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976 Wildflower Ct ~ k~ ~:o? , ~ • ti ~ ~4 ~ f t W-erdticate af cccuvanc~ ' This Certijtcate issued pursuant io the requir+rments of t6e Uniform Building Code certifying tiwt at the tin~e of issuance this structure wos in compliarice with rhe various ordirtareces oj1ht Ciry regulating buitding constructior+ or use. For the following: uw causaricafim: RIP swg. rermii No. 22542 0-wa-r TM -$3Q~L1- Zmna oaMa ~/R I Toe conu. VPl omwor sui&ng HIMSTARM M OIST Ad&= 875 SZUbM M. FWM SuildingAedress 976 UTTiMlY~1F'JZ (YI1RT l.ocaliry Li, BZ* IECHM FUN1F 81H / Doc: ~-I,/ POST IN A CONSPICUOUS PLACE - _ ~ INSPECTIUN RECORD ~r 0.I1'1f OF EAGAN PERMIT TYPE: ~ 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: ~jAPPLICANT: ~ t11 i I~t I ~~i111~ ~I { I I~ 11 r e~~~~~ I 11~ I•~ t siINit r;iN • tr;1. 1 ~I-. I, . . . ,~>~r •..~..q .rh.M~.:~ -~~,w,! ~ PERMIT SUBTYPE: ~ ' TYPE OF WORK: INSPECTION TYPE DA • D. . ~ i.•. ~ N{~ I ~111 ~ INti . ,I i4 1~ ~ . wm+n No. v.mit Hoa.r o.ee Temome # . sivv PIUMBING HVAC 89 ELECTRIC ~Ov ELECTRI ,VQ ~ ,C Impecdon Dats kap. Commmnt~ Foo*gs I ad 3 Foundauo„ F?amwy Aoonrg Ra+9h PIb9• /.~'7' - Rougl+?i1g. ~ -/7 • l L PQ - s z 3- O ~~'1 ~ FaW FNp. ~ ~7 ~ • ~ %j,~C J Orsat Test I f i, Final Plbp. PI . In6peCtor - NotMy Phwnber a.r COnet. Meter Engr.lPlan Bidg. FmW J- i(OIL Dedc Ftg. ~ Dedc Final Well Pr. Diap. -&ftf. pI" 4,eAf-Oved g/a/94 - - ~ r . INSPECTIUN RECORD CIW bF EAGAN . PERMIT TYPE: A30 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: ts / t•i (612) 681-4675 SITE ADDRESS: APPLICANT: Ft f'T I i i 1 f 1 Ni, 1ifN iii 1 0 i~ PERMIT SUBTYPE: ~ TYPE OF WORK: INSPECTION • ~ :st PMmk No. PMtnlt FbIdM Date TiNpAone K . SSJW/ ~ras /S~l~~L ' ~0~4 3 ~D~ d . ELECTRIC Q 8 ~ ~ ELECTRIC Inspwtlon OoN Insp. Coffonwft F°°t"'gs i 3 FaursdaUOn Q F'w'ft o ; 3 DS Rodft pmo Pft. P.°* ft ~a Q 23 -rclf~p c-2 v4, r~ di,.Ock- c~ qwtiw w w~ Fnpkme /*~O Rnal FMp. Orsat Test ~"1/Yj L/J / Plbp• Inepector - NotilY Plumber Flnal P". Ve. G Cons1. FAeter En9?JPlan Bldg' FWW peck Ftg. Deck Flrial weli Pr. o'tsa. ~ do;41 6 ~ A ~ , . %&-r-tificate of cccuvanc~ CM4 o~ Wasan zoartwcxt o( van"igg ~a~cctiox This Cerrificate issued pursuant to the reqairements of the Uniform Building Cade CeRifying tilat at flle tinte of issuanCe lhis struclune was in compliance wrth lhe vavious orrlinances of tfre Ciry regulatrng building construction or use. For the following: use clamficatkm: SF DWG/GAR Bleg. Pem„, Na. 21689 ompancy'rypc R-3 M-1 zanine Distria R-1 rype Consi. {/n owne,,fe,,;min HUTTNER CONST Aemess 960 WATERFOen ort v_ TFer_AN MN BuiklMwddress 980 WILDFLOiiER CT lnnliry L7, R?- i.FX1Nf_TilAl PTF A'j'g D-: 77 7-1-1,1 POST IN A CONSPICUOUS PLACE d 7 21 8 i 9 ReQU s; Oai hh~~ ~ Fu No. ou -in Inspectron r/ /p nBtl? ? Reatly Now ill NoOty IngpBCtor q ~ ~ U Yas G N. 17 hen Reatly? I licensed contractor p ownei hereby request inspection of above electrical work at: J b Atlaress IStreel Boa or I°~t p ~ IM~ ~ I Cityc~ 6 vU 'f(~i d- SecLOn No. Township Name or No Range No Counry Occupam(P NT) Phona No ./Gi~~~ls~t~~' B~-p`t'G?~rS 4L5/ 9ias Pawer Sup lier AOtlress aJ<ofA E lec rrnin t 'J~-) Electncal Contrecior ICOmpany Name, ontrecmr's L¢ense No. Mailmg Atlaress (COn;rar,or or Owner lAaking Ins;allauon~ 15555 am sG?rYe ~~1ti2- ~~drLCCke. MN Aumonzea Sjna re ICOmmcmr,pwner Ma4 g Instauauon) PnoneN oe=q/{ ` y 6 (J U MINNESOTA STATE BOARO OF ELECTRICITY TMIS WSPECTION REQUEST WILL NOT Grlgge-Mitlway BIEg - Room &193 9E ACCEPTEO BV THE STATE BOARD 1821 Unlversity Ave. SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED REO'k;EST FOR ELECTRICAL INSPECTION ? / p~ Sea inslruc~ions lor comvletinB tms lorm on bacM ol yellow copy - ~~f Below Work Covered by This Request ~=,e.•• d 71218 Add 9Ap TypeofBuJding App6ancesWired EqmpmentWued Home Range Temporary Service Duplex Water Heater Electric Heating ApL Butlding Dryer Other(Specity) Comm.llndusinal Fumace Farm Au Contlrtioner Olber(syenfy) ConVactor's Remer4r Compute Inspection Fee Belaw: # Other Fee 8 ServiceEntranceSize Fee # Grcwis/Feetlers Fee Swimming Poal 0 to 200 Amps 0 to 100 Amps Tran5lormer5 Above 200 Above 100 Amps Signs insoenors use omy. Irrigation 8ooms •~j« ~ L Speciallnspection Alarm/Communication THIS INSTALLATION MAV B DERE DIeCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 I, the Electrical Inspector, hereby Rougn-in certdY that the above insPection has F'inai f~ f re; beenmade. oa OFFICE USE ONLV Tnis request voitl 18 monlhs Irom f~~ ~ m~0 7 14 /_J Glz;~ y Requesi oeie Flre No Rough-in Inspection NOTICE: You Musl Call ElecMncal Inspoctor Hequiretll II A Raughln Inspemion ~ ? Yes a Is Reqwretl Iicensed contractor ? owner hereby request inspection of above electrical work at: JoE Atldress (Sireet. Bax or Faute No.) Giry vLAd/F E%G rJ Saclron Na Tawnship Name or No. Range No Counly D4 6T,9 Occupanl(PFINT) Phorie No Power Supplier Adtlress Elecvncai Convacmr (COmpany Name) Comractor5 L'censa No. MaAing Adtlress (Cqnlraclor or Uvner eking Install tian) 1^ I/e So ./1' . S Authonzetl Si n (COntract wn aking 1 tallalion) ~~96/E~~ m0 r / I MNNESOTA STATE BOAFO OF ELE.;TflICITY ~ THI$ INSPECTION REOUEST WILL NOT iggs-MlAwey Bltlg. - Hoam S173 BE AGCEPTEO BY THE STATE BOAFD 1821 Umvereity Ave, SL Paul, MN 55104 /L ~?~rJl UNLESS PROPER INSPECTION FEE IS Phona(61S1 692-0WO ENCLOSED. G~/~/01 REOUEST FOR ELECTRICAL INSPECTION EB00001-0e Po Sea insimcfiore fof rqmpleting thls tortn on back ai yellow wpy i /J' - ia~s9 M 07914 •`X" Be/ow Work Covered by This Request ew`Add 9ep. TypeofBuiltling AppiiancesWired EqwpmentWiretl Home Range Temporary Service Duplex Water Heater Electric Heanng Apt. Budding Dryer Load Management Comm /Indusirial Fumace Other (Speary) Farm dAir Conditioner ONer (specvy) Contraclork Remarks: ~ j'e ~Q~~ r 5~ u ti^ Campu[e Inspection Fee Below: /'e rea/ 1A ~CYE # Other Fee N ServiceEntrance5ae Fae # Circwts/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transbrmers Above 200 _ Amps Above 100 _ Amps Signs Inspeclor4 Use Ony. TOTAL Irrigation Booms ' 0 J~ S~ Special Inspection Alarm/Commumcation THIS INSTALLATION MAY BE ORDE D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby AouBh-in oete certify thaf the above inspection has Final oate been made. - OFFICE USE ONLY ~ This request voitl 16 monlhs fmm ~/~/s' ~~sss N 2 9 2 9 ~i . ReQuesi Dale Fre No Pough"n InpseCibn Repuiretl InsO~~~an O~nei T~en Roug~-In 7~[/ (YOU must ceA mspeno?r w reaCy) ~ RaOtly NOw ? Wtll N09ty InSpectar 7 Ves Na Date Reatl I)<licensed cornractor owner hereby request inspection of above electrical work atJoe Aaeress (SVeet 0ox or Route No I Pty 76 ca h~.~=Ger~,~ Leik 254 6-,6N Section No Townsm0 Nama or No Range No Gounty Oc[uodntYPFINT, PI,ona No. ~ a S: Power $uopher Atltlress r~.e~' o7f/ Eiecincal Comractor ICOmpany Name) ConVactars License N. VFI3 So i? 6~1 o Dh o`L MmLng AaOress iComrac:or or Owner Making Insiailanon) /1Y16-~ A(lii;- Fwnonzoa Sig lure IComr ~aovOwner MaMing Innallauon) 1 Phone Number z o ao MINNESOTA STATE BOAPD OF ELECTHICITV THIS INSPECTION REOUEST WILL NOT Grlggs-Mitlway BICg - Room S-173 BE AGCEPTED BV THE STATE BOARD 1821 University Ave.. SL Peul, MN 55100 UNLE55 PFOPEP INSPEGTION FEE IS Phone(61Y)602-0800 ENCLOSED. /c REQUEST FOR ELECTRICAL INSPECTION ee-oooo,.oe R "~~a ~ / J ? See mstru[tions br completing tnis lorrn on back oi yellow, ropy pg b ~~JlJ~S 2 9 -"X" Below Work Covered by This Request ew Atitl ReRI TYOeofBUiltling ApphancesWired EquipmeNWued HOme Range Temporary Service Duplex Water Heater Eleclric Heating Apt Building Dryer Loatl Management Comm /Industnal Furnace Olher (Specdy) ~ Farm Air Conddwner Omai IsVoi Comraaors Remarks~. O41 Compute Inspechon Fee Befow. x Otner Fee x ServiceEntranceSiza Fee # ~ Circwts/Feeders Fee Swimming Pool 0 to 200 Amps 0 m}700 Amps pZ+ hansformers Above 200 _ Am 'AboJe 100 _ nmps SignS . laspedorg Use Only. TOTAL Irriqauon Booms ~ r?e 67 Sv Speaal InSpection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITNIN 18 MO HS. 1, the Electncal Inspector, hereby Aoughin ~ oaie cerlify that the above inspecuon has Fnal been made. OFFICE USE ONIY Tnis request vow 18 momns Irom Address 276 wrt.nErnwFR C(A1RT Zip 5512 3 I,.ot I Blk 2 Sub T.F'xrru:r'rx,r PorNn'F' snt THESE ITEMS WERE / WERE NOT COMPLGTE AT THE TIME OF THE FINAL INSPECI'ION. Date: /OS lj Yes No Inspector. j,f/ Final grade (6" from siding) ~ Permanent steps (garage) Permanent steps (main entry) Permanent driveway ~ Permanent gas ~ Sod/Seeded grass TraiUwrb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and lhe shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact enginecring division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~ Whire - City Copy Yellow - Resident Copy Pink - Comractor Copy Address 980 WILDFLOWER 'I'T Zip 5512_ LAt Z Blk Z SUb LEXINGTON POINTE 8TH THCSE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: 13j 1 -7 ~ 3 Yes No Inspector. Final grade (6" from siding) LI" Permanent steps (garage) Permanent steps (main entry) ~ Permanent driveway ? Permanent gas Sod/Seeded grass v Trail/curb damage ? Porch Basement finish ? Deck Please verify wilh Ihe builder the removal of roof lest 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 right-of•way or installing underground sprinkler syscem. White - City Copy Yellow - Resident Copy Pink • Contractor Copy ~ 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION l I~ City Of Eagan ~j~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete Cor. single family dwellings & townhomes/condos when pertnits arc required (or each unit Date-1 /jj~ / Site Address 11 if 1162 falUeY7, Lft. Unit # PropertyOwner ~/DV&KL Telephone#( ) ConVactor Street Address , City State _ MY Zip = Telephonek j~-) c Bond -4; Expires: /13 131 The Applicant is _ Owner ontractor _ O[her. Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger aircondjt~p' ~New _Re~leme~Y% other P vx~" / V l f~~\ I~!l V Sta[e Surcharge $ .50 Tota! ~ -~Sn.m I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be m conformance with the ordinances and codes of the City of Eagan and with the Mechanica] Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start withou[ a pernut; [hat the work will be in accordance with Ihe app oved plan in the case of work which requires a review and approval of pla ~y7G~~El ~UY~/t° , pplicanYs Printed Name p~t's Signatuc JUL 15 2004 TBY 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete foc commercial/industrial buildings multi-family buildings when separatc pcrmits are not required for cach dwclling unit Date Site Street Address Unit !J Ter.an! Name (if applicable) PreNiuus Tenrnt Name Property Owner Telephone # ( ) Contrac[or Street Address Citv State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: "When installing/removing underground tank, cal/ for inspection by Fire Marshal and Plumbing Inspector Pefntit F¢es: $70.50 Underground Iank insmllatiodremoval 550.50 hlinimum (includes Siate Sumharge) or Contract Value $ x 1% _ $ Perntit Fee • Ifpermit fee is $1,000 or less, add 5.50 $ State Surcharge If c? rmit fee is over $1,000, add 5.50 for every $1,000 oermit fee $ Total Fee 1 hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurare; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that 1 understand [his is not a permit, but only an applica[ion for a perndt, and work is not to start without a permit; that the work will be m accordance with the approved plan in Ihe case of work which requires a review and approval of plans. Applicant's Prinred Name ApplicanPs Signature Approved By: , Inspector Date: RESIDENTIAL 22 ~ 2. BUILDING PERMIT APPLICATION 5 CITY OF EACAN sHq '25 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConsW c6on ReauiremenW RemodellReoair Reouirementa • 3 registered site surveys showinq sq. tt. of lot, sq. ft. of house; and all roofed areas • 2 copies ot plan (20%mazimum lot coverage allowed) . 1 set of Energy Calcutations for heated addftions • 2 copies of plan showing beam & wintlow sizes; poured found desgn, etc.) • 1 site survey (or exterior additions 8 decks • 7 sel of Energy Calculalions • Indicate if home served by septic system for additions • 3 copies of Tree PreservaGon Plan it lol platted aNer 7/1193 • Rim Joist Delail Op6ons selection sheet (bldgs wilh 3 or fess units) DATE (Q'1~- OZ VALUATION SITE ADDRESS'~~__A ls, MULTI-FAMILY BLDG _Y YN TYPE OF WORK`kal.k ~J- fIREPLACE(S) k0 _ 1_ 2 APPLICANT 10_0~0.~t7O~~-~. c S_ STREET ADDRESS 24B9 RXo~_SA_ CITYQcf~~S1~I~ STATE "1) ZIP~IyZ TELEPHONE # 1&:1-1?,u'14'~~CELL PHONE # FAX # \0~\ -L1I~~-b219 PROPERiYOWNER 'S\`t3,,_a0k37-L_L TELEPHONE#CDS1_~) COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA 12ULLS 7670 CATEGORY 1 MINNCSO'PA RULES 7672 (+1 submission lype) . Residential Ventilation Category 1 Worksheel Submitted • New Energy Code Worksheel Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phoiic # Plumbing system includcs: Watcr Softcncr _ Lawn Sprinkler Fcc: $90.00 Water Hcatcr No. of R.I. Baths No. of Baths Mechanical Contractor; Phone # Mechanical system includes: Air Condilioning Pee: $70.00 HcaL Rccovery Systcm Sewer/Water Contractor: ------Phone # I hereby acknowledge that I have read this application, state that the information is cor t, and agree to com with all applicable State of Minnesota Statutes and City of Eaga rdin ces. i Signature of Applicant y - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ° - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ° ° - - ° - - - - - - - - - - ° - - - - - - - - - - - - - - - - _ _ OFFICE USE ONLY 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 ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New O 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 ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuatian 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 Sprinktered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation H VAC Drain Tile Other Roof _ Ice & Wa[er _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ . . PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 2 5 4 2 (612) 681-4675 Date Issued: 11 / 16 / 9 3 SITE ADDRESS: 976 WILOFLOWER CT LOT: 1 BLOCK: 2 LEXINGTON POINTE 8TH DESCRIPTION: Buildirig,,Permit Type SF DWG Building Work Type NEW ~UBC Occupancy\ R-3 M-1 ~ Construction Type V-N Zoning ~ PD R-1 ~ 8uilding Length 49 ~ Building Width 52 REMARKS: S& W PLBR - KLUVER MECH FEE SUMMARY: VALUATION $122,000 Base Fee $716.50 MISCELLANEOUS $1.744.50 Plan Review $465.73 Total Fee $3,737.73 Surcharge $61.00 SAC $750.00 SAC ~ 100 SAC Units 1 Subtotal $1,993.23 CONTRACTOR: - Applicant - s7. LIC. OWNER: MITTELSTAEDT BROTHERS 14569125 0003443 MITTELSTAED7 BROS CONST 785 SUNSET OR 875 SUNSET DR EAGAN MN 55123 EIIGAN 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 SCate of Mn. Statutes and City of Eagan Ordinances. - J APPLICANT/PERMIYEE SIGNATURE ISSUED B SI ATURE ~-C- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 2 5 4 2 Eagan, Minnesota 55123 Date Issued: 11 / 16 / 9 3 (612) 661-4675 SITE ADDRESS: Lo T: i B L 0 C K: z APPLICANT: 976 WILDFLOWER CT MITTELSTAEDT BROTHERS LEXINGTON POINTE 8TH (612) 456-9125 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION . FOOTINGS FOUNDATION FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: S& W PLBR - KLUVER MECH I ~ J L REACTIVATE _ (~q'sl"-~ ~VE0 CITY OF EAGAN PE:iM IT r 1993 BUILDING PERMIT APPUCATION '~7r~. ~0 93_ 681-4675 SINGLE S MULTI-FAMILY 2 sets of plans, 3 reglstered aite surveys, 1 copy of energy calcs. , COMMERLIAL 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 Yaluation of work Site Address: 976,, LipEET fU1TE / Tenant Name: (commercial only) IAT ~ SIACK 2-- SUBD. P.I.D. N Descri tion of work: The applicant is: ? Owner Contractor ? Other (o..«ine) Name Phone Property LAST FIRST Owner Address STAEET $71 1 City State ZiP Company . x5, Phone as -41 COntfeCtOr Address cr1->-:5 zl- Z~~i'Ore-License M 3 414/ 3 Exp.az~E City State Zip Company Phone Archttect/ Englneer Name Registration / Address City State ZiP Sewer & water licensed plumber v~2_ / f~~/,~i~~ • Processing time for sewer 8 water permits is two days once area has been approved. I hereby acknowledge that I have read this apPlication and state that the lnformation is correct and agree to comply with all applicable State of Minnesota Statutes and Lity of Eagan Ordinances. 5lgnature of Applicant: - OFFICE USE ONLY BUILDING PERMIT TYPE •r - ~ ' ' ~ O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish Er02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool O 03 SF Addition 0 OB B-Plex ? 13 Garage/Accessory 0 18 Comn./Ind. ? 04 SF Porch ? 09 12-Plex O 14 Fireplace O 19 Comm./Ind. Nisc. O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facillty ? 21 Miscellaneous WORK TYPE JR( 31 Nea ? 33 Alterations ? 35 Tenant finish ? 31 Demolish O 32 Addition D 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V-lJ Basement sq. ft. MWLC System Y6 (Allowable) v-ni lst F1. sq. ft. City Mater Yes UBC Occupancy _Q 3 M_l 2nd F1. sq. ft. PRV Required Zonin M Iz-y % Sq. ft. total Booster Pump / of Stories Footprint Sq. ft. fire Sprlnkler length -'}qT On-site well Census Code /oi Depth .57-0 On-site sewage SAC Code APPROVALS ~ Planning Building Assessments Engineering Yariance REDUIRED INSPECTIONS ' ? Site ? footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile O Fireplace Permit Fee wi.c~m: g IZ?j DOa ~ Surcharge Plan Review GARQVE: 2.0 x ZZ~ 4Un License I X 6 ~ ` MWCC SAC City SAC r.~ Water Conn. $SniT% Water Meter - ay x 24 cs76 14 314 x l6 ~ 6q 1-Ili Acct. Deposit X. 8,64a S/N Permit S/W Surcharge 3nK24-~,Zo Treatment Pl. Road Unit ~3 Xj Sy c / Park Ded. Trails Ded. Copies x zy=39y Other l Total : ! ~ ~1 "39t5 Xo2o = (7CI 0 O) SAC X OQ (APVM LF,ELC, ; SAC Units I w.~. _ ''1?A K24 = y~ ! rIy,3oq '1 IY7 {y 1~ L~Z _2 11-16=1893 11:46 612 894 9716 AMES BUSINE55 CE]VTER P.01 l07~0s SURVEYOR'S CERTIFICATE ITTEL'TAEDT B O5. CONSTRUCTION, I. ~ _ iNiLDFLOWER COURT 9~3: c sys.T ~ ~CP N 9T6.7 274.6 973.4 s~s Id 9 75 00 E (97e ~J i, s SERV. ~o i(q7k•5 . ~ ~ 974.0 roFaAia~ T~POFP~ IPE x 6 F1EV,.974.99 ELEV..978. ~8-0) 8777 40 . OAR./ ~ o (~JpSA) p I m EXIST. ~1 PROP06EDi ~ I ~ II ~ x t ~~E I~; ~ m HOUSE ' t~ W « ; •1 ~n ~ 97EL 978.1( 977~ t- yo Q _3 r- ~ I I 1 pV Q ~ _ J p W td1 I + z/j ~ LOT I ~ ,o , ~~~~iffli~G~EPT- I ~OWAINAOE 6 UT{L1TY ~ s HASEMEN7' pER PLAT~` f NOTE: k0 SPECIflC SOp.$ INVESTIGATION /g?9•$~ ~ 978.8 ?ias BEEN coMPLE7m oN 7ws ' 1 LOT 'BY iNE SURVEYOR. 7FIE SOItS TU 3UPPW f 97ag~ O O \(q77•7) ' 7HH SPESUITABILlTYCmIC OF HOUSE PROPOSED ~Q 1, THE SUAJEYO~~NSIHdITY OF ^ S89006 23 W Qa.9D 861T.PATH zi~ c -iiJ Nore: FoRDrt~ZOM'ALI6N~rICaNWC LEX I N GTON P01 NTE PARKWAY °A710N OF STAIlC7URE ONLY. SEE ARC4I7EGTUAL PLANS FDR BUILpWp d FOUNpA710N DIMENS70N$. f- DENOTES PROP05EP SURFACE dRAINAGE O DENOTES IRON MONUMENT SET SCALE; 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED (iARAOE FLOOR -`1'72 •3 FEET X000.0 DEN07E5 IXISTING ELEVATION PROPOSED LOWEST FLOpR -97e , 'y FEEf (000.0) pENpTES PROPOSED EI.EVATION PROPOSED TOP OF BLOCK- 978.7 FEE'1' ~ . ' WE HEREBYCERTIFYTp MITTELSTAEDT 6RQS. COMST. THAT THIS IS A TRUE AND CORRECT REPRESEN7ATION OF A SURVEY OF THE BOUNDARIES OF: Lot 1, 81xk Z,,LEXINGTt]N POINTE EIGHTH ADDITION, qccording to the reoorded Dlot thereot, DakoTa County, Mlnnesota; , IT pOE5 N07 PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IXCEPT AS SHOWN. A5 SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 3R p DAY OF NOV, ,1993, PROPOSEA GRADES SMOWN WERE 7AKEN SIGNED: JAME$ HILL, I 1 . FROM THE ORADINCi PLAN FOR LEXIN67'ON i POINTE EIGHTH ADDI7IIXV PREPAREDBY TRI-LANDSURVEYINOANDLASTDATED. ' BY, 10-19-92. (h6&x i."s+ec+~P ,qt,vsr& t~-is-9b ps.-r-%1"yo¢'E1u.v;Gaeo0j OAAYR. FUURIS, MINNESOTA LICENSE NUMBER 10943 ' z~ fN ~ ~ ~ James R. Hill, inc. Y~-_4_0 -o n _ 6m o~s wwa n~ o~ o~ Z~ w o ~ m ~ PLANNERS / ENGINEERS / SURVEYORS m W j 2500 W. CTY. RD. 42 0 9UfiNSVILLE, MN. 55337 a 612-690-6044 R°97% ~ 612 894 9716 11-16-93 11:48PM P001 #23 • LOT BIIRVEY CHECRLIST FOR RE6IDENTIAL • ~ SIIILD2NG ERMIT 71PPLICAT ON ~ S2 PROPERTY LEOAL: ~ T m a te o survey: f~/~ f 9 S pOCIIMENT BTANDARDB ~hr f~f~~ ~ 0r 0 0 • Registered Land Surveyor siqnature and compa y 0 • Building Permit Applicant C~ ? 0 • Legal description 0 C~ ? • Address C~~~ ? • North arrow and bar acale 0' O 0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) Er ? 0 • Directional drainage arrows with slope/gradient t. 0-- ? 0 • Proposed/existing sewer and water services 5~~~0~ ? • Street name 0 0 0 • Driveway ELEVATIONS Existina 0 8' 0 • Sewer service D` 0 ? • Lot corners H' • Top of curb at the driveway 6'~ • Elevations of any existing adjacent homes Proeosed ol? 0 • Garage floor 8- 0 ? • First floor Q-'? ? • Lowest exposed elevation (walkout/window) 0 • Property corners Q? ~ • Front and rear of home at the foundation pONDING AREAS (if avolicnble) D C~ 0 • Easement line C) D", 0 • NwL ? 8' D • HwL 0 • Pond # designation 0 ~ ? • Emergency overflow Elevation pIMENSSON6 D~? 0 • Lot lines 0~ • Right-of-way and street width (to back of curb) D.- 0 0 • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structuzes requiring permanent footings) 0-~-0 0 • Show all easements of record and any City utilities within J those easements D. 0? • Setbacks of proposed structure and setback of adjacent existing ho 0 0~ 0 • Retainin e irements, if any Reviewed• N me / ate October 1992 • NE LkKE Fi t~-c_o CITY OF LAKEVILLE BUILDING INSPECPION DEPARTMENT 20195 HOLYOKE AVENUE, P.O. BOX 957 LAKEVILLE, MINNESOTA 55044 612-469-4431 MINNESOTA ENERGY CODE -ALTERNATIVE COMP T NCF This form 1s only applicable to detached one-and-two family dwellinga. The ' requirements herein are basad on amended Section 502.2.1.7 in lieu of the :!criteria speciPied in Sections 502.2.1.1, .2 and .3. Bullding Address: ~ 971~ , ii Contractor or Owner: (11,=G~c,-r»r~tT i~)2s-mF2s L164m44cr.~aJ Buildina Blement "R" Values ,Area (sa ft)8 of Ext.Walls Ceilings Desiqn+Required 38 Walls• (exterior)„ Design-23Required (without foundation) • Floors* DesignW Required 20 (overheated spaces) Windows** Design .17Required 2 2 J Q °f ~i eFoundation Walls DesignJ2jeRequired 5 , (when insulating full depth of foundation wall) i Desiqn_Required 10 (when insulating only to frost depth & footings extend below) Slab-on-qrade Designj.-~-Required 8.83 ..Ploors Doors Designjli Required 3 Footnotes• * For the insulated cavity oP opaque walls, floors, and rim joists. Maximum window area must not exceed 12 percent of the area of exterior walls, not including foundation walls. CERTZFICATZON I hereby certify that I have completed the above information and that it complies with t Minnesota State Energy Code. Siqnature Date: J`/~z :g/53 1 6/4/ :::,:.<-:..:....< .,...:::;.:.,....::.....:;;.;...,.<_....~1"I'S~'Ii7SEUM.Y:;:;,:.::<::.~:. ~ r.= l-rV4~i ~D~...,.... ~ .._.m~,..:>.~,w_.~.~~DATY:.. . . 1993 MECHANICAL PERMTT (RESIDENTIAL) CITY OF FAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTf. ? NEW CONSTRUCTION ADD-ON ,4/C ADD-ON FURNACE DATE I a-h a/ ~'3 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU ~ 6.00 , GA$ OU LETS (MIhIMUM 1 C 53.00 EACH) 6. ADD-ON/REMODEL (ExISTING CONSTRUCTION) $ 15.00 STATE SURCHARGE TOTAL SITE ADDRESS: 9 ZZ At; OWNER NAME:12) % ~~I~S~,e d--&- <43~- TELEPHONE 7~ 91 INSTALLER: RurnciiuIla 14Aat;n8 g, A,'6TIns 12481 Rhode Island Ave. So. ADDRESS: Savaga, nAN 55378 3122 894•0005 CITY: STATE: ZIP CODE: TELEPHONE S ATU OF PERMITTEE i~E I , N It Ly ~g 1993 MECELANICAL pFjtMa (CONUqERCIAL) CTrY OF EAGAN 3930 PELOT KNOB RD EAGAN MN S5122 (612) 681467S PLEASE COMPLETE FOR ALL COMMERCLALwINDUSTRIAL BUILDINGS. ALSO COWLF-TE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUMDINGS WHF-N SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNrr. DATE: CON-IRLACT PRICE: $ NEW BUILDING INTT-RIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CONTRACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE S.50 FOR EACH $1,000 OF FEE. TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENT'S ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR ~ - - . ,.,USE ;......,.C1'1"T y? , _ _ , ~.M..w.,..4", "".1:~~AA.1~:.:.::::.'• 1993 PLUMBING PERNIIT (RESIDEIVT7AL) (s S~ CITY OF EAGAN aQ(,~/_an ~ 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLIIVGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIFtED FOR EACH UNTf. - - NO. FIXTURES E-A C H TOT~ ~ SHOWER 3•00 ' ~ WATER CLOSET 3•00 T'-" BATH TLTB 3.00 3 3 LAVATORY 3•00 i KITCHEN SINK 3•00 / LAUNDRY TRAY 3.00 / HOT TUB/SPA 3.00 ' WATER HEATER 3.00 .3 / FLOOR DRAIN 3.00 3 / GAS PIPII`'G OLTTLET • minimum • 1 3.00 3 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • DaI.Cry.lic. 15.00 U.G. SPRINKLER • nome une« mul. 3.00 ALTERATIONS • to cdsting 15.00 WATER TURN AROUND 15.00 y3_ 50 STATE SURCHARGE 5-.9 TOTAL: SITE ADDRESS: 9 76 CJ) ' OWNER NAME: ~GI~J~~(~ INSTALLER: ADDRESS: A 2/yu.v"4" : ~STATE: /bi ~ ZIP CODE: S5 CITY PHONE (c~ ) ~'S S- 3 3 31 S ATURE OF E E . ~ - ~:;<w , -_•~~'I7SE;plYI.Y, c .:-._~.~a.a a.~...._ ~d~'..:::.:..;. ~~..:.s.,:..$L%j_i•.: j'.'......: s... ...:~..w,.;;~s,~;;.:~<7t'd..:,~,., .,.,:p;:y~...>.,.. syq,ri~~x;??~aia:r" . ~ . . . . .:~,d,;•':°:'..n:: ad.: ~ ~_:.'i;>: : t:i'. ,11.,?: <x..y ........:......:...:.n,:...~.... . . ~.;..>;'.`.?"2:.?:.^;?, :g:;~. . ......~........~r,:..........,,:,~:fis.~i ~F"c:ts:.. C:.i::e`.<i:;`:i~:.. . ...,..r_» '`s.:-:.'>.~'. >:.a,a,': ~ a.~: ._...i"'..~r. x... ,;...,:..~:~ya:~..: ....::..::.:..a,.«<.xto_:a.;:^..a...~..r:......:.::.,...~.rc ~iti'p:::a ..a....,.,. ec:se....< ~u:::.o.:;+.:.,..~: .,..a,...:::. . . . . . . ,.:.£'e.:er~;.~.J.h:3. .:~.....c... ...n..... ?~~ro> ......:......q.... : . . . . . .Ey' , . fiUBD. , ..:o.:y:~":._'.a.....~~.:_..:>n•on:j_. •::+ryp:"Y . . - _ .x ~..xf . . a.............,_.....,........._a3.:.s....,.. ..,......;..a..c,;.o:.<::a,ix....... ...:..c..o....~.-............a,..,:..,,....,.-,. -...,....~~...w~....a:..:..c..u.a:..c...w:..,....~,..::k:...::.i.;.....,:.:Z.'..s..'.'.::':~ :'S::a'.H:. 1993 PLUMBING PERMTT (COM144fERCIAL) CITY OF FAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMAERCIALlINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING U: ";T. _ NEW CONS7RUCf10N ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF COA"fRACT FEE. STATE SURCHARGE $.50 FOR EACH $1,000 OF PER]ti1P!' FEE MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% a STATESURCHARGE a TOTAL $ SITE ADDRESS: TENANT NAIvIE: SfE # OWNER NAH'IE: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT RESIDENTIAL BUILDING PERMIT APPLICATION ~ CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New Construction Reauirements RemodeVReoair Recuiremenb • 3 regisfered site surveys shovring sq. fl. ot IoL sq. R. of house; and all rooled areas • 2 wpies ol plan (20%maximum lol coverage allowed) . 1 sel of Eneryy Calculations lor heated additions • 2 copies of plan showing beam 8 window saes; poured found desgn, etc.) . t site survey for extenor addi6ons 8 decks • 1 set of Energy Calala6ons . Indicate d home served by septic system (or additions • 3 copies af Tree Preservation Plan if lot platted aRer 711193 • Rim Joat DeWil Op6ons selection sheet (61dgs vnih 3 orless units) DATE VALUATION C-SLIR SITE ADDRESS MULTI-FAMILY BLDG _Y AN TYPE OF WORK \~.S\Ck_Q-- FIREPLACE(S) V. 0_ 1_ 2 APPLICANT CatastroQhe Restoration Services Inc. STREET ADDRESS 2489 Rice St Suite 70 ciTy Roseville STATE MNZIP 55113 TELEPHONE # 651-734-9433 CELL PHONE # FAX # 651-483-0219 PROPERTYOWNER KaY`c1G13~C~ J~-~CAS~-~ TELEPHONE# 1Drm-1-lr3%B-03LQ COMPLETE FOR "NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNBSOTA RULGS 7670 CA'1'F;GORY 1 M1NNL50'1'A RULES 7672 (J submission type) . Residential Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phonc Plumbing systcin includcs: Watcr Sokencr _ Lawii Sprinkler Pec: $90.00 Watcr Heatcr No. of R.I. Baths No. of I3aths Mechanical Contractor. Phone # Mcchanical syslcm includcs: Air Conciitioning C'cr. $70.00 Hcal Rccovcry Systcm Sewer/Water Contractor. Phone # r ~ 1 I hereby acknowledge that I have read this application, staTe that the information is correci, and agree to c0iply with all applicable State of Minnesota Statutes and City of Eagan Ordinan k3 Signature of Applican OFEICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot 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 ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 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 Windows/Doors ? 34 Replacement 'Demolitlon (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) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Frartung _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ 1Vindows (new/replacement) _ [nsulation _ Retaining Wall P,pproved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S8W Permit & Surcharge Treatment Plan[ Plumbing Permit Mechanical Permit License Search Copies Other Total .SZ) % 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date6q1G_~z Site Street Address _ Q7(~ (,&&pF/t7ul1-k) 42r&2> Unit # Ce/ ES/ 3`11•- ^ 5 Property Owner A'dm~4wGk <i-f-L Telephone #(651) 3y0-SS3t~ Contrector Telephone # ( ) Address City State Zip The Applicant is: Owner _ Contractor _Other Alterations to existing dwelling ~ $ 50.00 _Add futures to rooms, excluding water softener and water h r ZUU4 Septic System Abandonment A~~ 1~ - _Water Turnaround ,(padd ~$)121.00 if a 5/8" meter is required) r Other: _ j~cLC~ Dc~..l-ln IbOyvf BY Water Softener _ Water Heater $ 15.00 _ replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 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 of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ApplicanYs Printed Name ApplicanYs Signature 2004 RESIDENTIAL BUILDING PERMIT APPLICATION ~f A7 City OP Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 & a L/ New Constmchon Reamrements RemodeUFteoair Reomrements 6ffice Use Onlv 3 registered site surveys showing sq fl. of lol, sq. fl. of house, and all roo(ed areas 2 copies of plan Cert of Survey Recd Y. N (20% maximum lot coverage allowed) 1 set of Energy Calalations for heated addtlions iree Pres Plan Rectl.Y. N 2 copies of plan showing beam 8 window sizes, poured found design, etc 1 site survey for addAions & decks Tree Pres Reqoiied - Y •'N lsetofEnergyCalculations Addihon - indicateifon-sitasepficsystem Do-siteSepticSpstem.:. _Y._N 3 copies of Tree Preservahon Plan if lol ptatled afler 711193 Rim Joist Delail Options selection sheet (bidgs with 3 or less units Date M_ / 1? / [Y~J- Construction Cost SitcAddress //6 Gf//~C`'-1~nrr~? (~ts ~ Unit/Ste # / Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 ProPert3 Owner ~ ~ ~u c G cn ~ ~ Tele hone ~ P c651 Contractor v Address V g L4 City State \ Zip /plephone # ( ) 0y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mmnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (J submission type) Submitted SubmiKed • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 257o plan review fee applies. Licensed Plumber Telephone J 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 approval ofplans. 6V011saC1-_ S44 Ijex - Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 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 EM. Alt - SF ? 04 02-plex ? 10 OB-plex ?18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex I2/19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbg)Y or _ N ? 25 Miscellaneous Work Types ? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation `a'o ~ d Occupancy !e~~ MCES System Census Code ~ L Zoning ~ p City Water SAC Units ~ Stories Booster Pump # of Units ~ Sq. Ft. PRV # of Bldgs ~ Length Fire Sprinklered Type of Const ~ Width REQU[RED INSPECTIONS _ Footings (ncw bldg) FinaVC.O. _ Footings (deck) ~ FinaUNo C.O. _ Footings (addition) 3C Plumbing _ FoundaUOn ~ HVAC Drain Tile Othcr Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final j~ Framing _ Siding _ Stucco _ Stonc _ Brick Fireplace _ R.I. _ AirTest _ Final _ Windows ~ Insulation _ Retaining Wall Approved By: Building Inspector - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total 411° C!tyofEaafl Date: 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#: /35 vq Permit Fee: / g Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION 121160 Site Address: crib" \. I Id e Unit #: Name: Mit Kt.>S H t (V ec) Phone: US) -Zi-j-- 2'4;1 *. �esid jyy Address/City/Zip: 1750 SVC'1-ft' Cir Seto a0 IMN h 1ZZ Applicant is: \ Owner %/‘ Contractor Description of work: Rept et c r 11 IN t r V ()L•)� 2 Pci o to D cg f S � t rlj e o . yp�"� r�C Construction Cost: 7s0 0 Multi -Family Building: (Yes /Nov ) s f Company: Wit) f' 140r1na &cter- iOf- Contact: Srill Paact c)c-k. t � Address: 162 TS tv inz.i BronAveS S tY S)- Loot 5 Fac{ i k .,... i m f �v State: MN Zip: 5591-1 Phone: q52 -1-1V5- Se61 Z Email: vi-Ne.itceout (cc 1L .cervi License #: B L Cpic 1 coLe9 Lead Certificate #: If the project is exempt from lead certification, please explain why: I1ouse wctbutt(--ceF+es- VQi 7g 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: Fire Suppression Contractor: Phone: Plan ® sue ngr d dents ; %ou submit ar ' * Q r forma i' may ® /ass s no ®i tf o iro i e P € Ir m it flu' eyare trade., a ssr 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 S epCl d(i (2 Gly Applicant's Printed Name Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160553 Date Issued:03/19/2020 Permit Category:ePermit Site Address: 976 Wildflower Ct Lot:1 Block: 2 Addition: Lexington Pointe 8th PID:10-45092-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Bryan D Walz 976 Wildflower Ct Eagan MN 55123 (651) 343-1383 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169004 Date Issued:05/11/2021 Permit Category:ePermit Site Address: 976 Wildflower Ct Lot:1 Block: 2 Addition: Lexington Pointe 8th PID:10-45092-02-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Bryan D & Susan E Walz 976 Wildflower Ct Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA172056 Date Issued:09/14/2021 Permit Category:ePermit Site Address: 976 Wildflower Ct Lot:1 Block: 2 Addition: Lexington Pointe 8th PID:10-45092-02-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Bryan D & Susan E Walz 976 Wildflower Ct Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176090 Date Issued:05/02/2022 Permit Category:ePermit Site Address: 976 Wildflower Ct Lot:1 Block: 2 Addition: Lexington Pointe 8th PID:10-45092-02-010 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Bryan D & Susan E Walz 976 Wildflower Ct Eagan MN 55123 (651) 343-1383 Hero Plumbing Heating & Cooling Inc 10900 Hampshire Ave S Minneapolis MN 55438 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature