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4643 Tamie Ave SEWER & WATER PERMIT OFFICE USE ONLY CITYOFEAGAN PERMITDAT~ 3830 Pilot Knob Rd. MErER # 12132 Eagan, MN 55122-1897 cHiP # 0/ 32 y;53 PERMIT # METE'13 SIZE ~e~sks B.P. RECEIP7 # ~14195 ISSUE DATE !7' 3B.P. RECEIPT DATE 6/29/91 DATE PRV - BOOSTER PUMP SITE ADDRESS PEHMIT REOUESTED LOT I BLOCK SEGlSUB "!t'.~,`GP LAKl: ?REi - SEWER - WATER - TAPS APPLICANT: COMM/IND - RESIDENTIAL ADDRESS: - CITY, STATE t7~''"• ZIP NEW - EKISTING PHONE: . Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: Credit WILL NOT be given for Deduct Meters. CITY, STATE ZIP PHONE: I AGREE 70 COMPLY WITH CITY OF OWNER: EAGAN OROINANCES ADDRESS: ~ CITY, STATE ZIP PHONE: SIGNATURE WHEM ME7ER ED PLEASE ALLOW TWfJ WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIUNS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFICE USE ONLY CITY. bF.EAGAN METER # PERMIT DATE 7 1 ~ 1 3830 Pilot Knob Rd. 12132 Eagan, MfV 55122-1897 CHIP # PERMIT # METER SIZE B.P. RECEIPT # ~1412" DATE ISSUE DATE B.P. RECEIPT DATE - PRV - BOOSTER PUMP SITE AQDRESS 46{'~` 'Ai-41" A 71- PERMIT REQUESTED LOT 'BLOCK 3 SEC/SUB i,r^.'.Cf: :3'.2+7 ?SEWER _V_/WATER i'APS APPLIeANT: h'~'Y`ANJ "f'AES '0 14450 BUR"ISVILJ.F, alCr''~' - COMM/IND RESIDENTIAL ADDRESS: CITY, STATE V"SV1Lt:G ZIP ~•~NEW EXISTING PHONE: R94-2636 D.C. My,11'4NICA.L Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: 13845 DAN PATCti L;AE Credit WILL NOT be given for Deduct Meters. CITY, STATE SAvAGE Zip PHONE: '47-2323 . > , I AGREE O COMPLY ITH CITY OF OWNER: SA2Ii: (13 APPl,iLV,VT EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. 7/10/91 DATE: 4643 TAMIE AVE., L1, B3, MANOS LAKE 3xD RE: X7( • 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 CA,I:L VUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: 1 ~ Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allawed untii 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, Building Inspections Dept. ~ .,.,;,.:h.-.~1!'7~"" . . . . . .::....zn, . „ ,r, .v . r. . . t-Y~,.- .-•-s-~~-,.;v~r,~c: ~-._.+.-.r'--•-r.~.~.ww~.r- t , CITY OF EAGAN ~ y~ ,~,~3.,4 i- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be us~dfor ST DHC/G`Ait Est. value $86,000 ~ate Jl1NE 25 ,~g 91 ~ Site Address 6"'t =,AMLAVR Lot _L_ Block -di_ Sec/Sub. MANIM -AKIt 32n OFFICE USE ONLY PafCel NO. Occupancy g-3,_ M-i FEES Zoning a ~_L W Name Kl.'YLd1A1D HO!!ES (Actual) Const YVi.-- Bldg. Permit 68•00 3 Address 1~~ ~~WrE PRVY (Allowable) Yu-- Surchar 42app 0 City elV'i l1! PhOne a9d-~ # 01 Stories _ ge 369.00 $AM Length so_ Plan Review o NamB ~a Address DeptTotal SAG, City ~ Ciry Phone S~-a63b S.F. Foolpnnis _ SAG MCWCC On 5i~e Sewage Water Conn x ) W W Name Oi~,Site Well - Water Meter ~5~~ ~Z Address Mvuccsysiem x~ 30.00 a W City Phone Gry water xy~- Acct. Deposit PRV Required XX_ S7W Permil 3~.oo I hereby acknowlege Ihat I have read this application and state that the Booster Pump - SMI Surcharge information is correct and agree to comply with all applicabte State of Minnesota Statutes and City of gan Ordinances. Treatment PI 276*00 .I Signature of Permitee APPROVALS . Road Unit 314rN . A Building Permit is issued to: Pla""ar - Park Ded. on the express condition that all work s~ll be done i accordance with all Council applicable State ol Minnesota 8tatutes and City of Eagan Ordinances. gld9 pil _ Copies Building Official Variance _ TOTAI ;3. t~. 50 ~ s • Permit No. Permit Holder Date Telephone # WA7ER . SEWEA PLUMBING ~aW9 410 - H.V.A.C. ~ 7"W7- ELEGTRIC 7Aq Inspection Date Insp. Comments Footings I 3 Foundation Framing Rooting Rough Plbg. Rough Htg. _Gj I5ul. Fireplace Final Htg. 5 Orstat Test Fine! Plbg. Plbg. Inspettor - Notify Plumber Const. Meter EngrJPlan Bidg. Final 9,73 Ql ~ Dedc Ftg. Dedc Final Well Pr. Disp. . . 19.ex#tfir~te of (O.rrupaury Citp of (Eagan 19rpatmti af Nuiibing JWprtirnt Tkis Certificare isrued pursrra,u m rhe reqrdnencenrs ojSer.don 306 ojthe uniJorrn BuildiRg Code rertifyinS lha[ a11he linee of irsuarsce thrs sitrudure was in rnmpliance with the various ordinanccs of the City regulating bur7ding rnnsiruclion or use For Ihe foUowing: use cbsdficnion SF DWG/6Ax f~P= t4m 19324 o-Uv-.rrYvo R3 Zaciog Mmw R1 T c- n ~d&ad KEYLAND HOMES Add= 14450 SRNSVILLE PKWY., BURNSVII.LE 4643 TAM1E AVENUE ~ L1. B. MA R LAKE ` SEPTEMBEB 23, 1991 ~ . oec~a POST IN A CONSPICUOUS PU1CE INSPECTIQN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: `0 "1 a go Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: t~,?, k ~s~u~ ~ ~ 1.~1041F nvR' . . „ , , . r,1 ! ;c(l PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .A • .A ! • ' ~ F- L~ ~ Permlt No. Portnit Holder Dete Telephone N ELECTRIC PLUMBING HVAC inspectlon Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST . ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE ~ FIREPLACE AIR TEST FINAL PLBG I I FINAL HTG ORSAT I TEST BLDG FINAL BSMT R.I. BSMT FINAI DECK FfG DECK FINAL rc'us~ ~ . 4r~ 5'p.S.R`i• ~ ' *±x'~ t,,, `_3830 PILQT KNOB ROAD , : r , ~ EAGqN, MINNESOTA 55122 , ~ ' . j~rff rt t ~ Z J a q >l } t 7 a ~ v Nha~, y''' 1~,., ~'4i°" VP/C4n1~'~y+i ..i 1 ~.r~~:a i ~•~iP`,/YOQ(J~'r. sY'"A'4'gi a: y ~ ~f.~i• 3r~~ ¦ ~,~~~9~~~~ JfYr ~~~r~~ et ~s A „x?~.~:,.~9 k f ;~Y ~k ~ ~ t 9 '~~"+a"~"o- ' e~~tt-k s~ '~¢x Y.`t b~ a ~ z~ ~ ~ ~ ~'.y~5~°!ya• R~~~.}~'~L~~sG,.~~~'.YNIo~!-Pb4SOCCCYe --~Y vi+ a~».,:s1-'~r "~wRE.,'2S~S~"`.~~t,. 1i .,F,.~'l M+"~'.[iF P~M:OuOY?'~_Y~~'.;~....e. g 2.11,9 3 7D Request Dale . Roughin Inspection ' Rapuiretl~ G Ready Na~ll No~ily InspeCOr -es C N. When Reatly? licensed coniractor O owner hereby request inspection of above electrical work at: Jo0 tlress IStreeL Box or Po~ ui`Na.I , ci ` • Ki/? ~ Seclion No. Townshlp Name or No. FanSa No. Coun L Occupan IP Ti Ph e No. PoW [ pli¢r Ad0lB65 ~ Elec al G nvador (COmpany Na I f Coniracror5 Lic se No. ~ vaqor o~r Owner 1Mabng Installation~ Matlmg Atloress IC n . 7 VJ ! ~/7 CY tJ Au~horizeo Sture iCOmractonOwner Mahmg Installation~ Phone Number MINNESOTA STATE BOARD OF ELECTPICITV THIS INSPECTION REOUEST WILL NOT Griggs-MiEway Bltlg. - floom S173 - BE ACCEPTED BY THE STr1TE BOARD 1821 University Ave., St. Paul. MN 55104 UNLE55 PROPER INSPECTION FEE IS C6nnwlel4) fi42A90a ENCLOSEO. - I -J/1 n REQUEST FOR ELECTRICAL INSPECTION ee-ooom oe ~ • 6~ 0- See inslmctions for compleLng ihis lann on back al yellow copy, Below Work Covered by This Request ew q d, . -peof0uilding AppliancesWiretl EquipmentWired Home Fange Temporary Service Duplez Water Heater Electric Heating Apt. 8uiltling Dryer Other (Specify) Comm./lndustrial Fumace Farm Air Conditioner Otnar al Conlracll Remarks'. Compute Inspection Fee Below: goCOMPL ther Fee # ServiceEntranceSize Pee # CircuitsiFeeders Fee Pool 0 to 200 Amps 0m 100 Amps rs P.6ove200-P.mps Ab _Amps Inspecmrs Use Onry: TOTAL 11 oms ? 0~ pection munication THIS INSTALLATION MAY BE-ORD IS? ONNECTEO IF NOT COMPLETED WITHIN 18 NIbNTHS./ „ I, the Electrical Inspector, herehy Aou9n-m ~ c= ~ 1e Qr certify that ihe above inspection has F,,,ai / f oa~ ~ been made, ~Ix OFFICE USE ONLY ~ This request voitl 18 monlhs imm CITY OF EAGAN N~ 19324 3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $84, 000 pate .TUNE 25 91 Site Address 4643 TAMIE AVE Lot L_ Block 3_ Sec/Sub. Me1N0R LAKE 3RD OFFICE USE ONLY P0ro01 No. Occupancy R-3, M-1 FEES KEYLAND HOMES Za+i~ R-1 w Name (aci~p co~,st Vn 81dg. Permit ~ 568.00 3 Address 14450 BURNSVILLE PKWY (Allowable) V~- Surchar9e 42.00 ° city B'ville Phone 894-2636 yofSlories _ Plan Review 369.00 Lengih 50-- ~o Name S~ oepm 49- sn4cny 100.00 Address S.F. Total 650.00 U~ City Phone 894-2636 S.F. Foolprinis _ SAC, MCWCC 660.00 F On Site Sewage _ H'ater Conn 212 Name on Ste weii - wacer Meier 95.00 Q W Cdyress phone Mwcc sysiem X~ qat. Deposit 30.00 City waler X}L_ PRV Requirad gg_ S/W Permil 30.00 I hereby acknowlege that I have read this application and state that ihe Booster Pump - S/W Surcharge .50 iniormation is correct and agree to comply with all applicable Stale ol Minnesota Statutes and Ciry o 6gan Ortlinar es 7reatmeN PI 276.00 Siqnalura of Permitee APPpOVALs Roatl Unil 370.00 A Building Permll is issued to: ' YL HO Planner - pazk Oed. on the ezpress condition tha[ all work s aIl be done i eccordance with all Council applicable State of Minnesot talutes and City of gan 0 14inances. gldy. pff, _ Copies $ 3,190 _50 r Building OHicial A Variance - TOTAL S Address: 4643 TAMIE AVENUE Lot 1 Blk 3 Sec/Sub MANOR LAKE 3RD These items were/were not complete at the time of the final inspection. "-c Yes No ~ Final grade (6" f[om siding) !O Permanent steps - garage v Permanent steps - main entry Permanent driveway ~ Permanent gas ' Sod/seeded grass ~ Trail/curb damage ? Porch v Basement finish Deck Pleasa verify with tha buildar the removal of roof test caps from the plumbing system andthe shut-off of water supply to the outside lawn faucet before freeze potential exists. ~ xamEOnren White - City copy Yellow - Resident copy Pink - Contractor copy - RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 0_~) 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConaWCtion Reaufremenri RemodellReoair Reauirements • 3 registered site surveys shawirg sq. ft. of lot sq. fl. ot house; and ail roofed areas • 2 wpies of plan (20% mazimum lo[ coverage allowed) • 1 ut of Eneyy Calculations for heated additions • 2 copies of plan showirg beam 8 window s¢es; poured lound design, etc.) • 1 site suney Por eutenor addNons & Cecks • 1 sei of Energy Calculations . IrMieate if home served hy septic syslem far add'Aians . 3 copies of Tree Preservation Plan if lot platted after 7l1193 • Rim Joist Defafl Options selection sheet (bldgs wiU 3 or less uniLs) DATE VALUATION SITE ADDRESS A Mt e- MULTI-FAMILY BLDG _ Y _ N TYPE Of WORK Si~C! i(1S ~I O -2A ACR~, FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS 6DC( U.~ I L-F", . CITY T) fl STATH ''N ZIPS7~7`l 1 TELEPHONE CELL PHONE # FAX # ~ PROPERTYOWNER lU ~~"l 0 OOAn TELEPHONE# 4'5/- (Va3°9 I54-0 , COMPLETE FOR "NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO"l'A RtiLES 7670 CATEGORY 1 MINNFSO'CA RliLF_S 7672 (J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelape Calculations Su6mitted Plumbing Contraetor: Phone # Plumbing system includes: Water Sof'tener _ L.awn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. oF Baths Mechanical Contractor: Phone # Mechvnical sysccm includes: Air Conditioning ' Hcat Recovcry Systcm !n ~ ~ ~ ~ ~ ~ i Sewer/Water Contractor: Phone # 0 ~ 1~ 2002 ~,5 h~ jJ I J L~ ~ I I hereby acknowledge that I have read this application, state ihat the c~e n is c r ct, and agree To complq_-. with all applicable State of Minnesota Statutes and City of Eag r'r e Signature of Applica OFFICE USE O Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ - Updated 4102 OFFICE USE ONLY ? 01 FoundaGon ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plez ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 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. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 AlteraGon ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bidg 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 bldg) FinaUC.O. _ Foorings (deck) FinaUNo C.O. _ Footings (addition) _ plumbing _ Foundation HVAC _ Drain Tile pther Roof _ Ice & Wa[er _ Final _ Pool _ Ftgs _ A'u/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (oew/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC = + Watef~Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other ToWI RESIDENTIAL ~ BUILDING PERMIT APPLICATION CITY OF EAGAN ` 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Constrvction Reauiremenh RemodellReoair Reouirements • 7 registered site surveys showing sq. ft. of Io[, sq. fl. of house; and all mofed areas • 2 copies of plan (20 h mazimum lot coverege allawed) . 1 set of Eneqy CaIcWa6ons for heated aCditions • 2 copies of plan showirg heam 8 vnndow sizes; pouted found desgn, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy Calculations . InOicate i( home served by septic system for additions • 3 coDies of Tree PreservaGon Plan il lol plattea aRer 71193 • Rim Joist Detail Options seleclion sheel (bidgs with 3 or (ess unils) DA1E ~ C'C, • O~ VALUATION +1 lD SITE ADDRESS MULTI-FAMILY BLDG _Y _N TYPE OF WORKJ&~']~ 9~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ' RMA HOME SERVICES INC. Home Depot Installed Sales STREET ADDRESS 3200 Cobb Galleria Pkwy., Ste. #200 Y STATE_ZIP Atlanta, GA 30339 TELEPHONE # 763-542-8826 FAX # BC-20268257 ' PROPERTYOWNER ~~GCS d~ClTELEPHONE# (n5) I L 93 • ~t 5Z-4 COMPLETE THIS SECTION FOR "NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ 'vI[NNESOT:1 RULES 7670 G\TECORI' I MI\ VLSO"f:\ RliLL:S 7672 (J submission rype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Piumbing Conhactor: Phone # _ Plumbing system includes: _ Water SoRener _ Lawn Sprinl:ler Fee: $90.00 4Vater Heater No. of R.I. Baths No. of Baths Mechanical Conhactor: Phone # Mcchanical sys[ent inclucles: Air CondiQoning Pee: 570.00 Heat Rccoveny Svstcm Sewer/Water Conhactor: Phone # I hereby acknowledge that I have read this application, state that ih i~formation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O inances. Signafure of Applican OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 3102 OFFICE USE ONLY ? 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 Ext Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt • SF ? 04 02-plex ? 10 OB-plex ? 18 Deck 0 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 Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' 13 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 61dg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool F[gs AidGas Tests Final _ Fraating _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Appraved 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 . . . ~ Installed Siding andhMWUspOWER OF ATTORNEY OUNTY OF COBB e STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenuc North, Golden Valley, MN 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). 'T'he powers conveyed to tfie Agent by this Limited Power of Attorney are limited solely to the express powers deiineated herein and apply solely to the Work. This Limited Power oE Attorney shall expire and automatically be revoked on the 3e day of May, 2003, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attomey may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNESS WIIEREOF this Limited Power of Attorney is executed this 30rA day of 1Mh`f , 2002. David , z SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 301" day of May, Notary blic in for the Stat of eorga My Commission Expires: January 21, 2006 396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79•DEPQ ' if 301 AZI 1991 BUILDING PERMIT ICATION CITY OF EAGAN SINGLE FAPIILY DWELLINGS • MULTIPLE DWLLLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PL4NS 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, SUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQIIESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - WNTRACTOR/HOMEOWNER MUST DESIG WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT I ~~l ~ PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE IT HAS BEEN CO ED. PERMIT MUST SHOW A LICENSED PLUMSER. ~ z I 19~ To fle Used For: nl 1~ Valuation: ~ Da F~ Site Address 6V P_ OFFICE USE ONLY Lot ~ Block ~ FFES Occupancy ~R 3 M-l Bldg. Permit .568Ov ~ Zoning IZ-1 Surcharge y2,av Parcel/Sub ~ Actual Const Plan Review ,po A11owa61e V-IJ SAC, City /OO.OJ . Owner # of stories SAC, MWCC 6so1°1 Length ~ Water Conn. ,o 0 Address Depth y$ Water Meter °IS,pa S.F. Total Acct. Deposit 30,00 City/Zip Code Footprint S.F. 5/w Permit 30,00 S/W Surcharge I $v Phone On site sewage, Treatment P1. 9L,o On site well Road Unit 3r?0,00 Contractor MWCC System Paxk Ded. City water Trail Ded. Address PRV ~ Copies Booster Pwnp _ City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner I.ot Change 'Council TOTAL Arch./Engr. V~'~6arULq(A~~ Bldg. Off. SG- •9/ Variance Address City/Zip Code B--,~,' QQ ! e> ~'j Phone # agrees that all work shall be done-dn accordance with (Signa u of Contr ctor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. V'ALu ,4T Io N l3snnr ~6Xa~= 6~~x1~;~ q y.6y ~ bUT ~ ~'X 4~= 1 Zkd~ I 2 °15 X 53= ~~575 83639 art '~y,ao~ JVIV-GV'-'71 II'1U 'UC1J 1LJM1'Itb K I"I1LL 11Y~ ICL IYUsDIC 8'lG OC44 Hf.]D r~l 4643 TAMIE AVE. 3410-II-8 ~SUAYEYOR'S CERTIFICATE KEYLAND HOMEs PROPOSED GR0.DES SHOWN Y1ERE TAIM fAOY 7lfF qNDINO p FAOlqN pppTRQL TA M I E AVE._a N~'~ ~ o'~`'' ~ o a M ~ - 9 i.l I S 24022'00" W - (ffy7.3 i; ~ Q o , C447,4~ gs~ PRDPOSED / p ; i1 DFtIVEWAY ~ ~ . (9SO,p) -_20.55 20.0 ----------~'20.56~ ~ ~ ~ ~ ~ O 1 ~ yA , N AR. r~ r95o•0) i M a ~ 30.0---- I ~~}1 ~ f I PROPOSED M ~ Z' ~ 1 N IOUSE N ~ ' ' Q ~S • ZQ _ ' L_ ~ c9sn.o> 'L `J y I I LOT I V N I M oRAi~jAoETapER PLA~ .0 ° .85.09 fl=~~~~ ~.{f------ ` Ra 5654.98 L.e~GAIV ENGIPdEEFZNG D~;PT STATE TRUNK HIGHWAY 3 NOTE: BUILDINQ qAtprgIpNg gHpyyN ARE FIDR AT#O «+N?'~ +DENOTES PROPOSED SURFACE DRAINAGE 8FOUNoArIoN DxrpSpW. ~e O DENOTES IqON MONUMENT SET SCALE: 1 lNCH - 30 FEET • DENOTE$ IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 950•3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 9y7. S FEET (000.0) DENOTES PROPOSED ELEVATION PRO - ~,7 ~ P o~a U~ WE HEREBY CERTIFYTO KEYLAND HOMES TNAT THIS IS A TRIJE AND CdRRECT REPRESENTATION QF A SURVEY OF THE BOUNDARIES OF: Lot I, Block 3, MANOR LAKE 3RD. ADDI7ION, according to iherecorded plat ihereot, Dokoto. County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED 8Y ME OR UNDER MY DIRECT SUPE ION THIS 18TH DAY OF JUNE . 799t. NOTE: NO SaecIFlC Sop,s INVESTIG4TlON SIGNED: JA . HILL, 1NC. FiAS BEEN COMPLETEp QN THIS ~ LAT !Y 7HE SURVEYOR. THE SUITbLITY OF S0144 TO SUR'OFii B; THE 9rECIFlC HOUS£ PROPOSED is Nor Tr~ RESPONSIBLITY oF JOHN C. LARSON, LAND SURVEYOR THE sunvEvoq. MINNESOTA LiCENSE NUMBER 19828 ~ o m w~ o y~ D~ D James R. Hill, :inc. o~ Z Z°D m R' Z PLANNERS / ENGINEERS O m 250Q W. CTY. RD. 42 o BURNSVILLE, MN. EXTERTOR ENVELOPE AVERAGE '.U" COMPIITA'f.ION.. . rf . ~ ~ OWNER: nnTr 17 SITE ADDRESS: Ph!ONE: CONTRACTOR:~~~~ PLM # Determine working square foota9e of each 1. Total exposed wall area..... PEs~l3 sq. ft. x .11 = ZC>Z~ l3 2. Total roof/ceiling area..... I Z~`1 sq. ft. x.026 = 3 2~`1 ~ Total exposed wall area above.fl,oor=_ fLo k~ a. Total wall window area I'3 b. Total door area 3 8 c. Total sliding glass door area 3 2.~`f d. Total fireplace wall area e. Total wall framing area (average 10%) ital.~S f. Total rim joist area ,S 1 g. net wall area above floor IK SC~,Z h. wall area above floor i. , wall area above floor j. frame wall area at foundation Total exposed foundation area= '74 k. Total foundation window area - l. Total net foundation area above grade -7 Determine "u" value of each wall segment (e.g. window, door, each separate wail section) a. 13~~1y X liuii , Y] = 1,4`I,L{S~ b. 7Sx liuii 3Z = Iz. ~ co C. X „Ul, ~y9 = rs,$7 . d. X 1, U.. e. X 1.ull X1. U.. g. I'-l X. " u~~ p = sg, 2 h X Hull ^ i. x LLUII _ ~ X"U" - If item 13 is the ~ - X„u„ _ as, or less than i~ M• ~r f1, you have met ti X~lull I`~ = l6 intent of SBC 6006 3 . .................................Total . L- 3tt to - L , Total exposed roof/ceiling area = IZ~ 7 , • , . . Tbtal skylzglit area n. Total roo`/ce-_'in, •f±•aming arra (:ivcragc 102) : . ~Z4 o. 2ota1 net.i:sulztcd ;-ooP/ceilin9 area.. - 11~- ~I. Determine "U" value L•or each roof/ceiling segnent n. g l.U., n. 1Z4 J1 x 11V I ~Z4.-- 6 ' c. I I `lb X "U., i ~z„ = Z2~g I . . • . 4 4bta1 :o=a1 c' is the same as, or less i:han 112, you have met the intent o= . , SbC 5005 ic? 1. Alternate Buiiding Envelope Design ^D _tilize ti:e total envelope system method, the values established by the s:un of ' itens ;'3 and -4 shall not be greater than the sum of itens ,l and #2. + z. 37 ~`(q = z35-L ca"7 3 _ i + 4. .r' . . - . . 4. TOTAL EXPOSED ROOF/CEILIrlG CALCULATIOHS: p ` Total eXposed roof/ceiling area.....,.. sq ft Total skylioht area....... sq ft x"ll" ° k) Total roof/ceilinq framing area (Averaoe 1(1ry)...... sq ft x"U" 1) Total net insuiaced ~ roof/ceilinq area....... ~sq ft x "U" q, 70TAL j) thru 7) If [otzl of "h is the same as, or less than N2, you have met the intent of 2`?CAR 1.16005 A ar_d 0. • ALTERHATE BUILDING ENVELOPE DESIGN To utilize ihe total envelope systen method, the values established by the sum of items .'3 and -'4 shall not he nrea[er than the sum of items N1 and =2. a' + U4 - PI.arr # i2- 34-1 to ~ * LzxEAL FEer EXPosm wALL aLOCx: ~t Fs t Z~-r 4 Fs -r zt~ y$ KNEE : Z cP t Z cP + 3 a = W.O.. FULL 1: `{9 +27 ,S'-I- I 3 ~I- IZ--}- 3 S-F 2Co FULL 2: FIREPLACE: RIM: * SQUARE FEET EXPOSID WALL AREA BLOCK: I`.l g x .5 = Li KNEE: ~ Z x 5= Lt ~ O W.O.: x 8 . . FULL 1: ~ S I x 8= 120 % FLILL z: Xa= FIREPIAcE: X = xna: X i = isl i8`l3 * SQUARE FEE.T FXPOSID CEILING l Z ~_~v~~?co~v5 * DOORS L PATIO DOORS 1-Z33~ ~ 5`.S9 l- lo= 3Z.9 ~ -Z3~17 c ZSI BASIIMENT UNITS l - il 3s . LI, 4Z - zyvo~~ =i33- \3 ,~N . a ~ use ! 5$ of of~n4ue wa ( i ore~o tir R- VAL,tIE .fYamE,c[.~'w5'tr~.tCt'~un CDNSTTtUCTIOT~•- FRAMING - - 1. INTII2IOR AIP. FIIM 0.68 ~ 2. 2 .4 3. 5 1 2 SOFS WOOD 6.8 • 1~" jG~U117Jf41Fllffl~Nlr W5ut1 5•4 ~ 1} 5. S DT ING ,g 6a5xc ~ 6. DaTERIOR R F LM .17 WA '-L TOTAL = 14 • 11 Il (D U= ~d7 M ESG. '!Q- - Tor-VTEh7 Cf P4~4r+E Nn~t NET 1. IP]TERIOR AIR FILM 0.68 2. ' 72 GYPBD .45 ~ 3. . . 4. 5. S ING rG. ~ 3 6. ` rYMIOR AIR LM 0.17 TOTAL ~ _ aca.-sa u= . C~ ,6y 1. INTERSOR AIR FIIM 0.68 2. 6 INSIJI,. 19.00 S~~t ISEhL~s~ . 3. 2xlO _ R J - 1.89 . 4• ~ ~ -~In~5uL:5HE0.'ISt~~.![~ 5A._ 5. DING .62 6. DCTERIOR R FI . 7 TOTAL 't ,~U • ° ~ u= •O~i a Q ~ ~ ~ BTACK ~Al"L' 1. INTERIOR AIR FILM 0.68 ~ / 2. ' . ~ •r° c ~r"'`' 3. 0 ' ~ ~ 4. PROT'ECTIVE BARRIER 5. 6. E=IOR A ~ TOTAL R= 7.13 U= .14 1 SIAB ON GRADE ` _ p tL . u ~ ? ~ 1 ~ E Y/ ~ 1 f K r ~ 0 ~`,'=A~°~, 1/1 ~(l f(! _ p o , . . ~ ~ "1 D+ 6 _ ~ • , ry ll~icr lll- _ I~1 ~ , r G 43. /ir _ . ---r 10 , NOTE: INDICATE TYPE, r`R" Vf1T37E. DEP'I'H AND ~ •m , _ PLACII'fEMt' OF INSCTLATION. ~ T ROOF-CEILING R VALT.IE 1. s'- - ~ 3. ' 4. 'IYYFAL 3 `1 ~ 8c VENT / U = . oZ5 - yE~7I'Ep ~ FiEAT FT~C1147 1• I''~eER.i dL -?~irC.. t r-~ I y_ ` I UP F 3. Z ~•,i ~i i r~ 37 38. 4. FIG. #5 U U,_ r~.. - " 2. 3 - 4. TO'TAL, ~ U Lo LO 1 2. ~HEAT FIAW UP VENTEp 3. ~ l..l 4. 5. FZG. #6 . ~ U = 4 3. . 4. • " ~ 5. ~ '.v~ `r• ~ r .I,~. . • ~ • • TOTAL _ .o. r ? ~~y' - . • + * ? -~J u ~ 1 Z NtiiN-VENTID NOTE: U5E ADDTTIONAL SFEET3 IF M12E SPPCE IS ~ Nf.'EDED FOR DETAILS ADID CALCTJIATIONS - ~ HEt1T FLOW UP . FIG. k7 . ROOF-CEILINU CONSTRUCTION ' R-VALUE ' _ - 'r i - ~ ' 1. INTERIOR AIR FIIM 0.61 2. 3? 3. y (,nrtn 4 /j • : ~ , U _ .02 vEirr . ` FRAME 1. INTERIOR AIR FIiM 0:61 yB,rr}~ ~ z\I' NE1T FIX)<<; 2. I _ U' 3. x 4. - P1. . . FTG, #j U = 0.024 • CONSTRUCTIOM INSIDE AIR FILM 0.61 .N/vY^I. '7 ' ~ 2. . 3. 4. 5 . ,I,~TAL U = ~ FRAME ~ 2 ' I.~ 2 i•~ O . INSIDE AIR FILM 0.61 ~J VEN'I'ED 3. N~fiT FL.O4i UP 4. OUT TOTPJ~ FIG. kE • U ° . 1 INSIDE AIR FILM 0.61 3 4 --0 2. 4. . 3 . , , , Y- i. 7..:-/'y l; S • '?I~TAt r? ~r [TN" F ! ~•I,a-'- U . ~ 1• ~~f~ - z ~ , FiON-VF-N"I'ED NOTE: USE P,DDITIO r T SHEETS IF P?C)?tE SA T-S NEEDED FOR DETAILS A.N 'D C4-.CULA--C_ S. HFAT FLOW UP rIG. =7 CI7Y OF F..AGAN CASHIEk: S TERMINAL N0: 56 DA7E: 05/01/97 TIME: 14:32:30 ID: NAMEe ALI_IEU FIf;ESIDE INC 3210 3001 4643 TAMIE AVE 50.00 205 9001 4643 TAMIE AVE 0.50 Total fieceipt, Amoumt: 50.50 Cfi0 i ?3`)3 i.JSER ID: NANrY CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: Bu x Lp z N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 8 B 0 (612) 681-4675 Date Issued: 0 5 J 01 / 9 7 SITE ADDRESS: 4643 TAMIE AVE LOT: 1 BLOCK: 3 MANQR LAKE 3RD P.S.N.: 10-47277-010-03 DESCRIPTION: (GA5 DIRECT VEN7) Wu3ldin6~PermiC Type FIREPLACE =8wa:l.diny~ t.~?rk TYPe NEW r~Census Cade 434 ALT. RESIDENTIAL r . i..~ i~ . . . E,,/ Lra:, (ES,_ u3'": - J i r>• , i t_„ REMARKS: FEE SUMMARY: Base Fee $50.00 5urcharge .50 Total Fee $50.50 CONTRACTOR: - A p p 1 i c a n t- OWNER: FIRESIDE CORNER INC 16331042 DOAN GTAV 2700 N FATRVIEW AVE . 4643 TflMIE AVE ROSEVILLE MN 55113 EflGAN MN 55123 E612) 633-1042 (612)683--9155 T hereby acknawlecige th'at T have reat9 't~his applicbtion and stat2 that the informat'ipn is Gorrect ond agree to camply W?.tti aa«J 'oppZxoable SLate of Mn. 5tatutes and Ci'ty of Eagan ordinances. APPLICANT/PERMITEE SIGNATUFiE --ISSUED Y: S NATU E CTfY OF EAGAN 3830 PILOT KNOB RD - 55122 ~~0~,i?) E RMIT APPLICATION 1997 FIItEPLAC 614 DATE: 7 PERMIT FEE: $50.50 ~nos Ai2~-7~o~u' . DESCRIPTION OF WORK: ~ CONSTRUCT FN W FIREPLACE _ A.LTERATIONS TO EXISTING _ INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTI-IER: STREET ADDRESS: ~ 6 4-3 C A e1 A!r - LOT ~ BLOCK SUBD./P.I.D. APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY Name7bo Ktl") Phone G9 3 OWNER Signature: Street Address: 35 -T~ City: Ci? 74 State: Zip: 6aElZa FIREPLACE Company:N~L-t4co i /D one#:5~0'O~ INSTALLER Signature. S ddressvSSa License 2A2' 90 City~u "5 J1State: ~ Zip: ~^33~ GAS LINE Company: Phone INSTALLER Name: Signature: RECEIVED Street Addr : City: State: Zip: HY:----- ~ OFFICE USE ONLY BUILDING PERMIT TYPE 0 14 F'veplace WORK TYPE 0 31 New 0 33 Alterations ? 32 Addition o 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKS Chimney/flue must be inspected before concealing. CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT KNOB ROAD • EAGAN, MN 55122 PERMIT # PHONE: (612) 454 8100 RECEIPT DATE : 3 9 PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNZT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL SO M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OWNER NAME: ~/pu L~, ~ f/~S OF 1 PER PERMIT E U/~ SUBTOTAL: $ 3d.60 SITE ADDRESS : 7 6 Y.3 TF1 RU f- STATE SURCHARGE: .50 LOT: / BIACK 3 SUBD. TOTAL: $ 30•SO INSTALLER: IrtETR-o ,P[-T" TrtiG • ~ ADDRESS: l69gd WELCFJr---~ !'r~+• 5.~. SIGNATURE OF PERMITTEE CITY: t`A"A~f_ ZIP: S537D~ PHONE y~7 - fII~~ CD33MERCTALjTYVDiTSTRTAL€ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUZLDINGS WHEN SEPARATE PERMITS ARR 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 = $25.00 LOT: 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 PIIAT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT 99mBm€',;mm DATE: ~ ~S~n~T~ISi;:r PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST _ ADD-ON MINIMUM 15.00 ADD ON I SHOWER 3.00 ~"e? REPAIR WATER CIASET 3.00 ~ BATH TUB 3.00 V f ~ LAVATORY 3.00 OWNER NAME: S-~°LU U~u'~ KITCHEN SINK 3.00 3.00 SITE ADDRESS: HO WATER TN TUB/SPA Y 3.00 R .o LOT:BIACK 3 SUBD.~ FIAOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: 1 (MINIMUM - 1) 3.00 .3•~ , r, ~ ROUGH OPENINGS 1.50 ADDRESS: "C"~~CI-' lJ~~ilc _ OTHER WATER SOFTENER 5.00 CITy; P, Zip; PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE : ~`'I - SUBTOTAL $ 5 0 ~ ST. SURCHARGE .50 SIGNATURE OF PERMITTEE 2 ~ TOTAL: S J~S~i~M2iERCIq~~`i'~]bI1ST&I~~,i PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNZT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE a $.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 $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4643 Tamie Ave Lot: 1 Block: 3 Addition: Manor Lake 3rd PID:10- 47277 - 010 -03 Use: Description: Sub Type: Work Type: Description: Meter Size Meter Type Manufacturer Comments: 10/06/08 contractor did not install water softner & pulled new permit (85254) for water heater Fee Summary: Contractor: Preferred Plumbing 6400 High Point Trail Prior Lake MN 55372 (952) 447 -5761 e - Water Heater & Water Softener Replace Water Heater & Water Softener Dan Clough PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Giao Ngoc Doan 4643 Tamie Ave Eagan MN 55123 $50.00 0801.4087 $0.50 9001.2195 $50.50 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 Issued By: Signature Plumbing EA084489 07/18/2008 ePermit Line Size City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4643 Tamie Ave Lot: 1 Block: 3 Addition: Manor Lake 3rd PID:10- 47277 - 010 -03 Use: Description: Sub Type: Work Type: Description: Meter Size Meter Type Comments: Fee Summary: Contractor: Preferred Plumbing 6400 High Point Trail Prior Lake MN 55372 (952) 447 -5761 e - Water Heater Replace Water Heater Dan Clough 3880 Willowwood St Prior Lake , MN 55372 PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: Manufacturer 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 - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Giao Ngoc Doan 4643 Tamie Ave Eagan MN 55123 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Plumbing EA085254 08/13/2008 ePermit Line Size City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4643 Tamie Ave Lot: 1 Block: 3 Addition: Manor Lake 3rd PID:10- 47277 - 010 -03 Use: Description: Sub Type: e - Fumace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Lofgren Heating & Air 5708 Upper 147th St W Suite 102 Apple Valley MN 55124 (952) 431-5811 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $50.50 Owner: Giao Ngoc Doan 4643 Tamie Ave Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA085413 08/20/2008 ePermit equirements should be directed to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 $0.50 9001.2195 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 Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4643 Tamie Ave Lot: 1 Block: 3 Addition: Manor Lake 3rd PID:10- 47277 - 010 -03 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Signature Home Services 758 Reaney Ave. St. Paul MN 55106 (651) 731 -1147 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Giao Ngoc Doan 4643 Tamie Ave Eagan MN 55123 $88.50 0801.4085 $1.50 9001.2195 $90.00 Building EA083139 05/20/2008 ePermit 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 Issued By: Signature 10/02/2013 WED 14:58 FAX 8774423424 Craftsman Restoration 0001/001 I Use BLUE or BLACK Ink For Office Use-_______ I - t ' Z~ I City of Nan l Permit t 3830 Pilot Knob Road Permit Fee: ~ Eagan MN 55122 Date Received: 3-(1) 1 Phone: (651) 675-5675 1 Fax: (651) 675-5694 I Stag: l t y_._______---r-_-_J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tw f le'- Unit ~i itk0 S~OrPI ' Resident/ Name: Phone: Owner i Address I City I Zip: 4-6+.2., 'rjd( ate, I ' I j, Applicant is: _ Owner ontractor Type of Work Descripbon Of work: 4 Construction Cost. Multi-Family Building: (Yes / No o._. . ,.i Con D~ ~t t N@~j~(A Company: Contact: (em Contractor 'Address: S _P-0 City State: Zip: Phone: - 3 I License _ t.ri ~~J~j(v (p Lead Certificate M. 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 j In the last 12 months, has the City of. Eaga issued a permit for a similar plan based on a master plan? i _Yes _No If yes, date and address of ma r pla Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: I ~ NOTE. ' Plans and supporting documents that you submit are considered to be public information. Porffons of r the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU 010. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours w s before you intend to dig to receive locates of underground utilities. wvAv.QgPherstateonecall ora I hereby acknowledge that this information is complete and accurate; that the work wilt 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 abuilding permit issued in accordance with the Minnesota State Building Code must ompleted within 180 days of permit issuance. x J~a Applicant's Printed Narfte Applicant's S' Page 1 of 3 Use BLUE or BLACK Ink I -For- Office - Use ----------I City of Ea Permit: ► p I 1 1 Permit Fee: 1 3830 Pilot Knob Road I 1 Eagan MN $5122 Date Received: ( I y Phone: (651) 675-5675 I I Fax: (651) 675-5694 I staff. I `I 1 r 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date. Site Address Unit # Name: Gl ro 0 b X~ , A Phone: 6 S 3('7,9/09 Resident/ Owner Address / City / Zip: q Ave. 6iri S,5 -2a Applicant is tra Owner ctor P-1-T Type of Work Description of work:IC~c-t Construction Cost 560 0, OD Multi-Family Building: (Yes _ 1 No, Company: 1 3VA'.Q674 Contact. Contracto Address: to7l7S City: E2WUE04 _ r State: _ Zip: Phone: 1 ~'rL ` QS( p license PX (v305t,, 10 Lead Certificate 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 Eaga issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of m r pla Licensed Plumber Phone: Mechanical Contractor: Phone: i Sewer & Water Contractor: Phone: NOTE: Plans and supporlfng documents that you submit are considered to be public information. Portions of I 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. Gag 48 hours before you intend to dig to receive locates of underground utilities. www gooherstateonecall ora 1 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 blWornpleted within 180 days of permit issuance. X ~~"1 CLi-n 1'L- t Ax___ , \ ~ I pplicant's Printed Na a Applicant's S Page 1 of 3