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1575 Antler Pt Use BLUE or BLACK Ink ' r'- - - - - - - - - - - - - - - - - LOr office U ~ Q Permit G~ City of EaEd , Permit Fee. S 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone: RESIDENT / © OWNER Address/ City/ Zip: f a,J.J 43-12 Z Applicant is: Owner V, Contractor ZFI-X C6 1~ -t* ~S TYPE OF WORK Description of work: gq~- Construction Cost: ~r 6 c5~6" / _,,,,~j Multi-Family Building: (Yes L_ / No ) Company:AOWCA~ C lr~ (f1&J Contact: avE P36fmE75 City: CONTRACTOR Address: /%E/ State: M N) Zip: 15__-7 Phone: -7 Ll> - y 26 10 License 901529 17 . 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 specific reasons that would permit the City to conclude that the 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.goi)herstateonecall.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, 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 af)prova of p x Dp~,O-C_ X\\-"., Applicant's Printed Name Applica 's Si ture Page 1 of 3 CERTIFICATE OF SURVEY for GOOD VALUE HOMES, INC. PROPOSED BUILDING ELEVATIONS©© Top of foundation - 90-7. 'J Front of house Garage floor Rear of house Lowest floor Walkout arrow denotes drainage direction per development plan. 89017 denotes existing spot elevation 8901:1 denotes proposed spot elevation d ov, BENCHMARK USED, TOP NUi OF HYDRANT BETWEEN LOTS 10 AND 11 BLOCK ONE DEERwOOD &/eV. =905 6.58- TO N O 3'~ ro loaa CORNER ENVELOP o a~ lt~ i e po O r0 75.E V 3 CP COR R ENVELOPE $ rp V. Detail (typical) u' Not to Scale 0 71b. 5 ?Ray~Oe Ea Jib 3•~ ~ a'~, 'tP~ a OO ` k y r,1 1 CORN R ENVELOPE a os4° o G 04 . ; ; - c~. ~o Goa q n 11 k / .U 0 r du N 1 71 713. ORiR N/ELOPEO may. « OVRh1S~ 00 bt Ot (2 ao 0,k 0. 4r. N +,n FACZ LEGAL DESCRIPTION NOTE: ALL DIMENSIONS ARE FOUNDATION DISTANCES Lots 5 and 6, Block 1, DEERWOOD 0 DENOTES 1/2" IRON PIPE & CAP SET TOWNHOMES, according to the plat of L.S. # 23945 record thereof Dakota County, Minnesota. DASHED LINE DENOTES DRAINAGE N I hereby certify that this survey was AND UTILITY EASEMENT AS PER PLAT, prepared by me or under my direct supervision, and that I am a duly Licensed Land Surveyor under the laws a t e of Minnesorta.E S RDF I NA LANCE SURVEY011 Donald E. Sigety, M is Na. 23945 -PASSf- -091=09- lug, 9445 EAST' RIVER ROAD, SUITE 203 Date:3 15 COON RAPIDS, MN 55433 j Tel. (612) 755-6240 Fox. (612) 755-1362 N0: 93-34 SCALE; 1 INCH =--2o i'EET :FIELD BOOK:/00 PAGE: DRAWN BY: GSO JOE3 DErRCR11.DW(; LOT SURVEY CHECKLIST FOR RESIDENTIAL )WILDING PERM AP LICAT PROPERTY LEGAL '17- . t DATE OF SURVEY: LATEST REVISION: ~ DOCUMENT STANDARDS a ❑ Registered Land Surveyor signature and company a-- C06 (3 • Building Permit Applicant W/ o • Legal description W---O ❑ • Address e~^ ❑ • North arrow and scale ❑ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 01- '13 o • Directional drainage arrows with slopelgradient % ®/t' o • Proposed/existing sewer and water services & invert elevation m • Street name ❑ • Driveway ELEVATIONS Existina ❑ • Sewer service (or Proposed) W""O ❑ • Property comers O/6 • Top of curb at the driveway 13 GYO Elevations of any existing adjacent homes Proposed IC ,-d ❑ • Garage floor rib ❑ • First floor cEi--❑ ❑ Lowest exposed elevation (waikoutWndov4 8--15 ❑ Property comers C1/o ❑ • Front and rear of home at the foundation PONDING AREA (if anpiicable) ❑ 13 D • Easement line ❑ b-'13 • NWL O ❑ • HWL o tro • Pond # designation O 0--o • Emergency Overflow Elevation / DIMENSIONS O ❑ • Lot•IinesBearings & dimensions 00'~O ❑ • Right-of-way and street width (to back of curb) ' G/❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2% porches, etc. (i.e. all structures requiring permanent footings) ,d'C3 o • Show all easements of record and any City utilities within those easements c'o o • Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ [~O- • Retaining wall requirements, if Reviewed: Na Date J~rxwy 1~ pap~a•eietcowtrrr.Ar O by ti' 05 Y. In r' i I 161 4 CL , `g/ % h f ~O T U ~l r) G~~ • V ~ \ ail h ' 4 - t. r lip ,400 \ r 6s li -001A 4(k tV 66 HORIZONTAL PO( . N T VERTICAL. . i ?OPOS D PROFILE ORIGINAL ROFII_E i 18- OF 8* CIP CL 52 7.5' MIN. COVER- R 'p V 12" - RCP OF 6' DI_ CL _ Rt F' 166' OF S MM 3 304' OF SDR 35 PVC 4 X ~ 4. S*FA. 2+-85 ItJ LY I MH 4 1 ' R. F. 90' 89r). IC) ~ ~ S•TA- 4 1 I FO MN 5 i 11 , PERMIT p CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 027139 (612) 681-4675 Date Issued: 04/19/96 SITE ADDRESS: 1575 ANTLER PT LOT: 6 BLOCK: 1 DEERWOOD TOWNHOMES P.I.N.: 10-20200-060-01 DESCRIPTION: (ZERO-LOT-LINE) Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R-3 Construction Type V-N Zoning R-3 Building Length 28 Building Width 66 Building stories 2 Census Code- 102 1 - FAM. ATTACH .REMARKS: S & W PLBR - VALLEY PLBG FEE SUMMARY: VALUATION $130,000 Base Fee $1,037.25 MISCELLANEOUS $1.923.50 Plan Review $518.63 Total Fee $4,444.38 Surcharge $65.00 SAC $900.00 SAC % 100 SAC Units 1 Subtotal $2,520.88 CONTRACTOR: - Applicant - ST. LIC.OWNER: GOOD VALUE HOMES 17559793 0001583 GOOD VALUE HOMES 9445 E RIVER RD 9445 E RIVER RD COON RAPIDS MN 55433 COON RAPIDS MN 55433 (612) 755-9793 (612)755-9793 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. APPL AN E EE SIGNATURE IS UED B : SI U E • S~1M4' ~ S j S ~ ~ S~ 3 ~6~(74~ rz CITY OF EAGAN uNrS ~ r~tL~ca7r~ 3830 PILOT KNOB RD - 55122 J,4 4H,i 1%.141- k0 c, 7~; £ St F 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) IsS 3 }4.z~ Lva k e 4-z S 681-4675 Nevi Construction Reaulrements Remodet/Reoair Reaulrements 4, `T . 4 3 registered site surveys ♦ 2 copies of plan Gt- ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan 9 lot platted after 711/93 required: _ Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: 7c-,fK %z STREET ADDRESS: f S ~S A hl'1 LS K ~d N T LOT BLOCK --C- SUBD./P.I.D. ~ss K PROPERTY Name: %14 L4 Phone 7 5-9 -7 17 OWNER FMT Street Address- 12) yrZ :E°''D City: ~a e, N s State: _111zip:- CONTRACTOR. Company: SAti► Phone Street Address: License City: State: Zip: ARCHITECT/ Company: •c Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumber: V4. Al Penalty applies when address change and lot change are requested once permit is issued. 1 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. Signature of Applicant: 'FC OFFICE USE ONLY MAR ~ 6 1996 Certificates of Survey Received Yes No Tree Preservation Plan Received Yes 7 No OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 1 Foundation a 06 Duplex o 11 Apt./Lodging ❑ 16 Basement Finish -P02 SF Dwelling o 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool o 03 SF Addition o 08 8-plex o 13 Garage/Accessory a 20 Public Facility ❑ 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous o 05 SF Misc. a 10 = plex o 15 Dec WORK TYPE f2-~ Z-C---) T j/-31 New . ~e~t,~ - !r e o 32 Addition a 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) -0'- Basement sq. ft. Z ,0 MCMS System (Allowable) ~L- Main level sq. ft. _0 City Water UBC Occupancy 9-3 sq. ft. ss~ Fire Sprinklered Zoning -4-3 sq. ft. PRV # of Stories 'M3 nr- sq. ft. Booster Pump Length zb,00 sq. ft. Census Code. . f d Z Depth 6,11 Footprint sq. ft. SAC Code of Census Bldg / Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ~3D, o00 Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit / SM Permit aZ £ r9 CFLCS S/W Surcharge ~P ~4L Treatment PI. Road Unit Park Ded. S~rn~ G c, Trails Ded. Other Copies Total: % SAC SAC Units ENEnuY CONSERVATION SUPPLEtr-ENT TO SUILDIN; PERM;T APPLICATION This supplement is provided to assist the applicant in computing M=RIOR ENVELOPE AVERAGE "U" FACTOR INFORMATION. This informa- tion is required so the BUILDING OFFICIAL can determine that submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S responsibility to accurately compute the data; reflect the proper DI:SIGN CRITERIA in the plans; submit product specifications, if Tteeped to support the "R" and "U" factors used; and to assure construction is per approved plans. JOB LOZATION -F74e I t1L'_? /I OWNER(S) 6rao, 14wu _z ~QtAs 5 PHONE _ 7`-5' 9'7`3 3 CONTRACTOR 'S& t--Ag - PHONE A. Determine the Total Exposed I-J'all Area as follows: I. Total wall window area 184.2;,- 2. Total door area 5_7 . r3 3. Total sliding glass door area n I&. 4. Total fireplace wall area 1Z 5. Total wall framing area (average IO%) Ztt.Z.. 6. Total net wall area above floor AQ ~,ta 7. Total rim' joist'_,area : _I 2 .6 SUBTOTAL: Total exposed wall area above floor Zll 2 8. Total foundation window area Total net.foundation area above grade tl A SUBTOTAL: Total exposed foundation area GRAND TOTAL EXPOSED WALL 'AREA B. Multiply the GRAND TOTAL EXPOSED WALL AREA X ,t = Item I Z 3z .3 Z C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area 11. Total roof/ceiling framing area I -24.,6 12. Total net insulated roof/ceiling area I12 3~Z GRAND TOTAL EXPOSED ROOF CEILING AREA 2 d ~3 . D. Multiply the GRAND.70TAL EXPOSED ROOF/CEILING AREA x •i2Q- Item II Determine the "U" value of each segment (1-9) and multiply by the area is follows: 1. I e .5 x "U" .49 90 , ~6 2• i S x "UM 1 L -7, 3. N f A x ►f U►► 4. 2 x Ul, 5. Z x 11U,f 09 1 = 1 .Z x #I use 6. A 06, 683 7. 2t x „U„ . 04, 8. x ►.U►► 9. ~J A _x 911111 ~~A = ADD 1 - 9 FOR TOTAL WALL SEGrE_NTS = I tem III F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. N 1& x ►,U►► N d = 11. Zd. x 11U►► ,0 3 0 = 1.7 12. -1 x .,11►► , o Z Z ADD 10 - 12 FOR TOTAL ROOF/CEILING SEGMENTS = Item IV [ G. If Item No. III is the same as, or less than Item No. 1, you have met the intent of State Building Code 6006(c)2. - -H. If Item No. IV is the same as, or lass than Item No. II, you have met the intent of State Building Core 60006(c)1. I. Add Item No. I _ 3~ •3Z. + Item No. II 3'Z .~-2- _ b -2 I`7-'5' 0. Add Item No. III I S q . ~ + Item No. IV K_ If-the_- sum of Items III and IV are less than Items I and II, you have met the intent . - of _the- code- for total envelope system (State Building Cade 6000 and WS 607-3.5 Overall Structure Performance Alternative). The undersigned, as applicant for a Building Permit, hereby affirms the above information has been prepared and submitted - by himself or under his direction, hereby acknowledges the - information to be correct and accurate; and hereby presents the information with required plans in support of the Building Permit Application. ~r - - Signature c - Date • id ~r ~ own r" How Apvii.d Rinam" Rsfer=u k-~ P.aII 6L Vd Caa6r Reef PZ;d Ip_ MF F1.t ~rrE Ralom L ncth ri 4 7oc h %--S Heirk e>. F M K• r Ream t L mw& Z W-u&th t Eil islft Vmoo++i and Door-Craekan and Arta Vrfndo rz, ad Door-Craclulst: sad Area Lwt il. .►r.a W w/e 1.eiaet I.e. at ~ No" fV Hwy MN/a M.lt+►t Na at f/a er M * er omme lichof at *met ah. M ML at e+aeo at psaw 1.►►u a! ewer w. It. 3 4S 30 -3-2 > Z o a Zo o d~ 13 ~o I ICoef.{ Btu I 1 IGoei.1 B lafiitration 'Zo SD Iafiltratioa • So ~b~ Glatt I Z 4i A CIA" (a. Il $`I, I Exp. wall 2147-4 Exp. wall 1-272 Net c_sp. wall Z1 a. Set CXp. wall Zis. 22L 2, InL waU t I 6L w&B Flerr 214 , I Z { y . Fleer I Z$3I z 156 !o Ccit. ('-1. I Z$3 56:6 _Tw, Btu. Total Btu. 945 Remind K. ft. E.D.R. o: so. 171. Wi A. Luder area { Required m. fL L'..D.R. or it;. in, WA Leader arcs N1rr• Flk Lai ji r y SRocm I Let:Fth 2p TFia 1-3 6--i;: ht g dF FLI Rem= I Lcnrth 13 7.dth I.. ~ HciFiitl r-=:!nws and Deon-.Csac6pt- and /vea grlnaDws snd D~oor~--r..rackt:se aad Aim w~caa f+.trnt ^j, of J-'" ii. A-- xlats NtuDt P%1 DI i.~..at fL. I .tr.a 1ta esw. I at *.%%o I llrntr { of cmcr an. r_ t4 s. I of I*.- I wcn. 1 hrev at rr.ett .n. M I Sp 40 I I I O 16b I I I I z I I -zo I I z I I 3 1 0 l z i I Iq f tS" Ian!: atian I ( ( I~ltratian 14i° . I 1SU I~g I z Gts:: I 1 _ cla>s _ 1 q?__ . ;L wall i t I I Exp. WAR ! ~ 1 he. tom. wall I ~o i .Z I z _ J;e cxp. WO I o=rs 14.21 I z InL wall I ( IaL wall . I I Floor 12.60 { z I S ZD Floor I a s- Lz 13ci C Cep. i ~-51 21 16q ccl I I~t S I Z, 13~c - Tatra btu. .r_.-_-. I11 S S ~ 1 l 3!o t Taw BtSL RcmArmd sq. ft E.DR er• sq. ins.'t.A. Lriocr area I Recuired sr E.D.R. or srr. i Lcadu areL N_ FLIOT L / --1ALL Room I Lend V'ab 1 3 'r,cigbt b t✓IF ~•I ~r t l rix Roam I Lens th ~r'idth Htight .`~rmdaws aad Daar:-Craeiigt and Ana W060ws aad Doom--C Ackase and l As=a wutaa Aetl z•t I na of +wt Lt. ~r~ wuttn H.►cot 1+a of 1 yal st• 1 area !:a I of x~ el eaw ftrnu et ermet ee. n. t+. i at a...{ MUM.". lor►tr es eraet 1 K. n t f 3Z ! So { IS l~.a 136 So I I 3 zo I t t z 3 cam, l I 13 1 I I I t I i i ! I t IC&d•1 B= I ( I~ I I I cat:.) ! 1DII I I g 7 ( I RD I q 3 irfiltratioa I Z-7.3 I I so 1 1 ~j~' - xr- I "1 S Rm I CIA. 12 14-t.q I I CA . i Ili I I :._P. wall lie I I\iel tom. wall Z. I .Z Q Nct rzp. wall I 1~.~.1 - InL wall I I InL wall Saw I ct t 2 I gZ r•°°r 1 i ro ( 2, I I { CC" I`~I Z ! t$Z Taw B-m I Z(o48 „ b Total B u. I~ i1rcd z:i- IL E -DR or fem. ins. WA L:sct s :raa Regrimd sq. fL F-D1R.. or so. ins. WA Luacr arm } Paai6nuipa Ca C26 C~..stssQiea ltis. jstrdatioa W'mA*-s Deen Referrsm Oft WAD 16L Wad cmaw Rmf Flow lard Howe" Apphod -ye"-se 1 17- z _FU L r-r Room Lifttth t l L Wsdth S FWwVt $ F1.1 Room 1 L.e" Wn3e>w Height wtsoet+•s and Doer- xGOckmm and Ana vroam" and r).."--Gackare rsd Ar Mesta Matra/ w.- L.rrd 16 r wtota bt rat tw w/ yr.rt lL wraa sla. of "*as of res. Issas or want wr ut, Z. Mw at rw at Mw ItrUtr of •raaa aa. tt -1 4 r8 Zo I ICocf.l &e ICOCO B jahjuiLticm 143 !Sol G DO ln@trat;oe can 1 70 X4'1 ~q G 5 f:;' Man Emp. wan 1242- Ex;L WAD I I Ne emp. wall IetZ I ~.ZI Sod . tie, t=a..rall InL wan t ( I InL Kan Floor ( I Fioor Cam. 1 7ZSJ Z ! 341 .-2. I Total Btu. 4 Total Btu. Reauircd sq. it. D.R. o: so. ins. IW A. Leader are i Required sa. fL E DR or sq. inu WA Leader arcs F1.I 13Ct Z, Rmorr I Lcntth 15- ► r-tdth .13 ?-irirht FLI Rccrr t L cnrth Qiidth HciFht in3oKz and DDarr---racl;ag. and Arra z!-=, s sad Dvorr---rsackage and Arcs ) w►.a wlaaa H.+rnt na at L.wa! LL ..1 •+lata helSat no of .61 It. LAN ?3s at bawd I al w.w~ I ilrhtr I at viceR I as C Na I at ~M I o! yaw. 2tsat: of wMak z I~ I IZO z I i 1 { I 1 ! ~ I I i i I { I I { I I - I I 1 ICx»I j i 1 f 1 it.ocf.j E Ly?:;atian (Z IS0 1 ooc> j l:rtirn I I I ( _ clzt 'Z 1, I -mac , Glsss I I -:.X,-A.wxU M-z I I .ran I 1 I Net t=t. •.-rall I 1~.2 I ~3 0 )Lee tom. wau I I I InL waD I I _ int. ••aU . I II I Floes ( I ( Floor I I COIL I laS 7-1 -3ao Crr1. i ! ! T atal Bt>= 133~q . Total Btrt- Regiiut sq. f-- E -DR or sq. ins. 'w-A- Lruder area I Requimd sq fL D.R. of sq. id:. Q~. Leder arcs FA ► T41 S-r, Room IL=ngth I s Qrtfith I fQ;~ t b Haigh; Qimfiaws and I}aors--Gacugs mnd Area ~v I e ~M I w.trat I 11=ntr of crack 1.m~ ~l O 4V . I I I I ( I I I I I I I I~•I p.~ 3SQtQ,g .S~ -('o-rAt_ 13TH 5 jr.~ltratton I I I i I 1 Class I I E=P. wd i Zre `31 I I Net oT- wall 2C~t3 ( zl (I Z S (c Net up. w&U f I laL wail I I IaL .unit I I Hoar { I i+oar i crz. I M5" s• 2. 1 ZRO - I I I Total B.-m 11 cj' I S Total Bta. I R,:otstr s:=. fL E.D.R, or sq. ins. WA L =:i= am Rtgzired sr, fL ED.R.. of sq. ins. WA L.c:cer ay" 1 • PERMIT OaO65509 CITY OF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 027140 (612) 681-4675 Date Issued: 04/19/96 SITE ADDRESS: 1577 ANTLER PT LOT: 5 BLOCK: 1 DEERWOOD TOWNHOMES P.I.N.: 10-20200-050-01 DESCRIPTION: (ZERO-LOT-LINE) Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R--3 Construction Type V-N Zoning R-3 Building Length 28 Building Width 66 Bui°lding „stories 2 Census Code 102 1 - FAM. ATTACH REMARKS:W PLBR - VALLEY PLBG FEE SUMMARY: VALUATION $130,000 Base Fee $1,037.25 MISCELLANEOUS $1,923.50 Plan Review $518.63 Total Fee $4,444.38 Surcharge $65.00 SAC $900.00 SAC % 100 SAC Units 1 Subtotal $2,520.88 CONTRACTOR: - Applicant - ST. LIC.O~~R. GOOD VALUE HOMES 17559793 0001583 O ALUE HOMES 9445 E RIVER RD 9445 E RIVER RD COON RAPIDS MN 55433 COON RAPIDS MN 55433 (612) 755-9793 (612)755-9793 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. 1d N APPL ANT/P ITEE SIGNATURE ISSUED B SIG ATUR SaMf QS # ~5 1 !5 ~r tti.. CITY OF EAGAN t' N "T 3830 PILOT KNOB RD - 65122 -Tp" S L`-" -"T 0 4 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) V5 681-4675 ~ ~ ~ New Construction Reouirements ♦ 3 registered site surveys ♦ 2 copies of plan C,0-9PA- 2 copies of plans (include beam & window sizes; poured Md. design; etc.) ♦ 2 site surreys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions 3 copies of tree preservation plan if Wt platted after 7/1/93 required: _Yes No DATE: I- _ CONSTRUCTION COST: DESCRIPTION OF WORK: At VW STREET ADDRESS: 1 L77 LOT_ BLOCK SUBD./P.I.D. #:9~T PZ, GOT lv a-1 - PROPERTY Name: ~o a L Phone 7 c; S " `r 9 3 OWNER LAV FOOT Street Address• 14-24- E2A-s -t K" M2 City: 0-tok TAPl v5 State: Zip- S` - - CONTRACTOR Company: Phone* Street Address: License M City: State: Zip- ARCHITECT/ Company: Phone ENGINEER Name: Registration M Street Address- City: State: Zip: Sewer & water licensed plumber: VALLAY c 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 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 R F r, "R FV E DD Certificates of Survey Received Yes No MAR 0 R 1996 Tree Preservation Plan Received Yes V/No OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish cp~- 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 WORK TYPE ;7'- New ❑ 33 A [ tons ❑ 36 Move 3 1. ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. / Z MCIWS System (Allowable) - Main level sq. ft. l~ Z r Y City Water UBC Occupancy 12-3 sq. ft. ss~ Fire Sprinklered Zoning sq. ft. PRV # of Stories Z ~sT sq. ft. Booster Pump Length z.os sq. ft. Census Code. aL Depth Footprint sq. ft. SAC Code of Census Bldg i Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 3 , oC>Q Surcharge Plan Review License J / MCtWS SAC City SACS Water Conn.' Water Meter If Acct. Deposit SIW Permit SM Surcharge 4) Treatment Pl. Sew r 6X 6 Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ENr"GY CONSERVATION SUPPL-!wNT TO BUILDING P-RMiT APPLICAMN This supplement is provided to assist the applicant in computing =7ERIOR ENN7ELOPE AVERAGE "L"' FACTOR INFORMATION. This informa- tion is required so the BUILDING OFFICIAL can determine that submitted plans comply vrith the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S responsibility to accurately compute the data; reflect the proper DESIGN CFaT-rrIA in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure construction is per approved plans. Jos LOCATION OWNER(S)!'LU~/~~...3M.S PHONE CONTRACTOR PHONE A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area 184.$ 2. Total door area '5_7 , 'a 3. Total sliding glass door area I~ Ill. 4. Total fireplace wall area IZ 5. Total wall framing area (average 10°,') 2-11'.2 6. Total net wall area above floor 1A o c6,(o 7. Total rim jdist_,_area : t 24 SUBTOTAL: Total exposed wall area above floor Zt1 -L- 8. Total foundation window area f\ 9. Total net foundation area above grade l~ SUBTOTAL: Total exposed foundation area t GRAND TOTAL EXPOSED WALL AREA E. Multiply the GRAND TOTAL EXPOSED WALL AREA X Item I Z3Z .3 Z C. I)e -ermine the Total Exposed Roof/Cei 1 i ng Area as f of l taws : 10. Total skylight area 11. Total roof/ceiling framing area I Z 12. Total net insulated roof/ceiling area I!2 3_'2 GRAND TOTAL EXPOSED ROOF CEILING AREA 2 ~1 `32-. D. Multiply the GRAND TOTAL EXPOSED RODE/CEILING ARIA x•C26= Item 11 F. Determine, thee"tf" value of each segment (1-9) and multiply by the area as follows: j2 x mum -.49 ~6 3. f x CAN = f b,_,.. 4. x MIU41 o5- 6. dos. x „u„ 7. -Z x sr Ull 4. x O., N x HUN ADD 1 - 9 FOR TOTAL WALL SEGMENTS = Item III 1Q . F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. N f , x flu„ - N 11. x 11 Ulf CD 12. , 3 . -z. x 11 ll„ ADD 10 - 12 FOR TOTAL ROOF/CEILING SEGMENTS Item IV C. If Item No. III is the same as, or less than Item No. 1, you have met the intent of State Building Code 6006(c)2. W -N. If Item No. IV is the same as, or less than Item No. II, you have met the intent of State Building Cofe 6006(c)1. I. Add Item No. I -23-2 .3-4 + Item No. II Z J. Add Item No. III 1 2 q . ~ + Item No. IV _ M5' K_ If-'the: sum of Items III and IV are less than Items I and II, you have met the intent of-, the- code- f or total enViel ogre system (State Building Code 6000 and 1 5 507-3. S - Overall Structure Performance Alternative). The undersigned., as applicant for a Building Permit, hereby affirms the above information has been prepared and submitted _at by himself or under his direction, hereby acknowledges the - information to be correct and accurate; and hereby presents the information with required plans in support of the Building - Permit Appl i cati ?n. = Signature Bate MOM N116 Grtstidot r id Refervse: OW- wall LIL VIII Ctt9 Roof Floor rij He+r Apvii.d M~ F Q .50 rT E P-bom I l.cnstl i- V 'NM .3 Wu k F FLI k(t Rx-m I Ltd Z ~M f r l kizlit Vbioom and Doan-CracfLw and Ama Wm&,n Lard Doam--.CrackAwe aid /lis~l 7/'Mis hrtswi tia rl vr.+rl it wtw MNLM MNSSt ha ai Lwl i` •~f•r sr ~wr tts~~ el pack tw• 'ri Ma at we of twns H~M• rt east sa. f'L Wt ~t we Off 1 4S ZJ Z 30 1Q. I i IC.Dec.l Nix 1 ICaei.l f3 Ialiltittioa ZC~ 1 $D I:sfilrrfLtion • I5 Class 1Z4 . 4"I . 1 Glatt L-7 1 4R l~ ? I Exp. wall Z47-4 1 gall I 2N 1 N=t exp. wall IZJa. 91"1. Net =:;L W d A, -L . -J- I InL wd t - I G IaL wan -7 Soar G z. I- Finer I L F ca I C..2, I z 3 ~ Total Btu. Tlstal Btu. r-e=irc//d~~su. ft. E D.R or so. ims. VA. Lra!L~d-rrytarea ( p Reau'srcd ic. fL E-Dy ~or tIC;. >nL CtfA L X&rr lasts j ~ C' 1..~ ! Cr*~ROtlP: I I..CC.wth ZO W i~iA 't O k ~.I z i1G^. 1 I ~f 16ii1 I~GIF""a~ w~Dw: and Dacrs--..Gockagr nact bars Cirinaa+~i and Doer,--X -MCA,-, a =cl Arri +rl~16 I H.Irnl I fin. oL ,L.wSi IL- in.a ksate y h.1rat !.s of I LAI-I 1L Ikti• Tip f rf b. e. et a►w. t~rnn ( et s~rx m. r TJn. I et a~w } e! ran. I 7trt v of eraeu I .a. M I I I o I Cab I I ~p I I I I Z I I-2 I r 1 I 1 3 1 { ! { I~ 1 ~S D 1 r 12 9~-'•I E I ! ! I 1=.i i -361 I ratiass I I I L~l:sataaa I R J ~ I 11(;l I i cwt 1 I clitxi I q? , B=;L Wxv 11 I I p -.u I Nei =-P. wJ I ~oo I .Z I ~I z. Net crp, wtiU I ors I ~ 2.1~.~.3~ IML waIl i I 6L „rav . i I 1 S12 I now zoo I I SZO rumt C= 7" 16q Ca. z 1 s9c T oW B= 1136 ( 7-W Sta. 1 I S2 Rt. u*~ atr, fL ZDJL or sq. i= WA LuLtacr area Rt owrcd sq. fL U.R or sq. ias.'~'.A LaadGr arct Ml;:: Ri r L , I L R-Om I Length QG"tath 13 Nci;l t and 17r to f:L Rs+ota I LenFtkL 1 ~ Tiru}t}I t 1-izi~ht ' =Wows arid Lao:s--Crsczage pad Area ZTriaaowrs pad Doon--Cmckage and Ana AfJeliA JfsUML hs. of sare., iL -roe. wrYtiN frfaLRei htr OS Lr.~f iL 4tsa W. of r+a.. eL tsar. I sichts of crack tL H► I W t."" ot...». I lllpa~ I o! 7^r~e1t I rC.:z I t It~.l~(~I I -13 1 I I 1 I 1 I I I I I l I I I ~=-I 1 I 1' f 1 I c~~.1 ~ ~~°a ( 18.-7 I I ~ I ~ ~ ~ Iza{LltiatiotL (Z-7.~3 I 150 11303 12 14~1.~t1 104 EXA. wd i l C I I Exp• wall I l b I I firs =:p- wan Net c=. will 1 1 14 . z. l 340 isiL wan I I IuL wan cwl 1 1 I S Z cam. 1 A- I amW Bra. I Z(048 , b Total Btu. Required s.Z. fL E .DJL or xz; . imu WA L=C*=r fe roa Rt waimel sq, fL E.D.R.. ar cq. ias. Q1A Lrsticr area I altieerstrsps Cdr C.wmusmea 1,6. Iandat;oa 011 s Dales R=f erraae Ow. va f IRL fir al WiNg F:oof Fi6-ar Ed 11-- A©vi;•d 5 Lof='f Room Lmoh I I ~C",dth t Keicl~t j~ FIJ Room I L&ROI w-vath Hc;skt wm&nn and DMM-rrac6p and Ara 7md6++t and Door" -Craaavc asd A79A WaA1a 1Y*La.4 "0. of "..&a /L. a.erY - 7YNta Mtliat p► ei ti. ftra Ella of srwr of U& -0 $o bu of rrrrr w. n Ka of sm ri r.rr ivrM of rwrt me. t4 "I $ +S 20 I I Icocf.l Btu I Ieaei.l Bi lafiitx:t;aa l S3 Sb ci On in@krLt;oa I CA" Mau Exp. wa11 Z Ems. WLU I Net cxp. WAR ~t~ I ~t•~1 ~4r~ . Nei c= wan Int. wau I Int, WAR floor t I Fi..i cep. C-2. I Total Btu. 30oc 1 Total &w neyuircd sq. ft. RD.R. a: so. 6L WA Ludo nru I Rec)uired sty. fu E.D.R or sq. inL WA Leader area jP! FLI i3C Z, Flo= I Lr.,- th t S width 3 Fr ht FI.I Rwm 1 Lea WAdth i3ti ht ,::s3av,•s and Doors--rrac6v- gad Area gr=8vvrs and Dwrr--trackage and Arcs a 1''&% f hYtliAt ha, sI J.+a.+J LL. &r*L 7+L6L6 YletFht Mtti OL 1.Irrr1 Li. I A"L '1.ks i 01 b4w• # DS ba.r I 11Chu ( r~i C+rCk aG. r_ tlf b,.. I e! pare llibt, at F uk ra. rL I I I za 2 I I I I I I I ( 1 I # I I I I I 1 ! I I I lc L;,Ey tica 1 2 to 15" I oo© L41trx ti oa I I I I GIs' I I~ct . Cast I I I EZ;L WAD 12 I ( ir-~. ,call I I I Net I -zcr->I4. I 0 Net cxp. wall I I I Fat •wtIl I I LnL +raIl • I 1 ROW I I Ftaor ! I C=. I~ S TOW $u -YA o cam I I ( 331 R , Total BuL Rewired at',. cr xq. inL'W.A. Isar am. I RecuiRd :a. fL ED-R- or sr., ii= W.A- Lea&r arcs ~ ~ I'r-I ter. ~ d L.zagth ~ S' Wig ~ 3 i~ht ~ I ~ . -3 ~=i€ht Trnsdarrs and D=r*•- r,&zk Ve and Are, CA ~C3 1 Hd I !t baM 'OI barn I rhL: ri a~rcl[u' aniz O I I I I { I ! I I I 1 1 ica~f.1 ~-a 3 ,~l~~t . T.T AL. 131 -Q 5 1c.ecf.1 B Ixfytaixian I I I i I Mass I I i I .-r. Way I `31 " I I Nei c:q,- way I i I 12 5 Y Nrt cxp. w;u I I InL w&D I InL wsll I I Floor I rttl.er 1 1 I Told Ir:a. I 1 51 S. ~ Total Bits. I Rccumd sq. fL F D.R or srt. in- WJ- I.csocr arm I RrcraiMd xr. ft. F-DIL. or st;. inc. WA Lcaazr arcs i WAIVER OF HEARING #515 Special Assessment Authorization We hereby request and authorize the City of Eagan, Minnesota (Dakota County) to assess the following described property owned by me/us: Lots 1 through 30, Block 1,. Deerwood Townhomes ($2,895.35/Lot) ($86,860.47 divided by 30) for the benefit received from the following improvements: TTEM QUANTITY RATE AMOUNT Sanitary Sewer Trunk 6 Lots $800.00/Lot $ 4,800.00 Water Trunk 37 Lots $835.00/Lot $30,895.00 Storm Sewer Trunk 358,712 sq. & .02/sq. ft $ 7,174.24 Storm Sewer Trunk 195,128 sq. I .076/sq. 1 $14,829.73 Lateral Benefit Water 899.51 ff. 25.50/f f. $22,937.50 Lateral Benefit Storm C V - Sewer 1 Lump Sum 6,224/L.S. 6 22 . 0 TOTAL $86,860.47 to be spread over five (5) years at an annual interest rate of 7% against any remaining unpaid balances. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the levy of these assessments, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made pursuant to this agreement. DEVELOPER AND OWNER GOOD VALUE HOMES, INC., a Minnesota Corporation By: Betty R. Hardle Date Its Chief Executive Officer By: R. Peterson Dat Its: sident DEERWOOD TOWNHOMES- i • 'rte a ~ •:..4y 40 pow • to ft-A : al: ••~i,y FINANCIAL OBLIGATION ~ e ~4 LEGEND It I d4~~ om~n~mmmm Lateral Benefit Water ;4 ' • = v • • • • Lateral Benent Storm Sewer 'AK • • Sanitary Sewer Trunk a Water Trunk Storm Sewer Trunk oKwr s or i sip RECEIVEL) AUG 1 1 t9o5 RFr.Fivr-n AUG 2 1 1995 STATE OF MINNESOTA ) } ss. COUNTY OF DAKOTA } 1995, before me a Notary Public On his,, day Of Y appeared JOHN R. within and for said County, by me duly sworn, each did say that PETERSON to me personally known, who being each they are respectively the Chief Executive officer and president of Goo al was Homsigesn, an the corporation named in the foregoing of its and that said Of Directors and said Chief Executive behalf of said corporation by authority Officer and President acknowledged said instnunent to be the free act and deed of the co poratLOn. Notary Pu 'c M NANCY L. SEM014 NOTJIR'f KWOM ► APPROVED AS TO FORM: n,►cawjWma 3%2= horn s APPROVED AS TO CONTENT: 1~ / 4 Public Works eparmment Dated: Se f. Z 2 -3 THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, WILCO X B E ON, P.A. 600 Mrdway National West 147th Street Apple Valley, MN 55124 (612) 432-3136 IvMGDlwkt 206-12870 CITY USE ONLY Qo .3-- L BL RECEIPT SUBD. 4=~Om~ DATE: 1996 MECHANICAL, PERMIT (RESIDENTIAL) CITY OF` EAGAN 3830. PILOT KNOB RD EAGAN _ MN `55122 (612) 681=4675 Please complete for: ► single family, dwellings ► townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES Minimum_ Fee Add-on/Remodel (existing residence only) ^ $ 20:00 ► HVAC. 0-100 M BTU 24.0 Additional 50 M BTU 6.00 Gas Outlets (minimum of 1 required @ $3.00 each) ► State Surcharge .50 TOTAL SITE ADDRESS. OWNER NAME: ~~'I ePHONE `*.3 Ri r- INSTALLER NAME: STREET ADDRESS n. CITY: I P _ STATE: f-f-)n zip: PHONE ((ova) y CITY USE ONLY L _ -5 BL / RECEIPT SUM DATE: 1996, MECHANICAL: PERMIT (RESIDENTIAL). CITY 'OFI EAGAN 3830 PILOT KNOB RD EAGAN, MN 151,22 (612) 681=4675 Please complete for: single family dwellings ► , townhomes and condos when permits are required for each `unit X New construction Add-on furnace Add-on air conditioning 'Add-on air exchanger, i.e. Vanee system, etc. Date: _ - FEES , ► Minimum Fee: Add-on/Remodel (existing residence only) 20:00 - ► HVAC 0-100 M BTU 24.0 Additional 50 M BTU 6.00 Gas Outlets (minimum of 1 required @ $3.00 each) ► State Surcharge .50 TOTAL L . SITE ADDRESS: _•~i R..,t fir, OWNER NAMIE.A~6d ~ 0 PHONE 25~2 3 INSTALLER NAME: 4 Ph r STREET ADDRESS6gOq 1 1 )'006R ~ rla CITY: STATE: (Ylr1 ZIP: ~~.5 H PHONE ((,1a)' i CITY LNE ONLY L BL / RECEIPT V I n I nn SUBD..,,.~C 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN ,55122 (612) 661.4675 Please complete for: ► single family dwellings ► townhomes and condos when permits am required for each unit FIXTURES EACH, ?OT/lL Shower 3.00 x I = 3- Water Chet 3.00 x a Esth Tug. 3.00 x 1 - Lavatory 3.00 x a _ Kitchen Sink 3.00 x ► _i Laundry Tray 3.00 x j_„~, Hot Tub/Spa 3.00 x _ Water Heater 3.00 x Floor Drain 3.00 x = 3 - Gas Piping Outlet " minimum - i 3.00 x- _ Rough Openings 1.50 x Water Softener 5.00 x Private Disposal * Dakota Cty. Hoene 50.00 (new and refurbished systems) U.G. Sprinkler * home under conat. 3.00 _ Alterations * to existing 20.00 Water Turn Around 20.00 ..__.,..r..r.. STATE SURCHARGE .50 TOTAL _....:._.i.~_,._.,.. r . ~ri.rrr..wu - SITE ADDRESS: OWNER NAME: G °Uej INSTALLER NAME' y i 1 f S. i STREET ADDRESS: .r...S CITY: L1 J STATE: - ZIP: PHONE ( ) y - a 11 OFFICE USE ONLY L SL RECEIPT 0: SUBO. DATE: 1995 PL. iIo POMM (COM ERCIAL) C`rTY` "EAGAN KNt,3P3 RD Cllr- FM 56122 (612); i81-4S75 Please complete for an cornrrwdWryd l buNdMp. ' must 4mily buildings r separoft pears sm ad rewired for each d"IiN unit. DATE: CONTRACT PRICE: WORK. TYPE- MEW CONSTRk93MON...,. AQD 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' FALURE TO PROVIDE THIS INFORM -YLL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.O. SPRINKLER SYSTEM? _ YESNO. IF SO, YOU MUST APPLY FOR A SEPARATS- U.O. $PRN QX. R PERIN17. FEE: $25.00 rninWnum fm or 1% of contract price, whichever is gramr. State surds of $'0 per $1,000 of tMmd fee due on 0 perrnlts. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. S OWNER NAME: INSTALLER: ADDRESS: CITY: PHONES: .SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: DATE- INSPECTOR: CITY USE ONLY L BL RECEIPT V y SUED. / DATE:g 1986 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN-55122 . (612) 661.4875 Please complete for: ► single family dwellings ► townhomes and condos when pemub ar4 required for each unit FIXTURES EACH Shower 3.00 x 3 Water Closet 3.0.0 x ? _ Bath Tub 3.00 x R - 3 . , . . Lavatory 3.00 x Kitchen Sink 3.00 x _ 1 Laundry Tray 3.00 x i 3 ' Hot Tub/Spa 3.00 x Water Heater 3.00 x ~I Floor Drain 3.00 x Gas Piping Outlet * minimum -1 3.00 x ► 3" Rough Openings 1.50 x =„R--r- u Water Softener 5.00 x Private Disposal * Dakota Cty. "Hoene 50.00 (new and refurbished systems) U.G. Sprinkler * home under cont. 3.00 Alterations * to exigttna 20.00 Water Turn Around 20.00 STATE SURCHARGE TOTAL' SITE ADDRESS, OWNER NAME: Good 241- INSTALLER NAME- ze, - C-O ' STREET ADDRESS: e CITY: cl STATE: PHONE OFFICE USE CW Y L BL RECEIPT t SUED. 1966 PURRS SIT (CO MMEACIAL) MY OF LAGAN 3=1 PILOT KNOB FW. EAGtN, 1 122. `612);iI 4675 Pike complete for: all comn al ndatrial building& ► muM14r buiklkW when site pwmb, an DM required for each &W mg unit. DATE: CONTRACT PRICE: WGRK TYPE: t• Ew CONSTRUC'T'ION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? YES _ NO. IF SO, PLEASE PROVIDE THE°FOLLOWIM.', WATER FLOW: GPM. ARE FLUSHOMET6RS>TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS 944M rU4TION WILL [RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALUNG A METER: FOR A FUTURE U.G. SPRiNIgM SYSTEM' YES NO. IF $O, YOU MUST APPLY FOR A SEPARATE u a :SPRY R PERMIT. FEE: $25.00 minimum fee or 1% of cor*M price, whichever Is geeater. Stabe surchwge of $10 W $1,000 of pa= fee due on ail pwmits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: gTE, S OWNER NAME: INSTALLER: ADDRESS: CITY: , . STATE: ZIP: PHONE S: SIGMAWRE: APP ANT OFI412E USE ONLY METER SIZE: DAATE: INSPECTOR: CITTOF EAGAN _ w. "9di P I ' " 3.830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1837 Date Issued: i ' (612) 681-4675 . r . . _~10 ,1 0 - 060, 1 t SITE ADDRESS: 'APPLICANT: i ,7! 11N14 fP t'T t1 -(40€0 VA!A1f 110101f t-S Of 1'~ ROOM' f f f W N 110 Al t. PERMIT SUBTYPE: TYPE OF WORK: i"flkl'1'~'Al#i•; i g ~ t I':~~t#fNt1R71€3Ai f- I NA# VA 14f, f 1 NAl, i S 3 1 i t; 5.1 F 11 e t i I- ` iF M1 # T i 1 yy I 1 n t f r F_ T4 r Permit No. Rermh Holder Date Telephone # ELECTRIC (J i PLUMSIN HVAC , -5402 In spealon Map. Con menir FOOTINGS FOUND " FRAMING ROOFING ROUGH ING KILR TEST ROUGH HEATING T f TEST INSUL~[+ GYPSOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG 6 FINAL HTG 6~' y rp ORSAT C TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL IN P"'~CTION RECORD I YOF EAGAN PERMIT TYPE: 061.111 0 114 0 3830 Pilot Knob Road Permit Number: _ Eagan, Minnesota 55122-1897 Date Issued: 04 /1 q/96 (612) 681-4675 SITE ADDRESS: 1, 0 r Io It it) APPLICANT: ! ! 1 a AN I I- f 11 P ! Ct00f VAI Uf H0ME S ICI. r I~I.~t~tt~~ I t~t.~Nltt~~ac E ~ t > T~~ _ err ~a::s PERWTr BTYPE TYPE OF WORK: #4vI4 ICU cftipT10N tstla~-gat r~:i~t~~ focif 3'RANIFlti Volif lNt 1.N'"t.tt.AI ION 1 II<f"PI ACI: i: i fi I 1 1 i~ (r I I fd ! RTMARa: i» 4.t PI 11P VAI I I y i'I Ht; TI 3« i i {1 3. 4 y t Petmlt No. Pernik Nobler Date Telephone lI ELECTRIC jr FLU ING WW-1 HYAC (o hrepscdan caromnu FOQTINGS FOUND FRAMING as ROOFING •t~ PLYING • FLOG AIR TEST ROUGH ' HEATING TESTS 11 tr INSUL GYPSOARD FIREPLACE FIREPLACE AIR AIRT JI FINAL PLBG a:. fig -7 FINAL HTG -),y, -e7 A& -1-7 AA51 P . CASAT TEST BLDG FINAL BSMT R.I. BSMT FINAL s DECK FTG D*CK FINAL 1 ' jaftlm)v Af 0 I Z ' a'. " 5 'Ts JO) an )",Vs'r AW 6LO&US & SPA INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: $0;1, 01 N, 3830 Pilot Knob Road Permit Number: 01", 1156 Eagan, Minnesota 55122-1897 Date Issued: yj g r ff (651) 6$1-4675 SITE ADDRESS:` APPLICANT: I ii h4 f t 1 ii t 1111 +1Ifr%A0 t" f 1 Pq 9 6 W} fit. t' 1?R ►ri~.41.i i lYi.3 4)E !#it~ € s f r31 t ii:"=? PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D• o~ttf f M ARV' tHI f b)~,~- i Permit Holder Date Telephone # SEWE WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING, ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL I 2 V 0 - 2 2 6 © OF~ E,OjV1Y This request void 18 months from validation date printed in this box. ~i PLEASE, PRINT OR TYPE Lb Request Date Rough-in inspection required? Q"fres ❑ No Inspection Other Than Rough-In: ❑ Ready Now 04ill Call -"t _ (You must call the inspector when ready) Dote Ready: I, E21icensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Street, Box, or Route No.) City Zip Code I AoUt~r Pt, - - can Section No. Township Name or No. Range No. Fire No. County ~I t Occupant Phone No. C-1 cj:~rj Power Supplier Address Electrical Contractor (Company Name) Contractor License No. Master Lic. No. (Plant Elect. Only) Mailing Address (Contractor or Owner Performing Installation) yy~ 443 Authorized Signature (Contractor or Owner Performing installation) Phone No. - -G EB-OOODIA-10 6/95 STATE BOARD COPY-SEE INSTRUCTIONS ON BACK OF YELLOW COPY l I f I j REQUEST FOR ELECTRICAL INSPECTION iP u fs 1821 nnUniivsit Ave., Rm of Electricity Paul MN 55104 IIII III II III II III II III II III (I II! it III I~ II~ I~I 1 * 0 2 b 0 2 2 6 2 * Phone 1612) 60-0800 jAir e Duplex Apt. Bldg. Other: ew Addn mmercial Industrial Farm Remod Re air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: er Ran a E lec. Heat Tem . Service °X" above the work covered by this request. Enter remarks in this space nd the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Enhance Sae Fee # Circuits/Feeders Fee Mobile Home Park Stall to 200 Amps - 0 to 100 Amps Street 1-1g./Traffic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAI~C Sign/Outline Ltg. Xfmr. Alarm/Remote Control Swimming Pool I hereby ~rfi th el cal in lion desaibed herein on the dates stated Irrigation Boom Rough-In y f Dor Special Inspection Final Date O r nvestigative Fee L THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 280-227 -[6 OFFIC USE O LY This request void 18 months from validation date printed in this box. Ll O~ PLEASE PRINT OR TYPE 6YYtQa Request Date Rough-in inspection required? Lffes E] No Inspection Other Than Rough-in: ❑ Ready Now ll Call (You must call the inspector when ready) Date Ready? I, Ulicensecl contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Street, Boy., or Route No.) City rr~+ / Zip Code r , `a an Section No. Township Name or No. Range No. Fire No. County Occupant Phone No. Power Supplier Address c kCtc - u-c, 71c. Electrical Contractor (Company Name) Contractor License No. Master Lic. No. (Plant Elect. Only) aorf h C.ACi 7-4c, Arne iq Mailing Address (Contractor or Owner Performing Installation) Authorized Signature (Contractor or Owner Performing Installation) Phone No. 'T f-') )2: a+- }~C'C EB-00001 A-10 6/95 STATE BOARD COPY -SEE INSTRUCTIONS ON BACK OF YELLOW COPY I IIII II III II III II II III ~ ~ II III II III h III I III 8REUEST FR 2QUo veSsaOAvB Rm~ S R1~ASt.' Paul, MNn55104 * 0 2 ® 2 2 ? O * Phone (612) 642-0800 0 ~4~p kt,,:n3 Home Duplex Apt. Bldg. Other: ew Addn Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer q Range Elec. Heat Temp. Service W above the work covered by this request. Enter remarks in this space and on the back of the white copy only. f Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps rj- Z)l 0 to 100 Amps 15 Street Ltg./Traffic Sig. Above 200 Amps bove 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL ^ 50 Sign/Outline Ltg. Xfmr. y Alarm/Remote Control Swimming Pool I herelay certify that I i e el driml installation ascribed herein on the dates ;Itoted Irrigation Boom Rou h-In ~a>a Special Inspection 9 Dat 111 Investigative Fee r)i..; Final r~4 THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 8 MONTHS. ,tom e ♦ } Certificate of ccc"anC4 CW4 of Wagan Trarbs"t of 6wabig n> pcction This Certificate issued pursuant to the requirements of the Uniform Building Code 0 certifying that at the time of issuance this structure was in compliance with the various ott finances of the City regulating building construction or use. For the following: useclusifumb n: SF DWG/GAR BWg. Permit No. 27139 t-Panty Type R-3 zoning Disstria R-3 Type Const. V-N anrgniiai% GOOD VALUE HOMES naarGSS 9445 E RIVER RD., COON RAPIDS, MN Boilt*Addmw 1575 ANTLER PT L•mwhy Lb, B1, DEERWOOD TOWNHOMES Dec. Bwsdin O[fkw POST IN A CONSPICUOUS PLACE CITY OF EAGAN DATTS 1.:1.109/98 1""T,"3✓iEs 1.302::4 1D s NI!f`• MF.-: S=1JB1.J!'i:]'3AN .l NC 2155 9001 00.00 3210 9001 :l. .`_i1. ANTLER 1,':''T' 1:b P? X 3210 9001 i555 - NTLAER FIT 1, 6 2. 2 5, 320 9001 1559 ANTLER F~1- 162.25 300 9001 063 ANTLER FIT RIKE5 WO 900t 1566 ANTLER PT 162.25 3210 9001 1567 AWIER FIT 162.25 :3210 95:101 1570 ANTLER PT 212.25 WO 001 1571. AN '"i ! .r'1 ti FIT 162. 25 320 900i Q75 ANT:...f'.R I"'T i62.25 LEER AD: NANCY CONTINUE #`!''#?%'K K?K~K: sK#:#?k?~',:1 r1C: k b iN:#:#'#~K c i:t:INTINT,E CITY OF EAGAN DATEr H/09/9S TIME: 102205 3"1 32iD 900i Q79 ANTLER FIT 212.25 =0 9001 082 ANTLER FIT EiKR5 320 9001 15 8,'.) ANTI E 1 T 16205 300 900i 1586.1 FIT ;::':ry'r O `:001. 1.":8 7 ANTLER FIT 1.62.25 3x2..1.0 9C3'.3 ':3`'85 FAWN `IYY 162.25 +r 1.0 9001. 39B6 FAWN MAY 162.25 300 900i. ;3.` 89 f=A1,.1N WAY 162.25 3210 9001 3990 FAWN PAY W.25 Total Receipt Amounts 37270.50 LEER TO: NANCY CITY CAF EAGAN PERMIT X8;30 Rilot Knob Road PERMIT TYPE: eUT 1, 0-1 N Eagan, Minnesota 55122-1897 Permit Number:; (651) 681-4675 Date Issued: r 0 9 8 SITE ADDRESS: , I:~ u > 7 70-060-0 DESCRIPTION: Building Wf:,, Tvp= REPAIR REMARKS: t:i E 1J0 1 i75 FEE SUMMARY: , ~xl_=.JAY I N $10,000 Tr.. L;.i 1. Fee $167-25 CONTRACTOR: OWNER: U[UiC6 ; i ~XTI' 21(JR; i I. ia:I.S2 ll,.~; C7'.:.1=ffG.f0G0 53i 0.1 FNN 11,VENUF 5 157 r_1:7, "r L 0 f1 r+1 I~ 1° l7 N I ICI ; J. :I li L t'ebv a,-.-k n aw t ;?fit, e t:Ila 1:: I i-3c-,wc rca d t..1I.; ar,['.11t: a.nl'QI°ITI6'Clon c0r'Y"ect. and a q r 'c Cif ply with o1 r1l A s~~ t: ~f nor )1" E°Ii"f. ~t: f-'u 'ti; a n C ty of Ea and 01-di l~nce~ G APPLICANT/P'ERMITEE SIGNATURE I D BY: SIGNAT RE q 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EA5 AN C l - ol _ Submit following to obtain necessary permit Foundation Only New Construction . Interior Improvement structural plans (2 sets) architectural plans (2 sets) architectural plans (2 sets) civil plans (2 sets) structural plans (2 sets) code analysis (1) - code analysis (1) civil plans (2 sets) project specs 0 set) soils report (1) landscaping plans (2 sets) Key Plan project specs (1) code analysis (1) " energy calculations (1) not always " Special Inspections & Testing Schedule soils report (1) Electric Power & Lighting Form (1) not always " SAC determination letter from MCM1S - SAC determination letter from MCNVS - SAC determination letter from MCMIS - call 602-1000 call 602-1000 call 602-1000 Special Inspections & Testing Schedule (1) " project specs (1) energy calculations (1) Electric Power & Lighting Form (1) " Contact Building Inspections for sample Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. DATE: WORK TYPE: NEW REMODEL DESCRIPTION OF WORK: CONSTRUCTION COST: 105 r oo c) TENANT NAME: SITE ADDRESS: [ 52 S -3-7-7 f) 1 V`' SUITE LOT BLOCK SUBD. P.1.D. # Name: _~l Phone - PROPERTY Last First OWNER .-7 Street Address: 11:~3S_ j City _ Ea An State: M Zip: SLU\ 1 Phone Company:- CONTRACTO I IXJ~ Aoz-'3 _ R Street Address: License # City I ( State: Zip: ARCHITECT/ ENGINEER Company: _ Phone Name: Registration Street Address: City _ State _ Zip: Sewer & water licensed plumber (only if installing sewer & water): I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State e Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 19 Comm./Ind. Misc. ❑ 21 Miscellaneous ❑ 18 Comm./Ind. ❑ 20 Public Facility WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code # of Stories sq. ft. SAC Code Length sq. ft. Census Bldg. Depth Footprint sq. ft. Census Unit APPROVALS Planning Building Engineering Variance Permit Fee 2 Valuation: $ Surcharge 5-0-L Plan Review MCNVS SAC City SAC Water Conn. SNV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size RESIDENTIAL BUILDING Permit Application L~ - City Of Eagan' 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Requirements RemodellReoair Requirements Office Use Only 3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan _ Cert of Survey Real (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date °R 1 /D 16-1 + I Construction Cost Site Address ~J7S~ ~h~/~✓ f Unit/Ste # r Description of Work Multi-Family Bldg X Y_ N Fireplace(s) 0 2 Property Owner c j "C_yf 10'A 0 Telephone # ( 0571 Y5_Y Y10 7 Contractor G-C /~s~C4✓ ~~~.C,•j~//y e.k~`c~,~ rx- av~yo ~~',7 Address l72,3 City State Al A) Zip SS S 3 7 Telephone # (SSA) XU1f O`/S1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (q submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # 1i r r- YN .1 jj and ac urate; I hereby apply for a Residential Building Permit and acknowledge that the inform 9n is comp e e an o that the work will be in conformance with the ordinances and codes of the City f Eagan and e tate 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 approval of plans. Applic s Printed Name Applican s Signature OFFICE USE ONLY Sub Types 0 04 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 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 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex R? 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code H39 Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) )0 Final/No C.O. - Footings (addition) - Plumbing Foundation ~o HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final 49 Framing _ Siding _ Stucco _ Stone - Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) - Insulation _ Retaining Wall Approved By , Building Inspector - - - - - - - - - - - Base Fee Surcharge U J o v Lo ~ elz ~eue ( a, Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for single family dwellings & townhomes/condos when permits are required for each unit Date Site Addd-rimes=s - { ~t^ Unit # Property Owner ~c..1C L~ f Telephone # Contractor STANDARD HEATING & AIR CONDITIONING 410 WEST K E T Street Address MINNEAPOLIS, MN 5540$ City _ 612 -824 2656 State Zip Telephone # ( ) Bond Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional -Replacement New air exchanger Y1.A~j air conditioner heat pump other State Surcharge $ .50 E I 1 7~~~ $ Total 1 I hereby apply for a Residential Mechanical 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 with the Mechanical Cod P_ e understand this is not a permi but only an application for a permit, and work is not to start without a erm' - that thew rk w 1 be accordance with the appr d plan in the case of hich requires a review and approval of pl. Applicant's Printed Name Applicant's Si atu e Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use I City of EaV PermitI / I Permit Fee: Co I I ~j I 3830 Pilot Knob Road Eagan MN 55122 Date Received: ('3✓~ Phone: (651) 675-5675 I I Fax: (651) 675-5694 ► Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C~Ua3/2613 Site Address: _f X75'// 5-77 Unit Name: - ~ ~WU, TC)L,) J ` l /Af 14S pt"X_"1'7Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor ©~i~ c c~/✓i - Description of work: Type of Work Construction Cost: Multi-Family Building: (Yes / No ) Company: Address: r s S City: Contractor State: /v Zip: _S 5 U Phone: 20 License Z C g Lead Certificate 5 979f 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.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 "zed b a building permit issued in accordance with the Minnesota State Building~de must be completed within 180 days of per s 2ce -{L~~ X-11 (~i__~ x TV Applican ' 'nted Name Applicant ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA118822 Date Issued:11/08/2013 Permit Category:ePermit Site Address: 1575 Antler Pt Lot:6 Block: 01 Addition: Deerwood Townhomes PID:10-20200-01-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Jamie Rippel 12850 Chestnut Blvd Shakopee, MN 55379 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Stephanie A Pederson 1575 Antler Pt Eagan MN 55122 (651) 454-8107 Appliance Connections Inc 1313 Danita Circle Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature C! of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ✓�rc(e ivy tte B l SON r Use BLUE or BLACK Ink For Office Use Permit #: ,c)6 Permit Fee: I Date Received: 1 • l Q V , 13 Staff: F tS L 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: A i\ \ J 1 1 Site Address: t S1 S nY1"'1--LQ.x P+ Tenant: fNe, ju4/sitrik,r-_� Suite #: Name: (Ie. Phone:(.051 H5L1 Address / City // Zip: 1515 A 1' r`h nQ1', ` NA -4Q SS" 2-0' Name:(XDf jC Mu, Led j Ei1 eA.- License #: (.9c1Cit1 WG v city: +I Address: 4-1 0 Yot,v(/( pr; State: V IT.— Zip: 51-/D) LQ Phone: -05 22Le alp, i' 21 Contact: srVN., -b loeir Email gal _ New Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W. Description of work: i f'1t f C.l,-r'r U n Wet,#e r YLe/K. RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / PVB) Septic System New Abandonment 4 Water Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) OtJ TOTAL FEES $ 10- CALL BEFORE YOU DIG. Cali 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 appro Applicant's Printed Name Apflficar�t`g Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: _Under Ground ,_Rough -In _,._Air Test _Gas Test _Final Use BLUE or BLACK Ink r________________� I For Office Uss I � � Permit#: ������ I Clty of �a��� ; . , /,., � ; Permit Fee. �C� � 3830 Pilot Knob Road / �, I Eagan MN 55122 � Date Received: ((J" �� "�� / � Phone: (651)675-5675 � � Fax: (651) 675-5694 I Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ����� �n��� �� Unit#: Name: ��S��,� Phone: Resident/ ,p Owner Address/City I Zip: lS 7.� /�,�t� / � Applicant is: Owner � Contractor Type of Wol'k Description ofwork: ✓�e 5����' tv inr�nC�vwS Construction Cost: � f��/GCi = Multi-Family Building: (Yes�!No� �.�� Company: �ihc�,t�,n �� �� Contact: �y.� /-��i�P-� l Address: c2�7� ��� �� City: �n/h i� 1>��,� �,�c_ � Contractor � State: ��/�Zip: SY�� Phone: �/v� �/G�'�f(jEmaiL � 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? j 4 _Yes _No If yes, date and address of master plan: � Licensed Plumber: Phone: ' Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: x NOTE:Plans and supporting documents thaf 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 thaf they are trade secrets. � � CALL BEFORE YOU DIG. Call Gopher State One Call at(651j 454-0002 for protection against underground utility damage. Call 48 hours � before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orct 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 / �i��t�/ Cv,,>.� X � —- ApplicanYs Printed Na Applican s Signature Page 1 of 3 Use BLUE or BLACK Ink m Cityof o �i For Office Use z� City f Eaton ,1, Permit#: c-I A 3830 Pilot Knob Road Permit Fee: &[�o Eagan MN 55122 APR 14 2017 Date Received: 7%/V-it Phone:(651)675-5675 Fax:(651)675-5694 Staff: J 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: '1 I' I V-4- Site Address: I I-5 R N T Leo_ p 01 nrr" Tenant: Suite#: .!:F:HReiiii4iiiciiiii.ei.it ; Name: C16 U Z 5 M A 6 IC- Phone: t9.5(' 154` 51 b-4- Address/City/Zip: 15 C Pr lv'r L 6-t- PO tvvr gk&P-i1 M N G. (2-2.- IC A S 2ZICAS 14eATii1r7! pi,ft- C.Q"ArD 1ti4YVi"Vey-A Name: v Lu-nn 92m-b- t r1t G. License#: 41 r�3(D�J 9 Address: LI 2.6 5 1-i Vv\ij I LI W• City: 12-OG*ESTI C000tit for state:1(4N zip: 5 541 v I Phone: 5 0 q - 3 Re 1- 23 32 Contact N f t D f 9, P,Ovfl'V Email: H 61Z-41VIIV KS FtC11Y1.-1W&' (,011\41' New Replacement Additional Alteration Demolition Type of Work Description of work: FU(LN'kC E AK. 2G—P 1V t,PrC67\J NOTE:Roof mounted and'ground mounted mechanical a ui .mentis 7 sired to be screened b Ci q �i Code. Please contact the Mechanical inspector for information on;:permitte l screening;methods tl► RESIDENTIAL COMMERCIAL ��r`` Furnace _New Construction Interior Improvement Permit Type' _N._Air Conditioner _Install Piping _Processed ' Air Exchanger g Gas _Exterior HVAC Unit _Heat Pump Under/Above ground Tank t_Install/—Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge / $100.00 Residential New,includes State Surcharge L.$ 3.00 0 0 TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installationlremoval,includes State Surcharge =$ Permit Fee Surcharge=Contract Value x$0.0005 =$ Surcharge If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE l 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 5Vi `ail— X71--,e//z.-n x Applicant's Printed Name Applicant's Signature FOR OFFICE USE ,: s . Required Inspections Reviewed By Date Underground ; Rough In :' Air Test Gas Service Test , In-floor Heat . ;Final HVAC Screening PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178246 Date Issued:08/08/2022 Permit Category:ePermit Site Address: 1575 Antler Pt Lot:6 Block: 01 Addition: Deerwood Townhomes PID:10-20200-01-060 Use: Description: Sub Type:Fixtures Work Type:Replace Description:Bathroom(s) Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - George F Mashek 1575 Antler Pt Eagan MN 55122 (651) 503-2926 Ed Brown Plumbing Llc 328 County Road E Houlton WI 54082 (612) 328-0827 Applicant/Permitee: Signature Issued By: Signature