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4138 Signal Pt INSPECTION RECORD { CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ~ (651) 681-4675 SITEADDRESS: APPLICANT: , PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D. . .A , ;•d I~ H1:f~ l E. r Fe1~l ~ 1 PrE ~}4J I i;f_Is ( 11i~ A N'f E' I tii~4h. ! N!3 . . ~ i ~1 F' ' : . ' . I'tt~ ! k . ~ - ~ . , ~ • . li ~ ' , ;li, i',-I'.('~ i i ! •.i'1' F- J L Permit Hoider Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Cvmments FOOTINGS FOUND FRAMING ~OV O ROOFING PLOUMBING PLBG AIR TES7 ROUGH ~D HEATING GAS SVC TEST INSUL O~~(Gy7V GYP BOARD FIAEPLACE l~ "F FIREPLACE AIR TEST ~ FINAI PLBG FINAL HTG ORSAT TEST 6LDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FlSVR4 DECK FfG DECK FINAI . , INSPECTION RECORD . Cf'TY OF EAGAN PERMIT TYPE: 1.11 3830 Pilot Knob Road Permit Number: 0,;~, Eagan, Minnesota 55123 Date Issued: J> (612) 681-4675 SITE ADDRESS: APPLICANT: ~ i I~t u~ r • ; + , 1 ~ ; I 1 ~ ( • 1 ~ t ; Il~~f~tl 1 rd+ PERMIT SUBTYPE: TYPE OF WORK: .,1 INSPECTION . 1 1 M~,~, 1 iiuMOA I 1 4114 ~ t:r;w1?r1~. ~ ~~~~t IN~~ ~ I N',i'l A t Itt{J t I trl f lAr I (7n11i,lI I IV F'1 114 11 1 1 I h!A! i') Itii f I N~~i !.r Mltifi h % : '-i k lJ f`I Hk III0MF".uM ! 1 ttl, F- L ~ I - PermR No. Permit Holder Date Telephone ii ~ S/W • ' PLUM8ING HVAC I ELECTR tIco ELECTRIC Inspectbn Date Insp. Commants Footings I ~ Foundatbn Framing / ( Rooflng Rough Plbg. •t'"~ /j~~(/ Rough Htg. fv~~ Isuf. -/,~p Frepiace q a. Fnal Htg. Orsat Test Fnal Plbg. Plbg. InspeCtor- Notify Plumber L ` Const. Meter EngrJPlen T A{ ' OCY Bldg. Final ,tio C t Deck Ftg. Deck Flnal Well Pr. Disp. ~ ~ WtL`tiftCtite 0f CCCIipQIiC4 (Fitv of cpagan Toarh~ ear of Zaoatg "uOecti01K This Certifecale issued pursuant to the mquirements of the Uniform Buildrng Code certifyrrtg tfrat at tFee time of rssuance tlris structure was in corrtpliance with the various oyriinances of the City reguluting bui(ding construction or use. For the following: Usc Classificatim: SF ' Sldg. Permit No. 23420 Qa:upmncY Type R3/141 Znning D"estrict Ri Type Ccrost. VN owm ot swwinWES INC qddrm 1484 LAICE PAl$t CIR, EACAN Building Address 4138 SIGNAL FOIW Lncaliry L5s B2, $IGNAL POINr y l fc/„ DaiG' , Building offwud ? ~ POST IN A CONSPICUOUS PtACE ; ~ ~'rC,t` ` r - ...~'i~ _ . . Address 4138 slavnt. PozM ' Zip 5512 2 I.ot 5. Blk 22 Sub sit~t. P=rr THESE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) ~ Permanent steps (main entry) Permanent driveway Permanent gas v Sod/Seeded grass Trail/curb damage s Porch ~ Basement finish ~ Deck ' Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~ REQUEST FOR ELECTRICAL INSPECTION ee-oooo,- x ~'m g~9 F~ ~ See insimctions for com0leting Ihls farm on batk af yelbw copy ` ~~j _8g~ 4 "X" Be/ow Work Cc?ve~;,;,by This Request e ~n ew d Rep. TypeoFBUilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplez water Heater Electric Heating Apt. 8uilding Dryer Load Management Comm.Andusiriai Fumace Other (Specify) farm Air Conditioner Other(sVecityl Conlractors Remarks: Compufe Inspecrion Fee Belaw: 8 Other Fee # ServiceEnlranceSize Fee # Cimuits/Feeders Fee Swimming Pool 0 to 200 AmpS ZQ"i' lp 0 to 100 Am s Transformers Above 200 _ Amps Hbove 700 _ Amps Signs InspevYOrS Use Only: ~ 7'OTAL Irrigation Booms / O) UQ - ~ ~ Specialinspection ~ co , AiarmlCommunication THIS INSTALLATION MAY BE CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS ~ I, the Electrical Inspector, hereby Rough-in certify that the above inspection has F;nei oa~a ~(F been made. OFFICE USE ONLY ~ This reques[ voitl 10 monihs Imm 029504 ' Repuest Oaze Fire No. Rough-InrpcecLOn puired Inspedion Other Than Rough-In Q o (VOU mue ell inspeclor when ready) ~ qeatly Now ? Will Notlly Inspe[tor Q / n~ ~Ves ? N. Date ReaE IXlicensed contractor ? owner here6y request in5pection of abOVe electrical work at: Jot Atltlress IStreet, Box<gf Foute No.) ~ City `ll 2 iY d/ G n: trc. T ~/f G f1.v Seclion No. Township Name or No. Range No. CAUnry Occupam (PRINTI Phone No. Sr,-«- //0 m~s ~Y- 7ie~,6 Pow upolier AeGres/s er ~ Korn Ce-X~G /n //v6 rcN Elecv I Conlracior ICOmpany Neme) ConVactor5 License No. ft/fs~ Mailin tltlress ICOmr or or Owner Making Installauonl ~D- /~3oX zYQGG/ ~X~ v J5:zY AumonV gnamre ~ mracto w er Maaing Instauation) Phone Number 45 3 -W/ yG6 MINNESOTA STATE BOARD OF ELECTHICITY THIS INSPECTION REOUEST WILL NOT Gtlggs'MlOway BIEg. - qoom S413 8E ACCEPTED BY THE STATE BOARO 1821 University Ave., Sc Paul. MN 55106 UNLESS PROPEF INSPEGTION FEE IS Phona(61])66]A800 ENCLOSED. ~ 2007 RESIDENTIAL MECHANICAL rExMIT aPrLICATION Q C~ City Of Eagan 3830 Pilot Knob Roacl, Eagan MN 55122 Telephone # 6:51-675-5675 L~ ~L. ly~ r. . Please complete for: single family dwellings & rownhomes/wndos whe~~, npi~s are require8 for esch unit U ~ If . t ~ Q/ Date h~ SihAddress ~'S 51~~, ~VI~ • Unitfk Property Owner Tdephone # ( (y5k ) )i~u1 Contractor bc)N~ -~tu1vb11~ C~K~II~nM, ~_at~%~~0 ~ StreetAddras c-Y~C7 ` ,'A'Van NA- City State Zip Telephone•# Bood fF: Expires: 1'- l3 \ I o' The Applicnot is _ Owner _)L__ Contractor _ Other Fire repair (rcplace bumed out applianca, ductwork, e[c.) ` 90•00 . This fee applies when extensive mechanical repairs are made to a building, ' Add-on or alteration ta exisiing dwelling unit • a 56.00 t~ fumace _Additlanal ~Replacement _ New air exchanger air conditioner heat pump omer ! .50 State Surcharge . Totsl I hereby apply for a Residential Mechanical Pertnit and acknowledgc that the information is complete and accurate; hat the work will be in confortnance with the ordinenca and coda of the City of Eagan and with the Mechanical Cod s; that I unda aand this is not a permit, but only an application for a pertnit, and work is not to start without a permit; that the wor : will be in ac ordance with the approved plan in the case of work which requires a r iew and approval of plans. ApplicanYs Printed Name App icant's Signature 02/08/2008 16:25 FA% 651 281 0358 BONFE'S PLUMBING 1@002 HOLTSE HEATING TtST RECORD IAddreSS Numper ; treet Name St.Ave.8lvd.Etc N.S.E.W Li C17Y OF ST. PAUL -'113 ~ S, OFFICE OF LICENSE INSPECTIONS AND ENVIRO++/dEN7AL PRDTECTION OGCU SwtOfApt # RbOri{ 7505T PET6q5TREET.SUITEJOO 57 PAUl.nttNryE507A 551G2n510 Pant~'j~ Property Owner r , ~ ~cc c'h' r Soid By installed hy ~ . EletVical Work By Gas l.ine Work by ~ HE4T Oate Heating Type of Gas forced Air~ Hot W~ter~ Ste.am~ LOSS InstaUed /y _c~ Heat ' ~pace Heater QUnit Heater Ofher GAS DESIGN -;ONVERSIOA Make r- input ~ Make Of Bumer ' Model ModaiMQja,,?jI '115-,ttl SeriakYy7/CyNrJ,j~l~ Max.BTURating CON7ROl,S ~ THEMnoS7AT p/.L lieat PIU9 Make of Fumace Modei Vent Sae ?alve rf( . L?( ~ ' Kind o/ Lmer : iie Nori sh ' . S L LimR Setting /?C" Oraft MooC Re9u•atw ~an Seltin9 ed r IrYC . Filcers: Size L,a 3° Numbac , . Yibt rype . Cr,unney Leeatic - ns" e Outside 'ibt Make Chimney Ccns[ruciion S" ( :%t.bj .6 , 'ilot Model Pilot Tfming SpiUa9e Smoke Bomb .r Wirinc . . W. CW OtF .r.- Oratl Test l ag ressvre 3. S" PerCen[ C02 ry. Ooor PreSSUre l'phtir g Inst, Aut CFN 'PercentO2 Gl•0 Company , Date 7estin TesteQ1 adc Terrp- ;t PerCEnl CO 49 ~ Test~ef of z C G.rS CofC ,i2 ~'w CC)Ot: ' -Ivk Nymber iy r J.I V pC ~wv.a .1 LU ~C\cq 2005 RESIDENTIAL BUILDING YERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWCtionReauiremenfs RemodeVReoauReauirements a Me f Us 3 regislered site surveys showing sq. N. of IM, sq. fl. of house; and all roofed areas 2 copies of plan tv eY (ZO°kmazimumlolcoveregeallaxed) 1setofEnergy Calculstionsforheatedaddifions TtOflPresPlsn;Rect! Y :N 2 copies of plan shaxing beam & windovr sizes; poured found design, etc. 1 site survey far addNOOS & decks Free FreS~uU2t~ isetof EnergyCalculations Add'rtion - indlcateilonsdesepticsystem 6asile3epk&:Sys1eM ~:Y_N~. 3 copies of Tree Preseivation Plan if bt platled afler 71153 Rim Joist Deiail Optiom selection sheel (buildings wilh 3 or less units) Date Construction Cost .a ~'V ~ vU ~ 5iteAddress //Z? 4/IQ6 A 2~ UniUSte# Description of Work Multi-Family Bldg _ Y& N Fireplace(s) _ 0 ~ 1 _ 2 Property Owner Z)S-"4/- Telephone # fp,S/ )110,r' 9167 11 Contractor ?Ul- 6Q n! jz !1eI,7P/!'T / Address 3 2 !~?~7p Ju'np_ CitY State zip 57~7/7 Telephone # (657 ) -23b' S7 6'] COMPLETE THIS AREA aNLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catexocv 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Su6mitted • Enargy Emelape Calculations Submitted In the last 12 months, has the Ciiy of Eagan issued a permit for a similar plan based on a master pian? _ Y _ N If yes, date and address of master plan: Licensed Piumber Telephone J Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone J I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work wili be in conformance with the ordinances and codes of the City of Eagan and the State of MN 5tatutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a ermit; that the work will be in accordance with the a roved plan in the case of work which requires a review'and ~ proval of plans. ' ~Pi 1 ~ e/S ApplicanYs Printed Name Applicant ' nat e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 18-pleat ? 20 Paol ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screan/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-pfex ? 19 Lower Level 0 24 Storm Damage ? 08 04-plex ? 12 12-pleac Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 AddRion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolitfon (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump #of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUII2ED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings(deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile pther Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tes[s Final _ Franvng _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ RI. _ AirTest _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MClES SAC , City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total A- CITY OF EAGAN PERMIT CVZ 3830 Pilot Knob Road PERMIT TYPE: {O~~ /~~G B I L O I Eagan, Minnesota 55123 Permit Number: 0 2 3 9 2 0 (612) 681-4675 Date Issued: 0 6/ 17 / 9 4 SITE ADDRESS: 4138 SI6NAL PT LOTc 5 BLOCK: 2 SIGNAL POINT P.I.N.: 10-68055-050--02 DESCRIPTION: ~ Building P.,ermit Type SF DWG 'Building Wd-rk Type NEW ;'rUBC flceuparrCy-,_, R-SM -1 Canstruction Type V-N J ZQn3 ng . R-1 f' 8uilding Length ` 51 ' Buikdirng W,idth 36 ~ ` g=uilding storie& Z n t~' , ~ rx-, ~ f~'7' 1 ~ f '~{~r , { ~s ~ E L IJ~ ~ REMARKS: S& W PLBR - 7HOMP50N PLBG FEE SUMMARY: VALUA7ION $122,000 Base Fee $716.50 MISCELLANEqUS $1.828.50 Plan Review $465.73 COPIES $1.00 Surcharge $61.00 7ota1 Fee $3,872.73 SAC $80@.00 SAC ~ 106 SAC Units 1 Subtotal $2,049.23 CONTRACTOR: - Appiicant - ST. LIC. OWNER: LIFESTYLE HOME5 INC 14547866 0001288 LIFESTYI.E HOMES INC 1489 LAKE PARK CIR 1489 LAKE PARK CZR £AGAN MN 55122 EAGAN MN 55122 (612) 454-7866 (612)454-7866 i hereby acknowledge that I have read this appliaatinn and state that the infnrmatzott 3s aaxrect a=nd agree to comply with all applicable 5tate pf 'Mn. ~ Statut~~eJs artd Cit of Eagan Ordinances. ~ ~-l~ ~ fl an APPLICANT/PERMI~f'r61GNqTURE ISSUED B' SI ATl1RE IN5PECTION RECORD CITYOFEAGAN PERMITTYPE: BuxLorNG 3830 Pilot Knob Road Permit Number: 023920 Eagan, Minnesota 55123 Date Issued: g 6/ 17 / 9 4 (612) 681-4675 SITE ADDRESS: APPLICANT: LbT: 5 BLOCK: 2 4138 SIGNAL p7 LIPES7YLE HOMES INC SIGNAL POINT (612) 454-7866 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION „ • FOOTINGS FOUNDATION FRAMING ROOFSNG ZNSULATION FIREPLACE ROUGH IN PLBG ROUGH TN H7G FINAL PLBG FINAL REMARK3s S& W PLBR - THOMPSON PLBG F- ~ L ' cirY oF eaGaN 13 920 1994 BUILDING PERMIT APPLICATION , 681-4675 ~ t4.fiarl 6-17 SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered i~~,~~~~ of energy calcs. JUtJ 1 4 1994 COMMERCIAL 2 sets of architectural & str tural plans, 1 se of specifications, 1 copy of ene }cs,--___ Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date tc) Valuation of work Site Address: ~ 13 _ 5~Wa~ STRE SUIiE if Tenant Name: (cammercial only) LOT `J BLOCR C9 I SUBD. 5jC01aj P.I.D. # I O"~p~OSS^ Drjb-L_D' Descri tion of work: The appl icant is: tg Owner ~ Contractor ? Other (Describe) Name ~ ,1 ~G eiTU I,F _WO _s , I-rXK' • Phone Property LAST \Ij FIRST owner pddress I~ U.L2 Pa(C C tKU STREET STE iJ City ~~Af7Xl State YYLn Zip SBI 2IL Company 'Eam Phone Contractor Address License 40)I Exp.3156 City tate Zip Company L i Ca . Phone 06'L 723(-~ Architect/ Engineer Name SCI.W Qs Ca_~(.U`2- Registration # Address City State Zip Sewer & water licensed plumber rM j/}n_(Vlll.yv~`hl,U~e. . Processing time for sewer & water permits is two days once a ea has been approveT- I hereby acknowledge that I have read this apPlication and state that the information is correct and agree ta comply with all app icable St te of Minnesota Statutes and City of Ea9an Ordinances. ~(ivv~2.o~ ~V~- Signature of Applicant: ~i OFFICE USE ONLY BUILDING PERMIT TYPE ~ ? 01 Foundation ? 06 Duplex O 11 Apt./Lodging O 16 Basement Finish XT 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool 11 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch O 09 12-Plex ? 14 Fireplace ? 14 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE 0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Canst. (Actual) klN Basement sq. ft. MWCC System (Allowable) ~ lst F1. sq. ft. ic City Water ,A- UBC Occupancy .2nd F1. sq. ft. PRY Required Zoning k_/ Sq. Ft. total Booster PumP # of Stories 2 Footprint Sq. ft. Fire Sprinkler Length On-stte well Census Code !o Depth /n On-site sewage SAC Code oi APPROVALS eensus Unit i Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS O .Site [q Footing 13 Framing ~Insulation ? Wallboard fk] Final ? Draintile ? fireplace Permit Fee v,i,as;a,: Surcharge Plan Review =1 8~- 7~- ~ LiCense 1~,5X 20 ~J_ "77. Sa- MWCC SAC - C i ty SAC Water Conn. ' L Water Meter Acct. Deposit 5/W Permit S/W Surcharge ~ TreatUment nit Pl. z=~ Park Ded. r)" y Trails Ded. Copies ,p? Other . Total: SAC % SAC Units P.03 - - - 2422 Enkeryri50 Drive eeendota Helghte, uN 55120 (812) 68i-1914 FAX;681-940 ~~70~ V~er7 L.wO 9u~K'ldF9 . dNL ENaXtl0.9 -pc uxow.,varene• uuroWwc annateeis ezs glc0~e H.~n.MNaY SS 10 AS4 N.T. (02) 7ea-18ao Fnx:~~-taea ~ Certificate of Survey for: LtFE S'TYLE H4MES,_INC. ~ 9 4138 SIGNA~ poINT C.&AH. NO ~ ~Aoo.0 (Pit~oT KN48 RQAD) gOp 54 0e E 4 ~ _ 223.57 oae 12a49 lal~~ o~ ; ~ \ y'~ ORAINA 906.5 6E 8 UTRn'f EA56NEH1' PeR PLAT~.~ 694.9 x ? ~ 5 ~ t" r~`fs~p Pr~ x9D2.5 e MH ~ ~ 904.6 90411 \sos.zx 6 \ A1' POQ~v°aF' 9121 9W.i e o O~ \ v~ x ~y0 g / _.--SERVICE ~o, •1 , ~ - INV..90Q6 910. 53 126x y Gp~ O ~ / ' 11'M F . ~ 914.8 `r oj L `j ` 912.2x /6 BENCH MAHK J $ TOP OF NUB 0 ELEVs81R.e9 HoUSF ~ 919. / i I (q I''iFt~ 9ENCH MARK p~~Sg Jp ~p5g~~ u8 r 5.4 r IMQ918.Wf_ g~ .6, • ~ W' 915 R,k9I5.9 1 A\A w~ O ELEC. PER " ~(e ~0~ TELE. pED. REVti~ ~ , sisu SIGNAL POINT ? awA , Z J(Jy ! ylJ~~-•y D/Lr 1. Paaroseo csAOEs st+oM reR GAowc rLw er. E LU fl4TE gUµAINC p1NEN90NS 9iGN1d JJW Fdl HOPoZONTAL AND %"11CA1. LaCAtlQN OF STfiUC1URE5 ONLY. SEE ARCNI7ECNAL Pl,ANS FOR 8UKM0 nN0 iWN6ATON OILIfN90N5. NUIE: CONTRnCTOR 11USi YEPoFY DRiYEN'A7 UE4GN• 1HIS D&RhR~CA1E OOES 1XIT PURPOlti TO SMOW EASEMENTS 07HER 1HAN MOSE AION9! ON iHE RECOROEU PLti7. Naie NO SaEtaFlC SOILS INVfSAGAnoN HAS BEfN c01.iP1.E1EL ON 7MI3 LOT BY 1HE SURV~YOR. 1}IE '5YIIABIUtt Oi 5lNLS TO SUpPqR1 1FIE ~ARWOS °.MONl1 NRE ~3&1M~0 SPEpFlC HWSL PROpOSEO IS NOT 1HE RESpON81BIU1Y OP 7FIE SURVEYOR. PROP05E0 H0:lSE ELEVATtON K opn,po penotes Existing Elevation d I ( ooao0 ) Denates Araposed Elevatlon LowOat Floor Elevatlon: ' benotes prdnage & Utility Easement Cy ~G yn Denotas Drainage Flow Diraction 7op of Blxk F]evation: ~„G2 ---0 Deaotea Monument 17 d ---o- OenotAs p(fset Hub Garage Stab Elbvollon: LQT 5 } BLQC~ p- SIGNAL PQINT DAKOTA COUNTY, MINNESOTA ' Yle haeby ctrilry Ihol ;h;e turwy, plan vf resort waa prepwad by me w undir my dkwt supMd' Oh~"ihol t am 0u1y rGglelerd lwd Smroyw w. tlM thp Imre af the Stale o1 Ni-retote. Doled 1h1f 14TH....day af JUNE° AD. 1~. I - f SIGNE ~ONEER EN07EEFiN^ P.A. 30 fieet Scaie: 1 inch = 'Ja,n c. 1 825 1096 94f7&DO R=96°k 06-16-94 02:01PM P003 #26 y LOT SIIRVEY CHECRLIST FOR RESIDENTIAL ~ . . m rw°~ BOILDIN(3 RMIT APP CATION n Q ~ PROPERTY LEGAL: ~ ie w m Date of Survey: ~ S 2 DOCUMENT STANDARDS 0 0 • Registered Land Surveyor signature and company ? • Building Permit Applicant p~? 0 • Legal description ? • Address i ff~ ? 0 • North arrow and ba-i~ scale Br ~ 0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) Er"D ? • Directional drainage arrows with slope/gradient 0--'p ? • Proposed/existing sewer and water services 0'a ? • Street name 0'0 ? • Driveway ELEVATIONS Existinv @f p ? • Sewer service 9-'0 D • Lot corners @''? ? • Top of curb at the driveway C3~0 ? • Elevations of any existing adjacent homes Proaose8 [~0 0 • Garage floor 13 ? • First floor ro ? • Lowest exposed elevation (walkout/window) 0 • Property corners ? • Front and rear of home at the foundation PONDING AREAS (if applicabie) ? 0"~? • Easement line ? C~ ? • NWL D 9~ 0 • xwL ? • Pond # designation ? ? • Emergency Overflow Elevation DIMENSIONS 0' 0 ? • Lot lines CY ? 0 • Right-of-way and street width (to back of curh) L3~0 ? • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all J structures requirinq permanent footings) Ff O 0 • Show all easements of record and any City utilities within those easements C~? ? • Setbacks of proposed structure and setback of adjacent / existing homes • Retaining 11 re 'rements, if any Reviewed• ~ 6 N e / t October 1992 ; . ~ ~ ~ ~ , ~ l ~ ~ ~ ~ : , . f...... r ~ : . w- . . . ~ ' I \ 1 l ' / I ~ ! -I: .1 -OPEN CUL EXIST. l ~ RDAO FOR INSTALL. ~ OF NEW SEWER SEAV I CES. I SEE NOTE #6. , i 1 I ? ~ J ~ I II f I„g~~ x 6- li~ l~ ~ I ~ Cities Di itg a1 Qualitv 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. . 71_iN-13-1994 li :3' fJ. C. =EtJ!JETT LUi9E',ER C0. 6128704407 P. J2i05 _ • , r . . 7E •lVDUIi~:`.5: •t-: eon i nnr ~ orc: -~-t~,~~~~.p`"-s DaIE: : rHpNe-: ~ t~ElF.~ti11HE 4rqp,~;~~tf 501iAn[ FUUTAGE Of' EAGH: . , ; 1. 7Dtn! EXr'QSEp ;lq(,L AItEA i 3j'Z..~U _ fq ft x~~u~. .I1 a sa 1 ~ 7. TatAl Rtlpf/CEIt,tNC AIiEA..,. ~-i-~-'_.~:1 ft x itU,e .026 3•" TD7AL ExFpSEp kALI AI!EA CALtULAT10H5- Ta[a I expaSPd we I I Atea nDove fioor ' . . . ` . . . . iV f e I ~ , ~-j ?Tv 4 n1 Tofal NAII wElr;iot+ nreA: 4 I ~ y r (I ~~_..~..w ~ ~ n ~R gq ft x Iiu,. , 1 t:7 Tvtal dvcr mrre IIy ft x a'U„ j ; . . . . . . . . . ~ I s Idlni q~axs dnor aree: VA W~^ qla_rr;...... ~ ! ~ - f4 ie x "U" G:5 ~....~a.....~~~.~.. 1 V . .__.....v ~ 1 ~ . afated...... ft x ~ltil, d) Tata} FlreplRrll, waIl arcn 9 G f Y u. "ul, r) Tr.Co{ weit /re•~,in,.~ r~ree =,~w~ . ~ . 1 ~ rlv.recr JO°• , V t . ;y~,~,~ f 1........r. "4 S4 f Y ~1 l t., t fl Tot~ri n•t .jail nrtn abnvp Yt,;c,r (ihsuinledl....... L''~'iJ~ , 3 t3 f t M ' lU ll ~ i ~~_~I ti (S) 'rJ:aY rlm fn~St brr8_,. ft Tc,taF NCNh (Eri.po3fc{}....... ' h? lvcal /ourtdatlorl • ~ wSndow arr.a.. ; j . . . . . . . . . . a----- ~ t i3 f Y v "U" o . ~ Totai net !ou^cirrSuiy afea ¦bmve grede....... eq ft x Tt?tAi a) t.hru t) . r ` ~ t If Itr.rr~ d3 is tiee snr,~. es, er iess ttiart IFem P) 2 11CAR 1.160U8 A atld U. , . Yblt 11av0 met tn0 111ten! Of . _ . . ..;a , pa$e 1. ~ . . . . 1 14i'~ +'1 ~ .:~.4.'~ . . ~ 7UN-13-1 3'34 11 :34 N, C. REhdNETT i_Uf4BER CQ. E125704407 P. 03i05' . tbTAL El(PDSEO noor/cEiunr, CALCUI,ATI[]f15: • . . . tocel rxatysea roof/celllnq aren........`.~~-1 sq ft Tofel ltkyllaht srre....., ~l fq ft x "U" . k) 7ata1 roof/telllnq lremio9 Gn area (Averaae Inf,)......_,_,~__~ ~?----^-sry ft x"U" 2~3~.. I) 7otaP net (nsulated toof/celllnq •ree...... ~ICA014 sq ft u"V°' t:J3 ~ / I T47AL J 1 thru 1) l.L~ ' . ff cnxn: oF o4 Is the sare. as, or less than 02, you heve aiei the Intent of. 2 r7CNt 1.15008 A nnd U. . I t' i' IREYERttA'fE BLitlC7lNG EFlYE:.UPE bEStGt4 To utlifze the toea) envelape syttern rmthod, the vaiues esteblS3hed by the ium of items 13 end A4 shell nat be greati,et thnn thr, mum af Ftemi O1 atrd 07. y + ~ • ...._.._.~.Zr...~..Z,M.....___- ? . ~ Ca__.., ',a , ,y'~ , ~ 3. _ 2 Cv L. ~ 1. ,•~,r ' , ;:i;~:f. ; R., , . ~ . Ct k T i F S f A'C ! 0 It ' • - ' ~ ~ I hereby cer[Ify thet 1 have caitu9btrd the "11" fac.tnYa mnd "R" velues hernin at,d that the butldtnq here descrlbed meetE or execeds the 5tate of Hinnezvta Enerpy tnntervntlon A.z2. rt J 1'"^~ / " ~$~QqeIY ; i r (Date) ~ h PaSe 2{ . . ~ . M: a~..' ~,•a„ieT ~ >X%t:kXt%K~kYnsk:~Y%k'.'kX;%# C $<~('F~~,(.Y<7Y_iY• 8t>Y.%kA:~X h'~7K ~i~YK(:K?X$<Y,<~Y:k $+~C:{c LAGAN r;1;iH:f.CR;; S TE"FP4CNAI... NOr 780 Dnrc„ ioizni9F3 7IML N Lt r i.0: i'8 ID: NAME2 WEB-CO Li!..SN;S 320 9001 41.38 £i]'.GNA!... PT 50.,00 205 900:!. 413f3 fiSGNi11_ PT 0,.50 iintal rert>ipt Amot:rrt: 5(:).50 Ck098538 l.}SEfi IDs P1ANt;Y ~X M%%~:Y• ~~%?k Xt v~ r~ ~C ~k ~ Y,<~ Y,t:~?u ~y ~ M 8c:~ at ~x M ~,e M~k ~ ar W~?k X~ a~ PERMITCIt~ OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 7 0 2 (651) 681-4675 Date Issued: , 10 12 0/ 9 8 SITE ADDRESS: 4138 SIGNflL P7 LOT: 5 C3LOCK: 2 SSGNAL pOINT P,I.N.: 10-68055-050-02 DESCRIPTION: Bu2'lditaj~-'„Permit Type BASEMENT FINISH &uilding Wox,k Type ALTERATIQN ;Cen.sus Code 434 ALT. RESIDENTIAL ~ ~ i ~ ~ L4\ ~ E^t `-1 r j f 1''."_ x'" r'• y~,~3 % REMARKS: PLAN REVIEWED BY CRAI6 NOVAC7_YK. SEPARflTE PERMIT REQUIRED FOR ANY PLUMBIN6 WORK. CALL 445-2840 ftEGflRpIN6 ELECTRICAL PERMIT AND INSPFGTTON4 FEE SUMMARY: Base Fee $50.00 Surcharge Total Fee $50.50 CONTRACTOR: - Applicant - sT. Lzc. OWNER: WE8-CO BUILDERS 1$903052 0007853 KAUL PETER 13552 LYNN AVE S 4138 STGNAL PT flVAGE MN 55378 EAGAN MN 55122 612) 890-3052 (651)405-9167 I hereb,y aCknowl;edge that Z haue read this appli:Gation antl' stete that the information is correct and agree to comply witli all applzcable State of Mn. Statutes and City at Eaqa ordinanceS. L ~ _ '46 P ICANT/ EFMIT S r SUED BV: SIGNATURE • ' ~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN SO . `~Z~ 3830 PII.OT KNOB RD - 55122 681-4675 New Construetion Reauirements RemodeVReoair Reauirements ? 3 regislere0 ske surveys ? 2 copias oi plan ? 2 copies of plans (inGude Eeam 8 window sizes; poured fnd. design; etc.) • 2 site surveys (exterior addRions $ decks) . . ? 7 energy aleulations • 1 energy wlculations tor heated atlditions ? 3copies of Vee preservelian plan iT lat platted after 71/93 required: _ Yes _ No DATE: '/L9 -/--:I' - S':Z CONSTRUCTION COST`,Y l~ 6D . Bd DESCRIPTION OF WORK: STREETADDRESS: LOT: ~J BLOCK: SUBD.IP.I.D. ~n a-J Name: 104 Phone ~ PROPERTY 1-ast First OWNER ~l.~'~ Sueet Address: izc, t ~ City Fa~ar1 State:~ ~ Zip: 'ro~ I a-27- oS~ -6 _ 8qp' 0 Company: Phone #•rt'/ - CONTRACTOR ~ 3 3t 190, Street Address: License ~t City State: Zip: AKCHITECT/ ENGINEER Company: Phone Name• 1~"-----~~ ~ e istrag tion Street Addrgss• Ciry State: Zip: Sewer & water iicensed plumber (new Conshuction onry): . Penally applies when address chang and lot change is requested vnce permit is issued. i hereby acknowledge that I have read this application and sTate that the infortnation is correct and agree to comp with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: - . OFFICE USE ONLY ~ Certificates of Survey Received _ Yes No 1 1 Tree Preservation Plan Received _ Yes No _ Not Required iOFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation O 06 Duplex ? 11 Apt./Lodging ~ 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool O 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New ~Er33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) ,I N Basement sq. ft. MCNNS System (Allowable) V- YJ Main level sq. ft. City Water UBC Occupancy 2-3 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 D Census Bldg I 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. Park Ded. Trails Ded. . Other Copies Total: °k SAC SAC Units K BL ~ CITY USE ONLY RECEIPT ( 0~ II o! SUBD. ~CLLQ~AK l~ RECEIPT DATE: ~ 1998 PLiJNIDING PERMIT (RESIDENTIAL) CITY OF EAGPS7 3830 PILOT KNOB RD . EAGAN, NA1 55122 (612) 681-4675 Please complete for: D single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system - FIXTURE$ EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavator; 3-00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 'tor dwellings under construction 5.00 X = Water 5oftener ` for existing dwelling 20.00 X = U.G.Sprlnkler "fordwellingundarconst. 3.00 = U.G. Sprinkler `forexistingdwelling 20.00 = AltefatiOns ' to existing residence 20.00 Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE 50 TOTAL c- ?~C7 ---------I -------y---------------- --------ad• - - - - - - - - - - - - , -state - that the inform - - ation is correct, and agree - to - comply - with - all - appl - icahle City of Eagan ordinances. have re this-ap plication- I hereb adcnowledge that I - It is the applicanPS resports?bility te rtnCrfy 1he proneM owner tbat the Ci.ty of Eagan assumes no lia6ility for any damages caused by the City durinq its normal operational and maintenance adivities to the facilities constructed under this permit wdhin City propartylright-of-way/easement. SITE ADDRESS: "7~.3??S CJ/ 9h~L I'1l~ OWNERNAME: INSTALLER NAME ftI.QIihQ l4-i Ged TELEPHONE ~/~r SG-3O STREET ADDRESS:' NC "TO/_%lf &trLie S~ CITY: &/L7r LrQ-K-e STATE: ZIP: --y«-s~ ~kt'K- SIGNATURE OF PE ITTEE i CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 , I ~+L:'~'~; . s.> . a:i~: , . No. 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIl2ED FOR EACH UNTT. - - - - - - - - - `~NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLA INSERT DA'I'E 9 FEES HVAC: 0-100 M BTU 4. ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACI-) ! ADD-ON/REMODEL (Exis'rING CoNSTRUCI'ioiv) $ 20.00 STATE SURCHARGE .50 TOTAL ~J l SITE ADDRESS: OWNER NAME: TELEPHONE "2 &:LG . ~ INSTALLER: ~ ADDRESS: CIT'Y:STATE: ZIP CODE: - TELEPHONE#: SIGNATURE OF PERMITTEE ~ S~ ~ ry ~ta~3~,~ . . . . . . ~~r~.... zG~ 3` . . . . . . 1994 MECHANICAL PERMIT (COMNLEItCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 651-4675 PLEASE COMPLETE FOR ALL COMMERCLALJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUII.DINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. - DAT'E: CONT'RACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF.FEE $ PROCESSED PIPING: $25.00 MINIMLTM FEE: $25.00 STAT'E SURCHARGE $.50 FOR EACH $1,000 OF JP O'...... : FEE. .SfRa..fa....5 . TOTAL $ STI'E ADDRESS: OWNER NAME; TELEPHONE T'ENANT NAME: (IlMPROVEMENTS ONL1) INSTALLER: ADDRESS: CITZ': STATE: ZIP CODE: TEr.FPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR ,0~ ` ' . . . ~ .s; 1994 PLUMBING PERMIT (RESIDEIVTIAL) ~ a ~ CITY OF EAGAN 3830 PILOT KNOB AD EAGAN MN 55122 (612) 681-4675 PLEASE, COMPLETE FOR SINGLE FAMILY DWELLINGS ~-,ALSO, FOR_ COND03 WHEN PERMITS ARE REQUII2ED FOR EACH -UN-.. o- - _ , NO. FIX7~TRES EACH TUTAL~ t= SHOWER ' 3.00 ~ WATER CLQSET ,~2,_ BATH 'I'UB 1OU ~ LAVATORY 100: I KTTCHEN SINIC 3.00 L. I T.AUNDRY TRAY 3.00 HOT TUB/SPA 3.00 ` WATER HEATER 3:00 ~ FLOOR DRAIN 3.00, «~C3b GAS PIPING OLTTLET • m2nim„m - a 100 51 ~ ROUGH OPEIVINGS ;1:50 4.t-ITZ WATER SOFTENEFC S:OQ PRIVATE DISP. • DaLcty: u~ 20:00 U.G. SPRIIVKI.ER • bome uneer ea%t. 3.00 ALTEEtATION$ • a "2U.OU WAT'ER T[JR1V .4ROUND 20:00 `g r n; STATE SURCHARGE SAey:" ~ TOTAL• STTE EIDDRESSs o kaC1.~.. `f'ni~ OWNER N:AME: 7 ; IIVSTALLER• `f"I ~~orn~5ar~ ~~rlC7 ADDRESS:JSrXr! . _ ~ • C1TY::~~,/l~•> STATE: MtJ ,ZIP`:CODE4: PHONE #c F? SIGNATURE ;OF' P•ERMIITEk . . i - S . ti.`.. . . . . , l~ .-•%9i . . . . _ ~ ~...i . vL:. _ . Y%~ . . . ' ' ~ ' . " ~ . . . 1994 PLUMBING PERMIT (.CQMMERCIAL) CITY OF Ee1GAN 3830 PILOT KN.OB RD` EAGAN MN' S$122 (612) 681-4675 PLEASE COMPLE'I'E FOR ALL C0NIMERCL4UINDUS,TRI??L BUILDINGS. ALSO. FQR MUI.TI- FAMII.Y BUII.,DINGS WHEN SEPARATE PERTVIITS .ARE NOT REQLJIRED FOR EACH: DWELLING iJNTT. , _ tvEw coNSrRucriorr ADD ON ~ REPAIR WORK DESCRIPITON: CONTRACT PRICE: $ FE& 1°k OF CONTRACT-FEE: STATE SURCHARGE.x $.50 FOR EACH $1;000 OF FEE. MINIMUM"FEE: $ 23:00 CONTRACT PRICE X l% ' STATESURCHARGE $ TOTAL $ SiTE ADDRESS:, , ?'E_N.4.N'!' NAMEt: S'!ro- OWNER NAME:- INSTALLER: ADDRESS• CITYc STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN e1PPLICt1NT Use BLUE or BLACK Ink For Office Use CityPermit#: ,.✓ --0-2� ® of �a�a� 2c . q 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2011 RESIDENTIAL BUILDING P MIT APPLICATION C)4111 ( 1 J C✓ C, i c1 4 �-/ b Unit #: l �l Date: � ILA V� Site Address: Permit Fee: Date Received: Staff: RESIDENT OWNER Name: Pe- ` °� r, Arr--t k (4-0 /--- Phone: lQ / "' -1 05 -9/6-2 Address / City / Zip: �jt7L �1 A�-- �C�1 �'t� -617,1,, Applicant is: Owner XContractor STYPE OF WORK Description of work: I Q-'�94'va/let(106 e % A a "5 A tin .e q. C1 w Construction Cost: (5I 0 0 0 Multi -Family Building: (Yes / No )C, ) CONTRACTOR Company: —_*("'te-(i' 1� if6/j 6fJ� 1.��-Contact: �./7'f"�l)� �` , Q n v �4 v(\9 -e. Address: 13L ` 9 iLWv v�'Q ly .yam City:(2.04„.„,„.......,(-- c� P/hA �^ / r State: , r,�� Zip: 55 0 to7 Phone: /0 r 2-..- 1D f ^ 1(03 Li State: License # t 1 5 L.95 Lead Certificate #: If the project is exempt U- from lead certification, please explain why: (see Pag 3 for additional information) `k-), (it C. CIOs / /f -i i 6 1 y 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: NOTE: Plans and supporting documents that you submit are'considered to be public information Portions of the information maybe classified as non=public;if you provide specific reasons„that would permit the City to -', conclude; that; they Are trade..secrets =k „ $...., 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 - rmit; 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 BuildinJ :e must be completed within 180 days of permit issuance. Applicant's Printed Name J plicant's S" re Page 1 of 3 1413' 6 I C,/i DO NO BELOW THIS LINE 1-7 SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of _ Plex Lower Level Accessory Building WORK TYPES New Addition Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building X.,, Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Occupancy Code Edition Zoning Stories Square Feet Length Width Reviewed By: ti 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 t ViJ9.007 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests Siding: _Stucco Lath _Stone Lath Windows Retaining Wall: Footings _ Backfill Radon Control Erosion Control , Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ` � Use BLUE or BLACK Ink • . . . . r�-�-----�--------�----� I For Office Use I ' � Permit#: �� Clty of ��a� a3 � � � Permit Fee: � a I 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I � Fax: (651)675-5694 i Staff: �� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �.1�r,� Date: Site Address: Unit#: �e �1 Name ��:� 5 ��(�C,� "I��--�) � Phone:�/S� '"t"'�� 1 /(�/ Residentl L1 �Zf2 C� � ..L. .C� �� > Owner Address i City�Zip: -1 I �-�u �J lG f1� + L�� t ��'�/�-rV �SC G�� Applicant is: Owner �Contractor ' ` Description of work: nC711 IT�'`Y�� 1'C?�G'�' e�.�.sp,� Type of�Work�� Construction Cost: Multi-Family Building: (Yes /No� ' Company: �� C�[_ � �r Contact: ��)�._ / l�'YYi Address: 1 l� C.a� City: ��✓MI es��' Contractor 3 State:l r��ip:�� Phone: ��`/ ' '""�� mail� � (�/1?, License#: !../(,_�j��g,� 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 pfan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE;Plans and supporting documentsl fhat you submit are considered to be pub/ic information. Portions of . the information may be clas'sified as non-public if you provide specific reasons that would permit the Cify to conc/ude that the are'tratle secrets. 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.ora I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the or ' "es 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 with rmit; 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 Buil ' ust be completed within 180 days of permit issuance. x �I �'�- C1,+� Applicant's Printed Nam ApplicanYs Si ure Page 1 of 3 � 1, 1 ✓� �'� f1(�—� �� r • * e DO NOT WRITE �LOW THIS LINE � �-� �� SUB TYPES _ Foundation _ Fireplace �. Porch (3-Season) _ Exterior Alteration (Single Family) _ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building Reroof Demolish Interior _ Alteration _ Fire Repair Windows Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retalning Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Occupancy �,��` MCES System Plan Review Code Edition �f��'� SAC Units (25%_100% ,�) Zoning �—� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction �� Width REQUIRED INSPECTIONS � Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/ No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final �Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows �,Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control � Braced Walls Other: ,�: . Reviewed By: � �, Building Inspector RESIDENTIAL FEES Base Fee Surcharge �� ° Plan Review � MCES SAC City SAC f�., � �f /,r� /"1 � / � �"� �r�°� Utility Connection Charge rJ <` 1.�.! L! � t✓� �1 �'�'` S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ♦ . � P.4E3 . _......r��- g�2� �nke��ise Qrhr� l�...�� . � � Mat�do'ttt hteigtsts� �tt�f 551�{? �'�` � ,.,�,��cra�s•a,n.�+�s ��'t�} �"191� FAX:�B#-9+� ^ .pc �� w��.Naaw= uu�nc�at�arcc�s 62� tiigh�o 10 N.�. � �� `` n� � Bta�te. M!V �4 .� �.� ��'��) 7�3—'l� �AX:7s3—#$83 � 3 � . � � � • �..►�� . �"�� . �ertific�t e c�f S urv� �or. 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MUIE: Ct)Pt7RACTOR kfU3T VER1F^f p38YEWJ4x DESiG►+i. �'�R 1t1A!! lH05� StiCMtN�'SF#tR�Q pj,�E/l��tYS Na3E No 5�Et9FtC SdRS W1tES7IGAi1oN H1t5 BEfhi Cti1t�£'l�Y�tN�l 'nit3 tAi @Y 'f� StFRV�1fOR. i3tE SSA71�tY Of SGN.S T9 51fF�'PCEtT ti� BEARrM&S 5H�F2 ARE 1t3!aA31AE0 � SFEt�kiC�QUS� RROPQSEC U NOT lE�RE5pON58R-iiY<IF'iliE 3t]RL�'OFt. �@�P4SFf} t#C}ti:SE ��1t{4Ttt2hl:. .. _�� n��a.... C,.i..l:.... Clst�nftnn !3. � t PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA131927 Date Issued:07/14/2015 Permit Category:ePermit Site Address: 4138 Signal Pt Lot:5 Block: 2 Addition: Signal Point PID:10-68055-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Peter K Kaul 4138 Signal Pt Eagan MN 55122 (651) 405-9167 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature