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3515 Thorwood Ct-39 a3 f HOUSE HEATING TEST RECORD D 1 !ADDRESS •?? Dd' GJOB ?l" /' APT. -FLOOR CITY SUBURB ""t? OCCUPANT - .,...J 1 OWNER HEAT LOSS DATE HTG. INST. SOLD BY Electrical Work By TYPE OF HEAT INSTALLED BY Gas Lino By GA _ FA _HW -STEAM -SPACE HTR. -UNIT HTR.X_OTHER GAS DESIGN MAKE MAKE OF BURNER _ Model L Model Serial Max. BTU Rating INPUT coG MAKE OF FURNACE ONTROLS THERMOSTATY?_L HeglNPlag Valve Limit Limit Setting Fan Setting Pilot Type l EL 7-0 0--\/l b Pilot Make Model Vent Size KIND OF LINER C_fe_75 n SIZE__.Y_N E Draft Hood Regulator Filters Size umber Chimney Location Inside Outside Chimney Construction Pilot Model Smoke Bomb Wiring Pilot Timing Draft Test Tog L.W. Cut Off Door Pressure Lighting Inst. U 63 b? Pressure Percent CO2 Date Tested Input CFM_ Percent O_ pony Testing _) to Stock Temp. Percent CO, ?iit5e of Tester _,( GL ? CONVERSION 6T?? HOUSE HEATING TEST RECORD ADDRESS 37 f05 101'kA291P <21 APT.-FLOOR-CITY AA/SUBURB OCCUPANT 6: OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA _ FA HW _ STEAM -SPACE HTR. -UNIT HTR. -OTHER AS ESIGN CONVERSION MAKE MAKE OF BURNER Model Model Serial Max. BTU Rating INPUT MAKE OF FURNACE Model ' CONTROLS 13 VZ THERMOSTAT . Heat 9Mtg Vent Size Valve C' KIND OF LINER SIZE _ Lb Limit Droh Hood Regulator Limit Setting Filters Size Number Fan Setting' Chimney Location Inside Outside Pilot Type _ Pilot Make Pilot Model _ Pilot Timing Chimney Construction Smoke Bomb Wiring Draft T •t Tag L.W. Cut Off Door Pressure iphfinp Inst. Pressure Percent CO2 Date Tested Input CFH Percent 02 Company Testing Stack Temp. _? Percent CO Nome of Tester 77- H USE HEATING TEST RECORD ADDRESS ) ®R W(?Q r-T -APT. -FLOOR CITY UBURB OCCUPANT G4n/ V/ OWNER HEAT LOSS SOLD BY - DATE HTG. INST INSTALLED BY _ Electrical Work By Gas Line By TYPE OF HEAT GA _ FA HW -STEAM _ SPACE HTR. -UNIT HTR. -OTHER G(t; DESIGN MAKE D?7?- _ MAKE OF BURNER _ Model Model Serial ?d. Max. BTU Rating INPUT MAKE OF FURNACE Modal '? CONTROLS HER O 3 M T STA H Plug Vent Siva Valve iv KIND OF LINER V SIZE HONE Limit Draft Hood R apularor - Limit Setting ?i/ l Filters Site umber Fan Setting JM. fj Chimney Location inside Outside Pilot Type Chimney Construction Pilot Make _ P 11 at Model Smoke Bomb Wiring PlIot'Timing Draft Test Tog L.W. Cut Off Door Pressure Lightlnp Inst. Pressure P t CO T t d D t U ercen Z e es e o Input CFH Percent O D Company Testing T ? om C Stick Am Per t CO e of Taster N (0 TT 04 XL p. cen om CONVERSION Address '2515 THORwoon cT Zip 5512 3 Lot Blk Sub ROYAL Oaks THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: /41A Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) X Permanent driveway Permanent gas x Sod/Seeded grass ?C Trait/curb damage x Porch Basement finish X Deck 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 CSR-?) 3 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. /,2?W ;z, Date 1 / 5 / -OAtT Site Street Address -Ih Unit # ?17? t Z?S I?y81n Property Owner Telephone # ()6) ) k-2&-6r1S ? ?irG cpA 14 *,N(- a Contractor el tls -Au" Telephone # (14GI ?6-21'1? `- Address S? IgL) ?h -A-At, city G-V?c. State_V\ ZipE?YbZ+ The Applicant is: _ Owner contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). -Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement t.?L(XC,6 Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $15.510 I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printed Name App icanfs Signature CIiR? JUL 1 1 2005 ?Xk **k X?*%sk K* K kXc? K* X%?C? **** CONTINUE CITY OF EAGAN CASHIER: JS TERMINAL NO: 026 DATE: 12/2"/99 TIME: i3:21.:56 ID: NAME; SANTANNI HOMES INC. 3716 9220 3515 THORWOOD C 114.00 3713 9220 3515 THORWOOD C 50.00 38F5 9220 351,5 THORWOOD C 825.00 Total Receipt Amount" 67412.85 CRi21694 USER ID: JAN CITY OF EAGAN CASHIER: JS TERMINAL NO: 026 DATE: 12/27/99 TIME: 0:2055 ID: NAME. SANTANNI HOMES INC. 2252 9220 3515 THORWOOD C 30.00 3210 9001 3515 THORWOOD C 27164.15 3866 9379 3515 THORWOOD C 100.00 3422 9001 3515 THORWOOD C 17406.70 2275 9220 3515 THORWOOD C 19039.50 3446 9001 3515 THORWOOD C 10.50 2155 9001 3595 THORWOOD C 0.50 3743 9220 3515 THORWOOD C 50.00 2155 9001 3515 THORWOOD C 154.50 3868 9220 3515 THORWOOD C. 468.00 CR121694 ** CONTINUE USER ID: JAN ** CONTINUE 1999 BUILDING ?C? I?4 New Construction Reaulrements PERMIT APPLICATION (RESIDENTIAL) CITY OP 3830 PILOT KNOB RDN 55122 a 651-681-4675 C Remodel/Repair Reaulremenh > 3 registered site surveys showing sq. ft. of lot, sq. it. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions ? 2 copies of plans (show beam & window sizes: poured Ind. design; etc.) 1 site survey for exterior additions & decks 1 set of energy calculations > 3 copies of tree preservation plan R lot platted after 7/l/93 DATE: CONSTRUCTION COST: !o SD! 00 Cr DESCRIPTION OF WORK: -`5j ?y le ?+! ?y ??uJ Lons7? UC 67 c+ iv STREET ADDRESS: ?.Sl S 77-1-A-lle04? G7r LOT: '7 BLOCK: '? SUBD./P.I.D. #: Name: ?eS/Jalf?A VL .TOd/L° Phone #: rcC$l' jGek (v 775 PROPERTY Last First OWNER Street Address: 3 9'-73 "7 re 7VCA-19e7-- city EIV 6t r? State: ?// - Zip: 5 -/e3 Compan)r Lei r7&nn? t'r1zi?S?c. Phone#: LrPS? (area code) CONTRACTOR Street Address: fl-'(d?q License #,*aSS yk4 Exp. AL <r City 6? Ae'-O-L/ [ C.G! I State: /0/1- Zip: 551 ?2- e, Alm BN6tNEfR Name: g w1 Telephone #: area code (?S/ ) R 72- 4-/ Street Address: A''011 Zi, /.,za,7 Alf --5-- Registration #: AA- City C? ? -dip yP State: 414r Zip: Ss07 C, Sewer & water licensed plumber (required for new construction anlvl: 14 P 51GJf e,161 ¢ A&° 77';T G' ,Penalty applies when address change and lot change is requested once permit is Issued. (o Cl q - Co 0 0 I hereby acknowledge that I have read this application, state that the information is correct, a d agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes Tree Preservation Plan Received Yes No No 0-11M Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) g 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 V- 31 New 13 35 Tenant Impr ? 39 Gas Line Only [3 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demol ition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. /g3 d Census Code /J f (Allowable) jL Main level sq. ft. ?j,.?? SAC Code U UBC Occupancy sq. ft. ft Z_TGU ! n2 No. of Units of Bldgs No Zoning sq. . . # of Stories z_ sq. ft. MC/ES System Length sq. ft. City Water Width l'L Footprint sq. ft. L Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance it F P Valuation: $ d ? erm ee Surcharge 13 X ZS. ?,1 2,5-d Plan Review License Z 3 od 1( S"Y= J Z 700 MC/ES SAC City SAC 23 d4 J( S y' / Z p 0 J z (Gr Water Conn. Water Meter GU2 l`/ - /! > Lr J 7 J? Z 7 Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: G-, 'A 1 -1), -?,S SAC Units % SAC From PHONE No. Nov.22 1999 3:45PM P01 7 EXr?Ri? ?WIIBI.t? aJ? a?? GaMPuTA?gj AW ccrh•?o?R { f .......... -- -?--?-- l ?otq? EXpe phi wow. AltGA_', . 20 RAF ceiu?aq Amu,,... Fh: 7c??; a /ten U , `?atp xpwaec'.w+?u. AROA ARM FLmR : CD Z 0 J "?+ j WAU:.WIwC 1.AO" . boDg ?.aR` w !'• ot?ia NEl' vd' ?1 ???6ti?.pJ?`?ae to`?) e 4• ?t?'3'ols? A • ? ?Al. ??p'?1hIC+AcriGtJ ?R6A ??? ? S'otai. ?cuHo??c?N WirJtiB?i'Ajz?k• Totiac Nr`_I i?tDAi:di A15o?f CARROe xllua ,, R• ', fKi i¢y ? If ---- ? C 01 5 q 7 ,i From : PHONE No. : $. JrurAL T-F MMON IS, 14E 5APit A5, OR l.E45--tµNN -L "!# i r)ra-r lqo INTWNi- o? ?lh& W006(a)2 Nov.22 1999 3:45PM P02 `?c Ex p ft07'?Mlur4s AREA = ?OtAI `akYl.ICr44T AMAq • , L. Tat4? (toot/tE+ia+pJw FRAMiN4 ARE4 Avrx. io l Ic71A? h11tf {NSt?W1TEO f?00r/c.E1LjS6r ARC L. -A Adl IF TOTAL uF wq tS TKE S4t+1e As, OR LEI-& TVAb3 Z You I ve M -r 1144 INTENT OF `7 Boole (?7 { (p 411L?1 j}{ETot'AL ENdEtl ``{STEM ('+'ej.4= TrM VAWec. TAe?wskFD ?( 1ttE sl ir. oK lT rtS 3 o.ND w 4, sF4AU Nor ?Ti ATF{2 ?3MN Tt}iw Sort of i tarts 1 ANa M 2 3. -,'? + 4. , Go lo?'L.O From PHONE No. : Nov.22 1999 3:49PM P01 WAL.J? AA&116N4 -? ?I?w o? ? wau^ WA(.L -; ITiok 5-? 3 ??, aV?u. btt? ?? 4 IV 62" kR?hF ??J?r 0tor rd V=,K"ol< AIR far? I tNi". hIR Film '(2" ?iYP• &t 4po 1LO(t*," iN4ua 9 b NL? fm%f ( x~r ; A tit F-tL M R• d ume .bl 1ovy-R= ic,b?S u. . Vb ,995 19,IP 01. , or, je7rA-L • 7.-.140 µ• ,oq. r z 5 INT, Al 1? FItJh ?/I INW64L. 5I INS ro ENT, A+(t f IL-M ?y R • 1-4, 4'L 14 % , 04- N t! AUt f IL-rj , 4 { 2 ?o e tv Oo (* 64441-. l g ? ?tot+EG.t. &1??v1&R -?- r IN1. AIR flLf-I , . l ar, p R FI I-rn III ti °?(4?' aYP• ?+R?• ,590 'J I uLh•TIG0n1 44,v k kxT- AIR PAM Ivl rba IbT&t. R : 44b L-4. .02 f0cf/ r;stLWcr From : PHONE No. : Nov.22 1999 3:49PM P02 t'.; ?,LOr?, ? ? of KNEE ; '?'i•' JW A I.K Dix-r. M` F-uL L_ l ;FuLt? 2. ti?i?' f lREFLACE6: lWCl IF, m • X90' 'bq. FT: KNEE V?IR?-u ALA K 0141-: 1,17 AN ".A-r f et ?ULL IR'M SR. FT E-X f'obED Cie tL jN6i N_lh woc-U°O,' VA%4L wwr>0WS 0-2&, LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTYLEGAL: LdT 7 t3l' C?X ?»YRL ?i DATE OF SURVEY: lu / LATEST REVISION: (Y o DOCUMENT STANDARDS Y O n O ¢ ,6 ? Registered Land Surveyor signature and company ? Building Permit Applicant ? Legal description 11 Address f ? North arrow and scale a House type (rambler, walkout, split w/o, split entry, lookout, etc.) ? Directional drainage arrows with slope/gradient % ? Proposed/exisling sewer and water services & invert elevation V} ? Street name ? Dnveway i ? ? Lot Square Footage ? ? Lot Coverage ELEVATIONS Existing /? ? Sewer service (or Proposed) e{ ? Property corners rI ? ,? Top of curb at the driveway ? Elevations of any existing adjacent homes ? Adequate footing depth of structures due to adjacent utility trenches ?? o Proposed Garage floor ? ? First floor 4/ ? ? Lowest exposed elevation (walkoutWndow) ?/? ? Property corners ? ? Front and rear of home at the foundation / PONDING AREA (if applicable) ? Itl ? Easement tine ? rtl ? NWL ? ? HWL ? Y, ? Pond # designation ? ?S ? Emergency Overflow Elevation / DIMENSIONS [N ? ? Lot IinestBeanngs & dimensions ? ? Right-of-way and street width (to back of curb) a? ? ? Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i,a. all structures requiring permanent footings) o ? Show all easements of record and any City utilities within those easements ? Setbacks of proposed structure and sideyard setback of adjacent existing structures ? q? ? Retaining wall requirements, if any "Oe Reviewed: March 19% CRAIG/aLDGPRMr.FM 4. 328-3Y CERTIFICATE SANTANNI HOMES INC. SURVEY THORWOOD 897.5 894.2 Er<GA N E?iTG`IIt?EERIlVG DEPT. NOTE. • Denotes Iron Monument Found o Denotes Iron Monument Set Right-of-way width 110.0 (Cul-de-sac) Area of Lot 26,112 Sq. Ft. Area of Building 3,243 Sq. Ft. SCALE: 1" = 30' Survey for: 891.4 Imn '090.5 DESCRIPTION: Lot 7, Block 3, ROYAL OAKS I hereby certify that this survey was prepared by me or under 39y direct supervision, and that I am a registered land surveyor under the laws of the State of 'nne Doted this 3 day November, 1999. Revised: 12/10/99 CARLSON dr CARLSON, INC. LAND SURVEYORS Larry. Couture, Land Surveyor Tole. No. (612) 888-2084 Min sots License No. 9018 Proposed Grades: Top of block 899.7 Garage Floor 899.2 Basement Floor 890.7 NOTE: Circled elevations ore proposed, others are existing. Arrows denote direction of drainage. LAW SURVEYORS CITY USE ONLY L -7 BL ? RECEIPT #: _ 1227/ SUBD. O \ RECEIPTDATE: /-&l-OO PERMIT# 3 9I0ff 2000 PL[UMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT XNOB RD EAGAN, IMT 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 ceru e W? Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ 00 Floor drain 3.00 x 3 = $ 00 Gas piping outlet 'minimum-1 3.00 x = $ 0J Hottub/spa 3.00 x = $ Kitchen sink 3.00 x = $ 00 Laundry tray Lavatory Septic System new/refurbished • requires MPC Ilc. 3.00 3.00 75.00 x x x _ = = $ 3 f)0- $ 2 ?U $ Septic System abandonment 30.00 x = $ RPZ new installationtrepair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ vJ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ of Water heater 3.00 x = $ vv Water softener If dwelling under construction 5.00 x = $ Water softener If existing dwelling 30.00 x = $ Watertumaround 30.00 x $ State Surcharge .50 -> -> -> $ .50 Total -> $ 57& 5-0 Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - ------ --- -- --- --- ------- ---- --- ----- 1hereby acknowledge that I have read this applice5on, state that the information is correct, and agree to 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: I/ BLaR, c / OWNER NAME:: :? e k?2 ri Srfn»,y vier' I{r-a5 TELEPHONE #: 6? T?- ?? 3 Da fD 1--lz "I (AREA CODE) INSTALLER NAME: iZi k,,' cii/r A,27h,'17c, TELEPHONE* &/? -jFj;'C 7f? U STREET ADDRESS: (AREA CODE) CITY: _ a-/ za e- v STATE: IJ'JI2J ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY LOT ? BL _ PERMIT #: _S 1 lD SUBD. RECEIPT #: (t RECEIPT DATE: )- 1 6- 0 0 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN NN 55122 Z I I n f1 Date: 651-681-4675 `V V Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U Oy??, lel?t.V1,OK 30.00 ADDI NAL 50 M B?U 0 {'? UK A0. G--'),U G. 6.00 Oyu A1YU>,. #LK(-&Q9' Ij PfI L, Wit fimal'lOLi2CE ?j0 ?'?ZT A l? • Gas outlets (minimum of one required @ $3.00 ea.) 0-0 W FRVILW 5 State Surcharge .500 W YK, v k,11y?. Total $ L?? "JV Complete this section on if you are remodeling, adding to, or repairing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New - Alteration _ Repair Furnace Air exchanger Reminder: Call for inspections Other Air conditioning Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 SITE ADDRESS: 6?-3 g [11?, pl y /O y \& 000 L p v - OWNERNAME: 2_tS J/ 01,,MI V I tCA CLC l,(.pli PHONE#: (AREA CODE) INSTALLER NAME: WAT avanxe x A01 QONORION= PHONE #: 3280 GORHAM AVE. (AREA CODE) STREET ADDRESS: ST LOUIS PARK MN &FM SALES 9298787 SERVICE 9294011 CITY: STATE: ZIP: SI AT DF P ITTEE 1'500 L BL SUBD. APPROVED BY: INSPECTOR PERMIT* RECEIPT#: RECEIPT DATE: 2000 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1 % = $ (Base Fee) State surcharge calculate at $50 for each $1,000 Base Fee TOTAL SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y _ N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: ZIP: CITY USE ONLY SIGNATURE OF PERMITTEE Gity of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Use BLUE or BLACK Ink For Office Use Permit #: ' Permit Fee: to Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11/20/13 Site Address: 3515 THORWOOD CT Resident Owner Name: MARK & JODIE ZESBAUGH J Unit #: Phone: 612- 290 -5230 Address / City / Zip: 3515 THORWOOD CT Applicant is: Owner X Contractor Description of work: Re-roof Construction Cost: $18,300 Multi - Family Building: (Yes / No X ) Company: Select Evergreen Contact: Jim Address: 1200 Centre Point Curve STE 200 City: Mendota Heights State: MN zip: 55120 Phone: 612 - 290 -5230 License #: BC20547260 Lead Certificate #: 22743 -1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) The renovation will not disrupt 6 square feet or more of painted surface per room for interior activities, or 20 square feet or more of painted surface for exterior activities, and does not involve windows. 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: NOTE: Plans and supporting documents that you submit are considered to be public infor ation..P( the information may be classified as non - public if you pr wide specific reasons that would perrrrit th conclude; ii at the are trade secret CALL BEFORE YOU DIG. Call Gopher State One CaII 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.org 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 Sta days of permit issuance. )(James Wiles Applicants Printed Name completed within 180 an ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA162157 Date Issued:06/30/2020 Permit Category:ePermit Site Address: 3515 Thorwood Ct Lot:7 Block: 3 Addition: Royal Oaks PID:10-64800-03-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark Zesbaugh 3515 Thorwood Ct Eagan MN 55123 (612) 963-1509 Krinkie Heating & A/c 87 E County Rd. B St. Paul MN 55117 (732) 651-4885 X555 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA162157 Date Issued:06/30/2020 Permit Category:ePermit Site Address: 3515 Thorwood Ct Lot:7 Block: 3 Addition: Royal Oaks PID:10-64800-03-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark Zesbaugh 3515 Thorwood Ct Eagan MN 55123 (612) 963-1509 Krinkie Heating & A/c 87 E County Rd. B St. Paul MN 55117 (732) 651-4885 X555 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169034 Date Issued:05/12/2021 Permit Category:ePermit Site Address: 3515 Thorwood Ct Lot:7 Block: 3 Addition: Royal Oaks PID:10-64800-03-070 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Mark & Jodie Zesbaugh 3515 Thorwood Ct Eagan MN 55123 Evergreen Construction Company Inc 1200 Centre Pointe Curve, #175 St Paul MN 55120 (651) 209-3130 Applicant/Permitee: Signature Issued By: Signature