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4853 Sky View Ct4° City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit#: 0((;;-7 D Permit Fee: "l. 0 Date Received: ) (� (67—ib Staff: r 2010 RESIDENTIAL BUILDING PERMIT APPLICATION N v. 9`m, Date: ✓ / ).t./6) Site Address: o � S V Vic. c Tenant: Suite #: RESIDENT /OWNER ci. Name: ! i i 7'� j 4-. --7-'(-- Phoone:Cr/ ' "3 - -S-C)61'Address / City / Zip: 6PS-ti Sky. v7 C3-0 C /7 Applicant is: Owner XC Contractor TYPE OF WORK Description of work: 4'(1)6 (I ' /A -/),D1 -v1 Construction Cost: f/ ' cc.' Multi -Family Building: (Yes / No )o ) CONTRACTOR Name:C/: IS M Gn2 - L. G License #:gG - >13Y C 1 13 S-, Address: e;1-/ 3-1 C//'I'3—t=�'+... A --X-- City: 4-A4-.-091 L'c.'v' }C S' Stater `/V Zip: S° S `' �/� - - , T Phone: /� _,,, Contact: C -11-"Z(1 Email Ci if /9'7''!"/l) & � "(A -r L-' 413'1. COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NOTE: Plans and supporting documents that you submit are consideredto be.public mformat!on Portions of the informationwmaybe classified as non-public if YOU provide= specific reasons that would permit the Cit . y'to ' conclude that they are trade"secrets =<, ,..! c. 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.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 (i( % S C-IZ-v ) Applicant's Printed Name x Appiic+ant's Signature Page 1 of 3 11V~Y~~'lIUN KL[_:UK1~ CITY OF EAGAN PERMITTYPE: . ~<< ~ 383~ Pilot Knob Road Permit Number. ~ r, 4 Eagan, Minnesota 55122-18~7 Date Issued: . c~ ! i ~ ~ ~ (612) 681-4675 ' SITE ADDRESS:~ ~ ` ~ ~ ` ' ~ ~ APPLICANT: < ~,i t . ~ •11.I~W I.T ~ , , , ~ C:: ~ , . , I 7 PERMIT SUBTYPE; TYPE OF WORK: ;~.i~.,~,. , . „ . ~ , , ~ t~l.,~,i . . I~~.I; ~ ! I I~! i'~1 . ~ t:i , E~ 1! t~ I ~ i,1-1, i,-;r I 4'.~ ~ _ , . . . ~ - _ ~ £ t E ` , . . . . ` - ~ ~ - ~ . ~ . ; . . I " _ ° . . . . . . . . . { . . . . . ~ ~ ~J ~ ~ . i . . . . ' . . . . . . ~ Permit Holder Date Telephone # PLUMBING H VAC Inspection Uate Insp. Comments FOOTINGS FOUN~ FRAMING RODFING ROUGN PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE ~Y~/ FIREPLACE L'/~~ ~ AlR TEST ~Cc'j FINAL PLBG FINAL HTG ORSAT TEST BL~G FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC " . TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks i #~~°2 ~ y add~t~o~e~~€a~~ ~.,~Q-e,~.~~-~~4r~ ~ot ~F Bik ~ Parcel 1~~~~ ^~o} Owner Street State Improvement Oate Amount Annual Years Payment Receipt Date STREET SURF, q~ STREETRESTOR. G~ ~d ~ ' GRApING SAN SEW TRUNK SEWERLATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN ~~.t ~ ~ 1'~J ~ 3 " 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . ~ PHONE:454-8100 BUILDING PERMIT aeceipt# Tobeysedtor :>F IU'v~G/GAR EstValue 5118,G00 Date r'F.BxU~kY 18 19 ~6 Site Address 4 8 S 3 ~KY V I Eiti' C'r Erect L]' Occupancy ~t ~ Lot 4 Block 1 Sec/Sub. ~~r 2ND Remodel ? Zoning Z Parcel No. Repair ? Type of Const R1 Addition ? No. Stories W Name :;~1CK d~ A"?Y ri~~?JX~:~/BlLL I)IEDRI~PYe ? ~ength 3 Address 1?. 0 U 8 G.RAND AVE SC} oemolish ? Depth 4~ a Int Impr. ? Sq. Ft. city F~t1 ;:.c ~ ~ 894-Ofi60 (AMY) tnsta~l ? o Name & TOri LOGELI~I Approvals Fees ~ i Address 7 4 0 5 4r 12 3 RD ~ 104 ;4ssessment Permit a . 0 U ~ city A• V• Pnone 4 31- 2 Q 9 7 Water & Sew. Surcharge 5 9. 0 0 ~ Police Plan Review 2 3 9. U 0 W W Name ~`~x~'~ ~ 575.OU Address ~Z'j~ ~uF ~Fire SAC SU0.00 u n Eng. Water Conn. <W city i•;PL~one 379-~b33 63.50 Planner Water Meter Council Road Unit "l 5 0. 0 U I hereby acknowledge that I have read this application and state that the gidg. Off. 2 6 Tr. PI. 15 6. 0 0 information is correct and agree to comply with all applicable State ot Minnesota Statutes and Ciry of Eagan Ordinances. APC Parks ~ , , ~ ~ Var. Date Copies Signature oi Permittee ~ ' : T~ $ 2~ 3 6 U. 5 0 A Building Permit is issued to: ~7ACR AttilY, HA12DiN/BILL DI~DFcICfi/TU , L~ ~ on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Ofticial r - ~ .-i P~rmM No. P~m~it Hold~r DaM TibphorN A Plumbing ~ ~ 7 1// H.V.A.C. ~j y 0 E~ (o~. IMO l~/ GS~ ~ ~ D, 0~ ~ ~ ~~a ~ e - ~ Inspectlon DsU ~~~p. Footinps I Jf o~ a~.5 r > _ r, ~ Footlnys U ~ ~7 ~ , f Found~don ~ • 3% C' r~ - ~ _ Framiny ~ Roolfnq Rouyh PIbQ. ~S ~ ~ Rouyh Htq. Imul. Flreplse~ Flnal Htp. ~ ` ~ M ~ Bldy. Final C~rt.Occ. ~ ~ t Deck Fty. D~ck Fm~y. Yllell Pr. Wsp. PERMIT # ~ c~ ~ . ~ MECHANICAL PERMIT RECEIPT # ~ I~?" ~ / GTY OF EAGAN 3630 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ~dtS!"" CONTRACT PRICE PHONE 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot ~ Block Sec/Sub n ~ es. ~ New ~ Name F'A • Mult Add-on as Address ' Comm. Repair c City F~~~riirie Phone - pt}i~ Name '1"anl Lo eltn ConstnicL•ior FEES ~ 3 Address RES. HVAC 0-100 M BTU .$24.00 ) p City Phone ADDITIONAL 50 M BTU ~~iRfJ ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air ' M BTU COMM/IND FEE - 1%~F CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heate~ M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. ~ M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Oudc3ts # ~ Other / FEE _ ~ ! ~ C.'~ , 31GNATURE OF PEAMITI'EE ' ~ ~ S/C: ` ~ TOTAL• - FOR CITY OF EAGAN ~ y ~ ~ ~ PERMIT # . PLUMBING PERMIT RECFlPT # ~~'yy ~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRI E PHONE: 454-8100 Site Addr v~fw . BLDG. TYPE WORK DESCRIPTION Lot e Block Sec/Sub ry es. ~ New Name + E"~C k"" Mult Add-on ~o Address n~s "`~o~. Comm. Repair c City 5~' ~ Phone Other ~ £ FIXTURES T~AL ~ l4ame ~ Water Closet - $3.00 ~ ~',r- c Add1' ~ ~Q'^ "a~ ` ~ ~ _~-Bath Tubs - $3.00 ~ O City ~0a'' Phone ~ ~Lavatory - $3.00 , " ~Shower - $3.00 FEES ~Kitchen Sink - $3.00 Urinal/Bidet - $3.00 COMM/IND FEE - 19~6 OF CONTRAC7 FEE ~-~undry Tray -$3.00 MWfMJM - REStDENTiAL ~E~ - ~Flaor Drains - $1.50 MINIMUM - COMM/IND FEE - 20.00 Water Heater -$1.50 STA7E SURCHARGE PER PERMIT - .50 Whirlpool -$3.00 (ADD $.50 SIC IF PERMIT PRICE GOES ~-Gas Piping Outlets -$1.50 ~ BEYOND $1,OUO.dO) Softener - $5.00 Well - $10.00 ~ ~ ~y~- Private Disp. - $10.00 - !~/G- ~Rough Openings - $1.50 SIGNATU PERMITTEE ~ ~ ~ ~ S FEE ~ c~. STATE S/C: , ~t1g~ - ~ FOR CITY OF EAGAN ~ 3~ ~~~1 ~ GRAND TOTAL• CITY OF EAGAN SEWER SERVECE PERMIT 3830 Pilot Knob Road P. C. Box 21199 PERMIT NO.: ' Eagan, MN 55121 DATE: - ~ ZonlnO: No. of Units: Ownsr. :~tv ~i3r.'. ;n Addross: ~ Site Address: ;:PV ' ~ ~ . - _ ; ~ ~ ~ - Plumber. v1 - ~ , . I MrN b eoia~i~r wilr !M Cil~ of fyow Conrnction CJ+orpe: ~ f. l~ : r. ~ ~ OriiMeaM. At~ount Deposit: ' Partnit FM: . Surchorp~: By Misc. Uw.pes: Da~e of I r~sp.: Totd: In~p.: Doh RoW: CITY OF EAGAN WATER SERVICE PERMR ' 3'~ ~ Pilot Knob Road I , ~ . Box 21199 PERMIT NO.: 7~ 3 D i ~ Ea~~n; KAN 55121 D/?TE: -1 ! Zoninp: No. of Units: ~ . ' r~T: ';3F''_ Rit Owner: - " ' ^CbDQS3: Site /lddres~ = ` S3 Sk i.N~~ :.n. ur t - " - r. ° - Plwnber: ~7i~rG^-rc ni, ..._z,;:i, - Meter No.: Connection Charye: 5~ )e - J ' SiZE: ACCOUM DepOSit: _ ' r, .~?C'~ C' Rsode? No.: Permit Fee: - ~cln~ ~4 1 prN h eaaolp wNi~ !M Chy ~f E~y~w Su~o?ge: Mtsc. Chorpes: _ ~ r - Total: ' - ~ BY Date Poid: Dote of Insp.: Irnp.: - _ _..-:i,.,:..~~ CITY OF EAGAN WATER SERVICE PERMIT 2 3830 P~I~ri 1Cnob Road ~ P.~D. Box 21199 PERMIT NO.: 7--~•3D Eagan, MN 55121 DATE: J Zaninp: No. of UMts: 1 , OwrMr, ~.m~' ".1rc? ir: ~ Add?ass: S1te Addrcss: Skwiew ~~ot~rt ;afari II ~Ufl1bQf: - '-C1' P111?il ~ i~~ r~. • 7a S'/ 6 - . , ~ S~u• ~ 1_ 5. 0~ Reode No.: ~ ' t ~l , t~ 0 d 1~lrN !e ee~oyr wql~ !M Clhr o~~ . 5ny~d ; o~..AO... ~1 ~1~ c?q~: , - ~ . n: ~ ` rotol: .5~1~~,_~ ~,ec..._ By Data Paid: ~ta of I ~ S ^ ~ $~~6 CASH RECEIPT • = ~ CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE L p 19 neceiv FR A UNT $ ~/I o~ d_DOLLpRB ~aa ~ CASH ~ CHECK FOR C/-`-~~ L~~GV ~ ~ ~J , FUND CODE AMOUNT ~u o ~ o 7,~ ~U ~d 7~ V ~ ~ ~j C~ ~s Thank You - N_ 61571 White-Peyen Copy Yellow-POating Copy Pink-File Copy CITY OF EAGAN p 3830 Pilot Knob Road, P.O. Box 21-~99, Eagan, MN 55121 N- 1152 3 ~ PHONEd 454-8100 ~ 5/ ~ BUILDING PERMIT Receipt#- ~ ~ To be used for SF DWG/GAR Est Value $118. 000 Date FEBRUARY 18 19 86 ~ 4853 SKY VIEW CT Erect C1 Occu an R3 Site Address P ~Y ~o~ 4 siock 1 seasub. SAFARI 2ND Remodel ? zon~ng Parcel No. Repair ? Type of Const. V Addition ? No. Stories JACK & AMY HARDIN/BILL DIEDRI~'e ? Length W Name 13008 GRAND AVE SO Demolish ? Depth o AddrBeURNSVI 894-0660 (~y) Int.lmpr. ? Sq.Ft Ciry ~e Install ? ~ SAME & TOM LOGELIN Approvals Feea o Name ~i nddress ~405 W 123RD_, #104 Assessment Permit -00 ~ ciry A'V' Phone 431-2497 Water&Sew. Surcharge 59.00 ~ Police Plan Review 239 • 00 FW Name ED KARPE Fire SAC 575.00 Address 9TH AVE NE Eng. Water Conn. 500 . 00 iw ciry ~I'~hone 379-9633 Planner WaterMeter 63.50 Council FoadUnit z90.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off.~~ 7r. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc s. APC Parks ~J Var. Date Copies Signatureof Permittee $2 ~ 360. 50 JACK AMY HARDIN/BILL DIEDRICH/TO ~,°t~;LZl~- A Building Permit is issued to: on the express condition that all~work shall be done in accordanc~1~if al plicable ate Minnesota Statutes and Ciry oi Eagan Ordinances. BuildingOfficial ` ~t 181monQhs fron 1d ~j°~ v/a ~ ~ ~/~'lQ ~ w D ` ~ ~ ?3 ,~r, ~~,=~~~a~y-° ~io.~ Re esPU~` . Fire No. RouPh-in Insper.ifon ~y Fequiretl7 ~Ready Now~Will Nuiify.lnspec- ~ a cr ?Yas No ~or When Ready Llcensed ElecVical Conuacmr I hereby request inspection oi above Owner electricel wo~k installed et Sv¢yt A.ldress. Boz or No. ~n ~ ~ City I~Q .73 ~i y_ ~ ~r.w~ ectmn o. 7ownshio ame or No. Fanee No. Co ry O u0ar ~PftINT) Phone No. v~ ~ ~7~/ ~600 Powe~~ AtlEress Elact al Con[rectot ICOmpany Name) 'd''~ ~ , Cun[ractor'~ense No. CT//YL(/Y~O/~Z~ ~/cx/~ ` `=~"c~ ~C o. Mai~ress (Contract~Owner Making~ilatioN ~0 ~ i~GK= s l z d Signature IComr or wner Mak- e Installalion) Phone Numbcr ~~f ~ THIS INSPECTION flEQUEST WILL NOT NNESOTA STATE BOARD OF ELECT ITV Griggs•Midway Bldg. - Haom N•791 BE ACCEPTE~ eV THE STATE BOAND 1821 University Ave., St. Peul, MN 551Q4 UNLESS PPOPEN INSPECTION FEE IS Phone (612~ 297-2171 ENCLOSE~, ~,~jaG~~'d Y- REQUEST FOR ELECTRICAL INSPECTION _ ~ _ ~ 86, See iretmc[ions br completing this tprm on beck af yellow copy. ~Q U--~. , ~ ~ ""R" Below Work Covered by This Request 6/7 ` - HAA Bep. TyOe ot BuildinB ~+oo~~~ncea Wired Equipment WIreJ Home Fange Temporary Service Duplex Water Heater Liyhtin,y Fixtures Api. Buildinc7 Dryer Electric He2tin Commercial Bldg. Fumace Silo Unloader Industrial BIAg. Air Conditioner Bidk Milk Tank Fafm Other oec~ y iher ISPCr,ifyi t er peci y Otner Other ompute lnspection Fee Below p Fee ServiceEnheneaSiae k Fee Fandees/Subfeaders k Fee Circuits 0 to 200 Am s 0 to 30 Am s 0 to 30 Am Above 200 qmps 37 to 100 Amps 31 to 100 Am s Swinvning Pool Above 100_Am s Above 700_Am~s Transiormers Irrigation Booms Partial.'Olher Fee SignS Specialinsuection S O TOTAL F Remarks /O ~ L Rough-in Date ihe Elactrical Inspector, heraby cer~i}y thet tha above Final ~ ( p~ insoaction hes ~een 3 maAe. T~ia requeat voltl 18 months irom ,;s ,a47 o;d ~ ~ 4~ ~ ~ ~ ~ 18 monihs Irom . ~ ~ 1~ ~ ~ ' ~ ) ;ieques r/ Fire No. flouPh-in Invpection ~,q~~ ` ~J R qurteA? ~Acady Now pp~Will Notity InsOec- ~ ~(iiMQ « ~QLO Vas ?NO •T"tor W~en Re~tlV 'ticensed Electrical Con[ractor 1 heraby repuest insoection of above Owner electricel work ~nslslled et: S~reet Add ess, Box or Hout , ~~iY ~ ~ ~/S G1E~ Lo~ acLOn o. Township Name o No. RanAe No. County ~ /'T/"'o / n Occupant~P INT) . Jj Phon¢ No. Cl~ Power1 Su001 ier ~ Atldress 1~ P-~ V'V'~JC- t ~~YY wr \ `~'4H Electrical C ra mr IComuany Name) Co vadnr~s Lir.ense No. FIF~~,c ~,Z~~ MailinA Ad ss Contrector o~9wner Ma g Installa~i~nl U ~a , iv L ~ j- ~ 3 ~ ` ~ _ o~ize ~ natu~e ICOmr or/ wner aking Install,uion~ Phone Num r ~w- /3~'~~ MINNESOTA STpTE BOAND OF EIECTNICITV THIS INSPECTION REQUEST WILL NOT Griees-Midwey Bldg. - Room N-191 BE ACCEPTEO BV THE STATE BOAND 7821 UniversitY Ava., Sl. P»ul, MN 65104 UNLE55 PNOPEN INSPECTION FEE IS Phone I6~21 297-2111 ENCLOSE~. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 See instructions for completing ffiis torm on back of yellow copy. lL/ ~"X~" Below Work Covered by This Request AAtl NeO. Type ol BuildinB APO~~ontas Wked EQuiVmen~ Wired Home_, Fanye Temporary Service Duplex ~ Water Heater Li~htiny Fixtures Apt. Buildinc~ Dryer Electric Heann Commercial Bldy. Furrujce Silo Unloader Industrial Bldy. Air Conditioner Bulk Milk Tank ' Farm otne~ ueci v nther ISnecirv) t er Sueci y Othor Oiheer ompute Inspection Fee Below p. Fee ServiceEntranceSize tt Fee fendars~SuMeedere k F e Circuits Uto200qm s Oto30Am s r Oto30Am s Above 200 q~nps: 31 to 100 Amps 31 to 100 Am s Swimmin,y Pool Ahove 100_F1mps Above 100_amU+ Transformers Irriyation &~ort~s Partial.'Other Fee Signs SUecial InsUection S ~ Remarks ~ TOTAL ~.O Rough-in ~fe ~ I, the EI tri nspectoq ~ereby car~ifY ~~a~ ~he nbove Final - ° inspeclion has baen ~ mede. This reQUesl volC 18 months Irom ~pb7d~ ~OgZ 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 ~-8 ~ Please complete for modifications to existing residential dwellings. Date I I Site Street Address 5 5~ ~ Unit # Property Owner ~ 1'~V1,f ~J(~V~PS Telephone L5~) y~r7- 7'~I~ Contractor ~~.?1 1 S ~ C~`~-1~ Telephone ~a )~~j I"S Address ~ ly 3-- I"~~ ~e SW c~ty N u}-Ll•tr v~~, State m~U z~P 55,~ The Applicant is: _ Owner _ Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 518" meter is required) Other: Water Softener Water Heater $ T5.00 _ replacement _ additional ~ Lawn Irrigation System RPZ_ new ' repair _rebuild $ 30.00 State Surcharge $ 50 Total $ ~ ~ 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 the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and appro~u ~ " - ` ~ ~~V~i S ~2C1.Q ` ApplicanYs Printed Nam ApplicanYs Signature i~1 y L ~q , ~ iJ By PERMIT CITY OF' EAGAN 3830 Pilot Knob Road PERMIT TYPE: R u c t. o z ~v c Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 6 6 5 (612) 681-4675 Date Issued: 10 / 14 / 9 8 SITE ADDRESS: 4853 5KY VT.EW CT LOT: 4 BLOCK: 1 ~ THE SAFARI 2ND P.I.N.: 10-75851-040-01 DESCRIPTION: _ B~iuildinglPermit Type FIREPLACE e~Ytilding W~~~rk Type NEW ('~.~nsus Ca~de ~`,t 434 ALT. RESIDENTIAL l<, . % v rd f r ~tii ' k +~+i ~ ~ , ~ t.rt_ ~it~vr~ . i~ G.,;>~., . , ``~cv~. w:,,r*~--"".;:. , f q d " 1\ 1~ ~ _r~ l l/ A ~~l y i~ r` p~ t ~ i, i `t / 1*: . "ta i . iz~,' ,.~s....= i.a ~v . REMARKS: CHIMNEY/FIUE MUST BE INSPFCTED BEFORE CONCEALING. FEE SUMMARY: Base Fee $50.00 Surcharge ~ $.50 Totel Fee $50.50 CONTRACTOR: - Applicant - sT. ~zC. OWNER: FIRESI~E CORNER INC 16331042 20090911 JONES LARRY ?~700 N FAIRVIEW AVE 4853 SKY VIEW CT ftOSEVSILE MN 55113 EAGAN MN 55122 ~ ,(612) 633-1042 (651)452-7955 ~ , I here6y acknowledge that I have read this application and state that the T infiorma~ion ~s correct and ayree to com~ly wiCh alI ~ppYicabie SCate nf Mn: . S~at~t~s ~n~i C3t~y ~Qf Ea~an~ O~di,~~n~e~. ~ ~ _ _ . _ APPLICANT/PERMITEE SIGNATURE ~ED BV: S~~ 33 CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 1998 FIREPLACE PERMIT APPLICATION 681-4675 DATE: ~U - ~ PERMIT FEE: $50.50 DESCRIPTION OF WORK: _ Construct new fireplace _ Alterations to e7cisting _ Install aas insert onlv _ Install Eas liue onlv Other JOB ADDRESS: ~~~~1 ~ . ( / )I ~ V1i ~ LOT: ~ BLOCK: SUBD I.D. #:~C~x. S C`PO,~ APPLICANT (c'vcle 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. Name: l J~ l=~L 1~~~ Phone ~L~'J~~ PROPERTY Lut First OWNER Signature: Sveet Ad ress~ ~ U V~ P lAf a City State: Zip: ~S~ Z2 Compan . , Phone j~~~(,~~ FIREPLACE INSTALLER Signatur : ( Street Address. [7 ~ License # ~/W%Q ~ c / Cityr~`YW ~-Y I~ VLY ~ State: Zip: ~~3 ~ Company: ~ Phone GAS LINE INSTALLER Signature: Street Address: D~~~L,'~ o- . ~ oC-~ ~ 319.~~ ~ I ~ ~ _ OFFICE USE ONLY BUILDIIVG PERMIT TYPE ? 14 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERALINFORMATION Census Code. 434 SAC Code Ol REMARKS Chimney/flue must be inspected before concealing. ~~k ~ 'M.'4".%(7~'-#.'M ~7K YF.:kXt ~X M~'F h ~ ~![MRtY,.~X~k~ ~k>F~k~kX(??i~'1~ ~k~'„~M ~ czrr oF t:.~icar~ ~ c.,:a~si;:r..r-.f<~ , rr:~n.r.t~r~t.. ~o: rr~~ DAft'=~ 10l14/:.38 T7'.11E. i.'S:].~JacSl. ~ Zii e 1~FlNiF..e f~IFiFFiII~t CORMrF: 3?:I.t7 9f]rl:l. 4s3:S3 SI(Y V:I:f:_W r 5[].~70 I a,:°:~.~ ~o~~:t n~e;;~ si<v t,r.r-w r; o.:r;o :;`r`_10 :3!:lr]i 43:;4 NIOOr~ DU(:1, °;C3.f]0 2:1.'S5 `30C1:t ~s?";4 14C10L~ 3iUi~F. l:l.5p ~ « i I ~ ~ Tc:+.:al !'teciai.r.:~+, Flrt~a~~rv~:~ f.Cl1.i70 CR~9f.3hc.'.~ i ' USEIi ZU;i IQAI~~CY ~ %Y'4yF~kyFyF'M%F?Y~Sg:~FYF%:c,",:;:'Y,{;:;;(7::;~:7:7F:;:;:i:::;:;#iY?nm7FaU}'Yr.'%F~t'M>X ' 1999 BUILDINC PERMIT APPLICATION iRESIDENTIAL) " CITY OF EAGAN ' . ~ ~ ? , ~~~~~y 3830 PILOT KNOB RD - 55122 ~ i; ' ~6 651-681-4675 New Conshucifon Reauiremenfs Remodel/Reoalr ReaulremeMs ? 3 registered sRe surveys showing sq. tt. of 101, sq. ft. of house 2 coples ol plan and gJl roofed areas (20~ maximum bf coveraae allowed) 1 set ot energy calculafions tor heated addRlons D 2 coples of plans (show beam d window sBes; poured Mtl. design; efc.) i sMe survey for exterlu addiNOna 3 decks ? 7 se10l energy colculaNons ? 3 copies of hee preservaHon plan H l01 plaHed atter 7/1/93 6 _ J /1 DATE: _ ~ rCT 'c7 °I CONSTRUCTION COST: ~,v "V DESCRIPTION OF WORK: _ 1{ ~~oo F STREET ADDRESS: ~ g,~3 S~L y~/, c,~,J C~-. ~~4 c~ g~ LOT: ~ BLOCK: \ SUBD./P.I.D. #:~'(~l.S ~J~.l, L..~ Name: SoneS ~rr y Phone ~ S~- ys~' ~5 SS PROPERTY ~as~ Ftrst OWNER Street Address: Ll SI S 3 S Ily V~ e,n~ Cf ~ City ~aG_4~ State: i~'~/V Zip: SSide~ Company: A.V.e.-,-r~.. ~ ,~~d:.,a ~.,~,-~~L.~Phone#: 6ia ~~-~sr9 (area code) CONTRACTOR Sfreet Address: /~2 ~~/~7 iL. « l/r t- ~r S~ License #acv~9~X3 Exp. ~~'t~~' City ~ ~-n' f v: /(f Sfate: /~N Iip: S~ 3 3'~ ARCHITECT/ ENGINEER Company: Name: ~ Telephone area code ( ) Street Address: _ RegtstraNon City State: Zip: Sewer 8 water Iicensed plumber (reauired for new consfiuctlon onivl: Penalfy applfes when address change and lot change is requested once permM is issued. ~ hereby acknowledge fhat I have read this application, state that the informatton is cortect, and agree to comply wRh all opplicabl State of Minnesota StatuFes and City of Eagan Ordfnances. ~ , Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No JUL i,i Tree Preservation Plan Received _ Yes _ No _ Not Required , _ ' OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? O6 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. 0 03 1 of _ piex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only . ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair 34 Repair ? 38 Demolish (Interior) ~ 42 Reroof ` ? * Giv~ PCA handQfit to applicant "or demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bidgs # of Stories sq. ft. MC/E5 System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinkiered APPROVA~S Planning Building Engineering Variance Permit Fee Z Valuation: $ Surchar9e . mkrtzcMZc~C~cyc~c~;~t~C~~~Y~~~ckczcr,cmxY~krkr,c~CX~m%czofaYzo~~CzcY~ ~ Plan Review C.7:TY []F ERGAN License MC/ES SAC ~ CA514:L'Eli: JS TI_Rt1T~AL N0: i";8 Clty SAC I DA'iE: ('17/1.4/97 'fIML; U?:23:4E, ~ Water Conn. I ; Water Meter zU: Acct. Deposit I ~E;~-F'EFMI7's S/W Permit ~32:L0 '3C)01 42E,t7 JA~>~'I~.R C~R 111.25 S/W Surcharge I 2i~,S 9oC11 4260 J~taF'k:R L~li 2.50 ~ Treatment PL ~ 321.0 9f701 4F35;3 ~4:YVTF:W CT 12E';.~5 Park Ded. ~ 2i,c;5 ~f~oa. as;,3 St:YV7:F..W CY' 3.Oh Trails Ded. ci21n 9009. 7H4 HhSf_Q_E: CiL~GF 13~.'r?5 Othe~ ~ 21yi5 90U1 'i'iii4 Rh2C~L~: FiDGL "3..`i0 Copies ~ TotaL• _ SAC Units 1'or,~7. Recei~_~t Air~o~.tnt; 3$4.i5 % SAC ~ CF:1133:33 ~ U$f~'k ]:L~~ tAN X~~K~k %~~kktX~~XXt ~?k~F~k~%t~~tk~~* k~?%~Kk~ ~t ~k~k~C~C~~~K W~ k~~C~k~k ~ ~ ~ • i • ~ u • - s • ~ • • • ~ ~ ~i ~ ~ • : • c CITY OF EAGAN APPLICATION FDR PERI•IIT SEWER AAID/OR WATf~t CONNECTION (Please Print) 1) ~o~~rsr r,nnxFSS: y~S.~ s/~ .z, C 7-/' LEIGAL DESCRIPTION: L c, t_/~ / -S._-Ia ri 2-.-~ L~-~ (Ir~t Block S division or Ta~c Parcel I.D. Number) IF EXISTII~ STR[:Ci4JRE, DATE OF ORIGINAL BLILDING PERNIIT ISS[;ANCE: (Nbnth Year) PRESENT ZONING/PROPOSID USE: R-1 SZNGLE FAMILY R-2 DL'PLEX (Ztao L'nits) R-3 'POWNHOC'SE (Three + L~nits) ( Onits) R-4 APARTMENT/COAIDOMINIL'M ( Lnits) CONA~Ef2CIAL/RETAIL/OFFICE IDIDLSTRIAL INSTI'IiTIONAL/GOVER[~A~LVT 2) / NAME: ,~Uhnlc~ C.L av~~in9 . r~D~ss: ~o~3os- ~Y;~~ 6~„ //,~ti R/~.lZ ~ CITY, STATE, ZIP: In ?r r ^t ~fTi-_ G~~,' n.~ S S'e 7S` PHONE: ~/S/-d'~ S/o 3) • r.~' ,p For City Ose NAME: Q e~r n P1unJ~ers LicensF ADDRFSS: ~'75~ ~'I cn rc ~a J T L~ Active CITY, STATE, 2IP: Jr ~fa, M:~.~ 1~Si oz C1 Expired ~0~: ZZ 7-.3 6 7~ ~'1'~ LICENSE #3,~yp .-H.~ O Not Recorc Staff Initial 4) ~..~ua:a Cc9a(%.~- T~ ~ ADDRFSS: ~d"/9 l~l/~e-n7Fwt~r'7n ~'r~ Sv. CITY, STATE, ZIY: Q/o D n, ; n ~~o ~ r, •~y ~S-S'f-2 v Pxor~: ~~-y- -s 3 ~a 5) u • • a~ ~ CONNECTION TO CITY SEVJER CON[~CTION 2t~ CITY WF1TII2 p OTHIIt (Please Describe) 6) u ~ • ? PLEASE HOLD APPROVED PERMiT FOR PICK-L'P BY ONE OF ABOVE ~ PLFI~SE MAIL APPROVID PERMIT 2+0 1. 2. ~ 4. ABOVE ~ (Circle one) ~ .~~e ; ~ Y- /v- d~6 ~ ~ ~ ._..,:i"' . F 0 R C I T Y U S E O N L Y PERMIT ISSUED y/r7/~' ~ ~.33v . Fres~ S ~L^' `l $r;.;~n n~g~~rT (2`7CLGDE SUP.C?i?RG~) $ ~C ~ S G WATER PERP4ZT (INCL'JDE Sli~CY.ARGc.) S !c J~~ ~G` WATER METER/COPPERHORN/OUTSZD~ READER $ WATER TAP (INCLUDE CORPORATION STOP} 5 SE:dE2 T~P $ /5 • l~ -C~Oti:i'?' ~;.?GSS= - '_3 $ /S ~'Z ACCOUNT D.F.PpSIT - F]ATER S f C ~Z' i+lA~ S S7 5~ C c' sPc S TRlii1K WATER ASSE552?E:IT $ TRti~1K SET~ER ASSESSi~IE.iT $ LATER~L SE:IEFIT/TRUNK SE:• ~R $ LATERr1L BENEFIT/TRUi1K S4AT°R $ ~5 ~ ' WATER TREATMENT PLANT SURCHARGE ~ $ OTHER: $ TOTAL S ~7 y-' S C' AP10[7:VT PAID/~ECEI?T $ ~~J ~'S~/ J~'dU G;/5 7/ DOES UTILITY COiVNECTION REQUIRE EXCAVATION ZN PUBLIC RIGiiT OF WAY? YES IF YES, THEN A"PERMIT FOR 'AORK WITHZN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDZTIONS: i - APPROVED BY: ~.-C ~i t, Zt_ Jc,~ TITLE: ' DATr : _~7~/~ l /9 f~ i ~ ? S~ 1985 BUILDING PERMI? APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED {tITH THE CITY OF EAGAN C0141ERCIAL SINGLE FAMILY DIiELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS; 1 SET OF 3 CERTIF'ICATES OF SURVEY SPECIFICATIONS AND 1'SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS - $2,000 LANDSCAPE BOND To Be Used For; idcn}icc~/ Valuation: ~ ~S,O~C~ Date: a~lo ~b'(o Site Address ~8 S S C ' w C~ OFFICE l1SE ONLY Lot ~ Block / ~ Erect X Occupancy R•3 7'µ E Remodel Zoning Parcel/Sub ~a.~~~' z~,~ Repair ~ Type of Const Addition /i of Stories Owner ~~4. ~jp y/~y~d~ /~p~jdvi~ Move T Length ~jZ Demolfsh Depth Address ~,30Qg (~rGZnd. ~ Q ~p Int,Impr. ~ Sq Ft , ,7 Install City/Zip Code ~~YY~S ?J ~~2 /~'1 ~33 Phone r~CJ~ ` 0(o (o ~ 6PPROVALS FEES _ 9~ TD/~ ~Ga~/~r7 Assessments Permit 4"1!3 Water/Sewer ^ Surcharge 5 - Address ~~Q,~ /~hd- /Q!~ police r Plan Review 23 . Fire SAC 5, City/Zip Code ~~~e 1~C( ~~2cj ~~'}n ~a~ Engr Water Conn 5~0, Planner Water Meter ~,3.s° Phone /o~a ~~3 a79'~ Council ~ad Unit Z~1U. Bldg Off eatment Pl ~ S~o. Arch./Engr. E~ /~~Y~~. APC Parks ~C+.hea-Gr /,3y-ps, Variance Copies Address Q{y~ ,4?e. Nti TOTAL 0• S~ City/Zip Code ~`)')plS•~/'}~n. s5yi3 Phone a 379 - 9~33 j~'ilV~~ -~i ~ll~ -~~~i C 2~ x~2- =~oc~g x~4 " 4; 4 3s2_ . 1_2 x t co - 3~Z x!~8 r' Z o. 4-1 l~ ' _ 6~O x 12 ~ 1q2o 3Dx2Z 2.4- ~ 42 I~a~ ~c 44 ~4~sz ' ~~v~~ Survey For: ' Amy ~ Jack Hardin Attention: Tom Logelin Conetruction 96/99 7405 West 123rd Street Apple Valley, MN 55124 DELMAR H. SCHWANZ UND SIIRVEVORg MC . PaO~51e~M Unppi LTwF (11 L1~e CIAIP i~/ M~nnPS(~IA . 14750 SOUTM ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068 VMONE 81Z 423~1769 SURVEYOR'S CERTIFICATE SB9 °so'z2'~E - /BS,~~ - ~ ~ ~ I .~oT 4. O,cO~~ / 1 ~ ~ I - N O ~ 9 ° 3 ~ 5 a~ti.~ y.~ ~ ,3/ , a - - /g1,~~ o 0 ~ Q ~ ~Z ~ 1 ~ ~ ~ ~ ~p ~ b.c 5 ~ \ kti ~G'--_...f 16~ f~Q N \ 1'~~dy~~~-_N m ~y o ~:h'h o 4_~ ~ ~ m ~ ~ o p a Sp1k@ Set 8s b1i17~1rig i~ 9 1 ofPeet 9#, ti qb' ~ s proposed elevation ~B~?p a~ 94 ~ 943? 3 a Existing elevation ~ g3~ ~6,9v q tb / ~j0 4~ 94t Saale: 1 inch s 30 feet ~6oe~ ,~6~ /°j h~°h ~ ~ I hereby certiPy that thie is a true and p' ~ correct representation of the following deacribed k S`/ tract of land: ~ ~3 ~ Lot 4, Block 1, THE SAFARI SDCOND ADDITION, ~V~ ~ according to the recorded plat thereof, Dakota County, Minnesota. ~ 6o~P x Also showing the location of a proposed houae as staked thereon. February 14,.1986 oCX ~ / . - MINNESOTA REGISTRATIONNO. 8625 . ' , : : _ _ . . . , • b CITY OF EAGAN EXTERIOR ENYELOPE AVERAGE 'U' COMPUTAtION ~iNER: H/Y)'~/ v` .1Q.C~ f.~czrd~~n SITE dDDRESS• /.b f y,C3//L i~~ ~sf Z"_°~ 8R-s TOrYI ~QG7~~/~) DATE: PHONE: ~'ih~"D/o~~ Determine tirorking square footage of each: 1. Total exposed wall area Z~~~C?~ sq, ft. x.11 = Z/~'~~~ 2. Total roof/ceiling area ~~sO,fX~ sq, ft. x.026 = ?J ,.~0 Total exposed Wall area above floor = 2~, Qa a, Total Nall window area K b. Total door area . . c. Total sliding glass area 4 Z,Z L d. Total fireplace wall area - e. Total wall framing area (average 10~) f. Total net wall area above floor , g. Total rim joist area ~ Z Total exposed foundation area = ~J~ h. Total foundation windox area - i. Total net foundation area above grade ~ Determine ~U' value of each wall segment: a. x~ U' .~{'~O c ZO b. x'U' .o~ c. 2.Z x ~U~ , 3Cyj = , d. x ~U' - e. x' U~ = 1. 1 f. d, x ~u~ ---i~~ = 0;03 B• , Z x U , v h. x U - i. x~U~ , t4 - 1 3 3 . Total - 21~•dl If item 03 is the same as or less than item 01, you have met the intent of SBC 6006(c)2, Total exposed ~oof/ceiling area = ~ j. Total skylight area k. Total roof/ceiling framing area (average 10%) ~°,UO 1. Tqtal net insulated roof/ceiling area ZZ ,G~ (OVER) . ' ~ , Determine 'U' value For each roof/ceiling sepent: l~'o. oo x~u~ . 02 - Z~77~ k. ~7.~~E.~D x 'U' ~OZi = ~7 1. - x ' U' - 4 . Total = 2 , ZO If total of U4 is the same as or less than 02, you have met the intent of SBC 6006(c)1, Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items }13 and ~4 shall not be greater than the sum of Items U1 and 1f2. , . 2 ,O( + 2. ..:Cv = ,3 3. Zl/,o~ + u. 27,Za = Z 3.Z ~ . . CITY OF FAGA\' ~ : y~ ifINIPIUii "U" ~'ALUE ARD R-FACTOR AT ROOF, WALL, RIPI Ai~D CO\'CRETE BLOCf; . 1 _ . , Provide insulation baffles in every' ~ RO~F j~,~IL~NG ra_ter s2ace. ' _ y ~P~ VA . iQ I~~TE~toR ~,is~ F(~~ , ~ I . 2Q 5~3" GYF ' Q IhSULAj~ON ,~,p0 ~ -z~, . v ~ ; ~ . ~ O EXjER;o(~ AlR FILM ~ ~ ~ ~II ~l~J~ ~ / (S-EILL~ ; / ~ )i G . ~~Un ~ iZ = _o~ T~TA~ (R~= ~'/3 " . ; . ~ j~ AlL . . i: 8 • ~ 1[~l~Plo(~ RIR ~I~M (~)~`(o~ . i 9 ~~~2° GYP.~ RD.~ : _ e~G . , . . ~ ~~~s~~AT?oN siz'' ' , • - ~ p zs/~j1 $~i-r~ir~ .~9~vt . . ~ ~ ~ ~ ~ . ~N?A~or+?Tc S,D,~C~ Z. , . I . u Ex;=; lot~ F+I~ FI~P't ~ 41 , .P~' . , - _ - ~ . . = ifrz = Tor~~ Cn)=~,~1 , ~1M - • ~2 ~ - ' ~ CR) Vat~ ~ 1 ~t It~T~I'-lar A~t~ ~fu1 ~~al j3 ~3 5 i~i!' 11~5U~A7~o;a 19,00 . ~ ~~t ?<< ~ 2 Fir~ tz~r-i .So~sT (,S~ r IS i5 ~l~i ~v=~.-~iTc , ~ . _ Z~o~o ~ riFiSOr~ITE s?o~rG l~ 8Z . . . ~ O . exj~rc~~~ A~~ ~t~M . . t'1 0 - ' ' ' U~~ _ ~~f R = • ToTR~ (?z) = 2 5, ~t • . , . oQ _ . . ~Q~~DATtot~~ ~ - ~ Ct~) vt~~u: . , , ~ -~S o ~N ~E17?~t~ a?r~ F?~.r~ 4 ' ~a . ~ g°~~ ~ C s'' • e n 7~ ~'~~x cv~1c,. ~~K, I.,T.~ - ~ O I"l~~YP~c~t~,"iR.S-u,~o~j,c~ • e . ~ . r~ EXjcP~lO~ AIiL FILM . ~ • uU~~ ~ ~ 7 ' • = t ~ CC = e~, Ta~AL (Cc~ = ~ EX Floors o~•e; unhea[ed spaces must have rt;ininum R-factor of R-20 (tuc.L•-under garaoes). Floors over autdoor air (overhangs) nust tiave a nininum Y.-factor of F-33. ' ,-7°I~l(.e2 ~~~.so 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION ~Q~ City Of Eagan 3830 Pilot K~ob Road, Eagan NIN 55122 Telephone # 651-675-5675 Please complete foc single family dwellings & towmhomes/condos when permits are required for each uni[ Date / / b ~ Si[e Address ~`'0 ~ 3 V/, l7 /J/ P~C~ Onit # PropeMy Owner ~u e ~ n p~S Telephone #(C~:~ ~~'a 7% S~.(- Contractor Street Address 3451 W. 6uinsville Parkway we State Burnsville MN 55337 z~P Telephone #(~cS^i) ~ l7 S~ DOO~~ Bood#: ~~USQ~I~ ~-7/ ~ Expires: 7 ~ Ucf The Applicant is _ Owner ~ Contractor _ Other Fire repair (replace burned out apptiaoces, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 ~ furnace _Additional _Replacement _ New air exchanger air conditioner heat pump other State Surc6arge $ .50 Total $ s~ ~ S?~ I hereby apply for a Residential Mechanical Permit and acknowledge that [he infonna[ion is comple[e and accura[e; that [he work will be in confocmance with the ordinances and codes of the City of Eagan and with th chanical Codes; that I unders[and this is not a permit, but only an applica[ion for a permit, and work is not to start without a ermit; at the work il ~a~r approve lan in [he case o which requires a review and approval of plans. ~ ~.SQh ~~o; = D Applicant's Printed Name Applicant's Signature By 411/ C!tyofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN 2 0 2016 For Office Use Permit #: Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION J Date: Site Address: Unit #: Name: R `+'A '•l -- SA rn A s., R li A 7 t f rt 1-01, Phone: 6 / a - 9'11- -7-78 j Address / City / Zip: 4/ a 5-1 S IC S. i r r (_ J C G r T CAC U (`^ Applicant is: X Owner Contractor Description of work:-r�j��''� - t r% ops is A i2'r S d P T—; a s F P o Construction Cost: N /A 5' "0 Multi -Family Building: (Yes / No )C ) Company: N /A Contact: Address: City: State: Zip: Phone: Email: License #: 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: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE;Platys ie informa 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.00pherstateonecall.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. /ecru iJ ro ;3 rz 1 TO Applicants Printed Name Applicants Signature r Page 1 of 3 SUB TYPES • Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code #of Units # of Buildings ` Type of Construction V 5 Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ Pool Siding Reroof Windows Egress Window / ,/ Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy 12E Code Edition 1110 r) 201C Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: UVB vvv, f--0 MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test .)Pool: _Footings _Air/Gas Tests inal Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Survey Fo"r : • Amy.& Jack Hardin Attention: Tom Logelin Construction 7405 West 123rd Street Apple Valley, MN 55124 DELMAR H. SCHWANZ LANG SoRVEVORS INC Rea/1010o Uncle, Laws of The Slate M MlnnesNl 14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55068 PHONE 612 423.1769 SURVEYOR'S CERTIFICATE S8f ®So '2Z "E — /8;77— /3 7/6/ 9L/19 .Cor 4+ 82 'K / p >r Spike set as bui]d`ng offset 9l; 029 s Proposed elevation /moo? - ', 1 0' = Existing elevation `<Ivo q. Sealer 1 inch • 30 feet off' ®8 I hereby certify that this is a true and 4' correct representation of the following described tract of land: Lot 4, Block 1, THE SAFARI SECOND ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house as staked thereon. February 14,..1986 .)( ,1/y Oat 440w - MINNESOTA REGISTRATION NO. 8625 PERMIT City of Eagan Permit Type:Building Permit Number:EA173759 Date Issued:12/01/2021 Permit Category:ePermit Site Address: 4853 Sky View Ct Lot:4 Block: 1 Addition: The Safari 2nd PID:10-75851-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Dan Bur 4853 Sky View Ct Eagan MN 55122 Three Rivers Contracting LLC 2676 47th St East Inver Grove Heights MN 55076 (651) 214-6640 Applicant/Permitee: Signature Issued By: Signature