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4391 Woodgate Lane N CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55127 pATE: pwn,~; 1 . ~'arnwort'.:-r:cC 1 Nr ~ u~~~ Address: Sic. Add?ess: 4291 'vo Wooc3-ats T,n L4 P.1. ~Iallar.d Fk Plumber nut tovti _ p, =Il 4/24/84 42760 109.no P I qm Fo eempyr wieh eln yly of yw¦ Con?eeNon Cj,orge: ~ 2 5- 0 fl ,.,Lze, O''dIm"aL Accou,n p.po,it• 15.00 pc? Pertnit Fes; 10. 00 nd Surcharge: - .50 pd BY Miac. Chorpm Dote of Insp.: Tarol: Insp.: Dotr Pooid: ~;r•t~ - - - CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. O. Sox 2' 998 . PERMIT NO.: 5471 Eagan, MN 55121 D^TE: 5-lr+-gG T- ~ Z~ing: No. of Units: owr,er: Farnworth-N!cClure Addross: 5ir. ,~,en: 4 39 1:~`o i•Tood ate L~z I,d ~ 1 A~allard Pk IZ p1w„ber; 5outhtowu Plb Meter No.: III Connectlon Chorge;4 70 . QO d , Stze: Aooount pepcsit: _ 1 S. 00 pd ; Reoder No.: Permit Fee: lO.OQ Pd ~ qme to aewoyr wtlh NM Ctyr ef Eagea SuRhorps: . Sl~ Ad i odt.eea.. Miac. G,orges: 63.00 nt m t r ~ ' Totoi: S horn ` BY Dote Poid: ~ OaM of Insp.: Intp.: CITY OF EAGAN WATER SERVICE PERMlT 3830 Pi'~ Knob Road P. O. bc;~-21 -X PERMIT NO.: Eagan, MN 55121 oATe: Ioninp: r: Z Farnwortkl-~•icCl NO'e°1f Units: Ownsr: llddnss: ~Site Add,esc 43 9 1 1'io ,;occlc,ite Ln L4 r 1 h°,allard Pk -ll Plunbar. ~01t(1t0!;'I] ?'1bP III r No.: connenf«, cxmg.:4 7 o. o ap a i~. R e AccouM Deposir: - 15. 00 pd d Psrtni! Fee: - 10.00 pd Io!f" u !BS Surdiarpe: . 50 d Q u j s Ete. Misc, cl,o.~es: _ C3.00 d m t r ~ Totol: & h ~ 1" n ? Dots Poid: af Irxp.: _ Insp.: - - - - ~ LAOS-, _ - ~ ~ o~-~ - - - U v~.o~ • lX ~ ~ _ ~ . zkil ~w ~ IN5PECTION RECORD • C'FTY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: >i Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 , SITE ADDRESS: ' APPLICANT: I t-ttllfiFi ! t 1 nNi N PERMIT SUBTYPE: TYPE OF WORK: _ INSPE . . iI 1 ra~, hj, i ;~~11!,II I I~ I1 I~. t 1 f-Ir51 ~ . ~ . , . , ~ J I wm,n Ko. P.nn+c aaa.? ow T.i.phon» r I ELECTFiIC ~ v , PLUMBIN(i I HVAC I Inap~ctlon DeM Imp. ConxeNnb FOOTINGS FOUND I FRAMING II ROOF1NCi ROUGH I PLUMBINCi I PLBCa I AIR TEST ROUGH I HEATING I GAS SVC I TEST ~ INSUL GYPBOARO FlREPLACE I FlREPLACE I AIR TEST FlNAL PLBG I I FINAL HTG ORSAT TEST I BLDCi FINAL O~ ~ I I BSMT R.I. I BSMT FlNAL I I DECK FTG I DECK FlNAL I I I I I ~ ~ CASH RECEIPT ~ . aTY OF EAGAN t P. o. aox z,-,ss 9AGAN, MINNESOTA 55121 DATE ~ / v 19 L v? AMOUNT $ ' __~~~~-~~L •'~(~df~C~(Gf/l- Q DOLLARS ~ ~oo CASH ~ CHECK ROR . FUND GOOH qMOUNT Thank You ~ BY^/~ White-Payers Copy Yellow-Posting Copy I Pink-File Copy CITY OF EAGAN 3630 Pilot Knob Rosd, P.O. Box 21-199, Es~an, MN 55121 I~ 8 9~ 3 PH~NE: 454-8100 dU1LDING PERMIT Rece~pt ~jF ~;~?r_:c- ' sF nw~ ~~R ~ t~ o oor~ T°e M %1 ~ Est. Value r Date AP~ T, 2 4 s. . 19~~ a 3 91 r~o wooDC~~rr LN Site Add Enct ? X Occupancy F' ~ Lot ~ Blx 1~/sub. ~LLAR!_~ P1i 3"DSAIt~r ? Zoninp RI Psrcel No. ~ 0- 4 7 2 5 2-(19 0- O 1 ~po~r ? Fire Zone Enlor~ p Type of Const. ~ Name ~`ARti4~;ORTH-t~iCCL[JRF ~,Q ~ # Storie ~ L: NFN ROAD g Addreca Demoli~h Q Length City ` ~ ne 0- 7 8 3 0 G+od~ p Depth 3 4 Sq. Ft. ~ S AI"i ~ AoProvab Fa~ ~ Name t Addre~s J~sseument Permit C _ u~i Water d~ Sew. Surthar ' ' ~ City Phone Ge Polip Plon check -~.~.0 ~ °L Name Fin S/1C W Addres~ Enp. Water Conn. U. U('.' ~ W Clty P~a~e Plonner Woter AAeter -~~0 U Council Road Unit 2~ 0. I hereby ocknowledye that I how roed this opplicotion ond stote that g~~. ~ f. the inlormotion is correct ond egree to comply with oll applicobl~ Totol Stots of Minneaoto Statutes and City of Eoflon Ordinances. Sipnoture of P~rmitte~ .~t. .1~a,^-,btiC',RT''-':C(_'I Buildinp Permit Is issu~d to: on tM ~xprcm condition thn~ oll work sholl be done i nte,with all,°~ icabl~ Stata of Minnesoto Statutes and City of Eapon Ordinonces. Bultdinq Officiol ~ '-1_ ~I ~ ~ . , . . Pwmit Na Pumit Holder Misc. Permit Mo. HokNr Plumbino ~6 / Sotaw, 7"(~-~ H.v.a.c. w.u W~nr Dhp. ENevie Irapeetion D" Insp. OthK Footfop Foundation FrMning R°"+'' "'"a Roua+ NV Insubtion ~ Find Plb¢ Final HVAC Fiml Wobr Ducribe Location: NNII Swwar Pr. Dhp. ~ c ~ c < C Receipt PLUMBING PERMIT Pertnit No. 6 CITY OF EAGAN Fm ' Fill irr num' red spacea S/C Type or Pr~it /egibly Tot. 1. Date J, 2. Installation Cost 3. Job Address 14 _ k-Blk. ~ Tracft"`"~i 4. Owner I , 6. Contractor Phone !i L - 6. Address L ~ 7. City 1- i -1 ~ 14~,. State Zi p S. Building Type: Residential ~l Commercial ? Institutional ? 9. Work Description: New ? Add ? Aiter ? fiepair ? 10. Describe 11. No. Fixtures No. Fixtures 3, Water qoset Cesspool/drainfield % Bath tubs Septic Tank ~ Lavatory . Sohner Shower Wel l ~ Kitchen Sink Urinal/Bidet Other ~ Leundry Tray / Floor Drains Drinking Ftn. Slop Sink Gas Piping Outleu 12. I hereby certify that the above inf~mation is true and correct, and I agree to comply with ali ordihances anQ,codes governing this type of work, Signed : for Rouyh F Inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 . Reoeipt MECHANICAL OERMIT Permit No. CITIf OF EAGAN - , Fse - ffll In numberied specea S/C ' Type or Prln[ legiWy Tot T= 1. Date 17-^1t- = 4 2. I nstal lati on Cost ~ ;•'(-Yr:(-'qate I,aite 3. Job Addreu " "%1 Nortin Lot Bik. ~ Tract • , 4. Owner ~)ajT~tl rarnsworth 5. Contractor rleve Hnatinq & P I r.c . phone ~6. Address 13075 Pioneer Trail. 7. City T'der. prairie. State '+ir,nes~cta Zip 553411 8. Buiiding Type: Fiesidential C~ Commercial ? Institutional O 9. Work Descxiption: New 0 Add ? Alter ? Repair ? 10. Describe rlew hcnise tieati.nn Fuel Type 11, No. EQuioment B TU - M. Ea. No, Enuiament CFM - j Forced Air ?.er.nox 14.a'el Air Handling: Mfg. ,12n"SF 11'.J Boilers Mfg Mech. Exhaust . Unit Heater Mfg. Other Air Cond. Mfg. , Gas, Piping Outlets I 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 : i 1 for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 I CITY OF EAGAN Remarks ' Addition Ma11 ard Park Third Addition Lot 4 Bik 1 Parcel #10 47252 040 01 Owner stTeet 4391North Woodgatp Lane state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. jM ,0 1981 2698.43 539.71 A014374 8-6-84 STREET RESTOR. GRADING SAN SEW TFUNK * SEWERLATERAL 171 1981 3412.34 682 47 682.50 A014374 8-6-84 WATERMAIN * WATER LATERAL 1981 WATER AREA STORM SEW TFiK 1981 467. 74 93.55 5 93.58 A014374 8-6-84 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 260.00 2760 - - WATER CONN. 470.00 IT I I 6UILDING PER. $993 sAC 525.00 ' PARK ? ~ CASH RECEIPT ~ CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 i ~ • DATE 19 ~ wieKrvac FROIA AMOUNT $ . ' - G I ~ DOLLARf ~oo ~ CASH ~ CHECK F~ ~l / / j , l~ / Y ~ • j f / ~~i ' ; PUND CODE AtAOUNT ,Ir~ ~ ! ~ o . J t~ ' ~i . . If f Thank You ` ~Y~ 1J B,; - . wnite-Peven Copv Yellow-Postinp Copy Pink-File Copy INSPECTIDN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPUCANT: ~ y . ~i < ~ ~ •1,?0I16A7F 1ANF FI PERMIT SUBTYPE: TYPE OF WORK: INSPECTION • D• i Ei, ~ 1 , . ~ F . , . , ; i ~ . . . . . . . . . ~ . , ~ ~ 1 i . ~ , . . . . ~ ~ . . . . i ~ . . . . . ~ I~ - ~ Pemik No. PwmR Holder Dth Tslsphone # ELECTRIC PLUMBING HVAC Inspecllon Dab Inap. Commsnts FOOTiNGS LLp FOUND FgAM ING WpGN Ihli-~17 /~frj ROOFING ROU(3H PLUM&NG PLBCd AIR TEST ROUGH ' HEATING dAS SVC TEST INSUL GYP BOARD FlREPLACE FIREPLACE AIR TEST FINAL PLBCi FlNAL HTG ORSAT TEST BLOG FINAL BSMT R.I. BSMT FlPJAL DECK FTG DECK FlNAL , - - - - P M 3830 PILOT KNOB ROAD a EAGAN, MN 55122-1897 ~ 3 M A Y ~95•, ~ y sity oF eagan-:;' - l L . . __t , • . , _ . )ohnny ond Debbie Ford 4391 N. Weodgate Ln. y Eqgm, MN 55122-2281 i . \ 002sr2"16k# e/ a~-" Qttk Requost Date F e No. ougRln Inspeclion Requlred Ins ction ONer Then Rough-ln (YOU mOuIst call inspector when reetly) ~Reetly Now ~ Will Nobly Inspectoi ~y Ves ? No Oate Rea I&Ilcensed contrector ?owner hereby request inspection of above electrical work at: Job Atldress (SV¢at, Boe or RoNe NoJ Qry 439 Sacvan N. Township Neme or' Fenge No, Counry Occupant(PflINT) Phane No. PowerSu0P6ar Atlaress Eleclncal ConUacbr (COmpany Name) Conlractor's Lwanse No 0 CA- Q ~ Mallmg AtlOress (COnlrec or ar Own¢r Makmg In tallation) 64~ / - i •SD~ Aut Btl Sig luren bd er Making I Uon) Phona Numbar NNESOTA STATE BOAHD F ELECTRICITY THIS INSPECTION REOUEST WILL NOT igga-Mltlwey Bltlg. - Poom S128 BE ACCEPTED BV THE STATE BOAFD Z 1821 Univonity Ave., SL Peul, MN 55109 UNLESS PROPER INSPECTION FEE IS Vhana(81])6<Y-08D0 ENClOSEO REOUEST FOR ELECTRICAL INSPECTION a="•x~.~ ea-ooooi-os 0 J n 2 6 6' ae insimctions ~or wmpleung this torm on back oi yellow copy ' 5,3~ y5 "X" Below lNork Covered by This Request Jllll~ Ne Atltl Rap. Type o Builtling Appliances Wired Equipment Wired Home Range Temporary Service Du lex Water Heater Electnc Heating Apt. Building Dryer Loatl Management Comm./Industrial Furnace Other (S eci ) Farm Air Conditioner Other (speay) Conlraclor's Femarcs L J N~C Compute lnspection Fee Belaw: R0. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Am s / 0 to 100 Am s Transformers Above 200_Amps Above 100-Am s $I n5 Inspecmr's Uso Only' TOTAL Irrigation Booms . ) a~ S ecial Ins ection L~ AIarMCommunication THIS INSTALLATION MAY B ORDE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO I, the Electrical Inspector, herehy Rough.m 9? certih/ ihaf the above inspeclion has ~ been made. ( oat?oJ'7 ( OFFICE USE ONLV ~ Thb raquBSt witl 1B months irom Thisrequestvoid ~f(r (t~ 18 months from W 41876 L~I 8 i ma~ pk 3 5.~ Cequest Date Fne No. FouHh~n Insper,lion Inspec- /~Ree~weetl~ oReatlyNow~WfllNouty_ ?Na tar When Ready ~ LicenseA ElecVical ConVnclor I hereby request msDecimn ol abovo ? Owner 31' 1 elecvicn) wark instnlled nt: SV¢et AAdress, Box or Rovte No. CnV .vofrTl~ t,v~a.D6'~CrE [.A/Js A) ecUOn o. Township Name or No. Hangu No. Cwmy ' 0 aKDTA Occupam (PRINT) Phone No. wJCj oy{z'w a- 783a Power SuGPlier AAdross .v,ek-or- Electncal Contractor ICompany Namel Conlracmr's Lmense No. ~,c/ v~-w E-LEC i-K i c Mailine Address ICOntnctor or Owner MakinB Jnsmllauonl ~ O / / c P/ l C 6 4 +T 1 /e' Ut- .S 4 tQG a o itp O Authoriced SiPnatme ICOntract n Makiny Installatiunl /Phone Number r ,2-~'~-[~ T - l~ V MINNESOTA STATE 90 D OF ELECTNICITY THIS INSPECTION NEQUEST WIIL NOT GriB9s-Midwev Blda. - poom N-191 BE ACCEPTED BV THE STATE 90AP0 l1NLE5S PROPER INSPECTION FEE IS 1821 University Ava., St. Paul, MN 55106 e.--- ~e.o~ oo a.« ENCLOSED. Q1`Q REQUEST FOR ELECTRICAL INSPECTION ee-ooooi.oa ~3 O v I ' See inahucpons for compleUng this torm on bxck of yellow copy. ~ _ • , ~ D ~ ''X"' B~w 6York Covered by This Request Non FAd Nep. TyOe ol Bmltlinp Applinnces Wved Equiument Wired Home Range Tempoiary Scrvice Duplex Wa[er Heater X Liqhtiny Fixtures Apt. Building Dryer EIeC[nC Heahn Commercial Bldy. umace Silo Unluader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm x omnr oeci v jj(uAay~1Z the, 15n".ivl 'T r, 5 eci1Y thcr j VJAL Olhm Compute lnspection Fee Below p Fee ServiceEMmnceSae It Fa. Fendors/5ubfax<fers M Frte Circui[s dq~' 0 to 200 qm ps 0 to 30 Am is ( Cd• Qa 0 tn 30 ,0m ns Above 200 qiii )y 37 to 100 qmps 37 to 100 qm s Swimming Pool Above 100-Amps Above 100_Anips Tiansrormers de`LL Irrigation Booms PartiaL'Other Fee .rks Signs Special Inspection so s',5 ,TOT FEE Ren r ~J ,a flov8h-in e~ . the ncal Inspector, OoFoby certily tnnt the nbove , ,~j . Final D e I pectiai hes Oeen ut vold 1B monltu Irom aAO Thisrea es CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 N? 8993 PHONE: 454-8100 BUILDING PERMIT ReceiPr # Te M uwd for SF DWG/GAR Est.Value S80,000 Dore APRTT. ?4;_, Site Address 4391 NO WOODGATE LN Erect OX pccup,ncY R~ Lot 4 Block 1 SeclSub. MALLARD PK 3RD" pirer ? Zoning R1 Percel No. 10-47252-040-01 Repalr ? Fire Zone ~ B ? W Neme FARNWORTH-MCCLURE Enlarge Type of Const. V Move ? # Stories = Address 2921 HENNEN ROAD pemolish ? Length 68'4 ~ City BURNSVILLi;,one 890-7830 Grade ? Depth 34 Sq. Ft.- s SAME ADVrovall; Fees p Name o~ Address Assessment Permit S _373 - 00 u~ City Phone Water 8 Sew. Surchorpe 40 . 00 Police Plon check 186.50 Gw Name Fire SAC 525.00 Address Enp. WaterConn. 470.00 City Phone Plonner WaterMeter 63.00 Council Rood Unit 260 . 00 I hereby acknowledge thot I have reod this apDlicotion ond state that Bldg. Off. the inlormation is correct ond agree to comply with all oppliceble APC Totol ~ 917 • 50 State of Minnewto Statutes nnd City of Eagan Ordinancez. Sipnoture of PermiMee A Building Permil Is issued to: FARNSWORTH-MCCLURE on tha exprest condition thai all work zhall be done ip-a[2arQance wilh ol+ pplicable State of Minnesoto Statutes and Cily of Eapon Ordinonces. Buildinp Offlciol CITY OF EAGAN Include 2 sets of plans; ~ ~ ~ 1 Certificate_o£ Survey & BiTILDING PERMIT APPLICATION 1 set of energy ca]culations. 'lb Be USed FoZ'~.iNl~{,~ Valuation $pEyny~ Date ~}'IZ S4- Si~ paare55: y 3 9? N o. L~oqk~e.. e oFFzcE USE oNLY Lot ¢ Block J Sec./Sub. 39.0. lannu Erect p( Occupancy Parcel 1 ~-q1 a S a- - o yD - v I Alter Zoning J Repair Fire Zone A- Owner: FA2u5wo~-rN- Mc Cwe.c Enlarge _ 2ype of Const. Nbve # Stories Address: 12ft1 uEuuEU RaA,n Denolish Front ft. City/Zip Code: (3uWrsville) hAu. - 59 33-7 Grade Depth 3 y ft. Phone Sqo - 7830 APP?Dt7ALS FEES Contractorc A,rz1US%,,,ouTd - McCcuv~ AssessTrents Permit 3 73 ~ Address: Water/Szwer Surcharge yfl 1 z<tz.i ~}Eu.vsu /GOpb Police Plan Check /876 City/Zip Cocle: ~ w4,~ -IES 337 Fire SAC Sa S .O(3 IIzg. Water Conn. a-) O•(TD Phone Byo -783o planner Water .Meter ~I 6 Council Road Unit 2 Lo p. (~'71 Arch./E7ig.: E /~s ~tBovF Bldg. Off. Pddress: APC City/Zip Code: Phone mTAL' f'' S v . . TRANSMITTAL 16 ADMIIVISTRATION Tom Colbert, Public Works Holly Duffy, Admin Pat Geagan, Police Jon Hohenstein, Admin Dale Runkle, Comm Develop Karen Finnegan, Admin Ken Southorn, Fire Kris Hageman, Recycling Gene VanOverbeke, Finance Kristi Morast, MIS Ken Vraa, Parks & Rec Mike Reardon, Cable Jim Sheldon, City Atty Admin Intern $^/.3 ~ CA11116~ ~ ~ XEROX ENGINEERING SYSTEMS - -Jw ~ . - - ' - - ~ . - I /tz : )4 ' , - AUAA)P ~-,G~c•,~~ ~Z- ,~~i~xl~-,0/lL,~4'~i~-e.J - - ; - , - ~ - . . _ 4~1Z5Z 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION ' CITY OF EAGAN ce (1 3830 PILOT KNOB ROAD, EAGAN MN 55122 1, 651-675-5675 Please complete for modifications to existing residential dwellings. Date DV ! -3D I 1V _ Site Street Address Unit # PropertyOwner Telephone# Contractor WVO Telephone # -fH SID Address -3/, 71J /1-Jn-ALnX. yeQ, City ea~ Statey~ Zip ~~.5~ The Appiicant is: _ Owner VContractor _Other Alteretions to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener V Water Heater $ 15.00 ? replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total 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 approved. ~OP .b //P 4; r11,ct ~ Z11- `,c.t~i~,.~ri .hJ ApplicanYs Printed Name ApplicanYs Signature D~~R O~I MAY 14 2004 ! u ey CERTIFICATE OF SURVEY ~ , FOR " FarnSworth Cor?strattion I N8904e'0111E ` ba 9S. 00 ~ I i I I l I I 3 I ~ W r ~ o I I ~ Qfl ~ I/p o ~ ~ I OD V) I ~ I ' ~ rJ I I `J I ~ ------------'J 145,. v0 i 5 89048'o/"W I ~ ~ - Draioaqe 9 Utilify Eosement shown thys: ~ SI -----5I -I 4 0 Lot 4, Block 1 N Mallard Park Thlyd Additton I~ Dakota County, Nlnnesofia BEING 5.00 FEET IN YIIDTH UNLESS OTHERNISE iMDICATED AND ADJOININ6 LOT LINES AND 10.00 FEET IN MIDTH MID ADJOINING STREET LINES AS SHOMN ON 7HE PUT, i *w..nr c.ay ftip tnrs sa-.•y .os ar4w.d by ere, a uiMsr my dirsel iWdrr/ilon, on0 lhsl / an o du/r HspJSlend Lwd 9arqor 30 0 30 undr 1Ae /ori ol /As SYah olYinaemla. 0.NM0. PNBVrt~t01 OQEOM M6fEC1UE LN~ 814YIU SCALE IN FEET ~y L mm.e:,nann DOlI g_1Q- Y~ Rop. M0. JOB NO' 5-S<106 FlELD BOpO PAGE; DRAWN BY: (Z- . a~ MINNESOTA STATF RUILDING CODE DIVISION . ~ EXTERIOR ENVELOPE RVERAGE "U" CONiPUTATION OWNER L~~ M~G~cfrz.,6 " SITE ADDRSSS_ _Lc-r BLpc,K 1 ~ MALL.IftD PARk ~ RD APptT>b*1 CONTRACTOR FARUSWb2-rp-MCCWvz£. DATE ~ PHONE B9p-9356 3 Determine working•square footage of each_ , 1_. -Total exPosed wall:iarea ft_ x - ° 2149 ~ Ss_ , t9 a.3! ~ - 2_ Total roof/ceiling area . . _ _ _ _ ; 17j-10 sg... Ft-_ X • OQ- I $5_l00~ " ° Total exposed wall area above floor - 1!0 5 7 A. Total wall window area B. Total door area._._.._.._ ~ - C. Total sliding glassdoor area___________________ ¢,n ~ D. Total fireplace wall area_______________________ .....p E. Total wall framing area (average l00-)........... F. Total net wall area above floor '?102 ~ G. Total rim joist area................... . . . Sotal. 'exposed foundation area H. Total foundation window'area............... 1. Total net,foundation area-aboveworade . :;L"~p . • Determine';."U^value of each wZill seggnent. ' a- 25 x"U.. 414 = 10 3.9. i b. Sg ~~X , o'? = 4,oto c. ~ x "u•' ~4b = 3L.se . d... -o- X „u., _o_ _ ~ _ • e• ll~~ x°u^ , lz = 19.9z . f. I loz x"u.. , 07 e- 3l7 x"u" , 04 = Iz.bB h. ~ X ^U•• ~5$ = 2.9b i. 1~10 X•'U" ~ 4-I = 19.90 3 Total If item 43 is the same as, or less than item kl, you have met the intent of ' 59C 6006(C)2. ' ' _ Total exposed roof/ceiling area = 139~ j. Total skylight area k. Total roof/ceiZing framing area (average 10$)...... 139 1_ Total net insulated roof/ceiling area mSl Determine "U" value for each roof/ceiling segment. - ] _ X ..U.l x. ' 13v x.,U.. ~ N. = 2z. 24 1_ 1,251 X,•u^ ~ 02 = 25. oZ . 4• .................:.............••---Total If total of #4 is the.same as, or less than 92, you have metthe intent of SsC 6006(01. ' Alternate Building Envelope Design . . =r To vtilize the total envelope system method, the values established by the , sum of items ,y3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. 3. + 4. _ ~ , CTTY OP" GFlGIaN TEi1M1NAL NU: ly6 rqT4:. 10/01/97 rin=.: 008402 zD ; NF1t'`E' N01;7H 57AR i;f'MIJDc~.TNG 320 9001 43:31 W.OUDGATE 274,75 3422 gp(li. 4331 1=lC)IIIil.;A'T'E 08.53 203 9001 4 391 P;OODC,AiT_ 9.50 3430 3001 433:1 H0C.1LiGf';i'F_ 'S.UO i ~ Tck?" 4errti,p+, Amauni;c Ar,',i.fi34 rF•OWE'3 U5ER ID° PAN^.Y J PERMIT ~ CITY OF EAGAN - 3830 Pilot Knob Road PERMIT TYPE: BUILDI , Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 8 8 4 N G (612) 681-4675 Date Issued: 10 / 01 / 9 7 SITE ADDRESS: 4391 WOODGATE LANE N LOT: 4 BLOCK: 1 MALIARD PARK 3R0 P.I.N.: 10-47252-040-01 DESCRIPTION: ' (INCL DECK) Building~-Permit Type SF ADDITION Building Work Type NEW ' Census Code 434 ALT. RESIDENTIAL ~ ~ ~ . o~ t- REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: VALUATION $19,000 Base Fee $274.75 Plan Review $178.59 Surcharge $9.50 Lic. Search Fee $5.00 Total Fee $467.84 CONTRACTOR: - qpplicant - sT. Lrc OWNER: NORTH STAR SERVICES 12277061 0002111 KLINGNER BILL 6188 HAGUE AVE 4391 WOOOGHTE LN N S-T PAUL MN 55109 EAGAN MN 55122 5612) 227-7061 (612)681-8726 Z hereby acknowledge that Z have read this application and state that the information is correct and agree to comply with all applicable State of Mn. L Stat tes and City of.Eagan Ordinances. L ot:n 12~,~~ I LI A T/PERMITEE SIGNATURE IS ED BV SIG TU • 4 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) -~7LI• bi, ~CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Recuirements Remodel/Reoair Reauircments ? 3 registered srte surveys ? 2 copies ot plan • 2 copies of plans (include beam 8 window saes; poured fnd. design; etc.) ? 2 sde surveys (eMerior additions 8 tlecks) ? 1 energy calculations • 1 energy calculations for heated atltlitions ? 3 eopies ot tree preservation plan H lot planed aRer 711/93 required: _ Yes _ No DATE: 9- 2I'7 CONSTRUCTION COST: DESCRIPTION OF WORK: a2 ~ d: • cJ sc STREETADDRESS: ~ ~ ~ ~ ead Ayl 1 It- 4 II, /1 d ~ LOT ~ BLOCK SUBD./P.I.D. mT 1~R~ "~~hli. ~,N~~ PROPERTY Name: I~M ~ N C2 Phone OWNER Street Address: City: . Ar State: /0/v ~ Zip: coN7RAcroR Company: aA i SIaP~~~d~c.~ Phone#: a.29 -9 06 / Street Address: , L'?e AG uC~ License ~ ~I City: S/ A u~ State: ~%iCr • Zip: 'rs-10 ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licer.,,ed plumber (new construction only): Penalty applies when address channe and lot change are, equested once permit is issued. ` I hereby acknowledge that I have read this application and state that the infortnation i orrect and agree to comply with ali applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: tu~cl 44 OFFICE USE ONLY D 99T Certificates of Survey Received _ Yes _ No SEP 5111 Tree Preservation Plan Received _ Yes _ No _ Not Require OFFICE USE ONLY ` . ~ ~ • . . . BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ~ 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 04 SF Porch ? 09 12-plex o 14 Fireplace o 21 Miscellaneous ? 05 SF Misc. 0 10 _-plex ? 15 Deck WORK TYPE 4 31 New o 33 Alterations ? 36 Move 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION JWVfiE~7 Df:L~ Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump ~ Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code ~L Census Bldg 1 Census Unit 0 APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ OW100 Surcharge /~~a~~{~ Plan Review ~ License Z~2x l~ % 51-7 , vo MCM/S SAC City SAC Water Conn. X Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. OO.Oo Road Unit Park Ded. Trails Ded. p~ Other 1I Copies ~~~'tQ~•~ Total: % SAC SAC Units E ; 97918. 29/2?/23 KLINGER, O.W. ~ . AD VANCE S UR ilE YING & ENGINEERING CO. 21 5300 S. Hwy. No. 101 Minnetonka, MN 55345 Phone (612) 474 7964 Fax (612) 474 8267 1 SURVEY FOR: O. W. KLINGER _,~Q / i SURVI;YGD: September, 1997 DRAFTED: September 5, 1997 SURVEY OF: ~ Lot 4, Block t, MALLARD PARK THIRD ADDITION, Hennepin County, Minnesota. N 89'57'33" W 145.24 LIMITATIONS & NOTES: O1 3 0 The scope of our services for this job is as follows: L Showing the length and direction of boundary lines of the legal description you furnished. j// 2g.3 2. Showing thc location oCexisting improvements we deemed important. -1 / 3. Setting new monumeiits or verifying old monuments to mark the comers of the property. / `A1 41 FRAME ,n 3: o WALKOUT 6, ~ DWELLING o #4391 ~ U J o ~ ~ ° z 30.0 z 80.7 ~ %10 0•/ /79 -t R e• i 5' WOOD FENCE 4 (CLEAR) 3 0 STANDARD SYMBOLS & CONVENT[ONS: I - ~ "o" Denotes 1/2" [D pipe with plastic plug bearing State License Number 9235, set, if "o" is 144.79 0 0 ftlled in, then denotes found iron monument. r, o S 89'53'49" E WOOD STEPS CERTffICATION: (ENCHROACHES) I hereby certify that this survey was prepared by me or under my direct supervision and that I am a Professional Engin a P nal Surveyor under the Laws of the State of Minnesota. GRAPHIC SC ALE xo o io xo ao 80 ` am s H. Parker P.E. & P.S. No. 9235 I ( IN FEET ) i incn S LE: I Inch = 20 Peet = zo tt. JOB N0. 970918 i ; . . PERMIT 41614 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 025698 (612) 681-4675 Date Issued: 0 5/ 3 0/ 9 5 SITE ADDRESS: 4391 WOODfiATE LANE N LOT: 4 BLOCK: 1 MALLARD PARK 3R0 P.I.N.: 10-47252-040-01 DESCRIPTION: (WATER DAMAGE) Building Permit Type SF (MISC.) Building Work Type REPAIR : i REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRTCAL OR PLUMBING WORK FEE SUMMARY: VALUATION $17,000 Base Fee $160.00 Surcharge $8.50 Total Fee $188.50 CONTRACTOR: - Applicant - sT. LIC. OWNER: NORTH STAR SERVICES 12277061 0002111 KIINGER BILL 688 HAGUE AVE 1112 LIVINGSTON AVE ST PAUL MN 55104 ST PAUL MN 55116 (612) 227-7061 (612)457-8240 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. ' ~r~in ~,o PPLICANiIPERMITEE5IGNATURE ISSUE08V: IGN RE T- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L O I N G 3830 Pilot Knob Road Permit Number: 025698 Eagan, Minnesota 55122-1897 Date Issued: 0 5/ 3 0/ 9 5 (612) 681-4675 SITEADDRESS: P•i•N.: 10-47252-04e-e1 APPLICANT: LOT: 4 BLOCK: 1 4391 WOODGFTE LANE N NORTH STAR SERVICES MALLARD PARK 3RD (612) 227-7061 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) REPAIR DESCRIPTION (WATER DAMAGE) INSPECTION . FRAMING ROl1.GW IN PLBG ROUGH IN HTG FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY EIECTRICAL OR PLUMBING WORK F L ~ CITY OF EAGAN MlSD ~ 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construetion Reauirements RemodellReoair Reuuirements ? 3 rogisteretl site aurveys ? 2 copies of plan ? 2 eopies of plana (inWude beam & window s¢es; poured fid. design; efi.) ? 2 site surveys (exterior aOdRions 8 dedcs) ? 1 energy celwVationa ? 1 energy plwlations for heated atlOdlons ? 3 copiee of tree preaervation plan if lol platted after 7/1/93 rsquired: _ Yes _ No DATE: 15- -.3 D ` I~.S CONSTRUCTION COST: - e~L DESCRIPTION OF WORK: ZIC STREET ADDRESS: LOT ~ BLOCK SUBD./P.I.D. PROPeR7v Name: 11 ~1/ x/e!^ Phone OWNER 5treet Address:,/~~ Ciry: State: A~~ Zip: CONTRACTOR Company: ar/h ~511 2~Q 56,4$&11C.fS Phone 7-» W'/ Street Address:~gb /t~ GG~ e License City: s~ c~i/ State: AA~ Zip: 55~0 ARCHITECT/ Company'r /v D Wof- Phone ENGINEER Name: Registration #Street Address- City: State: Zip: Sewer 8 water licensed plumber: 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 infortnation is correct and agree to comply with all applicable SWte of Minnesota StaWtes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No OFFICE USE ONLY ~ t BUILDING PERMIT TYPE I ~ ? 01 Foundation ? 06 Duptex o 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling o 07 4-plex ? 12 Mufti Repair/Rem. 0 17 Swim Pool ? 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous c_j~ 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE ? 31 New -Q~33 Alterations o 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowabie) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 3Y Depth Footprint sq. ft. SAC Code O/ Census Bldg / Census Unit ~ APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License A/0 MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SM/ PertnR S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °h SAC SAC Units ! L~ BL ~ CITV USE ONLY RECEIPT SU DATE: 611k 9S 1995 PLUMBING 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 FIXTURES - EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x 1 = 3°= Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x Water Heater 3.00 x = Floor Drain 3.00 x Gas Piping Outlet * minimum - 1°' 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' oakoca Cty. iicense 20.00 = U.G. Sprinkler ' home under const. 3.00 = Alterations ` to existing 20.00 = a~ Water Turn Around 20.00 STATE SURCHARGE .50 So TOTAL SITE ADDRESS: OWNER NAME: INSTALLER NAME: E IV49, / STREET ADDRESS: /9 3 z SV_• Ln %2 • r GF. ~ CITY: 51 A,- I STATE: ZIP: SS~a , PHONE ( 6/L ) 6 yf, /2 3 Z . b7U`RA TQKL UFliERAfiTT OFFICE USE ONLY L _ BL _ RECEIPT ~ SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . all commerciaVindustrial buildings. w multi-family buildings when separete permits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge ot $.50 per $1,000 of pertnit 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 SIGNATURE: - APPLICANT OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: sim 2/ a 4 CITY OF EAGAN APPLZCATIODI FOR PEIZMIT - SE:JER AND/OR [4ATLR CONNECTION (PLEdSE P4INi) i~ PP.OPER'?"! ADDRESS: rFraI. DES=°TZC;I: (Lr~,./3loclc/Subaivision or Tac Parcel I.D. Nizrter) i Eu~-:G ST"Ri;CT=, DH' G_° ORZGi::AL Si.iIIr^,L`:G P:y:'Sm ISSZ:?j;Cz: I FP°S.'- ~;••I~i•,Y;~'.-.`L'°05:~ vS=: 03 :2-1 Sui '~'G',_... r cP._ _.11-r Y ? R-2 GUr =i ('?L•:O UNITS ) ? R-3 7G?,1IHCL'SE (TI?~'~c~, + li^IITS} ( [JNImc) ? R-q Aopor.rc~;r~~,.~ ~ryr~•1 ( [JTr2TS; ? COL11N=C71,L/nE?'AII,/OFFICE ? TNDUSiRTl'1L ? INSTI'IL'I`I0.\AI,/Ca=ZI8-fE.T]T 2) APPLIG.~;P (PLE„SE PR19i) C-~e- r1DDRESS: . _ r~ ~ a cf ~-+'?e_,~ - - arrY, sT~~, Pxa.~.: 3) pLuSB~? Uk'u-/- -21- 1 P L ISE FOR CITY USE ONLY DRESS: PLIIY.BERS LICENSE: ~ .3l v ~ Active CZTY, t ST.'-1TE, ZIP: ~+s+v'~~5 ~i%U,~/ ?`~S~„~,~ 0 Expired ~RH~I.^ ~ Not of Recard PHOVE: PLU4BER LICENSE arr initiat 4) O'CI,Tpn_.Tr/O•g.E_--~ NA[ (PLEASE PF1Nt) •1E_ ADDI2G55: ~ ~ CITY, STA'I'E, ZIP_ PHC}.^IE: S) INpIG;'I'E W[-IIC?i PER-!IT IS BEP:G REQUESTEp: ~ CCiIIECfT_ON 'IO CITY SES'IER ~ CC.`?YECTIGDI 'R7 CIT`i uA'I'ER ? CP.'.ER (PLI'ASE DESCPSBE) 6) INIDZC;."" C?::: ? Pi.: `SE f:OID i1P?R(T1t.,T' pER:•LIT FOR PICK-UP gY OCIE OF ABOVE ~ PLaSE MAIL r1PPR0`,c'^D. PIIZ-LIT 'ID 1,20 3, 4 i\BWE (Circle one) 7) SI~~.TL:~E: ~~a-. ' DATE: .5 -1,;7 `~'G~ FOR C I T Y U S E 0 i1LY ~ PERMIT ° ISSUED - FEES: nro%irm * r---~~ n - - ~=`C.....,._. SdATER PEIL`1ZT (INCLtiDE SliRCu:,RGE) WaTER METEP./COPPERHORN/OUTSI^D_ Rc,`-.DE3 S Sti?.T.°.R '?'.l? (INCi,UDE COR?ORaT=Ot S:OP) $ Sr:•iEp .P,P $ ACCOUNT DEPOSIT - Sc.i:ER $ /S, v-o ACCOWi T DEPOSIT - tdAi°_R s u 70. ~ WAc sac $ TBlii4ri ?•IAT°p ASSFSSi`IL::1 $ TRli:]K SE?dER ASSESS_•!E?IT $ L'aTE°AL BEi7EFIT/TRU?:K SE?:ER $ L''nTERP.L BEi'EFIT/TRU:•li: WATcR $ OTHER $ TOTAL $ P,IMOU:IT PAID/RECEIPT DOc.S UTILIT`L COyNECTIOV REQUIRE EXCnVATION IN PUBLZC RZGHT OF SvAY? 0 YES ZF YES, THEN A"'PERMIT FOR [dORK WZTHZN ~ PUBLZC ROi1DPiAY" MUST BE ISSUED BY THE NO ENGINEERIiIG DIVISZON. LIST AS A CONDI- TION. SUBJECT TO TESG FOLLO[dIiIG CO?IDITIONS: APPROVED BY: oYC~~~ TITLE: ,~t./ ,8 CJ_-~•~/ Dr1T° : ws ~ mo m s oc m an 4y+ R+ w m w wst w.s wa wtww wr wm tM LOT: ~ BLOCK: I SUBD./P.I.D #:m C~-UoM f)q \ o-"'k 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 c~ ~ l~J ~ 4J 651-681-4675 New Constructlon Requirements Remodel/Repair Requirements D 3 regfstered site zurveys showing sq. R. of lot, sq. ft. ot house 2 copies of plan and all ioofed areas (20% maximum lof coveraae allowed) 1 sef of energy calculations for heated additions ? 2 coples of plans (show beam 8 window sizes; poured fnd. desfgn; etc.) 1 site survey for exterlor additions R decks ? 1 set of energy calculations ? 3 copies of hee preservation plan H lot plafted aHer 7/1 /93 ? Rim Joisf Detail Optfons selectlon sheet (bulldinas with 3 or less units) ~ DATE: /I ` A;? "0 L) CONSTRUCTION COST: DESCRIPTION Of WORK: Ae If multi-family bidg., how many units? STREETADDRESS: ~9 ~ U/d~da ~ VP a /r / r~ Name:~ /~~Q/~ L"' /u'~? Phone (O ~/r PROPERTY Los First OWNER StreetAddress: Z , ) 9/ /It/ A City 4 tP State: A</~ Zip: Company: /L/lti~~ ~AWACY F~. / Phone '7 .2 2 (area code) CONTRACTOR ~ ~i 7a ~ ,~y~ Street Address: - - License # Exp. Cffy State: ~?~l~A') Zlp: 3.JrId / ARCHIiECT/ ENGINEER Company: Name: ielephone M: ( ) Street Address: Regislration CHy State: Zip: Sewerlwaterlicensedplumber(ifinstallina seweNwater): Phone#: L~ I hereby acknowledge that t have read this application, state that the information fs correct, and agree to comply with all applicable State of Minnesota Statutes and C(ty of agan Ordinunce_ L Signafure of Applicant: OFFICE USE ONLY i~ Certifcates of Survey Received _ Yes _ No ` ~!Mf 2 K23 Tree Preservation Plan Received _ Yes _ No _ Not Required „ OFFICE USE ONLY O 01 Foundation O 07 OS-plex ? 13 16-plez ? 20 Pool 0 30 Accessory Bldg ? 02 SF Dwelling ? OS 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 OB-plex ? 78 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex 0 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Inl Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair ? 32 Addition ? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors ? 33 Alteration ? 37 Demolish (Bldg)' ? 44 Siding ? 34 Replacement ? 38 Demolish (Interior) • Demolition (Entire Bldg only) permit - Give PCA handout to applicant VALUATION Occupancy MCIES System Census Code 2oning City Water SAC Units Stories Baoster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width INSPECTIONS REQUIRED _ Footings: New Bldg _ Insulation _ Windows - new/replacement _ Footings: Deck _ FinaUC.O. _ Siding _ Footings: Addition _ FinaUNo C.O. _ StuceolStone _ Foundation Fireplace: _ r.i. _ air test final Roof: _ ice & water , final _ Framing Pool: _ ftgs _ air/gas tests _ finai APPROVALS Planning Building Engineering Variance BaseFee ~ ~)"L:~ Surcharge -3 0 Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Park Dedication Trails Dedication License Search Copies Other ToWI: ~ ~3•~`J r4a- .r,u Addieu N '3~ I . ~ Oo wA~2 lan orna_ 1 _ HEAT LO88 CAICUTATIONB ut&I'Hc~t L~~ ~ =Total Btu InPut I All wiadowt 3 doon aro rwotnwrtrlppW . iloom ~ l9th ~ • •,W(h. Ht. ' FI. GL' ~ Room Lpth.~/ • ••Nfth.i:' ru Np. WWt Wiy~t N O.t, a ol KM q . ' Wdm ~nt No.01 LI 4 t. OI Ilo pl Wns OI• ~ 1 1~ ol CrecY 01 pMw 1 .i A- 44 v s raoa. i 'fJ Q ICOal CM. BTU /dwr, Cwl. BTU 1door, , ~ ~~Itv~iion W~Mn+n INHttitbn WIMOw, , 11B 11B In1I1hoJOn W/DOOn ) / ~innum W/Oow~ 71 t' • ~l - 77 In/11vN1m S/Daon 1 1 ~ ~c+~ 5/Ooon Em.Wall ~ i - a ~ cim e ow.. ,4.. s ooo.' i e ~ NeIEw.WNI a~ 4n EM. Wa11 415 4'~ [.~i.nc ] ,9 Gnlro ' _ 9 B p~ 7 1 i iuor 7 10 ( 7) ToW Bw. T.nNBW. Rodn Lpth. "Wth . " Ht. Roa~ LCN+. •••Wth: FI. - _ w W LI , d~ Ndph~ No.o1 LimNlt Ana WWIn NNO*t No.et No. a ~ I n ol v¢k N. N. NO. ol ~ I b OI CneY . h. IQppR / V G~~' v~ IEOOn ! C) CeN. BTU fdoon CM., ~ BTU leoon inM1l~n~bnwln0ow~ InliltntionWindowf n y~ ~ 1~B 118 InIHb~UOnW/Daan~ Q / I 36 Y• 71 ' 71 Inllnrnlon5loowt. Inlevnlon 3/Ooon Eao.W~~l EaP.wtll ae, ~ cw. a ow,. J7.~. ! L` t G4u 6 Ooor~ J ~ NrtEaO.WY rin E+0. W NI d ~ - Guiro T4 Caiuna tlR'~^ ~ ioo . fr 7 10 FI~ .f Tm4 Bm. TeP18m. ~ Room lOm. • ~ ° Ht. _ fl. Roan L9th. "Wth. N • FI 17 . Wia,n .ipM1t rvo.ot UM. 1L Mu No. wWtn H~Ip~~ Mo.ot LI~wIN. Arr Ho. ' nl rw ol an* 1 t. ol cncY p fl. ol n~ 01 pnt I b ol cnct q. N. (I ? . ~ r. f U rmm. ~euon Coe1. BTV ~gooM ' CM. BTI lOOOn ~p InlilnnionW~MOw~ ~./i~ ~ ~ InliltntbnWinEOws 118 cl, ' InhpuUOn W/Dods 718 INUtrNion W/DOOn ' SlOoor, 71 Inlllvnlon SlDaoO 71 InlJVnion E E.o.WNI E.P. W41 d T ,~i9 c r,U., a oo«. 316,48 . cu.. r N.t ew. wdi 4 6 N., e w. wri i ¢ 6 ( rwN~nv 24 36 Q~ Cdfiiq B . Fwor I ~ 7 i fwn. 7 70 5 1m40W. 4 rou+et.. ,aes ? , _ neara. Pan #_/~-o•a ~i0.#7o NEAT LO88 CALCULATION6 ,~nl'Hnot Lo~f °Tot91 Btu Input I pllvdndowsO doae~wutnwnytvPw oan I LYth. _ .,Wth. Ht. FI. lAq t#~0.' fioan LYth..:.l~ WM No W'~ln N.pm ( No.o I.I.M. na W~Cth • ight No.o Llnul t n~ ' QI psM OI I b OI <IKk q.l,. NO• OI M 0f DYM 1 O of arei K. It. gatut lo / ~ Ideco, d G' ,d- /eoo.. co.f. eru ieeon cew. sTu JuvnionwmJOw~ ~ In1111rrtbnWl~WOw~ ~f. ~ - ~4.nwn W/Ow~ 118 Infllvnlon W/Oaa~ 118 +i.4.nwnS/Daon » In111vflionSl0OOn ~Q 71 F r .u w41 Eral.WdI . 6 Dow. 3" GW4 S Dop1 in E w. wdi 4~ 6 Not Ew. WsII CY 4` S 4 f 4 . .mno z amro Z 3 7 10 rye, aa pL 'aullm. ToulSw. .JAl' Room LYth. III ••Wth. " Ht ' FI. Room lYm• WM Ht. ' FI. q W4t NilIght No.ol Lirrselh. Mq WINh .fpht No.al 4~1 e. . 1 p of mek q. h. ' Ho. ol 01 1 t~ of ~Y p. ll. No. of ro of tooter IJOOA /OOOn Cw1. BTU fUaon Cad. 6TU ~ Inlllto. bnWlMOws ~ nhun~ronWl.WOw~ mr,lnnwn W/Doon 118 IoflM1ntlon W/Ooon 178 innu~Nim6/Doon » Inflivatlon6fOOOn ' 71 E.p. WNI ~ EYp. W.II GwiOoor. 6 ' GIrtSDOOn H.tcw.wui 4 Q NotEw.Wtll { 6 GJiro J ~43 u1uN ] Faor 7 10 51 Floor Tm*l Bw. Toul 8t.. FI. Ropn Lpth. • ••Wth. • ••Ht. ' FI. Roan Lpth. • ••MhA ~ "Ht, ~ WMth Hupht Na.ol Lmulll. Aru ' WWth H.lyn No.ol lLwYf~. Ati No. of yrr of we I ta of cnck p, h. N0• 01 ry DI 1 t1 OI f,mk M. n. gone, l4per~ rigoor, Coa1. BTU Cow. BTU Imm~nlonwiMOw~ 38 InflllntlonWiMOw1 38 I'0dvn.m W/DOp~ 118 Inllltntim W/DOOn 1/8 71 In1111rmm. 5/000n 71 In41"n6on 510oon E •p. WNl E.P. Wall Gwo b Dons 36'48 G4u S Ooa, N., f ap. Wdl 4 67 Not EM. W.II e e Gllirq 2~ 6 Glllnp , ' Fwa 7 10 F~O° 1 7.00'.. TaBi Bw. ~ ~ :W:)CitVoFecigan 3830 PILOT KNOB ROAD THOMqS EGnN EAGAN, MINNESOTA 5 5122-1 89 7 r`''ayOf PHONE (612) 454-8100 onviD K GuST^.FSON FAX: (612) 454-8363 P,v~n ~o, nacCREn Date: TME IM PAWLEN . Counal Membzrs ' THOMAS HEDGES TO: Gry AdmmEcrator EWENE VAN OVERBEKE The City of Eagan is continuing its efforts to provide an aesthetically pleasing comm~unify by maintaining and enforcing land use standards throughout the community. In order to promote the health, safety, and general welfare of the residents of Eagan as set forth in Chapter 4.20 of the Eagan City Code, City staff has initiated an inventory of all signs within the City. Location of sign: Explanation: -v ~ ~e Subdivision 10 of Chapter 4.20 states as follows: ' "All signs which have not been removed within the designated tune eriod may, after due notice, be removed by the City and any expense incurred thereof may be charged to the sign owner or assessed against the properry on which they are located." Your prompt attention concerning this matter will be appreciated. If you have a questions, please feel free to contact me at Eagan City Hall, 454-8100, between 8:00 and 12:00 noon, Tuesday through Thursday. Sincerely, . L ~ L/0 v.. Donna Rollins ~ Sign Inspector (71A DR/mg THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIiY Equal Opportunity/Affirmative Action Employer ~,~,t~, . 2~ J ' f n~~ , , ' i I~ o . ~ , ~ . 1 CITY USE ONLY PERMIT / ~ r ~ ? RECEIPT DATE: 8008 R£SiDENT1*L M£CH*RICAI. PERhiIT lkPPLICATI0A crrY oF KAsAx 3930 PILUT ICAOB RD Ep&AR MA 55148 651-6$1-4875 D ~ qR~O ~ 2002 ~ Please complete for: ? single family dwellings eownhomes and condos when permits are required for each unit ~ 5 By Date: \JAJ C)~~l~Fte ~ N SITEADDRESS: ~-L-'~~)ck OWNERNAME: n TELEPHONE#: INSTALLER NAME: TELEPHONE STREET ADDRESS: (~~~~_Cr) c-U ~ a~~AC] STATE: YY~ Y1 ZIP: CITY: _ Q Ptace a check mark next to the permit work type ' ~ Add-on, modifcation or alteration to existin dwelling unit $ 30.00 : furnace replacement . air exchanger • air conditioner . • other i Nature of work: cL'~k~r~ V $ .50 State Surchar e ~ E Total ° SIGNATURE OF PERMITTEE CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR 2002 CiOMMERCiUl. MECiHANICiAL PERMrr 14~PLICiATIOR crrY or EAem 3830 PaoT xxas ltn £A614A, MN 55122 651-6$1-4675 Please camptete for. all commerciaf/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (IMPROVEMENTS ONL`n: WAS TfERE A PREVIOUS TENANf IN THIS SPACE? _ Y_ N. NAME: , INSTALLER: STREET ADDRESS: CITY: STATE: ap: TELEPHONE WORK I1'PE: _ New construction , Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping - SpecifyNature of Work When insta[ling/removing underground tank, ca[l 651-681-4675 jor inspection by Fire Marshal and Plumbing inspectar. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Undergrouad tank removaUinstallation = miaimum fee Contract price: $ x 1%_$ (Base Fee) State surcharge calculate at $.50 for each $ 1,000 Base Fee TOTAL g SIGNATURE pF PERMITTEE . . v_. . 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Use BLUE or BLACK Ink I For Office Use I I V~~ I Permit I~ City of Eano~ I Permit Fee: L~ I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: 3 Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 0,7 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: L- u c c A LJ Phone Resident/ - Owner Address / City / Zip: 10 - iiWO _1_1~A) EA g, ~n Applicant is: Owner Contractor Description of work: r Type of Work Construction Co* 13 Multi-Family Building: (Yes / No Company ` r Contact: g(aI AO Contractor i 7L) L- ~ City: i® State: ~I Zip: 5563-5 Phone: i 'f License t0) Lead Certificate 7 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 1 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: x Licensed Plumber: Phone: s Mechanical Contractor: Phone: 4 Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of i 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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of 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. n k IJ EAIA)t5 j:&l t~F1 K x Applicant's Printed Name Applicant's Signa ur Page 1 of 3