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4040 Stonebridge Dr SCity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Baa► r Use BLUE or BLACK Ink For Office Use Permit #: Icx /s Permit Fee: ` ' /9 /• c9 C) Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7 '' 30— (1C Site Address: f0t'(4 O i c& q e DR. $. Unit #: RESIDENT / OWNER Name: 11cY (t s "f bat RG SG it 45. (— kf5a.- coo-) e + Phone: Address/City/Zip: 9640 S%-0N/e-kAr:et, a Applicant is: Owner Contractor TYPE OF WORK Description of work: 14r,(n-o w re. - vvk. otQ4, ( Construction Cost: f 000,-- Multi -Family Building: (Yes / Noe ) CONTRACTOR Company: 6e1,0 /e4e e-, $a lel ei.s Contact: Na Address: I,( — ow 1 v-- City: N'Qt 'Tta p.,Zi State: (IVO; Zip: 5-4. S 3 Phone: q,2 --D- IC— 6d�2-- License #: g-006 fs Pi 6 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) fieliR 6j4 /q In the last 12 months, _ _Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: 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 providespecific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval oflans. x Ge-14fe Is JA! Applicant's Prin ed Name IUTAL x Applicant's Sign Page 1 of 3 Page 2 of 3 1400siove.!r PrS DO NOT WRITE BEL THIS LINE I CYXlS<o SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of _ Plex Lower Level Accessory Building Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool WORK TYPES New Interior Improvement Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation 5-607 Plan Review (25% 100%_Zr Census Code # of Units # of Buildings Type of Construction 1'341 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final . Insulation Sheathing Sheetrock Reviewed By: 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 2.407 g -I 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 Siding: _Stucco Lath _Stone Lath _ Windows Retaining Wall: Footings _ Backfill Radon Control Erosion Control , Building Inspector Final Brick Final RESIDENTIAL FEES' Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL l/8 7G // x ito / (Z.Zo 111)k R.Lov t,Q 4124 qticeeL Page 2 of 3 ~ INSPECTION RECORI) ~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road ~ Permit Number. ~ . Eagan, Minnesota 55122-1897 Date Issued: q~~`` (612) 681-4675 SITE ADDRESS: APPLICANT: I ' , ~ • . . i , , ~ ~ ~ i • ~ ~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D. . „ ~ 77 - - - - - - r Permk No. Permit Holder Date Telephone N ELEGTRIC PLUMBING I HVAC Inspection Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL I BSMT R.I. BSMT FINAL I DECK FTG 3~, p p ~ s a ~ DECK F1NAL J ~ - - . ~ . . / - . ` PERMIT # _1~ MECHANICAI PERMIT RECEIPT # cCITY OF EAGAN C, K t ' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 For Office Use Only: , Site Address . , ' ` ` . : , ' . BLDG. TYPE WORK DFCRIPTION ' Lot Block Sec/Sub Res. X New ~ Name ,--1 t; &7k T Mult Add-on ~ Address r s I„AND A`• , . Comm. Repair r .q 11 00 0;; Other c Ciry Phone - Name JNDERS FEES RES. HVAC 0-700 M BTU -$24.00 3 Address ADDITIONAL 50 M BTU - 6.00 O CitY Phone 7 (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 APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & 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 # $ BEYOND $1,000) Other ~ FEE: SIGN I~ S/C: TOTAL• FOR: CITY OF EAGAN ~t9 / . TT -7n ~ ~ . , CITY OF EAGAN - ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PIiONE: 454-8100 BUILDING PERMIT Receipt # To be used for W~~ 1 G~`,Fi Est. Value ~11 20, EJUO Date Site Address ` &!4'' MI: R ' G' v Lot Block Sec/Sub_ 5 OFFICE USE ONLY Pafcel NO. occupancy $-3 _r'-j FEES 3 Zoning PO ~ W Name i' i i.{;idG CG 4 I1"i(,' (Actuaq Consi Bldg. Permit 710•~ o Address ~ k:=. 4101101 (Anowable) b0 • 04 Surcharge City ' Phone 1-03(,4 # ot stories 355.00 Length 4t! Plan Review Z2 Name oePm 48' SAC, City 100•00 ~Q Addf2SS S.F.Total SAC,MCWCC 575•0 ~ City Phone S.F. Footprints - On Site Sewage Water Conn ~ W w Name On Site Well - Water Meter 9t) _ ; Address MWCC System ~ 30.00 ~ ~ Acct. Deposit au+ City PhOne City Water 20,OO PRV Required - S!W Permit I hereby aCknowlege that I have read this application and state that the Booster Pump - SrW Surcharge l•oo information is correct and agree to comply with all applicable State of ~ - Minnesota Statutes and City of Eagan Ordinancesa Treatmenl PI • Signature of Permitee ` APPROYALS Road Unit 340-00 A Building Permit is issued to: -';+E Ri~LU~~ 00, z*',C Planner - park Ded. on the express condition that all work shall be done in accordance with all Council ~ applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pfi. _ Copies V 8uilding OfSicial ariance ~ TOTAL I . . . ' Permit No. Permit Holder Date Telephone # Wl('YER S6WEA PLUMBING a'- ~ H.V.A.C. ELECTRIC inspection Date Insp. Comments Footings I Foundation :2 •vZ;: t n„/ G,Q S ~ Framing Roofing Rough Plhg. Rough Htg. isui. 3 ' Z 3 A Frepiace Fnal Htg. . Q Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr.lPlan Bldg. Final C o.-j^ L c 7ri lv+. Deck Ftg. OeCk Final Well Pr. Disp. ~ . , ! J (Urttfirab of COrrupttnry Citp of (eagan sppartmenf v# 'Budding jwrrfimt : This Cer~ificate issued pursuanl to 1he requiremenu of Section 306 of the Uniform Building Code certifying that aJ the time of issuance thrs structure was in compliance with the various ordinances of 1he Crty regulating building corrstruction or use. For the foUowing: u. ckor.d. SF DWG/GAR eMS. n,m;t rro. 16121 OccuPency Typc ~1Lii ZomoB District PD Type Coast. VN ownaoc suna;ng THE RCYTIIM OD, IN' Addm 5201 E RIVIIt FtD, FRI~~.Y sWiaing Addrm 4040 SIDREM= DR 5 lzw.ey L4, B9, tUIS CF SE0[W= 8 -9-_ , Bw7d' g Officd(I POST IN A CONSPICUOUS PLACE ~ . ;t:• . ; . c., i'~ r • ' cr. , . . . _t . . _ . . . . . . . . , . _ - PERMIT • ' PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address `4 y' S~~N r6' J" r o' s BLDG. T~I~E WORK DESCRIPTION Lot Block 5 Sec/Sub Res. New , , = S ~~ti~ u. , cl • Mult. Add-on ~ Name Comm. Repair a~ ~ Address Other c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - NO. FIXTURES . TOTAL ~s Name Water Closet - $3.00 ~ ~ _~_Bath Tubs - $3.00 3 Address ~-Lavatory - $3.00 p City Phone ~ Shower -$3.00 ~Kitchen Sink - $3.00 FEES UrinaUBidet - $3.00 - COMM/IND FEE - 1% OF CONTRACT FEE ~Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES ~Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES ~ Water Heater -$1 50 - ~ MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 -J-Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES SoRener -$5.00 BEYOND $1,000.00) Well - S10.00 Private Disp. - $10.00 3 Rough Openings - $1.50 SIGNATURE OF PEFMITTEE FEE: 1 ~ STATE S/C: FOR: CITY OF EAGAN GRANO TOTAL• ~ - - . - - - - ' ~ . . . . • PERMIT # ' • • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 7~ y 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE: 7 ~ PHONE: 454-8100 Site Addrsss BLDG. TYPE WORK DESCRIPTION Lot Block ~ Sec/Sub Res. ~ New Nam . . Mult. Add-on - Comm. Repair Addres ~ City C0Wm WaN~b. Other Name " i•~,.+ FEES RES. HVAC 0-100 M BTU -$24.00 I c Address ADDITIONAL 50 M BTU - 6.00 I O City Phone (RES. HVAC INCWDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIn - 1.50 EA. TYPE OF WORK G COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU -'APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON ~ - Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM STATE SURCHARGE PER PERMIT - .50 PERMIT PRICE Gas Piping Outlets # -7 BEYOND $1,000) GOES Other - ~ : FEE: - 'S/C: SIGNATURE OF PERMITTEE TOTAL• FOR: C?TY OF EAGAN CITY OF EAGAN • 454-8100 . DEPT. OF BUILDING INSPECTIONS Correction Notice r: Located at I have this day inspected this structure and these premises and have found the following violation of city codes governing same: / I'r P - ~ ? ! / / O:-a. l LT% ~i 5 4/s When corrections have been made, please call 454-8100 for inspection. , Date Inspector Clty of Eagan DO NOT REMOVE THIS TAG ~ INSPECTI N RECORD ~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: '+4''4 Eagan, Minnesota 55122-1897 Date Issued: " (612) 681-4675 144 SITE ADDRESS: APPLICANT: PERIVIIT $4JBTYPE: TYPE OF WORK: INSPECTION . D, F- L ~ r Permit Holder Date Telephone It PLUMBING HVAC ~ Inspectlon Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING ~-qS / ROUGH PLUM8ING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRkIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL 6 DECK FTG OECK FINAL SEWER & WATER PERMIT OFFICE USE ONLY ` CITY OF EAGAN PERMIT DATE i"~ I~s' 3830 PIIOt Kt10b Rd. WATER PERMIT # 1026 ti SEWER PERMIT # P.O. Box 21199 METER # 019 B.P. RECEIPT # y 10"5'% II Eagan, MN 55121 C;ir{WEh6ER # d B.P. RECEIPT DATE 2/13/89 ~ METER SIZE a ~ ISSUE DATE ~ - PRV _ BOOSTER PUMP ~ SITE ADDRESS PERMIT REOUESTED LOT I BLOCKq SEC/SUB 91 J-4i ~ ~ - X SEWER 'X WATER _ TAPS ~ APPUCANT: ~ ~ , . I ADDRESS: v ' _ COMM/IND X RESIDENTIAL I CITY, SYATE ZIP ~ PHONE: SIC11' ' X NEW _ EXISTING I PLUMBER: \W..~ ~\1 ELL' Cf1, LP,1fl i ADDRESS: 610 ^ iE J 1 AGREE TO COMPIY WITH CITY OF ' CITY, STATE --7UFD Arj Zip 55352 EA N ORDINA E~: PHONE: A 9 ~ I 'I OWNER: ' ADDRESS: SIGNATURE WH METER ISSUED i CITY, STATE ZIP ~ PHONE: 9-~ PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SE RMITS, C ACT ENGINEERING DEPT. . - SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE 3530 PIIOt KI10b Rd. WATER PERMIT # IJ--`-,'' SEWER PERMIT # ~ P.O. Box 21199 METER # B.P. RECEIPT # Eagan, MN 55121 READER # B.P. RECEIPT DATE 2 113 / C,`-` I METER SIZE ISSUE DATE - PRV - BOOSTER PUMP SITEADDRESS R - ~ ! A' • p~ C~'~`-{ ` PERMIT REQUESTED I LOT BLOCK ' SEC/SUB .~L 0s- V APPLIC,ANT: J 1.~ ~ x SEWER - WATER _ TAPS ADDRESS: -COMM/IND RESIDENTIAL CITY, STATE ZIP PHONE: I' d 3O U x NEW - EXISTING PLUMBER: 1 ~11 E IV ADDRESS: 610 CREE'K LANE I AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP 55352 EAQiAN ORDINA CES: PHONE: OWNER: ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP I PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. . . . ~ ~ ~ pATE: 2/13r09 RE: 4040 STONEBRIDGE DR SO., L4, 39, H1LLS OF ST4NESR1DG8 x x 692 HAVEt~iHILE. RD., L17, B7, HILLS Ol~ STONEBRIDGE Your Sewer & Water Permit for the above property 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 PUBUC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer 8~ Water Permit for the above property cannot be completed for the following~ ~ reasons: r our Sewer & Water Permit for the above property has been comple'ted, but the meter cannot ~be igsued or occupancy ailowed until further notice. ~ COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be Gonfirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTIl.IT1ES - TELEPHONE, ELECTRIC, GAS, ETC. - RELIUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMEN'T FOR WATER TURN ON POLICY. i Secretary, Building Inspections Dept. CASH RECEIPT ~ ~ - ~ , CITY QF EA~. ~AN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ir DATE ~ 19 RECE1VED ' FROM . . . . . L . AMOUNT $ 8 DOLLARS ,w ? CASH t7 CHECK FOR FUND OB,IEGT qMpUNT Thank You BY Whde-Payers Copy Yelbw-Poatlrg QcPlr . . ° ~ _ ~ PINc-File Copy CITY OF EAGAN . . . ~ ~ ~ ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUIIDING PERMIT Receipt # i To be used for :i i' (;AK Est. Value $Y Z0, 00k~ Date '2/~ , 19$~- Site Address I lot 4 Block y Sec/Sub. OFFlCE USE ONLY Parcel No. occupancy A--3 -M--l FEES Zoning Pll W Name THE RG'~'T LJ,4L~ {:G . I iaC (qctuaq Corut V-H Bldg. Permit 710.00 i 3 Address 5701 E RiYE3t !iL', .4301 (Allowable) V-~a 64.00 surcharge , 0 City ~~~DLEY Phone 571-0304 # of stories - ' 355.00 ' Len9ih 48_1 Plan Review Z o.IVVme saM DePth 4V SAC, City 100•00 OU OC Address S.F.Total - SAC,MCWCC 575•~ CC City Phone S.F. Footprints - On Site Sewage _ Waler Conn 580. Q~ r ~ W Name On Site Weil - Waler Meter g0- ~ _ ; Address Mwcc sys~ ~ 0ncxt. oe sa 30. 00 P° a W City Phone City water ~ PRV Required - SM P8?mit 20.00 I hereby acknowlege that I have read this application and state that the Booster Pump - ~~~charge 1.00 information is correct and agree to comply with ail applicable State of Minnesota Slatutes and Ciry of Eagan Ordinances, , Treatmem PI 22$• ~ 5ignature of Permitee APPROVALS Road Unit 3~-00 A Buiiding Permit is issued to: Tti_ ROTL(fPID CO} iNC Plaftef - Park Ded. on the express condition that all work shall be done in accordance with all Couml applicable State of Minnesota Statutes and City of Eagan Ordinances. glds. pff, _ Copies Variance - TOTAL 3,089. ~ Building Official BLDG. PERpMIT NO. ~ , 07-3210 Bldg. Permit 01-3422 Plan Check 1 ~ 01-3445 Surch./Adm. ~ 01-3446 SAC/Adm. ~ 01-2155 Surcharge 59 75-3860 Road Unit ~ 20-2275 SAC q. 20-3865 Water Conn. 5 An 0-0 ~ 20-3868 Water Trmt. fy 20-3716 Water Meter C:C, i ~ 20-2252 Acct. Dep. ~ 20-3713 Water Permit ~ 20-3743 Sewer Permit 79-3866 Sewer Conn. I (M 0 28-3855 Park Ded. TOTAL ~ O 29 CITY OF EAGAN N? 16121 3830 Pilot Knob Road, P.O. Boz 21-199, Eagan, MN 55127 PHONE: 454-8100 BUILDING PERMIT Receipt # 7o be used for SF DWG/GAR Est Vawe $120, 000 Date S/-~ , 19 89 Site Address LOt 4 BIOCk 9 S2GSUb. STONF$$T OFFICE USE ONIV PBfCBI NO. Otcupancy R-3 M-]. FEES Zoning PD W Name TNE ROTTLUND C0. INC . (Aauaq Const V-N ewg. Permit 710.00 o Addre55 5201 E RIVER RD, #301 (Allowable) V-N Surcharge 60.00 City FRIDLEY Phone 571-0304 aorsrones - Length _481 PlanReview 355.00 io Name SAME Depih 4$' snc,city 100.00 Address S.F. 7olal ~F SAC,MCWCC 575.00 City Phone S.F. Faotprinls - RO _ 00 On Ste Sewage _ FwI-R ater Conn S Name pnSiteWell - WalerMeler 9n_nAddress Mwcc system ~Acct. Depasd 30.0City Phone cnywater ~Y7L PRVFeqwred _ S/WPermit 20.00 1 hereby acknowlege that I have read this applica[ion antl state that the Booster Pump - Sfyy Surcharge 1.00 information is correct and ree to comply wih all applicable State of Mmnesola Statutes and Ci f Or manc s. Trealment PI 228 • 00 SignaWre of Permrtee APPpOVALs Roatl Unit 34n - f1f1 A 8mlding Permit is issued to' THF ROTi IIN? ('O ~ TN~ Planner - park Ded on the express contlihon ihat all work shall be done m accordance with all Councd - applicable State of,Minnesota Statutes anyd Ciry~ jof Eagan Ordinances. Bldg Ou Copies 0 Building Oflicial ' 1-M1 /_ArQ /j' 1 M 1 I I~I Variance - TOTAL 3,089.0 /1~/O,/S7 ' i/g' Y Request Dale Fre No Roughu-Ind,~lnspection o / Req' O ReaGy No ill Nony inspeclor ?NO WhenReady+ I p licensed contrector ? owner hereby request inspectwn of above electrical work at: JoE Pdtlress (SVee[ Boz or RoNe No.) Cny oy ~,brtd e ~ Secnon No. Township Name or No Range No County Occupenl (PRINT) Pho. No r)d Paver Supplier AtlEress bakJo, E19.c1ric. Electncal Conhactor (Company Name) Conbactor5 Licanse No 5Qf-N(-:t5Z c ic. MaAing Atltlress (COnVactor or Owirer Makrtg Inatallanon) b a- PL' AuNOrizetl Sgnfltura (COntretloqPxner Making Inslallation) Phone Number q~ W`WW MINNESOTA STATE BOAHD OF ELECTflICITY THIS INSPECTION HEQUEST WILL NOT Grlgga-Midway Bldg. - qoom 5173 BE ACCEPTED BY THE ST.4TE BOARD 1821 Unlvxeiry Ave., SI. Paul, MN 55104 UNLESS PRDPER INSPECTIDN FEE IS Mohw (612) 662-0800 ENCLOSED REUUEST FOR ELECTRICAL INSPECTION M EB-00001-07 l See mstruchons br comyleFing ihis1orm on back of yellow wpy ~ I/~ c F 0 2-551 •X" Below Work Covered by This Request ew Adtl ~lep. TypeofBmlding AppliancesWired EqmpmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building ryer Other (Specify) Comm /Indusirial Furnace Farm Air CondRioner Olher (specdy) ConVactor5 Remarks' Compute Inspechon Fee Below# Other Fee # SerwceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool to 200 Amps ~ 0 to 100 Amps ~Q Transformers A6ove 200 _ Amps A6 Amps SIQf15 Inspector5 Use Only. TOTAL l Irrigation Booms - 7 ~ `aao ~ Special Inspection ~ Alarm/Commumcation Other Fee I, the Electrical Inspector, hereby Rougn-in certify that the a6ove inspection has F,nai oa~e been made. OFFICE USE ONLY f p rrs reques[ wW 18 montha hnm ' G~ 1513 3. e' , Requesl D Fire No. ugh-in Inspeclbn ~ , equired~ ? Ready Now ? Will NoLh/ Inspectar ? Ves ? No When Reetly? I liceqsed contractor ? owner hereby request inspec[ion of above electrical work at: Job Ad sg.fShB or Ro N.) b Ctly V~ Seclion No Townsliip Name or N. e Cou Occupa RIM) Ph PowerSUpp er Atltlress O ElMnmi Name) Coyyad 's~ce e U U MaJing Atl~re~~Wrp(.t~,p~$vpg~ Makng Insta ion) t 4U N~::~NOCK LANE Aulh ( r r aki at~G` 7 12A Phone Nu be r JV j MINNESOTA STA7E BOABO OF ELECTflICITV - THIS INSPECTION REOUEST WILL NOT GtlggaMiEwey 61tlg. - Room S73 BE ACCEPTED BY THE STATE BOARD 182f UnlversNy Ave., SL Peul, MN 5510I UNLES$ PROPEF INSPECTION FEE IS Pho. (612) 862-M00 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-0oooI-07 ? SeelNaVUClions for Wmplebng ihis krtn on back ol yellow wpy IF 1513 3' ' X" Below Work Covered by This Request ew dd Rap. Type of Building AppliancesWrtetl EquipmentWired Home Range Temporary Service Duplex Water Heater Elec[ric Heating • ApL Building Dryer Olher (Specify) Comm./Indusirial Furnace Farm Air Conditioner Ofher (speaty) or5 Remarks: Campute Inspection Fee Below. # Other Fee # ServiceEnVancaSize Fee # Cimuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transfortners Above 200 _ Amps Above 100 _ Amps SIgOS Inspectorts Use Only. TOTp 6-0 Irrigation Booms , Speciallnspec[ion J ~O Alarm/Communication Other Fee I, the Electrical Inspedor, hereby Rougn-m Date certify that the above inspection has Finei o been made. , OFFICE USE ONLY ' TNS reques[ voitl 18 manihs irom yras~ L~ 8 2 813 Request Date F.I. No. h-in Inspectron Re9u d? ? Ready Now ill Nolifylnspector es ? No When Heady? 1 O licensed contractor O owner hereby request inspeciion oi above electrical work at: ,bb Adtlress (Street, Box or Route NoJ Chy A ~ SEc.n~b~ n Seciwn Na. TownsNp Neme or No. Range No Counry Occupam(PRIN~ - Phone No. ~ Power Supplier Dn, Atldress Xc~k0. 4r Electrrcal Contractor (COmpany Neme) , Corrtrador§ Licensa Na. ri t rlg- Maibng Atltlress (COrrtreclor or Owner Making Inatallafion) q 0 TX-(~ rIL Mti1 55L4U AutMrizeE Sgnature (COntmcta/Owner Malung Inatallatlon) Phone Number MINNESOTA STATE BOA 0 OF ELECTPICRY THIS INSPECTION REOUEST WILL NOT GAgg&Midway BWg. - PaCm'&173 BE ACCEPTED BY THE STATE BOARD 1821 UnNeralry Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(812) e42-OB00 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION e-aoom.o7 (3. p ? Sea~isWcqons br complenng ihts form on back of yellow copy y^ ~/p~ ~(P ~ p 2 p 1 3 = X" Below Work Nvered by This Request e Add Rep. TypeofBiiildmg AppliancesWired EquipmernWiretl Home - Range emporary Serwce Duplex ~Water Heater Eleciric Heating , ApL Building; ° Dryer Other (Specity) Comm./lndustrial.. Purnace Farm Air Conditioner Ochar (specily) : ConlraclorS Flemarks: Compute Inspection Fee Below:' # Othar „Fee # Service Enirance Size Fee # Circuits/Feedere Fee Swimming Pool 0 to 200 Amps 0 ta 100 Amps 7ransformers Above 200 _ Amps Abave 100 _ Amps Signs finspectorB Use Onty. ~ 7pTAL ~O Ini9ationBOOms Speciallnspection AIartNCommunication_:fi ' Other Fee I, the Elec[ricaf Inspectof,,.hereby R°'ren-m r oata certify that the above inspe.cFion has been made. OFFlCEUSEONLY Thlsrequeetvadl8monthsirofn.v' - RESIDENTIAL BUILDING PERMIT APPLICATION ~ 3830 PILOT KNOB RDEEAGAN MN 55122 ~ I L4 (-1 ( 651-681-4875 ~ New Constructlan ReoviremeMS RemodellReoair Reouirements • 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas . 2 copies of plan 10 _ C) a... (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated addiM1Ons • 2 copies of plan showing 6eam & window s¢es; poured fourid design, etc.) • 1 s@e survey for extenor addkions & decks ~ 1 set of Eneryy Calculations • Indicate if home served by septic system for addiYions • 3 copies of Tree Preservation Plan'rf lot platted aRer 7/1193 • Rim Joist Delail Options seledian sheel (bldgs vnth 3 or less units) DATE VALUATION -WPFJiM~~ SITEADDRESS 4t)40 S+27Y10.IQ6„4,qe_ ()f • S. MULTI-FAMILYBLDG _Y kN TYPE Of WORK '3ird oct rnnlL. S-a1~iic~i~"In~ PIREPLACE(S) ~ 0_ 1_ 2 APPLICANT ~T m ~ra SC.~ STREETADDRESS 4,~u 4o -AgSL (")rf I S CITY_6Z@A/V% STATE W) ZIP 5S~a3 TELEPHONE # 6SI-45a-070-JCELL PHONE # PAX # PROPERTYOWNER ^TO1rn°4 -PCD"I" IJQsG/A TELEPHONE# IOSI-LfJo~-O1p^] COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA 12UL1~:S 7670 CA1tiGORY 1 MINL. (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • N *9@oR 4*e'qp itted . Energy Envelope Calculations Submitted II JUN 0 6 2002 ~ Plumbing Contractor: Phone # _ 8------------- Plumbing syslem uicludes: _ Waler 5oftener Iawri Sprinkler y . Water Healer No. of R.I. 13aths No. of 13aths Mechanical Contractor: Phone # Mcchlnical sysLem includes: Air Conditioning rcc: $70.00 Heat Rccovery Systetn Sewer/Water Conhactor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or nances. SignaTureofApplicant ,((~Q OPFICE iJSE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessc+ry Bldg ? 02 SF Dwelling ? 08 06-plex 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi • ? 03 01 of _ plex ? 09 07-plex H 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding Ef 32 Add'Rion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Vatuation ~ 5760 Occupancy MClES System Census Code :zww7W Zoning City Water ^ SAC Units ~ Stories Booster Pump Nbr. of Units Sq. Ft. PRV - Nbr, of Bidgs Length aa.3 Fire Sprinklered ~ Type of Const Il- Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) ? FinaVNo C.O. Footings (addition) _ Plumbing ? Foundation HVAC Drain Tile ~ Other Roof _L/Ice & Water Final _ Pool _ Ftgs Air/Gas Tes[s Final '0~ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Building Inspector ease Fee S. 0S- Surcharge .3 Od Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Piant Plumbing Permit Mechanical Permit License Search Copies Other ~t Total ' • 2 x y a,\. 16 c e,n 4-tr 'hf9 T?'USSeS a~f n o+~+ C2rl~G.I^ / F^^^N ~ . , fTd/1d -~'r ' / R ~ II ) 1 OS13 .-G-6-oZ BUILDIfUG lid.,. ,wju6 DEP • ~~~.c(s 4SB I • {'o r /0 " do o r Yf LV L • 8 "~c 16" ~'ao41h9s r?"-fzA e-,l~'sy4.~s r1-- , Deck i 1 ii 74'0'z1E0' ' i i i i i i i i i i i ~ i ~ ~ i ~ i ~ i i j HDU58 ~ i ~ 40'0'x26 0' ~ ~ ' ~ 1-a_~ ~ - NewGarape i i 16 7 x 22' S' Existing Garape i ~ 22' 7' x 22 5' i i i i i i , i i r-------- i ~ i--^---i I 1 ~ i____________1 I ~ ~ 1 1 i j i i ~ i . ~ ~ i , , 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Piease complete for modifications to existing residential dwellings. Date ~ / S ! O s Site Street Address '-fU'-i o S-t-ore br i ole)c Dr $ unic # Property Owner Thc_-)w+rlct5 ~0.S ~4l Telephone #((oS I) Fi,P. PIPcVNOi;f~S Contractor 3670 f]nnn Re~~ Telephone ) Address EAGAN, A~1N 55123 City State 2ip ~ The Applicant is: _ Owner J Contrector _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener andlor water heater--complete next section if installing these appliances). _Septic System Abandonment _ Water Turnaround (add $125.00 if a 5!8" meter is required) Other: Water Softener ~ Water Heater $ 15.00 _ new ~ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ ( 5 ~ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in fhe event a plan is required to be reviewed and approved. MIrWl-1 l-Ee.v~ jo~ nn , ~ 0 ~ [m Applicant's Printed Name ApplicanYs Signature " ~ .'ul z 12005 ~ gY 6 .Sa t~- o RESIDENTIAL ~ BUILDING PERMIT APPLICATION ,'-rj~ 76 CITY OF EAGAN ° 3830 PILOT KNOB RD, EAGAN MN 55122 651-689-4675 7 S New Conatructlon Reauiremants RamodellReoair Reauirements • 3 registered site surveys showing sq. N. of lol, sq. ft. of house; and all roofed areas • 2 copies of plan (20% marimum lot coverage allowed) . 7 set of Energy Calcwlations for heated additions 2 copies M plan showing beam & window s¢es; poured found design, etc.) . 1 sRe suney for e:tenor additions & decks . 1 set of Energy Calculations Indicate If home served by septic s m for addNOns • 3 copies of Tree Preservation Plan if bl plaqed after 711193 • • Rim Joist Detail Optlons selecfion sheet (61dgs with 3 or less unAS) g DATE ~ 2~2, _-)_2- VALUATION SITE ADDRESS MULTI-FAMILY BLDG _Y TYPE OF WORK ~U FIREPLACE(S) _ 0_ 1_ 2 T~. ~ r- APPLICANT STREETADDRESS f) ~ZS` f CITY/S STATEA/4ZIPTpr TELEPHON ' ~O 1L 5y c 5 -CELL PHONE # ~b ~i~357s 66 FAX # ~6 ~'53 ~ ~7U PR NER TELEPHONE# ~g o 07 COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY I~L~S~{~'i7~ ( n Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MIN ' " submission type) . Residen6al Ventilation Category 1 Worksheet Su6mitted • N nergy Code Workshaet S itted . Energy Envelope Calculations Su6mitted AUG 2 3 2002 ~ Plumbing Contractor. Phone # _ B Plumhing system includes: Water Softener Iawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 Heat Recovcry System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant l - OFFICE USE ONL Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 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 (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demalish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) • Giva 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 Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Srone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulatioa _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total • 1989 BQILDING PERMIT 6PPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS I G l ol/ INCLUDE 2 SETS OF PLANS, 3 CERTIFICATFS OF SURVEY, 1 SET OF ENERGY CAC.CULATIONS ROTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WAICH ADDRESS IS DESIRED. NO CHANGES 4lILL BE ALLOWED ONCE B[1ILDING PEAMIT IS ISSOED. lAILTIPLE DWELLINGS RSNT9L IINITS FOB SALE IINITS i OF UNIT3 INCLUDE 2 SETS OF PLANS, CERTIFIC9TE QF SORVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COtM1ERCIAL INCLUDE 2 SETS OF ARCHITECTUHAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS 12 0 o0a To Be Used For: '5I>.ol Valuation: Date: -7-G~3°I Site Address Z/d5b , OFFICE OSE ONLY Lot 4 Bloek q Oecupaney ~--2 M-1 FEES Zoning PD Parcel/Sub /fi'c4t~ Actual Const ~IA/ Bldg. Permit ?/O 7 Allowable //Y Sureharge o Owner ThP I~Of/7vnd # of stories Plan Review 3SS Address ~p/ ~j /?il)tJr /~cxe.a/ ~~jl Depth~ ~ SAC, MWCC / S.F. Total Water Conn City/Zip Code F ~y 61!) VZ/ Footprint S.F. Water Meter ~O Aect. Deposit Phone ~S-7/- p3p/ On site sewage_ S/W Permit z o ~ On site well _ S/W Surcharge / I Contractor MWCC System - Treatment P1. 7 'z City water ? Road Unit 3 yp Address PRV required _ Park Ded. Booster Pump _ Copies City/Zip Code c„a-mp TOTAL N APPROVALS Phone Planner Council Areh./Engr. ~P Bldg. Off. e-2~le Variance , Address sr-L~p Council City/Zip Code G~ [ Phone # 'E:~e NOTE: Sewer & Water Permit fees and aecount deposit fees will be ineluded in the building germit fee. Processing time for serrer and rrater permits is two days once a licensed plumber has applied for a permit at City Hall. ~s~,,;~ . _ .A . . Z.b 3~' = f~~ /Y ~ ~ ~~3z l;t ~ ~ Z~.,~- 3~ = S ~cXSa, cfq~yoo zhQi .~i. Z~k 3~~ Xso; y~ y~a 6~-- z z.,~.-a~- _ `l~'y,k. '?Z G 0 J~ /t~~ ~~z 4t" ' , ~~Mp~)cZ ~ EXTERIOR : EcvvELOPE AVERAGE "U" COMPiITATION OWNER oTT~v,vD CO. SITE ADDRESS ` - CONTRACTOR F DATE _ PHONE Determine working square footage of each. 1. Total exposed wall area 2 4 `'77 sq. ft. x 27 ~~1-7 2. Total roof/ceiling area / U 32 sq. ft. x #02& °2 6,,`6 3 Total exposed wall area above floor = -2 a. Total wall window area b. Tota1 door area S~ c. Total sliding glass door area - d. Total fireplace wall area e. Total wall framing area (average 10%) f. Total net wall area above floor 17i5 - g. Total rim joist area 2i?, Total exposed foundation area = (~n Z h. Total foundation window area C/I 53 i. Total net foundation area above grade Determine "U" value of each wall segmenC. a. ~ ~jCl X "U" 102v0G b. S~ x"u" ,07 = 3.q 2 C X nUn I ' d. - g nj]n - -7-7-7' e. X"U° . O~s 7 a I ro ~ 6 Z f. 171s X ,,U„ voclz = -7-)003 ' g. z 6 5A X,,Ull os4o 3(cv . h. oJ X ~~U" , $~V Lf.4~S6, i, s 3 X~,U,i v076 ~3 ' 3 ......................................Tota1 If item 1/ 3 is the same as, or less than item lll, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area U 3Z Total gross roof/ceiling area = /G 3 Z j. Total skylight area 6 k. Total roof/ceiling framing area 6 Z 1. Total net insulated roof/ceiling area 96 y Determine "U" value for each roof/ceiling segment. x ltU,l ~ = 2e6 `f k. 2 X l'Utf 6 a27 = /e67 1. c/6`7~ X i'Ui' sOZs 4 Total = 20- v ( If total of (14 is the same as, or less than U2, you have met the intent of SBC 6006(c)1. To utilize the total envelope system method, the values established by the sum of items fi3 and lf4 shall not be greater than the sum of items !/1 and f12. 1. 277017 + 2. 2 6,-K3 = 30ysOC~ ' 3. 2/~fo~~ + 4. 2 G1.Y~ = 2`f3.22 . OL 4 tlux:: jjce 101 oi opaque wall area for • . Lzame construction . ~ Construction , . ' • R-Value Interior air~film 0.68 L"Cn-Y P f3 2 D o ,!t S 3..z x~ STC/D S ' T(oc`LSB_EASIC A K' . 9. 25-/32 SNTC, 2~Df~ [~1ALL ' . M1~~ , 5. 5/O~~+iGs UVC/c FELr / 6 2 ro Exterior air film 0.17 • ~ Total FIG. ft1 TOPVIEIP OF _ . . . ' FPJUIL i7ALL . . Interior air £ilm 0.68 . . , . . , . , 2. VL"C~t'/:> 13u'G D o ~/S. . . . "0 ' 3• F(JL L~Gd.61 z-4" ~ ~ J~~,'•'~ . / ~.bo 1?IG. 42 ~ 9. 2 2 OC~ ' f 1a2~ • ~ I!_~~ 6. FSCterior air film 0.17 ' ~~.-~-.-------p ' Total 2 3, 6 Z ~ , Interior air v~ oO~f 2 J. 1~SGr, L:.~( • ` i ~~1"""`^ "'--.°_f~ - £ilm 0. GB' a i 1 2. r~ ~L:,;._,•~'._.,___-____a 3. '2 X_ 12~( /l ~ ~ 1~ L • ~ 4. 2 S~3 Z S F-I 'r-G} Z m0~' 5. "2~ ' •~~_O, \ 6. Exterior air film 0.17 I ' • • 3 ~ • Total 2 S.O S O `fC~ II.l~\ • !1 • . .~=nJ[\ ' . _ ' . •r' p~ 1-..,,,`J 1. Interior air film. •~ti -i'y!. 6 0.68 --~t . . . . 2. M I. 3. 2,~1 Fc~R 2 r tv v , 4. /2 5 GQ~C, /~COCI~ /aL`6 ~ . . 6. Exterior air film 0.17 a ' • Total 13e13 ' . . . . , ~ l/-_ v 0•7 ~ ' u ( , ~ ° ' ~ r . , 4 . r. ` ' + . 1 ~ ) ~ "-2' . •'~[~_!jI?f=~ ~ • ~ ~ ~ . ~ ~ ' w' - = - ~ ~ ~ ' • ~ ' „ ~ - l~(.` • ' 6 ; , ~ ~ , /I( , ' /r~ ~ u . • ' ' ' ~ . 6 . ! 111 = . . ~ k : ..,rc • 113 Fic. ~in • • - ` ~I ~ ,U _ ~ . ` ' • • 1!f ~ - ' Q ` / , . _ '.ROOP/CEILTNG ~ . • • . . ~ • . ~ ~ i. . ConstrucL•ion R-Value interior air film 0.G1. Z, sis~" vY~ r~ ~o o ss . ~ 4 3. 13~Ow.v i.v5v~ 3£„00 • ~ i`. ~;il • ~ 4. Exterior ai~: film (still . 0, ~ Tot•al 3~oE50. ~ . ~ . . ~ ~ , , . , Ven~ed HeaC fLow ' ~ ' • • ' • • , , . . . . up , . ~ . ' ~ . ~ FIG. $5 L6 . . I . , . . ' ~ . ~~tis.-- . • , , , i ' , ' , . ~ . . 1. Interior air film O.G1 ,.,_~~;•..~.,c:~ru,.r._l'^_'C,L,~u_-,.0.~n~~nua~ ~ 2. C~Y1- 1~.3RD 5 S =--r---T'T> i-"---r', 3. 1,v6UL ovE2 r/'tUSS . i 9., Extcrior air film sti 1 . •i . ~ . . Total• 3coi`7`f j~~ ~ ~I1~~~~ ~ Il um ~ ~ • . . • ' . , . ' `~J `~J ~ 3 . . • ~ • • ° . . ~ , ~ . . ' . . , Y.sct flota vp. .•vented . ~ . • , ~ ' ~ ' • , i , . . ~ ~ • . .FIG. Il6.:..~.. . , ' . . j ~ . . . _F_,. , . . . ' . _ . . . , 1. Insi.de ai.r filin O.G1 • - ~ St.t:.".'"~..^6-~ 2. . , • y, ° - . . 3. , ^.v~t,.: ~.•':.~:::•:•:'-':.s~ ~ • ' ~~,_+~.Y?~.1; r: ~ : • + 4. • ~ ~ ' S. Outside air film 0. ].7 l'"~ ~ • ` To ta1 r ~ ' I ~ Z ~ ; , ' . . . . • . _ • j• ; • . ` xo,r-b~, . . , 'Tm . Nol•c: Use additioqal sheets•if• more cpaco is . . • ~ ' ~ neeQed for details and calculatians. ~ ~ . ~ Heat ' ~ . • . ~ • • , • ~fJ.ow up ~ - ' • ~ ~ . , . ' ' R • . . . . , • . : ~ ~ : . , ~ . • rr . . . fi,T.r, ~~7 • . . G,fy~ 2422 EnteYprise Drive 'F PIONEER Mendota Heights, MN 55120 LAHOSURVEYORS•CIVIIENGINEERS A ~eng*eering•. LANOPLANNERS- LANOSCIIPEARCMITECTS (C1<~1)oL~poi1'1u/11Y ~ i * ~ * Certificate of Survey for: TNE ROT T L UND COA'?f"'Q IV 1 ~ pRt•/G~ " 5 NorzrH N 57oNEB2fDCaE _ ,.1.c• eqo•~ Q•/5°l3'4$" q~~ ~ R 291 (n3 4 N I M B ~ S M ab ~5F--- -.r' - - - 1.g3 22.0 t.. - - - ° . _ pp. Jb.o6i~ o ,r r ~(~ARN i~9'ia^dl'a '1.-~~'L''1' W 25.61 l cA N ~ vt~ ~ ^~VaevusE~v i tl~"' _ ~ ~ I N L ~ ~ ao4e 4- EP1GAN 1 48•0 ~ yl ~ 1 89 FtEV1EWED 887' . I y 1 ~~j BY n S 51 L ' l ~ -------~A1 I 73.74 I I Easr • 900.o Denvtes exr'sti.no flevafion PaovosEO NOUSf EtEVA7101V5 = soo.o Otnofes propcMd Elevot%on lowesf Floor Elevation = 886. 43 ------Denofes Drar'nae ( uPrlrfy Easemenf penotes Drqrna e Flow Arrows Top ot BIDCI( EIQVpfiOr? = A9i. 53 o Denofes monUmenf C'iarRge 5/ab E/evatian ° 893.2 . 8 eurls Shown ure assum ed LOT 4, gLock 9,141Lt5'oF STOIVEBRIdGE DAKOTA CouNTY, MiNNESoTA SUBJECr 7D EASfMENTS OFRE'CORD I hereby cenify thet this is s true snd conect representation of a furvey of the 6oundaries ol the ahove d cribed Ian a/r~ of the loqtion ol atl 6uildinqs, thereon, and all visible encrofchmenn, i( any, Irom u on ssid lend. At wrvcyM by me th.sday ot_ L f"-IfG-A,O, 19 ScQle' 1'^ " 40ild 99/ 4711Z 03 nOBEAT B. SIKtCFi L.S. REG. NO. 14091 3i PERMIT C~T~F EAGAN 38 OPilotKnobRoad PERMITTYPE: BuzLozNc Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 4 2 4 (612) 681-4675 Date Issued: 'D 9/ 2 3 J 9 B SITEADDRESS: 4040 STCJNEBRII]GE oR s LOT: A BLOCK; 9 HILLS OF STONEBRIpGE P.I.N.: 10-32990-040-09 DESCRIPTION: P E R O O F Bui`l"di°0~%Permit Type STQRM DAMAGE B.Iuf3,dirig~.`WA,rk Type REPASR 434 ALT. RESIDENTIAL " A~ ~ a ~ ~ ` ,~,r;' +'e`5e:a• ~ - _ - s "s~ec c re§~ H z F i'fli~a eirw.~ syia P~^wrz}`' .:~ev.e.wic_m mis.~m.Qariaa~nte3x ~sa pie -p a m74c 0i1 ai ss' . ~~i~ ~c" -nia: ''+,"c:~° ire ~ au~[ Cac ~a_: i°as Grnn a~ e~ _ig REMARKS: FEE SUMMARY; ~~NT~~4CTOR: - App icant sr. Lzc. OWNER: 13468090 20128211 BASGH THOMAS 10736 NORMANDALE BLVD 4040 STONEBRTDGE pR S BLObMINGTON MN 56437 EAGAN MN 55123 (612) 946-8008 (661)452-0707 ' I ttoreby ac,k,nawledge.•th.at"I .hs'vg~ re.~il..~YSas'-applicati'dn ,a`nd'° s~Cate~that thep~ snfisr~`tYtat~p-n is qorreot arrit to c.arrr~.l,y a45'~~~e "~of, Mrt t~t ~r~t'e~s o'~="~~s~aFkf2r~i3`t~~lr~~s~,: f ~ ~ . _ . ' ' ' „i_ . ° M v . . . . . . eL& APPLICANT/PERMITEE SIGNA7URE UE~ BY SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CI1'Y OF EAQAN 33 y,~ , I 3830 PII.OT KNO; RD - 65122 ~ New Conshuetion Reauirements RemodeVReoair Requirements ? 3 registereC site surveys ? 2 coPies of plan • 2 copies of plans (inGude 6eam 8 window saes; poured fid. dosign, etc.) ? 2 site surveys (exterior add'Rions 8 decks) ? 1 ene/gy wlculations ? 1 energy calculations tor heated additions • 3 mpies of tree preurvation plan if lot platted after 717J93 required: Yes _ No DATE: Q' I l1Q_qb CONSTRUCTION COST; DESCRIPTION OF WORK: Tall P.~' STREET ADDRESS: LOT: BLOCK: SUBD.lP.I.D. Name: L/QS C h ~~~,~rS Phone PROPERTY 1-ast Pirsc OWNER StreetAddress: ~O/~ ~YV y-IdoQ. Ba//~ tn City State:Zip: SSI D, a Company: Phone CONTRACTOR StreetAddress: License# CitY Stare: Zip: ARCHITECT/ ENGINEER Company: Phone rvame: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penaity applies when address chang and lot change is requested once permft is issued. I hereby adcnowledge that I have read this application and state that the intortnation is correct and agree to comply with atl appiicabl State of MinnesoW Statutes and City of Eagan Ordinances. ~ Signature of Applicant: ~ OFFICE USE ONLY Certficates of Survey Received _ Yes ~ No Tree Preservation Plan Received _ Yes _ No _ Not Required --r . OFFICE USE ONLY ~ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Muiti RepaidRem. 0 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous O 05 SF Misc. 0 10 _-plex 0 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 F2epair ? 37 Gamolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS Syslem (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq, ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge I-iar~ naview License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Traiis Ded. ' Other Copies Total: °k SAC SAC Units PERMIT Ck3~ ~ ~ ~ ~ITY F EAGAN PERMITTYPE: euxLDrNG 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 Permit Number: 026258 (612) 681-4675 Date Issued: 0 3/ 2 3/ 9 5 5{TE ADDRESS: 4040 STONEBRSDGE OR S LO7: 4 BLpCK: 9 HSLLS OF STONEBRID6E P.I.N.: 10-32990-040-09 DESCRIPTION: B w • a . l tFs nq" ~ P , , e r m i t T y p e D E C K ,,PuiId3Yig Wss,r;k Type NEW E'•~'~,.''EF ` 1= S W X p 8' pV IE 0e-:,;.~~w.,3~~; ..6 ~.ma +s REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: - Applicant - OWNER: DONNELLY CO 17224290 UASSEN ROGER 2519 E 25TH ST 4040 STONEBRID6E DR 5 MINNEAPOLIS MN 55406 EA6AN MN (612) 722-4200 (612)686-4511 *-'T hereby acknQwYedge that'Z hdvs-,i'ear3 this'appl,i:g,atio€r a,rrct°,"~~z~'~;e ~fta~ tfre" - i•n-~,o~rmation is carrect, a,nd''ragr:oe ta compl}~ 0-1 tf1. ~~31, d~itlic 61e~~-S'f Staxutes att City of •EaB4!rr 0rda narsc'es.' '(f(fa P ei ,1 PPIICANT/PERMITEE SIGNATURE ISS ED B`SI~ATUR INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: Bu I Lp r NG 3830 Pilot Knob Road Permit Number: 025258 Eagan, Minnesota 55122-1897 Date Issued 0 3/ 2 3/ 5 5 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 4 BLOCKc 5 4040 STONEBRIDGE DR S DONNELLY CO HILLS tlF 570NEBRIOGE (512) 722-4200 PERMIT SUBTYPE: TYPE OF WORK: pECK NEW INSPECTION D. . DA FOOTINGS FINAL - - . . _ _ . °a, . , ~ . . ' ' . ` ' _ _ " ' . . . . . . . . _ - v!. R ~ F ~ . v..,. _ . . . . .i.., r E a a a . ~ . . . .dY.. 5 e . ~i a. .~£sN rt+"~ gifi CITY OF EAGAN ~ I~ 3830 PILOT KNOB RD - 55122 t, J 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 'C ..r 681 -4675 New ConsWetion Reouirements RemodeVReoair Reauirements ? 3 registered site surveys ? 2 copias oT plan ? 2 copies oi plans (inGude beam & window sizes; pourad fid, design; etc.) ? 2 site surveys (exlerior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 coples of tree preservatfon plan 'rf lot piatted after 7/7l93 required: _ Yes _ No ~ DATE: f ° -I " l `5 CONSTRUCTION COS DESCRIPTION OF WORK: C-) So• STREET ADDRESS: LOT I.~ BLOCK SUBD./P.I.D. ~ PROPERTY Name: ~ lJ5Cr1 phone OWNER " Street Address ~ e City: State: Zip -?-530 coNTw?croR Company: T.), ~ oe -7 Z Street Address: 7_S I S C ~ ZS~ ~ License ~q Ll 9 City: State: 1Vl h Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer 8 water licensed plumber: Penalry applies when address change and lot change are requested once permit is issued. I hereby acknowledge that 1 have read this application and state that the information i correct and agree to comply with all appliqble State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applipnt: ~ OFFICE USE ONLY RE(~ENED Certificates of Survey Received _ Yes _ No ViAR 0 81995 Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY ~ , ~ • ~ , . ...y..~; , ..~.,s+ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool -*1q)3-SF-Add?tM ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 ire lace ? 21 Miscellaneous 0 05 SF Misc. 0 10 = plex 15 Deck WORK TYPE o New o 33 Alterations ? 36 Move Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length ~ sq. ft. Census Code. ~ Depth Footprint sq. ft. SAC Code ~ Census Bldg Census Unit APPROVALS Planning Building Engineering Variance . ~ Permit Fee Valuation: Surcharge 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 . so Total: % SAC SAC Units 1~ ~ZX E / ,Z - ~ 2422 Ente rise Drive * PIC7NEER Mendota Heights, MN 55120 LwRDSURVEYORS•CIVILENG~NEERS ~ e(1['1Il~eer~n("~•• L~~'1OPLANNERS•LANDSCRPEl1NCH1TEGT5 Ic1~l C81'1(f,A ~ y r fl I I] a Y 1 ~ ~T Certificate of Survey for. TNG ROTT L UND COMPANY ° 5• NORTN ~ SToNEB~2tDC~E .t.ce9o~ ` q A./5°1345 q~~ ~ 77.51 . A 17 8; q R. 791 ""1 •O ~_.m i. $Q'~ s~- - - a ~ y ~v ` . 121.0 ~ . NyARw ~ 3<i.,N.-Li•i:...~~~.'~I:i11:11-i 1 / ,io.o 1 , ~ O . NI R I i / zy.Li~ / I dJ M % VM ~ ~ VROP~54~? ~ lno - - ~ au3e tn~ J3• ~ ~ .38.0~ ~?73~; Z EAGAN 5~7gy~ REVIEWED S8~' . I ' 1 sTj l166 I 1 gy S- Si r~ M, - - - - - - ' 4b g~b• L I 73.74 I EAST . 900.0 Denofes exislln~ Flevafion PJ70P0SE0 NOUS£ ELEVA7/ONS . yoo.o Dtnafes propaHd £levotion ------Denofes Drothq~e t utilr~{V Easemenf Lowest Floor E/eva~ion = 386. ~-3 ~ aenofes Orqrna e FJow Arrrows Top ot Slock fleJation : s9z). 93 o Otnofes monUmtnf C~iarpfe Slafi Efevafron 993.2 $earihis's shown are assumed LOT 4, BLOCk 9 1NIttS i OF STONEBRIaGE OQKOTq CauNTY, MiNNE,soTA SUBJ£C( TO EASfMfNTS OFRECORD I hereby certily that this is s we snd correa represenuuan of a turvey of tne boundn:es of the ahove d cdbed lan a of the Ixation of all buildinps, thereon, and all visibla encrachmcnn, {I eny, Ifom w on faid Iond. At wrveyed 6y me thisday o1A.D, 190_ l Sca/e : 1 in ' 40 f qd 04/ - f- ROBEAT B. SiKICH L.S. REC NO. 1~l91 f7//1 • 03 11.1 4,11' City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 C� gag r Use BLUE or BLACK Ink For Office Use Permit #: r Permit Fee: CO ived: i74 / Date Staff: 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION PO/ site Address: tip L/0 LS:-/tkze, 84e_ De- 5 Tenant: JO ir"t'l, B ate�et 4 Be. 7 - Date: Suite #p: RESIDENT I OWNER Name: I4j 0,A,4 p & salPhone: '/OAddress / City / Zip: '/0 &Lo,v- QD 3 CONTRACTOR Name: # ! ? , A_ 0, t :.. A._i...' �' . l ," rL. • �, LicenseSi#: CS4',3 f� Address: 0157 ) L i , I' /4v-€ _ City: `e" "/ele) , State: BIW Zip: 5 W Phone: ; 4%-b?— 23r — 573'( Contact: J� Email: i e -I L' _.- - Cts TYPE OF WORK New Replacement Repair Rebuild Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener PERMIT TYPE _� !" Add Plumbing Fixtures (X Main / Lower Level) Lawn Irrigation ( RPZ / PVB) Water Turnaround M K SynIC LDL,G-�i.y� Septic System New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water and Softener (includes $5.00 State Surcharge) $35.00 Lawn irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace Turnaround* (includes $5.00 State Surcharge) and $5.00 State Surcharge) $5.00 State Surcharge) TOTAL FEES $ (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee burned out appliances, ductwork, etc.) (includes 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 wait 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 . ans. x 6001e ids )10.2s4.091 Applicant's Printed Name x Applicant's Signature FOR OFF PERMIT City of Eagan Permit Type:Building Permit Number:EA144719 Date Issued:08/07/2017 Permit Category:ePermit Site Address: 4040 Stonebridge Dr S Lot:4 Block: 9 Addition: Hills Of Stonebridge PID:10-32990-09-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Thomas J Basch 4040 Stonebridge Dr S Eagan MN 55123 Greenguard Construction Inc 2915 Waters Road, Suite 101 Eagan MN 55121 (651) 289-7000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155346 Date Issued:05/13/2019 Permit Category:ePermit Site Address: 4040 Stonebridge Dr S Lot:4 Block: 9 Addition: Hills Of Stonebridge PID:10-32990-09-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas J Basch 4040 Stonebridge Dr S Eagan MN 55123 (651) 452-0707 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165896 Date Issued:11/30/2020 Permit Category:ePermit Site Address: 4040 Stonebridge Dr S Lot:4 Block: 9 Addition: Hills Of Stonebridge PID:10-32990-09-040 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. 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. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Thomas J & Patricia Basch 4040 Stonebridge Dr S Saint Paul MN 55123--163 (651) 767-2210 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167254 Date Issued:03/04/2021 Permit Category:ePermit Site Address: 4040 Stonebridge Dr S Lot:4 Block: 9 Addition: Hills Of Stonebridge PID:10-32990-09-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Thomas J & Patricia Basch 4040 Stonebridge Dr S Saint Paul MN 55123--163 (651) 767-2210 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature