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1355 Sigfrid St EVILLAGE OF EAGAN 3795 Pilot Knob Road WATER SERVICE PERMIT Eagan, MN 55122 PERMIT NO.: 173_ 3 Zoning: - alp DATE: ----$/20!75 Owner: _.1eu-Conn No. of Units: Address: Site Address: ------ 13 ` rjA_S . ?-E??f -Co. `- Plumber: __ OPsQrl_ Plulnhin?4o Meter Noe.-q--3 -j ? ?--- Size: 5/ 4 °?-- Connection Charge:?2n_Gp_prL_ gip ? -5 ( -? Account Deposit: 7` f 1 Permit Fee:10_00 p t gree Les. eomPly Ordina llc wlth the Village of Eagan Surcharge: . 500 Pd --- Misc. Charges: tw A Q Ely Total: D Date of InsP ate Paid: I nsp,: VILLAGE GF EAGAN SEWER SERVICE PERMIT 3795 Pilot linob Road PERMIT NO.: 495 DATE: -----3/2Q473 Eagan, MN 55122 Zonin8. wUI) No. of Units: - Owner: Mardi Construction Address: Site Address: 1355 E. Si frid St. Plumber: 425.00 Pd 1 ogres to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: 10.00 Pd Surcharge: 50 Pd Misc. Charges: Ry: Date of Insp.: Total: Insp.: Date Paid: INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 1 1 t! 1 N6 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: f t4 1 0 H" 11'" APPLICANT: 1111 r. (t! r[ I ! ! I I!+ ! N! ,:• !: ON ?: T N 'POO PERMIT SUBTYPE: TYPE OF WORK: rAI R lrr .tit ! ; f ! r?r•i ! frt)OF'TWf l Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection 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 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL n3% Name Adore C City _ Name _ W Address p City Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other it . EIS PERMIT # MECHANICAL PERMIT RECEIPT # _ CITY OF EAGAN 3t?1 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: •I PHONE: 454-8100 For Office Use ' " BLDG. TYPE WORK DESCRIPTION - SecJSub Res New Mult Add-on I J Comm. Repair Other Phone > M BTU M BTU M BTU M BTU CFM FEE: SIC: TOTAL FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES t BEYOND $1,000) ". FOR: CITY OF EAGAN CITY OF EAGAN Addition ? lderness Run 5th Addition Lot 6 Blk 3 Parcel 10 84354 UbU U3 Own S,, et 1355 E. Sigfrid State Eagan, MN 55123 / Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SRN SEW TRUNK 1973 S132,60 $6.63 20 PAID SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK 1981 273.34 18.22 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 320.00 95 5-1-75 BUILDING PER, #3S64 95 5-75 SAC 425.00 95 5-1-75 PARK CITY of EAGAN BUILDING PERMIT Owner Y) L e e e ep-v--¢ ....................................................A./...............--.....--................. Address (present) ?.f- "---?""-- Builder ........ Address ...... DESCRIPTION N°_ 3564 3795 Pilo! Knob Road Eagan, Minnesota 55122 454.8100 Dale ............... / ... - ......7..,..S- ..... osies To Be Used For Front Depth Heigh! Est. Cos! ermit Fee Remarks yy 4,11 P !/ LOCATION "Jo •?"? Street, Road or other Description of Location I Lo! Block Addition or Tract G /? ? 7? This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN FROG IESS. _ f 1- --?-??- .%.(?_ir_,..._.• ' `< ""? This is to certify, that ...- -..._...---.....f .......... ........................ has permission to erect a. { -42, `-=---•°-..................auPon the above described premise subject to the provisions of all applicable Ordinances for the City of 1 agar `J,...1..... ....`-°.°_....--....--..... Per ...................... ..?............................ .....°_ .............-._..-MaYor Building Impactor ?? 94395/,/? I Request Date 4/18/89 Fire No. Rough-in Inspection Required, pyss pp yy rU Ready Now p Will Notify Inspector When Ready? I X licensed contractor ? owner hereby request inspection of above electrical work at : Job Address (Street, Box or Route No.) City Ea gan Section No. Township ame or No. Range No. County Occupant (PRINT) Linda Becker Phone No. Power Supplier Addram Electrical Contractor (Company Name) Lein Heating and Elec. Contractors License No. 042468-6 Mailing Address (Contractor or Owner Making Installahan) 6525 E. 170th St. Prio r Lake, Mn. 55372 AuRMIMK Signature (CoMrachorri, n(a/???,1eking Ins anon) t t.? /'.` Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-I ldway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 Universlty Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Pill(612)642-0800 ENCLOSED. REQU ELECTRICAL INSPECTION E8,00001-07 ? 't See r compktlng this form on back of yellow copy 1 '943-95 X° Below Work Covered by This Request New Add Rep' Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm X Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Free Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 -Amps Above 100 Amps Signs Inspecrorb Use Onty: TOTAL Irrigation Booms Gic 1' ? Special Inspection ?J S.Sci Alarm/Communication Other Fee I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-In Fhrel Date OFFICE USE ONLY This request void 16 months from ?y CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: 674 The City of Eagan hereby grants to Ray 1' Welter Heatina r A/C Co. of 4637 Chicago Ave So WAs 55407 marell Construction a m Permit for: (Owner) Windsor Dev. 135 E. Sigfrid at 4309 Metcalf nr. , pursuant to application dated 5/5/75 Fee Paid: 40.00 dated this 12 day of May , 19 75 1.00 s/c Building Inspector Mechanical Permits: Bid Total: b 9 3 3 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 420 cr" New Construction Requirements Remode[Reoair Requirements Office Use only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and pit roofed areas 2 copies of plan Cart of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for healed additions Tree Pres Plan Recd _Y _14. 2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _N l set of Energy Calculations Addition - indicate ifon-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date > IL / CO Construction Cost Site Address 3 ?? 51 J rQ?l? 5 t Unit/Ste # Description of Work /NS/.91,6 6,I3 lluj -Cl Multi-Family Bldg - Y D` N Fireplace(s) _ 0 0(,1 _ 2 2 Property Owner U _ ? {? ?X?ULI Telephone # (6' -)) t(1-I -B L Contractor Address )6?p W- City State l 7?1; 7 Zip Telephone # (9''L) J93 J7_5?-4 COMPLETE THIS AREA ONLY IF A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and ork is not to start without a permit; that the work will be in accordance with the appro tan in a case of w r which requires a review and approval of plans. \)xA tk "Y 7r1r1_9 Applicants Printed Name Applic t s Signature l ; L OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04:. 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33: Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) - Final/C.O. - Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other _ Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas T ests -Final _ _ Framing _ Siding _ Stucco - Stone - Brick Fireplace _ R.I. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector "------------------ NOOK" j Permit #: ii /?l / j Permit Fee: tf' 9• I (? Date Received, "?(> I I Staff: ----------------? 2008 RESIDENTIAL BUILDING PE Date: 21 T 6 Site Pf! 1Adrdress: ?Q _ 3r Tenant: 1 t/?f az? ° cullcY tl?L LlL APPLICATION C?,Ij d At -1 Suite #: RESIDENT / OWNER Name: Rob i LLB ;a Kee/l-? . Phone: (Of] + st l- Address/City/Zip: 1Zrl.?fi.?1C1?"rt 0 ? , Applicant is: _ Owner ?C_ Contractor TYPE OF WORK Description of work: C- Construction Cost: W l Multi-Family Building: (Yes _/ No CONTRACTOR Name: L f1 4 License #: 04 b Adores : 1 wV- hili 0 (41 S Sta :WZip ?'? 3 City: Yci-Is ? 3 ( ? ,, Phone: J/ ? 6?2 • 0' 0, Contact Person: 1??.? S DJy COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes -No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plants and sLpporting documents that you"submit are considered to be public lnformitfon. Portions of -- ffie info'rmatian r»ay be n?lassified a's non publig; if you provide specific reasons that ryould permit the City to K'zA,' -concldd, Matthe are tra esecret': I hereby acknowledge that this information is complete and accurate; that the work will be in nfonnance with t - rdinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and won is not to start ho a permit; that the work will be in acoNance with the approv Ianr1 in the case of work which requires a review and approva plans. x , x L Applicant's Printed Name Ap i nt's Signature Page 1 of 3 1 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. -Multi ? 07 of _ Plex ? 07-plex ? Garage Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebolpergols) ?' Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building' Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation 100 Occupancy C MCES System Plan Review 1 Code Edition .Z 00 SAC Units ` (25%_ 100%? Zoning p City Water ` Census Code y3y Stories Booster Pump # of Units `- Square Feet PRV J # of Buildings Length 3 ? Fire Sprinklers Type of Const. 504 Width r Footings (new bldg) Footings (deck) Footings (addition) Foundation . Drain Tile Roof: ' Ice & Water Final Framing Fireplace:-R.I. _AirTest -Final Insulation ?- Reviewed By: _ _ Sheetrock Final/C.O. Ae- Final/No C.O. HVAC Other: Pool: Footings -Air/Gas Tests -Final Siding: -Stucco Lath -Stone Lath -Brick Windows P,?'fl AA6A. Retaining Wall Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total 2 ? Page 2 of 3 1-2 Fanfilp Residential Bnildufg RESIDENTIAL "COOKBOOK" WORKSHEET Applica (Name ne z 933 Date Slatentent of Compliance: Building OlFcial Use Applicant A dress q? yT, 1 f ? I L 1-4p-' l,9 Ry" The proposed building design represented in these dowmnns is consistent with dw building plain. specifications, andelher calculations submitted Building Address: ize `/ r^ L 4 J?.7.J - ?'?S St/ , \ I r -ll CJ II" with she petmil application. The proposed building has been designed to meet the rquiremenss of the Minnesota Energy Code. ApplicantlEnginct: MINIMUM REOUIREMENTS for "Cookbook" Option: Entry Doors 1-3/4?'solid wood w/ storm Ceiling with energy truss R-38** Rimjoist R-19 door ar equivalent (Min_ 7'/z" top plate to sheathing) Foundation Windows* Insulated Glass w/I12" gap in Ceiling with low heel truss R-44** Floor over R-24 woad br vinyl frame unconditioned space *Include square footage in calculation of Window/Door Area Ceiling-nn attic R-38 w/ R-5 sheathing to determine above grade Window U-Value. -- tn]U IaUVI I reF JUL M dMG at WHUU3 near you wIJUU. VUD 2a '_ 0. 28 = -93v % WINDOW U-VALUE : o c?7 Window and Door Area 100 1 j1? ' -r As % of Exposed Wall Arta Above Grade Window and Gross Wall Area Window/Door Area Source: NFRC or ASHRAE 1993 Handbook Fouodada n Wlndow/Door Area MAXIMUM WINDOW U-VALUES -4 r 7 L7 ri Check Will Type.Usld. WALL TYPE MAXIMUM WINDOW AND DOOR AREA % OF EXPOSED WALL AREA 12°.i iA°% u 16'/° 18% 20% 22°,6 24% 26°/u 28% 30°/a 32°!° 34% TYPEA 2x4 framing, R-13 insulation, sheathing R-7 at greater. 0.55 0.47 0.41 0.36 0.33 0.3D 0.27 025 023 011 020 0.19 TYPE 8 2x4 framing, R-15 insulation, sheathing R-5 or greater. 0.52 0.45 0.39 035 0.31 0.28 0.26 024 0.22 0.21 0.20 0.19 TYPE C 2x6 framing, R-19 insulation, sheathing less than R-5. 0.48 0.41 0.36 0.32 0.29 0.26 014. 012 0.21 0.19 0.18 0.17 PE D 2x6 framing, R-19 insulation, sheathing R-5 or greater. 0.56 0.48 0.42 0.37 0.34 0.31 0.28 0.26 024 0.22 0.21 0.20 TYPE E 2x6 framing, R-21 insulation, sheathing less than R-5. 0.51 0.43 0.38 0.34 0.30 '028 0.25 0.23 0.22 020 0.19 0.18 PEE 2x6 framing, R-21 insulation, sheathing R-5 or greater. 0.58 0.50 0.44 0.39 11.35 0.32 0.29 0.27 025 0.23 0.22 0.21 2g4 .S m+upue°uwuw we rnmcamnu. u.c. br ?.w?, a.. .......... . ...•p. •-. This is or summary only. Other requirements may apply. See the Minnesota Energy Cade. Questions? Call Department of Public Service Information Center at 6121296.5175 or I-840!657-3710. •. 21.ilOh - Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. DELMAR H. SCHWANZ LANDSuRVEYOR Re9rstered Under LawS of TGe Slate OI Minnesota 100'/. MAIN STREET P.O. BOX M • ROSEMOUNT, MINNESOTA 55068 • PHONE 612 423-1769 SURVEYOR'S CERTIFICATE I v. i I % ROCK .' 1'y_ , :. -e j' /41 " /mod A3 'ION MINNESOTA REGISTRATION NO. 8625 ` RESIDENTIAL SS7?3 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of'ol. sq. ft. of house: and all roofed areas (20"o maximum lot coverage allowed) • 2 copies of plan showing beam 3 Nindow sizes: poured found design, etc.) • t set of Energy Calculations • 3 conies of Tree Preservation Plan if lot olatled after 711193 • Rim Joist Detail Options selection sheet i'zdgs with 3 or less units) DATE ! 0 SITE ADDRESS TYPE OF WORI APPLICANT Water Softener Water Heater No. of Baths STREET ADDRESS / J 7 9d dViG6/% D` fit/ CITY gilin ???/< STATE ZIP Sf3J TELEPHONE # '2 -00-2166 CELL PHONE # FAX #?9, 49a 00/5 PROPERTY OWNER R?t?i??? hiNcrtti ?lZnev- TELEPHONE# (mil/'`ISh? ?77Z COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 C.x'I'E(',ORY I _ 'VIINNEso'r.A RI'LhS 7672 (v submission type) • Residential Ventilation Category i 'Norksneet Submitted . New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechmncal system includes: Sewer/Water Contractor: -- Air Conditioning Heat Recovery System as Fee: 590.00 e# -? S .' Fee: -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the ion orrect, an agree to comply with all applicable State of Minnesota Statutes and City of Eagan Signature o f Applicant OFFICE USE ONLY ULTI-FAMILY BLDG _Y =4"N FIREPLACE(S) X0 _ 1 _ 2 VALUATION 760 0-0 3? Zad Phone # Lawn Sprinkler No. of R.I. Baths RemodelfRegair Requirements • 2 copies of plan 1 set of Energy Calculations for healed additions I site survey for exterior additions & decks • Indicate if home served by septic system for additions Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY f ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex / ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or - N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation G'C?O 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 IN SPECTIONS Footings (new bldg) Final/C.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) Plumbing A Foundation _ HVAC Drain Tile _ Other Roof _ Ice & Framing Water _ F inal Pool _ Figs _ Air. Gas Tests Siding Stucco Stone _ Final _ Fireplace _ R.I. -Air Test - - Final _ _ _ Windows (new/replacement) _ Insulation - Retaining Wall Approved By E z , 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 ( 1,7,,I . '35T X /? 5?-yu8 4wt?,?_ . +0-0 Total Cities Digital ity Contro The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. i ? N 5 ? v r t00h MAIN STREET P.O. BOX M • ROSEMOUNT, MINNESOTA SURVEYOR'S CERTIFICATE I c,. o z ? N i i L-or 6. r- RO K op 3 i E4,? 'T? c-A L) ,vd?; J,>ti1 47 4,9-v,4 - e ry 49 71 r, L. DELMAR H. SCHWANZ LAND SURVE YOR Registered UndeF Laws GO Tne State of Minnesola 100'% MAIN STREET P.O. BOX M • ROSEMOUNT, MINNESOTA 55068 • PHONE 612 423-1769 SURVEYOR'S CERTIFICATE P I ra ?? 0? ? 3 - / ?? LcrC BI?r?K,3 MINNESOTA REGISTRATION NO. 8625 r MASTER CARD LOCATION Or, s f 4CV& dt /J s%f A-3 90 A OWNER Ama r r C ' STRUCTURE LAND USE[ x Permit No. Issued Issued To Contractor Owner BUILDING ` "kill PLUMBING _ CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION - 75 CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING L5-/I"? , - ? '- ] WELL SANITARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE.USED ONLY IN. EVENT OF OBSERVED VIOLATIONS PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. 11 NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CE RTIF I CAT] ON -I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE =QJ?01 23 %#>k#k:.8<k#?k:,::?':k#Yr,##?WM I;?t;k?k:;?Y';kk;'F;y?k??;>k#v,<?Ck'# CITY OF EAGAN CASHIER: S 'NERMINA!- NO, ',6 DATE:a 08/:L`ci/97 I EEr M44:06 I% NAMI ;: ViORTZfJN E::TIc:RIOI S LAC ;iiGi'.7.O 9001 :L35{5 FiIGFRID ST Sr „25 ^M55 9001 :1.:35:5 SIGFRID ST 2.00 Total Receipt AmouW B9.05 CRO799+:1. USER Iii; NANCY .y A-, CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 0 3 0 6 4 6 Date Issued: 08/18/97 SITE ADDRESS: 1355 SIGFRID ST E LOT: 6 BLOCK: 3 WILDERNESS RUN 5TH P.I.N.: 10-84354-060-03 DESCRIPTION: (ROOFING) ermit Type SF (MISC.) Type REPAIR M 434 ALT. RESIDENTIAL REMARKS: PERMIT a FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $87.25 $2.00 $89.25 $4,000 CONTRACTOR: - Applicant - ST. LIC OWNER: HORIZON ROOFING' 18903900 2001279 BECKER ROBERT 1633 LARC INDUSTRIAL BLVD 1355 SIGFRID ST E BURNSVILLE MN 55337 EAGAN MN 55123 (612) 890-3900 - ? frer?9d„'y .??*[tCt:GW.?e:'a tirE =is ?o: Stato(s and l tip` APPLICANT/PERMITEE SIGNATURE J?w 14 UAJ 110 ISSUED B : SI AT 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)Q. CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements RemodeVReoair Recuirements # 3 registered she surveys # 2 copies of plan # 2 copies of plans (include beam & window saes; poured find. design; etc.) # 2 she surveys (exterior additions & decks) # 1 energy calculations # 1 energy, calculations for heated additions # 3 copies of tree preservation plan If lot platted after 711/93 required: _Yes _ No - DATE: 9 -/`- 97 CONSTRUCTION COST: & x'30.00 DESCRIPTION OF WORK: STREET ADDRESS: LOT i, BLOCK PROPERTY Name: p) XC,/,j Z?LC?O2/e Phone #: OWNER ,,..r mn Street Address: /?55 F Sl ,r?2iPQs2? City: -411 State: Zip: CONTRACTOR Company: ?°?/zoo 7rs ytrny Phone #: XYS Street Address: /333 &?k?c_ 6bd License #: R(3 o/ City: A-wa:x1I )/e State: ?N Zip: 5 ?7 ARCHITECT/ Company: Phone ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licer.5ed plumber (new construction only): and lot change are equested once permit is issued. Penalty applies when address change 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 Fagan Ordinances. Signature of Applicant: p C?? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required _ 3 SUBD./P.I.D. #: 02114e "9JI43 A&) OFFICE USE ONLY BUILDING PERMIT TYPE IV ii ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace n 21 Miscellaneous ? 05 SF Misc. ? 10 _ plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Valuation: $ MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance % SAC SAC Units L_/L eL J ??)) CITY OF EAGAN SUBD. t?i ?i1?P/ri?Q? ? C?i.?• J`am`` PLUMBING PERMIT (612) 681-4675 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------------------------------------ WORK DESCRIPTION NEW CONST ADD ON _ REPAIR OWNER NAME: BECKER LINDA - 1355 EAST SIOFAID SITE ADDRESS:- H 454-8472 u 370-2252 INSTALLER: a~raWLS""s VUluv bVoLoamw ADDRESS: 2905 GARFIELD AVENUE SOUTH MIPIPIEAPOUS, MINNESOTA 55408 CITY: R27-4023 7-ILJ27-4311 PHONE # NO. CITY USE ONLY RECEIPT # D'_ DATE /Fr 9?- ALSO, FOR TOWNHOMES AND CONDOS COMPLETE THE FOLLOWING: FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER _ WATER SOFTENER 7.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE OF PERMITTEE TOTAL: .50 $p COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: _ SUITE #: INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: (SIGNATURE) I Suits 501 Northmatern Financial Center 7900 Xer:as Avenue, South Bloomington, Minnesota 55431 Phone 812/835-1881 STPAULTITLE INSURANCE CORPORATION DATE: 9- 7t?T FILE NO.:/n- y'?aod /=J T0: U' V L/ -01 3 7 9?n ?//?._??r Aa-&C , ir?? x pia U ENCLOSED PLEASE FIND OUR CHECK IN THE AMOUNT OF $ 11;V ?7/ IN PAYMENT IN FULL OF ?/n no z-) r) r ,y „ , 7?m - SINCERELY, ST. PAUL TITLE INSURANCE CORPORATION Y 83E% 1 881 a i, I RFr J 4iF? Sep 8 1975 One of the ST. PAUL COMPANIES -?167?( 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ?15so Date/ / Site Street Address es 5 S /? i2?ll? &2 2F Unit # Property Owner P1 F!ic f ?? Telephone # (gLirh if.C 5? '7' Contractor Y U/? v6 lX v? Telephone # (%)L]?6 ' J"LQ _ _ Address City State ZipC,j The Applicant Is: _ Owner Xcontractor -Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. ?? a 7 F L O v -Septic System Abandonment I W D -Water Turnaround (add $130.00 if a 5/8" meter is required FEB 2 2 7007 Other: _ Water Softener Water Heater $ 15.00 _ new X replacement -Lawn Irrigation _RPZ _PVB -new -repair ----rebuild $ 30.00 State Surcharge $ 50 Total ??..r aVNlr M, a Kaalu"moi mumumy rermic ano acKnowiedge tnat the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that. understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accords with the approve in the event a plan is required to be eviewed and app ved. Appifcaht's Printed Name Ap I' n's Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1355 Sigfrid St E Lot: 6 Block: 3 Addition: Wildemess Run 5th PID:10- 84354- 060 -03 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Comments: Fee Summary: Contractor: Boe Plumbing 15481 Kiowa St NW Andover MN 55304 (763) 757 -1991 Steve Boe 15481 Kiowa St Andover, MN 55304 Total: Manufacturer PL - Permit Fee (miscellaneous) Surcharge -Fixed Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Robert L Becker 1355 Sigfrid St E Eagan MN 55122 $50.00 0801.4087 $0.50 9001.2195 $50.50 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 Issued By: Signature Plumbing EA087624 12/02/2008 ePermit Line Size          ÿÿú ü  û ýüü   ûúûúú     øüü ÿÿøø âïõ ýýß  ÿïïâ þý ýüö  úùø÷õôýó ýðý ùø÷ õ ùø÷ß÷  ý ÷ ðý ýðïì ÷ ø î   øí  ý  ü âà  ë  à ÷ýûàÞâ â ââÿ  äçÿçÿ õø    ýå  äçáçá å  ç  ô òÿ ö ñð ÷÷  ð ôßú  âà  ï ê  ü ü  àÞ à ÷ýàÞâ èâæ ââÿ  úø ô  ë  ý ÷÷  ý  ê é ý    é÷øô  ÷÷ ú   êàý    ý ðøêü  ì  ýç ÷÷ ó é  ýý ø    PERMIT City of Eagan Permit Type:Building Permit Number:EA114137 Date Issued:09/11/2013 Permit Category:ePermit Site Address: 1355 Sigfrid St E Lot:006 Block: 003 Addition: Wilderness Run 5th PID:10-84354-03-060 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Tony Greczyna Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert L Becker 1355 Sigfrid St E Eagan MN 55122 Pineview Builders Inc 2201 Lexington Avenue N, Suite 100 Roseville MN 55113 (651) 489-3696 Applicant/Permitee: Signature Issued By: Signature City of £a�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUL 0 5 2016 Use BLUE or BLACK ink For Office Use s�(( //_ / Permit #: (� 3 (v Y-� Permit Fee: O Date Received: Staff: L 2016 MECHANICAL PERMIT APPLICATION n Please submit two (2) sets of plans with all commercial applications. Site Address: /3S2 -5-L; �K� -11 Date: Gam' �f ✓ jC Tenant: Suite #: Address / Ci Name: Phone: /)55- Zip: -- + 6 /' �rJ o �! i /� �� fizchd n -46,0 37 @i'C4e,d Zip: ��L/ 7 Phone: G1,- FaS Y 6V ' 7 4eK(L- ) Email:r le -Ku C64-) ,Y1 /! E' 1 Ad , New Additional Alteration Demolition Address: State: Contact: License #: City: P) J V Replacement Description of work: o©f.mountedcand ground mounted ec PPlease<contact the Mechanical inspect+ ranl equipment is required eed°Yb`it? •rforicainformationpe,on permitted screening metney.C hods.; RESIDENTIAL. COMMERCIAL Furnace New Construction Interior Improvement V/ Air Conditioner Install Piping Processed Air Exchanger 9 Gas Exterior HVAC Unit Heat Pump _ Under/Above ground Tank ( Install /_ Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge C TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ =$ $ _$ x .01 Permit Fee Surcharge TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work wit be in conformance with the ordinances and codes of the City Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to starl`without a permit; that the work will be in accordan with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name FOR"OFFICE,.USE required Inspections: Reviewed';By: Date: Underground . Rough In Air Test Gas Service Test In -floor Heat 'Final HVAC.' Screening x Applicaiif`s Signature of