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4323 Sean CtCityofEa�afl Bap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK In 1 For Office Use ( Permit #: / COf/ q-/ c Permit Fee: �✓ Date Received: Staff:' HANICAL PERMIT APPLICATION 323 Sten J Phone: L3 Name: Address: State: a , Contact: Zi: 5, 10Q1 New Description of w License #: ,City: AA O41e iL , Phone: /14 51- '7 7 '�- i /p 2, 0 (�,,,� Email: er-PP Inn � fr, t #J° re Replacement Additional iteration iDemolition RESIDENTIAL FEES: RES1D Furnace Ak Conditioner Air Exchanger Heat Pump v/".. -Other New Construction install Piping Gas COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under/ Above ground Tank i_ Install / Remove) $55.00 Minimum Add-on or alteration to an existing u it (Includes $5.00 State Surcharge) 5510 595.00 Fire repair (replace burned out appliances, duc ork, etc.) (includes 85.00 State Surcharge) _ $ 0 TOTAL FEE COMMERCIAL FEES: 575.00 Underground tank installationiremoval 555.00 Minimum (includes State Surcharge) - If the Permit Fig is leas than 610,010, surcharge Is $ - If the Permit Fgg is > $10,010, surcharge increases by (Le. a $10,010-$11,010 Permit Fee requires a $ 5.50 a OR 00 .50 for each $1,000 Permit Fee arge) Contract Value :$ x 1% $ Permit Fee =s Surcharge TOTAL FEE _$ CALL BEFORE YOU DIG. Cell Gopher State One Call you Intend to dig to receive locates of underground u I hereby acknowledge that this information is complete Eagan; that I understand this is not a permit, but only an with the approved plan in the case of work which requi x•l ffane IrtnicaJ Applicants Printed Name t (651) 454.0002 for protection against underground utility damage. Call 48 hours before Sides. www.0ooheratateonecali.org nd accurate; that the work will be in conformance with the ordinances and codes of the City of pplicatlon for a permit, and work is not to start without a permit that the work will be In accordance a review and approval of pians. �t1tL. Applicant's Signature aged 2S2CLLLTS9 9IJI133d213d WdTS:2 1102 02 Inc INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: "It I k U 1 NEI 3830 Pilot Knob Road Permit Number: Ea an, Minnesota 55122-1897 9 'T-9 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ,I R14 f t 1 ( ~,?Ns,1~+N I1 ! t II1 . i.1 'i • PERIUHT SUBTYPE: TYPE OF WORK: INSPECTION . D, L~ ~ Pertnft No. Permft Holder Dete Telephone N ELECTRIC PLUMBING HVAC Inepaction Date Insp. Commertts FOOTINGS FOUNO FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FlNAL PLBG FINAL HTG ORSAT TEST . BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG '17 - - ~ ~ ; - DECK Fi:~ ~ I , INSPECTION REC4RD CItY 0F EAGAN PERMIT TYPE: ' ~ i ~ ~ ~ ? ~i 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . ~ J Permit No. Permit Holder Date Telephone A ~ ELECTRIC Qa,00 ~ PLUMBING /O . HVAC inspscdon D Ins . Commenta FOOTINGS T!6 FOUND ? FRAMING ROOFING ROUGH PLUMBING PLBG S I/- ~ , AIR TEST ROUGH ~ HEATING ~ GAS 5VC TEST INSUL ~~~f lp L GYPBOARD ~ FIREPLACE , 9r ~ FIREPLACE AIR TEST FINAL PLBG - FINAI HTG 9-s~- ORSAT TEST BLDG FiNAL Fl/t~ BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 4 R ues Oaie Fire No. Rou -R~fn3~ Requiretl Inspection Other Than flough-In ~ ll~. 30, 1995 (you ust inspecfor ~en reatly) ~ Ready Now E] Will Notly Inspector Yes ~ No Date FeaG I Dili'censed contractor ? owner hereby request inspection of above electrical work at: Job AOtlress streel. Box ar Route No.) City 4323 Sean Court Ea an SecHOn Na I Township Name or No. Fange No. Counry Dakota Oc ant (PRINT) P~ e No. g~aron K. Homes ~i52-7850 Power Suppiier Adtlres Dakota Electric Farmington,MN 55024 Electrical Cont2clor (COmpany Name) ComractoYS License No. Midland Electric CA 01236 Meiling Atlaress (ConVactor or Owner Making Installation) 22691 Red Fox dr Lakeville,MN 55044 autho' etl Signat re Co ciodOwner Making Inste(lation) Plrone NumDer 461-1444 Ph2 s-SId~i2,a ~y A B~os PmSMN851~ 'CIry T IIII II I~~) I1 II I II I I I IIII ENCLOSED. UNLESS OPER NSPECTION EE S ~ 1 o REQUEST FOR ELECTRICAL INSPECTION 10- See inslvctions for completing this form on back of yellow r.opy. "X" Below Work Cove,r`ed by This Request Ne Add Rep. Type oi Building Appliances Wired Equipmant Wired Home Range Temporary Service Duplez ater Heater Elechic Heatin Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Speci ) Farm Air Conditioner 01her~spacify) Convaaor's Remarks: Compute Inspection Fee Below: # Other Fea # Service Entrance Size Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Above 200_Amps A ove 100 -Am s Si ns inspecrors use oniy. TOTAL Irrigation Booms OG Special Ins ection ~l AIarMCommunication THIS INSTALLATION MAY B ORDERED ONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MON I, the Electrical Inspedor, hereby Rouqh-in DatO G_ y? % certi(y that the above inspection has Final Date been matle. OFflCE USE ONLV . This repuest void 18 momhs imm Address 4323 SEAN CT L.ot 16 Blk 1 Sub LEFartGmrr PoIN1E 1 IIIi THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION. Date: 9 a ~ Yes No Inspector: ~ Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway V/ Permanent gas ~ Sod/Seeded grass TraiUcurb damage ? Porch Basement finish Deck P(ease verify with the builder the removal of roof test caps from !he plumbing system and the shuboff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right•of-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy ' . PERMIT Acu C ITY OF EAGAN 3830 Ptlot Knob Road PERMIT TYPE: Eagan, MinneSOta 55122-1897 Permit Number: 0 2 5 9 2 7 (612) 681-4675 Date Issued: 0 6/ 2 9/ 9 5 SITE ADDRESS: 4323 SEAN CT LOT: 16 BLOCK: 1 LEXINGTON POINTE 117H P.I.N.: 10-45095-160-01 DESCRIPTION: B.uilding'Permit Type SF DWG Building Work Type NEW `UBC Qccupancy\, R-3 U-1 Construction Type V-N Zonang RD R-1 Building Length 62 t BUildirog Width " 62 Buildirhg stnries 2 S4,61are Pee'C _..~-2.259 ~ REMARKS: S& W PLBft - NESSIAN PLBG FEE SUMMARY: VALUATION $177,900 fasa.as Base Fee $-4-;"2-5 MISCELLANEOUS $1.892.50 Plan Review $445.29 Total Fee $4,559.54 Surcharge $88.50 5AC $550.00 SAC % 100 , SAC Units 1 Lic. Search Fee $5.00 ~ r SUbtOtal $2,661.04 . CONTRACTOR: OWNER: - Applicga~-s 9HARON K HOMES 14527850 SHARON K HOMES 4351 JENNIFER CT 4351 JENNIFER CT EAGAN MN 55123 EAGHN MN 55123 (612)452-7850 I hereby acknowledge that I have read this application a-nd sCate that tfie in#ormation is coerect and agree to comply with all applicatrle State afi Mn. L 5tatutes and City pf Eag.an Ordinances. J , ~`~rr~- APPI[f T/PE wITEESIGNATURE -~UED 5l6NATU E . 1 - _ . ' - _ . cmr oF EaGAN 16 ~ 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -4675 Naw Cenatruetion Reauirements RemodeVReoair Reauhements ? 3 registered sHe suroeys ? 2 copies M plan ? 2 copies ot piana (indude 6eam 8 window slzes; poured fid. design; etc.) ? 2 atte surveys (exterlor additions 8 decks) ? 1 energy calwlations ? 1 energy cakulations for heated addRions ? 3 wpies of troe preservation plan if bt platted after 711f93 required: _ Yes V No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: R-S(dpyr, STREET ADDRESS: - LOT _l(c BLOCK ~ SUBD./P.I.D. PROPERTY Name: (-ltfi'11E'S Phone «'~d owNeR Fa" Street Address, (~,zfl`LL City: f= l cs2 n State: Zip: CONTRACTOR Company: Phone Street Address: License City: State: Zip, ARCMITECTI Company: Phone #ENGINEER ~ Name: Registration #Street Address• City: State: Zip: Sewer &water licensed plumber i-~S<IC]n NI.Cmblil'lQ Penalty applies when address change and lot change are requested once permit is issued. tion is correet and agree to eomply with all 1 hereby acknowledge that I have read this application and state that M",e4t")e/-, applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~m OFFICE USE ONLY ~~~ENED Certificates of Survey Received Yes _ No J U N 2 6 1995 Tree Preservation Pian Received Yes v No OFFICE USE ONLY ` • ' BUILDING PERMIT TYPE 0 01 Foundation o 06 Dupfex ? 11 Apt.ILodging ? 16 Basement Finish 159(- 02 SF Dweiling o 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 = plex o'! 5 Deck WORK TYPE ,~z( 31 New o 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuat) 691~Basement sq. ft. (r MCMIS System ~ (Allowable) Main Ievel sq. ft. City Water ' kJBC Occupancy sq. ft. i, zre Fire Sprinklered Zaning -1 n-i sq. ft. PRV # of Stories 2 w s,~..r- sq. ft. Booster Pump Length !o z- sq. ft. Census Code. Depth /.&-7 Footprint sq. ft. Z-s9 SAC Code Q Census Bldg + k Census Unit i APPROVALS Sx`' Planning Building Engineering Variance w Permit Fee Valuation: $ z.zz p0 Surcharge Plan Review /?tA.~ <«<< fjs,.,.,,, License izK Iv y7y . MCNVS SAC /S E~ x Y? _~o? ~ City SAC 6.6 7 x sz = 3Y7 Water Conn. ~ Water Meter s~3 R syr = Zf ° 1 3 f 1 Acct. Deposit / y~ xsy= ' S/W Permit (0& S/W Surcharge Treatment PL Park Dedt un'~- 7y y 5.33 x 7• S; yo Traits Ded. 2~'` '/3 37-aPeeS (.31X zz zigx~`t'~ Total: r-^ 1 772 % SAC SAC Units - ~ - IAT BTSRVEY CBEClCI,ZST FOR REPIDENTZAL 5j IBIIZLDENG '8Ra'tM.ST APPLICA"°3C1PI P,~.°M~.~_~: ~.y/ 'tL D^.kn Caf 81IlSV0y2 , ~ • lRenis¢ere3 Lnne Susveyor Fiernatuse mnd company ,y3~~~ ~ . *,Y~ mr~`txs~ ~?+an~.•r , ~na{;::u~~ ~~iJ ~i' • ~,,C.:n al -::ih.(': ±riv~,~Q;~. •tOxvh v.,rrdw z;nc°. 3>ea-~s~a1P on e :fo' y~e tv-na Fnr-alwx, ur-lkout, Cp3.'± aa/a, ep].it entry, ~ • ~^^"~a^~w~ c'~~mmtnaoe arrows wi.th rlope/grndient t. • l~ro~n~~d./~xf~~:`.:,~ r?ewc~. and vnter servarz;b ~Y U~"V,YJ`f5a4fF J±y~ ~LJ ° ~a$Tdh:r ffi@z{r.~~'..e ~ !i ° 2:A7 W. Ctl:C'S"iC'Z'S P, ° :"Op c~:f c?~~:~'~ at the dr{veway ~ y~ ° ]~:.;..vatians o:F any exi-,tinc -diacent hamrn's P<i D ° Carags f1aor ~ • p:aut floor /t~ "~y~' • ~!~n~,>st r~~:pr,~nnd a?evation (~anl!:out/windc+w) iJ {T, rc 9ed.ty 6.roAnE':ri»~+ 0 zine. ::`ncr of !aome at the fo+ande¢?on ~"~),"{~~'~~~'%,~._•}3 ~A.~f A4,,,hp? ~ A171.R1 ~ ~ • z156?t^.^,n¢ .t ;1?s ~ ~~'Y,, ~Y'o . I~;•~ ~ i•OYid # deSigTSStjOkl r7 5~ °a d ••n,.~ C]v~ EleVE1tir~ ~ ~ • ~'sS.?~ li71es ~ • ~ r!`_~'il~'y rnd stzsct w:?elth (ta 2sr.ck !a3` Ct!2b) ' Cma Rli£C='715iC)798 .``.F1ChEd3Y1t3' LLPSy pX'f}dT,Jq@3@Q 6s-CkS, C?{r°o f'a AT1C',7s 21* tPJ~jr'"~`.~.,d.~~ L f¢.~• 73~.~. S :~~c r>_ - g r«c°u3 s irt^ ~s~.:~rtan-nt :.:)u ~s1d czasemr::^ts af .racorr~ mn6, any City ut3lit<,es taaLh{n t:noev± ~.+.erc:ncza!'-=. ~ ~1 • ret~s~+ck:; oP pmapose~+ atxucture and setback of adjacent txirstfng hcmea ~ fl • 1'e-V:wi nir s rements, 1f any Ravi.ea@ds ~ n.,t.~ Octcber ?,AD2 ~a a ----------I B I I p STA 0+61 STA 0+30 STp 5-975.5 S-977.10 S=g• ~ e W=986.1 W=987.5 W=g; 2 ~ 0 aO -t ~ - - - - - - p z;Da z o xt I -r- , ~ W(D - ~ 6" D.I.P. CL ; ~tJ I = ? i M.H. 3A 8"PVC 56 35 - ` - - - - - X ~ ~ ~ -IT LLI 3 ~ I ~ @ chc L) a 6 x . ~ ! 15 1 ~"T - - - - - - -1 W ( ~ s I ~ S7A 0+79 STA 0+44 S7A ~ ~ A S=975.5 S-977.10 W=9f w a I H W=9F36.2 w=987.6 ail ;v; ra'O IIf ~ W F- 7C ~ V ~ ~w ~ . W SCALE: 1 R E P. . THE f.;i2Y QE..EAGAN DRES hlQT_GUARAN7EE ThE. F~CC~JRACY QF UT(L1TY TOwATtQRl$ ~ a rn~ i AND/Cl€3 E LElIATIONS 1°NIS I~i~~la la ,Tq ~ n ~ }~r n~ tt I K~fORP~ATtOi~ PUAF't?SE~ G~ f ~>>~~a C'.4 4UctNG ITv'rd0 y'~°'~t1 ~~lL k . . . . 5~ M x. !.~'ii.:,i~La'~ar+~i .F _ .iiw:C~`~'~; , i . . . i.s~~,...smi. . . i . ;s . . . . . • _ . . . _ _ : ~ . : . . . ; . . : . . . . . . . . . _ . _ b ~ _ . . . . ' _ . . . . . . . . . . . ky. . . : : F ti . . . . . . . - . , _ . - . . . . . . . ; ~ . . . . . . . . . . - . . . . . ' ~ ' . . : . . [ ' . . . - ' i. . . . . . . . . . L. . . . . - ' " . . ' . . . . . . . . . . . . _MH3A. _ . . _ , . ' : : : STA:I+tO : . ; TC=986.2 : 7.5 MlN Ek MH 3 : 88.~ LF 6' D{F CL 52 4 : ~ ~ . _ EX: 18 . . tER _ 64 _ _ . PVC 35 @ 1.4a° ~ 5TOR SDR o. abb L~ oF e ~ - - stUB E~ . O.LF OF /9T2 76 8"C @° y , w g73.26_ . . . ~ 972}6: o . _ : PVC SDR 35 @ I /o : 1[~V~ ..967J6 . t _ . _ . . . . . . _ . ? . . 01 t 1 ' r~ J5~ I~~V~ E.Jfi~ l~. ro~ . . . . . . . . . ' . t . - ` ~ 4 . .1 ~.~1 ~ . . i:t ` _ PU~a?OSES y Y~ . " : VRtrY THE _ 4 . ~ c _ . . . ~ ~ ~ lt~G IT.SHOULD _ ~ _ _ - : t~FoRm¢1~ tON 01~1 TH~ 51TE ca _ . . : _ . _ t--- . _ - . . z . ..w.. . . , . . . ~ - , - ~ ' _ ~ . . ~ _ . . . . : . _ - . . . ' ' . ' ' . . ; . . . . . Q`.... . . . . . . . . . . CITY OF EAGAN EXTERIOR ENVELQPE AVERAGE 'U' CONPUTATION OWNER: _~O~rlry Yf~tl srre annsess: ~-I 323 : i(-,nn i-rer . CONTRAC70R: DATE: 10L t7'_ PHONE: qSl- -7 Determine wrking square footage of eaeh: 1. Total exposed wall area 318o.5S sq. ft. x.1i - 349.8~ 2. Total roof/ceiling area /SO'I sq: ft. x.026 = 3g . lgj 7ota1 ezposed suall area above Floor = 31~0. S S a. Total wall wlndow area k O, b. Total door area 3g.o c. Total sliding glass area• ~:;'~':`NJ........... ? g.o d. Total fireplace wall area d e. Total wall framin6 area (averaBe 101) 31 8 f. Total net wall area above floor zlI ga 1 g. Total rim joist area a-11 .S Total exposed foundation area = l1o.v h. Total foundation window area a - I. Total net foundation area above grade ~ < Determine IU' value of each vall segment: a. 398.2¢ x oU} , 30 b. 38.o x'U' .13 c. 16,0 x'U' , 30. 5 d , ca z sU' - - -----r_ . e. 318 x~U' 0 25. f• 2I/f~.7/ x~U' ay- 8. 277-5 x'UI ,04• - 11. I h. O x 'UT - ' i• IID o zvU' , D?i 3 . Totial = 2s 9.9 If item e3 ts the same as or Iess than item /2, you have met the intent of SHC 6006(c)2. Total ezposed roof/ceiling area : /So 7 3. Total skylight area k. Total roof/ceiling framing area (average 10x) /So 1. Tota1 net insulated roof/ceiling area !35'7 A OYER Determine OU' value for each roof/ceiling sepent: J. ^d- X rUT - _ o k. x ' U' , 0 2$ _ ~ . 1. /357 x 'U' ,022 2j•a5 4 . Total = 34,o S If total of #4 is the same as or less than 92, you have met the intent of SBC 6006(c)t. Alternate &uilding Envelope Design To utilize the total envelope system method, the values established tiy the sum of Items 93.and S4 shall not be greater than tBe sum of Items R7 and 92, 7. + 2. 3. + 4. - i L ^ . . . . ; 2 ' SLEN-27-95'TVE 11:04 TRI-LpND 6124520994 P.01 ' PosNt"' brand fax lransmitlai memo 7671 / af pagea ~ ~ RI-LAND C0. L.~ SURVEYING Phune N ~;E ~ ~E r~ ~ra- RVICES 072-g~-7~ S I T E P L A N F 0 R~ LEGAL DESCRIPTION: LorI-C,BLOCK iee;s1gii.oep PT• i ACCORDING TO THE RECORDED PLAT THEREOF Nkot'a COUNTY, MINNESOTA - ' AdDRESS: Y323 5e-..d CA _ ~ By ~gDa Z ~ EAfaAN G G IDM. 4854 I q~~'p1 H 0m 37" W 00' 4 . ' . 1 ~ 9l 101 ~ ~ i ~ 1 • G ~ I ' ~CA?Ew ~ E p OAMM ,oo'a , 30 10 1$ i N 00'53' 0' TI.00' a '.l.;, IVUS N= LEIGEND {NVER7 EI.EVpT10N A7 SERVICE EkTEN510 o DEN07ES I ON MDNUMENt pRpl'QSED GARAGE FLOOR ELEVAtION? a DENOTES OOD MUB SET PROPDSED FIRST FLOQR ELEVATION - gqa DEN07ES ~x1571ryfl SPOT PROPaSEDBASEMENT FLOGq ELEVAr10N ELEVATION Ca~yt'\ pENOTES FRpPOSED S1'OT PN-A{,;~} c.V,i4p,,,,ol~ 0 ELEVATION rr DENOTES RAINAGE DIRECTION NOtE' VERIFY ALL FLOOR HEtGNTS WITH FINAL HOUSE PLANS I hsrsby certify t at tAis survsy,plqe or r s port woc pra •d by me or undsr my direct supervision Prod that 1 am a duty $radisy J. ron, Mn. RsQ. No. I' 35 o Regisiervd Lond Survtyor under the . . Lowa of tha Stcta~ ai Minne:ota. Date • i5( ~r1f9~~ 1 k=96% 6124520994 06-27-95 11:13AL P001 #24 y` CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, M innesota 55122-1897 Permit Number: 0 2 7 3 3 3 (612) 681-4675 Date Issued: 0 5/ 16 / 9 6 SITE ADDRESS: 4323 SEAN CT LOT: 16 BLOCK: 1 LEXINGTON PTE 11TH P.I.N.: 10-45095-160-01 DESCRIPTION: ?'uil 3 g,Permit Type DECK i1&uilding t4nrk Type NEW GeRsus Gade- 434 ALT. RESIOENTIAL W, " ~ f 7 ~ REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 CONTRACTOR: - Applicant - sr. LIc.OWNER: P.K. CONSTRUCTION 15832702 0000880 HOFFMAN JEFF ~ 34945 TEAL AVE 4323 SEAN CT TAYLORS FALLS MN 55084 EAGAN MN (612) 583-2702 (612)686-8653 ' I hereby aqknowledge that.S have read this application and state that the inf_ormation iry carrect eerd agree t'tr coMply Ui.th a7.1 appl3ceble state uf Mn. , Stat'utes and City af Ea-gan Ordinanc-es. - APPLI ANT/P MITEE SIGNATURE ISSUED BV IGNATURE . ~ 3 CITY OF EAGAN S V J 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPUCATION (RESIDENTIAL) 681-4675 New Constnution Reauhemenls RemodeVRfgefr Reavirements ? 3 registered si[e surveys ? 2 eopies ot plan ? 2 copies of plans (indude beam 8 window aixes; poured tnd. design; etc.) ? 2 site surveys (exterior additions 8 decks) ? 1 energy calculations ? 1 energy ealwiations tor healed addRions ? 8 copies of trce preservetfon plen H lat plaNed efler 7/1/93 . requlred: _ Yes _ No ~ ~ ~oo qo OA7E: y- ~a - Q~ CONSTRUCTION COST: DESCRIPTION OF WORK: n STREET ADDRESS: 3 SPa-. c4 G:~Lg w~ LOT BLOCK SUBD./P.I.D.#: PROPERTY Name: Phone#: OWNER `I"°, Street Address• y3~3 S'ra~ ' City: Cayo-~ State: - Zip: ss CONTRACTOR Company: Phone StreetAddress: 3yywr 'T~e/ a~ License#: ~QO S'S a ~ Y City: y~~' State: Zip: ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address, City: State: Zip: Sewer & water Iicensed plumber: . Penaliy applies when address change and lot change are requested once permit is issued. I hereby adcnowledge that I have read this application and state that the infortnati 's correct~ gree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ^ Signature of Applicant: OPFICE USE ONLY Certificates of Survey Received Yes No APR Tree Preservation Pian Received _ Yes _ No . . OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt.ILodging o 16 Basement Finish 0 02 SF Dweliing ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool o 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 = plex ~15 Deck WORK TYPE ~31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Ailowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~f3 ~f Depth Footprint sq. ft. SAC Code Census Bldg / . Census Unit v APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Waler Meter Acct. Deposit SNII Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies . s~ co Totai: °k SAC SAC Units /UE 11:04 TRI-LRND 6124820994 P.01 ~ . ~ ~ PosNt' brand fax lrahamittpl memo 767~ ~ ol p.0eo ~ ~ TRI-~.aNa co. Cv. ~ F"'"6rrua'sr~~~c ~ ~ URVE I NY l anoneY ^~~5~ SERVICES F~ SITE PLAN F4R LEGAL DESGRIPTION: LorsLocK! is AGCORDING TO THE REGORDEY? PLAT THEREOF Nkotq COUNTY, MINNESOTA ADORESS: Y323 52~..~ C} By n8 ~ 1 . ~AGAN GINEERiN(3 DF.P'1: $ ResY ~ ~ N 00'83' S7• W 00'. ~ y izu ( n I • I si1a7 I~ p ~ w G8 ? D~~ ~ ~ e aL Y : "-,oo-st~ Aowi. £ ~ ~ ~ m I ~ q ~ ~ I 9Z° ~ W r-s0 ~ a ,oorot ~ . ~ I REv~E . .....2.. N' ~Y N -'~k 4t ~ ,0 70 ,a i I a ~ q3 k0~ + I N W534 w3s . . ~ LEIGEND IryVER7 EI.EVAT10N A7 SERVICE EkTENSIAN= o DENOTES I ON MONUk1ENt PROP65ED GARAGE FL40R ELEVA710N= a DENOTES ODD MU6 SET PROPOSEO FIRST FLOOR ELEVATIOM = gqo DEN07ES ~XI57iN SPaT PROPOSEOBAS~MENT ~'LGOli = .ELEVA ION ELEVATIOH C`19?\ DENDTES PROPOSED SPOT 49~~p iELEVATION DENOTES RAINAGE QIRECTION NO7E' VERIFY ALL FLOOR HEIGNTS WITN ~ FINAL HOUSE PLANS I henqr crNify t at tfiic survsy, Plan or r4port woc prepo ad by ms or undar my direct suparvision ~and that 1 am a duly Bradley J. son, Mn. RaQ- No. 1S235 ; Reqfsierad Lond • Surveyor under the ~ . Lvwa of tho 5totel ai Minnecota. Datel i }2e~,ao~t ~ It~l9s" ? ~ P.-9G% 61`L4520594 (1G-27-95 11113A{A P003 S24 CITY USE ONLY L BL RECEIPT SUBq/~ DATE: 7r~~9S 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required foreach unit New construction Add-on furnace Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: `7 1 J 3~ J g#~ FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $20.00 • HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @ $3.00 each) 6•/ a ? State Surcharge .50 TOTAL 3 0• ' 6 SITE ADDRESS: OWNER NAME: PHONE WSTALLER NAME: ~~~x S ~?7S d' I~~ ~~rz,, STREETADDRESS:3~3~' 13157 ~ CITY: STATE: 107A)_ ZIP: PHONE ( } LI 13- -:19D BTC, 7T aTr use oNLr L _ BL _ RECEIPT SUBD. DATE: 1895 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for: ? ail commercial/industrial buildings. ? multi-family buildings when separate permits are ~ required for each dwelling unit. DATE: CONTRAGT PRICE: WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: .$25.00 minimum fee 2E 1% of wntract price, whichever is greater. • Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of Ren339 fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE ' TOTAL SITE ADORESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENT5 ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP• PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR L BL CITY USE ONLY k€CEIPT 11`~L'L~ /~I ~,.~.c ~ SUB . DATE: 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x I = 3_ Water Closet 3.00 x 3 = 9 Bath Tub 3.00 x Lavatory 3.00 x Kitchen Sink 3.00 x 3 Laundry Tray 3.00 x I = 3 Hot Tub/Spa 3.00 x = Water Heater 3.00 x 3 Floor Drain 3.00 x 3_ Gas Piping Outlet ` minimum -1 3.00 x ( = 3 Rough Openings 1.50 x 3 = y5o Water Softener 5.00 x = Private Disposal ` Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations * co existin9 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: 9 3~ 3 S e°'` C~ • OWNER NAME: S u S N o r, e S INSTALLER NAME: HESSIAN PLMG. SERVICES, INC. STREET ADDRESS: 9601 Jefferson Trail W. Inver Grove Heights, MN 55077 CITY: (612) 681-8252 ZIP: QHONE ( ) Z2 b`fGpA OFPICE USE ONLY L _ BL _ RECEIPT SUBD. DATE- 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681r4675 Please complete for: w all commerciaUindustrial buildings. ~ muiti-famity buildings when separate permits are l4t required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25 00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pgrmj1 fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OPFICE USE ONLY METER SIZE: DATE: INSPECTOR: i I Fo~;Offcea~Use Clty of EaEaR ; Pertnit# j I PertnitFee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: j Phone: (651) 675-5675 ~ I Fax: (651) 675-5694 i Staff: i 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (a - 1 S- -100 ft Site Address: J 3a 3 S4G~ . Tenant: Suite RESIDENTlOWNER Name:_Te4 3 Y'a.0,4 Phone: blZ-Z9v-~/7_QA ~ Address ! City ! Zip: Applicant is: _ Owner _zContractor TYPE OF WORK Description of work: 1 ea - o,,~ G a^,J re - roo~ ? Construction Cost: SL1D . 1 Multi-Family Building: (Yes _ I No ~ CONTRACTOR Name: Wr)[. E c2a- t*o?++e .5',viceS License#: cRDS(PS yVS Address: /DXot~{o llo Z_~ AJ City: zj&'el~ 6»s State: Y d.) Zip, - Phone: 41 ~3 - yg3 - a4~;7 Contad Person: N~Gk We~Ll COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and adiiress of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contrector: Phone: NOTE:;Qlans and,supporting documents fhat you subinitare considered to tie publ~c:information Portions:of ' the mformafron may be classd"ed tas non public rf you piowde spec~c reasons that would permri the City to ~conclude that eka'retraiiesecrets. , i ' I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of tne City of Eagan; that I understand this is not a permit, but only an application for a perm@, and work is not to start without a permit, that the work will be in acwrdance with the approved plan in the case of woflc w' requires a review and approval of plans. X X ApplicanYs rinted Name Applicanfs Signatu Page 1 of 3 44P0' City of Eaall Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 0,1 r Use BLUE or BLACK Ink For Office Use �+ Permit #: 1J ®9!Q Permit Fee: 5 T.. i f 0 Date Received:z,0-13 Staff: ,< 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Resident! ©Winer Name: ‘-ie C-- fi--) c.-P'vt.e.t Ct t1 Phone: ‘51_ -5-5g -3 11 /` Address / City / Zip: 3 2. -5 e S , r\ Co U c Applicant is: Owner Contractor Type o Wo Description of work: A i A 1, e u L- 1 £_ e i'1 ko tk Construction Cost: / 00 Multi -Family Building: (Yes / No X Contractors , �� ,.. rF Con n s `� la C, fd � Contact: l- % i Company: � I! gibe d v r' Address: 3, 06 h1 L. c 4--,t1 4'( ti'City: /4.467c�`(/ 5 "'/'i .'I y / r State: VK/ Zip: S 5/ 2 Ss Phone: (� t 2 — 2 7 7 License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) f D u,.\\-\lioy-c In the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Plans and sup ortin�r rg documents that you ubmit ar considered to he; ' ublic `inion sformat oni Portof formation aybe classified �o public if you prow de, specific east) t : •Ial,oermit th City to the inm ..' . conclude`that they,are ttrecre r . CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota Sta days of permit issuance. x I 4 6•e/17 Applicant's Printed Name x Ap•P a 's Si. nature us be completed within 180 Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review 3 Seam - DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair (25% 100% )" Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Framing Fireplace: _Rough In _ Z( Insulation Sheathing Sheetrock Reviewed By: Final Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window *Demolition of entire vow 2-$077 Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests Final Siding: _Stucco Lath Stone Lath Brick Air Test _Final Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge ,Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL rLL/ 6 W y) x/6; c9)- 0,0 0 (-00 fl/ Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA110860 Date Issued:05/31/2013 Permit Category:ePermit Site Address: 4323 Sean Ct Lot:16 Block: 1 Addition: Lexington Pointe 11th PID:10-45095-01-160 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Tim Shimek Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Jeffrey Hofmann 4323 Sean Ct Eagan MN 55123 (952) 292-7228 Glowing Hearth and Home LLC 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink 1-----------------, For Office Use Permit I • 1 Vqq I City of EaEdn I 1 v~ I I I 1 Permit Fee: V 1 3830 Pilot Knob Road 1 1 Eagan MN 55122 1 Date Received: l~ Phone: (651) 675-5675 1 I Staff: I Fax: (651) 675-5694 1 - - - - - - - - - - - - - - - - 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: ~I Tenant: Suite Resident/Owner Name: Je f-r 4 1~d 44 y loo ff;A4 n Phone: Address / City / Zip: Z/ 3.2 Name: La 1~ey -0 e . ~1~~ ~ > h c~ ~H e License HMO 6 b ~ ~ G7 Contractor Address: 797/5 clev er °e City: n ✓Pr 1 q State: Al'^ Zip: S~ 74- Phone: Contact: Email: of Type of Work -New _Replacement -Repair /l~ Rebuild - Modify Space _ Work in R.O.W. Description of work: R&VnI orepe u; le fie" RESIDENTIAL Water Heater Water Lawn Irrigation RPZ / - PVB) Softener Permit Type Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x K ✓1 54,, k x ~ - Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink For Office Use j I 1 D~~3 City of Ul Eapn I Permit 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Phone: (651) 675-5675 I Date Received: Fax: (651) 675-5694 Staff: I 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: `7 Site Address:.~j--? Tenant: Suite Resident/Owner =Name: Phone: Address I City Zip: rn Name: & ac,~ - G1 License Contractor Address: v( oZ J/'Y1 //'City: l'Q.L,I X State: Zip: Phone: (L/~I L/ S~ / O i Contact: &Ujv) C'YTI Email: New Replacement Additional Alteration Demolition Type of Work ? Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods.' i RESIDENTIAL COMMERCIAL Furnace _ New Construction Interior Improvement E Air Conditioner Permit Type _ Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit Heat Pumip~ _ Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES' $70.00 Underground tank installation/removal Contract Value $ x1% $55.00 Minimum = $ Permit Fee *If the project valuation is over $1 million, please call for Surcharge _ 5.00 Surcharge* _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aor)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will ,,e in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, a d wo 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 x cL (Wes Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153884 Date Issued:01/30/2019 Permit Category:ePermit Site Address: 4323 Sean Ct Lot:16 Block: 1 Addition: Lexington Pointe 11th PID:10-45095-01-160 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 - Jeffrey Hofmann 4323 Sean Ct Eagan MN 55123 Spring Plumbing Llc 11473 Kenyon Ct Blaine MN 55449 (763) 614-7963 Applicant/Permitee: Signature Issued By: Signature _'C RECEIVED For Office Use i i f d AG A NI JAN 242019 :::: 0296. Date Received: 1 -J4ly 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: / 9 buildinginspectionsta citvofeaoan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: JEFF & KATHY HOFMANN 651-338-3353 e, Name:RetildenttPhone: o, 4323 SEAN COURT Address/City/Zip: 0 Applicant is: Owner ✓ Contractor `yp A BATHROOM REMODEL WITH CARPETING AND TRIM Description of work: Te 4 Construction Cost: $60'000 Multi-Family Building: (Yes /No ✓ ) ROBEY CONSTRUCTION TOM ROBEY Company: Contact: ' r Address: 3806 WESTIN AVENUE city: WOODBURY 16, MN55125 612-760-8001 TOM@ROBEYCONSTRUCTION.COM sq State: Zip: Phone: Email: License#: BC635859 Lead Certificate#: NOT NEEDED ON THIS JOB If the project is exempt from lead certification, please explain why: POST 1978 CONSTRUCTION COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Firer Suppression Contractor: 1,. �II Phone: t mom � '.` a� to be public f� a r t a c as a t'/f>.° �>�,i 1 ud ,tha + are ,a You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeanan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start witho 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'I k'. I 410-cor Applicant's Printed Name Appli .nt'- is .I'T V DO N9T WRITE BELOW THIS LINE /1/N,3 ) CF ti4635V SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows Demolish Foundation _ Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION .7 Valuation v Occupancy pq, MCES System Plan Review Code Edition Ai ,, . SAC Units I (25%_ 100 () Zoning M, City Water Census Code // Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction v6 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) )( Final/No C.O. Required Foundation Foundation Before Backfill X HVAC_Service Test Gas Line Air Test_Hood Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final ( Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS X Insulation 1i Windows W5 } ',5 I Sheathing ( Retaining all:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control TShower Pan / Other: Reviewed By: , Building Inspector gg RESIDENTIAL FEES 2 iEy ., Base Fee 6 i'' f 1,- Surcharge Plan Review Ezj r MCES SAC ) _ (9City SAC VD(20 c / t/ Utility Connection Charge V S&W Permit&Surcharge l.9 (P 2 0 .., I 1 $ 9 ° Treatment Plant 0 Copies L I TOTALr1/4-6/P ,-,-, ° tI f 1Page 2of3