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594 Todd Ave r ~ 1 titp of eagan lrwhuettt af lttDwo 3wrrtinn Th1s Certljrcale tssue+dpursaant to the requbrmew of,Swtton 306 of the Urdjorm Brrllding Code «rrijyft [Jwt at tJre dnre ojr.vrraxc+e Ais stnrcarne wns be conipliaxm wttk tht w?ioks &%Unawn of Me CU!' &8+kft &Aft c»nwucdon or um Far tlu following: UWq,@dftdm S'Er 3G Ift ftmk No. 745 pa,o„7 T y R R'i / M 1 I a . ; . s pkbia I R I 7~" cow vN .XE NQLIEf2 HOMES A66M 18133 iEnAR AVE S, FAFd-fG~V 5% UD AVENUE. L I. B3. rlAI~R LAtE 4IH 8/20/42 Posr wr A ooNsaicuous rucE . I . 1 iNSPECTION RECURD [Etrol "o. 1~ ' CITY OF EAGAN PERMIT TYPE: A"' t c' a MG ' ~ 3830 Pilat Knob Raad Permit Number. 040146 ; Eegan, Minnesota 55123 Date issued: r6 /*9 /i%~' ~ (612) 881-4675 ' ! S1TE ADDRESS: APPLICANT: 1000 AFI! MJl-ttll H#)11t:~i ,16S[p" ' MAN(!R lAk [ 4TH (r1i) 45 4..4 66 ~ 1 i I ' PERI!![VT WUPTYPE: TYPE OF WORK: u ! ~ I ~U~ITIMA FRAM1NO i ' illStfl.A ttaN P r~~f~lAC~ ; C REMARkS: RE[.E IPT ~ PRV 5iN Pt1lIt gltlM?-IIYAM i 'I • p..WNe ea, vMaMt F+oka i ~ I &lyy ~ ` PLUMBlNt3 ( . . WV11C . ~ I EL.EG"i'RIC _ i MwMcOon Dor pWp. CawMtwab FOUtlrtps I "asfqf S ~ i FoundeAfon _ • , PAUM ft• 6. AA 7.~~ ~ . I I . r~ I I, ~T" RW pbg. Paa. 1 is- Nww pkgTbw ConR.mMer EApr./Plrt , eft fna' 2 ~S , oea ft I , oo* FMa, ' i ; vwd P.. oisp. ; 7-~rd~ a6~ " I, ~ /z~G 5"G /"v 91 i Puest ~ate Fr o Rough-in InspMwn u L y 1 3, 19 9 2 RI C No ? ReatlY Now ~.wnfTaa~ry mYOinclo. When ReaE I censed contracbr p owner hereby request inspection of above electncal work at: Job Aatlrew (Sireet Bm ar qoWe No,l Ciry 594 7odd Rve. Euya2 Secuon No. Townshi0 Name or No. Range No Counry !J¢kOf¢ Occupant(PRINT) Phone No aoe 17igueeIL Komeh 454-4663 Power suvooe, "06•e'4300 220tk St. S.(J. IJakot¢ E2ect2ic f¢2mia toa ('!N 55024 Electncal ConVaaor IConpany Name) ConVactor's LRense No. Mid2¢ad £Lect2ic 049690 pnai6ng Aparess (Gon;ractai or Owner ldaking Ins;allation) 97854-13 augieee Gla Lakeu,"Pe,111V 55044 r.mnorze qn re iComracm~ Ma Installauon) Pnone Numoer 892-1444 M OTA STpTE BOAHD OF E THIS INSPECTION REOUEST INILL NOT GrlggS-Mitlwey BIUg - Room )7 BE ACGEPTED BY THE STATE BOARD 1821 Univermry Ave .$1. Peul. M 100 UNLES$ PFOPER INSPECTION FEE I$ Phone(612)66Y-0800 ENCLOSEO REOUEST FOR ELEG'TpICAL INSPECTION J 4 919 o See insvuctmns tor complennq this lorm on back oi yellow copy i "X" Below Work Covered by This Requesf S e Atld Rep, TypeolBwltling AppliancesWired EquiOmentWiretl Home Range Temporary Service Duplex Water Heater Electric Heaung Apt 8uildmg Dryer Other (Specity) Comm./Indusinal mace Farm Air Conditioner OtM1er Isueotyl Convactors Remerks' Compufe Inspection Fee 8elow: M Other Fee # ServiceEntrance5ize Fee p QrcwtsiFeeders Fee Swimming Pool 0 to 200 Amps / /p 0 to 100 Amps O 4ansformers Above 200 _ Amps _ Amps SiJnS Inspeaors Use Onty: TOTAL Irngauon Booms s, ss, rja Special Inspectwn Alarm/Communication THIS INSTALLATION MAY BE ORD D D CQNNECTED IF NOT Other Fee COMPlETEO WITHIN 18 S. 41, I, the Elecirical Inspector, hereby Rough-in certify that the above inspection has F,,,ai r been made. ~ OFFICE USE ONLV IDis requesi voia 18 months Irom 'Address: 594 'IC)DD AVENUE Lot 1 Blk 3 Sec/Sub ptANOR I.AM 41H These items were/were not complete at the time of the final inspection. D t : $I20/92 Yes No Tnqppctnr- Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanen[ gas Sod/seeded gtass Trail/curb damage Porch Basement finish Deck Please verify vith the builder the removal of roof test caps from the plumbSng system and the shut-off of vater supply to the outside lawn faucet before freeze potential exists. ~ ~ecmeorui~ White - City copy Yellow - Resident copy Pink - Contractor copy ~ For Offce Use/q r ~ ~ I vo l ~ I City of Eapn ~ PemitM I ~ ~ I I Permit Fee: ~ 3830 Pilot Knob Road Eagan MN 55122 j oate Received: ' j Phone: (651) 675-5675 i s,aff: JUL 01200~ Fax: (651) 675•5694 i - i 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: W_C`1~ASite Addres Tenant:~C\ --~1~1~- S~S]~_-- Suite - RESIDENT ! OWNER Name: Phone:(~_z~C_-7511l1~~~ Address / City / Zip:j--qY-_ Applicant is: Owner Contractor TYPE OF WORK Description of work: _ Construction CosC Multi-Family Building: (Yes - / NoX,_) CONTRACTOR Name: License Address 1~~~1~(1-------------,-/------ CiIY: (~~_-,C._.)~~Sr1s State: Zip: Phone: Contact Person: _ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Enefyy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Cate90fy Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? ___Yes ___No If yes, dale and address of master plan: _ Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contrector: Phone: NOTE: Plans and supporting documents ihat you submit are considered to be pub!!c Informatlon. Portions of the informatlon may be classified as non-pu611c Jf you provide speciflc reasons that wou/d permit the City to concfude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of Ihe City of Eagan; ihat I understand this is not a pertnit, but only an application for a permit, and work is not t art wrthout a permil, that the work will be in accordance with the approved plan in the case ot vrork which requires a review and approv f K =_~.~A~L----- y ApplicanYs rinted Name Ap canYs Signature Page 1 of 3 PERMIT ' C°nt 0590 CITIY OF'EAGAN " 3830 Pilot Knob Road PEFiMITTYPE: suiLoiNG Eagan, Minnesota 55123 Permit Number: 000745 (612) 681-4675 Date Issued: 0 6/ 0 9/ 9 2 SITE ADDRESS: 594 T000 AVE LO7: 1 BLOCK: 3 MANOR IAKE 4TH DESCRIPTION: 8uilding Permit 7ype SF DW6 Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type VN ' 2oning , R-1 Building Length 44 Building Width , 46 . ~ REMARKS: RECEIPT PRV S&W PLBR. =-GENZ-RYAN FEE SUMMARY: VALUATION $83,000 Base Fee $563.00 MISC FEES $1.610.50 Plan Revieu $365.96 Total Fee $3,280.95 Surcharge y41.50 , SAC $700.00 SAC 8 100 SAC Units 1 3ubtotal ;1,670.45 CONTRACTOR: - Applicant - ST. LI pWNER: MILLER HOMES JOSEPH 19594663 000243 19ILLER HOMES JOE 18133 CEDAR AVE S 18133 CEDAR AVE S FARMINGTON PoN 55024 FARPIINGTON Mltl 55024 (612) 454-4663 (612)454-4663 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. Statutes and City of Eagan Ordinances. •~~'~-_y/ n'/ AP ICA TIPERMITEE SIGNATURE ~ ISSUED BY IGNATURE I INSPECTION RECORD I C°nt° 0590 CITY OF EAGAN PERMITTYPE: euiLoiros 3830 Pilot Knob Road Permit Number: 000745 Eagan, Minnesota 55123 Date Issued: 06 / 09 / 92 (612) 681-4675 SITEADDRESS: Lor: i BLOCK: 3 APPLICANT: 694 TODD AVE p1ILLER HOMES JOSEPH MANOR LAKE 4TH (612) 454-4663 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NfW INSPECTION . D• FOOTIN6 FRAMING INSULATION FINAL FIREPLACE REMARKS: RECEIPT M PRV S&W PLBR. = GENZ-RY.AN~..;,•_-- ~ ~ L J PERMIT # CITY OF EAGAN ' • ' ' 1992 BUILDING PERMIT APPLICATION 681-4675 aUN 04 REC6 ~ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural.8 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 Val uati on of work c~/ l'00 - Site Address:~ e&'t- STREET STE # Tenant. Name: (commercial only) LOT BLOCK a SUBD. P.I.D. R ...7~ Descri tion of work: The appl i cant i s: ? Owner MContractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE M City State Zip Company Phone S'/- Contractor Address 18133 CEDAR AVE. SO. License # Exp.~ FARMINGIO City 80002431 $tate Zip Company Phone ArchitecU - Engineer Name Registration # Address . ~ City State Zip Sewer 8 water licensed plumber . Processing time for sewer & water permits is two days once ea has een 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: t-2/ r Wwi OFFICE USE ONLY ' ' - BUILDING PERMIT TYPE ~ E~O1 Foundation 005 Apt. Bldg ? 09 Basement Finish 13 13 Comm/Ind New ~ Lq- 02 SF Dwg. M06 Garage/Accessory ? 10 Swim Pool O 14 Comm/Ind Add L]-03-Tw6-family 0 07 Fireplace ? 11 Res. Add. ? 15 Comn/Ind Rem ? 04 Multi-fam. T.H. ? 08 Deck ? 12 Res. Porch O 16 Public Fac. ? 17 Agricultural WORK TYPE X.31 New O 33 Alterations ? 35 Move 0-32 Addition ? 34 Tenant Finish ? 36 Demolish GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCC System O~ (Allowable) lst F1. sq. ft. City Water YE UBC Occupancy R_3 2nd Fl. sq. ft. PRV Required y~S Zonin9 r,-i Sq. Ft. total ° q C& Booster PumP i of Stories Footprint Sq. ft. Fire Sprinkler Length av' On-s9te well Census Code oi Depth 46' On-site sewage SAC Code oi APPROVALS Planning Building k S 97;55 Assessments Engineering Variance REGIUIRED INSPECTIONS O Site ? Footing O Framing ? Insulation 0 Wallboard ? Final ? Draintile ? Fireplace Permit Fee 563,0o v,iuac;d,: : Surcharge y 1, 50 p - ~ Plan Review gSS,qS Gar.qg,-C, ; 20 xzz = yYn X 7,04 License a., x ~I4= MWCL $AC tca•oo '4 x~i = vq City SAC Mater Conn. v175,o~ ?i vv ?(is Water Meter 96,00 J ACCt. Deposlt 30A0 7-t f-wOr, 5/W Permit 30,00 - S/W Surcharge ,so I[~y xSS Treatment P1. s 0o,00 Road Unit 300.00 Park Ded. ' Trails Ded. Copies Other Total : SAC % 100 SAC Units V EXTERIOR ENVELOP_E I1Vf:RAG[ "II" COMPIITAT(ON . . ~ OWNER: ~ nnir:_I1=Zo_~1 SITE ADDRESS: LoT ~VoW<3 A'I`a/Z I-a k`C- PFIONE: -T .h, p A6'N LON7RACTOR:,dE M111ER- ROMES ~ pLAN y C.IOI49Q-WRY-OUT B~IT Determine working square foota9e of each 1. Total exposed wall area..... I°IOQS sy. ft. x .11 = z0o\ 10'~'~ 2. Total roof/ceiling area..... ~~Q4 sq. ft, x .026 = Za~O Total exposed wall area above,floor=~(AAIs a. Total wall window area 8Z01 b. Total door area 3-7111 c. Total sliding 91ass door area O d. Total fireplace wall area e. Total wall framing area (average 10%) . f. Total rim joist area \ g. net wall area above floor 33 .5 h. wall area above floor i. wall area above floor j. . frame wall area at foundation Total exposed foundation ai°ea= 1 z- ~ k. Total foundation window area 1. Total net foundation area above grade Determine "u" value of each wall seyment (e.g. window, (loor, each separate wall section) a. BZ.~ X r , n. X „v„ iu . C. ~ X „U" ,qN d x lu„_ Iq839 x „U„ .v9 = 13,35 e. f. X u I. 1%A ~`")(-D 9. 133raSf-v x „U„ ,oA = 531 A-Z n . X u,~ ~ X U., If item N3 is the sam r x u ll = as, or less than item N1, you have met the X "U" intent of SBC 6006 (c 3 . Total 4. TOTAL EXPpSED ROOF/CEIL111f f,ALCULATIOtIS: ' Total expospd . roof/celllnq area........ sq ft Total skylloh[ area....... sq ft x"U" ° k) Total roof/ceilfnq framing area (Averaoe I n~)...... IIQ~~_ sq ft x"U" I) Total ne[ insulated OZ 1~ 8 roof/ceilinq area....... .93 'V~ sq ft x"U" ~ ° 14 TOTAL j) thru 1/~"S 1 If total of -°~i is the same as, or less [han N2, you have me[ the intent of 2*ICAR 1.16008 A ar.d 0. ALTERtIATE BUILDIPIG EtIVELOPE DESIf,N To utiltze the fotal envelope system method, the values established by the sum ofitems k3 and 94 shall no[ be (irea[er than the sum of items I11 and N2. 1. + 2. 3, + 4. _ • ' ' * LINEAL FECT CXPOSCD WALL $LOCK: ~~q- • KNEE: -IO~S WALKOUT: zZ~S FULL 1 : I41 FUI.L 2: FIREPLACE: RIM:144 * SQUARE EEET GXPOSED WALL AREA BLOCK: IAX x .5 =1Z KNEE: X s ==35Z~5 , WALKOUT:ZZ~S x 8 =ISO FULL 1: x 8=~ FULL 2: X $ - FIREPLACE: X - RIM: ~AA - ~ A TOTAL SQUARE FEET EXPOSED CEILING WINDOWS D ooas ~j~$ 1111 3Z z43(~ ~g ea•rio DOORS : N 3 zocvo lt1 ZS 5~moyq -v1l BASEMENT UNITS: aLM SKYLIGHTS: 4Vzu Scccli.rL )1_(% I W.ra I fd' ' Of cjjoqu~ b.1a l l :arcto {I?Y R- VAllll: fvarnc ccw.<v,a~_6iul. COtJS1'RUC'fION - PRA1111lr; - - • Ibfl'ERIOR AIP. FIlt1 O,GB 2. T72" rYPf3D 3. 5 1 zr -sorr aioo 6.83- [1. MT3~fIE-A'T1TiFfc; s. srnrrir, .sT- 6. .Y.`I'I:RT(1R lR FIL71 0,17- NALL - -7I 7.P1- R= -T6 -.o.Pi- I+ -Q Uc .09 E'.[(,. 1I1 'IUIVIEWU iP FF~A~W NnL L I dr.r 111TIJ7.lOR AIR fILM 0.68 7i`2' ~YI'131) J15 2. ti 1 3. -~~Mi- a. 2~'132 2:06 Ci. Sll)IMf; 62 ~ 6. fti 1`I:fSOR A-TR I'i-II1 . - , ' - . ' ]IJ'fCPCOR AiR P[It1 O.fiO -Of 2. Pl Itl;lll,---- 3. 'fx10 )t1F1 JO.ISC ----~-89 73'f ~E1711'~I'Til(--- ~ ----------..Q 5. SID7PI(` .62 - ~ 6. T71'f:RIOR A] R 11I9 0. ] 7 u= .011 ~ • . ~ ~ c . IiLdf7CK WALL i, irrrr.aloR A7R F7119 0.6H 2. Y2•'-Ti1MT ' ~-2e ~ia• ' i..: •`'7~-,--. 3. 3tla Rfi~'f" INS-3i L1~T1o i o0 11. PROTGCl'IVE [3AItRiCR ~ s. 6. E5'1'F=17b1T"AIi-t T. B7F - o To•rnL ~ ` - • U` ~0 I~n si.ni3 ori etvu>r. o _.:_:........i. . ~ ti y.~~ % I I ~ . ; ~ . , : • ~ -r-: , , • . ~ r ~-L?,5gt~ ~ " - ~ _ f „ Ar , ` ~ / ~ . ~ ~ ~ ~ ~ ~ D 1J~ ` ~ ~ .J ~ ~ . , ~ • ' ~ "`1 ~ rll • . \ ~~1~ ' F~-c, a4 lil ° LLL 3 . ° ; 1c; 03 _ - . ~ ~ ~ , ~ • ~ac~ ~ tldl'E: INDICN1'C'17PE, "R" VALUC..DCP111 NJU PLACE7II:PJT OF iMSUL,ATI0P7. ROOF-CEIL.ING , . . / CUNS'PRUCI'ION R-VALAJE "f ' 1• INTERIOR AIR ('TI M f) 61 2. GYP 6D sa 3. INSULATION % 4. EXTERIOR ATR FTI-M T~ vF7aT 45:8~0 U i ` t(T) LO FRAMC vENTf;p A fIPAT FLOitJ 1. IN'1GR10R AIR FILM 0.61 I ~ UP p, 5~ 11 58-- IJ 3• Lx" li'~"LA'fION 38.3_9_ y, -E= I01' A1R FILM 0.61 'I~O~lA~O . L 5 FIG. #5 U = 0.024 COl1S'PRUC'1'lON .,r, ~=~~~...=•~,yw~~, 1. INSIDL AlB FILI-I O.61 - ------~--_Y._~ 2. 3. 4. 5. -0 G IR FILM 0.17 ~ ~ - TOTAL U = / UJf FRAML ~-0 to Lo ~o 1NS1DE AIR LILM • 0.61 ~}FqT FIAW UP VENTED 3' u 4. s. o sr17-- FIG. N6 . ' U = _ 1. INSIDE AIR FII M 0,61 3. ~ •'~-j1-~ 4. ,'f ;'~N %.'=i~~-~-` 5, IIQ'I' I M 0.17 1•~ ! u - ~ ` ~ i NON-VfM'ED NOTE: USE ADDITIONAL SFiEECS IF MORE SPACE IS ~ MEEDED FOR DETAILS AND CAIr-UTATIOPIS. fiFAT FIAW lJP ' FIG. N7 ~ * * 2422 Enterprise Drive * Mendoto Heighls, MN 55120 * PIOIOIEER UND Sl1RYEYMS • CIVIL Ef1GWEERS (812) 681-1914-Fa% 681'948B *engineerin9 UNO PLANNEflS •,LqryDSCME AFOlITEC75 [16125 Hlghway 10 Northeast lalne, MN 55d34 is) 7e3-1ee0•Fax 783-1583 Certificate ot 5urvey for: JOSEph M. Miller COf15tf'LJCtIOCI CO House Address: 594 Todd Avenue. Eagon MN , Model Name: Lexington - - - - - - - - - - - - n . TODD • AVE~vE N 89'24'47" E 2J 04'4°y 35.00 ~ - - - - - - =96.68 o • t~ N~ I_ DqnEg.AV . ` I 28.84' _T_ 20.67 200 ~ l a ae.6i CARACE I C) $ I J3 O . ~ I 12.00 o t I. y / W • LEXIN aN G7CN o [V O0 I .Na P~pOSFD NW ENr 120.20 SE fTl 44C0 ~ N I N azzeo~• w ;°~z / ~-ry zo (D ~ 2 L iiy . 84.35 Da N 89'31 . 32 E iiUEERING DEPT QuF)) PROPOSED HOUSE ELEVATION . 900.0 Denotes Existing Elevation 4th Level Floor Elevation:933.85 . soa. Denotes Proposed Elevation 3rd Level Floor Elevation:938.75 Denates Drainage & Utility Easement Top of Block Elevation:941.96 Denotes Drainage Flow Direction -o-- Denotes Monument Garage Slob Elevation:941.63 -e- Denotes Offset Hub Bearings shown are assumed ' LOT 1, BLOCK 3 MANOR LAKE 4TH ADDITIO ~ DAK07A COUN7Y, MINNESDTA ' I h¢rehy cnrtNy the< thb survey, plan or raport wae prepared by me or untler my direct mpervi5(on and thet I am duly qeqistered Land$o.veyor vnder the levn ol Ne State of Minnesota. Detad thls 3"j dey ol 2. A.D. 19 Z, i C Scale: ~~ch_30~ , ROBEF .IK 2F~ lf'S. REG. NO, 14891 ~ 92251.00 ~--L eL `3 CITY OF EAGAN CZTY USE ONLY / i y//~s PI3IHBING PERHIT S~DF:~~7 (612) 681-4675 RECEIPT DATE (D a~ RESIDSNTIAL PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAHILY DWEId,ZNGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTZON COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL NEW CONST X REPAIR/ADD ON 15.00 ADD ON / SHOWIIt 3.00 REPAIR _ ? WATER CIASET 3.00 / BATH T[JB 3.00 T IAVATORY 3.00 OWNER NAMg; JOE MILLER CONSTRUCTION C0. INC. I KITCHEN SZNK 3.00 c'` /J l IAUNDRY TRAY 3.00 ,'3 °D SITE ADDRESS: .'S/7 To-clCaJ' CIZ-v~v~<-Q HOT TUB/SPA 3.00 i WATER HEATER 3.00 ° ~ FI.40F PRAIu 3,00 < <2GAS PIPZNG OUT. INSTAIS.ER; GIIVZ-RYAN PLiJMBING I (MINIMUM - 1) 3.00 ADDRESS: 14745 South Robert Tail ROUGH OPENINGS 1.50 OTHER WATER SOFTENER 5.00 CITY: Rosenount Zip; 55068 _ PRIVATE DISP. 15.00 U.G. SPRINKI.ER 3.00 PHONE 423-1144 _ W. TUR,7p,ApUND 15.00 tiQ • / f~ , STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: Sj'?, qD COMMERCIAL PLEASE COMPLETE THIS PORTION FOR AI,L COMMERCIAL/INDUSTRIAL BUILDINGS. AISO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCAIPTION:- ' OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIp: TOTAL: $ PHONE FOR: CITY OF EAGAN (SIGNATURE) CITY OF EAGAN L-L BMECHANICAL PII2MIT RECEIPT SUBD. mo-fc~c^c~ ~a`G~ (612) 6814675 DATE &11'5 RESIDENI7AL PLEASE COMPLEI'E UPPER PORTTON ONLY FOR SINGLE FAMILY DWELIdNGS. ALSO, COMPLEfE FOR TOR'NHOMFS/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWF.LLING UNIT. ORNER: FEFS SrFE A a CONSTRU TION O2V~LlSTINC S' 15.00 INSTALLER: ~ c HVAC: 0-100 M BTU PHONE o . ADDITTONAL 50 M BTU 6.00 nvnxFSS: .O .\'01 ~l cns ovTLErs • MtxtMUM i@ $3 En.?~ 9oo CTIY: ZIP: ~ SURCHARGE $ .50 SIGNATU • TOTAL: $ / r ? . COMMERCIAL PLEASE COMPI.EI'E TfiIS PORTION FOR ALL COMMERCLWINDUSTRIAL BUILDINGS. ALSO COMPLEI'E FOR APARTMENT BUILDINGS OR OTHER MUI,71•FAMILY BUILDINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. WORK DESCRIPTION: CONTRACI' PRICE FEE.S 196 OF CONTRACf FEE. STATE SURCILIRCE IS $.50 FOR EACH $1,000 OF PERMTT FEE $ PROCFSSED PIPING • $25.00 a iriilvi"MUIti r'EE - $?s.Uo ~ OWNER: TOTAL• $ SITE ADDRESS: TENANT: -r .:..:..:.:..:....z:...:,.,_.,...'.,:':.: , SUTI'E " , , . , INSTALLER: . . . ADDRESS: , , . . . CI1'1': ZIP: ' . .r. . . , , _ PHONE CITY SIGNATURE: SIGNATURE: `7 (e 0 ~1 70. ~ 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWc6on Reouirements RemodellReoair Reqmremenls Off¢e Use Onlv 3 registered sile surveys showing sq. R. of lot, sq. ft, of house; and all vooted areas 2 wpies of plan shovnng foo6ngs, beams, joists Cetl of Survey Recd _ Y_ N (20%mawmum blcoverage allowetl) t set of Energy Calcula6ons for heated addihons Tree Pres Plan Recd Y N 2 wpies of plan showing beam 8 window sizes, poured found tlesign, etc. 1 site surveyfor additions 8 decks Tree Pres Required Y._N 7setofEnergyCalculaaons Atltli6ar-mdicateAoo-Wtesepticsystem On-siteSepticSystem _Y _N 3 wpies of Tree Preservation Plan rf lot platfed aRer 711193 Rim Joist Detail Optlons selec6on sheet (builtlings vnth 3 or less unils) Minneguco mechanical ventilation form Date Construction Cost SiteAddress cp-5 y -5c1d UniUSte # Description of Work _ ~ CS ~ `~'O- ~ ~TSfi 5 •~s~ ~ 1A.... S -A Multi-Family Bldg _ Y~ N Fireplace(s) ~ 0 2 Property Owner irl? N ~ ryC' ~ 9 5 0~ Telephone #(G S/ S Z~ ~ 9 s o Contractor (74 ~+t~u c~ h a- ~ C L~`- • 70 5-5 25S y Address 162/,'~- City State y ZipS S° Y Y Telephone k(6(Z-) 'ES6 - 3 K Y ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Categofy . Residen6al Ventilation Category 1 Worksheet . New Energy Code Worksheet (J su6mission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master pian? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone J Mechanical Contractor Telephone ) SewedWater Contractor Telephone # ( ) ] hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to 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 a"p'proval of plans. /J ~7,' h L 9 a ~~~'~G'^^ ~ Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OS-plez ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 Dtof_plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33'Ext.Alt-SF ? 04 02-plex ? 10 OB-plex ? 78 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc ? OS 03-plex ? 17 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Intenor ? 44 Siding ? 32 Addition ? 36 Move Building O 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire 81dg) - Give PCA handout to applicant DQSCrIOtIOfI: Water Damage _ Yes Valuation Occupancy MCES System Plan Review 100%or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Wdth REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) _ Final/C.O. _ Footings (addition) _ Final/No C.O. Foundation HVAC ' Drain Tile Other Roof _ Ice&Water _ Final _ Pool Ftgs Air/GasTests Final _ Framing _ Siding _ Stucco Lath _ S[one Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insula[ion _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Tota I *City ofsapn Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 For Office Use Permit #: /Gr . -0 Permit Fee: ‘0. DV Date Received: Staff: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water 1-1') a- / l Site Address: 5q r d 1 iLe Tenant: Suite #: RESIDENT/OWNER Name: K.1l f-1 J1;.1 Address / City / Zip: 5414/ Phone: (Al L63-74'3 CONTRACTOR Name: 4LO!C Sewet 1 9i ti 4, �YI tc- License #: Address: v�.1? 4112 &d •t ZiJ�,l KA J E City: e((w LGlt.e State: i4 V - Zip: �S 7° Contact: (il.1CYpke Phone: Email: TYPE OF WORK DESCRIPTION FEES PLUMBING (Within the building envelope) Sump Pump Repair Other: SEWER & WATER (Outside the building envelope) Repair Other: Description of work: Ai'rel e. Su ii419 o'k e_ of j- e. $60.00 /Each (includes $5.00 State Surcharge) *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Irepair co reimbursement, two sfronqualified application. list of contractors can be found by visitingwNtfeaaan-tomnflow, or City Hallat 3830 PilotKnob Rd. CALL BEFORE YOU DIG. Call Gopher States One of Call at (651) und 454-0002 for protection tect on against g i tlunderground utility damage. Call 45 hours before you intend to dig to receive lot the Irak w for a permit, and work is withnot to startr ces. without 1 hereby acknowledge that this information land this is not a permit, but only an application will be in conformance the ordinances and codes of the City ofr Eagan; that I on approved plan in the case of work whic requires a review and approval of plans. permit that the work will be in accordance with the 41 _ `A i e TOTAL FEE $ 66s * x i Applicant's Print IA# 04-- .I ' d Name FOR OFFICE USE Required Inspections: x API) Reviewed By: Under Ground Rough -In _Final b9Z9-9ZZ-Z96 .4- / s Signature Date: >WCf1HO dt76:60 ZI 96 adb' PERMIT City of Eagan Permit Type:Building Permit Number:EA111470 Date Issued:06/25/2013 Permit Category:ePermit Site Address: 594 Todd Ave Lot:1 Block: 3 Addition: Manor Lake 4th PID:10-47278-03-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Window or Door:patio door Perry Firkus Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Karl Hodgson 594 Todd Ave Eagan MN 55123 (651) 452-7990 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use S~ ~ I Permit City of Ea~d Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff. f t 7 I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~ Site Address: L1 1-&Ak A Unit Resident/ 'Name: ` Phone: Owner i Address / City ! Zip: i ;Applicant is: Owner Contractor Type of Work Description of work: I 'i( 4- Sci Construction Cost 0 • r Multi-Family Building: (Yes / Nd4~-) Company, ~ J~ j xTf' ~g- rrA rQns^~ c4 ;lr Contact: I I ct.,, i ' Contractor ! Address: 5G "1 I (ti'ft(ycx„I lav N City: ~r ~ Ifdlx~T~ State: MN 1N Zip: _550aq Phone: (2~51 - "29 -9,390 F License L-,9 43' Lead Certificate N1- nS a - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: j NOTE: Plans and supporting documents that you submit are considered d to be public information. Portions of i the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.Qopherstateonecall.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 State Building Code must be completed. within 180 days of permit issuance. x L--t x Applicant's Printed Name Applicant's Signa ure Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA116547 Date Issued:10/08/2013 Permit Category:ePermit Site Address: 594 Todd Ave Lot:1 Block: 3 Addition: Manor Lake 4th PID:10-47278-03-010 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Karl Hodgson 594 Todd Ave Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA136135 Date Issued:04/26/2016 Permit Category:ePermit Site Address: 594 Todd Ave Lot:1 Block: 3 Addition: Manor Lake 4th PID:10-47278-03-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 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 - Karl Hodgson 594 Todd Ave Eagan MN 55123 (651) 452-7990 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA136738 Date Issued:05/26/2016 Permit Category:ePermit Site Address: 594 Todd Ave Lot:1 Block: 3 Addition: Manor Lake 4th PID:10-47278-03-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door - Skylight Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Karl Hodgson 594 Todd Ave Eagan MN 55123 (651) 452-7990 Custom Remodelers 474 Apollo Dr Lino Lakes MN 55014 (651) 784-2646 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143297 Date Issued:06/12/2017 Permit Category:ePermit Site Address: 594 Todd Ave Lot:1 Block: 3 Addition: Manor Lake 4th PID:10-47278-03-010 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 - Karl Hodgson 594 Todd Ave Eagan MN 55123 (651) 452-7990 Capital Construction Llc 406 Gateway Blvd Burnsville MN 55337 (855) 766-3221 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA145690 Date Issued:09/20/2017 Permit Category:ePermit Site Address: 594 Todd Ave Lot:1 Block: 3 Addition: Manor Lake 4th PID:10-47278-03-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Karl Hodgson 594 Todd Ave Eagan MN 55123 (651) 452-7990 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature