The URL can be used to link to this page

4655 Tamie Ave I n: ~ .~e'.:~fw. ..~,~~a-y~ . .-T..~.{}~i... ~.~:,a .-.~,t:..y~:,~.-+fio..-w~r....,.~ t ~ ( • t f , ~ ~r ~ . ~~r#i#ir~t#~e ~f t~rru~~n~~ ~itp of ~agan ~r~rtmrtt# ~ ~mg ~rrrii~,~t Thls Cerdj'icau issued pursuant to 1he re~quircmencs ojSecNon 306 of die Unijonri Bu~lding Code certify~eg ~iurt a~ tlie diru ojLssuance lkis strtrcture w~s ih complianae wuh the ~nriores ondinaitors of lhe City negulating buildirtg conrlnuciion or use Far tlu following: u~ ~ SE' I~nJG/GAR ste~. t~m~t r~o. 108 ~r ~Yv~ ~ zo~ n~ R 1 ~ c~,~. ~ o.~ d e.~ AL ~R~SA~d rJONST 535 SI~ BD, IyII~IDOrfA HEIGHIS 55 TAhflE AVF~1[]E ~ U+, B3, MAN[Xt LAKE 3~ ~ ~ . J; 5/2 ~ /92 ~ ~ ~ . PQST W A CONSPICUOUB PLACE SEWER &~'WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 03/27/92 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # PERMIT # i2b46 METER SIZE B.P. RECEIPT # C 0179$0 DATE J-c_''~''~G ISSUEDATE B.P.RECEIPTDATE 03/2b/92 ~ • x PRV - BOOSTER PUMP ~ SITE ADD~iESS 4655 ~nMII! AVE PERMIT REQUESTED LOT.~-BLOCK~SEC/SUB Ma~or Lak~ III x x _ SEWER - WATER - TAPS APPLICANT: ~ ADDRESS: Stone Rnad -COMMIIND ~ RESIDENTIAL . CITY,STATE ~~~ndota Hei~hts, MiCI. ZIP 5512~] ~_NEW -EXISTING PHONE: a~ 1' I l~d Lawn Sprinkler Meters are to be Installed PLUMBER: $.t ~ p~ r~-~ ;,4~~ n~ Ahead of Domestic Meters on Water Line. ADDRESS: Adrian Ci Credit WIL:L NO~;f qe given for Dedwct Meters. CITY, STATE ~1"~C_l"~. a ~ ,~l_. ZIP ~ ~ 7 R ; - - PHONE: ~ ~ 1- 6 4 ~ 7 . . ~ I AGREE TO COM~Y WITH CITY OF OWNER: EAGAN ORDINANC S ADDRESS: CITY, STATE Z~P PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. , • - ` DATE: ~ 27~ 1992 RE: 4655 TAMIE AVE (AL HERRMANN CONST INC) ~ 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 CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be compleled for the iollowing 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 Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - RE~UIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CASH RECEIPT ~ ~ • CITY OF EAG~N 3830 PILOT KNOB ROAQ • ` EAGAN, MINNESOTA SSt22 DATE ~ L.c 19 L~ ~ ~cEr~o ` ( -f . fROVi l~ ~ t_ . ~ % _ l nMOUKr a S"-~ J i.~ J & DOLLARS iro O CASH ~ CHECK ' ' r r, - _ - ,+,i" ~ ~ ~ J i ~f. ~ C~~ r ~ ~ ~ ~ , ~ - J ~ ; i; ~ ~ ~ ' ~ ~ ~ FuNO OBJECT awouNr ~ i Thank You BY ~ Q "j ~ ~ ,~.--.Pa~ ~ Y~~--~~ ~ ~ ^ ~ ~ SEWER ~ WATER PERMIT OFFICE USE ONLY CITYOFEAGAN MErER~~_S9 7~~ PERMITDATE o3/27f92 3830 Pilot Knob Rd. Eagan, MN 551 22-1 897 CHIP # I~ 9 6 I7°7 ~v PERMIT # 12646 METER S1ZE P B.P. AECEIPT # C ~17986 DATE ' ISSUE DATE S~ B.P. RECEtPT DATE Q~~92 ~-,~.)-J~ ' X PRV _ BOOSTER PUMP SITE ADDRESS ~655 TAMIE AVE PERMIT REQUESTED LOT ~_BLOCK ? SEC/SU6 P~ a n n r L a k e i T 1 x x - SEWER - WATER - TAPS APPLICANT: til ,{Prr~tann ~OnS ~ru~ti an , ZI~C ADDRESS: ~ a5 S to n e Ro a d COMMiIND ~ RESIDENTIAL CITY,STATE Me11d~td Neights~ "•~ri. Z1P 5~120 ~NEW -EXISTING PHONE: Z' 1 ~ 00 Lawn Sprinkler Meters are to be Installed PLUMBER: S C i~ ~.a r~' 1 u mk~i n g Ahead of Dome 1~Aeters on Water Line. ADDRESS: ~5~0 Adriaa Cir Credit I N~~e gi~en for Ded ct Meters. CITY,STATE Prior Lake_~ r~ln. ZIP ~~'~7.s ~ PHONE: t ~ ~ ~ 7 3 ~ ~ ~~'V ~.V~ I AGREE TO COMP Y WITH CITY OF OWNER: EAGAN OROINANC S ADDRESS: %~~'~i~-- CITY, STATE ZIP PHONE: SI(iNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STOR~A SEWER PERMITS, CONTACT ENGINEERING DEPT. r~ f INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: ~ 3830 Pilot Knob Road Permit Number: ' Eagan, Minnesota 55123 Date Issued: ' (612) 681-4675 SITE ADDRESS: , ~ ~ APPLICANT: . . ~ . , i ~ , . . , ,i . ~ i , . ~ ~ , „ , PERMIT SUBTYPE: TYPE OF WORK: ~ . . ~ rfF ~i . . . ~ . ~ . _ ~ ' _ . ~ .~:1'.i.~ ~ ! I ~ J Pen„k No. Pe?mn Hower oate TNepnone r SNV PLUMBING HVAC ELECTRiC ELECTRIC Inspectlon Date Insp. CommeMs Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Freplace ~ y n r r F3 i.?. Final Htg. /L - ~ ~2 9r/ y~ Orsat Tes1 Final Plbg. Plbg. Inspector- Notif~r Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. DeCk Final Well Pr. Oisp. _ . INSPECTIDN RECORD I ~°"t`°' ; ' ~ CIYY OF EAGAN PERMIT TYPE: j'~~ 3830 Pilot Knob Road Permit Number: ~~d ~ Aw Eagan, Minnesota 55123 Date lssued: ~ ~ ~ ~ ~ ~ (612) 681-4675 SITE ADDRESS: ~a~r ; 4 et ~1e~c t;~ APPLICANT: ~ ~IE,SB TAMlIE. AVE FFFRNMANM CI~NStiltlCTrON At NnN~~a i.ax~ ~~r? c~s2) ea~-t2.~rv PERMIT SUBTYPE: TYPE OF WORK: M~w . ~ nt?~ rM~~ ~FtAMt~l6 Ih1~:tILATIpN FIMAL r lit~.F'I.ACf_ 4t ~ It ~1 k:: : p it V . 5& I~f COK7'RAC'f ~k : ~:CN~ Rf Ft f'L I36 ~ . - _ = - _ . ~ =i - - - - - - _ _ . _ _ ~ - - - = ~ Permlt No. PermR Holder Date Tatephone # _ ~ S/W ~ ~ PLUMBING ~ ~`y~, HVAC ff;0 ELECTRI ~ ~ ~ ~5~,;? : ,~f~. ~r ELECTRIC lnspectfon Data Insp. Commenta Foo4ings I ~ ~~Z W~ Foundatlon ~~~i Framing Z ~ Roofing ~ Rough Plbg. g.~ 7 Rouyh Htg. ~ A+i ~ Isul. ~/02 ~~i 'f - 2 " RrepiaCe Fna~ ?ttg. ~-y Td • orsat Test ~ Fi~l Plbp. 9,/~ Plbg. Inspector - Notify PlumUer 7 Const. Meter EngrlPlan Sldg. Final Z Deck Ftg. Dsck Final Well Pr. Dlsp. -l%-92 7 ~ ~/o a-s sga-~--~ ~ 3,J ~ ~~~~`'i ~Repues~ Da~e Fire No. RougRin Inspection _ Required? ~yReatly Naw ? Will Notify Inspec~o~ ~.,'1." ~ C "/-v'.. ?Ves ~ No W~en ReadY? I~licensed contractor ~ owner hereby request inspection of above ele ' rk at: Ja~ HStlre~s/s ~5[raeL Box or Route No.l Cily '1 C' 4 i ~ ?~~ci%'~~; /tUFT;lI;~ ~1~;fj-n! $ection No. Township Neme o~ No. Renge No. Coun )~T~ IC6 I h OccuDanIIPRINTI Phone No. C~[~U (JL`x~ti Power SuOp~~er ` AtlEress 'Uli1~~;7a 6t~,c~7~'-IG Ffit_~~1~N('rj~r., l`~1ti Eieancal Comrador IGOmpany Name) ConVacror5 License No. ~..-,G ? Ei"'- '{.t. _ X C~ <--A ~ i.' s'^' Maiiing a~a-tl+ress ~Convacior or Owner Making instanation~ I ~ ":~1_~ I.li~~'I,~>~'(~i..~.IJV ~L~i_/.V~ '~~1~/1~'IINC)':>. ~LN ~'~l.i'_'..`i /+uthorizetl Signature IConlratloqOwner Makmq Inslalletlon~ ~ PM1Ona NumDer t M ESOTA STATE BO RD Of ELECTPICITY THIS INSPECTION fiE~UEST WILL NOT (y Gtlggs-MiEway Bltlg. - Room S1]3 BE ACCEPTEO 6V THE STATE BOAFD T~ 1021 Universi[y Ave.. 51. Gaul. MN 5510E UNLE55 PROPER INSPECTION FEE IS Phone (612) WZ-0600 ENCLOSED. jarJ RE~UEST FOR ELECTRICAL INSPECTION v6"~ ee-ooom-oe ~ d 7 6 91 $ee insimctions lor completing t~is form on back oi yellow Copy. ~ `,~~,'~~lola~~ r X" Below Work Covered by This Request ew Adtl Rep. Typeofeuiltlfng AppliancesWired EquipmentWired Rome Range Temporery Service Duplex Waler Heater Electric Heating ApL Building Dryer Other-.(Specify) Comm./Induslrial Furnace Farm Air Conditioner Olher~specily) ConVactor5 FemeMS: rlJik',r F}i,li_ c;•l~f~~-~v,,.vE-~! Campufe lnspection Fee Below.' # Other Fee # ServiceEniranceSize Fee # Circuiis/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps A6ove 100 _ Amps SignS Inspecmrk Ose Onty: T TAL ~ Irriqation Booms //f b Special Inspection "V ? Aiarm/Communication THIS INSTALLATION MAY BE ORD CONNECTED IF NOT Other Fee _ , COMPLETED WITHIN 18 MONTHS. ~ I, the Electrical Inspecbr, hereby R°°qn~~~ r oa~a certify that the above inspection has Final ~ y a ~,y been made. ~ . ~c-- OFFICE USE ~NLY ' Tnis requesl witl 18 monlM1S imm ,3 as sa-~~v s ~ ~a3a~z~/os~ i 1 ~ 6 ~ ~ ~ ~,~i Repues~ Daie No. Rough-in Inspeclion ~~t I? _ ~I equiretl? ? RBatly Now ~ill Nolity ~u~cl0r as ? No e ReadyT I licensed contractor ~ owner hereby request inspection of above electri I wor .~O ob AWress ~Sctreet. Box or RoNe No.) Ciry ~ ~ / $ectipn No. Township Name or No. Range No. Counry Occu t PflINT ' Pho U7'YJ . " - ~ ~ Power Olier ~ Adtlress ~ ElecVica~ ontractor ~COmp]ry%me~ i C~ or~ Lican~g,NO.- - T ~T tIl G/ c._i Q L.J~ Mailing to~ ~ r.Makin In ! I ~ ~ V / 0 Autlwrized SI m nV otlOwn Maki nsl lalion~ Phaie ~ ~ MINNESOTA STAT RD OF ELECTPICI THIS INSPECTION REQUEST WILL NOT Gtlgge-MlCway B - Room S1T3 BE ACCEPTED BY THE STATE BOARD 1821 Univeni~y e., St. Vaul, MN 55100 UNLES$ PROPEP INSPECTION FEE IS Phone (612) 6<2-0800 ENCLOSE~. ,3~~/4oZ REQUEST FOR ELECTRICAL INSPECTION ee oooo,os ~ See insvutlione 1or comple~ing this lorm on back of yellow copy. `QSa S~ J.f~ r'J e,?.6 ~ ''X" Be/ow Work Covered by This Request ~~a~ (O (o ~D ~ e Add Rep. TypeofBuilding AppliancesWired EquipmeniWired Home Range Temporary Service ~uplez Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (syecity) Convactor5 Rema~ks: Compute /nspection Fee Below: ~ N - Other Fee # ServiceEntrance5ize Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps ~ vQ 0 to io0 Amps ~ Transformers A6ove 200 _ Amps ~ Above 100 _ Amps SiJ~S ~~spector5 Usa Only. ~TOTAL ~ Irrigation Booms ...///{G--- L. (f ~ ~ ~ ~ Special Inspection ~ r~ ~ a.^~ ~Q AlarmlCommunication ^ ~ THIS INSTALLATION MAY B RDER ONNECTED I~NOT Othe~ Fee COMPLETED WITHIN 16 HS. I, the Electrical Inspector, hereby Ro~yn-m ~ ~a cerlify that [he above inspection has Final oa~e ~ been made. y OFFICE USE ONLY ~ This request voi0 18 months irom . Address: 4655 TArIIE AVENOE Lot 4 Blk 3 Sec/Subh~~7R LAKE 3RD These items were/were not complete at the time of the final inspection. q Yes No Final grade (6" from siding) ~ Permanent steps - garage Permanent steps - main entty Permanent driveway ~ Petmanent gas ~ Sod/seeded grass ? Trail/curb damage ~ Porch Basement finish Deck Please verify vith the builder the ramoval of roof test caps from the plvmbing system and the shut-o£f of watar supply to the outside law faucet bafore freeze potential exists. ~ .EM~EO..Ra White - City copy Yellow - Resident copy Pink.- Contractor copy RESIDENTIAL BUILDING PERMIT APPLICATION ~ 3830 PILOT KNOB RD~EAGAN MN 55122 ~3~~ 651-681-4675 New Conahucflon Reauirements RemodaURenair Reaulraments • 3 registered sde surveys showing sq. R. of lot, sq. R. ot house; and all raofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Ene~gy Calculalions for heated additions • 2 copies of plan sMwirg beam 8 winGOw s¢es; poured found desgn, elc.) • 1 sile survey for exlenor additions 8 decks • t set of Ene~gy Caiculatians • Indipte it hame served by sepGC system for additions • 3 coples af Tree Preservation Plan'rf lol platted after 711/93 • Rim Joist Detail Options selecfion sheet (61dgs with 3 or less unils) DATE ~,~j 2~- VALUATION s.,~~~ SITE ADDRESS i.o ~.^.i MULTI-PAMILY BLDG _ Y _ N TYPE OF WORK ~~,~,p--~ ~~~o~nrt P~ FIREPLACE(S) _ 0_ 1_ 2 APPIICANT ~~i~2'~ STREETADDRESS (~/~,~P~~~~ C'~~CITY~'~' STATE~ZIP~~~ TELEPHONE # ~/L ~ CELL PHONE # /d~~~~~~_~ FAX # i~'7 PROPERTYOWNER f~lf ~j(~q ~;'pn/ TELEPHONE# G~S/ ~i~~i F~G~~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSOTA RULES 7670 CATEGORY I MINNFSOTA RLJLES 767? (J submission lype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calwlations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00 _ Water Heater _ No. o€ R.I. Baths No. of Baths ~ ~ ~ ~ ~ ' ! i ~ I~ ~ ~ MechanicalContractor. ,Phone# 7 Mechanical system includes: Air Conditioning jFee: $70.00 _ Hcat Recovery System _ Sewer/Water Confractor. Phone # - I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appllcant~~~c~~ ____.._~e.P~r~.~..~_.7[~Sr~.~~s- OFFICE USE ONLY Certificates af Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 08-plex ~ 18 ~eck ? 23 Porch (screened) ? 36 Mutti ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous 0 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 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 bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other ToWI PERMIT ~ ~°"t ° 0116 CITYOFEAGAN PERMITTYPE: aui~oinG 3830 PiIoYKnob k'oad Eagan, Minnesota 55123 Permit Number: 000106 (6~2) 681-4675 Date Issued: @3 J26/92 SITE ADDRESS: 4665 TAMIE AVE LOT: 4 BLOCK: 3 MANOR LAKE 3RD DESCRIPTION: . Buildirig Permit Type SF DWG Suild3ng Work Type NEW -'UBC Occupancy R-3 M-1 Zon3ng R-1 Building Length'- 52 ' Building Width 54 ~ ' ~ ~ i ~ „ t'•, ~ ! - , ~ ~ ~ ] i'~A~/ A"~. i . . _ . ~i REMARKS: ~ n a~~j PRV S S W CONTRACTOR: SCNERER PLBG FEE SUMMARY VALUATION S93.006 Base Fee $608.00 MISCELLANEOUS ~1.610.50 Plan Review $395.20 Total Fee $3,360.20 Surcharge ;46.50 SAC $700.00 SAC 8 100 SAC Units 1 Subtotal ;1,749.70 CONTRACTOR: - Applicant - sT. ~y?INER: HERRp1ANN CONSTRUCTION AL 18911100 0002 16 AL HERRMANN CONST 535 STONE RD 535 STONE RD MENDOTA HEI6HTS MN 55050 MENDOTA HEIGHTS MN 55120 (612) 691-1100 (612)891-1100 I herehy acknowledge that I have read thi~ application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and CiCy ot Eagan Ordinances. ~ ~ I '~~.~A-f.~i ~ ~a,.n R ~A~,~ rn 1~_ APPL ANT/PERMI SIGNATUflE ~GNA ~ INSPECTION RECORD ~ Control No. O 1~ 6 CITYOFEAGAN PERMITTYPE: aui~oiwe 3830 Pilot Knob Road Permit Number: 000106 Eagan, Minnesota 55123 Date Issued: 03/26/92 (612) 681-4675 SITEADDRESS: ~07: 4 BLOCK: 3 APPLICANT: 4655 TAMIE AVE HERRMANN CONSTRUCTION AL MANOR IAKE 3RD (612) B91-1100 PERMIT SUBTYPE: TYPE OF WORK: SF OW~ NEW . . FOOTINO FRAMING INSULATION FINAL FIREPLACE REMARKS: PRV S& W CONTRRCTORs SCHERER PLBG ~ ~ - cirr oF EacaaN wpR 2 0 f?~cD • ~ ~ 1992 BUILDING PERMIT APPLICATION 681-4675 MAR ~ RECO SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date / y~ / l°1°ln~ Valuation of work ~I ZB~~ ite Location: ~~C ~ S ~ 1'?~ 4i STREET STE B Tenant Name: LOT BLOCK 3UBD. P.I.D. # a~1 Qr Descri tion of work: The applicant is: ? Owner Contractor ? Other coesc~ibe> Name Phone Property ~AST FIRST ~Wne~ . Address STREET STE # City State Zip Company Phone ~91-IIS,Z~ Contractor Address S S License # City State ~v~ ZipSS?v~p Company r Phone Architect/ p ° Engineer Name z-~'2-y~`'~c~/Lu~.e_. Registration # Address City e~ State Zip ~5~~ Sewer & water licensed plumber S o~~a-r-. ~ . Processing time for sewer & water permits is two days once area has been appro I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with 1 app icable of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: . ` OFFICE USE ONLY - - . BUILDING PERMIT TYPE ' ~ ? O1 Foundation O 06 Garage/Accessory ? 11 Res. Add./Parch ? 16 Agricultural ~ 02 Single Family ? 07 Fireplace O 12 Comm./Ind. New ? 17 Building Move ? 03 Two-family ? 08 Deck ? 13 Comm./Ind. Add ? 18 Demolition ? 04 Multi-fam. T.H. ? 09 Basement Finish ? 14 Camm./Ind. Rem. ? 20 Miscellaneous O 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac. WORK TYPE 90 New ? 93 Remodel ? 96 Move ? 91 Addition ? 94 Repair ? 97 Demolish ? 92 Alterations O 95 Tenant Finish ? 99 Undefined GENERAL INFORMATION Occupancy ~ 3~i-I Basement sq. ft. MWCC System X Zoning lst F1. sq. ft. City Water x Const. (Actual) V_ 2nd F1. sq. ft. PRV Required (Allowable) ~ Sq. ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length r On-site well Census Code /a/ Depth ~ On-site sewage SAC Code o~ APPROVALS Planning Building D~ 3-7~/i9~ Assessments Engineering Variance RE~UIRED INSPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard O Final ? Draintile ? Fireplace vatuactcn: $ 93~ oov ~ Permit Fee E,08.00 ~,qRAGE: Surcharge 46•50 Plan Review 395.2o Z2xzo:440 License iax ao ~ Zoo MWCC SAC '100~0o toyo xfb~ 1o,Zuo City SAC ~ oo,oo Rsn.tT: Water Conn. 6"lS,DO ~yA~D = ya° Water Meter q po ~t x zz Road Unit So•oo f184 x i5= I'7 760 Treatment Pl. p,pp ~srF~ooa; ~ Reed-k~ S~w Pa~,4, 30~ 8 SmT < ~ i B~l Park Ded.Ac~t ikp , 30.00 ,x$_ ~ ~a;i~ np~,~wsk .50 Zxre= ao Copies Other 12i2 xS3= by,.23` 7ota1: _9_3G0~~~ 92i23(. SAC % ao SAC Units , r i onc~r trie i r:---~r ~ r' a 6E:19488 P.0 * ~ * . ~ ~ Y4YY Enlerpri~e Oriva * PIONEEA ~w.aouiwvoror~x.ti~urr.<:~Hrces r.~V....~~_ MendoteHelpN1~~MN661~10' * engineerin ~.ANO~LPNN6M'J`L/~NfYMI~P~ AIlf1~REf.T9 * 9.. ~612) 88t-1914 * G Certificate of Survey for: Al. HERRMAI~I1 _CDI~STKUGTION House Address: -~"~,~,~;e Ave~ Ea9a~ ~ M1„n. , Model Name: ~ r'~_ ! ~ `V • 3D / ~ a~ l~. NO y ' o' ~ o,v ~ I ~ O ~ V 56 S o ~ ~ , 9~ O 5~~~`~ / o~ s ~s/ 3~ po'~ ~ N ~ /n~ ~ '3 5 \ a Q g52 ~ ~ ~ ~ ~ ~ 9y` b s ~o~ ~ v~ NN ^i ~9 / ' 9Sa~ / ~c,1.5 o zY,3~ e ry~ ~ ~ti~` ~ N ~ p~w~ N zZ.a ~ " ~ a y ssz,y . .S, 95,. ` „ / ~ N ~ f ~ T ~o' ~ =.e G~,~• ~ o o • rn Q a~~8,a x951,`F i / w <vv-... ` 950.4. ° = o x 951,s ( F I ~ ~o ~ ,3d 30 ~o '33° 3'~.0~ N 4'~ . ~ 9s~,~ " 9s+?- 4 ~ p~; ; ~ ~ , ~ ~ ~ . ~,,D,. Na~ : . ~y~ Sg, O~~ 95~ gsl 3 N /M a~~~ / ~V 33 `p ~ q / v'~ ~ ; ~ ~ ~ ~95~ ~ ! _ c _ Q ~S 6..r. • 3~ , o i ~ , - A1, ~ri~- " ~ ~ , ~ -38 ~ y : _ ' ~ O p `~j ~~Jr S , jy'~ L~;~l~~~r ~zv~~~~~l~zza~<:: ~ _ _ :a~ ~ soo.o Danoies Existing Elevation pRQPOSED HOUSE ~LEV~ ON ^c~' ~ Denotes F'roposed Elev4tion Lowest Flqor Elevotion: 45~~~Z Denotes Drainage & Utility Eosement ----~~Denotes Drainage Flow Direction Top of Btock Elevation: 953.!; --0-- Denotes Monument Garage Slpb Efevation: 9SZ,8 Denotes Offset Hub Bearings shown are assumed LOT_._4 , BLOCK --3 MA~10~ _-L.AKE~ 3CZD_--,4DDITlON' , . .DAi[DTA COUNTY. MINNESOTA ((~~e~o~o ~ I here6y wrilly ~hat this survey, pl,.r or repm~ was prspa~ed by m or under my direm eupervlslon end thee I am duly RepUiarad t,~ntl~6~rv~ym ~ under ~ha lewf o~ tho Swro o~ M ~oeso~a, oated this.j.~...~ day ol A.O. 19~2 . ~9 ' Scale: 1~= 30~ . ` ~ ROBEAT . IK r.a G. NO. 1a891 ~ 91268.01 ~ • r~unwFSOrn srrcrr-. r:iii:ar,v coue cn~cui.nrioras , BASED OIJ CIi~P~I"ER 5 OF ThIE , • ' MOOEL ENERGY CODF - 1983 E~ITIDN ~ ~ • ~ Adoption [ffcc[ivc 1/I/ • . " Owner . ~ I~hunr. Oa[e'. . . ~ _ - Site Address L,DTt~ $~o~,r yayl ~„4l~E~ Contractor~L ~~n~^ ~G>N~.~ - Phone ~ Bullding Classlffcation: Type AI (Single Famlly L Duplex)_~Type A2(Resldentlal) NOTE: Com lete ' (3 stories.or ess p pages 3 and 4 first. ~ j • . (Other (Over 3 stortes)__~~ GENERAL INFORMATION ~ ' h 1. Buf.]ding Perlmeter J ~%{Ja~f-~j~t~l ft. , 2. Wall height (ground to eave)~`~~u~y~~ ~}}~~f[. ' , z' 3. l. x 2.. (above) gross wall area z~ ~Z fc. < 4.. Bullding dimensions (L) X(1J) = I(y-r9' ft.Z roof b floor er'~ 5.• Square foot area of rlm Jolst - Floor Joist slze (2 x ~L~ ) q Ia~ X Perlmeter = ftim joist area m ft2_~`• 12 ~ p~ o ' 6. Doors - A'rea ~~1 ~ 7hickness ~ in. U factor. Type of Constructfon = Pert'meter ft' ~ Manufacturer . 7. Totel door's perlmeter ft. ' . ~ i 8• Windows: Manufacturer ~N~j~f ~~~\.-1 State approved ~ . ~ , U factor ' TYPE. SIZE AREA (Ft.z) NUHBER Of TOTAL FEET Z=~ ' [ACH UNITS r. ~ ~ `~'~b~~ ~J U . , 9. Total ft.Z Glass Z ~~J ~~~j 10. Flreplace area; Wldth X he~ght = - X Exposed foundatlon; HeigAt X Pcrimetcr I x 1~ ~ Z.~' Fl.2 COMPLETION oF 7tils FORFt is aeouinr:n ron ni,i. III11- i:u~.i;•i~?tiic~i~iori,-rin,l~ititEnODELING AND BUILDINGS FIOVEO WFIERE ENERGY, OTHER TII~N THE MINIFI/tL COUF ~I_LOWANCE, IS USED. ~ Ft`Z . . ~ ~ . _ _ ~ _ . _ G~ a' Z~j > o Z ~~l o~ _ . _ . Q,~~ '~s '-~s . _ C- z~- 8 ~ _ ~ - - , -s l`'~. - 'z~ _C, M" . O ? .r:~+~.L.. . ~ . . . . . . . • ~ ~ • ~ ~ +~1 ~.~..r . . . . . . . . . . . ~ . . . . ~I C..~ / ~ I ~ • ' . . , ' ~ ~ 4 , o'I2, = I X l~ =~XoZ _rv, ~ : ~,.._.::~T.; ~ , . °'~~C -2X~ - , : ~ - ~~1 ~~X~z rnz. - I( , =1~~2'I~ , = o~ ~ - m~u ~ . _ ~ c; . . . s ~01 - I x~~ol - ~X~~ -2 ~ ~ _ . _ . c~ = I X dl ~ ~~XoZ -rn Z ~ . =~hXS~Z~. _ ~~~z-M~ IIII . . ~1N I . _ . : c~~ ~ I o _ ~ ~ ~~-a7S ~2' L I L I =C~~ ) x~,~ _ . . _ t~. -+~z+~2) X o'~ C~Z~`-~ M . . ~.1.:=17~1 i ~1 ~1a ~ . - - . _ . _ i ' ~*~T~_~--- - . h-'~n~uE U YALUE ~ ' ~ ~7----_ L~.ld. •lr [Llm .68 'NALL • • I~ J_ SEC1'ION ~ {i ['~tnctoc ~~LL ~ • (Llall) •U . 1 rf _~=~I` Innulitlun . . , ~ ' . ~=I ~ ~ - ~ . ~~~wi, SlieeChing . 2, Q ~ I . • ~ G ' S~c~~f1R . ~~o~ . ; ~s 0„r.fld~ alr LLIm .ll . • ~ • R TOTAL Z3.47~ ' ~h . , , i ' . Inalde~atr fLlm .68 ; sn~ . , , ~ Intertor va1L ~1-~-' . , - SLCTIOH • .6a .cud 6") R~ »x ~j`~ C ~4,d9'/o.50(Fsamin8)U. ~ r: - . ~ u Siteathing ?~(o ~ ~ ~ ' ~ $lding ~ ~ . . ~d9S . dutfide a1r Lllta ,(J , . ~f ~ . . . • R 2orAL_ I6 S3 . . .Inalde alr [Llm R~ ,68 . 2lID StALL • • Int~rLor vall SECSIOti ~ ' • ' ' In~uLtion _ .(Nall zU ~ ~ ~ ~ Sltia[Rtn ~ ~ . . . . . , . Exteclor v111 ring . . EzC~clor alc fiLm' A • • ; . R ToT.~L A . Interlar alr tllm R~ ' . ~ /I :68 . _ --~~.,,-1-t I Inautatlon ~4 ~ ~ • Y .totsr J`~ r ~ ' . 1 1~ lnch, evEt'u~~d (~~~,88 (R1m U•g. ' Jaist) Shea[hing ~ z.0(o . ' •04'~ . [xtcrlor wall eovering ,6"~ . . ' E:ctnrtar air Illm .11 ~ ' . ~ ~ . ~ . ` , ' . R TOTAL .q~ ' , Inter[ar a[r Ellm. R' .68 ~ ~ . ~ - - i~„~,i.~io« ~5~ . • , Cvunda[[on I.Z B ~ • \ Eztnc(oC a~C fjinl (~v .17 ' ~Fdn.~ u•¦ A . . ~ ; ~ : p Tor,~ . r . ' ~ t~, , E~pu~n~l 9(uck . j• , . ~ ~ ` . . _ ~ininy erce • IOS of gros2 lrall aree, • , Gross x511 area_'ZG~GJ~ , Z ft.2 . ~ ' " . Nlndo~i arca A~ -~j ft.Z U klndows ~ q ~ U x~A ~ ~ It Rtni foist aT•ca A ~ . ' -rt.z ~ u ~~i~~~ ,1~~~t - . 041 u x n - (~~~Z ~Door area 11 i2 z • ~ " ~ ft. U doar• arca • ' U x A~~~~ , Flt'~ f eu arca A 1-(~Z ~t.T ~~ye . U X A¦-_~ U "fit:~ Ex posed foun da t lon•A Z.~ ~j ~t, ' ~ e ~ . ~ z U foundaHon 1" U x:A ¦ ~1~~! Framing area A 2'~(~ ~84,3, ~~~t 2 - ~ U framing area ¦ r~~U x A•~_~?~: Ilet.wall area A ~(v7i~7i~-~j ft. U xa11 ~ ~~.T2J U x A'¦ ~ IY~ . , ~ ~ • (17~) TOTAL . , . . . . . . . U x A~~~ 14. Gross kall area xF0.1~'A=1. sfngla farnllv h duplex alicsrable U x A/Code • (13, above) , , _ x 0.23 (A-2 other resldentlal} x .2J (Othcr bulldings) • ~ ~ x 40ver 3 storles) ~ ~ ' A Z~ -~"j ~ i~ 6iUll Nust be large~ x U ~4~g._~ I ~ ~ - ~2 ~i ~ ~F. 138 abave ~ 15• Ceiltng framing area (A~) equals• l0Y of cellln9 aran ' C ah !h4 same a~ ISA. Gi-o'ss cetl Ing area ¦'(L) x u f(,~ ~ ~ ' f t. . 150 . dolst area {Af} • 10S ca111ng area ¦ ~(04- ' 2~ ' ~ • f t. 15C: Ilet ceiling area (A~) (15A -.150J I~-~ ~ ft.2 . U ceiling x A , c~ ZZ x . ~jZ~ ~ . ~ U framing x A f• ~oZ3 x Ico~ ~ 7~,-~~ ~ ~50. TOTAL U x n " ~~33Z ~ , . I6. Catllnq area (15A .k Q.tl~~Z6 (1~-1 s{ngie famlly L~duplex - code allowablB U.x.A • x 0.033 (A-Z otlier restdentlal) ' . • x a.o6 (oc~i~r) ' ~ . 5A ~p~L~ '~~,7G~~J1~jUl1 Idust be larger than 15b {abo x!1_1~u'~~}__ r, (or tha sama as) . ' o o Z.Co , • : . ' . . . . . ' • • ' . ~ , • • . IIOTE: ~se U a~id'q values o6talned frmn nps l, ~ and q. ; ~~..1 T-~,-. - _ . - , . . . _ . / - / • _`t~-?ri~a '~fT11_±lEIIT I) ATTIr. SpACE Ap04p ~ ~i""'ill:il~ Fnni~ l ric `R~1~LuE CEII.IHG . 0.61 Atr Flim U.61 ' ' .___..._3~~~!e~ _ Insulatlon ~~;ck7 • • . ~.i3~ Jolst • , ' ~ • ,c ~ ~ 'f Cailing_ ~ • 1 . . ~ % . , ; , i 0.6_ 1_____ Alr Film O:til. . _ . . `~2,1(n~ Tatal a -_~,'IB' ~ " ~ ' ,b~Z.._ , ~ . FL4C R(10F OR C_ti1T~~f~Rq~, CE(Lf11G --~-7a1ue ' • ~ ' FR.IFIfIIG CEfLIFIG . • I ' ~'61 [nsldn a1r flim 0.61 La.~e._~„~ ~ ~ ~ ~ ~ It ~ Jnl~t ~s u , ' . • Irs~l~tfan • • Alr tp~c~ . Hoaf J~cking ~ 31 ' . (n~ulation ' Bu1lt-up Iroof ' Outslde a1r fllm 0,1) . . ~ ~ . Tota1 R ' ~ ~ . ~ ~ u 1lndow tnfiltration 5 efm/llneai ~oot of ~rack tesldential door 1nf11tra[ion p, ~ ~ ~ a • cfrn/s u~re foot ar door and minlmum code•ra ulrement Icn-residentlai door infiltratlon I1,0 cf~n/11nr.al faot of crack ~b 12" concrete block no lnsulatlon ~ ~b ~Z" cancrete 61ock insulated cares ,~47.R 2,~ ' ~ 75 12" liglit.~elolit black .Z6 R 3.8 ~ ~ . . 1b 12" lighti~eiglit block fnsulate ' .J2 (i 7.1 , • . ; • d cares ~ .12 R 8,J ' 1 doublfl gla'ss .~5~3' wlth storm talndo~ .54 . ~ 1 triple glass ~ .ql • . . . 111 exterlor walls and ceilin s ' ~ ' 'lapor harrler must 6e on the q must have a vapor barrler ~apor'barrlers of the ol 1nslde (heated slde) o~ rra11,~~•10 ~arm mnx.), ~ P Yethelene tltln f11m liav~ ri~ R valua. ' , ~ ; . • ~ . ~ . , , . i G,~ ~ CI~Y O~ EAGAN PERMIT ~~l 3830 Pilot Knob Road PERMIT TYPE: ~ u j ~ ~ I N ~ Eagan, Minnesota 55123 Permit Number: 0 2 2 q 7 7 (612) 681-4675 Date Issued: ~ Z~ 7 7~ 9 q SITE ADDRESS: 4655 THM7:E flVE LQT: 4 BLOCK: 3 MANOR LAKE 3RD P.I.N.: 10-47277-040-93 DESCRIPTION: Builda.ng~.PermiT, Type FIREPIACE ~uilding WZnrk Type NEW ~ \ i *i.~ ~ ~ ~ r / ~.o ~ i ~.-=VA.~~ri ~ - _ \ ir/ ? ~ ~lz ~ll~~~ ~ ~ -v ~~c. REMARKS: FEE SUMMARY: Base Fee ~25e00 Surcharge M, ~50 ToT.al Fee $25.5~ CONTRACTOR: - A P p 1 i c a n t- OWNER: POST MASQNRY 14691297 OLSON C~LFN 7.1957.5 JASF'ER TER 4655 Tl3hITE AVE LAKEVIILE MN 55044 EAGAN MN (612) 469-1297 (612)683-9968 I hereby acknowledge that T have read th3s application and state that the information i, carrect and agree to eomply with a11 applic~ib3a State of Mn. Statutes and City of Eagan Ordinances. ~ ~ J i~l~w ~ ~o~~~, m.~ APPIICANT/PERMITEE SIGNATURE ISSUED BY: IG TURE ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B u t ~ ~ z N ~ - 3830 Pilot Knob Road Permit Number: ~ 2 2 9 7 7 Eagan, Minnesota 55123 Date Issued: 0 2/ 17 / 9 R (612) 681-4675 SITE ADDRESS: ~ o T: 4 a~ o c K: 3 APPLICANT: 4655 TRMSE RVE POST MASONRY MANOR LFlKE 3RD (612) 469-1297 PERMIT SUBTYPE: TYPE OF WORK: FIREPI.ACE NEW • . ROUGH-IN FINAL ~ ~ ~ ~ ~ CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION Z~~• f~ ~ ~ 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ~Zb f9~' / 1~ Valuation of work Site Address: ~ ~~v ~~m/g //1/ri ~p~/4/v STREET SUITE # Tenant Name: (commercial only) LOT ~ BLOCK ~L SUBD. a O P.I.D. # ~,Ir,dJ Descri tion of work: ' t ~ C~ The applicant is: ? Owner ? Contractor ? Other (Describe) Name a~SOK G~tK Phone li$3-9r~~ Property LAST fIRST Own@t' qddress y~o ~J~~ /a~/~ ~~li~/~ STREET STE M City ~~6/~'l~ State ~1~ Zip Ss4yy Company 05T ~ D~t Phone _~G~ ' l f~Y Contractor Address ~~s/S fkSGYr rL'I" License # Exp. City L/IIC11 I/lbd~ State ~'NN Zip J`'.S'6~S! Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: %~itLtT/ ~/d~ OFFICE USE ONLY ~ ~ BUILDING PERMIT TYPE ~ +Y ,......_.,..~w. ? O1 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Mist. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ~ 37 Demolish ? 32 Addition ? 34 Repair ? 36 Mave GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (A1lowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footpr9nt Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code Census Bldg APPROVALS Census Unit Planning Building Assessments Engineering Variance RE~UIRED INSPECTIONS ? .Site ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile O Fireplace Permit Fee vai~ti~: g Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Un1t Park Oed. Trails Ded. Copies Other Total: SAC % 5AC Units CITY OF EAGAN FOR CITY IISE ONLY 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454 8100 RECEIPT it /b550~ ~.C..1~A~tP:I.. ~?~RM~'yT DATE : /0 9 ~ ~:IDE4~S~AT,-i PLEASE COMPLETE IIPPER PQRTION ONLY FOR SINGLE FAMILY DWELLZNGS 6 ~ ~ TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ? ADD-ON MINIMOM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 / DF 1 PER PERMIT OWNER NAME: !4L[hlivY..s,.w • SIIBTOTAL: $ 017.00 SITE ADDRESS: ~ILcS?` ~lL:.,<~ L.C.a.~.t_ ~ STATE SURCHARGE: .50 S LOT:~ BLOCK ~ SUBD. r TOTAL: $~27~5~ INSTALLER: IlYl.e.r~... ~-s ~.1-n,~. • ~ I 1,,,. . i y"y ~ /I ADDRESS: I~ ~ISD ~_-m~-o/ ~a. SIGNATURE OF PERMITTEE CITY: ~ii,i<~ ~~l~a~-~. / ZIP: ~~~3 PHONE 777~"~I~y EQMM~R4TAL%~1A'f152RIAL:? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, ~ APARTMENT BUILDINGS, AND MULTZ-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQIIIRED FOR EACH DWELLING IINIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $2~.00 IAT: BLOCK _ SUSD. $25.00 MINIMUM FEE. INSTALLER: CONTI2ACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN L? s~ CITY OF EAGAN CITY USE ONLY lA PLUMBING PERMIT SUBD.~o.,.w.Y_ .3 `f (612) 681-4675 RECEIPT ~~S'~7•5 DATE y~ -r R882DSNTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIRTURES EA. TOTAL NEW CONST J` REPAIR/ADD ON I5.00 ~ ADD ON _ SHOWER 3.00 REPAIR _ / WATER CIASET 3.00 tab 1 BATH TUB 3.00 3.ao q T LAVATORY 3.00 3 00 OWNER NAME: H~ N~rmann ~0/15~2(L'~iGJt ~ KITCHEN SINK 3.00 .00 ~ ~ LAUNDRY TR9Y 3.00 06 SITE ADDRESS: ~{(95S ~R~ri°.. AT/P~ HOT TUB/SPA 3.00 ~ WATER HEATER 3.00 ~ O O L FIAOR DRAIN 3.00 3.ao GAS PIPING OUT, INSTALLER: _~+~er P~urn/ainr~ / (MINIMUM - 1) 3.00 3,0~ 3 ROUGH OPENINGS 1.50 L~ ADDRESS: ~{S'CYJ ~~/Z~.rl ~i,Qe-CC~ _ OTHER WATER SOFTENER 5.00 CITY: ~P,/o~. ~~C. 2Ip; -T537a _ PRIVATE DISP. 15.00 ~ U.G. SPRINKLER 3.00 PHONE : y`~ ~~~I3~ _ W. TURNAROUND 15 . 00 35. XJ STATE SURCHARGE .50 IGNATURE OF PERMITTEE TOTAL: S~~~ COMME&CIAI, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, AL50 FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1X OF CONTRACT FEE. STATE SURCHAFtGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE, SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1X $ ADDRESS: STATE SiTRCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN PERMIT City of Eagan Permit Type:Building Permit Number:EA143203 Date Issued:06/07/2017 Permit Category:ePermit Site Address: 4655 Tamie Ave Lot:4 Block: 3 Addition: Manor Lake 3rd PID:10-47277-03-040 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 - Dane Conkins 4655 Tamie Ave Eagan MN 55123 (612) 999-0008 Clw Companies Llc 15204 Wood Duck Tr NW Prior Lake MN 55372 (952) 292-5220 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177071 Date Issued:06/14/2022 Permit Category:ePermit Site Address: 4655 Tamie Ave Lot:4 Block: 3 Addition: Manor Lake 3rd PID:10-47277-03-040 Use: Description: Sub Type:Underground Sprinkler System Work Type:New Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - RPZ/PVB/Lawn Irrigation $59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Scott Thomas Fruetel 4655 Tamie Ave Eagan MN 55123 Drain Pro Plumbing 8815 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature