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644 Superior CtCity of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 1Vr0 Use BLUE or BLACK Ink Permit #: Permit Fee: 27 v Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION Date: s ?' ?3 /Site/(e/ Address:'eiz6p 0/ �//,/bio —/c e._/- Tenant: �!/�— `� ,d 5 _ (/ �P/e___- Suite #: J RESIDENT / OWNER Name: Phone: 157' `/.SO' (J3v V Address / City / Zip: CONTRACTOR Name: k ,.-OVeirff�/C. ,��((/`1,/bq LCC, License #: �/& 3 / % City: leeeltl'6./es*-- Address: 1-/aO 2 1)Ge 2 � State: /r 7 V Zip: ,, o/ Phone: t@ 'o 7 412,07- 3.ZX Contact: /fe%d/ f,®reit Email: 46..e tri,P.G3!>oa`�'•co- TYPE OF WORK New Replacement JV Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New_Construction Improvement Air Conditioner _Interior _ Install Piping Processed J Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank ( Install / Remove) Other _ ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ S� 6 00 TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% _ $ Permit Fee - If the Permit Fee is Tess than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x A ck.. Applicants Printed Name Applicants Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground Rough In _Air Test _Gas Service Test _In -floor Heat _Final _ Exterior HVAC Screening Inspection ?vim :7-9x. 91.15'3 To:City of Eagan for 644 Superior Ct Richard & Wendy Semantel Primer Used by K & S Heating, Cooling 4205 Hwy 14 W Rochester, MN 507-282-4328 Provided by: Bob Wilke The Words that are hard to see... CLEAR TRANSPARENT P4/ i*r 06 951463 Step 1: Complete vented Furnace/Boiler: latgligamtd (not fan assisted) Water Heater: Draft Hood not fan assisted) IFGC APPENDIX E (IFGC) E-1 RESIDENTIAL COM USTIONHEET AIR CALCULATION METHOD (For Furnace, Boiler, and/or Water Heater in the Same Space) combustion appliance information. Step 2: Calculate the volume combustion applian The CAS includes all openings. ❑ Fan Assisted & Power Vent ❑ Fan Assisted & Power Vent 0 Direct Vent of the Combustion Appliance Space (CAS) containing ces. spaces connected to one another by code compliant Input: Btu/hr Input: Btu/hr CAS volume:1i ZO ft3 Step 3: Determine Air Changes per Hour (ACH)' Default ACH h Method 4b (KAIR Method). If the year of construction or ACH is not known, useomethod 4a (Standard for Step 4: Determine Required Volume for Combustion Air. 4a. Standard Method Total Btu/hr input of all combustion appliances (DO NOT COUNT DIRECT VENT APPLIANCES) Use Standard Method column in Table E-1 to find Total Required Volume (TRV) If CAS Volume (from Step 2) is greater than TRV then no outdoor openings are needed. If CAS Volume (from Step 2) is less than TRV then go to STEP 5. 4b Known Air Infiltration Rate (KAIR) Method Total Btu/hr input of all -assisted andower vent appliances (DO NOT COUNT DIRECT VENT APPLIANCES) Use Fan -assisted Appliances column in Table E-1 to find Required Volume Fan Assisted (RVFA) Total Btu/hr input of all non -fan -assisted appliances Use Non -Fan -assisted Appliances column in Table E-1 to find Required Volume Non -Fan -assisted (RVNFA) Total Required Volume (TRV) = RVFA + RVNFA If CAS Volume (from Step 2) is greater than TRV then no outdoor openings are needed. If CAS Volume (from Step 2) is less than TRV then go to TEP 5 Step 5: Calculate the ratio of available interior volume to the total required volume. Ratio = CAS Volume (from Step 2) divided by TRV (from Step 4a or Step 4b) Step 6: Calculate Reduction Factor (RF). RF = 1 minus Ratio Step 7: Calculate single outdoor opening as if all combustion air is from outside. Total Btu/hr input of all Combustion Appliances in the same CAS (EXCEPT DIRECT VENT) Combustion Air Opening Area (CAOA): Total Btu/hr divided by 3000 Btu/hr per in2 Step 8: Calculate Minimum CAOA. Minimum CAOA = CAOA multiplied by RF Step 9: Calculate Combustion Air Opening Diameter (CAOD) CAOD = 1.13 multiplied by the square root of Minimum CAOA ledesrred, ACH can be determined Input: TRV: Input: 0 Btu/hr ft3 Btu/hr RVFA: ft3 Input: _ Btu/hr RVNFA: �Z °0 ft3 TRV = b +QQ =�jft3 Ratio =l537Q/Slat"= �� RF=1- = • s� Input: 3 �(7 Btu/hr CAOA =/ 3S;�Ov 3000 Btu/hr per in2 = in' - %2. le Minimum CAOA = x- S�' =(o. f; in2 �. 3 f�� CAOD = 1.13 MinlmumCAOA = .2-11Y !iY using ASHRAE calculation or blower door test. Follow procedures in Section G304. 9 MINNESOTA FUEL GAS CODE N M N M N M N M M N M N M N M N M N M N M N M N M N M N M N M N M N M N M N M N M N M N M N M N M M N M N M N M N M N M N M N M N M N M N M N M N M N M N M N M N M N M N M N M Date: City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenant: r Use BLUE or BLACK Ink Permit #:\p\� c� Permit Fee:�� Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION I C7 Site Address: 6:2LN Suite #: RESIDENT / OWNER Name: \21CCt 9(11\1/4 i CZ(--, Phone: (1)C1 )\.. Q ? GI -- �0S ez41 ,Jca ^'�0�--v`T7� '5 Address / City / Zip: � ��:'�1.1� c n1 SCfd-3 Applicant is: Owner Contractor TYPE OF WORK Description of work: U ta5 l�' l r, 1/4-., ( 46'06-'6 wt t' w3 till--3tc Construction Cost: .. Multi -Family Building: (Yes / No 'C) CONTRACTOR \ r �y A Name: Y�LI rL C 1( S& (S ',i,��.I..) License ##:(`)-(l7 ((�, 7 I Address: � '' k0 1,-0 "�,,t 1 iC (_ t�"4-( i �> 5- "I ` e- Phone: bit) - 7 -1 , ` ( 7G (010"1 r q7 State Zip: c5 -1-((e- Contact: Email: COMPLETE In the last 12 onths, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in acc an with the approved plan in the case of work which requires a review and approval Qf-plans. AVI\C" Applicant's Printed Name Applicant's Si nature Page 1 of 3 CITY OF EAGAN Remarks Addition L~eside Estates ~ot 8 R,k 2 Parcel 10 1a1i.300 080 02 Owner ~ ~ k~ 1~ 5treet ~~Perior Ct. State Eagan,MN 5~~ 23 ~ , Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, sb Imp. 1981 1690.16 84.51 20 STREET RESTOR. GRADING SAN SEW TRUNK `rj' * SEWER LATERAL 5(~ WATERMAIN * WATER LATERAL WATER AREA STORM SEW TRK 1 8 ~11 ~Q (F].LF~ 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. ZSO.OO 171 3 BUILDING PER. SAC PARK CITY C3F EAGAN SEWER SERVICE PERMIT , 3T95 PiloF Knob Rood PERMIT NO.: Eagon, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Addreu: Plumber: ~ 1 agree to eomply wIM Nw Cify of Eagon Connection Churge: • Ordinue~os. Account Deposit: Permit Fee: Surcharge: BY Misc. Charges: Date of Insp.: Totol: ' Insp.: Date Poid: CITY OF EAGAN WATER SERVICE PERMIT 3745 Pilot Knob Road PERMIT NO.: Eogan, MN 55i22 DATE: Zoning: No. of Units: ~ Owner: , ; i _ Address: Site Address: ;-1 • ~ Plumber: Meter No.: Connection Charge: ' ' " ~ Size: - Account Deposit: ~ Reader No.: Permit Fee: - ' ~ • ' 1 agree to ~ompi~r with the Cit~r of Eagon Surcharge: ` Ordinances. Misc. Charges: Total: By Date Pnid: Date of Insp.: Insp.: ~b yy3ao a8o 02 ~-.~«,a~ ~=rars CI?Y OF E,'~Cr"?Q 3795 : ilot 7~~0~ ~oad Eavun, S~iinne~ota 55122 PEIIMIT NO.: 584 1'he City of Ea$an hereby grants to Genz-RVan Plumbina & Heatina Inc. _ of Rosemount. MN a uF.amrrar, Permit for: (Oc,mer) Wavne H~ilie at tidd G~,,•i„r rn„rt , pursuant to application dated _ _ Fee Paid: dated this llthday of n,.r~ro= ~ ~9 74 ' .50 s/c Suilding Inspector i P~echanical Permits: 3id Total: CI'I"i OF F.AC'r?J ~~.Q~fLQ~I ~k.5~~j 3795 r-zl.ot I4~ob Roaa Eagan, Ninnesota 55122 PEEd'~'lIT NO.: ~iS The City of Eagan hereby grants to ~~q~ weii nri~tinq ~ af P_ rkuAnwo r.a~_,~+_ oa,,, SS,la a~ rr~_ Permit for: (Owner) wA~,.,m ai i i i.. ai b44~~~=ir~r._1'ourt , pursuant to application dated q~lq~~d Fee Pain: e~~ dated this3i=* day of ~.*hfier , 19 ~e .50 s/c Euildi.ng Inspector Mechanical Permits: Biu Total: /0 4H3oo a8e oa. l~..kcsrde ~s~a7"es czz°~ or r~r..-:,~u 3~95 riiot fc~,o~ F~~,a Ea~~~~, b4inna~ota 55~22 PEf?~'~P NO.: 514 The City of Ea.gan hereby g^ants to Genz-RVan Plumbing & Heating Inc. n£ Rosemount MN 55068 a vrriMUrx~ Permit for: (o-wner) Wavne IIeilie at ~ea c,~erior cburt , pursuant to application dated _ 10/7/74 Fee Paid: ,~Zp.00 dated this 11 day of Oct. ~,19 74 > .50 s/c ~xilding Inspec{;or PQechanical Permits: ~iu Total: This request void 18 months from ~G'~"~~''~-`~-~ Cv ~'`f- ~ ~ C~ R S'6062 Dafe ~ this Request `D -~~9 I, as~Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal winng installed at: Street Address or Route No. ~~'Z ~ City Section Townsltip Range County _ge~a~~~~~ 1Vhich is occupied by~ $G(i(•t.f. (Name of Occupant) Is a roughin inspection required on this job? No ? Yes~ Ready Now~ Will Call ? Power Supplier ~~C'~t1L~ C J[Qc.ST Address °,~pw ~ A ~~•o a ~ Electrical Contractor Contractor s Lic se o. _ ompany Name) - Mailing Address ~ ~ 3 oZ.p Itttlltal [r ct f o wnel Making This Installatlon) Authorized Signature Phone No. O~~~ ~ (Elec ntractor or Owner akln9 Thl Installation) ~ y~ ~/{"j~~~~ This inspection request wil~ not be accepted by the k! 4~J State Boerd unless proper inspection fee is endosed. Minnesota SWte Board of Electricity / • / 79F.rS Oniversity Ave., St. Paul, Minn. 55104-Pbone 645-7703 ~ tO 7~`' i~ ° RE<2UEST FOR ELECTRICAL INSPECTION ~R 96062 ECK BELOW WORK COVERED BY THIS REQUEST 7ype~kf Building New Add Rep. Check Appliances W'ved For Check Fquipment Wired Fo` Home ? ? Range ? Tempoiary Wuing ? Duptex ? Wate~ Hcater ~ Lighting Futuies ? Apt. Bldg. Dryex ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? Silo Unloade[ ? Industrial Bldg. Air Conditi ner Bulk Milk Tank ? oLis[ pList Farm ? ? ? peie~s) Heieeis# Other COMPUTE INSPECTION FEE BELOW Service Entiance Size: # Fce Feedeis&Subfeeders: # F C"vcuits: ~ Fce 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am e~es 101 to 200 Amps. 31 to 100 Am eres 31 to 100 Am res Above 200 Amps. Above 100 Amps. Above lO~Amps. ~ Transformers RemoteContcolC'vc. Partialorotherfee Signs Special lns ection Minimum fee 55.00 Remarks ~ ,I _ . TOTAL FEE ~ rL1J (Rough»~rical Inspector, hereby rtify thgE'the abov,e `i~nspection;~ been `ade. , O Ll^ ~ ~ D le (Fina]) /c.~. '%%L.'"~e 3->0 This request void 18 months from ihis request vOiE 1 L'j~j ~`'~j' ~ y 7 B mpnths ~ D ? A~I R~ L~ g/~ 01 L,~-k.~-~.tc~ c u. o--b Request Da~e Fire No. Rough-iilnspec~' n flepulrod7 ~ReadY Nuw ill Notify.InsDec- ?Yes tor When ReadY Licenstid Elec[rical ConVacmr I heraby requast inspection af above wner electricel work inslalleE aL Stree~~ ddr , 6ox Raute No. CiIY ecuon T wnship N me or No. Ran9e No. o y Oc uA t IPRINTI ~~~~e No. Po Su li r Addre i EV I Co raclor~LEempany Name Con acmr's Liaense No. - i 0.3 s s ~ ~7 MailinB~ dd~ess ICOnvact r Owner Makinp Ins~ail tio ~ 3 Author' d 5~g^at re IContr t dOw ' g Installationl Phnne N~er THIS INSPECTION NEQUEST WILL NOT MIN TA STA E BOAPD OFELECTfl CI Grigga-Midway Idg. - Noom N•t91 gE ACCEPTED 6V THE STATE BOARD MN 66104 UNLESS PROPEN INSPECTION FEE IS 1821 University Ave.. St. Paul, ENCLOSEO. Pno~o f6121 297.2111 ~'I~~~D REQUEST FOR ELECTRICAL INSPECTION L. ea-ooooi_oa '~~j , See insVUCtions for comol9~i^9 this~form on back o/ vellow copV. ~r~ I(/1( . ~ i~' "'X'" Below Wo~k Covered by 7his Request _~i~ AAA Bep. Tvpe ol Building Applioncea Wiretl Equiyment,~~reA Home Range Tempore~v~~~vice Duplex Water Heater Lightiny ixtures Apt. Buildinc~ Oryer Electnc'eatin Commercial Bldg. rnace Silo UnloNer InAustrial BIAg. Air Conditioner Bulk Milk lnk F2fm Ot~~=.i Pacrry Othei ISOer,i t e.r Specify ~her O~hci ompute lnspection fee Below k Fee ServiceEntranceSize q Fee Feeders~5ubfaeders N Fee Circ~'i~s 0 to 200 qm ~s 0 to 30 Am s 0 tn 30 Amec Above 200 Amps 31 to 100 Amps 31 to 100 qn 5 Swinvnin Pool Above 10U_Amps Above 100_4m s Transinrmers Irrigation Boorc,s ~ O Partial~'Other F Signs Special Inspection Bemarks S ~ U ~ b TOTAL D .Q RouBh-in D~1e I. iha EI .p Inspec[oq hereby ~ cartify that the abova Final ~^±e~r insOec~ion has ~een ~p mede. Thle request voiC iB moniha trom ! CITY o~ EAGAN N'° 3 5s BUILDING PERMIT ~ / 3785 Piloi Kaob Road Owne: ..(h...~'~.Xl-~....... ../L..,(.~ Qr J Eagea, Minnesofa 55122 Address (pzeesa!) ......L.~LF.f........~../....~............~/.<..~f/ L- 454-8100 Butlder .......................~~...l..~..........................................--- y~/ Dela ..r7 :..~..l...1 Addreea DESCRIPTION Bioriee To Be Used For Fron! Deylh Height Est. Cw! ~ ermi! Fse Ramark~ ~ D ( .~LD~ 700 p PY / / Cc LOCATION Slreel. Road or olher Descriplion of LoeaSioa I Lol~ Block Addilioa or Trac! 6~~ Su e T. ssiz 3 g 2. I~ak,es. d~ £sT"tPs This permi! doee no! avlhorize !he use of stseele, roads. alleys os cidewalks noz does i! gfve 2ha owne= oe hSs agen! !he xigh2 !o ereate anq siluafion whiaL is a nuisance or whieh preseaic a hesard fo !he heallh, saiefp, conveaiean ead genezal welfere !o anpone ix ihe eommunily. THIS PERMIT MUST BE REPT ON T~p pR ISE WHILE THE WOAB IS IN PROG~g~~~g~~q • This ia !o cezlifY. llial.~~2LQ.....~:4.~-~°°°°--°---has permissioa to eree! a.......~.~LY.._~ e~........_ .............._upon fhe above descrihe},prem~se ubjeck So !he provisions of all applicable Ordinaaces for fh~~} Eag ! . N~.------°--°--°° Per Z......_........_.__S.Y...1............_........................ - - Mayos BuSldlnq Inapeelo! PLiJMBING (RESIDENTIAL) Permit Application ~ ~ ~ ~ City Of Eagan ~ 3830 Pilot Knob Road, Eagan Mn 55122 ~ 5C~ Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for. Single Family Dwellings Townhomes and Condos when permits are required for each unit Date~_/~/~ Site Address .l G/ ~2~i ~ o--c L Cl-r t~ ~ Unit # Property Owner ~Q2~i~ ~z ~ L ~ L ~ Telephone # (L~ ~l ) ~ Lf ~ ~ ~ ~ < f < Contractor ~ ~ lC. r,~..'L~ ~ ~ -e~` LSd~ /~i + ~J` ~ Address City ~ ~ Sta[e Zip Telephone # ( ) The Applicant is _ Owner _ Conuactor _ Other Septic System New _ Refur6ished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Addltional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septlc system ~ Water tumaround 5!8" meter'rf needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ additional _ f ~c ;a ,,'~I I~~n~ , - ~ ~,i State Surcharge , y` ~ < ' ' ~ ~ $ .50 J~. Total ~ _ ~ $ ~0 LY - _ I hereby apply for a Residential Plumbing Pernut and aclmowledge that the information is complete and accurate; that the work will be in conforn~ance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand tlus 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 wluch requires a review and approval of plans. /~(/C~ps !'//'(/~°~GV.c~C~ ~ G~~~ Applicant's Printed Name Applicant's Signature Pemut lo~ O t` Receipt Date: S-/a ~ CITY OF EAGAN 2003 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Address ~ p-E ~ d K C O~,_ d-4-' OFFICE USE ONLY Proper[y Owner ~l-~0. ~ v` ^r ~tg PRV required Telephone # ~ S l-'-4 - ~`-F 3 c, S Plumber l`fo City County R-O-W Permit Date of Inquiry Contact Name Sewer Water 4" Sewer Service $ .00 1" Water Service $~6639:fl8' ~ Lateral charge @$24,00/ff Lateral charge @$24.25/ff Pd b~ Av >n Trunk @ $975/connection Trunk @ $1,015/connection p~( 6 .fJMr City SAC 100.00 Water supply & storage ~ -965:9@'' U\~ MC/ES SAC 1,275.00 Receipt # r 3 , Da ~d 8 Receipt # D Treatment plant Septic abandonment 50.00 Permit Fee 50.00 Pemut Fee 50.00 State Surchar 50 State Surchat .50 Plumbing t required - water f~. ~ meier t e acquired with plbg pernut ~~`~j T g 'F tal g_~~--~' ~Q~t~~ ~ - ~ ~z ~ ~~o.~-~. Qc~o~~~ SewerandWater p ~ "Y~A.~~.,7 tO '~-m.r,x-- ~°~y 6• r~~ ^ 4 P~D/~~ ~ f~ 4" Sew Service $.885.00 ~ cJ Or~r o~ / Gohcncvf~d 1" Water 'ce 650.00 Sewer lateral arge @$24.00/ff , J -~cs~ V~-9- '~n"-~~-- -~'p ~l GJ~ d, ~ Water lateral c e@$24.25/ff ~ /o~ ~ 1 Sewer tnmk @ $97 ' ~onnection ,,,Q ~ ~~_~~~l,o W ater trunk @$1 A 15/~onnection / cz 1 ~ti:vw~~w ~/p 3' CiTy SAC / 100.00 P ~ ~~d ~ MGES SAC , 1,275.00 V v~n~ Receipt # , Date . ' Water supply & storage \ 905.00 Receipt # , Date Treahnent plant ; ` 564.00 Septic abandonment~ ` 50.00 Permit Fee 100.00 State Surcharge 50 / Total ~ / Plu~'i6ing pemvt required V,ater meter to be acquired with plbg pemut cc: Carolyn Krech, Finance Deparhnent ~ _~r ~I~'~ RESIDENTIAL 75 BUILDING PERMIT APPLICATION ~ ~ `G'~ f~ 5~0~ CITY OF EAGAN 383D PILOT KNOB RD, EACAN MN 55122 651-687-4675 New Constructfon ReauiremeMS RemodellRewir Reauirementa • 3 registered site surveys showing sq. ft. of lot, sq. fl of house; and all roofed areas • 2 copies af plan (20% marimum lot coverege allowed) • 1 set of Energy Calculatlons for healed addiCans . 2 capies of plan showing 6eam & window sizes; poured found design, etc.) . 1 sile survey for eztenar addipons & decks • 7 set of Energy Calculatians . Indicate A home served by septic system for additions • 3 copies of Tree Preservatian Plan if lol plaHed atter 7/1193 • Rim Joisl Detail Options selection sheel (bldgs with 3 or less unBs) DATE ~ J' a~v~ VALUATION Il.X1 51TE ADDRESS ~ MULTI-FAMILY BLDG Y N TYPE OF WOR FIREPLACE(S) _ 0_ 1_ 2 APPLICANT +~B~ ~~~Y ~s+ ORC. STREET ADDRESS c:eoa 4iaD1~. MP) 55433 CITY STATE_ZIP TELEPHONE #~~S " (J~~ CELL PHONE # fAX # ~S -`y,~AJ~ PROPERTYOWNER ~N~-/~'~1~2. 1~ ~l~- TELEPHONE#(o?~~ 'YJY ,u COMPLETE THIS SECTION FOR KNEW" RE5IDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'1'A RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission lype) • Residential VenUlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Enveiope Calculaflons Submitted Plumbing Contractor: Phone # _ _ _ Plumbing system includes: _ Water Softencr _ Lawn Sprinklcr Fee: $90.00 _ Water Heater No. of R.I. Baths _ No. of Baths Mechanical Contraetor. Phone # Mcchanical system includes: _ Air Conditioning Fce: $70.00 _ Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this opplication, state that ih in ormation is corre , and agree to comply with all applicable State of Minnesota Stptutes and City of Eagan O di ances. Signature of Applicant - - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (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 ? 32 Addition ? 36 Move Bidg. ? 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 appllcant Valuation Occupancy MC/ES System Census Code Zoning City Water . SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) FinallNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CASF~~ ECE I PT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 REC61 V 6D FROM AMOUNT $ I ~/~L~L~ .C t3 ~N~~2~~ DOLLARS ~oo ? CASH ? CHECK FOR FUNG CODE AMOUNT ThankYau BY White-Payers Copy Yellow-Pocting CopY Pink-File Copy , . a 3 ~SB LEO B. SHAW, LAND SURVEYORS - ~ r REGISTEREO UNDER LAWS OF S?ATE OF P.O. BOX 1 . ~ HWY N0.13 and NICOI.LET AVE. = .--Y ~r MINNESOTA ' ~ - - . ~ : ~ - , SURVEYOR~S CERTIFICATE . .y. z;~:c ; P ~ e~' -z~°~ ~ ~ ~p~k ~~s,o ~ ~ ~ , ~ ~ ~'o , ~ v~~ u ,.rl ~ , ~ D , , . "~i • - - . ~r~ ~ - ~ ' ~ ~ ~ a1 o ~ ~ ~ ~ '~o~N~ X 1S u ~M `J Cp ~q" ~bDV~ w . ~ v ~ ~ . ~ , ~ ~ ~ ~ ~ . ~4~: ~AQ ~aRA~~ a ~ ~ ~ ~r . ~ ~ - _~d/ y ~ ~ ,r , ~ . ~ „ ~ i , 1 s B ~~-L~r - ` Z ~ / /r O ~ D ~I ~o • • ~ ~ 0 ~ \ ` ~ ~ ~1 Z U~ ~ ~ ~ ~ ~ c~ ~ ~ ~ ~ ~ ~ \ ~ ~ ' % ~ ~ ` ~ ~ ' 9~= ~ ; , ~:.~.t t ; - r,_~e . ~ _ . ~y~Ct• F'8p2~8E.'I~~.St{Ori ~fl a,su7C~'e^ ' . ; w ~ j.-, t $ f n F1'~Ck _ t , } . r • • ~ ' • . ; + ~ ~ . . , . ~ . . ; , . ~ ~ ~ SIGNE ~ ~ REGISTRA710N N0. p ~~_OZ" MASTER CARD LOCATION _ s~~lo~C~ ry ~ y 4 ~,~=a~ t,~,,L.~ s.~t OWNER ~ ~ M~ STRUCTURE AND LAND USED AS g' X4 ~'p,~~ •,1-~~~~. Issued To Permit No. Issued Coniractor Owner ~ BUILDING 3•~ ~ 6 II / ~ 3- i~-T PLUMBING ~ f0- _ ~ CESSPOOL - SEPTIC TANK ~n~ Y?ELL x/ ELECTRICAL HEATING t-~ 4 ~ ~a ) GAS INSTALLING ~ SANITARY SEWER OTHER OTHER Approved Items (Initial) Date ~ Remarks Distance From Well FOOTING ~ ' SEPTIC FOUNDATION -v3 /J - CESSPOOL FRAMING ~ ' TILE fIELD- FT. FINA~ ELECTRICAL DEPTH HEATING C C'_ OF WELL GAS INSTALLATION SEPTIC TANK ~0 . y _7~ CESSPOOL DRAINFIELD p • Z. 7~y ' PLUMBING _ WELL ' SANITARY SEWER F~! _ ,z5 Violations Noted on Back COMMENTS: - (j ° ` d= 2-? COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS Of CONSTRUCTION AT THIS INSPECTION a NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT , OBSERVED. INTEND TO COMPLY. ? ACCEPTABLE SU8571TUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILI BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY ' WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REIIYSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEAIED CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest preunt or prospective, and that I have reported harein all significant conditions oLserved to 6e at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- menu for off-si[e improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUIL~ING INSPECTOR DATE COMMENTS: ~3 .h} US~ t7NL"~ ~y ~ ~~Ll ~ 3 L t~1~ A y E¢S~ ~,.`C'y~ /~.t ~3 ~y . . 3 Y ~ y~ ~.ii } , x~;r }~Q~ ~~~~Y~ ~~E~'u~,'~~~~if."'.~~. .~i...c.i.~.~<x. ..,i..~:os..°.~~~5.'E'"&`Si~mw~ ~~~i.'~.s£<...'~..w~.y...~,.~~. a.. 1993 MECHANICAL PERMIT (RESIDENI7AL) C1TY OF EAGAN 3830 PIIAT KNOB RD EAGAN IvIIV 55122 (6]2) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ~ ADD-ON A/C ~i`i ~ Gym~ ~ C~zcz ~3 L~~ ~ ADD-ON FURNACE DATE 7 ~ 1 6 ~ °l ~ . ~ HVAC: 0.100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1@ 53.00 EACH) ADD-Oti/REMODEL (EXISTING CONSTRUCI'ION) $ 15.00 STATE SURCHARGE .50 ToTai. 5: 5v SITE ADDRESS: ~Y % Jr+%1 C~ OWNER NAME: ~~oi P ~r l 1°! TELEPHONE ~i / S' ~ ~S' WSTALLER: /"J~`li ~°/T~~ c~ ~ ~/c-~ ADDRESS: 37 ~ v ~it~~/ l~"(c~c ~ CITY: ~ ~l C' u STATE: ZIP CODE: 'S~ -T TELEPHOI~'E G~P ~G ~ S v C~~ G <=`~-~C~ ~ SIGNATURE OF PERMITTEE ¢~'~'~75~ ~l2~t~.Y ~ , . 3 R f r~. y~~#'~ba-.~~ u ~~~x ' ~ ~ iY.: ~ ~Y~- t~~ ;s s~ ~ ~:s ~`~~xSS c .*~'i3 ~,,~sy ~3 : ~.;k 3 . p y ; z T . V xt d~' =9 ~ k~~ ~ ~ 7~ L yla~F P~ i~ f;..i Y~5{~S~ SiA ~,~P Y ` ~s~,,..£v s-z~...~at~.;.iwah3,s.,ma.w:.,:ia..s9ls.,s£`r.a~e.i~w~i»z~`~~~a~.n~4F_.3>_?~w~x . ~ 1993 MECHA1vICAL PERMTf (COA~I~RCIAL) CTTY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL CONA~RCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH 1~WELLING UNTT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES ~ 1% OF GUh'TRAZ,T FEE $ p PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF ~'ER11~fTT FEE. TOTAL $ STTE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONL1~ INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR ~ l,~< ~L~~ ~ ~i~-~~, ~..t T ^ i ia~.s, ~.~.coR~ ati~l 11 OFmer ~id A~dr~~~„ ~ ~ ~*I?~i~P.GE Or ~4GAN ~o-c~.~~i c~~v ~j~e's~~v ~r~'~ - (J ~ i Wezl Loeatiou ~e~iorl ~ jdn Lo t Slcek ~ 6a /36 _ ~y~~j State Licence No, Permit No, Date ~~C~r.~A k~ ~ . ~ir ~ ~~y Di~i1lS.cag Compar_y J~~~~--~~Addxess Telepho.e ~'zze o£ Taelly Inches ~ 4Tater Leval /.3,5^' _,?eat Well Depth ~U Feet ~ Draw Down S~ Feet at /D GPM. 1 C~~ing Denth~~ ~ Feet Capacity Gallons ~ Q~~ Per/f~R, - ~J ~Y ~ Thiclmess ' ' ~ ~ Started ~ N7hded ~ of ~ Ki;id of. Formation Color ~ Depth Dapth Formztion Remark~ ~'"e ~ ~n D ~ '~U ~0~ ~ ~ ~,a~ e ; ' e-~ ~E_ ~S ~ ~ . - - ~ ~ ' . _ Exterio: Space ~1.ound Casing Sealed With: ~Cement Grout 1~,fix~dled Clay ~ Other D-isi.nfectant Used ~ ~ Hours I,eft in 47e11 _ Dri~le s Signature FETr es7 TEIIS RFCOAD AF~'r,R COMPLETI~ 9528917000 JUL-31-2006(MON) 12:58 Dakota Countu PDD (FRX)9528917000 P.001/001 ~ ~/"~/j~J) ~C C U H~ I ENVIRONMENTAL MANAGEMENT ~EPAR'CMENT GROUNDWATER PR~TECTEQH SECTION 1d955 Galmcio Avenue • Apple Valtey, MN 55124 952.891.755T • Fax 952881.7588 • Www.GO.dakota~mn.us MUNICIPAL NOTICE OF WELL PERMIT APPUCATION s~fri l~~• nnz~: ~uiy si, 2005 TD: Tom ColbaUWaync Schwanz (LM) Fax (65i) 675-5694 RE; Well Permit Ob-I•I235765 Well Type: Domestic Mnnicipality: Eugan Environmental Spccialist: Olsen The Water smd Land Management Scction of the Dakota County L•nvironmental Mawlgement Depariment has received the followin~ permit application for the well described. If you require further review of the applicatian or if you have any quesrions or concems about it, contact the Lnvironmental Specialist listed above or oar office at {952) 891-7557. If there is no response from yo~ office within 24 HOURS (excluding weekends and holidays), we will assume.d~at you have no objccrioas to the issuance of the pemeit Please note that peimit issuancc is always wnditioned on thc ycrtnit applicant's obse*vence of and r,bmplianee with all app[ica6le state, county, and municipal laws and codes. ~ Well ContraMor: Gangle Well Drilling, Inc. Aate Appiication Reccivcd: 7/2$/2006 AnNcipated Drilling Datc: Time: Anticip~ted. Gronting Date: Time: Property Owner: Wayne T Wayne R'ell Owner: Wayne T Wayne WFT,T, T.OCATTON• YI.S Coordlnates: 1/4, SE 1i4, NE 1/4, SW 1/4, Sec 25 Town 127 Range 23 Street Address: GA4 Superior CTlt SE PIN Numbcr: 104430008002 WF.i.T, TNFORMA'Cf~N- DiamMer: 4 Cusing Aeptha 166 Totat Aepth: 170 Stafic Water I:evcl: ~ Aq~tifcr: ~ COMMEIVT5: J ~ur w `.-~?.e:'w~, _!!w:. I J - ~ ~I ' ~ ` II~ I, 59 rw: iwuaommaz J Ed ~+o,ae s: 5na 63 Sbaah SIREAICa R . - , ~ [ G QtY: FA6PN . E7 State: Mi f~ ~ 0 ZOCaGe: 41230000 ~ nna: 0.6n3S1a3159 J ."°k / ?!P SunPaes~ 0.93'!4 ~f % hRYB'CR-,. LE %9ft: 3BIT/.144 ° • '1^. T"~+...~_ ~ 50[bIXC 25 ~ ti ~ g O Towrelic az , ~ ~~j' ~ ~ ~ p~' S _ / j ~ ~ ~~~;i ID LoC BZ ~S' qM: LW~S@E 6TAT~ ~ lepaL Ct j/ b . r C~ PW: UN43000WLQ ~ 0 FI Ndnre: WAYtE T S BARBPPA dIl1E ~ G~' Oar9l~tldm51: 6H 9.P9tlqt R µ 0 Owrer uMasi 2: 1 ~ Q cnr sa~: sna+r aau nH ~ ~ $ o m: ssuam1a ;1 f $ _ ; '9 L~! 2oreWd¢: R.1 y.. , ..............-.-..._..._~._e~ r ; 1 . +~.~a.x~imemm i ~ ~'J' ''JS05( l _7S ' • 2006 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenls RemodeVReoair Reauirements Office Use OnN 3 regis[ered site surveys showing sq. ft. of bt, sq. ft of house: and all roofed areas 2 copies of plan showing footings, beams, pists Ced of Suney Recd ~ Y_ N (20°6 maximum btcove2ge allaved) 7 setof Ene~gy Calculations for heated additions So~ RepoR Y~._ N 1 Soils Repod if proposed buildi~g is to be placed on disturbed soil t site suney for addifions & decks Tree Pres PIan~Recd ~'_Y'~_ N. 2 copies of plan shovring 6eam & window saes; poured found desgn, etc. Addition - indicate rf on-sde sepfic system Sree Pres Required Y._ N 7 setof Energy Calculations On-stte Septic Syslem ~'_Y '_N 3 copies oiTree Preservation Plan if bt plalled after 7/1193 Rim Joist Demil Dp6ons selec6on sheet (buildirgs wiN 3 or less uniGs) Minnegasco mechanipl ventila6on foim ~ Date ~ / y'~ / ~ t~ , ConstruMion Cost ~ ' Site Address ~C~,~~j C ~t-~.~~ UniGSte # ` Description of Work Q~ e ~tocFi T~ Y~ rS r Multi-Family Bldg _ Y ~ Fireplace(s) _ 0 _ 1 _ 2 ' Property Owner ~ l~° , '~ba~ `F~ C~ Telep6one #~<(„g ` - ~J~ , ~ Contractar Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ - Minnesota Rales 7670 Cateeorv 1 _ Minnesota Rales 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissionrype) - Submitted Submitted _ . • Energy Envelope Calculations Submitted In the IasT 12 monThs, has the City of Eagan issued a permit for a similar plan based on a master plan6 _ Y _ N If yes, date and address of master plan: Licensed Plurriber ' " Telephone # ( ) Mechanical C~Ontractor ~ ` ~ ~A ~ ~ ~ Telephone ) ~ ' ~ ~:i n ~~GLo' Sewer/Water Contracfor ` Telephone ) ~ ~ ~ ' l'-__=-: ~ I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, 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. K/~arC~ ~~1Y~Civ~1~ Applicant's Printed Name A plicant's Signature DO NOT WRITE BELOW THIS L1NE Sub Tvpes ? 01 Foundation ? 07 Orrplex ? 13 16plex ? 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 'W 7 7 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ~ 04 02-plex ? 1D 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc. ? OS D3-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvnes ? 31 New ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding ~ 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Altera6on ? 37 Demolish Building' ? 43 Reroof ? 4& Windows/Doors ? 34 Replacement ~ `Demolition (Entire Bldg) - Give PCA handout to appliwnt DCSC~Ipt10I1: Water Damage _ Yes Valuation R~ Occupancy l~ MCES System Plan Review _ 100% or ~ 25°/a Census Code K 3 y Zoning R_l City Water SAC Units Stories Booster Pump # of Units Sq. Ft. ~z ~O PRV # of Bldgs Length 27 ~ b~r Fire Sprinklered Type of Const ~ Width G~ ~ REQUIRED INSPECTIONS _ Footings(new bldg) _ Sheetrock Footings (deck) FinaUC.O. ~ Footings (addition) Lo FinaUNo C.O. ~ Foundation HVAC Dmiu Tile Other Roof Lo Ice & Water 1G Final _ Pool Ftgs Air/Gas Tests Final ~ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.L _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: G~? ~ , Building Inspector Base Fee - - Surcharge ~2(~k/(o,da = ~ y~~•0~ Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies ' Other Total ~utvcy ivi. Wayne Blilie BK 45~~~5 ' ' 644 Superior Court Eagan. Mn. DELMAR H. SCHWANZ LANpSURVEYOR RaQislarsC Unaa. laws of Tbe Sta~e of Minneso~a 2978 - 745TH STREET W. - 90X M ROSEMOUNT, MINNESOTA 65068 PHONE 812 423-1769 SURVEVOR'S CERTIFICATE ~ g(~_ i3S.ou N 80°03' z.-r"W ~ ~ ~o~"=--------~5 ~ a~ ~~~p ~ ~ / I ~ C~ ~ ~ -o , '~a,~'~ ya7 ~ ~ I `A ' S~ r s^ 1- y I r ~ ny~ , ~~~n~ / ~ a A ~ j ~ I O ~ ~ , , ; ~ \ ~6 ' ~ a .a ?1 'P ~ \ / / t N v u ~ Drainage & utility ~ Sj£ 'L~e easement r W ^n ~ ~X~7 ~ . I ~ ~a~e,"' 11Y1c.~ "'`'1~.1 ~'ee,~' ~ L~ P ~ `83 P I ( ~ ~ j~N 6g•Z 5. F W 101._~G1~ I ~ l~j. ~1o1~4T i , O DENOTES Fow.~o taoN AP~ I F~ ~ Survey Q ~ line , ~ 6~ z o~~ i _r S~v1~e cf I/u~L[e~ N N v . N,E, ~ ~ p_e.i~ ~ S ~ ~ ~ 1 \ _ . . ~ ~ I \ ~ ~n 0 ~p ,,.~-f ~A. t'~ _ ` , I ~ s ' ; 5~ I 82.9L 5 N `4°4t'4?..w I hereby cert'ify that this is a true and correct representation of a survey of the boundaries of: Lot 8, Block 2, L.AKEuIDE ES'PATG9, accoa3ing to the recozded plat thereof, Dakota Count,y, Minnesota. As surveyed by me this 26th day of May, 1981. ' ! y~+,,5~~~, y~ / . . ~ '~,i ~ ~ ( / ,`MINNESOTA REGISTRATION N0.8625 u ðü ù ÿþ þýýüÿûûù øüüýýÿø í îîéí þý ýüûúøöß ù üûú ø üûúøöß ÷ößìú úê ùùîéîãúû Þÿ ô ë ú åóó ô ý ç ä ÿööúÿþä ä ÿ ý úçùä äúä ç ù ýæ ô ýûöÿäûóç ëèéÜèííçðíçîíð öø ó ÿÝèéÜèçðçð Ýéþç õó òñ úú øöà ü ûìó ù ðéðóå÷Úîîú ù ûóò÷ððîî ÿò÷ððéî ñéïîðî ó ýûöÿó óå óúúóóä ÿ úûöóúúý äòùûä ÿã ç úúß ÿ ûÿ C!ty of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use �] Permit#: \' 3-1°3Permit Fee: 1,V ffr�5. 35 Date Received: 2c/2o-113 Staff: 2013 RESIDENTIAL BUI DING PERMIT APPLICATION // Date: .� f (3 Site Address: (9 4-4 Resident/ Owner rType of Work Description of work: Name: Address / City / Zip: 6, e Applicant is: Contractor Construction C { Company: Address: (7 -CC 1 State: 9 „ N Zip: STS— f 0 Owner X. Contractor l0 /UD o'v Unit #: Phone: tom/— 4.x.2- F3,F`f Phone: Multi -Family Building: (Yes Contact: City: 65-1 c9 -a S' ( - t /NoX ) License #: e )s -s-5/ 7 Lead Certificate #: { V 1 E (0(.. 7CCs— If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: 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 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.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA124725 Date Issued:07/09/2014 Permit Category:ePermit Site Address: 644 Superior Ct Lot:8 Block: 2 Addition: Lakeside Estates PID:10-44300-02-080 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB 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. Jason Larson 25 S Sutton Lake Blvd Jordan, MN 55352 Fee Summary:PL - RPZ/PVB/Lawn Irrigation $55.00 0801.4087 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 - Richard C Semantel 644 Superior Ct Eagan MN 55123--204 Jay's Plumbing 25 South Sutton Lake Blvd. Jordan MN 55352 (612) 868-4102 Applicant/Permitee: Signature Issued By: Signature �2/19/2015 09:48 5073566021 �MWW BB P�GE 02/05 r . .. Use BLUE or BLACK Ink � ForOfflceUse^^-------� • j Permn#: ��"� City of Ea�aIl � �� I'ermit Fee: . 3830 Pllot Knob Road � Eagan MN 55122 � Date Received: �� c�� Phone:(651)6755675 � �� Fax:(651)6755694 I Staff: _ I � ....�------------- --' 2015 RESIDENTIAL RUILDING PERMIT APPLICATION Date: � 1 �. Slte Address: v�, �� • UniE#: .:i' :,;:��;,:��. ;.�n„.;�,,:� . '�1� '� �,.t� i- �(� /�� J� (� �I a{^�,'�] X('+��,Q� ��,•� ti"`(�.�;''Yy.�; � << A:' Name:_��CV l.GZJl.� R-�l/V'1Z'C.� Phone: 1.��I~-1�J U'l v cJ V - - �'�'`+��p��M�� .,f��r . . ��'N�y� yy��F"i�; �� : Addfess/Ciiy!Zip: G�.II�I � �' �� i;.,�.6r,�ii��'..f�a'.�,�.�...��;i. :.\'�;:'�::'n+r�ki'.,' /�—� � . .i�� t � � i 1 '/ . 5�,°'.�,,�M. ;� 'i�,'�, '� �°�pPlicent is: Owner, �Contractor ,,;:;:.p ..,.. ;,,�;i;;`:��,,.,',,:r�,;.;r, ] - :, � ,,��, �� ; �� ~' G� �n�r".Y �2 C�n �.s(;� °� t w�%��`r�C;`;. Description of work:��`•37"� � �Qr��n�� p �'A;�y�e:,>�,�, ; � ,..,:; �� >��... .,:,�.: ;v'* 'yi, �::\i:.�;�,';:t„ .�:i��.ry��.1NF ;v;'.;,4;•;r;;;;�:,;:s;;�;ti;;;�;;: Constnaction Cost: �;� � __ Multi-Family Bullding:(Yes /Nol� �FL`.r.2�%A`.A`I:i.�!��.1�:F2Y:��J��l�r�'%'� � `/ � 1� � n o r.��iF:v !'�:('�f, p y-�Y Y IC,I ��x..{�^��1 Vv�1' 1`� Ci0lltaCf. �.J�� "� '�...A; ��"�a` '��,:°aA�i� Com an .�� ^ �,t'1 ��`i 4��- � - --e �.t�� dc( �:t"i� rt . � 1 � N _ � 'I�c- ��wf7.�'� ;,�:,�;� �N �5 „,,<F � �;� �� Address: City: ' t C�riti�a�clr; y h � . - r� r,��?�P b �� ;: State:l`��tiZip_ � Phone:�"��"t"J"�� Emall�s�1'1C�� ,��. C�IM�rICGtY'I-wa�rw�Yk .��►^� ; ' t 1t`S 4y4��+G ✓,�r��k`J,r`t 1✓��U�� ;;.. f'�'.,.�.'�",;r��; Llcense#: Lead Certlflcate#: —� 1�� _� �� '� ,.:�^-.,�r„�s,.,,.... ,..,,.,., i t.; ... If the project is exempt from lead certification, please explain why: (see Page 3 for edditional information) 1�,l2 w► �1 ti�c�i- �t5`�r`b � ' U��t.Q..Q. S o� �'L, n�t COMPLETE THIS AREA ON�Y 1� CONSTRUCTING A N�W BUILDING In the lest 12 months,has the Clty of Eagan issued a permlt for a similar plan based on a master plan? Yas _No ff yes,date and addtess of master plan: Llcensed Plumber: Phone: Mechanlcal Contractor: Phone: Sewer 8 Water Contractor: Phone: _. .........r...._n..:,n..�..:.:.. .::a�.:i v:�....:c:'4'nc::�• - ,.�., •t,.. �:;.:.�.��.a ..� .,�ky, z.�. ..�.�. �'�`IY�T,E,��:P,��. ,r��'d,s�`f�P.��!?p''�."Y'�y'�''.�1�!�ts°� ��'�tt "'�t ."�n�id��;�� It��.�?'��,"�►NM��;��i,-� �'� �'�L,��t ��uqc �,1��Ey�{►tN-ip�t,�., x�r yy 4L!w�,I QZ�,1�r.��"T�L�1,`��r� � ��i,� a�Grr 5�v>•,1 :�n / K.n��, 1�z J'd��i•. � ,��..ci•�} "° �•°r,h�!„�i. I"�11��`/�,V�A'!I�.f!:^•;7Y,��I/��/!/4Y��IRIR�j. ��7/,F�✓�"��v�V��k�� /��LT��SN!rf/��Q� t �1';r `��i`w;,,�,c. �.�. �� 1.� a`,'r;� 1�'� �;t> �, r,a v,.v,i.. ,� ir7�' �j:r.l�yrT'1.m..hjJ �t �"<v.x�� °��..�. yy e 1?ic.j?4'�.=•��i4. '�/� .�d.�,�:�,.ja.J 'Ds �Y,�7=1�`ra�;�r;4 �i;.. � >�1��;., i.�i.W.� ,:Yr ,y��.i��.��O,�eiSr./z' ,;��`![,tlW$2:��1";4, , i 1'd�'��r. rc i�..^'r��;'.gfii�i�Y`-.iJr,ii�:��d.+._��;•":,tiC�Ser:(�%^'.'• �"<!� tPi`;l.tix;f�'. .�w. '4 9 ;-r :i.�r,. � �,�,��;�:�> r;, CALL B�F�RE YOU DIG. Call Gopher 8tate Ono Call at(631)45t-a002 for protedion against underground utifrty dama�qe. Cell a9 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecalls� I hereby acknowtedge lhat thi6 Informatlon is complete and aCCUreta;that the worlc will be in COMormanoa with the ordinancea and codes of the City of Eagan; that 1 understand this ie oot a pertnk, but only an application for a permit,and wo�tc is n01 to staR without a pertnit;that thfl work Mnll be in accordenca wlth the approved plan in ihe case oF work which re�uires a rev�ew and approval of plans. ExteNorwork euthorized by a1 bullding pemdt is9ued in acCOrdance wlth the MinneaoCd StatA Bullding Code muat be complatad wlthin 180 days oI parmlt Issuance. x =Y'1 r1�r x Appllcanrs Printed Na Applica s S na Page 1 of 3 02/19/2015 09:48 5073566021 AP�WW BB PAGE 03/05 .. . . //' L�� r��'',� �:� � <..LO R E � � �-� t �- 1�.° DO NOT W IT BELOW THIS LINE 3UB TYPES � Foundatlon T Flreplece � Porch(3Season) _ ExterlorAlteratlon(Single Family) � Single Famlly� � Garage � Porch(4-Season) � F�cte�iorAlteration(Multi) , _ Multi � Deck � Porch(ScreeNGezebo/Pergola) _ Miscellaneous ', _ 01 of_Plex � Lower Level � Pool � Acceasory Bullding !, WORK TYPES � _ New _ Interior Improvement _ Siding _ Demolish Building'° _ Addition � Move Bullding ^ Reroof _ Demollsh Interior _ Alteration � Fire Ropair _ Windows � Demollsh Foundetlon _ Replace � Repalr _ Egress Wlndow � Water Damage � Itetaining Wall •Demolition of er►tire building-give PCA handout to applicant DESCRIPTION � Valuatfon '�GiC�"'` Occupancy �/Z�,•/ MCES System "" Plan Review / Code Edition o/'` SAC Units ` (25%_100°��iV Zoning �� Clty Water — Census Code y 3� Storfes �" Booster Pump �- #of Units -- Square Feet '"� PRV -� #of Buildings �' Length � Flre Suppression Required �- Type of Constructlon `v� Width ! REQUIRED INSPECTIONS Footinge(New Bu�lding) Meter Si2e: Footings(Deck) Final/C.O. Required Footings(Addition) � Flnal!No C.O. Required Foundatlon HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests ,____,Final Framing � Drain Tile Fi�eplace:�Rough In Air Test _,J,_Final Siding:_Stucco Lath _Stone Lath �Brick Insulation Wlndows Sheath[ng Retaining Wall:_Footings_Backfill�Final Sheetrock Radon Control Fire Walls Flre Suppression:�Rough In_Final Braced Wa11s Eroslon Contro� . Other: Reviewed By: Building Inspector �J��,�,��AL FEES Basa Fee � �� Surcha�ge ' Plan Revlew 5-� MCE5 SAC City 3AC Utility ConnecGon Charge � SB.W Permft S�Surcharge Treatment Plant Copies �,� .'�,S TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA164653 Date Issued:10/05/2020 Permit Category:ePermit Site Address: 644 Superior Ct Lot:8 Block: 2 Addition: Lakeside Estates PID:10-44300-02-080 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Richard Charles Semantel 644 Superior Ct Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature