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2267 Woodhill Ct , 6-, INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ? ' • ' ~ (612) 681-4675 SITE ADDRESS: APPLICANT: { arl . Bli,lr : c r PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D• • D• 1 1 I t)t. . 'r tfIIIV14:i { ! M: t F;n11 i 01, t: iioi F r Nt. I r~~,llt'f~ i!~+t1 a I 1tl 1') fl~ i ~ ,ti ~ !.t 1•! , . ~1111~11 l hJ ! ~ rt~~,! ~ i r~;, rNn~ JrFtdAFYk'. c. iJ I'i hf~ t; .1 M{'! !;i, I ~ ~ L ' Pertnit No. Permit Holder Date Telephone N ~ ELECTRIC D a,.ti ~ 5 9 4 ao PIUMBING ~ , s 9 7"71 " 191e HVAC Afla InspacHon Date In . Commenta F0071N(3S 1~~ ~ 'Y`~ FOUND 1V FRAMING ROOFING ROUGH PLUMBING PLBG II AIR TEST ROUGH HEATING GAS SVC TEST ' ' INSUL r - GYP BOARD ' FlREPIACE FIREPLACE AIR TEST FINAL PLBG . 1 AH FINAL HTG 44 LGIO ~ . ORSAT TEST Q BIDG FINAL BSMT R.I. BSMT FINAL DECK FTG [ DECK FINAL c ~ &r#ilicate of Cccuvanc~ ~iti) o fi cFagan 2eWxt=cKt of lonIiatg 386oection This Certifica[e issutd pursunnt to the requiremeats of the Uniform Building Code certifying that at the time of issuartce this strucrure was in compliance with the various ordenances of tht City rrgulating building cwrstruction or use. For the following: uw classircatm: SF U+1G BwB. et„FL;, rvo. 26741 Occupancy TYre RM 1 zoming ni,~ PD/R3 ry. c.5, VN owner of sufiding 0 C P HM•S m Add,~, 8609 LYMWE S, HLXGM 8,,;~ A",= 2267 Wt70aM1. OOUItT L,uh L5, B2, UAK aZFF PM aD ~ oow. ewiding onrcial POST IN A CANSPICUOUS PLACE ~ l , Address 2267 woovxILL CxIRI' Zip 5512 i.--. Lot s Blk 2 Sub oac asFP xmID 2rm THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) V/ Permanent steps (gazage) Per[nanent steps (main entry) Permanent driveway f, Permanent gas j~ Sod/Seeded grass TraiUcurb damage V_~ Porch LI/ Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shu[-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at ¢81-4645 before working in right-of-way or installing underground sprinkler system. WNite - City Copy Yellow - Resident Copy Pink - Contractor Copy ~ ~M12 Reques Date Fire No. Rough-i. eclion NOTICE: You Must Call Eiectrical Inspeclor Require II A Rough-In Inspection J Z~ 0 ygs A N. IsRepuired. I 8T licensed contractor ? owner hereby request inspection of a6ove electrical work at: Jab AGdress (Sheet, Boa ar RaNe No.) Ciry VV'!5r7 GuOo Gf , ll ooalll' Seclion No. Townshlp Name or No. Fenge No. Coun ,~l<u 74-, (PRYT) ~ Phone No. ~«G ~/Y Power 5upplier ~J Atltlrress .LL/V / v/~//~O( ?/F' Elechical Contraclor (COmpany Name) Contmclor§ Licen% No. Mailing Atltlress (ConVactor or Ownar Makirg Inslalletion) AuMOnzetl S' re (Contrad ~ akiiy Ingtallation) Phane /Nb,er ~ 5O MINNESOTp STATE BOAPD OF ELECTpICI THIS INSPECTION FEQUEST WILL NOT G~I99~idwal' Bltlg. - Poom S773 BE ACCEPTED 6Y THE STHTE BOARD 18ZI University Ave., SY. Paul, MN 551 UNLES$ PFOPER INSPECTION FEE IS . Phone(612)fq2-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION lli~ See inetmctians lor completing this form on beck of yellow copy. M_-k~ 122 _•X" Below Work Covered by This Request M. Ad0 ep. TypeofBUilding AppliancesWiretl EquipmeniWired Home Range Temporary Service . Duplez Water Heater Electric Heatin Apt. Buildinq Dryer Load Management Comm./Industrial Fumace Other (Specity) Farm Air Conditioner Ollter (specily) Contracmr5 Remalns: Compute lnspection Fee 8elow: # Other Fee # ServiceEnirance5ize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps D to 100 Amps Transformers Above 200 _ Amps e 700 _ Amps Signs Inspeclar§ Use Only: 'TOTAL Inigation Booms GD S'r Special Inspection niarm/Communication TMIS INSTALLATION MAV BE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oa~e certAy ihatthe above inspection has F;nai Dale been made. ~ OFFICE USE ONLV ~ This requesl void 18 months irom 0- 9 7-067 5~ - , - ? .53a ~ ReQUe t Dale ' Fire No. ough-In Inspectio uired Ins eclion Olher Than Rough-0n n/(YOU mus~ call ins ec or when reatly) ~ Reatly Now Will Notlfy Inspector Ves ?NO Da[eReatl a"~~Q~ I~ licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Sheet, Box or RoNe No.) Ciry ';?26~7 N r c'r e4 sa.v Section No. I Township Name or No. Range No. Counry i0 (c MW OccupantIPRINn Phone No. ,00/7 O T Power Supplier Atldress ~ ~R /`/'~i ~l '?1 ie-~ ~Oh ~}.'/(f~ Electncal ConVaclor (COmpany Name) ConVactor's License No. /,dST 7-- TC c G',Q p,Z3 7 Mailing Adtlress (Contractor or Owner Making Installaiion) "2 i3a-r I/;'t- 'r~ f6o95 Au[honzed SignaWre (Con[racroqOwner Maklnq Installation) Ppone Number MINNESOTA STA'fE 80ARD OF ELECTNICITY ( THIS INSPECTION REQl1EST WILL NOT C.riggs-MiEway Bltlg. - Noom S128 BE ACCEPTED BY THE STATE BOARD 1821 Universpy Ave., SL Paul, MN 5510a UNLESS PROPER INSPECTION FEE IS Phone(812) 842-0800 ENCLOSEO. / ~ ~ -J REQUEST FOR ELECTRICAL INSPECTION EB-00001-09 ~ ~ ~$ea ~mctid~s-5r compleling tbis form on back ot yeilow mpy. ~y 53a56 a~1 gry °X" Be/ow Work Covered by This Request `g~ N Ne Add Rep. Type of Building AppliancesVolYed Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Intlustrial Fumace Other (Specify) Farm Air Conditioner Other (specity) GonVacror's Remarks: Compute lnspection Fee Below: N Other Fee # Service Enirance Size Fee N Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ^0' 0 to 700 Amps v0 ~ Transformers Above 200 Amps A6ove 700 -Amps Si ns inspo~iors use oniy: TOTAL ~ Irrigation Booms 60 1 WO / Special Inspection Alarm/Communication THIS INSTALLATION MAV BE OR ~ CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspeclor, hereby Roughin oat ~ certify that the above inspection has Finai ~ been made. OFFICE USE ONLY ~ This request witl 18 months irom 3 0 6- 7 3 6Id 0~71j~ {Q's requesl void 18 months 1rom validaMOn date pnnMd In ihis x. ~ f ~ ~/~p PLEASE PRINT OR TYPE ~ U.~~ Requesf Dore Rough-in inspection reqoirad2 ~Yez ~ N I spection Olher Thon Rovgh-In: 0 Reody Now 0 Will Coll ipedorwh dy) Dak Ready: (You must coll the ns licensed roniracfor ? owner hereby request inspection af the a6ove eleclricol work a}: Job Aildmss jSlreep Baw, or Rouk No.) Ciry Zip Code A.2c? "IwoKat- u,Fn(,oa Section No. Tawiuhip Nome or No. Range Na Fim Na Counry DAKa,-,4 pccvoani Phone No. Power Suppliei Pddrcss Ehennwl Confmnor (Campony Name) Canhutlar Liense No. Mas~er bc No. (Plast Elen. O~ly) PA~K f fcTi~° C a9C . C Mailing Addreu jGonhoclor or Owner Pedorming Insrollation) i5 us 19JI(JO, FAei64 N S~S"o z l AWho glwNrelCon arOwnerPedofminglnsmllofan) VhoneNa. 33• - SZ! EB-00001A-10 6195 STATE DCOPY. SEEINSTPUCTIONSONBACKOFYELLOWCOPY REQUEST FOR ELECTRICAL INSPECTION ~OZ II I II II II I I I II II II I~~, M821 Un e sity Av~e.ar, Rm. 3e26CS ity t. Paul, MN 55104 0 3 0 6 7 3 6 0 Phone (812) 642-0800 W/1 Home Duplez Apf. Bldg. --Other: - New Addn Commercial Indushial Farm Remod Re air Air Cond. Htg, Equip. Wafer Hfr. Load Mgmt. Other: D er Ran e Elec. Hea} Tem . Servi<e "k" above the work covered by this requesf. Enfer remarks in tfiis space and on fhe back af the whife copy only. Calculate Inspection Fee - This Inspecfion Request will not be accepted withoW the corted fee: Olher Fee # $ervice Enfranae Sve Fee # Cirtvih/Feeders Fee Mobile Home Park Sfall 0 to 200 Amps 0 to 100 Amps $freef L}g,/TraHic Sig. Above 200 Amps ove 700 Amps Transformer/Ganerator INSPECTON'SUSEONLY TOTAL O•TV Sign/Ou}line l}g. X(mr. / Alarm/Remote Control $wimming Pool i h<rcb a~n ~~I~..m anondacabed haminonMedax: . red Irrigation Boom Ro,h-In oaT Special Inspecfion Investigafive Fee Finol Dare THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED 111 ITHIN 18 ONTHS. ~ ForOfficeUse IT ~ C14y Of LLL~Un i Permit#: " I I Pertnit Fee: D ~ 3830 Pilot Knob Road Eagan MN 55122 j Da[e Received: ~ I Phone: (651) 675-5675 Fax: (651) 675-5694 I_Staif, I 2008 RESIDENTIAL PLUMBING PERMIT APPLICATIqN, - Date: ~7~1 0'6 Site Address: y~~ ;~11 SEP 0 2 2008 Tenant: Suite RESIDENT / OWNER Name: ~-r\ `S V--F II-tr Phone: tGJt-y r 3 Address / Ciry / Zip: 110 W~1 CONTRACTOR Name: ~-S ~~~~py ce se#: Address: 1~F-.fVX.CI,~i~ City: ~i ~ ~ State:M~ Zp: . Phone: ~U~-~~ ~~'~~Contact Person: WS0%,k G"C^' TYPE OF WORK _ New --)(Replacement _ Repair _ Aebuild _ Modify Space _ Work in R.O.W. . Descrl tion of work: PERMIT TYPE RESIDENTIAL ~ Water Heater _ Water SoRener Lawn Irrigation Add Plumbing Fixtures ppZ pVg) Main _ Lower Level) Septic System _ Wa[er Turnaround ' New Abandonment . RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, SeptiC System Abandonment, Water Tumaround" (includes $.50 State Surcharge) `W ater Turnaround (add $136.00 it a 5/8" meter is required) $100.50 Septic System New ($10.00 per as 6uilt) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) FEES $L 1 hereby acknowledge lhat ihis information is comple[e and accurate; tha[ the work will be in conformance with the vrdinances and codes of the Ciry of Eagan; that I understand Ihis is not a permit, but only an application for a permit, and work is no[ ta start without a permit; Ihat the work will be in a cortlance with ihe approved plan in the cas of work ich requires a review and appr~ aln~ V .1 ~ C pn , App cant's Printed Name App cant's SlgnatureFOR OFFICE USE Revlewed 9y: Date: Required Inspecttons: _Under Ground _Rough-In _Air Test _Gas Test _Final , ~ ~5 ~ 2005 RESIDENTIAL BUILbING PERMIT APPLICATION 70 - City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshvclion Reauirements RemodelRteuair Renuiremenls Office Use Onlv 3 registered site surveys showing sq. f4 of IoL sq. 8. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20% mazimum lot coverage allowed) 7 set o( Energy Calculations for heated addAions Tree Pres Plan Recd _ Y_ N. 2 copies ol plan showing 6eam & window skes; poured found design, etc. 1 site survey for addilions 8 decks Tree Pres Required Y _N 1 set of Energy Calculations Add'Non - indicafe i/on-site seph'c system On-site SepGc System _ Y_ N 3 copies of Tree Preservation Plan if lot platted aRer7/1193 Rim Joisl Detail Options selection sheet (buildirgs wifh 3 or less unKs) Date RfL /LJ 5 lConstruction Cost ~ ` • t O Site Address C~! p~ 0~ ""~-~-Ca'll~ k1\ C I\~ ~ UniUSte # DescriptionofWork Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Ll.~_« 11 Telephone PELLA WINDOWS & DOORS Contractor 15300-25TH AVE. N. STE. #100 nddress PLYMOUTH, MN 55447 City State 763-745-1400 Telep6one # ( ) LICENSE#20165884 - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) 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 information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approv plan in the ca o work which requires a review and appr : al of plans. r--- - - - . - - I ca ~so n , plicant's Printed Name Applicant's Signature II I'•; µr~~ ~ y ZUU9 j IJ +L- OFACE,USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03: Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06: 04-plex ? 12 12-plex Plbg_Y or _ N ? 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. Replacement •Demolitlon (Enllre Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bltlgs Length Fire Sprinklered Type of Const 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 _ AidGas Tesu Final _ Framing _ Siding _ 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 . ` Wd9E:l •.g •uop amil paniaaaa Pella Winduws & I3onrs - Twin Cides, Inc. 15300 25TA AVE. N. STE. #100 PLYMOUTfL MN 55447 763t745-1400 WATS 1-800-462-5359 FAX763P745-1401 7une 8, 2001 City of Bagan 3836 Pilot Knob Road Eagan, NiN 55122 Deaz Jan: Elder Jones Coxporation is authorized to pull building pexmits for Pella VJindows & Doors -'I~vizx Ciries, Inc. Please allow their representative to provide that service for us in Eagan. Tlus authorization shall be valid until sueh time as the division manager expressly revokes it, in writing to the City. I request that this authorization be accepted expeditiously, so as to not delay the processing of our building permits any further. Please call me if there are any questions, I can be contacted at 763-745-1432. Your itninediate attention to this matter is appreciated. jBryamn cerely, JA, W.. May. ~ Replacement Sales Manager cc: Kara - Eldcr 7ones Denna Kraity - ReplacemenY Sales Process Coordinator Windows, Doors, & SkYliShts 7nnm CSiTTT'1 AiTLLi TLS bIST C5f ]TO PtTS fT:ci''iva rninninn PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: suzLorNG Eagan, Min nesota 55122-1897 Permit Number: 026741 (612) 681-4675 Date Issued: 12 / 2 7/ 9 5 SITE ADDRESS: 2267 WOODHILL CT LOT: 5 BLOCK: Z OAK CLIFF POND 2ND P.I.N.: 10-53576-050-02 DESCRIPTION: Building Permit Type SF DWG ;Building WprK Type NEW ; UBG Occupancy"^-. R-3 U-1 Construction Typ,e V-N i Zoning ~ PD R-3 ' Building Length 61 7 Building W3dth 44 Building stories 1 ~ S,c4~?ar e P e e t- 1,870 Cemsus:Co-tl"e"~ 0101 1- FAM. DETACH v t ~ ~ ' ` . . ~J E .jti ~ REMARKS: S& W PLBR - B J M PLBG FEE SUMMARY: VALUATION $106,000 Base Fee $917.25 MISCELLANEOUS $1,692.50 Plan Review $321.04 Total Fee $4,033.79 Surcharqe $53.00 SAC $850.00 SAC % 100 SAC Units 1 Subtotal $2,141.29 CONTRACTOR: - qpplicant - sT. Lrc OWNER: VRRLEY CONST JOS 13346034 0003249 0 C P HOMES INC 16600 SHIELDSVILLE BLVD 8609 LYNDALE S 101-B FARIBAULT MN 55021 BLOOMINGTON MN 55428 (507) 334-6034 (612)881-0127 I hereby acknowledge thaC I have read this application and staCe that the in'formation is aorrect and agree to comply with all applicable State of Mn,. L Statntes nd City of Eagan Ordinances. ~ APP ANT/PERMITEE SIGNATU ISSU D BY: ATURE INSPECTION RECORD CITYOFEAGAN PERMITTYPE: suaLorNe 3830 Pilot Knob Road Permit Number: 026741 Eagan, Minnesota 55122-1897 Date Issued: 12 / 2 7 J 9 5 (612) 681-4675 SITEADDRESS: P•=•N•' 1e-53576-e5e-e2 APPLICANT: LOT: 5 BLOCK: 2 2267 WDODHILL CT VARLEY CONST JOS OAK CLIFF POND 2ND (507) 334-6034 PERMIT SUBTYPE: TYPE OF WORK: 5F DWG NEW INSPECTION „ . .A FOOTINGS FOUNDATION FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PI.BG ROUGH IN HTG FINAL PI.BG FINAL REMARKS: 5& W PLBR - 8 ,7 M PLBG , s _ ~ ,a• - _ r , CITY OF EAGAN ttg JL441 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) codd 681-4675 New Construrtion RenuLaments RemodeUReoeir Reauirementa ? 3 regisMred eite surveY$ 2 coPies W plan ? 2 copiea of plena (tridude beam & window sizes; poured fid. design; etc.) ? 2 site surveys (exterbr atld'Rbns & decks) ? 1 snergy alculations ? 1 energy cakuletlons for hea4d additions ? 3 copba of Uee pieaervation,plan 'rf bt platted after 7/1l93 requirod: _ Yea ~ Na DATE: 11/10195 CONSTRUCTION COST: $130.000 DESCRIPTION OF WORK: New Residence STREET ADDRESS: 2267 Woodhill Ct. LOT 5 BLOCK z SUBD./P.I.D. Oak Cliff Pond, 2nd Add. 10-53576-050-02 OCP Homes, Inc. 881-0127 PROPERTY Name: Phone OWNER 8609 Lyndale So. #1D1B Street Address- City: Bloomington State: MN Zip:55420 CONTRACTOR Company Joseph P. Varley Construction, Inc. phone 507-334-6034 Street AddfeSS: 16800 Shieldsville Blvd. LICenSe 0003249 Ciry; Faribault St8t2: MN ZiP. 55021 ARCHITECT/ Company: Phone #ENGINEER N8T1'12: Grover Dimond Registration Street Address 2332 Boume Ciry: St. Paul StBte: MN ZiP: 55108 Sewer & water licensed plumber. BJM Plumbing . 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 inturmation is correct and a r e to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ose I. ar • ruction, Inc. 5ignature of Applicant: ~ f OFFICE USE ONLY Certificates of Survey Received _ Yes o ty 0 U 1 3 1995 Tree Preservation Plan Received - Yes ~o OFFICE USE ONLY . * , • - BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish ,A~2 5F Dweliing ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. ? 10 = plex o 15 Deck WORK TYPE 31 New o 33 Alterations o 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuai) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water 4=-<:L UBC Occupancy Z-3 sq, ft. Fire Sprinklered Zoning P-~ -3 sq. ft. PRV # of Stories ~«r- sq. ft. Booster Pump Length J41 sq. ft. Census Code. Depth 41Y Footprint sq. ft. 4y7o SAC Code a/ ~ y = Census Bidg / APPROVALS Census Unit Planning Building Engineering Variance Permft Fee Valuation: $ ~01C Czc & Surcharge ` Plan Review Ucense MClWS SAC 36 x 3y = ~zZy ~ s-- ~ y,yX~~= cit, sAC /y3J~ Z ~ z Water Conn. Water Meter g Acct. Deposit jr.33~c / - SNV Permit slW Surcharge 6~eO_ Treatment Pi. Road Unit To Park Ded. 7~~ 3'~ ,33F y ~ Treils Ded. > (O Other Copies Totai: % SAC SAC Units • i ~ ,t Mercdota # oPgnts,DMN 55770 * s•~~e~~~ (812) 6$1-1914 FAX:881-9488 y S.AHD SMVCV~6 - p'AL E}IEKFNS _ _ T l1~~P P1 ~.vm v~nx~w. i,~wccxns ~tecnrccrs y', ~ 625 Nighway ip ry,6_ Blaine, FAN 55434 (612) 783-1880 FAX:783-1883 Certificate of Survey for: QCP HOMES, ~NC. ~ 22$7 XIOpDHILI COVRT N89"~Sri2pE LJTIUTY PER PLq7SEMENT~r ~J~J.7:S m'g~P~ ` 976.5 976.4 Y`.• ~V'~ Ca,~~• _ ~ - ~ , s7z_s w , o PfR DRAINAGE EASEI~A£MTx t-01,1~A ~CtyC~~-~ i` x ' 97Q.Q 982.3 /y/ - Q 1. C~ 5qIi.0~ ip ~ 972-0 8D.5 ~ 71.2 ~~.+y ~ % 4~ g , ~--~•r. 983.6 o 97914 ! t~ 8.52 2 r k?J4 r . N------gENCH MARK 0i/C"pNI/01 i 7.4$ LCJC~ OF PIPE '19 LEY.=476.80 nry~ y ~ ! 996.0 !"~5 -~'2~ UV$E ~ X30 O, EAGA~R y83.3 ~ p 83.3 977.4 ~ W,__-aERVICE REV1 E D INV.=9612 DRAINAGE & 1lTil.1T`( EASEM-51 T PER PIAT 3 /i 2o St BOP 4F P~PE s7s.7~ 15.55~74.4 589°45'32wW COIJ By ~ E LD RT D - GAilT ~PvGIt+TLERIIVG DEr.^'i'. NOIE: PRML}$E6 pE1tOE5 9iqiPN PER CRqqNG PLA11 HY! OOI' HaMES -P-99POSFC3 tiDUS E ELE TtdN NOTC BUILdHG OIM£a$IOMS SMO'6N ARE FOR H9fUZ047Al ANq vpItTICAL LIYCATON f. s OF STRUCNREy ONI.Y. SEE lJ2CHIlEG'R7AL PIANS FOH BIAIDING ANQ Lp~,yEST fIOOR ELEVATION: 9- FQIHPA710N DIMEIYAONS MA1N FLOOR GLEVATtpN- lsb' -3 NOIE NO SP[CIfiC SpLS WYESTIGATION N+4+ BEF.H COMpl.E1ED ial i119 LPI' 8Y THE cy -71I(~ SURVEYOR TI1E $W7PHIUTY S}F SUIlS 10 MIPPONi W SPEYAFlC NUUSC GARAGE SLAp ELEVATION: PROP05ED IS NpT 1HE RkSPOHSIBIkl1Y OF '(HE SUftVEylki. qD7E: Yli19 CER'11FICA7[ ptlES TqT PURP4fii 'fq ShIDN FASf1AEAi5 07FIER 7NhN 7C 000.0D PENOTES E7OSTING ELCVAU0IY TF105£ SMONM DN 71iE REUGRUEO PIAT. { OOO.W ) bENDFfS PROPDSEXI FiEYAAON - 9EN0SE5 DRAlMA[;E MID i{fIIJri EAfiEMEN7 NO1E: COHIRAC70R 1flJ5T VERiFI' OWVEWqY OEACW. UENOYE& ORaNnGE Row aiRECiwN p076 BEJJtINGS gNOWM 1JiE BM9E0 ON M1N 0.S5UME0 OATUyI --QI-- DEN67C5 MONUMQIY B - OfN01[5 6fi5E7 HUB wf HEREBY GERTIFY TO OCP HOMES, INC. THAT THIS IS A TRU£ ANO CORRECT REPRESENTA710N dF A SURYEY OF THE 80UNDARIES 0F: L(3T 5. BLaGK 2, pAK CLiFF POND 2Rdd ADDMON OAKOTA COUNTY, }N{NNES(7TA IT OOES NOT PURPORT 70 SH9W iMPROVEMEM7S UR ENCHRQRCHMENTS, E%CEP7 A5 5HC}WN, AS SURVEYEO BY uE OR UNPER MY DIR£CT 5UPERVISIQN "IliLS 30'M pAV OF OCT08[R. 1995, - GNED: iaNEER EHG ERI , P.A. SCALE : 1 INCN = 30 FEET t. f 9DA 93200.17 SWIt ~hn C. Lnrsan, LS. Rag. W~ / 7Gl'd ` W~ LOT SURVEY CHECKUST FOR RESIDENTUAL . e BUILDING PERMIT APPLIC 10 PROPERIYLEGAL: W 6i W 6 ~ m DATE OF S RVEY: _ a lS~ IATEST REVISION: 4 Z ]C . / DOCUMENT STANDARDS O • Registered Land Surveyor signaWre and company ~ ~ • Building PertnRAppl(cant 111~0 O . Legal descdptlon W~C O . Address Q~'o o • North arrow and scale o • House type (rambler, walkout, spUt w/o, splft entry, lookout, etc.) ~ 0 • Dlrectlonal dralnaye arrows with slopa/gradient % A--'0 0 • Proposedlebstlng sewer and water services 3 invert elevatlon 41/6 0 • . Straet name ~O ~ • ' Driveway - ELEVATIONS Exlstlna ~ ~ ~ • Sewer service ~j~ ~ • Praparry comers d 0 • Top of curb at the drhreway ~ ~ Elevatlons of any ebstlnp adjacent homes Proposed C3 • ` Garage 8oor 0 0 0. • Frst 8oor ~ 0 • Lowest exposed elevatlon (walkouW+indow) ' ~ ~ Property comers ? ~ . Front and rear of home at the foundatlon , PONDING AREA 6f aooltcablel • ; Easement tlne . q _-[3-7, 0' NWL • HyyL . , , ? o • ~ . Pond # desipnatlon C3 • . Emergency Ovarflow Ele+ratlon pIMENSIONS o • Lot lineslBearings S dimensions Cr.'C) ''C3 •Right-of-way and sVaet width (W back of curb) • 0,1~0'0 0 • Proposed home dimensions Includinp any proposed dacks, overhanps yreater than 2, porches, etc. p.e. alt sUuctures requiriny pertnanent foodnps) ' Q"' ? 0 • Show all easements of record and any City utilNes within those easements 9''? O • Setbacks of proposed structure and sidayard setback of adJaeent ex6stlng sWCtures ~ • Retaining wall requirements 't any Reviewed: ~ - N e / ate , J* t995 ' . ~ ' - 5,0+64 C. Kg ~~p8 ~ a MM 5 SO L I r 9 8.44 °~<z. y - TA. ~ ~ S MH _ . B~Np gw ~ ~28 3.06 R 3 INd-• - - ` R~~ ~ • 4 S-1+45 2 CS-- ~ ~ INV-957.97 76' ~ qt pu CS-969.9 S-0f91 ~NV-955.89/~ HYDRANT ~%9k- ~ ~ ~ -._"1, W~ ; 11 CS-9fi6.9i g"x g" TE + T ~ ~ 52~ ~ ? ,Gn'.3?~ - ~ f;,., , 07'-6"DIP.: , - ~ ,GND. EL`\ ~ 3 p!! tdli . 5' T i _ 2IT 9L 69.8 94.5~ ~ n~ :1 ~s:-~~ CURB STOP 1'YPICAI SERVICE CONNECTIONS . ' 6' G.V. ~7k 4 S S-0+80 p+30 ~96320 INV-957.74 ~ CS-966 4 - 5'~0+74 S INV 6: ~..!CS-975:5 CS-968.9 , fs•" d.. . f~s+'~,~E ~ Cl~:.. :~1A ~V~F1i~l~t~~.7 BEND l' -22 1/2• p U'il.Ll 6° y O ~ xC' , ~ r~, 'r= ~ ' ' ~ 1:1 ~ ~ i PUsPOSt=S 1 /2' BEND I ,q _ J,, r }4 . n• ~ t . . I ' rr ~ A~~ ~ ~ fy' C~T ~ ~ • . ~ 1y I +3 ~ " ~ T • ~ fi' 1 4~~' 4•,~ I~ .riD ~ ~.~p i ~ ~ 8)4 1 ~ 2 ~j GQ, ' 'Y . . i T ~ ~d I ( ( °y.~ f. _`,1 , ~ ~ 1 { J3 MH ~ STA. g 1.64'L S-C 1NV_i -t3.~~4 ~ ` 141''i~ ' ? ' ~ ' S CS • 5-o+58 !NV-945.16 24•~':.9+33. 0+66 CS-958.3 ~ n zn nu- S _ ~ . ~ ~ ~ ~!NV-945.47 / . . \•V ' 'jl V f O . . 1 . i` .-i~ ~~V_. 1 + ~ ~ . . . ~ ' ?1 ~ . T 1~il.i . : . . . ,zifl~~s.. ~~Jis 9,80 960 . : . . . . . . . . .973: 20 . ; ~ ~ • - - . . . . . ~ v{y\ aF-~v w! lJ';v PUFiFOSLU L:0ING IT 3HG`.:Li~ 14.70. • 3 i?ROPOSED ',RADE . .:975 ' _ : .A F ~ , f 1 . . . . . . . . . . . . • . . ' . . . . . . . . . . . . . . . . / ~ ` . _ . ~ . . . . \ . . . . . . . . _ . . . . . . . . _ . . • • . .963.55 : . RE=9F}3-3LJ- . . MH : . ....:::....BLD. : 4 :...:970. gSO : rr ~ , . . : . . . . . . . . . . . . . . . . . . . . . . . . p~;P . . . . . . ~ . OSED : . . . .,.r . . . . . . . ' : . . . . . . . . . . . . ~ • 6~.• OlP WM . f r . . . : . . . . . 9~~~~ . ; k. . . . cL. 52; . . . . : cor,rv . . 92 7.5' MIN: COVER WATE! TO VE PVC, SER .35. . ~ . . . . ./~9 . . . : : . . . : : : . . ' . . ~ : 960 9~FO EX{ST . ` 8.60~ PROPOSED PROPZISED , . . . , S.TM.: SWR_ 6,. DIP M. . : 955. 9.35 a # . . . u.; _ . . . . . zo'-a"rl r, CL 52 .0 3.85% . . • : 950 930 ~ .j.........:. . . . ~ . COPJSTRLlCT 8.21' R'r,: . - i OUTSIDE DROR : ~ - (SEE DETAIL) o 945 925 : ~ _ - .d . . . . . : . . . . . . . s,~ . . . . . . . . . . . . . : . . . . . . . . . . . . . . ao a . . . : . . . . . . . . . . . . . . . . : . • <~r •m ~ .o~ . ' : 'n rn m . ~ crtr aF eacaN ~ EZ?ERIOR ENYELOPE A1iEBAGE ' U' COlIPIRATION ' OfiliES: O C r H D ME SITE EDDHESS: a a(o7 l of ao,D WI L L Gfl UP-T~L D'r' S gLK a Pyj1'SETr CONieACio6: VARLE-`! GDNST~.C.T- DdTE: PH0t1E: Determine vorkiag square tootage of eaohz 1. Total exposed wall area P - 3 7 I sq. ft. z.11 =2GD. S 2, Total roof/ceiling area 13 Ga. aq. rc. :.026 = 35-`~ Total e=posed wall area above floor e a c) 3C:~ a. Total xall xtndox area a 7 b. Total door area 353 c. Total aliding glass erea 59 o d. Total fireplace wall area e. Total wall framing area (average 10%) ~f. Total net wall area above floor 1499.3 g, Total rim foist area 135 • Total espoaed foundation area = a O'b • h• Total foundation WSOfIOM area...................... i. Total net foundetion area above grade 20 0 IIetermine 'U' value of each vall aegment: a. 2 14.7 x+ut -`t'7 = 101 b. 38 x 'U' 114 = S.3 c. RD z 'U' -49 = I.~-~ e. D x `U' .097 f. =-~Ly~ xoU' , o~j-S = 67. S g, x lU' _09;2 = 5.7 h. x 'U' x'u+ . 07r, = 15. ~ .(55 3 . Total = 9,33, i If item 13 is the same as or less than item 01, you have met the iatent of SBC 6006(0)2. Total exyosed roof/ceiliag araa = 13r.~ . ' J. Total akylight area " k. Total roof/ceiling framing area (average 10%) .....12-4r, 1. Total net insulated roof/ceiling aree OYER I . _ ' Determine 'Us value tor each roof/eeiling segmeats . ~ J. x , U, _ " k. 136 : IuI .0~6 ~ 3.5 . I. i aa~ xout • o aa =2,_ T,tel = 30,S Y . ~ If total of #4 is the aame as or less than /2, you heve met the intent of SBC 60D6(c)1.. Alternate Buiidiag Envelope Design To utilize the total envelope system methodg the values cateDlished by the aum. of Items 43 and f4 shall not be greater than the sum of Items 01 and /2. ~ 60• g. z. 3. a33. ~.4. 2 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)$ cirv oF eacan , a 0 3830 PILOT KNOB RD • 55122 659-681-4675 New ConsMudion Reauirements Remodel/Reoalr Reauhemenis ? 3 registered sHe surveys showing sq. N. of lot, sq. fl. of house 2 copies ol plan and all rooted areas (20% maximum lot eoveraae albwed) 1 set of energy calculaHons tor heafed addNlons ? 2 coples of plana (show beam 3 window sizes; povred fnd. design; etc.) 1 sNe survey for exferlor addkions 3 decks > 7 set of energy calculaNons ? 3 coples ol free preservation plan H lot plaHed affer 7/7/93 DATE: IACT CONSTRUCTION COST: ~h . E7D~ DESCRIPTION OP WORK: lPFX~i ~ STREET ADDRESS: 1- kd LOT: ~ BLOCK: ~ SUBD./P.I.D. Name: NA LL Phone ` ;5?40 PROPERTY LOn fi'st OWNER Street Address: Crty 4-7-4l 6Q-/Li _ State: AW Zlp: ,,ac. / ~`~'~i Company: l/~~4 TT/l~ ~--fll(~`~f~~`7~~RS Phone ~O 1a (area code) CONTRACTOR Sheet Addreu: -7,~3SY~~K A ~ "u ense ~Q~ ~J ~ City !~7LfJ Ki. State: nZip: 554.,:3_5 ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) SheeT Address• Regishation C11y State: Zip: Seuler 8 wafer Ilcensed plumber (reauited for new consfructlon onN1: Pen?Hy applies when,address change and lot ehange is requested once permM is issued. 1 hereby acknowledge that I have read ihis applicaflon, state that the IMarmation is correct, and a ree ta comply wMh a0 applicabl State of Minnesota Statutes and CMy of Eagan Ordlnances. Signature of ApplicanY. OFFICE USE ONLY Certificates of Survey Received _ Yes _ No OCT 8 Tree Preservation Plan Received _ Yes - No _ Not Required Y OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex 0 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex O 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level )21~,24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas insert ? 44 Windows/Doors ? 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 'i]i i ~ t;c • . ; City SAC Water Conn. ~ Water Meter Acct. Deposit ,.r . . . S/W Permit S/W Surcharge Treatment PC I ! Park Ded. Trails Ded. ~ Other t 1 Copies ~ I Total: SAC Units °k SAC = CITY USE ONLY L 5 BL o2. - • RECEIPT 15 g DATE: a-~/ 9 ~ SUBD. R.~ ~ 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NQ. TOTAL Shower 3.00 x Water Closet 3.00 x ~'L_ Bath Tub 3.00 x i = 3 Lavatory 3.00 x -2 = b Kitchen Sink 3.00 :c I_ = 3 Laundry Tray 3.00 1 = 3 Hot Tub/Spa 3.00 ;c 1_ = 3 Water Heater 3.00 x I_ Floor Drain 3.00 x = 3 Gas Piping Outlet * minimum -1 3.00 ;c 3 = 4' Rough Openings 1.50 x 3 = . So Water Softener 5.00 r = Private Disposal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL "f7• on SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: S-Y 1~~ I STATE: ZIP: PHONE ( G/-L- ) 77i- y>7~ ~ , STU`NAi'QKE ~FFER10fI1TEE- OFFICE USE ONLY L _ BL RECEIPT p: SUBD. DATE- 1996 PLUMBING PERMIT (CQMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ~ all commercial/industrial buildings. ? multi-family buildings when separate permits are DgI required for each dwelling unit. DATE: CONTRAGT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESUL7' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINi:IER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pgpmj~ fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: . PHONE SIGNATURF: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: . CITY USE•DNLY L ~ BL oL RECEIPT SU13D.6~ lJ~h9i gd%J DATE: 061n' 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit X New construction Add-on furnace Adci-on air conditioning Fireplace conversion (to existing firepiace) Date: 2/23/96 FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL 24.50 SITE ADDRESS: 2267 wooDxiLL cooxT OWNER NAME: vr.RLeY coNST. PHONE INSTALLER NAME: DEru' xEaTINCA rm AzR corm. STREET ADDRESS: Ro rrE 4 sox 40 CITY: OWATONNA STATE: MN• ZIP: 55060 PHONE ( 507 ) 451-6388 . amusE cNLv L BL RECEIPT SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are a4t, required for each dwelling unit. DATE: CONTRA.CT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: . $25.00 minimum fee gt 1% of contract price, whichever is greater. • Processed piping - $25.00 • State surcharge of $.50 per $1,000 of Qermit fee due on all pernfits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: _ OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: _ SIGNATURE OF PERMITTEE CITY INSPECTOR City of Gap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: / " Permit Fee: re Date Received: Staff: 2011 MECHANICAL �_PERMIT CAPPLICATION Date: l- S ( Site Address: 6 W QrJtJ I I T Tenant: Suite #: RESIDENT / OWNER Name: Cl/Ito 5 K -c.) l c r -3-03 Phone: 1 y Address/City/Zip: °ZZ67 /A./ arra if . i j .s» SS jt -r CONTRACTOR Name: PSI +0h.eu Ht�.,C-f .SIC License#: Address: Q gAYPc,—t N2 City: , strj. I Gra{tc' State: r`4i\/ Zip: Phone: 4 ) Z- S gl - S . r 0 a" Contact: 'V., , Email: TYPE OF WORK New /Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL Furnace 7'Air Conditioner COMMERCIAL New Construction Interior Improvement Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install /_ Remove) Other `* When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)go $5.00 State Surcharge) $ .) TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% _ $ Permit Fee - If the Permit Fee is less than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit _ $ TOTAL FEE 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.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 nderstand this is not a permit, but only an application for a permit, and work is not start without a permit; that the work will be in accordance with the o...n,in the case of work which requires a review and approval of plans. x App ican s Printed Name x Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: _Under Ground Rough In "_Air Test Gas Service Test Exterior HVAC ScreeninglInspection Date: In -floor Heat Final City of Eagan Eagan, PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA104453 Date Issued: 05/22/2012 Permit Category: ePermit Site Address: 2267 Woodhill Ct Lot: 5 Block: 2 Addition: Oak Cliff Pond 2nd PID: 10-53576-02-050 Use: Description: Sub Type: e - Fixtures Work Type: New Description: More Than One Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Renae Freinwald 2200 Hwy 13 W Burnsville, MN 55337 952-767-1870 Fee Summary: Valuation: 3,000.00 PL - Permit Fee (miscellaneous) $55.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 - Applicant - Owner: Kristine K Keller 2267 Woodhill Ct Eagan MN 55122--239 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA117093 Date Issued: 10/15/2013 Permit Category: ePermit Site Address: 2267 Woodhill Ct Lot: 5 Block: 2 Addition: Oak Cliff Pond 2nd PID: 10-53576-02-050 Use: Description: Sub Type: Reroof Work Type: Replace Description: Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes. Colleen Jacobsen Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: 1 derful Roofing & Restoration 2973 S Nova Rd Pine CO 80470 (303) 984-7663 - Applicant - Owner: Kristine K Keller 2267 Woodhill Ct Eagan MN 55122--239 (651) 452-3603 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA163882 Date Issued:09/15/2020 Permit Category:ePermit Site Address: 2267 Woodhill Ct Lot:5 Block: 2 Addition: Oak Cliff Pond 2nd PID:10-53576-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kristine K Keller 2267 Woodhill Ct Eagan MN 55122--239 (651) 452-3603 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature