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4627 Tamie Ave . . . - t~ • ° , - Ttrttftr~tt uf (Orru~aury : - Citp of Cagart iorparbam r# Nuitdittg 3wpxfwn This Ceriifrcate issued pursuant to the raguirw&rrts ojSocdaa 306 ofthe Unijorm Buitding . Cade certi. jJ'inBlhat at the ume of issuance tkismiuaure ms in complianoe with the wariaus ordinairces of the City reguladtS bugdfn8 c»xmrucdon or trse- Fvr the fo!lowing: USIC ClosoTiold„ SP DWG/GAR My% %x 18884 O-Vacey 7hv R-3 M-1 zodiag Dhtgict R-1 ~~cong Y-N owacr ct wa&AB KEYLAND HOME5 M&,:, 14450 BURNSVILLE PKWY BoadwAdd= 4627 TAMIE AVE LOOAW L1, B1, MANOR LAKE 2ND o JUNE 26. 1991 e„M;ng Posr IN A CoNSPcuous aucF . . _ . . . _ . • ~_,r.y.,~ ~-s . . . . . ~.n~ylyir~,~.yr :.r.;~ . . . . . . • +~i'r`1R~'~'v'~ CITY OF EAGAN ~ 18~84 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 1 L :~~3~ ~ BUILDING PERMIT Receipt # ~ To be use far SF DWC/GAEt Est. Value $76,000 Date APR 11 19 91 I . I Site Ad`djess 4627 T~~ AVIt ~ OFFICE USE ONLY I Lot Block Sek/Sub. R-3 . Parcel No. ' Occupancy ~ FEES KH7l1.11lw HO["9ES zoning W Name 1act~,aq consi Bldg. Permit 532.00 Address (Allowable) Surcharge 38' 00 ~ - City EuimvlLLE Phone 994--2636 # oi stories __W length Plan Review 100.00 to Name S~ DePtn - S,4c, Ciry AddfeSS S.F. Total - SAC, MCWCC 6~~~ j ~ City Phone S.F. Footprints - 66Q.Qp Lr--',A On Site Sewage _ Water Conn 9~ on sice weli ~ water Mecer . SS MWCC System A ctt. Oeposit Phone city water PRV Required _ S+W Permil I hereby acknowlege that I have read this application and state that the ~~er Pur?iP - S/W Surcharge information is correct and agr'to comply with aUlappiicable State of • 276.00 Minnesota Statutes and Ci OTFa Ordinanced: 1` Treatment Pi SJS"'F ~ G.`' > f'• APPROVALS __.M Signature of Permitee ~ Road Unit A Building Permit is issued to: I ~ Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State ot Minnesota Statutes and City of Eagan Ordinances. gldg, pry. _ Copies . 3, 126. SD Building OffiCial Variance - TOTAL • Pe?mk No. Permn Hoider oate relephone # WATER ~ SEYYEA PLUMBING -,7,3o23 H.V.A.C. ~ 1-4 y~ - a ELECTRIC Do ao~ 9 hspcction Date Insp. Canmwts Footings I /S~r-f Foundation Framing S Roorng B-0 Pllbg. t/ - 9r ~I ~ 45o R,* M9. W. Fireplace FnW Hig. FinW Plbg. C,onst. Meter Plbg. Inspector - NpGfy Plumber Engr.IPlan 81dg. Final Dedc Fig. Oedc Final wen Pr. Disp. SEWER & WATER PERAAR OFFlCE USE ONLY CITY OF EAGAN METER # PERMff DATE `%-3830 Pilot Knob Rd. E8gS11, MN 55122-1897 CHIP # O=~ U~ S~f o PERMIT ~ 1 19 METER SIZE 519 SeAJSk S B.P. RECEIPT 1=-- 1 ISSUE DATE B.P. RECEIPT DATE DATE - i ~ PRV _ BOOSTER PUMP SITEADDRESS IL' PERMfT REQUESTED LOT ' BLOCK ~ SECISUB MANC.i.. [,l+ r, i•: ~"C - SEWER WATER _ TAPS APPLICANT: ADDRESS: ' - COMMIIND RESIDENTIAL CITY, STATE ZIP ^ NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: MEC1iANICAL Ahead of Domestic Meters on Water Line. AODRESS: ',753 k' 140TH 5T Credit WILL NO'Lbe given for Deduct Meters. CITY, STATE •`1 LI4 ZIP PHONE: I AGREE TO COMPLY WITH CITY~OF OWNER: +i-; EAGAN CE9 ADDRESS: 131 NSVIL:.r. Pt;WY ~ CI1Y, STATE ZIP PHONE: SIGNATURE WHEN ETER ISSUED PLEASE ALLOW TWO WORKING DAYS FQR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFIGE USE ONLY CITY OF EAGAN METER # PERMIT DATE 2 3830 Pibt Knob Rd. t t g 31 Eagan, MN 55122-1897 CHIP # PERMIT # METER SIZE B.P. RECEIPT # ~ j z.'' DATE <<~° 1~• 1991 ISSUE DATE B.P. RECEIPT DATE x PRV - BOOSTER PUMP ' 4627 TA?~IL A:?E SITE ADDRESS PERMIT REOUESTED LOT ~ BLOCK ' SEGSUB ~;:''70f'; 1.AKE 2t.i) ~ SEWER Y WATER _ TAPS APPLICANT: ADDRESS: - COMM/IND - RESIDENTIAL CITY, STATE ZIP ^ NEW _ EXISTING PHONE: - Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: 4253 w 14QTti ST Credit WILL NOT be given for Deduct Meters. CITY, STATE ~+94-2778 ZIP `5373 PHONE: I AGREE TO COMPLY yIIITH CITYrOF OWNER: KEY1.AND I3l7MES EAGAN ORDINANCE$ i ADDRESS: 14450 BURNSVILI.E P1CWY /i CITY, STATE "U'R1aSVZLI.F Mh ZIp 55337 PHONE: _~~'3'' SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAY3 FOR PROGESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. Address: 4627 TAMIE AVE Lot 1 Blk 1 Sec/Sub MANOR LAKE 2ND These items wera/were not complete at the time of the final inspection. JUNE 26 1991 Yes No Final grade (6" from siding) VI" Yermanent steps - garage Permanent steps - main entry Permanent dYivaway Permanent gas ~ Sod/seeded grass Trail/curb damage ? Porch Basement finish ~ Deck Please verify with the buildar the removal of roof tast caps from the plumbing system and the shut-off of water supply to the outside Lavn faucet before fzeeze potentlal exists. ~ 1EL1O[4MIFP White - City copy Yellow - Resident copy Pink.- Contractor copy 1803 ~ flequesl Date Fire No. Rpugn-in Inapection ./1 ~/1 Requiretl'1 ? Reatly Now/$'~Nill Notiry Inspecta ~V ~ GYes ~WhenReadY' I 0 licensed contractor Xowner hereby request inspectioa of a6ove eiectrical work at~ Job Ftltlress (Sireet, Box or Ro (~027 1 ain i e . Section No. Township Name or No. Renge No. COUnty Occu RWT) PFOneNO. Joan l e~a Power Supplie, AdCress Elepric GonVador (COmOany Name) Contrador§ Lkense No. oM o wn t' Maninq qOtlress ICOnVactor or Owner Making Installation) uJ Aulnqrixe0 S. re fCO Vaclorl ner Making tnstallationJ Phone m~-b~yer/ ~,ys MINNESOTA STAiE BOAflO O ELECTPICITY THIS INSPECTION REOl1E5T WILL NOT Griggs-MiAway Bltlg. - Poom 5-113 BE ACCEPTEO BV THE STATE BOARO 1821 University Ave., St. Paul, MN 55104 UNLESS PROPEF INSPECTION FEE IS Phone (612) 842-0800 ENCLOSED. 9' REUUEST FOR ELECTRICAL INSPECTION E&00001-08 ' ? See insVUClofs tor compleling fhis lorm on pack ot yellow copy. l~ V j$ 4„ 3 "X" 8e/ow Work Covered by This Request w; ew Ad9 Rep: TypeofBuiltling AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Eledric Heating Apt Building Dryer Olher (Specity) Comm./Industrial Fumace Farm Air Condilioner Other(syecify) Conhactor§ Remerks'. I ~ Compute Inspection Fee Below: 8 . Other Fee # ServiceEnhanceSize Fee # Circuits/Feetlers Fee Swimmin9 Pool 0 to 200 Amps 0 t0 700 Amps Transformers Above 200 _ Amps Ahove 100 _ Amps Signs InspeaorS Use Omy p7qL O Irrigation Booms ~ J s Special Inspection ~ Alarm/COmmunication THIS INSTALLATION MAY BE ORDERE ISC NECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oare certify that ihe above inspection has Froai F oare been made. OFFICE USE ONLY This repuest void 18 monlhs Uom ,S1~6t9/9/ ~ 002K / L Repues~ ate re No. Rough-in InsOedion / Requiretl? LI Reatly Now jd'0g111 Notity Inspedor Yes C No When Raetly? I7icensed contractor ? owner hereby request inspection oi above electrical work at: • Job Atldress IStreet. BoK or Roule No.~ Giry ~ l/~ ~l9G-/3 n1 Seclion No. TownsM1iO Name or No. Range No. C Ocapan IP MT~ Phone No. LRA.) D ¢,/ornFS Powe Sup011er Atltlress -~s~ lF Q r Elednc GonvacIor COmpany Name' CaNractor5 License No. 9l 9 gs 3 MaJing Atldress ICOnvacbr or Owner Making Installationl ~ / ~ ~ 7~ ~ ccxC,e~ ~ 3 dl9 G- Huthona Signawre IConVacwuOwner Making Installalii Phone Number MINNESOTA STATE OAPO OF ELECTHICITV THIS INSPECTION REOUEST WILL NOT Griggs-Mitlway Bldg. - Room S-173 BE AGGEPTED Bv THE STATE 60ARD . 1821 University Ave.. SL PauL MN 551D0 UNLESS PROPER WSPECTION FEE IS Phone (611) 602-0800 ENCLOSEO. REQUEST FOR ELECTRICAL lNSPECTION ee-ooom-oe p~ See Insyl tor completing this form an bflck ol yallow copy s 'X" Befow Work Covered by This Request 0 ew Add Rep. Type of Building Appliances Wired Equipment Wiretl I Home Range Temporary Service Duplex Water Hea[er Eleciric Heating Apt. Building Dryer Other (Specify) Comm.nndustrial Fumace Farm Air Conditioner Otherlsyacily) ConVaotor's Remarks. Compute lnspection Fee Below.' # Other Fee # ServiceEntranceSize Fee # CircuitslFeeders Fee ~ Swimming Pool 0 ta 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps A6ove 100 Amps SIgnS Inspecror's Use Only. '7 TOTAL Irrigation Booms lQ~~ d ~ Special Inspection . ~Alarm/Communication THIS INSTALLATION MAV BE ORDEREO DISCONNECTED IF NOT ~Other Fee y' COMPLETED WITHIN 18 MONTHS. I, ihe Elecirical Inspector, hereby Rou9n-m r Date,42q~ certify thal the above inspection has F,,,ai K ( been made. p^Q OFFICE IISE ONLY TM1is reGUest voie 18 months Irom CITY OF EAGAN Np 18$$4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE: 454-8100 ep BUILDING PERMIT Receipt # c~.. ~ 2- Tobeusedror' SF DWG/GAR EstValue $76,000 Date APR 11 Site Address 4627 TAMIE AVE Lot 1 Black 1 SeclSuh. ~NOR LAKE 2ND OFFICE USE ONLY PBfCeI N0. Occupancy R-3 -`L-..1 FEES Zoning R-1 w IName KEYLAND HOMES (nctuap Const V-N Bldg. Permit 532.00 ~ Address 14450 BllRNSVILLE PKWY IAlwwablel V-N surcnarge 38•nn ° Cit BURNSVILLE Phone 894-2636 ;rorsiories y Leng7h 481 Plan Review 345. 00 o Name SAME Depih 4~' snc, ciiy 100.00 gl Address S.F.ToWI - SAC,MCWCC 650.00 ~ City Phone S.F. Foolprinls - ( (~0.00 On Site Sewage - P'later Conn ww Name OnSilaWell - WalerMeter 95.00 w t Address Mwcc syscem x- Acct. Deposil 30.00 iw CitY PhOnB CiryWaler X PRV Required x S/W Permit 30.00 0 I hereby acknowlege that 1 have read ihis application and state ihat the Boosler Pump - S/W Surcharge .5 information is corcect antl a ~r e)~o comply with all applicable Stata ol Minnesota SlatNes and Ci t{e an Ordinanc Trealmant PI 276.00 0 Signature of Permitee APPFOVALS Road Unil 370.0 A Building Permit is i55Ued to: KEY D HO Planner - park Ded. on the express condilion thal all work shall be done in ac ordance with all Council applicable State oF Min~nesota Statut1es and~,L Cei'ty of Eaga Ordinances. gldy. pry, _ CoPies ~ Irum R1/~ Variance - 707AL 3,126.50 Building Oflicial RESIDENTIAL BUILDING Permit Application ~t at" 312,47/Qj City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New ConstruIXion Reauirements RemodeVReoair Reauiremenis Office Use Onlv 3 registered site surveys shaxing sq. R of l04 sq. ft of house; and all rooted areas 2 copies of plan _ Cert of Survey ReM (20% mauimum lot mverage allowed) 1 set of Energy Calculations for heated additions Trae Pres Plan Recd 2 copies of plan showing beem 8 window sizes; poured found design, etc. 1 site survey for addiUons & decks Trae Pres Not Reqd 1 set of Energy Calailations Addition - indicate ilon-sife sepfic system _ On-site Septic System 3 copies of Tree Preservation Plan i( lot DlaRd after 711193 Rim Joist Detail Opfions selection sheet (bldgs with 3 or less uniLs Date G :f:) ConstrucGon Cost 0 Site Address lo ~7 . UniUSte # -k- v( c-e. L--(L`t" cr Description of Work (OG V\_ Q,_&&_~ k-~6 l, Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner I C) \11" ~ ~_k. C -2 r C- Telephone # 3 Contractar V_'N-"~_ l~- C- c"i O b Address 6A_ L"l- City State Zip 15~6~4`A Telephone # (OiSa ) `i -?p COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code CategOry . Residential Ventilation Calegory 1 Waksheet • New Energy Code Worksheet (d submission type) Submitted Submitted . • Energy Envelope CalculaEOns Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone ~ Sewer/Water Contractor Tele h -#j;", ~'0 F. ra V`MAR 2 3 U I hereby apply for a Residential Building Permit and acknowledge that e informatro comp ete and accurate; that the work will be in conFormance with the ordinances and codes o~the City o e State of MN Statutes; I understand this is not a permit, but only an application for a~ilcut and work is not to start without a pertnit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. "yH c !3/`~7L o cl e ApplicanYs Printed Name Applicant's gnature , • OFFICE USE ONLY Sub Types ' ? 01 FoundaGon ? 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 Ot of _ plex ? 09 07-plex ? 17 Garage p 22 PorchlAddn. (4-sea.) ? 33 EM. AIt - SF ? 04 02-plex ? 10 OS-plex 'K 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plBx ? 12 12-plex Plbg_Y or _ N ? 25 MiSCellaneOUS Work Types )6, 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 RBplaCement , •Demolition (Entire Bldg) • Give PCA handout to applicant Valuation DD Occupancy MC/ES System Census Code ~ Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const v n Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. Footings (deck) ~ FinaUNo C.O. ,X Footings (addiuon) Plumbing _ Foundation ~ HVAC Dnin Tile Other Roof ~C Ice & Water ~ Final _ Pool _ Ftgs Air/Gas Tests _ Final X Fnming _ Siding Stucco Srone ~C Fueplace _)k R.I. V Air Test 1( Final _ Windows (new/replacement) ~ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review D F~k Z~ aa D~ MC/ES SAC 1 S k~`f k S~o-a I,?~D ciry sac Utility Connection Charg'e S&W Permit & Surcha-fge Treatment Plant License Search Copies Other Total / Pernut Number REScheckCompiisnce Certificate checketayADace 2000 1Vlinnesota Energy Code REScheckSoftwaze Version 3.5 Rolcese lb Daia fileaame: C:\Progam FifesZhaklREScheckW season new.rck COUNTY: Dxkota STATE: Minnesota ZONE: 2 CONS7'RUCTION TYPE: Singlc Family DATE: 03/25/03 COMPLIANCE: Passes Maximwn UA = 338 Your Iiome UA = 159 53.01/6 Better Tban Code (UA) Gtoss Glazing pres or Cavity Cont. or poor Permnetcr K-Value R-Value Li-Factor UA Cei[iag 1: Flat Ceiling or Scissor Tcuss 1410 38.0 39.0 20 Wall I: WoodFrame, 16" o.c. 1520 19.0 21.0 46 Window 1: Above-Grade-Wood Frame:Double Psne with L.ow-E 96 0370 36 Door 1: Solid 18 0_480 9 Basemem Wall t: Wood Frame 1152 19.0 21.0 Z$ Wall height: 8.0' Depih below grade: 4.0' lnsulation depth: 80 Floor 1: Atl-WOOd Joist/Fruss:Ovor Uncondi[ioned Space 1152 38.0 39_0 15 C[awl 1: Masoary Block with F•mpty Cclls 96 11.0 12.0 5 Wall height: 5.0' Depth below grade: 40 Insalation depth: 4.0' Proposed aod Mavmom U-Faetor Aversges Pxoposed Macixnurn Avzragt U-Pactor Allowed U-Factor Abova-Grade Windows and Gtass Doors 0.370 0.370 Includns Foundation Windows > 5.6 ft2 Floors Over Unconditioned Spact 0.013 0.033 COMPUANCE STAT£MENT: The proposed building design descr'bed here is c:onsistent with tha buiiding pians, specifiuatiou, and other caiculations submitted with the }utxnit application. 'S'he praposed building hss been designed to tncet the 2000 Minnesota b'nerbry Ccxie requiremrnis in REScheckVersion 3.5 ?telease ib (Cormerty MkCchecA and to compfy with thc mandatory requircmenis listed in ihe RES cheakInsDection Checklist. ~ - - ~LJ Buildxr/Designer Datr,~ i id Wd££:ZT £00Z bZ '-+pW 'ON 3NOHd NOIlofRIlSNOD 0 tl~ W021j h1FY7-18-303 10:31 WFF.NER LAW OFFICE 6514555ge8 P.02/03 - . -1 I1F9?-1. tIAIIES R FI11.1 IhM- 1EL t10:612 B%. 462T rAM{F AvE as4s KEYLAPID NOMES ;SIAVEYOR'S CERTIFICATE ~ ~ i ~a ao U ` 3 A ~4T ~ l 1 Q 10 N • - 1 0~ ry q a p \ vs~---~ ,~,A00777p,J j ~f I ~ O~_ . aa ~ \~,N ~r P~ ~fi~• M/f ,o L ,N I~ ~3oO~~nO ;e N n •T~ ~ I~~ ~`"~-~5 -I ~ / ,S ~ w ~ 29 S 760 !$~~2~r~ a R?. . ~ NOTE! NO 91'[CIFIC 901L3 INY[B716NTIOti MAS OCEN CVMPLETEO OX TH15 . LAT BY 7X6 6URVEYOR. TiSE J 6VITAl14RY OF TOU~ 7C SuFPOR1' kOTE: BViL01N0 C~1~StOMS l~IOMR7 ~E . THE M~EClIC HOV9E MIOPOSH6 FOO IS NOR T1E HHl1'ONSIBLITY OM a THf 9t11NCY0R. ~RCNtT[C~WLL. 1 IDENOIrS PROPOSED SURFACE DRAINAGE a FaWnTMt1 p dENOTES IRON MONUMEN7 SET 5CALEi t lNCH - 30 FEET 0 DEhlOTES IftON MONUMENT FOUNQ PROPOSED GARAGE FLOOIi - 9YS•3 FEFT %000.0 OENOTES EXISTING ELEYA7ION PROPOSED LOWE57 FLOOR - 9yS.s FEET (000.0) DENOTES PRdPOSED EIEVATION PROPOSEa TOP OF BLOCK- Q4$.7 FEET Renewal Ry Ander,rven RESIDENTIAL '3so--r3ra nve. NE FriQley, MN 55432 BUILDING PERMIT APPLICATION 763-502-4777 CITY OF EAGAN #MN20130983 5830 PILOT KNOB RD - 55122 851-681-4875 NawConsWNon Reauhemenh RemodellReoairReaulrements • 3 registered site surveys showing sq. ft of lot sq. ft of house; ant611 rooted areas • T coples of plan (20%maximum lotcoverage aWwed) • 1 setof Energy CalaWtlons for heated add'itions • 2 mpies of plan shawiig 6eam & window sizes; poured found desgn, etc.) • 7 site survey for eMeriar additions & docks • 1 set of Eneqy Calculations • Indkate H home served by septic system for addNOns • 3 copies of Tree Pmservation Plan H lot platted aRer 711/93 . Rim Jast Deta7 Optlons selectian sheel (61dgs with 3 or less units) DATE O^Iea •~A1~Q'C~~ VAWNION /O, uqO" JOB SITE ADDRESS iku Q IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER D TYPE OF WORK ~ADD FIREPLACE(S) _ 0_ 1_ 2 APPLICANT~IAC=~ SSr~o -~nen PHONE#~•?i~,S•l~Q~~ ADDRESS ZIPCODE PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Resldentia( Ventiiatlon Category ! Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Confractor. Phone Plumbing System Includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Saths Mechanical ConhacFor: Phone # Mechanical System Includes: ~ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Confractor. Phone # All above information must be submitted prior to processing of applicaCron. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicpble State of Minnesota Statutes and City of Eagan inance~" Sfgnalure of Applica ~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ updated 1roi OFFICE USE ONLY ' ? 01 Foundation ? 07 05-plex ? 73 16-plex O 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex O 11 10-plex ? 19 Lower tevel ? 24 Storm Damage ? 06 04-plex ' ? 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous 0 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addi6on ? 38 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair ? 33 Alteretion ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Ooors ? 34 Repiacement "pemQlition (Entire Bldg only) - Give PCA handout to appllcant Valuation Occupancy _ MC/ES System Census Code Zoning City Water SAC Units ' Stories • ' Booster Pump Nbr.'sof Units . Sq. Ft. PRV , Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foo6ngs (new bldg) _ FinaUC.O. _ Footings (deck) ' FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC Drain Tile Roof _ Ice & Water _ Final _ Other - FraminB _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding SMCCO Stone _ InsulaUon _ Windows (new/replacement) 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 ToWi 4488 1S1;1Vr;11AL 15YA1VLC1(Ah1V to 1102/UU2 r rE' ' a]. BYANDBAS6N• . . . 7une 7, 2001 City of Eagan 3836 Pilot Knob Roatd Eagan, NIN 55122 To Whom It May Concern: Elder Joncs is authorized to pull buHding permits for Renewal by Andersen_ Pleztse allow Elder Jones to provide this service for us in Eagatt. 'I'his authorir.aticm is valid fvr any date beyond 616101; until aRenewal by Andersen manager expressly revokes it in wriring ta the City. I request tlus authorization be accepted expeditiously, a9 to not delay in the prvicessing of ovt building pcumits any furthcr. Plcasc call mc if dicrc arc any questions. I can Ua contacted at 763-502-14706. ~ . Your immGdiate attention to this mattcr is appreciaced. 5incerely, ywond R. Rau nstallation Manager Renewal by !#ndersen Coiporataon C:r.: Kara-F.Ider.Tnnes WE!. GMAL Nola ry FuWlc rnrm018 On EMpyegajn.37, 20p5 Received Time Jun. 7. 1:07PM • 1991 BIIS1,DING IT APPIIICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MIILTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST ZS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS QNCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For-Si~e-#g~rv~~~Valuation: ~ Date: Site Address 94V ID,pO ~ OFFICE USE ONLY Lot ~ Block FEES Occupancy R3 MBldg. Permit 532,171~ Zoning Surcharge Parcel/Sub S ctual Const ~ Plan Review S(45,04) ` Allowable v_ SAC, City / V c7 IF~ O Owner 1`-~~l~,lwsJU 1~mk,"_,n~ # of stories SAC, MWCC '~j p Length 4S, _ Water Conn. (j~~C) Address Depth y D~ Water Meter %S+O Q S.F. Total Acct. Deposit 30,00 City/Zip Code Footprint S.F. S/w Permit 3 S/W Surcharge I W Phone On site sewage_ Treatment P1.o I On site well Road Unit 3 Qp , Contractor MWCC System Park Ded. City water t/ Trail Ded. Address PRV Copies Booster Pump City/Zip Code SIIBTOTAL APPROVALS Penalty Phone - ~~o < <o Planner Lot Change Council TOTAL Arch./Engr.rm:~y-~~V-% Bldg. Off. bS y9/ Variance Address City/Zip Code ~pFyv„ro~u.~ M(n . Phone # `~dm c^-?2~9h~y1 agrees that all work shall be done in accordance with (Signat~ureTf Contracto ) all applicable State of Minnesota Statutes and City of Eagan Ordinances. n Gc,e~Gr- ~4 Xa2 = 5~ a ~ 45g ~c Is= ~d 70 ~2x~~ ~o a4X y~o~ ~60 r~-.- ~ o zo i~ i y= 1L12, 80 I sT o z-c-> tK 13= j~ J rb~.3 K53 = 5"y'7yq G?~t~ rlTgqq P R `?61 ~ . rinr--ii-•si runi 1-:7; :inrir-.s r- inii nk; ir_i_ fin:612 er 1,i^ urv-; ro.i . > !1 4627 tAMIE AVE. 35 Si1RVEYUR'S CERTIFICATE KEYLANO HOMES !a~ 30 ` ~ ' - 3~.00 w 10 ° 10.3,3 S / Q' '8 I- ~ 8~ ~ ?T ° 17 'oo„E 1 q~ ' a , ~ ~ 8r ~V ~ ! 0 90'33 \t ? b ~ Pl'~ ~ ~7rY15Ep ~ .O' e 4 ~ s / y~~ i o r M N JQ io 2? 33 8~• M L f p ~ya . co N ab ~ n~! ~ ~ • ' ~4 ~ til V 2 TS S ~ ~39• ~9 4 I _ J ~Cb ~J . ` NOTE: NO SPECIFlC SOLS INVESTIGATION- `r- HAS BEEN COMPLETED ON 7)f15 17 EJ . l0T DY THE 9URVEYOR. 711E SUtTAOILITY OF SOIl3 TO SV('PGYi! THE 91'lCIflC HOVSE /'ROpO3ED NOTE: BVIIDiNC pMENSiONS SHOWX ARE IS NOT TT1E RESPONSIBLITY OF NA THE 9UqV[YOR. f10RQQH1'AL~ . ATIOM OR ~TR~JCi DENOTES PROPOSED SURFACE ORAINAGE aRFq1M~D T pN 6 O DENOTES IRON MONUMENT SET SCALE: t lNCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 9Ye.3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FIOOR - 9yss FEEf (000.0) DENOTES PROPUSED ELEVATION PROPOSED TOP OF BLOCK - 9yb,7 FEE7 WE HEREBYCER71FYT0 KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURYEY OF THE 80UNDARIES OF: Lot I, Block I , MANOR LAKE SECOND ADDI7ION, accordtng to ihe recorded plaf ihereoT, Dokoto County, Mlnnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS pR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS I I TH DAY OF MARCH , 1991, 'ROFOlED 6AApES SH01M1 WERE TA1IN SIGNES fi. HiLt, INC. Mo+r Tnc ary+aMa 0 o+oson co+~rnoL OI "M11M LAI~ tHD ADR, ?HQY1REp b1! UlTE10 EMI,INC.,WST DATE00-29-89 LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 y m ~ o o T D° m W ~ o°)ar-nes R. H*11, inc. o4~ D ' m ~ m Z PLANNERS / ENGINEERS / SURVEYORS o m 2500 W. CTY. RD. 42 *BURNSVILLE. MN. 55337 a 612•890-6044 _EXf[ftlVlt LIJVLLGI'E, ~'IVI R!1(~E,. "U". CUhll'IfI;A.I.lO,N, • ~ ; OWNER:__~~ ~ - - , SITE ADDRESS: \.w~m, CONTRACTOR:~G~Y~-A'3~~ FLAN # Determine working square footage of each ' i. Total exposed wall area..... jQ, sq. ft. x__11 ' 2. Total roof/ceiling area..... Ii7 3~' sq. ft. x.026 = Zfi, °j~ Total exposed wall area above.f~oor=__~''~ , a. Total wall taindow area ~I 3 , 6. Total door area --3 c. Total sliding glass door area ' d. Total fireptace wall area ~'F ~ e. Total wall framing area (average 10%) I . f. Total rim joist area : , g. net wall area above floor . h. wall area above floor ! i. wall area a6ove floor j. irame wall area at foinidation ' Total exposed foundation area= (/`1 ` i • , k. Total foundation windo~,+ area....................... 1. Total net foundation area above grade.............. Deter-mine "u" value of each wall segment ~ ' (e.9. a+indow, door, each separate wail section) X '-U,--_.. b. 3rj x „u„ i ~ ~ . C. LI!` x r1Vu_~ t. . . , , . d . x ~lull_ _ ; e. X 1. u~~ ~p-~ • ~ - f. X It2 . 9• (-3i-i A y ir V- 1(/^"I~( y 0/1 -7V - - ,111 11• A V 11V ~ ; i X liult _ , . X fluli j' If item 83 is the s k Xliuli _ as, on le5s.than it 41, y0u have met tt x"U" ''2 intent of 58C 6006 3 . ............................Total 5`~~ 3~ • ' J.._...._....._.. ._u.,.~,._. ..r.._._~.___- _ , . 4. TOTAL EXPqSED RO01'/CEILIIIr, f,ALCII'LAIIOIIS: Total ex.posed , , , roof/ceiling area . . . . . . . . Z4? L:1> sq ft j) Total sky119h[ arca...... sq ft x"U" k) Total roof/celllnq framing area (Averaoe In2)...... Sq ft x'."U" ' 1) Total net insulated roof/ceilinq area....sq ft x"U" ~vL'S p, TOTAL j) thru 1) "L• Z/~ I , IF total of "h is the samc as, or less than NJ_, you have met the intent oF i 2 }iCAR 1.16008 il ar.d O. ALTERHrtTE BUILDIIIG ENVELOPE f7ESIf,N To v[ilizn_ thc total envelopc system method, the valUes estahli5hed by the sum " of items .-°3 and "4 shall nnt be nrratcr than the sum of Items NI and g2. + 2. z37. , 3• i3~ Z~ + a. . , . . . ' . . . v). ' . , , I.IN4•:AL I^El•:I' .f:XPI);I?I1 WAI.I: BLOCK: a- 7- 4- ra rF- KNEE: -t+l f5-~" IILP ~ WALKOUT: - Fu LL 1: 4- s ~c i • ~3 ~ ^ I ~ ~ FULL 2: - FIREPLACE: R1H: SqUARC FGGT L•'XPOSGU WALL ARGA F3LOCK: kx .5 [p~ KNEE: x 5'~ . 5 f~~ . 14ALKOUT: - x 8 - ! FULL l: x 8= JIZt~ , ' FULL 2: x 8.:= . . . , PIREPLACE: i RItI: '1'OTAL " SQUARE FEET EXPOSCD CEILING WINDOWS: DOORS: 3.{ Z 1 I S cic~7 IC'I~~-«< Z3:7 PATIO DOORS: BASEPiENT UNITS: ' SKYLIGk1TS: . ~ r--- . , . i , ~ , ; Ng]S+ thc I <fz, crF epoque 1w11 ort?a {+.w R- VIU.IJE . , fvatr.^_ cc»~~EvuC.b iun CONSl'RUCTI013.,- FI2AMING • - , 1. INTERIOR AIR FIi17 0.68 2. 2 G B .45 ' 3. 5 1 SOF'I' WOOD 6. , 4. • -'-~~51~'1°IiI ~.•Tiar~ l~ S. O . ' S. MD f IFG B~SiC ~ 6. EYIT-RlOR R FI 0. TUML W~t.L = 114.19 U= .0'?' ~ EIG. 'fb(VIEvk) Cf' . . ~T . ' . . . . 'PRA~ WALL - ~ . . ~ . , 1. INTII2IQR AIR £ILM ' 0.68 , 2, GPll .45 3. . ~ 4. SliEAThTNG n 5.S DING ,6$ , -4a 6. R AiR FILM : TOTAL , U= ZL.Ok ~ ~ ~ 1. IN1'ERIOR AIR FILM " 0.68 .00 S~LL SEtiLsLL ~y-_O"~ 3. '£x3 JO I 1.89 4. JW=WSfbWAiIMG- " 1I sz iNG ~ 6. i'ER OR AIR I 9 • - ~ ' ° . U= .04 n o BLACK , b , WAL'L 1. IN'TERIOR AIR. FILM 0.68 2. 12"IBEOCK ~ ~ ~r. • 'i _ 3. ill 0 . O , , ' ! ~~•u c, N', PROTECPI,4E BARRSER 5. ' 6. ~XTE~TI2~IImC- ~ ' R= _i:j TarKL ; U= ./1 SLAB ON GRADE e , ~ . ~ ~ ~ J < < ..V v ! ' ~ ° =/I~ ` f < II ' f m ~ . • . /N -..T lli_ ! Ft 7or-1-9 - NOTB INDICATE. TYPE, uR" VAIIJE.. TEPTH. ATII ~ PLACEI~NT QF INSl1LATIQN. ' 1 . ~ . , . - . . . ~ . ~ , ~ ' ' . . . . : ' , ' !!IIJt~l.l.ll,lUt,~ • . . , . . . . . . CC)NS'fROC1'lOC7 IN1'F.RtO[;__AI[Z_ Fr] tI n 6!-_ . . ~':c''J G~ 2. t....eU.._ 1NSUl,A'1; jv17UL- . . Vf]~ % lI ~1~~~~( VI 4' _ EK 1:013 _AliZ.LiLL 0 51 "1.~ il ~es~eQ3 _vW • 2 ranrIE I vQrrtp L\ tu:n~f rtn_~~t 1. IN'1'f:Ric?I:. AIR FILt•t 2. 5/ YI'.._L1l)._._ 5`~-- _ u~' a. -'J;;11~ n'r1uN ' q. -CXTE,tTMi; Alli-F'LLt•I ~ Fic. a s U = f~7C7Fre . , . . . . . .od~ CO4l5'fRUCl' LOtd ' 1. IIJSIbL" Aili F1Ll•1 O.f,l . i~ ~ i I._1;:.'tbb.~': }"-~~~+~.-~r~i~i!L':~' , - , . ~ ~ s. F1LM 0•17 / - ~~~/V U , Mom raArir:. _ i n t(D L i i. 1~istur-:-ni.R r•lLri • 0.61 )f :EAT FLOt•r uP vEidl'ED i. ' - 5. i ~l_~ TI)h:_AL13_F r r.M - '1V'LA5-0-4~ FI~. N.6 • . , U _ 1. INSLDE Allt ['1LPi 0.61 ~ rO 1- D 2. 3 I , s, voTSxrcz t~iLCt U.17 : 'I'0'PAL u = ~ . . , ; trori-vFarrFn ~ rroTe: uss /woirionn[, sI=s IT tvPX srnce is NEEUEll FOR DEl'AIL.S AND CALOU[ATIONS. HrAT FLA4) . ' , . Up . . ~ . ~ ' ' . . . . , , f rIG. p7 _ i , • . ; , CITY OF EAGAN FOR CITY USE ONLY - 3830 PILOT KNOB ROAD "EAGAN, MN 55122 PERMIT # X PHONE: (612) 454-8100 RECEIPT # Op DATE: 9 ~~~A7T~17i~„ PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST x ADD-ON MINIMUM $15.00 .9nD ON _ HVAC 0-100 M BTU 24.00 REPAIR _ ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OWNER NAME: KeqF-2nal 14OYYt e-S OF 1 PER PERMIT / SUBTOTAL: $ 27.00 SITE ADDRESS: J7627 _rl4m-i 140E. STATE SURCHARGE: .50 IAT:~ BLOCK ~ SUBD. TOTAL: $ 27. 50 INSTALLER: METRO AIR INC. ~ ~q'_u ADDRESS: 16980 WELCOME AVE. S.E. SIGNATURE OF PERMITTEE CITY: PRIOR LAKE. MN. ZIP: 55372 PHONE 447-8124 ~k~I~R~TRT~~DtTS~'K: FiT.:!; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUZLDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNZT. CONTRACT PRICE; FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 IAT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT RNOS ROAD EAGAN MN 55122 PERMIT PHONE: (612) 454-8100 RECEIPT # C ~ ~f,,r f~~m DATE: / 5 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DE10 TION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST _ ADD-ON MINIMUM 15.00 ADD ON I SHOWER 3.00 3- ~'l7 REPAIR WATER CLOSET 3.00 G•O a ~ BATH TUB 3.00 3_ oa y ~ _3' LAVATORY 3.00 c7c~O OWNER NAME: KITCHEN SINK 3.00 3,0~ LAUNDRY TRAY 3.00 'i,'~ SITE ADDRESS:_ HOT T[JB/SPA 3.00 WATER HEATER 3.00 3_00 LOT: L` BLOCK I SUBD. FIAOR DRAIN 3.00 ~ GAS PIPING OUT. . INSTALLER: (MINIMUM - 1) 3.00 _'9', C'v ADDRESS: ~z S3 ROUGH OPENINGS 1.50 IFs O OTHER WATER 5.00 CITY: ZIP: PRIVATE DISPER 15.00 U.G. SPRINKLER 3.00 PHONE h6~9-.2 3 ~ 3 406D SUBTOTAL $ ST. SURCHARGE .50 SIG ATORE OF PERMITTEE i~'~ TOTAL: $ ~I' ~`iOI(M$~C~~,L~iN3SUSTRIAL; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BVILDSNGS AND MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE Si1RCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construdion Reauirements RemodeVRaoair Reaulrements • 3 registered s'Ae surveys shmving sq. ft. W lot, sq. ft. IN house; and all raofed areas • 2 coDies of plan (20% mmcimum lot roverage allowed) • 1 set of Eneigy CalcNations for heated add'Aions • 2 copies of plan shawirg beam & winMow sizes; poured tound desgn, etc.) • 1 sile survey for exterior additiore & decks • 1 set ot Energy Calcuiations - • Indicate'rf home served by seplic system for addifiore • 3 copies of Tree Preservalion Plan N bt platled after 711193 • Rim Joist DetaB Options seledlon sheet (Wdgs wilh 3 or less uniLS) . DATE I- / ` DI VALUATION JOB SITE ADDRESS ~ 4A7 ~asaK 6S1z3 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? - PROPERTY OWNER -T-owl K.Lne.e_2ca TYPE OF WORK S 0 0 e. 'lV\5ir,_lk FIREPLACE(S) _ 0_ 1_ 2 APPIICANT PHONE# ADDRESS t x? F~ CC7 uLA" _(2 ck 14 2, (.t.) i`3u2U5U ktp N/~v, IIP CODE 6,5337 PAGER# CELLPHONE# PAX# q62-$Q2-71 t6 NE11' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Su6mitted MINNE50TA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Conhoctor. Phone Plumbing System Includes: _ Water Softener _ I.awn 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 Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. 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 Ordinnces. SlgnafureofApplicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ uPaatee 1101 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. AR- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 08-piex ? 18 Deck 0 23 Porch (screened) ? 36 MuIG ? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New Q 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 0 33 Alteration D 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolitlon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water ' SAC Units ' Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS Footings (new bldg) _ FinaUC.O. Footings (deck) _ FinaVNo C.O. Footings (addition) - Pl1°ibing Foundation _ HVAC Drain Tile Roof Ice & Water Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Finel _ Siding Stucco _ Stone Insulation _ Windows (new/replacement) A,pproved By , Building Inspector - - - - - - Base Fee - Surcharga Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Pertnit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total l 0q-1 RESIDENTIAL BUILDING Perroit Applicatiou City Of Eagan -7~ 3530 Pilot Knob Road, Eagan Mn 55122 1 Telephone 4 651-675-5675 FAX # 651-675-5674 New Construc6on Reauirements RemodeVReoair Reauirements OfPxe Use Onlv 3 registered sde surveys showing sq. ft. of bt, sq. ft of house; and all roofed areas 2 copies ot plan Cert of Survey Recd (20°h maximum lol coverege allowed) 1 set o( Energy Calculations for heated additlans Tree Pres Plan Recd 2 copies oF plan showing beam & window sizes; poured found design, etc. 1 site suNey for add'Nons b decks Tree Pres Not Reqd 1 set of Eneyy Calcula0ons Addrtron -indicate ifon-site septic aysfem _ On-site Sep6c System 3 wpies of Tree PreservaUOn PWn if lot platted atter 7/1193 Rim Joist Depil Op6ans selectlon sheet (bldgs wiN 3 or less units Date Construction Cost 7. 0 Site Address ~,441'r Al0E /\/,%/U. UniUSte # Description of Work Vi- S/D/ Nr7 Mutti-Family Bldg _ YX N Ftireplace(s) X 0 _ 1 _ 2 Property Owner 7pm //z6*5 Telephone # (&51) (o ~Gi - 9S ~ Contractor A 13lST0~t7c--414 Address 17115 ~.'T' I CiTy Lfi/{al1 IIE State , Zip ~yV Telephone # /~.3/- f}F? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential VenUlation Category 1 worksheet • New Energy Code worksheet (d submission type) Submitted Submiited _ . Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone ~ SewedWater Contractor Telephone #i( I ~ L M, ; By I hereby apply for a Residential Building Pernut and acknowledge that the informa6o~TeTe-aiid accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the 5tate of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. KlAyA/E_f~l Aps Printed Name Applican' Signature • OFFICE USE ONLY Sub Types ? 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 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multl Misc. ? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 AddiGon ? 38 Move Bldg. ? 42 Oemolish (Foundadon) ? 45 Fire Repair ? 33 Alteradon 0 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (EnUre Bldg) - Give PCA handout to appliwrk 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 Foundation HVAC Dmin Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fueplace _ 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 Utility Connection Charge 5&W Permit & Surcharge Treatrnent Plant License Search Copies Other Total RESIDENT / OWNER – 68 ' 6 Name: TO IIV' V 1,Ce Phone: " Address / City / Zip: l / 0 2 - 1'4Vvll e. i\ , Applicant is: Owner Contractor TYPE OF WORK Description of work: _ - 3 d- Construction Cost: Ot c5 - Multi - Family Building: (Yes / No ) CONTRACTOR Name: K ovz' J -� 1'�'\, License #: �Q 319 Z6 CC Address: S , ,6 (-j( 61-, L4-e., City: 6 �IMt tj 1/) / State: w Zip: 1 (o Phone: "71 ,S 2O Contact: S 1` M O Email: I ‘r'e yV�.✓Jo (0` -fru @ !. Coa COMPLETE In the last 12 months, has Yes 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions o the information may be classified as non- public if you provide specific reasons that would permit the Cit conclude that they are trade secrets. Tenant: x ► 000 iM" City of Eaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Name r x Applican s Signature Use BLUE or BLACK Ink Permit #: Permit Fee: •:O Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION � Date: /6/ Site Address: ( Q 2:7 1)11)1 C (g of, n ' " 4 N - Z3 Suite #: 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 s rt 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 pl s. Page 1 of 3 Sep 23 13 12:38p Nystrom Contracting 612.729.9455 p.1 fc Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - For Office Use f l , _ 7 City of EaR~.n Fe••nit --ee 1 ~ I 3830 Pilot Knob Road I Eagan MN 55122 I Date Received. Phone: (651) 675-5675 l /Jr~ Fax: (651) 675-5694 I Staff: r' J t_--------------- 2013 RESIDENTIAL BUILDING PERMIT APPLICATION ))tt i C1'60- ' Unit I Date: 1c Site Address: L d 07 Name: i Phonkr5/ ~ _ l 4 Resident/ -7 Tcta Owner Address/ City /Zip: Applicant is: Owner Contractor . Qescrtpticn of work: _f Type of Work Construction Cost: ~~vt /L~e yV~ Multi-Family Building: (Yes No) JJul F / f Company: r i n ontact: U Address, (n) Contractor State: V ! 1 m Zip: 5Phone: 7 r* N7 = l I l r r, License > Lead Certificate T If the project is exemptfrom 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 ves, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Poriions 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 Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you irtend to dig to receive locales of underground utilities. owvw goprierstateonecBl:.orq I hereby ackncw'ecge 'hat this infornat:on s complete and accurate: that the work will be ir. conformance with the ordinances anc codes of the City of Eagan; that I unoersland this is not a permit, but only an application for a permit, and work is nct to sta-t without a permit; that the work will be in accordance vvilh the approvod 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 Stale 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:Building Permit Number:EA144937 Date Issued:08/16/2017 Permit Category:ePermit Site Address: 4627 Tamie Ave Lot:1 Block: 1 Addition: Manor Lake 2nd PID:10-47276-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. 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 M Kucera 4627 Tamie Ave Eagan MN 55123 Greenguard Construction Inc 2915 Waters Road, Suite 101 Eagan MN 55121 (651) 289-7000 Applicant/Permitee: Signature Issued By: Signature