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4397 Woodgate Lane NIli.' City of EaRall co 161-( 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAY 1 0 2011 Use BLUE or BLACK Ink Date Received: Staff: 2011 RESIDENTIAL BUILDING P RMIT APPLICATION �'V ` \l t- Date:6i' 1t x/ ' c� L G I� Site Address: 397 / �CE Zvi � Unit #: RESIDENT / OWNER Name: Jell Gie1"►e.- �J00(C.Ci71 Phone: Address /City /Zip; f 3 Cf7 4/vc� c v� Q L- CIO Applicant is: Owner X Contractor V TYPE OF WORK Description of work: iee. f/ C4- ,i iktev rr� Construction Cost: 3 '15 4450, '---- Multi -Family Building: (Yes / No X ) CONTRACTOR Company: l_ rCil Lev" ji 5-r"4ac" 'tet Contact: Cc.I/ Address: /C) 4(69%(, Sfi City: 4-e4c./ G State: `/ lil Zip: 5 -50471 -(Phone: 7662 57 5 3S7 License #: c2(JSL7 J6; 7e Lead Certificate #: Does this project require Lead Remediation? ❑ Yes gNo (see Page 3 for additional information) If no, please explain: /(4',.-4,4(7- te. (?7z In the last 12 months, Yes _No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.00pherstateonecall.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 no 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. c. x Ct6vy e i Applicant's P inted Name x ) L App c nt's Sig tur e Page 1 of 3 �l g7 Wood DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation y Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair Siding Reroof Windows Egress Window qo Storm Damage Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant DESCRIPTION Valuation deo 0 Occupancy Plan Review Code Edition Vis, z ' 0 (25% 100%_J/ / it -t -t) oning Census Code y Stories # of Units Square Feet # of Buildings Length Type of Construction S 8 Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation -Drain Tile Roof: _Ice & Water _ Framing Fireplace: Rough In Insulation Meter Size: Reviewed By: Final Air Test Final MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 . CITY OF EAGAN WqTO SEMCE PERMIt 3830 Pilot Kmb Rosd P. O. Box 27199 PERMIT NO.: ` Empm. MN 55121 W11'E: - - Zoninp: - ' ~ No. of Untts: ? OWfMr: i. i.i ~Et Cf?IISt . ^ddrom Sh+ Addnm 4397 cxj _ate Ln. Yo. I,2 FI 1`,fa11ard Fark _ r Plunber. Mehr No.: Conrwction Cho um: SG t~ .(?0 pd Sise: Aaoownt Daposit: ' r . •~C~~ Raoda NO.: Pemtit Fee: . ~r•'-~ti I MIM }o MowlJ wo ON City of aMm SNIch0w; • 5{~;'r.i , onvemoom 1Wsc. Choron: 1? 7. 0`7pd TP Totcl: 00*,)d aieter BY Doh Pnid: Date of Insp.: Imp,; CITY aF "GAN WpTM SERyICE PERMIT ~ 38M Pilot Kew-b Road P. 03Sox 21199 PERMIT NO.: . Epsn, MN 55121 DATE: Zoninp: _ R 1 No. of Unlts: Ownwr. BI il ie Cottst. ; I Ske Addrom 4397 Wvodn , allar Par r j Plumb.r "r.uc`rmueller ixmF~~4Ga ~ f. - - T•', +K `.~T , 5C .OOnd ~ .t.. No. . ~ ~ 6. S~i 6 C 4 r g~~~ ,~d.r.......«,~. 15 00pP. , ~ r No.• ~ *s: 10.00pd i iSaw 1o ftm* Wllli tV Cqt?G ¦ Surdwrge: • 5t~pd pr~i.s~. Mlsc. c~nrp~s: I32 .~C~pd TP + 63.00pd meter T 8y Doft Patd: Dat* of Insp.: Insp.: CITY OF EAGAN SEWER SBtVICE PERMR 3830 Pilot Knob Rwd , P. O. Box t7199 PERMIT NO.: Epan, MN 651 Z7 DATE: ' Zoninp: Na of Units: ! t, :L t~ '~vt•3 Owrrr. ' ~ - +~oo3gste Ln. No. 1 . _ar . iT ~ PlUmbtF: 4 . .1:_I ? .Tt: i 1agm tr emm* wMli 1M Clqr of MMw Coer+eetion Ciwrpr. 4 2 5. i 0~lM~ue~. llooounf OrpOiit: 15,[) `jr,r' i P.r?nlt F..: 0 ",r"~ Surd+orq~c r I By AmK. r.f10NQm Oade of Insp.: Totd: Insp.: Daft Poid: ; I / ~ CITY OF EAGAN 417131 c 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 , i J PHONE: 454-8100 r BUILDIN6 PERMIT Receipt# 7obe used;,lor SF DWG/GFiR EstValue $71,000 Date DECF;MBER 11 19 85 Site Address 4397 NO W009GATE LN Erect Ef Occupancy K 3 " Lot z 1 Block Sec/Suq Remodel ? Zoning V . Parcel No. Repair ? Type of Const Addidon ? No. Stories 0 Name BLILIS CO TRUCTION Move ? Length 45 ; Address Demolish ? Depth 491 o Int Impr. ? Sq. Ft City one Install D o Name SAM Appr°ysls Fe" 0~ Address Assessment Permit 41 ' d~ ' 50 ~ Ciry Phone Water 8 Sew. Surcharge 35 Q Police Plan Revie~~ ~ W Name Fire SAC ~S• 00 Do Address ' Eng. Water Conn. 500.00 ~ 1 City Phone Planner Water MeterO~ Council Road Unit ' I hereby acknowledge that I have read this application and state that the Bldg. Off. 12/9/135 Tr. PI. o 0 information is correct and egree to comply with all appllcable State of Minnesota Statutes and Ciry of Eapan Ordinances. APC Parks , ~~1 ` ' ~ f . Var. Date Copi Signature of Permittee ~ ~ , . 50 BLILIE C STRUCTIDN Total A Building Permit is issued to: , on the express condition that all work shall be done in accordance with all appliCeble State of Minnesota,Statutes and City of Eegan Ordinances. Building OHfcial - ly ~ hnnll Mo, pmmN Molder DatO ToNphons M Pkunbiw ~l u /d 7(5~ H.vA.c. ~(p"1 Q so~ al~ l- 2 E-8b son«M. Insp~cllon DsN Imp. CeernMMs Foowq. i FoolYqs u Foundetloe Fmmino G [c ~ RoaMq Rau0 MbY. ' "CS .Ci• • l. pou0h ?i!7• Inwl. FM"MC~ ~ FkW HW G 1% Fk.i wft _ g F" c.rt. oce. Mek FfW Dmek Fnnp. DMalbe LoeMlae WON Pr. Ditp. Reaipt MECHANICAL PERMIT Pertni! No. CITY GF EACAN FN fill in numbend wam i/C TYpe w Print /pib/y Tot / 1. Oate ~u~ 2. Inxtallatjon Cost • 3. Job Addrets Lot ' Blk. Traet 4. Owner "1 r.. 5. Conuactor ro. Phone 8. Addrecs ~ . / ~ 7. Gty, sate zip - i i 8. Building Type: Residential Q Commercial O Institutional ? J 9. Work Desaiption: New l]' Add ? Alter O Repair ? 10. DesCribe [ i 4 Fwl TYW ~ 11. No• EqujAment 8TU - M. Ea. No. Equipment CFM • Forced Air Air Handling: ~ AAfy. Boilers Mach. Exhaust Mfg. . ~ Unit Heater 1 Mfg, Otfier Air Cond. . Mfg, Gas, Piping Outlets ' 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Sig^°d ' for RoupA ' f inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Rocsipt PLUMBING PERMIT Permit No, CITY OF EAGAN FM ' Fil1 in numbered spaces S/C Type or Prirrt k1pi6JY Tot 1. Date 1' 2. Installstion Cost -77 3. Job Address Lot Blk. I/ Tract ~ 4. Owner ~ ~ ' • ~ 5. Contractor Phone 6. Address ; }X ~ , ! • 4 ` ' 7. City State 2ip ~ B. Building Type: Residential G~ Commercia4 0 Insti4utional ? 9. Work Description: New EJ Add D Alter 0 Repair 0 ' 10. Desc?ibe ~ ~ 11. No. Fixtures No. Fixtures , - - Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower WeN Kitchen Sink Urinal/Bidet Other ~ l..aundry Tray Floor Drains Drinking Ftn. Slop Sink ' Gas Piping Outlets E 12. I hereby oertify that the above information is true and correct, and I agree to comply with atl ordinances and codes governing this type of work. Signed : for ROUgh Final Inspections: Date Insp. Date Insp. ~ This is your permit when numbered and approved. Approvad CITY OF EAGAN 4644100 - - - - - - CITY OF EAGAN Remarks Addition M311arti pa*'k Tfiird Addi ion Lot 2 Blk 1 Parcel # Owner street 4327 iKnodgate Lan.P Nnrth state Eagan, M 55122 Annual Years Payment Receipt Date Improvement Oate tAmoun.t STREET SURF. J STREET RESTOR. GRADING SAN SEW TRUNK ~ * SEWER LATERAL ~ WATERMAIN * NATEF LATERAL 9$1 WATEF AREA a STORM SEW TRK 1981 467.74 93.55 5 oL. STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. n n BUILDING PER, SAC PARK - - I CASH RECEIPT • CITY OF EAGAN • ~ P. O. BOX 21-199 EAGAN,M ESOTA 55121 •~e~~ ~ DATE 19 ~ aece~veo Rwae iJ ti_ AMOUNT $ DOLLARS ~oo C)CASN CHECK / r~no cooE nmou t CZ'J 7 .~a &-v ~ Thank You ~ -B 1/- N° 58234 ' / White-Payers Copy Vellow-POZtinp Copy Pink-File CoDY i nis re.uuest wid ~ ~ ~ ~ 18 nwnths Irom 1 Q) ~ 7 LQ A- o. e 0~ iReq4et firn No. Fouph-ii rtetl Insuewon _ Pen ~ ~RCatly Now ~II Nnuty Inspec- 11v.s ?No g~ Wh~an Reaav wcenseA Electncnl Conv:wtm I harehy reqans, insoection oi abovo .Q Owner elecblcal work instnllotl ot. Set Address, Bo. pr qou/te. j Citv ~-7 j v G G~ , l L_V~ ecu n o. Township N;inie ur No Rnnye No. Cnunry / Occ . ni (Pql ) Phone ~ ~ / P v upp e /+it Atldre Electncol o tra< ar (COn e) C~ u:ir,inr's Lic~~ . Nn.' - ~ o3y 3 Maili AtlJres IContra or or Own nkiny Inslnilauo'~c l Z ~-C/ Au[ SiBna re ICOntracm ~O r M : tal latinnl ( Pho re Nvmter ~'-.ja MINNESOTA TATE BOAND OF ELECTflICITY THIS INSPECTION HEQUEST WILL NOT Grie9s-Midwey Bldg. - flaom N•191 BE ACCEPTED BY THE STqTE BOAFD 1821 Univarsity Avo., St. Paul, MN 55104 UNLESS PROPER INSPECTION fEE IS Phone 16191797-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-uuuu,.on TIr See instructions for com0leling this torm on Eeck ol vallow copy. ""X" Below Woik Covered by This Request AAt1 N80. Typo ol 9uildiny ApplianCB3 WirBtl Equqlmen[ Wved Home Range Temporary Service Duplex Water Heatar Lic~htiny Fixtuies Apt. Bulldmg Dryer Eleanc Heatin Commercial Bldy. Fumace Silo Unlo.idei Industrial BIA,y. Air Conditioner Bulk Nilk Tank fann thei peci v -iher lSuer.ifv) t n Sucr,ily Ner Oih~, onrpute lnspeciron fee Below p Fee ServiceEnhenceS¢e b Fee Fexders/SUbinxders N Fnu Circuins 0 to 200 Amps 0 to 30 Am 5 0 to 30 <1m ) Above 200 qmps 31 tu 100 qmps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transiormer5 Irriyation Booms Partial.'Other Fee igns Special Inspec[iun $ OTAL FEE- l1 Re irks i ' G~ Roueh-in D;ue I, the Eloctficn~ Inspec , M1o~eby Final c V~~~at Ihe abova / inspec~mn M1as hnen TN9repueslvoi018monthsirom ' n s rcauest vole 18 nnnths fmm .C,-2 ~ F.~/j ~/1 ~"'/2 3"-`'~ s~5~. c G~ flnquest Date Fve No. uph... Insper,Iinn Reywrn~ 111iuotly Now 411 Nulity.lnspec- Ves ~No Wr When RuatlY ~LicenseA Electricnl Conlraclor / I ~~ewby requesl insoection ol ebove ? Ow /,,.3 electncal work instnued nc Sveut AdJress. Boa or Route No. Qly N I,O ecuon o. Township Name or Range No. Cnwny Occv ml (PqINT) Phone No. f- .S~ - l 3S Po ~ F_ q I Adtlro v rc w Eler.~C~qlrvc~ar ICn~~~u~/ artie) ~ ~~~r:~rtor'z Liccnse No. -7 Mailiriq AdJress (Conv. or or Owner MnkmB Installuuonl l l ~ ~ C~ ~ `"V„ Authorixed Snatur 1 mtraumr O nki i8 ~istallNtioN Phone Nuniber i g`LO -c31aS MINNESOTA STq OAHO OF ELECTNIUTY TMIS INSPECTION PEQUEST WILI NOT Griggs-Mitlway Bldg. - Foom N-191 BE ACGEPTEO BY THE STATE BOAND UNLESS PHOPEN INSPECTION FEE IS 1821 UnivorsitV A~e., SL Pnul, MN 5510G Phone 16121 297-2111 ENCLOSED. REQUEST POR ELECTRICAL INSPECTION y, ' See inshuctiens (or com0leting this form on bock of vollow copV. - ~ X" Be/ow Work Covered by 7his Request ev, Adtl Rep. Type ol 9wltline AoPliancee Wiretl Equipment Wired Home Ranqe Tzmpoiary Service Duplex Warer Heater ~ Lic7htiny Fixtwes Apt. Building Dryer Electnc Healinc Commercial BIAy. Fuinace Silo Unloadr:r InduStnal 91dg. Air ConAitioner Bulk MiIk Ttink Fflrm Otne, Oecr y 01he1 Itinucitvl ~ 9~ Veu y OIhOr Olhw ompute lnspectran Fee Below M Fee ServiceEntranca5¢e k Fne Fexdars/5ublaeJers b Fnn Ctrcuns l 0 to 200 qm s 0 to 30 Am ps 0 m 30 An+. >s Above 200 Arnps 31 to 100 Amps / - 31 to 100 qm s Swimming Pool Above 100-Ainps Abovc 100_Amps Tr2nstoimers Irriyation 8oom5 Paitial.biher Fee Signs Specialinspectwn 5 R . , ~ TOTAL F ~y ~ e ~rks of flough-in ( 1, tnn Elac ' a InsOector, houahy y6 ce,Uly thnt the nbovo Final insuection has been ~ • mado. ThISfeQU091V0101BmOnlhsirOm C~.rr CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N0- 11385 BUILOING PERMIT PHONE: 454-8100 Receipt n l 8 Tobeuaed!or SF DWG/GAR Est value $71,000 Date DECEMBER 11 ~y85 Site Address 4397 NO WOODGATE LN Erect ~ Occupancy R3 Lot 2 Block 1 SeciSub. MALLARD PK 3RD Remodel ? Zoning R-L Parcel No. Repair ? Type of Const. V Addition ? No. Stories BLILIE CONSTRUCTION Move ? Length 95 s Name SUPERIOR CT Demolish O Depth dq 644 o Address _ Int. Impr. ? Sq. Ft. City EAGPIone Install ? a SAME Approvals Fees o Name nddress Assessment Permit 346.00 Ciry Phone Water&Sew. Surcharge 35.50 ~ Police Plan Review 173.00 Fw Name Fire SAC 525.00 UF nddress Eng. WaterConn. 500.00 iw Ciry Phone Planner WaterMeter 63.00 Council RoadUnit 280.00 IherebyacknowledgelhatlhavereadthisapplicatiQnandstatethatthe Bld .Off. 12/9/85 Tr.PI. 132.00 mformation is correct and agree ro comply with all bQplicable State of 9 Minnesota StaWtes and Ci f Eagan Ordinances. APC Parks , Var. Date Copies SignatureofPermittee X Total 50 ' BLILIE C NSTRUCTION A Building Permrt is issued to. on the ezpress condrtion that all work shall be done m acco nce wilh all I' ~ le State of in eso Slatutes and Ciry of Eagan Ordinances. Building Ofiicial 655 a3 7 2004 RESIDENTIAL BUILDLNG PERNIIT APPLICATION City Of Eagan ~r 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construaion Reaui2ments RemodeVReoair Reauirements OKce Use Onl'v 3 regatered sRe surveys sha+ring sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan CeR ot Survey ReW _ Y_ N (20°k maximum lol coverage albwed) 1 set of Energy Cakuladons for heated adtlitions Tree Pres Plan Recd _Y _N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey foradditions 8 decks Tree Pres Requiretl_Y _ N isetofEnergyCalculatlons Addifion-indmafe8on-sAesepticsystem On-sAeSepLCSystem. _,_Y _N 3 copies of Tree Preservation Plan if lot platted aker 711/93 Rim Joist Defail Options selecUOn sheet (bldgs wifh 3 or less units Date IOt f C/on~struction Cost SiteAddress ~'3~ ~~va d o/YTC L~ UniUSte # Descrip[ion of Work ZC- S i t b~!U o ~ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner ~ 13"7 Telephone#(6.$!) ~S50-U Coutractor BELAROOFING & RFMODELING, INC• Address ~ r nTiTS PARK, MN 5~i416 City State ID #0001060 ZiP Telephone #(,O'(z ) Z9u • 777/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minneso[a Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code CategOry . Residential Venhlation Category 1 Worksheet • New Energy Code Worksheel (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed '~n in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. D'~ LS U Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Y Sewer/WaterContractor 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 approved plan in the case of work which requires a review and approva] of plans. . LI Zi /V(G1k.vN~f Applicant's Printed Name Applicant's gi gnature OFFICE USE ONLY Sub Types ? 01 Foundation 0 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-piex Pibg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Inl Improvement ? 38 Demolish Interior ? 44 Sidin9 ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration O 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire 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 Bldgs Length Fire Sprinklered • Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile O[her Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests 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 S8W Permit 8 Surcharge Treatment Plant License Search Copies Other Total 1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED FIITH THE CITY OF EAGAN COt4tERCI9L SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS' $2,000 LANDSCAPE BOND To Be Used For: Sty'1Q.,Valuation: 1'J(DO Date: ro Site Address q 3 Gt-) , L OFFICE USE ONLY Lot -2.1- Block ' Erect ~ Occupancy •~j .Lc- ( Remodel ~ ZyPing Parcel/Sub r~scx Repair T e of Const Addition fi of Stories Owner Move ~ Length 95 ~ Demolish Depth y Address _tp~ `'7Z~, t~ Int.Impr. ' Sq Ft Znstall City/Zip Code <:!~P Phone ~ !~i H - ) vAPPROVALS FEES Contractor Assessments Permit Water/Sewer ~ Surcharge 3$,° Address Police Plan Review Fire SAC 525. City/Zip Code Engr Water Conn 5oO. Planner Water Meter ('3 Phone Council Road Unit 22)0. Bldg Off i• Treatment Pl Arch,/Engr. APC -7'~t~ Parks Variance Copies Address TOTAL City/Zip Code Phone I/ l 30g~ ~ n t r 1c~xz2 ~ 352x 44- - 15488 . 44 9- 3 SL~ 22K1( Zq2 x sE) = I 4036 ~ - S 2 ~o to ~ 22 ( 2 od~~ -7 oT ,Z 31 o~.tr, l t'eVAtIeNS MAtc ArJ PArk 3" A41. PLOT PLAN Scala - 1 inch -20 feet . _ - _ ~ - ~ S - - - - - _ = _ - _ =1 ' - - - - - ~ /OZ - - - - - - - - - - _ - ~ S u~_---_--_----- =---=~_l~ _ - : ) /~2 - - - - - - - _ - _ - r. )9~ - - ~ - - - r.~- •,a~-- . .J ~ --F- N~_ 7T- ~ ~ _ T - 4- - J~ 1 Wi - - _ , ~ . I _ . _ - =-4-~ Mus[ show location ot streets, lot and proposed buildings, give lot dimensions. (Lot corners and huilding site are to be staked before appraisal is reques[ed.) - r - ' f - EXTERIOR ENYEL"OPE AVERAGE 'U' COMPUTATION OWNER SITE AOORESS LONTRACTORf>-11L& lOrt7/?v~~/~p,qTE PHONE 4SV 4S8 Determine working square footage of each. l. Total exposed wall area .,..,,^~£3, ~d ta. ft. x ,17 o Z o. 2. Total ruof/ceiling arca fDBS-o0 _ sq. ft. z ~,OS' • ~,~z Total ezposed rratl area 0bove fl0or • fZ Co.oo a. Total Nail window area,,,,,,,,,,,,,,,,,,,,,,, „~km~ e. Total door area .g/' c. Total sliding ylass door 1~rea o d. Total fireplace wall area,..,,,. - e. Total wall frar;iiny area (average 10E).,,,,,,,.,,,, .js f. Total net walt area above floor g. Total rim joist area ll? od Total c>:posed foundation area • 9j.ia , h, Totai foundation window area..................... . 2, 7 r i. Toal net foundation area above gra.;e Detcrmine "U" value of each uull segment. ~ a. BL• 00 _ X"U" ~ S~ • 47• 30 e.~.5i _ z °u° _4 c.__ q o. 02, x»UK _ a.- x ^u• e._ f3 5.3 b z ^u• (Z . /G-t4 f, g48 71 X "U° ~07 9•_ I12_0 O x Pu• -OG . n._ P7 x"u. g3.9; z mLl• 47 . 4 0 - 3........ (3,5,3:.~v .................Totel • o/ Z If item 13 is the samz as, or less than.ttem 01, you have wt the tntent of S6C 6006(c)2. . J - 'otal exposed roof/ceiling area ¦ T p f3 f OO Total skyliqht area........ k. Tota~ roof/ceiling framinq area (average lOq)... ~ 1, Tota) net insulate6 roof/ceillnq area........... / D gr7d^ Determine "U" value for each roof/ceiltng seqment. x HU„ . . k. X "U" 1. l D~ f.Oo _ X'Pull p f' . I- ' 4 l,O.S.S.oo....,,,,,,Total If totai of la ts the same as, or less than 02, you have met the lntent of SBC 6006(c)1. % Alternate Buildinq Envelope Deslgn To utilize the totai envelope system method, the values establlshed by the sum of items A3 and 94 shall not be greater than the sum of items /1 and 12. ,.z- 3 iz-1 4 • z._sqr.zr • 28439 s. 7- o4e .2a + a. 674•7- f ° 2s3- )°Y . 5804 Melody lens 8963063 Bumrvllb, Minnesot4 ~i WEPJA CO. PLAN SERVICE ED ANDERSON AACMITLCTVRAL 0661GN1N0 hN0 ?IANNING 0111C\: u~ tl o nt- ac'ti Relew oreKr ' Bumwille, Minnesota ei KeLiL 8964636 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII,OT I{NOB RD - 55122 ~ (651) 681-4675 New Construction Requirements RemodeYReoav Reauirements ? 3 registered site surveys ? 2 wpies of plan ? 2 copies of plans (include beam 8 window sizes; poured fnd design; etc.) ? 1 site surveys (exterior additions 8 decks) ? 1 energy wiculations ? 1 energy wlculations for heated additions ? 3 copies W tree preservation plan if lot platted after 711/93 required' _ Yes _ No DATE: q f1O I q9 CONSTRUCTION COST: DESCRIPTION OF WORK: P2-In STREETADDRESS: q3 11 U)p, d f,, n,2 VV LOT: ~ SLOCK: I SUBD./P.I.D. 1 c, Name:~~J~ Phone L4 5iA ` lP5L1C) PROPERTY Lut First OWNER Street Address:_ q3p I-i La-n e-- Ciry 9jan Ayi State: m~ Zip: ~5 GQ Company: Phone `l b-1-0i (aC> CONTRACTOR l~1 C~L Street Address: Id.D3 L.Ct~-]'~ 0_t ~9- LLC.~L~ I,icense # aDl 3g7 03 Exp. S' 3) O~ City ~i(' n-V L` ~ State: _M 11 Zip: ~J 53 -31 ARCHITECT/ ENGINEER Company: Phone Name: Registration k: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hefeby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ' Signature of Applicant: OFFICE USE ONLY Certifcates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUtLDING PERMIT TYPE ? 01 Foundation ? 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 ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMA710N Const. (Actual) Basement sq. ft. Census Code (Allowable) Main levei sq. ft. SAC Code UBC Occupancy sq. ft. Census Units Zoning sq. ft. Census Bldg # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge "3-C) c~ Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies ` Total: ~ ~ ~S . a S • % SAC • SAC Units • ' I ~ 11' ~ I • IJI' ' I~r P pl' ']1•1 i ~ n4_1 CITY OF EAGAN APPLICATION FOR PEE2MiT SEWER ArID/OR WATEft COnZ1ECPION ( 1) PROPII2TY ADDRFSS: t Pl/e/ase1 'P/rint) l-3 y7 /Ne7v7l7 t~/Dd~ ~TP GcBG>,P 7,FY;AT• DFSCRIPTION: L- Z A/~ (Lot BlockjSubdivision or Tax Parcel I.D. Number) IF EXISTING STRCCT[JRE, DATE OF ORIGINAL Bi'ILDING PERMIT ISSLANCE: (Nbnth Year) PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAtiIILY R-2 DC'PLEX (T.ao L'nits) R-3 `IOWNHOCSE (Three + Cnits) ( Units) TR-4 APARTM.ENP/CONIDChhMiNIi:M ( [:nits) COMMEE2C IAL/RETAI L/OFFICE IAID[:STRIAL I NSTI'Iti TI ONAL/C-0VERIZYBNT 2) ~ C NAb7E : ilftll ~ ADDRESS : ~ 5~~~ ~ a// o v ~vor CITY, STATE. ZIP: =U p,~ //~pr~ PHONE : e/5 l-% S X~ 3) • r~' N11ME: px? Fty Cse Licensc rDo~ss: .3,r,/ /fv~ ci~, STATE, zrP: lf~f PHONE: MASTII2 LICE~ISE n,3 2 3 6 c 4) •s • i~• NP,ME: ADDRESS : CITY, STATE, ZIP: PHONE: 5) i~ ~ • • s• CONNECTZON TO CITY SEWII2 QC~EONNBCTION 10 CITY WATEF2 p OTHER (Please Describe) 6) • i ? PLEILSE HOLD APPROVID PFS2MIT FOR PICK-CP BY ONE OF AEOVE C-~ PLFTaSE MAIL APPROVID PERMIT 1U 1, 2, 6-), 4, AEOVE (Circle one) 7) T . F 0 R C I T Y U S E O N L Y ~ P==-%tIT ISSUED F • Fr..r. ..S: $ SL::LR PE3?tri (I`ICL:;D° Sli~C-~.3Gc) $ 5-U WATER PE:2MT_T (I1ICLUDL JUaCHaiZCiL) $ y3°u WAT°R yETER/COPPERHORN/OUTSIDE RE:,DER $ WATD_R TAP (ZNCLUDE COBPORATZOPI STOP) $ SE'.;'c4 T.y? $ /S~~u =C~~•i::.`_^ ~-:~.c1_ _ a_: $ ACi_OliNT DF.PCISIT - [•ii-.T°_R $ SJi,C $ ~.15.(, C, $P.C $ TRCiNiC S•7pTi'R ASSESS:!E.'iT $ TRii:i?: S ::'itR '~SSESS'vi°_:•iT $ L.,:ERAL BE:iEFZT/TRU`!K SE:i=-R $ LATc.RAL BENEFIT/TRU:diC ;•IA^rR .J u $ /•3°~' ?dATER TREATP(ENT PLA,vT SURCHARGE $ OTHER: $ TOT:,L $ r1,MOL':•:T PAID; REC°I?T am DOES UTILZTY CONNECTION REQUIP.E EXC?,V?,TION IN PUBLIC RIGi-IT OF WAY? ~ YES IF YES, THEiI A "PERMjT FOR WOR'ri WITHIN PUBLIC ROADSdAY" MUST BE ISSUED BY TY.E ~ NO ENGINEERING DZVISZON. LZST AS A CONDZ- TION. SCBJECT TO TfiE FOI•LOI•7ING CONDITIOD?S: / APPROVED BY: TI':Lc: DAT°_: CITY USE ONLY PERMIT RECEIPT DATE: 2002 RUIDERTIAL MECElk1VICAL PEibIIT APPLIClk110R crn' or $weAN sasa eu.or Kxoa gn KwsnP wvssif2 851-691-4675 Please complete for: ? single family dwellings D ~5 l~l f~ I I l'J f5 ~ townhomes and cortdos when permits are required for each unit MpR 19 2002 ~ Date: / 6' d~p By SITE ADDRESS: OWNER NAME: ~{f'( cS ~UKf~ ~ TELEPHONE ~ SI' 11.1r47' Cs 50 7r! INSTALLER NAME: 6hy AJ. l~ec~C~i TELEPHONE STREET ADDRESS: 91-31 641644,0 CITY: ~ ett, STATE: ZIP: Place a check mark next to the permit work type _ Add-on, modification or alteration to existina dwelling unit $ 30.00 ? furnace replacement • air exchanger • air conditioner • other Nature of work: CA ) OA= Mj/l. A0~cc~ G,rr~~ ~ State Surchar e $ .50 rotal r ~ SIGNATURE OF PE EE uoz CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR 2002 COMMERCLAL MECE4NICAI. PERM1T APPLICATIOR CTfY OF E48AN 3850 PILOT KNOB iiD gAS", MN 55122 651-6$7-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: STATE: ZIP: TELEPHONE WORK TYPE: New construction Install U.G. Tank _ Interioc lmprovement _ Remove U.G. Tank _ Processed Piping Specify Nature of Work: When instafling/reinoving underground tai:k, ca!! 651-681-4675 for ii:spection by Fire Marslial and Plumbing inspector. Fees: I°/a of cunhact price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x I%_$ (Base Fee) State surcharge calcula[e at $,50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 C!ty of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: % X25--1 Permit Fee: Date Received: c Staff:!�'7 2010 RESIDENTIAL �iBUILDING PERMIT APPLICATION Date://— k!-/ o Site Address: % ✓ ` / 11/ gt1dPi Tenant: Suite #: RESIDENT/OWNER Name: -, ec`°e ms S—C, "1 Phone:/ �,�V 65-Y° Address / City / Zip: G7 > �c oc- QQc4 e Get /U Applicant is: Owner Contractor TYPE OF WORK r Description of work: re '0/ace, %(.J. 'i CVd" S cAl. Construction Cost: / �f go. C...) Multi -Family Building: (Yes / No ) CONTRACTOR //' c Name: TS 0 eV •0.1 -Ince. frc� License #: 20s8j 36 ?[� Address: /Ua ¥C) oo/O S -r— City: et U' 7‘....... State: MO Zip: 5—CO y! Phone: g5,2.. 116 9/ 3 9e 9v i52 q 5 7 53 S! Contact: '-)c-t ri/�/'�✓14-e- Email: COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents thatyou submit areconsidered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City£#o 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.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. x� YY� iC�r►`Cr� Applicant's Printed Name Applicant's Siure Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA112846 Date Issued:08/26/2013 Permit Category:ePermit Site Address: 4397 Woodgate Lane N Lot:2 Block: 1 Addition: Mallard Park 3rd PID:10-47252-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Elizabeth Hess Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James Jordan 4397 Woodgate Lane N Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119477 Date Issued:12/02/2013 Permit Category:ePermit Site Address: 4397 Woodgate Lane N Lot:2 Block: 1 Addition: Mallard Park 3rd PID:10-47252-01-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James Jordan 4397 Woodgate Lane N Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature