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4139 Signal Pt INSPECTION RECORD CITIf`'OF EAGaN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I I c i:, i: r l % i PERMIT SUBTYPE: TYPE OF WORK: ~ INSPECTION .A . t I~~~ i t i1M I rl~~ ~ I f+ill 1 1 Misl i'1 AI.i IM L ~ Permit No. Permit Holder Date Telephone # ~ SNV PLUMBtNG HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Foatings I Foundation I//~~~) ! Framing 1,2110 Roofing Rough Plbg. Rough Htg. isui. Freplace Finat Htg. Y' Orsat Test ~ • Final Plbg. PI6g. Inspector- Natify Plumber J Const. Meter Engr.lPlan Bldg. Final Deck Ftg. Deck Final We11 Pr. Disp. '9 ~ r w-'erfificate of cccupanc~ gitv of Cfagan ~cpdrtmcat o~ ~~i~[b~ ~~pectiou Tiiis Certificate issued pursuant to the requircments of the Ursiform Building Code certifying that at the time of issuance this structurie was ire compliance with the various ordirwnces of the City r+egulati?ig bailding constructron or use. For the following: ux a"rcsfic,: SE naC: sieg. Permit Na. 2223 ! 0-w-r'lYv. -I~/lRl Zoninj nt,uM VN rype con5t. R! o.wof e~aa~,tt~F~tr F HcM~S Am'. 148Q LAiE PAiaC 'r'IIt, F.A('~!N Bui6ding Add,css Ea I3Q SIC1AL POM LoealiryL2. B2s SIGN& POINT / Date: - ~ POST IN A CONSPICUOUS PLACE Address 4139 SlcNtL Ponvr Zip 55122 ~ L.ot 2 Blk 2 Sub szaum, volrrr THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date:,? g Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass ' Trai1/curb damage ` Porch Basement 5nish 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 befote freeze potential existg. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~ While - City Copy Yeliow • Residcnt Copy Pink - Contrector Copy /503~ a5 ~4 Req sl Dete Flre N Rough~in Inspection e+ Repuiretl? ? Reatly Now ~ WIII Notiry Inspecmr Q 1 p - GYes ? No When Reedy? I,X licensed contractor ? owner hereby request inspection of above elecirical work at: Jab Adaress (Street. Boe ar R ma Na.I Ciry . C// i6N~z Pr. Li94,5 4 n) Section No. Township Name or No. Fange Na Cou 0 271 Occupan (PRINT) Phone No. 1/FL-~ S% Y.4 vm~S 7o.E Power ppher AtlOrass 1~ o ,~G,5ene~c ,FA,e1,y1jv6 TO/J Elechs,a/l ConVactor ICompan Namel Conlratlor5 License No. /-/LtCTA°iC: ,04 Q/,1192 Maning Aotlre ss ConVacior or Ownar Maxing Installa~ionl Po /~ox 2,11464 /11~ 111911- 4,4 y ss/-Zy Au0 ignature iConlratlonOwne~ Making Instell9LOry Phone NumbBr 41 -~yG 6 MINNESOTA STATE BOAPD OF ELECTPICRY THIS INSPECTION REpUEST WILL NOT Grlggs-Mitlwey Bltlg. - Raom S173 BE ACCEPTED BY THE STATE 60Aq0 1821 Universily Ave.. SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS PhoneJ61P) 642-0900 ENCLOSED. REQUEST FOR EIECTRICAL INSPECTION i"°"°*Y EB-00D)1-028 /O 4/93 ? See instunjnns for qompleting this form on beck of yeilow copy. 4 _I 3 6 5 5~~ °X° 8e/ow Work Covered by This Request t~~~ ew7Ctld Re . Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other(Specify) Comm./Industrial Furnace Farm Air Condilioner Otner(syeciry) Conlractors Remerks: Compute Inspection Fee 8elow: # Olher Fee # ServiceEntranceSize Fee # Circuiis/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps Above 100 _ Amps SignS Inspeaor's Use Only: TpTAL Irrigation Booms 5( (~b Z Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE DISCONNECTEO IF NOT Other Fee J COMPIETED WITHIN 78 MONTHS. I, the Electrical Inspector, hereby Rou9n-,n oeca. 'C~ certify that the above inspection has Final oa~ s~ been made. OFFICE USE ONLY TTi3 request voitl 18 monlhs Irom PERMIT - S( CITY OF EAGAN pERMITTYPE: guzLozNs 3830 Pilot Knob Road PermitNumber: 022231 Eagan, Minnesota 55123 (612) 681-4675 Date Issued: 10 J14 /93 • SITE ADDRESS: 4139 5I6NAL PT LOT: 2 BLOCK: 2 SIGNAL POINT DESCRIPTION: Bu`ildirfg4Permit 7ype SF DWG ~uiltting 't`atqrk Type NEW "UBG occupancy"' R-3 M-1 s" CottstPUCtian Ty~pe V-N Zaninq R-1 Bu3lding Length 64 F Bu;ildiny Width 49 . , Y. ? 1 ~?r~ ~^v'n ; t~ iY" f , REMARKS: S& W PLBR - QUALITY EXCAVATING _ FEESUMMARY: vaLuarzoN $123,000 Base Fee $720.00 MISCELLANEpU5 $1,744.50 Plan Review $468.00 Tota1 Fee $3,744.00 Surcharge $61.50 SHC $750.00 SAC % 180 SAC Units 1 Subtntal $1,999.50 CONTRACTOR: - Applicent - s7. Lxc OWNER: LIFESTYLE HOMES INC 14547866 0001288 LIF£STYLE HOMES INC 1489 LAKE PARK CIR 1489 LAKE PFlRK CIR EAGAN MN 55122 EAGAN MN 55122 (612) 454-7866 (612)454-7866 I hareby ackrtawledge tkat I hove read this apPlicot,tan and state that the infqrmation is Correct a;nd agree to pomply with ald applicable State of'M»• Statutes anzl City qf Eagan qrd"znartces. L ~ J~¢,n 'A I APPLICANT! ERMITEE SIGNATURE ISSUED B: SI NATUIi ~ INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuxLoiNG 3830 Pilot Knob Road Permit Number: 022231 Eagan, Minnesota 55123 Date Issued: 10 / 14 / 9 3 (612) 681-4675 SITEADDRESS: LoT: z BLOCK: 2 APPLICANT: 4139 SIGNAL PT LIFESTYLE HOMES INC SIGNAL POINT (612) 454-7866 PERMI oSUBTYPE: TYPE OF WORK: NEw INSPECTION . .A FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S& W PLBR - QUALITY EXCAVATIN6 F ~ L - J REACTIYATE ~ GITY OF EAGAN a~ , PERMIT •.N 1993 BUILDING PERMIT APPLICATION ! 681-4675 0' dy? ~3 ! r. rFl. SINGLE & MULTI-FAMIL sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. 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 OCTOBER / 4 / 93 Yaluation of work Site Address: 4139 SIGNAL POINT SiREET SUITE Tenant Name: (commercial only) IAT 2' SLOC& 2 FSUBD. SIGNAL POINT P.I.D. N Descri tion of work: SINGLE FAMILY RESIDENTIAL The applicant is: ? Owner n Contractor ? Other (Deocribe) Name NORDSTROM, KEN AND GLADYS PhOn2 459-6937 Property LAST FIRST Owner AddT'e5S 9100 GREY CLOUD TRAIL STREET STE M City ST. APUL PARK $tdL2 MN Z;p 55071 Company LIFESTYLF HOMF.s_ TNC. Phone 454-7866 Contractor Address 1489 LAKE PARK CIRCLE License # 001288 Exp. 3 5 City EAGAN State MN Zip 55122 Company SAME AS ABOVE phone ArchitectJ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber QUALITY EXCAVATING . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowtedge that I have read this application and state that the information is correct and agree to comply with all aePlicable State of Minnesota Statutes and City of Eagan Ordinances. ~ ~ti f9a~ Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE , ? 01 Foundation ? 06 Duplex 13 11 Apt./Lodging 16 BasementrFindph 0 02 SF Dwg. ? 07 4-Plex 13 12 Multi. Misc. 0 17 Swim Poal ? 03 5F Addition ? 08 8-Plex 13 13 Garage/Accessary ? 18 Corten./Ind. O 04 SF Porch 13 09 12-Plex ? 14 fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility O 21 Miscellaneous WORK TYPE ;K31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish 0 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) 1t- h4 Basement sq. ft. MWLC System (Atlowable) ~ lst F1. sq. ft. City Water Y~. UBC Occupancy 1?.3.M-1 2nd F1. sq. ft. PRV Required Zoning R-1 Sq. Ft. total Booster Pump of Stories Footprint Sq. ft. Fire 5prinkler Length (,T On-site well Census Code _T0_1 Depth ~ On-site sewage SAC Code -0/ APPROVALS ~ I Planning Building a Assessments Engi.neering Variance REQUIRED INSPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee wwes;m: g 123, 000 Surcharge GaaAGE; 32 kZZ= '~py Plan Review License i x Iz a(i2) MWCC SAC , City SAC X !o= AIS Water Conn. R~SM~;, '737 x 16~ 117~lZ Water Meter , Acct. Deposit 54y 14S8 S/W Permi t S/W Surcharge j~24= ~Zo Treatment Pl. ~ X _ ~y Road Unit 1 Park Ded. I5g0)( 1y Zos+' ov Trails Ded. Copies 1sS Ftaoe Other Total : 89W?1TC' 9'-SeD SAC % 00 35%rf ? = 36 SAC Units I6Ib~Sy= 96,4 22 15 0 10/11/93 16:50 002 SiJRYEYOR'i CEI~TI~FICATE LIFE STY~ ~MES, INC, . / (899.t~ ~ ~ ~ Q . lyo ~ s it' to tpi 10 as. M1A'' / ~ Q ~ if ~ cv CP r ~3 ry ~ ~i i 1 ~ ~ .o ~ ` .p~• 4~~ . ~ o.ix O~s 971,'i'~ ~ gp4 f x ~ , ~ . ~;"--i1 • . ~4l N P a.9gJ eY. ` ~e9z.o g ~ f61.4I ~ , ~ N84°57122 ~ - Lr~T I 'NdS"M BULpWO OneFNp 1QN $ BNbYYN ARE fOR !qR ~ 9 VgtTICAL ItICCATION OP 8~ YUqE 0 NOTHr NO gpRIC SOtLS 'INVESTIGATtON HAS BE~71 COAApI,E1'!0 Ai1CtiYIft.TUAL RANS I~OR 9UIL4lNfi 6 tlN ' ON THt8 ?A1' SY THE SWIVPYDq, THE StNTABILtTY OR DIMENSIDNS. aOILS iG SUPpOItT THE 8(WFIC HOUBE PROP6SE0 IS do--- DENOTfS PROP05ED SURFACE DHAINA4E Nor THE RESPONSIaILRY OP TN6 BuRMoR O DENOTES IRON MONUMENT SEf 3CALEi 1 INCH = 30 'FEET • PENOTES IRON MONUMENT FOUND PROPOSED GARAQE FLOOR =117-$ FEEf X000.0 DENOTES EXISTINQ ELEVATION PROPOSED LOWEST FLOOR a909• cl FEET (OOO.o) DENOTES PROPOSED ELEVAnaN PaOPO5W TOP OF BLOCK-q/jp. Z- FEET WE HEREBY CERTIFY TO l. iFE STYLE IiONE,S INC. THAT THIS 15 A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF 71-(E BQUNURiES OF: I..ot g, Block 2, SIGNAL POINT ~ uccording to the recorded plat iheraoi, Dakota County, Mkmaota !T bOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNPER MY DIRECt SUPERVI5ION THIS 4TH DAY dF pCT; 11993• PWDPD9ED 6RAOFS Stq1~IIrN WERE ~Q : J HILL, INC. 171KEN p'RONt THE tiflADMO PWN' FOR ~~~DNPL PbINT, PREPAREG Byt g' JOHN C. IAR50N, LA D 8URVEYOR MINNESOTA LICFJVSE NUMBEA 18828 ~ o ~ James R. Hi! I, inc. ~r m o~' W m z PWNNERS / ENGINE.ERS 1 SURVEYORS 2800 W. CTY, RD. 42 0 BURNSVILLE, MN. 66387 a 812$90-8044 &=97% 1 612 690 6244 10-11-93 04:56PM P002 1i24 ~ LOT 80RVEY CHECRLIBT FOR RESIDENTIAL SIIILDI pERMIT APPLICATZ N ~ PROPERTY LEGAL:o`~ ¢ Date of Survey: DOCIIMENT STANDARDS 8~ 0 0 • Registered Land Surveyor signature and company B~ 013 • Building Permit Applicant D ? • Legal description 0 5~ ? • Address Lil-'~ 0 • North arrow and bar scale 0' 0 0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 8-lD? • Directional drainage arrows with slope/gradient i*iK ? • Proposed/existing sewer and water services ~ ? : street name a~0 ? Driveway ELEVATZONB Existing 21'~p • sewer service W~ ? ? • Lot corners $~0 ~C] • Top of curb at the driveway ? 6~ 0 • Elevations of any existing adjacent homes Proposed 6~? 0 • Garage floor @~ 0 0 • First floor p, ? 0 • Lowest exposed elevation (walkout/window) C-1~ 0 0 • Property corners ~ p ? • Front and rear of home at the foundation PONDINa AREAS (if acolicable) t] 0' ? • Easement line , ? 2-~ ? • NWL I] 0' ? • HWL p Hr p • Pond # designation ? Q~ ? • Emergency Overflow Elevation pIMENBIONS C}~? ? • Lot lines ~ 0 D • Right-of-way and street width (to back of curb) 0 • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) I'~ D? • Show all easements of record and any City utilities within those easements H-10 ? • Setbacks of proposed structure and setback of adjacent existing h nQ,-- '13• Retaini w e rements, if any Reviewed: ame / Date October 1992 L Cities Di i~ tal 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. Ci i=: T- `.i 1 2= r P: E t•4IA e T T P_0 1 , . usni gun ~ ~ ' - t` - -;1 - ' -_,.~`'•S ~a : ~ - ~ ? r~'~y U ~ __T . ~ CG - ~o s_ _ vN~ ; ,.j,udtRE f00i.",t.e OP EACN: r oSE~ ~~ALL A,ni: x ~ ~Z r 2. ~ i'.'JOF/CEILfttG AREA,....... 84 # t 7D1AL EIfPOSEE, HAL' - l~ ''f^l I(Nr - : l. Tocr ~ r xpose,: t.. •i ED !lfjolfC ~ ~ J~'( ~ ~ . . . n 1 w41 I ,P ndorr nlate~ • , ~y :4 ~ . J _ . c~5 :y~ • ~ ! ~ _ ; r~ ! ~ . s ; t A < < . . . , . . . ~ _ f 1 ~ . _ . - ' . _ _ a 4_,..,, 14 ~ • ~ , • - - . _ - ~v 4 ~ r on?~..~ ~ Z^ ' j . ~ . - y . • 'r IL i ~ a~ ' J ( • :3 r•1nhA 1 r: 0 7 F:EY4 taE T T P • ' , _ ~kprfSEo aoOF/CEILI?ar GALCULATInJt~i ¢ nt? t a t e a . . . . . . . sQ f t x "U, . « w 1 ~ ~ ; r •Y~C!!~ ~ ~fst~ ~r!?m3t`c. • , srte t vtr ann ~ ~1; , . ~ ~ z • . ` L. 1} Trt~~ r,rx lnsulate ~ „ roofJceilfnq a(ps 9r n if totei ciE +tf is tl,r wnf.,r -is, pr lesa than 02. yau have nGf thA InLeRt of ~ 2 HCA.R i 16008 Jl mn-I 0. ' ~ f' . . . . ' ~ • _ ~ 4. . ^ _ 11 11' ' c~i . ~ . : . 9 ~ .e j I r_I~. c s'41 'ti . . ~ ~ • ~ - ~t.. ~ _ • ; t ar,t • . _.liG: .~r~ , 1 •,ti; 'v . . ~.y.•.j ~L~`~ ' r•.i S 1~~ • ~ a ~ :,u'ti'~'~, - -•rr ~ .l~ .'s°; L , ~ r •~,~~`'~`a~~~k'~~r.yw{.t~ •~~3~•.'!." y"`i VG'„ 9 •r~~~:~~~;5~~y`~,: , , ' • . , . . . ~~r •~.,~.i; ;?~+s:lt a~~~, . ~ RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Ma 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauiremenfs RemodeN2eoairReauirements Offce Use Onlv 3 registered site surveys showing sq. ft of Iot sq. fl of house; and all mofed areas 2 copies of plan Cert of Survey Recd (20% mazimum lotcoverage allowed) 1 set of Energy Calala6ans tarheated addiflons Tree Pres Plan Recd 2 copies ot plan showing beam 8 window sizes; poured tound desgn, etc. 7 sde survey for additiom & decks Tree Pres Not Reqd lseloiEnergyCalculations Adddion-indicateilon-sitesep6csysfem _On-siteSepticSystem 3 copies of Tree P2servation Plan if lot platled after 711193 Rim Joist Delail Optlons selection shset (bidgs wAh 3 or less unRs Date ~ Z/4f Constructian Cost 21 g~U Site Address L~ ~ 7 Unit/Ste # I Description ot Work TC 4,/` O-FIC Ll 5 ~ - fee 5 ~ de • f"~~ ~~j ~ Multi-Family Bldg _ Y_,L. N Fireplace(s) _ 0 _ 1 _ 2 '7~A I Property Owner N"a Telephone 6 7S - 04~/ g I I SELA ROOFINO & REMODEUNO, ING i Contractor 4100 EXCELSIOR BLVD. Address ST. LOUIS PARK, MN 55416 CjTy, ' State Zip Telephone k( 6f Z) Z 90 - 7 77 ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I - Minnesota Rules 7670 Cateeorv 1 _ Minaesota Rules 7672 j Energy Code Category . Residential VenUlation Category 1 Worksheet • New ~e tn ~ I (J submission type) Submitted Sub IJUL • Energy Envelope Calculations Submitted I 2 003 Licensed Piumber Telephone - - - - ~ Mechanical Contractor Telephone Sewer/WaterContractor Telephone#( ) 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 M~T Statutes; I understand this is not a peanit, 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. ti.v e ApplicanYs Printed Name Applicant' ignature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIG ? 03 Ot 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-piax ? 12 12-plex Pibg_Y w_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 bemolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. ARV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSYECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ plunibing _ Foundation I-NAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu ~ Final _ Framing _ Siding Stucco S[one _ Fireplace _ R.I. Air Test _ Final _ Windows (newlreplacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Fes - Base Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total _70~ 7G/ j~l - o0 f 2007 RESIDENTIAL BUILDING rERMiT arriacaTioN ~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 r Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reouirements RemodeVRenair Reauiremenis Offce Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all mofed a2as 2 copies of plan showing foofirgs, beams, joists CeR of Survey Recd _ Y_ N (20%mazimumlotcoveregeallowed) isetofEnergyCalalationsforheatedaddiGons SoilsRepoR _Y _N 7 Soils Report if pmposed building is to be placed on disturbed soil 1 site survey for additlons & decks - Sree Pres Plan Recd Y_ N 2 copies of plan showing beam & window s'v.es; poured fuund desgn, etc. Addifion -indicate ifonsile sep6c system Tree Pres Required Y_ N 1 setof Energy Calculafions On-site Septic System_ _Y _ N 3 wpies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Op6ons selec6on sheet (buildings wiM 3 or less units) Minnegasw mechaniql venfilation form Plans are considered ublic information unless ou state the are trade secret and the reason. Date UL l (3 l Construction Cost Site Address t 3 9 J1WAL ~ UniUSte # Description of Work /&J X l! i l+ I~l J=D /-E~ Multi-FaroilyBldg _ YA N Fireplace(s) _ 0 ,xl _ 2 Property Owner L N7't ~ E Telephone # (Gi ~ c)- 3 Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEYV BUILDING - Minnesota Rules 7690 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residentiat Ventilation Category 1 Worksheet , • New Energy Code Worksheet (d submission type) Submitted Submilted . Energy Envelope Calculations Submitted In the last 12 monThs, has ihe City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor C E Telephone ) Sewer/Water Contractor ZOOT Telephone J C) I hereby apply for a Residential Building Permit and aclrnowledge 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 pernut, and work is not to start without a permit; that the work will be in accordance with the approved pl the case of work which requires a review and approv of plans. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE y. ~ Sub Tvoes ? Ot Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Di of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) 0 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex X 18 Deck ? 23 Porch(screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ~Q 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Oemolition (EMire Bldg) - Give PCA handout to applicant DCSCrIptl011: Water Damage _ Yes Valuation (9 Occupancy MCES System Plan Review Y100% or _ 25% Code Edition Census Code 7~ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const IA_ Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings(deck) FinallC.O. Footings (addition) ~C FinaUNo C.O. Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs AirlGas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Au Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Building Inspector Base Fee (_2 C> Surcharge Plan Review MC/ES SAC ~G~7i!/CL City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ,r'EY0Rf. L 11 f~TIf IP~A'~' LIFE STYLE HDMES, INC, y~ . / / ' r ;t L'~1 l ' (899.k I ~oop, • ~r ` r~ NT o '49aW . •'`,ro f ~9• ~1yI ~ / 81l,8 r ~ ~i68 10 m ~ bl'6. CV r / ,J ~d C~ d~ a~ ~ .sr ~ \ .o I ` 4 .~A~ J l Q ~~X ~ ~ ~44 SI 1 ~ ; , A~ ~V ! ~a g z.o ` N94°57~2 • - ~-'r~T ~ Fdgl", G 1~EPT. i ~ •NG'I'$I BULpWO Cne[-NSION$ SNOWN ARE FDR fOR L B V~tTIC4L LOCq'hON OF S'~ YUqE OFaI?L NCTE~ NO 8PF]CRIC SOILS YNVE37V¢ATION HAS 868N COMPI,ETED AApil'tECI'U4L PIANS ROR BUILGINO p ADI(fip CN ' 4N THIB 1A7 8Y THE SURI1EYDq, T!t 8tHTAD1Ci7Y OF DIMENBqNS. ~ AOILS TO $UPWIt9' THE SPWFIC HOUSf PROpOSEO IS f--- DENOTFaS PROP05ED SURFACE DRAINA4E NOT THE qESPONB181UTY OF THE StlRYEYOR O DENOTES IRON MONUMENT SET 3CALE:1 INCH = 30 ' FEEf • PENOTES IRON MONUMENT FOUND PR(7POSED GARAGE FLOOR m917=$ FEEf X000.0 DENOTES EXISTING ELEVATION PROPOSP-D LOWEST FLOOR =90 9• ~ FEET (DOO.D) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK-9/jf. 7, FEET WE HEREBY CERTIFY TO LIFE 5TYLE liONES INC. THAT THIS IS A TRUE AND CORRECT REPRESENTA'170N aF A SURVEY OF THE BQUNbARiES OF: I..ot Z, 81ock 2, SIGNAL POINT ~ neeording 1p the Beorded piat fheroof, Dakotn County, Minnmota ~ IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCAOACHMENTS, EXCEPT AS SWOWN. AS SUFiVEYEP BY ME OR UNPER MY DIREC7 SUPERVISION THIS 4TH 4AY bF OCT, 11933• PRDPiD9E0 6RAOFS Si1DWN W~~qB ; SIG 74JOHNC. HILL, INC. 171K6N P'ROM THE RRAbIN6 p1AN FOR 816NPL POINT, PREPAREp BYi rrso~.uNO. LARSON, LA D SURVEYUR MINNE80TA IiCENSE NUMBER 19828 ~ ~ o~~ o-o o ~ b James R. Hil I, inc. ;,o~ ~ oZ~~ ~ W m"m PIANNERS / ENGiNEERS I SURVEYORS - ~ m { 2$00 W. tTY, RD. 42 0 BURNSVILLt, MN. 56337 • 612-890-8044 8=97% 1 612 890 6244 10-11-93 04:56PM P002 SF24 Q;3,oo RESIDENTIAL BUILDING Permit Application 1-700) City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reaulremenls RemotleUReoairReauirements O(fice Use Onlv 3 registered site surveys shawing sq. ft. of lot, sq. ft, ot house; and all roafed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20% maximum lot coverege allowed) 1 set oi Energy Calculations for heated addNions Tree Pres Plan Rectl _ Y_ N 2 copies of plan showing beam & window skes; poured found design, etc. 1 sile survey for additions & decks Tree Pres Reqd _ Y_ N isetofEnergyCalculalions AddiHon-inro'kateifonsfteseptksystem On-site Sepfic System _Y _N 3 copies of Tree Preservatinn Plan if bt plaHed after 711f93 Rim Joist Detail Options selecfion sheet (bldgs wAh 3 or less unils Date I / !12 /00, p Coostructioo Cost dD 2c)D(:) Site Address yi 39 Sl (7 /kJ/5 Z- r T UniUSte # Description af Work Multi-Famity Bldg _ Y N Fireplace(s) _ 0 ? 1 _ 2 Property Owner L /~+ICk Telephone # ( ~J~ ) 6 7 5 ' ~ 6 /f Contractor Address City State Zip Telephi ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate2orv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheef • New Energy Code Worksheet (q submission type) Submitted Submitted . Energy Envelope Caiculations Submifted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) MechanicalContractor Telephone h ~)i:r n~ ~9i ~ U Sewer/Water Contractor Telephone ~l 9,7011.1 I hereby apply for a Residential Building Permit and acknowledge that the info 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 be in accordance with the approveLplin the case of work which requires a review and approva f plans. Oc~c ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt - 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. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y w_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinallNo C.O. _ Footings (addirion) _ Plumbing _ Foundation HVAC _ Drain Tile Odier Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemem) _ Insulation _ Re[aining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Totaf '£~9y3p~-~, Ta3a~a : : Y r : ss< ~ •...Mr ~~i~8~,s~;~y"Cd ~ '~k `"zx°n .ax ~ '~"2""' ..rY~~ ,~y3•S2'°~ ``b ~ ~kw ~`~a. ..g~~ i2 %~v.e'. 1993 MECHAMCAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD FAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMTIS ARE REQUIRED FOR EACH UNTT. ~ NEW CONSTRUCTION ADD-ON A/C ADD-ON FU1tAIACE DATE 2 ~ 3 k'EES HVAC: 0-100 M BTU ~ ADDTTIONAL 50 M BTU 6.00 GAS OU77_ET$ (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXISTING CoNSTRUCnoN) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: J~! U, M i,.~ OWNER NAME: ~ ' TELEPHONE INSTALLER: 9601 Jefferson Trail ADDRESS: INVFR rwpu,E IIFISII7s, MNIsjJ97 (612) 454-8666 CTl"Y: STATE: ZIP CODE: TELEPHONE ~ ~SIG TURE PERMITTEE 1993 MECHANICAI. PERMIT (COMAZIItCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD FAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMIVIERCIAL/lNDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHF-R MULTI-FAMII.Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: CONfRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DE3CRIPTION: FEES 1% OF PO1V17r,tAC,7" FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMHNTS ONL1) INSTALLER: ADDRFSS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CTI1' WSPECI'OR y iLdk J x~S.._.....~i., 0~~~#~'~ 1 ~ ~a~,Y"3 n Y~ 1. ~ ~~'v~..~.q ~ 5" ~ A~~~'~ ,~~,w•~'^'~` . ~t.?+`~R , %Y?~. : 1993 PLUMBING PERMIT (RESIDENTIAI.) CITY OF FAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNTf. - - - - - - - - - NO. FIXTURES EACH '1bTAL '1~ SHOWER 3.00 - WATER CLOSET 3.00 G, ou BATN TUB 3.00 3 ~o 0 ca LAVATORY 3•00 3,o o I KITCFiEN SINK 3.00 3. o0 I_ LAUNDRY TRAY 3.00 3, c:o HOT TUB/SPA 3.00 I WATER HEATER 3.00 ?5;o c. 1 FLOOR DRAIN 3.00 3,00 ~ GAS PIPING OiTTLET • minimum • t 3.00 o o , ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Dak.Cry. lic. 15.00 U.G. SPRINKLER • eome under const. 3.00 ALTERATIONS • to aosting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE •50 TOTAL: S, nn SITE ADDRESS: Z4I ,5 l S i afl ca- n& 44 OWNER NAME: Lf~T,J~ INSTALLER:tI cm,p-,~,n 0 mro ~ ADDRESS: I 5onl tyll ry(Ae nk a --lnckt rl A CITY: M1 nrie.--r„nlL:a STATE: L) ZIP CODE: 55'~'-l S~ PI-30NE (lclA) '?-~55.- 77l `7 SIGNATURE OF PERMITTEE ~~~HIP~~~~~~~ ~y, i. f e' x h t A i a j$~' ~4~ 3.~y ck f .p.p A ' : t 's s i c 3 a 'fa '~3a'~~~a`~aex,~ > a pS.~yE,u~~` a.~'.~'34 rs3'E~ yg h' n'L~ j ~ r* ae-_w s «ct `'a -+g . T & ) .S 35 fY~D3"P. f ~ .Y: ~......:.,..?~.3^.~:Ss,F.4~S~ F.ab3~a £ 'X: ..r. ..x.. . . . 1993 PLUMBING PERMTT (COMMERCIAL) C1TY OF EAGAN . 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL CONiMERCL4L/INDUSTRIAL BUII.DINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIEtED FOR EACH DWELI.ING UNIT. _ NEW CONSTRUCTION ADD ON REPAIR ' WORK DESCRIPTION: CONTRACI' PRICE: $ FEE: 14 OF CONTRACT FEE. STATE SURCIIARGE $.SO FOR EACH $1,000 OF FKK{! FE& MINIhfUM FEE: $ 25.00 CONTRACT PRICE X 1% $ STATESURCHARGE $ TOTAL $ SITE ADDRESS: TF'~IVA_rI'I' NAME: ST'E. # OV4'NER NAME: INSTALLER: ADDRESS: CIT1': STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT '*" City of Ea�ali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: / Tenant: 1 r Use BLUE or BLACK Ink Permit #: 7c g Permit Fee: Date Received: Staff: .4009 MECHANICAL PERMIT APPLICATION Site Address: / / 3 % r�c \ P I RESIDENT / OWNER Name: Address / City / Zip: Suite #: Phone:/'i -1 d —2-05"-e„ License #: CONTRACTOR TYPE OF WORK PERMIT TYPE Name: ie e -a-€ ��Q » Address: '11 \— City: e . c j js % State: _��/_ Zip: ST -c-'-1 Phone:6 Contact Person: New Replacement Additional Cpl?cam Description of work: Alteration Demolition NOTE: Roof mounted and ground rnqunted mechanical equipment is required to be screened by Code. Please contact the Mechanical Inspector for information on permute i:.screenrng metho RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction — Interior Improvement Install Piping Gas Processed 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) COMMERCIAL FEES: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) - If Permit Fee is Tess 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). OR Contract Value $ x 1% = $ Permit Fee $ Surcharge = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in Eagan; th t I understand this is not a permit, but only an application for a permit, and work 's n with the proved plan in the case of work which requires a review and approval of plans. 0 fl 445 A/ App scants Printed Name FOR OFFICE USE Required Inspections: the ordinances and codes of the City of permit; that the work will be in accordance Reviewed" By: Date: Under Ground _ Rough InAir Test `_Gas Service Test _In floor Heat _Final: ExtiorHVAC ScreeningInspection City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4139 Signal Pt Lot: 2 Block: 2 Addition: Signal Point PID:10- 68055- 020 -02 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - $88.50 $1.50 Total: $90.00 Owner: Paul A Maier 4139 Signal Pt Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 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 Building EA088915 04/27/2009 ePermit PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108590 Date Issued:12/18/2012 Permit Category:ePermit Site Address: 4139 Signal Pt Lot:2 Block: 2 Addition: Signal Point PID:10-68055-02-020 Use: Description: Sub Type:e - Water Heater Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Eric Bruckmueller 3992 Pennsylvania Avenue Eagan, MN 55123 651-686-6696 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - John F Kemper 4139 Signal Pt Eagan MN 55122 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116359 Date Issued:10/07/2013 Permit Category:ePermit Site Address: 4139 Signal Pt Lot:2 Block: 2 Addition: Signal Point PID:10-68055-02-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Kelly Meyer 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 - John F Kemper 4139 Signal Pt Eagan MN 55122 Hause Construction, Jg P O Box 206 Bayport MN 55003 (651) 439-0189 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118462 Date Issued:11/01/2013 Permit Category:ePermit Site Address: 4139 Signal Pt Lot:2 Block: 2 Addition: Signal Point PID:10-68055-02-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - John F Kemper 4139 Signal Pt Eagan MN 55122 Hause Construction, Jg P O Box 206 Bayport MN 55003 (651) 439-0189 Applicant/Permitee: Signature Issued By: Signature rFor Office Use X Permit#: 56 / (�s E AG Ak JUN 11 zo9 u��J Permit Fee: /(1 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionse_citvofeacian.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1-t//74_ /f Z l9Site Address: y/ 3 g s' 5.4 / ?II. Unit#: Name: gU✓l 7-1 Phone: r; S-i 2 q7-i7 F 7 Resident/ owner Address/City/Zip: '// 3 S 5-,)A, / f Applicant is: Owner contractor Type of Work Description of work: e v� 964'x 7Z " Nal . i 4 /( - L 4r Construction Cost: 5', 0 0° Multi-Family Building: (Yes /No A ) Company: S-in Qr 4 Fx''n°'s t L C Contact: /Yl4 ff Srw. 1 P Y� Contractor Address: 73 Z wry ( "o.,/J Li,' City: 7?.i i s �./1--- State:MN Zip: c S-3 3 Phone: 15-2 "Jr"' "Email: s^'t4r f c.,.c f'eei o✓J /IL Dow,/co 4 License#: 7/114 7 '/2- l' 7 Lead Certificate#: If the project is exempt from lead certification, please explain why: -1f /s 5G COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes 1)410 If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be'. classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeacian.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 ,77a 6' , Applicant's Printed Name Applicant's S' ature DO NOT WRITE BELOW THIS LINE 17/3 7 £ + ✓i / J (2/ /5--/9 SUB TYPES 1 Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) Sin le FamilyGarage _ Porch(4-Season) _ Exterior Alteration (Multi) 9 _ g _ Multi — Deck — Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex — Lower Level _ Pool _ Accessory Building WORK TYPES New n r,eo; .13 _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair )0 Windows _ Demolish Foundation — Replace _ Repair _ Egress Window Water Damage — Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation °°.— Occupancy 1g-C- I MCES System Plan Review Code Edition vn ei 20I s SAC Units (25%_ 100%r ) Zoning R` I City Water Census Code Stories Booster Pump #of Units Square Feet _ PRV #of Buildings ` Length Fire Suppression Required /� Type of Construction Y Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) ktD Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final e Framing 30 Minutes 1 Hour _ Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS 9 Insulation Windows Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan M r Other: Reviewed By: �`�/��1 /1/' la t//7 , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157719 Date Issued:09/05/2019 Permit Category:ePermit Site Address: 4139 Signal Pt Lot:2 Block: 2 Addition: Signal Point PID:10-68055-02-020 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John F Kemper 4139 Signal Pt Eagan MN 55122 Sieben Plumbing 18605 Fischer Ave Hastings MN 55033 (651) 343-6298 Applicant/Permitee: Signature Issued By: Signature EAGAN nEGEIVE 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651) 675-56751 TDD: (651) 454-8535 1 FAX: (651) 675-5694 SEP 1 6 2019 Staff: r For Office Use ^ Permit #: / 8`O((av� Permit Fee: /a ').' 4 Date Received: q-76 —7? buildinginspections at7.citvofeacian.com GI Lr� a 114 2019 RESIDENTIAL BUILT T APPLICATION Date: Site Address: Unit #: Type of Work Name: Jp 12A - Phone: V51- 2'1 1 1(0, 1 Address / City / Zip: 'I / S9 S I at %\i /kL �' i / kNS / t\A N Applicant is: Owner Contractor Description of work: 30 124 ---Ant Construction Cost: '\3oo - oC Multi -Family Building: (Yes / No ) Company: W MT l i2 &r\ d S LGl N con act: Yt i :�-e. Py9icK, Y Address: - S't 1 J L (It- City: l/f V --k/ 1 L L� ,�//�� Cl Email: G Wv�,2S rG� State:l`i''Zip: �� Phone: l�_�v "'� �'��' License #:) C l✓`0Jo 4 Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber:. Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Phone: Fire Suppression Contractor: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude' that they -are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 sta hout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval • ns. " Appiic nt's Printed Name Applican s Signature Cow, DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Ae Single Family Multi 01 of Plex WORK TYPES New Addition 1j Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ) Census Code # of Units # of Buildings Type of Construction Fireplace .__ Garage Deck Lower Level 11/ 3 s :50 4 1P1 Interior Improvement Move Building Fire Repair _ Repair ,2,00 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Roof: _Ice & Water _Final 4.Framing ')[' 30 Minutes 1 Hour Fireplace: (_ Rough In _Air Test 4 Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Porch Porch Porch (3 -Season) (4 -Season) (Screen/Gazebo/Pergola) Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Pool Accessory Building Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows _ Egress Window _ Demolish Building* Demolish Interior _ Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant VICES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required Backfill HVAC _ Service Test Gas Line Air Test — Hood Pool: _Footings Air/Gas Tests _Final Drain Tile _Final Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee -Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL 00/ 0 Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA172698 Date Issued:10/12/2021 Permit Category:ePermit Site Address: 4139 Signal Pt Lot:2 Block: 2 Addition: Signal Point PID:10-68055-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - John F & Patricia L Kemper 4139 Signal Pt Eagan MN 55122 (651) 271-7639 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature