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4611 Tamie Ave DATE: S/1G/89 RE~¦~~i TAM1E AVENUE. L3, B2• MAN~R LAKE ~,~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 l' CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: ~ J ~Your Sewer ~ Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COAAMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bitl Adams or Dirk House (Plumbing Inspectors - 454-5100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REGIUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POUCY. Sec~eiary, Building Inspections Dept. • , ~ , ~ ~ , ~ _ , ~ ~ _ , ~ - - . ~ ~ ~ ~ ~ . , ~ . ~ ~ ' ' - - _ ~ ` ~C-Ct-Gtti~~ , ~ .~ru~a , c~ ~ ~ y C~ _ - - - - ~ -F-- _ ~ a ~ 8~ ~ - ~l , : ~ ~ ~-~-e- ~T.~(. ' . ~LL~~ ~,a,,,~~ - y~dzS/~`I ~ CASH RECF~~' . --x~ ~ CITY O~..EAGAN a 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 L / ~ DATE f 19 r~rvEO ~ cnw ~.l~ G ~t~-GC.,t/~ ~~'~t: AMOUNT $ ~ - 1 & DOLLAFlS ,oo D CASH CHECK - . " wn la.~ - ~.1 ` ti / ~ ~ ' G GLl: ~L~ IiCL ci f`h :i'. Y: ~L ~ r ~ FUND 08.lECT AMOUNT Thank You . ev ~ ~ i G~~ C " vv~,i?a--Paya~ covy , Y~--POStirq CAPY Pink-~ils Copy BLDG. PERMIT NO. ~ ` ' - -J ' ~ ~ _6~ . 01-3210 Bldg. Permit - ~ ` ~ 01-3422 Plan Check - ~ ~ ~ 01-3445 Surch./Adm. " / % , 01-3446 SAC/Adm. - I 01-2155 Surcharge ` 76-3860 Road Unit ~ ~-2275 SAC , - ~ - 20-3565 Water Conn. ` ~ ~ 20-3868 Water Trmt. ~ 2Q-3716 Water Meter ` ` ~ ~ 20-2252 Acct. Dep. ~ ~ 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL ~ ' . DATE: S/16/89 RE: ~~+11 TAMIE AVF.MIE~ L3~~MANOR LAKE ~ Your Sewer & Water Permit for the above property has besn completed. It will be held at the ~ Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Wate~ Permit for the above property cannot be oompleted for the following reasons: ~ i t Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until turther notice. COMMERCIAL PRQJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTIUTIES - TEIEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMEMT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN pERMIT DATE 3830 PIIOt KnOb Rd. WATER PERMIT SEWER PERMIT # P. O. Box 211 9 9 METER # B.P. RECEIPT t l1~~. Eagan, MN 55121 READER # B.P. RECEIPT DATE ~ METER SIZE ISSUE DATE ~~PRV - BOQSTER PUMP 51TE ADDRESS PERMIT REQUESTED LOT BLOCK S~C/SUB APPLIGrANT: SEWER _ WATER - TAPS ADDRESS: _ COMM/IND _ RESIDENTIAL CITY, STAT~ ZIP , PHONE: . , r• - - MEW ~ EXISTIMG PLUMBER: :~.t~ ~ , ADDRESS: • I AGREE TO COMPLY WITH CITY OF CITY, STATE ~~p EAGAN ORDINANCES: PHONE: ' OWNER: ADDRESS: SIGNATURE WHEN METER ISSUED CITY, S7ATE ZIP PHONE: PLEASE AL~OW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT , OFFlCE USE ONLY CITY OF EAGAN 3830 PilOt Kf10b Rd. PERMIT DATE ftiJ P.O. Box 21199 WATER PERMIT SEWER PERMIT ~ Eagan, MN 55121 _ M~R 353 / S B.P. RECEIPT -C+ AEf~IIE'~ 3~O / B.P. RECEIPT DATE /5 / P.o METER SIZE oc ISSUE DATE x KPRV - BOOSTER PUMP SITE ADDRESS ~~I ~ ~ ~ % ~ ~ ' PERMIT RE~UESTEQ LOT " BLOCK ~ SEC/SUB - ~ _ ± ' ~ ~ SEWER WATER _ TAPS APPLICANT: ~.y . y%~r ADDRESS: c - ~ _ COMM/IND ~ RESIDENTIAL CITY, STATE / ? ~ • ~ ; ~ ZIP ~ PHONE: i ~ NEW - EXISTING PLUMBER: ;1r ~ ; ~/A ~ ADDRESS: ~i'~%T~i~ 1 AGREE TO COMPLY WITH CITY OF CITY, STATE r ~ ~ ~ ~ ; Z~p ~GAN ORDINANCES: PHONE: ~~67 ts OWNER: ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALL~W TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. - i`. ' ~ ~ . . . ' - ~j ~J ~ . - - ' - i - - ' - . ~ ' .r - r / , ••-,~-v~ ~siv-:...-~. ~,y°"."~^S„A,~y~r. ;+s"'~a.7'~"?"fi~~° s ~ 4c.a~--, . ~ _ . . . . . . , - t ~ ' CITY OF EAGAN i-}~ f~534 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1 ~ PHONE:454-8100 ~ ~~Q~~~ BUILDING II~ERMIT Receipt # DEC1C ~ 1.000 !!OV 9 90 To be u~ lor Est. Value Date , 19 Site Ad~ress ~+611 'fAMIE AV~ LOt BloCk SeGSub. OFFICE USE ONLY : ~ Pd~C@I N0. Occupancy - FEES ~ J t~RTA zon~ng - 2 5.00 j W Name ~Actual) Const - Bldg. Permit ~ ; Addf@SS (Allowableti - Surcharge ~ ~ j ~ Clty PhOne ~ ot Srories ~ Lengih Plan Review a 8AR~01[ CON'STRUClIOIi , o Name oevm - snC, C~cy ~ o Q S.P. Total - SAC, rncwcc ~ Address ~ Clt PhOf1@ S.F. Footprints - ' y On Site Sewa ge _ ~Nater Conn ~ i W W Name On Site Well - Water Meter ~ i= Address MWCC System - ~ Z Acct. Deposit i W City PhOne Ciry Water - PRV Required _ S/1N Permit I hereby acknowiege that I have read this application and state at the Booster Pump - S/W Surcharge infortnation is correct and agree to comply v~ith aU-applicakl~e tate ol ' Minnesota Statutes and ~C~ ,qf~a~anOrdinences. Treatmenl PI ~.-C.--'/C ~ APPROVALS Signature ol Permitee ~ Road U~it ~~+Yi~ Planner - Park Ded. A Building Permit is issued to: on the express condition that all work shall be done in accordance with all Council applicabie State of Minnesota Statutes and City of Eagan Ordinances. g~. p~}. _ Copies ~~O Building Oflicial Variance - TOTAL Permit No_ Permit Holder Date Tebphone X WATER SEWER ~ PIUMBING H.VA.C. ELECTRIC Inspettio~ Date Insp. Comments Footings I Foundation ' Framing Roofing Rough Plbg. Rough FUg. Isul. FreplaCe Final Hlg. Fnal Plbg. Const. Meler Plbg. Inspector- Notily Plumber Engr.IPlan Bldg. Final Oeck Ftg. llS- j`C ~je,f/ ~ Qst fjt~,, . ~ F~~ /s'_ 9/ w~i o~. t _ _ , ~ , . - ~t~er#if tr~tf~e uf (~rr~t~~nr~ QF ~ ~itp of ~agan 3~r~r~rtrnrrct uf ~u~td'mg .~ns.prrtiatc This Certi,fi'cate issued pursuant to the requtrements of Section 306 of the Unifarm BuiTding Code certifying that at 1he lime of issuance this structure wus in comptianee with tire various ordirrances af the Crty regulating building constructran or use. For the following: u~~;~d~, SF Di~TG/GAR ~g.~~~No. 16255 pceugyncy Type R-3 I~!-1 zo~B as,,;a R-1 ry~ co~. v-N Owner of Building ~~US BUI LDERS pd~ 3119 JOYCE CT ' : swta~~naa~ 4611 TAMIE AYE L3, B2, MANOR LAKE ' ^ MARCH 1, 1940 , Building Oftictial POST IN A CONSPICUOUS PLACE ~ _ I ~ CITY OF EAGAN :,~I:' .is2rJ' ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 . BUILDING PERMIT Receipt # ~ To be used for~ = F U1t~~ f~- j~~ Est. Value ~'t-" Date AFE S , 1 g t~ 4 Site A~dress 1 I TAA~ A J~ OFFlCE USE ONLY Lot 3 Block % SeciSub. ~'~g~ ~ Parcel No. oc~up~y ~-1 FEES Zoning ~ W Name ~U3 HUILDERS ~acc~ai> consc v-~• Bldg. Permit o Address 3I19 JOYCE CT (AllowableJ v-"` 40.00 - Surcharge City Phone 68f~-2886 n ot sro~~es 7TS 00 Lergth ~ Plan Feview • Z o N ame ~~E Depth SAC. City ~ a Address S.F. Total - SAC, MCWCC S~ 5 0~ • ¢ City Phone S.F. Footprints - r On Site Sewage _ Water Conn • G~~ W w Name ' On Site Well - Water Meter yQ AddfeSS ' , MWCC System ~ ~ Acct. Deposit 30•~ a W City PhO~e City water ~ PRV Required ~ S~W Permit fl•~ I hereby acknowlege that I have read thfs application and state that the Booster Pump - S.~W Surcharge 1•~ information is correct and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. j Treatment PI Z Z8 ~ W APPROVALS Signature of Permitee - ,f Road Unit 3~• ~ BC):~tiS StJTLD~~tS ~anner - parxoed. A Building Permit is issued to: on the express condition that all work shail be done in accordance with all Council _ . applicable State of Minnesota Statutes and City of Eagan Ordinances. g~dy. pry. _ Copies Building OffiCial Variance - TOTAL 1' 9'~~ Pe,rmR No. PermO Holder Date Telephone # ER ,G'~~ 1~C."J ,.C~i•V J~~(t' ~ SEWER ^ ~~j (,y PLUMBING ; ~ ~ % , ' ~L /p ~f 1 ~ l ' ~ ~'4e 5 8 ~ H.v.a,.c. '~'y',5' - ~i G~%• , ELECTRIC ~ w,'•<< ~ r ~ C3~/~ ' ' ~ Inapection Date Insp. Comments Footings I Foundation y ~ i H f; o.~ r' r % Framin9 yd (,/sT.-rJ! ~ ; ~ ~ .ii Roofing Rough Pibg. "~1J'8 ~ Rough Htg. -s Isul. ' % - g Freplace n , Final Htg. !J N ~ L - ~ ~ •-a- ~ . ~ f. FnalPlbg. '7"~ ' ~ - .~S- ,f+,~~f~/~i,~ Const. Meter Plbg. In pector - Notify Plumber Engr.lPlan Bldg. Final i ~ V Deck Ftg. Deck Final Well Pr. Disp. .l~O~~ /`?L~~41~E l~/t0 y-/~ . _ ~ ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: " t' 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 , ~ . . _ , SITE ADDRESS: , , ~ , ~ ; APPUCANT: „ ~ ~ , ~ ~ 11vf.~ .,~~ir~ ~ ~ii•~~ ~ , , , ~ ~ , PERMIT SUBTYPE: TYPE OF WORK: . . ~ , , , . ~ , , ~ . . • • ,,i;~~l, i ri ~ ra;,+ _ Y~"° _ < ~ _ ` . ~ , ' . _ ° _ . - _ . ~ _ . - L 5-n __~_..~'~i-~c.~z~ v:~ :e~s - ~~~,~g'~-w~>.,ts~ ~ Permlt No. Permit Holde? Date Talephone f EI.ECTRIC PLUMBING HVAC Inspection Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG Alfl TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FlREPLACE ~ 30 FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. 65MT FINAL DEGK FfG DECK F1NAL 1 CITY OF EAGAN (a0 18534 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 /b r10?J BUILDING FERMIT Receipt # V ~ To be used for` DECK Est. Value $1 ~ 000 pa~e NOV 9 , ~ g 90 S~It6 Addl'BSS 4611 TAMIE AVE OFFICE USE ONLV Lot 3 Block 2 Sec/Sub. ~ ANOR ~A F Parcel No. occuoa~cy - FEes Zoning - a Name .TOHN MERTA (ACtual) Const - Bldg. Permi~ 25.00 3 Address 4611 TAMIE AVE (Allmva6la) - Surcharga . SO ° EAGAN Phone 8 0l stories City 1 ~ i Plan Review Lang[h , o Name ZARBOK GONSTRIICTION oepm SnG Gry ~a Address 3119 dOYCE CT S.P. Total - SAC, MCWCC ~ C~~y EAGAN Phone F+£S8-9FiR(, S.F.Faatp~ints _ On Sita Sewage - Water Conn ww Name On Site Well _ Waler Meter z MwCC S slem Address ry Y - ncci. oePosa <w City Phone c~ wa~ar - PRVRequired - S/WPermi~ I hereby acknowlege that I have read this applicalion and slate at the Booster Pump - gM1 Surchar9e inlormalion is correct and agree to compty witya1 Y'"~plicabl tate ol Minnesota Statutes and Ci y oLFa rdip,a~ ireatmant vi ~ APPROVALS SignaNre of Permitee' Road Unit A Building Permil is issued to: ZARB CONSTRUCTION P~a""a~ - Park oed on Ihe express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and Ciry ot Eagan Ordinances. g~y. pry. _ Copies ~ Variance - TOTAL 25.50 Building Official i ~ ~~~Qd~~~ CITY OF EAGAN N~ 16255 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 ~ ///,c79-~ BUILDING PERMIT Receipt # T C/v To be used for SF DWG/GAR Est. Value ~80, 000 Date APR 5 , 19$~ Site Ac7dress 4611 TAMIE AVE Lot 3 Block 2 Sec/Sub. MANOR LAKE OFFICE USE ONLY ParCEI N0. Occupancy R-3 M-1 PEES Zoning ~=1 ~ Name BONUS BUILDERS ~nduapConst V-N 81dg.Permit n-~n ~ Address 3119 JOYCE CT (Allowable) ~-N 40.00 o Surcharge Cily EAGAN Phone 68A-2686 s of srories - LengM 48' PlanReview Z~5.00 , o Name SAME Depih ~!8 ~ SAQ City 100. 00 ga Address S-F.TO~aI - SAC,MCWCC 575.00 ~ City Phone s.F. F°°~P""~s - On Site Sewage _ 'Nater Conn 580.00 ww Name OnSiteWell - WaterMeter 90.00 s~ AddresS MWCCSyslem ~ <w City Phone crywa~e~ XX A~~~DepOSi~ 30.00 PRV Required ~ SIW Permit 20.00 I hereby acknowlega that I have read this application and st that ihe Booster Pump - S/W Surcharge 1.OD information is correct and agree tyy omply with all appf a State of Minnesota SlaNtes and Citv of E~ rcli~a~. Treatment PI 228 - 00 Signature ot Permitee~ ~ APPHOVALS Road Unil 340 _(10 A Building Permit is issued to: DRRS Planne~ - park Ded. on the express condition that all work shall be done in accordance with all Couricil applicable State of Minnesota StaWtes and City of Eagan Ordinances. gid9, p~. _ ~OP1e5 ~~fuA~~~~~,~`~'~~ Variance - TOTAL 2~829,00 Building Olficial ~ Y 1 ~ 1989 BDILDING PEHMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINdB ' C' ~ INCLUDE 2 SETS OF PLANS, 3 CERTIEICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRES3ES FOR COHNER LOTS - COIPfRACTOR/HOMEOWNER MUST D~+3IGNATE WAICH ADDAESS IS DESIAED. NO CHANGES WILL BE ALLOWBD ONCE BUILDIN(i PEAMIT I3 I380ED. MULTIPLB DWELLINGS RENT9L UNIT3 FOR SALE UNIT3 # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIEICATE OF SURYEY - CHECR NITH HLD(3. DEPT.~ 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~ 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS '~jpg 2 7 1989 To Be Osed For: ~ Valuation: ~D,~~ Date: 7 Site Address 4.1,~~ ,~'f~,D~ ~~~u, OFFICE USE ONLY Lot ~ Block o? Oecupancy ~ 3 FSCs.4 Zoning R- Pareel/Sub /~o/~q/e~ ,~,(E Aetual Const ~ Hldg. Permit ~ Allowable V_N Surcharge ~aLD~ Owner ~oahs ~~~P.~S 4 of stories Plan Aeview a~,~ia0 ~ Length ~/8~ SAC, City fpb~0~ Address ~~~9 ,~l~r.~ Depth y8 SAC, MWCC S~SiQ~ S.F. Total Water Conn S$a,a0 City/Zip Code ~~vq~v.u ~Yl~ SS,6~J Footprint S.F. Water Meter 9p,DD Acet. Deposit D~C7~ Phone ~jC~c~ -o~--~~'-F, On site sewage_ S/W Permit 3p,oo ~ On site well S/W Sureharge ~,oJ Contractor o,~i~~s GS. MWCC System ? Treatment Pl. 2L$, ~ ° , / City water ~ Road Unit O;OJ Address _ ~//9 e d~,ce PRV required ? Park Ded. Booster Pump _ Copies City/Zip Code ~ c.a.c/ /N~ . ~S/dL TOTAL 9PPROnACS Phone {~~^02 Planner ~ Q Couneil ? Areh./Engr. ~rt1u5 V )~~QS, Bldg. Off. ~4~4 ~ Variance Address 3~l 9 ~~UCE City/Zip Code / Phone l1 ~ -02 ~-6 NOTE: Sewer & Water Permit fees and aecount depoait fees will be ineluded in the building permit fee. Processing time for sewer and water permits ia txo days onoe a lioenaed plumber has applied for a permit at City Hall. , : C VLt~URTIDN , GARAGt. ZzxzZ_ y8y x Is"= `7Z~o sm 2~ u yz = ro92. x iy = I SZ88 1-I ous~ ~5M T ~ 10~12. 1'Jz x s~ 3 g, ~x3 _ z - z~~ _ ~4 I 13 ~ x 5~ = s~__9 ~ y9S~ ~ '4 ' C;-F.~ C~~~ - S{CaMA House Certificate for: - . SURVEYING SERVICES INC. BON U S B U I L D E R S J7J0 PYof KnOb RoaU • Eapan. Mlnnescfa SStt2 (612)45S•90I7 . . . pR~M~6f ~Mp YTIUTY [~SW(NTi Yll ( C L I F F ROA~ ) ¢ . _-L_J L~ ~C.S.A. H. ~ N0. _ 32_~_ ~Un6 3 ~[[T iN wiOTM vM[Sf Oie[IIw~3[ WOIG~f W~ ~NY ~D.qWI1S6 LOT UN[! ANO 10l[[i tM MIDTN~NO ~OJOIMIMO lill[[T . L~MLS. ~l fMONN ON Tw[ KAT. YN r ati^° N89°24~47"E ~ ~ o ~'`r;`~~ - d - ~_e_94. 99- ~.o _ dA`~es5 a-a- r o e ~ ~ . ' - - - ~ ~ s s I Lo~' I ~ I 3 I N ~ ~ I I m - In ~R.o- C936-ort) r. . - ~ __I \4~\\ I W l~ ~7' l•i~ ' \Yreposed o M ~ d l 3 I~ L°''w° I Il~ 26.0 ~ I 0 M \ \ ~i f N IL) W I N VP~~N ~ J S r~ ~ \ ~ ~ . o"- ~~o tte o_ a il- q 2 I ~ P o ~ ~ ~ ~ 4 'N~ ~ ,m• 63. ~w \ ~ ~n~ , 5 T o F ro agL 939~' /p~ J . ~ ~ q~~. U O ' ~ ~ ~l 4~\ - 42.04~ ' . s ps `t -1~ i, ~ 1:,~._. S89°2447 W A Cenc~ete cv.b 936 ev ~ ~ _ TAMIE AVENUE ~x.~"~t~ - N EI~GART 1VGIIVEER IVG D T s~o.~e: = 40• p ~ ~ VI~~~ ,;j~EGEND- p E aGARAGf FLOOR fIEVATfON~~- 93q~~ o.fknotes ~rcn ~Mwxnent PAbPOSED Jop ot 8fock fLEVATION=~ 9393 a lknofes Wad Hub Set PROPOSEO BASEYENT FLOOR ELEVATION=. g36.3 WIO x 937~Z Opnofes Existirr3 Spof Elevatian ~T£, yQrify al~ f7oor heighfs with fir~l Ncuse P15ru. qav.o ) Gerotes Propos~ Spof Elevatim ~---Denotes Orainage Directim ~ IaF'YC]R5 L~fTTIFICATfQN- ~~~~~W~~m~~E~Sr«uiry~q m 1 hereby certify thet this survey, rr y~ -PIt~ERfY DESCR1Pf10N- wss prepared by me or urder my di ~s~ ` Dq~ ars9 that / am a duly Re9+sfered l~rrl'Sur : LAT~ 3.9LLL'K~ 2~ DES i u~der the laws of State of Y~ sofa. ; ! MANOR ~.AKE AOD. J\ • i~ ~ f Z~4~75 accordrrg fio ihe recorded plaf thereof, ~ t~r.s_ Date: °'9 ~fj ' "..........r• • ~ OnKO<w Canty. Yimesota Mayne . Cardes. Wim. ~J. No. I ~~S~jRVf~, ' Re.v:52d ~ 4-3-89 HouSB, l.oce~}'~~o~m%11qM1~ Energy Conservation Supplement To Building Permit Application BUILDfNG AND SAFETY DEPARTMENT CITYOF ~ a+~ `t/1 ~~"LLl1.~_ DATE: 3~3o/8p This supplement is provided to assist the applicant In computing the EXTERIOR ENVELOPE AVERAGE "1J" FACTOR INFORMATION. This Information is required so the BUILDING OFFICIAL can determine that the submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6001). It is the APPLICANT'S responsibility to accurately and completeiy compute the data; reflect the proper DESIGN CRITERIA in the plans; submit producl specification, as needed to sup~ort the "A" 8nd "U" factors used; and to assure that construction is accomplished per the approved pians. JOB LOCATION L ~3 ~ a"' ° '~~cs ONlNER(S)•~1~cw+_~-~J~.. (aQ~e.~1 L~.C_ PHONE y3~ -~3~-~ 6p8-.L681~ ~ _ CONTRACTOR M e - PHONE q, Determine tha Total Exposed Wafl Area as follows: ~ 1. Total wafl_w.indow area ~ d$ 2. Total door area y d 3. Totai sliding glass door area ~'2 4. Total fireplace wall area ~ w>orQ c~aa~~ ^~~A" 5. Total wail framing area (average 10°!~) / 3 3 6. Total net v+all area above tloor ~ 6~ 7. Total rim joist area ~Yg /3 3 2 Subtotal: Total exposed wall area above floor 8. Tota1 foundation window area ~ ~ 7 9. Total net foundation area above grade ~ S . Subtotal: Total exposed toundation area: c 9 Z ~ ~9.~5' GRAND TOTAL EXPOScD N'ALL AREA ~ 8. MuNipty the GAAND 70TAL EXPOSED WALL AREA X,.11 - Item I L~/ C. Determine the Totai Exposed Roof/Ceiling Area as tollows: 10. 7otal skylight area 11. ~Total roof/ceilinp traming area l~°~~ ~ 9 12. Tolal net insutated roof/ceiling area j~ ys GRAND TOTAL EXPOSED ROOF/CEILING AREA _ D. Multip~y ihe G~tAND T07AL EXPOSED ROOF/CEILING AREA X. G26 = ttem 11 d.2 . petermine the "U" value of each segment (1-9) and muttiply by the area es Ioilows: S(o f~C9. Y8 . i. /ag x ' u• - ~/o x ~ 3 = s..zn 2. ~/,Z X ~~U.. > s(o = at3.S.t 3. 4. n~~'4 x „J ~/a- _ - 5. / 3 x , / D.Z 1 = / 3 . S ~~l x c~ vs6 = 39..tG 6. /Y'8 X ~ y18 (o. 33 7. S' 7 X ..V.. ~(o = 3l. ~ ~ 8. s 3 S X..~.. ~ c~US6 = v. v o _ ADD 1-9 FOR TOTAL WA~L SEGMENTS = ttem 111 aoY. 70 . Determina the "U" ~alue ot each segment ('10-12) and multiply by the area as Toilows: ~ X , _ - 10. iy. 7`~ x..~.. a.~8 G = ~z..~s9 ~2. ~ o~/S x..~.. .o~i 4 = s~ g$ ~ ADD 10-12 FOR T07AL ROOF/CEtLING SEGMENTS = item IV ~S /yS 3. tl Jtem No. !11 is the same as, w/ess fhan ltem No. i, you bave met the +ntent ot State 8uilding Code 60D6(cJ 2. i;. !f ilem No. !V is Jhe~ame as, or less than fiem No. !1. you have met ihe inten! of SYafe Building Code 60D6(cJ 9. ~4.,~.zy - ~ 1. Add Item No. 1 + Item No. ii - J-S- _ ~~~a 9,. FS~ J. Add Item No. I11 ~~y ~D + Item No. IV - !C, lt 1he sum ot Ilems 1!1 arni fV are fess than ltems 1 and f!, you Aave met the intent oi fhe code for toraf envelope system. - ' In addition to the above items you may have to add for such items as floors over unheated spaees, sucfi as cantileverd areas, etc. To arrive at •'U" ~alue divide the total of the R ~alues tor each segment (as abovej into 1,000. Answer you have is the "U" value tor that segment. Example: A total '•R" ot 35.08 divided into i.00D =.028 "U" 7he undersigned, as applicant for a Building Permit, hereby aflirms the above information has been prepared and submit- ted by himself or under his direction; hereby acknowledges the Iniorma[ion to be correct and accurale; a~d hereby pre- sents the intormalion with required plans in support oi lhe Building Permit App~~catio ' i _ ig ature Date 3~aC~~59 ~ ' ' GUIDELINE TO (R) fACTORS FROM ASHRAE MANUAL OF TYPICALLY USED PRODUCTS • AIR_ FILMS SHEA~ TN~ Interior Air Film (Walls) 0.68 3/4" Wood SuDfloor or Sheathing 0.94 EicterSor Air Fitm {Walls) 0.17 1/2" Plywood Sheathing 0.66 Interior Air Film (Vented Leilin9) 0.61 1/2" Farticle Board ~ Exterior Air Film {Yented Ce111ng) 0.61 Gypsum or Plaster Board 3/8" . ~•32 ' Interior Air Fi1m (Non Vented 0.61 Gypsum or Plaster Board 1/2" 0.45 ~ Extertor Air Fi1m (NOn Vented; 0.17 Gypsum or Plaster Board 5/B" 0.47 Plywood 3/8" 0.62 Plywood 1/2" - 0.93 BLQWIN6 NOOLS Ptywood 3/4" 5heathing. Reg. Density'1/2" 1.32 Approx. 3 9•~~ Sheathing, Reg. DensSty 25/32" 2•Q5 Approx. 4„1/2" 13.00 Nail-Base 5heathing 1/2 1.14 Approx. 6 1/4" 19.00 Approx. 7 1/4" 24.00 - Approx, 14" 30.D0 ROOFS Approx. 18" 40.00 guj~t-up Roofs 0.33 A11 other insu:ation materials must Asbestos-Cement Shingles ~•Z~ Asphalt Rall Roofing 0.13 be verified (R Factor) Asphalt 5hingles 0.44 INSU~ATION SIDING Insulation: 2-2 3/4" Fiberg7ass 0.61 Insulation: 3 1/2" fiberglass 11.00 Aluminum Siding ~,82 Insulation: 6" Fiberglass 19.D0 Aluminum with Backer Insulation: 3 5/8" Fiberglass 13.00 pluminum with Backer E Foiled 2~:86 ~ Insulation: 9" Fiberglass 34.60 1/2 x 8 Lap Siding (Wood) Insulation: 12" Fiberglass 38.00 7/16 x 12 Hardboard Siding 0.67 Insulation: 8" Lellulose 29•00 Asbestos Sidings 1/4 Lapped 0.21 Insulation• 10" Cellulose 37.00 Stucco (Brown and Finish Goat) lnsulation: 12" Lellutose 44.00 Insuiation: 1 1/2" Thermax 16.00 OOORS Insulation: 2" Thermax ~ 1 3/4" So1id Lore Door .46 WOODS w/Storm. Wood •31 w/Storm, Metal •26 Fir. Pine 6 Similar Soft Woods Pease 5tee1 ~oor Insl(N/GL 7.45R .13 1 1/2" ~•89 • 5liding Glass Door, Wood .65 2 1/2" 3.12 Meta1 .12 3 1/2" 4.35 5 1/2" 6.87 CONCRE~ WIND~WS 8 Concrete Block (5 6 6 Reg.} 1.11 All Windows ' .56 ,(Filled with Vermiculite) 1.93 ~w/5torms 1" to 4" Soace) ,55 ~ 28 Removal Double Glazing (RDG) 12" Concrete B1ock (5 ~ G Reg.) Thermo or Welded 3/lb" Air Space .69 (Filled with Vermiculite) 3•15 1/4" Air Space .65 8 Light Weight 2•18 1/2" Air Space .58 (Filled with Vermicutite) 5.03 (Other windows specifically tested 12" Light Weight 2•46 can use better ratings~ (f111ed with Yermiculite) 5•BZ I • Page 5 _ , ~!Ij ~I_i ~i~~ ~ i 7~ ;j-I : , . , j ~ , ~ ~ - i-~ ! - I ~ , ~ ' $ R I i--~ ~ ~ i_I i=~ , Y: _ -r ~I ~ _I I i - ~ , ~ ~ - - Ir - - ~ _ ~ _ _ - _ _ _ - I - ' I - - _ - , ~ _ _ I- - ~ _ ~ I _ - ~ _ - - - I I ^ - _ - - - - ~ - I~ I - - ~ i , _ _ - - ' I I-- ~ Ii I _ - - - - - i ~ I - - ~ ~I- - - - _ _ ~ - ~ _ - -f- ~ T - - =~-;=f== ` ~ - - - - F= - _ _ _ - - - _ ~ ~ ~ - ~ - p~ z~ _ -~~4 _ 3 . Y ? o - . ^l ' I . I ~ ~ 3I _ - i _ - _ ` 1 -I-~ ~ I _ i ; I I~ I--i - _ I f_ _ ~ ~ ~ Ii - i 4_ - I I I 1 . _I -I ~ - ~ I ~ I I° - I I - - -~I ; - ~ N - - ~ ' --I -f=- ~ . - - - _ ~I ~ _ 'I ~ _ . - - - i ~ _ ~ ~ _ w ~ ~ o ~ ~ , _ _ ~ _ ~ - - ~ ~ _ ' ~ _ } _ ; - I_ ; ~ ~ ~ - - - - - - ~ - _~-L_,__ - _ I - --l- - ~ ~ . i=-- - I I _ ~ ~ - I - - - ~ ~_"i I ~ - ~ ~ ~ -1 I ~ ~ - - ~=1 , ry ~ , _ I - - - _ ~ ~ ~ I 'i e ~ ,T-1a i ~ I I , n a - --L _ ~I ~ t i ~ - I ~ ~ ~ ~ ~ - ~ I ~F~ _ _ - : ~ ~ a_ , I I ~ iY _ ' ~ - ~ - _ - - -i- -I- _I , i - ~ - - ~ ~ i I ~e - - - - ! , ~ ~ - - - - - ~ - ~ - r ~ _I I~ ~ - i Ii-- i -1F-- i- ~ ~ - - - - - ~ n - i T ' °i _ ~ q~~,l i ~ ~ ~ i~ ~i ^ .?I ~ _ --I \ . . " I~ . ~ ! ~I ~ „ ~ _ _ - - ~ - ~ ~ ~ - - - ~ ~ p(~ - ' ~ _ - I ~ Y 1 J ~ I I`~- I ~ r. . i ~l ~l I I~ ~ ~~I I ~ V . T.. _ _ _ - ~ ~l ~ _ . ~ ~ I . ' ~ _ ' ~ ~ ~ - ' . i . _ ' ~ - - , ~ efj D ~ ~ ~ i . _ , - q x" .._r s .T I I I ~ ~ i .I _ c~ ~ _ ,'Y ~ SI I i I I I 'i ~ . - - a ~ ~ - ~ ~ ~ - - - N _I ~ ~I = - - ~ ~ - ~ - _ ~I ~ ~ I , I ~ I I ~ 3 ~ 3 i ~ ~ ~3 3 ~ ~ ! ~ ~ I ~ 1~ ~~i I,_ I, , I ' I 3, W l; 3I w'~'; j I, ~ I ' ~ - ~ I~ _ _ _ i - ! - - : _ . I, f ~ I,. ~ ~ ! ~ i ; , I ' _ i~ 3 1940 SUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SiR2VEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING pAY OF MONTH IN WHICN REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WNICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. 1i0V 0 ~ RECO To Be Used For: ~ QC Valuation: ~j `fS"~ Date: ~7/~ Site Address ybll T m; Q~Y ~ OFFICE USE ONLY 7 ~pOo Lot V Block ~ FEES Occupancy Zoning Parcel/Sub _M~,~" L,4~{~p~p~~ Actual Const Bldg. Permit ~5,~ Allowable Surcharge . yJ Owner ~'~~y~ Md~'T~ # of stories Plan Review Length ~7 , SAC, City Address C~///f TG+~y~/ {~~~Q, Depth /,O• SAC, MWCC ~ S.F. Total Water Conn City/Zip Code ~p~, j~ .S,J~•/,¢ ~ Footprint S.F. Water Meter Acct. Deposit Phone On site sewage_ S/W Permit ~ On site well S/W Surcharge Contractor ~G f( CDrI c~~ I MWCC System _ Treatment P1. y- City water Road Unit Address ~f ~p y e 8 ~ PRV _ Park Ded. > Booster Pump _ Copies City/Zip Code y k t~G~ y~ ~~+'1J)f , S3 SUBTOTAL p~ APPROVALS Penalty Phone ~ ~ a ~ Planner TOTAL Council ~ Arch./Engr. Bldg. Off. (,r~ Variance Address City/Zip Code Phone # , J l l.Ll r r' RVAU / i4 _.~_L_J L~ L__ C.S.A.H. ~ N0. _ 32~ j ~ rtwa s rur u~ rror~,w~u~ ar~aw~sc woa•r[o, wo ao~owiwa ~oT ux[s ~re w r[[t i~ .mr« ~ro ~o,a~ws ~r~[[r ~ wn. ~s s~o,.M en rwi K~r. N Z Q/'b 0{S CO/75'7.~ ~ ~ ti^° N89°24~47"E ,o ~'tA`}~5 e _ ~_e-94. 99 d-~- ~ • o=-o - ° - - v.. e Q , ~ ~ ~ i r- - - - - - -,s ~ S~ I Lo-c I N I 3, I ~ , a ~~~.p~ ' p aD - ~ .,I.o. c,n6 x~ !D- ~ _ ~ I-'-' \wxo~ \ I W ~_~~-T' `-7' . i- i._ . \Prep ied e M ~ . I 4 HOULE + °1 I IYA1 \ N I ~~I 26.0 0 ~ . ~ ~ i~ L~'p O . M o\~~~ f ts t!1 ~ ml w ~ ~N ~ J M . \ \ / ' ~o~ . . - ~ p zza sa_e _J Jc o n ' " . ~ s ~ Q o ~ ~ Y Z ~ ' ~ I o$,~. 0Z. •„'""'~o ~ _ ~ s :~o`, q°'es s6~~ ~ a, \ „y - b . ~ ~~p lye . . g ! \ . ~ ° ~ D~~+ r 'v ` _ _ _ 42.~ ~ i ~ &89°24~47 ~W p Gncrc~e w.t iin.•-`i ~ . TAMIE AVENUE ~ ~ - - - _N_ Sca\a: t" = 40' _LE&END_ PI~QPOSED 6ARAGE fL00A ELEVATION= v3a.o PAOPOSEO Top of Block ELEVATIONa 93q 3 O LL•notes lrcn Yu~xrent PROPoSED BASfYfNT fLOOR ELEVA~ION= 936 3 w ~ Aerwfes Mad N~ Set - vj~.z L1eiwles fxistirg Spof Elevafian yarify a!1 lloar ?is~9hts rith Fina! Hause Piara. aaa.o ) Ueroles Propnsed Spci Elevef icn ~--Dcrwtes Drainage Directim ~n~ rwc ~~1FIGOffLYV- f IKreby cerfify fhat fhrs surveY. plan or repori -PR~KIY ~SL"AfPT?LrI- rvs preprred by ~ ar uder my direcf supervrsran lOT~_.~K.~-_.- ard fMi ! am s dYily Registered Lsrd SurveYor r the laws o! Stafe o/ Yimes~~p,~„w „a~., MANOR LAK~ ADO• ~ ES 1-._ ' sccarQi+~g to the raccrdad pfaf #hereol. ~ ~..df•M+_ Oafg~ ?y`'. ¦i Cordes. Yim: Reg_ Hd:~1.+KY~~•Y~iE p. . OGKOlQ ~OIXI~Yr ~If1r.SOtJ~ . . . ~ ~ ~ ~ ['QR(~~? ~i ' . . . ~ i ~ ~ Rtv:sed ~ 4-3-89 -HouSG~ .L#ec>t:o~ = ! ~ ~,4tia~.._ ~ _ ~y.,~sUR~,~ I , PERMIT Cp~,~~9~~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: a u s ~ o I N ~ Eagan,Minnesota55122-1897 PermitNumber 026509 (612) 681-4675 Date Issued: 10 / 0 9/ 9 5 SITE ADDRESS: RG11 l"AMIE ~1VL L07: 3 BLOCK: 2 MANfJR LAKE P.I.N.: 1(7-R7275-03@-02 DESCRIPTION: ~-,,~a (WOOD BURNING) 8~~.~.d~.l~"'~ Permi'C Type PTREPLACE ~u~,l€I.i~g~~~rk Type NEW ~ ~ ° 'a =W~ .~fF? ~ - ~ f: ' . . i.._..a, 3~. . . . J° s a °*?y, n o r^ n'<::,~ P # ..:?:.ar '~`~~'S ;lia w~~ ':sl flL . 3 ~qy,<<~,_ `CC`xi. ? ap ~q f~~ V ~ i " ~ i ~ ~ e Fc ~ ~ a~ r `~S t-..,~,~y ~ fay!~~(^~° i ~yt " s ~ s'vl,y 4~ y `i"`„ ~ ~ w ~ ~ '..z"' 2s a:^:,:~'•a ,::.~c°""-? S.x~ REMARKS: FEE SUMMARY: E~ase Fee ~25<0~D Surchar9e '.SP~ Tntal Fee $25.50 CONTRACTOR: OWNER: - Applicant - MURTAUGH JOhIN 4611 TAMIE AVE EAGAN MN 55123 (612)685-6927 I her~by a~knawJ.edge that I hav~ read t'his ap~r~ic~C.a-or~ arsd ~hat ~kt~ zn'~sarmata~an is corr~~t and agree ta campTy with ~I.1'~pplic~{~1~ a~'~~e a~ ~En.. ~~~tu~e~ a~d Git~ c? ~ ~ag~ri t3r~fiCr~ncesn : . ~ ~ ~ . ~ ~ _ ~ < < _ e. _ ` APPLICANT/PERMITEESIGNATURE rISS~€U~''.~~G~ RE ~ ~ INSPECTION REC~RD CITY OF EAGAN PERMIT TYPE: z~ n r M~ 3830 Pilot Knob Road Permit Number. 6 5 0 9 Eagan, Minnesota 55122-1897 Date Issued: 1~+ /~i 9/ 9 5 (612)681-4675 SITE ADDRESS: . ~ . . : -4 j ~ ~ - ~ APPLICANT: LOT': 3 BLOCK: 2 4~11 l'AMIE AVE MUR'I'At1GH ~701dN MANOR LAKE (612) 688-6927 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DE5CftTPTTON (WOOIJ BURNINGj . „ . ROUGfi-IN FINAL ~ _ _ _ , . . ~ . . _ . .,~~~.a;~ ~ _ . - ) ~ 1 . ~ 3830 PILIOT KN B RDN 55122 ~~f,~~ 1995 FIREPLACE PERMIT APPLICATION 687~1675 DATE: - q DESCRIPTION OF WORK: _ INSTALL bp~[ FIREPLACE: ~ WOOD BURNING _ GAS _ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE _ INSTALI GAS LINE ONLY IN EXISTtNG FIREPiACE ` OTHER: AREA TO BE INSTALLED IN: C_ h~ r.v i _ STREET ADDRESS: T~1 e?~; ~l ? r~- LOT ~L BLOCK ~ SUBD./P.I.D. APPLICANT: (circle one only) OWNER CONTRACTOR I hereby acknowiedge 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. PROPERTY Name:.~'~.~r~ ~ u l~r^- Phone ~A ~ a~ OWNER ~ Signature: ~ f~~ Street Address " l i- ~ ~ ~ A n~~~-~' ~ 2 City: ~iq ~i il State: ~~1 , z;~,: ~ ~ I a .e Fi~PU4ce Company: ~ V,v E,2 ' Phone ~ g~ r G ~ INSTALLER Signature: Street Address: License City: State: Zip. GAS LINE Company: Phone INSTALLER Name: Signature: Street Address~ City: 5tate: Zip: ~ ~ ~ ~ ~ OFFICE USE ONLY ~ .~~-~r BUILDING PERMIT TYPE 0 14 Fireplace WORK TYPE 0 31 New o 33 Aiteretions 0 32 Addition o 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKS: Chimneylflue must be inspected before concealing. FEES Permit Fee Surcharge Other Copies Total: ~ . _~..._a . - ~ ~fi7~..,:.'..,....: ' ~ . City of Ea~aIl ; Pe~,~t 7~ ; ~ ~ I Permit Fee: 3830 Pilot Knob Road ~ _~5 ~ Eagan MN 55122 ~ Date Received: ~ Phone: (651) 675-5675 i Staff:_~~ i Fax: (651) 675~v694 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~ Site Address: f0 l~ l ~ ~V'~. Tenant: SG~ ~~}s~~~ Suite#: RESIDENT / OWNER Name: j~0 C7 sl~~ Phone: t9 SI ' P~b b~ 70~5~ Address/City/Zip: 7(~I ~ Ta~~''e /TU~ Applicant is: _ Owner Contractor 7YPE OF WORK Descriptian of work: 1 ~2- nO p~ Construction Cost: ~ ~d ~ Multi-Family Building: (Yes _ / No ~ CONTRACTOR Name: ~f~e~S(2P.~1 ~rl, CAMQGny ~IIGr,License#: ~DSy7a`~ Addres~~ /S4~/~avt~ ~L2 S(fl~ p~~ ~ City: STt ! ~ State: "~L~ " ' Zip: -SS ~ Phone: SI O~ bs 3~-3b Contact Person: r? s~ ?1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submissiOn type) • Energy Envelope Caiculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contrector: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submitare considered to be public informaSon:: Portrons of ~:the informafion~inay ke classified as'i~on-public ~if you proGide `speaific~reasb~ns that ~voulr/ permit the City~t4 ~ ^ ~ ~ ~ conclude~~~fhat the arc trade secrefs.' ~ ` ' ~ ~ ' " ~ ~ I he~eby acknowledge that this information is complete and accurete; that the work will be in conforman with the ortlinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permH, and rk is not t tart without a pertnit; tNat the work will be in accordanc with the approved plan in the case of work which requires a review and appro al of plans. X a Sd ~l Sc~ ~ e n~ X Applica Ys Printed Name A I cant's Si at Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA173109 Date Issued:10/28/2021 Permit Category:ePermit Site Address: 4611 Tamie Ave Lot:3 Block: 2 Addition: Manor Lake PID:10-47275-02-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Scott A Laska 4611 Tamie Ave Eagan MN 55123 (651) 357-2357 Preferred Contracting & Construction 670 Commerce Dr Ste 205 Woodbury MN 55125 (612) 283-7969 Applicant/Permitee: Signature Issued By: Signature