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4096 States Ave BL-DG. PERMIT NO. A~74&4 & 07-3210 Bldg. Permit as3a o0 01-3422 Plan Check 01-3445 Surch./Adm. 07-3446 SAC/Adm. 01-2155 Surcharge • 3 ~ ~ 75-3860 Road Unit ~ -4jll oV 20-2275 SAC Z-6 9 a,6~ 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20 20-3713 Water Permit 16 L~ (e) 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL 4102 PBIiN3YLY y rADATE: 4/4/89 ~ 4132 L13, B3, STAFFORD PLACE 4096 ~ TF~S'~[VE., Lb, B3, STAFFORD PLACE 4068 PENNSYLVANlA L39, B1, STAFFOEtD PLACE xx I Your Sewer 8 Water Permit for the above propeety has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO - CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permft for the above property cannoi be completed for the following reasons: Your Sewer 8 Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed untll further notice. ~ COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be Confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITYIDEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, uilding Inspections Dept. CASH RECEIPT . CITY OF EAGAN 3830 PIlOT KNOB ROAD EAGAN, MINNESOTA 55122 i DATE r' RECENED F~ r~ ~`t-" r i i'• ~\L-L.. /~~~L i`/~', AMOUNT $ ~ C. a ooLuARs ~ ? CASH ~Q CHECK . wn ry .~-t.~c~ . - c-C, ~ FUND ; OB.IECT AMOUNT Thank You y BY C ! WAile-PaY- CAPY Yalbw--POatinp C,opy Pink--fNe Copy SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE 4 f 4- 3830 PIIOt KnOb Rd. WATER PERMIT #SEWER PERMIT # P.O. Box 21199 METER # 1f ;Z 2 3selm J d B•P• RECEIPT # " 132.7 Eagan, MN 55121 # B.P. RECEtPT DATE~ ' METER SIZE ISSUE DATE C- L=' "g g- PRV _ BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT LL BLOCK SEC/SUB rORC P` qCCr A ~ .{'JIIv~ , - L ~J(.:., ~~IF _.,r _ SEWER _ WATER - TAPS : i APPLICANT: t'; ADDRESS: ~~NP"VaLF J)RT'V~r _CpMM/IND ~ RESIDENTIAL CITY, STATE EAGAN,!'~1'; . ZIP 12'' PHONE: X NEW -EXISTING PLUMBER: ~Bili-Fi@RBI~~~ ADDRESS: 0 1$~~~~'' I AGREE TO COMPLY WITH CITY OF CITY,STATE ?LOOMINGiG: ZI p F`,A 2EAGA RDINANCES: PHONE: $$4-4149 OwNER: M4LENAAR. ADDRESS: _~%04 GARF I ELG AVE~ 5C . SIGNATUR R fSSUED CITY, STATE i"p! S. MN. ZIP PHONE: - PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. - , - . . ..-.r . AEFF HDIEKAAR ~ ~(,pp5/~/~ JCITY OF EAGAN 1623% 3830 Pilot Krrob Raad, P.O. Box 27-199, Eagan, MN 55127 PHONE: 454-8100 BWLDING PERMI7 Receipt # To be used for S~ ~/LLU; Est. Value . 00C' Date ~~Anij 19 ''y Site Address 40~ 6 STATE`' AV: Lot L 8lOCk ~ SBC,rSub. '~T~~FFORD P~G~~~ ~FFICE USE ONLY Parcel No. occupar,cy R"3 ""I FEES Zoning R -1 W Name i'~.O~IER MY1]kt~;S'f 1:~.31f~S (ActuaqConst V-~ BIdg.Permit 332.QC V-~9 3 Address (Allowabie) - 38.00 ° Ci {-'':"Tt' Phone 454-•U433 # of Stories Surcharge ~ ib6 G~i' Length ~1 Plan Review ' ~ o Name Depth ~r SAC,City 100•cwj ~Q Address S.F. Total - SAC, MCWCC 57 5•00 Clt PhOfle S.F. Footprints - y On Site Sewage _ Water Conn 5 F~'~~~ W w Name On Site Well Xy Water Meter ~x Address MWCC System ~ xx Acci. Deposit a W City Phone Ciry Water - PRV Required - S.'~N Permit ~L • ~ I hereby acknowlege that I have read this application and state that the Booster Pump - SiW Surcharge intormation is correct and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature oi Permitee APPROVALS Road Unit 3 A Building Permit is issued to: F9r;1?fi YEk, ?:f? )7. iit`1H11.$ Planner - Park Oed. on the express condilion that ali work shall be done in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. gldy, pry_ _ Copies Variance - TOTAL Building Official Permit No. Permit Holder Dete Telephone # ~ WATER SEWER PLUMBING C~iC~~ ~ ~ ~ T L ~ f ~ ~ H.V.A.C. ELECTRIC 9 "~J17 ~ ~ • Inspection Date Ins . - Comments Footings I FoundaGon y~71F Framing y Q Roofing Rough Plbg. ZD yj Rough Htg. Isul. Fireplace Final Htg. Fnal Pibg. Const. Meter Plbg. Inspector - Notity Plumber Ergr./Plan Bldg. Final Deck Ftg. deck Final J 3 f'r~ Well Pr. Disp. „ . . . • _ ~ . . . . _ • .{=y to - ? % ' 1 4~ . ~ . • - y _ (gtrttf iratit uf Orrupanry Citp of eagan apvtl'tmMlt Df sllnltlg i1tS,j1P[tlntt Thrs Certiftcate issued pursuant to the requirerieents of Section 306 of the Unifor?n Buildi»g Code certifying that at the time of issuance this structure wns in compliance wrth the various ordinances of the City regulaang building construction or use. For the fo!lowing.• u. cu.5... SF DWG/CAR Perm;, Na. 16235 uauv.-r ~ RW zoo;ng DLur;a R 1 r VN o~ ~ e„~ai~ FR[~Vl.'IER I4~.ST F~'•S ~ 3802 CAi~ I7R, FA('~AN , . , ~~m AMrm 4496 SfAg'S AVFIVI3L Lomfity 31, 1989 n.te: , euilaiog POST IN A CONSPICUOUS PLACE • ' ' PERMIT # Z • ' PLUMBING PERMIT RECEIPT lf CITY 4F EAGAN i 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PiiICE PHONE: 454-8100 - Site Address `21 1/ BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. ~V-1 New ' f •~JF a'_ Mult. Add-on ~ Name, Comm. Repair ~o Address Olher c City A2Z Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - N FIXTURES /TOT~ Name U ~ Water Closet -$3.00 ~ 112 S .11all Tubs - $3.00 3 Address_ ' Lavatory - $3.00 0 City ~ ACf A/l1 Phone Shower -$100 Ki!chen Sink - $3.00 FEES - $3.00 COMM/IND FEE - 1°rb OF CONTRACT FEE ,Urinal/Bidet Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 C' TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$i.50 50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - S3.00 MINIMUM - COMM/IND FEE - $20.00 =Gas Piping Outtets - $1.50 ~ STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 ~ . ~ Pnvate Disp. - $10.00 - =Rough Openings - $1.50 Sl6qATURE OF PERMITT FEE: 33 •Uo STATE S/C: 5D FOR: CITY OF EAGAN GRAND TOTAI: S~' • • PERMIT # -~v % ~c--•. MECHANICAL PERMIT ,C/ : CITY OF EAGAN RECEIPT # ~ ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 4W89 CONTRACT PRICE: $1800. 00 PHONE: 454-8100 Site Address 4 BLDG. TYPE WORK DESCRIPTION Lot 4 Block 3 Sec/Su _ Res. lo: New Name E ZEL TING & ,A'C ~ult Add-on ~o Address 955 Shuwnee Road Comm. Repair c City ~~gan Phone 452-2665 Other FRUNTIER COMPA:IES FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address 3998 Bib18 Mewrlsl Etw.y. ADDITIONAL 50 M BTU - 6.00 p City `~'aR~ Phone 45~?-da33 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS QUTLETS (MINIMUM - 1 PER PEFiMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air fiU 000 M BTU 24 • 00 APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPLIES 8oiler M BTU MINIMUM RESIDENTIAL FEE - AlL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent ~ CFM (ADD $.50 S/C IE PERMIT PRICE GOES Gas Piping Outlets # ^1. 50 BEYOND $1,000) Other J ~ ' . 0 FEE: ~ S/C: .50 SIGNATURE OF PERMITTEE 00 ~ TOTAL• ~26' FOR: CITY OF EAGAN ~y~• . . . , , . _ . . _ . . . _ . . . - SEWER & WATER PERMIT 6t1_~ OFFICE USE ONLY CITY OF EAGAN PERMIT DATE ~ 14; 3830 PIfOt KI10b Rd. yyqTER PERMIT SEWER PERMIT # P.O. BOX 21199 METER # B.P. RECEIPT # Y Eagan, MN 55121 READER # B.P. RECEIPT DATE ~ METER SIZE 15SUE DATE - PRV _ BOOSTER PUMP Y SITE ADDRESS L PERMIT REQUESTED LOT-BLOCK SECISU6 ++'FQRG F. APPLICANT: -SEWER -WATER -TAPS ADDRESS: 7112 - COMM/IND - RESIDENTIAL CIIY, STATE ~ . ~`1 " ZIP = PHONE: NEW - EXISTING PLUMBER: - _ . _ . r=.y:_ ADDRESS: ~ 1 AGREE TO COMPLY WITH CITY OF CITY, STATE ZIp " EAGAN OADINANCES: PHONE: OWNER: ADDRESS: SIGNATURE WHEN METER ISSUED GTY, STATE • i+ • ZIP . . PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. INSPECTIUN RECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ' Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: . PERAAIT SUBTYPE: TYPE OF WORK: INSPECTION D • .A Ej it+ l NFtiI L..~ J Permit No. Psrmit Hvlder Date Telephone # S/W PLUMBING O °a HVAC ELECTRIC ELECTRIC Inspection Date Inap. Comments Footings I Foundation Framing Roofing R°ugr' Pltg. 13 ° Rough Htg. 1 „/..G3 ~l / ISUI. !C ! ~ Freplace Final Htg. Orsat Test Fnal Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bltlg. Final Deck Ftg. Deck Final Well Pc Disp. I I I I CITY OF EAGAN N~ 16235 . ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 4548100 C~ j3 a~ Receipt # To be used for SF DWG/GAK Est. Value $76,000 pyte MARCH 30 ,1 g 89 Site Address 4096 STATES AVE 4 3 STAFFORD PLACE OFFICE USE ONLY Lot Block Sec/Sub. Parcel No. oca,panoy R-3 -H--1 FEES Zoning R-1 w Name FRONTIER MIDWEST HOMES (ActuaQConst y= BIdg.Permit 532.00 o Address 3902 CEDARVALE DR (nlmwaole) V-N Surcharge 38.00 Cit EAGAN Pholle 454-0433 # of Stories _ y Lengih 40' Plan Review 266.00 , o Name SAME oepm 4$' snc, cny 100.00 gQ Address S.F.Tolal - SAC,MCWCC 575.00 ~ Ciry Phone S.F. Foolprints - On Site Sewage _ Water Conn 580.00 ~w Name On Site Well - Water Meter 90. 00 Address MWCC System ~ A~y ~Posit 30 _ 00 cw City Phone cirywacer ~ PRVRequired _ S/WPermit 20-nn I hereby aCknoWlege lhat I haVe read this appliCaliDn and State that the Booster Pump - S/W Surcharge 1.00 informauon is correct and agree to comply with an pplicable State of Minnesota Statutes antl Ciry of Eagan Ordinances4 Treatment PI 228.00 Signature of Permitee 11W APPHOVALS Road Unit 340.00 A Building Permit is issued to: FRONTTF.R MT DWRST H(1MRS Planner - park Ded. on the express condition that all work shall 6e done in accordance with all Council - applicable Slate of Minnesota SlatuieIs and City yo~f Eagan Ordinances. Bldg. Off. _ Copies BuildingONicial ~~I Variance - 70TAL 2,800.00 Feques~ Dete Fire o. Roug ection qe ? Ready Now Will Notity Inspector _ es G No When Ready? 10 licensed contractor A owner hereby request inspection of above electrical work at JoD Atltlress tSReet Box ar Rame No.) Ciry ' S' T ~ N Sedion No. Town5hi0 Neme or No. Range No. Coun ~ KOTl~ ~ o;qam (aaiNn ~ r Phone No. M 6g~ g~~o % RO we 7.17 loPpwer $upplier Pddress Ele tncal CMonVaztOr (Company Name) CoMracNrS License No. ~ Maihn A tlress IContractor or Owner Making Installationi DV u,, 7 7-le ~llo AW~onzeaSi ~ e1 on riOwn gAin Installauoni Phon Nu a~ ^ A~~ Y~f MINNESOTA STATE BOA D OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Gr199e-Mltlway BIEg. - Room &173 BE ACCEPTEO 9V THE STATE BOARD 19Y1 Unlveralty Ave., $L Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(61Y)B6b0800 ENCLOSED. REQUEST FOR ELECTRICAI INSPECTION r4a, ea./oo~am.oe ? See in9VUdions lor completing Nis form on back ol yeliow copy. d 39864 ` Vf "X" ge/ow Work Covered by This Request ~4:,i~ ew Rdd..P.ao.., Type of Building AppliancesWired EquipmentWiratl Home Range Temporary Service Duplex Wter Electric Heating Apt. Builtling Other-(Specify) Comm.llndustrial Farm oner Othet(syecity) Cortlracmr5 Pemarks--_ e;,.~ Compute fnspection Fee Below: # Other Fee # ServiceEmranceSize Fee # Cirouits/Feeders Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Si Jf15 Inspector5 Use Only: \ 7p ~ / Irrigation BoOms ~6 , CGS Special Inspection nlarm/Communication THIS INSTALLATION MAY DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rou9n-in oayd certit ihat the above ins ection has ~ Y P Pinei Date been made. - OFFICE USE JNLV Th15 request voitl 18 monlns fmm 9i 9 ~ Hequest Deta Fire No. 0 Roigh-in Inspectlon Re ired7 ? ReaOy Now ~ill Notiy Inxpector Ves ? No 'N/hen Peatly? 19 licensed contractor ? owner hereby request inspection of above electrical work at: Job Atlaress (Slreet, Box or ou NoJ City yv l Section No. TownsNp Name or No. Range No. Coun Occupant (PRI Phore No. Power S ier ptldress Elecirical orytre~(Compe Na ) ConiraclorkLkana No. ` ! L e~.3 Meilirg ss(CoMractor w Owner Meki g Installat' ) o /y9 ~ Aut~ho' Sgnet ( ntmctor/Oxner Making Instellafion) Ptwne Number i ~ AK. L MINNESOTA STATE BOAqU OP ELECTRIGRY THIS INSPECTION REQUEST WILL NOT Grigga-Mitlwey Bltlg. - Noom 5773 BE ACCEPTED BV THE STATE BOARD 7821 UnNerolty Ave., SL Paul, MN 55101 UNLESS PROPER INSPECTION FEE I$ Phorie (612) 8112-0B00 ENCLOSED. y a~,/gq REQUEST FOR ELECTRICAL INSPECTION Ee-ooo01 m -?Seeinstructions for compteting this form on back of yeliow copy. 9 Q~ 299174 `x' eelow work Covered by This Request ~ V ew Add Rep. TypeofBuilding AppliancesWired EquipmeMWired Home Range Temporary Service Duplex Water Heater Elec[ric Heating Apt. Building Dryer Other (Speciry) Comm./lndustrial umace Farm Air Condifioner aher (speciry) CoMractar5 Remarks: Compute Inspecfion Fee Below: Q~ # Other Fea # ServiceEnirance5ize Fee # Cirouits/Feedare Fee Swimming Pool 0 to 200 Amps f o ro 700 Amps Transfortners Above 200 _ Amps Above 100_ Amps Sigf1S Inspector5 Use Only: TOTAL Irrigation Booms 'A?r Special Inspection Alarm/Communicafion r Other Fee I, the Electrical Inspector, hereby lugh-in certifythattheaboveinspectionhas F;nai oa~ ~ been made. OPPICE USE ONLY "ia requeat mi0 16 manihs From 4096 States Ave ' F.agan MN 55123 January 25, 2009 City of Eagan Building Inspections 3830 Pilot Knob Rd 55122 Dear Sir or Madam: We are writing as reqnested, to indicate that we are not able to schedule a final inspection for our sunroom. The sunroom builders have possibly gone out of business after taking all of our money and not paying their subcontractors who in turn have now placed soma liens on our home. There are azbitration and other matters being pursued in hopes of one day finishing the sunroom and not losing our home. At this time, though, it is not neazly completed, and we aze not able to estimate how long it will take Yo be completed, although at least six months is likely. Thank you for your attention and understanding with regazd to this matter. Sincerely, R6b and Michelle Knight r'~r.'1-.t GF}833Bb' [Cltck here and rype slogan] C~ 3 gU'S <I'-~ o, c) ~ 2004 RESIDENTiAL BUII,DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements RemotleVReoair Reouirements 3 registered site surveys showirg sq, R of bL sq, ft of house; and all roofed araas 2 copies of plan C6rt of Su[* Recd YN (20% ma:imum bt covera9e alb.ved) 1 sel of Eneqy Calwlalions for heated addNOns Tree Pres PW,n Reod Y = N, 2 coples of Dlan showin9 beam B wiMow sizes; poured fand design, eh. 1 sRe survey for additlons & dadcs `iree Pres Requiretl ._Y ~L N, iselafEnergyCalculatlons AtldiGon - indicafeifonsilesepticsysfem On=g{teS2]'*1"'hs.:_.j~ 3 copies of Tree Praservatian Plan if bt platted after 771f93 . Rim JoM Defad Op6on seMon sheet (bldgs wifh 3 or less unAs Datec-2 /1"IUl"I / 014 ConstructionCost Site Address UnitlSte ft yo9Lo S}a~-es Ac~.e Description of Work UC( W1\\XJ•,S Multi-FamilyBldg = _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone RENEWAL BY ANDRSEN Cootractor 1920 COUNTY ROAD "C" WEST Address ROSEVILLE, MN 55113 _ City State 651-264-4777 ,lephone # ( ) LICENSE #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ MinnesoW Rules 7672 Energy Code Category , Residential Vendlation Category 1 Worksheel • New Energy Code Wwksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Su6mitted Have you previously consiructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # Mechanical Contractor Telephone # SewerlWater ConTractor Telephone ) I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a 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. ~ CO~.~SDYI ~ Applicant's Printed Name Ap icant's Signature . OFFICE USE ONLY Sub Types ' ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ex[. Alt - SF ? 04 02-plex ? 10 08-plex ? 78 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 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 Windows/Doors ? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Baoster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) . _ FinaUNo C.O. _ Footings(addition) _ Plumbing Founda6on HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ SNCCO _ Stone _ Brick Fireplace _ R.I. _ AirTest _ Final _ Windows _ Insularion _ Retaining Wall Approved By: , Building Inspector - - Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connedion Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total v~i ve svv~. auV t6. uV lri6 ! OJ a/1 '440D ((~("a'~ireA/,1 jSr $(r{J~{~`Jji(Y . . wVU: re ~.l - - . . . . Tune 200I • C.ity of Bagin . 3836 PiIot gnob Road • Fmgan, MN 55122 To Whom It May Catxrn: IIder 7ones is aathorized tD ' Elder ]ones to 1~ buiIciing percnits for Renewal by Aadeism_ plcasc xt~ow Pr(yvide this sorvics for us in Hagan. `iliis enthoii2atian is valid for any dake bcyoud 616101: until a,,bnaval bY Andoraen msnaper exFc+esslY revokes it in wiidng to the City- I requeat this sutiioxization bc acccpted-axpedi@ously, es W not deley in the processirtg ~f our buiidinS Pounits aay furthcr. Pfcasc contacted at 763-502-4706. caII mc If thcic arc nny qncstiona. _ I caa Ue ~ 9 .1 Your immCdiaAc attenttott to tbis matier is e sted. • Sinoeieiy, - - ond R Rau ostallarion Managar Ranowa( by Andastn CotPoration • ('_c:: Karn_FTr~e.r Tnnea _ . ' s'~-,Ki~•R~4 Q~G~a~. o.~ MY M ~0"~ nwm Received Ti~e Jun. 1'07Pld RESIDENTIAL 5~~,`a I BUILDING PERMIT APPLICATION CITY OF EACAN ~ 3830 PILOT KNOB RD, EAGAN MN 55122 651-881-4875 New ConsVUCtbn Ranulremenh HemotleUHeoeU Requlremante . 3 registeretl sAe surveys shaxing sq. M. of bt, sq. it. of house; and all roafed areas • 2 coples of plen (20% maximum lot coverage albwed) • t set of Energy Cakulatbns for heaied atldRions . 2 caples of plan showing beam & window sizes; poured found tlesign, etc.) • 1 site surrey lor ex[erior add'Abns & decks . t set of Energy Cak,ulatbns • Indirate If home servetl 6y septic system br addttions • 3 capies of Tree Preserratbn Plan il bt pla8ed atter 711/93 . Rim ,bist Detail Optbns seleclion sheet (61dgs wAh 3 or less un8s) DATE VALUATION SITE ADDRESS I40CI 6 MULTI-FAMILY BLDG _ Y Nf TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANf::S~ C~~i~cJ~ (viC- 6;otg6/3t'7 STREET ADDRE55 k(0" Qkk Oaa-~J ea)t~°j- CITY_E't_6?4r "TATE vnw ZIP SS34 TELEPHONE #9-SD- "C""Y CELL PHONE # 9t7`1- 4A 33ytPAX # YS2- AVT- PROPERTYOWNER ~~k ~~J~Y _TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RLTI,FS 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (4 submission type) • Resfdential Ventilation Category 1 WoAcsheat Submitted • Naw Energy Code Worksheet Submitted • Energy Envelope Calculations SubmitteC Plumhing Contractor: Phone # Plumbing system includes: Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor. 1 Phone # Mechanical system includes: _ Air Conditioning TNFAy ~~~'QBOZ ~ _ Heat Recovery 5ystem Sewer/Water Conhactor: Phone # B I hereby acknowledge that I have read This applicatlon, stat that t infor ation is orr ct, and agree to comply with all applicable State of Minnesota Statutes and City of Ea an O'nan SignatureofApplica t -°._._._---°-..._._.--°-_........._._---°----__~._........_...o~._...._ .r..~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received , _ u _ Updated 4102 OFFICE USE ONLY ? 07 Foundation ? 07 05-plex ? 73 16plex 13 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O OS OGplex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex 13 09 07-plex ? 17 Garage O 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex O 18 Deck 0 23 Porch (screened) ? 36 Muki O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? OB 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New O 35 IM Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Rapair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units - Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldp) _ FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plurnbing _ Foundation HVAC _ Drain Tile pther Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AirlGas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retairing Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , 1989 BDILDING PESMIT 6PPLIC9TION - CITY OF E6GAN SINGLE FAMILY DWELLIRG3 4 _ TNCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS NOTSs ADDRFSSFS FOR CORNER LOTS - CONTRACfOR/HOMEOWNSR MOST DESIGNATE HHICH 9DDRF8S IS DFSIRED. AO CHANGFS WILL BE AI.LOHED ONCE B17ILDIAIG PEAMIT IS ISSDED. M[JLTIPLE DWELLINGS ASNTAL IINITS FOa SALS IINITS # OF IIAIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORYEY - CHECg WITH BLDG. DEPT.9 1 SET OF ENERGY CALCULATIONS COMAIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCUL9TION5 SFp~GM~Z To Be Used For: NEW CONSTRUCTION Valuation: $63-959- Date: 03/08/89 Site Address 4096 STATES AVE 10,000- OFFICE DSE ONLY Lot 4 Block _3 Occupancy FEES Zoning R_I Pareel/Sub STAFFDRD PLACE Actual Const v- N Bldg. Permit 53Z.00 Allowable 77U Surcharge 3g,CY~ Owner MOLENAAR. JEFFREY & KUNTZ. MELISA # of stories Plan Review 7-66,00 o Length b' SAC, City 100.0 Address F704 I;ARFIELD AVE S0. Depth y$' SAC, MWCC 5 00 S.F. Total Water Conn 580.00 o City/Zip Code MPLS. 55419 Footprint S.F. Water Meter 9010 Acet. Deposit 3p, Phone 869-1231 On site sewage_ S/W Permit 2 O,OU On site well S/W Sureharge ,oa Contractor FRONTiER MIDWEST HOMES CORP. P'167CC System ? Treatment P1. Z2 oO City water ? Road Onit _ VO,vo Address 3909 f.Ff]ARVAI F f1RTVF PRV required _ Park Ded. - Hooster Pump _ Copies City/Zip Code A(;AN. 55122 TOTAL APPROPALS Phone 454-0433 Planner Council GL/ Arch./Engr. DICK CHARLIER Bldg. Off. trg-3/7 Varianee Address 14103 CARDENVIEW DRIVE Council City/Zip Code APPLEVALLEY, 55124 MODSL Phone # 432_5492 NOTE: Sewer & Water Permit fees and accouat deposit fees irill be included in the building permit Pee. ProQessing time for sei?er and water permits is two days onoe a licensed plumber has applied for a permit at City Hall. 'l(v ' ~rSurpeyor~s ecrtificate ~ ~ SURVEY FOR: Frontier Alidwest liomes Corp. DESCRIBED AS: I.ot 4, Block 3, STAFFORD PLACE, City of F.agan, I)akota County, Dtinnesota and reserving easements of record. / rc 892.3 / o 8q Z' 6 , / Q'LOk m. . 25.33 ~ O , / . p~ Q of • Y' / _ - . \ Q l Q ! I J'~ ts,;; o , (b P \ ~u ~ " !°"'^e ,,a 7 s'~Po`ed \ + o tz ~ \ I r Sc wfo \ Nf m I Nr I ~ _ ~ ~ r 2S to g.56'27 A'.~''(" l(i I TC. ~v 30 " L1ate ~..~-~9 - TA.GALd ENCIi%T~ i PROPOSED ElEV0.710NS BENCHMARK, Top of ioundaNon . 900.0 T,N.Hyd. E? Lo+ 6araqeFloor . 899.V - V'" 3~~•si..}t a..,, Basemenf floor : 8q4%8 = aoo, Approx. Sewer Sarvice Elev.. 8$MIN. SETBACK REOIREMENTS ~ ProDOSed Elevotions . Q o Exiefinp flevotions ~ Front - 30 Nowe Slde -'o m Dralnaqa Dirsctlons z Reor - 23 Oaraqe Sids- S p Oenolea ONset Stake ~ O SCALE: i lneh = 30 Fssf , pf1 ~J I MnEp enllfy tMf IMo wrwy, Won a r•norr.os or.oerea sr me JOB NO.; N /~Et7LUND er uMer mr dlreet suMrvisbn md fhol i om a dury ReqlsNnd a,1y~.0y4 ~ LanA Swreyar uMo 1he lows of fhe SIaH of Mlnnoota. ~ BOON: Plamtirrg fng/neerJng Sunreying ~ rm~ u.~ e~ewMnylw~ rr.n.a. mownwiaon ww.a. ewe . g9 [J. PAOE: Oaf~: ~ LI qr~n~ Llemw IaNl78 EX7ERIaR EVVE:O2E A'1ERAG= "U" COMPUTATiON Kt328WP•1\ ZX~o . OWNER MDLENAAR, JEFFREY & KUNTZ, MELISA . SITE AOORESS 4096 STATES AVE n..~=~.oR MIDWEST HaMES 0AIFE.'03l08l89 Pk4ONE 454-0433 FRONTIER {OriTRACTOR ; Detarnine woricing square footage of each. 1. Total exposed wall area 2 7_$S.&47 sq. ft. x 2. Total roor/cziling ar2a I US (9_ sq. ft. x Total expased wa71 area ahcve floor ~.(n(o a. Total wa1T window area i a5-~ 6. Total door are3 a c. Total slidina giass door area ya d: Total fireplace watl area........................ `L18 e. Total wall framing araa (averagel0q},..:........ a a S.R(o f. Total net.Nall area abave floor i t te g. Total r;m joist area 11{8 Total exposed foundation area = ~I5.33 h. Total foundation window area . i. Taal net foundation area above arade 35,?,?, aeter,nine "U" value of eacn wa11 s2grtent. - a. X Tau,, b. 3q.~a x "U" c. X ..U., d. X "Ull - e. X AIUII , r. J(c.gL _ X uul; .07J = b I.~ . y. I y~ z"u" ~o3Ce = n. x V„ _ x "u" .14 = b•S 3 ........:.................:..........Tota1 = If ite.m #3 is the same as, or less than it`m 11, you hzve met the intent af SBC 6006(c)2. Total exposed raaf/ceiltnc area = I O 83 . Total gross rcaf/ceiling area = . . 3. Total skylight area . k. Total rooflceilinq framirtq area 1. Total net insuTated roof/ceiiing area....... q _ q,2 . Deternine °U" value far each rnof/ceiling segmeat. X ltUm _ . j. k. . thg . Ss X l,uil . o z 1' _Z, Z'S 7 Z X "U" . O 1 ~l = 1 8 . (v 4 Total If totai af 14 is the same as, or less t5an 742, yoa have met the intent af SHC G006(01. To utilized the tntal envelope systan method, the values-esta6lished 6y the sum of items a3 and 14 shall not be greater than the sum of ite!= 41 and a2. 1.~.5 l,7S + 2. s. t a~. o s + a. MATF.°.IALS • Therm. Besistance "R'• Ezt e. irr 9i: Sidi:g.Mater_al .4AL Sheathing 31k.4" -rkau'M 5- Insulat i on SO Sheetrock . .S$ Znteriar .1ir - SSu3s L.g'7 Rim Canc_ Blks. ~,2.~ f: ma ^s== _t=c: C^.r.~?r'~ Z-.a-- ~ z. 4Y~=D •{5 s:.'. wrCA ~ , • S/V~Rx - 7 .4. y. . ° g. SIOt?~ G •GZ :w: ~ ~_r:c- air =iZ: • r 0.17 . ~ y,A•'- r~ = y~' - To eal cj ~ . . ~ , . • ' v ~ lO,: . , . ; TG. ~1 =`.7r C° ~ . Zate"_'r,. ai= =1a 0. 53 ??s1am HIi~L • 2. 19 .O . . 5. ol41NG •~Z 6. f =1a 0.1? ?IG. ~2 f `-..~•lJ~~ . ` Sotal ~f"o.3a . ~ ~ . . v ~ .~37 a'- `sIm 0. 6^ ' , . . le.--fl ~ 'R~z. L~ c ~ .o - = ~ ~ • ' . 3 _ U ,1 O 1 5 ' 1 a ~S- }fI ~~YAL~ ~'~I~I /1 ~ 5~ 5t017VG ' ' •~+Z ? 6. EYeT!o~ L= i Im 0.17 , r ~ ~ a - - Q 2bt31 1 7(p `L . i:i; `..D • fl r-~.. ' . . : O~p A' -e-°c= ai 'O.G8 . ,c : ~ . • ~ 2. In RtG~D 1 I •~o 3. , ' . . ;~?T. ~ •9: ~ , • 4. !~f GQ~`lC a LAG4C Z i ~ • p' : ~ - fi. S:ter:or ai= :ilm ' 0.37 Total . . . • ~ .~~;1~ : U:7 'G=E e%l •~jl~ ~ f? ` • •,i . ~ . 1~.. ~ ~ , t . . (lfI " , ' b•:~ j • 1 ~ r r . ~ ~ . J y ~i S = / ' ~ ~ ' ' • a+ • ~l( . . . . . • (~1 : ~ . ~ ~ ~ ~r~(f . ~ ; r. - . F2G. #4 !lt ?I.^.. ~3 • . . , • ~ x X~ X ~G = r~~ ~ v~ . • ~cr~~~ ~cr ~ rrr - . 2e=": rlac ~ ~ ..`_a : ` ~ .:?.`o• = 'i . Q ac_-_ oZ . ~ . r • ~int.b ~:Cr;•:;,;:.; ~+C:V ~~R.E ~ ~,,_•r ~yt ul i~~~nnu~~ v.~ll nrcn t~~r . ~ . (;,~m: cw~:.lrucf Iun cc.u_erm.~;.,,, ,r- .t ..M_--~~J l. 111tCi~9Rsl~.0.. F (w~ • - • . ~L8 . . ~ f~ ' s. . . i' ~ G. f:xtcri~_r il+ I i:~n . _ - 0.17 A?I. PIG. M1 TYAIV2t14 OF 1. SnCrtlnr air :itm (11.6}{ ~ . FIl1Vi8 NAL2, , ' , ' , . ' 4. ' • ' _.r._..~~i S~ w.~~.•.--- - Extrri.,r air tiL.ti ' 0.17 ~ • ----~,L 7b La 1 ric. az C_ -----=tJ ; ~-u . . f'tlm'•'•-'-'-_--•~~_fi:l . :7!' ~---~-~l~' .1•,C,t t Ll~ 5: - 1R;a1 ~ ~'.1 • -0 6. gxtcricr nir ~ ~It~~~~.~~1 1'OC:1l. . . •i~ . . • 1. ini•~c n1r film .t.:tcct c` •----t~ • 7. ~•_r . . ~ ' ~ ,t ; ~ 9 ~ ~~------------0 • a . . - _..r.~_ . y . u ~!?.•nJ~ S. . • tr. • r; . ~ 1_tf,ar•ie r`,ia,YC_!w__ 0.1'1 . h . ..i'ul t 4 ' • st.nit nri I:iNi)t ' . ; , _ _ . . [ ~ . , . • ~ ` , ~ ~ , .~~(~Au~ lfl ~ , • . ,'s ' t 1 rI . • . ~ ~ ' 1!! . • . ; . ,~.:r-• Y ~ 11 ~R!/,_~ -r in ; „ ; 't • • ' ~ ~ y F1G. A 1!1 s ' - : ~ ^ , G• IS ' /GI' I ~ I!~ • . :C•! i ` • ` /1~~=. t': ~i' ~ . ~ ~ t~n•rt_• tmlt~:ac.~ v;~~.. ~~n?,.:~:, d~.uUi nncl , i o n. 1 ~el.~~:rnc•~C af,in:r~i.~!inn. -Fl 713 n T1 7c tF~ - 11 ui : . . . . ~ , ~ ~ ~ r ~ cA ~ ; ~ + U' • 2~• Nc ft1 .n ° ai ~r ~ N g .n n ~,N ~ _ ~1 N cn ~A 0 -.~o r- ~ c iY ~ n p p o • ~ 0~ ~ ~ C- ~ ~ ~d_ - • . rn~ . a~= 1 G^ r Nq. ~ ~ ; . . I ~ ~ • 1 ~ . . , .41 • ~ ~ ' CDi1s a-VJ~ liC 2~ ~Int_^<^ sir t:l- 0.61 • • •ry~'~`~~ , 1 J r` ' 2, 5? ' 327; 2_ ~ .~~Illl} ~E;~ ?~<<?s<<, , . ~_~::a: s:~ R ~ -07- 4-~ sc.g I = . . ``~~~-0 • • . . . ' • - - o1.a . . . • . . . • F,~,•r,rt ~ • . • , . Iatcrior air fi7.= ~ 0.6I ~ cad ~ Eesc ELnv . 2. G-~ R ~ , j~~ ~p , 3. Z x y_ 11Jr_-Lr L • K 3 S • ' • • d. Extcrio- ri= Eilz (se_i . . : . . . . . Tou~ 2 - . . FSG.. ~5~ : . y , _ . ' : ~ ' • .U = ~5 - . ' ' ' • • : • t o~. yr~t ~ c ri vs.~ . • ~ • ~ Insi@c air film 0.61 ...f1..~...1-.:.\.,....~:. ~ ' r' ' ~ • 3. ' . ~ n~~ ~ ~~r ~ • 5. Gvtsidc.air film otal• . ~?41,?~~~~~~~~~~~i ~ . . . T . ~,.~y • ~ r, l L,I L..O : ~ 2nsidc a~-= t'lm • G:6' -`1J v ~ Z. - ~1'a: . ~ •veasad . • 3. ' ' . ~ llau ssP • , j 4- a. l L~tsidc air Film , • - . • , ; Tota1 . . TC. ~ 6.: . . . . . , . ' . - _ . . . . . . . 3 ~1 - ~ • ' . o.E~ Insicrc aiz film , •~.ir~','-~'''.,1 ' 3- ' _ ' . • • N:y',;,,r:, : t•• - 4' 0. i `~f.': ~`~:r~~., ~ , ' S. C1its:dc nir Eila • Satal • ' . _ ~ . ~ • ~ < ~ . ' , • ' ' . ' . . ~ • ` • : • . • i ' • • ltota: Uca additiasul. s:se=G:. . • _ S~.-+'^i...:~ • . ~ , .aecc?=sI fnr cletaiL srcz calc-u3s:. , . . . . . ~ - • ~iesL . ' ~ . . . . f~cv up ' . , - . . . • . • ' ?Zr._ d7 ~ ~ . s• ' . . . ~ . . . . • ' - REACTIVATE _ CIIY OF EAGAN PERMIT 1993 BUILDING PERMIT APPLICATION ~b °U.- Y; E GV E 0 681-4675 s C7 a~3~1 ~ r~ t211993 SIN6LE 8 MUL-T-~ F = s of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 3 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. o Date / / Valuation of work F377 Site Address: 1109 ST~}7`~'S /qrl E E96rO~N MN STREET SUITE t Tenant Name: (commercial only) LOT ~ BLOCK ~ FsuBD. Y.Z.D. M Descri tion of work: The applicant is: ? Owner ? Contractor O Other coe4crtbe> Name Phone 9la o Property LAe, rIasT GAJ((# 7oZ7 6Q615' - Owner Address Yd 96 .ST~T~Is & STREET $1E # City ~7 A6A/`l State Zip SS~ Company Phone Contractor Address License # Exp. City State Zip Company ' Phone ArchitecU - IEng(neer Name Registration N Address ` City State Zip Sewer 8 water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: "/~Z~C 411~ OFFICE USE ONLY r' .y BUILDING PERMIT TYPE ? 01 Foundation O 06 Duplex O 11 Apt./Lodging P~16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ?]4 fireplace 0 19 Comm./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility E3 21 Miscellaneous WORK TYPE '~W31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish ' O 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWLC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 9-3 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump k.of Stories Footprint Sq. ft. fire Sprinkler . Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS o Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? Site ? Footing ~Framing ? Insulation Final ? Draint9le ? Fireplace ? Wallboard T Permit Fee ~ oa v.wecl«,: g Surcharge Vlan Review License MWCL SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 022361 (612) 681-4675 Date Issued: 10/26/93 SITEADDRESS: 4096 STATE5 AVE LOT: 4 BLOCKs 3 01'A ~5 Zd P.I.N.: 19-72509-040-03 STAFFpRp PLACE 10 DESCRIPTION: B,v~".SdPermit Type BRSEMENT FINISH Builefing lWqrk Type ALTERATION i" f \ ff i ' 1 r~l tlib/ ~ V /y 1: K z ~ QIJ REMARKS: SEPARATE PLUMBING & ELECTRICAL PERMI75 REQUIRED FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fse $35.50 CONTRACTOR: OWNER: - Applicant - CASTRO ALBERT 4096 STATES AVE EAGAN MN (612)727-6968 3 her*eby acknowSsd'gs that I have read Chis ap!pl,icatien and 5tate that Chl? snfarmatlon is correct ard agree to com.ply with all applicablb State af h}n. 5tatuCes anei Gity af Eagan Ordinances. L ~ APPLIC !P PIMITEE SIGNATURE ISS EO BY. GNATURE INSPECTION RECORD CITY OF EAGQN PERMIT TYPE: B uILo i N c 3830 Pilot Knob Road Permit Number: 022961 Eagan, Minnesota 55123 Date Issued: 10 /26 J93 (612) 681-4675 SITE ADDRESS: Lo r: 4 B L 0 C K: 3 APPLICANT: 9096 STATE3 AVE CA5TR0 ALBERT 5TAFFORD PLACE (612) 727-6968 PERMIT SUBTYPE: TYPE OF WORK: BASEMEN7 FINTSH ALTERRTIQN INSPECTION DA . .A FRAMSN6 INSULATION ROUGH TN PLBG FINAL REMAf2KS: SEPARATE PLUMBING & ELEC7RICAL PERMZTS REQUIRED I . 'I F- ~ - 1990 BUILDING PERMIT APPLZCATION , CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: beCK Valuation: Date: Site Address `TQQ OFFICE USE ONLY Lot ~ Block 3 FEES Occupancy ~~i~ Zoning Parcel/Sub ~3~ ~at) ?)"-ff Actual Const Bldg. Permit yy~• Allowable Surcharge Owner ~JEff # of stories Plan Review Length SAC, City Address "t0g ~ 5`FR''}CS Depth SAC, MWCC S.F. Total Water Conn City/Zip Code EP,hfA-AJ SrJta3 Footprint S.F. Water Meter y Acct. Deposit Phone(4Jrb- rJ~'4a)~ p3S' 16oo On site sewage_ S/W Permit On site well S/W Surcharge Contractor MWCC System _ Treatment P1. City water _ Road Unit Address PRV Park Ded. Booster Pwnp _ Copies City/Zip Code SUBTOTAL APPROVALS - Penalty ~ Phone Planner TOTAL Council Arch./Engr. NI-R' Bldg. Off. Variance Address City/Zip Code Phone # L,-*D 1993 PLUMBING PERNIIT (RESIDEiVTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTf. , T~O. FIXTURES EACH SHOWER 3•00 f~ WATER CLOSET 3•00 ' BATH TUB 3.00 / LAVATORY 3•00 KTTCHEN SINK ~ vi 3.~ LAUNDRY TRAY 3.00 / HOT TUB/SPA 3•00 ~ WATER HEATER 3.00 / FLOOR DRAIN 3•00 ~ GAS PIPING OLJTLET • minimum - i 3.00 ROUGH OPENINGS 1.50 WATER SOFIENER PRIVATE D1SP. • Dei.cy. iiG U.G. SPRINKLER • nome uneer oonst. 3.00 ALTERATIONS • to existin8 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: /`S • S 4'1~1 STTE ADDRESS: 710 6 (/472- 5 ~<J ~A-G-A-YLi OWNER NAME: ALL(~S~T- L157_P U WSTALLER: 4LI3 EA T 5 -rR C~ ADDRESS: qo c? ~ 5~' ~-i Tzn 5 /`K/ , - CI7'Y: F19-6-- / STATE: ZIP CODE: S cS~ PHONE (~'z/'a-) 5>&~' av cul<VL-?vZ 7 SIGNA URE O PERM EE ~ $L : ^r R <3 ,c ~~c~~JG~~~ `~„a~~ll: .Y..~i.M--,~•c-ro>s.a r r m h.` ~ . 3 b "Y'Sf£bCaC' t f K~r aL aHro > l u 5 u a)c 3. ~~~3^.. 1993 PLUMBING PERNIIT (COMMERCIAL) CITY OF FAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMIIvIERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING U:::T. _ NEW CONSTRUCfION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1°k OF CONTRACf FEE. STATE SURCHARGE $SD FOA FA,C?? $1,01ki OF P~.'~1441PT FcE 1KlNIMUM FE& $ 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SI1'E ADDRESS: TENANT NA117E: S1'E. # OWIr'ER NAME: INSTALLER: ADDRESS: CTTY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT ' . , i FOfiofIC0:06B i City of EapIl ' Permit ~ 674.(~/G~°- ~ I Permit Fee: I 3830 Pilot Knob Road /h ~ f~ Eagan MN 55122 I Date ReceivedO Phone: (651) 675-5675 i s~an: ~ i Fax: (651) 675-5694 i i C~ IV 2008 RESIDENTIAL BUILDING PERMIT APPLICATIO a~ Date: -00 Site Address: c, q L S-FInIFS Tenant: Suite RESIDENT / OWNER Name: uPhone: I~V-y~Y- 60e7 Address / Ciry / Zip: V6 5 Applicant is: _ Owner xContractor TYPE OF WORK Description of work: S~Rac.- Ft~cL~ ~T a Construction Cosi: Multi-Family Building: (Yes_I No CONTRACTOR Name: License °20;~ -1,Lt 2, ~S Address: City: llic~Lz (-fo~ State: Ni K/ Zip: S5-3 4°1 Phone: 7(P3-780-20c-X) ContactPerson: - 167~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CBtCQOry Submiped Submitted (4 submission fype) • Energy Envelope Calculations Submitled . In the last 72 months, has the City of Eagan issued a permit (or a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licansed Plumber: Phone: Mechanical Contractor. - Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents;thet you submitare conside/ed to be pub!]c information.-Portions o/ ` the lnformation may be classiiled as non-public If you.provfde specffic reasons that would permit the City to, conclude that the are trade §ecrets: ' I hereby acknowled9e thatthis informalion is complete and accurale; that ihe work will 6e in conlormance with the ord nc and codes ot the City of Eagan; that I understand ihis is not a permit, 6ut only an application for a permit, and work is not to start withou~ a pe that ihe work will be in - accordance with the approved plan in Ihe case oi work which requires a review and approval ot pl Applicanl's Printed Name Applicanfs Signature Page t of 3 . y , ` • DO NOT WRITE BELaW THIS LINE SUB TYPES ? Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pooi 0 Single Family ? 06-plex ? Fireplace >9:C Porch (3-season) 0 Exf. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? ParCh (screen/gazebo/pergola) ? Muflf Misc. ? 03-Plex ? 10-plex ? LowerLevel ? Storm Damage ? 04-Plex ? 12-plex ? .,Miscellaneous WORK TYPES ~S(j~CJA 0t7v+1l `V.G~f-/Y' Jn/lj"!lF / (JJfi ? New / ? Interior Improvement ? Siding ? Demolish Building' ;6C Addition ? Move Building ? Reroof ? Demolish InTerior ? Alterotion ? Fire Repafr ? Windows ? Demolfsh Foundation ? Replacement ? Egress Window ? Waler Damage . ' Demolflion (entire building) - give PCA handout to applicant DESCRIPTION: Valuation ~ Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 700 Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV . # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. ~ Footings (addition) ~ Final/No C.O. Foundation HVAC Drein Tile Other: Roof: _Ice & Water _Final PooL• _Footings AidGas Tests Final Framing Siding: _Stucco Lath _Stone Lath Brick Fireplace:_R.I. _Air Tesl _Finai Windows _ Insulation Retaining Wall Reviewed By: Building Inspector RESIDENTIAL FEES: ~ S~C~ Base Fee ~ Surcharge Plan Review 75-~/ J MC/ES SAC l` J J V City SAC Utility Connection Charge S&W Permit & Surcharge . Treatment Plant Copies Total Page 2 of 3 . ~ . City of Eapfl 3830 Pilot Knob Road Eagan MN 55122 (651) 675-5675 RESIDENTIAL BUILDING PERMIT APPLICATION REQUIREMENTS: New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas ? 1 Soils Report if proposed building is to be placed on disturbed soil ? 2 copies of plan showing beam & window sizes; poured found design, etc. ? 1 set of Energy Calculations ? 3 copies of Tree Preservation Plan if lot platted after 7/1/93 ? 20% maximum lot coverage allowed ? Rim Joist Detail Options selection sheet (buildings with 3 or less units) ? Minnegasco mechanical ventilation form Remodel / Reaair Reauirements ? 2 copies of plan showing footings, beams, joists ? 1 set of Energy Calculations for heated additions 0. 1 site survey for additions & decks ? Addition - rndicate if on-site septre system Office Use Only ? Gertificateiof Survey Received ? ~Soils Repo.rt - El- Sree Preservation Plari ? Tree Preseivation Required . . Ori-Site Septic,System - . Page 3 of 3 Made in Rvn¢dca for Over 30 Yta1s o ° Mcre (?easoNS Fcr -Fouv- Seasoos ~ • ' - ~i ~ Four Seasons Salar Products LLC ENGINEERING CALCULATIONS STANDARD 230 SUN AND STARS: STRAIGHT EAVE MODEL SWM-15DH Q m a to WITH 51.135 ROOF RAFTERS E~ o A N D R A F T E R S S T I F F E N E R S W a 0 AT 36" ON CENTER ROOF BAYS i.° ~ FOR THE KNIGHT RESIDENCE co LOCATED AT 4096 STATES AVENUE ; Q EAGAN, MN 55123 0 ac~" N DATE: January 8, 2008 E Cc c~~ ~ THE ABOVE INDICATED PROJECT HAS BEEN EXAMINED FOR 40 psf ROOF LIVE LOAD 90 mph EXPOSURE B WIND LOAD AS PER THE 2003 INTERNATIONAL BUILDING CODE NOTES: 1. THIS SUMMARY PERTAINS TO THE STRUCTURAI INTEGRIiY OF OUR UNIT UP TO, BUT NOT INCLUDING, THE CONNECTIONS TO THE EXISTING STRUCTURE AND/OR ANY NEW CONSTRUCTION. ALL SUBSTRUCTURE DESIGN REQUIREMENTS ANO CONNECTIDNS TO THE EXISTING STRUCTURE ARE NOT INCLUDED IN THE SCOPE OF WORK FOR THE FOUR SEASONS PRODUC7, AND MUST BE EVALUATED 8Y A DESIGN PROFESSIONAL 2. THE ENGINEERING DESIGN SCOPE FOR THE FOUR SEASONS PRODUCT DOES NOT ACCOUNT FOR SPECIAL LOAD CONDITIONS CREATED BY ATTACHMENT TO THE EXISTING STRUCTURE. THESE MAY INCLUDE SNOW DRIFTING OR UNBALANCE SNOW LQAOING. ANY SPECIAL LOADING CONDITIONS MUST BE EVALUATED BY A DESIGN PROFESSIONAL. e ~ N 6bnaf ' _ ~ a 971 14M r. rf Sunrown 5005 Veterans Memorial Hlghway - Holbrook, NY 11741 • Telephone (631) 563-4000 • Faaimile (631) 563-4010 - www.FourSeasansSunrooms.com ,P~~: . savcyor~s Certificate: ~ SURVEY FOR: Frontier Alidwest Flomes Corp. DESCRIBED AS: I,ot 4, 131ock 3, STAFFOI2D PLFlCE, City of F.agan, I)akota County, Plinnesota and reserving easements of record. 89z.3 / ~ sti....., . / o / 50 11 1 / , . ~ 44.33 2s.;, fA'~ V prP` ~ . ~ ~ O P - . . \ ?a ~ V 1 y k~ a "I O ~A • \ T cIO.. (Ca.,,bf0 m J ~ 65~.5 n ~ i4 ~ P I u 1 D'"'v~ 1 ~ Sp ~0004; ti ~s ¢ $ G 1 e„+~- ~ 7z \ ~ _ ! sc w~o ~ \ O tl - ~ \ r J B71 ,o ~ N' I NI ` ~ ~ r 5 ` ~ to L~ ~ N79' S6~ I T.C. ~ . 30 • - ' . ~ J ~ s . PROPOSED ElEVA710NS BENCHMARK- 700 of Foundation ~ 960.0 ~ T,N.dyd. La+ L..,, 4?s, GaraqeFloor . 899.k qao si.}c w.,~, e~..... Baeement Floor : 89tr.B MIN.SETBACK REQIREMENTS Approx. Sewer Servics Elsv. . 616-1. 6'- Proposed Elevafions ~ Q Front - 30 Noufe Side -'p m Exisllnq Elevaflone Z Drolnaqe Dlrocfions ~....._r Reor - 20 Oaraqa Side- S o % Denoies Otfset StaMe . El SCALE: 1 Ineh e 30 Faat , d1 i~ I MenEy evllfr Ihaf Ihls surwY, Vlon or report ros pnooree or me JaB No,; ~ er under mY dlnet suMrvldm enA tAae ! em a dulY aeollund ~ja ~t . J S~ p Land SurreYor unaer Me lars of the 9fofe el Mlnnsaota. ~ BOOK: ~ Planning Englneering Sorveying mI Eni ei~.awn rn..a. ummM, wxn.w. eHxo lu~•Whwwar OoN: tJ. PA6E: J/ r LI pran. llcense aN378 1 Clty of EapIl I Permit Fee: 3830 Pilot Knob Road ~ I ~ Date Received: ~ Eagan MN 55122 Phone: (651) 675-5675 I ~ ~ Fax: (651) 675-5694 Staff: _i 2008 MECHANICAL PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT / OWNER Name: ~ D Q K n-'a, b(~- Phone: Address/CitylZip: I'IOy(o 5~4rQ5 /}"e CONTRACTOR Name: Cr7[~r -,1I !1 ~ Q4 ~~~tiS I+A,2 License f6~ Address: 7 '-Il(a 5714 City: C^ ra d e State: Zip: Phone: 45 `5 Li yav Contact Person: vrI'SFI TYPE OF WORK ~ New _ Replacement _ Add'Rional _ Alteration _ Demolition Description of worki NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of fhe Planners for information on ermitted screenin methods. RESIDENTIAL COMMERCIAL PERMIT TYPE New Consiruction _ Interior Improvement Furnace - ?Air Conditioner _ Install Piping _ Processed Air Exchan er _ Gas _ E~cterior HVAC Unit 9 • HVAC uniLS must be screened _ Heat Pump Under! Above ground Tank C_ Install Remove) ~ Other &o:I Pr Z ~tiFioc/' " When installinglremoving fank(s), call for inspection by Fire - Marshal and Plumbin Inspector RESlDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 FifB fBpBif (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 7% $50.50 Minimum (includes State Surcharge) - $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is >$1,000, surcharge increases by $.50 for each State SurCharge $1,000 Pertnit Fee (i.e. a$1,001-$2,000 Pertnit Fee requires a$1.00 surcharge). $ TOTAL FEE 1 hereby acknowledge that this infortnation is complefe and accurate; that ihe vrork will be in wnfortnance with [he ordinances and codes of the City of Eagan; that I understantl this is not a permit, but only an applicaUOn for a pertnit, antl vrork is not to start without a permik Nal the work will be in accordance wifh the approved plan in the case of work which requires a review and approval ot plans. x 1~4 v:l~Oli ~ ..7M~~ x ApplicanYs Printed Name ApplicanYs Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In _Air Test Gas Service Test _In-floor Heat _Final 5/30/2008 10:44 AM PAGE 3/004 Fax Server . C ~PY ~ DEPT OF LABOR & INDUSTRY ~ ~~g and In~dustry CONSTRUCTION CODE I & LICENSING DIVISION ~~155-4341 443 Lafavette Road North x: (851)2845749 St, Paul, MN 55155 (651) 284-5005 or 1-800-342-5354 DATE O6(02/2008 MON iIME 07;57 ~~~~`~'~r. ~p~~: y~32i698 $15.00 , h08t1?g, reM1laUOn, air AmounL• S25.000 Jtme 16. 2007 Mech Bnd3110 $15,00 hmidgenaftR("VaCR) F~CTIVEDAiE iOTAI $15,00 Gorilia Heating and Air, [.[G CHECK -----pianna N0.022995 00001 7476 Aspen Cove S. Cottase Grove. !2V REPRINT fi~ at (address, cify, sfate, zip} -----_---^--~eomparrypMnenumber: 651-769-2993 and '1'Y COMPAN7 . a CnfpOrfitlOn IIcensOd W lfSnseCl a sufety 6treinesa In the Stets of MMnesote,withilyprircipalotficelxatedat 101 S. Phi111ne Ave..y Siou_x Falie SD 57104-6703 as Surery, their successors, assigns, arttl Iega represeMatlves are hefd and frrmy Cound. Ioi+dY arrd severafly, in fie Sffie of kfinnosota end anryr ltdrQ perty sustatnlrq hnarn3a11oss vfithYn the terma af tltis bond for Payment tn Me amount of Txenry-Five Thousand Ddlars (szs,ooo). ae vroMea In MhvWsom srewre 326.ee2(a). 7ras eond Ie ror me oenerc ot persons surrering xnm»aai toss ny reason m me contractofe failure to canply witli the requiromente of Ihe Slele Mechmtiael Code (MinnomAa Ru1es, GhaGter 1348) when perlorming work in lhe Siate of A4nnesota. rne oonaqion a mis bond is mae u,a PrinCivel nes eonuaerea to do eas, heenrro, Yemimnon. cooung. a'v cawnwrune, tuei oum'nre, or refiigeretion wwk rritlrin the State d Mumesata 8 the Prmdpat faiThFully oompGec with Uie State of MnnasMa Mechanicaf Code and intlemnilies arry person dealinp a transactin4 business wiM the Pdneipal hom eM bss or damage ocwsMnad by tlm failure of fhe , arlndpal m oompy amn nnv of nie lm.s ar,d n,ies or n,e state a urnnesom, n,m no ouiiganon under uas baw snai eccrue: ou»nwise. mis oDliga6on analt ramain ar IuN farce end alfoct - Your bond muet be rcnewaE wKh a eontlnuetlon eertlfleate eu4mllteAlo Consleuctloa Codes end Uanaing 0lvlabn. Aenewal le tlue annualy tram the slfeelWe tlate oT 1M bon0 or eorKlnuatlon eMMcets. The ag9reqate Iie6ildY M ttw Suretn reyartllees af the rwmber of claima meda egainst the bcnd a the iwmber of yeeB the bond remeim in loroe, shell in no event axceed $15,000. The haxl mey be catxelled by Uie Surely, es b future IiebiYly, by glving wrfflen notica by CerliNed Mall, addressed to the Prindpal at Ihe addceas as atated in this bond, and to lhe Cona4ueA4n Codec end licensia8 Ubdaio^. OeRaMmM at Ceba wd trvduslty as tla addresa apFpye pn Ihis 6and. 'Rtirty (30) days atmr She mailirg ol lhat notice, this bond shall be mdt and void as W afry fie6ffgr tlMrestter ari6ing. Me Surety remeining Iiabie, fiowrver, subjeel to efl !he terms, caMiMans, and provislons of 1Ns bond, tm eny end ell aGS eorered by tltis bond up to the date o} Mre cencellatlon. . APPLY B18URANCE Signed wqWitnessedOft 18th dayd 7uns 2007 ~CONpAWW_ MRw! ro~ltaMnmc vwMavlL7oui~tV11! - - " m~ WBST SIIRETY CpIPADIY TOBURCTYlKM~7Y! ~ on, Bsa t Soc. _ qT AAaq tha tollowing Rsme W. DapaRmsift of Wbor and uWuotry, Flnenelal Servleas -Mxhankxl Ba,d, SCS Ldpyaf06 Road N., S. Paul, MN 55155. AfEar tlms Items hara bean proesaed, your eompany mme will bs poeRe4 an 4or web.sHe arqd you w1R . reeelw s osrtllksM in the meU ra1M for ane yeer. s Pape i+llled oue eomptetey Inaumng.aa slgnatures ana Insuranee compeny aeo (o~wosrea w.t~lc on~ ' _ Paae s wan nm aypmPN.ao sucim" aowwwwdpm.ne ana swwy llckmowlsdgrma.nt waN*liyff~aii.~ _YeIldPorverolAttomsyatlached. ' . . 2 ~ Check tor 875 fss, payeble m DepMrtlent W LO0/and NMusf+Y• GheCkB 79lumed tor tlwtipeyihMYMiNI ba dfe/g9d e $M fee. (M$. 804.713. 9Ubd. 21• ApDmveO Daide ere an our wehafte In tlhe BoM lJat ' meu07 •..11£J08f Pegs 1 ~ Permit#: /7 34q(J i City af ~apn 41" ~ ' I Permd Fee: 6D ~ 3830 Pilot Knob Road i p Eagan MN 55122 ~ Date Received: Phone: (657) 675-5675 Fax: (651) 675-5694 I Staff: L 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENTfOWNER Name: ~ Phone: Address / City / Zip: CONTRACTOR Name:64 i1 e VvLA iL) License #-3*l6 " I~ ~ ~/W Address: 1 ~ S D M d~ i ~i City: V S e: ~ ip: DZ Phone:L~ `I ~(Y Contad Person: ~ N C.. TYPE OF WORK -4-New _ Replacement )Repair Rebuild _ Modify Space Work in R.O.W. Description ofwork: iqgLL °L/Ce~ /2 ti &/Z WA-A t ~ /""d~L, PERMIT TYPE RESIDENTIAL Water Heater _ Water Softener _ Lawn Irrigation 17-Add Plumbin Fixtures ~ RPZ / _ PVB) ~ Main i Lower Level) Septic System _ Wster Tumaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (incfudes $.50 State surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes Counly fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, duclwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ Q SO I hereby acknowledge that this information is complete and accurate; that the work will be in confortn ce wdh 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 r is no rt ut a per~tthat the work will be in accordance with the a proved plan in the case of work which requires a review and appro I f pla - 1C~~~,~~P.~ X - ~ ApplicanYs Printed Name pli anYs Signature FOR OFFICE USE Reviewetl By: iTate: : ~ ~ . , w. Required lnspections: Under Grouiid ''~Rough In _Air Test _Gas Test -x'=Final a" > i"I lI i 4096 States Ave ~ Eagan MN 55123 January 25, 2009 City of Eagan Building Inspections 3830 Pilot ICnob Rd 55122 Dear Sir or Madam: We are writing as requested, to indicate that we are not able to schedule a final inspection for our sunroom. The sunroom builders have possibly gone out of business after taking all of our money and not paying their subcon[ractors who in turn have now placed some liens on our home. There are arbitration and other matters being pursued in hopes of one day finishing the sunroom and not losing our home. At this time, though, it is not nearly completed, and we aze not able to estimate how long it will take to be completed, although at least six months is likely. Thank you for your attention and understanding with regard to this matter. Sincerely, ~ Rob and Michelle Knight RESIDENTIAL ~ y~~5~ BUILDING PERMIT APPLICATION ~rj0 0~} CITY OF EAGAN 3830 PILOT KNOB RD • 55722 651•881-4675 New ConsWNian Reautrements RamodeBReoairReauiremeats • 3 regiatered site surveys shaxing sq. R ot lof, sq, ft ot Fwuse; an~ll raofed areas • 2 mpies of pWn (20%maximum bt coverage alOwed) . 1 set of Eneqy Cakuhtions for heated additions . 2 coPies of plan showiig 6eam 8 w'vMow sizes; pouied 1ourM design, etc) . . 1 site survey for mdeMr addNons & dedca • 1 set of Energy CalaWtbns . IMicete H lame served by septlc syslem Tw additwns • 3 copies of Tiee Preservation Plan'rf bt plaCed aller 711193 . Rim Joist Detail Opdons selectlon sheel (6N1gs wilh 3 or less unAS) DATE C2 ± e 16 ~ r JO ~ VALU/[ION JOB SITE ADDRESS oil r~ ~_C~`r,,i e C IF MULTI-FAMILY BUILDING, HOW MANY UNITS? - PROPERTY OWNER Cl IQ TYPE OF WORK ~ Ut t s l Qk '~uN FIREPLACE(S) _ 0_ 1_ 2 APPLICANT -\\V E i L 'V'G' I PHONE# C/~L_ItO-aZ_ ADDRESS 1SD 3 e1S'l/ Il , ZtPCODE PAGER # CELL PH NE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculatlons Submitted _ MINNFSOTA RULES 7672 - New Energy Code Worksheet Submitted Piumbing Contractor. Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor. R v- C SJP 1o Yv12{r Phone # 9So7 Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System 'Sewer/WaterCoMractor. PhoneN~ i ~,i~ r~ u ~ All above infortnation must be submitted prior to processing of applicatlon. I hereby acknowledge that I have read this application, state that the informdtion is coRect, and agre4p to comply with ail applicable State of Minnesota Statutes and City of Eagan Or ?M~ nce__ -7/ ~ ~ Signature of ApplieanT ` Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ . - - - - ; Updated 1/01 OFFICE USE ONLY - ? 01 Foundation D 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi O 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 (screened) ? 36 Multl ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 . Move Bldg. O 42 Oemolish (Foundation) 0 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* O 43 Reroof 0 46 Windows/Doors ? 34 Replacement •Demolttion (Entire 81dg only) - Give PCA handout to appllcant Valuation _ Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr, of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings(deck) _ FinaVNo C.O. _ Footings (addiHon) _ Plumbing _ Foundarion HVAC Drain Tile Roof lce & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulauon _ Windows (new/replacement) Approved By , Building Inspector Basa Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Piant Plumbing Permit Mechanical Permit License Search ' Copies Other ` Total , 411Ibb City of Eaaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: / / Permit Fee: Date Received: Staff: J 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: l— 7 / 0 Site Address: /O 94, S4 -a -/PS 4 v -e - Tenant: Suite #: RESIDENT / OWNER Name: /9 61044'4-- Al idle -11e -P_ k.v. s- h± Phone: (0SI— 11,5-t/_ go 7 Address / City / Zip: 110 ?4' J44 -1--F S Avf-e CONTRACTOR Name: /1 I I Poo Is; (Le S0 it v,'t: e C i/ (.-- License #: Address: I I E4t'1 Coovil eel C., City: 1-,"4-11e C4s.a gia_ State: Al A/ Zip: _c I / % Phone: CO CI y g3 — , 6 !1 0 Contact: of AN4460") Email: ret ftRiel .CDA., 2V f of I Scf4 ,. 6; Z IS TYPE OF WORK I New Replacement Repair Rebuild Modify Space _ Work in R.O.W. _ _ ` Description of work: Tiv SA4-1l S ,...•,.'1^, f f!0 - `rh 4 r(/ pool PERMIT TYPE _ RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures ( RPZ / PVB) ( Main Lower Level) _ _ Septic System Water Turnaround New _ Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ SO, S 0 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.aooherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accrance with the - oved plan in the case of work which requires a review and approval of plans. ,, x Q Levi- //�� L . I'Tnvde r'.i 0,1 Applicant's Signature x Applicant's Printed Name For Office Use I t-4- Permit 5- City of Ea a~ I Permit Fee: ® 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION) / _T, M Date: (O ad,t~, Z`,1 Site Address: L~ -S, ATE }\Vf Tenant: Suite RESIDENT / OWNER Name: I ANo tx~- P- le ft" Phone: 1145 1 ©O'7 Address / City / Zip: 4W't 5lW1-K-S A//Ei"(Jcu Applicant is: Owner Contractor Vw tZ trs Q P t ' - TYPE OF WORK Description of work: ,S~//hr7Ni~7a iZ/c '/~C'iJ/oaJ dP.f;t1r~ B~ DTI IC f/ztctw i Construction Cost: t, / 15 o0 Multi-Family Building: (Yes / No _L) CONTRACTOR Name: L C3V~Gl•~J~a ~L License ~~5~o 35 (e Address: 6 F 5 e T ~/}If~1UU2- City: A519 6 4A State: &Af / Zip: 5 .Sf Z 3 Phone: ~l - Y S3 -7~ Z-- Contact Person: ! ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted 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 if you provide specific reasons that would permit the City to conclude that they 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 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 . ~ e w 1V Q Applicant's Printed Name Applicant's Signature IL2 D Page 1 of 3 A!lf,Q92009 z/-61 DO NOT WRITE BELOW THIS LINE 619 SUB TYPES _ Foundation Fireplace Porch (3-Season) Storm Damage Single Family Garage Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) _ 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof _ Demolish Interior C Alteration Fire Repair Windows Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%_) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: _Stucco Lath -Stone Lath -Brick Fireplace: _Rough In _Air Test -Final Windows Insulation Retaining Wall Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge f W - Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2008 MECHANICAL PERMIT APPLICATION Date:5 ode IIf Site Address: --to 96 S C 4 1ie Tenant: /1191 k x V fs401 Applicants Printed Name x Applicants Signature Permit aD Permit Fee: 64- Date Received: Staff: L Suite RESIDENT OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE Name: g k /V!5 Phone: Address City Zip: 0 So 4 v e Name: from I F} .ee4 )'1-5 1lyva/d r" License Address: `7i- if& Ca g' 5 City: G 0 ate e re-ye_ Yvt i State: /14 A.— Zip: cS"'c'/ Phone: 6 uTee- 4-rcroo Contact Person: Vlr' fir}- New Replacement Additional Alteration Demolition Description of work: Z} ifo r NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code., Please contact the Mechanical inspector or one of the `Flann ers' for informat on perm screening methods RESIDENTIAL Furnace Air Conditioner ,f Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Gas Processed Exterior HVAC Unit HVAC units must be screened Under Above ground Tank Install Remove) When installing /removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add -on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation /removal OR Contract Value x 1% $50.50 Minimum (includes State Surcharge) Permit Fee If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001 $2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE 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. Test G as FOR OFFICE USE Required Inspections: Under Groun Rough In eviewed ervice Doe= ÷ó ÿ þ ý ÿþþýüûúü úûü ùýýþþîøùþì ì ãã éì ÿþ üûúùø ü õ ô øü óü þ þ ø ò ñü ò ðüû ï ý ÿ ø ý þ ììëì ãþ éëøø ìéð Ø ïÿ ò îç ø ò íæèëèìëë õù ü ð þ å æèè ôóóò ñð øø ãþ à þ÷ çû ïÜþð éëøø ìéð ì ä ü ÿ þ ïõ øø ê ùïõì îíì ë ð ûù ô þ ð ð ä ð øø ð ð ã ò þ òøùôð øø û ãï ü öùãÿ þ â è øø ß ò þ ü ü ùþ ü Date: City of Eaaan a+30 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ,a5 C 6 Use BLUE or BLACK Ink Permit #: Permit Fee: "74/7 r / T3 Date Received: Staff: V 2011 RESIDENTIAL BUILDING PERMIT APPLICATION CA LI Site Address: Unit #: RESIDENT / OWNER Name: ' e bi7 AI- Phone: (551-�f 5q- ,007 - / / �^ Address / City / Zip: 9 Q (a 5TH?5 406 EG./ p7J ! ` Z 3 Applicant is: Owner V Contractor TYPE OF WORK Description of work: pe - tve- 4j174jl1 -- Construction Cost: I "'t i 000 olutiek Multi -Family Building: (Yes / No 4C) CONTRACTOR Company: ge-X 5 14, 64140?2 ViikJ& , Contact: Ed -1 Gina !e4gJ Address: 11Z W CeAIe/LGie& tau'City: a0 /AO) State: Zip: ?j h"'1 Phone: 417- 27 Z 7 7507 250 ' License#: Nc z-03 d 5®?7 Lead Certificate #:R--1- Jo75 v /O-6/ 556 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 61-44.)Str0Cti A -t -i- /970 In the last 12 months, 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: _Yes Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents"that you submit are"considered to be public information Portions of the information' may classified as non-public if you provide specific reasons that. would permmt 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.gooherstateonecall.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 o 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. ;Vtiyre.141 Applicant s Printed Name x Applicpfht% Signature Page 1 of 3 y0 9� S4-19-1 AVE DO NOT WRITE BELOW THIS LINE /70 SUB TYPES Foundation_ Fireplace Single Family_ Garage Multi *Deck 01 of _ Plex Lower Level Accessory Building WORK TYPES New Addition Alteration 'Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ) Census Code # of Units # of Buildings Type of Construction Lte Porch Porch 15e -Porch Pool Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Rough In Insulation Sheathing Sheetrock Reviewed By: (3 -Season) (4 -Season) (Screen/Gazebo/Pergola) Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests Final Siding: Stucco Lath Stone Lath Brick Air Test Final Windows Retaining Wall: Footings Backfill Final Radon Control '] Erosion Control L� , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge SSW Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 • q 1-1,06 Survcqor's Certificate SURVEY FOR: Frontier Midwest Homes Corp. DESCRIBED AS: Lot 4, Block 3, STAFFORD PLACE, City of Eagan, Dakota County, Minnesota and reserving easements of record. PROPOSED ELEVATIONS Top of Foundation ■ 900.0 Garage Floor = 899. tm Basement Floor a 89 (AB Approx. Sewer Service Elev. • 8S-1.54- Proposed 81.ii{Proposed Elevations I C:) Existing Elevations = Drainage Directions Denotes Offset Stake = 0 BENCHMARKI N,Ntd. 6) L0+ L,.,` 445, 5L -K.3 0.•. S�}t 14.c, Elw. z 400, 31 MIN. SETBACK REQIREMENTS Front — 30 House Side — Io • Rear — 20 Garage Side — 5 SCALE: 1 Inch n 30 Feet HEDLUND Planning Engineering Surveying 9201 E..1 eloominglon Freeway. eloominqlon, Mlnn.•oIs 05120 I.I.phon. 11121 see 0281 I hereby certify that this survey, pion or report woe prepared by me or under my direct supervision and thol I am a duly Registered Land Surveyor under the lows of the State of Minnesota. O gran, License 40,14378 JOB NO.: 8`1K -i..)( 4 BOOK: PAGE: S9- t! :'0N 8or A PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA123788 Date Issued:06/16/2014 Permit Category:ePermit Site Address: 4096 States Ave Lot:4 Block: 3 Addition: Stafford Place PID:10-72500-03-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Scott Lofgren 5708 Upper 147th St W #102 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert M Knight 4096 States Ave Eagan MN 55123 Lofgren Heating & Air 5708 Upper 147th St W Suite 102 Apple Valley MN 55124 (952) 431-5811 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use Permit#: f I ( -' Li City of Eaaall Permit Fee: l/�J a e C `-� 3830 Pilot Knob Road Eagan MN 55122f `,:,'1� Date Received: -/'i J' 1/ Phone:(651)675-5675 r ,l) Fax: (651)675-5694 Staff: np� 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Ga S-`l Date: q--10 Site Address: v C K/ '-"`` f-u-e__ Unit#: 41) rr1 Name:f& 1 �J "".i�� Phone: 26 • � 0 'rG- 'l Resident/ Owner # Address/City/Zip: '`/® 0 cis' �i 91 — I' Applicant is: ( \ Owner Contractor Description of work: t l C-(r) V Type of Work Construction Cost: r------- i ` Multi-Family Building: (Yes /Noe,S ) i Company: --C---?( Contact: 3 ' Contractor Address: City: I State: Zip: Phone: Email: i License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 1 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: 1 Licensed Plumber: Phone: Mechanical Contractor: Phone: I Sewer&Water Contractor: Phone: ` Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of 1 the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code completed within 180 days of permit issuan x /7( 6( ..lir x '-'''--------"---sk _. A licant's Printed Name Ap licant's Sign atrrre Page 1 of 3 DO NOT WRITE BELOW THIS LINE IL0-30/ SUB TYPES 6fi(p 5.1z-'le S Av- Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) Single Family Garage Porch(4-Season) Exterior Alteration (Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building 7 ORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Lit tt 0 i9 ) Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100% y) Zoning City Water Census Code i Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water Final Pool: _Footings _Air/Gas Tests _Final Framing $ 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick EFIS Insulation ; Windows Sheathing Retaining Wall:_Footings—Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan 'i '�C Other: oi, 000n fLavA n Reviewed By: 11,- , Building Inspector RESIDENTIAL FEES � Base Fee /� Surcharge Oh11tAp 621./.1- 00' ro Plan Review , 0 MCES SAC i`« I 4,40,) City SAC Utility Connection Charge (A el L/ (9 '` U" L S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA172326 Date Issued:09/27/2021 Permit Category:ePermit Site Address: 4096 States Ave Lot:4 Block: 3 Addition: Stafford Place PID:10-72500-03-040 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 - Scott Matthew Graff 4096 States Ave Eagan MN 55123 (612) 616-5760 Miller Roofs Llc 4090 Hunters Ln Webster MN 55088 (612) 616-5760 Applicant/Permitee: Signature Issued By: Signature