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4429 Woodgate Pt CITY OF EAGAN • 3795 Pild Kwob Rood Eagae, MN 55122 ' • Fa PHONEt 454-8100 BUILDING PERMIT Receipt To b~ wed for SF 1)T4G/Gtl_~2 Est. Vclue Date t 1~`! _ 19 Slte Adds~ i129 ~~°o Tate Po li= Erect i i}eron. .~~t .d' Occuponcy ILot Blxk Set/Sub. Alter ? Zoning ' Parcel # t n 761,00 1;0 01 Repair ? Fire Zone ac Name .)Liln 3. :1:; r Enlarge ? Type of Const. p Stories Z ;,nutr _ 3 ,,ddfeu Demolish ? Length b Ci 'cr'rc.^oPh" 'i;?) 768- 2C "i Grade p Depth Sq. Ft. Name Approvnia Fees a o~ Address Assessment Permit ` . u Cit Phone ' iCe ' ti- J.: Water & Sew. Surchorge ; ~ Polite Plan check ~j F W Name Firo SAC r /lddreu Eny. Water Conn. ~ i W Ci Phone Pionner Woter Meter . CouncN Road Unit I hereby ocknowledge thot 1 hove reod this epplicotion ond state thot gl. Off. the information is correct ond ogree to comply with nll applicoble Total '1T"' '5~ State of Minnesota Stotutes and City of Eagon O?dirwnces. Siynoture of Permittee , _ - A Building Permit Is issued to: on the express condition that all work shall be dor?e in accordunce with oll oppliwble State of Minnesoto Statutes ond City of Eoyan Ordinonces. Buildin9 Official Permit No. Permit Holder Misc. Permit No. Holder Plum6ing 3~ 3 n~~ / ro_7 \ H.V.A.C. (JZ E ~'1 z4 l P~ "1~ ~ w.u wai.? Disp. Sewer Electric (.t~Og2qyl tl.I`l-C.k' lt)-q'$~3 Inspaction Date Insp. Other Footinga Foundation Framing C Rough Plbg. C ~ ~ ~G r Rou9h HVAC ° Insulation Final Plbg ~ Final HVAC Final r~ A Dascribe Location: Water Wall Sevuer Pr, Disp. Receipt PLUMBING PERMIT Permit i1fo. ~ CITY OF EAGAN 7 Fee Fill in numbered spaces S/C : Type or Print legibl y Tot. 1. Date 101,4183 2. Installation Cost 3. JobAddress 4429 Woodgate PtotBik. / Tract I' a. owner Denny Belhar 5. Contractor Wenzel Mech. Phone 452-1565 s. Address 3600 Kennebec Dr 7. City Eaadn State Mn Zip 55199 8. Building Type: Residential 91 Commercial ? Institutional ? 9. Work Description: New [X Add ? Alter ? Repair O 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield I Bath tubs Septic Tank Lavatory Softner Shower Well _L Kitchen Sink Urinal/Bidet Other water Heater I_ Laundry Tray ~ Floor Drains Drinking Ftn. Slop Sink 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 : . , ' 0: , 1=7! ~ for . ' Rough , Ffnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved f, CITY OF EAGAN 454-8100 • - r~_~ r Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN . C ~ • Fee - Fill in numbered spaces S/C Type or Print /egib/y Tot. 1. Date2. Installation Cost 3. Job Address Lot7 f~ B Ik. Tract' T 4. Owner ti x~t 7c~ ` 5. Contractor rl^~12 . Phone 6. Address ' - • ' ~ . f'- ' 7. City . State 2ip i ~ 8. Building Type: Residential 19 Commercial ? Institutionai ? 9. Work Description: New t] Add ? Alter ? Repair ? 10. Describe I Fuel Type . ~ ~ ` 11. No. Eauioment 9TU • M. Ea. No. Equiument CFM i Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg, Other Air Cond. Mfg. 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 r ~ Final Inspecti,6ns: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CASH RECEIPT ' CiTY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 CATE 19 Reeeiveo FROM AMOUNT $ I 8 DOLLARS 7 oa ? CASH CHECK FOR FUND CODE AMOVryT I Than ou • BY J wnite_Payers coav Yellow-PosYing Copy Pink-File Copy CITY OF EAGAN Remarks Addition TIBERON ADDITION Lot 13 alk 1 Parcel 10-76400-130-01 Owner Street 4429 WOODGATE POINT State Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1977 307.21 30.73 10 92.17 A012681 8-31-83 STREET RESTOR. 1981 953.23 190.65 5 381.33 " " GRADING SAN SEW TRUNK 128.30 8.56 15 42.89 A012681 8-31-83 1974 * SEWER LATERAL 'StUW21j_ 3 09. 98.87 15 988.74 ft WATERMAIN +t WATER LATERAI. $tub 1979 iS WATER AREA 1977 128.22 8.55 15 (?$.44 A012"1 8-31-53 STORM 5EW TRK STORMSEWLAT y 1981 79.71 15.94 5 31.89 A012681 8-31-83 CUFiB & GUTTER SIDEWALK STREET LIGHT 250.00 37963 8-10-83 WATER CONN. 450.00 tt i1 BUILDING PER. 72 SAC n n PARK Et~ ~ ~ crrv ot EacaN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan,MN 551_2DATE: 1 7-31.i Zaninp; No. of Units: Owner: Deanis GeL?8Z' Address: Site Address: 4429 Woodnate fnt T1 B1 Tiberon Lst Plumber: PZ~--, f: :ltg ( Larsen Exc) double fec 6--10--f.;3 37963 100.00 pd I agree M oemolp wnb trs Cilp of Ea9aw Connection Charge: 425. 00 vc: Ordinancas. Atcount Deposit: Permit Fee: Suroharpe: gy Misc. Charges: Dote of Insp.: Total: Insp,: DoM Pofd: CITY C= EAGAN WATER SERVICE PERMIT 3$30 Pilot Knob Road P. O. Box 21199 PERMIT NO.: -~~:J~ Eagan, MN 55121 D/1TE: 1 7 - Zoninq: - No. of Units: x - Owner• /lddress: Slte /lddress: a tF - ij_ lTih et'vn ls t Plumber: - ~ • c r r- Meter No.. Connedion Charge: 5'~' Size: ~courvt DeP°sit: Reoder No.: Pem+it Fce: - - 1 pm to oomPly wtl6 !M Ciry ef EsPn Surcharge: i- , OrdiNnam Miac. Cheryes: 60.00 ; c. ~t o- v Total: gy Dote Poid: Date of Insp.: Irup.: t Q HOUSE'HEATING TEST RECORD , ADDRESS APT. _FLOOR CITY SUBURB~~ OCCUPANT OWNER HEAT L055 DATE HTG. INST. SOLO BY INSTALLED BY (A)~1.1 Elsehical Wwk By Cas Lfne By TYPE OF HEAT GA _ FA HW -STEAM _SPACE HTR. -UNIT HTR. _OTHER GAS DESIGN CONVERSION M~.E MAKE OF 6URNER . ~ - Modsl Ssrial Max. BTU Ratinp ; INPUT MAKE OF FURNACE . Mod.l CONTROLS . THERMOSTAT Haat Plug VenT Sl:s Valv* ~ ~?)~~!?~_~~f KIND OF LINER SIZE NONE Umie ~ Droh Hood Roqularor ~ ' Limit Settiny n Filfar• Sf:* NumMr ; Fan $cni..., Chimney Locafien Inaide OuHide ~ Pilof Type.~^Qfimnay Constludion Pilot Moke ..k-~.~-T'CeQ r~ n~J Pilof Model Smoka Bom6 Wirin9 _ Pilot T{ming Drafi Test Tap L.W. Cut OfF Dow Prossuro Liphtiny Inst. Preasure- 3(~" W• L' Percent CO2 Do» Tearod . Input CFH .pblrDPercant 02_-~ Company Tocfing Ll-19 {JZEa- Srock Temp. o ~ peresnt CO C Name oi Tesror. ~ . ~.n.; . Ferm 235 .y , . cirir oF F+caN N° 8372 . 9795 Pilst Kneb Road Eagan, MN 55122 . PHONE= 454-8100 BUILDING PERMIT Receipr # To h, and fm SF DWG/GAR Esr. Value $61,000 pate August 10 _ 1q 83 Siro Addreu 4429 Woodgate Point Erecr $Y, Occuponcy R-3 Loi 13 glxk 1 Sec/Sub. Tiberon lst qirer ? zonin9 R-1 Parcel # 10 76400 130 Ol Repoir ? Fire Zone NA Enlarga ? Type of Const. V a Name Dennis Gelhar Move ? # Scories Z Address Route 2 Demolish ? Length 40 ~ q McGreQOr phone (218) 768-2487 Grode ? Depth 53 Sq. Ft.- ~o Nama O~eT ADprma4 Fees o`~ Address Asxisment Permit 316.00 Phone Office: 432-0000 ~'?oter&Sew. Surchorge 30.50 Police Plan check 158.00 ~w Nome Fira $AC $2$•00 Address Enp. Water Conn. 450.00 ~W Ci p~m Planner WoterMeter 60.00 Council Road Unit 250.00 I hereby acknowledge that 1 have read this application and stote that Bldg. Off. the informotion is mrrect and agree to wmDly with oll oppliceble Srate of Minnewto Statutes and City of Eogon Ordirwnces. APC Total $17$9.50 SiOnature of Permittee ennis e ar A Building Permit Is issued fo: on the express tondition thai all work shall be done In utcordarxe wi II o licableat of Minnesota Statutes ond Ciry of Ea9on Ordinonces. Buildinp Officiol ( CITY OF EAGAN u e 2 sets of plans, 1 site plan w/elevations & ' BUILDING PERMIT APPLICATIoN l set of_ enerTi cal.culations. To IIe Used For S 16 u74 (3CL(- Valuation Date Site P3dress: d,-1 1.o0op~ti-~ ~ OFFICE USE ONLY Lot 1'a Block ~ sec./SubT~ bEroh Erect occupancy Parcel lU 7(Dq00 13d pl ~t~ Zoning / Repair Fire Zone ~Enh~' ~ GE~ VI~'r ~~e - T~ of Const. Nbve # Stories Address: C-0 L,i,\-,A- a Desrolish Front ft. City/Zip Code: ~6 Grade Depth ft. Phone C~ i$~ 7 t1 i qg 7 APPROVALS FEEs 1- Assessments Permit Contractor: (7w?~-E Water/Sewer T 'Surchan3e 3 6 Address: Polioe = Plan Check /SS City/Zip Code: Fire ' SAC 59S ~ En'1 Water Conn. Phone # : 't 3 - DO 0 d g' , Planner Water Meter ! n Council Road Unit a.SO c~ Arch. /Ehg. : Bldg. Off . Q- 9-~3 Address: APC City/Zip Code: 9 ~GPSt ' Phone ~T~ ~ ~ ~ ' S~ This request void 10 -q L13, 39ozy 18 rtwn[hs from W 082447 37.so Peq ~ Dat Fire No. peQugh-in~lnsper.lion OfteaAy Now mJyiLYNotity, Inspeo- es ?NU ~or When fleady censed EI¢ctrical Contractor I hemby rea.est insoecHOn of ebove I ? Owner elecvicel work installed et Sveet Address, Box or Route No. Cttv z w ~ ecuon o. I Township Name or No. flan , No. ounry . / Occuoent IPpINTI Poone No. sWNi€ L t4 4 4 4/ a-o 0 00 Powe, uoii . r-T s Elecvical Contr . or ~op~~n~yp{amqL"`N , ~ Contra r's Licens No. i4 ~tv rr~ g5124 MailineA.ddress,IC~it O insiaiiatLon, L1 Au[horized Signahre IConttaclur/Owner MekinB Installationl Phone NumOer MINNESOTA STATE BOAPO OF ELECTRICITV TMIS INSPECTION flEQUEST WILL NOT Grie9s•Midwey Bldg. - Room N•791 BE ACCEPTED BY THE STqiE BOAPD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., 5t. Peul, MN 55104 „1I'.l ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001.04 ' Sae iostruetions for completing this form on back oi yallow coov. 082447 'IX" Be/ow Work Covered by Thrs Request -39 O Z Atltl NeD. TyDe of 8uilding APpliunces Wired EquiOment Wired Home Range Temporary Servioe ~uplex Wa[er Heater O'Lightin( Fixtures Apt. Buildinc~ yer Electric Heatin Commercial Bidg. urnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Othet Oeci V Ot erlSVecffyl t er Suoci y t er Ot~er ompute Inspeciion Fee Below k Fee ServicaEntrance5ixe k Fea Feetlers/SUbfeedars # Fee Circuits U to 200 qm s0 to 30 Am s ! ~Aj 0 ta 30 Am s Above 200 Am ps 31 to 100 Amps 31 to 100 qm Swinming Pool Above 700_Amps Above 100_Amps Transiormers Irrigation Hooms Partial%Dther Fee . Signs Speciallnspection Hema.ks TOiAL FEE n V Nough-in Date 1. 1he Eiectricel ~ - 30 - Inspecbq hereby certify thet tha above Final ~ ~'~~e ins ae paction has baen Thls reauesi voltl 18 months lrom RNDERSON 2008-09-11 20:04 ANDERSON 6513881098 651 675 5694 P 111 Via 11~ c~a C-4,- .tivA:. ~ 4 wIci Vp VN~ '40`J .'M'XoL n,iC '-ibW -Wj 't; Jc~i~i?~`~l - ~CS IZ-~v~ •~~.lb~~ Fa~:~~0~`~ ; ~ C~tq af Bap , ~.K.: ra*+nF--- .7~1= 6-0_- ~ • E 3030 e~ Yllss W°~° ~ /~P\J 1 u5 ~ j vm Nu«.m,:._._--------~--~ Fu: ~8st) s75-JB9s ~ - l ~2008 RESIDENTdIA~L BUII.DING PERAAl7' APPC?CATIOiti 1~ pd) n.e.: bs~sw awr `-T-TZ U Trplnt• ~ 8olls F. ' IUMMlFTlOWNER Nw~o: #A*ess ~ GIY ' Zi4 TYPE(SrWtlHK Cn~+~~an Caq:~j~.__ [a. ~.1+ M~H~F~any Bu'du6c (Yes ~ No ' C~OKTRACTOq CS` 0.~~~' coMnLE'TE T"15 nasa Oy~l Y IF coNSrreucTer?c# n04 atnLrnNc - tO Ca~emn 7 . ~IinreBOl_a RWes 76T3 ~ . • fesOa"ve~rlsem Cnqur I ~vo~4sha+ ' 7SMr~ Oodc wa#~M SWw~uea (JS~tyMl • 6~NSrwebPeCwain~mrmSA~NRW In IM Mn fY nwntln. Ms Cr Crh d EyM ismwA , pwinN tors aYwrr P~ euee en a nwm[ 0b.9 ._.Vas ....-No Nyes.dafeww atltlrcY5o7maslmpW+:...._..'_' . Na~~ Ahonr . se.e.sw.aercaw.nor: _ w'v1•:_ IYOTE PAMF Md GppwM9 daawnnlb flrf yW1940nW 1ro oonYMANrd RY be WmNc bAorAlYfbn. !blfblMW NY~ YMomufkn adl b oESSSltNd es na+?Pmbft it Ym 6~* fip~ ~ qMf MwW pMmq Ms Ciry fo ameksh! µp} arw 6titl0 ~ nwew .aro.+adw tlw u~. va~m.io~. covmma a.e ammr: ew uo .en~.s ee earte.~.mo .wn u. ae~vm..w me.. a o-a cir a Cap. tloa~w~+0+ei~O~WIIWlntlam.edwin~ ~ ~~~oP~w NO notmxaM1.f~yro: aYM •:sha;thew+rh vrneee. A Appaaww. v~aa wrosw An~r G%Md;ws 1013 UaRled Notes Page t T V~ RESIDENTIAL BUILDING PERMIT APPLICATION r CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-687-4675 New Constructlon HeouhemeMa pemotleVpaoeU Heauirementa • 3 registered si[e surveys snowing sq. tt. ol bt, sq. H. of house; antl II rooled areas • 2 copies o1 plan (20%maximumbtcoveregeelbwed) • lsetofEnergyCalculatbnstorheatedadtlflbns • 2 copies of plan showing beam & window sizes; poured IounO design, etc.) • 1 sfte surrey for exledor addNions 8 tlecks . 1 set of Energy Cakwlations • Intlkxte tl home served by septic sys[em for add'Abns • 3 caples af Tree Preservetbn Plen M bt platted aXer 7/1193 . Rim ,blst Detail Optlons seledbn sheet (bldgs wilh 3 or less wtts) DATE VALUATION ~UvSYIO 29 SITE ADDRESS ~)(')d0 C"llTF MULTI-fAMILY BLDG _Y >C N NPE OF WORK~/? fk2 FIREPLACE(S) _ 0K1 _ 2 APPLICANT/&E2icAo•J 0ti,ijT9acTt72S STREETADDRESS 1a2<17 .C~rG~c~-r ~s~ S CIN /~u~2~clsde«rSTATE /~ivZIP .r~7 TELEPHONE #9sD`17- 695-9 CELL PHONE # FAX # 0157i 'E~ 2)IND PROPERTYOWNER 1,90 t3E270 413020 _TELEPHONE# 4SI-40 S6-0 96G COMPLETE THIS SECTION FOR mNEWN RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventila6on Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submittad Plumbing Conhactor: Phone # vg I'_ Plumbing system includes: _ Water Softener _ Lawn Sprinklerj ~F•~ d.00 _ Water Heater _ No. of R.I. Ba~s AUG 2 1 2(~J~2 No. of Baths Mechanlcal Conhacfor: Phone #y= ~ Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone 1? I hereby acknowledge that I have read lhis application, state fhat fhe information is correct, and agree to comply with all applicable State of Minnesota Statutes and CiTy of Eagan Ordinances. Signature of Applicant p ~ AJU'-AA OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling 0 OS 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Aft - Multi O 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt- SF O 04 02-plex ? 10 08-plex 13 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10.plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Pibg_Yor_N ? 25 Miscellaneous 13 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 0 32 Addition ? 36 Move Bldg. 0 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Akeration 0 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/Doors 0 34 Replacement *Demolition (EMire Bldg only) - Giva PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Staries Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) Fiual/No C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ F'veplace _ 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 S&W Permit & Suroharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total S I~ f~ S RESIDENTIAL BUILDING ~L-P Permit ApplicaUon City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New GansWCtion Requ'uements RemodeVRepairRequiremenGS ONice Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and ail roofed areas 2 copies of pWn Cert o( Survey Real Y_ N (20%maximum lot coverage allowed) 1 set of Energy CalculaUons for heated additlons Tree Pres Plan Recd Y_ N 2 copies of plan showing beam & windax sizes; poured found design, etc. 1 site survey for additions & dedcs Tree Pres Reqd _ Y_ N isetofEnergyCalcwlations Addttion - indrCafeilonsBesepficsystem On-sReSepticSystem _ Y _N 3 copies of Tree Preservation Plan 'rf lot platted aRer 711l93 Rim Joist Detail Options selection sheet (bldgs wiU 3 or less uniLs Date 1CMIL l a 3 Construction Cost ~~~~D• ~ Site Address ,A nl jir/00 ~O G?T C 10a T Uuit/Ste # Description of Work S/Q/ ~71L Multi-Family Bidg _ Y_X N Fireplace(s) 40 Z Property Owner ~ ~6 u 6 o Telep6one #(G5/ ) ~oj'(. a~~l Contractor Address 7~2 41, s City State Zip ~j/lJ Y Telephone #(is?) G Y C 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Wofksheet • New Energy Code Worksheet submission type) Su6mitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor fi/ oC, fN Telephone J 03 Sewer/Water Contractor B - Telephone ) I hereby apply for a Residential Building Permit and ac`knowledge that the information is complete and accurate; that the work will be in confornxance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, 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. ~~j~G~ Gv/LC.~•~-, 'o~ i¢^~? sn6urJ Applic t's n ted Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAtldn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-p12x ? 12 12-plex PI6g_Y or_ N ? 25 Miscellaneous Work Types ? 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 *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nhr. of Units Sq. Ft. PRV Nbr, of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plwnbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs Air/Gas Tests Final _ Framing _ Siding Shtcco^ Stone ~ _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Capies Other Total f n( Z~ RESIDENTIAL BUII.DING < d Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX 4 651-675-5694 New ConsVUCtion Reaui2ments RemodellReoair ReauiremenGs Office Use Onlv 3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey ReW (200/o maximum lol coverage allowed) ' 7 setof Energy Calculations for heated additions Trce Pres Plan Reoi 2 copies of plan showing beam & window sizes; poured found design, etc. 7 sile survey for additions & decks Tree Pres Nol Reqd 1 set o( Energy Calculations AddRiar - indicate if on-sffe septic sysfem _ On-sita Sep6c System 3 copies of Tree Preservatan Plan if lol platted after 711193 Rim Joist Detail Options selection sheet (bldgs wBh 3 or less unils Date ` U / l4 / 03 Construction Cost Site Address L.F4~E2::!l W()C2d UuiUSte # c Description of Work ~ I.t,t~ Multi-Family Bldg _ Y ? N Ftireplace(s) _ 0 1 _ 2 Property Owner ncQjj2U Telephone #(~jl) tokD- V a~ ~ FIRSIUE' HEARTH ~ HOME Contractor.. 38go W HWV 17 Address BURNSVILLE MN 55337 City State ~ 9 09 11 Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 (J submission type) , • Residential Ventllation Category 1 Wwksheet • New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknawledge 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 thas is not a permit, but only an application for a pernut, and work is not to start without a permit; that the work will be in accordance with the approved plan in e cas f work which requires a review and approval of plans. ~ ~ v bYCL~ V~~e 1~ Applicant's Printed Name pplican `t's S gna e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muki ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (81dg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement _ *Demolitlon (Entire Bldg) - Give PCA handout to applieant 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) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ FooYings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile pdier Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Re[aining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION f ~ City Of Eagan c~ v---i b.-~~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenis RemodelRteoair ReauiremeMs 3 registered si[e suneys shaxing sq. il. of lol, sq. fi. W house; and all roofed areas 2 copies of plan (20% rmNCimum lot coverage allowed) 1 setof Emrgy Calculations for heated additions 2 copies o( plan showing beam 8 wirdow sizes; poured found design, etc. 1 site survey for addNOns & decks 1 set af Energy Calculations Addifion - indicete d oo-site septic system 3 copies af Tree P2servatlon Plan'rf lot pYalled after 711/93 Rim Joist Detail OpOons selection sheet (bidgs wAh 3 or less units Date M-&/- / Construction Cos[ ~ l ~ • `4'`~ Site Address ovUt,'vr-- Unit/Ste # M p .S ~ 122, DescriptionofWork ~u~L-p e- c1~-, Multi-Family Bldg _ Y/SZ N Fireplace(s) _ 0/~c 1 _ 2 Property Owner ~ow-,~vtLTV ~ ~1~~ q&,4 u f5 v Telephone # (C'.S l Contractor ~ Ot '1 Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv I Minnesota Rules 7672 Enefgy Code Category . Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submiited 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/WaterContractor Telephone D O'l MA 0 6 2004 J I hereby apply for a Residential Building Permit and acknowledge that the informa ' is ete and ac rate; that the work will be in conformance with the ordinances and codes of the City o MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a perxnit; that the wark will be in accordance with the approved plan in the case of work which requires a review and approval of plans. C) , AV~a-c.t?~Xlu Tv ~ . ~ Applicant's Printed Name pplicant's Signature OFFICE USE ONLY i Sub Types f I ? 01 Foundation ? 07 05-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 Ext. Alt - SF ? 04 02-plex ? 10 08-plex /V 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multl 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 ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCem8n1 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation I £1t.9v Occupancy MCES System Census Code ~j ~q~ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new hldg) Final/C.O. Footings (deck) FinaUNo C.D. Footings (addition) Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Sid'mg _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ 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 & Surcharge Treatment Plant License Search Copies Other Total ` r, SIGMi4 ~ suRveviniG Certificate For : sERVOCEs 3908 Sibley Memorial HighwaY GEL HqR , Eagan, Minnesota 55122 uO~~/~ Phone: (672) 452-3077 n ` V ~ \ I r-; ~ , ;_o- ;:3 G <o 0/`• 04~36" W 0.91 O a~paX ~ ' O ~``S~ 0~~~ • o .,w O.a:._ne bili'dy _ E?se_ e.. ` / ' _V :.V~ • 91b~ ~ . LYP .y 11 N~ ~ 93 QO a3e~ee I a w a I~~ , tc p ~ m W N O~ Qy;" z\ ~ ~~pso\ O 13 ~O ~.G"" ~~AqS~ I Q 93~ 53.0 ~ N 89°44' 371 E.bTroxab 4 152.35 I . x Nea.'~6rye s1.. I - 1 l_ I1 14 ~ I L. .5 -N- I I SCALE; 1 inch = 40 feet PROPOSED GARACE FLOOR ELEV. = 940.5 O Deno[es Iron Monumen[ PROPOSED TOP OF BLOCK ELEV. = 94018 ° Denotes Wood Hub Se[ PROPOSED BASEMENT FLOOR ELEV. = 937,1 xaa+.s Denotes Existing Spot Elevation - -~'DrainaRe Direction . _PROPERTy DESCRIpTION - Lot 13, Block 1, TISERON IST ADDITION, according to the recorded plat thereoE, D'akota County, Minn. ~ t , r t3~ k ~s~ MA UFiVEY1N 0 Certificate FOY 8ERV9CES 8 Sibley Memorial Highway ~EL H~4R HOMES agan, Minnesota 55122 Phone: (612) 452-3077 \ Lr.i T i L: P Qd Ce..c cu.6 /~~4M• ` ° 4 4' 38" W 110.91 rJ ~O ~ ! ' ' ~'T~ ~ ~I°''.i ,~~r• \ a ~i '06 iC. LOT 13 DO w 0 ~ [.rT 1,40 N D\~O\~\ s -,qy4. ~ ~ 18 T 51 (n k ~ t3q \ \ o ~ 115 i V S 1 5 y i ..e _ - o N ~-------:.t~-- - N 89°44' 37 E 152.35 ~ I M R~u~6vyt ~R I 14 1. .5 I I -N- I ~ SCALE: 1 inch = 40 feet PROPOSED GARAGE FLOOR ELEV. = 940._5 O Denotes Iron Monument PROPOSED TOP OF BLOCK ELEV. = 940.8 a Denotes Wood Hub Set PROPOSED BASEMENT FLOOR ELEV. = 937.1 x4sa5 Denotes Existing Spot Elevation /k-Drainage Direction PROPERTY DESCRIPTION Lot 13, Block TIBERON 1ST ADDITION, according to the recorded plat thereof, Dakota County, Minn. I hereby cereify that this survey, plan or report was prepared by me this 4 th day of August, 1983, that I am a Registered Land Surveyor under the laws of the State of Minnesota. uQ~ ~(I n. Wayne D. Co des, Minn. Reg. No. 14675 L ~ .ro PHILLIPS PLAN SERVICE 'S 1000 E.146th St, Suite 100 , 8umsv111G MN. 55397 - , . - - . . , . : . . . . . . . . , - CITY OPt PI.AI y[A[BMt ti. I- z3 q UNTS$ pDDR&SS PHONZ LEOAb D&SCRIPTIQI OF P80PSRTE't 1At SI.OCIC JDDITIOf Dm SI1B'ADDBSSS • . S=IOR SIYSLOP! 148BA08 COKMA'PIQ= ~ . ` _ . - . . LIU4L FnT' ot HXPOSSO; xALL, 13 q. 0 o . ROTAL SQ. !4. OF ffiPOSED IIILL_ Ia84.$O TOTAL SQ. fll. 0IP aLASS Q$0~ I 3'l.3 ~ Xre. " . . " TIP$ CqSETCk)T : CPX LSASdaS - 'PS$fiEII 87 TOTLI. 3Q. F!. O! DOOB9 5 S, 6~ TYPS / lPI).wooa W~ gtoTMs TYPS OY ILRULA'PIlff II BALIS F, G• g CTT T$ICt "fl° 4ALUS , I t` _ 'PII$ OF' INSIJLIlIOI Ii CEILO. 13L0w0J F.e.. I O" + TSIOI : - . . .r-. . . wge 111A1.LTE I z. , : T?P$ OF I1SiJLATIOir II BIAOBS VAIZTS, ' ' 1vS8AG8 "U'" YsLlts o? IDcP038D xALIS isovs ORAIM iIILIUi 0? .l? FOE 01iz d1fD '1'UO FAl[IL8 DifSLLI1QS ~ tIIIRIII[ OF •22 FOE ALL OTM BUILDIIfi3 ~ f . ~ • ~ ~ DO+J 1ZJSS£l_ RLiM.Tu[~/u.;~=A . s. . . y^ee- ~..l~-:II: '~ceX'n'.m ` ..,rv"S.y.x 1 "rc' -,v.:l:. s . '`"4 :N:A~` S . "`giT~: . . _ . . . . DEPAIL SQ. FT S@. FP SQ. FT. ^Q" E S@. POOTACE .EEFSRENCS : OPEYI1fC3 LESS OPEYI]1CS YALUE . s _ . . _ . "'.7... s ~ ' . . ~ . . . - . . . . . . - . . . O . ~ C 6 ,:v. tt~ 4 w S ~5 x` : r~o~ _ e y~ q 5 x~-`'~ ~ ` 9 r, o t 03 St J 4 1 5 3 ~ . ' i l @ i S r 1 ~ 4 ~O S ecr _ I ? f - I O F - 1 p Z. 4 E ~ . , . . - . ,,.~<<.. . . ~ . . _ : ' . . . F ~ . . . . . . . . . . . . f . ~ ~ TMflL$ _ . " j S, , , . SASIE TO'P6IS 3 i DOOa$ ~ r . , . . . . . _ : r.T0TALS S S. fo p' . S CEILIYGS. ssartoi.l 1 ~ 0 g~ O . T02AIS It~n~t~~ 151.SI - TOTAL (U) (A) VpWS , 133 AVERAGE "U" DIVI?ED SY TOTpL 'rfALL AREA E £ ra~ti ~NOa ~inSni l~v~+~vrv~_.. _ a~ana2fiyrn~ati3 , a i . y_i,i • • f O ? ~ - ~ . . ~ ~ . . . c . ~ _ C. ~ ~ p a 6 ~ - , ( _ F C~~~y. R _ . . . . i. • ' T.~ . • . . , ~ . ~ , . . . . . . . . . . . . . . . . , . _ ~ ' ' . . ' . . ~ . . . , . . . ' \ \ \ ~ r . ~ . - . . . . ' ' ' _ ..l, . '.I. ? Q . . ~ ' - ~ , . , . . . . , . _ ~ h ~ d „ 148 3 `S~] w i hf . .4011.141 w-11j t r$yno ~ 3.11 1 ti + ~ . ~ e. w . ' m - ~ y e " a r ~ ' ~ • a ` . T `~'~a . ~ Y. ~ .y-..~. zz -g ~,t rti4- _.r-~ "a..s. ti k ~ 2r ~ L =a°ti . "^r~"i °'T' ~~?~~a~b g~` , s s ~t c. " . ~ . lc + a i . . . . . 4 "a' S - ~-.;n:. . . _ : ~ • . ' . ~ . , ....r .r . a7ean~n-~17ca - y~ CanLS S ~a r .•'4r' ~ RGREL(((EqL/. _ _ y ' ' . . . . . : - : .O uPPeA.'wo~l~~-w~r11,GC'DA'rt'+A. ..O 17^coNC.gLV ATSoue Grtnn6~ _ _ r.. OJS; A~S 0 .A E -~tt u, . f: ~ • ~?r.. - ::'~y" e'~' h... v r ~ . G... A ~ R ~w L 2. 13 A-t H CEOPR S10/4I~' O Q'~to..lC.~3Lrt~w~i3R~GlG-PQOUE RPb . Att 44 SYAFA " RL 1 I Z, , 41S Alr l. S : . L -roTA ' - - - ' ` - • -rhTA ` • - ,O TE_.S b1N ; . Q Fe rt e wciV r fi / O 1 _ V T ~ ~ f I4~2 Tq (DO R~en -10 "ST wl 1?J9t)LiTE Sl 4a CsItf. ta (i anoa E : ~ - oR IFl % Po7C 1 ....^:S; ~ A . T t- L A ~ l . A x L: . . - - • I' Fi - Pa o ~ "I , .a _ . . . . T ~ 5.6 ,O b ToTn ZS,49 ' i:'_ fF1 LOWER WA66,; WwTHTioRIC Q CEILf. ~u LloutE~ ~ V ~ . ~ u p . . qT ~ S e : _ . _ -Roe i p 1 Te+L~ Z 6 04 O LOWER WALt-VJ /NSOL~TE ~lp W F O ovER Hn.jC. w FROwJT OF HOOS FE - i p d ' O A ~ SOFMT"lklf Z 13 1 ~ ~ Af I AIR ~ . L 1 , T6TAL i - , . , ~ Ap,.so 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete foc single family dwellings & townhomes/condos when permi[s are required for each unit Date C~ Site Address yya g ' Unit # Property Owner Telephane # ( ) Contractor / 'if Street Address (Q(~S7 J l w• City State m `v • Zip 5504P Telephone # (&51 ) r.32a - Oa (,o Bond Expires: The Applicant is _ Owner ~ontractor _ Other Add-on or alteration to existing dwelliog unit $ 30.00 ~ furnace _Additional Replacement ! air exchanger airconditioner _New _Replacement , other State Surcharge $ 50 Total $ I herehy apply For a Residential Mechanical 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 wi th Mechanical Codes; that I understand this is not a ; ut only an application for a permit, and work is not to start witho rmit; that the k will be in accordance with the ap ov plan in the caCk r~c whic~~ a review and approval o lans 1 1/,/ 1 ~ Nd~ Applica nt's Printed Name Applicant's Signature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings - mul[i-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenaot Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor , Other Wark Type New Construction _ Underground Tank _ Install _Remove "*see below fnterior Improvement _ Install Piping _Processed _Gas Nature ofWork: "When installing/removing underground tank, caU for inspection by Fire Marshal and Plumbing lnspector P¢rmit Fees: $70.50 Underground tank installatioNremoval . $50.50 Minimum (includes State Surcharge) or Contract Value $ x I% _ $ Permit Fee • If pe rmit fee is $1,000 or less, add $.50 $ State Surcharge If ermit fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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 [he work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: Use BLUE or BLACK Ink r For Office Use I I In I ~ Permit #:I City of Eap Permit Fee: C15, 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 Site Address: V,/Z W, (c Unit Name: 44194, Phone: E Resident/ Owner Address/ City /Zip: Ck_)00 1 Applicant is: Owner Contractor Type of Work Description of work: -T~CXA MAIP PP,-,p YXcw_ ~t rrx A avx Construction Cost: t?c70 Multi-Family Building: (Yes o Company: 51 L-Jfo-f~ -VVC Contact: _ ttm_ ~ 3 Contractor Address: I0~/e 5' 4VW City: State: 114 N Zip: Phone: 6Z_ 91Z c-1 License Z3 c w bac oc.,(,, Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I COMPLETE THIS AREA ONLY IF CONSTRUCTING A .NEW BUILDING i E 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: I Licensed Plumber: Phone: Mechanical Contractor: Phone: t Sewer & Water Contractor: Phone: NOTE: 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 to conclude 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.gopherstateonecall.oro 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 CJSCS~F~x &ig Ap plicant's Printed Name Ap lica 's Snature Page 1 of 3