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4631 Tamie AveCity of EaQali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit #: QN VDO �r- Permit Fee: :C:)\----") Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION a� Date: f /2 // 0 Site Address: Tenant: krAd✓I ak4 K 1 S L1(03 -1"a0- C, Ea Q, K ST I z 3 Suite #: RESIDENT / OWNER Name: d' eY14 Kf-tSif Hq Ns 0 A Phone: Address / City / Zip: `-E(Q3 ( i-ct.htv't Ave_ - Applicant is: Owner /Contractor TYPE OF WORK Description of work: refilA-- G (y cond et_ V -0-O.) -C / No '4 Construction Cost.=` S-00-0 Multi -Family Building: (Yes CONTRACTOR Name: Nye-'Y`n.ew c13 rtA'roxzP lei Nacd72 c License #: 2 (31 672 6 Address: 51(.0 C Si-, Ste C (20(Q ( dtg 0-1) City: / State: fAir Zip: Slip t,p t(j Phone: 1 Li— Sr1 " 26 00 Contact: Si Ari of K\r'� Email: k<h'e,vtns.A.- I vo R' (. Cel _ COMPLETE In the last 12 months, 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: Phone: Sewer & Water Contractor: Phone: NATE: Plans and supporting documents that you submit are considered.to be"public rr ormation Port•o sof the information maybe classified as non-publicrif 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 thi i 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 a/•rov A lan in the case of work which requires a review and approval of plans. X 04 %farrealli x s l c iti- re,/&r Applicant's Printed Name Applicant's Signature Page 1 of 2 SENfER a WATER PERMIT OFFlCE USE ONLY CITY OF EAGAN M~R ~ f~. y~ (p ~ h ~ PERMIT DATE n4/ 18 / 41 383d Pilot Knob Rd. E8~1, MN 55122-1897 CHIP D t{ 4 y PERMIT #E 11928 METER SIZE B.P. RECEIPT ~ C 12~i22 DATE ~l 1 1~?G 1 ~SSUE DATE ~~7- 9 i B.P. RECEIPT DATE 04 16 9~ _ X PRV - BOOSTER PUMP SITE ADDRESS % 1'1 Al, [ E AV G PERMIT REOUESTED LOT ~ BLOCK SEC/SUB ~+r=OR I.AKE 2N~ X SEWER WATER _ TAPS APPLICANT: ADORESS: - COMM/IND = RESIDENTIAL CITY, STATE Z~P ~ X NEW _ EXISTING PHONE: PLUMBER: ` PNz~/ '"'~~~y' ~'~E Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. ADDRESS: ~ s f< Credit WtLL NOT be given for Deduct Meters. CI7Y, STATE ~ ~ ZIP 5S~ Z~ ' 1 ~ , PHONE: ~5 / SG S + - .yt .'t~`~r~~f I AGREE T H CITY OF OWNER: I~ICHAEL TUT!~:G't~.i~ :t_,•i"; E IN N E ADORESS: 4612 MANOR DR CITY, STATE ~~N ~ 21P 55123 PHONE: h87-c 1 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TW~ WORKING DAYS FOR PROCESSING. CALL d54-5220 FOR IN3PECTIONS. FOR STQRM SEMfEA PERMRS, CONTACT ENGINEERINQ ~EPT. ~ ~ SEW~R & WATER PERMIT OFFICE USE ONLY CIT1~' OF E/[GAN METER ~ PERMIT DATE Ci4/ 1 is j 91 3830 Pilot Knob Rd. i1928 Eagan, MN 55122-1897 CHIP ~ PERMIT ~ METER SIZE B.P. RECEIPT ~ L 12927 DATE .APP, 16 , 19~ i ISSUE DATE B.P. RECEIPT DATE ~4 10 `;1 ' ~ PRV - BOOSTER PUMP SITE ADDRESS y ~ ~i ~ ' ~ ~ PERMIT RE~UESTED LOT BLOCK 1 SEC/SUB "r,? i,~ `,h;' 2~`~ C, ~ SEWER WATER - TAPS APPLICANT: ADDRESS: - COMM/1ND RESIDENTIAL CITY, STATE ZIP NEW - EXISTING PHONE: ~ J/ ~,,~~.I ~i~~~~`~~,, ; f~r ~ Lawn Sprinkler Meters are to be Installed PLUMBER: ~ Ahead of Domestic Meters on Water Line. ADDRESS: ~'~"~c~~ Credit WILL NOT b~ given for Deduct Meters. CITY, STATE r' ~ ZIP S~'~' L ~ PHONE: ~/r~ ~S lr S -t -!z,%~,•;-~ I AGREE T COMPLY WITH CITY OF OWNER: h~iCHA~L TUTE61.'1i;; ~:.'rll~.~ EAGAN ORDINANCES ADDRESS: ~612 MANOR D;: CITY, STATE ?;AGAt3 MN Z~P 55123 PHONE: 9~ 41 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEINER PERMITS, CONTACT ENGINEERING DEPT. ' DATE: ~P~ 18~ 1991 ~ ' RE: 4631 TA!!IE AYE (MICHAEL TUTEi~Ot~L HOMES) x Your Sewer & Water Permit for the above property has been completed. It will be held at the Publi&`Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO C~?~LL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. i Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above properry has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Buiiding Inspections Dept. ~t~ J CASH RECEIPT • . CITY OF EAGAN : ' 3830 PILOT KNOB ROA~ , EAGAN, MINNE50TA 55122 ~ OATE ~ i C.L i 9 i( ~ 1 7~ ~4 ~ , ~ ~ ~ t _ r i _ i _ t ~ ~ ~ I ` '~i ~ AMOUNT a ~ . 1 C ~ ~ 8 DOLLARS ~oo ~ ? CASH (`~1 CHECK Poa j' i • - f ( , r ` _ ~ ~,F. ~ . ~ ~ ` r C~•t.,~,_E ~ ` ; i I ~ i,'~ . ~ : ~ ~ ` - FUND OBJECT AMOUNT ~ ~ Thank You ev < ~ C ~2~~2 ~ - ~~~,~..,~.ew~wv :--T-; R ' ' ` CITY OF EAGAN ~jE `~J Ao t ~ ; ' yw ~ V~ioO 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 " PHONE:454-8100 ~ BUILDING PERMIT Receipt # ~ ; 7o be used tor, a~ Est. value =73+~ Date ~R 16 yg 93 Site Address ~~1 TAMIE IIVE Lot Z Block 1 Sec/Sub. ~E ~N~ OFFICE USE ONLY Parcel No. occupa~cy &"3~i FEES MICH/lSL 'fUTEflDHt. ROl~B zonin9 ~ia~~ ¢ Name (Actual) Const Bidg. Permit W ; AddreSS (Albwable) - Surcharge 36' ~ ° City Phone - ~ oi sco~~es ~ 337.00 " Length Plan Review • o Name S~ oep~n - s,ac, c~~y 100.00 ~ o~ Address S.P. Total - 650.00 ~ u< - SAC, MCWCC ~ City Phone S.F. Footprinis - 4~ ~ On Site Sewage _ Water Conn ' W W Name on s+~e we~i Water Meter 9g' ~ Address Mwcc sys~em ~ 34.00 ~ ~ ~ a~~. o~~~~ a W City Phone ciry wa~er ~ PRV Required _ S/W Permit ' I hereby acknowlege that I have read this application and state that the eooster Pump - SNV Surcharge information is correct a~d agr to comply ith aLL applicable State of 276~~ Minnesota Statuies and City agan Ordi ce 7reatment PI Signature of Permitee ~ APPROVALS Road Unit ~T~~~ CHASL T~R~WflL NO!!68 ~a~ner - A Building Permit is issued to: Park Ded. on the express condition that all worlc shall be done in accordance with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. g~. Q~f. _ Copies Variance - TOTAL 3.103~~ Building Official " r r ~ Permk No. Permit Holder ~aM TelsphaM ~M ~NATER 9a SEWER a.uMe~NC / ~~O 9/ S/5'o? - / (~~~D -o~ / 9 H.~.AC. ~9~G 9/ 9~q- ~v/ EIECTRIC ~ s O'° Inspeclion Date Inep. Comments ~,sg ~ y~) g - c~ ~,faG , H y~f~-3i ~S F«,~~ Z 2 9 ~j s F~~ - p ~ s ~~_~T ~s - - s~'a ~ ~+~s~ Rou9h ?it9• ' Isul. S ~ ~ OS FkaplaCe Fnal Htg. F~u Pros - 9- i ~ Const. Meter P In - o' y ber Ergr./Plan e~- F~,ai Co z_L- i Dedc Flg. Dedc Fnal we+i Pr. Disp. -i3-`C( ~5 ~ . , : . ` ..:'i~ ~ . • ~ , • . ' d s~ q J, ~ ~ j M ~~r#~#i.r~t~e u#~ C~~r~c~~r~nr~ ~itp of ~a~an ~r~r~a~rtc# a# ~i~sg ~n~urtimt T7iis Cutifrcate tssued pursuarrt to 1he requirements of Section 306 oJthe Uni~arm Building Code cerli,fying lhat at the linre of irsuance this ~rudure Kas in conrpliance wi~h the mrious orrCuranoes of the Gty regulating building co~uction or us~ For !he following. SF DWG/GAR 18900 ~i Tya~ R-3 M-1 yo~ n~u,;a ~-1 rya c~m, V-N MI(~IAEL 1tf~~, tLM~S 4612 MANOR DR 4631 TAMIE AVE ~y L2, B1, MANOR LAKE 2ND , I ri g~ : I I t~~`~ ~ JUNE 26. 1991 POST Ihl A COI~lSPICUOUS PIACE ' ~ ~ _ ~:T INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: f~~' Eagan, Minnesota 55123 Date Issued: ' (612) 681-4675 SITE ADDRESS: , ~ ` : , APPLICANT: , ~ , ~ . ;ur , ~ nr~i?~~ F ~ ~ ~ ~ ~ ~ _ ,a~.:~ . - PERMIT SUBTYPE: TYPE OF WORK: " f 1 P t.l • : 1 ! ~a~~ I i ; i ~ ~ ~ _ J Permit No. Permft Mo~der Dffie Telepho~e N S/1N PLUMBING HVAC ELECTRIC ELECTRIC Inspectbn Date Insp. Comments FooUngsl Foundation Framing Roofing Rough Plbg. Rough Htg. tsul_ Fireplace Final Htg. Orsat Test Rnal Plbg. Plbg. Inapec[or - Notify Plumber Const. Me4er EngrJPlen Bldg. Flnal Deck Flg. ~ ~ Deck Final ~ ~ ~ " i ~'VU /~i ~i?b b~~ wen G ~ ~ ~S ' Q Pr. Dis rOrs ~^e,~~.c/~E'G ~ R.E I~T~-/S P' !2 ~ 9 ?lrl INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ' ` ' ' ' ~ 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 ~ SITE ADDRESS: ~ ~ , , APPLICANT: ~:,i•~11 i1~;I l~,Pll~f:i (.l ,~i~.. 1 i . 1~It ~ , ! . ! ~ ' ( PERMIT SUBTYPE: TYPE OF WORK: ~ ~ „r~ ~ i1 +t I ,`i ~~,rl • • i ~ , ~ c~ t ! I ~ , i 1 d . 1 1 i . . . ' i ~ ( ! . 1 1 1 I I i ~ ~ { 1'~ (~1 1 ~ ~ ~ P~ I 1~ ~li ~9,.:.: i 1 r~i i i ~'i 1~~ I 1'~ A{:~ kf I.~111 Ii F I~ I~~f, i~N i 1 1 ~~hll I{~!, i 1 1 ~ I; i~ r1f ~.Jlll~t ~ I ~ ~ ~ ! J Pem,n rw. Pe~mn Hower uae. r~~no~ r SnN PLUMBING HVAC ELECT ~'~9 /l7a?'J ,~Q~° ELECTRIC Inspectlon Date Insp. Commsnta Footings I ~ Foundation Freming 5/ ~ ~ Roofing Rough Plbg. Fiough Htg. Isul. 4~- U~ / Flreplace Final Htg. Orsat Test Flnal Plbg. Plbg. I~spector - Notify Plumber Const. MBter Engr./Plan Bidg. Flnai Deck Ftg. Dedc Final Well Pr. Disp. ~ ~ S v/~ S OG ?7~ - ,~x-,~Ya - /NS/. 6~~4 ~ a~64240 ~i~yi . ~ ~~~oo~y~tr ~ ~ s Requesc ~ Fira o. Roug~-in Inspedion Requya~9 ? Ready Now ill NMi I a B'Vas ? No W ^ ^ ~~k 0 " ~ I licensed contrector ? otivner hereby request inspection of a6ove e rical work~ Jo~ p ress (Street, Bm~ or Rou1 0.) Ciy / Q W~ /1./L.~~ Sectim No. Towne~ip Name or No. Range No. Co y Occupa PRINT) ~~D ~ Phone N~ G ~~1~~ O ~ Power Supp' ~ Address . r EI " al Comravi ~COm ma) ~ Co §'ce - ~ Mai'n tlrgc ra er MeNin9lna~ellad nl . f` L Auf iza0 Sg~ u ~Conhact / e~ M- Installation~ ~ MINN TA ATEBOAROOFELECTflICITV ' THISINSPECTIONFEWESTWIlLNOT Grlqqa~Nlowey BICq. - Room S1T! BE ACCEPTED BV THE STATE BOFRO 1lt1 V~wenHy Ave., SI. i7ul, NN 55101 - UNLE55 PROPER INSPEC~ION FEE I$ Phpne (812) 84]-0800 - ENCIOSED. RE~UEST FOR ELECTRICAL INSPECTION ee oaoo -oe I ~ Sce instmc* ~s ~ar compleling Ihis lo~m on back of yeilow cnpy ~ /OO q~J ~ i 'X" Below Work Covered by This Request p'a(j~~ 64240 e Adtl Rep. 7ypeofBuiltling,.- AppliancesWired EquipmeniWired Home ange Temporary Service Duplex Weter Heater Electric HeaUng Apt. Building er ~ Other (Specify) Comm./Industrial Fumace ~ Farm Air Conditioner Olher (specily) ConVactor5 Remarks: Compute Inspection Fee Below: g 01her Fee # ServiceEntranceSize Fee # ircuitsiFeeders Fee Swimming Pool ~ 0 to 200 Amps o to 100 ps Transformers Above200-Amps Above!!NJ, Amps ,ap Signs ~~soe~+or~useoniy: ' % ? T L /f'ti Irrigation Booms ? ~v Speciallnspection PJ AlarmlCommunication TNIS INSTALLATION MAYBEU ER D DISCONNECTED IF NOT Olher Fee " COMPLETED WRHIN 18 AAONT. . Ro ~-in ~ Date C - I, the E~ectrical Inspecror, hereby l~ l~-J~G-~ certify that the above inspection has F;,,ai / . oa~e been made. ~ ( - OFFlCE USE ONLY p_ n /y~ 1~ This ~epuast voiE 10 moMl~s Imm ~ T.b v ~f•~~rn ! /o a~ s io/a~ ~l° 6 4 719 ,~~/z- 33~5~ ~v ~ ReOuest Date ' Fire . Rough.ln seqian Required Ins ction 01ner Then ough~ln ~O/~~ ~ , ~1'ou mu ~c~e~Il~ins0aclo?r w No reatly) Reatly Now Will No~ily Inspeclor Data ReaE I Clicensed contractor ~6wner hereby request inspection of above electrical woik~at ~ ~ JoD AOtlrass ~SVaet. Bm ar Foute No.~ Gty ~r ~ . _ l..~i Sedion No. Township Name or No. Range No. County 7/y ~1 ~ OccupanllPqlNT~ 1 P~~on~e LNo.L` ~Cr15'f"i I'tuhS~Yl `t'~1`-~ ~ Power Supplier AOdress r~ c Elenncal Conlractor(C pa' V V I~--+U JQ ( Q ~ ConVaclor5 Licensa No. Meilinq Atltl~ss~ Dnt~ lor or Owner Meking Instellatian~ ( 7 FutnonreE Signalure 1 nb o:lOwner akin nsl a~io~) Pflo Nu C~ ^ l ~ / MINNESOTA S OF ELE FI ITV ~ THIS INSPECTION PEOUEST WILL NOT Grlggs-MlOwey Bltlg. - Room Sl]3 BE ACCEPTED 8V THE STATE BOHRD 16P7 Univere0y Ave.. 51. Peul. MN 5510d UNLESS PROPER INSPECTION FEE IS P~one(61R~803-0900 ENGLOSED. ~O~ y/~'jc~ REQUEST FOR ELECTRICAL INSPECTION a / ? See insirumions 1or wmpleting ihis form on back ot yellow copy. ~ j ~ 6~_? ~9 ~X" Be/ow Work Covered by This Request ew Atltl Rep. TypeofBUilding AppliancasWired EquipmentWired Home ~ Fange Temporary Service Duplez Waler Heater Electric Heating Apt. Building Dryer Load Manegement ~ Comm./Indusirial Furnace Other (Specily) Farm Air Condi~ioner Omer (5peciry~ Contmaor5 Remarks: ~ Compute Inspecfian Fee Below: ~ ~ s # Other Fee # ServiceEnirenceSize Fee # Circuits/Feeders Fee Swimming Pool 0 b 200 Amps ~ o ro WO Amps - Transformers Above 200 _ Amps Above 100 _ Amps ~ Sig05 ~ Inspecmr's Use Only: TOTAL~ ~ v? Irrigation8ooms - Speciallnspection l~ ~ Alarm/Communication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT. Other Fee COMPLETED WITHIN 1Q_MONTHS. ' I, the Elechical Ins ector, here Rouyn~m ~ . oa~. certi that the abovePns ection ha a~ ~ P Flnet ~ Dale been made. l OFFICE USE DNLY U ~ Tnis reQUest voitl 18 mamns ~rom Address: 4631 TAMIE AVE Lot Z Blk 1 Sec/Sub MANOR LAKE 2ND e These items were/were not complete at the time of the final inspection. 19 1 Yes No _ ~ Final grade (6" from slding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/cur6 damage Porch Sasement finish Deck Please verify with the builder the removal of roof tast caps from the plumbing system and the shut-off of water supply to tha outside lawn faucat before freeze potential exists. ~ xieuax. White - City copy Yellow - Resident copy Pink - Contractor copy CITY OF EAGAN ND ~ g g 00 ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 C ~ yq Z 2 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est Value $73 ~ 000 Date APR 16 , 1g91- Site Address 4631 TAMIE AVE OFFICE USE ONLY LOt ' Z BIOCk SeGSub. MANOR T.AKF. 2ND ParcelNo. occupancy R-3~L-1 FEES 2oning R-1 a Name MICHAEL TUTEWOHL HOMES (qmuap Const ~!-N Bldg. Permit 518. n0 ; Add~ess 4612 MANOR DR ~Allowable) V-N Surcharge 3h.50 ° Cj~ EAGAN Phone 687-9141 x o~ Srories - y len ih 3$' PlanReview 337.00 9 Depth SAQ Ctty ] 00. 00 }F Name SAME ga Address S.F.7olal - SAC.MCWCC 650_n0 ~ Cit Phone S.F. Foolprints - y On Site Sewage _ H'ater Conn ~~n - nn ~w Name OnSileWell - WalerMeter 95.n0 Address r~wccsyscem X Acct. oeposit 30. 00 City Phone arywa~er ~L PRV Required S/W Permil 3n. nn I hereby acknowlege thal I have read chis application and stale that Ihe Booster Pump - SM/ Surcharge - 50 iniormation is correct and aqr to comply ~ ith all applicable State of Minnesota Statutes and City agan Ordi ces ireatment PI 276 .00 / APPHOVALS Road Unit ~ 70 - 00 Signature ot Permitee A Building Permit is issued to: CHAEL TUTEWOHL HOMES Planner - Park Ded. on the express condition thal all work shall be done in accordance with all Council applicable State ot Minnesota Statules and City of Eagan Ordinances. g~d9, p~~, _ Copies n,~, I Variance _ TOTAL 3.103.00 Building ONicial ~T A I ~ ,C ~ `~"Z~,.a.~ ~r~..,E ~ ~3~a . HOUSE HEATING TEST RECORD p AODRESS / ~ APT._FLOOR CITY SUBURB OCCUPANT ~ ~OWNER HEAT LOSS DATE HTG. INST. 1 / t~ _ L/ SOLDBY INSTALLEDBY 4~6' -~~fA~lli~ Elschical Work By Gas Lina By TYPE OF HEAT GA-FA HW _STEAM-SPACE HTR. _UNIT HTR. -OTHER GAS DESIGN . CONVERSION MAKE C MAKE OF BURNER Modal - ~ Model Serial ~7 Ma:. BTU~Rating INPUT r~ MAKE OF FURNACE - Model CONTROLS '~I THERMOSTAT~ ` -u ~ aat Plug Vsnt Size ~ Valve ~~-~J~ ~~6U KIND OF LIN $IZE NON,~j Limit e~~-S Draft Hood ~L~~ R•~•J~tor O EQTSFtR' LimitSstting ~ b~ Filtara Size N~mbsr Fan Setting Chimnay Location Inaide~ /Qutsida Pilot Type ~ e Chimney Consiruction ~ C~~.~ L, Pilot Maka ~ Pilot Modsl ~ 3~, Smeke Bom6 M~~~~~9 Pilot Timiny ~S Orafi Tss~ Tap L.W. Cut Off / Door Prsssurs / fLi9htinq Insf. Pressura Psresnt CO~ ~ Daro Tested~ ( ~ ° I - I~por CFH Peresnt ~2 Company Tes " 1r 6~~~ ~ v"~ ~[k r L / Stock Tamp. ~~-Percent CO Nome of Tsst LL Form l35 ` ~ 1991 B NG IT PPLICATION CITY OF EAGAN ~AP~ SINGLE FAMILY DWELLINGS I4ULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED $ITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CAI.CULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET QF ENERGY CALGUL9TIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE; ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALTAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: ~~~~_Date: Lt~ Site Address ~-~_3~ ~~(U~;r~, elk, ~~I~~r OFFICE USE ONLY Lot Z- Block ~ FEES Occupancy ~-3 M-I Bldg. Permit $.tJ a M Zoning R-I Surcharge 36,Sb Parcel/Suh N~ o r Actual Const V-N Plan Review ,3,3~I.th7 Allowahle V-N SAC, City / ,d~ Owner # of stories SAC, MWCC ~U ~ Length ~ Water Conn. ~p .JO Address Depth ,y Water Meter ,Do S.F. Total Acct. Deposit ,vo City/Zip Code Footprint S.F. S/w Permit 30.09 S/W Surcharge iSb Phone On site sewage_ Treatment P1. b.oo ~ ~ ~~~I~ On site well Road Unit ,g~a,oo Contractor J"~: e~. ~~~5 MWCC System ~ Park Ded, City water ~ Trail Ded. Address Il ~'~^J' PRV ? Copies Booster Pump City/Zip Code c~ S S 3 SUBTOTAL APPROVALS Penalty Phone `~j~ - ~ ~ r Planner _ Lot Change Council TOTAL .~Q Arch./Engr. {~L~~Cu Bldg. Off. b~}i Variance Address City/Zip Code Phone # ~ ~ U ~ ~ agrees that all work shall be done in accordance with ^ (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. VA~ua. ; ~ ` , . . ~ ~ GARA ~E ~x 20 = tioo k is = ~c~oo 6srn ~r, a''~ ~3~ _ `1 2.- ~b ~12 ~ ~9.c~ 6 X ~ = 4K ~r `Ibox I~f= 134y~ ~ I s ~ F,,t,,,,~ &5t~7~= 9 ~ a `1'/~x~ _ ~S 1'~Z~ 1V= z~ , ~6G x ~3= sz`1~~ ~ 2~~ orL `I3,ov~-- ~ Certificate for: ` ~TUtewohl Construction BK 194 Pg. 78 N DELMA~R H. SCHINANZ , , uNO aunvtrons, tHC. ~ , Hp1sl~ne lhnen uw~ ot 7n~ 9~m a1 Mlnna~M~ 14750 SOUTH R08ERT TRAIL ROSEMOUNT, MINNESOTA 55088 812/423-1789 SUHVEYOR'S CERTIFICATE SCALE: 1 inch = 30 feet ~ x ~9A,6 Elevations shown are existing Proposed garage floor , ~ p = Iron pipe monument ~ elevation yQ-q. o ' p = Set wood hub x 9~1a. 9 ~r' ~9'Z '~Ta ~Hr c.~-rii3 ~ s'a 98 f ~ ~ . , F y- ~ ~6°ir~~ Drainage & utility ~ r '~;3s ~.3q. z9 z E ~ easement ~ / . ~ y _ ` l ~i i M a \ ,o I ~ _ q~ ~ ~ y _ P~' Tnf~ FIt~~ 1 io ~ ~v~ " ~/'r `y'# . ~ ~ „ 3A _ , 3a ~'t . ~ i ~zg ~y ~i ~ ~~7 ~ / J ~ 'p~ ~ ~ ~ r~ ~ ~ q ~ n~ ~ ~ / ~ ~ p, , zo n q'~.27 9 66 ~ -3.6 ~ 'f°/' ~x ~i .9h`~ ~1 a R 8 ~ yR~.4_ ~ i/ O Cui<'P I\~ 3p ~ Iry' _ ~ ~ Q / !i / ° ~ ~ ~ ~ -r , ~ ~ 1 7 ( ~ ~i// OG~, TnP be / , ~ ~ / . NH3 ~ %3.~a ~ A ~oo~ j~ ro ~ ~~'-G E ~ ~ n . 99~8.2 J ~.,R h>'~••, _ ~r~~,., Lot 2..;'sBlock~3~,MAN6R-~LAKE SECOND ADDITION, according to the recorded plat thereof, ~Dakota County, Minnesota. rk ~ M f~, ~ ,i , ~ Also showing Che location of a proposed house as stakedr,th''' n-~~~~` 4;n : t l L~ ~ 4 _ir ~r ~ . \\~\~1\\Ul~~}~111~E~1/!/pfj~/,~ u! . . . <~...........o,::,,,. ~ , __.._5~~ ~'i I be~eby certify Mst Nie aurvey. D~en, or rcpoA wea ~ ~ prepsrad by ma or undar my Cirect supervVelon end ~~t";' '';74% y+, P f a,?~ ~.s,, ~ C~~ ; r"t' Inet I em a duly Regislerod und Surveyor ue0er _ ? DEl i~lAR H. Ine taws of eM State ot Minnesme. SC~iV~lANZ I~~ ' y <<~? _ i ' ~ ~ ~-:S~mS - ' ~ Delmer H. Senwanz / J D~ April 5, 1991 ~,`~.S,v$,., ~ Mlnneson Rsplstntlon No. 8825 .F,v~.. , ..~t "`"~vi~., ~+,~"r$m°.;G ~ . c ...5)"' ,.._,...(;1;5:;: ' k121/4 t- ' MINNES07A STA7E ENERGY CODE CALCULA71DN5 ~~I~~~~ BASED ON CHAPTER 5 OF TNE MODEL ENERGY CODE - 19a3 EDITI~N Adoption EffecN ve I/1/ • ~ i Owner ~h~~ ¢ t~~~. ~~YUV~\~ Phone Uate~l~~ ~ JS i te Address ~ ~ Contractor (~~j,~ ~~_~Q~(~ Phone Building Classification: Type AI (Single Family b Duplex)~_Type A2(Residential) ' (3 stories or less NOTE: Complete pages 3 and 4 first. ~ ' {Other) (Over 3 stories) GENERAI INFORMATION ; 1. Building Perimeter s~~, wn~i~~t. ~ 2, Wall height (ground to eave) s~'~ f,{J~~'Z ~ 3. 1. x 2. above) ~ ( gross wal l area~ 19~ ft. ~ 4. Building dfinensions (L) X(W) e Odb ft.Z roof 6 flooc area 5. Square foot area of rim joist Floor )oist size (2 x (J 7 ) l ~ 1 X Perimeter = Rfm joist area =~_ft2 12 ~ +~.'r(i~j. 6. Doors - AFea Thlckness in. U factor~~7 + . Type af Construction Pertmeter f[. Manufacturer 7. Total door's perimeter ft, ; 8. Windows: Manufacturer -~j~~i (,(J~~[,,, ~j~~ State approved , U factor TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET 2 ' • EACH UNITS ~ i ~ ~ . 9. Total ft.Z Glass / j~ 10. Fireplace area; Width X helght = X Ft.2 ~ !J II. Exposed foundation: Neight X Perimeter X ~j~j.q~- Ft.2 COMPLETION OF THIS FORM IS REQUIRED FDR RLl A~A~~J TRUCT ON, MAJOR REMODE ING AN~ BUIIDINGS BEIN( MOVED WHERE ENERGY, OTHER THAN TNE.MINIMAI CO~E ALLOWANLE, IS USED. 12.' Framfng area = lOX of gross wall area. 13. Gross wall area r~ ft.2 Windosi area A l~ ft.2 U windoms = ~ U x A= ~z. (Q Rim ,iolst area A j ~l ft.Z U rim joist =.~7 U x A=~~ , ~ 2 Door area A' ~"Z, ft. U door area = U x A= 5. ~jf j Fa-~epl~arE area A `1~7i ft.2 U fireplace = r~~ U x A= _r ] Exposed foundation A r~J~j ft.2 U foundation = rd U x A=~ Framing area A ~~9 CnZo ft.2 U framing area =~a ~ U x A= 0 D Net wall area A ft. U wall = 0 U x A= _/(7~ . ~ (138 ) TOTAL . . . . . . . . . . U x A = L~, ,~j~ i 14. Gross watl area z 0.11 (A-1 single family & duolex = allowable U x A/Code (13. above} . x 0.23 (A-2 other residential) x .23 (Other buildings) x .23 (Over 3 stories) ~ .f~~ BT N Must be larger than A ~ x U Code..__ = 7a ~F. 136 above 15. Ceiling framing area (Ap) equals 10% of ceiling area or the. 5ame as) 15A. Gross ceiling area =(L) x(w) ODb ft.2 158 Joist areb (Ap) = lOro celling area = ~(7'~ ft.2 15C. Net ceiling area (A~) (15A - 15B) _ ~D ~ ft.2 U cei ] ing x A C= . bZ7i x 9~(7 U framing x A f= ,()L~j x = 2~ 3 . ISD. TOTAL'U x A ZZ . 16. Ceiling area (15A) x b.026 (A-1 single family S duplex - code allowable U x A x 0.033 (R-2 other residential) ~ x 0.06 (other) : ~~0~ ,bZfP BaUH Must be larger than 15D (above) - A(15.41 x l~(codel= ~ f (or the same as ) NOTE: Use U and A vatues o6tained from pages !,•3 and 4. CERTiFICATION: I hereby certify that I have calculated the "U" factors and "R" values herein and that the butlding here descrlbed meets or exceeds the State of Minnesota Energy Conservation Act. ~ Date 5 gnaWre 0 G~~~» G~~t..~ ~1~~- ,~.r ~'~~~1~C (~,-fi~~~ ~ /Z ~8 ~/sx ~O~" ~'6 z . ~ ~~S ~7 l ~ ~oo~ = J~bo ~ ~ I~u1N.C~ c.c,~ • ZoX4o sL v~.V~ 3c~ ~,3 (P Z~x4~s~. z, X zz z 9~ Zvx~do ! 1 z ll ~ Z Z 2..zaxc~ 1 I X Z Z, = Zz Zq~x~ s~ ~i X ?7 ~ ~ ~sa P~~S 3°c~ Z1 ~ ~~p~. Z 1 ~z ~'l k VALUE U VALUE ~ ~ ~ Inalde alr Ellm .68 ' WALL ~ Ln~erior wall ~ • ~5 (Nsll) U . 1 SECTION ~ I~ Insulatlon , O . R_ ~J ~ Sheathing z p(p 3 • ~ ~ SLdlnB . (p~ r_ ' ~ J ~ Outelde alr film .17 R TOTAL L3 . ~ 3 I Inatde.ait fllm ~ .68 STUD _ . Intettot wall • 4~ SECTION ~ 4~~ ttud . R° .fPG~B (p~~j (Framing) U~ R ~ ~ Shea[hing j Z •m~ Stdtng . Outalde air film ' .l1 J R TOTAL ~ O . 'r7 ~j' ~ . ` ~ Lntetlor wall ' SECTLON. Inaulatlon Wall ) U• 1 ; Z R ° ~l^ Exterior wall eover n Extetlor aLr. fllm' R .,17 R 'fOTAL lnterlor att film R= .6B RLN ~ lnsuletlon ~q.o0 ~ JO15T , 'l~ lnch eoEt wood R=1.88 (Rim U= R= ' JoistJ ~ ~ 5heathing Z•~~ . p~' Extetlor wa11 coveting .(A1 < ~ Exterior air fllm (t= ;~7 , A TOTAL Z-'~' • ~'~D . . \ . Intertor alr Fllm R= .68 , ~ Insulatlon ~~'d \ Fbundatloa ~~Za 1 ~ (Fdn.) U = R = ~ ~ Exterlor afr fllm R= .17 ~ . O1 ~D _ ~ F TOTAL I~~ ~ 3 ~Exposed 8luck Grade 3. ' CEILING WITH VENTED ATT[C SPACE ABOYE , • ~ ' , . " R '/ALUE 4 UE FRAMING • CEIL ll~G ~ 0.61 Air film 0.61 ' 3~0• ~ Insulation ~ ~ ~ 3F~ ~oi5t ~ Ceilin9 • '~j(D ~ ' l f ~ . . ~ ~ ' 0.61 Air Film 0.61 Z ~~ED Total R ~'`j . 7~j ~ ' , 0~3 U = R , UZZ . ! i FLAT ROOF OR CATHEDRAL CEILING 9_ ~ai - Va ue R `JA~UE ~ e 'tT- FRAPIfNG CEILR~G r - - q- • 0.61 Inside air film ~•61 ~ Ce i 1 i ng ~otst (stu ' ' Insulation A1r space Roof decking ' , ~ Insulation Bu11t-up roof 0.17 Outside a1r film 0.11 ' Total R 1_~ ~R dindow infiltration .5 cfm/lineal foot of crack tesidential door infiltration 0.5 cfm/square foot or door and minimum code reQulrement . lon-residential door infiltration 11.0 cfm/11nea1 foot of crack lb 12" concr•ete block no insulaCion =.47 R 2.1 !b 12" concrete 61ock insulated cores =.26 R 3.8 ly 12" ligfitheiglit block =.32 R 3.1 Jb 1Z" lightr,eight block ins~flated cores =.12 R 8.3 J single glass = 1.13; with storm window .54 • 1 double glass = .55 J triple glass = .41 all exterior walls and ceitings must have a vapor barrier (0.10 perm max.). ;apor barrier must be on the inside (heated side) of rrall. zapor barriers of the polyeYhelene thln film have no R:value. 4. . ~ PERMIT i~L~~,~ CITY OF EAGAN ~~~3 3830PilotKnobRoad PERMITTYPE: eur~ozNs Eagan, Minnesota 55123 Permit Number: 021713 (612) 681-4675 Date Issued: 0 8/ 13 J 9 3 SITE ADDRESS: 4631 TAMIE AVE LOT: 2 BLOCK: 1 MANOR LAKE 2ND P.I.N.: 10-47276-020-01 DESCRIPTION: Buildin't,~ Permit Type DECK ~uilding~Work 7ype NEW r~6uilding Lenq,t~h 12 / Building Width'-t~ 10 ~ ~ ~ , J_/ .~~\~U'/ f~ ~ ~ 1 ~I ~ ` ~ , ~ ~ , ~ ,r ~r, r r v Tr7% C ~ ~1~ , % ~ C ~ :l ~~~;C ~ REMARKS: FEE SUMMARY: Base Fee $25.00 COPY $.50 Surcharge' $.50 Total Fee $26.00 Subtotal $25.50 CONTRACTOR: OWNER: - APPlicant - HANSON ANOREW 4631 TAMIE AVE EA6AN MN ~ (612)454-5837 I hereby acknowledge that I have read this application artd state Chat the information is eorrect and agree to comply uith all appliceble State of Mn. Statutes end City of Eagan Ordinances. ~ ~ ~ I APPLICANT/ EE S NATURE I ED Y: SIGNA URE INSPECTION RECORD CITYOFEAGAN PERMITTYPE: sui~oiN~ 3830 Pilot Knob Road Permit Number: @ 21713 Eagan, Minnesota 55123 Date Issued: 0 8/ 13 / 9 3 (612)681-4675 SITEADDRESS: ~or: z BLOCK: 1 APPLICANT: 4631 TAMIE AVE HANSON ANOREW MANOR IAKE 2N0 (612) 454-5837 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW . „ . FOOTING FINAL ~ ~ ~ ~ REACTIVATE _ CITY OF EAGAN PEw~tI7.,r 1993 BUILDING PERMIT APPLICATION a l 7 l 3 68,.~675 ~a SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERGIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date / ~ / Valuation of work ~ ~ ~ ite Address: 5~~~'/ A~'"i~ A A SiREET ~ L'i1~I'~ ~ 4''~ ~ U Tenant Name: (commercial only} IAT Z BLOCK ~ SUBD./1'IA.JO~P LAy)~ A ,~j.I.D. Descri tion of work: The applicant is: 0 Owner ? Contractor ? Other (Deccribe) Name A~~~ ~.J ~I1~G~ Phone 5~~y J~l -3~ Property ~~ST F~RST Owner Address ~~3J Ti~iTi STREET STE / City .GAlA~ State ZiP ~ Z Company NA Phone Contractor Address License # Exp. City State Zip Company ~7'~.0~ Phone ArchitecU Englneer Name Registration d~ Address ~~ty State ZiD Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this apPlication and state that the information is correct and agree to comply with all applicable State of innesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ~ _ . ' ~ OI Foundation ? 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ~ 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Comn./Ind. 0 04 SF Porch ? 09 12-Plex O 14 Fireplace O 19 Comm./Ind. Misc. ? 05 Sf Misc. ? 10 Multi. Add'1. f~ 15 Deck 0 20 Public Facility ~ 21 Miscellaneous woRK rYPe Ql 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish L~J 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION ' ' Const. (Actual) Basement sq. ft. MWLC System (Allowable) ~ lst F1. sq. ft. City Water UBC Occupancy ~-3 2nd F1. sq. ft. PRV Required Zoning Sq.. FL., total Booster Pump of Stories Footprint Sq. ft. Fire Sprinkler Length 2~ On-site well Census Code y~ Depth On-site sewage ~ SAC Lode APPROVALS o Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ' ? Site ~footing ? Framing ' ? Insulation ~ Wallboard Final ? Draintile ? Fireplace Permit Fee ZS,c~ v,wot~a,: g Surcharge , 5~ Plan Review License MWCC SAC City SAC ~ Water Conn. Water M~ter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies ~y-a Other Total: SAC % SAC Units ; PERMIT ~ CITY OF EAGAN PERMITTYPE: / B4Z DING ~ 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: 0 2 4 7 5 4 (612) 681-4675 Date Issued: 10 / 2 6 J 9 A SITE ADDRESS: 4631 TAMIIE AVE LOT: 2 BLOCK: 1 MANOR LAKE 2ND P.I.N.: 10-A7276-020-01 DESCRIPTION: Bu"lding~,Permit Type 9ASEMENT FINISH Building LJ'o,rk Type ALTERATION i ~ f ~ / / \ , ( ~ ! , \ ~ ~ ~16 ' f~ ,~_\J.~ ~ jl ~L~ I ~ ~ `ry W ~~~~fV~~/ ~~~It7 \L.~~ ~I~\ii.'i~'~'i~ `i~~`-V ~-~~-A u / REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - HANSON ANDREW 4631 TAMIE AVE EAGAN MN 55123 (612)529-9671 I here6y acknowledge that I have read this application and state that the inPormation is correct and agree to cornply with all applicable 5tate of Mn. Statutes and City of Eagan Ordinances. L n ~~frn~ APPLICANT/PERMITEE SIGNATURE - ~SSUED B: IGN TURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: e u z ~ o z N ~ 3830 Pilot Knob Road Permit Number: 0 2 4 7 5 4 Eagan, Minnesota 55123 Date Issued: 10 / 2 6 J 9 4 (612) 687-4675 SITEADDRESS: ~or: z a~ocK: 1 APPLICANT: 4631 TAMIE AVE NANSON ANOREW MANOR LAKE 2ND (612) 529-9671 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION . . FRAMIN6 INSULATION ROUGH IN PLBG FINAL REMARKS: SEPARATE PERMI7S ARE REQUIRED FOR ANY PLUM62NG OR ELECTRICAL WORK 1 ~ ~ ~ CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION ~ . 681-4675 ~ r G - z. SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sit ~~i~c~o energy calcs. GCT 2 0 1994 COMMERCIAL 2 sets of architectural & structu al plans, 1 set of specifications, 1 copy of energy Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ~ 0 Valuation of work Site Address: `~63/ ~i~i~ STREET SUITE # Tenant Name: (commercial only) LOT ~ BLOCK _L SUBD. ~ ~„,f P.I.D. # ~(~"i MWV Descri tion of work^~I~Sn<'~ .~,,n~'S~L The applicant is: ~ner ? Contractor ? Other (Deseribe) Name /a.~Se.J Q.~aa~,~ Phone y Property LAST FIRST Owner Address s~~3/ STREET STE # City ~AGAN State Zip 5'?~'/23 Company Phone Co ntractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State f Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: OFFICE USE ONLY " . BUILDING PERMITTYPE ~it ~ ~ O1 Foundation ? 06 Duplex 0 11 Apt./Lodging ~16 Basement'~inish O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Additlon ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ~ 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Fac9lity O 21 Miscellaneous WORK TYPE ? 31 New ~33 Alterations ? 35 Tenant Finish O 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual Basement sq. ft. MWCC System (Allowable~ lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories footprint Sq. ft. Fire Sprinkler Length On-site well Census Code ~ Depth On-site sewage SAC Code o Census Bldg ~ APPROVALS Census Unit v Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? .Site ? Footing ? Framing ~Insulation ? Wallboard ~Final O Draintile ? Fireplace Permit Fee vei~cim: S ~s~r~ ~Nir-f` Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P7. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT RNOB ROAD • EAGAN, MN 55122 PERMIT # ' PHONE: (612) 454-8100 RECEIPT # ~G,;E~,~~CA~;s: ~ DATE: / . R~4SI17E~`I'~`xA~i:;; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT. WORK DESCRIPTION ~~an FEES O~ NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTO 6.00 GAS OUTLETS - MINIMUM 3.00 / 'I yy,I_ ~`~~p~OF 1 PER PERMIT OWNER NAME: (~VY1C~\/ Yt(.1/1"1`~G~ /!l!1 ~1P T.fA+(~LJC1~~I /'v~' 1 SUBTOTAL: $ a ~ SITE ADDRESS: '-i~~ ~ll ~CCaYY\~P ~U~ STATE SURCHARGE: .50 LOT: o~ Bi.~CK ~ StinD. !~'1a.r~.ost~~o~~ i~:Eni.: $~Q INSTALLER: 3260 GORHAM AVE n~ ~ ADDRESS: . ~ SIGNATURE OF PERMITTEE ST.ZOOisPRRir, iviP~'S5'-- , CITY: SALES 929-6767 SER}~I~F,:929-4011 ~ PHONE ~,~~4EItCTAT.f11V~p51`K~AZ;' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, _ . _ APARTMENT BiIILDINGS, AND MULTZ-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE AL`DP.ESS: ~+~v nn~ nr ngor.l±~` cgc, :'.3C'i5~3D ?IPIp^ $25.00 LOT: BIACK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATI7RE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY ~ 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PERMIT # ~/~L~~2 PHONE: (612) 454-8100 RECEIPT # ' F;I~{I~S$TNG;sp~~~ DATE: ~ ~.A;. ,.„~~1?~i;s PLEASE COMPLETE IIPYER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL NEW CONST ~ ADD-ON MINIMUM 15.00 ADD ON _ SHOWER 3.00 REPAIR _ WATER CLOSET 3.00 O a ~ BATH TUB 3. 00 .3, 0 0 - '_A / LAVATORY 3. 00 ,3, D 6 OWNER NAME: ~L/~l/AT7N"GC Z KITCHEN SINK 3.00 3.00 / LAUNDRY TRAY 3.00 3:00 SITE ADDRESS: "/~P.'3~ ,(~.~0/YIZG~P~ 14YPi HOT TUB/SPA 3.00 d ~ WATER HEATER 3.00 3.06 LOT-~_ BLOCK ~ SU9A. ~ Z FL~OR D°AIP: 3.00 3~00 ~ GAS PIPING OUT. INSTALLER: ~,(~.~/J'/~o,Q ~.P.(~~~dG%~Ll~t%Ct'-/ ! (MINIMUM - 1) 3.00 3~00 ~Q~~ ~~~J ROUGH OPENINGS 1.50 S~ ADDRES S: I p,S Y JCl/L~LGl~3I2Pi ~d'~ _ OTHER WATER SOFTENER 5.00 CITY:S U ~ ZIP: Jr.~~~2~ = PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE # : S~Sc~i.. ' ~o.~ SUBTOTAL S a ~ ~SO ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: S a 9, D~ C03931ERGIAL~INDUSTRIAL' PLEASE COMPLETE TAIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQIIIRED FOR EACH DWELLZNG UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. IAT: BIACK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1~ $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: S PHONE ( S I GNATiJRE ) FOR: CITY OF EAGAN City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4631 Tamie Ave Lot: 2 Block: 1 Addition: Manor Lake 2nd PID:10- 47276 - 020 -01 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: $90.00 Owner: Andrew B Hanson 4631 Tamie Ave Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA091829 10/29/2009 ePermit - Applicant - PERMIT City of Eagan Permit Type:Building Permit Number:EA118261 Date Issued:10/30/2013 Permit Category:ePermit Site Address: 4631 Tamie Ave Lot:2 Block: 1 Addition: Manor Lake 2nd PID:10-47276-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Andrew B Hanson 4631 Tamie Ave Eagan MN 55123 Apex Energy Solutions 1509 Southcross Drive West Burnsville MN 55306 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA119997 Date Issued:01/08/2014 Permit Category:ePermit Site Address: 4631 Tamie Ave Lot:2 Block: 1 Addition: Manor Lake 2nd PID:10-47276-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Andrea Preusse 4145 Sibley Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Andrew B Hanson 4631 Tamie Ave Eagan MN 55123 (651) 454-5837 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink ' r----------------� . I For Office Use � � �3�� ' Permit#: t I � �6y O a�a� I PermitFee: �,�� I 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 i Staff: i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �� Y �viS Site Address: �� t [M � �- /�'�e - Unit#: � -�� . �� ,� ��:�� Name: �1Y.� � � �t� Phone: � �;: /T ��esi ent/�� /r r C?wner� , ; aadress i c�ty i z�p: �7 6 � � Ta � � � ��- �� =�� A licant is: Owner �Contractor .��...� PP� � ��„ � ;,� ,.�,� � �;"�� : Description ofwork:��f S w> o�.J �Type of Work� � - �_ � ��, j �� Construction Cost: 1 ��- �U Multi-Family Building:(Yes /No ) � ��=`� �� . Q r � � `� �°, ��'�� Company: �re dl�1� �v r `CX�(� Contact: �V1 r� �� n n rf_ � ��,�.�� .� : Address: �� '�� V��2 City: lv'�c�r��' /�Iq�'f� �Contractor� �= -�� p� s��ad �f��-s��-�3� � �� P ��-��' � .� ,; � State: /"` Zip: Phone: maiL ( hV��- t � �� Co �� ,� : � .�` y�� c� �` �"`: License#:��S�� S Lead Certificate#: ►v�'��"�( � I�G�� ; � _ 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: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: �IVQTE,�?�ans a�tl�up�orf��g tloauments=#h�t�ou��bmit are�cons�teretl;fa be pu��clr�fo ation "�`on�of � � � � ��-� � �� ,� � �..r �� ;. ��`� � fh�e�nformat�on ma,�be c/ass��ea1 as no p��blic� �rou pra��de spec��c�r aso s#ha �+voural, " r �t�tl��i#y to � �� .�� ;'��°� �� f �� ' � ,:�� cor�cfiude��►af fhey�r�,traale�s�cre�s�� :�>� �� •.�. � . � . . .E.. �_ _. ., , _ .. �. .. _ ... .....�._ n... CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be com ted within 180 day f ermit is ance. x X IicanYs rinted Name canYs Signature �� ,�� Page1of3 DO NOT WRITE BELOW THIS LINE �, �� SUB TYPES �P� I �G`�-`'`4-- �Jr�' Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) �Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration Fire Repair Windows Demolish Foundation _ Replace _ Repair �Egress Window _ Water Damage _ Retaining Wall "Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation �,`Su�� Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final!C.O. Required Footings (Addition) �Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation _,�Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Controt Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By: /V t l 1�-- �-- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC � Utility Connection Charge I S&W Permit�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA144832 Date Issued:08/11/2017 Permit Category:ePermit Site Address: 4631 Tamie Ave Lot:2 Block: 1 Addition: Manor Lake 2nd PID:10-47276-01-020 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Andrew B Hanson 4631 Tamie Ave Eagan MN 55123 (651) 470-3884 Legacy Restoration Llc 14000 25th Ave N Suite 110 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166467 Date Issued:01/12/2021 Permit Category:ePermit Site Address: 4631 Tamie Ave Lot:2 Block: 1 Addition: Manor Lake 2nd PID:10-47276-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Andrew B & Kristi S Hanson 4631 Tamie Ave Saint Paul MN 55123--216 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169687 Date Issued:06/04/2021 Permit Category:ePermit Site Address: 4631 Tamie Ave Lot:2 Block: 1 Addition: Manor Lake 2nd PID:10-47276-01-020 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) 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 - Andrew B & Kristi S Hanson 4631 Tamie Ave Saint Paul MN 55123--216 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature