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4375 Woodgate Lane N4* City of Eau 3830 Pilot Knob Road Eagan MN 55122 RECFIVED Phone: (651) 675-5675 Fax: (651) 675-5694 APR 1 1 2011 Use BLUE or BLACK Ink Fare)'. Permit # 666 Permit Fee: Date Received: Staff: ' f +. 2011 MECHANICAL PERMIT APPLICATION�f Date: V `2b I I Site Address: 4315 North IN 0 t,.)`hej La r ej Tnant: Lb r s% n er Suite #: Name: Lori ! e 2S ► Phone: (S! q -i" 0(O Address / City // Zip: nS Orth Q fie Ione Name: Ofl vtr Address: F04 VCKnI /O &* e J City: H/r fit S State: n Zip: o Phone: GS/-�37`7 Contact: dameJ /is Email: RESIDENT / OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE License #: J ! 11 A i o e? i uro/r 47/) New Y, Replacement Additional Alteration andlition/ I Description of work: eP10Ge/Y1e1-t- u f f atm QC 1%11 RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x 1% $55.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ Permit Fee - if the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) $ TOTAL FEE CALL BEFORE YOU DIG. Cali Gopher State One CaII 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.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved Ian in the case of work which requires a review and approval of plans. xjQYUe' Applicant's Printed Name COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / _ Remove) "* When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector TOTAL FEE x Appl J ant's Signature FORVFFICE USE Reviewed Requlred'lnspections: _Under C„rc Land Rough in Air fest _Gas Service Test Ih-ttoor 44eet _Final Exterior HVAC Screening inspection 1 . : INSPECTION RECORD T ~ C-ITY' OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 ~ Date Issued: . (651) 681-4675 ~ SITE ADDRESS: APPLICANT: .~1 11 n rr I A Aff N PERMIT SUBTYPE: TYPE OF WORK: I INSPECTION . I ~ , f.I':•lllll~~ 1ir:~!~1 f9~f I.-I f`t IIMRFR I ti MAT rFi! i•i I), ~ ' L J Permk Holdsr Dab TNsphaN N I SEWER/ WATER PLUMBI -j~ HVAC y . ~ NMW Irupectlon Insp. Comm~nts FOOTINGS FOUND ! FRAMING ~ FlOOFING ROUGH - -y4 - PLUMaING P`BG - 9 AIR TEST ROU(3H HEATING GAS SVC TEST INSUL - . - eje GYP BOARD FIREPLACE ~f ~ FIREPLACE AIR TEST FINAL PLBG FINAL HTG _ G ORSAT TEST sLoGFiww 3.2 , y~ sTAo~° ~rL1~t/ DOMESTIC METER IRRIGATION METER FLUSH MAINS CONOUCTIVTTY TEST HYDROS7ATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ~ ? r ~ • ~ . , 'i_ 1 1 ~ ~e~~icate of CccupancV CKit4 af Cfagaa Mcpartmcxr tf SPxitbiug axoatiaK Thes Certifrcate issucd pursuartt to the rrquinrrients of the Uniform Bui(ding Code certifyrrtg that at tht tune of rssuance this strucrurr was in compliance with rhe various orriinnnces of the City rrgulating building corrstructron or use. For the follawing: usc Clsssificriod $F M Ba6. Prnnn Wo. '13877 Oceupu-y 7)rpe TR3~] ~ Zanin= D'ntrie7 7ype Cons[. VN O.ot 8uilmos M?7Rf1 ('I ASSTI! HM,5 s mkii.s Aee,,= 4375 W][YlC'J?7F. idtP NL...u - n,e: . emim.g as W POST IN A CONSPICUOUS PLACE I CITY OF EAGAN Remarks I Addition Lot ]Q 81k i Parcel #10 47252 100 01 vwner ~ 4375 North Woodgate Lane srate_ Eagan, MN 55122 z F Improvement D te Amount Annual Years Payment Receipt Date STREETSURF. J ~79,yG STREET RESTOR. GRADING SAN SEW TRUNK QAL * SEWER LATERAL (pY , c7 WATERMAIN * WATER LATERAL 198 WATER AREA " STORM SEW TRK 19$1 467.74 93.55 lQ -7- ~7i * STORM SEW lAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PAR K Address _ 4375 wooDGnTE LANE tv Zip 5512 2 . ~ I.ot in Blk ~ Sub mAuARD PARK 3RD THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ~ 9Q Yes o Inspector: Final grade (6" from siding) Permanent steps (garage) Peananent steps (main entry) Permanent driveway Permanent gas Sod/Seeded gass TraiUcurb damage Porch Basement finish Deck &e_ ,o Please ver'ffy with the builder the removal of roof test caps from the plumbing system and the shuhoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Residenl Copy Pink - Contraclor Copy V CITY USE OYLY LO"C 1V 6L ~ RECEIPT4: /Oz 9 9-5~- 01 5U ~ ~'r' RECEIPT DATE: 1999 M£CHAN1CAL PERMTf (RESID£N7'IAI.l CI1'Y OF EAfiAN s&so ru.or KuoS en EReAN AiN 55122 Date: 1 V " `q (651)6$1-4675 Complete this section orily if you are installing HVAC in single family, townilomes or condos under construction and noC owner /occupied • HVAC: 0-100 M B T U $ 30.00~ ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) q c-D- • State Surchargz: .50 • TOTAL: Complete this section onlv if you are remodelin-, adding to, or repairing existing single family dwellings, townhomes, or condos. Please indicate if it is a new item; replacement itein, or repair. _ New _ Replacement _ Repair _ Other Fumace Air conditioning _ Air exchanger, i.e. Vanee system, etc. _ Other Reriiinder: Call 681-4675for inspectioi:s. $ 30.00 State Surcharge: .50 Total: S3050 SITE ADDRESS: s N t1 l~10 0~ G~~ \Z LG~ OWNER N.4ME: S 1 l ~O'a'J. { PHONE.#: [NSTALLER NAME: PHONE STREET ADDRESS. ~\O L` CfTY: 9 f l~°\ 1Lp, STATE: my4 ZIP: - 1 1 S[GNATURE O PERMITTEE JS/FORMS 8LD/NI CCf I PERMIT (RES) - 1999 CITY USE ONLY L Bl RECEIPT SUBD. RECEIPT DATE: APPROVED BY: , INSPECTOR 1999 MECFI.+FNLCAL PBiZM1T (COMMERCIAL) C[N of £A6AN 3$30 PILOT KNO$ RD fA6AN, MN 55122 (651) 6$1-4675 Piease complete for: all commercial/industrial buildings muiti-family buildings when separate permits are not required for each dwelling unit DA1'E: ~ I;UNiRP.CTYRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IiVLPROVEVIENT DESCRIPTION OF WORK: FEES: 1% of contract price OR 530.00 minimum fee, whichever is grearer. Processed piping - 530.00 CONTRACT PRICE x 1% PROCESSED PIPING PERVIIT FEE STATE SURCHARCiE (S50 per S 1,000 of nermit fee due on all pemuts.) TOTAL SITE ADDRESS: OWNER NAiVIE: PHONE TENANT NAME ([MPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE CITY: STATE: ZIP: S[GNATURE OF PERMITTEE c/ CITY USE ONLY O, L BL ~ p RECEIPT r'c) SUBD RECEIPT DATE1 O -~(o 1998 PLUNBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, MAI 55122 (612) 681-4675 Please complete for: ? single family dwellings • ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL ` Shower 3.00 x 3.00 Water Closet 3.00 x 0 _ 9-00 Bath Tub 3.00 x 2. = 6.tb Lavatory 3.00 x 9-00 Kitchen Sink 3.00 x 0.00 Laundry Tray 3.00 x 3•00 Hot Tub/Spa 3.00 x = Water Heater 3.00 x / = 300 Floor Drain 3.00 x 3od Gas Piping Outlet ' minimum -1 3.00 x Rough Openings 1.50 x 3 Water Softener "for dwellings under construclion 5.00 X = Water Softener ' for existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ` MPC ijc. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE 50 TOTAL .00 I hereby adcnowledge that I have read this application, state thet the inforrnation is cortect, and agree to comply w8h all appliwble Cityof Eagan ordinances. It is the applicanCs responsibility to notify the property owner that the Ciry oi Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities construded under this permit within CRy property/right-of-wayleasement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: TELEPHONE # 43- \3x30 - , STREETADDRESS: /s-,&30 CITY: STATE: ~xl ZIP: 35~D68 SIGNA URE OF P RM EE JS/FORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998 / ~ t I 1 CITY USE ONLY /_7377 1n RECEIPT# SUBD. 1~' ~Ct Q Q O,~riQ 1 RECEIPT DATE: ~ ~ 1998 PLUI+BING PERMIT (RESIDENTIAL) CITY OF EAGAN . 3930 PILOT KNOB RD EAGAN, MN 55122 (612) 681-6675 Please complete for: ? single family dwellings D townhomes and wndos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Ba",h Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot TublSpa 3.00 x = Water Heater 3.00 x = Fioor Drain 3.00 x = Gas Piping Outlet ` minimum - 1 3.00 x = Rough Openings 1.50 x = Watef Softenef ' for dwellings under wnstruction 5.00 x = ater Softener ' for existin 20.00 x = U.G. SprinkLr-trcdielhng under wnst. 3.00 = U.G. Sprinkler ~ forexisting dwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems' nbandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE 50 TOTAL I hereby acknowletlge that I have read this application, state that the infortnation is cortect, and agree to comply with all applicable Crty of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and mamtenance activities to the facilities constructed untler this pertnit within City propeRylright-of•way/easement. SITE ADDRESS: 4375 ~~p~Gf/%C L.~ OWNER NAME: k~'Al N~L-~°~? WSTALLER NAME: TELEPHONE STREET ADDRESS: i]'~, ~~D CITY: STATE: ZIP: SI ATURE OF RMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 X7'; C:L7Y CIP ~R^l~p. ~ CA^!9SI.'h^ TE:~N~SI'FlL N0e 848 Df'i'.:: 11./1.L-/3Fi 'i'IhS'_a 15:2059 ?z~ ; MnME• MErko cLAssI c iinr;Es 2256 9(:)01 4375 klOODLATL= L_ 4yi393,.36 ~ . Tot,al Recrs;pt (;naurita 4yS93.96 Cfi 03'?4 c' r usE:r, zn, Nr-"cv IY:~~ik"t:'r;;:~~,akXoX:X~:YFXr.:. :.v~ii~~4~' . ~ Au CITY,OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 8 7 2 (651) 681-4675 Date Issued: 11 / 15 / 9 8 SITE ADDRESS: 4375 WOODGATE LANE N LOT: 10 BLOCK: 1 MALI.ARD PHRK 3RD P.I.N.: 10-47252-100-01 DESCRIPTION: Bu:Ildinq Permit Type SF DWG 9uildinq Work Type NEW UBC OccupancyR3.U1 Construction Tyve VN i Zoninq R-1 Buildinq Lenqth ~ 82 Buildinq Width , 59 Buildinq sY.aries 2 Cerisus Code 101 1- FAM. DETACH . ~ ' . ~ REMARKS: PLAN REVIEWED BY WRYNE MiLLER. S& W PLUMBER IS MATTNEW DRNTELS PHONE#423-3730. FEE SUMMARY: VNLUAT70N $190,000 Base Fee $1,337.25 M25C. FEES. -$_--1,592.50 - Pl.an Review $869.21 Total Fee $4.893.96 Surcharge $95.00 SRC $1.000.00 SAC ~ 100 SAC Units 1 Subtotal $3,301.46 ~CONTRACTOR: - Applicant - ST. Lzc. OWNER: ' 1ETR0 CLASSIC HOMES 14456100 9322 MFTRO CLASSIC I40MCS 8703 HEATHERTON RIDGE RD 8903 HEA1"HERTON RIDGE DR 6 SflVA6E MN 55378 SAVflGE MN 55378 (612) 445-6100 (612)445-6100 I hereby acknowledqe that I h,ve read thie application and state that the intor ati n is orrer and ree to comply with a11 apulicabJ.e SY.ate oi' Mn. L StaT te. nd ity Eaqa inances. J Cx~ • ~ n--~/ 1~{~ AP NT/ MITEE QSSUED BY: SIGNATURE BUILDING PERMIT APPLICATION (RESIDENTIAL) I CITY OF EAGAN 8830 PILOT KNOB RD - 55122 c~ LI 681 -4675 New Construetion Reauirements RemodeUReoair Reauiroments ? 3 registered sita surveys ? 2 copies ot plan ? 2 eopies of ptans (tndude beam 8 window s¢es; poured fid. design; ete.) ? 2 aHe surveys (exterior addRions 8 Eedcs) N' 1 energy calculations ? 1 energy calaletions for heate0 additions ? 3 eopies of trae prexrvation if bt pletted efter 7N/93 required: _Yes No ' DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: ~ / STREET ADDRESS: Lo-r ,Z42 eLocK ~ SUBD./P.I.D. PROPERTY Name: _/IGfG~-O~ ~ /~,I • Phone - ~ OWNER Street Address: City: State: Zip: . CONTRACTOR Company: `///~/2~ .d.~S/Ly hone Street Address: License ~ ~diF Ciry: State: L??n,~ Zip: ARCHITECT! Company: Phone ENGINEER ~ Name: ~~~0 //~/Z~- Registration Street Addre s: "T 2 z z/GLE2 & City: / U/t. State: '~?l0(.~. Zip: 9~;-J 7z Sewer 8 water licensed plumber (new construction only): . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this appliption and state fhat the infortnation,' co a agrce comp wi II applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: OFFICE USE ONLY r Certificates of Survey Received Yes _ No I , uc i - 8 Jzjn ~~ITree Preservation Plan Received _ Yes _ No ~/Not Iequired " OFFICE USE ONLY BUILDING PERMIT TYPE ~ 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 02 SF Dwelling ? 07 4-piex o 12 Multi RepaidRem. 0 17 Swim Pool ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Faciiity ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 _-plex o 15 Deck WORK TYPE '4~ 31 New o 33 ARerations ? 36 Move ? 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) ~VtJ Basement sq. ft. 16 Ptti.l MC/WS System X (Allowable) L/ A.,/ Main level sq. ft. City Water ~ UBC Occupancy R311zl uvYM sq. ft. ?8o Fire Sprinklered Zoning 609 sq. ft. -7 9 PRV # of Stories 2sq. ft. Booster Pump Length 8l. r sq. ft. Census Code. /o / Depth ~ Footprint sq. ft. SAC Code Census Bldg ~ Census Unit APPROVALS Planning Building AdA Engineering Variance Permit Fee ~-~3`3• a~ Valuation: $ / clo;" Surcharge 9S Ov Ba,sc rle'l-t Plan Review 5~ G.q . a I Y06 Z' _/a/3.s License ~X L/N x yy y MC/WS SAC 362 X ul4 = 1534 City SAC -ia v ,Z = yo Water Conn. 6x16 x/6 = iao Water Meter ~ y X oy= 9,10 Acct.Deposit i6a~.i xa5 = 4'.oj66a4$- S/W Permit S/W Surcharge fl-,l4 Treatment PI. SG,•,a /}5 P~semc4t Road unit Park Ded. Trails Ded. Other uPP~R Copies Ho Tosai: qg9 3.9 (,o- ~ x z= ib .5X N X % SAC 90o v 5y - y~600 SACUnits 3~ x aa =7y2, X/6 =/a 67,A 2422 Enterprise Orive * * Mendola Heights, MN 55120 * PIONEEA LAND SUPVEY0R5 • QNL ENQNECRS (612) 681-1914 FAX:681-9488 ~ eAe Aeer nf7 LAND PLANHENS•. LANOSGME ARGXITECTS 625 Highwoy 10 N.E. * * a Bloine, MN 55434 * ~c *927.9 (612) 783-1880 FAX:783-1883 • 922.6 Certificate of survey for: METRO CLASSIC HOMES 925.1 924.6 • 925.5 . 926A ~ 7 , W 00 0 6.~-~ C,~ ~5,L1925.5 - 932.1 ~G9zs.z WEST 63. 0 926.3 • sza.s 923. ~ - - - - ~ C,Q S(/~ • 937.9 ~ 1\`DRAI GE & UTILITV ~ e EASEM PER PLAT-- 926.4 9SF,y " 928.3 ~4~ ~ 'S F,yrQ ' ~ M ~1 3.4 x 925.2 ~ N 9~5 6 \ M\ \ s'Pq~4 * 928~i . I ( ~ I TOP OFPIPE ~ v 24. * Ti\ d 4~ I 925.3 LEV.= 24. 5 i~ ~4~~1~ 4w~ „ 924.9 • 926.3 I TP 92 935.6 m I 9Z4 z 10 1, RET, WALL BY OTHERS ~ r I ~ - z o -sza a.i ~:7 s~zz.s i 6> v.oo 924.0 925.9 ~ ~ °~a ~ " • 937.5 940. 915.3 ~ \ K 922. Q o 1.00 \ 923. 5 v~~ ~w/ n0ry; 1" M'^,.,... '?j 920.~ 921:4 4\\ N a~ ~ Ny` \ ~ z.oo 00 1:oo ~n " 9 \ R 932.1 {iD m A 932-GL_ .7 , 918.6 `''p ~9 _ `wr 934.7 • , ! 918.9 \ 2 8 X ° 17. ~,c.,`~~3~,;4•~~ CL ~ y8 \ 2(~a,r ~c {r 9 'CL 93 1ff~ \ (~1,1~ Z9.4°a 919.2 936c~ '43rE 637.3 K 919.6 6?¢~. . ~ ~ r 935 n 1,1479~~ a N 9291~ • 925.~5''~t~`; ~ ~~~s3o P'IE ~NE g ~az.3 ~ s ~~/,o ~ " ExiSHWS~ nNC BENCH MARK ~ 935.2 ~1L1 EoE\v~9PI361~ 934.0 934.0 Q.~ (f~`j.Lp ^ ~ \PROPOSED CONTOUR LWE (TYP.) ~`EXISTING CONTOUR LINE (TYP.) " , _ / i .•l Nry ~ . NOTE: PROPOSED GRAOES SHOwN PER GRAOING PLAN BY; PROPOSED HOUSE ELEVATION NOTE: BUILDING OIMENSIONS SHOWN ARE FOR MORIjONTAL RND NERIICAL IOCATiOF! LOWEST FLOOR ELEVATION: 9z5S OF $RtUCTUFES ONLY. SEE AHCHIIECTUAL PLANS fOR BUILDING AND FOUNDATION DIMEN90N5. TOP OF BLOCK ELEVATION: 34.3 NOTE: NO SPECIFIC SOILS INV[5TIGAPON HA$ BEEN COMPLETED ON THIS LOT BY TNE 9 3~~. SUFVEYOR. iHE SUITABILITY OF SOILS TO SUPPORT THE SPECIGIC NOUSE GARAGE SLAB ELEVATION: PROPOSEU IS NOT THE RESVONSIBILITV OF THE SURVEYOR. NOTE: TMiS GERTiiIGpTE GGES t:CT PURPO.°.T Tn SHQW E>SEMENT$ OTHER TNAN X 000.00 DENOTE$ E%ISTNG ELEVATION THOSE SHOW~ ON 1HE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELE~ATION NOTE: CONTRACTOR MUSi VERIFY ORIVEWAY DESIGN. DENOTES DRnINACE AND UTILItt EASEMENT DENOTES ORRINAGE FLOW OIPECTON NOTE: BEARINGS SHOWN ARE BASEO ON AN ASSUMED OATUM • DENOiES MONUMENT -Q- UENOTES OFFSE7 HUB WE HEREBY CERTIFY TO METRO CLASSIC HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE 80UNDARIES OF: LOT 10, BLOCK 1. MALLARD PARK THIRD ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS. EXCEPT AS SHONRJ, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERViS10N THIS 24TH DAY OF AUGUST, 1998. SI NED' PIONEER (N~GIN ING, P.A. SCALE : 1 INCH = 40 FEET r e 696 98412.00 SWK REVISED 10-20-98 John C. larson, L.S. Reg. No. 19828 ' LOT SURVEY CHECKLIST FOR RESIDENTIAL • BUILDING PERMITAPPLICATIOfV PROPERTY LEGAL; l ~ DATE OF SURVEY: Z LATESTREVISION: ~ 4 ~ DOCUMENT STANDARDS < 3 • Registered Land Surveyor signature and company ? • Building Permit Applicant 0 ? • Legaldescription p ? ? • Address ra-~- ? ? • North arrow and scale E3-,Cl ? • House type (rambler, walkout, split w/o, split enVy, lookout, etc.) K~a ? • Directional drainage arrows with slope/gradient % 6~er' ? • Proposed/ebsting sewer and water services & invert elevation rrrr ? ? • Street name p/o ? • Driveway ELEVATIONS ~ Existin p ? • Sewer service (or Proposed) C~~ ? • Property comers a' ? ? • Top of curb atthe driveway ~o ? • Elevations of any existing adjacent hames Prooosed ~ ? s Garage flaor 2-'13 ? • First floor . I M--~? ? • Lowest exposed elevation (walkouVwindow) 8 p ? • Properly corners ? • Front and rear of home at the foundation PONDING AREA Cif apolicable) ? Gk-"6 • Easement line O • NWL ? p/p • HWL ? CA / • Pond # designation p O • Emergency Overflow Elevation / DIMENSIONS [9~a ? • Lot Iines/Bearings S dimensions tY ? O • Right-of-way and street width (to back of curb) ~ ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all strudures requiring permanent footings) ? • Show all easements of record and any City utilities within those easements C9' ? ? • Setbacks of proposed structure and sideyard setback of adjacent existing strudures p~~ ? • Retaining wail requireme ff an Reviewed: ~ z me ! te January 1998 CRA419WBLOGMiMT FM •FP.UM :'INTERRTATE GEOTEZ-INICIJI`AL ENG PtiONE N0. • 012 423 4^<47 Gct. 15 1998 94:36PM F1 1N1'ERSTATE GEOTECHNICAL E\'GINEERI\G, ItiC Patnck J Hines, PE 15481 Dresden Trai! .apple Valley Mr' 55124 (612) 423.4247 16 October 1998 A1r Dan \elson 4733 Woodgate Lane Eagazi MT' 55122 Re: Soils Inspection and Compaction Cor.trol Proposed Sing?e Family Residenct 4735 woodgate Lane, Mirun This is to provide an interim roport an inspections of the tase of eecavation and density tests I took on the above referenced iot. The density tests, two to date, were taken usittg the 4" sand cone method. I also raii one moisture-density (Proctor) test. When ] w•as firsc suuimoned ro the site, the house N=:as enlti roughly staked m the fieJd by vourself. Proposed grades, aspecially tha basement grade, iuere not zstablished. I adviseei that your land sune}'or should stake the house, including oft'sets, and that the basement grade shauld be esWWished by that firm. You declined for vx: ious reasons, including a tima presstue. lnstead, I was furnished a partially completed surveyshowin,a, houye Jocation and no grades. Iviy only guide to basement grada wes: as communicated to me in the tiel3. was t6at it had to be foiu feet above setver level; or elevation 922.3. For a staR:ng point, I used elevation 9233 to assure drainaga at your walk-out point. On that basis, I inspeeted the base of excavation as it Nvas prepared by h1r Ray Genadak. I foiind that a91 unsuitable soil was removed from the then indicated building area. The base of excavation ranged from s iirm gravelly sanJ [o afinn silt tu a medium lean ciay, all suitable for either direct foundapon placement or application of contrulled fitl. Most footings zvould rest upon natural soil. Only the erorth and east living area footings would resE upon up to 2' of 611. Accordir.gly, 1 onlv casually ti•erified oversiting provided, noting that R was obviously enough undet those conxlitions. Using an engineer's lecel, I determined the base of excavation (bench mark :eference a hydrxnt near the southrast property comer, elevation 937.10) at various points in the escavation area. Thece elevations are represerftc! on the enclosed sketch: which is an cnlargement of a certincate of survey that was later issued. Locations are nnly approximate es the 6ouse locatxon had changed by then (see dixussion below). ,afterwards, fill salvaged from the r•icinity and additional fill hauled in -was placed in this eYCavation and compacted. The First densitv trst upor this fill did not pass the usual requirement of 950/o of Standurd Maximum Densin-. Aftcr additional compaction, and a ,•FRT^.-[NTEP.RTRTE GEOTECHNICNIC.f,L ENG PHONE N0. : 512 423 4147 Oct. 15 1998 74.37PM P2 Ivir Dan Nelson 16 October 1998 Page 2 subsequent test passed. Test reports are attached. Afterwards, Pioneer Engineering fumished a finai staking in the field. This final staking indicated a residence location farther back on the lot and somewhat rotateJ. Later yet, I was iniomted that besemet[tgrade will be 925.5 (tboting grade 924.5, wslk•out footing grade 922), just over 2' higher than our working assumption in an}' event. As a result, additionaJ cngineering fietd w•ork will have to be done in additiop to additional filling. I recommend the following: (1) Prior to additionnl filling, the cxisting fill con&guration shouid be tested by hand augering and test pitting as necessarv. I suspect that additional excavation and filling will bc required along the northwest and noRheast walls. (2) after additional fill is placed, u3ditional compaction tests should be perfonned I do not recommend construction on the grade provided without at leaet additional inspection and racommendation. This is because of the changed location and clevation of tlie proposed residence. Wlien you are ready for t6is work, please adviso. I hereby czrtifi, that Ihxs Plan. Report or Specification was prepared by me ot under m}' direct supervision and that I am a duly registered Professional Lngineer under the Laws of tlie State of Mirmesota. RespectfWly submitted, INTERSTATE GEOTECHN[CAL ENGINEERING, INC Patrick J Hines, YE Presidcnt Reg No 12086 pH/5C , •FRd'1' ~fNTERP.TRTE GEOTEDiNICN]•:HL ENG PHONE N0. ~ 012 423 4247 Oct. 15 1992 94:37PM F3 . ~ ~ ~ ~ ir d .~ir~~ ~ . Z * + `3?+~~ P ~ • ~ ~~'r ~ ~ r~ s? ~ ~ : 'cS + ~ ~ t So iA r~ • . ?a ~ f " ~ ~ . $~i qua g d ~ ~t+~ "+~'.s''~ • ~SJ'~3 ~ 4p ~ q~q~ ~ . ~ ~ , TN ,'FR19,:-INTERhTRTc GEOTEQ-INICN[CPL ENG PHONE N0. : 612 423 4247 Oct. 15 1998 714:30PM Fa [NTERSTATE GEOTECHNICAL ENCINEERING, IM1C Patrick J Hines, PE I5481 Dresden Trail Apple Valley W 53124 (612) 423.4247 DEiVSITY TEST REPORI 16 October 1998 Mr Dan Nalson 4735 Woodgate Lanc Eagui MN 55122 Re: Propased Single Family Residence 4735 Woodgate L,ane, Eagan, Minn DMes Testad: 2 Odober 4 Octobtr 1998 Method: ASTM D1556 (4" Sand Cone) Tested by: pH Test No: 1 2 LoC3tlOri: 16.5'S; 19'E .f `W House Car" 9'S,6'l:' of VI+ Hottse Cor* Elevation: 922.3 922.2 Dry Iknsity, pcE 114.3 132.7 % Moisture: 16.5 8.6 Std Max llensity, pcE 127.3 °ro A4oisture i''a~, Optimum: 9.9 (P-t) Relauve Density, °,6 90 I04 Commants: Test fails usual requiraments Test mezt usual requiremems Recommend Recompaction & Retrst (2:95°ro of Sui Maa Density) Please be advised that the aboce test results art a random -.vnple of field conditions. Thay may or may not be representativa of the entire area. To warranty of the aite is made or impLiCCi. Respzctfully submitted, INTERSTATE GEOTECHNICAL ENGINEERING, INC P tr kJH~~ President Reg No 12086 •Based upon Oµner'F staking at the time oftesting , FRJ1-:" INTERP.TfiTc GEOTECHNIQJ[~.~L EIJG PHOWE N0. : 512 423 4247 Qct. lc 1998 r~4.39PM F5 INTERSTATE GEOTECHNICAL ENGINEERINC. ENC Patrick J Hines, PE I5481 Dreaden Trail Apple Valley MN 54 .1:4 (612) 423.4247 PROCTOR TEST REPORT 16 October 1998 Mr Dan Nelson 4735 Woodgate Lane EagAn Mti 55122 Re: Proposed Single Family Residence 4735 Woodgate Lane, Eagan, b1i[m Date tast was rtut: 3 Odober 1998 method: AST4I D698 (Method "C") Tested run by: pH Proctor No: 1 Soucce of sample: llensity Test # 1 maferial and add'l mat' I fr:nn fil] area Soi] Classifieation: SILTY S:LND, wi clay, Dark Brown (Sb1). wr sume gravel Standard Vlaximum Density, pcF: 127,3 Optinwm Moistare, 9.9 Curve Attaohed Repcesentative Sample Retained Ca'rfroents: lOG°,b pm 2" sieve 1.0% Pass 2" sizvq Retained un 3r4° siai-e - DISC..4RDEU % Pasn 14" sieve, Retained on #4 siece - RETAIINBD 1G.4°/a Method ..C" Respectfully suMnitted, IDiTERSTATE GEOTECHNICAL ENGItEERING, INC C...~.~~66-~ Patrick 1 Hines, PE Preaident Reg No 12086 INTEP.P.TaTE GEOTECFiNICNICPL ENG PHOhlE N0. : 512 423 424' Oct. 16 1998 04:39PM FE - ' lntcrstate Geotechnica! Engineering, tnc 15481 Dre.tdrn Trait Apple Valley MN 55124 (612) 423 4247 q%k i I ~ I w V r ~ W UI4' a ~ D u n ~ .y - M ~ Z i3 " z T W W . ~ I i ~ , ~ F ~ qy ~iy ~ ? 9 ~r 3 PER CEti? M01.TURE C'ur ~.J S~(>r = 0 .6') r Ov+ ~V ~ iuC ~ju ay C~a S1LT7' c~,aYcr 5h'~.J' Ok aw.^•., /U4Id , 7 mi,~~vrc rtSM/~., ~ we•~ 7MOI TURE-DENSITY CURVE <,a^C 1`-YvlrS?f HG n ~~7J Woc4rkL txiuecivR Envei uNF i:m:Iiur cour COMPU'CA'I'IVN wimn~~~t~r. • ,A , To Dotermine C7aiiplinncr w{th thn FU.rvio.s_+ta Enecqy Cocle (Secticn 502 oE tM State lvnerxled 1.993 Fkxlel Fnergy Crde) Project Title r_A_Z51~9 -9 iL ~7pm.4rT . site Address ~ 37S k/oadcr~i~r L,rj.t/~ 1. EXPOSED WALL CALCUI.A'1'tONS nRFJ1 "U" V71IJ1F' AFtF11 x "1)" A. Opaque wall 1. Masoncy/Concrete a, x = b. - - - _ - - c. . - ~ _ - _ - - _ . 2. a.,~ "c?, ~ K ?ALL .Zxy wp.~~ ~2/~ _ iS~.ov_ x , 07~ _ 8S b. x = 3. Wood Frarte Wall . • a. Insulated Area /S)~ S8u a Oy/ = ~ y_3S b. Framing Area (nv?. 153 at lr,^ oc) z77 Y x,_083 c. Framirg 1\r=a (nve. lOB at 24" cc) x = 4. Peripheral Floor E83e/xtun Joist b.~z`c~r?~ ~ R~9 x .----,032 B. Glazing 1. Windcws _~I~L`L20R V NYI~ Zz~so X_O.`7~ b. __Lo2.83 ~ 2. Doors~q/~ ~~~1~R VINyL _ _ 3(.,So x a.•f/ _ /y. ~/9 C. , DooCS - 1. Wlxd a. Solid x = b. with storm dcor x = Z• ~I?ta1 ?CAGHT,-r'c J~II ~f0.?O _OBO = ' 3,'LZ_ 3. Overhead 4. Other x = - D. 'IOTAL FlAIL ARFA, sq. f t . . . . . . . . . . . . . . . . . . . . . Z 3 72. GY~ E. IUI71i, of ARFA x"U" [l. ROOP/CEILINa CALCULATIONS A. RooE/Ceillng Insulated Area . iZ~~~px , oZi = ev B. foof/Ceiling Framing (Ave. 151 at 15" x) x = C. Roof/Ceiling Framing (Ave. 10% at 24" oc) .y/.,ea x 4_38 D. Skylight X = E. 'iUTAL FDOF/C:EILINC; ARFI1 sq. Et F. 'IUM cx' ARFA x"u" 33. 18 • 7CYT11L AFiEJ1 AQQJIRFD "U• ALLOKABLB (F[Cm I.D 6 II.E) (F[an V.) (Aree x"V") A. Exposed Ftallf z37Z.vv x ¦ 26Qe9z B. Poof/Ceilin4t /yira.ov x .02l0 ' 3~.87 C. Zv'iAL ALIAFg18[.E Bt7IiDING INVEI,oPe ('[btal oE A c B above) 2 97. 7l~ IY. ACTUAL BUILD[NU BNVELOPB ACTUAL (Aree x "U") A. Exposed Wall (Fcvn I.E) B. AooE/Ceiling (Fran II.F) 33./R C. "AL ACIUIIL BULIDING QJVIIDPE (Totnl oE A 6 B) . . . . . . . Z lo% ~ O •(Mts eoh ?eqrlre+ents If less than 11(.C) Y. R&QU1RfiD "U" YALUE3 Fg1i.[.S fi)GE'/lEILING Detaclier3 one and bio family dwellings ~ .025 ~ Mlti-Fwmily Aeeidential Buildinga .238 .033 0 etcries cr less in height) • All Other Cxistnucticn 'Iypes (3 stories or lesa) .238 .06 ' A1-1 Othec Crnstructirn Types (Moce than 3 staries) .28 .06 • lased pn 9007 hestinq de9ree e,r (h+l,/sc. r.ui) AdJrft •U• tolues aetnMlnylr /or ether 1xaNoes CHA77FICATIOti I hereby certify that I have ca?pleted the above information arx3 that !t mrplies Nith tt Fllmeaota Stabe Dtergy Code. 5iqnature oate 10;lo BGSU 3-89 CC/SA1/H574 STATE OF MINNESO'fA ~ STATE OF MN DEPT. OF COMMERCE DEPARTMENT OF COMMERCE I ~'li,~...~ '.e1 . titi:~t. , ~ y 133E,i~4 .^,evFrrth3c • 133Exat3wFrahSt Q+' rf3t Paul, bRJ 55101 ' SL Fhul, h4d 55101 ~•~~i .'z ~ 2?frC319 ~ o. (612) Ul2)ZCC319 giJILDINGCONTRACfOF AfMLnI1TGCpDITFAC1'C3R IDVA22 Ii1#. 3?22 BUILDER RCnI,DER CORPORATION CGF.A?RP.TION Expires: 01!31/t QQQ MICfiAEL JOHN LINDOR 7 Hrs c7E dur.6y 3;3tJ?3 Er.pires: 03/3l/1'_??~ hIICHAEL JOFN LINDOR ME.TRO CLA35IC HOME3INC 7 [-ira r_E dije Gy 3f3t/91) 1 F7G9 JACKPINE Tk L,AKEVILLE t.+Cd 55674•0000 DBA MEI'RO CL,A93I(7 HO&E31NC 16769 JACICPINE TR LAKEVILLE M2I 55014-W W CM 00543 IaL'a~~,/. . f ( ~e1ro L~as's I~ l~om~s i i- - " T • ~ ' F"o,- . D a.~ ~/s o',~! ' ' , ~ - . ; 113~?_'f - I . . II 41„ - - - ' i - ' - ` i -i ~ . ( I I I ~ , ~ , - - - - - 1 ' PovKEn ~ v? ~ I O ~ ' i ~ I f i G o C. I' , ~ :N . ~ I ~ i - - - I-- - - ' N ' ~s~~~a+o.ic _~I. j ; ~ 1 i i ; 3 ~v ~ ; ; i ~ ; ; i . .I- ; FTG, /taX2-p_WIZir3..s ~ - - - ~ ~ ~ ~ I ~ ~ -t-- . ~ 'G/?- 46 9. !DUNDA'l/ON PGRA/ ' I . . ~ . i ! ~ ~ ~ ~ ~ ~ : i (!4 ~ t -=.o'o, c, Br R c. I . , • i i ; I I 1 . : ~ ' . ~ I . Z~C`aNC.'_Ta/~~. ~ • ~ , .I. ~ ~ t - i i~17 '/~'Fx1; i- ~ j ~ Ss_. &.,q , D.e fa17 :Bear/. . ~ _ I. , A , I , . ~ - - rz~s . x V ; - -.i - ~.~bOWFL I y; ; ; eic'o,c ~ ' ~ ~C• ; i ' ~Qe.: G. r.a i ~.ioi ~ ~ ? d~b ~ ` ~ . . . heioby cextjiy that this. plan, soecification; . „'J± ex i?poit ivusi prepc:od -by me oi undei my di•ectl supeivision and Ithal I;amj a dulp Registeied P;ofessional Enginee:. undei the I j , Iav: s of tlie Statelot Minneso2a i ~ F - ! ; ' v?/Z.- .2_~'~ - ~ TiYiVl ~CqL W j A 4-L Dalo D ~ ..-Aeg.jNo.l ~ , ~ I.~ 1 Cj ~1 ~ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION 0 p° City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshuction Reauiremenls RemodelA2eoair ReauiremenLS OHiceUse OnN 3 regatered site surveys showing sq. 8. of lot, sq. ft. of house; and all roofed areas 2 copies ot plan Ced of Survey Recd Y_ N (20%mazimum bt coverage albwed) 7 set of Energy Calalations for heated additions Tree Pres Plan Recd _Y _N. 2 copies of plan sfawing beam 8 window sizes; pou2d found design, etc. 1 sRe survey for additions 8 decks Tree Pres Required _Y _ N 1 set of Energy Calculations Add'Aion - rndicate if oo-s8e sephc sysfem On-site SepUc System Y_ N 3 wpies of Tree Preservation Plan if bt platted after 717/93 Rim Joist Detail Options selection sheet (bld9s wiN 3 or less units ~ Date Construction Cost ~ Site Address Unit/Ste # ~ Description ot Work YK;, r1"l Multi-Famity Bldg _ Y~X N Fireplace(s) ~C 0 _ 1 _ 2 Property Owner Lp t~ ,S~-\ c\~ Q 1 Telephone #(C,S ys1 ~ b 1~u b Contractor ~4~\Q\1 C,S, 1\ 5 t'N - Address ~ ll~ el &11.i., ~--~\V,9 City State Zip 5 s yy~ Tetephone #(1 L S) s`\1'os~'13~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minneso[a Rules 7672 Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ' r~,, r~~i ~ • ~ % ' ~ j i i ~i Sewer/Water Coniractor Telephone # ( ~ . - , i JAIV ' a cuu, °J{ ~ 'uu I I hereby apply for a Residential Building Permit and acknowledge that the information is eomplete-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 pernut, but only an application for a permit, and work is not to start without a permit; that the work wil] be in accordance with the approved plan in the case of work which requires a review and approval ofplans. ApplicanYs rinted Name Applicant's Si~aature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 'Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIf- Multi ? 03 Ot of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc. ? OS 03-plex ? 11 10-plex ~6(1 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous 1-r 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 WindowslDoors ? 34 Replac0ment 'Demolitfon (Entire Bldg) - Giva PCA handout to appliwnt Valuation Occupancy )Z' 3 MCES System Census Code 3 y Zoning City Water SAC Units Stories Booster Pump # of Unils Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const U r1 Width REQUIRED INSPECTIONS Footings (new bldg) _ FinaUC.O. Footings (deck) p FinaVNo C.O. Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof Ice & Wa[er Final _ Pool _ F[gs _ Air/Gas Tests Final ~Q Framing _ Siding _ Stucco _ Stone _ Brick Fireplace R.I. AirTest Final Windows ~ Insulation _ Retaining Wall Approved By: 7*, , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total ((J 3~~I 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION 4so 5-D CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date I 0 J ~ / Site Street Address ~ 7,Z (iU00U p9J r1z" , LL Unit # Property Owner (-uA-6;- /tir Telephone (AYI) 777-~ 7?,7 Contractor/(/e/~T?z-l2/i/ /~JrcJi~~/U.G /,vtf- Telephone# AddressL,?/// City (W~Cd/.a12* State/~7/-/ Zip,537,-4~'£1 The Applicant is: Owner _ Contractor _Other Alte ations to existing dwelling $ 50 00 ~Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment Water Turn/around (add $1/21.00 if a 5/8" meter is~j required) _Other: ~tC7W~'/G .t,lU~ L ~~c` /~/Jf~?'_ Water Softener Water Heater $ 15.00 i _ replacement additional i - Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30 00 State Surcharge $ 50 Total $ ~U(J~ I I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and ap ove~~ d ~ Applicant's Printed Name ApplicanYs Signature Date: PLEASE CALL JASON AT 763-443-0830 WHEN READY City of hap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #:1 1 16 Permit Fee: (( —.J� Date Receiygd: a p i Vj Staff 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 10-29-2013 Resident/ Owner Address / City / Zip: 4375 North Woodgate Lane, Eagan 55122 Site Address: 4375 N Woodgate Lane Unit #: Name: Laura Stagner Phone: Type of Work Contractor Applicant is: Owner X Contractor Description of work: Reroof house with 30 year architectural shingles Construction Cost: 7,500.00 Multi -Family Building: (Yes / No X_) Company Address: Residential & Commercial Exteriors, Inc. Contact: Jason Kempel 16040 St. Andrews Lane NW State: MN Zip: 55303 Phone: City: Ramsey 763-443-0830 License #: BC 671962 Lead Certificate # R -I-43639-13-00551 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? __Yes __No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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 they 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota Star. R,dirlinn t^p in miict ho' nmpleted within 180 days of permit issuance. x Jason Kempel Applicant's Printed Name x Applicant's Signature Page 1 of 3 To: Page 2 of 4 2014-03-20 12:19:24 (GMT) 18772S31896 From: Steve "-Il PLEASE CALL JASON AT 763-443-0830 WHEN READY Use BLUE or BLACK Ink r-----------------I j", , - I For Office Use I I ~f 2-13) Permit 2I I City of Eap 1 s~ I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 i Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I staff: L----------------- 2013 RESIDENTIAL BUILDING PERMIT A PPLICATI ON Date: 3-20-2014 Site Address: 4375 N Woodgate Lane unit Name: Laura Stagner Phone Resident/ Owner l Address / city / zip: 4375 North Woodgate Lane, Eagan 55122 Applicant is: Owner X Contractor Type of Work Description of work: Remove and Replace 24 SQ of vinyl siding Construction Cost: 7,500.00 Multi-Family Building: (Yes No X ) company: Residential & Commercial Exteriors, Inc. contact: Jason Kempel Address: 16040 St. Andrews Lane NW City: Ramsey Contractor State: MN zip: 55303 Phone: 763-443-0830 BC 671962 R-I-43639-13-00551 r License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide speck reasons that would permit the City to conclude that they 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. wvvw.aopherstateonecall.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 Stata Ruildinn rorlP_ mutt he cnmpleted within 180 days of permit issuance. x Jason Kempel x Applicant's Printed Name Applicant's Signature Page 1 of 3