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1569 Antler PtRESIDENT / OWNER Name: Phone: Address /City /Zip: / $� �{ ,� 7 e- 1 / `4 ,074,,,,, J 5-S/Z2 1 56 Applicant is: Owner Contractor )rr ; (Ai C6 C 1) - 9 TYPE OF WORK Description of work: I g e Construction Cost: ,i 2, b o 6 Multi- Family Building: (Yes / No ) CONTRACTOR p / Company:4116) �la . t dY�: F tp,t,� Contact: 30E Ro is,n 0' } Address: /7549_ Ce,L,t..4f27 0te, C City: 2 5 State: / Zip: . 55 - 6 - 7 f Phone: 7 to " t12U j /0 License #: Qo/ rj ” t z_ Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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. City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Date: Site Address: Unit #: CALL BEFORE YOU DIG. Call 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.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, -.• 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 vE Rr�j Applicant's Printed Name 2011 RESIDENTIAL BUILDING PERMIT APPLICATION proval of p x Applic tore Date Received: 74,— C/ Use BLUE or BLACK Ink Page 1 of 3 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use I City of Ea , Permit I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: , I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C Z~3/Z01Z Site Address: Unit Name: 1L(.JCGD TC)cJAj /Ats Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: _ ,J~ ~n Etta-c f✓T- Construction Cost: Multi-Family Building: (Yes / No ) q-, i /~,i m~ ~ f Sts: J€~-.~t✓T Company: Il1u `~/t ~v Contact:.. ./k," ZJA Address City: G1/fa-7~ .BE-~2 Contractor State: f~ Zip: Phone: C / 1 0 7 License C ~6 9 C) Lead Certificate S ~ 1SLrGac-~ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ~~LT- 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.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 autho ized by a building permit issued in accordance with the Minnesota State Buildin de must be completed within 180 days of/per s ance,~ L~ x x Applican ' ` 'nted Name Applicant' ignature Page 1 of 3 Use BLUE or BLACK Ink r----------------� I For Office Use � ' � Permit#: ✓�� I Clty of �� I Permit Fee: � . �� 3830 Pilot Knob Road � Eagan MN 55122 � Date Received:� •�f � Phone: (651)675-5675 I ��°i1 I Fax: (651)675-5694 i Staff: i 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ��`�`/ �h/ �'�� Unit#: ' Name: �1AZt� Phone: Residentl Owner Address i c�ty�z�p: �S 6� �ntl�� Applicant is: Owner Contractor Typ@ Of WOYk , Description ofwork: �C S�U�� i nGCvwS Construction Cost: � ��/�iC� � Multi-Family Building: (Yes,�/No� Company: /�/�u�',2�,1 ��,�e Contact: �� f��P� —a Address: m��7� 3�� City: ti✓h�� >�� Contractor " State: �11�Zip: Sy�.�. Phone: ,, v� "�JU'�y��EmaiL 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 submif are considered''to be public information. Portions of the informafion maybe classified as non-public if you provide specific reasons thaf would permit the City to conclutle that fhey 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.qoaherstateonecall.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 State Building Code must be completed within 180 days of permit issuance. X /�;��1 �� X � _ ApplicanYs Printed Na Applican Signature Page 1 of 3 . � Use BLUE or BLACK Ink r---------------- I �� • ` I For Office Use � � /.�� .� ' ' C�6Ol L� �11 j Permit#: I (�'��j Y � � �� ' �� - s c� ;��' ��'� ` , � Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 �� u 3;} � I Date Received: �'�� Phone: (651)675-5675 I �(',� I Fax: (651)675-5694 I Staff: I � -----------------� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: !_ ��S Site Address: �� / �� "`, �� R Unit#: t'� �� "�� Name: ��'�/��J ��l ZG� Phone: ��:, ��,asf+d@tlt/ g�" Address/Cit /Zi �1i�►tl@I' Y p� �� ,. { � «�� Applicant is: Owner Contractor � � �,.k c'at't'°' t'�'�=�,.�>.n:.,�,,, �;1.+�'= ��/'1'c�'•,,� +�:�`�= �"'�S � :B�WOr k� Description of work: /� ,, � �_ �� :, ,�� Construction Cost: � � ��'�'�'� ,✓�� Multi-Family Building:(Yes /No ) ',:`;�„�* �p. �3 ��,�� Company:��'-��J�/'�"3'�t �Q/J.,.�'�`� ..��/P�c" Contacfi �� 1 �t"S'3"�t�,� � ��i'��' Address: 1��I ,�. .Sf�'t �� S�", City: l.�t��/'' /�/c//f�' �. /�/� e� ,/��. �� "� l��Zip: �� `/r✓ Phone:�'�� ;.x�'I�«� �Email: .J�°t f��/,p� �/ s f!C �4� �� i�� State: � , �� v� � �icense#: /SC G97 a3/ Lead Certificate#: If the project is exempt from lead certification, please explain why: Q�t i�� /7 �9�� '� 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: Fire Suppression Contractor: Phone: NO�f�P�an� ' � °' � �um�ni's t�ia t�br��t ar � ' er'�ed 'r ��u�ilic�r��'s� �� .. �� . �.�� .F � � �� t�r��'t��cn,� � ��t��b�1��,�f yot�pravitl��,� �c re� ��s.th�#�v` u��r.mf# * �� -n��s;� �;x�� v.�:.� �.. �� :, � �mt��`tl��` are.�`r��w. r�ts:� � � � � 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.aopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x*�e�'�' �/��S'�a� __ X ApplicanYs Printed Name Appl' Y ignature Page 1 of 3 /��'LT /��,�'�L� �t- , DO NOT WRITE BELOW THIS LINE 1 �.5��/S' � . SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) _ Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi �Deck Porch(Screen/Gazebo/Pergola) Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement Siding Demolish Building* _ Addition _ Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation � Replace _ Repair _ Egress Window _ Water Damage _ RetBining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation � Occupancy . ��,.'`,r°��_ MCES System Plan Review Code Edition � ,�i � SAC Units (25%_ 100%�) Zoning �"��.� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction � Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: � Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool: _Footings Air/Gas Tests _Final Framing Drain Tile ' Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wal�: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control t'""'"� Other: Reviewed By: ��" , Building Inspector RESIDENTIAL FEES ��'` �. Base Fee �; Surcharge �� 'b`` � Plan Review ' '��.� � MCES SAC �� ,� r �, �`�: ,a t City SAC �� N,.� �� ,� ., � � � Utility Connection Charge � �� r� �y�f��• � '� �� S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 o • �� - � � CERTIFICATE �F SURVEY f or �� _ s. /��i ti I � GOOD V / �� A� � �� -� ALUE H�MES PROPOSED BUILDING ELEVATIONS Top of foundation �-`;�__ Front of house �' �O Garage floor �__,O ___ Rear of house ��___ . Lowest floor ��7�I____ Waikout ._/u�L�______ � �--- arrow denotes drainage direction per development plan. 890E denotes existing spot elevation . 890P denotes proposed spot elevation BENCHMARK USED: -�-pp {{.O, r.c� /�ioN�mEn��7- Sp,SIpE �E�w00 fJ �R.@ EpST QC+AT L l]u6 `'o o:�� C'!'�1.+T�.rJ ,�C..= �'o�.� /S/ �� IGY�- �,��` ��'° �'� � �� 8 -S <�. . .`��` ;��1�• �, � �'� �� oa.c�a �`�a �� '� �1�tl �'�� ' � � �� , �; '�O � .'1 s� �s� o/s to �,, L - 0 � r/� G6 O� 15 � Buiiding Envslopa C1� �oo �� J � J � 1J \ � p��k ��'J�� - '� � � 99• � r,,o � '�' ,�h, � '.� ��o� '�� c.�'� �� , �s�� s ��`S� Detail (typical) / �� ; Not to Scale � �� $o� � os�-°�, '�� •s� p ,y Q�o��,o� /\�� . , ��' 9 '�� 0.�X� � ,� ::, :.,� : � a0 pC��c.�(�, �-� Q �� ,� 8 '� �,S•:, z;. : �'� Q��O 6'6, �0� � �..�„ � �� v' �v` G/ ,, � 1 . � � � o�s �o �\ � 1 .�`�''� $� �� C�'• -:-�:'.=;.-. Build'ng Envslop �' � � �� c ��9 \ �i9 1 ' /5 to 2� /�r / � � g Enveio . � IS o5�'° �� ?\ oQ GF, t� �� eGP�A P 903 lS. � ��j c,F,� k� A' $ �oe��, '�°� � ��p`x Q � �i �,��a•\ �o GP P �y5°° � `�p��''' ' I S AN c+�� (,vp-r��, r�`''� �°�, s p � �' � 9�3-3q SE�VtGE� S�IOw� h s� � 10��1rL 'T11 c.)5: �a��1 .�4j� o' �6°0 •�+-� � �: / �,r Ii F � i ., :� ' ,�..,.-. !d o aa' S ,.�. �.�: �; 15' 0/S to\ `,� � `, B � Building Envdo�6 �� V � , � � 0�� P�� T EIJGI�TEERING D� �, Q a� �� '� � �° �` NOTE: ALL DIMENSIONS ARE FOUNDATION DISTANCES LEGAL DESCRIPTION ( ) = RECORD INFORMATION Lots 9 and 10, Block 1, DEERWOOD O DENOTES 1/2" IRON PIPE & CAP SET TOWNHOMES, according to the plat of �.s. # 23945 record thereof Dakota County, Minnesota. � DENOTES IRON PIPE SET I hereby certify that this survey was FOR BUILDING OFFSET � prepared by me or under my direct o DENOTES WOOD LATH SET supervision, and that I am a duly FOR EXCAVAT10N ONLY Licensed Land Surveyor under the DASHED LINE DENOTES DRAINAGE ►aws of e state of Minnesota. AND UTILITY EASEMENT AS PER PLAT. PASSE EN(�INEEAING INC. BBf3I8TEAED PROFE83IONAL•LAND 3URVEY088 Donald E. Sigety, MN i . . z3945 944b EAST RIVEB ROAD, SUITE 208 COON RAPID3, MN 56438 I I D a t e: /l�08� 4�j � Tel. (6lZ) 7b6-6240 Fax. (612� 766-1882 ,. � JOB N0: 93-34 SCALE: 1 INCH =__20__FEET FIELD BQOK: pa PAGE: II �=' _ .�" � SS DRAWN BY: CKP