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641 Witham Lane _ - ~ ~ : - (ltr#if iratr of tOrrultanry 4Citp of ~agan fFpwftPttY D# %Wfto Jt16,pPttlDli ~ T!?is Certificale issueod pursuant to the requiremenis of Sectfon 304 of the Unijor?n Building ~ Code certifying that at dre tinre of issuance this structure wns in canpliance wrth the wQriores ondinances of the City regrdaling building coastructian or um. Far the folJowfng. uw Chnsmokm SF DWG/GAR M4 POWat NO 19678 O-w--Y TYP R3 M1 Zoning DWW R ~ MITiII..SJ'~AF.D'P Bim6. Mdrem 785 StII~'~ iJR. , 641 WI7HAM LAl+E t-Zy LQ, B'L, CUUMM PASS I1/18/41 euikling oMc.r POST IN A CONSPICl101,J3 PI.ACE - _ I An ~ CITY OF EAGAN 4. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 . _ / BUILDING PERMIT Receipt ro b sea s! M/~ Est. Value i116.000 Date SEP'f~ lZ 9 ~ site fddress 441 iiI'[liAN 1.11IR LOt 9- BioCk 2- SeC/Sub. CM~~ p"s OFFICE USE ONLY Parcel No. Occupancy FEES Z W Name M1I"[EI.ET/la~[ BROB ~ - (Aclual) Consl ~ Bldg. Permit C + YZ.OO ~ Address 765 SUIISET DR11R (aiwWabie) yrt-- surcnerge.1. sB-flo . City Phone 456-9125 0 oiswdes 452,00 Length bQ Plan Review o Name 3AM1~ Depth snc. ciry 100•04 ~ t` Address S.F. Total - SAC. MCWCC 6~•~ ~ Cit)/ PhOf18 S.F. Footprints _ 6W•00 On Si1e Sewage Water Conn ~ ~ W Name on 5ite weli 45.00 W W - Water Meter Addr@SS MWCC System ~ ~ . ~pO~ i W City Phone Ciiy water PRV Required 13L-_ S!W Pem1i1 30000 I hereby acknowlege that I have read this application and state that the 8aoster Pump - Syy Surcharge information is correct and agree to compty with aU applicable State of Z76•~ : Minnesota Statutes and City oi Eagan Ordinanc~s. Treatmenl PI Signature o( Permitee /A-"K~ APPHOVALS Road Unit 3~*Q0 A Building Permit is issued to: Plan"ef - Park Ded. on the express condition that alI woric shall be done in accordance with all Council applicable State of Minnesota $tatutes and Cily ol Eagan Ordinances. gldg, pff, Copies Building Oflicial { Va?iarxe - TOTAL ' . 'S ~ PKmi?.No. PKmit Holdlr Dab TelephoM #F WATER SEY6ER PLuMeaNc 3:33 H.V.,1C. O /~I-Zvo5 aECTRIC kepectio, Dat. Conwnwft Foow,gs i Fourdation Fraff*V o. Flooling R«+p?, Plbg• Rough Htp. ~~1/~ /~v ~~~ir •Y fLoa S ISLA. o - -,9 ~ p t? Frepleoe Finel Htg. Orslat Test Final Plbp- I ~S'QI ~ Plt9• I^specta - NotitY Pk+ntw Const. titeter I ~ EnyrJPlan FinW Oeck Fop. Dedc Final WeA Pr. Oisp. 1-30 _ ~ Y . . . _ . 4 . . . . . . , . . SEWER & WATER PERMIT OFFlCE USE ONIY CfTY-0F EAGAN METER# PERMlTDATE 09116J91 3830 Pil nob Rd. Eagan, M 55122-1897 iCHiP #61aD3 PERMIT # 12273 . M~TEfi StZE ~X Sro;k S B.P. RECEIPT # '•y • `r' . 't 1 DATE ISSUE DATE - S~ ~I L B.P. RECEIPT DATE 09 13 ~ 1 ' XX pRV _ BOOSTER PUMP SITE ADDRESS 641 W1'[HAM LANB PERMIT REGIUESTED LOT 9 BLOCK Z SEC/SUB 00VENTRY PASS 2A1D XX__ SEWER _ZX_ WATER _ TAPS APPUCANT4 SAt•lE AS OGiNL'R ~ ADDRESS: COMM/IND x° RESIDENTIAL CITY, STATE ZIP ~ xX NEW _ EXISTIIVG PHONE: r MCIiJNALD PLUMAING Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: ~-~171 XENWU4D TltAll~ L Credit WILL NOT be given for Deduct Meters. CITY, STATE LAKEVILLE ZIP 55044 PHONE: 435--3334 ' . ~ i AGREE TO COMPLY WITH CITY OF OWNER: MIT'rELSTALDT BROS EAGAN ORDINANCES AODRESS: 785 SU;VSET D4t ~ CITY, STATE EAGAN Zip 35123 PHONE: 455-9125 IGNATU HEN METER I ED PLEA'`E ALLOW TWOWORKING DA7YS FOR PR6CE551NG. CALL 4545220 FOR INSPECTiONS. FOR STOR SEWER PERMITS, CONTACT ENGINEERING DEPT. . ~ . . ~ _ . . _ J ' , . . . , • . , I SEYIIER & WATER PERMIT OFFICE USE ONLY '\4CI7"Y OF E%GAN METER # PERMIT DATE OG/ 1 b,' 91 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # PERMIT # 122 ' 73 , METER SIZE B.P. RECEIPT #'-1' % ,,~8°T~:MRER S 2v 1991 ISSUE DATE B.P. RECEIPT DATE 09113 y 1 DATE' Xv PRV _ BOOSTER PUMP ~ 641 wi.TttAl~ I,AI~ ' SITE ADDRESS PERMIT REQUESTED ~ LOT 2 BLOCK 2 SEC/SUB COVENTRY PA5S 2tiD _ SEWER ~ WATER - TAPS U_ ADDRESS:APPLICANT:~~ SAME AS U~iNER I' ~ COMM/IND X RESIDENTIAL , CITY, STATE ~ ZIP XX NEW _ EXISTING PHONE: Mv~~.~ pLU~I~ Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: 1 2T1 KFNW~OD 'C$AlL Credit WILL NOT be given for Deduct Meters. . CITY, STATE ~V1I'LE ZIP 55044 . . PHONE: 435-3334 1 AGREE TO COMPLY WITH CITY OF OWNER: 141??E1.5'fAEDT BROS EAGAN ORDINANCES ADDRESS: 785 SUHSPT DA CITY, STATE $AGAN ZIP 55123 PHONE: 456-9125 SIGNATURE WHEN METER ISSUED i PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ~ SEWER PERMITS, CONTACT ENGINEERING DEPT. . . _ . . . . . _ _ _ . s - - - . J ~ CASH RECEIPT . CITY OF EAGAN 1 t 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 OATE 19 i ~ AMOUNT & DOLLARS +ao p CASH CHECK «M ~i~' ~ 1~~(~ i~'; - ( 'I l v%(• ~ R ) FUND OBJECT AMOUNT Thank You BY C 15364 Whhe-Paysm~ Yalwa-*06" a„nk-+-de cooy INSPECTIUN RECORD CITY OF EAGAN PERMIT TYPE: 3$30 Pilot Knob Road Permit Number: • ' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ; ;?T"AM 1 ANF ~:i,;•~~~ :,~~rJ•,,; 3~, i PERMIT SUBTYPE: TYPE OF WORK: 1 ,i INSPECTION . I . :~14 111f I ir' 01 i. ! l11t: l~IAN 1:1 :tif ll{fi W. t41pt NNi?t 'r .t4'f1KA lf f'11rMtt 11 i;ilt f~:, El!ttlf,:;s+. + ~!il I 1I~. 'fdd0 kf v(1TNn F 1 ft 1i !11 f!, 111 1:+F1?1 rq1< f, ! i T:~f?d~ F L ~ . 1 Psimk No. PWmit NOk1M Dets Telephona N ELECTRIC I _ I PLUMBING I ~ HVAC hapoctlon Deb Insp. Comrtwnb FOOTINGS FOUND FFlAMIN(i ~ ROOFlNC3 ROUGH PLUMBING PLBC AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FlREPLACE I ~ FIREPLACE I AIR TEST FINAL PLBG FlNAL HT(i ORSAT I TEST I BLDG FlNAL i I BSMT R.I. BSMT FlNAL IQA OECK FTG DECK FlNAL i I ~ DATE: SEP 16, 1991 RE: 641 HITEtAM LN (MITTELSTAEDT BHOTHERS) X Your Sewer & Water Permrt for the above property has been completed. It will be held at the PAic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO . CAL4 PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. _ i Your Sewer 8 Waler Permit for the above property cannot be completed for the following reasons: - Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. _ COMMERqAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. /oI-ell il ~ /o3ad'/ ~ 40883 && Pequesi Date Fire No ougnin Inspxtion Reqwred' ? Reatly Now~Will Nolily Inspector = N. When Reatly+ I icensetl comracror owner hereby request inspection of above electrical work at J D Aamess iSVeeL Bo, ar Fawe No I Gry Y/ LA ,4,_~ Se[ran No. Township Name or No Range No County o~~/q~~'EC ~eo P Power SuOOher Atltlress Eiecmcai Comracwr ICompany Namel Conn, cror5 L¢ense No EUElOA~ TAOi e- Zi1lG o /lo Mamnq qoaress iCOmmcmr or pwner IAaimg Insiallavon) /=~i9'At S i xUE P o r/s1 - Autlonzea na:ure iConV cIDrpwaer Ma'eing Installalion) PI'one Number Yo gb~ MINNESOTA STATE BOIH601 ELECTHICITV ~ THIS INSPECTION REOUEST WIIL NOT Grigqs-Miaway BIEg. - Hoom 5479 BE ACGEPTED BY TME STqTE60ARD 1811 llnlversity Ave., 51. Veul, MN 55104 LINLESS PPOPER INSPECTION EEE IS PM1One (612) 642-0600 ENCLOSED REQUEST POR ELECTRICAL lNSPECTION ee-oooo,-oa 1. Sea msuyttions br completing tnis lorm on oack ol yellow copy, ~ ~"X" Below Work Covered by This Requesf ewi}idd IRep I TYPeolBmldmg ApphancesWired EqwpmentWired ~ Home Range Temporary Service I Duplez Water Heater Elecinc Heahng Ap~. Bwldmg Dryer Other (Specdy) CommJlndustrial Fumace Farm Air Condmoner Omertryecityl ConVacmrsRemaBs Compufe Inspection Fee Belowr ~ Olher Fee # ServiceEntraaceS~ze Fee N CvcuilsiFeeders Fee Swimmmg Pool ~0 to 200 Amps 0 to 100 Amps ` ITransformers A6ove 200 _ Amps Above 100 _ Amps I Slgns Inspecmr5 Use Only TOT/A~L I Irngation Booms Special Inspection ~ Alarm/Commumcation THIS WSTALLATION MAY BE ORDER ISCONNECTED IF NOT O~her Fee COMpLETED WITHIN 16 MONTHS. I, the Electncal Inspectoc hereby Ro°9n-'° ~ DjG certify that the above inspection has F,nai o i been made OFFICE IISE JNLV Tms requesl vo.tl 18 monbs Irom ' , CITY OF EAGAN N2 19678 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 /1 BUILDING PERMIT PHONE: 454-8100 Receipt s Tobeusedfof 'F DWG/GAR Est.vaWe $116,000 Date SEPTEMBER 12 19 91 Site AGdress 641 WITHAM LANE Lot 9 Block 2 SeGSub. "OVENTRY PASS oFFiCE uSE oNLY Parcel No. 2ND occuPancy 9--3, M-1 FEES Zonmg R_1 w Neme MITTELSTAEDT BROS (ACWaI) Const {j.p- Bldq. Permil 696.00 ; AddreSS 785 SUNSET DRIVE (Ailowable) yn_ 0 Cit EAGAN Phone 456-9125 p ol Stories Surcharge SA _(10 Y 60 Ptan Raviaw 452.00 Length ~o Name SAME Depth snc, cary 100.00 0, Q Address S.P.Totai - SAC,MCWCC 650.00 - City Phone s,F. Fooipnhis _ On Site Sewa9e water Conn 660.00 .Q w Name on sie weu 95.00 - F w Waler Meter Address rnwcc system XX 30.00 `aW City Phone cnywatar gx Acct Deposit PRV Reqwretl }Fl~ ShY Permil 30.00 I hereby acknowlege that I have read this application and state Ihat the Boosier Pump - SNd Sumharqe • 50 information is correcl and agree to comply with ay applicable State ot Minnesola Statutes and Ciiy of agan Ordinanc Treatmenl PI 276.00 r SignaWre of Permit pPPROVALs Road Unn 370.00 A Building Permit is issued to: MITTELSTAEDT BROS Plannar - park Dad. on the express condnion that all work shall be done m accordance with all councl apphcable State of Minne`s~o~ta~Ja ~W/tes'a'nd C•ity~]y~ Eagan/O~rtlinances. Bldg. Ofl. Copies Building Otlicial ?"`~'~-~-1~ Variance - TOTAI $3' 41 7. SO S Addr,~ss: 641 WInHPM IRE Lot q Blk Z Sec/Sub i;pVQJTPy p[{$g 2[7~p These items were/were not complete at the time of the final inspection. 11 IS 91 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps £rom the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. .G~A ~.v 1 xF["IRtY1ulR White - City copy Yellow - Resident copy Pink - Contractor copy RESIDENTIAL BCIILDING C cal~ Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan h1n 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reouirements Remodelrtteoair Reumrements Off¢e Use Onlv 3 registe2d sde surveys showing sq. fl. of l04 sq. ft. of house, ane all roofed areas 2 copies of pWn Cen of Survey Recd (20% maximum lot cove2ge allaxed) 1 set of Energy Calculahons lor heated additions Tree Pres Plan Recd 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addihons 8 decks Tree Pres Not Reqd 15etofEnergyCakvla6ons AdtlRion - indicafeiloo-sdesepfx system _On-siteSeplkSystem 3 copies of Tree Preservation Plan if lot platted after 711l93 Rim Jais[ Detail Options selection sheet (blUgs wim 3 or less units Date _~z / 10 / 0-3 Construc[ion Cost SiteAddress 6y/ WIAav"i t.-~e. UniUSte # i Descrip[ion of Work r~~5h lln~pyv~yt~ Multi-Family Bldg _ Y]S N Fireplace(s) _ 0 _X 1 _ 2 I Property Ovvner ~~(`LC~ ~7.lPy1t~P~1 Telephone #(({J a7- ~ Contrac[or _JO,O L~~?IP~ LGw25~ f' O -1 p Address ~Glp W Q8~' '57L City OpMi/lq4~h ~ ) `gct2~- N Zip Telephone # 8$l` Stat ZV COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventila6on Category 1 Worksheet • New Enerqy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submilted Licensed Plumber Telephone ) Mechanical Contractor ~ ' ~ "1, Telephone ~ SeweNWater Contractor 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 hIN Statutes; I understand this is not a pemlit, 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. Applicant's Prin[ed Name pplicant'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 ? 76 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 (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ~ 19 Lower Levet O 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous Work Types ? 37 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 11T- 33 Aiteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplacemEnt 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MGES System Census Code 1~/ ~1 y Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const vAl_ Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) Fina Wi o C.O. _ Footings (addition) Plumbing _ Foundation X HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final 'Y Framing _ Siding _ Stucco _ Stone Fireptace Y R.I. _.YAir Test Y Final _ Windows (new/replacement) ~ Insulation _ Retaining Wall Approved By ~-2, , Building Inspector Base Fee Surcharge ff Plan Review MC/ES SAC City SAC / Utility Connection Charge S&W Permit & Surcharge - 4::~) Treatment Plant License Search Copies Other Total PLUMBING (RESIDENTIAL) S5t).S~) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for. Single Family Dwellings "1'ownhomes and Condos when permi[s are required for each unit Da[c 7 /03 Sitc Address 6y ~ Lu ^'1 Ln. ~ 41aF) Unit # z Property Owncr Tclephone # ( ) Contractor lJf ~w•~~~ Address 21171 Xec~,Ave. . CitY J04" bv3L State MbJ• Z;p 5535,2 Telephone #(qgi) 413;~-JiW The Applicant is _ Owner X Contractor _ Other Septic SVStem New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. AI[cns To Existing Dwelling Unit, Including $ 50.00 D? Adding fxtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system Water turnarou!n~d 5/8" meter if needed -$121.00) X Other: Ao~~`/ piar s"nk i-o 1w5eMe41' _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system n n _ Water softener _ Water heater lU JUl 2 4 LC~~ d $ 15.00 _ replacement _ additiolal i ~ Statc Surcharge $ .50 Total S SD 1 hereby apply for a Residential Plumbing Permit and acknowledge that the information is comple[e and accuratr, that the wor6 will be in wnformancc with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this iS nMi ? permit, bu[ only an application for a permit, and work is no[ to start wrthou[ a permit; that the work will be in accordance wiih ihc approved plan in the case of work which requires a review and approval of plans. M TdS Fl,~.y zl r ApplicanYs Print d Name Applicant's Signat RESIDENTIAL S S S~ `t-~ gUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Constructlon ReouiremeMe RemodeVReoair Reauirements • 3 registered site surveys showirg sq. ft. of l06 sq. R. of house; and all rooled areas • 2 wpies of pWn (20%maximum lot covefage allowed) . 1 set of Energy Calculations lor neateE aAditions • 2 copies af plan showirg beam 8 windax s¢es; poured lound design, etc.) . 1 sita survey for exterior addi6ons 8 decks • 1 set of Energy Calculatians • Indiwte if home served by septic system for additions • J copies of Tree Preserva6on Poan if lot platted after 711193 • Rim Jmt DetaJ OpUons selection sheet (Wdgs with 3 or less unils) DATE A q ~02 VALUATION ~ 8~~'~D• ~ SITE ADDRESS 6'Tl wtT1-IAM LfAE MULTI-FAMILY BLDG Y N TYPE OF WORK V l Ny L 51DI4G FIREPLACE(S) _ 0_ 1_ 2 APPLICANT MICi{ftELGAGRnI o~ 51ARN*0CV- EXT6210I?S, ( JJC , STREETADDRESS `7112 8ELLA1215 AUENUE CITYBeAebAMC-STATEMN ZIP SSlIO TELEPHONE #(0$1-42q-20b5 CELL PHONE #~e5~-208-1110 FAX # 651 ~`FZ`~-3a bS PROPERTYOWNER G2C-G SVEND5011 TELEPHONE# COMPLETE FOR "NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'CA RULES 7670 CA"CEGORY 1 MINNF.SOTA RliLGS 7672 (J submission lype) . Residential Venlilatlon Category 1 Worksheel Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Sottener _ Lawn Sprinkler Fer. $90.00 _ Water Heater _ No. of R.I. Badis No. of Baths Mechanlcal Coniractor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Slgnature of Applicant • ~ OFFICE USE ONLY CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3•sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex O 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 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additlon ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MCIES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinktered Type of Const W idth • REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ FinalNo C.O. _ Foorings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ 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 & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total . ' 1991 BINCATION CITY OF EACAN ~ SINGLE FAMILY DWELLZNGS MTLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - S STRUCTURAL PLANS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEYT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/NOMEOWNER !(UST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For. 5[gl„ JP~h.LY~ Valuation: ~ Date: ql Site Address 14N1 t.tJi 11'/Fl-)&L- LRNIi N'OOJ, OFFICE IISE ONLY Loc 9 Block 2. FEES 96 Occupancy R-3 M-) Bldg. Permit ~ ,00 Zoning Q-~ Surcharge 9,o J Parcel/Sub C,~U~,~,r2~,. p~~ 2Nd Actual Const V-N Plan Review 2tou Allowable V-N SAC, City /00, 00 Owner # of stories SAC, MWCC • ,po Length (op' Water Conn, Address Depth 53' Water Meter ' Ss,.,. S.F. Total Acct. Deposit '30,~ City/Zip Code Footprint S.F. S/w Permit 10,00 S/W Surcharge .0 Phone On site sewage_ Treatment P1.;Zq&.00 On site well Road Unit ~7n,oo Contractor r/(f j TEL-S T/aC-AY ! blG~. MWCC System Park Ded. City water Trail Ded. Address `%g5 ~tt/v5trr Lo-.05 PRV ? Copies Booster Pump City/Zip Code SUBTOTAL APPROOALS Penalty Phone y'~(' Q, Z, 3 Planner _ I.ot Change Councll TOTAL ~ _ o Arch./Engr. Bldg. Off. GS 9-/2.9/ Variance Address City/Zip Code Phone # Sewe ^ dater Licensed Contr. ~ - agrees that all votk shall be done in accordance with Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. v~,~~o~ • , GARA~F .?4x22= 52Q, I x g ~ 0) 52,~ x i5 = 7800 SSMT'. 2~~~6= G~6 = ~g GK 13 ~y X 31 = rJ4y 12~1= 12 1 X lo - I- ~52c~ X~ys Z~2Xo U ~~~12 LCL'~ ~.5_ ~ ~SNIT ~ 15"=0 x9 = f y 2~ I~tX24 = 7~ 16as ~ s3= 8612 ~ DATE EXTEAIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER TN E Wr~ F IJ I-+ LT. A. SITE ADDRESS CONTRACTOR_ ()l 1 -1 T~ L ST FI E tST I~~ZOr~_' ~r(JN6 T.' I wJL. ADDRESS_rJg,S SuuSET !)!1. rA(,a,) PHONE 4 5(e ql'2 S DETERMINE WORRIrG SQUARE FOOTAGE OF EACH. 1. Total exposed wall area 2'7 g'7 sq: ft. x.11 2. Total roof/ceiling area sq. ft, x•026 e H, dj - Total exposed wall area above floor ~(o a. Total wall window area b. Total door area 40,n c. Total sliding glass doar area / p q,d d. Total fireplace wall area O e. To[al wall framing area (average lOx) 24,q,p f. Total net wall area above floor g. Total rim joist area Q Total exposed foundation area ~ 91 h. Total foundation window atea p ' i: Total net foundation area above grade 4/ Determine "U" value of each wall segment. e. xfloff , v 7 5 - 1 J4. 2 b. yo,a x,luf, . 07 2. 8 C. ~09.o x "u" yz - NS.a . d. . . O x nvn Q ~ Q , e. 2L9.0 % "11" 24.1, f. !'781,1, g lo11lt OY~y ~ 177.'~ g. 25&.Q x IIUIt . DYq ° I L.3 h. p x'lu" a - o g „U„ ,9~~ 3 . ...............................Total 2 . If 1Cem f13 is ehe same as, ar less than item O1, yau have met the intent of SBC 6006 (c)2. _1_ Page 2 of 2 Total exposed roof/ceiling area - 1~ 2 S J. Total skyligh[ area Q k. Tatal roof/ceiling framing area (average lOx)., Ip1.5(y • 1. Total net insulated roaf/ceiling area 1523•y y Determine "U" value for each roof/ceillr.g segment. J. A R "U" Q ~ - k. ~ol. 5e, xlfvlt 2AK ° bI i. 152 3,Hy x flu" 11g - 4.... ...........:.........................Tota1 - 5 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 the total envelape syetem method, the values established by [he sum of items 03 and 04 shall not be greater than the sum of items . 41 and U2. , . . 1. + 2. 3. + 4. e -2- 5EP-11-191 WED 15:22 ID:JNhIES P. H[LL II1C TEL NU:b12 ts'JU-b?4=4 ++itu ruL •SURVEYOR'S CERTIFICATE MITTEISTAEDT BROS. CONS'r ~ A-~~,~ . ~ . ri l3 Ak~' ('d By~ '.EVIEWEO D Z~ 3Y JD~ EAGAIy ERTGIAT~ERIPIG DEPT IAtE g-~ ~Aavo ~~~URED NOTE1 NO SPL'CIFlC SOl.9 INVESTqATION HAS sEEN COM?LETLO ON 7HI5 LOT 8V TMC SURVEYOR. THE NOTE: BUILOINO OIME74SION5 SHOWN AHE fDR FIORI20N7p1 SUITA81lITY OF SOILS lU $UPPCRr @ VERTICAL LOGATIOH OF STRUCTURE ONLY. $EE THE 9PECIhC HOUSE PHOPOSfb Aq011tECTUAL PlANS fOH BUILDING FOUNDATICN IS NOT THE RESPOHS!l1,ITY OF DIMENSpN4. THE SURVEYOp, DENOTES PROPOSEO SURFACE DRAIhtAGE O 6ENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET * DENOTES IRON MONUMENT FOUND PROPQSED GARAGE FLOOR 3, 1 FEET X000.0 OENOTES EXISTING ELEVATION PROPOSED LOWE5T FLOdR -$ZS•41 FEET (000.0) DENOTES PROPOSED ELEVATION PFiOPOSED TOP OF BLOCK -$3;, $ FEET WE HERE6Y CER7IFY TO ?~ITTE l.STAEDT BFipS. CONST. THAT THI$ IS A TRUE ANd CORREC7 REPRESENTATION OF A SURVEY OF THE BOUNDqRIES OF. Lor g, B lock 2, OOVENTRY PA3S 2ND ADDITION, accordirq ro the rocotded plat Thoreol, D4kofo County,MMneaoTa IT bOES NOT PURPORT Tp SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIREC7 SUPERVISION THIS 10 TH DAY OFSEP7EMBER , 1991. EC.) SIGNEMES LL , INC. PROPOSED GHAOES 9HOWN wEHE iq~(EN ~ fRQM TH~ DEVE~.OPMENT PLAN FOR 6 COVENTpY pA5S 2N0 AbDiTION, LA5T oarEo 5-17•e9 JOHN C. LARSON, LAND SURVEYOR MINNESOTR LICENSE NUMBER 19828 ~ o ~ o~ n J ames I~. Hil I inc. -1 , Z~ m m~ PLANNERS / ENGINEERS / SURVEYORS p 2500 W. CTY. RD. 42 • eURNSVILLE, MN. 55337 v 612-890-6044 i - - _ - SEF-11-'91 IdECI 15:23 IU:JHhIES F. H[LL IPlC 7EL I10:612 6?0-6244 4180 F02 ~ $UA1?'EYOR'S CERTIFICATE MITTELS7AEDT eROS coNSr. 1 ~ 106. 44 S 85°3p'02"E _ ~I DRAINAGE d UTILIIY y` 5 ~EASEMENT F'Ep pLA7 ~ ~ Lo T g W . _ Q1 N ti \ z e 6 3Z•3) ~ p---. c 8JL „ I~ i- - T ---sao PROFOSED ~a0U3E p M IrI / / ~ 1 ~ g l N r•~ 'n GAR. m N ~ -a B[NCH MAM N / n I 7 TOPOF IROM ~ - _ 24.0 jI`, • ELEV..~D~.lO ~ OENpI NARN ~83t gJ mo oc iaoM eLEV.•eao.ai PRpP09EU N 3 L%IIVEWAY 1 ~ (830.1) ,o o , i ~ S89°38' 31 0 ~t7'°~p'41" ,s ~ ~~o ~ ¦ 357 91 WITHAM LAN ~ E,..o, e y~e y~ 1 INCN ~ 30FEET (n m-l ? i Q W O a 0ja i~es R. 1 II IlIC• ~ o m o o Z~~ o~ m~~ pLANN E RS /EN G I N E E R S / S U R V E Y OR S < n N:13 O m 2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 6 612-890 8044 P X PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: PermitNumber: BUILDING Eagan, Minnesota 55122-1897 031937 (612) 681-4675 Date Issued: 0 5/ 0 7/ 9 8 SITE ADDRESS: 641 WITHAM LANE IOT: 9 BLOCK: 2 COVENTRY PASS 2ND P.I.N.: 10-18401-090-02 DESCRIPTION: Building Permit Type BASEMENT FINISH Building Work Type ALTERATION Census Code 434 ALT. RESIDENTIAL ~ J1,. _3 ~ ~fi~ REMARKS: PLAN REVIEWED BY MIKE BARCK. SEPARATE PERMIT REQUIRED FOR PLUMBING WORK. CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS. FEE SUMMARY: Base Fee $50.00 COPIES $.75 Surcharge $.50 Total Fee . $51.25 Subtotal $50.50 CONTRACTOR: - qpplicant - sT. LIc OWNER: Bl~ADLEY CONSTRUCTION CO 16867804 2011797 SVENOSEN GREG 2136 CLIFF HILL LANE 641 WITHflM LANE EAGAN MN 55122 EAGAN MN (612) 686-7804 (612)454-3881 2 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State ofi Mn. ~ Statutes and City ofi Eagan Ordinances. ~ ~ APPLICANTIPERMITEE SIGNATURE ISSUE BY: SI ATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ~ 3830 PII,OT KNOB RD - 55122 / 681-4675 New Construction Reauirements RamodeUReoair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies ot plans (inGude beam 8 window sizes; poured fid. design, etc.) ? 2 site surveys (exterior adAilions & decks) ? 1 energy ealeulations ? 7 energy wlwlations for heated additions ? 3 capies of tree preservation plan if lat platted after 7l1193 required: _ Yes _ No DATE: 'l- 7-8 ^q R CONSTRUCTION COST; 3S D S DESCRIPTION OF WORK: rihU ~8B7~t T Lckk /'00m STREET ADDRESS: 0qI In/:jAAv1 LaH e, S S1'L 3 LOT: ~ BLOCK: 2 SUBDJP.I.D. U Name: SVekiqSeh Grea Phone#: 33 3 I PROPERTY Lest First O WNER Street Address: 6 y/ W' T~I A vt LU Y1 ~ City Cc~ oa r 7"~ State: M Al Zip: 5- 5-12 3 Company: Hra0( 1Q~/ C0N14/uC fidA b Phone#: G OZ~- 25Dy CONTRACTOR ~r ~1 ~ ? "~y c'- `/fe Street Address: Z 139 C.. ~1 !T 11 L U Ne- License # 201l 7 q7 B City 5A a G N State: ~ N Zip: S s/ Z Z ARCHITECT/ ENGINEER Company: Phone Name: Registration N: Street Address: City State: Zip: Sewer 8 water licensed plumber (new construcGon only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~AIJ7i7/Y OFFICE USE ONLY D19 v1E Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No _ Not Required ~ / . ) OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation O 06 Duplex O 11 Apt./Lodging ~16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE O 31 New )~,33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 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. ~l3 Depth Footprint sq. ft. SAC Code Census Bldg ~ Census Unit v APPROVALS Planning Building ilAg Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies (3) Total: ! i ! i I ' %SAC SAC Units 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 ~ q (651) 681-4675 New Construdion Requirements RemodeUReoair Requirements ? 3 registered sde surveys ? 2 copies oi plan ? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 1 sfte surveys (exterior additions & decks) ? 1 energy ealculations ? 1 energy wlculations for heated additions ? 3 eopies of tree preservation plan N lot plaried aRer 7!1/93 required_ Yes No DATE: J-"`~- C\ ~ CONSTRUCTION COST: DESCRIPTION OF WORK: O~\LC V-03 ~ 1`~JtiSc 4 STREETADDRESS: LOT: ~ BLOCK: SUBD./P.I.D. CU V~!`, PQA4 _ Name: 7sV Phone --S o y ~ PROPERTY Lazt First OWNER Street Address: V1"k 1 W bfN-~~ W Ciry State: 1 4„v Zip: Company: Phone CONTRACTOR I~\ SveetAddress 79th Street Licensetk WExp. Bloomington, MN 55425 Ciry ate: Zip: )vP3-vv-r ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City Stare: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, 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 Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required I OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling D 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. Census Units Zoning sq. ft. Census Bldg # 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 City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies • Totai: % SAC SAC Units 1 / f CITY OF EAGAN FOR CITY USE ONLY ~ 3830 PILOT KNOB ROAD - EAGAN, MN 55122 PERMIT # , PHONE: (612) 454-8100 RECEIPT # D 3 3 S O D¢gCHANICAI. PELtMT'x DATE: /o "~l 9/ RE$IDENTIAT.: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS fi TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON _ HVAC 0-100 M BTU 2QQ'~ REPAIR _ ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM j,< 3.00 OWNER NAME: OF 1 PER PERMIT r~ r i Tcc. s r.a c~T~ ~ c SUBTOTAL: $ 3~0 SITE ADDRESS: 4~'`f l rltl4~+~tG~-Li9t STATE SURCHARGE: .50 LOT:~ BLOCK z SUBD. P99sei"t' TOTAL: $3or~ INSTALLER: Burnsville Heating & A/C, lnc. ADDRESS: SIGNATURE OF PERMI E o cITY: Savage, MN 5537~11.122 PHONE COMMERCIAL/INDIISTRiALt PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHP.RGE a $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE, PROCESSED PIPING = $25.00 . LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: Zip; TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN 46 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 , Date: 40 0 Description of Work: _ Construct new fireplace _Gas _Masonry _ Alterations to existing _ lnstall ,pas insert onx _ Install eas line onlv _ Other Job address: ~4(km k&l),j Lot: Block: Subdivision/P.I.D. Applicant (circle one only): Owner ontrac Permit Fee: 560.50 Name: ~`Q~ (/SQ{U ~ ~•Qy Phone #W- usy- r PROPERTY Last t OWNER Street Address: ~y~T(m ~{l~ CitY - C', " State: z,p: 5"5 /a 3 Phoneil:&/7 (area code) FIREPLACE INS7ALLER StreetAddress:~~~~L City e jState:~.~ Zip: ~ Company: Wk4(Qi /"1 eU&,4 /ridi Phone AL 04-3 area code) GAS LINE INSTALLER Street Address: Ciry State: Zip: 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 an Ordinances. ~ signac;,re OFFICE USE ONLY r BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove ? 32 Addition ? 34 Repair ? 40 Gas Insert GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. Je CZTY OF EAGAN FOR CITY USE ONLY 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT =-~?l1'1_ DATE: ~ PI.U3SHTNG;PEtt~IT RESTDENTIAT.:: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & A ••a TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK D~PTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR _ 3~ WATER CLOSET 3.00 / BATH TUB 3.00 ~ LAVATORY 3.00 ~ OWNER NAME: KITCHEN SINK 3.00 3- i LAUNDRY TRAY 3.00 ? - SITE ADDRESS: ~ HOT TUB/SPA 3.00 3- WATER HEATER 3.00 ~ LOT: / BLACK oZ SUBD. FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 3 ~ p ROUGH OPENINGS 1.50 ADDRESS: '4.4"r,y[~'q OTHER _ WATER O5.00 CITY: ~~~!^l7 `~,P ZIP: PRIVATEDISPER 15.00 PHONE U.G. SPRINKLER 3.00 ----~a~ ~ SUBTOTAL $ qop ST. SURCHARGE .50 S TURE OF PERM E 9 TOTAL: $ 'q(l •SO COMMERCIALfiNDDSTRIAL;' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WFiEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE e $.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 o~ (9 (o_~ L-Ir(to 2007RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 - New C6nstruction Reamrements RemadellReoair ReQUiremeNS OKce(JseOnl`v 3 reqistered site surveys showing sq. fl of IoL sq, ft of house; and ail mofed areas 2 copies o( plan showinq fooGngs, beams, joisis Cett_ofSur'v'ey`;'r2ecd~~i~U04Z,,re_:qN 20%maximumlotcoveraeailowed • 7setofEnergyCalalabonsforheatetladdilions SoilsRepoit°5=.~"`,'.~;iN ' 1 Sotls Repod if pmposed 6uilding is to be placed w disWrbed soil 7 site survey for addtlions & decks Tr~ pres_PIan3Reid 2copiesofplanshowingbeam8windowsizes;pometltountldesign,etc. Adddion - intlicafeilommlesepticsystem TreeiP~esRequiied=v,~~ : o.•.,r•. Lt. 1 setofEnergyCalcula6ons . , ~Jn;sile~SqtfyS,ystem~?~'€;Yb-'^~^._.Ti,~ 3 copies of Tree Preservation Plan d lot platted after 711193 Rim Joist Detail Ophons selection sheel (buildings vnth 3 or less unils) , Minnegasco mechanical vemlation form Da[e I/(/ Construction Cost lo ` 1 OnitlStc M 5ite Address ~ In ~i Description of Work ~ Multi-Family Bldg _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owmer elo~l, J C ?v/ / Telephone # (~J ~ )~s / ' ? V I Con[rac[or Addressy ~ Cityi State Zip .SS/j1o Telephone#~~s~~9is=7aa~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residenhal Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submitted Submitted . Energy Envelope Calculations Submitted In ihe last 12 months, has ihe City of Eagan issued a permif for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: -Licensed Plumber. Telephone # Mechanical Contractor Telephone ~ • 'Sewer%WaferContractor-- ' Telephone#~ ) hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;' that the`work will be iri conformance with the ordinances and codes of the City of Eagan and the S[ate of MN ---_--Stamtes; I derstand thi is not a permit, butonly an application for a permit, and work irnot to start wiThout a ' permit th t he ork wil in ac ordance with the approved plan the cas of wor requires a review and approval o lans. / . Applicant's ignature " PERMIT City of Eagan Permit Type:Building Permit Number:EA131237 Date Issued:06/10/2015 Permit Category:ePermit Site Address: 641 Witham Lane Lot:9 Block: 2 Addition: Coventry Pass 2nd PID:10-18401-02-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Greg Svendsen 641 Witham Lane Eagan MN 55123 (651) 454-3881 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA133148 Date Issued:09/24/2015 Permit Category:ePermit Site Address: 641 Witham Lane Lot:9 Block: 2 Addition: Coventry Pass 2nd PID:10-18401-02-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Greg Svendsen 641 Witham Lane Eagan MN 55123 (651) 454-3881 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA149200 Date Issued:05/11/2018 Permit Category:ePermit Site Address: 641 Witham Lane Lot:9 Block: 2 Addition: Coventry Pass 2nd PID:10-18401-02-090 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Greg Svendsen 641 Witham Lane Eagan MN 55123 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature