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4835 Shevlin Ct CITY OF EAGAN SEWER SERVICE PERMIT 3833 Pil4t Knob Road f~ .l <<'i; P. O. Box 21199 PERMIT NO.: ~ Eagan, MN 55121 DATE: 9-9 Ionirq: P 1 No. of Units: 1 . p,,,,ner Tollefson Bldrs Address: Site Address: +13 4$35 Shev13n Court L3 B1 Brlttanv 4th Plumber. G~-'nz R an 9-9-83 38516 100.00 p Igyne h eemvh? wuh ebs Cihr oi Ee98n ConnecNon Chorpe: 425.OC ~d Oedinenem AcwuM Deposit: Pe?mit Fee: 10.00 pd suK?,arye: .50 nd gy Mrsc. G,oroos: Date of Insp.: Totol: - Insp,: Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 383~ Pilet Knob Road P. O. Box 211gg Eagan, MN 551 1 PERMIT NO.: 5061 ,2 p~ 1 DATE: ~ Zonlny: Owner: Tollefsou Elars No. of Units: Addrosx Stre Address; 4835 Shevlia Court, I.3 B1 Brittany 4th Ptumber: GF.nzRqBtz Meter No.: Size: Connection Chorge: 45 • ~0 pa Reader No.: Acwunr Deposlt: ~ e4ra~ !o ww Permlt Fee: p - * wilh tAt Cihr oi Gypn $urchorge: • 71 Or/ieanea. Misc. Charpes: To•OC pd metei' BY Total: ; Date of insp.: DOt° Pofd: Insp.: 1NSYEU1'iUN ilE(:UKD CITY OF EAGAN PERMIT TYPE: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ • , ~3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ` APPUCANT• ' i VI TN f'T PERMIT SUBTYPE: TYPE OF WORK: . , i i ~ , ~ . • • i ~ r 1~ t } ~ ~ ~ 1 ' , i ;q INSPECTION DA • DA ~ ~ Permit Holder Date Telephone # PLUMBING HVAC Inapection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CoNOUCriviTv TEST HYDROSTATiC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL cirr oF EAGAN - ~ 3795 Pliot Kwob Raed Eoyos, MN 55122 846~j PHONEs I54.8100 BUILDING PERMIT Receipt ~j To be w.d ier SF DtaG/GAF, Est Value S'},ero pate SepL,::mber ° 19 63 Stro Address aev n .o«rt . 1 /+th Eroct {l• Occupancy 3 I;rittany Lot Block Sec/Sub. Alter Q Zoninp Parul # 10-15003-030-•01 Repair ? Fire Zone `o e son u eTe, nC. Enlarps ? TypeofConst. W Na""e Move ? # Stories ~ Addrqps 55: or~roo r ve pemolish ? Length~..~ Ci L`1•^an ' 5 ~ - i Gmde p Depth Sq. Ft. g - 1c'-r Approvols Foos ~ Name Addross Assessrnent Pem~+it : 50 ~ Cit p~Te Woter 8 Sew. Surclwrpe Poliu Plan check_75 = G' Name Fire Address Enp. WoCter Conn. 4 5~~ ~ W ci phone Plonner Woter Meter .2 5 f)(). Coutxll Road Unit I hereby ocknowledge thot I have read this opplication and stafe that gldy. Off. the intormotion is corred ond agree to comply with oll opplicoble T~Q) 1~i77tl.50 State of Minnesota Statutes and City of Ea9an Ordinances. Sipneture of Pem+ittee T$}}.eFs.oT %244d----- , II1C. /1 Building Permit Is issued to: on ths express wndition ihnr oll work sholl be done in acoordorxe with oll applicoble.Stote of Minnesota.5tatutes-m+d-t'Wof Eogon Ordinances. 8uildirp Offlciol Parmit No. Permit Holder Misc. Permit No. Holder Plumbing '7C.~ fAL-~ q' H.V.A.C. 3~Q C~ E h2 • F- Woll Water Dfsp. Sewer elect.ic ZZ Inspection Date Insp. Other Footin9s -z-$3 R W Foundetion Fnminp rJ' r r ~ ? Rouph Piby. Rouph HVAC lowtation Finsl Plbp. Final HVAC Finel ' . ) W~r Dqcribe Location: w.n sewe. ' Pr. Dfsp. . , . Receipt - PWMBING PERMIT Permit No. CITY OF EAGAN • Fee Fi!l rn numbened spaces , S/C Type or Print /egibly Tot. ~ 1. Date r; 2. Installation Cost I:e- L,/.,,., 3. Job Address Lot Blk. Tract 14, 4. Owner i r...-~ 5. Contractor ,r 4- . ~7:7'i .'.)r, - Phone 6. Address ~ -t- _ 7. City State ~ I 1 ~1/ Zip 7 8. Building Type: Residential Commercial ? Institutional O 9. Work Description: New Er Add O Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank ~ Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray ~ Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby cenify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for • , _ Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Parmit No. CITY OF EAGAN pee : ~ fill in numbered spaces S/C Type or Print /egib/y Tot 1. Date `2. Installation Cost ~ t~ 3. Job Address LotBlk. Tract r J 4. Owner 5. Contractor -....o. Phone / ? ; 6. Address 7. City t^ State - Zip 8. Building Type: Hesidential L`f Commercial ? Institutional ? 9. Work Description: New Ef Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. E,puinment BTU - M. Ea. No. Equipment CFM Forced Air i Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. - Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes gpverning this type of work. Signed : for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 ~ PERMIT # gS~a j~,~ MECHANICAL PERMIT RECEIPT # y y O CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: (I r PHONE: 454-8100 Site Address ~ ^ 5 k't ? " BLDG. TYPE WORK DESCRIPTION Lot 2 _ Block Sec/Sub Res. ?~New , . , Nam Mult Add-on ~ -_6 wEsf 1A* Comm. Repair Address ~ 5540 ~ Ciry d?42656Phone _Other _ Name f' i.Ji/ ` f c+,J FEES ~ RES. HVAC 0-100 M BTU -$24.00 c Address - ADDITIONAL 50 M BTU - 6.00 p City - Phone ~ (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1 % OF CONTRACT FEE Forced Air M BTU APT. BLDGS, - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLJES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. /M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other ~ FEE S/C: TOTAL: '•~t ~a ~~`~/8l FOR: ITY OF EAGAN CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DA7E 19 R<CRI V [D . FROM AMOUNT $ I R OOLLARS ~oo ? CASH ? CHECK FOR FUND CODE alAOUNT Th k ou ; ` BY White-Peyers Copy JI Yellow-Posting Copy Pink-File Copy CITY OF EAGAN N• ~ g465 9795 PIIM Nnob Rmd Eagon, MN 55121 iHONEs 45~-8100 BUILDINC PERiMIT Receipt Te M aud for SF DWG/GAR Est.Vnlue $59,800 Date September 9_, 1 q 83 Siee Addreu 4835 Shevlin Court erecr gj{ Occuponcy R-3 Lol 3 Black 1 Sec/Sub. Brittanv 4th Alter ? Zoning R-1 Parcel # 10-15003-030-01 Repcir ? Flre Zone NA Enlorge p Type of Consf. V rc Name Tollefson Builders, Inc. Move ? # Srories z 1655 Norwood Drive 48 Addreu Demolish p Length_ ci Eagan 55122 Pho~ 454-6873 G.ade ? Depth 35 Sq. Ft.- ADprovals Faea p Name Q~nex Address Auessmenf Pertnit 310.00 Cit Phone Water & Sew. Surchnrge 29.50 Police Plon check 155.00 ~ ~w Name Fire SAC 525.00. 4z Address ' Eng. Woter Conn. 4.59-.0.0 <W CI Phone Plonner WaterMeter 60.00 Council Rood Unit 250.00 1 hereby acknowledge thot I have read this opplicarion ond state ihat gldg. Off. the inlormation is correct und ogree to comply with all applicable AP~ Totol ~'779.50 Srote of Minnewta $rotutes and City of Eagon Ordirances. Signoture of Permittee o e son uiT ~ ers, Inc. A Building Permit Is issued to: on the express condition thai all work shall be done in occordance with all applicabb i of Minn'~ tatut of Eapon Ordinonces. Buildinp Offlciol < 2 4 rnis reaunst voia 18 nqnths from E 19211 RequeY~s]ale Fire No. Ro . in Insuoction ~ fle?u ed? Reatly Nuw ? Wiil Notity Inspec- 1'es o 'm When fleaCY NX iCensed ElecVical ConVnctor I hereby reques~ inspecHOn ot above ? Owner electricel work inutallad e1: . Street Address, Boz or Poute No. Cob A ecuon o. Townshiv Name or No. Range No. Covmy ~ l Occu ant IPRINT) Phone No. a Power SuDPlier Atldress Elect ical Concractor (Company Name) Contrxctor'S License No. L;S~,~n 's Mailinq Alldress IComr r or Owner ekfn0 lnsieilationl L c-Irrvcn, I~C. ~eEe~.Gle. Rv Aothorized S7 t e 1 haaor/Owne kine Inslallationl Phnne Number 7 3&= Fr .6 MINNESOT STATE BO F ELECTNICITY THIS INSPECTION NEQUEST WIIL NOT Grigps-Midwav Bitl - om N-791 ¢ d~ BE ACCEPTED BY TME STpTE BOARD 1821 ' . t. Paul. MN 55104 UNLESS PflOPEP INSPECTION FEE IS Pho e (61 42-0809 +f~~~~~a er+cLoseo. REQUEST FOR ELECTRICAL INSPECTION E¢B '0/00~01-OS , , See instruclions tor com0leling this lorm on bxck ot vellow copV. /J T"t~U J E'19211. "x" Re,oW Work Covered by Ihis Request Fdd flap. Type oi Builtlin0 APCli a..ea WireE Equiument Wlred Home Range Temporary Scrvice Duple,x Water Heater Liyhtiny Fiztures Apt. Building Dryer Etectric Heaunq Commerclal Bldg. Fumace Silo Unluader Intlustrial Bldg. Air COnditioner Bulk Milk Tdnk Farm oNer Peci v .tner ISVecifvl t .r $Uer.i y thcr Othm ompute lnspection Fee Belaw -p Fea SarvicaEnVenceSize tt Fee Feedars/5ubleeAers N Fon Cimuils 0 to200Am s 0 to30qm s Otn30F~m Above 200 Amps, 31 to 700 Amps 31 to 100 Am s $wimming Pool Above 100_Am s Above 100-Am 5 Transiormers Irngation Boort~s Partial•~Other Fee Signs Speciallnspection S TO FEE R¢marks ~ HouBh'i^ D'1fe I, e Ele Insoector, he,eby cerlify thxt the above Final inspection has bean ~pL -ee. This repuest volA 1B moniM irom ihis request voitl x~ 1/-r~ 30 ? s' '7 1 8 months trom q••Z, Z L 3 ~T04Q 7 3 T A tln4; yso Hequest Date Fire No. RouOh-in Insuection fl qw red? ~Reatly NowA Will No lity Inspec - ~ ~es ?No tor When;Peady y Licensed Elec[rical Contractor I herebv request insoection oi above Owner alectrical work instelletl at: Sveet Atldress, Box or Rome No. Ciry ~f~3s ecuon o. Township ame or No. Range No. Cnunty Occupant(PfllNT) PhoW 'lC 2lCS Power SupPlier Address Etectr- I Contractor tCOmpany Name) Cnnhactor's License No. Mailing A ress (Contractor or Owner Making In IatioN ~ 7 41_ t,54 - ~ Authorized SiBnature ( nVactor/Owner M kinq IristallatioN hone ber ^y - U~ MINNESOTA STATE BOAPO OF ELECTRICITY THIS INSPECTION flEQUEST WILL NOT Griggs•Midwey Bldg. - Ibom N•791 BE ACCEPTED 9Y THE STpTE BOAND ' 1821 UniversiiV Ava., St. Peul, MN 55109 VNLESS PflOPER INSPECTION FEE IS PMno 16121 2972111 ENGLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooooi:oa ' See instructions }or complating lhis form on back of yellow copy. A'~ n,~~ '"X" Below Work Covered by 7his Request 3$7 S 3 ll:io .i Add flep. Type ofi Builtlinp Appliances Wiretl Equipment WireA Home Range Ternporary Service ~ Duplex Water Heater Lightiny Fixtures Apt. BuilAing Dryer Electric Heatin Commercial Bldg. Furnace Silo UnloaJer Industrial Bldg. Air Conditioner Bulk Milk Tank Fafm O e. y OtherlSpeci/yl t er Suen y ~ Othor Compute Inspection fee 8elow q Fee ServiceEnirancaSiza ti Fea Fnxdars/5ubleetlers 0 Fez Circuits QD 0 to 2U0 Am s 0 to 30 Am s ' ta 30 Am s A6ove 200 qmps 31 to 100 Amps 1 to 100 Am s Swimmin Pool Above 100_Amps Above 100_Am s TransYormers Irrigation Booms Partial%Other Fee Signs Speciallnspection TOT flerrarks 7'~ 0 flough-in Da?' ~p . th AI i } /~Q Inspecloq hereby e~tify thai the ebove Final nspection hes baen mada. Thia repuest vmd 18 months trom CITf: CF FAC'~AN Inclu9e 2 sets of plans, site plan w/elevations & /D .6 Py.,rr_~ HUILDING PEEd~ffT APPLICATION 1 set of eriezc~y Calculdtions. b Y.~v sed Fbr ~ Valuation Sq ODO Date Site Address rnw-E- GFFICE USE ONLY Iot ~ B1oCk Sec./Sub. Occupancy 3 Paroel tD ~ 5o0 ~j Q30 A1ter Zoning Repair Fire Zone Ourner: ,=if'P, ~I('4pz Enlar7e _ TYpe of Const. AddreSS, Abve # Stnries A/R Dertnlish Front ft. City/Zip Code: Grade Depth 3.s ft. Fhone • APPFd7VALS F'EES conrractor: Assessner,ts Pezmit .310 Address: water/Sewer Surcharge 'zy ~--0- (~~nVW%,V~~ ~IVPi police P1an Check jz9- City/Zip 0:)de: Fire I, SAC .SaS ~ WatEr Conn. S~ Phore -`>~4- ~ ~r Water Meter , Council Finad Unit ~ Arch•/ETg' ° Sldg. Off. Address: APC City/2ip Cgde: Phmae r-1 7MAL 11 t 4 ~ ~ ~ Tollatsaoa Ruilders, Ine. ~ CUSTOM AF.S/CN6I) HOMES 1655 No(wuotl Drive . . . . E,wen. MN 5ti 122 , Plwir (612) 46{4iB7a , . . - . . ' . ~ . September 9o 1983 City of Ba,gari ,3795 F'ilot Knob Road . P.O. Box 21199 . Ea6anr Minnasota 55122 REc 4e35 snevlin court Lot 3' B1oak 1y Brittar~y 4th Addition Thia letter is to aaknowledge that we, Tollefson Buildera Inc., are building at our own riek at the above mentioned property. Tollefson Builders Lna. flurthar acimowledgee that we will aesuwe full responsibilty in the event that the Fagan City Council denlas the aaoeptanne of the Waiver of Plat Wopoaed. 3lnoer so Carl R. Tollefaon~ President • Tollefson )~uildera Ina. Tollefeaa Bulldere A / Oc.11447 , . /v i83-77 SCALE: 1"=36 JACKSON - SURVEYORS 0 ~Eh.107E.S IROhI EXIS7Ih7G E-L. ~ D R A I N A G E W"ISscaEO vwocn uws aw 6rwri os YIMMWTII I 3616 EAST 55th S7REET, MINNEAPOLIS, MN 55417 72734&1 I $tiCbtpOT~f! d[tff11[8tt ! Q I I ~ A+ ~ 4J ~ ~ 177.40 ' v, ~ 110 FfDRA11N4VE ANU d ~ ~ ~TI~irV EA5,EMEFJ73 /ac N) 4Ar Q ui Y ° LOT 3 ~ • ~ $ , < \ ~ 0 ' q ui Z Z - vi r'l5.02 ' r ~n 30 3000 SvIKE 3~k I DO PTd,pD88d G2t.l$! FlDOt E16V. -1 Z._.{)' Proposed Baeemsnt Floor Elev. 48.0 Prapaeed Firet Floor Elev. 106.0 l MERECT C[RTIFY TNAT TN[ ABOV[ 19 A TRUL AND CONRFCT rLAT OF 11 SURYR' OF i Lot 3.Block 1,11rittaoy 4th. Addition,Dakota County,Minn. As sUpV[Y[D \Y Y[ TMIt 27th. -MY OF ,Yly , p 1983 #IMA4NMffp~ffA C.J CKiON. RwtteM. NO. 8000 !%2'.~ti t ~ t ,.r ~ ' i i ..3 ~ : ~ „j'~•. i ' Pj~~ f" ra~~~~,r• ~!~it"~`~ L.s1~ . . 1 ~:~~~?[.C~~ F-Ih Ph.one E324-111K . , . , ; _ , C_~"'~ PI!lIi EttfirT?y ~ t . r.r.nn r-.s T:.-^sC.T0_*.' I.~_-, ~ . . - , ADDi'1'£LT3 r ATre , I'7?'x:0i; AI-' r•jJc~ C0=3rUZC3 b , ro on ?^ros~?s 1i<-,C~' .1, 0 • .ar>a. <no re o~ o - . ~~:~e - . . ' . . . . . . ltPZ CC1cFq}6VT . . ' ' ~ . . ~ . Ct=1 ..,.~wr50rs . ~ . Ttl~:9L ~'Qa F''1 ~e C~ ' D9~~. : F11~...~ , S. ~ ~i . . . ' ~ c" Qn f~ I... I7L nr` i IV~. i11~ V TT s;S n TI7 . iCS ~~i l~n_rJ ^ ~~3-i~ gL3UL•~4~L~~ F!' 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'~:..~i n . /YSrt+ • ~ . . . . i}} . A ' , , r, - ~ ~ 77 \ n.~ ~ ~ ~ ~ • ~ . . ' 1 - . - A ~ . . ' . . . - . . r w'r mr, ; . ~ . . . ~ . , . : . . . . : . , . . . . ~.r';. r e } 'TT' ~ . . . . ~ ~ J _ !f R-/7"~ . q 4 . Y 1 ~ 1 1 t : . . . . " . ~ ` ~1..1, ~ catu~t-~* FiNSU~,p ~tC,~cvA~.lS ' ; L ~ 4 'lot j ~ f~ ~ r Ltv~,,:~ , . ~ ~ `cl'~ r,~~! ~Y~ ~ I~j<iL ~ ~ ['I ~ ~~it~c:•.::' 1tetQi 0 CITY OF L'-"AGAN CASHTF_R: F.; 7FF.MIA1FlL. N0, ~86 nFl7F:: iti/16/98 T7ME: 1.5:42:5i SD,; UAMEa F'ANI'I..CI;AF7 01- M:CNNE50T'Ay INC. 32:I.0 9001 2850 I...ki.XGTN AVF 1ii2.,25 215.°r 3009. 2850 LEXL"T'Pk AVE 5.00 3210 9001 1173 DUCKHUOD B 1.241.75 2155 900:1. 1.1.7:3 DI..lf;P;WOC1L1 "i1 3.50 :3210 '?OOi. 44335 SI-IL'JLTN CT I.J.2.25 24.J`, 9001 4835 SiHE'VI...TN CT 3„00 Tota]. (ter.eiryF, t`dnalnF,: kd.0.75 CRD9E3 ~i'3 UE;t'_R NANrY ?%~~>!c~~~k>k~X:~F~,c~k ~~:%kX~~k~~k~'d%X>R~KM~k~hYW'~XXc~X>Y.#~kXs~~ PERMIT CrITftF EAGAN 3830 Pdot Knob Road pERMITTYPE: auzLozrvs Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 7 0 6 (612) 681-4675 Date Issued: 1 B J 16 J 9 8 SITE ADDRESS: 4835 SHEVLIN CT LOT: 3 BLOCK: 1 BRITTANY 4TH P.I.N.: 10-15003-630-01 DESCRIPTION: REROtlFJREPLACE TRIM Bu3.ld'sng'-Permit Type SF (MISC.) ~uilding Woerk.. Type REPASR f'Gensue Code ~ 434 ALT. RESIDENTIAL r . ~..ra't ! . ~ /~"i 4 i ~ f t _ j~~~ t"".i REMARKS: FEE SUMMARY: VALUATION $6,000 Base Fee $112.25 Surcharge 00 7pta1 Fee $115.25 I CONTRACTOR: - ppplicant - sT. Lzc. OWNER: PANELCRAFT OF MN INC 17216628 0002179 WNEKIEWICZ ANDRZEJ 3118 SNELLING AVE S 4835 SHEVLIN CT ~ IdSNNEAPOLIS MN 55406 EAGHN MN 55122 ~ (.612) 721-6628 (651)452-9261 I hereby acknowl,edge that T havs read this appl3cation and staGe that the ~ infprmatioYti 3:s carrect and agre(R to comply with a11 applicable SCatc of Mn. Statutes and City of Eagan Qrdinances. O_ A ~ 1 APPLICANT/PEFMITEE SIGNATURE ISSUED BY: SIGNAT E t 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3830 PII.OT KNOB RD 65122 681-4675 ~ New Construction Reauirements RemodeVRenair Requirements ? 3 regislered site surveys ? 2 copies of plan ? 2 copies of pWna (inGude beam d window sizes; poured fid. design; etc.) • 2 sRe surveys (exterior additiono 8 dedcs) ? 1 energy plalations • 7 energy wlculations for healeA additions ? 3 copies of tree preservation plan N bt platted after 711l93 required: _ Yes _ No DATE: CONSTRUCTION COST; DESCRIPTION OF WORK: ~ 1'7,f7 ~roo ~~fr~ m STREET ADDRESS: Z/ j 3 S 5~I P v/iv~ ~ ur ~ LOT: BLOCK: SUBD./P.I.D. xame: VVneKrewicz Aridrze ( Phone#: 7sOZ-` YROPERTY Lml Firsc OWNER / Street Address: '7 Z3 6- 5~/ 'e City j!!~- GL # CL i'1 State: /w Id Zip: a~--- Company: i"e-, Ag'" Phone ?a / - ~O 6 a 9 CONTRACTOR ,Q~~ ~j Street Address: .3 ~~n,A 0(/v'e- S License # ~2 l 7 / City ~ l..S State: Zip: s S`f D~ ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: Ciry State: Zip: Sewer 8 water licensed plumber (new construction ony): . Penally applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is wrrect and agree W compy with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY II ~ il / Certificates of Survey Received _ Yes _ No , Tree Preservation Plan Received _ Yes _ No _ Not Required I OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 13 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Pubiic Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace O 21 Miscelianeous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New O 33 Alterations ? 36 Move ? 32 Addition 34 Rspair L' 37 D.rrsolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) 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. Depth Footprint sq. ft. SAC Code . Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 5 (22 S-0, ~ v Surcharge Plan Review License MCNVS SAC ~ City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. . Other Copies Total: ~a s % SAC SAC Units Council Minutes ~~),~~2 Octo6er 18, 1983 TOLI.EFSON BQILDERS - SiAIVEit OF PLAT ~ ~ An application of Tollefson Huilders Inc. for waiv , er of plat to shift a lot line for ot ~ - F1~_3.,_Block"1=,_ Sritta_ny~Ith Addition_cias next considered. The request is to shift the lot line 3 feet to the south in order to accommodate the setbacks in accordance with the zoning ordinance, noting the surveyor had made a mistake in laying out the house plan on the lot, with a proposal of 7 feet from the side lot line versus 10 feet under the ordinanee requirements. The Planning Commission recommended approval sub,ject to certain conditions. Smith moved, Thomas seconded the motion to approve the application, sub,ject to the following conditions: 1. To provide that the lot has a minimum 60 foot width. 2. Drainage easements shall be reviewed by the Engineering Department to assure that they fulfill all of the requirements for easements requested by the City Engineer, including the granting of neW easements and easement vaca- tions where necessary. 3• All other ordinance requirements shall be adhered to, including alI setback requirements. All voted in favor. R 83-66 TOLLEFSON BDILDERS, IAC. - BRIITANY $'IH ADDZTTON - SETBACK VARIANCE A request from Tollefson Builders, Inc. for reconsideration of setback variance for,Lot 12, Block 1, Brittany 4th Addition was presented to the Council. On Octo6er 4, the Council denied the application based upon lack of hardship. The developer has now submitted a site survey which was presented to the Council and the staFf indicated that because of the level of the ad,jacent pond, and the fact that the house may have a negative visual impact on the ad,jacent property, that it would be appropriate to allow the variance. Public Works Director Colbert concurred that a temporary hardship does exist, due to the existing location and the elevation of the lake, which eventually will be lowered. Smith moved, Thomas seconded the motion to reconsider the application. All voted in favor, noting the high water wou2d be the reason for the need for variance. Bill Dolan, Engineer, and Carl Tollefson appeared for the applicant. The owner of the ad,jacent property, Lot 13, was aiso present and indicated he had no objeeLion to the application and favored Lhe request for the variance. It was noted that Lot 12 is in a cul-de-sac and the staff recommended approval, noting that it would be more aesthetically pleasing to move the house closer to the front 1ot line. After discussion, Smith moved, Thomas seconded the motion to approve the variance on the basis of the information submitted by the staFf, noting that a hardship did present itself because of the lake Ievel. Mayor Blomquist indicated that she had concerris about parking and concerns about setback, 6ut Mr. Runkle stated thaL there would be a 13 foot boulevard, plus the setback from the street right-oP- way. Those in favor :rere Smith, Thomas and Egan; Wachter and Blomquist voted_ ~ no. ~ 6 APC Minutes September 27, 1983 1. The waiver of plat shall be reviewed by the Eagan Park Commission and subject to the Park Commission's review and comment for commercial park dedication. 2. The applicant shall submit all easements as requested by the City Engineer. ' 3• The waiver of plat application shall be reviewed by the Dakota County Plat Commission, because the lot split abuts County rights-of-cray. 4. All other City Code requirements shall be met. 5. The developer shall provide an asphalt base temporary trail along Pilot Kno6 Road, across Parcel A. All voted yea except Hall who abstained. ~ TOLLEFSON._BOII.DERS,_SNC.--._UAIVSR._QF.PLAT- , The next hearing concerned the application of Tollefson Builders, Inc. Por a waiver of plat in regard to Lot 3, Block 1, Brittany uth Addition. City Planner Runkle presented the application indicating that there have been two prior variances due to surveyor errors resulting in the construction of homes which encroached upon side lot setback areas. It was noted in the present case the house was 7 feet from the side lot line. Therefore, it was necessary to shift the lot line of Lot 3, three feet to the south to meet the setback requirements. However, this ereated a problem in thaL the adjacent Lot 2, would then only have 57 feet of width at the front setbaek line. Therefore, staff had suggested that waiver of plat also add an additional three Peet to the south side of Lot 2, reducing the lot width of Lot 1 from 75.25 to 72.25 feet. Hohne moved, Wilkins seconded the motion to recommend approval of the waiver of plat for Lots 1, 2, and 3, of Block 1, Brittany 4th Addition so that side yard set6acks could be met and eaeh lot would hav.e a minimum 60 foot width, sub,ject to the following conditions: 1. Drainage easements shall be reviewed by the Engineering Department to assure that they fulfill all of the requirements for easements requested 6y the City Engineer, including the granting of new easements and easement vaca- tions where necessary. 2. All other ordinanee requirements be adhered to, including all set- back requirements. All voted yea. l . r 4 RESIDENTIAL BUILDING u Permit Application City Of Eagan 3830 Pilot I{nob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New GonsWC6on Reauiremenfs RemadeVReoairReauirements Oifice Use OnN 3 registered site surveys showing sq. ft o( lot sq. ft. of house; and all roofed areas 2 copies of plan Cert ot Survey Recd (20Yo maximum lat cover.q{e allowed) i set of Ener9y Calculations for heated addi6ons _Tree Pres Pian Recd 2 capies of plan showing heam & window sizes; paured found desgn, eta 1 site suney for addNons 8 decFS _ Tree Pres Not Reqd 7 set of Energy Cakulations Add'dion - indicate donsRe septic system _ On-site Sepfic System 3 oopies of Trae Preservation Plan if lot platted after 711/93 - Rim Jaist Detail Options seleclion sheet (61dgs witlh 3 or less uni5 Date ~115~ l 03 Co/n'struction Cost r~0, C1Z~l~ Site Address ~ Ly E V( 1 C..~ UJ R- - D iUSte # o Descriptian of Work b~ i i(J ~ X, Z ,S"O"j /4w Mutti-Family Bldg _ Y_Y_N Fireplace(s) _ 0 I _ 2 Property Owner &D22 F-~ (iL/nl 1Ek- ! & I-t) 16Z- Telephone # (&5-/ Contracror S d~ Address ~~{Cj ~ pfrl,~ City 1kJz1_ State ZiP Telep6one # COMPLETE THtS AREA ONLY lF GONSTRUCTING A NEW BUILDING ~ - Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (d submission type) Submitted Submitted . . Energy Enveiope CafcuVations Submitted Licensed Plumber Telephone J Mechanical Contractor Telephone # ( ) Sewer/WOterContractor elephone r i 1 nr n ro )M7 I . . ~ u . I hereby apply £or a Residential Building Permit and acknowiedge that4he info~tn~tia ' plete 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 he in accordance with the approved plan in the case of work which requires a review and approv of plans. JL iloR," ~ff 60~ rL ApplicanYs Printed Name ApplicanYs Signature • OFFICE USE ONLY r'w Sub Types " O Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. A(t - Mufti ? 03 01 of _ plex ? 09 07-plex ? 17 GaraBe k22 PorchlAddn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding x 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundadon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement , •Demolition (Entire Bldg) • Give PCA handout to applicant Valuation e,40 Occupancy R-.3 MC/ES System - Census Code 1-131 Zoning City Water SAC Units Stories Booster Pump - Nbr. of Units Sq. Ft. PRV Nbr. of 81dgs Length Fire Sprinklered - Type of Const 17 Width REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ~ Footings (deck) ~ FinallNo C.O. _ Footings (addition) Plumbing _ Foundation ~ HVAC Drain Tile Other Roof 4t 7ce & Water ~ Final ` Pool _ Ftgs AirJGas Tests _ Final ~ Framing = Siding Stucco _ Stone Fireplace ~ R.I. 4~-Air Test ~ Final Windows (new/replacement) ~ Insularion , Retaining Wall Approved By , Building Inspector Base Fee 3,9 y~ e2,;~q = 30 surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total r „ . i . !ub 7itr Address: "CATEGORY 1" ALTERNATE F4R city oFaagc 4NE & T`N"O FAMILY DtiVELLIrTGS --•--INSTRI-CTIONS: This alternative may be used for ono- and twmfamily direllings built to mret the Categorv t requiremenrs of >[innesota Rules, Chapter 7670. Complete P3rts A, B. am! C. Cleyly mark plans with: insula[iun R-values «indow attd skyligttc (J_ ~slues; siz= and rypa of zquipmanr, aquipment controis; and location of v3por rersrdzr and windwuh barriers. iv(ore deqiled infurtnaaon :an be iound in the .Llinnesora £nerV Cadr summary shceu available irom the Minnesoca DeQartmen[ of Commerce. Part A. BIJILDING ENVELOPE Chcek proposed rnvelopejoint sealing opcon 4 0 Pracripdve (eaWking. gsskea, ace.) ? PertoRCUnce (mse pec 7670.0470 subp. 7.C.) . Chcek rhermal rnergy wlailadon oprioa used + ?"Cook6aolt' (complCe worksheet heiow) ? N[nChak machod (atutch eeport) . O Pedormmce (artxh C;-vahne alculadons) ? Svsuma Analysis medwd (anach aaalYsi%) "Cookbook" Worksheet `rf~~o ,~k-`~o~'d 5 ~ O Ceiling fraulauon: N(inimvm R-33 Wich 7h" energy heel: or Lvs-r*.AL:enous 'vtinimum R43 with law avss hael; or Scep I. Chack ieem(s) rfuc Cesip meeu on.bf+rtunum Reqv'vemenu list Minimum R-3S with R•: sheachin2 when no attic. :o ;ha riy.c Must ^rc a[I sams :o use "Cook6ook" apdoa En¢v Doo+s: Mar. (i-va[ue oi 030 or 1?'." mlid wood with scorm Sc:p InGia:r proposrd •wall ;pa on rable betaw. Rim Jois: [nsuladon: MGnimum R-l9 S.ep i. Lldica:a 0.'icCow (,'-v" and source. ftooa over w1con'utioned saaces: }fini:n:r.: R-_'9 Smp 4. Ver'rv :ocal winCow (inc!uding am ot a11 Foundation windous) Fouu'a¢on [nscla:icn: >tuilmum R- 10 and Ccor ares is _qi:al or !ess chan allowabie pe[crntage. FounCauan winLows: insulaced ¢lass. wood ar vinvf tnme TABLE FOR DETERNfPA:\G hLJLXDIGNI WiYDOW a:YD DOOR AREA ' Nlaximun Allowab(e Toral Window az;d Daar:lisa as aPareenLZ¢eoFE.'coo5edW3ll-=~ L°/a 14% 16% 38°.'0 20% I:2°/s 24Yo 26°G 289L Wall T~ (SmrCard Frafctin¢): Maximmo Avera¢e Window tr-valc: (excpt foundacion wicdows): 7'_s3. R-li ir.>u[anon. R-7 sF.rachia 0.55 0.47 0.31 036 0.33 0.30 0.27 025 023 D ?xl. R-IS i:sulacicn. R•: >hearhin 0.52 0.35 0.39 ' 0.31 1 0.23 0.26 0.24 022 Z) 2x6. Rd9 insuladoa <R-: shrsdun 0.48 0.41 036 0.32 0.29 0.?fi 011 0.22 0.2I /r J 2s6. R-19 insulatioa R3 shea[hin 0.56 0.48 0.1? 0.34 0.31 0.28 0.26 024 ~?x6.R-?linsulatioa<A-itheaxhin O.SI 0.43 0.38 0.34 0.30 018 0.25 013 0.22 . C) 2x6. R-2I insularioo, R-5 sAeatkin 0.58 0.50 0.44 039 035 032 019 027 025 Wall T Advanced Framia : Maxim~ Av Windaw U-value exe t fouadadou windows): O 2s6. R•l9 inwladoa <R-S sheathin 0 S2 0.45 039 0.35 0.3I OZ8 0.26 024 022 • 2x6. R-t9 insulatioa R-S sMathin O38 O30 0.44 0.39 0.35 0.32 029 027 O]S : ? 2x6. R•21 insulaaoa <R-3 sha[hin 0.53 0.47 0.41 0.36 0.33 030 OZ7 0?3 013 _ Q 2z6. R-24 insulauon, R-3 shaathin 4.60 OS2 0.46 0.41 0.36 033 030 018 026 - Window U•value: ~ Sause: 0 YfRC ? ASHRhE 1993 Handbook ~ 100 XI 16D -1- I~![ -02-5 I= • 6° <'JSL_L~Z2,~ window & door area $oa exposed wall atct DESIGD7 ALLOWABLE (from n61e abave) MlNNESOTA ENERGY CODE - WHrcx RuLES Ma r 1 UsE ? TYPE OF RESIDEY7IAL BUILDING APPLICaBLE RULES DNaehed R-1 xcupaney 1- and 2-famlly dweUlnQs Chapra 7672; or Exam ies: tin le famil . twin homes, du la<es Chapter 7670 "Caee o l" with suturo de ressuriurion and vencilarion r uiremmts Attached R•3 aeupaney dweltlnYf Chapter 7674; ar H:cmn 1as: trilex townhouses vid row houses ChWa 7674 with eithtt"Caieaorv 1" or "Cate orv rovisioas R•t acupaney 6uildloqf of 7 ttarles or leu Chapctt 7674; or Exam les: condominiums or uenenn C c 7670 wirh eidher "Caee orv I" oc "Cam o 2" rovisions R-t xeupaaey bulldinp over J storlrs dfQ6 Chapter 7676 . E.ram In: hi h rite condas or a arenenb rm)7L- _ . _ . . . . - --er....a...__ n,.t. r.i...hnne NuIDbti Summary of April 15, 2000 Energy Code 12equirenielits fur Detaclied 1&2 Family Resideutial 13uilcfings Code requiremenl OpNon A- CAapler 7670 Catcgory 1 as amenJal by Laws of MN 2000, Ch. 407 Oplion 13 - Minnesola Rules Chapler 7672 1. Matenals & e w ment Plans and Plens and specifications must show design criteria, exteriur envolupe Same except with additional requireJ items: location oC intrrior air barricr, specifications componrnt materials, U-values of the emelope systems, R-values uf insulaling vapor relarder, and winJ wasli barrier; idemiticaiiai ol air sealing requireJ; matttials, size and type of apparatus and equipment, and equipmenl aud U-values of windows, doors and skylights and nthrr iufurmaliun needcd ip s stems controls. determine com liance (such as re uired ventilatiun s striu & make-u air). 2. Foundatioo wall Insulation Cookbook requircs R-10. Trade off pennitted with MNcheck. Cuokbook has options for R-5, R-I0, or R-19. 7'rade-off pemtitteJ with MNcheck but not less Ihan R•5. Protection of Exlerior insulation from lop of (oundation wall to 6" beluw grade must he Same. exterior insulation rotected a ainst UV and h sical abuse. Proaeclion of iMerior Moisture barrier required behveen imulalion anJ foundation wall liom Iloor lo Same. insulalion rade. 3. 'm/band oists R-value Cookbook o tion rc uires R-19. Trade ofF miitted wiih MNcheck. Cookbook o tion rc uiros R-10. Trade off emiitteJ H•ith MNcheck. Va r retarder Re uired on rim 'oists susce tible to condensation Gom moisiure diffusion Warm side va or rmarder re uircd. Iuterior air bartier Rim 'oist r uired to be sealed to revent air leaka e. Same. Exterior wind wash Not addressed. Exterior wind wasl~ bacrier rcquired. bartier 4. Framiu Geneial Framing optioiis include 2 x 4 or 2 x 6 walls, and olher framing oplions such Same. as lo walls analized walls insulated masonr walls an(i others. Auic ceilin Ramin Not addressed. Note: wind wash roteclion reuired at allic eJ ge. Mininmm 6" heel truss Gom oulside eJ e of to ) late to ruuf shwthin . Wa11 Gaming: Exterior well comers and internec[ions of intrrior partiliun waqs wilh L'xterior wall cornere anJ intersectiuns of interiur partition walls wiih Ezterior and interior eaterior walls are not addressed. Exterior joints in ihe building that may be exterior walls are hamed so that insulation can be installed aRer the sources of air leakage must be sealed. exterior sheathing is instafled. Whenevu interior Gaming mens an insulated ceiling or exterior wall, a cominuous interior air barrier must be installed. 5. Thermal erformance m n mums Vaulted ceiling Cook6ook option requires R-38 between framing plus k-5 slieatliing. Cuokbook option requires R-38 6etween Gaming, no insulated sheathing re uirul. Attic access panels Not addressed. , lt-38 for ceiling panels and R-19 for wall panels, anJ musl be weaihcr- shi ed. Flooes over Recommend R-30. Mnximum U-0.033 or minimum R-30 specified (traJa-ol'f may not be less unheated s ces strin enl tl~at these values . Window themul Rating must be National Feneshatian Rating Council (NFRC) or ASHI2AI: 2ating must be NFRC or default [able in thc code. Windows must be rfonmance Handbook oCFundamentals. No meximum U•valuc. labeled. Maximum avera e U-velue for windows is 0.37. t Page 1 Of 4-- Source of summary; Mlnnesola Depahment of Comnxrce Energy Informaiion Ccnler C51-296-51 JS or 800•657-3710, www.commerce.Stute.mn.us. c 4100 . Ta:FfSbAL ~tu:Jdcre ~t ~.Ij~) ~ !!)-1T ' sL'«: ,"=30' ..fAGKSQN - SURYEYQRS ~:.e.. L.C1t'r!~1L ~L. L; (t . yv , Lr w~.pre~[Rt: utih[R Lir< <y RaT[ HF tli-tIMPT• i'SEEI.S'.'SS~.y?c,EfTM'kNE4o0115.iAk56t11 77;y~1.t~ ~k ,7 iI ~ ~crbrpar's ErrtEfira.tr ~ ~s~ C ~ r ` -17 - f ' yc.oc ~ ;77 40 - ~ yr. • - 3~ f' ~ ~.F:irvG::.L Af~? t__T_~% ~ L N 3 O~ (J O i; t)p 1 ~ ~.iTi~Y~~~4~~MLV~ f :?Q. '`ty' i C} 1 T 3 ~ 44 > I Z ~ I ~E ~a ~e ;l i T 0 30 .l _ ~v L_.. P'C6a.L6f~ Cf:fgR FZoe- E2ov. 12.0 Prapafcd EaEesec[ ticar FIev. 918.0 PT6P?!EE T2FtC Tibsr Fiov. IDo.O ~ M[it~+ ~4t'Ir TMl.P Tn[ 41s'v[ 16 A TRUC lMD CP4![R f?.T OW A L'JW\'Tt pF L-ot 3,Elecl 2,8.-Sttany 4th. Addttfoa,ItsEota CD;usty,Kinn. 21th. T Pe Ju7y , e 1063 ~ I &wised July 28th. 1963 P. C. oKOON. ~u.TS. No. iMaD ~ City of EaQafi 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 x beran L Kohh e,►° Applicant's Printed Name SEP 2 v 2009 x /J Appli anes Sign ture Permit Fee: Staff: Use BLUE or BLACK Ink Permit q Date Received: 9-a a 2009 MECHANICAL PERMIT APPLICATION Date: Site Address: 336 'hev I t n C f Tenant: Suite RESIDENT OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE Name: An d r z j 1il3h Gk t f.LO t c Phone: Address City Zip: 48 35 3h Evi t r. C'. Eetlarn SS 12-2- R s idential Heating Address: Mr Conditioning, City: 1815 East 41st sweet NOnneapolis, MN 55407 State: Zip: Phone: (612) 724-1899 Contact Person: Name: License New Replacement Additional Alteration Demolition `R-eptacu- t tr r,oLc e, C$o°,) A C RESIDENTIAL Fumace X Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under Above ground Tank Install Remove) When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add -on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) 50, SO TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation /removal OR Contract Value $50.50 Minimum (includes State Surcharge) If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $1,001 $2,000 Permit Fee requires a $1.00 surcharge). x 1% Permit Fee State Surcharge TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conforms ce with the Irdina ces ndjcodes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, id work is not to start without a jermit; that tie w rk wil beAn accordance with the approved plan in the case of work which requires a review and approval of plans. City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4835 Shevlin Ct Lot: 3 Block: 1 Addition: Brittany 4th PID:10- 15003- 030 -01 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Total: Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: When installing ventilated soffit material, remove existing soffit mate take steps to ensure maximum ventilation into attic space. BL - Base Fee $3K Surcharge - Based on Valuation $3K Occupancy: $90.00 Owner: Andrzej A Wnekiewicz 4835 Shevlin Ct Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Building EA077647 05/08/2007 ePermit al (i.e. debris that could block vent openings) and $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature - Applicant - I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State          þ ÿþ ýüü   ûþïûúþ     ùüü øï÷ùìê ó ô   ó ó    ýüõ  ýüûúù÷éìõüúù ÷úù÷éìãéìÞùï ùäü õüõôóôðüù òÿ ýñüø ïùîï  ïñüïûïí ëÿééùÿþëëïÿ  ü ùíõëëùëí õûïêñüûéÿëï ïí øçóæçí   íô  ôù  ýü ÿèüçóæçí  í  èüóþ í  óò õ ñð ùù Ù×÷éÙ ó  îãÚ ôóý îõ ÿåã áßóàßôô  ûéÿ   î ùù  ëïÿïùé ùùûý ëåýüõë ÿðí ùùì üýÿü City of Eaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: INFLOW& INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: 10 • 2Ct • (0 Site Address: 443 S 5t 2V t i Ct • .55 112 Tenant: A. dof Vvekle.wicz. Suite #: I, RESIDENT / OWNER Name: Away wwe k,i 2W 1 CZ Phone: (95 ( 452. GIL& ( Address / City / Zip: 45 Sete j I ( vi C. . g 55 ( 22 CONTRACTOR Name: D ra i N Pro-P(0w to 1,15 'License #: 0(00 GI PAA Address: SS t ZO R S . bu . City: La-ti—eAd i ( (€ •` State: M N Zip: 550 44 Phone: cle Z 4-1& 9c? 9 Contact 1-D j Email: IA u r'"19 -f i( 4460 Levi. t,t . CO kvt TYPE OF WORK PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) Sump Pump Repair Repair X Other: Other: DESCRIPTION Description of work: O\ 5 v ‹+,p 5 rt ,..;..� ;,,,.c, 1..0 .,cc,1 1v3 s -e., rv, L..../..e A) cit)' S, . -r CSt kv�,� . FEES I$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ 55,00 * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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 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 aYcat l.av,ov, Applicant's Printed Name Oct. 21. 2014 2:45PM Crest Exteriors 651-463-8095 P� 1 Use BLUE or BLACK Ink �---------------- � � For Of(ICA Use i � � j Permil#: �� �L� � City of����Il � �5�� � � Pemnll Fee: � 3830 Pllot Knob Road � Eagan MN 55122 � Date Received: I I � Phone:(651)676•5675 � SIaH: � Fax:�651)676•b684 1 � �__���__���-`���_J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Dafe: � Z Slte Address: � �,`t un�t i1: � Name: r � �, � � � Phone:��� I SZ �2��1. . ;����°sitlehtl � �g S 1, "'��r Address/Cily/Zlp. Applicant is: Ovmer Contractor .�� .� � DescripQon oF wark: � T:jipe of�Work Conslruclion Cosl: .�O?' Mulli-Family Building:(Yes /No� ti Compa�y-�i��s�' 15��n O'�S _Contact:, � �� — Address: ��ty' � � Cont�actor, r„�g� t� r /, �['�,� Slale�Zip:��� Phone: � `�mad: tY�'s�'t�"T��t����"TTW�i���n��� � ' ' �� � Llcense#: Lead Certlflcaie#: ' If the project is exempt from lead certificatlon, please explain why_ (see Page 3(or additlonal information) COMPLE7E THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the Clty of Eagan Issued a permlt for a simllar plan based on a master plan? Yes _No If yes,date and address of masler plan: Llcensed Plumber: Phone: Mechanlcal Contractor: Phoner Sewer 8 Water Contractor: Phone: .. ...;...,_..:,. NOTE;Plans end su o►ting documerifs t?i�t:you;subm/t ere,;conslolere'd to;de publlc�Intorntadon. P.oltlo�s of ,.. .., .-. : . ,..pp. ._ . ., . y so -f, . ...-..,,:. Ca ,��_;r t0 ` rov►tle�s eclflc a ns t a'woul9l peimlt th�Cit the�informafion m�y.be class�lied.as'/�on,�p��7rc if you p P �'�,�._ �, ��-. . _, �R-�� . ,� � � � _� �;cp clu'ple fhat the are trade secre�s t-.. �- CALL BEFORE YOU DIG. Call Gophef Sta�e Ona Gall al(6b1)d54-0002 fOr proleGiOn agalnsl underground ullllty damage- Ca1146 hours be�ore you InlenA lo dig lo receive IoCales oF underground uUlltles_ I hereby acknowledge lhal thls Informalion Is complete and aocufAle;lhai lhe work will be In con(ormance wilh Ihe ordinantes and codes of lhe Clly of �agan: Ihal I underelend lhis is not a permil, but onty en applicalion lor a permll, and work Is nol lo Slart ' a perm t,41 l lhe work will be In acCO�dance wilh lhe appfoved plan in Ihe case of work which requlres a revlew and epproval of p�e�s• ExteriorworK aulhorizsd by a bullding pern�ll ls9ued In accordance wllh lha Mlnneso(a Slate Bulldln�d ust be tom wlthln 180 days of p rmlt IssuantB. ` 5 � X r x Appf ant's Pr�nted Name App i ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA175897 Date Issued:04/21/2022 Permit Category:ePermit Site Address: 4835 Shevlin Ct Lot:3 Block: 1 Addition: Brittany 4th PID:10-15003-01-030 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 - Andrzej & A Wnekiewicz 4835 Shevlin Ct Saint Paul MN 55122--274 (651) 452-9261 Built Strong Exteriors Llc 2215 Quebec Ave S Lakeland MN 55043 (651) 702-1300 Applicant/Permitee: Signature Issued By: Signature