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968 Wildflower Ct ~ INSPECTION RECORD ~ ' CITY*OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPUCANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION I i i rll, I F;ik Pi i i 1;1 Ili f! I( l!N ! f NAl ' t' I I'1 R~ I I; i'1::1. F', ~ , 11 ' I II;• i I~! r; i~ ~ , ~IL ~ P0nnR No. Permit Holds? DeES Tilephone It ' . SJW PLUMBING • 3- HVAC ELECTRIC = 'J sw- ELECTRIC Inapectfon DMa Intp. Communb Fooongel Foundatio^ 7.s rv Framing ~ Rooring Rough Pibg. ~ Rough Hfg. ls,t. -~53 prepkm ~~r Qci.? S' cT Co-~~cs Cr' Fnal Htg. A4 Orsel TeBt G( IV 3 FkW Pft. A/L Plep. lrreped« - rroft qum const. Meter EngrJPlen aida- F"'al Dedc Ftg. DeCk Final WeN Pr. Disp. ~ ~ . . . ; l 'q , , . ~ a- p S ,t 'catc ~ ~ccu~anc~ - 77tis Certificate issued pursuaiu to du raquirements of the Uniform Building Code crn*ing rbat at thc tine of issuonce tbis structun was in compliance with the various ordinances of the Cily rrgulating building eonstruction or use. For tl?e foUowing: SLt1G 21373 u,e cusfickafim. eag. eami, r~ OC-ro" TYv~ Diskill W' o¦.R d swicfim webm,. B~ ~ffi ~ - . . Do= 09/02/Q3 PObT Il+I A CON'SPICl10US PLACE d 58 ~1"za° qe esl Dat f FirB `o Rough-in Inspadion ~ Reqmretll ? Reatly Now~ill NoLfy Inspecmr ~ es [ No When Reatly9 I hcensed cornrector ? owner hereby request inspection of above electrical work aC Joo Adtlrass (SVeeL Box or/RIou~te No ) Qty Section No Township Nama or No Range No. County Ocw (PRINT) Phona N/o Pow up her Aatlres Elecm i Contraaor (COmpany Namei Co racfor5 License No .SOV MaiLng ACarass ICOnVaclor or Owner Makm Inslallation) /A Autnan SignaWre IGo IraCOrrpwner Making Inslallationl Phon Number QQ MINNESOTA STATE BOARD OF ELECTPICITV THIS MSPECifON REOUEST WILL NOT Grlggs-MlEwey Bldg - Hoom 5-193 BE ACCEPTEO BV THE STATE BOARp I821 Universlly Ave, St Peul. MN 55100 UNLESS PROPEP INSPECTIDN FEE IS Phone(61])644-OB00 ENCLOSED. y~~REOUEST FOR ELECTRICAL INSPECTION ~"`~h ee-ooooi-oe C 1 ~ See instmc 3.J [ions for cemplaLng IDis larm an back al yallow copy ,ku'~~1 ~ H J..7 "X" Belc~m Work Covered by This Request }F~` e Adtl Rep. Typeofeuildmg AppliancesWiretl EquipmentWired Home Range TempOrary Service Duplex Water Heater Eledric Heating Apt Butlding Dryer Other-(Speafy) Comm /Indusirial Furnace Farm Air Condihoner Otherispecilp Convacmr's Remarks. Compute lnspecbon Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits'Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SignS inspeciorY Usa Omy. TAL Irrigation Booms ~ ~•G ~ Speaal Inspechon _ Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S. r I, the Electrical Inspecror, here6y Ro~an-,n certity that the above inspection has F,nai ac been made. / c OFFICE USE ONLY This raduest vaitl 18 monlns Irom Address e68 wn,nFt.p,am ootJar Zip 5512 3 Lot ,2 Blk ] Sub LExHuT'oN, ro= 8tH THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: q a 9~ Yes No Inspector: kl Final grade (6" from siding) ? Permanent steps (garage) ~ Permanent steps (main entry) Permanent driveway Permanent gas SocUSeeded grass TraiUcurb damage Porch ? Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shuhoff of water supply to Ihe outside lawn faucet before &eeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow • Residem Copy Pink - Contractor Copy ~ u ft RESIDENTIAL aa~ BUILDINC PERMIT APPLICATION G~ CITY OF EAGAN `a~ • 3830 PILOT KNOB RD, EACAN MN 55122 1 651-681-4675 New Conatruction Raaulremenb RemodaVReoair Reauirements • 3 regLstered site surveys showing sq. R. ol lol, sq. fl. of house; and all mofed areas • 2 copies of plan (20%manimum lot coverage allowed) • 1 set ol Energy CalcWalions lor heated additbns • 2 copies af plan showirig beam 8 window s¢es; poured found design, etc) . 1 site suney for exterior additions & decks • 1 set of Eneyy Calculalbns • Indicate if home served hy septic system Por adtlitions • 3 copies of Tree Preservation Plan if lol platted afler 711193 • Rim Joml Detail ODtiorts selection sheel (bldgs wiN 3 or less uniLS) DATE 1'.OC~. • OQ VALUATION ~~2 SITEADDRESSlID2C COU~f-~,- MULTI-FAMILYBLDG Y N TYPE OF WORK N4~10.CQ 4 CLALApLi~S Li rT1r~~ ILL FIREPLACE(S) _ 0_ 1_ 2 S-y-i . APPLICANT ~ RMA HOME SERVICES INC. ~ Flome Depot Installed Sales STREET ADDRESS i 3200 Cobb Galleria Pkwy., Ste. #200 ~ $TATE_ZIP ~ Atlanta, GA 30339 TELEPHONE # J 763-542-8826 FAX # ~ BC-20268257 I PROPERTYOWNER~qCd-T0.Y~0..~ J TELEPHONE# (05j. C9B1-x30 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO"CA RULES 7670 CATEGORY 1 MINVESOTA RULES 7672 (V submission rype) • Residential Ventllation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contraetor: _ Plione # _ Plumbing system includes: _ Water Sokener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths ' Mechanical Contractor. Phone * Mechanical system includes: _ Air Condiuoning , ~1 u,. , Fce: $70.00 _ Hcat Rccovery Systcm ~I Sewer/Water Contractor: Phone # I hereby acknowledge ihat I have read this application, state that the inf mation is co , nd agree to compry with all applicable State of Minnesota Statutes and City of Eagan Ordi nces. Slgnature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 w a OFFICE USE ONLY O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 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 (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 37 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 AlteraGon ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Reptacement 'DemoliHon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning ' City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaVC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain 7'ile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector ------------------°-----------------------------___A,- Base Fee Surcharge Plan Review MCIES SAC ciry SAC Water Supply & Srorage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ Installed Siding andIMMUsPOWER OF ATTORNEY . OUNTY OF COBB . STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN 55427, having a license.number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attomey-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney are limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attorney shall expire and automatically be revoked on the 300' day of May, 2003, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attomey may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WI"I'NESS WHEREOF this Limited Power of Attorney is executed this 30rA day of M/Y`f , 2002. David . z SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 30`h day of May, ~ Notary blic in for the Stat of eorgia My Commission Expires: January 21, 2006 396816.vJ Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll iree (800) 79-DE RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Conslruclion Reaulrementa RemodellReoair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas • 2 copies of plan (20%maimum bt cove2ge allowed) • 1 set ol Energy Calculalions for heated additions • 2 copies of plan shaxing beam & wmdow sizes; poured founa desgn, etc ) . 1 srte survey for cetenor addNons & decks • 1 set of Energy CalculaGons i . Indirate it home served by septic system for addihons • 3 copies of Tree Preservation Plan if lot Dlatted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) ~ n 0~ DATE VALUATION`~5~ a~7 SITE ADDRESS LUI IOI _F16L(1P.V C-F- MULTI-FAMILY BLDG _Y _ N TYPE OF WORK 2-0,- Y_CZ~f FIREPLACE(S) _ 0_ 1_ 2 APPUCANT ¢~eM? QoonMg gi~g, STREET ADDRESS I49 SOUfll OW85S0 B1YU. I CITY STATE_ZIP TELEPHONE # ILiltle Canada, MN 55117 I FAX #(OC5I-14 B--z - 5377 ~c~sl - 4gy-14Gb ~ PROPERTY OWNER ~CI~I`g-y- TELEPHONE # fD~JI ~ LK32o 'VM_50 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSO'1'A RULLS 7670 CATEGORY 1 MINNF.SOTA RULLS 7672 (q submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contraetor. _ Plione # Plumbing system includcs: _ Waler Softener Lawn Sprinklcr $90.00 Water Heater No. of ahlis No. of Batlis Mechanical Contractor: P o\~e # Meclianical systeiii includes: _ Air Condiuoning V Fee: $70.00 _ Heal Recovery System F Sewer/Water Contractor: Phone # I hereby acknowledge that I have read ihis application, state that the infor ati n is correct, and gr to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin Slgnature of Applica OFFICE USE O LY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 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 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors O 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Val;:ation Ocaipanr.y AAC/ES System Census Code Zoning City Water SAC Units Stories Baoster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Foo[ings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other Roof _ Ice & Warer _ Final _ Pool _ Ftgs _ AidGas Tesu _ Final _ Framing _ Siding S[ucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ' PERMIT ' Cffir OF EAGAN ~ G g3 BUILDIN6 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: 021373 (612) 681-4675 Date Issued: 0 7 J 0 6/ 9 3 SITE ADDRESS: 968 WILDFLOWER CT LOT: 2 BIOCK: 1 LEXINGTON POINTE 8TN P.I.N.: 10-45092-020-01 DESCRIPTION: Bu"ildirig`Permit Type SF DWG Euilding Work Type NEW j'UBC Occupancy~ R-3 M-1 / Cvnstruction Type V-N Zoning ~ PD R-1 ~ Building Length ~ 47 Building Width 48 J - - , r ~l ` IJLJ LJ REMARKS: S& W PLBR - KLUVER MECH FEE SUMMARY: VALUATION $119,000 Base Fee $706.00 MISCELLANEOUS $1.744.50 Plan Review $458.90 Total Fee $3,718.90 Surcharge $59.50 SAC $750.00 SAC 8 100 SAC Units 1 Subtotal ;1,974.40 CONTRACTOR: - Applicant - ST. LIC. pWNER: MITTELSTAEpT BROTHERS 14569125 0003443 MITTELSTAEDT BROS CONST 785 SUNSET DR 785 SUNSET DR EAGAN MN 55123 Ei1GAN MN 55123 (612) 456-9125 (612)456-9125 i hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L ~ J-4i~A ~ ,f.l . ~ I~A APPLI A/PERt~E~ NATUR~ E ~SSUED~Y: IGNAT R INSPECTION RECORD CITYOFEAGAN PERMITTYPE: euiLoins 3830 Pilot Knob Road Permit Number: 021373 Eagan, Minnesota 55123 Date Issued: 0 7/ 0 6/ 9 3 (612) 681-4675 SITEADDRESS: LoT: 2 BLOCK: 1 APPLICANT: 968 WILDFLOWER CT MITTELSTAEDT BROTHERS LEXINGTON POINTE 8TH (612) 456-9125 PERMIT SUBTYPE: TYPE OF WORK: SF DWO NEW INSPECTION . .A FOOTING FRAMING INSULATION FINAI FIREPLACE REMARKS: S& W PLBR - KLUVER MECH F- ~ L ~ REACTIVATE ~CITY OF EAGAN ,~3 7 PE;2MI-I~A 1993 BUILDING PERMIT APPLICATION 1~ 681-4675 El,•.fct,!•- SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 1Z / 4aluation of work /e9 PT zek~~~ Site Address: STREET SUITE ! Tenant Name: (commercial only) IAT ~ BIACK ~ SUBD. I.D. N Descri tion of work: ~Y The appl i cant i s: ? Owner 19 Contractor ? Other (Describe) Name Phone Property LAsr FIRST Owner Address STREET STE M City State Zip Company /Y21 rT£2.~/Ia~"i-_ 6zu_~: Phone VSC.9ia..5 Contractor Address 7$'S Sd~cr .LtiL. License #~Wa1Ns3 Exp.2y City ~/fs.iAx1 State Zip ;,i SiZ3 ArchitecU Company Phane Engineer Name Registration # Address City State Zip Sewer & water licensed plumber hLzev~ /~Era,i..~??~~~ Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ OFFICE USE ONLY ~ . BUILDING PERMIT TYPE '1 ';q? ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodg9ng ?If'BaseeLT Fi`is14, ~ 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool 1 ? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ~ 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck O 20 Public Facility ? 21 Miscellaneous WORK TYPE 19 31 New ? 33 Alterations ? 35 Tenant finish ? 37 Demolish ? 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V-N Basement sq. ft. MWCC System I/~ (Allowable) V- N lst F1. sq. ft. City Water Yr UBC Occupancy R-3 nn1 2nd F1. sq. ft. PRV Required Zoning p _1 Sq. Ft. total Booster PumP d of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code /oi Depth 4 ST On-site sewage SAC Code oi APPROVALS ~ / Planning Building Assessments Engineering Yariance REDUIRED INSPECTIONS ? Site ? Footing ? Framing 0 Insulation ? Wallboard ? Final ? Draintile O fireplace Permit Fee v.iwti«,: S 11qit300- Surchar ~sARAIrE', ZZxz2; y,Yy x 16= '717yy License ~SMT; a~xZ~ =SyG MWCC SAC City SAL Water Conn. L 53oxly= r] Water Meter Acct. Deposit ay X 26= S/W Permit 624X sy - 33, 6114 5/W Surcharge Treatment Pl. IST Fi.ooYt; Road Unit Park Ded. a4 x30='720.' Trails Ded. 33o Copies I'~tnS%Z= 13 . Other Total : ~ ~o KS~(= IZv 0 SAC Units e4'i SURVEYOR'S CERTIFICATE MITTELSTAEDT BROS. CONST. W LDFLOWER COUFtT ~ to N N "LI73.6 . 74.0 973.8~ 74.00 N89°0623"E_. ~738/ ; o o I\ . q ~4. p 5rI - - ~ ~ 5 0 0 1 BENCHMARK 0 1 ~ PROPOSED TOPOFPIPE RIV WAY ELEV.-975.80 Zy 77~) .1 BENCH •-~f 7.00' • 976A ~ 9 76:9 _ I TOP. OP P FK E 1 22.0 - - ' W ELEV..983.45 W I ~ o G AR. m (-~/77,~ ` t° o ia~~ M ~ rn 2.0_ 433- n~' - ~O~i M In m r oi3.34 0 I a O N p. 7.33 ni -Z ~ 'i I d' I ~ p (n ~ _~l I tl00 ~ PROPOSED N HOUSE O EXIST. ~i IiOUSE 976.8 " 1700-• 9771 45.0 x982.6 X (977 980.9 I ~ x981.0 7 7 ~ o I 0 o I ,rseo.4 i° N tc) LOT 2 ~DRAIN AGE 9 UTILITY 1 EASEMENT PER PLATC I5 L ~ o 1 980.2 ~ I 9T3.4 t-IWG~D, 74.00 N89°06'23"E' AlY ~R~Ga M M LEXINGTON POINTE PARKWAY NOTE: BUILDING dMENS10NS SHOWN ARE FOR HORIZONTAL 6 VERTICAL LOC- ATION OF STRUCTURE ONLY. SEE NOTE: NO SPECFIC SOILS INVESTGATION HAS BEIII COMPLETED ARCHITERUAL PLANS FOR BUILDING ' ON THIS LOT BY TME SURVEYOR. TFE SUITABILITY OF 0 FOUNDATION DIMENSIONS. ' 501L5 TO SUPR7RT THE SPECIFIC HWSE PROPOSED IS DENOTES PROPOSED SURFACE DRAINAGE Nor THE RESPONSIBILITY oF rHe sumErort O DENOTES IRON MONUMENT SEf SCALE: 1 INCH = 30 FEET * DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR =~'/7S•U FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR =~]U•3 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = y7Q. Q- FEET WE HEREBY CERTIFY TO MITTELSTAEDT BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 2, Block I, LEXWGTON POINTE EIGHTH ADDITION, according to ihe recorded plot _thereof, Dakota County, Minnesoto. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 22ND DAY OF JUNE , 1993. SIGN D: J M R. HILL, INC. ~ BY JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 ~ -o ~ James R. Hill, inc. m O ~W 2 0 O ~ ~ ocn ~ - m m `T v> D ° Z ° 0 a 0 ° N m ~ Z m O p D PLANNERS / ENGINEERS / SURVEYORS m ~ • Z~ m Z ~ cnW { 2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-890-6044 LOT BURVEY CHECRLI6T FOR RESIDENTIAL q ~ .~,"I , u~ SUILDZN PERMIT APPLICATION m 2 uj ~ pROYERTY LEOAL: Date of eurvey: ~ AOCUMENT STANDARDS ~ 0 ~ • Registered Land Surveyor signature and company 11- q ? • Building Permit Applicant D-~? 0 • Legal description 0 [Y ? • Address @'~ 00 • North arrow and bar scale H' • House type (rambler, walkout, split w/o, split entry, lookout, etc.) [3I"O 0 • Directional drainage arrows with slope/gradient ? C3'~0 • Proposed/existing sewer and water services Cr 0 ? • street name ~ 0 ? • Driveway ELEVATIONS Existina 0 Cf 0 • Sewer service 6~ 0 ? • Lot corners Lr 0 0 • Top of curb at the driveway L1'? ? • Elevations of any existing adjacent homes proooaed Q~C) ? • Garage floor 0 • First floor Q' 0 0 • Lowest exposed elevation (walkout/window) [T 0 0 • Property corners 0 • Front and rear of home at the foundation PONDINa AREAB (if applicable) ? L'r 0 • Easement line 0 F- 0 • NWL 0 D • HWL 0 ['j ? • Pond # designation 0 C],--? • Emergency Overflow Elevation pIMEN8ION8 ~ 0 0 • Lot lines C~ ? 0 • Right-of-way and street width (to back of curb) ~ 0 0 • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, .etc. (i.e., all structures requiring permanent footings) D? • Show all easements of record and any City utilities within those easements 0~ ? 0 • Setbacks of proposed structure and setback of adjacent existing homes ? 9,-0 • Retaining e ire s, if any Reviewed: Na e / Date October 1992 DATE ERTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER N i il TIL SITE ADDRESS CONTRACTOR _ 01 i-i T r L ST R E A' T I2o!ZD 1-N S I~.v ti T I jo! ADDRESS2 85 SuaJS~r ~!1 &qv,E,,~ PHONE ~l5(~ 4r~ 5' DETERMINE WORRIrC SQUARE FOOTAGE OF EACH 1. Total exposed wall area Q_ 2,q0 sq. ft. x•11 ~ 2. Total roof/ceiling area I 2'7 S sq. ft. x•026 . 1~J Total exposed aall area above floor ~ 2207. a. Total wall window area 27 S b. Total door area y p,0 c. Total sliding glass door area y y,o d. Total fireplace wall area p e. Total wall framing area (average lOx) 22 q,p f. Total net wall area above floor / 5 5 3. o g. Total rim joiet area !2 S.O • Total expoaed foundation area - e z, 2 5 h. Total foundation window area i. Total net foundation area above grade r71,p Determine "U" value of each wall segment. a. 2,3,75 glfUl, y$ ~ 9G,2 b. qa x flvt, 2. 8 c.- qy xtrpl, . 42 - 1 1 5 d. p xPlIIto 0 ' O e._ 22.9,0 xliUll 11 ' 25.2 f. 1553.o x olver ov3y G'7.y 8• 1 2 Q R"W' , DqL/ h. 1I, 25 gflU„ y S - 5. 1 i. 71.o R"U" , oR2 ~ S. R 3 . ...............................Total If item 03 is the same as, or less [han item 41, you have met the intent of SBC 6006 (c)2. -1- Page 2 oE 2 • ' ~N Total exposed roof/ceiling area 7 5 J. Total skylight area p k. Total roof/ceiling framing area(average 107.).. 1. Total net insulated roof/ceiling area q 5, 3 Determine "U" value for each roof/ceiling segment. J. o X nUn 0 ~ - k. r79. 7 g nUn . 02'S $ '2. 1. 9 5.3 X nUrf • 0'l.l 'L G, I 4 .Total If total of 04 is the same as, or less than 02, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize [he total envelope syetem method, the values established by the sum of items 03 and 04 shall not be greater [han the sum of items , O1 and 02. 1• + 2. ~ 3. ' + 4. . s -2- - ~ , . . .........._,.:_U: 8L . . . . . 'i:...::.. . , ....~.r , . . J . . , ; . . . . . . . Y. ...::.Vf~ , .,..:>.'...:~:.;<.:...o.: t~ . _ . . ~ .n:. .n~ . .....a `.;F;.. . s ~ . . ......>.n... ; .r: •ii~~ri, 'i . , . . . . . ,•.,,.-,::x.. .<.~,a;L:~<:•,k . . . . . . . .,..3..,. _ a:,.. _;t..:,:.. ~.::ri`:iG:•:•iR:. . . ...:.......r....~. . ii.~..~~.,...._:.:..~ . : . . ~ .y, ~ .~.;•.......'r`e'....0..7...c..,et - . , < . .I3!AW''- ~ H. . . . . .E:;,::ai.:...:a::..a..,.o.>......... ~ . . 1993 PLUMBING PERMIT (RESIDEIVTIAL) CTIY OF EAGAN 3830 PIIAT KNOB RD FAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. - FIXTURES EACH TOT~ ~ SHOWER 3•00 3 J WATER CLOSET 3•00 4 - i BATH TUB 3.00 ~ LAVATORY 3•00 ~ KITCHEN SINK 3•00 LAUNDRY TRAY 3.00 3 - HOT TUB/SPA 3•00 / WATER HEATER 3.00 3 - / FLOOR DRAIN 3,00 3 - GAS PIPING OUTLET • minimum • t 3.00 3- ROUGH OPENINGS 1.50 WATER SOFI'ENER 5•00 PRIVATE DISP. • Darcry. iio. 15.00 U.G. SPRINKI.ER • nome unaer mnsi. 3•00 ALTERATIONS • w eosun8 15•00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: SITE ADDRESS: OWNER NAME: INSTALLER:~~~~ ~.P //L.oi~ :~i. ~ ~H,~~~ • ~n'? ADDRESS: o~ 52ES'/J UL',o? ~/`4i / CITY:_,~ST~/~ STATE: ZIP CODE: ~ PHONE ) 8~~~~~5"7 f SIGNATURE OF PERMITTEE . r • . Sew r:..: . . .,..v,,,... ....~:~~...f"S':^',"...~....,~.......~.....rv..H..~.... . ~..:::..•:.q~~..~:'.G:N:~Q:'.`iS:e.~... k~FYii.~.'^~.~.~~,nq~;~ri.K:;k^.'i'.'K:_._ ....f::_ r_ ~p.. . . i . rn....fa..:.~....:mF'.~.:ti'~ ~{.[::t.....~....J.......<'5~...~V.S`yu o.-...i:::.a..::o,. i.i~ . . , •F,.,.,:a~.~:•:.; v.,..,~,.....,... ~ .,~:_;a:~.,• . : ..a. . c>.... :.r: , ~ , 5,..u.,~ .?'a , . . . . . . , >~<;i=.: >';y=:' _ w..~.,_. ......:<~,.::.,~.:a..,.:..~.....>:_ .s ~ic::-a~ > . , . :.q ..1 , r.. , ~x.:::.s e ;:~~,j.' ;..a:~'a .e.... i z, .,..,.:.r .::..:..........a..~.;,,,..~.~::~. ,.:.....r.n.::.n ~{~1j~D c::. ;:v:;~ :_.F.;D 1993 PLUMBING PERMIT (COMMERCIAL) CI1Y OF FAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMIIvIERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MUI.TI- FAMILY BUP DINGS Wf-IEN SEPARATE PERMTTS ARE NOT REQLTII2ED FOR EACH DWELLING UNT. NEW CONSTRUCfION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE 1% OF COhTRACT FEE. STATE SURCFIARGE: S.SO FOR FACH $1,000 OF PER1ti1Pf FEE MINIMUM FEE S 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SIT'E ADDRESS: TENAIVT T'AN'IE: STE. # OWIr'ER NANZE: W STALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT L 'BLI REr.EE" ~ . . DATE.,' 1993 MECHANICAL PERMTT (RESIDENZTAL) CITY OF EAGAN 3830 PII,OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOIvIIES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ~ *IEW CONSTRUC?'b0N ADD-ON A/C ADD-ON FURNACE DATE FEES HVAC: 0-100 M BTU 2q,pp ADDITIONAL 50 M $TU 6.00 ~ de G UTLETS (MINIjvI UM 1@$3.00 CH) ~ ~u-mR-c,-e~/ cl i-q 2r 4- / Q ce,) ADD-ON/REMODEL (E 15TING CONSTRUCTION) $ 15.00 STATE SURCHARGE TOTAL SITE ADBAESS: w I W hlcY`7-"/OGoe-V OWNER NAME&;&i~s/~ e~t ~M3. C&tis~ TELEPHONE INSTALLER:8,,.vIlle--;ee#irrg--Br- ADDRESS: 12481 Rhode Island Ave.~So. --a.age h9M C~.~,: 894-0005 STATE: ZIP CODE: TELEPHONE ~WATL&E OF PERMITTEE C1T'3tf `iJSE.iIN~.'Y . .:<.<.., . ...:.......~......:::,>:..,,..,..._._~,..,...~...,H<.::; , . ~ • , > . ~...y., < . . _ . . ...z..:., y . .....,.>....:.,.,~:r:,-... . . . t. , . . . . . . .:...wz:. . . : .:.;.y::...: ~ . . . . . . . . . . . ' ~ . _ . . . ,.c:x,n.,. v.:~:~ :.i3;Y . . : : -,:.~:;:.~x• - ..s:::t.. :.......:..y;° :.:3~5:~.^.Y:~~: . .y _.-..c... . ...F u . ...~..~...y .............:.'-yna ~....y•:.'::i...x.........._. _ .nb.... ~ ~ ....n... »,.~.»_r>...,.,~. ..,.._..r.>, a~...s.....,......x::i" .a . . ~ . ..~...~~Y.~~......._ . a..a~.,......:..,...n..u.uw~F:voL,.....u,.w.,....,.,..a.,... : . 1993 MECHAWICAL PERMTT (COM)vIIItCIAL) CTIY OF EAGAN 3830 PII,OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMviERCL4L4NDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTEER MULTT-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 CONTRACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF PERMIT FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONL1) INSTALLER: ADDRESS: CI7Y: STATE: ZIP CODE: TELEPHOh'E SIGNATURE OF PERMITTEE CITY INSPECI'OR , ( RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New ConsWCtion Reouiremen}s RemodeVReoair ReouiremenLS OHice Use 0nlv 3 registered sAe surveys showing sq. ft. o` lot, sq. ft. of house; and all rooled areas 2 copies ot plan Cert of Survey Recd (20% maximum lol coverage allowed) i set of Energy Calculatons for heated adtlitions Tree Pres Plan Recd 2 copies o( plan showing beam 8 window sizes; poured found design, etc. 7 site survey for addilions & decks Tree Pres Not Reqd 7setofEnergyCalculations Adddion - indicafedon-sifesepficsysfem _ On-srteSephcSystem 3 wpies of Tree Preservation Plan if lot platted after 111/93 ' Rim Joisl Detail Options selecUon sheet (bldgs with 3 or less units Date Cf~ , Ceonstruction Cost ( D I lX - Site Address Q ~ V~J 1 t ct-P a L?e Y~. l i~C • Unit/Ste # Descrip[ion ot Wark"R~VZ( Qi ~~~~oa\J\/ S Lr) ' S Multi-Family Bldg _ Y 0 N Fireplace(s) _ 0 _ 1 _ 2 , Property Owner Ul,~ u9 Qp Telephone #~~J~ 't ULO . Ctc-~ . ~ RMA HOME SERVICES INC. ~ Contractor Home Depot Installed Sales 3200 Cobb Galleria Pkwy., Ste.#200 Address , ANanta, GA 30339 City State 763-542-8826 P Telephone # ( ) - BG20268257 - - - - - - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeory 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone ~ Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#(- I 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 appr val of plans. ~ara °Applicant's Printed Name A plicanYs Signature OFFICE USE'ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 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 01 of _ plex ? 09 07-plex ? 17 Garage 0 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Oemolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCemenl 'Demolition (Entire Bldg) - Give PCA handaut to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Foohngs (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation H V AC Drain Tile Olher Roof _ Ice & Water _ Final _ Poo] _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Smcco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total t ; ~ Installed ~ Siding and Windows ! ~ LIMITED POWER OF ATTORNEY , , ~ COI3NTY OF COBB I STATE OF GEORGIA I KNOW ALL PEOPLE BY THESE PRESENTS: ~ i THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN i 55427, having a license number of BG 20268257, do hereby appoint, name and ~ constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful i attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my ~ name, place and stead the power to execute, acknowledge, sign and deliver (in such ; form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper ~ permit(s) from the City of Eagan, Minnesota for the installation, maintenance and ~ repair of windows and siding (the "Work"). ~ ~ The powers conveyed to the Agent by this Limited Power of Attorney are I limited solely to the express powers delineated herein and appl.y solely to the Work. , This Limited Power of Attomey shall expire and automatically be revoked on the 21 st i day of Iv1ay, 2404, which date is one year from the executioii hereof. Further, the ; powers conveyed by this Limited Power of Attorney may be revoked by Principal at ~I any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. i rN WiT'rTFSS WHEREOF this Limited Power of AYtorney is eaecutcd this ~ 21 st day of May, 2003 I I i David . Katz ~ ~ SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this ~ 21st day of May, 2003. i e 9-Qj Notary P ic in for the State o eorgia ' i My Commission Expires: January 21, 2006 ~ ~ 396816 v} Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 964-0709 • Toll free (800) 79-DEPO~ V9U~ rs5z~ j2OO1 2007 RESIDENTIA CPTLoMB G N PERMIT APPLICATION 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please com lete for modifications to existin residential dweilin s. [Date < /~z i ~ Street Address Unit # erty Owner 42~4,1 Telephone #(~j$'nt/n6- 993~0 I Contrector '/p~ CQPI Telephone # Address,-/2, _A/ ajLIf,2_~~C,o (?zQ -City ~~IaQ.It7h'U/~ ~ n State)a_~ Zip.5 ~33 The Applicant is: _ Owner & Occupant ~ Licensed Plumbing Contractor ' I Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee I S 100.00 Per as-built I $ 10.00 I Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . ' I Al:erations to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes I installation of a water softener and/or water heater at the same time. lf you are installing oRIV a water softener and/or water heater, do not complete this section; ~ move to the next section and place a checkmark next to the appliance(s) you are installing. I _Septic System Abandonment ~ _ Water Turnaround (add $136.00 if a 5!8" meter is required) _ Other: ~ _ Water Softener X Water Heater ~ $ 15.00 TC _ new replacement ~ _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild I $ 30.00 State Surcharge I $ 50 I Total $ 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 oi lhe 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 accorda with the approyp-q in the event a plan is required t reviewed 7-,,.-,- AOlica6t's pproved. 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