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4886 Windsor Ct CITY OF EAGAN ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ PHONE: 454-8100 BUILDINCs PERMIT Receipt Te be vod ior `n'k' nWG/GAR Est. Value $94, 000 Da1e llI:CEh3BER 6 , 19 84 4886 ~n1INDSOR CT R3 Site Ad ress Erect M Occupancy Lot Block 2 ~ec/Sub. RRIT'.CANY 7 Remodei ? 2oning Parcel'No. Repair ? Type of Const. V Enlarge ? No. Stori Name @{ TOLLEFSON BLDRS tu~ov4! - ~ ~ 4b ~ Address Demolish Ll Depth City EAGAN Phone 454-6873 Grade ? Sq. Ft. SAP~Ir, Apvrovals Fees Name 8, Address Assessment Permit ~ ~ City Phone Water & Sew. Surchar 47, U G Potice Plan eck 207.5G oc ~Z Name Firo SAC -,v Address Enp. Water Conn. 470.,Q 0 ~ W City Phone Plonne? Woter Meter 63-00 Countil Rood Unit 260-~ Q I hereby ocknowledge thot I have reod this applicotion ond stota that gldg. Off 21Parks the intormation is correct ond ogree to comply with all applicable APC Total $1,9~, 7.S 0 Stote of Minnesota Stotutes ond City of Eogon Ordirwnces. Var. Date Sipnature of Permittee A Bullding Permit Is issued to: TOLLFFSON BLURS on the exprcu condition 1hot all work sholl be done in occordonce with otl applicable State of Minnesota Statutes and Ciry of Ecpan Ordinonces. Buildinp Offlciol ' Pwmft No. Permit Holdx Date Plumbinp j,,~ H.vr?.c. z R ~ ~f -i ( y ENctric ''T$ SotteMr ImWection Date Insp. Other Footinys Foundation j Frsminq Rouqh Plbq. ~ Rouph HVA Inwlation Final Pibp. Final HVAC Final Grt/Ooe. water Dewibs Location: O Or Si OJo q,~-~y~ -~~d Sewer , Pr. D'ap. ~ . "Y• Receipt PLUMBING PERMIT. • Permit No. CITY OF EAGAN Fee ~ Fill in numbered spaces ' SLC , ' TYpe or Print legibly r-+ Tot. - 1. Date 2. Installation Cost 3. Job Address ~ -Lot Bik. - Tract 4. Owner 5. Contractor Phone 6. Address 7. City State 1 Y'- Zip 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter O Repair ? 10. Describe 11. No. Fixtures No. Fixtures - Water Closet Cesspool/Drainfield _ Bath tubs Septic Tank Lavatory Softner ! Shower Wetl ~ Kitchen Sink Urinal/Bidet Other ~ Laundry Tray Floor Drains Drinking Ftn. Slop Sink f~ Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. : Signed : for - ; Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 _ _ ~ Receipt r MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee, ~ ~ fill in numberied spaces , S/C Type or Prini /egibly Tot 1. Date 2. Installation Cost ' 3. Job Address Lot Blk.. Tract 4. Owner • S. Contractor Phone K ~ 6. Address 7. City State Zip - 8. Building Type: Residential O Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equioment 8TU - M. Ea. No. EQUiament GFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rouqh F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ~ CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 D A T E 19 RECEIVED FROM . .L_ ~¢Y. . AMOUNT $ ' Ee DOLLARS too ~ CASH ~ CHECK FOR FUND CODE AMOUNT 1? - - Thank You ~ Bv White-Payers Copy Yellow-Posting Copy Pink-File Copy c;ITY OF EAGAN Remarks Addition BRITTANY 7th Lot 7 Blk 2 Parcel 10 15006 070 02 owner Street 4886 Windsor Court State Eagan, NIN 55122, Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 5-3-85 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1986 441 i;L 3 STORM SEW TRK 1986 772.93 51.53 15 791, i i` STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 WATER CONN. 470.00 if " BUILDING PER. it ~r SAC 595.00 ir " PARK INSPECTION RECORD ~ :;I~ ! I tt l i'ti~ ---C'rITY OF EAGAN PERMIT TYPE: ~•;>:a 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 i1 , SITE ADDRESS: tis1a1 r APPLICANT: '_i. ~~~~r~~,~?k r i ~~:.p~:~,~ , ~~iv'.11. PAi.Pt-I ~ . { I J .:0 Ii ~ ~ ~0 41, j PE~IAITSUBTYPE: TYPE OF WORK: INSPECTION . =r: , , .!t, . I P1F11 r 7 11-PS~~~~~~~~~~~ 9 ~ J Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC InspecUon Data Insp. Commanta FOOTINGS FOUND ' FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG D;77 V DECK FINAL I CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Roasi , P,.O. Box 21199 PERMIT NO.: Eegen, M„ 55121 DATE: - Za+iny: r`i No. of Untts: ' ; ' Tollefsp^ ¢ t~;''9 t'a s v: . vSite ?qss; ;~u~~l k~li% Brittany i pi G y °~~°f qa~; 470.00 r,d AAster No.: F"~ ~2 / Slze: dY ^~~sdrit"'Deposit: ! 5. 00 pd I Reoder No.: --d Permit Fee• - 10.00 pd i 1 piw to eeaPl~? wNf~ !Iw Ciep ef EM~eO Surcharge: • .50 pd prdi..Misc. Charges: 63.00 pd meter ~ Total: I BY Dote Poid: Dote of Insp.: Insp.: .F:i,,:,a~ •f~.'`;r,4 , : :r,,r ~ cirY oF eacAN WATER SERVICE PERMIT 3830 Pilot Knob Road - P. O. Box 21199 y PERMIT NO.: ~ Eagan, MN' 55~j1 D^TE: I ZO^j^D' o e son No. of Units: Owrwr, i /Wdross: 5i~ in sor ourt r any ~ Plumber_ .enz ~.van ~ ' Meter No.: Connection G?orge: • P ; Size; ~ Deposit: 1.5.9", Acoourrt P ' , Readsr No.: Permit Fee: pwe h omolq w" !Iw Cihr ef bges Surcharys: • p~' ~ ; OrdimeaM. Mix. Chorpes: 6jUU • P me er i ; Total: ~ BY Dote Paid: ' Date of Inap.: f Intp.: i CITY OF EAGAN ~ 3830 Pilot Knob Road SEWER SERVICE PERMIT P. O. Box 21199 7132 Xng ' Eagan, MN 55121 PERMIT NO.: i zonino: R1 D^TE: ; Ownsr; Tollefson No. of Units: 1 ~ /lddross: Stro Address: 4886 Windsor Court L7 P,2 Brittany 7 Bri ! 'Q ~ Plumber: .Y ~ 12-6-84 48148 I~~sn. to eonhlq willi Nn qh, ei [.sew Connectton Chorps: 425 . 00 pd ~ a'~1MIIq~, ~ /koount Deposit: 1 • pd i Pennit Fee: 1. pd I By Surcharpe: .50 pd ~ Dae of Inap.: Misc. ChorOes: Total: ~ Dote Pald: ~ . • 415•00+ 47•00+ 207 • 00 + 525 • 50 + 470 • 00 + 63•00+ 260 • 00 + 19987•50* q CITY OF EAGAN N? 9771 , 3830 Pilot Knbb Road, P.O. Box 21-199, Eagan, MN 55121 j'/ BUILDING PERMIT PH ON E: 454•8100 Receipt # ~O Te be used For SF DWG/GAR Est. Volue $ 9 4,0 0 0 Date DECEMBER 6 19 8 4 SiteAddress 4886 WINDSOR CT Erect KI Occupancy R3 Lot 7 Block 2 Sec/Sub. BRITTANY 7 Remodel ? Zoning R Parcel No. Repair ? Type of Const. V ' Enlarge ? No. Stories ce Name TOLLEFSON BLDRS Move ? Lenyth 7 z 1655 NORWOOD DR Demolish ? Depth 4- 3 Address ° City EAGAN Pnone 4 5 4- 6 8 7 3 Grade ? Sq. Ft. SAME Approvols Fee• Zo Name ' 41 0 Assessment Permit ' OU Address u ~ City Phone • Water & Sew. Surchorge 4 7. 0*0 Police Plon check 2 0 7_ 50 ~ F W Name Fire SAC 52S- 00 Address Eng. Water Conn. 4 7 n- n 0 t W City Phone Planner Water Meter 6-1- n 0 , Council Road Unit 764n 0 1 hereby acknowledge that~e reod t this opplicotion and stote that gldg. Off. 1274784 parks the informotion is torrect nd~ a9ree o comply ith oll opplicable Stote of Minnesoto Stotu es% nd City of Eoga Or nances. APC Total 1,q R 7_ S() Var. Date .Signoture of Permitte~ /1 Building Permit is issued to: TOL SON BLDRS on the express condition that all work sholl be done in accordance with oll opplicable Stote of Minnesoto Statutes cnd City of Eagon Ordinonces. Building Offitiol , ' , ~ ! • • S~To~,'~ ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 0 SETS OF PLAN8; 0 CERTIFICATES OF SURVEY ~ SET OF ENERGY CALCULATIONS o Be Used For : .Valuation : q 000. ~ Date : . Z(y., lco;4 Site Address:_~ ~ • • Lot:I B1ock:L Sect/Sub: _7tk- Erect: x Occupancy: R-3 Parcel Remodel: Zoning: (~-I Repair: Type Of Const: SC Owner: Enlarge: # Stories : Move: Length: IZ Address: Demolish: Depth: 4_ City/Zip Code: Grade: Sq. Ft.. Phone ~ . Contractor : Address : Assessments : Permi t: City/Zip Code: JG' Water/Sewer: Surcharge: Police: Plan Rev. : 207. - Phone Fire: SAC: 5 Engr.: Water Conn: 10 Arch./Eng: Planner: Water Meter b3.°= Address • Council : Road Unit: 2(00. ' Bldg. Off.: l?-q_ Parks: City/Zip Code: APC: 4 Variance: Phone#: ~ L~ ~v N . ~ x 0~' C~' ~l - ~ ~ ~ ~ G ~ ~ ~ ~ ~ A ~l ~ ~ Q N (11 ~ N ~ C~ 0 ~ x ~ x ~ ~ U1 lP _ -R ~ ~ ~ i ii ~i W ~ ~ ~ ~ s ~ 0~ ~ v~ ~ ~ ~ ~ ~ - a ~ This request void 18 fr ~ B 711s ~U 6 ~ ~ Z l7 v- Request Date Fire No. Rough-in Inspec on " R quired? ~ oReady Nuw l Plolify, InsRec- ~ es ? No ~tor When Ready Licensed Elec[rical Contractor ' 1 hereby request insveciion of above ? Owner electrical work installed at: Street Address Box or Route No City t---I ~ i ~U 2-fi. ~U~...~ Ki ection o. Township Name or No. Range No_ County o 4Flh(I° ~ - ~ / g r) P r Supplier Address EI trical Contractor (Company Name) Contractor s ~cense No_ _rN[C Mailin d(Jress (Contrac r or Owner Making I nstaila S Authorized Signature ( trac wner Ma'kinallation) r u mber ) ~ THIS INSPECTION REQUEST WILL OT MINNESOTA STATE BOAHD OF ELECTRICITY Griggs-Midway Bldg. - Room N-197 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. St. Paul, MN 55104 Ph.,.,a 16721 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION .r- Eg'oa°°'-°° ' See instructions tor compieting this form on 6ack of yellow copy. f r5'a ~i 5 B 2 0 65 8 ~~X'" Be/ow Work Coversd by This Request ~ Add Rep. . Type of Building Appliances 11Yired Equipnent Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo [lnloader Industrial Bldg. Air Conditioner Bulk Milk Tenk Farm Other Specify Other (Sqerefy) ther Specify Other Other ompute lnspection Fee Below N Fee ServiceEntrenceSize # Fee feeders/Subfeeders tt Fee CircuGts - 0 to 200 Amps 0 to 30 Am s 0 to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 qm Swinuning Pool Above 100_Amps Above 100_ArttPs Transformers Irrigation Booms Partiat `Other Fee SignS Special Inspection S~I~ T0,F,01FE Remarks - ~ Rough-in Date the Ejectrical , r Inspector, hereby c rtify that the abovg Final Da1e inspection has Aeen a 4_ 3- niade. This request void 18 montts from 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements Remodel/Repair Reauirements Office Use Oniv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert6(8un!ey~Re4 (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Fres Pian Recd Y_ N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y_ N 1 set of Energy Calculations Addition - indicate if on-site septic system Onasite Septic System L~_; Y4111 N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units C Date Construction Cost vv 0 Site Address ~,,f~ 6 CY, Unit/Ste # Description of Work ~ ~ ~ r~=--=~ /,c ~ d'w w~- ~ r ~ ~ p~~ e ~ ~ ley • Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # (,!k'/ ) Contractor f~- v Address 9a ~jo2 k -1 City p4j .1 State Zip ~ Telephone # ydd 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate,gorv 1 Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet 0 submission type) Submitted Submitted • Energy Envelope Calculations Submitted ~ Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # Sewer/Water Contractor Telephone # I hereby apply for a Residential Building Permit and acknowledge that the info ation is comnd ccurate; that the work will be in conformance with the ordinances and codes of the City kg 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 w r hich requires a review and approval of plans. Applicant's Printed Name Appli t's ignature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg p 02 SF Dwelling 0 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi 0 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex O 10 08-plex ? 18 Deck O 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 ? 25 Miscellaneous Work Types O 31 New 0 35 Int Improvement O 38 Demolish Interior ? 44 Siding ? 32 Addition 0 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 9 33 Alteration O 37 Demolish Building" O 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ~oDca, - Occupancy MCES System Census Code ~ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const tf Yt Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.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 2!? Framing • _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge C) v Plan Review MC/ES SAC 3' City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Tol lef.son , Ruilders Inc. ur, ilDib 188-12 JACKSON - SURVEYORS REGISTERED UND[R LAWi OF fTAT[ OF MINN[SOTA 3616 EAST 55th STREET, MINNEAPOLIS, MN 55417 7273484 burbcpor'o QLcrtificatc i Scale : 1"-40' PrDposed Garage F1 oor Elev. s Denotes T.ron ' OOn.O =Exleting Elev. = Dr a tnage ~ =Drainage & Utility Easemente . ~ ~ /&T 2 ~ 3 ' N ~ b L9 p~ / ~ 3 .!lv~~ ° ~\SZ d r j~ ' o b v~ 1-.-- ~ o• G• I \ F~ii. c? o h, r ~i~-~~ - 2 G I r- Z Z o . I I HEREBY ClRTIFY THAT THt ABOV6 If A TRU[ AND CORRtCT PLAT OF A SURV[Y OF ~ Lat 7,Blvck 2,Brittany 7th. Addition, Dakota County,Minneaota. 20th. 'Nov. 1984 Af SURV[Y[D SY M[ THIS- -DAY OF A.D. / S16NlD r F. C. ACK30N. MINN T R[o1sTR/?TION. NO. 3600 CITY OF BUILDINCi DEPARTNIENT ~s k:XTERIOR ENVII,OPE AVERAQE "U lf COIAPUTATION (To be submitted with building permit application) One or Two Family Dwelling 0 wner Al1 Other Site Address Contractor ToGLe7~Sn&1 guazg5 ZIuC, Date Phone p4mxj ~ 9- qq(p LINEAL FEET OF ` EXPOSED F1ALL _G~ er--r11 ft. above grade - ~]U~• ~D ~ TOTAL E}LDOSED 4VALL ARF.A SQ. FT. 0PAQUE IVI:LL COP:STRU11TI02; : "U'l Value x Area De tail ItU tt- • 043 X SGl~. FT.-lZq7 (p 7 ~ SS'7q (U) (A) ref'erence "U"-- • o4S ' x SG~. FT. /34.00 = 3. (U) (A) from ~rN olS~_nUn_ , 04D x SQ. FT. llo&,oo = .!o (U) (A) attached flUit x SQ. FT. _ (U) (A) sheets "U" x SQ. FT.(U) (A) liUll x SQ. FT. _ (U) (A) WINDOWS: "Ulf Value x Area rlake & Type 1Vt yG • &S01°T flUff x SQ. FT. Z 1• 33 __(D/• 43 (U) (A) n n IIUII x SQ. FT. - (U) (A) IiUii xSQ. FT. - (U) (A) u nUit x SQ. FT.~ _-~-M(A) DOORS: "Ulf Value x Area t,Ia'{e & TYpe .14- x SQ. FT. 47.00 = (o` •0(p (U)(A) if 11 YdT~o ifUll .48 x SR. FT. Z.vO = Za•/Lo (U)(A) t? n X S. F''. n n _ Ui~ x SQ. FT.~_ -~(U) (A) TOTAI,S _I900.00 SQ. k'T. zn4-• OZ (U) (A) AVERA(iE "Ulf TOTAL (U) (A) VALUES z04-.OZ = DIVIDLD BY TOTAL ydALL AREA ~ 107 190.00 AVERAaE IlU~fr. 15 r less for 1&2 family dwellings ROOF/CEILINa: TOTAL AREA: 1530.v0 Detail reference IIUII •OZ~ x SQ. FT. 30 = 3$_,43- M(A) from flUll x SQ. FT.- ~(U) (A) attached sheets. "Uff x SQ. FT.- - (U)(A) Describe openings "Ull x SQ. FT.__ (U)(A) in roof. x SQ. PT.(U)(A) TOTAL (U) (A) VALUES DIVIDED BY 7c)744j Z 30 38•'F3 CVYd > TOiAI, R00?/0E ~G A1REA f S3o, pp ' dZ r AVERAGE " .025 or ventilated roofs. . . Co7X ~S~ tsot50f,sp~ f 3~: o~ , ~ . ~3 x (-.50+sot.so~so~ ,Zox 3~ = s,oo X Z4~x on x oo , Nx 4-S = S.oo X g^, 7Z , oo ?o X loo S• 33 ~ g, ~ ~ F4'X&O = IO.DC~ x I Z= IZO.00 3° srG. Z~ y?~ • s~e. = 21. od ' . b ° PATI n - 4z,oo . Il1 ~7 E - t ~ . . ~V;;, W/~-L 900.00 , ~S x 3Z _ 12/~0,00 G~SS Cove. 134,00 . z X 14 = z8, oo : wbw'S L!!• 33 (voz. 3 3 I~~(1 a= IZO, o0 S 91, oo l 8 X Zs ~50 00 297 lv7 . 4 x 4- _ oo . -k . ' " l, 830. oo ~ . ~ --WALL SECTI0N-- Determining "0ll values at Roof, Wall, Rim, and Conc. Block ROOF/CEILIN4 (R) VALUE - 5 1.) Interior Air r'ilm 0.61 2.) 5/81, ayp. Bd. .56 - 3. ) Insulation 44-00 4.1 5.) Exterior. Air Film .61 (STILL) ~ 2 3 ~ IIUn _ 1/R= . ~Z f i'OTAL (R)= 4g•7$ l ~ ~ WALL (R) VALUE q 6.) Interior Air Film 0.68 7.) 1" GYN. Bd. .45 8.) Insulation ~9.vo . 9.) z56Z!' SveT-9ir6' Z.oq- , 10. ) MASOnite Siding . e7 l0 11.) Exterior Air Film .17 11 ' "U" = 1/R= .Oq-3 TOTAL (R)=Z3.01 ~ ~ I'L RIM (R) VALUE e2k 12.) Interior Air r ilm 0.68 13. ) Insulation 19•do 14 14,) 211 Fir Rim Joist 1.88 1 15 15.) z S/AL" Xv1(.T4i r5- Z. 04 16.) Masonite Siding .67 17•) Extorior Air Film .17 . o , o • . . t'U" = 1/R= TOTAL (R)-Z4,44, FOUNDATION (R) VALUE 18.) Interior Air Film 0.68 ~g 19.) 21 ~o 20.) n g°• 9 21.) 12" Concrete Block 1.28 22.) -91&1a 1A?5,0L-• $'vo 23. ) Exterior Air Film .17 o ' 'G irUli _ 1/R= . Oq$ TOTAL (R) = 10. ~~7 ~ C:CTY ql= F_.(-t(:,1N t.".A:a{-(:Cr-:h,^, 5 'T'El;:MSNAL NtJ.- t:,F, DA't'E't; 061:1.6/97 T"f.Ml::: 15e20:55 ITE ^ NFtiafl= y RA!_.PH H»N<,araN CC1NS'1'RUC7:tC3N 32J.0 900J. 4.886 WINz~SOr, cT 50.00 2155 900:1. -4•886 W]:N'L?#-3C1F: C:'T C.lo`i0 ~ k Tn-ta1 Rece:ip+ Amc;umt~ 50.50 CC'tit.I"r';`ic?i,7 l.J'al::l; :tTi° Nf1N!(,Y a~>X~'~X~?~<.~Ci ~%~F~~'FY,c~X~N6"~~yo~~#~.K?'n~?~>~~X~>X~kXs'~>X~~k~<~F•1,~~X? , PE1ZMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Bu zLp xNG Eagan, Minnesota 55122-1897 Permit Number: 030223 (612) 681-4675 Date Issued: 06f 16f97 SITE ADDRESS: 4886 wINosOR cT Lore 7 BLocK: z BRT7TANY 77H ' P. T. N.: 10-2 5006-.07 fb-02 DESCRIPTION: , Bp"a'1td i"n`~;~Permi.'C T y p e pECK Puzilci.i.ng..~~,q,rk Type IVEW ~ to .ri s,us Go de~~`~~ 434 AL"f. RESIDEiVTIF1L I ~aw'va"~~'H~,s1~f%.`' x !a J x.., ' ~::ir•+ Z~,, F e"° ~~',i ~ r~-- , 10 i; ~r~'~. ``^~a.3. ~~F~'"€ ~ t~.•.`~ q,~.~;~ ~",€`.-,sa~' a~ .i„__„`~."-: ~ C`;:~:,~ `e.~:i 2...~~..i o~ fif ."v ~ RE9VIARKS: FEE SUMMARY: Base Fee $50e00 Surcharge <50 TQtal Fee $50.50 COIVT'RACTOR: - ApPlicant - ST. LIC. OWNER: HANSON CQNST, RALPM 14232009 0003720 RICTER Gt-1RY 2165 128TH ST W 4886 , WTNDSOR CT RQSEMql1NT h1N 56068 EAGAN MN (612) 423-2009 (612)454-9240 d r , o T Werwby ack°nowledc~O ti~~t; 1,..#~~ ~ c-".zr~~-~d ;~'~rc3 sta~:.e Ghau uh~ in '~c~t~m~~~.4r~ '.~s~ ~~rr~r~c~G °~~aci' ~,r~~,r~tv ~~`~i`~~~3~`' ~ta.t~r a1~ •,~p ~l~,~a~J:w ~t ~'o'i hri . ge ' .Ya „r ,e a , , r n S ta~~. ut-s ~•t-~ d , Cs~~ ty -,or~ ~~aga~i ~O ~°d r~ ~~~r~ ~ ~ W~ a (v 14 ku r n~g ( AP ICANT/PERMITE SIGNATURE ISSUED SI AT E r ~ ~ 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) . 3 p a3 C-, cmr oF EAGaN ~ l~ ~ 3830 PILOT KNOB RD - 55122 C7.~~yyko~) 681 -4675 New Ccnstruction Reauiromerrts RemodeUReoair Reauiromenb ? 3 registered site surveys ? 2 copies of pian ? 2 copies of plans (indude beam 8 window sizes; poured fnd. design; etc.) ? 2 sfte surveys (exterior addlGons 8 dedcs) ? 1 energy calculations ? 1 energy calculations for heated addftions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: C ~/7r'7 CONSTRUCTION COST: DESCRIPTION OF WORK: STREETADDRESS: v . LOT 7 BLOCK Z SUBD./P.I.D. PROPERTY Name: ~ /f"CY Phone OWNER LW FU.. Street Address:- 6w- City: State: Zip: CONTRACTOR Company: Phone Street Address: 1~~~~~~ G+~• License ~/7 -2° City: L~e-hA40-",4-11 State: 116-1, Zip: df ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new construction onty): . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appficable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY CEIV ED Certificates of Survey Received Yes No JO b- 16 $997 Tree Preservation Plan Received Yes No Not Required 1B3:-_~_-- OFFICE USE- ONLY . , BUILDING PERMIT TYPE . ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition a 08 8-pfex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex o 14 Fireplace o 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex XV 15 Deck WORK TYPE - A< 31 New ? 33 Alterations o 36 Move . 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code l Census Bldg / Census Unit APPROVALS Planning Building ~ Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/VN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 188-12 ~ ' JACKSON - SURVEYORS . ~ , 1 RaG1ST[R[D UNO[R LAWS OR STATt OF MINNtsOTA 3616 EAST 55th STREET, MINNEAPOLIS, MN 55417 727-3484 *unctpor'g lCtrtfficatt Scale: 1":40' Proposed Garage Floor Elev. / dS,o • Denotes Iron + ~ (10(1.0 =Extating Elev. Z~44' / = Dr a inage ~ 'n~ =Drainage & Utility Easemente ~ _ ~ ~ ~ o a N I S~N o b ti /a' Z Z / 5`~ ` i ( H6REBY C[RTIRY TNAT TH[ ABOVt If A TRUt AND CORR[CT rLAT OF A SURV[Y OF ~ Lot 7,Block 2,Brittany 7tn, Addition, Dakota County,Minnesota. 20th. "Nov. 1984 Af 6URV[Y[D SY M[ THIf DAY OF A.D. 'i ~ S16N[D r - F. G. AGK30N, MtNN T R[otsTrewTloN. NO. 3600 ~~C:C?~ti~4t„~~i~(>~Ci+C:~C?~.~ ~ ~'i~ r s 1:1'V t:ll° Etl4:;(-1N CAril-I:GI:--R,, ,:1 i TEi`t:i'Mi:lNFl!_. i,,lU". i'iCl DA';E 09/C3;1./99 7'.T.Ml::a 1.3 0<i=5r' i:.~~ - N A MERFtI...Fi4°I 1•11,1NS(:)N (;C)NN'TR!.!U.T.ON 2,21.0 9(:)01. 41-886 W:CND::i(:;'tt: C;T ' 97 „r.'.5 c w {:)0 2:l.55 90'01. 4896 I41fislT:30',--i t:"T 99.25 ~ C~i:3Ai•:,t .°if:i ~..f;wl•:.1~:' .i.i)~ .:!~•1'ra 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 Q 651-681-4675 G~ I New Consfructton Reauirements Remodel/Reoalr Reauirements ? 3 registered site surveys showing sq. ft. of lot, sq. R. of house 2 copies of plan and cll roofed areas (20% maximum lot coveraae allowed) 1 set of energy caiculations for heated addfftons ? 2 copies of plans (show beam & window afzes; poured fnd. design; etc.) 1 site survey for exterior additions & decks ? t aet of energy calculatlons ? 3 copies of tree preservatton plan ff lot platted after 7/1 /93 DATE: ~A?~ CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: ~ • ~ Q LOT: ~ BLOCK: SUBD./P.I.D. I ! Name: ~'~`~'?D`~~ ~ Phone PROPERTY ~ost F st OWNER Street Address: ~ City State• 11;~11-7- Zip: Company: V `G G `7 C~f~ n Phone k6 ° "'A-9y17 (area code) CONTRACTOR Sheet Address: 73 O~ J ? 91" License # Exp~`~ / City State: 14 Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer a water Ucensed plumber (reautred for new constructton oniv Pene+lty applles when address change and lot change is requested once permit is issued. I heieby acknowledge that I have read this appltcation, state that the informatton is co ct, and agree to c mply with all applicebl Statb of Minnesota Statutes and Cffy of Eagan Ordinances. Signature of Appltcant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex 0 13 16-plex ? 18 Deck O 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level 0 24 Storm Damage ? 05 3-plex ? 10 8-plex O 15 Lodging ? 20 Pool O 25 Miscellaneous WORK TYPE 0 31 New ? 35 Tenant Impr 0 39 Gas Line Only O 43 Siding/SofFts/Fascia ? 32 Addition O 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors O 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC S City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge . Treatment PI. Park Ded. ~ Trails Ded. ~ Other Copies Total: SAC Units % SAC CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # ~ t T DATE : 0 . - PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS .41RE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON _ SHOWER 3.00 REPAIR _ WATER CLOSET 3.00 BATH TUB 3.00 - - - SPRAGUE, ROBERT _ LAVATORY 3.00 OWNER NAME: 4886 WIATDSOR. COURT . . _ KITCHEN SINK 3.00 EAGAN, MN 55122 _ LAUNDRY TRAY 3.00 SITE ADDRES H 454-9240 _W. 420-0651......_.. HoT TUB/SPA 3.00 WATER HEATER 3.00 LOT: FLOOR DRAIN 3.00 /y GAS PIPING OUT. IiVS lALLE~: ~/1 (MIP'I:~ITJN: - 1; 3.00 ROUGH OPENINGS 1.50 OTHER ADDRESS: WATER SOFTENER 5.00 PRIVATE DISP. 15.00 CITY: /5A~ . _ - U.G. SPRINKLER 3.00 PHONE C~46 SUBTOTAL $ f?~ ~o ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL : $ di MMERGI:AI:fiNDUSTRiAI:PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPAR.ATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1$ OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1$ $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN . - - 2/84 V ~ CITY OF EAGAN i` APPLICATION FOR PERiMIT SEWER AND/OR WATER CONNECTIO;T (PLEASE P4INT) 1) PF.OP= ADDRESS : ~ ~ 6 A)lz)DS ooe- r.Fr ;L DEscRIPrIcN: _ ~OT 2 ~ - ~ (Ir~t/31ocx/Su}xLivislcn or Tati arcel I.D. vLYter) IF Z=rE=:0-1-7 . S~'F.L'C~':.c., DA'IE GORIGII.dAL ==:G F~_•S'~' Iv~~,?~;~.: R-1 ? R-2 DT-'P=,: ('-7,;O LNITS) 0 R- 3 TC%~1i IF-'1CY: SE ( TF-11Rr:n + LNITS LT,1I';'S) ~ R_a L1ili~7i ? CUr41%=,CLyL/=AII?/OF'F ICE p TimUST?,LaL p NSTIT'u-TICNAL/GGV~!~?%1Ev'I' 2) APpT,T~n~N.T (PLE;.SE PRI4i) _ Nk'!E: ADDRESS: CI'I'Y, STA'?E, Z IP : PHONE: 3) PuR•IEER (PLE;aSE PRItii) es/~~~ 1 FOR CITY USE O~YLY r~ + ~ ADDRESS• PLERS LICE4SE: 7-1 ~ Active CITY, STATE, ZIP: Expired Not or Record PHOiVE: pLUMBER LICENSE # ~e;2/q arr ~nt[1a 4) pCCJpp;~/Cr•7j\T-7R N11C'IE: (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PHO^E: 5) INDIC= wHICH PEP'~LI S BEDNG REQUESTID: NIECI'ION TO CITY SE.;.IER •CC.^1INE7CTIGN TO CITY WATER ? CJI'F= (PLFASE DESCRIL-:E) 6) IdDICY,-L" C:.: Q~=%SE FiOID APPRWID PER•lIT FOR PICi:-UP BY ONE OF ABCNE ~°L.F-ILSE ~7IL APPRO`,= PQ.'-LIT 'Il7 l, 2 3 4 r'1BC1VE . (Circ one) 7) S IC=RE : DATE : ~ ~ ~cS~ ~ W4 I ! MI:aiF:a~A:fFA al Me.E=_2m-2rM IM as pn s_ss:a:M at ios s rs:ss:a ra ~ rft at~r~:r~ry~ ^ a~ =!!8Ur3N9MWac s F O R C I T Y U S E O N L Y PER%lIT ° ISSUED FErs- $ $ /D v d WATER PERP'lIT (Ii1CLUDE SURC:?ARGE) WATER METEP./COPPERHORN/OUTSI^E REnuER . $ WrlTLR TaP ( INCLiiDE COR?ORATION S -LC? ) $ SE:',t,R T:`.P . ACCOUNT GEPOSIT - SE;•:ER ACCOUNT DEPOSIT - taATER WAC $ SaC $ T?2U;1n [•7ATEER aSSESSi••iE\T . $ TRliNK Sr.WER ASSr,SSi•?ENT $ LATERAL BENEFIT/TP.UVK SE?•:ER $ LATERAL BENEFIT/TRUNri WATER $ OTHER $ TOTAL A:ti10UVT PAID/RECEIPT T ~-,ZC~/ DOES UTILIT`L CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A-"PERMIT FOR 6JORK WITHIN ~ PUBLIC ROAD6aAY" MUST BE ISSUED BY THE NO ENGINEERIrIG DIVISION. LIST AS A CONDI- TION. SUIIJECT TO TfIE FOLLOIIING CO:IDITIONS : APP?20VED BY: - Ica' DATE: ~ A6J4 7 . 657D 2007 RESIDENTIAL MECHANICAL rERMiT APPLicATtoN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are reyuired f'or each unit Date O, Site Address-4%~~~ ~ SQ ~Cd1/t,Y~- Unit # Property Owner , i Telephone # (661) q'fj~ QZ"1 Q Contractor C AZ- h ('j(/~/L P`(~610q, + •e,~,~f 1 n Street Address ~Z00 , City ~urn~ u i I Ge, State JU 1 V Zip 5 3,177 Telephone qIFZ) 7U-7-00 Bond q2.cl? q gt2-T Expires: 0 The Applicant is Owner ~ Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit . $ 50.00 X furnace _Additional -xReplacement New air exchanger X air conditioner heat pump other r~ ~,~G«IlV/L State Surcharge MqR 0 1 2007 $ .so Total $ E50• 50 I hereby apply for a Residential Mechanical Permit and acknowledge that the infonnation is complete and accurate; 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 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. ' ool Applic t's Printed Name Appli t's Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4886 Windsor Ct Lot: 7 Block: 2 Addition: Brittany 07th PID:10- 15006- 070 -02 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Hanson Construction, Ralph 3818 - 240th St PO Box 6 Hampton MN 55031 (651) 460 -2467 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Bermitee: Signature - Applicant - Construction Type: Occupancy: $90.00 Owner: Gary W Richter 4886 Windsor Ct Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Building EA086620 10/06/2008 ePermit on prior to final, you must meet inspector with ladder and flat bar. Pictures are not $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4886 Windsor Ct Lot: 7 Block: 2 Addition: Brittany 07th PID:10- 15006- 070 -02 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Pella Windows & Doors Turnkey Sales 15300 25th Ave N #100 Plymouth MN 55447 (763) 745 -1400 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - $88.50 $1.50 Total: $90.00 Owner: Gary W Richter 4886 Windsor Ct Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA088181 02/11/2009 ePermit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`&E@.+&2#=M>*+J&\]&_-.*+J0./@&B&E*$N-/ ''66&B-;&_*JNC.@&5HG!!8&B*+);/&, "=/+;1*##-&TZ&&VVHH9Y.J.+&TZ&&VV5'' SXV'\\&98975666S8V5\\&GVG7X'G6 3&N-/->@&.$%+C#-)J-&N.&3&N.1-&/-.)&N*;&.AA#*$.*+&.+)&;.-&N.&N-&*+P/M.*+&*;&$//-$&.+)&.J/--&&$MA#@&C*N&.##&.AA#*$.>#-&<.-& P&T*++-;.&<.=-;&.+)&,*@&P&Y.J.+&F/)*+.+$-;O (AA#*$.+D2-/M*-- &<*J+.=/-3;;=-)&"@ &<*J+.=/- Use BLUE or BLACK Ink r For Office Use I CityOf Eaaari Permit#: /y C I k"Th ,_ Permit Fee: / f --y 6 D 3830 Pilot Knob Road (k I Eagan MN 55122 RECEIVED Date Received: £ / / I ' Phone: (651)675-5675 Pr I Fax: (651)675-5694 APR Q 7 2011 Staff: 'i%i/ I 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: 9/ /� Name: ra� ,.- er - /'�i �� 47-� Phone: �' yJ�/'—_ 2.2-1/r)` ) Resident/ 1 / Owner I Address/City/Zip: •�br W, ('34e- 6 , Applicant is: Owner Contractor Description of work: ire/ ef4CJ 2(J (exp S 1,PI s''9) - d of Work 1 t Construction Cost: v 3 0 Multi-Family Building: (Yes /No ) Company: ',4 , 1 jo si L a 44- L vac L Contact: 1 4 P/( P-7 b ,1;: / Contractor Address: City: ` ,jpo+.� i �` r i/ 1 State:Ai, Zip: c7 D3/ Phone:C;: —Ygo-Xk Email: rc/# c-,,. co:,, /9S JQ�'n"a / - 4 �J CR((G`r a - 363-yS-o 3 License#. / *5" i 9 Lead Certificate#: F If the project is exempt from lead certification, please explain why: I . .. ..,.. n 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? 1 Yes No If yes, date and address of master plan: I Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: fiNOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City toconclude that the 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.gopherstateonecali.orq 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 authoriz b building p mit is • d in accordance with the Minnesota State Building Code must be completed within 180 days of permit is c . i r /' rv� ` //, ,p, , 4D AiSgtfaa 'iPri -d ame ':/� Applicant's Signature Page 1 of 3 /c77 tu i,/[d. a - C7L- DO NOT WRITE BELOW THIS LINE /(--7 0 /---- SUB TSUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family) Single Family Garage Porch(4-Season) Exterior Alteration (Multi) Multi X Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building _ Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation NiReplace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION 2J J ,i_Valuation Occupancy MCES System Plan Review Code Edition ; SAC Units (25%_ 100%_) Zoning L City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) V Final/ No C.O. Required Foundation Foundation Before Backfill i HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath Brick_EFIS Insulation Windows Sheathing Retaining Wall: _Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: /""(Reviewed By: , Building Inspector RESIDENTIAL FEES ,t1r31 1, le Base Fee 0(Surcharge (10(1/ � � til I Plan Review MCES SAC pitol „z G ` City SAC 3/ ci? ` Utility Connection Chargecto g 7, S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 06/21/2017 07:13 FAX U002 Use BLUE or BLACK Ink For OffUse Permit#: //q‘- '7 CC 401'. City of f Eatall Permit Feeicer 06 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(661)675.5675 Staff: Fax:(651)675-5694 � ^ 1 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION r -t- Date:tom' -R Site Address: Tenant: LI e � "' 1.1.E 1 N 0`Q <R17., Suite -uite#: Resident/Owner Name: • Phone: Address/City/Zip: Name: 1 C1. s�tY) ).., m-(3109 .t'lL)e, License#: 1.l SSS 3 Contractor Address: O�� lS '- w' • city. L.d t~VIi~LC State: l‘14%-) Zip: 0.11"1 ) Phone: CI S.-1r q4. Contact:t 1 '4 \,-"\-6_3(oW Email: r�QLlr ,t)atir...4 e Type of Work —New —Replacement Repair _Rebuild ,Modify Space —Work in R.O.W. Description of work: 5 M ickfT'�lt°0u".\ R � RESIDENTIAL Water Heater i Lawn irrigationWater Softener ' 9 L�.RPZ/ PV8) Permit Type Septic System _Add Plumbing Fixtures L. Main/—Lower Level) New _Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener,or Water Heater eg§Softener(includes State Surcharge) $60.00 Lawn irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures,Septic System Abandonment,Water Turnaround"(includes State Surcharge) 'Water Turnaround(add$280.00 if a 3/4"meter Is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(661)454.0002 for protection against underground utility damage. Call 4$hours before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.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 t\A'a s:ffSVLIti U Applicants Printed Name Appihanrs Signature • FOR OFFICE USE Oevlewed By: Date: Required inspections: Under Ground 'tough-In Air Test Gas Test' . Final Meter Related Items: Meter Size Radio teed Manometer Staff: Use BLUE or BLACK Ink r For Office Use/ *' CityOl 1�� ::::e. ( 03.6.? ��- �1 3830 Pilot Knob Road -�) Eagan MN 55122 RECEIVED Date Received: 2,/4-/ , 64) Phone: (651)675-567 Fax: (651)675-5694 JUN 1 6 2011 Staff:5 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: 6 �� fS, _�P/_w Name: � �' �i�� vL 4 �/ Phone: { Resident/ Owner I Address/City/Zip: 7g>3- �als,> - 4 I i Applicant is: Owner v Contractor ��" Description of work: L � re y,,,e n d, Type of Work ` Construction Cost: , / Multi-Family Building: (Yes /No ) i 1 /J / / Company: /�'`rt� ( j.)e. (an -6,4‘ Contact: �/L "'. �/J• �✓e.h , Address: , Contractor i " AW AW City: /y/--4.0,4/7 91-a,t I State;414, Zip: 55-#1/ Phone: '/e2—363-. 5-zo3 Email: y,4/I., 5,,,,, I p9 3? 1-,,,,"/ ,J License#. ii O �9'' Lead Certificate#: If the project is exempt from lead certification, please explain why: I 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? ; I Yes No If yes, date and address of master plan: 1 Licensed Plumber: Phone: Mechanical Contractor: Phone: I Sewer&Water Contractor: Phone: 1 I Fire Suppression Contractor: .r Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions'of .,.. � the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. ��- I 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.qooherstateonecall.orq 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 p Exterior work authorized by a building permit issued in accordance with the Minnes :'e B ding Co,e must be completed wit 'n 180 days of rmit issuance. x fvL, "a / �� A licant' rinted a e •pplignatur•'/ Page 1 of 3 `._. slo wr`vtdScy Cf" DO NOT WRITE BELOW THIS LINE /y3i� SUB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) Single Family Garage Porch(4-Season) Exterior Alteration(Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool _ Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION �} Valuation 2( 0(° Occupancy _ t MCES System Plan Review Code Edition SAC Units (25%_ 100% y) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 1/6 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) 4. Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings Air/Gas Tests Final XFraming 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick EFIS K Insulation Windows Sheathing Retaining Wall: —Footings_Backfill_Final _ Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control ?C Shower Pan g Other: Reviewed By: #� , Building Inspector RESIDENTIAL FEES Base Fee } , rr Surcharge !l Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge /1 1 ' '''') Treatment Plant * y(6,4. Copies TOTAL Page 2 of 3