ` '? IV'I ) ? L k.J BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub ? Rea New m Name Mult Add-on Address K -? Comm. Repair c City' } ?f?d Phone ?-- Other TOTAL Name NO. FIXTURES Water Closet - $3 00 $ Q Address . LBath Tubs - $3.00 p City `C , " Phone - - ? -j ! Lavatory - $3.00 I Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 ? _ MINIMUM - RESIDENTIAL FEE -$10.00 Floor Drains - $1.50 _ MINIMUM - COMMAND FEE - 20.00 t Water Heater - $1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES I Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 ' -Private Disp. - $10.00 - y Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE SIC: - FOR CITY OF EAGAN GRAND TOT AL ti PERMIT # - " ' MECHANf?!AL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Fell- 1 ?? 19 g7 ACT PRICE: 2000.00 PHON ? 454-8100 Iress 1031 Savannah Rd BLDG. TYPE WORK DESCRIPTION Ipjame ijonPnnxn f P HE Address 2619 Cn - RT c City Cn _ Rp elc _ t'In Name Address 4620 W- 77th St. f 104 C) City Edina. fir. Phone L- L ' 7 55 TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # r Other M BTU M BTU M BTU M BTU 1 bat1eFM 1 FEE: S/C: TOTAL Res. XX Mult Comm. Other New 'Y Add-on Repair 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) rte= SIGNATURE OF PERMITTEE , FOR: CITY OF EAGAN L _? r CIT T 3830 Pilot Knob Road, PH BUILQING PERMIT To be used for BASDIENT Est. Value Y OF EAGAN 17112 P.O. Box 21-199, Eagan, MN 55121 ONE: 454-8100 Receipt # $1.500 Date SEP 27 i g89 Site Address • 1071 SAVANNAH Lot 9 Block 2 Sec/Sub. Parcel No. W Name uA" VAn WL 3 Address 1031 SAVANNAH Rl o City EAGAN Phone Name SAME Address Phone 01 U W Name W W X Address < W City Phone hereby acknowlege 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 Permitee A Building Permit is issued to: iDAU, VINCENT 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 OFFICE USE ONLY Occupancy FEES Zoning 36.00 (Actual) Const Bldg. Permit (Allowable) Surcharge 1.00 # of Stories Length Plan Review Depth SAC. City S.F. Total - SAC, MCWCC S.F. Footprints On Site Sewage Water Conn On Site Well Water Meter MWCC System City Water Acct. Deposit PRV Required SIW Permit Booster Pump SM Surcharge Treatment PI APPROVALS Road Unit Planner Council Park Dad. Bldg. Off. Copies 37.00 Variance TOTAL Permit No. Permit Holder Date Telephone k V4i-ER SEWER PLUMBING CC ???4 l ?tC?.? tetYLr ?8 HN.A..C. ?? I ty LtQQ - - °° EL EC IIC ?/J? ?{ (?f (t7X?l?OXCfc ??8??y ?!7? Inspection Date Insp. Comments Footings l F6undation Framing L Roofing Rough Plbg. O ?-4 Rough Htg. Isul. rf? Fireplace 711?4 -L- ' J v Final Hig. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final ?Z 3 Deck Ftg. Deck Final Well Pr. Disp. 151 • PLUMBING PERMIT CITY OF EAGAN CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PRICE PHONE 4548100 SRO Add re Lot Name Addre c City _ Name 2' Addre 8 City _ Phone FEES COMMAND. FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) FOR: BLDG. Res. _ For OffICe_ Only PERMIT # RECEIPT # .? DATE: Mult. Add-on Comm. Repair Other l/ RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL v Water Closet - $3.00 $ `, Q Bath Tubs - $3.00 Lavatory - $3.00 • c ?- Shower - $3.00 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) Softener - $5.00 Well - $10.00 T Private Disp. -$10.00 Rough Openings - $1.50 PERMIT FEE: STATES S/C: S b) GRAND TOTAL:, - BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $65,000 Date JANUARY 15, 87 tg Site Address 1031 SAVANNAH ROAD Erect ] Occupancy R3 Lot -9 Block 2 Sec/Sub. LEXINGTON Remodel ? Zoning R1 Parcel No SQUARE 3RD Repair ? Type of Const. V . Addition ? No. Stories Name ZACHMAN BROTHERS Move ? Length 36 46 W 4620 W 77TH ST. #104 Demolish El Depth o Address EDINA C , 893-0755 Int. Impr. 11 ? Sq. Ft iry Phone Install o I Name SAME a Address Ciri Phone UQ F W Name 3 Address u C W City Phone I hereby acknowledge the havers; information is correct a agree to Minnesota Statutes and City of Eal; Signature of A Building Permit is issued to: ZACHMAN BROTH] all work shall be done in accordance with all applicable State of CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Water & Sew. Police Fire Eng. Planner- Council - of Bldg. Statutes N0 13 14 Permit a .soi. ?v Surcharge 32.50 Plan Review 190.50 SAC 625.00 Water Conn. 525.00 Water Meter 67.00 Road Unit 305.00 Tr. Pl. 180.00 Parks Var. Date Copies Total $2,306.00 on the express condition that City of Eagan Ordinances. Building CITY OF EAGAN NO 17112 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for BASEMENT Est. Value $1,500 Date SEP 27 19112- Site Address 1031 SAVANNAH RD Lot 9 Block 2 Sec/Sub. LEXINGTON SO 3 OFFICE USE ONLY Parcel No. Occupancy FEES Zoning w Name DALE VINCENT (Actual) Cons[ Bldg. Permit 36.00 Address 1031 SAVANNAH RD (Allowable) h e S 1.00 EAGAN City Phone 221-7841 of stories - urc arg Plan Review Length p Name SAME Depth SAC, City Address S.F. Total o¢ City Phone S.F. Footprints SAC, MCWCC Water Conn On Site Sewage cow Name On Site Well Water Meter 1-1 B Address MWCC System u Acct. Deposit aw City Phone City Water - SNJ Permit PRV Required I hereby acknowlege that 1 have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with II ap lic ble State oI Minnesota Statutes and City agan Ornances Treatment PI Signature of Permilee c I APPROVALS Road Unit DALE VINCENT A Building Permit is issued lo: Planner Park Ded. 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. Bldg. Off. Copies Building Official Mi o {? Jill, I yy l I? Variance TOTAL 37.00 This request void 18 months from / is 7SS Request Date 1 Firer No. florigh-in Inspection Regwred? ?Reetly Nuw?Will Notify Inspec- ' ??l d " P 7 Vea ?NO for When fleedy Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed et: Street Address, Box or Route No. City 03/ ?/F1JAn1nrAN /2e.s0 !` Gif6i9s?J ecvon o. Township Name or No. mange No. County 10T 9 640CK Z G£ vNyT U/iR£ ?ed4 D/?KD 77y Occupant (PRINT) Phone No. Z-Ad- J &,-sr. X93 -.0 7S5" Power Supplier Address /7AKOj?'74 Ec,Ec7lL? />zizryri.JGray? Electrical Contractor (Company Name) Contractor's License No. 19U-5 7r/,?- Zcjr- c77Zc e- O !<0 7 t«' 3 Mailing Address (Contractor or Owner Making Installation) 111016 7 AoanI-g 119". 'S?, Authorized Signature (Contractor/Owner Making Installation) Phone Number "Z? O9a - 3 S S 5' MINNES A STATE BOARD OF ECTRICITY THIS INSPECTION REQUEST WILL NOT Grigga-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 56104 UNLESS PROPER INSPECTION FEE IS Phone 1912)842-MOD ENCLOSED. 7 REQUEST FOR ELECTRICAL INSPECTION EBB00001-05 Sae instructions for completing this form on back of yellow copy. ?` 7sS r" 7 a, i? n "X" Below Work Covered by This Request IN94Addl Rep.l Tyoe of Buildino I - Appliance. Wired 1 Equipment Wired I I I I I Duolex 1 I water Heater I I Lighting Fixtures k K Fee Service Entrance Size .h Fee Faeders/S.bteedars R Fee Giruuits / /,L -? 0 to 200 Amps 0 to 30 AMPS 9 - 0 to 30 Am S Above 200 Amps 31 to 100 Amps p •- 31 to 100 Amps Swimming Pool Above 100Am s Above 100-AMPS Transformers Irrigation Booms `o Partial.'Other Fe I .pedal inspection 5 iv9 601 TOTAL Ins tpehecEtolercts by ?Qy7 I. hereby pey that the above date inspection has been I ?_F, mad.. This request mid 18 9/i8 8?9 d 35e--? E '95986 9 Request Dale ('/ // 8/ cu l Fire No. Royy 'n Inspec4on Re[lai tl? ,/ O Ready Now A Will Notify Inspector a es ONO When Ready? 10 licensed contractor owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) /03 SAW'W/JAH 12 City ?14619Af Section No. Township Name or No. Range No. County //-- n Occupant (PN L VI N C ri, 1 - Phone '/? NO. -01 C? r7 x. Pow upprier kdt C- Addraes ?a r a? M Al Electrical Cornract Name) (Compsnnx Conn ctor§ License No. ; ? T /k Mailing Address (Connector or ner Makirg Installation /031 `?44LIqlVNAff 2 ?_A1 Authorized Mradorttywner Ma ng Inat Ilatio P Number ? ?l roo ? rr ? dZJ'70L/ ( "' MINNESOTA STATE BOARD OF ELECTRICITY V THIS INSPECTION REQUEST WILL NOT GriggaMidway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 Unlverslty Ave., SL Paul, MN 58104 UNLESS PROPER INSPECTION FEE IS Phone (612) 842-0800 ENCLOSED. G71 g/? Ct REQUEST FOR ELECTRICAL INSPECTION Ea-00001?-07 J W See matructions for cwmpleting this form on back of yellow copy. ~ ??V v E 9 5 9 8 6 Below Work Covered by This Request e Ad Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm Andustrial Furnace Farm Air Conditioner Other, (specify) Contractor9 Remarks: Compute Inspection Fee Betow. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 -Amps Signs Inspectork Use Only: OTAL Irrigation Booms ? . ? 310, Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough"m bate /?/+j Final c OFFICE USE ONLY This request mid 18 months from 1-5 /3 919- 42816 z5 Request Dale w Fire N Rougb m Inspection Re uire0? E U Ready Now Will Nobly Inspector j G No When Ready? 10 licensed contractor ',owner hereby request inspection of above electrical work at: Job Andress (Street. Box or Route No.) 1651 5"OVNYNn?\ 9A city Section No. Township Name or No. Range No. -- t z o ? Occupant (PRINT) Phone No. Power Supplier Address Electrical Contractor (Company Name) mractorls License No. Mailing Aadress 1CaaMMarior wner Making Installation 'S ago-ii 1,AK\ -'=? 5 A nEetl Signature IConiractar0.]wner McYjng Ion] Phone Number ;Z y'ZtS -S V MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-179 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 15 /!?? REQUEST FOR ELECTRICAL INSPECTION 0?? EaooOm-oe F.: y ? aoo noo-u-- - o to, .- s h. on n?ro of „mm,., - -. '???1 A„ .Oh' C J 4 6 -- --- - - 'jC' Be/oiv Work Covered by This Request 'Jew Add Rap. Type of Building Appliances Wired Equipment Wired • Home Range Temporary Service Duplex Water Heater Electric H( aging Apt. Building Dryer Other (Specify) • Comm./Industrial Furnace Farm Air Conditioner Omer (specify) Contractor$ Remarks: Compute Inspection Fee Below: # . Other Fee # Service Entrance Size Fee # CircuiWFeeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 Amps Above 700 Amps Signs Inspectors Use Only. '' TOTAL Irrigation Booms 77 70 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. I, the Electrical inspector, hereby certify that the above inspection has been made. Rough-in Flnel ''? Dale OFFICE USE ONLY This requesl void is months from 667??9 ? Request OaFire No. ugh-in Inspertion `S r- ? r ? . O ired7 ea dy Now Q Will Notify Insoec- h / Ves tan. for W en Reatly censed Electrical Contractor 1 hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. l?'31 JALIAPN4h City IF 641011i ecuon o. nship Name or No. Tow Range No. County ', ,.1 ..?? /,1,4" it T' Occapent (PRINT) DAL1t Phone NO. Power Supplier Adtlress Electrical Contractor (Company Name) Contractor"s License No. GAGAxcr 6-L&*LIL iNC_, ()K.2IG1 Mailing Address (Contractor or Ow r Making Installation) ?f 3 f ?p 'k WO-0 Tk&k.. ?146f1?1 AAA : ,Yl l I Autho i.ed ign ure C ra tdr/Owner Making Installation) Phnne Number 10% 1 YS -* / T? MINNESOTA STATE BOAR. OF ELECTPIC ITV THIS Griggs-Mitlway Bldg. -Room N•191 BE gCINCEPTEDSPECTION REQUEST WILL NOT BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phnne 18121 R42-OROD ENCLOSED. fL????y?J E 20-667 REQUEST FOR ELECTRICAL INSPECTION r E B-00001-06 ' See instructions for completing this form on back of yellow copy. e,1, J ?J "X'* Be/ow Work Covered by This Request Nine Add Rev. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt Building Dryer Electric Hearin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank _ Farm Other Pecs y 011c1 19m, 1,Y) t pecify Other Othu, Compute Inspection Fee Below If Fee Service Entrance Size o Fee Feeders/Suhfeeders N Fee Circu,ts 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100-Amps Transformers Irrigation Booms , 5"t1 Partial.'Other Fee Signs Special Inspection SI Sn TOTA p?\ Remarks ? p L lI /-zt MY Hough-in Dnte 1, the Ere - - Inspector" heroby Final c i.. certily that the above r ?at (tY inspection has been made. This request void 18 months from & 5c) /8 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. /5. Sv Date I l5 I O ??? / Site Street Address 40 P4 -t?Y???Y?.6a??L Pa? Unit # ,/ ?p Property Ow n r e Telephone # (L60464 --5W 2 c ? / I ? Contractor CD I? !10 ? Ct t Address 3 P 20 IO"?- ( ?t p? P7o6 City Telephone # (461 ) RU - 1 3410 State b n, Zip ?°61A.3 The Applicant is: _ Owner ?? ?Contractor -Other Alterations to existing dwelling -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 518" meter is required) Other: $ 50.00 -Water Softener V replacement - li Water Heater additional $ 15.00 Lawn Irrigation System RPZ_ new ` repair -rebuild $ 30.00 State Surcharge $ .50 Total $ /5;50 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 accordance with the approved plan in the event a plan is required to be reviewed and approved. )In /; 4 V y WOA d??? Applicant's Printed Name Applicant's ignature D II JUN 2 3 2004 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 ?QD 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan A lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE C)7 RemodelfReoair Renuiremenle • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION 4 \ O2:-+ t5- SA SITE ADDRESS k©--'-,k Sway-+-?? Rc? MULTI-FAMILY BLDG Y !ZN _ - TYPE OF WORK Y ?Cjc ?s? FIREPLACE(S) $-L 0 _ 1 - 2 APPLICANT Cc?taS?t c<z? s?? ?vcC- STREET ADDRESS 2t 1 Pico- S?\ . ?\ CITY VMr-- STATE N.IJ ZIP `l t TELEPHONE # 031- 7 a -9L-14?CELL PHONE # FAX # &31-4i b 7 _? PROPERTYOWNER TELEPHONE# COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (v submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code 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 # ------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is < with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Water Softener Water Heater No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Fee: $90.00 Fee: $70.00 ------------------------ , and agree to comply Certificates of Survey Received _ Tree Preservation Plan Received _ F' -Requi - - -' Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ed. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 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 Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total i 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN SII1GLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALLS. MULTIPLE DWELLINGS RENTAL UNITS COMMERCIAL 2 SETS OF ARCHITECTURAL A STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. FOR SALE UNITS # OF UNITS NOTEt ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME'FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WREN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LO? CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. h? rc p14.t.._ `?J c7/le A To Be Used For: } i R 6W hayrx#nl Valuation: ` - Date: Site Address Lot Block ? c J Parcel/Sub ?'?/?RGuf? Owner LAIC V iNCevit Address /O?l Sl4VFI,?N, 1? ?d ssra City/Zip Code -.C--14 6 IV #?, 4/ Phone C? ?{s a a ?? awl ? l? Contractor Address City/Zip Code Phone Arch./Engr. ( v l Address City/Zip Code Phone # I el I 1 2411. MULTIPLE DWELLINGS 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG DIV.) I SET or ENERGY Ch6CS. )SOO Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F On site sewage On site well MWCC System City water PRV required Booster Pump _ APPROVALS Planner Council Bldg. Off. 9 Variance FEES Bldg. Permit 317.00 Surcharge /,490 Plan Review SAC, City SACO MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL g?.?n 19$5 BUILDIUG PERMIT APPLICAT ON - CITY NOTE: ALL CONTRACTORS MUST BE LICENSED WITH TI COEIERCIAL SINGLE FA INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 E & STRUCTURAL PLANS, 1 SET OF 3 CERTIF_I SPECIFICATIONS AND I -SET OF 1 SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND 381.00+ 32.50+ 190.5U+ 625.00+ 525.00+ 67.00+ 305.00+ 180.00+ 2,306.00* To Be Used For: '51y??p,I/Valuatian: (D Date: / {2 d' Site Address u'vJ OFFICE USE ONLY Lot Block Z Erect ? Occupancy -'-' ?(? Remodel Zoning Parcel/Sub QfC{ ??i?/1 Repair Type of Const ? A Addition U of Stories Owner Ztl2 ??Y rcf h f 'C Move T Length J ??/ OL/ ?P ` Demolish Depth S Ft Address ?) ay L ? ? ' Int.Impr. q ? d i ?Cff1? 36 ` Install ------- ? ---------------- e City/Z p Co ?J / ----- r d Phone ICJ - O` APPROVALS FEES Contractor AIS Assessments Permit Water/Sewer Surcharge Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road Unit ? S Bldg Off Treatment P1 k Arch./Engr. >r?? L? . /N_ APC Par s Variance Copies Address TOTAL ; City/Zip Code Phone 0 7 I excz 20 K 20 3 S Z;: ?- -- [G 'Z . JK 4- - qc)o v; (q-, 7 ,yy U?_^Y t u ?51 (5 48O c) C?4So0 i?`:!"U 1..::1 _4N i:2OS. CON5TrUCNON CO. 14620 `•_est 77 th St. °:3ina, ::n. CO`!TFJ,CroR _Z4CHY.AN_-F??oS CONSTRUCTION - DArE !0- 13-TG _1>nno!x__ 893 _ 0 55_____ DAerlnine• working square footage of each. 1. Total exrosed wall area ..... 875 - sq. ft. X 2. Total roof/ceiling area ...... q10 sq. ft. X •026___ - Z3. CC A. Total wall bJlndo:C area ... ....................... 13 7. 79 B. 'total boor area .......... ....................... g --:17, C. Total sliding glass door area .................. D. Total fireDi.ice wall area ...................... - F. Total wall framing area ( average 102) ........... / 4 /. 6 51- F. Total Rim -oist area.. A. .go.41T •-•.••-•.-.•.-. I4S'•_2._$ G'. Total Net :all area above floor. • • • • • • - • • • • ' • "' _ Z_Z_`?t ' 77 Total exposed foundation area - 14. 7 1 H. Total foundation window area ................... - I. Total l:et founrnation area above grade ........... al • 71_ Determine "U" value of each wall segment. a. 137, 77 x ww, .47 b. 7 7. S x "u" .137 5-. 17 c. f ° x "U„ .55 22.6 0 a - x °u" _ e. l41, C? r -U- .08 l / . 33 f_ I Z 9' x .:?•. OU46 g. I 2 74. 77 x .0477 U /j5, 8 o h _ - - x 110.. .55 -- - -- - i. 1f • 71 x "U., __0836- - -- Total ? 73 --do If itom i3 is t1Le sure as, or 1 (:r:_a than item !!1, )-ou lave rot the intent of :.!iC 6006 (c) 2. a L;6` .l!1(C'J 0 Total c>:.;esrd roof/ceiling nrca j. Total s}:ylight area ...................................... ---- Y.. Total rwf/ccilirg fr cing area (avern:ye 101)...... 1. Total i,et insulared roof/ceiling area .............. D tenniue "U" value for each roof/ceiling scgm.nt. ------ -- x 'lull -50 - - -- -- ---- ----??= 0 --- x "U., _-.032 --- ? 9 1. _8 l y --- x .,u., -- .025 ---- - a-? 23- 3g If total of ','-9 is the sane as, "or less than i:2, you have ,:.et the intent of 5.°.C GODG(c)i_ Alternate 3uilding Envelope D--sign :- established .t._ To utilize the total craelope system Tcethod, Lhc ?lul?s _ 5ll:p of ite zis ?i3 an,374 sh.=ll not be greater than the sum of Wit.:.-S ti and 22. 1. 266, -Z +2. Z3. LG = + 4_ z 3 . 3g = 111'ii+!'Cc_?- -J fr;t:••: iUn:;t ru Lion i x]11 ,SIC FIG. V y a.-V r5e:o1 ,_? - d _o ^ LL j f' --yam C 4,: 1 7y A V:.luc Ccat::tnt:t -- ?j r in 0. 69 " -Yyp. 3?ard. Ijj '" inches oft. .;ni,l x•38 4. 3?yn Thernax Sheathing x.00 -')71-6"hardboard Siding .b7 6• 1.Avrior air film > 0_•17 - Total - - 12.35 u = .os 1. Interior air film --_- ___0.68 2. Y u - Gtp_Pnard_- -- -- 45 3 R =i3 Fiberglass atts _ _ __13.00 • 4. Sheathins_- 3144- Therrea x 6.00 5. _ _ 11ardboard Siding _ 16_ . •6Z 6• - 7;?tcrior air film - - 0.17 20 97 Total - - . U = .0477 1 Interior air filn__- 0.68 . 2 R - 113 Fiberglass Eatts 13.00 • 3 Rim Jst. Sofft«ood 1_•88 4 314" The3mr Sheathing 6.00 - 7 1 Hardboard Siding .67 5. d. Er.lerior air S-iln1 0.?7 40 22 Total . U = .0446 1. Interior air film 0.69 2. lZ" Thermall Sheathing 10.60- 3. "Conc. Block 1.11 --8 4. - S' G. F:>;terior air film 0.17 Total 11.96 U = .0836 SLAB Oil GR%tDE -? a. 113 tyJt? i %1 r FIG. til I .` OPvJU1 OF 'FJLJtM, PALL ? ' f f ? • l ' Y M FIG. 1'4 I(l R i/ / - (/f alt r: lf! :- ;N •= _ _ _ ••i!" .•..1110. ?Pllt.?l :Ind I L' C U: :;:-.: FN:-,;;Y LAIC. Vii' l! en Pd neat flow -? - up FIG. n5 ? t ..fFI?G- 06 V « flow up Constructi('a (U-,Q for Item r,) hnc 1. Interior air film 0.61 2. 37&i? Gvp. Bard - --- -- - ---b9 3. ?0 -2 " Ce1Sulose Cond. - -- -'?8 00' 4. i lm_ T:;a:crior 11 317 M: - ----- - - - (:a:ill) - 0. i TOLA1 39.01 U = 025 CT.G. F JdiLt:G ([TSe for Item K) 1. Interior Air film 0.61 2. 5/$" Gyp. Board .69 3. Inches soft wood 3 2 4.38 4. Inches insulbave`ra:ninv 6 1211 24.98 5. Air Film O.Gl - - --- ,Wta1 31.27 U = .032 - 1. Interior air film. 2. 3. 4. Exterior air film (still Total 1. In.?o'c air film 2. 3. A_ S, OnLSIOC oii_fil:n --- Total - O. l7 Vote L, I 'I ---- t:acaa:l for rirL.?ils ?n?l c. Ito?ati??n :. 0.61 0.61 0.61- 1------ lleat :loan lip ; vented Hedlund Engineering Services 9201 EastSkomhgtanFreeway BkamNgtan,AAYuleeetm 88120 Land Surveyors Civil Engineers Land Planners Phone: 888-0288 sl(rPgOr?s ?l Acate BOOK _ PAGE JOB NO. 8-1-001 SURVEY FOR Zachman Brothers DESCRIBED AS: Lot 9, Block 2, LEF.IN(-M. N SQUARE 31D, City of Eagan, Dakota County, Minnesota, and reserving easements of record. TOP OF FOUNDATION =842.1 GARAGE FLOOR = 841.8 BASEMENT FLOOR = ae`+ • e SEWER SERVICE ELEV. = Win PROPOSED ELEVATIONS EXISTING ELEVATIONS DRAINAGE DIRECTIONS : r 89 6 DENOTES LOT CORNERS : o z _ _ 89s z DENOTES OFFSET STAK E: o _ _ a _ 3? 1 t _12 91.5 ` 691.5 \ / t` 1 4j 3 4 a0 5C I J N ?RO?sEO ? I 1 ? O a ?RI- LEVEL \ O I v 1 a. 1 W LL O- c_ 1y "1 I 1 5C T ? CD tv N my N _ m n lo'C7 Z ?` N N .c m 'i GAQ s .. I ry a T V o a aeyv __ ?. , •• I 691.5 ? . 90.2 w s L V 0 72.99 00 8 .146. it 889,1 48 SAV,NA 88 b _ RD 8.6 CERTIFICATE OF SURVEY I hereby certify that on I /12 /87 I surveyed the property described above and that D the above plat Is a correct representation of sold w 7? Licetibe No. 14376 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE 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: Valuation: 15()6_ Date: 6116A U Site Address _&3/ S4yNOV Lot A BlockpParcel/Sub (lJ2 /ng ?la)n/ ? re ? - Owner V ! J??} (? r r?CO 4 Address S4(,/,+ /t/Vt'44 City/Zip Code 111 6 ? 615 /2-3 Phone ys? 0 C`I 7 a Contractor sel f Address City/Zip Code Phone Arch./Engr. J e- Address City/Zip Code Phone # OFFICE USE ONLY On site sewage - Occupancy MWCC system Zoning "On site well Actual Const City water Allowable PRV required U of stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit HA Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 9201 East BloanNgron frwwop = d1und Engineering Services Bleat i gtW4 MMnnNOM 55420 ?.' jnd Surveyors Civil Engineers Land Planners Phone: 585-0259 xv. SA(mefor S G'ert«cate BOOK _ PAGE JOB NO. 82-024 SURVEY FOR: Zachnan Brothers DESCRIBED AS: Lot 9, Block 2, LEXINOWN SWARE 3RD, City of Eagan, Dakota County, Minnesota, and reserving easements of record. TOP OF FOUNDATION =892.2 GARAGE FLOOR = 891.8 BASEMENT FLOOR = Sa9.o SEWER SERVICE ELEV. = PROPOSED ELEVATIONS EXISTING ELEVATIONS DRAINAGE DIRECTIONS 99 v DENOTES LOT CORNERS 0 e - - - - 893 2 DENOTES OFFSET STAKE: o ? -7z 3 to 1 l 3 891.5 \ / 00 5 G 4 e'? N PRopasEo !6 Fr 1 1 I 1 ?. %9. O V TRI- LeV 4 OD N u M z Sr_ m n ?f- rV N .a m Z I o GAe 5) \ N T ^ I i. o-'o o BByb \ M -0 - I M J ( 891.5 91. - a. I q°.z W I r•, w - - .j 0 m Lz 72.99 0 22,00 -Q91"G 889.1 B 9 2 VANNA RD CERTIFICATE OF SURVEY I hereby certify that on ID th b I /12 /87 I surveyed the property described above and that e a ove plat Is a correct representation of sold su 7,l JA\ n L1cartis No. 14376 I1?1llFI'11111111rki!tIIIIIIIttI HEAT LOSS CALCULATION ° TEMP. DIFF. Customer Name --- -_---.- City- DEP B6€ FIEhi'ibig - ._ FAIR Chrtinrnn??„I_ DialerName. Street City .I Room I Length /o Wi Windows and Doors-Crackage and Area «o weln nl OYne Na9m o1 MM NO.., 1 40K1 N. L? nN O/ CIKY A,K tl. N. <D Cost. Btu Inldtration /6, _ Glass Exp. wall ?YD Net exp. wall Int. wall Ceiling l'a OC? F loor Windows and Doors-Crackso and Area Ne. wWln eI M «9x/ 1 pI M NOM L oftle Ulr It. OI ' CKY Ar tl? 1t \ <. r :2397 ? '? '? ' X73 7 ?v HIV ? J` Coat. Btu Infiltration Glass Exp. wail 2 Net exp. wall --- Int. wall Ceiling =_? o d F loor Total Btu. ?- y Total Btu I / 1 =3i+ 9 FLI f-y' I+uomlLergthrJ Width T' Height __FLI RoomlLen hT Width Hai t Wirutnwx and mars-Crack" and Arm Windows and Doors-Cra * and Arm Na W.nln Nuan\ el pl 9M Np e/ L nrr 41rYl It 01 CIKY Artl w. N Coef. Btu Infi tration Glace _ E¦p. wall Net exp. wall Int. wall Ceding •%T F IoM Tnial Btu. I / FI.I -4JRoarnI Len h p Width v Height Windows and Doors-Crackage and Arm N• nw ?1w• IOIM LO I• L..1 ft. re.~. Coaf. Btu Inhhratlon __ Glass - Exp. wall Net oxp, wall Int. wall Ceiling CD C?0 Floor Total Btu. :? n O Type Construction Windows Walls . _ Ceilirq _ Floor - Storm Sash Ins. Ins. -._ No. wiam or p9M «9yn1 a M Ne. o1 L N un9al h. er nKY Ar9Y . N. Coef. Btu Infiltration / Glen Exp, wall Net exp, wall L, Int. wall Ceiling i?0 3 S ?d Floor Total Btu r5 mg/' y FI.I Room lL h . Width/,P t Windows arsd Doors=Gadtage and Arm . -J Nn. TWImN e1 911e «aan\ W 9M NO. d L a 4ntl1 h. 0/ slats Am, tl. N. r 7- Cost. Btu Infiltration Glen jv E xp. wait Not exp. wall Int. wall Ceiling Floor Total Btu. 35U<f G' CITY OF EAGAN , ? E-OF S NOT c •* APPROVAL OF PERmm. APPLICATION FOR PERMIT * INSPECTION OF SEWM M * INSTALLATIONS WUL NOR SEWER AND/OR WATER CONNECTION ULED UNTIL PERMIT, Hs'` * APPROVED. (P ease Print, (? '; ;PROPERTY ADDRESS: 1631 S4-t , R Aj0j" eoa?? ' a.LEGAL DESCRIPTION:; Lot Bock Sub iVision or Tax Parce ID ru;' IF EXISTING STRUCTURE; DATE OF ORIGINAL BUILDING PERMIT IS Mon ear ¢.; PRESENT ZONING/PROPOSED USE: v < , , COM?RCIAL/PMAIL/OFFICE ? [? R-1. SINGE FAMILY 4., 3( Q INDUSTRIAL Q R-2 DUPLEX (Two Units) ry. ?. [] INSTITUTIONAL/GovERNmENP Q R-3 TOWNHOUSE (Three + Units) ( L7iiit5) 4l ` Q R-4 APARTMENT/CONDOMINILTI , '} J ( U[i? ts). 2) . A - _% . ME- ? ? CLIO N 3 > ADDRESS: .. CITY. STATE, ZIP: its PHONE: 3) ' NAME:_ - be ms i Pl r CITY; ADDRESS: (pCJ // ' 9 p , .. STATE, ZIP: PxoNE: 5/7 J-.?SU MASTER LICENSE# - L1?13q?1 Actsve- mired }4) •• •. • 101• • _ wy?.? r A ?, t; ADDRESS: ?1& a (D b-)a 4_v- 77) ni ; 41 1 , CITY. ' STATE,. ZIP:_ }YI U SS A `rk? k .) PHONE: 13 G 7 Ste .. nips ® CONNECTION 1CT CITY SEWER ® CONNECTION TO CITY WATER Q OTHE x R, • I' Q PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ' ^ PLEASE MAIL APPROVED PERMIT Rn 1,'2, .4 ABOVE `i •. ` , ? (Circle one) 4 7) --C '' Y' off'/? -8 7 ?n•??2 T # ISSUED `P•d w/Bl'dg. Permit $:,.. FOR CITY USE ONLY ? rs ?s FEES: -- $ SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READ $ WATER TAP (INCLUDE CORPORATION STOP)".!- SEWER TAP $ /-,7 , & $ $ $ c It t ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT'- WATER WAC SAC TRUNK WATER ASSESSMENT ; TRUNK SEWER ASSESSMENT T LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER, WATER TREATMENT PLANT SURCHARGE r $;. .. $ OTHER: ($ J 7. a-0 $ / ?' lr U TOTAL 2- 767 / 2 RECEIPT RECEIPT 'DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: yp,: ~APPROVED BY: TITLE: p DATE : • r vjf • .4 i - sy i afi .: i i 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeliReoair Requirements C-21 3 registered site surveys showing sq. ft. of lot, sq. t of house; and all roofed areas 2 copies of plan showing footings, beams, joists ?ti i (20%maximum lot coverage allowed) 1 set of Energy Calculations for heated addNons 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks - l set of Energy Calculations Addfion-Indicate if on-site septic system 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options seleclim sheet (buildings with 3 or less units) Min_negasco mechanical ventilation.form Date I / ;6Z / 6 (p Site Address 16',;? Description of Work Multi-Family Bldg Property Owner Contractor Address State Cost a.ow- Unit/Ste # Y - N/? Fireplace(s) - 0 - 1 - 2 ?l?h l_()IQlJ Telephone #((01a)2>0-YSZ9 THD At-Home Services, Inc. Dba The Home Depot At-Home Services 3200 Cobb Galleria, Suite 200 Atlanta, GA 30339 License #20268257 - 763-542-8826 City Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: 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 per it; that the work will be in accordance with the approved an in the cas work which requires a review and r of plan kq /) AA Applicant's Printed Name A plicant's Signature ? - a DO NOT WRITE BELOW THIS LINE 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 EM. 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 ? 25 Miscellaneous Work TVUes ? 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 Description: Water Damage _ Yes Valuation Occupancy MCES System Plan Review _ 100% or_ 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units T_ Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Sheetrock - Footings (deck):.. _ FinaVCA. - Footings (addition)' - Final/No C.O. _ Foundation _ HVAC Drain Tile Other _ Roof _ fee & Water Final Pool _ Ftgs _ Air/Gas Tests _ Final _ - Framing _ _ Siding _ Stucco Lath - Stone Lath -Brick - Fireplace _ R.I. _ Air Test - Final _ Windows - Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Installed Siding and Windows LIMITED POWER OF ATTORNEY COUNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power'of Attorriey are - Iimited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attomey'shall expire and automatically be revoked on the 21st day of May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. N WITNESS WHEREOF this Limited Power of Attorney is executcd this 21 st day of May, 2003 David .Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 200 Notary P tblic in for the State o eorgia M?Z My Commission Expires: January 21, 2006 396816A Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT Aug 27 07 01:31p Ladmalk Roofing 3172713696 2007 RESIDENTIAL • BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651.675-5694 New Construction Remicaments 3 registered site surveys shmang sq. R of lot a%tt of hm sq and am roiled areas (20%mazbnum W average allowed) t Sods Report if proposed Wilding is to be placed an dtihabed s]il 2 copies of plan showing beam d window sue; parted fend design, etc. 1 set of Energy Calculations 3 copies of Tree Presenatim Plan if lot pladw atier 711193 Rhn Jo'sf0ehil Optimsselec8mshat (bulldirgsaith3orlesswils) Mrnegasw mechanics] w;ntibrKIn form RemodeVRea* Reawaneots 2 copies of plan shoring tdrW, beams. pft 1 set of Em w Celadnions for heated additions 1 site survey for adatiam 6 dents Ado f n-ar6paleIonsia sgftsystem p.2 CG r offoe use Ord Cat ofSaruey Read _Y _N Soils Report ,_Y _N Tree Ras Plan Rood _Y. -k Tree Ares Rego od _Y _N On-sile Septic System -Y -N Date S to g G Constructio - n . Site Address Is-"/ c? Unitiste # Description of Work 'fie- 'D Multi-Family Bldg _ Y IN Fireplace(s) _ 0 x 1 _ 2 Property Owner r 2 QaAl Jl Telephone #6951) Contractor l )c . _ Address r l/ 5?x / cry / t?1 ??//J/i - State Zip: - / Telephone #((D ) / ?// ! y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670m 1 Minnesota Rules 7672 Energy Code Category (?I submission type) • Residential Ventilation Category 1 Worksheet - New ?gy Code Worksheet SuDrrdtted Submitted • Energy Erwebpe Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan; - Y _ N If yes, date and address of master plan: Licensed Plumber Telephone #( J Mechanical Contractor Telephone #( ) Sewer/Water Contractor Telephone 6 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 appr ,at of plans. 4094 Applicant's Printed Name ' p icaries i n re 3172713698 Aug 27 07 01:31p Ladwalk Roofing 3172713698 P. 1 1411 Old West Main Street, Red Wing, MN 55066 • 651-388-1417 • Fax: 651-388-1560 • License #20578323 FAX COVER SHEET Date: TO: FROM: SUBJECT: Y < ?ti JcGlfi 1-/ 1 NUMBER OF PAGES INCLUDING COVER: GENT REPLY COMMENT FOR YOUR INFORMATION OMMENTS: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160226 Date Issued:02/25/2020 Permit Category:ePermit Site Address: 1031 Savannah Rd Lot:9 Block: 2 Addition: Lexington Square 3rd PID:10-45077-02-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Mary E Patten 1031 Savannah Rd Eagan MN 55123--154 (612) 845-2002 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164824 Date Issued:10/08/2020 Permit Category:ePermit Site Address: 1031 Savannah Rd Lot:9 Block: 2 Addition: Lexington Square 3rd PID:10-45077-02-090 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 - Mary E Patten 1031 Savannah Rd Eagan MN 55123--154 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167271 Date Issued:03/08/2021 Permit Category:ePermit Site Address: 1031 Savannah Rd Lot:9 Block: 2 Addition: Lexington Square 3rd PID:10-45077-02-090 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Mary E Patten 1031 Savannah Rd Eagan MN 55123--154 (651) 233-3758 Joe Nance Plumbing & Water Conditioning 904 River Terrace St Prescott WI 54021 (715) 821-1621 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168020 Date Issued:04/06/2021 Permit Category:ePermit Site Address: 1031 Savannah Rd Lot:9 Block: 2 Addition: Lexington Square 3rd PID:10-45077-02-090 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: 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 - Mary E Patten 1031 Savannah Rd Eagan MN 55123--154 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174095 Date Issued:12/23/2021 Permit Category:ePermit Site Address: 1031 Savannah Rd Lot:9 Block: 2 Addition: Lexington Square 3rd PID:10-45077-02-090 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: 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 - Mary E Patten 1031 Savannah Rd Eagan MN 55123--154 (651) 233-3758 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature