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4346 Sean Ct PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd �; ;� Permit Number: EA147081 Eagan,MN 55122 = � r Date Issued: 12/07/2017 (651)675-5675 Permit Category:ePermit www.ci.eagan.mn.us Site Address: 4346 Sean Ct Lot: 7 Block: 1 Addition: Lexington Pointe 11th PID: 10-45095-01-070 Use: Description: Sub Type: Residential Work Type: Replace Description: Furnace&Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector,Mark Anderson at (952)445-2840. Please call Building Inspections at(651)675-5675 to schedule a final inspection. Fee Summary: ME-Permit Fee(Replacements) $59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Lofgren Heating&Air Michael P Lanenberg 5708 Upper 147th St W 4346 Sean Ct Suite 106 Eagan MN 55123 Apple Valley MN 55124 (952)431-5811 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ~ " ' ' ~ ~ ' ' ~ " 3830 Pilot Knob Road Permit Number: 4 Eagan, Minnesota 55122-1897 Date Issued: ~ {612) 681-4675 SITE ADDRESS: ~ ~ " ' ` j ~ " ~ APPLICANT: i ~ : , E:? , . ,at~ ~r ~ , ;j~>>~~~ ; j r, i,,, ~ ~i ~ PERAJIIT SUBTYPE: TYPE OF WORK: , ir . . ~ ~ ~ ~ Permft No. Permit Holder Date Talephone M ELECTRIC PLUMBING HVAG Inapecdon Date Insp. Commants FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING QAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDQ FINAL BSMT R.I. BSMT FINAI DECK FfG ~~,]~~n I DECK FlNAL , , INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ~ r~:~ 383Q Rilot Knob Road Permit Number: • Eagan, Minnesota 55122-1897 Date Issued: . • (612) 681-4675 SITE ADDRESS: APPLICANT: ~ , ~ ~ i r . „ ~ ' , , . ~ , . ; , PERMIT SUBTYPE: TYPE OF WORK: _ . . , . . . ; . . _ ~ir~ , „ . ~ i! , . . ~ ~ ~~f,~ .~;~~~~,r, i . LI t~ ,;I i,~r~ t 1~:t, ~ ~ ,.'"~,~`e` ~ ~ ' I : L~ ~ ~ Permit No. Permit Molder ~ate Telephone ` ELECTRIC /Q ~ . J ~5 ~ r PLUMBiNG ' .s" ~ 95 " 5 HVAC S~ 9',S 3' ~ Inspectlo~ d In Comments FOOTINGS ~ a.q ,5 FOUND T , FRAMING S- / ~ ~ /~G r ROOFING ROUGH f`f ~ PLUMBING PLBG AIR TEST ~ s ~ R~UGH . HEATING ~2- ry ~ ~ ~ Q GAS SVC TEST -~2. INSUL ~ r GYP 60AR0 FIREPLACE _ ~ 2 ~ ~ FIREPLACE AIR TEST FINAL PLBG 2 ` G" ~$~S FINALHTG ~2~ ORSAT TEST 6LDG FINAL ~ ~!1 a 7 ~ 6SMT R.I. BSMT FINAL DECK FTG DECK FINAL . ~ • a . i . a ~erti~icate n~ ~ccu~anc~ ~it~ o~ ~~art~acut ~ ~x~ii~g ~u~CCtion Tl~is Certificare essaed p~rsuant to lhe requireneerets of'the Unrform Building Code cenifying that at the tinee ojissuance this structure was in concpliarece wrth the various orrluwnces of [he City regulating buelding constructron or use. For the followirtg: Use Classifica6ar. Bldg. Petmit No. 25?R~ ~P~Y ~YP~ 1 7~aNg Distria PD/R ~ Type Const. VN o~,.a ~ 8,,;~ ~N K HQ'~S wm,~ss 4351 ~''t?7? i7[~r~RT,f~[r.ed'lw 4346 SEAN OOURT ~.a,~,;~y L7. B 1, ~t=7t t~r Pn~1xiF, 117H ~ ~ '~i, ak: ' s~u~~ ar,~ POST IN A ()ONSPICt10US PLACE Address _ 4346 s~ ~mr Zip 5512~_ L.ot Blk i Sub T.~crc~ ~~xr~ ~ rnt THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ~'9 ,rj Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Petmanent gas Sod/Seeded grass TraiUwrb damage Porch Basement finish Deck Please verify witlt the builder the removal of roof test caps from the plumbing system and the shutoff of water supply [o the outside lawn faucet before freeze potential exists. . Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~ White - City Copy Yellow • Resident Copy Pink - Contracror Copy ~~s ~r q45 095 0~~ / . ~ . ~ ~ OD ~ Request ~ e Fire No. ough-I' ' pection Required Inspectian Olher Than Rough~ln p ~vou mu ell Inspecror when reatly~ ~ Reatly Now ~ Will Notify Inspeclor Ei I' f ~ 2 9, 19 9 5 ves 0 No Date Read ~ I licensed contractor ?owner hereby request inspection of above electrical work at: Job Atldress (Slreet, eox or Routa No.) Ciry 4346 Sean Court Eagan Sedion No. Townahip Name or No. qange No. Couny Dakota Occupanl~PRIM) Phone No. Sharon K. Homes 452-7850 Power Supplier AGtlress Dakota Electric 4300 220th ST SW . Eledrical Conl~aclor (COmpany Name) ° on rac ors icense No. Midland Electric CA 01236 Maiiing Atltlress (COnVactor or pwner Making Ins~alla~ion) 22691 Red Fox Dr Laekville,MN 55044 AutM1 ietl SignaWre (COn[r&clor/Owner Makinq Ins[allation) Phone Num~er 461-1444 MINNESOTA STATE eOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Gdggs•Mldwey Bldg. - Poom 5-128 BE ACCEPTED BV THE STATE BOARD 1821 Univerolty Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS P~one (612) 642~0800 . . ~ ENCLOSED. O' ~15~~ O/ ~S' REQUEST FOR ELECTRICAL INSPECTION Eg-oqo~~-o ~ See ins~mctions for comple~ing Ihis lortn on back of yellow copy. S/~~/95w "X" 8elow-Work Covered by This Request v Ne dd Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplez Water Heater Electric Heating Apt. Building Dryer . Load Management Comm./Industrial umace Other S ecif ) Farm Air Conditioner ONer lspeoify) ConheHar's Remerks' . Compule lnspection Fee Below: ~ # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps / 0 to 100 Amps Q, Transformers Above 200_Amps A6ove 100 -Amps Si ns Inspecmr's Use Oniy: TOTAL Irrigation Booms lQ0` 5'~ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Pee COMPLETE~-WITHIN 18 NT I, the Electrical Inspeclor, hereby Rough-in . ~a[e -~J-'? certify ihat the above inspection has Final ~ Da[e P been made. ~ OFPICE I/5E ONLY This reques[ voiC 18 mon~~s i~om RESIDENTIAL BUILDINC PERMIT APPLICATION ~ ~ ` ~ CITY OP EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 65'1-681•4675 ~ ~ ~ r.l ~ New CoasW clion ReauiremeMS RemodaVReuair Reauirements • 3 registered site surveys showing sq. ft. of IoL sq. fi. of house; and all roofed areas • 2 wpies W plan (20% maximum lat ~verage allawed) . 1 sel ot Eneyy Calculations (or healed additians • 2 cnpies of plan showing beam 8 vrindow s¢es; poured faund design, etc.) . 1 site survey for eztenor additmice & decks . 1 set of Energy Calculatlons • Indicate if home sened by septic syslem tor addi6ons • 3 copies of Tree Preservatlon Plan if lot plaHed afler 711193 . Rim Joist OeWil Options selecfian sheet (Wdgs with 3 or less units) DATE ~~-~?Z VALUATION ~L'I~-~•~o~ SITE ADDRESS ~~UU-~ S~C3Y~ MULTI-FAMILY BLDG _Y ~N TYPE OF WORK `~ciY~-°%.`e $'~`eJ~L~ i'C'`CC\l~./ FIREPLACE(S) ?CQ _ 1_ 2 APPLICANT Catastrophe Restoration Services Inc. STREET ADDRESS 2489 Rice St Suite 70 C~y ROS@Vill@ STATE MNi~p 55113 TELEPHONE # 651-734-9433 CELL PHONE # FAX # 651-483-Q219 PROPERTYOWNER~\n~ ~ ~v~h.-w. ~Xl1~Z~3.~;ELEPHONE# to~l"~-~5~}'~9~ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ~IINNESOTA RULES 7670 CATEGORY 1 MLVNESOT:~ RULF.S 7672 submission fype) • Residentlal Ventilation Category t Worksheet Submitted . New Energy Code Worksheet Su6mitted • Energy Envelope Calculations Submitted Plumbing Controctor: _ Phone # _ Plumbing system includes: Water Softener _ I.awn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor: Phone # ° ° ° - ° - ° ° ° - ° I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. S(gnature of Appl " r ~~s, ~ - ~ _ - ir;---jtjt--$-8'-~~'~- - OFFICE USE ONL ~ u~~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Re Bye~--- Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm ~amage ? 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 ? 33Alteration ? 37 Demolish(Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Oemolition (Entire Bidg only) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile p~er Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AiriGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[) _ Insularion _ 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 ToWI CITV QF EAGAN CASNIFP,: 1S TCRMINAL NOs 59S DFt7Ee ii./2E,/9i TIM~: 14.c3e9.6 Ip: NAME: TQNV PQN7RE1_LI CqNSTfiUCTION 3210 4UD1 4346 SEAN CT 50.(]0 21~5 9001 434E, SEAN CT Q.Sp 3430 3001 434E, SEA~ CT Q.25 ~ { 7ota1 Receir+, Amo~.mt„ Sp.75 c~~r.ie:;a~s UaE:R IO r, 1AN ~k%~%~~%~ k~~k ~ ~k~kX~Xc%~X~#~ X~~k%~~c~k#~~X~ k~~XkC~F ~X#X~~k~k%~X~~k~kXc ~ PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: a u i ~ o ~ N ~ Eagan, Minnesota 55122-1897 Permit Number. 0 3114 4 (612) 681-4675 Date Issued: 11 / 2 6 J 9 7 SITE ADDRESS: 4346 3EAN CT LOT: 7 BLOCK: 1 IEXINGTON POINTE 11TH P.I.N.: 10-45095-070-01 DESCRIPTION: ~iiild'ing~urPermit Type DECK Building Woc.k Type NEW ~ GQnsus Ctlde A34 ALT. RESIDENTIAL f f ~ , W~~ - ~ . ,9 . 3 ~ ~ ,e_ r , "'x _ * ,a~_ ~I"~. _si.-- ~.i G'• ~ - . ;rz L .~p.c.~r .,w n~•,.~..,~.;:-t~;: . (4\ T ' Y . t3E t. #s.ri~~ } j [a{~ L .3 ~f ~.Y°o 3 r ~Ey, '~.i?~ l`„~~ r{t,~~ ' ~I 4:r~~~ k~q`: t? s~~~ REMARKS: FEE SUMMARY: Base Fee $50.00 COPY $•25 Surcharge $.50 1"otal Fee $50.75 Subtotal $50.50 CONTRACTOR: - Applicant - ST. lIC OWNER: TONY PON7RELLI CONST 14529256 2002584 LENWAY JOE 1~623 WALNUT RSDGE OR 4346 SEAN CT EAGAN MN 55123 EF6AN MN 55123 (612) 452-9256 I hereb~;acknowiedg-e t(raC I have raad-thi~ ap(ali~ation attd stata that the information is correct and agree to comply with aIl applacable State of;Mn. ~ ~Cabutes ancl Ci~y of Eagan LlydinanGe~_ ~ C A LICANT.~PERMITEE SIGNATURE ~ ISSUE BY: SIG ATURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~~f ~~1~ ' CITY OF EAGAN 5630 PILOT KNOB RD - 55122 ~ I 681~676 ~"~~1~ ~j-~~~i New Conatrudion Reauirements RemodeURenair ReauiremerAs ? 3 repistered ske surveys ? 2 eopies of plan ? 2 copies of plena (Indude beam 8 wlndow sizes; poured fnd. tlealgn; eta) ? 2 aite auneys (exterior add'Rbns & tlecks) ? 1 energy celculations ? 1 ene rgy ealculetione fir heateA atlditians ? 3 copfes oitree preaervetion p~an if lot plat[ed aRer 7/1/93 requirod: _Yes _ No DATE: CONSTRUCTION COST: ~ f~7 J DESCRIPTION OF WORK: k- STREET ADDRESS: 3 yV S~-`/~ G~ - LOT ~ BLOCK SUBD./P.I.D. ~ I ~~.I~; PROPERTY Name: _ 1-e~ ~ ~ Phone OWNER Street Address: `f3 S ~d`-` ~-2' City: ~~~c,,q N State: Zip: S S(~3 CONTRACTOR Company: u~u Y~or~~a~( ~~,r„~„-w~hone Sa' g~ 6 Street Address: l~ c~~l~-~ /L,~; ~s- License %~°Oa r~yv Ciry: ~'.~c N State: ~ti Zip: 55~~3 ARCHITECT! Company: _--Phone ENGINEER ` ~Name:------=----.-. / Registration Street Address: ' ~ City:~ State: Zip: Sewer & water licensed plumber (new construction onty): . Penalty applies when address change and lot change are requested once pertnit ia issued. I hereby acknowledge that I have read this application and state that the information is cortect and agree to comply with all applicable State of Minnesota Stawtes and City of Eagan Ordinances. Signature of Applicant: ~ c~~Od~ OFFICE USE ONLY ~ 2 Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY ~ ~ i ~ . . ~ ,~y° BUILDING PERMIT TYPE ' ` ' ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish n 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool a 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility D 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscelianeous ? 05 SF Misc. 0 10 _-plex ,~15 Deck WORK TYPE 0 31 New o 33 Alterations ? 36 Move ~32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actuai) 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. ~f 3~! Depth Footprint sq. ft. SAC Code n 1 Census Bldg ? Census Unit d APPROVALS Planning Building ~ Engineering Variance Permit Fee Valuation: $ _ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. ~ Water Meter Acct. Deposit S/W Permit S!W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other C'opies . "5 • ~ ~ TotaL• - . _ i ' % SAC • f • SAC Units i ' % ` n TRI-LAND C0. ' L, SURVEYING ~ S SERVICE SITE PLAN FoR ~ S~}?~~~ON K. No~v~~.s {h LEGAL DESCRIPTION: ~orZ,BLOCK~_-,1~~a~ - ACCORDINC~TO THE RECORD PLAT THEREOF COUNTY, MINNESOTA ADDRESS: y3`'~~ E-~~U L'-~ • •~'~:::~r ~q~, ~ ss;•. ~~a r''~,~ - ~ ~ G't - • ~'y 10/~_..~~ ~ 1 `?'~r1 nFF ~ ~ ~ ~ ~ ~,f~ ti~ , h ~ ~i~~ q~~,~ ' a ` . ..,~y vl ~r~ ~ y~ ~~,o~-S' I6 ~ 2 ~ ~ Z ~v-~ • ~~a.o) I I ~ ~7.eT tZ ~ 3.25' ~ (5gS\ ~ ~j'~ 4 sr "1' ~ , ~ lal ~ ..~2 I 1 HousE g ~ 42.00' ~ 7I 25.25' ~'13. ~ o i; y i4~ . ~ g..~. ~ z ~,~i ~ ~..~....~..~.5~' e• ~ ~ o :v $ ~g X ~I S ~r ..~._:_..~..v ~ ~ BLOCK 1 ~ _ ? z~~5'r k%~ ~ ~ . ~ sc~uF ~ N-aa I' ~ I s~ ~ e~ .aw+~~c o o crt~w~ ~ umm ~~~j ~ 17" ~s'L~PI 89°59' 17" E 81.35' . y/ ~ ~~2k B9 n Er~G:~ i:;' I`t: :::v'•._.'.: DEPT. LEGEND INVERT E~EVATION AT SERVICE ExTENSiON= o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION a DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION i DENOTES EE EV~ATION~T P~ELEVATBIONEMENT FLOOR DENOTES PROPOSED SPOT {~Rr1.~~~~ W~LIR7J~' ELEVATION NOTE VERIFY ALL FLOOR HEI6HTS WITN ~ DENOTES DRAINAGE DIRECTION FINAL NOUSE PLANS I na~t~jr certity ihat this survsy,plan or report was prepared by me or under my ditact supervision and that I am a duly Bradley J. Sw~nso , Mn. Rsy. No. 15235 Repistered Land Sarv~yor und~r th~ pa1e: 3~Z~/ps ^ Lnws of the State of Minnesota. ~ [:~0~877~ . PERMIT ~ . CITY OF EAGAN ~ ~`~g~s 3830 Pilot Knob Road PERMIT TYPE: B u i ~ o i N ~ Eagan, Minnesota 55122-1897 Permit Number: g p 5 2 88 (612) 681-4675 Date Issued: 03/28 J95 SITE ADDRESS: 4346 SEAN CT LOT: 7 BLpCK: 1 LEXINGTON POINTE 11TH P.I.N.: 10-45095-070-01 DESCRIPTION: BUSlding`W:P_ermit Type SF DWG Building Woek Type NEW E~~U~~ 6~cupancy~T,_ R-3 M-1 ' Construction Type V-N Zaning PD R-1 Building Length 68 i, Building Width• 70 Bt~ilding~stories 1 ~ 9`~~~rye F~tBt r-~ = 2,602 \ , , F ~ / ~ i~ .s ~ ~ ._it_. "'1~ 1 ~..:1 REMARKS: S& W PLBR - HESSIAN PLBG FEE SUMMARY: VALUATION $147,090 Base Fee $804.00 MISCELLANEOUS $1,892.50 Plan Review $522.60 Tota1 Fee $4,142.60 Surcharge $73.50 SAC $850.00 SAC ~ 100 SAC Units 1 Subtotal $2,250.10 CONTRACTOR: - Applicant - sT. ~IC. OWNER: SHARON K HOMES 14527850 0007826 SHARON K HOMES 4351 JENNIFER CT 4351 JENNIFER CT EAGAN MN 55123 EAGAN MN (612) 452-785@ (612)R52-7850 T hereby acknowledge that I have read this application and state that the information is corract end agree to comply with all applicable State of Mn. ~ Statutes and City of Eagan Ordina~ces. J ~ ~ n~?9 Z A PLICANTIPERMITEE SIGNATURE ~SSUE~~ : SI TUR 1NSY~C'1'IUN RECORD CITY OF EAGAN PERMIT TYPE: e u z ~ o z N ~ 3830 Pilot Knob Road Permit Number: Ea an, Minnesota 55122-1897 025288 9 Date Issued: 0 3/ 2 8/ 9 5 (612)681-4675 SITE ADDRESS: APPLICANT: LOT: 7 BLOCK: 1 4346 SEAN CT SHARON K HOMES LEXINGTON POINTE 11TH (612) 452-7850 PERMIT SUBTYPE: TYPE OF WORK: , SF OWG NEW . . FOOTINGS FOUNDATION FRAMING ROOFING INSULATION FIREPLACE ROUGH IN pI,BG ROUGH IN HT6 FINAL PLBG FIIVAL REMARKS: S& W PLBR - HESSIAN PLBG _ _ ~ - ~ - ~ ~ ~ _ _ ~ ~ CITY OF EAGAN I~~. (,0 ~ 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construetion Reaulrements RemodeUR@pair ReauiremeMs ? 3 registered site surveys ? 2 copies of plan ? 2 eopies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 eite surveys (exterlor pdditiona 8 decke) ? 1 energy calwlations ? 7 energy calwlatlons for heated addRions ? 3 copias ot tree preservation plan if IM platted after 7/1/93 required: _ Yes No ~ DATE: ~--1 RS CONSTRUCTION COST: ~ C)U ~ DESCRIPTION OF WORK: ~~'Y~1 It~. (~IG~Ph1( ~ STREET ADDRESS: ~ ~ ~~'~4 Cb~~ 7- LOT BLOCK ~ SUBDJP.I.D. ~~X . P~f . I l~-/~ PROPERTY Name: Phone OWNER '"s, Street Address• City: State: Zip~ COMTRAGTOR f`~mne..v ~'~l-~ ~~Dl'Y~ 5 ri~uiYb ir: ~z.~~~ n Street Address: ~351 ~]~11Y1 ~ c~c~ C~ . License ~`~a ~ , ~;ity: State: Zip• ARCHITECTI Company: Phone ENGINEER ~ Name: Registration Street Address• City: State: Zip: Sewer 8 water licensed plumber: L-~SS~CUn Q~ukr~btv,n ~~-PS . Penalty applies when address change and lot change are requested once permft is issued. I hereby acknowledge that 1 have read this apptication and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Appiicant: OFFICEUSEONLY ~ ~~~~Q~/~~ Certifiptes of Survey Received _ Yes No MAR 2 4 1995 Tree Preservation Plan Received _ Yes No - OFFICE USE ONLY ~"g',~ ~ 'i . a.... _ BUILDING PERMIT TYPE ~ n 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish ~02 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool ? 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Faciliry ? 04 SF Porch o 09 12-piex o 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 1Q = plex o 15 Deck WORK TYPE ~31 New o 33 Alterations ? 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual} ~ Basement sq. ft. ~7vy MClWS System (Allowable) ~ N Main level sq. ft. l,~aa City Water ~o _ UBC Occupancy sq. ft. Fire Sprinklered Zoning G-o ,ea sq. ft. PRV # o f S tories l~ Ds~.r. sq. ft. Boos ter Pump Length sq.ft. Census Code. /D/ Depth ~O Footprint sq. ft. z, ~2 SAC Code o~ , W' f~ Census Bldg ~ 6ti~i ~ ~ Census Unit APPROVALS Lf'~ Planning Building Engineering Variance _ Permit Fee Valuation: $ l y7 000 ~ ~ Surcharge Plan Review / 5~ License ~ - ' y z /(o . fo7 = (07 CtySACAC y~f~ ;i,syo ~x5 = ~z Water Con~. ~y,~ Z` - ~Ka Water Meter ~ z~` ~7 ~ L ~b ~ _ Zr~ - Y~ Acct. Deposit z x ~ z.~ 7 - Zs ~s Ixz S/W Permit ZxY ~ 8 ' S/W Surcharge ~ x,3 : 7g , ~f~y 03y Treatment PI. Road Unit / 7o z K s`~ ~'DY>~ Park Ded. Trails Ded. Other Copies ~ S-' ftoa c/ zo Z x Z f~ ~y ~$~,f~ Tota~: (v,..,f~~~) _ _ ~ ~ I ~~p % SAC / SAC Units " / v~ : n TRI-LAN~ C0. L~ SURVEYING ~ SERVICES SITE PLAN FoR ~ S~}~~~~ON K. Ho~~~-s LEGAL DESCRIPTION: ~orZ,BLOCK~_,1~n~~a +~t. ut~ ACCORDIN TO THE RECORDE`b PLAT THEREOF COUNTY, MINNESOTA ADDRESS: `1' 3`'~3 ER{~ C'f . .,~•.3'~'~i°e' I ~O ! ~~~1. '9~!'~~ ~0. _ ~ f O~~ , ~ 1 ~ ~ . 'T~J R~ . \ ` oY, _ ~ p,•, N s.. . ~ ~.~~`1 8 ' ~ ..H ~ `~O j' ~ ~ 01~-'~~~?~'~ S ~ ~ ' " ~,c~) I8 ~ ~ _ . ~.er, .s ..~a.zs~ ~ (tiss\ I ~ a L c~ lo I ~ _ ~ I yousE g ~ .x.oo~ ~ ~I 2s.zs~ i'' ~13. 1 ~ ~ 4~- # ~ ~::r.....~.~..5~. e. N ~ . ,o AS„ o 8 ~ ~x ~ g ~ ~ 3 z~/s~s- ~ ~ BLOCK 1~. I ~ ~ ~ sc,~v.E ~ ~ _ ~ ~ ~ sl ~ 4pqi.awnint o DRANNBE ! tlIMY EASOIQIT ~ ~4i1 89°59' 17" E 81.35' . J°/ , ~~k ~ ~ .'t~~/~~-- EAGAN Etd~uVL~.~rsTG DEFT. q~,~ LEGEND INVERT E~EVATION AT SERVICE EXTENSION=_L6S~__ a DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION=~~~ o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION= DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR ELE VATION E LE VAT I ON DENOTES PROPOSED SPOT ~ qL~J~ ELEVATION RA~r~(3L~fZ DENOTES DRAINAGE DIRECTION NOTE' VERIFY ALL FLOOR HEI6HTS WITH FINAL HOUSE PLANS I henty certity that this swvsy,plan or raport wos prspared by ms or under my direct supervision and ihat I am a duly Bradley J. Sw~n~o , Mn. ReQ- No. 15235 ; Reqistsred Land Surv~yor undu th~ 3~Z~qs, Laws of tAe State of Minnesota. Dafe ~ ~ LOT BIIRVEY CSECRLIST FOR REBIDENTIAL SDII.DING pERMIT 71PFLICATION ~ ~ BROPERTY LEGAL= ~ ~ ~ ~~~~7 , , ~ ~ ~ Dat• of 8urv~ps Q-~_ DOCIIMENT BTANDARna ID~,~ 0 • Raqistered Lnnd Surveyor signature and company D~iII 0 • Building permit Applicant I,Y,f 0 • Legal description ~ 0 • Addzess ~ ~ D • North arrow and bas ccale D' ? D • Souse type (zambler, valkout, split w/o, split entry, lookout, etc.) ~ 0 • Directional drainage arrows with slope/gradient ~ D Proposed/exicting sewer and water services ~1 0 • street name D/ 0 ~ • Driveway ELE9ATIONB Exietina ~ ? • Sewer aerviee ~ ? ~ Lot corners 0 Top of curb at the driveway D D • Elevations of any existing adjacent homes Yro~osed [~'~0 D • Garaqe floor fd~// 0 • First Ploor 1~~D 0 • Lowast exposad elevetion (valkont/window) 0 • Property corners ~ 0 • Front and rear ot home at the foundation PONDING 7?REAB [ii ap,gl3cabla) 0 D~~p • Easement Iine D LY 0 • awi. 0 B~~ • xwL D B~~/~ • Pond ~I designation 0~ D • Emerqency Overflow Elevation DIMEIQBI~IQB Q~~ D • Lot lines ~'.0 0 • Riqht-of-way and atreet width (to back of curb) D~ n p • Propoaed home dimensions irscluding any proposed decks, overhangs greatez tAan 2', porches, etc. (i.a. all structures requiring pezmanent footings) ~D D • Show all easements of record and any City utilities vithin those easements D • setbacks of proposed structure and setback of adjacent existinq homes fl D • Retainin 1 r irements, if any Reviewea: Z me / ate October 1992 1+10 15TA 1+90 STA , " @79.4 S=980.8 Z+ ~A 3+51 ~A 3+78 9as.s w=ss~.s W 99323 W=sa2.3 3 4 ~ -sss.s w=s~~s.s 6 7 WILL NEED WILL NEED CLEANOU CLEANOUT RAfVr 10' STA g3p+82 W 993.5 M.H. 3 WILL NEED ~LEANOUT ~ ^ WATERMNN i t/2 N 3 4 END 5+02 Rg F SAC = STA 3+80 ~ S-98o W=993.5 9 ~ 13 12 +24 STA 2+04 ?.4 5-98~.8 STA 2+ 83 1 1 ~•9 W=991.8 S=981.3 ~A 3+72 W=992.3 ~TA 3+68 w_980 S=982.3 993.5 W=993 n ~4~¢IYY O~ EA~~ DO~S P~OT ('U~`., = WILL NEED CLfL~N~O~'U~P,CY F UTILITY LaCATi0~~3 ~+~1~/OR ELEVATIO S. TH15 DATA i~ F0~ t~~~~~~~10id P POSE3 C~:LY A~;~ =10' VERTICAL , " SHOULD V~n:~Y TF,~ I`~~QaMATION OM THE SITE. =50' HORIZOf~TAL _ _ J - _l . ; r ` _ ; MH 3B . ? _ ; ; sr~- ~+ro... ; _ ' - , rc_ss~: o ; _ _ ~yp . . ; _ IN , : - . _ _ _ _ , . . 4fi8 g' pIP Ct 52 _ . _ . 6% : . _ _ _ _ jNV _ s~9.ia ~ , ' ~MLClT~*C~C~;GFiPJbC~ r'~~+~ { ~,,,-,~F ~ . ~ /iv~~~i~1,~`i~ Q,w-...~1~~, , _ ...IRPiL?/OFd f ~.;t+ . . ~C TIOs1:.: ~ ~ , • s . ~~,:',1~1 arJ : " i ; c~~ . : ~ . E _ _ : : R~~:~~~ ' ~~;~;,,,^~I~T''L;~~ i t , _ . 5;~. Q~~ (C;d ~'J ~"i-« ~'i 1 ~ _ _ , . _ ; : ~I'~ OF EAGAN F.7CTERIOR EtisE1.OPE fiVERAGE ' U' COMPUTATIDN ~i''M~ OiINEB: (.EtJU,14Y I,~ONN~oti1 SS?E ADDRESS: ~~-I~ ..C~-U"1 CJdLI,~~ CONTRACSOR: S~"1Q? (yU1YjP.5 DA?~~ ~I31 clS PHONE: ~5~--~]~Sd Deter~ine wrking squsr~ f~tage of eacls: 1. Total exposed wall area „ 28L}!.~- sq. ft, x.11 = 312, pj 2. Total roof/ceiling area I ~ 1 2 sq. ft. x.026 = ~'Q' ~ Total e:posed wall area above floor = 2~'f 4'~. Cot~ a. Total wall Window area 't p:~ b. Total door area 3g. o ° c. Total sliding glass area :4.P.°.uF~............ 72_ ~n3 : d... Total fireplace wall area ~ .tog e. Total wall framing area (average 10x) f. Total net wall area above floor ISrS-~ g. Tatal rim Soist area 2co3.3 Total exposed foundation area : ~33 h. Total foundation window area o ~ i. Total net feundation arsa ahove gr~de . ~3 3 _.i Determine ~U' value of each xall segment: a. ~8 x ~U~ .~O = Q .2¢ b. ~Yi.o x ~U~ ,i3 - c• ~2.to3 x ~U' 2l.'19 d. ! ,t~ x ~U' ~ a~ _ ~.59 e. x ,U' - -•22,75 f, iS.Ig' x' U' 0 (00.0(0 6. 2tc .3 x' U' ~b c .I o.53 h. o x~U~ o o i• /33 z 'U' ,08 ' - I~.lo 3 . Total = ?$2.ra q- If item 83 is the same as or less than itero 81, you have met the intent of SBC 6006(c)2. Yotal ezposed roof/ceiling area = 1-112 Total skylight area D k. Total roof/cefling framing area (average 10f) ~1~ 1. Tota1 net insulated roof/ceiling area IS 41 Y.~ OYER Determine ~U~ value for each roof/ceiling se~oent: ,i • ~ x' U' O - ~ k. _ ~~l x 'U~ ,az.8 = .~9 i. r~¢I : ~u~ , n22 - 33, u . iotal - 3 8.7 If total of A4 is the same as or less than 42. You have met the intent of SBC 6006(c)1. , Alternate Huilding Envelope Design To utilize the total envelope system method, the values established by the sum of Items 63 and d4 shall not be greater than the sum of Items At and 92. 1. + 2. _ . , , - . _ 3. + 4. _ . - . . , , ; ~ . . ~ - , ~ __..M: 4 ~ 2 ~ ~ L~ BL ~ CITY USE ONLY RECEIPT SUBD. , ,L~ DATE: `5 ~ 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 for each unit New construction Add-on fumace Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: .r/ ~ 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 @$3AU each) 3, ao . State Surcharge .50 TOTAL 24.~D SITE ADDRESS: 3 ~ ~7 OWNER NAME: S~IAROtiJ X fjld J7ES PHONE ysZ"7 ~3"0 INSTALLER NAME~ ~QOIC~..~ NT9 ANt) A~ ~ Ldr~D v STREET ADDRESS: ~ zr5 /~~ST ~ , CIN: RD Szra~ uNT STATE: rnN Zlp: r~~~ ~ PHONE#:( ) 1/23~3$a2 ~~F~~~~EF~I~ff1T s. • CITY USE ONLY L BL RECEIPT SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are ~t required for each dwel~ing unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.D0 minimum fee ~ 1% of contract price, whichever is greater. ? Processed piping - $25.00 ~ State surcharge of $.50 per $1,000 of germit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR ~ CITY USE ONLY r/ L ~ BL _L RECEIPT a ~ SUBD.~.. ~,:f'~Gc.. ~,1 ~ DATE: g 95 t 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (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 ? = 3• ~ Water Closet 3.00 x ~ = 5'.~ Bath Tub 3.00 x / = 3•~ Lavatory 3.00 x ~ = 9•oz~ Kitchen Sink 3.00 x ~ = 3• o~ Laundry Tray 3.00 x = 3•~ Hot Tub/Spa 3.00 x = Water Heater 3.00 x J = 3~~ Floor Drain 3.00 x ! = 3. U~ Gas Piping Outlet * minimum - ~ 3.00 x = 3• ~ Rough Openings 1.50 x ~ _ Water Softener 5.00 x = Private Disposal ' ~akota cry. iicense 20.00 = U.G. Sprinkler ' home under const. 3.00 = Aiterations ' to existing 20.00 = Water Turn Around 20.00 ~3. s~ STATE SURCHARGE .50 TOTAL ~ SITE ADDRESS: ~ 3 y 4 S e`" e- - OWNER NAME: S~f S i`! u~~1 INSTALLER NAME~_, ~~J~ ° ~ SY f`e l -T`' STREET ADDRESS: `~l°~ i~~`~~"~ Tr. W CITY: ~~vt- G ~3' ~1 STATE: ^ ZIP: ~ -r v 7 ~ PHONE#:(G~2) G8/-BzsZ . ~TGITQ~U{2E°6 PEFFAf(J ~ OFFICE USE ONLY l~_ , L _ BL _ RECEIPT SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ~ all commerciaVindustriai buildings. ~ multi-family buildings when separate permits are p~t 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 INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER 155UANCE. 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. 5PRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,OD0 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: Cf1'Y: STATE: ZIP: PHONE SIGNATURE: ~ APPLICANT OFFICE'USE ONLY METER SIZE: " DATE: INSPECTOR: City otEtau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675-5694 2012 RESIDENTIAL BUILDING Date: c--20—‘ 9 Site Address: 2,,-1(.2 vi (1 - RESIDENT / OWNER TYPE OF WORK CONTRACTOR Name: Use BLUE or BLACK Ink For Office Use Permit#: //"b" Permit �f5 7 Permit Fee: /L l 7 Z6 -12 - Date Received: Staff: PERMIT APPLICATION%i Unit #: Address / City / Zip: .1-1(e 561 In f - Applicant is: Owner Contractor Description of work: hPe. k. "v i. f Construction Cost: 5-6(Vi 00 Phone: Gs- l - z`'lil-rxr&y Multi -Family Building: (Yes / No ) Company: 01'1'010508X '1'010508X 61MS4 w% RAI P rf onttact: 1. --(Vane SSleb,rbafsk Address: G2g9 LIZ111 Si— City: LA lL State: PAA License #: Zip: '1 Phone: 6 b3sz3 95-2 -Zq2 - C5r76 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE: Plans and supporting documents that you submit are considered to be public information, Portloi! the information may be classified as non-public if you provide specific reasons that would permit the Cft conclude that they are trade secrets. of 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.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 1 understand this is not a permit, but only an application for a permit, and work is n. 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 Exterior work authorized by a building permit issued in accordance with the Minnesota S: to y j� ng Code ust be completed within 180 days of permit issuance. x 1 ke>J ✓ 61/10‘‘ i6i6C irk x Applicant's Printed Name Ap Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New )(, Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Pian Review (25%_ 100% \) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level _ Interior Improvement _ Move Building Fire Repair Repair v6 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Pian Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final _ Siding Reroof Windows Egress Window _ Storm Damage _ Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System e) 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 Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector 1:1,crc-c- 5Thi-NA,41-y ktn-y -1)(1"1/6 0 00 Page 2 of 3 • `1\k TRI -LAND CO. Ar -4.1\ SURVEYING SERVICES SITE PLAN FOR : SF}RRON K. HoMEs / C LEGAL DESCRIPTION: LOT_, BLOCK _t ,� }foa it. it�� ACCORDIN TO THE RECORDED PLAT THEREOF COUNTY, MINNESOTA ADDRESS' 4713i'S EM Q 1 1 G E Y, EWE 0 lti AN 4(99) 1 42.00' Iz gin18 gY ( BLOCK 1 4 1 scam 1 "mac' 1= ( 1 is 51 9>Iq► eass�nsnt o��p A MILEY E ? 1 e. DRAMNE is•W n. 89°59' 17" E 81.35' ., EAGAN' ENGLNEE ITG DEPT. LEGEND o DENOTES IRON MONUMENT o DENOTES W000 HUB SET DENOTES EXISTING SPOT ELEVATION DENOTES PROPOSED SPOT ELEVATION �-- DENOTES DRAINAGE DIRECTION INVERT ELEVATION AT SERVICE EXTENSION 1 gV PROPOSED GARAGE FLOOR ELEVATION PROPOSED FIRST FLOOR ELEVATION = PROPOSED BASEMENT FLOOR = ELEVATION R NIN\ R Q. ALkce-t NOTE. VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hereby certify that this survey,plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. Bradley J. SwansAc4) Mn. Reg_ No.15235 Date : 13/2/y',r 411' City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 47zrz / z 7 2012 RESIDENTIAL BUIILDING PERMIT APPLICATION Date: ! Site Address: C/ 3 q(f", `� �cc ,1 (_ ' Unit #: RESIDENT OWNER Name: L •C,f7 L�Ce.y Address / City / Zip: LI -3 L-4 `r'/ Applicant is: Owner Owner X Contractor Phone: 6,I 83 TYPE OF;WORK Description of work: c" `. a C, l\ OU S C. Construction Cost: 8 I ` Multi -Family Building: (Yes / No " ) CONTRACTOR €€ Company: WkAA1 d t. n 9 1-4 Gs Contact: - cuU`-( Address: 15 7 /1,- J -S to ur City: S7`.- P. State: /710 Zip: j S I C� Phone: i '2-'i 5 'Viz.( License #: C�( ?) (C? CI 2- 8 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons thatwould permit the City to conclude thatthey are trade secrets- 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.00pherstateonecall.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 State Building Code must be completed within 180 days of permit issuance. x attil L -6/161c yk< Applicant's Printed Name Pa 4/ A licWnts S pp '' � natur Page 1 of 3 1,166 City atEapn Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2012 RESIDENTIAL /BUILDING PERMIT APPLICATION Z Site Address: ! 3 `0 ,sec(r) Unit #: RE DE T o WNER Name: O Cl-. --rA l,u'CA, t/ Phone: fl'S1 2. 46 05-3 y Address / City / Zip: �—�.5 L7 `e' C czr� c Applicant is: Owner Contractor Description of work: 2e, rooLt 1 ouk. S >°-' qz, G"Q r-. 'C., P�;E�OF OR Construction Cost:/6e • e%26) Multi -Family Building: (Yes / No 1--) CONT2ACTOR Company: aA-L\ /61 t 1" PaContact: c Address: 1 S 7 7 11 i [ -e S G -LC, wCity: S!t- " C( f State: 111 n Zip: S S I 1 ca Phone: l O S 7 2--(-10 7? 27 License #: (a3C i Z-6 Lead Certificate #: If the project is exempt 1?00 from lead certification, please explain why: (see Page 3 for additional information) —L.' )11 ori In the last 12 months, Yes No 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: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: O E Pians and supporting da c encs f �t yosubmit are:consrder d o • e ► ro orma.#t • tze rnformatton ay ie cla s►gei a no pub � � u °v pec f reaas • w %d • e 1 _ .. ' • .. W c • nciude th they are ra• s re . • rt�oo G . 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.qopherstateonecall.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 State Building Code must be completed within 180 days of permit issuance. c1/4.0 l fan -e-ri ��Lc / GT j/iipeo__ Applicant's Printed Name Applic= is Si nature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA175418 Date Issued:04/01/2022 Permit Category:ePermit Site Address: 4346 Sean Ct Lot:7 Block: 1 Addition: Lexington Pointe 11th PID:10-45095-01-070 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Michael P & Teresa L Lanenberg 4346 Sean Ct Eagan MN 55123 (952) 232-7696 Superior Builders Inc 6361 Sunfish Lake Ct Ste 400 Anoka MN 55303 (651) 615-0065 Applicant/Permitee: Signature Issued By: Signature