The URL can be used to link to this page

4635 Tamie Ave 1 SEl!!'ER & WATER PERMIT OFFICE USE ONLY CITY DF EAGAN METER # PERMIT DATE 03/ 1 E~ f~! I 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # PERMIT # 11865 . METER SIZE B.P. RECEIPT # ; ' DATE iS, 1~~1 ISSUE DATE B.P. RECEIPT DATE d3~1S/92 : ~ ~ PRV _ BOOSTER PUMP s SITE ADDRESS 4635 TA2•:IE AVE PERMIT RE~UESTED ; LOT 3 BLOCK 1 SEC/SUB ~OR LA~:E 2NG ~ SEWER ~ WATER - TAPS APPLICANT: ADDRESS: - COMM/IND x RESIDENTIAL CITY, STATE ZIP X NEW _ EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: ~RIAN CIR Credit WILL NOT be given for Deduct Meters. CITY, STATE ~ ~ ' ZIP ~ PH~NE: ~ 6734 ~ I AGREE TO COMPLY WITH CITY OF OWNER: M 8~ M CONSTRUCTICN EAGAN ORDINANCES ADDRESS: ~~n ~U CLATAE CIi. CITY, STATE ~T~ Z~p SS372 PHONE: ~+47-649~ SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. DATE: ~ 18, 1991 e! " RE: ~35 TAMIE AVE 6 1~! CONSTROCTION) x 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 C~?L~L PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ''~Your Sewer & Water Permit for the above properry cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: P{ease pay for meter ai City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-81Q0) before issuance. WARNING: BEF~RE ~IGGING, CALL L(9CAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REt~IUIRE~ BY LAW. CONTACT COMMUNiTY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. ~ Secretary, Building Inspections Dept. - . CASH RECEIPT r i ~ CITY OF EAGAN, . 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ~ + 19 ~ i ~ i~ ~~ti j~" j ~ , ~~~'J 1 i ~ nr~nou?~ s Z ~ 8 DOLLARS ~m p CASH ~ CHECK !'1` jJ~ r~ , L'~(~ 3`~ ~ ~ ~'i ! ° ro~ f, t ,r .~.r- , ~ /~.1~1 i r , t • fUND OBJECT AMOUNT Thank You . ~ BY ~ 12525 ~ l, Pink-FfN CuPY SEWER& WATER PERMIT OFFICE USE ONLY CITY OF EAGAN MErER a a~ ~ PERMIT DATE 03/.1 S/'; 1 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # ~ ~ ~ ~ ~ ~ ~ PERMIT # 11865 ~ ~ ' METER SIZES ~sk ~ B.P. RECEIPT # G `e~~ ~ DATE ~1t~R 15, 1991 ISSUE DATE s` ^9~ B.P. RECEIPT DATE ~3 91 ~ h PRV - BOOSTER PUMP SITE ADDRESS 4G35 TAt9i~. AVE PERMIT REQUESTED LOT 3 BL~CK i SEC/SUB ~~R Tu'~i:3: 2PdD • ~ X SEWER X WATER - TAPS APPLICANT: x RESIDENTIAL _ COMMIIND ADDRESS: CITY, STATE - ZIP ~ NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: r' ' ` - Ahead of Domestic Meters on Water Line. ADDRESS: ~+800 ADRIAN CIR - Credit WILL NOT be given tor Deduct Meters. CITY, STATE ~ ' ` ~ ZIP ~ ~ - ~ i, PHONE: ~ l b734 _ ; - y---- I AGREE TO C WITH CITY OF OWNER: M COt~STRUCTION EAGAN OR C S ADDRESS: ~~0 EAU CLAI~tE CIS CITY, STATE ~tiR ~ ZIP 55372 PHONE: 447-~i490 A URE WHEN METER ISSUED . PLEASE -ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFICE USE ONLY CITY O~ EAGAN L~~~o PERMITDATE 03/24/91 METER # 3830 Pilot Knob Rd. DjG3 PERMIT # 11854 Eagan, MN 55122-1897 CHIP # METER SIZE r' ~~'S B.P. RECEIPT 1~~ DATE - 12 , 1991 ISSUE DATE ~~=,~,~C_~/ B.P. RECEIPT DA7E 03 / 13 /91 ~ PRV - BOOSTER PUMP SITE ADDRESS 4639 TA.~iIE AVE PERMIT RE~UESTED LOT 4 BLOCK 1 SEC/SUB ~~OR LAKE 2ND - SEWER X WATER _ TAPS APPLICANT: ADDRESS: - COMM/IND X RESIDENTIAL CITY, STATE ZIP x~EW - EXISTING PHONE: , y LawR Sprinkler Meters are to be Installed PLUMBER: ~ ~M1 ~ ~ ~ ~ ~u ~ AhP~ad Dqmestic Meters on Water Line. ADDRESS: 1235Q RIVEK RiDGE BLVL~ C,repit y ILL. ~JOT be given for Deduct Meters. CITY,STATE ~^~ti'v,'•~t- - ZIP ~S~~l . ~y~ „ PHONE: D - I~ ~ ~ , t ~ , . , , f-'~I . ! aG?REE T~ COMPLY WITH CITY OF OWNER: r~nF'rS1r.A fIC~~.j INC EA A~R~IN CES ADDRESS: ~515 C~AK CHASE RL' CITY, STATE E~~4~ Z~p 55123 SIGNATURE WHEN METER ISSUED PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTtONS. FOR STORM ~ ' SEWER PERMITS, CUNTACT ENGINEERING DEPT. ( ~ e : . ~...ftr-~~?,•v...~,s;~~-w~'*.~~;~~` y~~'~~' . ' . . . r,~•y.~ ~ ~ _ CITY OF EAGAN ; ; ~ ~ e790 ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ` ; Z 2 ~ PHONE: 454-8100 ~ ~ ~ ''f BUIIDING PERMIT Receipt # I To be used for aF ~'f ~ Est. Value =~a~~ Date ~g 1S 19 91 I TAMIE AVE , s Lot AddfessBlock Sec/Sub. ' OFFICE USE ONLY ~ Parcel No. occ~a~r ~3-~i FEES Zoning ~32 ~ ~ W Name x C~$~u~I~ (Aclual) Const ~ Bldg. Permit o Addre (Albwable) - Surcharge ~a~~ ~ City Phone ~r ot srories ~S~pp ~ Length Plan Review S~~ Depth SAC. City 1~~~ ~ Name ,o ~ Address S.F. Total - 6~SO.00 ~ < snc, Mcwcc ~ City PhOne S.F. Footprints - 6~~~ ~ On 5ite Sewage _ Water Conn ~ W Name on site well water Meter nnwcc sys~em 30 00 =Z Address ~ • ~ u ~ Acct. Deposit iW City Phone Gcywa~er 3d~~p J PHY Required _ SI1N Permit 3 I hereby acknowlege that I have read this application and state that the Booster Pump - SNY Surcharge ~ informalion is correct and agree to comply with all applicable State of 276~~ y Minnesota Statutes and City ot Eagan Ordinances. Treatment PI ~ ~ - _ ~ . ~`1'''_ APPRdVALS 370.00 Signature ol Permilee Road U~it M 6 M CONSlRllC?ION A Building Permit is issued lo: ~e~~ - Park Ded. a on the express condition that all wo?k shall be done in accordance with all ~ applicable State of Minnesota Statutes and City of Eagan Ordinances. g~dy, pry. _ Copies , ~ Building Official ^ Variance - TOTAL . . . . . . . _ a.._.:_._... .,,_~~W,_~._ . _ - : . - , . Permk No. PermN Holder Date Telaphone X WATER y/ SEWER ~uMe~NC a 3Ia~ S ~ ~ ~r~ ~ ~ H.v.n.c. 9 yl~ - ~ecr~?ic ao ~3 yrG ~'s °Q In.pscfi«, aaee ~nsp. comments Footings I / f Foundatian ' Frami^9 ~ •~G , JJ Roofing ~,~h y-~ / /s ~ Freplace F~,a~ s- ~ Q S s-~3 - ~ . Fnal Plbg. Const. Meter Plbg. Inspedor - Notily Plumber Engr./Plan sa9. F~~ 9 Deck Flg. Dedt Fnal WeA Pr. Disp. -/9 %a~. ~ ~ ~ ~ ~ . ~ ~~ex#t#tr~~~e uf (~rr~~~~tx~ f . ~itp of ~a~an ~r~r#ccrtct af ~iu~lding ~~rrtimt T7rls Certr~eaale ixsued pursuant m the requireme~s of Se~caon 306 af !he Unijorm Building C.ode certifyin811w1 at the time of is~uanc~e this slrucAune t~crs in complia~rae with the t~arious orduwncrs of !he C~tp negulaA'vi$ bur7dinB' oo~n or use For the foUowing. We aasorxaeio. HI6g. Rrmit uo. ~~7 ~'P~ ~1~4~ ~c Diwict ~ Zype .'n'~ ~ Owser at ~ u~.~oc~~$'~- ~ - I~+ g~~ S TAI.RG' A[1C'fATC [,pQ~ ~ R 1~_ ~ / ~ a~ .j~_ Posr ~ ~ oo~ccwus Puce ~j20439~/as/~i~ ~ 9~~~loos~ ~ Request Da~e Fir o. Fough~in InSpection i RepuireE? ? Reatly Now ' i Inspector - l'` ? Yes C' No Wh~atly7 -BYL I~`contractor ? owner hereby request inspection of above ele ical w ~ Job Atltlress ~SVeel, Box or Roule No.) Ciy ~ 35" ~ : ~ ~ ~ z Section No- Township Name or No. Range No. Coun a . OccuPantIPRINTI Pnor~e No. ~ ~ - ,y~3--~~~~ Power SuppGlier / AOtlresS L Ci~"`W ~(~'C~~: G ~~M~~ /C'.~ ~N . ElMrical ConVadm (COmpany Name) Contracior5 License No. ~ ' G~:-G ~'7O Mailing Address (COnnactor or Owner Meking Installetion~ p S~~ Ln G«G,G~ 5g3 Nmnonzed Sg Wre ~COnVactoriqvner Making Ins~allation) Phone Number "7 - ~~25 MINNESOTA STATE 90ARD OF ELECTFICITV THI$ INSPECTION REQUEST WILL NOT Grigge-Mltlway BIOp. - Poom Sll3 BE ACCEPTED BV THE STPTE BOARD 18Y1 OnWenky Ava.. SL Peul, MN 5510C UNLESS PROPEF INSPECTION FEE IS Phone (611) 663-0800 ENCLOSED. ~ REQUEST FOR ELECTRICAL INSPECTION I EB-0OOOtAB M ( ~ ~ ~ See iiRlmtliOns lor completing ~his farm on ~ack of yellow copy. ~ /Q o~0~ IN 2 ~ 4 3,,9 '~La5~j/ 'X° Be/ow Work Covered by This Request /00 y/ ew Rep. TypeolBuilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating ApL Building Dryer Other (Specity) Comm./lndust~ial 'FUrnace Farm Air Conditioner Other (speciy) ConVac~or's Ramarks'. Compute Inspection Fee Below: X Other Fee # ServiceEnVanceSize Fee # Circuits/Feeders Fee Swimming Pool ' 0 to 20D Amps ~0 10o Amps Transformers Above 200 - Amps Above 100 _ Amps SigflS ~ospeMOrS Use Only: - TOTA ~rrigation sooms ~ ~'g' ~5•5 Special Inspection AlarmiCommunication THIS INSTAILATION MAY BE ORD ED DISCONNEC E~ IF Other Fee COMPLETED WITHIN ONTH . C7 I, the Electrical Inspector, hereby Roug~~in ` J ~ certifythattheaboveinspectionhas F;nai ~ ~ ~ been made. OFFICE IISE ONLV - This request vaq 19 monV~s irom _ Address: 4635 Tt~IIE AVEN[lE Lot 3 Blk 1 Sec/Sub MANOR IAI~ 2ND These items were/were not complete at the time of the final inspection. 5 17 91 Yss No Final grade (6" from siding) ~ Permanent staps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch ? Basement finish Deck Pleasa verify with the builder the removal of roof tast caps from the plumbing system and the shut-off of vater snpply to the outaide lawn faucet before freeze potential exists. ~ McmEOruEn White - CiEy copy Yellow - ResSdent copy Pink.- Contractor copy CITY OF EAGAN NO ~8~9~ 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 PHONE: 454-8100 I~ CJ ~ BUILDING PERMIT Receipt # To6eusedfor SF DWG/GAR Est.Value ~~6~000 pa~e MAR 15 , ~g91 Site Address 4635 TAMIE AVE OFFICE USE ONLY Lot 3 Block 1 Sec/Sub. M~OR LAKE 2ND Occupancy R-3 M-1 FEFS Parcel No. R-1 Zoning m Name M& M CONSTRUCTION IAGuaI) Cons~ ~-N Bltlg. Permit 532.00 W 4070 EAU CL-AIRE CIR (a~iowab~e) _~N 38.00 ; AddfOSS Surcharge ° Cit PRIOR LAKE Phone 447-6490 xo~stories - Y Length 42' PlanReview 345.00 , o Name SAME Depth snc, cay 100 _ 00 ~g Address S.F.Tolal - SAC,MCWCC 650.00 ~ Cit Phone S.F. Footprints - y On Site Sewage _ Waler Conn F~n • nn W w Name On Si~e weii - Wa~er Me~er 90.00 s~ Address rnwCCSys~em X ~c~ Acct Oeposit 30.00 aw Cit PhOf18 CiryWa~er _ Y PRV Required X SM/ Permil 30.00 I hereby acknowlege that I have reatl Ihis application and slate that the Booster Pump - Srw Surcharge _ 50 inlo~mation is correct and agree lo comply with all applicable State ot Minnewta Statutes and Ciry of Eagan Ortlinances. ireatment PI 27b - 00 ~/~(~l?~^ APPflOVALS RoadUnit 37n-nn SignaWre of Permi[ee A Buiiding Permi~ is issued to: M& M CONSTRUCTION Planner - park Dad. on the express condilion thal al1 work shall be done in accordance with all Council applicable Slate of Minnesota Statutes and Cyiryy,of Eagan Ordinances. Bldg. On. _ Copies Buildinq Otficial Y I"I.L' ~anance - TOTAL S~ 121. 50 ~ RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN ~ 5~,{O ~ ~ 3830 PILOT KNOB RD, EAGAN MN 55122 651-681 •4675 Naw Construction Reauirementg RemodeVReoair Reauiremenb • 3 registered sita surveys showing sq. ft. of lot sq. R. of house; antl all rooted areas • 2 copies of pian (20%mazimum lo~ covarage allowed) . t set o( E~reryy Calculations far heated addilions . 2 copies of plan showing heam & window sizes; poured found desgn, etc.) • i site survey Por eztenor addi6ons & decks • ~ sel of Energy CaiaW6ons . Indicate if home served 6y septic system for additions • 3 copies of Tree Preservation Plan i( lol platled after D7f93 . Rim Jaist DeWd Options selec6on sheel (bidgs wiU 3 or less unils) DATE I~ I'~ VALUATION k` SITEADDRESS `i~~S Tan~;e f1V~- - MULTI-FAMILY BLDG _Y ?I~ TYPE OF WORK ~ttw~~ Pz~i~ ~'cic~-~ GQo.c ~nF~c ~ PIREPLACE(S) _ 0_ 1_ 2 APPUCANT ~ 1~ WO~kS ~S ~ C v~ STREETADDRESS ~a'aC ~ 1~4~j tJ CITY P~'^~~- STATE ~ ZIP SS~f~G~ TELEPHONE# ~~3'S~F~"Sff~I(CELLPHONE# ~1a~-~oa~il~ FAX# ~~3 S~~-~~ PROPERTY OWNER ~`f ~th TELEPHONE # (-P5 `FS1-57~~ COMPLETE FOR KNEW" RESIDENTIAL BUlLDINGS ONLY Energy Code Category _ ~IIVNLSO"C:1 RL'LL:S 7fi70 C:~"CEGORI' I bIIV VESO"C.1 RCI.k:S i67~ (J su6mission rype) • Residential VenGlation Category t Worksheet Submitted • New Energy Code Worksheet Suhmitted • Energy Envelope Calculalions Submitted Plumbing Conhaetor: _ Phone # _ Plumbing systcm includes: _ ~Vater Softener _ L~wn Sprinkler ( f'Fec: 590.00 _ Water Hea[er _ No. ' - . ~t~s vv. of Baths Q ~ ~ ~ ~ ~r~7 ~ OCT G ; Mechanical Conhdctor: ~U~hone # 1~ ~Iccluviic.il systcm indudrs: .~ir Conditionin~ 1%~: S70.00 I-Icat Recovcry Systcm gY Sewer/Water Contractor: Phone # I hereby acknowledge that I hpve read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan ' an es. Signature of Applicant OFFICE USE OivLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONIY ? Ot Foundation ? 07 05-plex ? 13 78-plex ? 2D Pool ? 30 Accessory Bldg ? 02 SF Owelli~g ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ~Q 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 42-piex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ~ 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundatian) ? 45 Fi~e Repair ? 33 AlteraGOn ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (Entire Bidg aniy) - Give PCA handout to applicant Yatuaiion Z°~ Occupancy R-3 MC/ES System Census Code ~y 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. 7C Footings (addition) Plumbing ~ Foundation ~ HVAC Dtain Tile Othet Roof ~ Ice & Water ~ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final ~ Framing _ Siding Stucco Stone Fireplace _ R.I. _ Air Test Final Windows (new/replacement) ~ Insulation _ Retaining Wall Approved By , Building Inspector ---L---- ease Fee '~'~1 ~S ~ Surcharge ~O ~a~X~~~p ~ ~7Zg'~ Plan Review ~ ~"S . $ ~ MC/ES SAC C~' ' 2~ ° City SAC W ater Supply & Storage 5&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total cj~{-~y. Permit Number MECcheck Compliance Report Checked By/Date 2000 Minnesota Energy Code MECcheck SoBwaze Version 3.3 Release lb Data filename: I:~Fnergy Ca1cs~IvIEC~IvIn\02-583.cck TITLE: #02-583 COiJNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 10/16/02 PROJECT INFORMATION: Kathleen Ryan COMPANY INFORMATION: Site Works COMPLIANCE: Passes Maximum UA = 160 Yoar Home = 139 13.1% Better Than Code Gross Glazing Area or Cavity Cont. or poor Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 373 44.0 OA 10 Wall 1: Wood Frame, 16" o.c. 1361 19.0 2.0 65 Window 1: Above Grade, Wood Frame, Double Pane with Low-E 150 0310 47 Door 1: Solid 18 0.230 4 Door 3: Glass 40 0330 13 Proposed and Maximum U-Factor Averages Proposed Ma~cimum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0314 0.370 Includes Foundation Windows > 5.6 ft2 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specificarions, and other calwlations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota exgy Code requirements in MSCcheck Version 33 Release 16 and to comply with the man y requi emen~ s l~ ted in the MECcheck Inspecrion Checklist. ~ C U d ~4~ Builder/Designer Date RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN r ~ 3830 PILOT KNOB RD, EAGAN MN 55122 I(~,~ 651•68'I-4675 NewConaWction Raauirements RemodeVReoair ReauiremeMs • 3 registered site surveys showing sq. ft. of bt, sq. ft. of house; and all roofed areas • 2 copies of plan (20°k macimum lot coverage allowed) . 1 set of Energy Calculetions for heated addi6ons • 2 copies of plan showing beam & wiMow sizes; poured found design, etc.) • 1 site survey far e~Rerbr additions & decks • 1 set of Energy Calculations • Indicate'rf home served by sepBc syslem for addNOns • 3 wpies of Tree Preservation Flan H lot platted after 7/7193 • Rim Joist ~etal Optiore selection sheet (bldgs with 3 or less units) DATE ~D~2~ VALUATION ~ l f 3 _'1 S ~-e-~~ SITE ADDRESS ~10~i~ ~TAIUL~ A'U MULTI-PAMILY BLDG _Y ~ TYPE OF WORK I~c-' IZcY~ t' FIREPLACE(S) _ 0_ 1_ 2 APPLICANT~ NS ~S ~ ~2 a~?.J STREET ADDRESS ~SZS l-Ii.xJ I 3 CITY STAT ZIP S~3 3/ TELEPHONE ~ ~ CELL PHONE # FAX # PROPERTY OWNEI~~~ TELEPHONE #~O~I ~ 9 9~' ` I COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RiILF.S 7670 CATEGORY 1 MI I~~G~ (~1 submission lype) • Residential VentilaGOn Category 1 Worksheet Submitted • N~ - e l~~jo h itted • Energy Envelope Calculations Submitted JUN 2 4 2002 Plumbing Contraetor: Phone # Plumbing system includes: _ WaCer Soffener Lawn Sprinkler ° Fec: . _ Water Hcatcr _ No. of R.I. Baths No. of Badis Mechanical Contractor: Phone # Mechanical system inclucles: Aic Conditioning I'ee: $70.00 HcaC Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the inf ation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eaban Qr ' nces. Signature of Applic OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entlre 81dg 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. _ Foorings(deck) FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit , Mechanical Permit License Search Copies Other Total - ' ~~I a a'`, RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirements RamodeVReoairReauiremenfs • 3 registered site surveys showing sq. R of lot, sq. fl. of house; an~ll roofed areas • 2 copies of plan (20°h meximum lotwverage albwed) • 1 sef of Energy Calculafions for heated addilions • 2 copies of plan sharring beam & window sizes; poured found design, etc.) • 1 stte survey for exlerior additions & decks • 1 set of Eneyy Calwlations • Indirate if home served by sepGc system for additions • 3 copies M Tree Preservation Plan if lot platted atler 711193 • Rim Joist Det2il Optians selection sheet (61dgs with 3 or less units) DATE ~GLrG~` ~ ~ ~ / VALUA'ION ~ D~~ JOB SITE ADDRESS yC/J 3S lGtl~'1 dll/ ~ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER TYPE OF WORK c~vi c.r r,t~ L~C cPfvec~UL'v~tF'?'l'~T FIREPLACE(S) _ 0_ 1_ 2 APPLICANT fl~~ v' as i n_ C+OV`h ~~II l~~~i r^P S%(~~ PHONE# 95~" -c~"~Dzr17-5~ ADDRESS s r~5 D L/J ~/ii~ /3 SaambL~~ d~r~o ZIPCODE ~5.33`7 PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT CO ~~l[~ ~I ~ Energy Code Category _ MINN~SOTA RULES 7670 CA'I'EGOR MAR 1 1 2~02 (check one) - Residential Ventilation Category 1 Worksheet mitted - Energy Envelope Calculations Submitted By MINNESOTA RUL~S 7672 - New Energy Code Worksheet Submitted Plumbfng Contractor: Phone Plumbing Systcm Includes: Water Softener I.awn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of 13aths Mechanical Contractor: /-t 2- I ~ ~Q}~'i/1(~~ Phone # ~~~~5 ~ Mec}ianical System Includes: Air Condibonu~ Fee: $70.00 Hcat Recovery Systcm 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~/~~ry/ inances~.J SignatureofAppllcanTf~/!/AF--I ~ t~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY ' - ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E~ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? O5 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 0 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant 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 hldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ pl~~g _ Foundation HVAC _ Drain Tile O~~ Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other ToWI . I~~140 ' 1991 BUILDING PERMIT APPLICATION 1 CITY OF EAGAN SINGLE FAMILY DWELLINGS H[TLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & SIRUCTURAL PLANS 1 SET OF ENERGY CALCUTATIONS (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 AYPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQIIEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED 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: ~ith ~ ~aM Valuation: /~j~~ Date: 3' ~ Site Address ZI~~~ '(Pm~~, ROQ ~ OFFICE USE ONLY Lot ~ Block FEES ` Occupancy R-3 M~~ Bldg. Permit .5,3 Z.Ov ~1~'~'~~?` L P~. ~p P~~ Zoning IZ-l Surcharge po Parcel/Sub Actual Const V- N Plan Review ,3 ~,ao Allowable V-N SAC, City /DO~c~O Owner # of stories SAC, MWCC ~j ,0 O Length y2' water Conn. ~(~D,vu Address Depth 4 S' Water Meter 90~0 D S.F. Total Acct. Deposit ,30,0~ City/Zip Code Footprint S.F. S/w Permit O,cJ~ S/W Surcharge ,SZ~ Phone On site sewage_ Treatment Pl. Z.~,DO l On site well Road Unit 3 O,UJ Contractor ~ti~~ 4ti~ ~U~~S1raG~+r~ MWCC System ~ Park Ded. ~ ~,~ti~i,L~ City water ? Trail Ded. Address '-~~7 ~7 It" PRV 1~ Copies ~ Sooster Pump _ City/Zip Code P~`~ b~~ ~~P~GP. ~VI~~. ~~37Z_ SIIBTOTAL APPROVALS Penalty Phone ~ ~ l `1 ~1'J Planner _ Lot Change Council TOTAL Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # ~~,1 ~~'~r~ agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ` V,~ ~ u ~fi i'~'~~L ~ . . ~ ~ yACt A~E ~ ~4 x24 = S'76 x Is- FS6 yb 'gs rn ~ zy x32 = '765~ X ~y = /o ~S Z ~IOU~E 3sn~,T = 'lbS~ ISx/6= 288 ~ /o~ X s3= SsgGY O/2 7 G~ OO~J i ~ , PETERS, PRICE & SAMSON LAND SURVEYORS. LTD. 12400 PRINCETOIV AVENUE SOUTH, SAVAGE, MINNESOTA 55378 • 612-890-9201 C@1t1fiC8t9 Of Sur1/@y FO~ M& M CUNSTRUCTION iNr _ ro 0 30 3j , ~a .so. h 4/ ° ~o ~ S ~oe m % \''ag. /3S Sg„~ Q ~ . ~ ~N _ g~z v e ~ / $ i fi ~ ~ I ~ ~ N~ Di0/ ~ v1 ' ~ / ~5 . / ~ ~ fose~ 7ii~iy ~ ~ ~ / ~ 5 ~ ~ ~ ~/by C ~o Q' M ~ ~ ~ ~ a ~i ~y ,m~b ~i N Q/ 2°~ o ,y o Q, 3+ ~~/~i¢ i 0: ~ p . as 2q,~. o ~4 ~ ~ / o ~ ~ ~ \ . , /a ~ . v : /~•A, h v ' . ~ ~ .,3! So ~ ~ ~ ~ J f0 / ~ ~ . / ~ o' ~ ~ 2, h~ S ~J?~8s ~ ~ 3 , sso \ ~ ~8 ~,Fe.e2 ~ J ,o ~ ~ DESCRIPTION + fJ ~ R ~ ~ r~ ~ ~C Lot 3 Block,l ~ ~ MANOR LAKE SECOND ADDITIfIN; ; V~~' ~ ~ Dakota County, Minnesota. ' ~ ~ ~ ~A ~a~r~u,r-i.ivY M~' 3~1.3~~~'~,.~.~ , ~,i~u~A~~G~i~~~d~L.Lr/i ~ F(rst Floor Elev. =949.17 ~ oDenotes Iron Monument 5et •Denotes Iron Monument Found gas.oDenotes Existing Elevation = 3~ ~ ~sss.o) Denates Proposed Elevat9on . G~e~/Ia We hereby certiy ihat [his is a lrue and correct representation of a survey~of the boundaries of the aDOVe described lend, and ol t~e bcatlon of all bulldings thereon, and all visible encroachments, if any, trom or on said land. /J ll ~ e~ ~~J~~[ O_,~// L'i~ = As surveyed by us this ~±h day ol /v ~u r.C 19!' ~1 ~"`A - ~ LS. ~ Minnesota License No.~'o ~O I " ' EXTERIOR E~IVEIOPE AVERAGE "U" COMPUTATION , ; , . . - OWPIER: ~~'1 ~~wZ,'L ~ ~M~ ~ SITE ADDRESS: I Cl'1 ~ ~7~~C' ~ ~~`"~~r~'ti1 0'~. ~.~'ic~ ~~~~~1~ i I~~l Cp`~'i'~ LONTRALTOR: ~ d~~ ~ C r~'~~-4 r c's'1 DATE : 3' 1 I~ Q I PHONE : ~ i'~~' ~ 2 DETERMINE 4~ORKING SQUARE FOOTAGE OF EACN: 7~TAL EXPOSED b1A~L AREA,,,,,,,, /(~~{p. p sq ft x"U" _ 2 ~ /80~'/0 i; 2. TOTAL ROOF/CEILING AREA,,,,,,,, /6~'~,Q-p Sq ft x"U" ~p,~~, r 1r. yG 3. TOTAL EXPOSED IIALL AREA CALCULATIOIJS: q ~ Total exposed wall + area above fioor,,,,,,,, /yloS 3?~ sq ft . a) Total wall wTndow area: ~ :.I ' . ~ n.T'~ 9lazed:... 9'b~ Q] sq ft x~~Un . 3Y ~ 3d 07 ~ glazed..... sq ft x"U" e b) 'Total door area ~7.~7 sq ft x"U" •~yY ~~/•3'Y c)" Total sliding gtass door area: , ~ ~ ~9 ~ glazed...... 39~(0~ sq ft x~~~~~ .~s o/S:/~ tl glazed...... sq ft x"U" e' !'i 'I ; d~ Total ficeplace wall area sq ft x"U" 4 'i zi e) 7ota1 watl framing area s' • (Average 109,).......... /y/0.5~{ sq ft x nUn ,09Y /~.~j~ ,y, . . r;~ f) Total net wal'I area above ~ floor (Insulated)...... sq ft x."U" .0~3 ~ 7.3Y g) Total ~im Joist area...... /37• L~ sq ft x"U" .oef/ ~ S.p3 " Total foundation , 7,3~' area (Exposed).......... sq ft h) Total foundatton : ,r " window area sq ft x"U" ~ " T) Total net foundation ; area above grade........ 97"S~ sq ft x"U" .06G e L.l~3 ; 3• ~ TOTAL a) thru i) ~~~y•3~~ If ttem N3 1s the same as, or less than item pl, you have met the Tntent of ~ S.R.C. Sectfon 6006:(c) 2. 'r ~ ~ ' . . ' . , , ~ 5 t~K~l: , I ~ ~ , cnrisr~ucTin~i R vnw~, LEILItIf, S[CTIQfJ (INSULATE~): I Intr.rlor air flln 0,~1 ~ 2 ' s ~uak . 5'~,. • 3 0o C _ .oe 3 4 Exler(or air film st(il) ~.~1 70TAL R ~ S ~ U ~ ~IR ~ ~d yY . I 5 CEILIFlG FRAMIIJG SECTION: -`J 1 Intcrtor air fllm f1.61 2 S'r " S ?.ICt.c . .S"!a ; q~R VENTED 3 ~ r~ a•~ FLOW ~nterior air Pilm st I1 0. 5 3'~ inches soft wood . rorn~ a ~yy~ u ~ t/R a .ay3 C[ILING SECTION (ItISULATED): ~.,~:~^.~s1S%;r`~;~1~-_'r^-.z4£:ti•a;:°~-"~4??e?.=i~~'rs'a~. 1' I n t e r i o r a T~ r f T 1 M 0. F 1 2 3 4 F.xterior f m sti 1 ~ ~ / n TOTAL R ~ ' l~ `rr U~ 1/R°_ I 2 3 , 4 5 CEILINr, FRA111NR S[CiION: 1• Interior air m ~.F1 VENTED 2 3 ~ • 4 Exterio alr f lm still n. I S 1 nthe sof t a+ood TO7AL R d V° IIR° . 3 4 5 ~ ,a L„c,,, ' s. . , ~ ~ ..,:•i:':~: ~•,"!~:.i+ . ~gy 1 Inside air fitm ~.F,1 / 3 <::%•r //~,1 2 ~ 4 ~ ~~j 5 Outsidc air f lm n,17 I 2 TOTAL R P~ : ~ U~ 1/R°_ • . . . y. . . . . ~ , . cnrisrriur.rim~ rt vn~ue 1lALL FRAF111JG SECTIOtJ: ' • ~ 1 Intcrlnr itr film Q.(,~ -12 sl~. ~ - - ~ -{3 S /y inch.:s soft Nood • 4 ~i.r7_h~- ~ ~TG__ ~..D(n_ 5 1~Ie~.~.~ ~G .GL h F.xterior a~ r~ 1~~ 1 . T07AL R ° /D• y'd U ~ 1/R ~ ,b4Y • WALL SECTIOtI (II~SULA7ED) , ' ~1 Intertor atr f11m 0.6R r 2 ~ y.. e ca.c .•l.l' . 3 ES-RG ~ t.B"~s _ A~.rO t~ S?Fl''i~ _ `.,__2.~~8 . • S . sne. ` ' .G7 h Exterlor air tilm • (1.17 • TOTAL R ~ Z3•o3 . ~ ° ~~R ° ~nf3 ~ RIM JOIST SECTIOFl: • . • ~ " - 1 Intertor alr f11m (1,6R ~.:i 2 _ IB~~' ~yLtas W 3, f~fi, s ecl- Ws-ria ' J' 4 ~~ffiT 1.0 ~ ' S sa4_ •!eT ~ n~ , 6 Er,terior ai r f i~m (1. 17 TOTAL R a ~ .~G L~`~ ; . . ' . ,A1 V ~ ~IR ° ~0~~ . ~f • .o' ° ~j,-~ FOUI~DATIO!1 $ECT1017: ~ 1 Intcrior aTr fllm ~,F,A i~• .,p P , Z /6iZ&' ~5 /3.O~e ~ .:.a 3 i2•~ L~oa~ c.~ 'a ' Z-{4 Exterior air film (1.17 a•~ o:•b.•';~ ~',~,Arp~ ~S ~ ; q: . _ ~;~f;:~/l~/~j ~ ,p, ~~,s+'d TOTAL R ~ ~y"./3 U = 1/R v •Od(~ ~ SLAR ON GRADE a' ~ ~ ' ~ ' p: '4 a1• ~ q ' ~ • ~,a. ; ~ ~ ~~.Q , . .a.,• ~ , ~ . . : , ~ - ~ ' . , • ~ , .~a ~ ' \.4~~ ~U ~ q`~~r ~ ~ A~• ' G ~ ~ d; ~ •,G. . ~ . /'~/~i:ii ~ ! ~ ~ . ' . 4 r ~ ' U , • . ~ . , . ~ •`a ~q, , , , • tl c •V•~ 4'' ~ • • ' . Ct~p~ ~A ~.4. . • ~ . , 19• , ~ '4' ~4, • Q ~ . ~ ~ v , : ~ ~ ~ < d„• •4~• •a• : C•~4••`~ b ~a i' q'•~ y . . p . . . ~ 4 ~ . :'n~ . ~ h . , ~ . . 4. TOTAL EXPOSED ROOF/CE I L 111G CALCULAT I OtlS : . ~ , Total exposed ~ roof/cetltng area.....,.._ias'G•dfl sq ft ~ J) Total skyllght area....... sq ft x"U" ~ • k) Tota) roof/ceTlinq framTng area (Averaqe 109)... /oS'•b0 sq ft x"U" ~oY3 e 'L, 3 " ~ . 1) Tota) net Insulated ' roof/celling area...... 9'~a~~a sq ft x"U" ,dYy ~,?iU~g~j • TOUL J) thru 1)~ Z3 ~3'~ • r If total of eG is the same as, or less than I?2, you have met the T~tent of i S.B.C. Section 6006 i ~ , , j ~ • . ' ~ ALTERfIATE BUILDING ENVELOPE DESIGN ' i ' ~ To utllize the total envelope system method, the valucs establTshed by the sum of ltems J~3,and F4'shall not be ~reater than the sum of items N1 and !~2. . 1. /3'6, ~fa + 2. 17• ,~G 'e 2d7. Ylo . 3..' Y ~ .JJ + 4. (i J ~ f` s / ~b . ~ > ~ ' C E R T 1 F I C A T I 0 N 1 hereby eertlfy that I have calculated the "U" faetors and "R" values heretn and that the buildinq here.describ~R€k~~~p~~q~ge~fy State of Minnesota Energy Conservation AcL ZuU [_A;;~ 4Thl S'ii,;.Lf ~ . JORD N, MN 55352 j Slqnature ~ /g, (Date) • . . .Y. . . . . . . ' . CITY OF EAGAN FOR CITY USE ONLY ' 3830 PILOT KNOB ROAD " • EAGAN, MN 55122 PERMIT # /O PHONE: (612) 454-8100 RECEIPT # 0 M~C,'~1~C~i~S:~~~I~ DATE: 9 $~~EN'1`~`:; PLEASE COMPLETE UPPER PORTION4` ONLY FOR SINGLE FAMILY DWELLINGS & •~p:..<::.;>:;:.;:.: TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ~ ADD-ON MINIMUM $15.00 ADD ON _ HVAC 0-100 M BTU 24.00 REPAIR _ ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 • OF 1 PER PERMIT OWNER NAME: _ ~'lt ~1 SUBTOTAL: $27.00 SITE ADDRESS• 6 S ~ U • Cl.~K ~ STATE SURCHARGE: .50 ~m~~-,,.~z pS , s IAT: ~ BLOCK ~ SUBD ~ TOTAL: $27.50 INSTALLER: METRO AIR INC. ;~tvw~'~^- /V ADDRESS: 16980 WELCOME AVE. S.E. SIGNATURE OF PERMITTEE CITY: PRIOR LAKE. MN. ZIP: 55372 PHONE 447-8124 ~~tIM$RGTALf~NDUS~'1L7A7.;: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL B[TILDINGS, . . APARTMENT BUILDINGS, AND MULTI-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 ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - S~5 00 I.OT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ YHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PERMIT # 0~~0 PHONE: (612) 454-8100 RECEIPT # ~ ~?Z,V~~~~xNG'~y'P~~~~ DATE: 3 ~ ~ IISS;~~PI~'~i~~ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED 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 3•19T~ 1 BATH TUB 3.00 3 ~ d~ ly 1 LAVATORY 3.00 ~ OWNER NAME: C d~ KITCHEN SINK 3.00 1 LAUNDRY TRAY 3.00 SITE ADDRESS: ~Co T~ ~i~ HOT TUB/SPA 3.00 m 1 WATER HEATER 3.00 3, LOT: ~ BLOCK ~ SUBD.~K.. c?y~ ~ FIAOR DRAIN 3.00 ~ l GAS PIPING OUT. INSTALLER: SChQ ~ e ~ l' ( q ? ~ ~ ~ (MINIMUM - 1) 3.00 .3- n ~ ROUGH OPENINGS 1.50 ~ ADDRESS: ~R~[~ [^F~l ~~+'~a^' ~ r _ OTHER WATER SOFTENER 5.00 ~r~:Pr ~Clf L~!< t ZIP: 5~3~ Z _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE 7"' ~ ~ SUBTOTAL $ o~ S~ :!(J ST. SURCHARGE .50 SIGN OF ERM T ,qy~ TOTAL: S 07GJ•V!J L~Oj~tERCTAL~3N~IISTflIAl,; PLEASE COMPLETE THIS PORTION FOR ALL COPII4ERCIAL/INDUSTRIAL SUILDINGS AND .~m MULTI-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 ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ GITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY USE ONLY r' II l ~ = ' I PERMIT#: ~~5~~ RECEIPTDATE: ~,I 1 `-'1 ^ i~^~ I I ~ ~ Ji I ~ 800Q i~SIDENTIlEL M~Ci~NICikI. ~~iMIT ~P~LIC~kTION crrY og ~tsnx S$SO PILOT KPOB iiD EABAF M1V 5511E 651-881-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: 1~~ o~~ l ~ ` SITE ADDRESS: `"'t ~P ~ ~ ~ ' ~ ~'~~t mr~ 5512<3 OWNER NAME: ` ~.~~L.A~-^'~ TELEPHONE ~_`~~2- s~~y INSTALLER NAME: ~ TELEPHONE ~ S~~ 3~--~ ~p STREETADDRESS: ~ ~ ~ T S~~S~ ~ ~ ' U~~~ arv: ~S`~~c.~R~- STATE: ziP: `~`06~G-a`~-`J_S Place a check mark next to the permit work type Add-on, modification or alteration to existin dwelling unit $ 30.00 • furnace replacement • air exchanger • air conditioner • other ^ Nature of work: ~ ~ ~ L~ State Surchar e $ .50 Total $-s~=~`-' ~ ~s4~..~,~ S ATURE dF PERMITTEE iioz CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR E008 COMMEftCl~kl. M~Ci~4NIC~lL ~~iMiT ~~'LiC~TION C1TY Of ~A&~EN 3$SO ~ILOT KNOB RD £AHl1N, b!N 551 £E 651-s$],4675 Please complete for: all commerciallindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE - TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOliS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: STATE: ZII': TELEPHONE WORK TYPE: New construction Install U.G. Tank ! Interior Improvement _ Remove U.G. Tank _ Ptocessed Piping Specify Nature of W ork: When instalfing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: I% of co~tract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minunum fee Contract price: $ x 1% (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updaled 1/02 Use BLUE or BLACK Ink For Office Use r T 1 i I 1 I Permlt 1 I city of Eap I Permit Fee. ~05• S 3830 Pilot Knob Road I i3 I Eagan MN 56122. ; Date Received: I Phone (651)676.6675 Fax: (651) 676-6694 j Stan. I _________J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION ~lOV~ ~~e-jY1t~ Unit fl: Date: site Address_ "i>! Name: (NAQc Phone: ~13iif<r1 ' ; Address I City / Zip: 46P5 "'T vvN e. AV'0_ - C~ tMt►-1 /Z3 ' } ~ I~,IL it,tl a, Applicant ie: Owner Contractor n: 1~ { J`~l Description of work: r C'i - F reed 7 l~ Lui~►, 1 A ~ F Tl~lII\Ilq~~ Construction Cost: loalv Multi-Family Building: (Yes No + 7 I Company, `01r1n~llt5 U j2M fdt~ Contact: inn %\Ore.. 1' r.\ I I I • •I„ r Address: I It 5 ~ 1 °r_cg Vc r, Rp City: -s 7 -7 State: MM Zip: 3'-u Phone- $1" 7 Load Certificate ►J A'r- 1 O t Gl ) License N' dil r• If the project is exempt from. lead certification, please explain why: (see Page 3 for additional. information) 2 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: ,p. •`1 I,i! jtT iSA'M°'~NI •.,r. a. MR. p 4;i ! a.l r • .r cl tt ,.I„ rtl,L' I 'i, II ,,It I r„ d+r a4 ! , . i'r_ r .•,t: " r r• , IT . :~~I• . ...•i. ./~r ~ ..~4 ~f ..t r~ll,! .I .I , I ,n.".d ~;rl•'I fi:ki~a I L.1 I ..:::.....,.,,ly!,!., ..I~:~~ 'I •e tu•,,... •tat~~~'~il+~~'~,I :rldrl~,,g;.: yl!::~ :giAi. ' +:i!~h .r, ....yl,...~r. ,,,,rnda:i!,;~(lall{., d:l;;!t"~1;1, LliClll~ a. :.rrt!'~ CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 40 hours before you intend to dig to receive locates of underground utilities. www,noherateteonecalL~ 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. Extarlorwork authorized by a building.permit issued In accordance with the Minnesota State Building Code must be completed within 1BO days of permit issuance```~_,- Applicant's Printed Name Applicant's Signature Page 1 of 3 b0/Z0 39Vd 31X3 wasn0 S1-13NNOD Z06Z86bi59 96:ZZ £Z0Z/60/60 PERMIT City of Eagan Permit Type:Building Permit Number:EA116773 Date Issued:10/10/2013 Permit Category:ePermit Site Address: 4635 Tamie Ave Lot:3 Block: 1 Addition: Manor Lake 2nd PID:10-47276-01-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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 . 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 - Mark S Ryan 4635 Tamie Ave Eagan MN 55123 Connells Custom Exteriors Inc 1125 S Frontage Rd, Suite B Hastings MN 55033 (651) 438-2973 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA144300 Date Issued:07/19/2017 Permit Category:ePermit Site Address: 4635 Tamie Ave Lot:3 Block: 1 Addition: Manor Lake 2nd PID:10-47276-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark S Ryan 4635 Tamie Ave Eagan MN 55123 (651) 452-5714 Connells Custom Exteriors Inc 1125 S Frontage Rd, Suite 8 Hastings MN 55033 (651) 438-2973 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147325 Date Issued:12/28/2017 Permit Category:ePermit Site Address: 4635 Tamie Ave Lot:3 Block: 1 Addition: Manor Lake 2nd PID:10-47276-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark S Ryan 4635 Tamie Ave Eagan MN 55123 (651) 442-0662 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147368 Date Issued:01/02/2018 Permit Category:ePermit Site Address: 4635 Tamie Ave Lot:3 Block: 1 Addition: Manor Lake 2nd PID:10-47276-01-030 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Mark S Ryan 4635 Tamie Ave Eagan MN 55123 (651) 452-5714 Ron's Mechanical 2026 Colburn Dr Shakopee MN 55379 (952) 445-8585 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152714 Date Issued:10/29/2018 Permit Category:ePermit Site Address: 4635 Tamie Ave Lot:3 Block: 1 Addition: Manor Lake 2nd PID:10-47276-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 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 - Mark S Ryan 4635 Tamie Ave Eagan MN 55123 Window Store Home Improvements 2924 Anthony Lane #115 St Anthony MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176686 Date Issued:05/26/2022 Permit Category:ePermit Site Address: 4635 Tamie Ave Lot:3 Block: 1 Addition: Manor Lake 2nd PID:10-47276-01-030 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Stephanie Wallace 4635 Tamie Ave Eagan MN 55123 (612) 558-2723 Sedgwick Heating & Air Conditioning 1240 Trapp Road, Suite A Eagan MN 55121 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature