4647 Tamie Ave ~ ,
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 7~ 10J 9]
3830 Pilot Knob Rd. 1213 3
Eagan, MN 55122-1897 CHIP # PERMIT #
" METER SIZE B.P. RECEIPT # ~14195
. 6/2a jc;,
DAT~ JUtti~ 25~ 1991 ISSUE DATE B.P. RECEIPT DATE
' X:C~ PRV - BOOS7ER PUMP
SITE ADI~RESS 4F'~''' T~~1~71F. AVH PERMIT REQUESTED
LOT Z BLOCK ' SEC/SUB ~
SEWER WATER _ TAPS
APPLICANT: ~~~'r ~1NI) ?lOMES ~
ADDRESS: L~+~`50 BR1BN13V1LL~ PK47'~ COMM/IND ~ RESIDENTIAL
CITY, STATE ~''~~'tf`"5~~~'~ Z~p ~5~3~ V
NEW - EXISTING
a.,a~i_263£+
PHONE:
~~~~:y~~;~j~ Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters an Water Line.
ADDRESS: Credit WILL N~T be gi~en for Deduct Meters.
CITY, STATE `~N~~+~ ZIP ~.537~
PHONE: w4~-2323 • ~ ~ •
I AGREE TO COMPLY WITH'CITY OF
OWNER: S^y~'~ A~ -;!'I'~s±;:P.~1'~ EAGANORDINANCES
ADDRESS:
CITY, STATE Z1P
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORICING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIQMS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING QEPT.
DATE: ~I10/91
4647 TAMIE AVE., L2. B3. lUNOR LAKE 3~tD
RE:
XX ' Your Sewer & Water Permit for the above property has been completed. It will be held at the
Pubkac Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CA~ ~UBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
A ~
~f~3ur Sewer & Water Permit for the above property 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: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing tnspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT ~OR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
SEWER & WATER PERMIT OFFICE USE ONLY
CITYOFEAGAN METER# ~~Iy ~6~Z~'-°2 PERMITDATE ~~1p~Q~
3830 Pilot Knob Rd. / 12133
Eagan, MN 55122-1897 CHIP # rC' PERMIT #
- METER SIZE ~ S~~ B.P. RECEIPT # ~14195
6129/~1
~i i"~,,~ ? 5, 1 L ISSUE DATE ' B.P. RECEIPT DATE
DATE
. Xx_ PRV - BOOSTER PUMP
SITE ADURESS '`''4 7 T"~'~ '~'"J'' PERMIT REQUESTED
LOT ~ BLOCK 3 SEC/SUB +''~~Q~ E'~'~ /
~SEWER v WATER -TAPS
APPLICANT: r ~AN~ HGr;~:5
ADDRESS: I&45~ Bl1RNSVILLE : Kf1 i - COMMIIND ~ RESIDENTIAL
CITY, STATE ~~~r~SVILLE ZIP 5~~ v NEW - EXISTING
PHONE: uf~-2635
D.~. t~E;;HAP:~~A~~ Lawn Spnnkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
~ ~ Credit WILL NOT be given for Deduct Meters.
ADDRESS:
CITY, STATE SAVAGE Z~p 5~378 ~ L,
PHONE: 447-2323 e~:, ~~.,,~..a-~: E
I AGREE T~ COMPLY WIT CITY OF
OWNER: ~ t`-~'='L1C `NT EAGAN ORDINANCES
ADDRESS:
CITY, STATE ZIP ~
PHONE: SIGNATURE WHEN METER UED
c
PLEASE ALLOW TWO WORKING DAYS FOR~ PROCESSING. CALL 454-5220 FOR INSPECT(ONS. FOR STORM
" SEWER PERMITS, CONTACT ENGINEERING DEPT.
. ~
• ' +f
~ •t~
~ ' ~~e~#i~ir~~~e nf (~r~u~~~tr~
. ~Citp of ~agar~
' ~r~tptct af ~~ildiag Jtcs.p~imt
Tlris Cerlifrcale issue+d
pursuan[ !o !he requiremenlr of
Secliox 306 of!/ce Unijorm BuildiRg
Code cenelying tlrat at ~lie time ojrssuanc~e lhis rnucture xas in cwrnpliance with ~ise Harious
o~ina?iars of 1he City regularurg butlding consduction or use Tar ~1re jollowing.
~a,~„ SF DWG/GAR 19325
~P~7 ~'P~ R~ ZoainL Diwict R 1 Typc Cart• VII
KEYLAND HOlfES 14450 BUBNSVILLE PKiIY. , BURNSVILLE
4647 TAt+116 AVENUE ~ L2, B3, [~lANOR LAKE 3RD
~ SEPTEMBER 23, 1991
~S
aosr m a ooNS~cuous Puce
1,~ -
. . . , . r , _ _ : .
• = CITY OF EAGAN , h,,,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
` ~ PHONE:454-8100
BUILDING PERMIT Receipt #
To be used for . $T DIiCi/C~AB Est. Value Date `~U~ ~g 91
Site Adtiress ~bq~ '~pp,E lYE
LOt BloCk ~ SeC/Sub. _~LV~,t 1!O OFFICE USE ONLY
PefC@I N0. - Occupanq R~3 1 FEES
Zoning ~~1
W Narh~ x$Y~~ (Actual)Cons1 V~_ BIdg.Permit : ~13~Q~"
o Address ~~~p ~pg~~-~ wcw (Albwable) ~ Surcharge ~T
City s~yij_r~,,,F_ Phone ~~3'_~7 +k o~ stories ~qa~pp
Length ~ Plan Review
Z~ Name sAMi ~~n ~ sac. c~ty 100.Od
Address S.F.Tocal - SAC,MCWCC 6~~~
~ City Ph011@ S.F. footprints -
On Site Sewage _ Water Conn
W W Name on s~~e weu
~ W - Wefef Met@f
AddrBSS MWCC System
i W City Phone C~ry waier x~ Acct. Deposil
PRV Required S7W Permil ~
I hereby acknowiege that I have read this application and sta~e that the Boos~er Pump _ •
S/W Surcharge
infwmation is correct and agree to comply with all applicable State of ~7b~~
Minnesota Statutes and City o1 Eagan Ordin~nce,s. Treatment PI
/
Signature of Permitee ' f' APPROVALS Road Unit 3~~•~
r I~YL~lID i S
A Building Permit is issued to: - Park Ded.
on the express condition that all work shall be don n accordance with a11 Council
applicable State ol Minnesota St~utes and City of aga~ Ordinances. g~, pry. Copies
' ' - ~ •
Building Official ~ r'~•- s-k' Variance - TOTAL
• Permit No. Permit Holder Oat~ Telephone #
W,~~R I~~~ ~ 7/0 /
SEWfR
PLUMBING O
H.v.n.c. `I/3 / ~7 fl /a
ELECTRIC 3~ S g' J O~
Mspsction Date Insp. Comments
Footing s I Z- 9~ ~~C
Fou~dation
Framing
Roofing
Rough Pibg. -f-. ~'7- 9/ /J
Rough Htg. F`4 ~ ~(y '
Isul. Q i3
Fireplace
Final Htg. ~ ~ ~9 ~'~J"
Orstat Test = ,c~
Final Pibg. ~ Plbg. Inspector - Notily Plumber
Const. Meter
EngrJPlan
Bldg. Final q~3~ q~
Dedc Ftg.
Oedc Final
we~i
Pr. Disp.
ry5.»,~r
i,;"s : ~ .
,
~
~ CASH RECEIPT
~ ~r ~ ci-rY oF EaG,~r~ ' . _
. ~
~
~o Pi~oT iwos Ron~ ~
EAGAN, MINNESOTA 55122 ~
~ ~ I' q~ :
pq~ t 9 _LL_
F
Ke - L~t.~ I~-~~: ~-vte S ;
~I
AMOUN7 = q ~ ~O /1 ~ "~U i
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a ~ oowRs
O CASFI ~CHECK °
Y
,
~~P# l9'~1~ ~ 8° 3 El~lanc~t~ l.a.kt 3rc~
U b~! 3 T ~ ~ sF ~~tc-~n
~?-~q a 'Man ~e 3rd _ ~
PtJ1~D~ OBJECT - AANOI.l~fF ~
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p 43853 ~ ~~o -
Reyues[~ No. RougM1-in nspection
Q~ Reqwratl? ? ReeOy Nowd~ill Nolify Inspector
~ ~es ? No When Ready?
~ensetl comractor 7 owner hereby request inspection of above electrical work at:
Job Atltlres ISVeet Box or Raute No.~ City
~ S~ ~iu Cf~-e_
Secuon No. Township Name or No. Ranqe No. County
Occup m IP iNTi ~ anone No.
~
Po e: So lie /~~~ess .
Elecmc, onvaclor ICompany Neme / GonVa ' Llcense No.
~ ~ ~
Nan~ng Addres i mractoe or Owner Making Inslai~xlion~
. ~ ~3
Amnoree Sig aWre ICon:rac~orOwner Mek g Instellpnon~ Phona Number
9~0~. /~=6~~CV~ 8rD -~.31~
MINNESOTA STATE BOAHD OF ELECTBICI~V iH15 INSPECTION REQUEST WILL NOT
Griggs-Mieway BIEg. - Room 5413 . BE ACCEPTED BY THE STATE BOARO
1BY1 Ilniversi[y Ave. St Paul. MN SS1p0 - UNLESS PROPEfl INSPEGTION FEE IS
P~one ~6t2) 6CE-O800 ENGLOSED.
g(~1 /aq~ Q/ REQUEST FOR ELECTRICAL INSPECTION yr ea-ooom-os
{J ~ See insimc~ions lo: compiating iFis lorrn on Cack o` yeliow ropy. '~'R~~=~ /D n S~7/
x~'-'I.,' OI /
~ "X" 8elow Work Covered by This Requesf
e Add Pe . TypeofBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Ouplex Water Heater Electric Heating
Apl. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Condi~ioner
O~ner Ispecily~ Contrecmrs Remarks
Cornpufe Inspection Fee Below:
~ p Other Fee # ServiceEniranceSize Fee # Circuils/Feeders Fee
Swimminq Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A6ove 100 _ Amps
SignS Inspecior's Use Only: ~ TOT `Q
7 v~
Irrigalion Booms ~ • D
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE OR~ERED DISCONNECTED IF NOT
Other Fee f COMPLETED WITHIN 18 M HS.
I, ihe Elecirical Inspector, hereby Ro~9n-m +e
certify that the above inspection has F~~~i - oaie
been made.
OFPICE USE ONLY ~
Th1i6 (PGIIBSIVOitl l0 Itlpfl~h5 IfORI
CITY OF EAGAN ND 19325
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE: 454-8100 ,t ~j
BUILDING PERMIT Receipt # C~ 4 I"~~-j
Toheusedfor - SF DWG/GAR Est. Value $94~000 Date JUNE 25 ~9 91
Site Adciress 4647 TAMIE AVE
Lot Block ~ Sec/Sub. MAIdOR IAKE 3RD OFFICE USE ONIY
Parcel No. occ~vancy R-3, M-1 FEES
Zoninq R-1
w Name ~~ND HOMES (ACtual) Const V~ Bldq. Permi~ 613.00
o AddreSS 14450 BURNSVILLE PKWY (qllowable) V.x~__ Surcharge 47.00
City B'VILLE phone 55337 xotStodes 398.00
Lenqth 54 Plan Review
o Name $A~ Deplh ~4a 1~~.00
it, SAQ Cily
Address S.F. Total - SAC, MCWCC 650.00
~ CIIY PhOf1E S.F. Faotprints _
On Site Sewage Water Conn 660.00
~ W Name on si~e wen 95.00
ti - Wa~erMeter
Addf@SS MWCC System X~ q~ct. Deposil 30.00
iw City Phone c~rywa~ar g~._ 30.00
PRV Required ]I~}~ S/W Permi~
I hereby acknowlege that I have read ihis application and state Ihat the Booster Pump - SM7 Surcharge • 50
iniormation is correct and a rea to comply with all applicable State of
Minnesota Statuies and Ci ~ Eagan Ordi nc 6. Treatment PI 2~6.00
Siqnalure o~ Permite ~ APPROVALS 370.00
Road Unit
A Building Permit is issuad to: ~Y ND HO S Plannar - park Oed.
on the express contlition that all work s all 6e don m accortlance with all Councii
applicable State ot Minnesota ~Ntes and G~
noi apan Ortlinances. g~d9, p~~_ _ Copies ~
8uilding Otficial ~ Variance - TOTAL ~3' 26 5?
Address: 4647 TAMIE AVENUE Lot 2 Blk 3 Sec/Sub MANOR LAKE 3RD
~ These items were/were not complete at the time of the final inspection.
~ Yes No
Final grade (6" from siding)
Permanent steps - garage ~
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch ?
Basement finish ~
Deck ~
Please verify with the builder the removal of roof test caps £rom the plumbing
system and~tha shut-off of water supply to the outside lavn faucet before
freeze potential exists. ~''-h
`C~
RFLRFGMRR
White - City copy Yellow - Resident copy Pink.- Contractor copy
~ For Oifice~ Use ~
Clt of ~aoa~ 12 910 i Permil lt ~~~9 7~ ;
Y S ~ Permit Fee ~
3830 Pitot Knob Road i
Eagan MN 55122 I Date Received: ~
Phone: (651) 675-5675 ~ ~
Fax: (651) 675-5694 i Stan: i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: U ~ ~1o SiteAddress: ~~I~ I~Y~I~ /'ll~
Tenant: ~ Suite
RESIDENT/OWNER Name: J~~ n Phone: (LSI'
Address / Citv / Zip~ ~-I ~GWI
~
~ " ~I F[jr.,i
Applicant is: _ Owner ~ ConVactor
TYPE OF WORK Descnptio~
~rk`. ` ~e - ~U ~
Construction Cost: Multi-Family Building: (Yes_/ No~
CONTRACTOR Name: l. Licenselt: dU~~~~~J~
Address: ~~llt~l v~~G~.' ~~r ~IJU
City: ~LXIlt1/y~~~ Sta[e: ~1RYU Zip: 5~333~
Phone: "I~O~ ~~/D~ - l~~J~ Contact Person: C~G~ (..??12'rt
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
CBYego1'y Submitted Submitted
Submis5ion type) • Energy Envelope Calculazions Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _NO If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting dacumenis thaf you submit are considered fo be public information. Portions of
the informafion may be classified as non-public if
you provide specific reasonsThat would permit the City to
conclude fhat the are trade secrets.
I hereby acknowledge ihat this information is complete and acwrate; tha~ the work will be in conformance with ihe ordinances and codes of the City ot
Eagaq lha[ I understand ihis is not a permit, but only an application for a permit, and work is not to start without a pertnit; ihat the work will 6e in
accordance with the approvetl plan in the case ot work which requires a review and approval of pians.
. ~ ~ ~p~
x ~l(n-V1ci ~[~~lC ~r x k"~i ~Q/"
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
D~ NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Singie Family O 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Mul[i
? 01 of_Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. AIt.-SF
? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 70-plex ? LowerLevel ? Storm Damage
? 04PIex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? ~emolish Building"
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? ~emolish Foundation
~ Replacement ? Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation 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 Sprinklers
Type af Const. Width
RE~UIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings (deck) Final/C.O.
Footings (addition) Final/No C.O.
Foundation HVAC
Drain Tile Other:
Roof: Ice & Water _Final Pool: _Footings Air/Gas Tests Final
_ Framing Siding: _Stucco Lath Stone Lath Brick
Fireplace:_R.I. _AirTest _Final Windows
_ Insulation Re~aining Wall
Reviewed By: , Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
~ ~ ~a g ~
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenis RemadeUReoair Reauirements Office Use Onlv
3 registe2d site suneys showing sq. N. o~lot, sq. fl. ot house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y _ N
(20°h mazimum lot coverage allowed) 1 set of Ene~gy Calculations for heated addNOns Tree Pres Plan Reoi _ Y_ N,
2 copies df plan showing beam & window saes; poured found design, elc. i site survey foratldiGOns & decks Tree Pres Required _ Y_ N
15etofEnargyCalculafions Adddion-indicateilon-sttesepticsystem On-siteSepticSystem _Y _N
3 copies of Tree Preservation Plan if lot platled after 711193
Rim Joist Defail Optians selection sheet (buildings with 3 orless unAS)
Date .._J 1l~ ~7~Q- 7~- Construction Cost ~i
Site Address ~ y~ / / 'C_^1M~ ~i /7UL~ ~1~~aJV UniUSte #
v
Descriptioo of Work /~-~y/~> ' d
ilYiuiii-Famiiy Blu~ _ ti _ N Fireplace(s) _ 0 _ 1 _ 2
Property Ow~er ~ 3 ~K Telephone # ( ~j~ 10~~'Q ~ / ~
Contractor / J~ ~L71LL~Jrs 35~VEhll~Q2--~ til~V 55055
Address City
State Zip Telephone # ~'JrCJ QU ~
~~l ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Enecgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionrype) Submifted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to art without a
permit; that the work will be in accordance with the approved plan in t case of work whkch-r ~n ~e~nd
approval ofplans. ~i i, ' I; Li
~ ~
~~~//~e / ~ m, zooF i
Applicant's Printed Name Applic~ant's Signature _J
~ - - -
OFFICE USE ONLY
Sub Types
? 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 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05: 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31. New ? 35 Int Improvement ? 38 Demalish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ~ 46 Windows/Doors
~t~ 34: Replacement •Demolitfon (Entire Bldg) - Give PCA handout to applicant
v
~
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ F[gs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.1. _ AirTest _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee • 0 D
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other Q~
Total ~O'
~ " 1991 B{TILDII9G P~T`lCPPLICAR'ION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF YLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - ~ STRUCTURAL PIANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNA
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT ISI
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A IT.~IA$~B~EAT,~OMPL D.
PERMIT MUST SHOW A LICENSED PLUMBER.
~,o~Be Used For: ~ l Nd ~ Valuation: Date:
Site Address ~Y~v-.-~~iQ, V OFFICE USE ONLY
9 y, o00
Lot ~ B1ock FEES
Occupancy R-3 M-~ Bldg. Permit (~~3~Od
~n i-c~ Zoning R=1 Surcharge 47,~~
Parcel/Sub 1v \(~-i~~hc1Z Actual Const Plan Review 3`)S~U~
Allowable V_N SAC, City ~OD~LJJ
Owner # of stories SAC, MWCC 50,Ju
Length b-~ ~ Water Conn. (ob~,Uo
Address Depth ~f8~ Water Meter S o
S.F. Total Acct. Deposit 30,Jo
City/Zip Code Footprint S.F. S/w Permit 30,u~
S/W Surcharge ~SU
Phone On site sewage_ Treatment P1. 0~.76,U~
` 1 On site well Road Unit rlO,U~
Contractor ~f-~~~ `~c~t~ I~~MR~ ML7CC System ? Park Ded.
~ City water Trail Ded.
Address ~~gCO e~~Y~ ~ ~ PRV I/ Copies
n I 1 Booster Pump
City/Zip Code , ~~~r1y(t 1 ~\lf~ SUBTOTAL
APPROVALS Penalty
Phone "c~~~ Planner _ Lot Change
Council TOTAL 2~ C ~
Arch./Engr. ~~~~1 ll.l~3 Bldg. Off. p5 ~.-~S~/ J d
Variance
Address
City/Zip Code ~ ' • e'
Phone # J~1 - ~
~~,~a~ ~~~,y~fl~~ agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
VAlua-n~n1
,
CrARAC~-
a~rYZZ-s2~ x/,-= 7~`~
aSMT
~L°x~8 = 12~r~3 x~w~ J~1u ~7 r.
IST ~L,,,,,~
65W,,-: ~2 y e
~~~zX 13 ~ '~o
SXZ = f
i2~~ x ~53-. G~73y
°I 3J 2C~ 0~2 . ~l, vca~
.lUiv 10 ll ILlC 1..]•C10 IL•.11'11'IC.7 !C IIILL 31Y1. ICL IYU•O1C 6DG-OGV4 HfCG r'U.l
4647 TAMIE AVE. 3410-IS
SURV~YC)R'S CERTlFICATE KEYLAND HOMES
NOTE~ NO lPLCMIC lOLS INY[STIOATION
HAS i![N ODMrLETm ON TMS
LOT tY TI~ ~1MV[Y'011. 711E
4lpTIr1UTY ot fOL! 1G
T A M I E A V E. ~
~ ~
85.00 S 24°22'00"W,
(9uc,3~~j' o cr o 1``~S.+S.9~ . ,
Q Wa 0 i t:, 1,;: Ib
~ 6 o j ~ s M i4 i~ i E'tN' F.
g~ r ;
W _ °146~ g W -
, °a 24.~ oq S
~ , ~I
~ r ~ ~~AR. N ~ ~ , OQ
M M 6A/ 9~-18.5 ~ I M M
o m I I ^ ~0.0 ~ In
~ ~ p ~ 'r
~ I ~ PROPOSED M ,I . (p
N ~ ~ vi HOUSE ,g
i ~fi ~ N / ry N
~ ~ ~ 480 ~ ~ ~
i i--
~Y~I~.{ ' ,~~f„~
l^~ ~ ~
~448.0~ .~~a ~
_ _
LOT 2 $te ~1~
I ~~G ~i MIVGIR~~RIZ~TG D~P'~`
~ I
o~ r"
oi ~
DRAINAGE B UTILITY
~ EASEMENT PER PLAT
5 ~5 /
~ ~
(Swe.o) •.85.04 ~=0°51'42° R=5654.58%C9~~,e~
~ STATE TRUNK H I GHWAY N0. 3~
f-- DENOTES PROPOSEQ SURFACE DRAINAGE
Q DENOTES IRON MONUMENT SET SCALE: 1 INCH - 3p FEET
• DENOTE5 IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 9~W8 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 94/• / FEEf
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOqP-OF- BLOC~K
- 9 f9 Z FEET
Il ~ U llo V o ~~~.S~~U 11~-J/
WE HEREBY CERTIFY TO KEYLAND HOMES THAT TH{S 15 A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: ~
Lot 2, Block 3, MANOR LAKE 3RD. ADDITION, according totherecorded plat thereof,
Dakota• County, Minnesoto.
IT DOES NQT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS I7 TH. DAY OF J UNE , 1891 .
SIGNED• J ES R. HILL, INC.
NOTE~ BUILDING qMENSI0N3 SHOWN ARE
FOR IIORI20MTAL ~,yp~TICAL LOC-
ATION OF ETlNJCTU~E ON~Y. SEE
ARCMITECTUAL PLANS iOR BUtL01NCr B
B FOtINDATiON ooAEr+SioNS. JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
~ o~~ o o o~ D)ames R. Hil I, inc.
r"'w~ x ~n-a?~
0 0 0~, > o~ m~ Z pLANNERS / ENGINEERS / SURVEYORS
zo m u~ico {
- 2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-890-8044
;
~
n
~ EXTERIOR ENVELOPE AVERAG[ "U" COMPI1T/1'f10N.. Z~ {O
r
. {
~ OWNER; nnTr: i 7-~
S~
~t
SITE ADDRESS: ~ PF;oNE:~a4-a6"~6
CONTRACTOR:~~At P~ # 3~~ I~
Determine wot•king square foota9e of each
1. Total exposed wall area..... ~`a`I3 sq. ft. x .11 = Z~Z~7'J
32,~r~
2. Total roof/ceiling area..... I Z~.a-1 sq. ft. x.026 =
Tctal exposed wall area above.fl.oor=_ f~~$
a. Total wall window area 13 7~1`~
b. Total door area 3 S
c. Total sliding glass door area 3 2.~
d. Total fireplace wall area 1~` ~
e. Total wall framing area (average lOPo) \S I
f. Total rim joist area
g. net wall area a6ove floor IK S~~Z
h. wall area a6ove floor
i. , wall area a6ove floor
j. frame wall area at =oundation
Total exposed foundation area= ~I
k. Total foundation window area -
1. Total net foundation area above grade -7
Determine "u" value of each wall segment
(e.9. window, door, each separate wail section)
a. 13 i~ly X~~~~~_ = C4`f.~-(~
b. 3~s X„~„ , 3 Z =~Z, t c~
~ ~ Z. , y X„~„ y ~ s",
d. X _ .
e. ti 4 I,`5 X ,07 =
f, i~.~ X _ ,O
9. sc~~Z x„~„ o = 5g; ~
h. X _
X _
~
' J- - x ~ If item ~3 is the ~
X"U" = as, or less than i~
k• ttl, you have met tf
1 ,1 ~ x„~„ _ j6 ,~j~e intent of SBC 6006
3 . .................................Total = (D
__._..~__~.,..._.,,...,-_.y_T_u..~__.._~.,~.._..~-.___--
. 3w ~b = ~
, Total exposed rooP/ceiling area = (Z~ 7
. . , • ' .
' s. 'btal skyli.gl:t area ~ .
n. ^otel roo`/eei'_ing f~-amzng area (:ivezaqc 102) : ~Z4~- 1~
o. ~ote'_ net ir.sulate3 roof/ceiling area. . . . ' 1~- • ~ _ ~I
t~
De~e-mine "U" value Lor each roof/ceiling segnent
X _ .
n.
r. ~z~~~ ~ov`I--= 3,0 . . ~ .
li ~o •3 x„U„ , v-~. = zZ.~s i ~
z '?beal = z5^~$S~
~o=z1 c= is the sama as, or less t:han $2, you have met the intent oE .
SbC SOQS ic? 1. ,
Plter~°te Building Enve'..one Desiga ~ ~ _ . ,
^o _ti~iza t'r.e total envelooe'system method, the values estzalished by the ssm of '
ite:-~s ;:3 z.~' -4 sha11 not be 9reater than the sum of items :1 and n2. .
~ , . ~ ~oZ•~'~ ~ + 2. 3Zc 1 ~ = Z~S ~Ca I- . . . .
3 . 4 . Z- ~ 5 5 ~ / .
11~, ~ S ' _ 3
' /
.
4. TOTAL EXPOSEO RQOF/CEILIPIG CALCU~ATIO~lS:
. Total exposed
roof/ceilin~ area........ 4~U ~ sq ft
j) To[al skylioht area....... sq ft x"U" °
k) Totzl roof/ceilinq framing
area (Avera4e 1f1~)...... ~2(/,1_sq ft x"U" J~~_°
1) Total ne[ insulated ~
roof/cei 1 inq area....... ~ sq ft x"U" ~d~i~7 ° rii'~ S
~ TOTAL j) thru 1) Z~J
If tot~l of °~s is [he same as, or less than ,k2, you have met the intent of
2•rC?R 1.16005 A ar.d 0.
ALTER~IATE BUILDIhIG ENVELOPE ~ESIGN
To utilize the :otal erivelope system method, [he values established by the sum
of itens :`3 2nd ~4 shall not be ~reater than the sum of items N1 and °2.
1 . ~G'~ r ~ x'/ + 7_ . % .~i ~ _ ~ Zl~i Gt
3. I'1`~, ~ + a. Z ~ I~ _,--T,I~J, u~
• Pr~rr # ~2_ la ~
* LzxEni. r-~r r~osm wa~,
ar,ocx: ~t fs f z~*~t ~s rt z~ = i y~
M~E: z~~-zc~t3o = 8Z
W.O.:
FULL 1~ `t8 +z~ ~5`+ 1 3 + I~5~+ 3 S'-!- 2ca =~SI
FULL 2:
FIREPLACE:
RIM:
° SQUARE FEEf FFJ~OSID WALL ~1REP, '
BLOCK: I ~l ~ x. 5= "
KNEE: x 5= ~t l O
W.O.: x8=_ .
£ULL 1: ~ S I x 8= 12c~ ~6
FfJL.L 2: x 8 =
FIREPLACE: x =
RIM: ~ S-, x 1= I S 1
~ 1$`l3
SQUARE FEET EXPOSID CEILING l Z 4~
~'_~V1µOb~VS DO~RS
~eu,~~~y.-~ S',1 3 8 ? ~ 3 ~5
L
I I I- Z`~ 3~~-- Z~~' PATIO DOORS
( -L33~' ~ S.S~~y . .
~ -Z3K7 = ~,sl gL.`{
~i -~r47 =~I~~SR = ~."l`6 * aAS~arr t.nvrrS
~t~ - l4s'9 : 23~3~
~ - (5 3S = ~I , C~ Z
Z.$~{~ ~\~~L-! Z~`~P
- zy`{4'C,~- =13 `3'
3~~'`~
- llse I S$ or opaRUe t~ui l ar~o tir R- VAL~LiE
fvame cra~struCfl~n CONSTRUCTION-•- FRAMING - -
' ~ 1. IN'I'ERIOR AIP. FILM 0.68
~ 2. 2 BD ,
3. S 1 2 SOFT WOOD 6.87
' }z~UiAflHEft(i-I~NCS~ W5~u1 S,4 -
~ 5. SIDING .g
6aS~C ~ 6. IOR AIR FIIM O,I
W"-i- ~ = 14. i 9
~ U= .c~
ESG. '!}l 'R~(~IEfJ CF
F4Z4ML WnLL ~'T
T-
i. .
1. ID7TF.TtIOR AIR FILM 0.68
3, i2 GYPBD ,45
~ 3. . _
~ 4• zi~~~ sN~T+1~~~wsw..l 5.4
5. ~I ING .6~
~ 3 6. R A R
~ _ dc~.-3a
~ U '°9
~ . ~ ~ ~ ~ 1. TNTE.'RSOR AIR FILM 0.68
^ 2. 6 INSUL. 19.00
5;~~ ~SE~I„ECZ / 3. x 0 R JO _ .
. 4• " i i- I+:ISu~: ~ntki~.ttn S,Q_
5. DING .62
i ~ 6. OR AI FI 0. 7
a~.-ica
° C U= .o`~
. a ~
~ ~
{2~-IIDIFT~CY~ l A o ~ BL.~~K
D ~ D ~ ~ ~
~ 4' •~q` 1. INTERIOR AIR FIIld 0.68
~ , ~ 2.
~~e , G ~ ' ~ 3 . .
' ~ 4. PROTECTIVE BARRIER
~ ~ 5.
6. A F
~ TOTAL R= 7.13
_ _ U= .14
1 SLAB ON GRADE - ` _
o ~ ~ ~ u ~
~ . , ~
r• ~ o s :
• ~ ~1~i ~ 1 * <
O ~ ~
~`,"~D~°~,-; 1I1 ` V ' , D A " 11f~
ti ~
~ f /tI , ~ , , . . ~ ~ 11
~ ~4 'S' . ~ a = I~I
L1L _ ~i 1 -
~3 ' ` ' x = iji'
~
i, li( c:rr ~ ~r~
_ '
L ~
~ ~ -T
' o;.' y~o , DIOTE: INDICATE T'YPE, ~~x~~ vaLUE. D~rx ~rm
~ 'm , PLACII~fPi' OF INSULATZON.
b
ROOF-CEILiNv
~ • ' t~1~~
i
L'taC~ v 1-.l ' R-VALLJE
~/n~ ~ 1• '~J~'Llof~ -/1liZ, Tt~H ,.SS
- ~ 2. r~. ~
/ v~n--- 3. ~~~1
t~A~ 3g, o0
' ) 4. ~~(zrta~Z ~ir~ ~i~r-t ~ tal
V~ Zt7u~ _ 3 `l , ~x
, OZS
\
~ ~ ~
yFTiI'Ep F~'AT F'~~l 1• l~-1
e~tU cxL. -,tiirL. -~~j} r-~
~ 2. ~
- 3. z w ~~-lf-~a~ar~,~~l 3~ ~ 3
' 4. ~z.
3 •i
FIG. #5 U = o~~
.
1.
r
,.Nin... .••-r,~ 2
_ - - 3.
, • 4.
, / 5.
~ TOTAL, _
U
_
z ~ 2 ~o ~-0 1- . ~
2.
~H£AT FLAW UP VIIdTED 3.
!1 5.
' FIG. #6 ' ~ U =
~ n 1.
~ ~J 2.
I ~ a.
r.-'r ' ~ ~ 4. ~
_ :.G
j''~ . s. u
~ ;r•~ TOTAI,
. ~
- .~..v, , ~ ~ _ .
, _ , ~a,.I _ ~ ,
t%
.
~ 1 Z
NOTE: USE ADDTTIONAL SF~'.EPS IF t~RE SPACE IS
NEIDID FOR D~TAiLS AAID CAI~fTLATIONS•
~ HEAT FIAW
UP .
FTG. #7 .
~
ROOF_CEILING
' R-VP~
' . . ~ ~ ,~~~L
j~ , CONSTRUCTION
. ' /i!:: '
0.6~
f ~ rO 1. INTERIOR AIR FIIM
~-p {n~4- r\ 4. ~r
~ ~ ~ , . ~ ~ ~f~ ~T~, .
~ u = .oz
i.~_Pj ~
~ \ L /
I r~~
~ 1, INT'ERIOR AIR FIiM 0:61
~F'Jt ~ '-I ~f~ F~1'1T FIX1iri 2
I 1 ~ 3. x -
t_1 4.
P~ -
~ FTG. ~j U = 0.024
~ corrs~ucTzora
1, INSIDE A.IR FILM 0. 61
. ~ • di. , ~.s,~,,,
. ~i ~ i ~..r• r , . ' 2 -
- - - - - 3.
4.
5 . T'0'i,AL
~ 6I'~ ~ ~ ~~S u =
~ ~ ~
~ __~.c 0.61
1, INSIDE AIR FILM
-0 2 ~ ~ ~O 2.
VETITED 3.
h`:J'i? FLOW U? 4
5' ~ TO'_TAL
FIG. rE • U -
r 1. INSIDE AIR FILM 0.61
3 4 2.
~ , • ~
,~1 4. .
, , ~ f., , . fla 5.
, . , , /'.Y TOTA?.
! y ~ ( TN"~ ~ F
;::.:a~= U =
' ~
, ,
.~J ~ z ~ i
~
~
NOTE: USE ADDITIO!~rPT~ SHHEF.:I'S I£ t'X)RE SpPC= ?S
NON-VE.N'I'ED FOR DETAILS PN'D G4r~[J1~?''-'! CNS .
'r~AT FUJW
UP
"IG. ~7
. CITY OF EAGAN FOR CITY USE ONLY
3830 YILOT KNOS ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT I i~
~~SB~NG..~PE~I~ DATE: S a-
II~S~pE~I~AI;;; PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS &
_ .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST _ ADD-ON MINIMUM 15.00
ADD ON ~ SHOWER 3.00 w
REPAIR WATER CIASET 3.00 , w
l BATH TUB 3.00 ,`O
~ LAVATORY 3.00 ~n,`~
OWNER NAME: ~~c~ i KITCHEN SINK 3.00 `E'
1 LAUNDRY TRAY 3.00 ~ .oo
SITE ADDRESS:~'~~~~ ~-C'CAY4~~~ J'1t1P - HOT TLTB/SPA 3.00
~ WATER HEATER 3.00
LOT: ~ BLACK ~ SUBD. ~ FIAOR DRAIN 3.00 `a
GAS PIPING OUT. ~D •
INSTALLER: \~_~~°_(e~~?l l!`G~.~ 3 ROUGHI PENINGS 1. ~50 ~
ADDRESS: `J~~S ~r~ F-~-~~ tJ~1~Jr _ OTHER
WATER SOFTENER 5.00
CITY: ~~f-~u.X-~e . ZIP: ~~~~~F~ _ PRIVATE DISP. 15.00
l, U.G. SPRINKLER 3.00
PHONE -1~'I.1 - ~~c~~ 2
SUBTOTAL S ~ J~ ~ S~
~~A~~ ST. SURCHARGE .50
SIGNATURE OF PERMITT 2c~
TOTAL: S b~
~QMMERGZAI. iP2DiTST&IAL:? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL 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.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: S
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
C. ' 3830 PILOT RNOB ROAD
_ EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #~c3 O ~o /
34ECY3~NTGA~I.. ;E~RM~~ DATE : /
3 9/
.
R~SIDEt7TSAT,`z PLEASE COMPLETE IIPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS &
~ 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
K~ ca Lr4 A/~ /'y0 n-~S OF 1 PER PERMIT
OWNER NAME: ~3.Op
SUBTOTAL: $
SITE ADDRESS; Z'~ ~7 T/R"~~ 14U e• STATE SURCHARGE: .50
LOT:~ BLOCK ~ SUBD.I~~~~xwt0(itR~¢,~~d TOTAL: 533,`~
INSTALLER: I~1"1~Tied F}i~r Ze'i-e .
` ^ C\\S~x'~~~~
ADDRESS: I69~6 W~C~C'p~+--G_ /'~`U. 5•E SIGNATURE OF PERMITTEE
CITY: I"l'.'oR L~ ~ ziP: S53
PHONE 77' 7' lY~~-~i
COMMERGIAT./~b175TR~AT.t; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRZAL BUILDINGS,
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 AD?RESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
LOT: SLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
( S I GNATI7RE )
FOR:
CITY OF EAGAN
~ r, ~ 3- 2005 RESIDENTIAL BUILDING PERMIT APPLICATION `~',D
• City Of Eagan
, 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWGion ReauiremenGS RemodeVReoair Reauirements Offce Use Onlv
3 registered site surveys showing sq. ft. oF lot, sq. ft. of house; and all mofed areas 2 mpies of plan CeA of Survey Recd Y N
(20°k maximum lot coverage allowed) i set oi Ene~gy Calwlations for heated additions Tree Pres Plan Recd Y_ N.
2 copies of plan showing 6eam & window sizes; poured found design, etc. 7 site survey for additions 8 decks Tree Pres Required Y_ N
isetofEne~gyCelculations Addfion-indiceteiFon-sifesepticsystem On-siteSeplicSystem _Y _N
3 copies of Tree Preservation Plan rf lot platted afler 7l1193
Rim Joist Detail Options seledion sheet (huildings with 3 orless unils)
Date~~/ ~ ~~J~~ o ructionCost D~
Site Address T/ / LLm 4~ C. J Unit/Ste #
Description of Work ~ oW~
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner V[..~ ~ Q 1'~ Telephone )
Window ~ancepts of Minnesota Inc.
Contractor '
Address City
State Zip Telephone h~ Q
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
EnOrgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone # ( )
Mechanical Contractar Telephone ~
Sewer/Water Contractor Telephone J
I hereby apply far a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permi • that the work will be in accordance with the approved an in the case of work w' h requires a review and
appr al of plans. r I~
~ ~f
'V ~
ApplicanYs Printed Name Apphcant's Signature
OFFICE U5E ONLY
Sub Types •
? 01 Foundation ? 07 D5-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 3i Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 D2-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 D3-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 D4-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDOOrs
? 34 Replacement "Demolitlon (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Vilater
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) Final/Na C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Fina] _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Swcco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
, ~~~~M,"Si~~,J,l i ~fNi~ '~pf'~`~;f-~,i'~1d~k4~C~y''~~~~",'~''~i ~1'~~R ~1'f¢ ~~I ~i~N'~,~`"i~ 1
S'N~~ ,sfx:. ,3+ '
{ 1xi h S~ J f /7.'t~ 'Nra a't .v # ~ 4 44~'jy.l f~' R'f.i 1~ e ~ a~:17 y~ .
hY W , S & S~ a d t ~ ~{~~P ~ /4 ~ ~,f d r 7~? k~J~ '?si F`" ii u p~, -'rr . .
, {412 w~' ~x ~ ~~t~C11;Il~l ~ tE~F~V 1 ~9 P ~°iM~i ~yi?~ z ~,}'~v ..f ! ~1~4 ~ ~rJrG~' ~r[ 17~.,
. s ~ t}i ~G ~ lIN ~ ~ e ~ L~' 7 "~6~ V~I{t+~}i~, f ~i~l* u ~ ~"f~ ~iUl I ~ ° j~y'u i ~ r ~i, .
b ~ hi ~ , a~rt , ~
~ ~ ~ ~ ~~1 fi n1}p~ a~ t: t ~~p i , 1 t~~~ ~y~~ ~tlt1~.~ ~ ip ~li 5~.~~;
~ 4{ 'p ~ 1 ~ ' °~~I ~i~B~(~~ (~i , d i s'~ ~,t~ ?~tl,I,' 1 ~ , : ~~E~~~ „
' If ~ I ' I . q ~i~(r~ 4y . ppp .
( ~ y50 ~ ~ ~ 5'M~~' '~~.I ~ ~ ! ~ 4 ~ ~ ~ ~
I~ yE~ r . ~'~~~i all +l~ i ~ ~gq, ~ ~~a f ~ t~'~ ~ G~~ t ~ . ~ ~ ~P"~L~~ I i ~ ~ ~ ~ N'
~'~~~"~z 4ur"~ ~~i~4, ~{~i.~~ 1 al~4~r n~
i+a ~u ~t~, I ~yW6.L~(~~44~ ~tri~,~ a ~ i.a a'E i N a~ . E t. Y~ p~ r~~g~~''
Ir ~~~Pk7 ~~gxr r ~ j 4~ r~G~7 ~ ~ ~ 7 ~ rF./' ~ t 1, 1~ ~u~ i ~i'd'~~K. j~~" ~~t~ a~1~C~bl ~I .
~EB(~~~~e~8~i ~$y o.u F ' ~
y~, ~ tl i p~ l
. I ~w~ ~`6 VkV ~ y . ~ Y L ~ t , '
~L~~A ~ua ~ ,Y`. j ~
~ P. 1 Yf'~i i . JF~ lF. ?q ! i
~ lu~'~ ia~ ~~~i~ 1~~~
~f~'~~ r ~ ~i ~ ~~p~ ' ~i~a~'~~( ~ t ~ t r~ ~ j d i ~ ~ ~ r
u P~ i 5 l~ ~',tl L! ~ I~~~a ~ i n~ ~7 e^ ~ ~ M~
~ ifi ~ E.~o- ~-S y F ~ 0L`~e ~ I~ a ~ g~, ~ i~~~ raf! P''~~ p i f~~ ~ f` ~'+~~dN~
~ ~~.,i ~S ~ K I'~ s i ~ n i~C ~ f ~~9 ~A'.~ t~'~3~E ~
~ Y 11 ' ~ k' ~ 'J~N _ ~ ~ ~ +t~u~. .
r~! ~ !I Tl~ ~ t ~ x u ~~ii ? d ~I If '~a A~~ ~a d 7!
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4647 Tamie Ave
Lot: 2 Block: 3 Addition: Manor Lake 3rd
PID:10- 47277 - 020 -03
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745 -1400
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Steven E Janky
4647 Tamie Ave
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA083756
06/23/2008
ePermit
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
$88.50 0801.4085
$1.50 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 with all applicable State
Issued By: Signature
41111/
City ot8apn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: Ac
Permit Fee:
Date Received: / V -3fr
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
RESIDENT /
OWNER
Name: :).-Te V/ e _ , c kt-7 Phone:
City p l 697 / ST /02-3
Address / Ci / Zip: �t Lra (/� 0re .07/
Applicant is: Owner ,X Contractor
TYPE OF WORK
Description of work: C) 1 c.l i ,n� L.{ �, ,,,
Construction Cost \ ?j 406 Multi -Family Building: (Yes / No,))
CONTRACTOR
Company: ICf1W11 (46WIP 6II 1B✓/5 'Con act: ernes
'L
Address:165^z F City: ris /r b ►
State: /11/1 Zip: �� t 33 Phone: TI '�' 55-63 — 2 /
(-0005
License #: "6C- 6 `2 "I 00 5 Lead Certificate #: ek'" — 19'315 /l v fel cP
{four
If the project is exempt from lead certification, please explain why: (see Page 3 additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to 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 comp) ted within 180
days of permit issuance.
x 3 w€$ /---ebtbttVt
Applicant's Printed Name
ignature
Page 1 of 3
04/15/2014 TUE 8:39 FAX 651 437 9745 HALEY COMFORT SYSTEMS 14001/001
Use BLUE or BLACK Ink
! For Office Use
110 j Permit ` !
City of EaEda C)o
Permit Fee,
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: w I
/I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: I. 11 W 4' ou,' Phone:
Address / City /Zip: _ IL J1 ~l l?1l if LT' E GT(j)/~ 94 r Applicant is: Owner Contractor
Description of work: I il
_ql S'~lgfp~ / 't c1 (1 Cf .J I-7~~ ~~l CC,
Construction Cost: ~Ii ~I p 6 Multi-Family Building: (Yes No Z-)
Company; -1A a 1,e _q C0;10 ' t7V f S V S ~ e- to Contact: ~ I CIOle
r Address: f± a W 3 V s+ - / City: GlS r I V1 ~S
T " State: 1N Zip: Phone: ~3 b
. ; t License ft: 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 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:
. .
~a~e~f s~ d5 O
~~ie. n orma~ onPin ~ie~ I~ stiC tl `,Do~t~ tf1 ~il1cU'o o ne •r . o.. ~.k c$ Y OIrO7flS o
~3` ~~a ~'t~'"'~.i.~l~b ,~}t yns' ~°~C~'y'' eY5 H".XX~tL♦ `~,D~°/I, e
..4> >.`"~-..i Vie.. ~S`~i.'~ ~ tia. 'se x5_ F2„rv'-•S- e fi~a," '?f?`i~'•j(/S], . 11191;tlhe
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Cal! 48 hours
before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.oro
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 completed within 180
da of p • tIssuance.
x I ~ilf. CI I l
x C, CC.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126611
Date Issued:09/03/2014
Permit Category:ePermit
Site Address: 4647 Tamie Ave
Lot:2 Block: 3 Addition: Manor Lake 3rd
PID:10-47277-03-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
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 by law in ALL single family homes .
Dan Maus
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 -
Steven E Janky
4647 Tamie Ave
Eagan MN 55123
Maus Construction
13432 Geneva Way
Apple Valley MN 55124
(612) 703-5025
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BtACK Ink
--------------,
� For Office Use
� l � �
�l� Of �� �Il � P�,��: ;
� � ' '
� Peimit Fee: I
3830 Pilot Knob Road 1 �
Eagan MN 55122 ; Date Received: �
Phone: (651)675-5675 i �
st�ff:
Fax: (651)675-5694 !________________�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: � '���' "` �� 15 Site Address: `�'��? � +� �` �- ���
Tenant: Suite#:
Resident/4wner Name: ��r�`S�+� ,u�11 y Phone: �S j - �7-5° ° !7�
Address/City/Zip: y�`�7 7a.��c A�vc� . �� ��, ,t?�, SSf,23
P� OG t�,�s�'3
Name: t� �`'f�:n l��`�f �H c _ Lic�nse#: PG d u �;7 3 2
� �B G'✓r(�.✓
CiO1ttC1CtqC AddreSS: ��15 C"'eo�t�✓ r�s/� City: ;t»ver l�!rr:•4= fi�y`f s`
State: �y" Zip: S�Sc�'�� Phone: �`�� ' ��'y`� �'✓7�'
Contact: %��•°� j���'�`N Emaii_ J�j�e t�;r�.r /v;.,�;`.� �,�c. �rn s N ,c�o,-r►
Typ@ Of WOt'k —New _Replacement _Repair _Rebuild � Modify Space _Work in R.O.W.
Description of worlc: Q c�� +�r� �R�- a r��` �a sNd„�.,�- �r�`f�rcn,�
RESIDENTIAL
Water Heater
Water Softener
PErn1it Ty� Lawn trrigation{_RPZ/_PVB) �,
Septic System Add Plumbing Fbctures�Main I 3 Lower Level)
New Water Tumaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(indudes$5.00 State Surcharge)
$60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Tumaround"(includes�5.00 State Surcharge)
"Water Tumaround(add$200.00 if a 5/8"meter is required}
$115.00 Septic Svstem New($10.00 per as buift)(includes County fee and$5.�State Surcharge)
TOTAL FEES$
CALL BEFORE YOU DIG. Cal(Gopher State One Gall at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. vwvw.qopherstateonecall.orq
1 hereby acknowledge that this information is complete and accurate;that the work r+rill 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 mrithout a permit; that the work will be in
accordance with the approved plan in the case of uMOrk which requires a review anci approval of plans.
X 11�r � � ���; �, X z�� � �����-
ApplicanYs Printed Name ApplicanYs Signature ,
FOR OFFIGE USE Reviewed By: Date: I�,
Required Inspections: Under Ground Rough-ln Air Test' Gas Test Final ,
Meter Related Items: Meter Size aadio Read Manameter S#aff: I
I
III
�
Use BLUE or BLACK Ink
-----------------,
� For Office U i�✓
�� �� � I
��}� �� �� nn � Permit#:
i
b 111 �9 �
� Petmit Fee: �d.. I
3830 Pilot Knob Road � � � �
Eagan MN 55122 I Date Received: �`��-� f
� — 1
Phone:(651)675-6575 �
Fax:(651)675-5694 � Statf. �
�-----------------�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION �� ���
uate: 3 t t� i S s�te Adaress: �I�`��1 n nn.�E �4v�� ��'�1 i �,, �'�� � �3'`�'���
� ��
Unit#:
^ �)
Name: �J' T'E�f7� 'b aC.t�tS�� �pNK-`r Phone: �s(- Ca�s"a ��3
Resident/ n
(.}Vyn�:r Address/City/Zip: �Lo�� AM.�� �'4V�
' Applicant is: Owner �Contractor —
Type ofi WoPk ' Description of work: �3ATE1�, L3�f2-- � I�L�1�°�-
Construction Cost: 3�� � Multi-Family Building: (Yes /No�
Company: __ �E�g�`� �nl ST2�1 C-Tt C'�� Contact: O n/L Rp�3L��
Gt3nfiwdGtO1' : Address: 3g0(p (^l��S'Tl<✓ �}V`�
City: -- -�O�CJ��
State: MI� zip: S5t"ZS Phone: ���-��D"�t Email: `7`tstvt(� R49�°�l'Ss'2d�-�t� .�
�icense#: B C la 3 SS 5`� Lead Certificate#: !V A'T.� � ►�Z`� 1�',
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 72 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:
�icensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer�Water Contractor: Phone:
NOTE:Ptans and suppc�rting dacuments tha#yau submit are consider�ed t�be publec i�rfarrr��tion. Pt�rtr`ons of
the informa#ion rnay b�ciassified as non publrc if you provide spec'�rc reasans that woutd/�ermit th�*Cif}r tr�
conclude#hat the are tr�rde secrefs. '
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 haurs
before you intend to dig to receive tocates of underground utilities. wrww.aopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work wil!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 wdll be in
accordance with the approved plan in the case of work which r�uires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State B 'Iding Cade mus completed within 180
days of permit issuance. -
X r`-i�o►►1a5 �oC3�Y X
ApplicanYs Printed Name Applicant's Signatur�
Page 1 of 3
' DO NOT WRITE BELOW THIS LINE � � ,(�
�
SUB TYPES ��p�� �ct•�;,c_ ✓ Q-
Foundation _ Fireplace � Porch{3-Season) _ Exterior Alteratian(Single Famity)
Single Family � Garage � Porch(4�Season) u Exterior Alteration(AAulti)
ulti Deck Porch(Screen/GazeboiP�rgola) � Miscetianeous
_ 01 of_ Plex � Lower Leve! _ Pool _ Accessory Buiiding
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
T Retaining Wall *Demolition of entiee building—give PCA handout to applicant
DESCRIPTION
Valuation 6&� Occupancy ,ZI�G'l MCESSystem �'
Plan Review Code Edition O/ SAC Units --
(25%_ 100% ✓ Zoning IQ-I City Water '!
Census Code �,/„3�,f Stories �- Booster Pump --
#of Units i 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 i No C.O. Required
� Foundation- l.r�=�i.` �✓A�✓ �t HVAC_Gas Se�vice Test Gas �ine Air Test
Roof:_Ice &Water _Final �aoL•�Foo#ings Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In _Air Test _Finai Siding:�Stucco Lath _Stone Lath _Brick
� insulation � Windows
Sheathing Retaining Wall:_Footings_Backfill_Finai
Sheetrock Radon Control
Fire Walls Fire Suppression: �Rough in_Final
Braced Wails Erosion Control
Other:
Reviewed By: . Building Inspector
RESIDENTIAL FEES �7� j�� �O --� 1 7 �?10�0 �
Base Fee 30 q ��- I
Surcharge �
Plan Review �„O� S
MCES SAC
City SAC
Utiliry Connection Charge
S&W Permit 8�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143268
Date Issued:06/08/2017
Permit Category:ePermit
Site Address: 4647 Tamie Ave
Lot:2 Block: 3 Addition: Manor Lake 3rd
PID:10-47277-03-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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 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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Steven E Janky
4647 Tamie Ave
Eagan MN 55123
(847) 969-0737
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143550
Date Issued:06/20/2017
Permit Category:ePermit
Site Address: 4647 Tamie Ave
Lot:2 Block: 3 Addition: Manor Lake 3rd
PID:10-47277-03-020
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 -
Steven E Janky
4647 Tamie Ave
Eagan MN 55123
Maus Construction
1020 E 146th St, Suite 262
Burnsville MN 55337
(612) 703-5025
Applicant/Permitee: Signature Issued By: Signature