Loading...
1512 Thomas LaneINSPECTION RECORD ?CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 It'll I if 1 0tr 01411.' SITE ADDRESS: ' N 11A PERMIT SUBTYPE: APPLICANT: 41 t, i (1I r?lur ., TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR, IAN Rf V t WE U t1Y t. kA I R PADVi F L J + Permit Holder Date Telephone # - - - SEWER! WATER --- - - --- PLUMBING HVAC Inspection FOOTINGS _ 7 /9 y'9 r _ I9 _l Date Insp. Comments Q?G w. FOUND mo e-2 / FRAMING ROOFING ROUGH PLUMBING -? PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE p FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Werfif icate of Cccupanc? Mtn Dt Wagan McYpartntent of ZxUbing 3napecdon This Certificate issued pursuant to the requirements of the Uniform Building Code `certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: use Classification: R F D W C Bldg. Permit No. 34 1 12 0-pancy Type R3 Zoning District RI Type Consl. VN o.w of %ilding TIDNI ZEN TG TiT7 q Addess Building Address 1512 J.S LANE LJonlity _1A },_FJNE1M PAS$1[?ID / Daze: Building Official POST IN A CONSPICUOUS PLACE CITY O EAGAN CASHIER: S TERMINAL NO; 791 DATE. 12/0J/98 TTMT: 0:0037 ID- NAME: LUNDGREN BROS CONST CO 2256 9001 Q Q THOMAS LAN 4.520.21. Total Receipt Amount: 47320.21 W00223 USER ID: NANCY Address 1512 1HCMAS LANE Zip 5512 2 Lot 4 Blk 4 Sub PTNURF'F' PASS 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: P1,1-14V99 Yes No Inspector: G1/ Final gra a (6" om siding) Permanent steps (garage) t/ Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck I/ Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (6511681-4675 PERMIT PERMIT TYPE: BUILDING Permit Number: 0 3 4 11. 2 Date Issued: 12/01198 SITE ADDRESS: 1512 THOMAS LANE LOT: A BLOCK: 'A PINETREE PASS 2ND P.I.N.: 10-57661-040-04 DESCRIPTION: Bl.l lding kermit Tvpe S[?ildinq Work-Type 4BC Occupancy /Construction Typ;#, Zon i.nq -?•? / Building Lenqth Buildina Width Buildin4 stories `S-e r°cy Code - SF DW6 NEW R-3 VN R-1 64 57 2 101 1 - FAM. DETACH t REMARKS: PLAN REVIEWED BY CRAIG NOVCZYK. S & W PLUMBER IS ELANDER PHONE #445-4692. FEE SUMMARY: VALUATION Base Fee` Plan Review Surcharge SAC SAC % SAC Units Subtotal $1,352_.25 $878.96 $96.50 $1.000.00 100 $3,327.71 $193.000 MISC. FEES TotaL Fee $.1,592.50 $4.920.21 CONTRACTOR: - Applicant - Sr. LIC. OWNER: LUNDGREN BROS CONST 14731231 0001413 LUNDGREN BROS. 135 E WAYZATA BLVD 935 WAYZATA BLVD E WAYZATA PIN 55391 WAYZATA NN 55391 4612) 473-1231 (612)473-1231 I hereby acknowledge that I have read this application and state that the intormation is correct and aqree to comply with all applicable State of Mn, Statutes and Citv of Eagan Ordinances. I APPLICANTMERMITEE SIGNATURE ISSUED BY: SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ` 3830 Pn.OT KNOB RD - 65122 q 9 l 1 681.4675 y . a New Constru ion Requirements Remodel/Repair Requirements Ct d ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured intl. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservatignpIon If lot platted after 7/1/93 required: _ Yes _ No DATE: z / ,2 /9 CONSTRUCTION COST; DESCRIPTION OF WORK: STREET ADDRESS: X5_1 LOT: __// BLOCK: // SUBD./P.I.D. #: Name: Phone #: PROPERTY Last First OWNER Street City Company: 4eos - Phone #: CONTRACTOR Street Address: L/ License # Zip: City l,11 /?51.9 /Tz9 State: 222 A,/ ?_/&49,kj (_7y 0_,1k113f L - c2 y,F -?5(ng ? ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): A2- . Penalty applies when address chang and lot change is requested once permit is issued. La .?_ I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. D n?! Signature of Applican?/1 0 Z Q ?l /i D/l?(? O l? OFFICE USE ONLY Certificates of Survey Received ?Yes No NOV 2 31998 State: Zip: 1717&- /1) / S/?? Tree Preservation Plan Received Yes No ? Not S OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ° .02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _ plex ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous WORK TYPE 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFOR MATION Const. (Actual) l-? Basement sq. ft. /Sf MC/WS System (Allowable) Main level sq. ft. S City Water UBC Occupancy `2 'LV, sq. ft. i Fire Sprinklered Zoning OA FG , sq. ft. fo *f 1 PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. o / Depth Y'1 Footprint sq. ft. SAC Code 01 Census Bldg Census Unit APPROVALS _ Planning Building VILLO Engineering Variance Permit Fee Valuation: $ M, 27- Surcharge ti O `t (1 Plan Review $Z FC - 9 License MC/WS SAC l?l Z K /S 22 78? °= City SAC W f f 9 k 4t-4 = w 82 d2G ?" ater Conn. Water Meter Acct. Deposit G9 /X It. ? / /, S/W Permit S/W Surcharge Treatment PI. w, i 5 C Park Ded. Trails Ded. Other o5 a.. Copies Total: 11 q D"n , a I % SAC SAC Units 1 'y?.,y,?' P?.-R(?ryg L?e7?' 11F?'^ N 05 EXTERIOR ENVELOPE AVERAGE U COMPUTATION WOODSBORO PLAN CONSTRUCTION INC. Site Address Lot?/Block// 2 R & U Factors 035 C. Wayrala Blvd. Opaque Walls kyrda Wall Framing Areas Mim sola55:391 Ceiling Insluation Area (612)473 1231 Cei 1 i ng Frami ng Area Rim Joist Masonry Wall Windows Doors Skylights 1) Lower Level (Basement) Total Exposed Wall Area Opaque Wall Area Wood Frame Area Rim Joist Exposed Block Window Area Sliding Glass Door Door Area R U .043 .09 .023 .027 .04 .469 .35 .31 .55 416? 1 X (U) .043 = 4 14 X (U) .09 = r X (U) .04 = 6 X (U) .132 = ?3 3/ X (U) .35 X (U) .35 = 141 "?. X ( U ) .31 = r? Total J-? G % 3 1 UIDGREn DR05. 2) First Or Main Floor CONSiRUCUON INC Total Exposed Wall.Area . Opaque Wall Area Wood Frame Area Rim Joist Window Area 9351. Wayzala Blvd. Wlyzala Sliding Glass Door Minnesota 55391 Door Area (612)473-1231 X (U) .043 Ia? X (U) .09 L? X (U) .04 = 7Slo X (U) .35 / =(p Y ? X (U) .35 = f i 3 G+ X ( U ) .31 y Total 1CPL 3) Second Floor If Two Story Total Exposed Wall Area Opaque Wall Area Wood Frame Area Window Area Sliding Glass Door Door Area 4) Total Ceiling Area Wood Frame Area Opaque Ceiling Area Skvliaht hk-? 13G,2--( (U) .043 = /S? X ( U ) .09 = 1A 7 X ( U ) .35 = X (U) .35 = X (U) .31 = Total //(,G v 1-71.'? !?X (U) .021 /3yLfX ( U ) .023 = ?(/. Lunm(n 0P.05. CONSTRUC110N INC. MINNESOTA U FACTORS Total Exposed Wall Area ?7f /R .11 MINNESOTA U FACTORS Total Exposed Ceiling Area A/I ?l( .026 = 30 , ?? (A) Total = Y? DI 935 L Wayzata Blvd. waytala Item 1 Item 2 + Item 3 ",Lj Item 4 ?Y 9 31t??i Minncsola 55391 (612)473-1231 If Total Of Items 1-4 Is Less Than Item (A), Building Complies With SBC 6006 (C)s + LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION `PROPERTY LEGAL: - w DATE OF SURVEY: Z?Xl a'y 9 w = ? LATEST REVISION: DOCUMENT STANDARDS a W-'0 ? Registered Land Surveyor signature and company [Y g ? Building Permit Applicant ?? ? Legal description W--? ? • Address Dq 11 • North arrow and scale Cd/ ? ? House type (rambler, walkout, split w/o, split entry, lookout, etc.) ? al ? ? • Directional drainage arrows with slope/gradient % ra? ? Proposed/existing sewer and water services & invert elevation ? • Street name r9? ? ? Driveway ELEVATIONS Existina ? Sewer service (or Proposed) / ff ? ? • Property corners ? Top of curb at the driveway Lam ? ? Elevations of any existing adjacent homes Proposed CY ?Ct ? • Garage floor p/p ? First floor p/? ? • Lowest exposed elevation (walkout/window) [a' ? ? • Property corners Q-"'?13 ? • Front and rear of home at the foundation PONDING AREA (if applicable) / ? a ? Easement line ? I [] • NWL ? X13 / • HWL si nation d # d P ? e ? g on e ? p?? Emergency Overflow Elevation DIMENSIONS & dimensions i li /B e ? ? • ear ngs Lot nes g? ? ? Right-of-way and street width (to back of curb) Q" ? ? Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. f.e. all structures requiring permanent footings) D"o ? • Show all easements of record and any City utilities within those easements ??? ? Setbacks of proposed structure and sideyard setback of adjacent existing structures ? !? Retaining wall requirements, if any / Z Reviewed: t a e January 19N CRAIG199018LOGPRW FM (921.( 921.2 Z x w 920.6 0 Q ? vii w°- -?>? ? o r2 923.0 0 91,2. 1 'S°0? 0 ?9? 923.3 ; J 922.4 / SQ> x y , XL 92X.3 ? 922.6 10 N a? N 0 X 3s1o.a a I ? I d- R, .230 08 • \09 I_ 30 GgRgG£ ts24 S) 922. 67" ox 5 ?_ X916 2 X? Aj• x911.4 rr ?6,, U) F SURVEY LINE a 9 _,- ? BENCHMARK ELEV = 916.11 C? ?A:)* ti - 910 6 R7 ? O¢P F'P ^ \ r / ? s POND BL-6 V NWL 898.0 HWL 905.7 r 7 /0 / S67 39 39 8s3?F 0 O ?D V O 7\0 17 0 30 15 0 15 30 SCALE IN FEET RING DEPM ® DENOTES PROPOSED DRIVEWAYS QS DENOTES SANITARY MANHOLE DENOTES HYDRANT 0 DENOTES CATCH BASIN S DENOTES SANITARY SEWER W DENOTES WATERMAIN ST DENOTES STORM SEWER Proposed Top of Foundation Elevation=925.5 Proposed Garage Floor Elevation- 924.5 Proposed Lowest Floor Elevation= 917.5 Lowest Al lowable Floor Elevation- 907.7 0 Denotes Iron Monument + 910.0 Denotes Existing Elevation +(910.0) Denotes Proposed Elevation Denotes Direction of Surface 19 Drainage Denotes Sewer & Water Service Elevation 1 hereby certify that this Is a true and correct representation of a survey of the boundaries of: LOT 4, BLOCK 4, PINETREE PASS 2ND ADDITION DAKOTA COUNTY, MINNESOTA And the location of all buildings. H any, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this 16th day of Noverq¢er, 1998. Gary R. GerMond Licensed Land Surveyor, Minn. Lic. No. 24764 PR?0' vs?? ? HOVS£ GMq fo S (qH f qP 4Se ?¢o O z =zz 8Z ul a ? CO V W A z ?a?°a W 0-4 V BAWN CHECKED G.R.G. DATE 11-16-98 1M.- 3402-407 Xck?i?XtXCXc?KX?XcXCkcXcNtXtXCXC?kX:X<*%cX?Xtkc:kXtXc?XcXCN?x?X? ?X?KWX?%?X< CITY OF EAGAN CASHIEl : JS TERMINAL N0: 7P9 DATE: 08/06/99 TIME: 10e.48:2i III: NAME" HABITATS MINNESOTA INC. 3210 9001 M2 THOMAS LAN 60.00 205 9001 w2 THOMAS LAN 0.50 t h Total Receipt Amount: 60.50 CR W942 USER ID: JAN X<?F%?X<X<?Fk?X<?h?Xc:?XC?kk??X<???X%XXtX<?%X<>kX?>KXtyF?XXc?X%cXcXtX?r?%c 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 U ( j. I 651-681.4675 n p n C? New Construction Requirements Remodel/Reoafr Requirements D 3 registered site surveys showing sq. It. of lot, sq. ft. of house copl 'af plan and go roofed areas (20% maximum lot coverage allowed) s or energy calculations for heated additions ? 2 copies of plans (show beam 8 window sizes; poured Ind. design; etM su y for a edor additions 3 decks D 1 set of energy calculations ? 3 copies of her, preservotipn plan R lot platted after 7/1/93 DATE: 1_-- "1 )- EONSTRUCTION COST: DESCRIPTION OF WORK: - STREET ADDRESS: I Z 7-ff(sm e, L- LOT. ?I BLOCK: SUBD./P.I.D.#: as Name: V a _at c +/I 1JKM? f Phone #: PROPERTY Last First OWNER S4Sheet Address: / City State: Zip: 17,/r ZZ? Company:! 1?`'`E T C Phone #: LIP 1(2L 71 (area code) CONTRACTOR Street Address: 1'2,6-'70 ? 6 License # 51 Exp.a ''rnne``ss: city State: (^ Zip: hzi^30 ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Sheet Address: Registration #: City State. Zip: Sewer IL water licensed plumber (required for new construction only : Penrrlty applies when address change and lot change Is requested once permit is issued. I hereby acknowledge that I have read this application, state that the Informs n conect, and agree to comply with all applicabl Stara of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY D? LD H v Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required {II r OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex :( 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New r ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Sidi ng/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Win dows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof Give PCA hando ut to applicant for demol ition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft . Census Code (Allowable) Main level sq. ft . SAC Code UBC Occupancy sq. ft. No. of Units D Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC ABBOTT, ROBINSON & ASSOCIATES, INC. CIVIL ENGINEERING AND BUILDING CODE CONSULTANTS TWIN CITIES 5389 RIVER WOOD DRIVE SAVAGE, MINNESOTA 55378 (612) 940.2574 SOUTHERN MINNESOTA 1321 OXFORD STREET WORTHINGTON, MINNESOTA 56187 (507) 376.6266 March 30, 1997 Bill Mensch Archadeck of the Twin Cities 12030 Mayflower Circle Minnetonka, MN 553052829 RE: Allowable joist cantilever length Dear Bill: You had requested that we provide a structural analysis of the stresses associated with cantilevering deck joists three feet. Our analysis was based on the 1994 Uniform Building Code which had adopted the 1991 National Design Specifications (NDS). The allowable design values for both 2X8 and 2X10, #2 southern yellow pine joists were used in determining allowable stresses. Calculations assume a dead load of 10 pounds per square foot, and a live load of 60 pounds per square foot. A three foot cantilever using 2X8 floor joists at 16" o/c or 2x10 floor joists at 24' o/c are well within the allowable bending and shear stresses of the Building Code. In both cases, the deflections are well within the allowable deflection of U240. We recommend the acceptance of cantilevers up to and including three feet for the species of wood listed above. Sin ly ?JL ? Gene J. Vbta/tt/ , PE `???`GEpIE J. AQeOp. REGISTERED i PROFESSIONAL ENGINEER 22106 1 hereby certify that this plan, specification, or mpcrt was prepared by me pr under my d'r!?ct savrvisiun and that I am a duly a-is?ere;d rofessional Engineer under No. ,P?lob ZAA ABBOTT, ROBINSON & ASSOCIATES, INC. CIVIL ENGINEERING AND BUILDING CODE CONSULTANTS TWIN CITIES 5369 RIVER WOOD DRIVE SAVAGE, MINNESOTA 55378 (612) 940-2574 SOUTHERN MINNESOTA 1321 OXFORD STREET WORTHINGTON, MINNESOTA 56187 (507) 376.6266 March 30, 1997 Bill Mensch Archadeck of the Twin Cities 12030 Mayflower Circle Minnetonka, MN 55305-2829 RE: Allowable beam cantilever length Dear Bill: You had requested that we provide a structural analysis of the stresses associated with cantilevering a double 2X10 beam two feet beyond the post. Our analysis was based on the 1994 Uniform Building Code which had adopted the 1991 National Design Specifications (NDS). The allowable design values for 2X10, #2 southern yellow pine joists were used in determining allowable stresses. Calculations assumed a dead load of 10 pounds per square foot, and a live load of 60 pounds per square foot. Our analysis was based on a beam that supported joists with an overall total length of 14 feet. The two foot cantilever of a double 2x10 built-up beam was well within the allowable bending and shear stresses of the Building Code. Ukewlse, the deflection was well within the allowable deflection of U240. We recommend the acceptance of cantilevers up to and including two feet for the species of wood listed above. Sincerely, Gene J. tt, PE REGISTERED PROFESSIONAL ENGINEER 22106 I hereby certify that ti or report was prepare( direct supervision and Ian, specification, me or under my I I am a duty gineer under 7 - Registration No. Z?J*_ 0 ?O f ?2 _ o ?2 9X30`?? 9 ? I 1 'S p0? (9 9 2 3.3 1 %. O 922.4 / O> x ' 92X.3 X 922.6 ry33 ? 9 7 61 920.6 / (921.( 921.2 W J i 0 if O } U W U W CIO Lc.( 1 915. 3 x N °? c 910 8 x . ? I R ,23°08 922.3 c I n pR°P ('.9 9, sx 1572 Sep Hose 2¢ `S? 29 12 . 11,04ys ?. 19 x \ ?Hf Q 916.0 10SN U`O 922.3X Nryh 91 .5 ?? X9165 Aa T x916 ?' ?A . 9 0.4 ??O . Ii 3r L ??" x911.4 3r cp / ? SURVEY LINE \ S Mh ,? A 923 (924.0) 924.4 x % 93.7 ?• X 924.5 h?O ham. 0 BENCHMARK ELEV = 918.11 A rv 4 J A° P\?PCjP ??1F?? 910.6 0 co ' pe F ? ry r CITY USE ONLY /03053 L BL J RECEIPT #: " /9 99 SUBD.? RECEIPT DATE: 1999 PLUMBING PERMIT (RESIDENTIAL) CITY of EAfiA N 3830 PILOT KNOB RD EAGM, MN 55122 (651) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system ------------------------------------------------------------- FIXTURES ----------- EACH -------- ---------------- # --- TOTAL Shower 3.00 x 2 = ?9 0? Water Closet 3.00 x 4/ _ / L Bath Tub 3.00 x 2- boo Lavatory 3.00 x = igo° Kitchen Sink 3.00 x / = 3 D° Laundry Tray 3.00 x _3 Hot Tub/Spa 3.00 x = Water Heater 3.00 x _ 16 Floor Drain 3.00 x -3-? Gas Piping Outlet ' minimum - 1 3.00 x = 2- Rough Openings 1.50 x -3_ _ Water Softener " for dwellings under construction 5.00 x = Water Softener " for existing dwelling 30.00 x = U.G. Sprinkler for dwelling under oonst. 3.00 = U.G. Sprinkler " for existing dwelling 30.00 = Alterations to existing residence 30.00 = Water Turn Around 30.00 = Private Disposal System ' MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems Abandonment 30.00 = RPZ (new installation/repair) 30.00 = STATE SURCHARGE -50 Reminder. Call 681-4675 for inspections of water heaters, water softeners, alterations, etc. p4? S TOTAL Ihereby acknowledge that i have read this application, state }that the information is cortect, and agree io comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: ° 11-7 -1 S OWNER NAME: 5 INSTALLER NAME: ,mil 4 ? ,ALL TELEPHONE#: STREET ADDRESS: CITY: ??ALLDP?? STATE: ??? ZIP: 5 ?7 SIGNATURE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 CITY USE ONLY LOT N BI.- SUBD.?? RECEIPT #: 3 l?a5 RECEIPT DATE: ?p 1g f/7/ 1999 MECHMICAL PERMIT (fiIrSIDENTTAL) CITY of EAaAN 3830 PILOT KNOB RD EMAN MN 5512E (651) 681-4675 Date: L ? ? Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 3 :00 ADDITIONAL 50 M BTU Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. New - Replacement Furnace Air exchanger, i.e. Vanee system, etc. Reminder: Call 681-4675 for inspections. Repair _ Other Air conditioning Other $ 30.00 State Surcharge: .50 Total:. $30.50 SITE ADDRESS: 7 / o Syr S OWNER NAME: L K a,:S; PHONE #: INSTALLER NAME: ?p(R •/CYZ// /?C?u c C L PHONE #: 7y 7??d - STREET ADDRESS: ?G l C c Kq f r? e? //y ?/ CITY: SG /g?o,o?i STATE: ZIP: J S SIGNATURE OF PERMITTEE JSIFORMS BLDNEC11 PERMIT (RES) - 1999 L BL SUED. APPROVED BY: INSPECTOR RECEIPT #: _ RECEIPT DATE: 1999 MECHANICAL PERMIT (COMMERCIAL) CITY OF EA6AN 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATE SURCHARGE TOTAL ---------------------------------- SITE ADDRESS: ($.50 per $1,000 of 22mg fee due on all peaniu.) OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE #: PHONE #: CITY: STATE: ZIP: CITY USE ONLY SIGNATURE OF PERMITTEE City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1512 Thomas Lane Lot: 4 Block: 4 Addition: Pinetree Pass 2nd PID:10- 57661- 040 -04 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: Rybak Brothers Construction 2206 East 117th Street Burnsville MN 55337 (952) 405 -8871 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: Leonard Vaynerman 1512 Thomas Lane Eagan MN 55122 $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA083572 06/16/2008 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 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1512 Thomas Lane Lot: 4 Block: 4 Addition: Pinetree Pass 2nd PID:10- 57661- 040 -04 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Rybak Brothers Construction 2206 East 117th Street Burnsville MN 55337 (952) 405 -8871 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: When installing ventilated soffit material, remove existing soffit mate take steps to ensure maximum ventilation into attic space. Owner: Leonard Vaynerman 1512 Thomas Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: al (i.e. debris that could block vent openings) and $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA086738 10/09/2008 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170389 Date Issued:06/30/2021 Permit Category:ePermit Site Address: 1512 Thomas Lane Lot:4 Block: 4 Addition: Pinetree Pass 2nd PID:10-57661-04-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Leonard & Julia Vaynerman 1512 Thomas Ln Eagan MN 55122--279 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature