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586 Todd AveDate: City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: ! /5 Permit Fee: q (15 50c Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION J Site Address: S6 Jodi A` a'ke4cloin�,%�9f+ Resident/ Owner Type of Work Contractor Name: / Address / City / Zip: :5-e‘ real 4i Applicant is: Owner )( Contractor Unit #: Phone: 45.2-S17- i/03 Description of work: (� .4e 3 ,4 ! l d, Construction Cost: //2 j l Multi -Family Building: (Yes k / No _) Company: ,4 5i uL., 44; / 4.1 Contact: t 1�(cr /1&2c `/k'' 104 City: /i r.•( 4-41/e Address: State: /OP) Zip: 5: 1-,3 c Phone: 5�/ " gZa/`"'/2 27 `t License #: GC CO Lead Certificate #: YI/4 e1.A 7 1* iJl� 'ct 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: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: 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. 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 b a building ermit issued in accordance with the Minnesota State Buil .+ g Cod mu be completed within 180 days of permit issuanc Applicant s Printed Na e Applicant's Signature Page 1 of 3 53 Todd teW DO NOT WRITE BELOW THIS UNE SUB TYPES Foundation Single Family Multi 01 of Plex _ Accessory Building Fireplace At Garage Deck Lower Level _ Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool WORK TYPES _ New _ Interior Improvement 41 Addition_ Move Building Alteration T Fire Repair _ Replace — Repair _ Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ✓ ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: le Ice & Water Final Framing Fireplace: Rough In _Air Test Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies _ Siding Reroof Windows Egress Window _ Storm Damage _ Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy 226-1 Code Edition .Vv7 Zoning ie- / Stories Square Feet 3E2 Length let Width fG Final /7X'- #@ 21# TOTAL MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC — Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests _Final Siding: !Stucco Lath _Stone Lath _Brick Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector 35# t yon lyA�4/1 Page 2 of 3 O i O ma xr tl1Z 4Z7 5788 .C. HOIUM AND ASSOCIATES, INC. R 0. BOX 33026- COON RAPIDS. MINN. 66433 10731 MISSISSIPPI BLVD. S.W., COON RAPIDS, MW 1' INC.0 Denotes existing CERTIFICATE OF SURVEY! S. N. WOLD CONSTRUCTION y .j..•N 4146 BY: Lirr$ ATE:_ P U s" D! N 94 1(. LAND SURVEYORS . Telephone 421.-7822 Denotes iron Denotes Lath 05 elevation 7134-267/9,10 Denotes proposed 14. 'evation Ti Lth pi0 0,1 931.4 40.,$ "%IWO. SAA f RA904 y 9� g0 , E: 1• • 30 ei �rV•lifiQUIRE LP- �t.2 +JWL 930.0 H Cf32•O 47.., Lot 9r Block 1, ) l �` ,'14•0 LAKEVIEW TRAIL AD ITION, 0,2. Dakota County, MN P 8„ hs/ 'ter RAGA 440 rr�` l� rJ ENGINE�n Prop. garage 'Alum 942.5 Prop. top of %lock 942.3 Prop. Lowe level sit 1 H!UR r CERTIPY THAT rtits IS A TRU! A11D CORRECT REPRESENTATION OF SURVEY OR T , BOUNDRklli�' OP THE ABOVE DESCRIBED LAND. AND THE SONEEMINIEMINIMMINIIMIIMIERIMIEMIND• staking of a proposed build ng. AS SURVEYED ■T Mt THIS.92 23rd Y OP •......NvvombQr...............N.w.D. h... K.C. HOIUM AND AS .. MMwutn R.g1uNHH411 Ns. 1r 9 f.. .Ne N...N.M....N.•►.N. se memo ••••••••••••••..M..NNNN. 612 427 8768 12-01-92 04 : OOPM P002 1140 To approve a Variance of approximately 17' to the minimum required 50' structure setback from a public right-of-way to allow a garage addition for property located at 586 Todd Avenue, legally described as Lot 9, Block 1, Lakeview Trail Addition. e 1 ED If approved, the following conditions should apply: DEC 19 2013 1. If within one year after approval, the variance shall not have been completed or utilized, it shall become null and void unless a petition for extension has been granted by the council. Such extension shall be requested in writing at least 30 days before expiration and shall state facts showing a good faith attempt to complete or utilize the use permitted in the variance. 2. A Building Permit is required prior to commencing construction of the garage addition. 3. The addition shall be constructed of materials and architecture to match the principal structure. 4. The shed shall be relocated onto the property and in a location that complies with City Code standards prior to issuance of the Building Permit for the garage addition. Depending on the size of the shed, either a Zoning Permit or Building Permit shall be obtained prior to moving the shed. g Tod A 0 3c5xq PA0 9X e n60 ,��% ►� y j dx a2 tva 3)- 'S iKs� 51i�E lo2?‹8x 9/h,gi, �+v�l I�r��wiN, rte 3'43fn 0-c66L.0 n4e-4. 4 x I(ottG 6 INSPECTI~N REC~RD CITY OF EAGAN PERMIT TYPE: ~ ~ ~ ~ ~ ~ ? ~ ~ ~ ~ 3830 Pilot Knob Road Permit Number: i: Eagan, Minnesota 55122-1897 Date Issued: ~,~~'l±~r (612) 681-4675 SITE ADDRESS: ~ + ' ' " " " ~ APPLICANT• i E, ~ ~ ~z i~~~ F ~ ' . ,~~~1? /?u~ ~ „ i s :,t~ ,s~~ t~<<~~ i • , ~ PERMIT SUB.TYPE: TYPE OF WORK: . ; : , , . , , ~ ~ ' - ~ ~ ~ Psrmft No. PNmR Hold~r Wta TN~phoM t ELECTRIC PLUMBINCi HVAC msp.et~on D~a Insp. comm.nts FOOTINGS ~ FWND ~ FFlAMIWCi ROOF7NG ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUI CiYP 80ARD I FlREPLACE I~ FlHEPLACE I AIR TEST I FINAL PLBG I FINAL HTG I ORSAT I TEST BLDG FlNAL I I BSMT R.I. BSFAT FlfV/1L I I DEi~( FTO I DECK FlNAL Z ~ ~ I I I I _ ~ - INSPECTIUN RECaRD ( ~ CITY OF EAGAN PERMIT TYPE: i t~~ t~+~ 3830 Pilot Knob Road Peim~ft Number: e~ F~' Eegan. Minnesota 55123 Date lssued: ~~~~"f (612) 681-~1675 StTE ADDRESS: i~~ r ~ k. y APPLICANT: ~ i~t, f CtI)D AwE' t.1c~t C~ c n}i~: i I Mr 4t I.A?.f VI!'u 7HAtt ft~l~?1 i~,~13 . PERMIT $~i~Z'YPE: TYPE OF WORK: ' f jr~ t+rw ~ r Ilel i l Wr~ ~NAM! i~U ili~/![ AT [tIN f IMtAC F iRf P1 AC~ l Z RI'MAHi'~, Rt"l:F 11' i N 1•iti! ~y 1-1 GOMfHl4l.'7U!! I 1 - . ~ ' _ t Pw~Mt M0. ltilmlt FbidR GN~ Ai~photM f ~NY PLUA~Rr(i + ' ~ ' _ 4 ~~wr'• ~ ww~w ~ Foo~qr ~ ~`l/ 9r /~J2 ~ ~ t.~i ~~earwn ~ /i / - ~d GI.P' / Fruti,g ~ ~ RooR~~Q i~isv~.[L Ro~¢i F#G• ~ Isul. f1f3/ f I p?~~ 1'UiM ~p. - ' ' t.. , OrMt Tirl ir t ~ Flnd PbQ. J~ ~S • ' CaMt l~A~Yr ~ _ f I ~ ~R~ ' ~ Bldp. F~nel I~ Get+k R4 I ~ D~ck Rf~l ' I' ~ Naq Pr. GUp. ~ C ~ _ . . . : S+raw.~. -r--~-rr~ e ti„t_-+~ fr ~ ~ . . ~ t ~ (~,`~t~cate ~ccu~anc~ , ~1 'v~ ~agnn ~ . ; > Tieis Certifecate issued p+~rs~aet to the r~equirentenls of the Uniform BurWirtg Cade certefyi~eg tliat ~ th~ 1im~e of ixvrance this structure was in compliance with tlie ?~arious orrtinances of t/re Ciry nguJating buiJding construction or use. For the following: 1876 ' SF DWG u~ ct~rwoo~ s~ag. r~ nto. VI~I W~~ ~S1I~lC~QV Z~6676 VAI ~EY DR, AI~OVPR I B~ ~ ' ' ~II. I ~ 01/27/93 I ara ~~6 O~cial " POST W A CONSPICUOU.S PLACE , Address s86 ro~n nvIIatJe Zip 5512 3 L,ot • 9 Blk ~ Sub ~w ntAII. THESE [TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 01/27/93 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) ? Permanent steps (main entry) Permanent driveway ~ Permanen[ gas Sod/Seeded grass TraiUwrb damage ? Porch j~ Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and ihe shuboff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contracror Copy ~ ~S 6~424 ~ /QyO~a i ~ - ~.R /'l ~~~~J.~K. ~ Request ~ale Fre No Rough-in Inspac~ion 2_~ ~ ~ Reqwred~ G Reatly Now~Jill NMily Inspector 2 es G No When Reatly~ I i licensed contractor O owner hereby request inspection of above electrical work at: Job Atldress ~SlreaL Bo~ or Route No ~ Ciry ` D Senion No Towrehip Name or No Range No Counry OccupantlPRINTI P~one N Power Supph¢r O AO ress 1 4?~Ko`t~- t - Z Elxlnwi Conlra~~or ~Company Name) l o Contracror's License No ~ I~l ~f Mailinqg Atltlress ~Conlraclor or Owner Making Installation) I 9 b ~ l 1..~/£I~O ~ AmM1Or¢etl S^ature 1 nttacl Installat~on) P~one Number MINNESOTq STATE BOARD OF EIECTPICITY THIS INSPECTION PEOUEST W4L NOT Gdgge-Mitlway BIOg - Room S113 BE ACCEPTED BV THE STATE BOARD 18Y1 Univerafly Ave., St Paul. MN 5510< UNLESS PFOPEF INSPECTION FEE IS P~one~61Y~6C2-0B00 ENCLOSEO ~~/~p RE~OR ELECTRICAL INSPECTION y~,~=ti~~ EB00001-OB p? See•I~sVUCLOns lo~ romdelirg Nis IOrtn on bacM ol yellow copy /O 9O~ ~ ~ ~"X" Below Work Covered by This Aequest ewAUd Rep• TypeoBUilaing AppliancesWired EqwpmeniWired Home Ranqe Temporaiy Service Duplex Water Heater Eleciric Heahng Apt. Building Dryer Other (Speciy) Comm./Indusinal Furnace Farm Air Condi~i0ner Olher~sVecilyl ConVactor5 Remarks: Compute Inspecfion Fee Below. R Other Fee # Service Entrance Size Fee # Circuits~Feetlers Pee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs insoector5 Usa Only. TOTAL ~ tr~igation Booms ~.l~y'~ - Speciallnspection Alarm/Communica~ion THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT O~her Fee COMPLETED WITHIN 18 M T S. I, the Electrical Inspectoc hereby Rough-~n oe~e bg. certify ihat the above inspectwn has F„~i Oa~e p been made U OFFICE USE ~NLY Tnis requesl voitl 1B montns Irom PERMIT c~~0~~1 ~T C~"TY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u i ~ o z N ~ Eagan, Minnesota 55122-1897 Permit Number: m 2 5 5 7 3 (612) 681-4675 Date Issued: 0 5/ 12 J 9 5 SITE ADDRESS: 586 TODD AVE LOT: 9 BLOCK: 1 LAKEVIEW TRFlIL P.I.N.: 10-44330-090-01 DESCRIPTION: Building Permit Type DECK Building Work Type NEW REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWIdER: - Applicant - SABLAK STEVEN 586 TODD AVE EAGAN MN 55123 (612)681-1822 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 Mn. L Statutes and City of Eagan Ordinances. J --C\; _ APPLICANT/PEF~ ATURE IS~ED SI C7~-1 a~~M,~! , 812 d27 8788 , PQ= ,~J A ~ , , o~~°•'o~f ~ .Y. ~O'~~ .~IIN ~1~~10~'~ 1 I~Y. ~N7.Ip oneYORS r~ P, 0.60X 33426-COON RAPiD8 MINN. 60433 ~21-7822 10731 11ISSIBSIPPi HLVD. m W., COON RAPIDB, !~i ~ 'y Deadtes iron CERTIFIG~TE OF SURVEYn ~ Denotes Lath j 8. ii. 140LD CONSTRUCTION IN~. ~y~b Denotea eRisti~q OD T~Q elevntion ~ 7136-267/9,10 ~6 9 o ` -'9~i sss ~enotes / ` ~ `propoeed ~aj~ evation ~ _`0 5 ` 5~~~' , N 9~ ~ r' ~ ~ ~O'~ ~~a h9 ~o o ~ \\0' ~.7 E: 1• ~ 30 ' ~9 ~ e•o'~s'a 9ll.i 0 ~ ''r~ ~ q ~~p93'~ ~ ~ y.Q < y ~ ~ ~/3.9! SB!'~B?~I'B ~ ~ p '¢e.. ~ ~a .~cde ,y~ a 99~,s / b ~ q99~ , a N ~ `~O ~9~9 y ~ 9liR ~~~~~.1 ~ ~ ~ • -s / ~ ~ ~ } " . \ ~ ~~~r~ / . ~ • ~ ~r~~ ~ : ~ ~ ~ ~Y~,~~M.y~,R ~lc ~ , o . ~9~ ~h\~ Z, P- ~ s?a 0 ~I~L 9So,o ~ h~~ ~ ~ }f WL ~S~.o /o_p I~~y~ $AGA ENGINE~R Lot 9, aiock ~.1 . Q,~ Prop. garega 94A~'P LARBVIES~ TRAII, Ab TION, '~o~~~ ; p=op. top oi lock ~ Dgl~Qt~ County, ~ % ~ r 93~~, ~ / g 4 2~~ prop. lowe levge~lq= 1 N!~loY CERT1~1 TNAT T1115IS ~ TpU! ~NO [DRRlGT R!?RESENTATION OF SUAV~Y 0~ T SOUNDR1t1lf;~ 0~ 1M! AlOV! OESCR168D LAND, A1fD TNE ~ • eteking of a propoee8 build nq. Ai fU11VEY8D Yt TNIf.. 23rd r or ,,,,„,NovAmbQi 92 ~ ............................_.~.o. h......... N.[. MOIWt ~IIp A{ S 9g ~ , 8V19ED Nov, a~ . , ' 1992 ~ ~~~~N~~~~~~~~~~~ • • ~~~w N~~~ I~t~ y ~M NM~1tiwrYN1~~~~N~~~~wNMn~w~N~~ • MMwur. R.~UMNr W. . . /~.1.......«»«. R 98X ~ 612 627 6788 12-01-92 04:OOPM P002 p40 PERMIT ~ 3 5 s x C~T,Y OF EAGAN PERMIT TYPE: i~u r i n~ r•!c 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: ~o ~i 1 r~ i~, (612) 681-4675 Date Issued: 12 / P, 3/~t ? SITE ADDRESS: sse rooo nve LOT: ~3 BLOCK: 1 LFlI:EVIEW ~RFl1L DESCRIPTION: F]uilding Permit Type Sf~ DWG BuJldiny,Work lype NL-W UQC Occiapan'sy R 3 M-1 Con~,tru~t.i~n Type V-~ ~ 7aninq R-1 Buildinq lenqt'h ' 47 Buildlnc~ Wf~llh 99 ~ i - . . , . ~ , 'i, ~ . ~ . l . ~ ~ . REMARKS: RFCEIPT CO~IGO~ PRV S F~ W CONIRFlCTOR - 0 0 FEE SUMMARY: VALUATION $75,000 Base Fee $527.00 MISCELlANFOUS _ J~,G10.Sfl Plan Review $342.55 Total Fee w3,t'22.65 Surcharqe $37.50 SAC $70~i_00 SAC o 100 SAC Units 1 Lic. Search Fee _ ~5.00 Subtotal $1,612.05 CONTRACTOR: - ~pplicant - sT. ~1cOWNER: WOLD CONST INC, S W 14215013 0001966 S W WOLU CONST INC 16676 VALLEY DR 16676 V^~LIEY DR ANDOVCR hIN 553f74 FlNDOVER MN 5530R (612) q21-5013 (612)421 5013 I hereby acknowledqe L'hat I hiavo r~~~d t.hi-> ap~lic~~T.ion ~in~; i.hr' :h information is correcL and ~iqrc•r to coinpls w,t.li .~11 „~I~~ ',I ni Ilr,_ Statutes ~nd City of F3 on Ordinanccs_ ~ C~~ J APPLICANT/PERMITEESIGNATURE I SU D Y: IGNA RE INSPECTION RECORD I ~°~t 13 5 s CITY OF EAGAN PERMIT TYPE: a u~ ~ o r r~ n 3830 Pilot Knob Road Permit Number. 0 a t rt 1 r Eagan, Minnesota 55123 Date Issued: t~/ 0 3/ 9:' (612)681-4675 SITE ADDRESS: ~ o r: 9 6 L 0 C K: 1 A`PPLICANT: 586 TODO AVE WOLD CONST INC, S W LAKEVIEW TRAIL (61?_) 421-5013 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW . . FOOiJNG FRAMING INSULATION FINAL FIREPLACE RFMARKSc RECEIPi # PRV S& W CONl"R1ICTOR - ~ ~ L ~ ~ ' ~ OFFICE USE ONLY N~ ~ ~ ~ • BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool 0 03 SF Addition ? 08 S-plex ? 13 GaragelAccessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 = plex ~ 15 Deck WORK TYPE ~31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code o/ Census Bldg / Census Unit ~ APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ /y0o ~ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV PermR S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ~ ~ CITY OF EAGAN ~ a~, ~ 3830 PILOT KNOB RD - 55122 J J'- G 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reauircments RemodeL??eoair Reauiremente ? 3 registered sita surveys ? 2 copies of plan ? 2 copies of Dlana (indude beam 8 window sizes; poured fid. design; etc.) ? 2 ake surveys (erzterior add'Rions 8 decks) ? 1 energy calcutalions ? 1 energy calculations lor heated adddions ? 3 copiea ot hee preservation plan H lot platted after 7/1193 reQUired: _ Yes _ No DATE: 5-~S-~I~ CONSTRUCTION COST: a~~~y' 88 DESCRIPTION OF WORK: --~~1< STREET ADDRESS: ~~5~ TO ~1~ AUC LOT ~ BLOCK. \ SUBD./P.I.D. •~~IH~IC~'~/Xl~1~I~. PROPERTY Name: 5~~~= ~TCV~lJ phone ~8~ - OWNER Street Address~ ~ ° AvE City: E~=A+~ State: Zip: ~S~a3 CoNTRACTOR Company: ~,S~.E Phone Street Address: License City: State: Zip: ARCHITECTI Company: Phone ENGINEER ~ Name: Registration Street Address~ City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applipble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~~-~l OFFICE USE ONLY ~~~;j~ j~~:k-'''~~i~i~'~~~ Certificates of Survey Received Yes _ No " 4 , , - ~ I Tree Preservation Plan Received _ Yes _ o _ _ _ _ _ _ _ _ ~ PERMIT ~ CITY OF EAGAN 9 2Z REAC7IVnTE _ 1992 BUILDING PERMIT APPLICATION ' ~ 681-4675 Il ~DV 2 ~ SINGLE 6 MULTI-FAMILY 2 sets of plans, 3 registered site surveys,,l copy of energy calcs. ' COMMERCIAL 2 sets of architectural & structural plans,;l 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 ,f~ /.-~2s. / Yaluation of work ~~',oo v Site Address:_ h~(~ / ~d~ (j~,~, STREET SUIiE A Tenant Name: (commercial only) _ IAT ~ SLOCR / SUBD. ~i~ TiG. / P.I.D. M C~~ Oescri tion of work: ~,~5'rC_ 5 Fr~ The applicant is: O Owner. ~Contractor ~ Other (Deeerfbe) Name Pho~~, Property ~~St FIRS7 OW~ef Address STNEET S7E R City State Z;p Company • ~ ~ C,uS • .~~C Phone G1o~~:s~~ ~ Contractor Address v~~ '~~b`~ ~ ~ 3 i~i~ License Exp. °/u City k D~"'« State Zip ~ 3 ~ L~ Company Phone Architect/ Engineer Name Registration ~Y Address ~~tY State Zip SeNer 6 water licensed plumber . Processing time for sewer 8 water permits is two days once area has been approved. I hereby acknowledge that I have read this pplication and:state that the information is correct and agree to comply with al p^i ble ,tat ~innesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: OFFICE USE ONLY , BUILDING PERMIT TYPE ' ~ ' . O O1 Foundation ? O6 Duplex O 11 Apt./Lodging T6 B~elApnt Finish ~ 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool O 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Co~mn./Ind. ? 04 SF Porch ? 09 l2-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ~ 05 SF Misc. ?]0 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ~ 31 New ? 33 Alterations ~ 35 Tenant Finish ? 37 Oemolish O 32 Additian O 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) v-nl Basement sq. ft. MWCC System Yeg (Allowable) v- N lst F1. sq. ft. City Mater ~le5 UBC Occupancy R-3 M a 2nd F1. sq. ft. PRV Required ~ Zoning R-I Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length y Z~ On-site well Census Code ioi Depth y4, On-site sewage SAC Code ~ APPROVALS Planning Building Assessments Engineering Variance RE~UIRED INSPECTIONS ? Site ? Footing O Framing ? Insulatton O Mallboard ? Final ? Draintile ? Fireplace Permi t Fee Ysl~ntim: $ r1 S, o00 Surcharge Plan Review G"R°`E~ ~ox 22% °/4o x 16 = 7,04~ License ggrn ' Z2 k36= ~92 MWCC SAC ~ b~ Z Z Z,Z o City SAC Water Gonn. 2K ~O~ Mater Meter Acct. Deposit ~zT`°=~' ~92 xrs= 14~880 S/W Permit S/M Surcharge 'uS+'~r= ~92 ~rs?j: S Z~~'1~ Treatment Pl. Road Unit Park Ded. ~y y~'j ~ Trails Ded. ~ - " CoPies ~ Other Total: SAC % SAC Units $ 81Y 427 8TB8 pp2 i • N.C. NOIUM AN~ ASSOCIATES, INC. ~N7i~RVE~ORS P, 0. BOX 33028-COON RAPIDB, MINN. 8SA33 4ai-7ez2 10731 MISSIBSIPPI HLVD. N.W.~ COON RAPIDB~ 4R7 ~ 'y ~ Dencstes Iron Denotes Lath ~ CERTIFICATE OR StlRVEYe 'Ctl / 8. w. WOLA CONSTRUCTION IN~. ~96 Denotes exieting 3 elevation 7136-267/9,10 9~` ~ ~ ~3~ ~enotes _~j` . ~ 6 ~ ~ 1 ~ evatioa ~Dr~ ~~0~ y{o.~' a~ ~ s~~Oz_ ~ ~ ~ ~ ~ ~ 9 ~ ~ ~x~'P~9g ` 9~5 \ ~~y~ Et 1" = 3Q ' / h vt ~0 9~40 / 4•yal',es 99i.4 ~ / ~ ~~g39~8 ~ 9,~,n ~y9 0~~ ~ ,b < vR ~ ,/5.99 sd!'~~'s7?'b' ~ ~q, p ,ya 8op . ~ ~ ~~94~ /~j~ o ~ 9~~3 ~ ~ h . 9 bl g,~. ~c ti ~ .o .ge 'y~~~ ~ 6 t ' / ~ : Ci~, 9lL1~ 'h , ` .,~R ~ ,x' 1 ~ , ~ ` p t~ ~ ~ olr`~ld~o U~~Q~O~° ~ ~ ; ; ~c ` / h~ . ~~r~~ ~ ` oo ~ L P- ~ q~~ . a~L qSa.a . ~,y~~ ~ y W L y3~.o ~o~,~~ ~~h B~IQA L1VGrRT~ R Lot 9 81oak 1, ` L~ Prop. qara a l~P LARB~?IUW TRAIL AD~ITION,~~~~~ ~ LQ?•` g 942 S . ~ Prop. top of lock - Dakota Countp, l~lr ~'~-g3z,4 ~j / 942.~ Prop. lowe ~ leveq~lr,~ 1 XElESY CERT~I1 TNA7 TM~S IS A TIIU! ~N~ GDRA[tT IIt~RESlNT~TION OF SURVlY Of T lOUNDRkIl~~~ 0~ TMB AlOVt bESCRIa80 LANO, AMD T11E . • etakinq of a propoeed build ng. Af fU11VEY8D Yl TNIf... 23Td Y November 92 .................~..........~.D. 19........~ . SV18ED Nov. 27 a.c. Ho~w?~pe ~ss s, . 9 1992 ,{t~ ' ~ ~ MMw.•u Rp1ur~N~n No. . .•.fi•.4.....«..»». R-96% " 612 427 8768 12-01-92 04:OOPM P002 #40 ' .'~..1.':TEHIOR ENVf:LOPE THF'RNu'~L TRAi7ShfI.T~INCE ~ , BUI.ES FOR ENERGY CONS£RVATZON ALTERNATI`!ES ZN CONSTRUCTION j ' . 2MCAR 1.6007 - 1.6008 J (ADOFTS 1983 CABO MODII. ENERGY CODE BY R°FERENCB) p~er ~ Phone Date Site Address~~r ~ .7~LOCK~_ ~qK'1h ~•~/~+~~~~~a°`°' Contractor S 4~ io Id Phone Building Classification: Tyne A1 (Single Family S Duplex) 'Iype A2 (Residential,3 stor:es or less) (Other) (Over 3 stories) ~ ~ GENER}lC. INFORMATION l. Euilding Perimeter ft. 2. YJall height (ground to top of top plate) ft. , 3. 1. x 2_ (above) gross wall azea sq. ft. 4. Building dimensions (L) x(W) / = sq. ft. roof & floor area. 5. Square foot area of rim joist - Floor joist + plate x perimeter + (1) sq. ft. 12 x ' 6. Doors - Area ~7. 7R U factor :o-: Model ~ - Area U factor r Model Manufacturer C,p 7. 'Windows: Manufacturer 1~Cv Type U Factor Size Area Sq. Ft, of Ea. No. of Units Total So. Ft , . ~ ~(~5 ~ 8.75 I c ,.~.,a ~l~ f6"~6 J,7 `1 :tr.o 1~„i.o Uonr .`i4 ~-73 JI•°l3 ! _ " ~~~t; i~5 74:(, !J _ v ~ ,I.,I~~i ,SOS ~.l~l!~ . _ .i, ~'~:.L~_ . 8. Total o` •.~incow units A{~.'. _ ._'~T-~ _ ' , 9. Fireplace zrea: Widta x'neia^= + x = ' sq. f_. . . . - ~ - ~ - - - - - - - - ~ lt.•.r.~, n.r, 10.' Exnosed Foundation: Height x Perimeter x = ~1:: ' sq. ft. 11. Frami~g area = lOR of gross wall area 16" o/c or 8e of gross wall azea 24" o/c. 11A. Gross wall azea (3) ~'7~J, ~ sq. ft. , R, c_ c~ ' ~ s„~- ,f 3, r ~ Window area • sq. ft. U windows = 0 x A= It.?:,~ ~.i _ is.~.1 P,im Joist azea qp.. sq. ft. U rim joist= ~ U x A= ' ~ i, Door area 3'7, 7$ sq. ft. U door azea= r U x A= 6 0, Fireplace area / sq. ft. U fir<place= ~ U x A= ~ Exnosed Fdn. area R sq. ft. U foundation= U x A= i1 Framin elzea ~ 4 I'1'?. sq. ft. U framing area= 1. J U x A= I'i Net wall area ~ ~ft. U wall = r; U x A= j.=• 11B. Total - Must be less than or equal to (12) U x A= ~ . 12. Gross wall area x 0.11 (A-1 single family and duolex) (A-2 3 stories or less) Fill in "U" Values (Other buildings 3 stories or less) ~ Based on Degree Days (All buildings over 3 stories) S°igure No. 4 in Model Energy Code A(11A) !"7ry? x U/code _:i = !'~~7.`.'.BT~ 13. Ceiling framing area equals 10~ of ceiling azea 16" o/c or Ba of ceiling azea 24" o/c. 13A. Gross ceili.ng area =(L) x(W) _ ~QQ Q sq. ft. 13B. Net ceil.i.ng azea U ceiling x Aie Q. n<; x o ~'1 = ~ p, U ceiling x Aic ~~I ~ J lx . o ~ ~ = J( ~ U framing x Afe ,S.q 7, x .C: _ • a'; U framing x Afc x , n;~ _ 13C. Totai U x A _ must be less than or evual to (1 14. Ceiling area (13A) x 0.026 (A-1 single family s duplex) Fill in "U" Valu x (A-2 3 stories or 1=ss) Esased on Degree (other) I Days & Figure ~n No. 5 in Mode~ ,~tt~b Energy Code A(13A) J,~.1 x U(code) _ ~ - ~ STUFi '_S. Alt_rnat= Bu'_:='_ng Envelope Design. '_SA. Total enveloo> to code = (12) ? ~ ~ + (19) z4.« = a = 7G. '_SB. Total Calculat_d=(11B) Ilno:' li+ (13C) ~,s o;- = f%' I'i st be 1=ss than or.equal to ~SA). - ' ' ~ - - ~ ' • u vww~ ~au;ut,a'rlun;c - - ' . . ' - : • R Value ~ - U Value ~ ~ ~ Inslde air film ~ .6$ WALL ~ ' Interior vall . (uail): ' SECfIOR . ' i Insulation U ~ 1/R ~ • Sheathing ' ~ Siding Outside air f11m .1T . ~ . - ' . R Total , Iaside air rilm .68 g~p Interior vall 4.5 SECTIOfl 1t" stud 4. 3g ~ . G'Rp, ~F1-aming) 6" stua 6.88 U= 1/R ~ " Sheathing .~~'7 Siding G:l ~ .fo~ ^ Outside air film .1T - ' R Total 9• 3 J ' Inside air film R = .68 _ ~ Interior vall ,~fs` SECfIOA Insule.tion (ilsll) C. ~ Sheathing . ti~ U e 1/A Ezterior vall covering . cP 7 ~.04 7 ~ ~ Ezterior a1r fSlm R = .17 R Total ~1. 4 y Interior eir film R = .68 RIM Insulation ` JOIST 1~ inch soft vood P, = 1.88 (Rim 3o1st) ~ Sheathing •~I'7 . U = 1/R Exterior vall covering •G~ _ •o4V ~ Exterlor slr film R = .17 , R Total 2.'~. 67 . - _ . . . _ _ - FOUNDATION Interior air Tilm R 68 , Wp~ pBpyg Insulatian - inside 6_! CRADE or outside Foundation ~.i~ (Fdn.) . .'r Ezterior elr film R=.1T U sl~A ~ R Total 8.~~6 • ' i CRADE: . , a:. . . . ~ ':e. _.r' . - . ; `:4'' . PnP,e 3.. , . _ . . - _ ~ - . . . : ~ . ~ . , " TRUSSED CEILINC VI'1'H VENTED ATTIC SPACE ABOYE ' - .17 •Air f11m .17 ~ . . ~ Roof Deck - i ^a F~aming i _ ~ Insulation `i. F ~aming ~ ~ CeSling . ~ .61 Air f11m .6_ 1 i . + Afe ~ a.~•Sa Total R ~6-4~. Afc Area of F7aming . bc~ ~.U = 1/R .~~_7 Edge of Roof Area of Frea ; Center of Ao Air film •17 Insulatlon `f Ceiling . 61 Alr illm • 61 • ~ Ale ~ ~.7.o'S Total R Aic ( ' Area of In~ulnted Aoof • o~ U- 1/A , oa1 Edge of Roof of Insulat . Center of Roof FLAT ROOF OR CATHEDRAL CEILING .1T Alr film .1 Roof Deck FY'sming Insulatlon Ceiling ~ • - .61 Air tSlm .61 , Total R _ U=1/R - - . INSUI.ATED AAEA FEtAMIHG AREA . . ' t i~i~ a-:-::: _ . . ..:,...s iTS , . . ...~.BL : : _ . = ::~~~~!'i' < . <..; : . ` : , , . , ~ , . V ~ . ~ . Q'f~~j -r . { ; . ~:t~: . y I~ .J ~ . ~YUA e. ~ . ...r a 3'.. .~.~::.a.oarxr.:iil Y 3' ~A~~I ..d:~~'~.3~~.~.. . a . 1993 MECHANICAL PERMTT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. ~ NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE S- 93 FEES HVAC: 0-100 M BTU ~=j°~" $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) .3 ~ ADD-ON/REMODEL (Exls7'ING CONSTRUCI'ION) $ 15.00 STATE SURCHARGE .50 0 s TOTAL Gl~ ~ / SITEADDRESS: ~D~d AUL OWNER NAME: ~(.~oL~ ~'a~S`~i,.zc-~:~•.~ TELEPHONE ~/a~~SO(3 INSTALLER: I U~~ e~^~ l~Ei-~ ~'~'~'1 ADDRESS: ~ l 3S I~(o~ ~-d~ N- ~ v~4~f'~e,/----~J~o-~- CITY: ~in ('CLi STATE: ZIP CODE: ~SS3a ~ TELEPHONE ~ S j -(a ~G ~ ~ . ~ifrNATURE OF PERMITTEE Q'i'1'-IJS~ ,O1~iT.'Y ..._M...~.~.~._: I.,:. ~ ; <_:..:<;~ ...::::~,.,.._::a ; ~L ; °;r~C~T~'%# : ..e.~.. . < _ , y;.: . . . f'::itt~...~I' ~xj.. . ~:..~:..._>a ..j:J " ' " : .Ya. ~'P~. . ' :`..~i.~~_~ e~ -:.i. • _ : .~C:;'~;::~~?.'.~• ~ i.::'. .d:~-~•~~: o~i' • e:~~ a~.'.. . • a. £ ~:~vn:. ~.c:.q<.~....'.c '?S~d~b: ,~<C$:.:.:. ' :)'..:a:..:.,...J:': .:Awv . .°5.:.::i.~l:i'yfljd..;;:~. ' ° c:.: • .I..... .~f.~.~.4~~JvfnY'~'~:i:1.~P•.:.a`.:.fY.Y.:..f...:i>r.J~t. :5~~..u •%i.'~.RS.:i:l'p.r.:..oi~C' S. D , ~:.F:..., . Q r..<:.z,.,..,;,<...,,.., ' ~ . ..,..r...,... . . ; :,s` L.! . ~ ?.e.,t ,~.r~... •.a.:. 3'i;k,) :i.E.,.i.~:,~M>'``~~~~1 3 ' 4CRS:.f~~: oaa..a:,u...:~::r:. '.:s.L'.._:...H.:..»..k2:.; . o,,.. .x.n ~ µ . ~u....~..~.o........Y..~'.a.r......:d..e..:..wu~.:Y...:.:i?:.....~A~' """..A~.:SCt...... n...wA..:.:..:i:.;adi..'Gd.'.r.i aa'ra~.:~C'.F»... "w.[.~~J'.'.'.' 1993 MECHANICAL PERMTf (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD FAGAN MN 55122 (612) 681~675 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUII.DINGS. ALSO COMPLETE FOR APAR7'MENT BUILDINGS OR OTI-IER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CONTRACF FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STAT'E SURCHARGE $.50 FOR EACH $1,000 OF PERMTT FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMEN7'S ONLl~ INSTALLER: ADDRESS: CTI'Y: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR ~ / B~ ~ CITY OF EAGAN CITY USE ONLY p PLUMBING PERMIT t ~ S SUBA~~a rCPi7~~S'~ .1~. (612) 681-4675 RECEIPT DATE ~ 0'1 Y REBIDENTIAL 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 FOLIAWING: N0. FIXTURES EA. TOTAL NEW CONST _ REPAIR/ADD ON 15.00 ADD ON ~ SHOWER 3.00 REPAIR _ ~ WATER CIASET 3.00 3"'O ( BATH TUB 3.00 3 v° OWNER NAME: S~"~ ~ C~~S \ ~ KITCHENYSINK 3.00 j"° IAUNDRY TRAY 3.00 3'~ SITE ADDRESS: ~5~0 ~cX'1~ la-c'Q HOT TUB/SPA 3.00 I WATER HEATER 3.00 -T FIAOR DRAIN 3.00 ` GAS PIPING OUT. INSTALLER: ~`~'~'~"~\O'~~~''`"` Qtb~r~`'~~ . ~ (MINIMUM - 1) 3.00 3 yo \ _ ~ ~~y 3 ROUGH OPENINGS 1. 50 y, ADDRESS: \ _ OTHER CITY:~ `"~'~`'L~ v~~ _ \ S v-``~ ZIp; S 5 ^ PRIVATE DISP~ 15.00 / l~ - 4~~- 5~~~ J b - U.G. SPRINKLER 3.00 PHONE lv _ W. TURNAROUND 15.00 / STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: S~ 9.~ COIII4ERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO 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 SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1X $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE ~J: FOR: (SIGNATURE) CITY OF EAGAN 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan ~ 5o-~p~ 3830 Pilot Knob Road, Eagan MN 55122 ~ Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeUReoair Reauirements 01Fice Use Onlv 3 registered sile surveys shaving sq ft of bt sq. ft of house; and all wofed areas 2 copies ol plan CeR of Survey Real. Y_ N (20% ma~cimum bt coverage allowed) 1 set of Ene~gy Calculations for heated additions Tree Pres Plan Recd _Y _ N. 2 copies of plan showing beam & window sizes; poured tound desgn, etc. 1 site survey for additions & decks Tree Pres Required -_Y _ N isetofEnergyCalculaEons Add'rtion-iiMicateilon-sitesepficsystem On-siteSepticSystem~„~r_Y ~N~ 3 oopies of T2e PreservaGon Plan if lot platled aNer 711193 Rim Joist Detail OpUons selec6'on sheet (bldgs vnN 3 or less units Date ~ / / o--~/~ Construction Cost / (~C~JO Site Ad~dress -5-~~~-y' 1 v~~ ~v ~ ~ UnidSte # Ci Q ~ Description o[ Work / ~u Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 ~ 1 _ 2 c ~ (,c.( Tele hone # / Property Owner P Contractor ~ ~ Address 21 tfe City State Zip Telephone # ( / _ ~ /~-3 ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category , Residential Venhlation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with p similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor v~ Telephone ~ Sewer/WaterContractor ~ ~ ~-~p4 Telephone#~ J 1\~, ~ I hereby apply for a Residential Building ermi ~ c cnowledge that the information is complete and accurate; that the work will be in conformance wit ~ oidinances 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 permit; that the work will be in accordance with the approved plan i the case of work which re ires a review and approval of plans. ~ C~~u// /'G/6~P 1~~~~G'~~/~.~ ApplicanYs Printed Name licanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ~ 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 06-plex ?'I6 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Muiti ? 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 (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding ? 32 Addi6on ? 36 Move Buitding ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Eritire Bldg) - Give PCA handout to applicant 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) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundarion _ HVAC Drain'I'ile Other Roof Ice & Water Final _ Pool _ Ftgs _ Au/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. ~ Air Tes[ _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee M Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies ~ Other Total (~57.3~ 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. smgle family dwellings & townhomes/condos when pertnits are required for each unit Date / ~ / O 1 Site Address J U((/ ~(/(,l'~ / 1 V C~ • Uni[ # Property Owner ~~"~n U~l IV~IJ Telephone # ( ~ ) ~b ~ ~ I ~ Contractor ' ~11~ UI,r I Street Address J`~ JC.Y//yLVC~ I l~l ' City State ~V I Zip V7~~ Telephone # ( ) `i~ Bond " I~" I~~~~~ Expires: 0' The Applicant is _ Owner ~ Contrac[or _ Other Add-on or altera[ion to existing dwelling unit $ 30.00 furnace _Additional _Replacement ~ air exchanger - `y/~ air conditioner New %1 Replacement other ~I ~i ~ l~ ~ U ~ ~ II i~ State Surcharge ~LI ~ $ 50 ii~V Total Y $ I hereby apply for a Residential Mechanical Pernvt and acknowledge that the information is complete and acwrate; that the work will be in conformance with the ordinances and codes of the City oF Eagan and with the Mechacvcal Codes; that I understand this is not a permit, but only an applicat~on For a perrtdt, and work is no[ [o start without a permit, [hat the ork will be in accordance with the approved plan in Ihe case of work which requires a review and approval of plans. CV~ ~~~ct, -F~ ( ls Applicant's Printed Name Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complc[e for. commereial/industrial buildings multi-family buildmgs when separa[e permits are not required for each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenan[ Name Property Owner Telephone tl ( ) Contractor Street Address Citv State Zip Telephone # ( ) Bond Expires: The Applican[ is _ Owner _ Contracror _ O[her Work Type New Construction _ Underground Tank _ Install _Remove `*see below Interior lmprovement _ Install Piping _Processed _Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire Marsha! and Plumbing Inspector P¢I'[Ili[ F¢BS: $70.50 Underground tank installation/removal 550.50 blinimum (incluJeS $tafe Surcharge) or Contract Value $ x I% = S Permit Fee • If uemut fee is $1,000 or less, add $.50 ~ $ State Surcharge If pErntit fee is over 51,000, add $.50 for every $ I,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanica] Pemut and acknowledge tha[ the informahon is comple[e and accura[e; [ha[ the work will be in confoanance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is no[ to staR without a permih, that the work will be in accordance with the approved plan in Ihe case of work which requires a review and approval of plans. ApplicanPs Printed Name ApplicanPs Signature Approved By: , Inspector Date: PERMIT City of Eagan Permit Type:Building Permit Number:EA118209 Date Issued:10/29/2013 Permit Category:ePermit Site Address: 586 Todd Ave Lot:9 Block: 1 Addition: Lakeview Trail PID:10-44330-01-090 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 . Ron Vosika 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 A Sablak 586 Todd Ave Eagan MN 55123 (651) 815-2815 Homesure Inc 2924 Anthony Lane, Suite 115 St. Anthony MN 55418 (612) 353-5781 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121190 Date Issued:03/18/2014 Permit Category:ePermit Site Address: 586 Todd Ave Lot:9 Block: 1 Addition: Lakeview Trail PID:10-44330-01-090 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Brandon & Dessarae Smith 586 Todd Ave Eagan MN 55123 (952) 217-1103 Dubois Design & Remodeling 11825 Point Douglas Dr S Hastings MN 55033 (651) 458-0844 Applicant/Permitee: Signature Issued By: Signature