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1586 Antler Pt Use BLUE or BLACK Ink Fur Office Use city Of End Permit Permit Fee: ~90-,7 So ~ I 3830 Pilot Knob Road Ea an MN 55122 Date Received: 9 I I Phone: (651) 675-5675 I Staff: ~ Fax: (651) 675-5694 I I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone: RESIDENT / OWNER Address/ City/Zip: 45-5 ` A^r f/~or 1"~ e A" A J zs-/ 2Z. Applicant is: Owner Contractor TYPE OF WORK Description of work: ~E Construction Cost: _I b O6 Multi-Family Building: (Yes.X_ / No ) Company:/--i#WC&a a( IOJ Contact: c: Ro (~V~~F =-fn e-s CONTRACTOR Address: /a (1,,r.4R, Ott, c City: ►ec 5 State: M tJ- Zip: 15-6-7 Phone: -7 161) - q26 310 License 9©I ,2~9 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 may be 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, And Qd~, 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 proval of p x []ay& x Applicant's Printed Name Applica 's Si ture Page 1 of 3 CERTIFICATE OF SURVEY for GOOD VALUE HOMES PROPOSED BUILDING ELEVATIONS Top of foundation 9l&-5 Front of house 915-g Garage floor glLo-Q_ Rear of house - C> Lowest floor Walkout arrow denotes drainage direction per development plan. 89DE denotes existing spot elevation 890P denotes proposed spot elevation p.33 BENCHMARK USED: l ,E,B(,v0o0 guitdin9 Envelope 7Z~P o-~ O. W /Y101jv7^ne.7Tr So. 5 isle 0 LUe plgr &1p,6 6197 6"0 60 Ec. - 9'oq, 73 a 17.33 27.67 SANrI-AR. ~5ffwFQ and WIATeg- 45e9-vncCS t jrloZ,ui,.;, -rgvs u g nv67cps Detail (typical) a• 4a Butlding Envelope C Qno22'14",~~~ti t Not to Scale la J V $S. 4' jjjj~~ III 17.33 t 4.59 _ 27.67 ` 5.33 J t O s) ° J t o ~ r--- ct, 22 c~[1 0 3 29 s t 1% N O . -X C) LA Or v co o p o 907. X05 0 r t~ t~ W m~ t 78.33 ~ 5 O 78.33 Z co O 0;0 6 00 0 ° 5 a O a- to 00 r^ m t V O `r j N 00 .22 - 5.33 17.33 27.67 4.59 Q O O to ~Cl S'~~ 8 4.59 +1 gB.33 W j ~ 9l0 . !3 v a~ C t 82°2214 15• a/S to p k5-Q Bulldtnq Envelope V 9 Lx P, 15. 0 eutldI ldlnq Envelope NOTE: ALL DIMENSIONS ARE FOUNDATION DISTANCES LEGAL DESCRIPTION ( ) = RECORD INFORMATION Lots 29 and 30, Block 1, DEERWOOD O DENOTES 1/2" IRON PIPE & CAP SET TOWNHOMES, according to the plot of L.S. # 23945 record thereof Dakota County, Minnesota. 0 DENOTES IRON PIPE SET I hereby certify that this survey was FOR BUILDING OFFSET prepared by me or under my direct ❑ DENOTES WOOD LATH SET supervision, and that I am a duly FOR EXCAVATION ONLY Licensed Land Surveyor under the DASHED LINE DENOTES DRAINAGE laws of the state of Minnesota. AND UTILITY EASEMENT AS PER PLAT. PASSE ENGINEERING. INC. REGISTERED PROFESSIONAL *LAND SURVEYORS Donald E. Sigety, M Ic o. 23945 9446 EAST RIVER ROAD, SUITE 208 I Date: t Q~~j COON RAPIDS, MN 55499 Tel. (612) 766-6240 Fax. (619) 755-1862 JOB NO: 93-34 SCALE: 1 INCH =__?Q --FEET FIELD BOOK: /Ca PAGE: DRAWN BY: CKP nFFRrRT9 nW(, LOT SURVEY CHECKLIST FOR RESIDENTIAL W ° BUILDING PERMIT APPLICATION 00- W PROPERTY LEGAL. 6 m DATE OF SURVEY: U y LATEST REVISION: 6 z i DOCUMENT STANDARDS 61'0**'0 O • Registered Land Surveyor signature and company O • Building Permit Applicant O O • Legal description O O • Address O O North arrow and scale O • House type (rambler, walkout, split w/o, split entry, lookout, etc.) O Directional drainage arrows with slope/gradient % O • Proposed/existing sewer and water services & invert elevation O • Street name ❑ O • Driveway .ELEVATIONS Exisdna :>1 O • Sewer service O D Property comers C O• Top of curb at the driveway a D Elevations of any existing adjacent homes Proposed tr O • Garage floor ❑ O • First floor :~,.O O • Lowest exposed elevation (waikoutAvindow) O • Property corners O • Front and rear of home at the foundation PONDING AREA (If applicable) O O • Easement line o 0/D R NWL O :~O • HWL E3 • Pond # designation ❑ O • Emergency Overflow Elevation DIMENSIONS ❑ • Lot lines/Bearings 3 dimensions C3 • Right-of-way and street width (to back of curb) o • Proposed home dimensions including any proposed decks, overhangs greater than 2. porches, etc. (I.e. all structures requiring permanent footings) O • Show all easements of record and any City utilities within those easements :~~00• Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ O • Retaining wall requirements, if any Reviewed: ame / D to July 1995 PERMIT ceosoll-(P7 CItY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 026763 N G (612) 681-4675 Date Issued: 12/01/95 SITE ADDRESS: 1586 ANTLER PT LOT: 29 BLOCK: 1 DEERWOOD TOWNHOMES 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 30 Building Width 78 Building stories I REMARKS: DUPLEX WITH LOT 30 S & W PLBR - VALLEY PLBG FEE SUMMARY: VALUATION $116,000 Base Fee $967.25 MISCELLANEOUS $1,892.50 Plan Review $338.54 Total Fee $4,106.29 Surcharge $58.00 SAC $850.00 SAC % 100 SAC Units 1 Subtotal $2,213.79 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. MJ APPLICANT/PERMITEE SIGNATURE ISSUED B SIGNATU E INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 2 6 7 6 3 Eagan, Minnesota 55122-1897 Date Issued: 12/01/95 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 29 BLOCK: 1 1586 ANTLER PT GOOD VALUE HOMES DEERWOOD TOWNHOMES (512) 755-9793 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW DESCRIPTION (ZERO LOT LINE) INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. OOTINGS FOUNDATION RAMING ROOFING NSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: DUPLEX WITH LOT 30 S & W PLBR - VALLEY PLBG CITY OF EAGAN 3830 PILOT KNOB RD - 55122 t ` 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) ILilLs 1 681-4675 ♦ 3 registered site suveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; eta) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calcumi" ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan I lot plaited after 711183 required: _ Yes _ No DATE: ►11a ~5 s- CONSTRUCTION COST: DESCRIPTION OF WORK: H Fr- y- i T° vim K = M iF-STREET ADDRESS: -W-I'-F-R 'po ► o -r- LOT 7- C~ BLOCK I SUBD./P.I.D. Ew ° DI~?nI1t0~ ~ltPGZX Co7 "~p~ /3-/ PROPERTY Name: Cz oo n Ua &lk;E 1-Lr" ES. Phone ZEE-9-793 OWNER LW MST Street Address- 9 4-4 5 LIZ 7-1'4 ELI Z"' D City: C-0o14 State: /H a Zip: ~s¢33 CONTRACTOR Company: M 2 Phone Street Address: License City: State: Zip: ARCHITECT/ Company: SEA Phone ENGINEER Name: Registration Street Address, City: State: Zip: Sewer & water licensed plumber. V.-LLky uMg G Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that I have read this application and sthte 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 Certificates of Survey Received es No NOV 0 21995 Tree Preservation Plan Received Yes No _ . _ , OFFICE USE ONLY -k 4 e~ BUILDING PERMIT TYPE mss.` a 01 Foundation a 06 Duplex a 11 Apt./Lodging a 16 Basement Finish ,-,:::~2 SF Dwelling a 07 4-plex o 12 Multi Repair/Rem. a 17 Swim Pool 0 03 SF Addition a 08 8-plex o 13 Garage/Accessory o 20 Public Facility a 04 SF Porch o 09 12-plex o 14. i lace o 21 Miscellaneous v 05 SF Misc. a 1---'°~ ~ =15De WO RK TYPE 'C New o 33 Alterations a 36 Move a 32 Addition o 34 Repair a 37 Demolition GENERAL INFORMATION Coast. (Actual) Basement sq. ft. 5- 73 MCMIS System (Allowable) -y-r- Al Main level sq. ft. City Water USC Occupancy R- - ? sq. ft. Fire Sprinklered Zoning a sq. ft. PRV # of Stories d~3s~~• sq. ft. Booster Pump Length 30, o sq. ft. Census Code. / O Z Depth „ 7& Footprint sq. ft. SAC Code ~L Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $/~z4eD Surcharge Plan Review License MCMIS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SNV Surcharge r---- Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units I •^^IR ' ENERGY IMSERVKl iDA SUPPP 7w- 'D F} 1^ Nr w!~ ~vv~,1♦w.rM-I S ~ IV J~ ~~Ih1o i 1 PIN ,his suaplement is proiided to assist the applicant in computing -IOR MT-1" 0?E AXTRA-ZE "L" rA,- TOR .XrDP,-,A:'I0X. 7 his inf ormr- tion is required so the Bt;=ING OFFICiA' can determine that submitted plans comply kith the £NBR: F COIt5~R~~l~TIOt~ DESICR CRiiB~'.IA of the S:A1"E BUILDING CODE (Section 6000). It is the A_DP:,ICA1;:' S responsibi'_i:y to accurately compute the data; reflect the proper D_SI~1~ C%Z~F.IA in the plans; submit product specifications, if 11teded to support the "V' and "U" factors used; and to assure construction is per approved plans. JOB L0C;T10N ' MrS IZ, D OWN--R(S) Lyn=r>VA.6 ~M1rS PHONE _ "7 55`=f-7q 3 C0h1RACTDR PHONE A. Determine the Total Exposed Wall Area as foi1oyes: 1. 7ota7 wall window area 2. T D-&-a1. door area S. 7Dtdl sliding glass door area hlL4 4. 70tal fireplace wall area ZS 5. Total wall framing area (average l0A) ~5 6. 7ctal net wail area above fl Dor I OZ0.4 7. Total rin:I j075t: area: SUBTOTAL: Total exposed wall area above floor 1385 S. Total foundati on window area N P. 70=.1 net foundation area above arade 103.3 SUBTOTAL: 7cial exposed foundation area (0 3.3 GRMD TOTAL 'EXPOS; D WALL -AUA E. Nittl ii pl y the GRAND TOTAL :3:PQ_ cD WALL n .A • t ti - item '7 Z. Determine the 7Dtal 'Exposed Loof/Ceiling Area as 1'Dlioxfs: 10. Total s kyl i grlt area t~ 11. Total roof/coiling framing area .Z ,Z. Total net insulated rDOr/ceiling area 7A"1. -RAND TOTAL r PQS'ED ROOF CEILING^ AREA I~d-Z D. Multi ply the GRAND TOTAL EXPOSED ROO=/ C=SLING AP A x •C>2!.= Item 3I 1-3 ,mot J6.- 9 Determine :ne "t?' value of each sent ;;-9) and mJl.1ply by _he tret as f0111n+es: 1. 141 x "L" 4q h `I. 1 L-0, I 4. _ z5 x "U" ,05 I -S S. X a. Vol Qr4l x 1`1 Ulf 7. & ~ x aUli c x „Ulu , 1. ADD 1 - 9 FOR TOTAL WALL S-EGM-PMTS F Item III )4-1.95 F. Determine the "U" value of each seameent (IC-12) and multiply by the area as follows: an. x of Ull a _ X Pull .02.2 = ADD 10 - 12 FOR TOTAL R00F/C=I! JNG- cru!: iris Itet IV I i IZe1E1 No. 1iY is the 5aTl:r as, o-, 1e5s than L°_T!i No. 1, you 1"i8Ve met- ..h- iriri oT State Building code pDOS(c)?- _ -H. i a Item No. IV is the same as, or lass than Item No. 11, you have Ie-t the in ten t o; Seta Building Co-Fe 6005(c)!. Add jiem No. 1 yam Pi r+. ! i Add item No. ??I A-7-- 95 :.!--am ho. IV ~ •fo r.'- 1 a..' tile-" sum of items KI and IV are l -s than 1+ elti5 I and ~ I , you it3Y@ met the i n L.a 11 t oithe-- =Oe- Tor total envy i opa sysiQm (S Building Code SDOD and > 7. 5 507-1.5. Dverall Stru pure- Perfornanoa Alternative). The undersigned, as applicant for a $u31 ding Permit. hereby a'~-;isms the above infor:rZtion has b"--n prepared and submitted by himself or under - hi s di re i on, hereby aclnowl edges the inTOr ti on to be correct and accurate; and hereby presents the i r-`o, m,,i on ~ ; th required plans in support of he Building Fermi t Appl i = ti on. 5i anature Daze _ • l ~esODestitrJpt CssMMMCaoa N06 birsalatisa ~ Doors Refermcs Old. Watt 16L WaZ Cdin RJlof Hoer Kind S Room I Lcnrth i I- V xhl I Heieht Room Lzurl I WKth l~ Keisht 1 b TEL LSimdows and Door-CrackAp and Area Vr,,&, t aad Dow,---Cr,CkAsa •ed Asea f. WJOt► Jl.ttr/ ha. 01 J.laaal SL A, wNq M.l[at J►~ Ot Lwl tL w. tL rla. Ot pa a. of ►aa. U!hu Ot e..er .a. K Na. at raw at Oea+ brku OI rryr 04L. Z I~•3 IS, I I a1.6 I 28 14S- 1 4- 1 3a It3.3 t6•lo Coef.I Btu I Z~ f~ 3 I 3S Coef. Btu Infiltration ZQ (l t 5 Infiltrstiooj I SS' ~7 43 Clam irk I Class Exp. wall -420 Esp. wall A' 7- 7 ttiet esp• wan Z1a~I ~r•L 1 S Net tarp. waU InL wall Fat vraD Floor IZ'7 z. ZS4- F►aet ~jls O cel iz- r. 2. zs C-3. 1315 Total Bru. 4q Total Btu. 10~ 4 t Required sq. fL 1;DR or sq. ins. WA Fader area Required sq. fL RD-R.. or in. io,- V.A. I.zader area I ,'`1 '7•{ Dt to 1 Af., Room I LJmgth I Width I Iqe~ Hcight MVFI.i Sclj t- Roam I LJ:n~ 161- Width 13 Height (C) t~ 7=6*ws and Doors.. Gji .>ragr and Asea wntxow: and Doorti-~ckast and Arm Wleta heir xt Ha. of J-t.aat 91. Arw UNlbi► Mu[ot ha at Lla.al IL wr.a ?la. O! .aft. Of pane I Iltl:u of at+eYt .a. R ?la. Ot oaaa at a.... ll[I.u Ot eraek .a• R I ZO I bo 3 2c~ 2M I 4 3 Z4:> I I I I i I I I 1 I I Cot:f.) Btrs LzUt i bon I -zo I I rocn~ lUsltr,tian M&U 'z..~ 49 11 ~o Calais 171-x- { I I I S~ :sp. wall (tn4 I I £-P• w,lll (Z►c~ I Net cp. wall --Iq I 'Z Nd esp win i ~r~) Z I 1 IaL w•aU I InL waU . I { I ( I Z( j Floor Z (c> I Flow • l34I Z I Z Cal. { 2- I Total Btu. I -9~-q2) ToW Bt= Required sc. L E.DR ar sq. its. WA Leader area i Required sq. ft E.D.R or sq. ins W-A- Lcadcr area I Fo`(c:A- Room IL=Fth S Width 10 MR I-WW IL t_rr, FU*=I .cngtl%I ~r>dth tc~ ~is~t 8 Windows and Door---Craczar and Arc. Windows and Doors-LrackaBL and Aru WJUta Jialtkt NO. at J.l anal ti Ary Width J 1141 H0. OS 3-►ONI It. I Arse. 101 tuft. I at =4 tYtau of Crack I .q. LL 1. I at taft.l et~aw. I h[ftat 1 OS L..Cr tC. >z t ► { i Iz. 5. I { 6 c~0 I 19 • 20 { i I . 1 I ► I I I I' I coa. Btu i I I coef.l Btu Iafiltntioa I ( ( I ~ Ij~i~ Infiltration I 1 class Z5- 12~ Class O/_ I Lip, wall Lip. waU I I I 2I UL wan wan J 'LEI', 2-14,24 tpZ. Net tip. wall aL wall InL gall Flow 5 2 CFO Floor •7 31 Z Gal. 41-- Cal, I?o3 2- Total Btu. Total Btu. Required s.;. fL D.R or sq. in, V.A. L dr--r area Req lrcd sq. fL L:.D R..or sq. ins. W.A• I,caoer area a- V906. 06t . CwstsoG;oa Nor, jsssalatiaa ~j~ G. G'ntdan Doom Reference Dnt. Wall 16t• Wa>i Cttiiias Reef Favor Kiwi He- /lp~i;ad ! Room ).sttRt}!Q ~i tt Gl Wight FI{ Room l en ~r sd[ft Heislst Wtndo•+s and Doors-- rackhre amid Arcs Wmdot~s xud Doers---Crackl=e red /vea Whets Hattat ha. at Lw/ IL ar.a Width 1491rot to f Lail it &9"0, "his at eraeY •e. IL H46 of so or sr+ Nrau d •r►•Y ae. tL 11 a. or pa as of aaa• I J Cfxf. Btu I eoef. Btu 1a61ss:lion lsfltratioa Glass up, wall Exp. wall Net esp. wall •2t 6 &t fop. wall InL wall 6L Wall Floor 1-1 Z Floor cetZ. 1-t4. z C-]. Total Btu. Total Btu, Reouircd sq. fL E_D_R or sq. ias. WA Crider are Required sq. fs..D.R or sq. iaL VI-P- Leader area M .I UT'i Room I Length Widt}t q Height FU Room I Length Width Ht ig~t Windows and Doors•-Cr &age and Am& windows and Doors•---Craekalt and Area w~eta H•Ilal Ns et LAO." U. A*•a Wleta Hawat t•a of 1.1a•at iL w~aa Na et aaa• at paa• tflAt• of Graet me.. TL eta of p•.. at %WjW ItlMt• et crack ao• rL 1 ( Z SO I I r777 I I I I I I I ' I I I Coif. BIM I I I Catf-1 Btu Ia~.liratiaa t~1, ( ~ ~ 3 5 Iafiltratiaa ( ~ ( ~ Ciut Glass I I Q --7 146 1 wall ^2 7- I E=r- wall I ! - Nei tz'p. wall '2.1 ,3 i 2 I CX~ Net emp Will InL wall Int- wall Floor 2 I Floor ' cell. ► 5'z 3 _ cam. I I Total Btr_ ( -31 zck3 Total Btt_ Required sq. ft_ _D_ L or sq. ins VIA Leader area I Requ-trrd sq fL ED.R- or, ssr ins. WA Lt sdu area I Fl_I ,t Fly. Racm I Length Width ~t Windows and Doom-Lrarlcagt: and Area /~~yyy1 atYtB Matlat Ns at L/a.al,tL Ara& cp4 - '916 ( at Asa•~ Ot.faa• ttlAlf OI CRGk I aC. !t' _ r.,... aCord Btu Glass _ E Glass =P. "f Esp_ wall I + ~ Net Net exp. wall InL Ins wall t Hoer Floor Cel } .J T it Col. Total -j opal Btu. I s4. ins. W Leader ate i A iced s fL E.D.R.or A Regsttrea s^r SL ._lJ.tt orsaz. tns.'afA Lramr area ~i'~ q- CITY OF EAGAN PERMIT ~a,~o~~ 7 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 7 6 4 (612) 681-4675 Date Issued: 12/01/95 SITE ADDRESS: 1588 ANTLER PT LOT: '30 BLOCK: 1 DEERWOOD TOWNHOMES DESCRIPTION: (ZERO LOT LINE) Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R-3 Construction Type V-N 7onin9 R-3 Building Length 30 Building Width 78 Building stories 1 REMARKS: DUPLEX WITH LOT 29 S & W PLBR - VALLEY PLBG FEE SUMMARY: VALUATION $116,000 Base Fee $967.25 MISCELLANEOUS $11892.50 Plan Review $338.54 Total. Fee $4,106.29 Surcharge $58.00 SAC $850,00 SAC % lee SAC Units 1 Subtotal $2,213.79 CONTRACTOR: - Applicant - ST. LrC- OWNER: GOOD VALUE HOMES 17559793 0001583 GOOD VALUE HOMES 9445 E RIVER RD 9445 E RIVER RD COON RAPIDS MN 55433 GOON RAPIDS MN 55433 (612) 755-9793 (612)755-9793 I hereby. acknowledge that T have, nead this application and state that the information is correct and agree to comply with all applicable State of Mn_ tartute and City of Eagan Ordinancses APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNATUR INSpECrl'1()N RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 2 6 7 6 4 Eagan, Minnesota 55122-1897 Date Issued: 12/01/95 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT- 30 BLOCK: 1 1588 ANTLER PT GOOD VALUE HOMES DEERWOOO TOWNHOMES (612) 755-9793 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW DESCRIPTION (ZERO LOT LINE) INSPECTION TYPE DATE INSPTR.: INSPECTION TYPE DATE JNSPTR. OOTINGS FOUNDATION RAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG TNAL PLBG FINAL REMARKS: DUPLEX WITH LOT 29 S & W PLBR - VALLEY PLBG r CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 881-4675 New Construction ftWr m ffts ♦ 3 regisared site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured Ind. design; air-) ♦ 2 she surveye (exterior addift s & deft) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of fret preservation plan if lot platted after 7111M required: _Yes _ No DATE: i CONSTRUCTION COST: ~w 1'+ N DESCRIPTION OF WORK: STREET ADDRESS: n2 y I, YY.Y Y A LOT 3o BLOCK I SUBD./P.I.D. PROPERTY Name: d o o VN LU ~ LIF_S 7ss-4 S 3 Phone OWNER _ FOW -b Street Address `~4-4 ins r , viz City: GO-A -Pi State: rn 1 Zip: 5-5433 CONTRACTOR Company: SAA4 Phone Street Address: License # City: State: Zip, ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip, Sewer & water licensed plumber: -£,~1~ C Penalty applies when aftress change and lot change are requested once permit Is issued. 1 hereby acimowledge that I have read this application and state that the Information is amct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ~p N 4 i Certificates of Survey Received Y es No Tree Preservation Plan Received Yes No OFFICE USE ONLY 06 BUILDING PERMIT TYPE a 01 Foundation o 06 Duplex o 11 Apt.Aodging o 16 Basement Finish ,e'-W SF Dwelling © 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool o 03 SF Addition o 08 8-plea o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch D 09 12-plex a 14 Fireplace o 21 Miscellaneous o 05 SF Misc. 0 10 _ plex o 15 Deck WORK TYPE )2/-31 New o 33 Alterations a 36 Move 0 32 Addition o 34 Repair a 37 Demolition GENERAL INFORMATION Cont. (Actual) jf- N Basement sq. ft. S7 MCMS System ` .(Allowable) Main level sq. ft. s71_ City Water UBC Occupancy -3 sq. ft. Fire Sprinldered Zoning_,_ sq. ft.. PRV_ # of Stories sq. ft. Booster Pump Length 1~4, sq. ft. Census Code. A? z- Depth -72~ _ Footprint sq. ft. SAC Cade Cent Bldg I Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ //lo, coo Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S1W Surcharge Treatment Pl. Road Unit Park Ded. Traits Ded. Other Copies Total: % SAC SAC Units ENEK-GY :DNSrRV'T'DK SJa?:~ t1 I iD SJ?' r3 in ~e M.~° n~?Dt J J i~h ,his supplement is prodded to assist the applicant :n coapu_ing ==jDR t+'t .r" DFS AV-rELA."*.. "U" rA MR IKFORYM:I Oh . 7 his inf o r m*- _ tion is required so the BV=INC DTFICIAL cat deter=ine that suatitted plans comply uizh the EX-SRCI' CORSERVA-410K DESIGN CRITERIA of the M"I`Z BUILDING CODE (Sec:icm 6DDD). It is the AT7°:.ICAt;a'S responsibiliry to accurately compute the date; reflect the proper D-5IG1i C%IT~'s.IA in the plans; subzit product spe_-.:i:a:ions, if Iaeeded to support the '"n" and "U" factors used; and to assure construction is per approved plans. JaB LJ:.ATIOh' MER(S) PHONE 55-C? 7q3 CONTRACTOR PHDN_*: A. Determine the Total Exposed Wall Area as 7011oars: 1. TDtaI wall window area 141 2. Total. door area 3. Toya1 sliding glass door area 4. Total fireplace wall area -7- 5' S. Total wall framing area (average ]D%) ~~•5 6. Total net wall area above floor i c) so .4 7_ SotaI rim. jois6- area S!3^cTOTA:.: Total exposed wall area above f i oDr I '2, E. Total foundation window area P. Total net foundation area abDVe grade Sd?j, SUBTOTAL: Total exposed founded Dn area t ~"3 C:RMD TD T AL -EXPOSED WALL -AP. A S. Fi0 ti ply tth GRA14D TOT AL EXPOS-ED WA- IL M" RZA X t E - I tam 1 t ~3 77 C. D_ tA, 7mi ne the Total Exposed- Roof/C-i l i ng Area as ; Dl l okrs 10. Total skylight area n1, 11. Total roof/ceiling framing area i2. Total net insulated roof/Ceiling area GRAND jOTAL E):PDS-D ROOF C= IL INN AREA 13Azz D.. Multiply the GRAND 70TAL EY.PCSED ROD: / CEILI Nu AtA x -C>2I6-- I twm i I 3 ;ra__-rine the "U" value of each se;mert (i-g) and =1.Aply by the area as follows: 1. 141 x "L"` x alum i s (r V x ..L" S. .05 I•ZS 5. X A. L141 (:r4 -7 6. ic),2oA x Of U11 4-1. 7. N x Of Vol 8. m f ~ x to u" r. _ 0. l03.3 x 60 L711 ,Imo, _ 4 ADD 1 - 9 FOR TOTAL WALL SEGMENTS Item III o 9s F. Determine the "U" value of each segment (16-12) and multiply by the area as follows: _ 10. N, Ax 1.0 till to U11 x „Up ,022 = Z ADD 10 - 22 FOR TOTAL ROOF/C=IL INN SFG~E-N13 = item IV ~ .tom L. 1 f I" No. 111 is the San- aS, or less than 1 tem No. 1, You hBVe Mt the int°nt Df S`-te_ Building Code SDDo(c)Z. -H. i i It-em No. IV is the same as, or ass than Item 11C. 17, you have Ti2-_ ~ the _ i r4- of S 'Le Building Cole 6005(c)1. T. Add ? T..III No. I 1 6 M r+C. 7 -j4 •q 0. Add I t°_Jn No. 1?I ?tem Nn. IV Y.-. I`-'the sum 0f .1-rs 111 and IV are less than items I and I, you ;,eve t the zi 'i. - of the- code- for Iola i enve! ope system (Stmte Building Code 6DOD and l?S 507-3.5 . Dverall Structure- Perforaanc= Alternative). Me unde:si gnad, as applicant -For a Bu5l di ng Perm t., hereby a-itirras the above information has b=en prepared and subs Lted by himself or under' his direction, hereby acknowledges the info ztion to be correct and accuratee; and hereby presents ' the irm o.. ation with required plans in supPart of the Building ..Permit. ADPl i ca m on. - Signature Late WcaEissrit r N06 Ia.dasies ~''1 C`sa,do•ts Doors Reference OuL Wau I6L WAI c4a6w Reef Fww Lied lion Appi,ed 7M IQLA l I~eis},t r b ~'S Roomm ! Ls:ntrth 1 I - I ~ Room Ungth Windows and Doom -Crack&we aid Area vdrmdows< and Doers--rraclta~e +led Asu f„~ 51 wistr Haltr/ Na. at ba+t,L A.M% taMU Malert N~ at LwI,L ~►raa N. of quake at Mw• n.aa at creak a%. rL Na at paw et 14w at o.a.k pg. rL •1 I~ z 97 r I-L.to Z I r l~ Mme- -7 / 1 ?-a 4S L i~.3 P.,61 I L-J::) t 0.6 1 3a 1E3.3 16AO Cocf.) Btu ( Z~ (op '~j ! 3S Coe E. $t1t Infiltration Q a S lnfiltratioa ' I S5~ CJ:ss Class 43i 3 1 S Esp. wall Z7C~ EmL Will Net exp. wall = 1~ 4• tom""/ fret en'. Wall Z'14. Z ~ SZ Int. wall Int. wall Floor IZ"1' 2. ZS~- Floor EE ?j15 2 Cal. C-3. 1315 Z Total Btu. 4ct _ Total Btu. WA l,c~der area I Required sq. ft. ED.R or sq. ins. WA- Loader arcs Rapp rred sq. ft. F. D.R or sq. in MI •i Dt 7-4 I Afv Room I Lztlsth ! Qridtb I I Height ` MM So 1-M Roam I Lent h I b Width 13 Height Q Windows and Doors-- ac6ve and Area Windows and Doors--- -MC:6ee and Area w iela Natnt Na. at Laaal ti Araa M16tt• Mutat No. et Laval iL AML Ne of aanv at aanv I Iltttu of tsacic •C. tt Nw et aaw at ww a lltru at crack ao. tL I zo 160 3 ~o ~ i Q-3 3 ~ I i I i I I I I I I I I I I Coef. Bru I I ICocf.l Lu Infiltration I -~-p I ! f t7G:l= Infiltration I C ( I ! 1cs Glass ~Z.'S ~gI !'?~O Glas: ~S I I t 5`2. E-p. wall ! =gyp- wall (tour I L 4 Nei tsp. wall 2G I ! 2. Net tap well InL wall I _ Int. wall I I i ( F,oor ! I ! Z« Floor 7-1 L"' I A- cea. r34 Z I ccn. Total Btu. I 2~OC~~ Total Btu. RegUired sc. fl. E.D.R. or sq. ins. WA L A&r area I Required sq. ft_ M PL R or sq. itis. WA leader ales I f LI aA- Room !Length S Width IYrtI,t ►C~ MR FLjK I~ , Roomllsngth& Wisstll tC~ lz=iF:,t ~3 Windows and Door}--Crac"r. and Arc: Q~indows arsd Dotsrs---~racksSe and AmL W,Yta I ,ietrai Na.'at r.lnaal iL I wraa ( WtYtn %a/tat N.. of I I t%. I AM AL >re. at aaM of wnv ,lira at crack K. fL W.. at spawn at~- Itsnu ai crack am. I 1 lz, s. I I 6 ~o I l41 ~o i I ~ I i i I I ! i' I Cocf. Stu I { I i Cacf.1 BLt1 Infiltration I I I Ij Infiltration I I i S,pj 12'~ Glass O It I Mari ' zap, wall -AV Exp. wall Net tsp. wall 7-4-2- 14-24 10-4 Net tsp. wall JUL wall Int. wLII Flow 451-4 Moar zD~ 12- CCL 44 1 2- Cal. i?c 3 Z Total E:u. p~ Total Btu. l l~ - Required sr,. ft_ = D.R or sq. in, QTA Lrader slea ReQaired sq. fL E.D.R. or sq. iris. W_A• Lcager area •~Z W tat sP,'a s- Clasttset6a N06 ?isssolatiras C.U;J l i:iad ll°ia.+ applied Doors Reicrenee Oat. Wan! 6 WA Ceiliss Roof Fiver G`srldows I9.. ~Rr i~tb H~eisht j~l.J Room Ltnq~ Witirb (q Keisht FU Room isatrth Viawlaws and Doors-Crarlutre and Arta Wmdo..s and Doers--Crackate ►ed Area wutr N.Irat we. •t L..rl tl ♦r•a wrLa N•.rat ti,rY t »r•a t rae. or %&NO of •aa. tl►•1a/s of ererr •e. tt Ma •t w•e at e-•+ Cocf. Btu Cot:f. Btu ju{iluation tratioa Glass Gass Exp. wall Esp. wall Nct esp. wall •2 1 Net tsp. call InL wall InL wan Floor 1-14 :3 Fleet Ccil 1-14'. 2 C-1. Total Btu. Total Btu. Required so. fL E,.D.R. or sq. ias. WA. L Ader arcs' Repaired sq. fL E.D.R or sq- - inL. wA- j fader ascn Height 'HW.I t 1 Room I L engeh Width q Height P oa= I Leagth Width Windows and Docrs•--Crackagt and Arco Windows and Door-:mckxwt and Am wlatr Ne1rnL He. et l.la..! it. Area W 14L& /tetraL Mr. at at cra k Area !1a et pawe at pan. ILrht. of vaek •..a... M }!a. of at w►ti brMU et cr.c .a• CL 1 i nn } 1 ( I ` l Coc:.I But I I Coe:f. Btu I l ' l Inhltratioa I t31 I I 3 s Iafiltratiaa Glass -j Glass ( ( I wau 1,37-1 E'r- wall I Net exp. wall 2 F4 ,3 ( Z I 00 Net tom. wall l IaL wall ( Int. wall - ~ l { Foot, Z ( Floor I I Ce1a . ► S'2.pC~ Ccil Total Btu. ' -2;Z 1 cud Btv Rcquizrd sq. fL D.R. or sq. ias. WA Leader arts I Required sq fL U .R. or sq ins. W-A- lx-sder area Room I Lrngth FLI F1.1 Qriat - - Windows and Door--j_rackage and Area F&;, C.,/t a/Latn N•ICat Ho. at y.ta.al L. Arsa ~ - F - He. I et vowel of ,.w. I1r„tr at er.elc (.a.:L ?Sp(o3 I I lCocfl Bra I _ Bw I l Iafiltm _ 30~"~'3 Wiluatioa I l ( Gjass Glass Fxp. - W 7TE>T+~.:. wall Net Net cxp. wall IaL lat. wall Flow aw a floor Ctn. Caa. Total v f Total Btu. Regt:iredn s.;. M ` u.tt or sq. tae. RYA Lza=r area f - Rrwzired sq. fL F-D.R.or sq. ins. QI.A. j,rader area INSPECTION RECORD" #W'VY OF EAGAW ' °;""YI,€ I a r 3830 Pilot Knob Road P+ritliir. ey r f> s Eagan, Minnesota 55122-1897 DWIJI'mull f8 t (612) 681-4675 SITE ADDRESS: APPLlCWe 1lf'E'ft0001) '1014NV1OMV'. 7t,1 ..<:~7 $'4 PERMIT SUBTYPE: TYPE OF WORK: 1)t NIP110fV t Fftt~ 1..0t !IN r 00 1 P46 1)J1Nf:)A r 10 N RAMIN13 x001- :t N(I N5411.AT f+111 1 10 F:1.1tACf CiU(iN N 111-8 l ~ f.~f)t,11 I M 14 M I.NAI PI 1i6 fNN1 RUNARK`, tit PLU X WI114 1 tii 'A W P1 HO V A 1 1.E Y P1. 0(4 r. a ra 1 ~,,{j~ si ors ✓.+x, g lu sjr'y1'~'-t- ~a$, 1; t ~ ~ l i PMnNt No. PW mR Holdw DO* Tihphorn i ELWTRIC dpw PLUWSM HNAC Oolt FOOTINW ~~+1 FOUND FRAMING ROOFING Kamm -~bt ROUGH TEST k ROUGH HEATING GAS TTESTM 11 11 INSUL 7-9 GW BOARD FIRMLACE~ 7 A 0'- -7,43,4 RR FWAPLAW AIR TEST FINAL PLBG FINALHTG p~^ ! , ORSAT TEST BLDG FINAL BSMT R.I. ((D~ SSMT FINAL DECK FTG DECK FINAL Z INSPECTION RECORD I L►1 -CITY OF EAGAN r-fpa:` 36.30 Pilot Knob Road Permit Number. 0.16 1 i. 4 Eagan, Minnesota 55122-1897 Date issued; i J e 1 e (612) 681-4675 SITE ADDRESS: I r3 I i o H 1 01.1 l APPLICANT: tN,AA ANIt.FR I'1' i.;rJ00 VAIUE, 11014FS DIR I'.ItUOOLi 1`01-INIiiImt.-I`: PERMIT SUBTYPE: TYPE OF WORK: DF'tMIN.if)I'10N (171FR 1 1.01 LINE) . 7AV 1 1 W; tt1)NDA I ION r N NI N6 00 I NG W UI A110N IFtFPi AC F: ({tlf3lfi IN Nt fir, OUGH IN 141 (1 NAI I'I B,i I NAI W F'I HR VA 1. 1 V Y P1 11(1 3 :'H ! ~ ~ x Fly Pei W IMMI lik"m Dow Tomphenn0 t q ECrRIC 1~WMM fnrA~ ' ` Cauema s FOOTWM POUND FRAMG _ -yam ROOFM ROUGH PLUMMIM are MEffiT fKKM r 11 u OWL GW BOAPM FFMILACE FlIMPLACE pR ~T FNAL PtW FINAL HM V ORSAT TEST BLDG FINAL. 3 BSMT R.I. B'SMT FINAL DECK FTG~ DECK FINAL Address 1586 ANTLER PT Zip 5512 2 Lot . `29 Blk 1 Sub DEERWOOD TOWNHOMES THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 7 ~q Yes No Inspector: 114 Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish f Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. Act White - City Copy Yellow - Resident Copy Pink - Contractor Copy Address 1588 ANTLER PT Zip 5512 2 Lot 30 Blk 1 Sub nmzwr:nn TamnEs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ay~i Yes No Inspector: Final grade (6" from siding) Ll-', Permanent steps (garage) Permanent steps (main entry) Permanent driveway .0 j, Permanent gas Sod/Seeded grass i~ Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 2 6 0-77 3 OFFICE USE ONLY This request void 18 months from validation dote printed in this box. I~y4 IL 6 PLEASE PRINT OR TYPE oc j IBI / Rgquest Dale Rough-in inspection required? Q4es No Inspection Other Th an Rough-In: Ready Now Ujill Call r~(q ( (You must call the inspector when ready) le ady: I, 12licensed contractor ❑ owner hereby request inspection of a above ele cal work Oro Job Address (Street, Box, or Route No.) City d Pcx n-1 EG Qn Section No. Township Name or No. Range No. Fire No. County Occupant f r Phone No. Power Supplier Address A ~.~4 L~'1 lC Electrical Contractor (Company Name) Contractor License No. Master Lic. No. (Plant Elect. Only) 51'l E L`150~1M0►~'G Mailing Address (Contractor or Owner Performing Installation) Authorized Signature (Contractor or Owner Performing Installation) Phone No. J C" C=' -&()0 EB-OOOOIA-10 6/95 STATE BOARD COPY- SEE INSTRUCTIONS ON BACK OF YELLOW COPY REQUEST FOR ELECTRICAL INSPECTION a r II III III I~~ I ~~1I Minnesota State Board of Electricity 1821 University Ave., Rm. S- 28, St Paul, MN 55104. * 0 2 `b 6 7 7 3 7* Phong (612) W-0800 "Home Duplex Apt. Bldg. Other: ew Addn Commercial Industrial Farm Remod Repair ` Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service "X above the work covered by this request. Enter remarks in this space and on the back of the white copy only. t-? -3 05 O ©Zp - ,Eon Calculate Ins ,C loon' Fee - This fn'spection Request will not be accepted without the correct fee: Other Fee # Service Enlrorxx Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps ~S- I 0 to 100 Amps Street Ltg./Traffic Sig. Above 200 Amps Abo" 100 Amps Transformer/Generator INSPECTOR'S LY i TOTAL C Sign/Outline Ltg. Xfmr. ' O I q Alarm/Remote Control Swimming Pool I he e e ectrical in ed herein on the dates s d Irrigation Boom Rough-In Do Special Inspection Investigative Fee C ~Fi , F ina THIS INSTALLATION MAY ORDERED DISCONNECT IF N OMPLETED WITHIN e M HS. 2 6 0 - 7 7 4 ©~j/~ Th s request void 18 months from validation date ponied in this box. PLEASE PRINT OR TYPEQ /r~ dfl Request Date Rough-in inspection required? Wes ❑ No Inspection Other Than Rough-In: 0 Ready Now Jill Coll ,,(4 - '3G _ cl (You must coil the inspector when ready) Date Ready; I, W ncensed contractor ❑ owner hereby request inspection of the above electrical work at: d Job•Address (Street, Box, or Route No.) City Zip Coe Flanor Section No. Township Nome or No. Range No. Fire No. County 0a ~-a Occupant Phone No. Power Supplier Address CC1 Electrical Contractor (Company Name) Contractor License No. Master Lie:,Tlo. (Plant Elect. Only) C11 Mailing Address (Contractor or Calmer Performing Installation) R'-)L mils) 55 Authorized Signature (Contractor or Calmer Performing Installation) Phone No. -j- 5bb_ ES-o0001A-10 6/95 STATE BOARD COPY- SEE INSTRUCTIONS ON BACK OF YELLOW COPY I! REQUEST FOR ELECTRICAL INSPECTION Ain'nesot7a State Bard o (I f I ~II I IIII 821 University Ave., Rmf Electricity I I~~ cS . Paul, MN 55104 * 2 6 0 7? 4 5 * Pho; to (342) 42-0800 ome Apt. Bldg. Other: ew Addn Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other; Dryer Range Elec. Heat Temp. Service "X above the work covered by this request. Enter remarks in this space and on the bock of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Sbm Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 100 Amps Street Ltg./1 raffic Sig. Above 200 Amps ve 100 mps O~ TOT Transformer/Generator INSPECTOR'S USEONLY Sign/Outline Ltg. Xfmr. . Alarm/Remote Control C) Swimming Pool I hereb cerH that I ins eded the el I in Ilafia s e tes stated Irrigation Boom Rough-In r /_G 5 ecial Inspection ~i Final to 7 AY(e Investigative Fee j THIS INSTALLATION MAY BE ORDERED DISCONNECT OD IF NOT COMPLETED WITHIN 18 MONTHS. L_ BL CITY USE ONLY RECEIPT SUED. VOniri,}~ w 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: L3G, q(, FEES ► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ► HVAC: 0-100 M BTU 4.0 Additional 50 M BTU 00 ► Gas Outlets (minimum of 1 required @ $3.00 each)(al ► State Surcharge .50 TOTAL SITE ADDRESS: ),V)RQ OWNER NAME 0,C)M ' Ya IL )G I- aa-i -2) PHONE INSTALLER NAME: Htct/ f4i STREET ADDRESS :LPGC Inns Aa AVCi n CITY: STATE: ~]p`T ZIP: PHONE AIUKF- L~ FEKMITTF-F- CITY USE ONLY L BL RECEIPT M SUED. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: all commercial/industrial buildings. ► multi-family buildings when separate permits are DDI required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ► $25.00 minimum fee Qr 1% of contract price, whichever is greater. ► Processed piping - $25.00 ► State surcharge of $.50 per $1,000 of peand fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE M SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY USE ONLY - ~ L BL RECEIPT SUED. ail yaca~ DATE: 4111 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: /--~n FEES ► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ► HVAC: 0-100 M BTU 4.00 Additional 50 M BTU 6.00 °5~ ► Gas Outlets (minimum of 1 required @ $3.00 each ► State Surcharge .50 TOTAL SITE ADDRESS: OWNER NAME: OrY-'d \491 'a 1 L w n PHONE INSTALLER NAME4 STREET ADDRESS n nC' ~t'~4 CITY: wlk 10 STATE:_12nn ZIP: PHONE M wa.) 3- ~5~ CITY USE ONLY L BL RECEIPT SUED. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► all commercial/industrial buildings. ► multi-family buildings when separate permits are ngi required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: $25.00 minimum fee QL 1% of contract price, whichever is greater. ► Processed piping - $25.00 ► State surcharge of $.50 per $1,000 of grand fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY USE ONLY L BL / RECEIPT *.j6e SUSID. Qo _ i r DATE: ~ ("PA 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD (612) 681-4675 Please complete for: single family dwellings townhornes and condos when.peffnits are r uired-foroach unit FIXWHES Shower 3.00 x Water Closet 3.00 x 'a = L~ Bath Tub 3.00 x i s- Lavatory 3.00 x Kitchen Sink 3.00 x Laundry Tray 3.00 x t 3- Hot. Tub/Spa 3.00 x Water Heater 3.00 x Floor Drain 3.00 x I :S_ _ Gas Piping- Outlet minimum -1 3.00 x 3 Rough Openings 1.50 x = Water Softener 5.00 x Private Disposal * Dakota Cty. license 50.00 (new and -refurbished systems) U.G. Sprinkler * home under gnat. 3.00 _ Alterations * to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE so TOTAL SITE ADDRESS: OWNER NAME: G o u U 41, $ INSTALLER NAME- U 1 I ` • , J L STREET ADDRESS' Y C: GITY: 73d ct STATE: ZIP:, S s PHONE { OFFICE USE ONLY L SL RECEIPT SUBD. DATE' rry CAF EA "N 3820 PILOT KNOB EAGAN, #N 55122 '~2) $$1-4$7`5 Please wmpk* fw. all 00mowciallf aIal buildings.; 10. Mu* buldlim s when separate pwo*s are US r9wW for a dwOn9 un~. DATE: CONTRACT PRICE: WORK T'fPE: NEW CCNSTRUCTKIN ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? YES NO. IF SO, PLEASE PROVIDE- THE FOLL000ING: WATER FLOW. GPM. ARE FLUSHOMETERS TO BE INSTALLED? YE$ NO. FAILURE TO PROVIDE THIS INFOR AVON WILL RESULT IN A DELAY OF METER 188W440. WILL YOU BE INSTALLING A METER FOR A FUTURE U. G. SPRINKLER SYSTEMS YES -:No F SO, YOU MUST APPLY FOR A BEPARA'M U.G. SPRINKLER-REf1IW. FEE: $25.00 minimum fee or 1% of conbad price, whit ver is gnd r. Staffs sera pe of per $1,000 of jawnft fee rime on all pemfs. CONTRACT PRICE x I% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. OMER NAME: INSTALLER: ADDRESS: CITY., STATE: ZIP:. RHONE SIGNATURE: APPLICANT Of"CE USE ONLY METER SIZE: DATE: INSPECTOR: L JO BL CITY USE ONLY RECFJPT SPL(9.7 SUED.o DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT. KNOB RD EAGAN, MN 55122.; - (612) $81-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES F.A&H TOTAL Shower 3.00 x O-N = Water Closet 3.00 x 7 - ~ Bath Tub 3.00 x ] Lavatory 3.00 x , 4 = r, - Kitchen Sink 3.00 x , t Laundry Tray 3.00 x I _ 3 - Hot Tub/Spa 3.00 z Water Heater 3.00 x Floor Drain 3.00 x Gas Piping Outlet * minimum -1 3.00 x Rough Openings 1.50 x Water Softener -5.00 x Private Disposal * Dakow ctyr. Ncense 50'.00. (new and refurbished systems) U.G. Sprinkler ` home under const. 3.00 _ Alterations * to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL.,,,.,.__. . SITE. ADDRESS L Ss d A -,J t' e . OWNER NAME: rid ~L INSTALLER NAME: Cb ILL STREET ADDRESS: r o ~-~-J CITY: tl STATE: 21P:. PHONE OFFICE VVE ONLY K L SL RECEIPT* SUED. QATE. 1896 PLC P uff (CO fRGIAI.~ c"v OF EAGAN 3830 PLOT KNOW RD EAEt"NAN, MN 55122 (612) 681-4675 Please aornPIW for: d Conlrrim 'bulldings. muN-iamilyr buidinps when sepw4ft pe we fled` nKp*W for esM dwa ft unk DATE: CONTRACT WORK TYPE: NEW CONSTRUCTION ADD ON _..,w_.. REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PWMD.E THE FOLLOVh M, WATER FLOW. GPM. ARE FLUSHOMETERS TO BE WSTAiLLEW? , YES., NO.. FAILURE TO PROVIDE THM INFORMATION WILL RESULT IN A DELAY 9VUETER ISSUAI . WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTW? YES IdO. IF SO, YOU MUST APPLY FOR A SEPARATE U.& SPRINK PERMIT FEE: $25.00 minimum fee or 1% of Contract price, whichever is gmeW. Slele 1wpe of $ 50 per $1,000 of Bond fee due on aN pwaft. CONTRACT PRICE x I% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. S OWNER NAME: INSTALLER: ADDRESS: CITY: STATE _ 21P: PHONE SIGNATURE: APP-UC O FIRM USE ONLY METER SIZE: DATE: INSPECTOR: SiJBDJot` fl~loar~i ® ru RECEIPT 1 70 911 ECEIPT DATE ! ZI U~9 _ DA Ti t w I0 JOB 6e- Owmm PLEASE BE ADVISED THAT r:XRZ IS A FEE SNOBTACS ON THE. ABOVE ELDCTRIGL INsTAw ATZON IN ra AMOUNT OF $ SHORTALE XWT BE PAn WHITHIN 14 DAYS, REMARKS 0 to 30 am y. circuits- 31 to 100 amp circuits- 0 to 100 amp ssrvice- 101 to 200 amo service- TOTAL FEE DUE= LESS FEE RECIEVED TOTAf. FFF. -1 RTAGF- DUE PERMITS_ e? 13 ORIG. RECEIPT# RECEIPT DATE Z R.ETM A COPY OF THIS FORM WITH REMITTANCE. f.~ ~ (17 WAIVER OF HEARING #515 Special Assessment Authorization I/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: ITEM 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.1 .02/sq. & $ 7,174.24 Storm Sewer Trunk 195,128 sq. I .076/sq. & $14,829.73 Lateral Benefit Water 899.51 ff. 25.50/f f. $22,937.50 Lat.°:al Benefit Storm K 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 :end 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: F, Ity K Hardle Date ficer Its Z7dd//L?)'/ By: J4n R Peterson Dag Its: ri-Asident DEERWOOD TOWNHOMES* ov. N, x WJU Ion M MW .W:; j x•11'4:•. •5~0:' T \\.~\l~\r 0*0• FINANCIAL OBLIGATION a*4 LEGEND lip No V, Nn i~ I •w; ;,c~„ Y;: a 140119= Lateral Benefit Water -00000 Lateral Beneln Storm Sewer • • Sanitary Sewer Trunk Water Trunk a ,`f'- ' ••t,.~ . : Storm Sewer Trunk ` RECEIVED AUG 2 2 1995 RFr>=l vrn AUG 2 1 1995 STATE OF MINNESOTA ) ss. COUNTY OF DAKOTA ) 1995, before me a Notary Public on this e day of JOHN R. within and for said County, onaUy appeared known, who being each by me duly sworn, each did say that PETERSON to me personally they are respectively the Chief Executive Officer and President of Good and that said was signed on the corporation named in the foregoing in`trument, of said corporation by authority of its Board of Directors and said" Executive behalf to be the free act and deed of the Officer and president acknowledged said instrument corporation. Sp c put Notary NANCY L SEMON • NOTARY p~BUC-WNNESO"U APPROVED AS TO FORM: t~ycannst.sooo Atto s aced: APPROVED AS TO CONTENT: Public Works apartment Dated: THIS INSTRUh&-NT WAS DRAFTED BY: SEVERSON, WILL Bl-IEdgLDON, P.A. 600 Midway National Bank 7300 West 147th Street Apple Valley, MN 55124 (612) 432-3136 MGD/wkt 206-12870 INSPECTION RECORD CITY OF EAGAN _ PERMIT TYPE: rf~ttii 1.,0.; N'11 3830 Pilot Knob Road Permit Plumber. Eagan, Minnesota 55122-1897 Date Issued: I1; (651) 681-4675 ~1. / t3 SITE ADDRESS: I' " f "t'' " 4 f APPLICANT: i of - 24 fit OCK I I "IL AN f i F r( P f llfiIIkHAH EX TIFPTaR S 0 f R1 M1111 i fit-INHOMF.:z r I y t+tt f.-H> ~t<? PERMIT SUBTYPE: TYPE OF WORK: f~f kff1TI(ON 't 0. T RE000f INSPECTION TYPE -,ATE IfJSP-FR. VISP[G-FICIN -l F =till I. t Nr~ Of MARK I N1. 11100 ~ 9'; Stta e r r r - ~ ~ ~ ~F ,+~7,u{~p. t ~ f ~ Na~~lltt-It~ kyy~J~` t rl Sim Permit Holder Date Telephone # SEWER/ 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 ~%K~K#7K~k~k~K~k###~#~k~K7k?K#:K'~###~K#%K##*~X~K######]K CITY OF EAGAN CASHIER: S TERMINAL NO: ?79 DATE i; 11/09/98 TIME: 13::1 3:1.5 ID. NAME-. SUBURBAN t:,r'OUC' INC 205 9001. 00.00 3210 900i. 155i. ANTLER PT J.62.25 300 9001 055 ANTLER FT 162.25 3210 9001 1559 AN°C1._ER PT 162.25 320 9001 1563 ANT1._1E:R PT 21.2.25 320 9001 066 ANTLER PT 162.25 3ai O 9001 1567 ANTLER PT W.25 3c 10 9001. 1570 ANTLER PT 212.25 '.3c_'1.O 9001 1571. A11PI-1 1:.:R PT t(-*.-,2.25 3210 rr~ 1`-!001. 15 J ANT1..ER PT 162.25 CRO9`:)2C.'2 CONTINUE USER ID; NANCY CONTINUE ###?1c# N~# # c~K#~KJ~:3<?%:i~~K#: # : c~K#?Kx~~K# CONTINUE; CITY (:iF E'ACAt-4 CAf:,NIE R.- S TER.MINAL NO: 779 DATE: i.i./09!98 TIME: 003:0 .L Lt w NAME;; SUBURPAN GRQUI INC 3210 9001 Q79 ANTLER PT 21x2...25• r 3210 9001 1582 ANTLER PT 02.25 321.0 9001 1583 ANTLER: F'T 162.25 3210 9001 1586 ANTLER PT 20.25;'. 320 9001 087 ANTLER PT 162.25 ` E 320 9001 3985 FAWN WAY 162.20 320 9001 3986 FAWN WAY 162.25 320 9001 3989 FAWN WAY 162.25 3210 9001 3990 FAWN WAY 162.25 Total Receipt Ama-aunt : 3 g c 70.50 USER ILA: NANCY PERMIT ,J CITY OF EAGAN 3831) Pi pt)<nob Road PERMIT TYPE: 1. L~ 1~1 Eagan, Minnesota 55122-1897 Permit Number: J ; (651) 681-4675 Date Issued: f 0 E, SITE ADDRESS: 1- ' + A -I I is I1, P I'll 1.0''- ?9 BL.OCIC - 1 T , ~'A 1.0- 20200-- 90--01 DESCRIPTION: T.O.. & i;c.R001: aul.laun,i Ill 3. y~ka Sr tMACSCo 8'Li;i_I d3.nn W01r.k_ Type REPA.1 f C ar-ISiJ6 l 0 C~0 434 Ai._T RES10FL IlTIP,I_. REMARKS: %LU(IES. J.5w;3 FEE SUMMARY: Vl I UATION X114.000 L?,ase Fee 1,k ~ 2 I.1 t c ('1 r cil el l 7 !3 (A I F n a 7 I t, 5 CONTRACTOR: Ar') 0 t < ,,,-I .L OWNER: `:4U'_ UR r'-'Ird F X 1 EFdI0 S 1iii8) 32 12P,: DEE!`~W0C P ~ 0MF--S; P,S 0C: o C c PI_NN ii~JLINIJ r`. S 1__:71eb 1iiIT 1.._ p T T her-c?h'v' ac.k'rl T.c>t t .&tlot-I ",rld t_. nwLedne tha,~: . I ~iave reed this app;i,~c .1 it T " o I`" r'n a L cy n i. as t_ c, r- r e c a i i R , T C o o (P p I y t,.i_.i °-t h ~i .1, 7, c -p f) . Sf:®rl-'LIt N ? and cit,v o-f C ag6rl I~ "J.1l:~€1kt0se APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNATURE 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN J~ 681-4675 l l 4, __L?( 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 (1 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 MCIWS - SAC determination letter from MCNYS - SAC determination letter from MCMS - 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 Lodgings facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. DATE: t' - 1J WORK TYPE: NEW REMODEL DESCRIPTION OF WORK: S;22A, CONSTRUCTION COST: 14, loaf) TENANT NAME: SITE ADDRESS: SUITE LOT a-9 BLOCK SUBD. P.I.D. # Name: 02cwWcaj, Phone PROPERTY Last `First OWNER I J ~ &nm -QA( l - t1 Street Address: ~ City r\ State: -zip: Company: O'~ S Phone Z_; CONTRACTOR - Street Address: ~ -7 0~ License # City d2ggm fak State: /-kh 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 informatio correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PE MIT TYPE ❑ 01 Foundation ❑ 19 CommAnd. Misc. ❑ 21 Miscellaneous ❑ 18 Comm./Ind. ❑ 20 Public Facility L WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish y ❑ 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 I a Valuation: $ Surcharge O c7 Plan Review MC/WS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size Use BLUE or BLACK Ink r For Office Use I I City of EaEd Permit#: I I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I~ Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C Z'(j7613 Site Address: Unit Name: ~WG~4 TOLJ,?,J tt/-~?s Resident/ Owner Address / City / Zip: Applicant is: Owner ~X_ Contractor Type of Work Description of work: Oc> Vii,- c6^,/7-Construction Cost: Multi-Family Building: (Yes / No ) Company: t! /i't i4a~ Contact: . {tit ' Contractor Address: ~ I City: (Jf - State: f~ Zip: Phone: -26 2 ~ 2y - 1/ 6 7 License 66107 Lead Certificate M Seir leeGC,t-3 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of " the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.,qopherstateonecall.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 tzed b a building permit issued in accordance with the Minnesota State Buildin de must be completed within 180 days of per s nce 14 X_i (C~~ X Applican ' nted Name Applicant' ignature Page 1 of 3 Use BLUE or BLACK Ink r________________�. I For Office Uss I � � Permit#: /�����`�' � Clty of �a��� ; . , /�� � I Permit Fee: � pC�J i 3830 Pilot Knob Road l Eagan MN 55122 � Date Received: �J�P 'l � Phone: (651)675-5675 I I Fax: (651)675-5694 � Staff: � I � 2014 RESIDENTIAL BUILDII�IG PERMIT APPLICATION Date: Site Address: �J �� .��"1,����''�� Unit#: � � Name: �1�� ��°�.i.5��� Phone: __� Resident/ ,c-� T"` ` Owner Address/City I Zip: /S�E ��/��° �/ � Applicant is: Owner � Contractor i Type of Work , Description of work: �e S�:'r� fv Wi nG�rrwS Construction Cost: �A f�G'G�! = Multi-Family Building: (Yes�/No_) Company: �i�c����,� ��,�� Contact: ��� .S•;,ce=� .�.,�. ! � .� Contractor Address: c�1�� J��� City: �,,�h r�- �-���� �,f y 1 � �C' j State: �'II�Zip: S �� Phone: �/v� �/C J/�jEmail: � �' i License#: �, �'�f�� 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 � i 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: f 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 that they are frade 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.aopherstateonecall.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 ��,�e��l c,,� X � �—' -- Applicant's Printed Nari7e Applican s Signature Page 1 of 3 � Use BLUE or BLACK InIP�v � r--__-__--- ���. � I For Office Use �,� ' �� � � �l � Permit#: � C��� O� ��6�� I Permit Fee: �`�t/ �'� 3830 Pilot Knob Road I � �i Eagan MN 55122 R E C E I V E D � Date Received: ��' �/� i Phone: (651)675-5675 I I Fax: (651)675-5694 Q�T ' � 2015 I Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: Phone: ������I�?�� " ` 1 Q�y��� Address/City/Zip: �� (� /'1 t'�" a'�/?� Applicant is: Owner Contractor -� � ' Description of work: �e/� G'S' ��iS i i'! Od�i ��'� �/r� ��fs �'�e i�f 1�0�'k: Construction Cost: O ��'dG Multi-Family Building: (Yes /No� Company:�E''�'� �/�PST Oi9 Cv�S��• ,X�i�l'. Contact: ��-�� /-��57 4/7 GO�'1'�1'+��'�fi` Address:���� ,E. -Sf� 7�r s� , c�ty: .�/�i� ��Ai�� State:�N Zip: S�Q�� Phone: J�3�Z Zg•/9�� EmaiL J P�T ��7����vf a COh'1 �icense#: I.�C �°J 7 �3) Lead Certificate#: If the project is exempt from lead certification, please explain why: ,1��'ri/� ,"� /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: J��3T�'=P1ar�s.a��C���port���o��a��s_t�a# . yt�t����r�`�'��e��i�1�d;to i�e��c i���f�c�r� Pr�r�i��f �the�'or�a���n r»ay be"�la�s��reat��rton-p��t;�+�:�f yot�prov�r(e�pe�i#i�reas+c��,�aat�ot�1�l.pe►�rr�t�e C�t;y�ct ,..I : - cc�ncf�t�'�.�tf�e .�re,�c�le��crs�'�;" , 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 utitities. www.popherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota 'Iding Code must be completed within 180 days of permit issuance. ,,.�.._.------ " x .�P�-��/�/'1'f d�I x Applicant's Printed Name Ap cant' ignature Page 1 of 3 �J�`a�p ��,'�-��-�„ �-�- . DO NOT WRITE BELOW THIS LINE � ��� � � . SUB TYPES � z _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) ' _ Multi �C 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 _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION �, Valuation ��� Oecupancy '"�. � MCES System Plan Review Code Edition ,^ ,� ; ' �r�+� 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 CA. 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 Wall;_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By: �Y � ^�°'`; Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review / /� MCES SAC ���� City SAC Utility Connection Charge ,,i `'�� ��� �� S8�W Permit&Surcharge " ���"�',�„�`"'' Treatment Plant Copies TOTAL Page 2 of 3 � , CERTIFI�ATE OF �URVE Y ��C� . �� L� ..�-�- , far / �`�� � t) D VALUE HOMES C � PROPOSED BUILDING ELEVATIOI�S Tap of faundation _���5 ___ Front o# house �15-� ___ Garc� e floor ql�=�__....._ Rear of house ���__ 9 Lowest floor ��,�1---- Walkc�ut _ _ __ . �--- arrow denotes drainage direction per developrnent pian. 890E denotes existing spat efevation """ � 890P denotes proposed spot elevation 0.3� BENCHMARK USED: ��tope.-1 ` m' o. 5 J o� ��u'ool� �ut��'g �u YY)G 5 t7� a O.GU 1'Yl d V L�n ,..... o� � Q I� � 7z�P / (�,�y � � � � �4.� /i/(i {� ,�,,, .r � T L?� L�Nf� EXT� � � � � .33 �1� 17 � 2� .67 0 � J � JANrtA�. �wE�e and w�r�, 5��2incGs , , - Y E --,_, ; � . 7, f�.�- �--��: � �' . , ubZ,d,71v ��l.�'.�J • t.'. --- . _ , , ` J' ��. r ,; ..:.$ _ •_ / - I �' �/ s' - • //� - 5 . ...� ��' � • ,�'--', ;� to �„ // t S/� u v�Top� �� • _..... ..__........., '� ''' � . � •. I • . `.�. , . •�i'��u�� • . . � - 4�. � S� ,�, , Detod t icai 9 - •_.�.- � ) � � �P . � � o� ,a o :o y�� ''�+ •C, /$ � , 0 � •S� W t� � I'�I Ot t0 SCGIt3 �e��na+o �a►. S ��wL214 ��� {�4 1 � �� - � �� SS. 4, p9 , 9�a1.� � t ,�.�� `,-'��_ �- z�.s� 6 s.�3 `� J -�u l o r c� .. o+ �, �� , 9 0 � � �[! . ,�—= o � o M �� � � , � � � � ..J � nQ �Q+'U 6 � � ��� �'� C 1-'� � l��i N G7 . � � '� "� o �� � I�Q�CO �a � o ° 90�--� � � W j �tt���*'� � 76.33 � 5 � O �'' � 78.3� �,a � {n � � � 5 �-o ` . �o s O il � � ^�,�, o �o � �� �a J ` � I� O � '"�t"n I p,, a u' 1 , J N 0 • 22 l�U� � ' � }— � ! �.aa � ��.3s ...,1 9�. ', � � M �d � 27.67 4-59� ��� �' ,� � 7•� � � � o� 1 v� � "�'�8 .59 � , a�.33 „ W ' � �lt7 . 13 0 82oZ 14 � � j�•7q � �` X P a�5-0 l�S, 8updinq F�nvdops �' � �s,a f t� �� BuRdt�q�atope ��(���� NOTE: ALI. DiMENSIaNS ARE FC}UNDATION DISTANCES �EGAL DES i { ) = RECORD iNFORMATION Lots 29 and 30, BIoCk 1, DEERWOOD ! O DENOTES 1 j2" IRON PIPE & CAP SET TOWNHOME�, accordtng to the plat of ! �.s. � 23945 recard thereof Dokata County, Minnesoto. ' � DENOTES IRON PIPE SET I hereby cert�#y that this survey was FOR BUILDING OF�SET prepar�d by me or under my direct , ❑ DENOTES WOOD LATH SET supervision. ond that I am a duly FOR EXCAVATION ON�Y Licensed .Land Surveyor unds� the DASHED LINE DENOTES DRAINAGE laws of the state of Minnesota. AND UTILITY EASEMENT AS PER PLAT. RE(?I9TE�ED P8 FIa88I0NAL LAND 9 AVEYORS Donc�id E. Sigety� � M c o. �3945 9446 COON R�APi1�. M�'N 66488E Z08 ( Date: ���1 ��,�� Tel. t6181 46�6-8840 F�ut. (81� 76�-186$ + JOB N0: 93-34 SCA�.E: 1 INCH =..._20__FEET FIELD BOOK: /pa PAGE: '� ORAWN 8Y: CKP PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA143743 Date Issued:06/26/2017 Permit Category:ePermit Site Address: 1586 Antler Pt Lot:29 Block: 01 Addition: Deerwood Townhomes PID:10-20200-01-290 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Gustafson Family Trust 1586 Antler Pt Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature