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4143 Signal Pt INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: 41 (612) 681-4675 SITE ADDRESS: APPLICANT: 1~ + I i1NA! I` } i I i I f! 11i1Mli 1. I Nt PERMIT SUBTYPE: TYPE OF WORK: 11r,~,~ 1~ ~ ~ r•. ~ i: INSPECTION DA • D• F L J Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC InspecUon 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 FINAI HTG ORSAT TES7 BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG ,~l~0~/ ~ ~ - - - ~ - - INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: j y~ i' Eagan, Minnesata 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: c) 0 l 4) APPLICANT: I 6wA1. Pr ,~!~r~t . ~,trai ~ • , , , PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . DA i t•~ E i~:, i Permft No. Pertnk Hoider Date Telephone 11 ELECTRlC PLUMBING NVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE 1_~GL.r7'r/ &V FIREPLACE 1 ' AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ~ INSPECTION RECURD ~ CIT4 OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ j 3 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: k, , J. ' r - i ' . . t . ~ PERMIT SUBTYPE: TYPE OF WORK: !,1!:. INSPECT(ON .A . . A M I r-I~, . i rd••!il ryf 1 i~p.) , I lN(~I ~ ,.a • . • y Yi i ~ ~ ~ r, . ~ - • . . i:. L~ ' . . . ~r . ~ ~ ~ PermR No. Permk Holder Date Telephone # S/W . ` PLUMBING D ~5 9~ ~3- HVAC If ~9 3 S,S~+ (o~(OL ELECTRIC dP ELECTRIC Inspectton Dete Insp. Comrrronts Footings 1 el,Z/~ 1 Foundation ~ Framing Roofing Rough Plbg. 7s p; t G h' x Rough Htg. ~ ' ~ /s3 ~ ~i I6ul. r x B .va r~ N~ Fireplace oJ-V-- -,4?0 r~' ~ E J~ a r ~ I 3 ~~l H9. Orsat Test Z4WR Final Plbg. ~ GonSt. Meter EngrJPlan Bldg. Final Z !U Dedc Ftg. Deck Final (.//P ( K~ W9ll Pr. Disp. ~ ~ ~ L ~ ~ i• • - WeMficate af cccuvano (FUj of Cfagan ~c}rartacut eF IBritiiug aadpection This Certifrcare issued pursuvnr to the requirements of the Uniform Building Code certifying lhat al the time af issuance this strucrure was ire camplrance wilh the various orrtinances nf the City reguLatiRg buildirtg constructron or use_ For the following: use aamificam: SF DWG swg. Pem,it No. 22173 Occupancy 9)rpe RIAF4 t Zoning D'auict ~ Type Const. VN Owoer of Buildng T.TFRSIYIR EY?,~ TW Admess ~1489 i eYE P(M RACAN euiieing weeren 4143 STt]W. P[1Ilff Localih T.:.,- P0, SIMAi. P'b1= Buildieg Official POST IN A CONSPICUOUS PLACE . RESiDENfiIAL . ' ` e . ~ SUILDtNG PERMIT aPPL1CA"1'l4N - . . CITY ZTF EAGf1N ' . , 383Q'PROT KN06 ftD: - 55422 . , . " $~']r: ~0 - -1 ~ ~ • ~ ~~irComdn~atloo esani~emm~~'~1~ 3 reg7etarad s$eaurreys s~wU~y'~q- iLct~k~t: srtl. k.af hom~And droated arEas' + ~ ~es t~ ~lan- ; Uw- -,7 ~ 2:oopie9010en0io" dwrtbwiadowskw piedfoundtleeign:et<) • i~~ile~v8ybrezba~ur*WNw8deaaa ' tsetot:EmWcpiaif*s ' Irrfinde8hanese+irefft~f.~ca~niar~ 3 onpfes:affree Preseaafiw'0%h 1fbt.0eWale9c7N193 . Rim WtAelei Opdons welecbM slteel (btdpglpf pr 3 ar tmatb) , sATE vALuAsioN sITE ADoREss - ~ - _ - , F MULTI-FAMILY BUILEDl.NG,1HOW -MANY UNF[S? h/A 'itOPER't'1f OWNER p941,f/15 `YPE OF. WORK E{R~FLAGft%- (:3~; _ 2 _:3 %PPwCANT 5T'i9 Q . ftVrLw# !~W(, ~ - ' Gr,~~=~.b ~'~~&d PHONE S ~ - - NpoRE$s HvY Zvu S - "',A,GER # -CELL PHf?NE # FAX - , - - - - - = , MM RESIDENTIAL BUIlD1NG ONLY - FfL1-. O1lT cOop, lM1F - - ~ - Enef gy-0- o-cle cotogoq _ MnvNEsoTA RuM 7670 CAXEGoxY i (Gheck-we) ReisidentiaI VeratflOon Catagory 1 WoTkshee! Sc~br~a . : - Energy `EnvelowCak:ulatlotw Submi#ed : ~ (ffi]~ ' ~ i=~• _ MNNUQTA RUI.FS 7672' • New Energy Cotfe VYorkshW SubmitEetl uP Plumtiing: G~Qrthcctor. Rhorre _ - - - Plc~rnbi~'SY~st<~m Inrlwctes: - 'VGfi~t:er So~'tener _ Iar~ SA` _ nt~kl~` . 0ee: : _ Vffiater HeaWa' _ No, ot-R.I. Bachs No'. :o!' Mis ~ - , - . _ Mechantcal Confracbr. Phan+a 0 . ~ i Mecfiautica1System..incluile,s: , Air Conilitrori.uig Fee; - ' .00. +A'-. : _ 11e4 Reeayery 5yatein ~ - ; Sswet/Ylfator'Crrnhocfar. Phone 41 above intamaatian must bs submttted pciorlo pnooesstng-Qf applicatlarr. ~ - , I - hereby ocknowledge thot !'Mave read f~iis op~alieation. ~tate thal~f~i~)nfotrnafii~oi~ is c~~,.tirhd c~gg~ ~c~:~ai~n~ri~viifi - _ 311 Qpplicable State.af-,Minneiofia S'tbtuies ond City-of Eogan ardinances:. - • 1 , Slgnafufe ot Appllecnt : ' . . - :ertIficafes of 5wtvey: Received _ Tree Preserva#io~i Plan R. ~eie~ , ; .'.ltpd~CerI4J0~= - _ ~ OFFTIVG Va7E QNLY r ? 3 _0.1 ~Foundaaon a 07 05-plex ? 13 16•plex ? 20 'Pool p 30 Ac.msory 81dg ] 02 -'SF dwialling Cl 08 Q6-pleu 0 16. Fireplace 0 21 Porch Oksea)' ~ 39 ext Alt • Muitl 7: 03 "0'.1of _ pleic. 0:0.9 .U7rplex. 0 17 Garage: 47. 22' Pa?cttJ.Addr?Q 33- Ext Att -$F ] 04 •01,pigx 0 70 U&plex tV 1$ Deck O 23 PQrdr(screened):; Q.36 MuRi 7 05 1 fU3-ptex O, 11 10-plex ? 19 LawerLevel D 24 StOrcriDamage ] OB 04-plex; O'12 12-plex Plbg_Y ax^ N 0 25 'Mtsc+eilaneo.us 7.3.1 'New 17 35 int Impravement EI 38 Demolibh (lnfieridn) 0' .44 Siding 7 32 Addt#ion. 'Cl .30 Move'Btdg'. O 42 Demvlish'(Foundaion) .0; 45 Fire Repair 1-33:Alteration , D 37 Demolish (Bldg}.' 043 Reroof O 4+6, Wiric3owslDoors 3+4 Reptat:ement ''Demotition (Enffre Bldg only) = Give PCA handout to.applicant /aluatio. n Oc.cupanCyr 1~" 3 'MC/ES:System :ertisus Code av_ ZoriFng C1tyr Water 3AC Utiits Stories Boaster'Pump dtfr. of Urritrs r. S.q. ~FL F~fR1l Jbr. of Bldgs. Length 'Fire Spri"red yp.e of Const ,S '!v V4tidtii REQUIRED INSPECTlONS Fqqtings (ne-w bld~~, Fina1/C.0: _ Fodrings (ddck) ~ Fi»sUNo C.O. _ Faatins (ac#dition); _ Plnmbing Fannifi'dan bIVAC Ucsin Tile Roaf Ice &Watcr FinaS Othet Framiag _ Pool _ Ftgs _ Air'/_Gas Te:ats: _ Fina!' _ F*lace _ R.I. Air Test " Tinai _ Siding Sdueeo _ Stone _ Insulation Wiudovvs. (ncwlcepiacement) 4 Approved B.y _ BuiTding lnspector 3ase Fee3urcharge 3lan Rerilew ACI ES SAC :ity SAC "Natsr.SuRA1Y:& Storagg' ,AW Permit & Surcharg,e 'reafinent Ptant ?Iumbing Pecrriit itechanical Perrrait :icense Search ;opies. 3ithet i7ofai / s 5 ITs Cr/ 1 ~ ~ fi uest ce ' Fi No. PougRin Inspection Requiretl? ? Reatly Now p Will NoAy inspector -1 Ves ? No WheO Reatly9 IAlicensed contractor ? owner hereby request inspection ot above electrical work at Job Adtlress (StraeL Box or Route No.~ City Seclion No. Townshlp Name or No. Range Na Counl/y 1 ' ,L//3 K a Ti4 OccuDa^t(PRINT) Phone No. F~ sry« .4~vmt.s el641 - 7A6 Power upplier Atlbress lCo - ~ S Z' 6 ro Eleclrical ConVacmr ~GomOany Neme) Co~VactorS Licansa No. .~~s~ ~rz'r,~'/G ~.vc ~i1 - /`/.~Z. MaJin tltlrase fGO haolor m Owcer Meking Inslalla~ionj . d. ~0 2YV / .~.°~r / 19« ~ r /IN -15s/ v Autho neture ICOn racrou nar aking Inslallatlon) Pnone Ncumber /(OFJMINNESOTA STATE BOARD OF ELECTPIQTV TMIS MSPECTION REQUEST WILL NOT Grlggs-Mitlway 61tlg. - Room 5473 BE ACGEPTEO 9YTHE STATE BOARD 1821 University Ave., SL Feul. MN 551D0 - UNLESS PROPER $NSPECTION FEE IS Phone (612) 642-O800 ENCLOSED . REQUEST FOR ELECTRICAL INSPECTION ~ ? 4 EB-00001-08 See inahudions itl'completing Ihis lorm on back ol yellow mpy. ~ 65585 "X" Below Work Covered by This Request Typeofeuilding AppliancesWired EquipmentWirad Home Range Temporary Service Duplex Water Heater Electric Heeting Apc Building Dryer Other (Specily) Comm./Industrial Furnace Farm Air Conditioner OtM1er(sVacity) Conlractor5 Ramarks'. Compute lnspection Fee Below: # Other Fea # Service Enirance Size Fee # Clrcuil5/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps hansformers Ahove 200 _ Amps Ab9vg100 _ Amps SignS Inspector6 Use only. pTp~~ S~ Irrigation Booms Special Inspection Aiarm/COmmunication THIS INSTALLATION MAY 8E ORD CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in ~ oe~ 1 12 certify that the above inspection has Finai been made. 6 OFFICE USE ONLY Tnis reqvest vold 18 mon[ns Imm ~ Address 4143 SICNAi. PoINr Zip 55122 Loi ' i Blk 2 Sub sicaveu. Pomrr THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: aAc, Final grade (6" from siding) Permanent steps (gazage) Pertnanent steps (main entry) ? Pecmanent driveway Permanent gas ? Sod/Seeded grass ? Trail/curb damage ? Porc6 p~ Basement finish ~ Deck Please verify with the builder the removal of roof test caps fmm the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contad engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy RESIDENTIAL S 7 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 l New Construction ReauiremeMa RemodellReoair ReauiremeMs • 3 registered sile surveys shaving sq. k. af lot, sq. tl. of house; and all roofed areas • 2 coDles of plan (20%mazimum lotcovarage allowed) • 1 set of Energy Cakulations for heated addttions . 2 copies of plan showirg 6eam 6 windax sizes; poured found design, alc.) • 7 sfle survey for exAedor addiEore & decks • 1 set af Energy Calculations • Indipte if hane served by septic system for additiors • 3 copies af Tree Preservation Plan if lot plaUed after 7l1193 • Rim Joist Detail Optians selection sheet (bldgs with 3 or less uni4s) DATE VALUATION O SITE ADDRESS MULTI-FAMILY BLDG _ Y rN TYPE OF WORK,~A1 FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ^ STREET ADDRESS gqqO ~ CITY :2t.• g&_o~.,ATATEZYYZIP 'J-'~-/° 2~ TELEPHONE # 6S/•779 ?y/l CELL PHONE #~~J FAX #vS/- 77111971 PROPERTYOWNER(~V~ TELEPHONE#6Lf-Y COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY ~5~4'~~Li'~•S ~ Energy Code Category MINNESOTA RiII.ES 7670 CA'1'EGORY 1 IV. (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • IA ~ Enargy8 Works e bmitted • Energy Envelope Calculations Submitted UG 0 8 2002 Plumbing Contractor: Phone # Plumbing sysfem includes: Waler Softcner Iawn Sprinkler Fee: 90.00 Water Heater No. of R.I. Baths No. of Bailis Mechanical Contractor: Phone # Mechanical systcm includcs: Air Conditioning Fee: $70.00 Hcat Recovcry System Sewer/Woter Conhactor: Phone # I hereby acknowledge ihat I have read this appiication, state that ihe information is correct, and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinanc1es. / Signaiure of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Nt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 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) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 W indows/Doors ? 34 Replacement *Demolition (Entlre Bldg only) - Give PCA handout to applicant Valuatfon Occupancy MClES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of BId9s Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing _ Foundauon HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insuladon _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , , MRY 02 2001 1557 FR CITY UF i:INDOUEP? 763 755 8923 TO 9529288143 P.02i02 .lZY "isAND SU.[`.9' EYYdVl.l INVOICE1y0. >>r1 F. U. Np.-_ i tq-~p i~AND 5URHEYORS SCAIE I" FG op ol BPock o Oerrof dt Iran MeaumenV Orape Flunr• o penpros Wood Nub Ser 7845BropWymBlvd. grooklynPark,Mln:,esotp$54q5 ForE%Cavafl0n Dnlg Propaead Low.st Fooor ,r' ' ,55p..Ygg.g x000.0 Osrqtaa Ezidln¢ E!ewlipn Type af BWfdinp _ `.`_r/ Denotee PfOPObed EseYUfhn bennfea Sur4pee Dralntl0e / / NCVHK FLECK ~ T9~13~ ~ . . I ~ \ \ ~ ~ ~y I 0 ~ 't., GAR%.SE F?OOR SN.",LL RF.'il~.!!?.7U!ri !8~~ A60vr. rx,I$?iB'G STQccT CRADE WITYI n ~ \ 1l.AN1,1U7.s SLCr=E oF IO PERCEM J ~ !n ~ 3 3s• `L aof dS f ~ 4~~ ;5 . rOb $6 ` V' ~?p \ (a O ~ R \ 1a. ~D \ ON" ~ \ hM\ O' l \ ~f~.~ P Ir':., p y S uF. r . O ' \ , ~a ~ Lot 79, Block 9, KEN51NGTCN ESrariS m c ,~<<~<~•, Z;z: . /v ~ . . X ~k~ ~~t/J ~Gpr /q4 LX rne orttr rnrtunb d+wm w kan p+ro ot rwoid a intamu+on p;roldW hY / ~av C., ~?c CflenL 1 haraby tertlly thnr thft nurvey uas pr~p.red by na cr uiNr P vry dlrect tiqrv{a1m. erd Sha[ 1 m a dilY RaP(a[sl'td I.Nd * Survaqor urxfrr the 1•re o} tht StcCe of Mgnngaot.a Mgmd i PliIton E. Hibnd ~nn. Req N0. 7_0262 PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: auzLorNG Eagan, Minnesota 55122-1897 Permit Number: 027978 (612) 681-4675 Date Issued: 0 6 j 18 / 9 6 SITE ADDRESS: . 4143 SIGNAL P7 LOT: 1 BLOCK: 2 SIGNAI. POINT P.I.N.: 10-68055-010-02 DESCRIPTION: (ROOFING) BuildirYg; Permit Type STORM DAMAGE ~8uilding Wo_r,k Type REPAIR Census Gode 434 ALT. RESIDENTIAL f \ / _ . i F ~ ( J 0{7Y x o~e y.3 tt ~ ~ \zr: REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - sT. Lxc.OWNER: LIFES7YLE HOMES INC 14547866 0001288 BECKER DENNIS 1489 LAKE PARK CIR 4143 STGNAL PT EAGAN MN 55122 EA6AN MN 55122 (612) 454-7866 (612)454-6929 I•hereby acknawledge that I have read this application and state that the informaCion is correct and ag,ree to, comply wiCh all applicabls State qf Mn: Statutesand elty nfi'Eagan OrdinanGes. - ~ n ~.,~az~l APPLICANTlPERMITEE SIGNATURE Y: SI NATU 'qgl CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 uew Construetion Reauirements RA ++dAVR•pa r Reauirements ? 3 registered sile surveys ? 2 copies of plan ? 2 eopias of plans (include beam 8 window s@es; poured fnd. design; ete.) ? 2 sIM surveys (exterior additions 8 decks) * I enerey ~lculatrons ? 1 energy calculations for heated addi(ions ? 3 wpWs of tree preservatlon plen If lot platled aRer 711l93 requf~1s No LJ DATE: l`v I! 6 CONSTRUCTION COST: r e DESCRIPTION OF WOR . r STREET ADDRESS: LOT BLOCK ~ SUBD./P.I.D. PROPERTY Name: u-I iZm, y " Phone OWNER Street Address- q' City; State: ~ Zip: ~f - - CONTRACTOR Company: Phone Street Address: . License CitY: State: ARCHITECT! Company: Phone ENGINEER Name: egistration Street Address• City. ate: Zip: Sewer & water licensed plumber: 'v . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY ~ ~ ~ ENED CeRifiqtes of Survey Received = Yes _ No Tree Preservation Plan Received Yes _ No f.. . ~ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt.ILodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility o 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscelianeous o 05 SF Misc. 0 10 = plex ? 15 Deck WORK TYPE ? 31 New o 33 Alterations ? 36 Move 0 32 Addition o 34 Repair ti 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowa6le) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. R. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Pian Review license MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Traiis Ded. Other Cop+es Total: % 5AC SAC Units PERMIT a20~.~1?70 ClTY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: e u x Lp x tv G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 0 3 8 (612) 681-4675 Date Issued: 0 2/ 0 7/ 9 6 SITE ADDRESS: 4143 SIGNAL PT LOT: 1 BLQCK: 2 SIGNAL PDINT P.I.N.: 10-68055-010-02 DESCRIPTION: (GA5) Buildin4,,,Permit Type FIREPLACE uilGling 41a.r;;k 7ype NEW aep e~ - . . . . : {y....,,~ v ?si t " _ 5 " ~ REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.59 CONTRACTOR: - Applicant - s-r. Lzc OWNER: FIRESIDE CORNER INC 16331042 000106$ BECKER DENNIS 2700 N FAIRVIEW AVE 4143 SIGNAL P7 RO5EVSLLE MN 55113 EA6AN MN 55122 (612) 633-1042 (612)454-8929 ' I Mexeby ackrnowledge thaC 3: have read this'a{apkzcaG3on anxF stata that f he ~1`Mf0rrnat3an'-ns coreeat anti egrss~ to oarnply w3rh ail aPPlicable state osf Mr[..°, Statutes an,ct Gityaf Eagan Orc3inances=, ~ L _ _ APPUCANT/PERMITEE SIGNATURE ISSUED B: SI DIATUR INSPECTION RECORD CITYOFEAGAN PERMITTYPE: euzLozNG 3830 Pilot Knob Road Permit Number: 0 2 7 0 3 S Eagan, Minnesota 55122-1897 Date Issued: 0 2/ 0 7 J 9 6 (612) 681-4675 SITEADDRESS: P•=•N.: 10-68055-e10-e2 qppLICANT: LOT: 1 sLacK: z 4143 SIGNAL PT FIRESIOE CDRNER INC SSGNAL POINT (612) 633-1042 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIPTION (GAS) INSPECTION D. . ROUGN-IN FINAL . . . - . . . ; , e 14032 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 FtREPLACE PERMIT APPLICATION 681-4675 DATE: , DESCRIPTION OF WORK: Z4 INSTALL NM FIREPLACE: _ WOOD BURNING ~ GAS _ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE _ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLED IN: STREET ADDRESS: -4 LOT ~ BLOCK SUBD./P.I.D. 1 !'d r~l.ld- APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY wame:3~~~ Phone #:dn~41 - 8 92 `I OWNER Signature: Street Address-' City: ate: Yvl ~ Zip: -5-r/ Zz- FIREPLACE Company~ p' ~ 1 ~~2'~hone /33 INSTALLER Signature: Str Address: 21~0 -~/-/~W-Ul 91c) License City:" "i~--l-~ _ State: GAS LINE Company: Phone INSTALLER Name: YtT Signature: Street Address- City: State: Zip: I - 3R • ~ ~ ? OFFICE USE ONLY - ` BUILDING PERMIT TYPE ? 14 Fireplace WORK TYPE ? 31 New o 33 Alterations 0 32 Addition o 34 Repair GENERAL INFORMATION Census Code. 5AC Code REMARKS: Chimney/flue must be inspected before concealing. FEES Permit Fee Surcharge Other Copies Total: PERMIT ~-CITI( OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Bli Eagan, Minnesota 55123 Permit Number: O~ 2 2 i i 3 C (612) 681-4675 Date Issued: l 0/ 0 i/ 9 3 SITE ADDRESS: 4143 SIGNAI PT ~ L01: 1 BLOCK: 2 . 57ONAL POINT DESCRIPTION: B,r~ I.sit c} n'-Permit 7ype SF DWG , ir_-5 ] dtnq 1 rk Type NEW F'UBC dcc,41131-ray R-3 I1-1 ~ Co nerx.,ctiori ty e V-N Ioninq R-1 ~ - ~ Buiidin9 lFnut li 5E . F3i f 6 1~ nc, Uiid Lh 1 56 IV~; ~Vie~. 13 REMARKS: S& W PLBR QUALITY EXCAVATLN6 FEE SUMMARIF VALUATION .}174,000 Brase Fee $898.60 MISCFLI.ANFUUS 2./44.50 Plan Review $584.03 Total Fee ~ $4 069.0^ Surcharge $81.00 SAC $750.00 SRf. % 100 SAC Units 3ubtotal $2,319.53y CONTRACTOR: - u p u L.i c: an t - s r. Lr c. pWNER: LIFES7YLE HOMFS INC 7.9547866 0001288 LTFESIYLE HOMES fNC 1489 IAKE PARK C7R 1489 LAKC PARK [i;t FAGAN MN 55122 EAGr1N MiV 5,>127 (612) 4S4-I866 (612)454-7666 >rer-eGy 3oknu.iledye _'Paat. I. h~~~/E' i F,''-ltFtis :~.PPlication .aridLliaY th~~ . Snfoi`mai ion correc!- 111d ~~rer To ._cmpl y wir.h a71. appI i.c,.ble~ St,=,t:C' oiMn_ a"~CIA.T==S a!`I.d t"i fy GiF:iq3n `)'c'•l.rl~il^F.c. . I ~ . . . . . .....J APPLICANT/PE I E 51 NA7URE tSWJ SI `'.UREI - INSPECTION RECORD C,~_ /y~&f ~ CITY OF EAGAN PERMIT TYPE: o? G~ ~3830 Pilot Knob Road PermR Number. Eagan, Minnesota 55123 Date Issued: 3. N /~4) 3 7 (612) 681-4675 SITE ADDRESS: i o r: i BLo c rc: ? APPLICANT: 91.43 SIGNflI PT LIFESTYLF HOMES INC ~ S76t'dAl. POi:NT (612) 454-7866 PERMIT SUBTYPE: TYPE OF WORK: / t sr owc N F~w INSPECTION . FOOTINt; FRAHi-NG iNSULHTION FINAL FIREPI Af,l' REMARKS: S& W PIBR QUALiTY EXCAVATSNG F . . . . - - . . . ~ L - iJ REACTIVATE CIIY OF EAGAN PERM'IT 1,, , 1983 9UILDING PERMIT APPLICATION $4 f 681-4675 SINGLE 8 MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 topy of energy calcs. Penalty applies: i) when permit is typed, but not picke(i 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 9 / 9 / 93 Valuation of work Site Address: 4143 SNAL PoINT SiREET SUITE / Tenant Name: (commercial only) IAT BIACK --2- FSUBD. SIGNAL POINT P.I.D. M Descri tion of work: SINGLE FAMI-LY RESIDENCE The applicant is: ? Owner E3 Contractor ? Other (Daeeribe) Ndme BECKER DENNIS AND CAROL PhOne 454-8929 Property LAST FIRST Owner Address 1961 CHIPMIJNK CT STREET STE / Cjty EAGAN State MN Zip 55122 Company LIFESTYLE HOMES, INC. Phone 454-7866 Contractor Address 1489 LAKE PAR;C CIRCLE L1CCnSE # 12$$ EXp. 3/95 Clty EAGAN State MN jip 55122 Company , T•TFE Y.. xortF. _rN Phone 454-7866 Architect/ Engineer Name Registration N Address City State Zip Sewer & water licensed plumber QUALITY EXCAVATING . PI"OCESSing tim2 fOP sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this a lication and state that the information is correct and agree to comply wi h 11 a 1'ca e State of Minnesota Statutes and City of Eagan Ordinances. Si9nature of Applicant: OFFICE USE ONLY + r ^ BUILDING PERMIT TYPE O 01 Foundatian 0 06 Duplex ? 11 Apt./Lodging 13~16 Basemerpt-Finish l~Y 02 SF Dwg. L] 07 4-Plex O 12 Multi. Misc. O 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc. 0 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE 19 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish O 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V-til Basement sq. ft. MWCC System ~ (Allowable) v- N lst F1. sq. ft. City Water UBC Occupancy g3_ M-I 2nd F1. sq. ft. PRV Required Zoning ~ Sq. Ft. total Booster Pump i af Stories Footprint Sq. ft. Fire Sprinkler . Length 50, On-site well Census Code Jo~ Depth On-site sewage SAC Code ~r APPROVALS ~ Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS 0 Site O Footing 0 Framing _O Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permi t Fee vaw.c;d,: Surcharge Plan Review ~600 License ~3SMT; 30 ~c 43 = I zCto A MWCC SAC City SAC ~ ISTFtmg; Zx 9= /g Water Conn. Water Meter ZN Acct. Deposit '2K/L= CZy~ S/W Permit S/W Surcharge 5sear~o,~ 1 Z~ 7^ 5 f23.: lt~~• Treatment Pl. Road Unit 12- -/-,q : r6~au Ny ~ `7S6a Park Ded. , Trails Ded. Copies Other • ~ Total: SAC % 100 SAL Units . s t. ' , „ , r ' 09/29/93 10:52 002 RiURVEYORYS CERTIFIVAI E LIFE STYLE HOMES 4 ~ ~ . ~ Date G ~ ' EAG1~Pd gPI IYdE 'RINfl DEPT NB 01 81DN76 8M _~6 NOTE: BVILDING NAS 8 ~p 184e' NOTB= NO 5~7CFIC SOILS INVE8TpA710N COMPI.E7Et A IDN OF' U ~ ~~~ua oN THIS LAT 8Y THE 9URVEYOR. Tt# StATABILit'Y OF ' p~iCHITEC~'UAI- Bd48 TO SUPPbRT TNE SP~CIPIC MOU86 PI~PaSED 18 9, FOUNOAt10N OIMEINSIOM3. p(yT .T1ig RESPONS181LITY OF THH 8URVEYOR- pEryp7ES PROP08ED 3URFAGE DRAINAGE O DENOT6S IRdN MONUMENT SET 3CALE: 1 INCH - 30 FGGT ~ DENOTES IRON MONUMENT FOUND PNdPOSEO GARAGE FLOOR - 718'2 FEET XOOD.O DENOTES EXI571NCi EIEVATION PHQPOSFD LOWEST FLOOR =•9119 FEET (OOD.O) DENOT65 PRdPOSED ELEVATION PROPQ3ED TOP OF BLpCK = 91d• 7 FEET WE HERE9YCER17FYT0 LIFE STYLE HOMES TF1AT TMIS IS'A'CRUEAND CORHEC7 REPRESENTATION OF A SUFiVEY OF THE BOUNDARIES OF: Cot 1I Bbck 21 SI6NAL POINT ~ acCOrding to ihe rxorded plnt thereot, Dokota County, Minnesotu. ' IT DOES NOT PURPORT TO 3HOW IMPFiC7VEPAENTB Ofl ENCROACFiMENTB, EXCEPT AS SHOWN. AS $URVEYED BY ME OR l1NDER MY PIREC7 SU ION THIS 21 ST DAY OF SEP'T.I , 1893. SIGN : JA R. HILL. ING. BYJOHN C.LARSON,LAND SURVEYOR e- ~ MINfdESOTA I.IGF.NSf NUMBER 18828 m ~ W james R=SURVEYORS o Navs ~ ~ p A W ~ ° ~ PLANNERS / Ep Q 250U W. CTY. RD. 42 • I R-97% 1 612 890 6244 09-29-93 10:57AM P002 #15 ' 0929/93 10: 52 003 ' SURVEYOR'S CEfRTIFI~'rAT4 LIFE STYLE HOMES /40 K"4013 HiL_L_ II S1GNA1. FRc?FFSSIO;vAL ~ N: C.S. a°~°Q~~ ^AR`rC srq. ~a~f E.PED ~ ` ~ C~~gd w (Y/g~ h V~ WI) b y ` ~Q'• 9~~9 iss ls J N, ,~l' sf m ~ j I ~ GA . i / ~ I T g~ p / (L a1 ;I, ~ H~U3~ p ~ I a~ a j , e BoB.E ~ + ~ l / i916A / dt ~ le l G . " 31.85 ~ \ $ \ f M td08°`S'26"W LOT I a7 5 . / • n Q A \ IN on ~ e a urnirr q.ar 89,09 B9D, o) N 06" i$' 20" ~ DEC flWVtID SCALE, I° = 80~ ' mes R. Hill, inc. ~ o T W~ g N Q ~ F o o ~ ~ ~ o~ NNF~i5 / ENC3INEERS / SURVEYORS 'T Z D. 42 • BURNSNILLE, MN. 55337 • 812-BBO-6044 iv 0 W. CTY. R ~ LOT BIIRVEY CHECRLIST FOR REBIDENTIAL I .J BIIILDINCi RMIT APPLICATI N ~ S2 ¢ PROPERTY LEGAL: y: DOCLTMENT 6TANDARDB Date of 8urve 0 ? • Registered Land Surveyor signature and company ? ? • 8uilding Permit Applicant G-0 0 • Legal description 0 6"0 • Address ir 0 ? • North arrow and bar scale 0~ 0 0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ar~?? • Directional drainage arrows with slope/gradient 0 H~ 0 • Proposed%existing sewer and water services 9__~/~ 0 • Street name Q ? 0 • Driveway ELEVATIONB Existina 0 • Sewer service CC~1~ ? ? • Lot corners D~? ? • Top of curb at the driveway D~? • Elevations of any existing adjacent homes prooosed 4O 0 ? • Garage floor C~0 ? • First floor 0~0 ? • Lowest exposed elevation (walkout/window) 0' 0 ~ • Property corners 0~0 ? • Front and rear of home at the foundation PONDING AREAS (if applicable) L] ~0 • Easement line ? ~ . ? • NWL ? ~f ? • xwL 0 ? • Pond # designation 0 013 • Emergency Overflow Elevation pIMENSIONB z'I] ? • Lot lines 01-0 ? • Right-of-way and street width (to back of curb) :9~0 ? • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) ~p p • Show all easements of record and any City utilities within those easements 11-1~0 ? • Setbacks of proposed structure and setback of adjacent existing homes Dcr'o • Retaining wa 're nts, if any Reviewed• O Na e / ate October 1992 ~c1_79 8 ~ IS-. SG 2007 RESIDENTIAL PLUMBING PeRnnir aPPUCaTioN CITY OF EAGAN l/"``~-OL 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do not combine inside and outside Iumbin on the same a lication; se arate a lications and ermits are re uired. 4r Date CJ l G I07 ~ Site Street Address Unlt # Property Owner ~rl 1 S Gl~ Telephone #(!r~ Q'I Sq"' g7`)'V Contractor ""fla ewd e.,..e oi....,M:.,.. Telephone# Address RyS,t, NW State Zip i The Applicant is: _ Owner & Occupant ~ Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fxtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alterations to existing dwell(ng $ 50.00 _ Add plum6ing fixtures to main level lower Ievel. This fee includes installation of a water softener and/or water heater at the same time. If you are installing onlv a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System A6andonment _ Water Tumaround (add $136.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new ~ replacement Lawn Irrigation _RPZ _PVB _new _repalr _rebuild $ 30.00 State Surcharge $ .50 Tota, $ 50 I hereby apply for a Residential Plumbing Permtt and acknowledge that the infortnation is complete and accurate; that lhe work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a pertnit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is equired to be reviewed and approved. ApplicanYs Printed Name Applicant's Signature Cities Di itg al 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. . ~ ` h i : A I Oll ENYfu LOPE AYE ltAGE "U'l CUHPUIAT 1 dN . ~ i't+G CON'1`kAC-i4R: P'HO?qF : t)ETERMlHE 1+01t1CINA SQi]AAE fDOTAGE OF EACn . T0TAt EXPdSED IlAl,.L ItREA..:..... sq t-c x 11U,l ~ `1q4sd, 2. -TOTAt, ROOF/CIItINC AREA - eli, sp f t x.026 3.'I70TAL ExPOSEd NAtl ARfA ~ Total exposed wal t ~f lot~rl: area at!)ove flau.- r i ~ I~.Qu ~ ~ ~ { . . • . . • , . , 4 r Total w*11 kfndoN ire; • a • _ ? p n ` ~ _ .,,,,__,_.....~~y.,~,., ~ 6 ~ 3? ~ L1~' ~i ~ lJ ti q 1 a za d , ,x- • • ih f t h b f To tal don r aree tt . Total ictina qlass dour aree: . qlszed. . ' 1... . g f e r f d . . . . , . ' iq f t Tatb1 flrr.P1i co waTt sq ft x , O ---,r_. • ~ , Yv C s 1 rra 11 f ram~r.q arei ---------~"r - ~ s 4 f t f) Total ntt wail area abavc floofi (InsuiRteci).. ~ C ~ L2- gq f L X ry,- A} to ! I I r 1 n, 1oi sc •rr,a.. ft Total erea (Exp~~•d; . . . ~ ~a "ot,ibl fos,r.datlori wlndo,r area... .a....._ - ~ • • . ~ _ x>> . ' Y - " r"~, ts1 ntt tounuatlon - •f~• aboy ' ~ , ~ o qrado f= x „U,? .w...___,_.,_,~,.~ ~~."7 p , . s- ~ lf Item 03 {a *.he ~~r»c ar fr ?-~l L`'j Z!lCAR 1.1600; A and 0. ~rr y Yow harr A;ct 0.0 ~vIl1?t o R M ~ • I ~ ' 1F. +Iw .r.~r 1 .r~w+r.n~aw~r~ v....~A•T~.~~w.. . , r r.~Yyy~ I. ~ { • • • a~l~~.~~ / A. pa$e 1 w~ , , r 1• ~ a~~ . ~+~it, fiz ~ r . ~ • . ~ 't~~~~~~,tr~~! ~ CAVwlArst3~,-.. ~ , ~,ri~~~ k?i.+,c f~,;;_.:^;~,.,~+-~. ...Ht • . , ~ .~.'~r~'u,+y~(~Mi~ ~ • • ' ~ . 5.11, yi£.. ~ r ti',~ To ~Q1 expos •.,{~t f~, ~ ~ , .I' , rpqi~teil~~4 •~ta....~.•. , ~ , ~ . n• . q ~1 ; ' ' V' ~ ~ w ~ a : , ' • i , Totol skyl i4ht &ra& k~ Tot~i roc~f/ce! 11nq ffsminq ~f~ '~u~~ , ~ a ~ 1 ? ~;a.~~~~,.'}, : ~ ~~~l. arca (Averoqe ft x ~~rv;r d^m• ` cr h~'.. Total net lnsulated , ft x liu„ a `15 3 root/cei l inqZ ara• , e • • , .a..._...__..' S sq ~ • , ~t ~ } 1 ~ L '~~,`7' ;,:~r.,~; .J.,,, ~ • T8? AL thru 4 . ,r;~'.=~; ~'~.r;~ j~.k1,~,t If .ctal c ~ame as~, . ~ ir i a , V ~•.:r~- ~n c~t, ~ Z MGAi~ I .16U08 t. . ~ , ; , ~ • ~ i. ~ ~ } i S t.~ r..~ (~t:ip~,+ i. - ~'-:i~ . , i( P O ! I~ • 1 ~ts t y e 4~ ' ~ , ' • ~ ~i C ~ r: , ,~i.. t f,; ,~+i r k ydt~~~, yll) f y S I`) 11lTERtIATK e ' /~,nt ~ ~D1?If. F~~VEL4pE nE. , • , , . , . ~ , • ` , fs' m rr hTd, tf,e valu~ti tsteblished by the stt . , met ''i~c t 1 1 I.:e cr;~ ± c~. ~nve! op~ ~yste i; ~ u~~, •i 02 c em3 ~i end #4 ihe10 not 't~e o~ items ~t and k, ~ • ~ ~:a ! ~ , . . . , • 1~' „ ~ ; ~`~r ~ > e ~ ~ L i~ { a,^,.. ~ ` 3 C' " ~p ~ V r~ ~3~,, a.a ~ ~~Y ~ ~ Z• - - - . . .~r'w~ "i~ r} ;;~r 1'L!i.y.,~4 ~ 1.,~ ~C~ ~ ~ ~ ~ ' _ ~t. ~ ~ _w • r1'! ti'~PL Y~rk..l 1 + ad F -,~,r1, ' i~, fr t','r G ~~'Tr~ f w't , . _ • - ~ , ~~yF ~ ~ . r y . ; r ~ . ~ ' ~ i ~ ~ ~ • d ~?~~'+i'~1 ' ' . , ; R ~ ~ • ~ti' ~ ,fi•\: ~ ~ ~ ~ 1 i ~ ~ ' •1= ~i ; ~ ~ i ';~+~'~~`Z ~7~ f y c:,i~ ti f~'fi h c E R ~r . ? ; ~ti~~. •.~x i f t C A T 1 0 N ! htrobY tertify thst l t~~@va calcu}arn~d t~?s factors and ~~R1 1 ,.~.~4X1 vaiucs t,erein •nd that the bvitd1wn ;lrre delcr{bed r.+eats or Rxeeeds t1?* Statt. . .4r, af Mlone:ota EneraY Conser+votloft Ac+ ~,3~»=~r:~*j,~~~~',~~" . , F'. . , , , . r.•r {t~~~~{'rni~~ . rt6. d .".ta~~,C #n ~S ~i• ~ ti ~?~i' Cf q • ~ ~ ~ °~~~t' µ ' ~r ~ ' . , f • , , ~ F. ; , Pia~~ ~t;;~.r2'~+~` 4 • . • "ti.~' ; A . . . . . . . .,~..e;{4Y' i: yJ r ~,-j~'n:~l,:~'~,t~?~;ie~rx~~ r..ua.w 0e~t~rT.~«!a~~jW~!u.t .n i r.., , . . , - . , :•i .;.W~A~'w ~~i i'~~~.;`:,%~': PERMIT City of Eagan Permit Type:Building Permit Number:EA106979 Date Issued:09/19/2012 Permit Category:ePermit Site Address: 4143 Signal Pt Lot:1 Block: 2 Addition: Signal Point PID:10-68055-02-010 Use: Description: Sub Type:e-Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Beth Ridnicki 10751 Excelsrio Blvd Hopkins, MN 55343 952-277-1600 Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dennis L Becker 4143 Signal Pt Eagan MN 55122 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink I For Office ``Use(? Gj I AME&L I I ~5~~ 1 47"~ City of Ea aPermit I I I Permit Fee: - ~ . a_57 I 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: / I I Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: /~)R - I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: / T3 J t °f Unit Name: be in ov i S d- Ca rro I T) ec 16er- Phone: Resident/ Owner Address /City /Zip: ~i q !1 a. C'oeh 4C7 ~Q r► $~%t o"Z Applicant is: Owner Contractor Type of Work Description of work: Re- r ®o -r- Construction Cost: G ` Multi-Family Building: (Yes ! No Company:' J C o ,A+ec. r- -c-e S 14C Contact: Contractor Address: .")e:^ Goat- City: Ce>7 ~~~1/~ State: ~ Zip: 25 638 Phone: ~2 -56 License BC3'78 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. 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. 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. i x x a"4v ~&A Applicant's Printed Na a Applicant's Signature Z_ Page 1 of 3 oly Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - I For Office Use Permit ZV~ j City of Eq,1! I Permit Fee: b ~a I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2013 Site Address: -f - Unit Name: bLMNu-J .l _ ~KPA PA Phone: (bw - ~3Q 2-1, Resident/ Owner ~ Address /City /Zip: ?1 Applicant is: Owner Contractor ~ ~ . Description of work: T?2 - Lie. ~3Aid ax a1~ Type of Work i Construction Cost: (a~~ Multi-Family Building: (Yes / No q Company: Contact: Contractor Address: 6864 ' 52c~,Dev- 1~v7,-d W L4 city: State: YkAA- Zip: 55-b38 Phone: (b l2~ 718 -5`~ 93 License 983 Lead Certificate - r. If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? i _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade 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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of /permit issuance. x Ul[ i 1 /I 14 M T, "42 x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137984 Date Issued:08/02/2016 Permit Category:ePermit Site Address: 4143 Signal Pt Lot:1 Block: 2 Addition: Signal Point PID:10-68055-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - Dennis L Becker 4143 Signal Pt Eagan MN 55122 (651) 454-8929 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139795 Date Issued:11/08/2016 Permit Category:ePermit Site Address: 4143 Signal Pt Lot:1 Block: 2 Addition: Signal Point PID:10-68055-02-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 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 - Dennis L Becker 4143 Signal Pt Eagan MN 55122 (651) 454-8929 Apex Energy Solutions 9655 Newton Ave S Bloomington MN 55431 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165866 Date Issued:11/24/2020 Permit Category:ePermit Site Address: 4143 Signal Pt Lot:1 Block: 2 Addition: Signal Point PID:10-68055-02-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dennis L & Carol G Becker 4143 Signal Pt Saint Paul MN 55122--287 (612) 750-1586 Apex Energy Solutions 9655 Newton Ave S Bloomington MN 55431 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature