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1792 Silver Bell CirCITY OF EAGAN Remarks Addition CID-',R GROVE; #11- Lot 4 Bak 3 Parcel 10 16711 040 03 Owner a Street 1792 Silver Bell Circle State Eagan, T 55122 Improvement Date Amount Annual 'years Payment Receipt Date STREET SURF. 1971 261.65 26-16 10 STREET RESTOR. 1975 124-31 12.43 GRADING SAN SEW TRUNK ? 1968 60.0 2 OO 30 • SEWER LATERAL 1975 1,493,96 2 * Water_,lat & area 1-975 5 WATERMAIN WATER LATERAL & e 1973 200.45 13,36 WATER AREA * Storm Sewer T 1976 268.39 8 STORM SEW TRK Z2 4 1971 33.56 1.67 2 STORM SEW LAT ? 1971 22.7 1.11 20 CURB & GUTTER SIDEWALK 1978 187.52 10 STREET LIGHT WATER CONN. BUILDING PER. SAC PARK Address 1792 SILVER BELL CIRCLE Zip 5512 1A 4 Blk 3 Sub CEDAR GROVE 1111 THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: j._G_() 1 Yes No Inspector: Final grade (6" from siding) k Permanent steps (garage) k Permanent steps (main entry) k Permanent driveway Permanent gas Sod/Seeded grass k Trail/curb damage k Porch 3r Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff 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 RESIDENTIAL 4 BUILDING PERMIT APPLICATION CITY OF EAGAN 'i 1(0_?) a_? 3830 PILOT KNOB RD - 55122 1 651-681.4675 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window saes; poured found design, etc.) 1 set of Energy Calculations • 3 copies of Tree Preservation Plan ff lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE t41 1 ? 1 012- JOB SITE 2 S'i 1ve.y IF MULTI-FAMILY BUILDING, HOW MANY UNITS? _ PROPERTY OWNER tV \ ClV\ } ?alit A 1 TYPE OF WOR ??? ryD0 APPLICANT ADDRESS `??\2 S\\V>J? \` G\ PAGER # CELL PHONE # C\ S t2-2 FIREPLACE(S) _ 0 _ 1 2( ,` _ PHONE#CQS,-O_-fit 42 ZIP CODE SS I2Z FAX # NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 Heat Recovery System ?n U Sewer/Water Contractor: P All above information must be submitted prior to processing of application. j I hereby acknowledge that I have read this application, state that the inform Ell ui_- to comply with all applicable State of Minnesota Statutes and City of Eagan rdina ces. Signature of Applicant 1 ?r Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ RemodetfRemir Reauirements • 2 copies of plan d- • 1 set of Energy Calculations for heated additions 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION ?e IC Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of-plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex / `18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or - N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) X23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding A 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Q Occupancy MC/ES System Census Code Zoning City Water SAC Units i9L Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Flnal/C.O. Footings (deck) _Y ? Final/No C.O. _ Footings (addition) t ' _ Plumbing _ Foundation _ HVAC Drain Tile Other Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final _ Framing _ _ _ _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other 0/f ""G pptwcf &-i 7-1% 0 Building Inspector 21 c?vv q)- x 30- )I y6 o yy 6 0 Total a >0 4 JNEER.ING ,OMPRNY, CONSULTING ENGINEERS, PLANNERS and LAND SURVEYORS INC. PROJECT NO. 9873 BOOK 396 PAGE 3z .1000 EAST 148th STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 CERTIFICATE OF SURVEY ,,dal Description: LOT 4, BLOCK 3, CEDAR GROVE NO 11, DAKOTA COUNTY, MINNESOTA. C U 01 DENOTES EXISTING ELEVATION (37¢,) DENOTES PROPOSED ELEVATION ?-- INDICATES DIRECTION OF SURFACE DRAINAGE _874, 33 = FINISHED GARAGE FLOOR ELEVATION 71,31 = BASEMENT FLOOR ELEVATION 66 = TOP OF FOUNDATION ELEVATION SCALE 1" = 30' GOT AREA = !8, 79Z Sy. Ff. NDUSE AREA = !6/B `?y• ??• BENCH MARK: 5AN. MN I1.1 CUL DE SAG OF SILVER BELL CIRCLE. 87/.9+ ?T£C A/? Top_ 8-11,91 -r= /M..0 860.90 C MDFESS : 1-79Z SIL EF_ BELL CIRCLE • ?d ti SILVER BELL CIRCLE 56. 0 S2. LT FENCLG 2t"Da[. P?/?d2 -`? =46' 1 3?mak W AMC, Rety 26,0 setw ??b 41 SN o ?? SIA,a? '? 8 1¢ 0? tk9 ?hQ . `? oo _z;b, 87¢,33 7z.8 0.00U 20.00 W } (874;0 N rn \p v o GARAGE" 27.00 z' 20.00 N-Txy 3? 61- L? -PROPOSED Co iHOUSE o N 37.00 25 ' PORAR , Za "a 7. C,7 _ s (i373?3' 0 J ? G O / -S Z S l -4"D &. PoPIA2 I O &Y, E: i L+'EIm L (072,8 ?-- wATER.y9iN 5 ? 5719,00-07" 925 + ,u E DRAINAGE AND _ R I ll6LL...., d._•+'j , UTILITY EASEMENTS ?2,6 , r 13 Y 1 Date I I;AGAN ENGINBE'RING D EE'R I hereby certify that this is a true and correct representation of a tract as shown and described hereon. As prepared by me this //' day of UL 2000. 94!v, 7-ZO.00 : Add Lof t Noose Arcof v?t(t res Fe, C'?y RevTew? ? Minn. Reg. No. 19086 rlrf•r-.._ 04/17/2002 12:14 14 /I\ NOR F BUILDING COMPON April 17 2002 Attendan.Mr; This let this resolves yo MCI lne Phone 807-274.7401 Fax 807-274-5661 Tol Free 1-800-465-291 a e-mail: sales nor-fab.com web page: http://Www.nor--I 8072740050 NORFAB B 732 Riverview Drive Fort Frances, ON LTD. P9A 2W3 z rq.T 1? \-/ t7 rG Llr PAGE 02/02 `vYt ) 7 4z sc?,v(5'fu ? u h et /z Men"; is to confiirn the snow load rating on the 12' Monarch gazebo is 40 - 1b:1 hope concern. + Quality Building Products + (ir Gtrnun gwN,TUOfn, CITY USE ONLY rL .?_ BLS?'' y?, I l RECEIPT#: susD. recky C)f 1ay, ht I I RECEIPT DATE: ? PERMIT# '/?A 7 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x l = $ Floor drain 3.00 x = $ 3 Gas piping outlet ' minimum - 1 3.00 x $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x j = $ 3 Laundry tray 3.00 x = $ 3 Lavatory 3.00 x J = $ 3- Septic System nowirefurbished ' requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x 3 = $ L -9D Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ 3 Water heater 3.00 x $ 71 Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge .50 -> --> -> $ 50 Total -' -' -' ---' $ Reminder: Call for Inspections of alterations, i.e. water heaters, water softeners, etc. - . ----- ------ --- -- -- - I here by a- Eli ow ledge that I have read this application, state that the information is cone d, and agree - to comply with all applicable City of Ea ordin It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: J w, SIlI yr,4- on,tt C - - OWNER NAME:: C ' rA-7n *I'LA L-[ 0--1 TELEPHONE* a4s°, / Calf (AREA CODE) INSTALLER NAME: L/L?AtiCIF? ?` ?N TELEPHONE#: (AREA CODE) STREET ADDRESS: CP t GAL nn? a &-r- - CITY: -P?l uv- Lc? Q STATE: IF 7?- SIGNATURE OF PERMITTEE CITY USE ONLY LOT 4 BL j SUED. (c d A Y C)(OVt 11 - PERMIT #: l (0 It RECEIPT #: RECEIPT DATE: 2000 MECHANICAL PERMN (RUIDENTUL) crrY OF EAmm 3830 PILOT KNOB RD EAGM MR 55122 651-6$1-4675 Date: 0-0 Complete this section only if you are installing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100MBTU ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea.) State Surcharge Total 30.00 6.00 ?J. tst7 .50 $??v Complete this section only if you are remodeling, adding to, or r_placinp an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. New Furnace Air exchanger Other Fee State Surcharge Total Reminder: Call for final inspection. 30.00 .50 30.50 SITE ADDRESS: 7 f' S J yN t 2? L? ' M OWNER NAME: L Cl ?? -C f7 0-- PHONE #: (AREA ??D?" ?922J 7 D - INSTALLER NAME: /?,, 4?°EY?LL.9aFt,?I ??`l=lJ PHONE #: `7 E) STREETCA?DDRESS: Il?B?D ( G?i nrz? ?/ (AREA CODE) CITY: /' n LW- L STATE: ZIP: i SIGNATURE OF PERM EE Replacement _ Other Air conditioning CITY USE ONLY L _ BL PERMIT#: SUBD. APPROVED BY: INSPECTOR RECEIPT#: RECEIPT DATE: 2000 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3$30 PILOT KNOB RD EAGAN, MN 55122 651-661-4675 Please complete for: all commercial/industrial buildings ulti-family ,buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping When installing/removing underground tank, call 651-6814675 for inspection by fire marshal and plumbing inspector. Description of work: Fees: I% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge TOTAL $ SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): calculate at $.50 for each $1,000 Base Fee PHONE #: (AREA CODE) WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITfEE City of Eagan Cash Receipt Receipt Gate 10/4/00 Time Printed 'x5:35:26 Receipt Number 112a AIR.' SYSTEMS INC 4 9061.2195 .50 MP 43115 9001.4088 36.00 MP 43115 9091.2195 .50 MP 43114 9001.4888 36.99 MP 43114 Total Receipt Amount 73.07 User NMCGRAN CITY USE ONLY LOT t BL PERMIT #: )-i 31 ? S SUBD. V (Z Y ® ?)-e _?}' I ( RECEIPT #: RECEIPT DATE: 2000 M£CEANICAL PERMIT (RE$ID4NTIAW crrY OF EABAB 3850 PILOT KNOB RD EAGAN MN 5512E 651-681-4695 Date: 19 Complete this section only if you are installing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea.) $ 30.00 6.00 A ?? J, tate Sur arge .50 Total , Complete this section only if you are remodeling, adding to, or r_placing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. New _ Replacement _ Other Furnace Air conditioning Air exchanger Reminder: Call for final inspection. Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 SITE ADDRESS: / / Y.< -ayLVI6t pyAc L r-az ! OWNER NAME:L' PHONE # inS? ?j 1 nn ,, (A CODE) INSTALLER NAME: D1( 5 , ., PHONE #: (A A CODE) STREET ADDRESS: CITY: nci STATE: 'W/ ZIP&2"W -- n., CITY USE ONLY L BL SUED. APPROVED BY: INSPECTOR PERMIT M RECEIPT#: RECEIPT DATE: 2000 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ Underground tank removal/installation = minimum fee Contract price: $ x 1% = $ (Base Fee) WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. SITE ADDRESS: LE (IMPROVEM Y). WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: V OWNER NAME: PHONE #: (AREA CODE) NANT NAME ENTS ONL ADDRESS: CITY: PHONE#: (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE 9524613986 03/07/2001 09:17 9524613986 TC CONSTRUCTION PAGE 02 f;k..ae.ea: L9_ "-i1VCvll C.v. ta_ eba Sued. On Apra 15. 2000 the Wnne•ots Energy Code, Category I Bullding ReQtmements fbr insuialian pnNectldn, air tightness, and wnfilation, was adopted. As a resuR, the Cify of Eagan is ntr WWN that the foibwbng in?ormation be subraitbd prior to nuance of o Cenftate of Occupancy. Tme aVUCWra: to w sftef d b meat minlr ffl reeuinmaMS •f PA W ErIOW Cove. Ch•pta 7670 Orr Teeie abyCetre. Mtge conseeeesd b meet rnon re•blp0ee n>oylrem•nb d Caa74ra 7672 er 7074 MArllf NTWS vEM rK 1MMA rreelar 4t1 6GC> ii i, Z 've' Fumaw a fjQ(,) Z OrYer aXNAUST SYSTEM IOCAT*m TYPE moo L GFM's 7a• ke Keener, k aswreem e 2 e¦rnesm . eaaereom a OONr 1 h0 soy admowwpe Owt ft •bow inlbrrnsom is aotrw ane apps m c•at•ty reth Ore mbnn••0f• Ewpy teas are city of Eapan requk en4. Deal Company N•me • Thee hmn w the ramwebefity,of tiu t'aenerM cenVeera. CITY OF EAGAN CASHIER: JS TERMINAL NO: 775 DATE: 08/15/00 TIME: 14:57:15 ID: NAME: T.C. CONSTRUCTION, INC 2252 9220 1792 SLVER BELL 30.00 3210 9001 1792 SLVER BELL 958.75 3866 9379 1792 SLVER BELL 100.00 3430 9001 1792 SLVER BELL 0.25 3422 9001 1792 SLVER BELL 623.19 2275 9220 1792 SLVER BELL 1,089.00 3446 9001 1792 SLVER BELL 11.00 2155 9001 1792 SLVER BELL 0.50 3743 9220 1792 SLVER BELL 50.00 2155 9001 1792 SLVER BELL 47.50 CR135954 ** USER ID: JAN ** .itwaddress: ?. I'd ti` ? ? ...uf l;ot ? *¢k-1 Subd. Ce Qrr April. 15, 2000'the MiOesota nerg" Code, 0*907y U Bt ild.il Requirements for insulation- protection, =air fl s; and Ven?lta#i n, was .adopt f Attesult, N City dfagah, i? regoidmg that the'l oiloAng; hforrriatlon be -sia'bnOed-prior to issuance of=a erq#icate `i f. ceupa c ; This'struret re is oor?s?ucted to rrle'et:minr'raium t ga?re enks`of the• Mn Eoe!rgy!Cgdq, Chgpt. 767U OR: This strpeture: waF?t(be construc ecl.t meet more resiYi tive req irements of --haptp .7.67.2 pOtT4 APPLIANCE GASH & EC MAI OFACTt1ltER, AdOE_L BTU S VENTING TYPE, ?UV?ater?ileafer `? Y1; .l7ff ?? ?. Purnaw l)ttier tXHA UtT.SYS_Ti llll Lt]t<ATION, i Tw MODEL CFWS VtrMT`ED yIM Hp 'kitchen kkhen ,' - - - t?athroom 1 ,rte "' ? - - - Bethroom 2 `Bathroom 3 - - -- Whr,'oohi 4 - ' CIthRF -- ? - MAKE UPAIR MODEL -TYPE COWS, nn'' I - L I.a hit, j ~ 1 ereby wknowledW than tlhe-ahove inif6 matfan Js carnet and 1equiremeAts: TIC G'ompa4 Name V. agree to €;omply.,1Aifh;lhe MOeseta,E*gy CW. smO Cty._of'EsgOh Date Thi5f6rrn'islthe *W. sbUityof the Qeeeret Contrabtbr: 2000 BUILDING PERMIT APPLICATION (RESID NTIAL) ` CITY OF EAGAN q 3830 PILOT KNOB RD - 55122 U 1 I 651-681.4675 -c) o New Construction Reauirements Remodel/Reoalr Reaulrements 1 I D 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan and 2211 roofed areas (2D% maximum lot coverage allowed) 1 set of energy calculations for hooted addltions ? 2 copies of plans (show beam & wirxlow sizes; poured Ind. design; etc.) 1 site survey for exterior additions & decks 1 set of energy calculations ? 3 copies of tree Preservation plan It lot platted alter 7/1/93 DATE: 3 ` C ?r CONSTRUCTION COST: 1 Cj U U DESCRIPTION OF WORK: U .' w A/ n e If multi-family bldg., how many units? STREET ADDRESS: 1 7 LAIC . LOT. C BLOCK: ?J SUBD./P.I.D. C C-` ?4 r ?9? y c - l Name: 'T-c- L y v --j` Phone #: LS' PROPERTY Last First OWNER Street Address: L? ?--) S City !% Ik° State: ?Ar°i Zip: S S ° 0"U Company: ?CJ Lr?? Phone #: CONTRACTQR (area code) Street Address: License # to -;? Co City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Street Registration #: City State: Zlp: f 2c c? I a ?-iac? ?4s? Sewertwater licensed plumber (if installing sewerlwater): Phone M I hereby acknowledge that I have read this application, state that the information Is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received Yes Tree Preservation Plan Received Yes OFFICE USE ONLY _ No \?y V_` No 1 I N8t Required OFFICE USE ONLY r - I BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of_ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) ! UBC Occupancy LZLU? Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone g '1 APPROVALS Planning Building Ta'mty Engineering sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinkiered Variance ? 31 Ext.Aft-Mufti ? 33 Ext. Aft - SF ? 36 Mufti Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: '4N() (e. (9l Valuation: $ I tce 70'1,9 ? LIB 7S- SAC Units % SAC G F U F z 0 U v F r r t a w m a a N z w a x x U m m w r 0 0 H 0 6 0 ?I MINNESOTA ENERGY CORE 1-2 Pam,7y R"mentw Bull?rtg RESiDENT1AL "COOKBOOK" WORKSHEET ApAmrN Narsa: Phond: Uaid This bul ft k a: totmew or cmpffmm: w?U `JT , 12 T c 9 ?CalegOry 2 B 1h b h b i ? Ah 6 . •7 ` for sk m lpl W* ny &mn owo. u = AppSeaM Addre»: , x9912 M l BuWAg (w** d C~rf 2 M oppkWimL 1M pmpesd bd ft has bwa raqubamardo, hw addYanal ab eyr,.w, and • dwbm d brad 0o nq*wwo6 d 0w Mnnwata AaobagrlWMWwdrNVMblbuSydrn> 4insr0yCods. BVibfNrg AddfaS6:. J/ 1? 1 ? fUc / ? ( Omm amm be do** rna*od vAh bndatbn R•,ratrw, wlndar anddoa LLrok+w, °'-7 rrJ r ` C? C/L 6 andheo&gandwdbgegWpmenroleeb4ke. AppftM7Eroraw' WNWW RE{MAREYE?ITS ?nr QPmW m o ek a..... E"dwo 1.irr*adwdod-wwom?dt c.**Vx?MAsaspwbu s RJ8" R!rnOW R-10 or oCulwlsdl (T1W ar mom-?4op pb b ?--? hlodaerm U-vokm: 0.30 b r FvjMgion Vx k"dsbd 131ass 1n wood or 1?Vb d Y csftwm bw had brays R•44" ` ? ' Flowowx unowdWonsd R-24 l ow Y6g4 9arnl (r11R ar (CEM?Op poll b "o -- ? qww %do& agwn k ob" w 4*w"m d wbdardager area a $MMndw sbamq" 1Ah+daw IWabrR "Ieou4YortForOarnranoeat Yl0lrtarDedpe Corrdl0as VAndw WA Door Afft too x . 2.57. "s5 + Zo 27 = r Z . cs % u?o0%N U-v Ai%0rbPDWWWdiArea VAKW ?oOrArrbel GMUWaeApes VWKW*00orArea 3mm WftC erASHW"ft"mft* ? 3 h UWW WNIOOW WVALUE9: 1 Check Wanes WAU TYPE MALUB 1 WINDOW AND DOOR AREA % OF EXPOSED WALL AREA . X 12% 141% 0% 10% n% 12% 2d% 26% n% 30% 32% ? . rME A 2x4 W13 baw wm dreelt" R•7 w grad". 0.55 047 0.41 038 033 0.30 0.27 025 0.23 ' OS2 . 020 0.19 TYPE B 2a4 han?p, W t5 buuhvM shosW* R-S w ORdw,, 0.52 0.46 0.30 0.35 0.31 0.20 0.28 0.2,1 0.22 021 0.10 010 TYPE C hambg? R 194rrradaltw? tMoOrbrgteoo thsAR-5. 0.48 OA1 0.38 0.52 0.29 0.28 0.24 Q22 US 0.10 0.19 0.17 TYPED 2x6ftmk*,R-19WWWl oryamoftPAorVmdK. 0.38 OA5 0.41 0.34 021 0.29 0.26 0.24 0.22 6.21 0.20 TYPE E 1x0 hsmYg, N 21 bfaubb0arr, olxeetirry Iws tl?en RS. 0.51 0.43 0.3B 0.34 9.20 0.20 0.25 0.23 0.22 020 0.19 a 10 TYPE F 2a tswA ? R-21 inn" n, dw**4M R-5 or emalw. 0.59 050 0,41 0.39 0.55 0.32 0.29 0.21 025 0.29 022 0.21 Thb W* MINN 61raYaaYaDAa wme womb m aN EINW Wok Pon Ara a9ri, mw Z Mba.w?+?ry?.=w. rw.;.;4?y.:,;ai0r?.n.narCnsryyCaos. ?o?rn4 CtlOapeMwddpubleBervlwialonaealonCanNrd91?It868it3ar140446iJ310. 37/13/2000 04:06 5073344611 CANNON VALLEY MOTORS PAGE 02 E I ENTfAL VENTILATION CATEGORY 9yrILaING AGDRESS: lil CONTRACTOR; Sr?S ? House conaitioned roor a:'ea (including the basement) aILJy?_sq. ft. J/ to Number Of 0edrms? Finished J p? Number of bedrooms: Unfinished VENTILATION QUANTITY: A. People ventilation requirement per sc ft (see chart) CFM B People vertilation (# of bedrooms x 15 + 15 ) CFM 2 people first oedroom plus 1 person each additional bedroom. Add 1 bedroom in each unfinished level if not on plan. 10 1 AL VENTILATION REQUIRED PER SQUARE FOOT OF AREA 25 AC/HR PEOFLE VENTILATIOk 8 FOOT CEILING 9 FOOT CEILING %0Ct7 5C =T 47CFb1 53CFM 1100 SO. ? 52CFM zdCFM 17p0 51: =C 5fiCF,tl c3CFM 11.0 SG =T 61 CFM .. .......... _ 59CFM '1CC SG =T 58CFM ... .... .+CFia '$C,() Sr: 77 70C-,Al ......... 7 ;C FM 15CG $-?' ... 75CFh1 ....... 3.:CFM EACH ADDITIONAL. 100 ADD 5 CFM 20005,: _- 9?CFM1f ......... _.- ':SCFM _ 25GCS?'- ?CFtiI ............. . ...':2CFAt .. 3r.,): sc =- taocFM ............. .. ? ?62CFM 380790 °- 1faCFM ..... ... ... ... d-CfM 1000 Sc7 _- 1!7o-NI --^r 4300 SC =`. 21 CCFh1 ji7CFM 12001) S" =' 234CFNt 2AXFM DICING OP PAS5IYE MAKEUP AIR OPENINGS CATEGORY 1 CONSTRUCTION DUCT DIAMETER 3 121 ...... 35CF`.1 ....... a INCn ....... 80CPSl ....... 5 [NCk tOOCFkt e INCH 140CFM 7 INCH - 19011F%, - 81NCH ....... 250CCM ...... 91NCH 321 1` Pipe is used. increase d.:c! size 1". Step 1; tilation Equipment Requirements (meek to confirm Compliance) o. Yenttatlcr required {C=!.I) equals the urger of A or B abo':e, IF HRV SKIP TO STEP 2. S:Ze o` passive opening (see chart): People ventilation fans listed for Continuous operation and sourc rating should not exceed 1.0 sere ;surface mounted or 1,5 Bone (all othersl. Step 2: Heat Recovery Ventilator (Hi HRV moots UL standard 1?12 or equivalent. HRV should have a permanent label of net air now and sensible recovey efficiency. Distribution. Installation, and Certification Requirements: Girecl vent, power vent or sealed combustion equipment. __..? All ducts outside the interior air barrier sealed with UL 181 or egcivalent prodcc!. Controls for pecrle vei are readily accessible and labeler. f passive makeup air opening ductwork is Connected to furnace ductwork, or v'erlilaticn air no! dlstrlbuted to each room, cor-rots are Insta ted to run the furnace blower in",er-i:!ently to distribute outdoor air ;;habitable rooms +,i e fan recycler - intercck system;, CFh1 K;chen Hood Amount Ci Orrer b Amount GFP.16a:.5fa.^s :- Amount If any single exhaust device a.er 300 CFM is installed, sealed combustion space heating equipment or an alternate make up source must be used. Statement of Compliance: The proposed building design represented in these documents is consistent with the budding plans, specifications, and other calculations submitted with the permit application. The proposed builcir5 has been designed !c meet the recuiremehts fthe Minnesota Energy Code. Appilc t (grin! name) Signatu a Date: Telephone Number Revised `^16.12000 I LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: Lor 4 LACK 3 CE'JRr2 9Pcy,E t7 DATE OF SURVEY: 7////0(:) LATEST REVISION: -7 /20 /-on w (r 0 DOCUMENTSTANDARDS 0 O< ? ? . Registered Land Surveyor signature and company ?? E ? ? ? Building Permit Applicant Legal description ? Address y ? North arrow and scale d ? . ? . House type (rambler, walkout, split w/o, split entry, lookout, etc.) V ? ? Directional drainage arrows with slope/gradient % m' ? ? Proposed/existing sewer and water services & invert elevation V ? ? Street name 0/0 ? Driveway m" ? ? Lot Square Footage a?? ? Lot Coverage ELEVATIONS Existing ?p ? Sewer service (or Proposed) m? ? ? Property comers rip ? Top of curb at the driveway ?'? ? Elevations of any exerting adjacent homes m ? ? Adequate footing depth of structures due to adjacent utility trenches Proposed / W/o ? Garage floor ? a First floor ? ? Lowest exposed elevation (walkoutWndow) 1/ ? ? Property comers e( ? a Front and rear of home at the foundation PONDING AREA (if applicable) ? u/ b Easement Gne ? ? NWL ? d ? HWL ? d ? Pond # designation ? I31 ? Emergency Overflow Elevation ? ? DIMENSIONS Lot lines/Bearings & dimensions Right-of--way and street width (to back of curb) Proposed home dimensions inducting any proposed decks, overhangs greater than 2', porches, etc- (i.e. all structures requiring permanent footings) Show all easements of record and any City utilities within those easements Setbacks of proposed structure and sideyard setback of adjacent existing structures Retaining wall requirements, Reviewed: March 1989 CRAKWLDGPRW FM ROBE NGINEER,ING COMPRN4 _ CONSULTING ENGINEERS, PLANNERS and LAND SURVEYORS INC. T.C. CONSTRUCTION PROJECT N0. 9873.00 BOOK -196 ` 1000 EAST 148th STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000\ CERTIFICATE OF SURVEY Legal DeSCt7ption: LOT 4, BLOCK 3, CEDAR GROVE NO 11 DAKOTA COUNTY, MINNESOTA. C 73 DENOTES EXISTING ELEVATION (6'7¢,) DENOTES PROPOSED ELEVATION -+-- INDICATES DIRECTION OF SURFACE DRAINAGE 874.33 = FINISHED GARAGE FLOOR ELEVATION 871,31 = BASEMENT FLOOR ELEVATION 7,16 = TOP OF FOUNDATION ELEVATION SCALE : 1" = 30' BENCH MAP-K : 5AN. MN W CuL DE SAc OF SILVE/Z SELL Cl2CLE Top= 871,91 ADDP.E55: 1-192 SILVEZ MLL- CIRCLE' 2Z"DBt. puPt jA 16" 4?AV PoPLaR 4v v h ? p ; (b 0 ry 8 Hsu, 7. 87/.4! I/?J_? 0.90 2 BELL CIRCLE 6 M ?. w pQ 814a? (8'14.0 ' - oo z; _, b 574,33 ??7z 20.00 - 1 8"14, o? I N w rn 873.x'. 0 GARAGE" 0 / 27.0 I 20.00 _J SEN77ZY N OSEDM O ? m US HO J 37.00 • 24"1)BL. RRAR '?/ rr ?cvl • EX/STi•?. 73, ?ffT4.o? LOTS E LOT AKEA /9/78Z 5y. Ft. N005E AREA = 161B 5-9• H. PAGE 3Z Rko k-1v, 1000 Zt_T FFewo-P. 1-N `c w 25 fbPIA2 , Za `i 0 .0. Lj% s Z S7 0,0 9100-0 ., , 1 E R ? E DRAINAGE AND UTILITY EASEMENTS By 1V a Date i EAGAN ENGINEERING DEPT. I hereby certify that this is a true and correct representation of a tract hereon. As prepared by me this 11"" day of vL 2000. Rev, 7-FO_00: Add L4 th/ovse Arems U<t(r?rPS Per C,?y eevietul Minn as shown and described Reg. No. 19086 RECEIVED AVG 0 9 2000 RESIDENTIAL BUILDING J Permit Application v City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 • ^ ^ ^ l? -'l 3 d J Telephone # 651-675-5675 FAX # 651-675-5674 - J ' I New Construction Requirements RemodellReoair Requirements Ie Office Use Only I 3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan El _ Cert of Survey Re-c ? (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Reod 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pros Not Recd 1 set of Energy Calculations Addition - indicate if on-site septic system _ 0n-site Septic System 3 copies of Tree Preservation Plan ff lot platted after 711193 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date (", I / Site Address 0-7 / L Construction Cost `\ C \ cc Unit/Ste # E-CA_ CL v, ,k/v N cSl2Z Description of Work WV0 Y1CD/\ Property Owner 'S( Telephone # ( >? ) C 4 b - ( 2 Ck \ 0?,SZ - -l C Contractor Address State City Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cates 1 Residential Ventilation Category 1 Worksheet (J submission type) Submitted Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING _ Minnesota Rules 7672 New Energy Code Worksheet Submitted Telephone #( Telephone # ( 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 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 approved plan in the case of work which requires a review and approval of plans. VD60-n G. ?1?deriC1L /? , ), / /-! Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of- plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex X, 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIb9XY or_ N ? 25 Miscellaneous Work Types ? 31 New 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code LJ3?f 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) _ Final/C.O. _ Footings (deck) Final/No C.O. Footings (addition) Plumbing Foundation RVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone Fireplace -Y R.I. Air Test Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Building Inspector -------------------- ------- ---------------------- - ----------------------- ----- - ----- Base Fee f Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total rt Cnce I PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mu 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit -V,5'0-50 Date 0 ? / 0-7 / ? ` ` c'I I e?k bYC A? 'r 'p f j Site Address 1 `J , o Unit # .. ,1,A N S S 1-2 [? Property Owner Telephone#((QS)) 11?U 1 X152 - - Contractor Address City State Zip ( ) Telephone # / The Applicant is ? Owner Contractor _ Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPG license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system Water turnaround (+ 5/8" meter if needed - $121.00) Other: a j? ?M _ _ RPZ _ new installation _ repair _ rebuild JAN 1 on , 2003 $ 30.00 Lawn irrigation system By Water softener _ Water heater $ 15.00 _ replacement _ additional $ .50 State Surcharge Total $ 5Z I hereby apply for a Residential Plumbing 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 with the Plumbing Codes; 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. Applicant's Printed Name Applicant's Signature City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 6755694 -----------------, Permit #: I Permit Fee: /4?? q ' O2' (J8 Date Received, I Staff: r I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5- LA - 0 e Site Address: u e'r B P_ i C) r c, Tenant: Suite M 4 RESIDENT/OWNER Name: ?iey na L,?u Qje exiC,k Phone .5/-68(a'7(oLt-X ??jj CP(/ 3TCo51-3y1-7J1'{ Address/City/Zip: /7?Z S;kycr ge-<< CirCIP Uzxtr1 (•12•?i (?t• 7$ SS Applicant is: -?!? Owner - Contractor TYPE OF WORK Description of work: r C Construction Cost c. 3? d Multi-Family Building: (Yes No CONTRACTOR Name: NV!A S6-F License #: Address: City: State: Zip: Phone: 6$1- 391-7//4 Contact Person: 19P i ter. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes /No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE., plans and supporting documents that you submit are considered to.be public information. Portions of the information may be classified as non-public H you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 1 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. -yam /J x 1 R t\ J ?J I P l !ck x / /ICG? ?- Applicant's Printed Name Afplicant's Signafure Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? Single Family ? 06-plex ? 01 of - Plex ? 07-plex ? 02-Plex ? 08-plex ? 03-Plex ? 10-plex ? 04-Plex ? 12-plex WORK TYPES ? 16-plex SD Accessory Building ? Pool ? Fireplace ? Porch (3-season) ? Ext. Alt - Multi ? Garage ? Porch (4-season) ? Ext. Alt - SF ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? Lower Level ? Storm Damage ? Miscellaneous ? Siding ? Demolish Building' ? Reroof ? Demolish Interior ? Windows ? Demolish Foundation ? Egress Window ? Water Damage Demolition (entire building) - give PCA handout to applicant 0 New ? Interior Improvement ? Addition ? Move Building ? Alteration ? Fire Repair ? Replacement DESCRIPTION: Valuation b o O - Occupancy Plan Review Code Edition (25%_ 100% Zoning Census Code L13 q Stories # of Units Square Feet # of Buildings Length Type of Const. Width Footings (new bldg) FI V A41I no) 51,9 _ Footings (deck) Footings (addition) Foundation _ Drain Tile Roof: -Ice & Water -Final ?p Framing Fireplace:_R.I. _ AirTest -Final _ Insulation Reviewed RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total [Z t2 \ ?? MCES System ?7 JVWL SAC Units C City Water Booster Pump 2 0 PRV Z ° Fire Sprinklers SheeVock Meter Size: _ Final/C.O. Final/No C.O. HVAC Other: _ Pool: -Footings -Air/Gas Tests -Final _ Siding: -Stucco Lath -Stone Lath -Brick Windows Retaining Wall Building Inspector Iqx 2 u , xZ$.oo Page 2 of 3 I!G, -09' GO (WED) 13+22 PROBE ENGINEERING cn TEL! 6k2 _ 4.12 3123 J - . p.uox . CONSTRUCTION f ., ?41r$ PLANNeSI.?a-LAND SURVrMS CONSUL'"No 8401kF;ERS, \-'3000 ROJECT NO. ' R BOOK fob ?V ?1 Ii w INN 4 PAGE _ sz 1000. EAST 1?ezl, :STREET; .'eURNSNUE, MINNESOTA 5533T CERTIFICATE OF SURVEY Ki Descr n-TIM, t_oT .,. --- ---' DMO 'ALE t" w 30' !H MARK 1,114 114 Cut PC Sqc II-V59 • BELL Clect.6. a !I'i L11 F55, 1717- 51LVEZ ULL CIW-W 22'M, ^r *t (IV &AD pbpmr- ?w V V 11, Mlr4 LZSUlA.. C?3o1 DENOTES EXISTING ELEVATION , 8-74,q) DENOTES PROPOSED- ELEVATION INDICATES, DIRECTION OF SURFACE DRAINAGE FINISHED GARAGE FLOOR: ELEVATION I i BASEMENT 'FLOOR ELEVATION. TOP OF FOUNDATION ELEVATION LOT OReA !B/ 9Bz OF, Ft, F !/009E /AREA > 1618. Sy, /4'7(.. ?QaRa CA r-'-k, A4-, N - + 6. EXIS?N6 642f60-vp? - ?'© SAN, iJ1Nr I Ia Y ? u 9ect_' ? ?`.. ?Sn F• R BELL CIRCLE ' ry ,?= --rat}! ^a L ;ay e?4 z 20.00 , GARAGE 4 27.00 ' 20.0.0 ._..I rq ° - yl ?B'-- _ OSED ry. O rvo? L° 7•r vJ y w eoK --....- n ? yr IGµarg. `1e0T q. •I?"ter n' un ar Fi+. r1f`I .. ? ? _ti - 124 ID ter ,L oil i7. F)?I ?; 1e""'? 'CT I 0 y« ! S7 g>00 OI-E ! + /? DRAINAGE AND UTILITY BASEMENTS -72, ereby certify that this is a true and correct representation of a tract as shown and described .eeln. As prepared by me this 11"I" , day of X , 2000. 7.7-0-60 i Add "14C 41` Novse A'rcat VP(;, r?o Pev`C, y 'keviep;' Minn.'Reg, No. `I_1 o$6_`._ NOO-03-2008 09:13 From:NEW LIFE CONTRACTING 19524056106 To:6516755694 Paae:2'3 AAbk- Jilin City of Eat en 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2008 RESIDENTIAL BUILDING PERMIT Date: G (?l1 She Address: f t Tenant: ---------- j Permit A: ?? ? ?^' j Permit Fee. e7Q_, oo j Date Roceived: j I I I Staff: I I----------------' LICATION 6e& 011- Suite R: 9 i & k ?l° b5)--M)--7))q RESIDENT / OWNER ria v , Name: l --Phone: _ ?r Address I City / Zip; r 77e? G Applicant is: _ Owner Contractor TYPE OF WORK Description of work: 7eolol_ Construction Cost: Multi-Family Building: (Yes No -41 CONTRACTOR Name: New Life Contracting, Inc. License N: 030 old ar ve. to zsle- 1 -1 to AddressM MN 55425 MN Uc. #20249486 Ph: 651-274-6943 Fax: 952-405-6106 City: oo.corn State: Zip: _ David JQhngon C t P t on erson: Phone ac COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7872 - Minnesota Flules 7670 Catonory 1 _ Energy Code • Residential ventitation Categoryt WotUsw -l • New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Caloilations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yos _No If yes, date and address of master plan: , ..._ Licensed Plumber: _,.-Phone: Mechanical Contractor: Phone: Sewer & Water Contractor; ,- Phone: NOTE: Plans and supporting'documtents thafyou Submit ,are-aonsldered to be pribiic'intonnation. Portions of.. . the rnfarmahon maybe ctassttled as non public if you provide specific reasons ihat'woutQ perm7t the City to r •- concludedhat tlt? are frade secrets. e I hereby acknowledge iFai this information is wmplete 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 permil, but only an application for a permit, and work is not to start without a pomth; that the work will be in accordance with the appro4ddrptan In the case of work which regUiree a revicW and app ova i plans. x David Johnson x Applicant's Printed Name Applicants tdFe Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA112825 Date Issued:08/23/2013 Permit Category:ePermit Site Address: 1792 Silver Bell Cir Lot:4 Block: 3 Addition: Cedar Grove 11th PID:10-16711-03-040 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 . Peter Ferski 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 - Peter Ferski 1792 Silver Bell Cir Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r For Office Use Permit #: Permit Fee: X05- a)-- Date S Date Received: Staff: 2013 RESIDENTIAL BUILDING // PERMIT APPLICATION Date: f�-oqqr-1 7/9 Site Address: �� /79). J•rl iee- e,K eirck Unit #: Resident/ Owner Name: 'dam Fi0-5-4' Phone: �. Address / City I Zip: / 7?.L c /eeefrie// d / / / SXCt - Applicant is: Owner , Contractor Type of Work Description of work: 4%4l1C Construction Cost: 'LIE Multi -Family Building: (Yes / N9r,_.J Contractor Company: s.„4".e�t,f C eyG ry ..G/.!!p Contact: /16t /l Address: eY /��P , City: SQL ti - ` % �,A �/� `l ¢ / State: /1 v� Zip: J�73%9 Phone: f�2 C �7 'f ? License #: 5-/ K y Lead Certificate #: AD6 y-66 '/ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: _w 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. 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. 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.�_ 1./4;44� x1./4;44p (a.L6 Applicant's Printed Name icant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA119152 Date Issued:11/18/2013 Permit Category:ePermit Site Address: 1792 Silver Bell Cir Lot:4 Block: 3 Addition: Cedar Grove 11th PID:10-16711-03-040 Use: Description: Sub Type:Garage Work Type:Overhead Garage Door Description: 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Peter Ferski 1792 Silver Bell Cir Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160282 Date Issued:02/27/2020 Permit Category:ePermit Site Address: 1792 Silver Bell Cir Lot:4 Block: 3 Addition: Cedar Grove 11th PID:10-16711-03-040 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Frank Kirsten 1792 Silver Bell Cir Eagan MN 55122 (507) 676-0800 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature