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966 Stanwix Rd CITY OF EA~AN Permit No: g"' ' Date: 7-7~c~a s'834 Pi~ot Knob Road Meter No: ~J ~0~ r~ Size: ~ l~ " oc/~ P.O. Box 21199 Reader No: l.~ ~~~~,~5~ Date: Z 3` b'b' ; Eagan, MN 55121 ' ~wner.- ~~ft=.~ra Custom ?~ontes SiteAddress: `~<~h Stanwix R~ad L7 B1 LexinQton 5q 7th Plumber__ ;-:~her Ex~/~i-~l~,~r.~ Conn. Chg: -`~~-Q~~i Zoning: Acct. Dep: I~- OOnd No. of Units: L Permit Fee: ~ ~ - ~a}?~ Suroharge: - 5f~j~~~ I agree to c ply wiih the City af Eagan Tr. PIanL ' ~ ~ Ordinance Meter. Misc.: BY WATER SERVICE PE MIT ~ Date: ~ ~--R3 { i ~.~7 .7 CITx OF E,EIGAN Permit No: Size: ~ 3830 Pilot i~nob Road Meler No: Date: P.O. Box 21199 Reader No: Eagan, MH 55121 Owner. ~ '',:,t"~;' ' ..~;:~r ~~~"i~? - c.: 't*- - r:, ~,eXi,^_~~iC". - . y - Site Address: ' E ~ 0~_ ~r P~umber ~ ~n Zoning: Conn. Chg: No. of Units: Acct. Dep: of Eaga~ - ~ ~ 1 wiih the City Permit Fee: 5 a ~ a9ree to comp Y Surcharge: ~ i6 ~~8 Ordinances. 7r. Plant Meter. . gy Misc : ; WATER SERVICE PERMIT ~ _ - t.~.~...------- _ - - ' 1n893 Date: 7 7-38 CITY OF EAGAN Permit Na~ 5-IO~~_ g83r ?~t~ ~ppb Road B/P No: ~~~~4 Date: ` - p.0. Box 21199 ~ Eagan, MN 55121 Owner. "e'tro ''~t~,t„~:~ :'o; _R,:, 966 Stanwix ?'~oad I•7 U1 Lexin.ton S ~~h Site Address: Dresher Exc/t~l-Berg Plumber: F ~ MWCC: 550 OO~d Zoning• 1 City Chg: 1~~ ~~Pd No. of Units: 15.0 ;pd 1 agree lo comply wHh the CitY of Fa9an Acct. Dep: ~ , dppd Permit Fee: Ordinances. • J Su rcharge: BY `i i Misc.: ~ SEVYER SERVICE PERMIT ! G _ _ - , CASH RECEIPT _ ~ . ~ CITY OF ~AGAN , 3830 PILOT KN~ROAD ' ~ s EAGAN, MINNESOTA 55122 DATE ~ ` / ~ 1 g ' ~ ~ ~J ~ AMOUNT $ / ~ ~ , l., ' & DOLLAFS iaa i ? CASH C~: CHECK ~ r ~ ~~~~~'~C ~ ~ ' k ~ ~ t ~ 1 , ~ ~ ~ l ND CT AMOUNT Thank You ~ BY wn~te--Paya~B ~r i ' ~ ~ ~ 'i Yellow-Posling Copy ° ' ~ ~ Pink~ile Copy ~ . . D., . ~LDG. PERMIT NO. ~ ` ~ _ . ~ ~L J t L !.'-t~' ~ , ~ ~ ~.~":~,v~ ~ 01-3210 % t31~g. ermit ~ ~ ~ 01-3422 Plan Check ~ ; .f O 01-3445 Surch./Adm. 01-3446 SAC/Adm. ~ 01-2155 Surcharge 7~-3860 Road Unit ~a ~r , . 2U-2275 SAC 20-3865 Water Conn. C' . ~ 20-3868 Water Trmt. ' 20-3716 Water Meter ~ ~ C 20-2252 Acct. Dep. ~ r 20-3713 Water Permit , 20-3743 Sewer Permit ~ , 79-3866 Sewer Conn. c~' ~ 28-3855 Park Ded. TOTAL ~ CiTY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 E'~ PH O N E: 454-$100 J BUILDING PERMIT Receipt# 1.' ~ To be used for SF Di~(;/GAR Est. Value ~~~,Q'3v Date ~%I~~ iU ,19 b~ Site Address S'fAiVKIX RD OFFfCE USE ONLY 7 1 L.F.~ I id~TOAi S 7'~. On Site Sewage Occupancy Lot Block Sec/Sub. Q MWCC System x Zoning p~ Parcel No. V~a On Site Wel1 (Actual) Const City Water x (Aliowabie) V"H o~ Name ~~TRO C~~STt3~~ NOt1ES, INC Z p U~}. Z~~{} PRV Required # of Stories Ad~ress ~ o Cit• r BL~R~SYiLLE phone 454-93c~3 eooster Pump Length 4b ~ Depth ~ ~ : SAl~!~' S.F. Total , o Name ~ Q Address Footprint S.F. ~ City Phone APPROVALS FEES Engr./Assess. Permit '~+66'~3~ ~W Name 3Q.SQ Address Plan~er Surcharge ~Z Cit PhOne Council PlanReview ~33•~ °C us Y a Sidg.Off. SAC,City 1~•~ I hereby acknpwledge that I have read this application and ~state. that the Variance SAC, M WCC S 50 information is correct and agree to comply with_3U applicetile State of WaterConn. s~•~ Minnesota Statutes and City of Eagan OrdirtanCes. i ~7 - { _ Water Meter Signature of Permitte~,:_ • ' ~ - ` Road Unit 315.t70 A$yitding Permit is issued to: ~~j~Tk~ Ct:STUM liCl:~`,ES~ Il1'G Treatment P1 ~ Z~•~ on th~ express condition that atl work shall be done +n accordance with all ~ appricable State of Minnesota Sta2utes and City of Eagan Ordinances. Parks TOTAL 2~Q Building Official ~ , ' , CITY OF EAGAN • ; ~ • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 , BUILDING PERMIT Receipt# To be used for 1^` Est. Value Y~~~~~L~' Date 1 ,19 Site Address r`'° ' OFFICE USE ONLY Lot ' Block i Sec/Sub. j~'" T(:`lV Sr On Ske Sewage Occupancy ' MWCC System - Zoning ` ~ Parcel No. On Site well (Actual) Const i~y~ city water {A1lowable) a Name W Address PRV Required ik of Storles ` z ° City ~ Phone • ' ~~ter Pump Length `'G ~ Depth ' , p Name S.F, Total ~ Q Address Footprint S.F. ~ City Phone APPROVALS FEES ~ W Engr./Assess. Permit ~ ~ Name W y~ ~ = Planner Surcharge Address Council Plan Review `~y `W City Phone g~dg, Ott. SAC, City ' t~ Variance SAC. MWCC , 1 hereby acknowledge that I have read this application and state that the ~-t} information is correct and agree to comply with afl applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter ' ~ Signature of Permittee Road Unit A Building Permit is issued ta ~ ~ Treatment P1 on the express condition that all work shall be done in accordance with ali Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. , Building Ofticial TOTAI ~ Permft No. Psrmit Holder Dat~ Tslephone # Plumbing . " ~ `J5 ~ 9~L' ~l ~ U',~,~. ,~wJ c c~-~~ H.v:aC. G~ C.u `zzo 7 ~ Electric ~~j~G ~ ~ _ ' ^ /3 8'$ ~L) C~ c ~y~ Softener ~ ~ ,,~~.~t~,~_ ~r~• ~-~-,~-s; Inspection Date Insp. Comments Footings I Footings 11 Foundation Framing • Roofing Rough Plbg. " , ~ ~ Rough Htg. 7 S Isul. ~ Fireplace Final Htg. ~ D~ Final Plbg. Z $~_25.8'~ l.~s+~j Bldg. Finai ~ ` Cert. Occ. o ~ ps Temp. LP Deck Ftg. Deck Final Well Pr. Dfsp. ~f r . ~t~er#i#xr~~~e nf (~rru~ttnr~ ~itp o~ ~agan ~p~~t ~ ~uaa~ .~.pP~~ This Certificate i.rsued pursuant to the requiremenls of Section 306 of the Uniform Building Code cenifying that at the time of issuance this slructure was in compliance wuh the various ordinances of the City regulating building construction or use. For the following.• u~ c~t~~~~ e~ag. ~e~~ r~. 'L fxi) ;Nyt OccuWncY 7)'pe C7T~. ZomnB District Type Co+ist 1~7T .f SZ~~itl.a•`: il~.'. , .~i~ Owner of Bw7ding 'Address " ~.:F ~~rrf: rt~., ~7 :3~; TZ ~ •'s~i• , i. BOlldlflg A~[E67 ~ . jpCL}jly ~ W, . ~ . osa: ~ttKZ15I' 2~ , , Bulding Ot6cial POST IN A CONSPICUOUS PLACE I , ' . . . PERMIT # y ~ ~ ~ ~ ` PLUMBING PERMIT ~ C1TY ~F EAGAN RECEIPT # 3830 PILOT KNOB RBAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHQNE: 454-8100 Site Address F BIDG. TYPE WORK DESCRIPTION „ , , Lot ~ Block. ~ Sec/Sut~ , Res. ^ New , :jf - ~ Muft. Add-on r - ~ Name ' ~ ` Comm. Repair a~ ~e Address ` r ~ ~ ~ ~ ~ Other c Ciry : ` ~ ~ ; ~ • -f Phone - ~ " = ~ RES. PLBG. ONLY - COMPLETE THE FOLLOWINC: NO. FIXTURES TOTAL Name ' ' ~ ~ Water Closet - $3.00 ' ~ ~ ~ ~ ~ ~ , ~-Bath Tubs - $3.00 ; Address ~_Lavatory - $3.00 ~ p City Phone J~~= ~1 Shower -$3.00 ~_Ki?chen Sink - $3.00 ~ FEES Usinal ~ Bidet - ~3.00 COMM/IND FEE - 1°/o OF CONTRACT FEE ~Laundry Tray -~3.~0 APT, BLDGS - COMM RATE APPLIES ~-Floor Drains -$1.50 TOWNHOUSE & COMDO - RES. RATE APPLIES ~-Water Heater -$1 50 , MINIMUM - RESIDENTIAL FEE - $12.00 Wh~rlpool - $3.00 MINIMUM - COMM/IND FEE - $20.00 ~-Gas Piping Outlets - $1.50 ~ STATE SURCHARGE PER PEAMIT - .50 (MINIMUM - 1 PER PERMIT} {ADD $.SU S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000_00} Well - $10.0~ Private Disp. - $10.00 - ~ ~ ~_Rough Openings - $1.50 ~ ~ ; . SIGNATURE OF PERMITTEE ^ ' FEE: = ' STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• . . . ; . ~ . RECEIPT # ~1,c, ~ PERMIT # . r . MECHANICAL PERMIT ~y ~ ~ ~ S - ' CITY OF EAGAN 3830 PiLOT KNOB ROAD, EAGAN, MM 55122 DATE: J~~ CONTRACT PRICE: P ONE: 454-8100 Site Address BLDG.,TY~E WORK-[11~ ON Lot ~ Block Sec/Sub Res. New fa, , Name _ Mult Add-on~ Comm. Repair ~a Address ~ ~ City ~ Phone FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City I~~ n~~jT/ f/ Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air ~ M BTU j APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES BOiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond, ' M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 ~ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ° BEIG~ND $1,000) Other FEE Gl r' ~ ' _~L i ~ ~ ; ~-!"1 y S/C: ~ SIGNATURE OF PERMITT~E / J f. - TOTAL• S FOR: CITY OF EAGAN INSPECTION RECORD ~ CITY OF EAGAN PERMITTYPE: ~ + ~ 3830 Pilot Knob Road Permit Number: t Eagan, Minnesota 55122-1897 Date lssued: ~~7:~~ (fi12) 681-4675 51TE ADDRESS: ` ~ i s, ~ ~ ~ ~ ~ ~ ~ ~ , } ~ ~ ; APPUCANT: ~ ~ ,~tui,ii ~a~~y ~ , ? ;~~~ii~-, . . PERMIT SUBTYPE: TYPE 4F WORK: , . . ~ , ~ ~ i i , , ~ _ : , , , ~ ~ ~ 4 ~ ~ ~ . a~~~.:~:~:.~.~~;- ' Permk No. Permit Holder Date Tefephone M ELECTRIC PLUMBING HVAC Inspectlon Date Inep. Commenta FOOTI NGS FOUND FFAMING R~OFING ROUGH PLUMBING PLBG Alfl TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIHEPLACE FIREPLACE AIF TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAI BSMT R.I. BSMT FINAL DECK FTG DEGK FlNAL Y~Z ~ CITY OF EAGAN ~o ~ 1517 0 3830 Pilot Knob Road, P.O. Box 21 •199, Ea9an, MN 55121 + PHONE:454-8100 ~f'/~~P~ BUILCSINGPERMIT qeceipt# nY'~ 0 Tobeusedfor SF DWG/GAR Est.Value $~3,000 Date JUNE 10 ,~g 8$ Site Address 966 STANWIX RD OFFICE USE ONLY Lot ~ Block 1 Sec/Sub. LEXINGTON SQ 7TH OnSiteSewage _ Occupancy R-3 M-1 MWCCSystem X Zoning PD Paroel No. On Site Well _ (ACtuap Const V-N a Name METRO CUSTOM HOMES. INC Ciriwater X (qllowable) V-N = qddress P 0 BOX 1044 PRV Required _ # of Stories a City BURNSVILLE Phone 454-9383 BoosterPump _ Length 44' Depth ~+6' , p Name SAME S.F.iotal ~ Q Addfess Footprint S.F. ~ City Phone APPROVALS FEES • s Engr./ASSess. Permit 466.00 wW Name 36.50 Planner Surcharge x- Address ~Z Cit Phone Council PlanReview 233.00 a W Y Bldg. Ofl. SAQ City 100.00 I hereby acknowled9e that I have rea is applicati0n state ihat lhe Variance SAC, M WCC 55~. information is correct antl agree com pp ~ le tate ol Water Conn. 550.00 Minnesota Statu~es and Cit a e. WaterMeter 67.00 Signature ot Permil _ Road Unit _~J_._QD A Building Per ~ sissued to: - TRO~TOM HOMRS i TNC Treatment P1 204. 00 oniheexpre co'~nditionih allworkshallbedoneinaccordancewithall applicable S[ate of Minnesota Statutes and Ci[y of Eagan Ordinances. Parks f~,,'~- ~ TOTAL 2,531.50 BuildingOfficial_;.~UJ_J1~ This reques: void b7 ~~5~~ 18 nwnths Imm ~ E 2 8 4 3 7 L~r . ~~t~. a~' Neq Date/ ~ Fire No, qough-in Ins cUOn . Nepurte ~ Aeatly Now ~II Nolity InsOec- L(~ r V es ? No ? K'hen Headv ~censed Elec[rical Contrector I hareby request insoaetion al ebove ? O r elect~ical wark installed at: St r s, Boa Ro te No. ~ Citv 6' eclion o. Township Name or No. . ange No. Cow~ry ~ O c oa~t IPfi1NT) Phone No. jV~. ~ 5 oM o - 3P3 Power 5 ier Address Electrical Convacmr ICompany Namel C trar,lor's License No. KENDRICK ELF.CTRic~ D e'~ Ma il i1A~~~~ ~~~~~CK~ ~ k~E al lationl A r 'e ~or r~Td7oktallationl Phnnu Numbor~ 1 G~t ~-3 a-s a3 THIS INSPECTION flEQUEST WIL~ NOT MINNESOTA STATE BOAPD OF ELECTqICITY Griggs-Midway Blde. - Aoom N•191 BE ACCEPTED BY THE STATE BOAFD 1821 Univeraitv Ave.. St. Peul. MN 55104 UNLESS PFOPEP INSPECTION FEE IS pti~~o~~~~~~a~ ~n~ ENCLOSED. REQUta, FOR EL~ECTRICAL INSPECTION . ebe-xooooi-os ~ See inshu.~~a~s M~ cample~ing this form on beck o~ Vellow coOV~ Q~,L~~~ ~ ~ -7 E: ~ 8 4 1 ~~x~Telow Work Cavered by Ihis Request F .Mp' Type o1 BuilOing AOO~iancea Wired Equiument Wired Home Runge Temporary Service Duplex Water Heater ~tfn Pixtures Apt. Buildinc~ Dr Electrii: HCatin Commercial Bldy. urnace Silo Unlonder InAustrial Bldg. Air Condi[ioner eulk Milk Tunk Farm O~he~ neu y Oiher ISnr.nivl i . Sucafy ther Othi~r ompute lnspection Fee Below k Fae Service Entrance5ize H Fae Faxders~5ubfeeders k Fea Circuits U to 200 qm s 0 to 30 qm s ~ tn 30 Am Above 200 qm ~s 37 m 100 Amps 1 to 700 A s Swinuning Poal Above 700_Amps •S~ Above 700_AmFn Transiormers Irriqation Booms PertiaL~Other Fee Signs SVecial Inspection 5 5a FFFF Herm.ks ~ floueh-in D. te 1. tn al ~ InsDector, ~e~aby ce U~y tha~ the above Final r DACR Yj/ ' ypection has baen O ? ^~tle. thlsreauaetvaldl8monlhalrom ~ ThiS requesl void ~9 ~ ~Q ~ ~ ,S ~ ~ 18 mon[hs ir~ ~ ~ E 1.~.i.~3~~.~~ix ~,~i L la 7'~ ~°a Re est Date Fire No. Ro in Inspe ion fle ~ etl? ~ ~Reatly Now ~ Will Nolify InsDec- ~ ` ?Ves ~ No ~or Whe~ dy -ensed Electrical ConVacror ~ ~ . 1 h re y uesCinsv ' n of ebova ? Owner elactricel work instel ~ aL j 5 at d ss, ox or Route o. ~~~Y ec ~on o. Towns me or No. Ra e No. Cnunty OccupnntlPNINT~ / Pho e o. _ ~ ^ ~ ~ v V Pow S lie Adtlress ple~c+l~rical Cpmrh/a'~c~or Q(CO(m~pa/ny~MN~apmet) trar.to ~s License No. ~LLlLi~34iR f.ILG~ ~ ~1iC . Maili~/y~r~tilC~q~gsq~v}plplqgf 1l~Railationl ' 4~sv rr.i~irv~.A A qr IlatioN Phone Number MINNESOTA STqTE BOARD OF E~ECTflICITY TMIS INSPECTION NEQUEST WILL NOT Griggs-Midwey BIAV. - paom N•791 BE ACCEPTED 8Y THE STATE BOAND UNLESS PNOPEN INSPECTIpN FEE IS 1821 Universitv Ave.. SL Paul, MN 551~6 ENCLOSEO. ati~nw15121662-0806~ &%'~p~~p' REQUEST FOR ELECTRICAL INSPECTION es-~~~ s / /Q Q See instruc~ions lor comoleii~g this fwm on back of Yellow copy. Co /3n " E 1~V ~~3 g~ X" Below Work Covered by 7hrs Request 4 S l.dd~.~~ TVOe oi Building ApO~~a~~~~'NbeE Equiument WireA Home Range emporary Service f Duplex Water Heater Li~htiny Fiztures Apt. Buildin~ Dry¢r Electric Heabn Commercial Bldy. Furnace Silo Unlu.~der Industrial Bldg. Air Conditioner Bu~k Milk Tank Farm Ome~ neci v O~ne~ Isncufvl t .r Suecify Other Other ompute lnspeciion Fee Be/ow p Fee ServiceEntranceSize b Fea Feeders~SUbleeAers N Fee Circuits 0 to 200 Am s 0 to 30 Am~s 0 m 30 Am Abuve 200 qinps 31 to 100 qmps 31 to 100 A s Swinming Pool Above 100-Amps Above 100-Am~ TranSformers Irrigation &~oms PertiaL~Other Signs SpeCiallnspection U Nemarks S OTAI~FEE 5 ~ ~L ~ qoueh-in I, tba cVicel 1 soector, ~e~eby certily thnt t~e above Final ~~~c~ in hes bean 7 de. f01a rpuest voitl 1B momb irom • ~ b~ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION 1~•~~ ~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constmdion Reauirements RemodeVReoair Requirements Office Use Onht 3 registered site surveys shawing sq. fl. of lot, sq. fi, of house; and all wofed areas 2 copies of plan ~ Ced aPSurvey Recd Y .N.. (20% maximum lot cwerage allave~ 1 sel of Energy Calculations for heated additions Fr2~Pres Plan fiecd _Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree pres Rei~wred Y•~N lselofEnergyCalculations Add'rtion-indicafe'rfon-sdesepticsysfam QrrsiteSepucSystetn ~._Y ~,N; 3 copies of Tree Preservation Pfan if lot platted afler 7/1/93 Rim Joist Detail Oplions selection sheet (bldgs wAh 3 or less unils Date ~ T d~ Construction Cost 6~~~"~ Site Address 9u! ~ ~~~RW 1 7G `CIT • UniUSte # Dcscription of Work~~0 O~~ 0 I~p ~1 JIYV~~1 1 5 l/ i t~ ~ ~~C S"/ l~ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Q1~.-Qm i Property Owner ~t'T~ Telephone # Eysl ) lG'7lD ~ o CD Ud Contractar RMA HOME SERVICES INC. Home Depot Installed Sales Addresa 3200 Cobb Galleria Pkwy., Ste. # 200 C~~y State Atlanta, GA 30339 Telephone ) BC-20268257 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan~ _ Y _ N If so, 25% plan review fee applies. ' Licensed Plumber Telephone J Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and ap oval of plans. rI1S0 Y~~ Applicant's Printed ame pplicant's Signature `OFFIiEE USE ONLY Sub Types j ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 18 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 ? 1D 08-plex ~ 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Repiacement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units ~ Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addilion) _ Plumbing _ Foundation HVAC _ Dtain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ FI'amuig _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows _ Insulation _ Re[aining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utitity Conneetion Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total i . ~ r • Installed ~ ~~.:f-~o,;,e4sen~ Siding and Windows • ' LIMITED POWER.OF ATTORNEY , ~ _ , , ~ , . , _ e COUNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sa1es located at 6E0 Mendelssohn Avenue North, Go?den Val?e}~, M1~T 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("AgenY') as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary arid appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attomey are limited solely to the express powers delineated herein and ap}~?y solely to the Work. This Limi*ed Power of Attomey shall expire and automatically be revoked on the 21st day of Muy, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at aziy time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. I?~I W£'I'NESS Wi~REOF this Limited PoSUer of Akto±ney is e:.ecuted this 21 st day of May, 2003 . David . Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21 st day of May, 200~ Notary P ic in for the State o eorgia My Commission Expires: January 21, 2006 39681G.v3 ~ Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT (.n~~( c ~ ~ ~ ~r ~c~ . ~ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Corrsirudian Reauirements RemodellReoeir Reauirements t3ffree kket7rilv 3 registered sile surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas 2 copies of plan CerLedSurveyRecd ~Y ,~C3 (20%maximumlotcoverageallowedJ lsetofEnergyCalculationsfwheatedadditions TtA0Pr88Pf9AR2Ctf _Y _YJ; 2 copies of plan showing beam & window sizes~, poured found design, elc. 1 site survey for additions & decks Tt¢~ Pr~sReAUUetf -Y ~N lselofEnergyCalculafions Addifion-indicateifonsitesepGcsystem ~-sileSepNcSysiem „~,Y,,,,,N~. 3 copies of Tree Preservation Plan if lot platled aRer 7/1/93 Rim Joist Detail Options selection shee~ (bldgs with 3 or less units Date /~rC ` _ Construction Cost ~~~J~ O~ Site Address q(~ ~9 ~J T~'f 1 W~ 1C ~ UniUSte # Description of Work 1~P~~Q C!L ~ ~p 1~ If\[~ O WS w N~.~C:S~i f~G 4~42~~ Multi-Family Bidg _ Y_ N Fireplace(s) _ 0 _ I _ 2 Property Owner ~ Telephone # ((p$ ~ ) ~'t~Q ^ 0 ~D~~ RMA HOME SERVICES INC. Contractor Home Depot Installed Sales Address 3200 Cobb Galleria Pkwy., Ste. # 200 _ C~tS State Atlanta, GA 30339 ephone ) BC-20268257 COMPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 ~~esota Rules 7672 Energy Code Category , Residential Ventilation Category t Worksheet • New Energy Code Worksheet (~su6missiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( ~ I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will he in conformance with the ordinances and codes of the City of Eagan and the State of MN 5Yatutes; 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 ' ' r~n d approval of plans. O~ G~j 1~ ~ ~A ,nc~ ~ B 1 1 2005 Applicant's Printed Name ApplicanYs Signature By O~"FICE` USE ONLY ~ Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01of_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 (screenlgazebo) ? 36 Multi Misc. ? O5 03-ple~c ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors ? 34 RePlaCement •Demolition (Entire 81dg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUII2ED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ FooUngs (deck) _ FinaUNo C.O. _ Footings (addiUOn) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Appraved By: , Building Inspector Base Fee ' Surcharge Plan Review MC/ES SAC City SAC Utility Connedion Charge S&W Perrnit & Suroharge Treatment Plant License Search Copies Other Total ~ ~ ~ ~ ~ ~ ~ Ins#alled , Siding and Windows ~ ' LIMITED POWER OF ATTORNEY , ~ _ . _ , _ ~ COUNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 6E0 Mendelssehn Avenue North, Go~der ;Talley, r~1I~T 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Ina ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power`of Attcmey are limited solely to the express powers delineated herein and appl_y solely to the Work. This Limited Power of Attomey'shall e~:pire and automaticaliy be revoked on the 21 st day of May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN W;'1_'NESS WIIEREOF this Limited Po~~~er of Attomey~ i~ sxecutctl this 21st day of May, 2003 ~ , David N. Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 2003 ~ ~ ~91c ~ ' ~,.o Notary P ic in for the State o Teorgia My Commission Expires: January 21, 2006 396816.v3 . ~ Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor, 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fvc (770) 984-0709 • Toll free (800) 79-DEPOT / - . t - 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN . SINGLE FAMILY DWELLINGS ~ ~ ' ~ ~ INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY~ 1 SET OF ENERGY CALCULATIONS NOTEx ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR S9LE UNITS f~ OF UNITS INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COI~II~IERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET, OF ENERGY~ 7CALCULATIONS /J / J~~d~J To Be Used For: ?in e~i.~~ Valuation: 1)ate: ~r gg Site Address flp(~ ~f~+[v/~14~I OFFICE USE ONLY Lot ~ Block ~ On site sewage_ Oceupaney ^3 M-~ / MWCC system ? Zoning Parcel/Sub l~i h ~~J!lcGL¢ ~~f~j On site well Actual Const ~ ~ City water Allowable I/N Owner /~/~(.~ld'1y~ !/J7n~{ PRV required _~l of stories p Booster Pump _ Length -/T Address V ~~C ~~yy DePth / S.F. Total City/Zip Code WUYh.S //i/!~_s,i ,3~ r/ Footprint S.F. Phone YSY~ 9 3~3 APPROVALS FEES Contraetor .5 Cla Pu/~t~l Engr/Assess Permit i6 G Planner Surcharge ~ Address Council Plan Review 2.~ 3 Bldg. Off. ~(v~1oSAC~ City / 00 City/Zip Code Variance S9C, MWCC SS~~ Water Conn S"`S~ Phone Water Meter ~ Road Unit 3 ? ~ Areh./Engr. Treatment P1 2 o y Parks Address Copies TOTAL City/Zip Code Phone ~f ' 1 ~ , /J Q ~ ~~oar ` ~ - ~ ~,f- 2 - 2 ~ ~ ' . ~z, ~Xzv = z~'d _ ~i~~~X S % ~G ~ ~r. 2 z z - ~~~~i.~- i ` r~ s~. r ~ ~X 7 _ ~G % k ~ ~ : / J z 3 z ~ ? s~ ~ ~ ~ gcac ~u~ Pqr.E 4z l~'IE7R0 i~~RE consu~Ti~ic ~c?~ai~ifEns CuSTUNI ENGINEEf~ING rtn~u+Ens and IAHp dunvEVOns COMP(~NY, 1NC. H~ 32ai ~ lCOD U5T 146p~ STAEET, BU/1NSVILLE, u117tIES01Jl 6~]37 ptt ~]2~50~0 C~r~`z}'i ca.~e o~ Sx.~~-zr'e c~ ,j~qat .~7e.tcr~,o2icrt: ~T -7 p~K l,L.~XING~N ~QV~,RE 7TN ADO~77~ G~4K~X! CC~Un~,rTY. MJAIIJ~'s:.'~TA (887• 4 ) UL=NCJ7~S tX)~/7/~/U ELf'/A7701°.1 ( 88 8, ~~(~ENC77 ~ FRrJ~'c~=EU E1.,~.U,~ I7C~l~l ~ ~ lND1C,A7Ea" LYR~.C.77GV~ ~J= SU~~~t~~ , . o, ~ n G~~~,~~~ ~ ~ ' ~ 889,00 = I"/MISMf.:I) - GAR/~t36 ~'Lt~~a ~LE'/~Tl~l~l 3 t ~j ~ I ~e~"'~ $^~F W~,~ tJ ~o' f7FONT BUILDING W,~"~, N~~ a.'~i 2 ~U~ % SETEi.dCK LINE ~ h ~ ~ ~ e ~ $ . ~ ` M~ ~V D h p~? 1~.~~ ~e~y 1~ ~h ' ~g~/ ~ w~~-~ ~ ~~ho ~ ~ W 2 ~ " t~j ~Y' C~ ~~o ~q~ S~~~ ~ io.ao ~ / ~ ti`• •o so.oo / ~ L00~~~~,~i~ ~ o ~,4~ ~i9 \ iz. so % j ~ ~ : / ~Y ~ b1 9A c~5 F9 ~ ~,O , , ~~~;qryo° ~a~~, ~ ~A~o r:I~ i. ~/J I~ ~g~~y;' %~oe/o~ ~3 ad~ ~b9 ,~ee ~ ~ G'~ ~a~ ? I~ L ~ ti'1 ~V q~ ~ s 9~~ ' ti~, " ~ \ ~ ~ , ~°i ~~g~ v t . EA NGINLERIIV D PT. ~ ~ , ~ ~ ~ ~ , , ~ ? ~ . ~ SQ)eB9s \ ~ \ ~ 8B8.~ 3t,S~S! ~ ~ I ~ 8$,< ~ ~ ~ ~ ~o~ ~ ~ ,y~.~~5 ~ k~, ~ I ~ ~ ~ . `~u` N 5 I. ORAINAGE AND Ur'J lY ~B,.Z, ' E~kSFMJJT (ss~.Zj I ~ I Sc.ALE:~~=30~ ~ I I her+by certify that thie ie a t:ue and corre~t repreeantxtion af a tract of land aa ~hovn' and deecribcd hernan~• 1~e preparad by fin nn thit _ 7~ d+~Y of ~uNE ~ g~ • ' /'J~-~C Ninn. JI~S• No. /6o8S w PERMIT ~ CITY OF EAGAN t~J14I4.!s 3830 PiIGt Knob Road PERMIT TYPE: e u z~. ~ x N ~ Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 8 3 3 (612) 681-4675 Date Issued: 06 J16 J95 SITE ADDRESS: 966 STNNWIX RO LOT: 7 BLACK: 1 LExINGTON SQUARE 7TH P.I.N.: 10-45081-070-01 DESCRIPTION: A Hxixlding~Permit Type OECK ,BUi,l:din~ Ws°t~ck Type NEW 4 t*~s ~r „ ~ ,t~ . - ~ . . " ~ F'y , . . _ . - . ` , P ~ ` ~ } Fy._.yr ~'{~~'"rt:., ~''r A, ~ a ~ ~k~y 3 .d }Y ~ t ~ Z ~ *.ti~.}^ I q 'Y ~ ^ 3 ( 't i. b •,~'~c, 'S,a p~~ ~ a ~ Ys A+ c fi .t,i E:, ~ ~~v 4:?m- i'~ ~;.3 r~~~ 'v~ f ~ }i ~::'a '~;H REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 7ote1 Fee $30.50 CONTRACTOR: OWNER: - Appiicant - KIECKER 7HOMAS 966 STANWIX RD EAGAN MN 55123 (612)686-7580 , ~ herekiy ackY~owledge tfi~~_Y hav~ raad t~~,s applicaG~ott and st~t~ ~hat tf~e . ~~n'~¢~mz~~,t,isan is oQrr~ct an~ ~gree ~ Ct~ ~o,mply ~~~h al,~ ;~~SP1~.cable ~~~te o~ Mn. . ~ Statut~s and Gi~y a-f ~ae~n C~rdinancgs. l 1~]Q l( ~D 1IA ~(_jJ~~J A ICANT/PERMITEE IGNATU(iE I~`SdEb B'19 S T R { INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: e u r ~ o t N~ 3830 Pilot Knob Road Permit Number: 0 2 5 8 3 3 Eagan, Minnesota 55122-1697 Date Issued: 0 6/ 16 / 9 5 (612)681-4675 SITE ADDRESS: P' I' N•° 10-45081-070-01 APPLICANT: LOT: 7 BLOCK: 1 966 STANWIX RD KIECKER THOMAS LEXTNGTON SQUARE 7TH {612) 686-7580 PERMlT SUBTYPE: TYPE OF WORK: ~ECK NEW • . FOOTTN6S FINAL ~ ~ . . , , ~ _ ~ ~ ~ . _ e e ~ ' ~ ~ ~ ( _ , „ _ - _ ~ ~ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ~'J~ ~ 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ~3~~ ~ NeMt Construdion ReauGemeMs RemodeVRenair Reauiremenb ? 3 registered sfte surveys ? 2 copies of plan • 2 copies of pWns (inUude beam & window saes; peured fid. desipn; etc.) ? 2 site surveys (extarior ~ddRiona 8 decks) ? 1 energy celaletions ? 1 anergy wlwiations fir fieated addkio~ ? 3 eopias M tree proservation plan iT lot plaCad after 7/7/93 roquired: _ Yea _ No DATE: 1, 1~1~15 CONSTRUCTION COST: S(a SO °-o DESCRIPTION OF WORK: qppjTiO`~ oF ~=~-K ~i~E U~ HJ~1Sc STREET ADDRESS: ' q~~ ~rA~w ~ x ~R~ LOT ~ BLOCK 1 SUBD./P.I.D. ~--~-~~^~~-T~~,~ s~"'R~r ~ r~ ~o..l PROPERTY Name: K~~KFZ ~n~~ Phone ~~tD -7S~'v OWNER Street Address• ~ S `x Z ° City: State: I'~^-~ Zip: S S coN7~?c7oR Company: `~oM~N~~ + hone#: ~'Z3 V`~~~ Street Address: ~y~3 "3y Sr Z Lic City: ~S State: M^~ Zip. ss ARCHITECT/ Company: Phone ENGINEER ~ Name: Registration Street Address• C~y: State: Zip: Sewer 8 water licensed plumber: 1 ~~A . Penalty applies when address change and lot change are requested once permit is issu . 1 hereby acknowiedge that i have read this application and state that the infortnation is correct and agree to comply with all applipble State of Minnesota 5tatutes and Ciry of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ~~(~~Q~~~ Certificates of Survey Received _ Yes _ No J U N 0 7 1995 Tree PreservaUon Plan Received _ Yes _ No OFFICE USE ONLY ` ~ ' . w ° , : , ,..~t BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool 0 03 SF Addition o 08 S-plex o 13 GaragelAccessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE 0 31 New ? 33 Akerations ? 36 Move ? 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuai) Basement sq. ft. MCM/S System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of 5tories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bidg Census Unit APPROVALS Planning Building Engineering Variance Pertnit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Totat: °k SAC SAC Units ~ a.~. ~~,~..e: - ~ , ' goac ~ole PqLE 4z 1~'~E7R0 ~'C? I3 ~ consutTitio ~ita~~i~Ens , CUSTOM ~PdGIN~~t~ItdG rtn~r?tens a~a ~nHO ~unvEVOr~s • CONIPI~NY, I~Co . , yonnEs ` ~532.0! ~ IOOU ~AST 1+6m 57REET, BUfINSVILLE ~ uIII11E:01A 5.337 PII ~92'300a ~'~'~"~Z~Z CGS~e O~ V~ZL~"'~,/'~~' ,~e~at _t7c.scr~~~icrt: y~- 7 p~K l,;,~xlN~rc~V Sau~.~E ~~u ~o~mof ~ DAK~"A COUAI`T'Y. MI t Il ~1~:';,?JTA (867• g- ) D1;NUT~S ~XI~TIN~a EL~`//IT141~1 (888,~ ~ 17ENCiJ ~ kR~J~'c,~SEU ~.U,r177C~1~ ~ IND1C1iT~" L`lF~"ST1UN ~f- SU~F°~C:~ , ~ GRA/N/1!"~C ~ ~ I ~ F ry ~ I . 889,00 = l'/N~SNG_U ;~~G~'+R/aC:E ~'Lt~!J,~ ~!_E'/~]?Ol~l ~ 4 8 ~ ~ ~ ~ ; ~ r~"i Mk~ ~$~I t~ ' ~~%i~ =0' FRON'r BUILD1NG ~.y e ~ ~ g ~ 2 ~ ~ ~C~~ SE~&QC K LINE y a ~ ~ ~ ~ g . ~2 ~F~ ~~W . ,~~i~` ~ ~ ~ ~ ~ o /~~y~ e ~`L e~~ , ~ ~ _ $ N ~ 4 l~~'~~ ~ ~ i,~p ~ga~5 . . ~4 ,o.ao . / ~Y° •o , ~ $o_Oo 9 \ / 1b0~'m~~'' ~ o c~p~- \ tz.so ~0 'D `e~ ~ ` ~ / ZR ~ I b~ `~~~~5 F~ •O . ~O ~aq~0/ ~l \ ~ ~l~% ~a~ QQ-~dj~~ 6V ' \ ~?~J :,s_ f''~ ~ /v/ ~ / ~ ~ ~ ~ ~v0y~ 06• ~ P ~~a ~ ~ "1 i9i ~~`~r ~'y ~ \ ~h' s9'' I ~ ~`ti 1 ~ ~ ~ ' ~~e, , EA ~ NGINLEP,IN D'"PT. , . ~ ~ , ~ ~ . ~ I ~ , . /SCje693, \ ~ \ ~ ' 888.d, ~+~7Y ~ ~ I ~ sg.4 4~~,, ~ ~ , ' ~ . ~ ~ ~ ~ o-~ , i ~ ~ : ~ ~ a.~ ~ j i~~,~ ~5~ - I_ _ - ~ b,~ ( N 5 I ~ ~RA1 NAG~ AND U7~!J (Y ~8,. Z , ' _ t F.,LISEM~J~I r (as~. Z~ I ~ ~ 5~q~. !'=30 1 : i ( I T herab/ cert~iy i'rcat thie la ~ t:ue arid cvrnet rapreeantation o[ ~ 4r~ct a[ l~nd am ehoxn' and dmacribed hereon.• i~~ Prmpdrecf by ma on thit day of ~y~uNE _ _v .L5 80. ~ ~ /'.J''.~^~ Ninn. RaB~ No. i6aes *x xxww~ix«n:wrrx~isx~~FxRnFnn .i APFLI~ATION FOR PERMIT w~TE= PAYtqS7f OF FE6 AT TIME OF ^ R~ ~ ~ APPLICATiON 00~5 AICTf CON- ~ ~ ~ ~ ~ S1T1TT1E APPP6JAL IXr PERPIIT. . ~ w x SEWER AND/OR WATER CONNECTIQN T[SPFX.TION OF SEF~R APD/OR WARER ~ . ; irsrniu.TTa~s wnt. t~vr se sc~nxn ; ; cnnzl. rmnuT ~ns ~u ~rxovm. ; ~if+t++++a+:~ea~syi~~rt+tt+ifrex~+ffa+f ~ C~ty OF C~~C8f4 (PLEASE PRINT 1) PROPERTY ADDRFSS: 9l0 .STa ~ r,~.~ ~~t 9~ D, LEGAL nES(12IPTION: . L 7 Q L ( L E x.. . Sa rN '~Lot oc S vision or T Parcel ID IF EXISTING STRC'CTI]RE, DATE OF ORIGINAL HUILDING PERMIT ISSL~ANCE: Mon Year PRESENT ZONING/PROPOSID OSE: Q CONA7ERCIAL/RETAIL/OFFICE ~ R-1 SINGLE FAMILY Q IAIDL~STRIAL q R-2 DDPLEX ('it~o L~nits) a,INSTITUTIONAL/GOVEE2I~NT ~ R-3 TOWDIIiOUSE (Three.+ Urjits) ( Lnits) Q R-4 APARTMENT/CODIDOMINIUM ( Cnits) . 2) ' NAME: ,~2E.f'/,~b.2 ~~CC . ADDRESS : JOS ~ p,d s,? Cp_ ~ CITY, STATE, ZIP: .,l,. . U• +sS J.~ y PHONE: ff S' 8'~ 7 S~ For City Lse 3) • S~• NAME: ~j L- BE ~ G Pliunbers License: ADDRESS : ~<F F n 1 3/ S'^ sT . ~r Active Expired CITY, STATE, ZIP: /Y~,J •.S,f/?y.. ~ Not recorded PHONE: ~3,2 -~1tr ? j MASTEE2 LICENSE `J J/y g Sta Initia 4 ) ~i o !'Yt E r~t o ~ ~ a.21 . ADDRESS: PO /~Ox 1 ~~f y CITY, STATE, ZIP: L~ ~ 2..~5 u~ t c f PHONE: ~S y -~1~ ~3 5) s~' w~ a~• a • ~1 i a~e ~ CONNECTION 'PO CITY SEWER ~ CONNECTION ~ CITY WATER ~ 0'P~RR 6 ) ~ ~~C_.a~-~ ~ - ~ ~ Q ' ~ ~ 6 ~ * x * THE GOLD COPY OF Tf~ PIItMIT WILI, SE SENP DIRDC.'TI,Y TO PUELIC WORKS ~ FACILTTATE ME!'ER PIQC-UP. ,~i * PLE7ISE ALIAW 'I50.7 WC7RKING DAYS FY)R PROCFSSING. SOI~IDONE FROM 7~ CITY WILL CONZ'ALT YOS) IF TFIERE * * ARE ANY PROBLEPIS. ~ '~:~*~*~****~~~*+******++*~*****+*~+~**~*~~*~w~*+**,~+**,t****~*+*~**~~+********~***~~*~**~*+****~**~*; . F'OR CITY USE t~NLY ~ ~ PERMIT # ISSL~ED ~7 ~ Pd w/Bldg. Permit FEES: $ S IO-_S~ SEWER PERMIT (INCLUDE SURCHARGE) $ $ -_j~ WATER PERMIT (INCLUDE SURCHARGE) $ Co~ ~ d U $ WATER METER/COPPERHORN/OL~TSIDE READER $ $ WATER TAP (INCLL~DE CORPORATION STOP) $ $ SEWER TAP $ $ /,s / ~ ~ ACCOUNT DEPOSIT - SEWER S $ CT~ ACCOL~NT DEPOSIT - WATER , $ ~ S b ~ ~ S ' wAc S ~C5 D~c~o S sAc $ $ TRLNK WATER ASSESSMENT $ $ TRL~NK SEWER ASSESSMENT $ $ LATERAL BE[VEFIT/TRPNK SEWER $ $ LATERAL BENEFIT/TRDNK WATER $ ~9 G $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ ~ L~ ' v O $ U` ~ TOTAL ~c . 5 ~ ~ ~~5~3 7.S" RECEIPT RECEIPT DOES L~TILITY CONNECTION REQLIRE EXCAVATION IN PDBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT £OR WORK tiVITHIN PUBLIC Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING NO DIVISION. LIST AS A CO[VDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ~aZ~J-yL_~~ TITLE: DATE: _ ~ i ~3~~5 L, ~ (Q ~ RESIDENTIAL BUILDING Permit Application ~ ~ ~ ~ ~ ~ ~ City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New ConsWCtion Reauiremenis RemadeVFteoair Reauiremenfs Oflke Use OnN 3 regislered site surveys showing sq. ft of lot sq. fL of house; and all roofed areas 2 copies at plan _ Cert of Survey Recd (20% maximum lot coverage albwed) 7 set of Energy Calculations for heated addNOns 7ree Pres Plan Recd 2 copies of plan showing beam & wirMow s¢es; poured found design, etc. 1 site survey for additions 8 dedcs Tree Pres Not Reqd t set of Eneyy Calalatlais AddAion - indicate il on-sde upfic sysfem _ On•site Sep~ System 3 wpies of Tree PreservaGan PWn if bt platted after 7/1l93 Rim Joist Detail OpUons selecGon sheel (bldgs wBh 3 or less unils Date / p'~l$ / Construction Cost ~15~ • W SiteAddress ~~Uj `J' }Q(1 ~Zt1~ 1'SL~L~~ UniUSte # Description oi Work ~['p~~p~' a~ RCRY~ Multi-Family Bldg _ Y X N Fireplace(s) _ 0_ 1 _ 2 Property Owner L J_~~ ~jk,~r^~ Telephone # ((„j ~ ) ~15~ -~l ~ ~i Contractor TLL~"1~°y~~DOF1~f1Ca 'Y ~i~ Address ~1 q . ~ . (a`kS ~~~-jn~ ~ ~P ! 7n_~'~ • Ciry L~ 1l(2 G~c r State (Y1?1 Zip j 5"111 Telephone #((pj ~)~-I $~-1- I~IIoIo COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate~orv 1 Minnesota Rules 7672 Energy Code Category . Resfdential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted ~ Submitted • Energy Envelope n S~n~ p t~ ~ ~ ~ ° ~ Licensed Plumber D , 0~3 ~ Telephone ) Mechanicai Contractor Telephone # ( ) Sewer/WaterContractor -~BY~~ Telephone#( ) I hereby apply for a Residential Building Permit and aclmowledge 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. l LkAL~! f c ~t.Q 1 ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 O6-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 ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y 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 AlteraGOn ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement ' •Demolition (Entlre Bldg) - Give PCA handoul to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Corist Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundatioa HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall _ Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PERMIT City of Eagan Permit Type:Building Permit Number:EA107138 Date Issued:09/26/2012 Permit Category:ePermit Site Address: 966 Stanwix Rd Lot:7 Block: 1 Addition: Lexington Square 7th PID:10-45081-01-070 Use: Description: Sub Type:e-Siding Work Type:Siding Description:House & Garage 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 . 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 - Solito A Sumulong 966 Stanwix Rd Eagan MN 55123--156 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature