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1773 Brant Cir Parcel Files Cover Sheet Unique ID: 2150 1773 Brant Cir 104725344001 -r--r.°-Ar---r--.-^?•--~- P'~.~aRe r'-aaw~ 1 \IVP~~Oi \ REC ~ Y V ~t c : ZAQ A►N PERMIT TYPE. 01) 11-1) P110 ad Permtt Number: 0 2 7 0 4, E n,11 . r 95122-1897 Date issued: 02/04/96 (612) 6814675 SITE ADDRESS: 8 2 .r . APPLICANT: 1 X3 k3RAWI CYR IIO~R~S.,;F3~ .CHASE MALLARD PARK 4TH PERK . : TYPE O ORK: 3`. il IN coon ~yy,y r ri pA t1 q p re9 8641 " •1--H pupa kOUGH IN WTO P#A!. PL&O 0 TNAi f pwndt Lam. i Dade. Y # 0 ELECTRIC 94V W6 yMige .HVAC b"Woodw t F G IAK38 FIB daff , FRAMWG X61 ROOFING ROtM PLUMING 31 TEAI ST ROUGH HEAnNG a~ t . TE ES~ ST INSUL ~Z GYP LOAD FIREPLACE de FIREPLACE AIR TEST FINAL PLBG ~ b FINAL. KrG TESTY BLDG FINAL BSLMT R.I. BSLMT FINAL DECK FTG DECK FINAI. V M Ktrflf icate of rccu anc4 ZeVarbstat of S>uil * ~3ni pccition This Certificate issued pu~suapi to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various f ordinances of the City regulating building construction or use. For the following: 4'. v Use Classification: SF DWG Bldg. Permit No. 2701+6 Occupancy Type/ V 1 Zoning District' Type Const. yx Owner of BuildirigHCM U MAS)• Ad&. 1668 E MUT 110, B'VTTTR Boildi/ngf, Address 1773 BRAY-£',I? IJ/E tvcality IA4,B1, I4lE1tIM PARK 4TH f - "Jf Date' B.ikiing Off.iah~ s M POST IN A CONSPICUOUS PLACE a Address 1773 KIMT r-= Zip 5512 2 Lot 44 Blk I Sub MALLARD PARK 4T13 THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch $asement finish Deck 1 \71 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 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 261-930 0;1'7'c SFsO1~LY/n is request void 18 months from validation date printed I~ u/ (f/G ~Y' 51-7197 O PLEASE PRINT OR TYPE Request Dote Rough-In inspection regal Yw [3 No inspection Other Than Rough-In: [3 Ready NorL~ Will Call R 19 (You must call the inspector when ready) Dale Ready: f~ 40 licensed contractor ❑ owner hereby request inspection of the above ctrical wor Job Address (Street, Boa, o outs No.) City 1775 m yr C 1 r _2 & a>, r\ Section No. Township Name or No. Range No. Fire No. cu Occupant Phone No Power Sup liar Address L Electrical Contractor (Company Name) Contractor License No. Master Lic. No. (Plant Elect. Only) cwt i att~ .sLC. - i A O a. S Mailing Address (Contractor or Owner Performs^^~~InslaHatton) Authorized Signature (Coqdt~or or r Performing Insta ) Phone No. ~t ~3- D 1 C)CP EB-OO001A-10 6/95 STATE BO PY- SEE INSTRUCTIONS ON BACK OF YELLOW COPY REQUEST FOR ELECTRICAL INSPECTIONJ,~ . I III II II V III VIII Min t University State Board Rm. SA St aul MN 55104 0 26 1 9 3 D 2 Phone (612)642-08M A9 f` ,x'77 Home up ex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Repair Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service eX° above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service frorance`4-he Fee # Circuils/Feeders F Mobile Home Park Stall 0 to 200 Amps 8 0 to 100 Amps Street Ltg./Traffic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL 00 Sign/Outline Ltg. Xfmr. ;rd T~/J IA7 J~ Alarm/Remote Control A ~ ~ ` 6/ `pZ vU Swimming Pool I here cerH that I Ins the electr n tat on her~n on the dates stated irrigation Boom Rough-In ~ Special Inspection Investigative Fee Final ~ K THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF OT COMPLETED WITHIN 18 MONTHS. _ RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements Remodel/Repair Reguirements 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 Recd (20% maximum lot coverage allowed) 1 set of Energy Calculatim 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-sde 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 Construction Cost nom, CM Site Address~~ A) C Unit/Ste # Description of Work Multi-Family Bldg _ Y N Fireplace(s) 0 2 n Property Owner ci:° J Lr, -,\-~_OSeJ3 Telephone # ( ) Contractor w~eS : CAS-R- Address City State Vsko Zip 3 g Telephone # Asa) " a COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of E an and the State of MN Statutes; I understand this is not a permit, but only an application for permit, is not to start without a permit; that the work will be, in accordance with the approved plan in case or r,~ hich requires a review and approval of plans. Applicant's Printed Name Applic is Signature I 6MM'I USE',ONLY t ! Su o Typos If O 01 Foundation 07 05 -Tax [ 13I1~niex 13 ' 20 Pool d 30 Accessory Bidg O 02'. SF Dwelling, O 08 06. lox [ 1I8 Fl p(c 'I Q 21 Porch ~3-spa.) O 3 E-tt:'Alt -Multi 0 103 01 of_ plex 0, 09 07-plex CI' 17', Garage O 22 Porch ,Addn. (4sea.) O 33 Ext. Alt- SF 0 ',04 - Q2-plex 3 10 08-piex i 18 Deck 0 23 Porchi(screen/gazebo) O 36 Multi Misc. O OS 03-plea 'a' 11 10-61ex D ! 19 Lodver Lnvel 0 24 Storm Damage 0 106, 0441ox 0 12 1.2 plez 01bo ~Y or ' O 25 Misce landous 013 N O 35 Int 'mi ro vmen( O Demolish I dor O 44 Siding ~38 ~ e ) 0 32 Addition 0 36 Movn!Bldg O 42 Demolish (Fo dabon) q 45 Fire Repair • 0 ;33 Alteration i 0 37 Demolish (BId'gr O 43 -Reroof O 46 Windows/Doors 0 34 Replacement "Qerdoyldon ate 111dg) Givra p0A handout to a pileant _1,, ilaricY I---,ah Val ation b F r MVES 0SYs;em W r Census Cod to C e Zoning CltY i SAC Unl~ stories Boost_e , Pump "Nbr: of Units S 't. PRV Nbr of Bldgs ~ Lee th Fire Sp nkle3red Type o Const W itl, r I - al F NS ~1~E D!IS E O Footings (nw bldg) Fm'aUCA . e Footings (deck) Fin"o C.O. Footings (addifion)i Plumbing Foundatioa HVuAC tile:: or i - Gas Tests Final Rooi` _ Ice ;Water Final "`fl - Ft~s/ Sid ng Stucco Stone Fireplace RI. Air Test Final' Windom (new/replam nt) - Insnlafton Retaining Wall . l I Approved By Building Inspector d 'I I 'Base F ~Surcharge , Plan Review MC1ES'SAC C' SAC V UtiliyConnection Chao~r. al II ~ 'll I S&V rperril & Stflahargp hI ' ~ I!l hi I Tredtrrtertit Plant . License Search , I copies Other r Till I ~I I . i I Q RESIDENTIAL 3 ~5 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements RemodeVRepair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION (EXCLUDING LAND) d JOB SITE ADDRESS-al 12, Q f&,r A- C.: (Cle-- IF MULTI-FAMILY BUILDING, `(HOW MANY UNITS? PROPERTY OWNER( C_ \ Y\l O, J~t~ h TYPE OF WORK i F~IRde- &vt %j EPLACE(S)_0 _1 i~1~ 3 APPLICANT O)ne.S PHONE # ~-aqS- OO ADDRESS Q„j CO )r CQUc L` ZIP CODE 4S A3 PAGER # CELL PHONE # FAX # a5j_ S~4s -aLg 7 r NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: Water Softener Lawn S kler Fee: $90.00 I aths Water Heater lye of No. of Baths 2 h~ Mechanical Contractor: Phone # Mechanical System Includes: Air Conditioni y' p Fee: $70.00 Heat Recovery System Sewer/Water Contractor: \Q,' Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant /A",, Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY ❑ 01 Foundation ❑ 7 - - ❑ 30 Accessory Bldg 0 05 Alex ❑ 13 16 plex ❑ 20 Pool rY 9 ❑ 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 (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ~90 25 Miscellaneous ❑ 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 only) - Give PCA handout to applicant Re~b U ~ S CC) 4p)p i2ee wce- S-fle) d- )r3 12 "CK Valuation Occupancy - MC/ES System Census Code 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) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Roof _ Ice & Water _ Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests -Final Fireplace _ R.I. - Air Test - Final ~O Siding _Stucco X4WW X I C Insulation _ Windows (new/replacertient) Approved By Building Inspector - - I Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total / RESIDENTIAL BUILDING PERMIT APPLICATION D `D CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements Remodel/Repair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE M141m_ VALUATION SITE ADDRESS - MULTI-FAMILY BLDG _ Y N v) ffa n 01'r TYPE OF WORK IAM FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT STREET ADDRESS CI ST TE n ZIP 6--7 TELEPHONE r QELL PHONE # FAX # 9r~ 0 PROPERTY OWNER TELEPHONE COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA R1 TLES 7670 CATEGORY I _ MINNI;SO'rA RULES 7672 (J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softener Lawn Sprinkler Fee: 890.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: _ 870.00- Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eag clinance . Signature of Applical Ut OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4/02 OFFICE USE ONLY ❑ 01 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 (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex PIbg_Y or- N ❑ 25 Miscellaneous ❑ 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 only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code 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) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other T Roof - Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests _ Final - Framing _ Siding _ Stucco _ Stone - Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY OF EAGAN CASHIER: S TERMINAL NOe 764 LATE-. 10/12/98 TIME: 15ci5:02 III NAME-. DESIGNER BECKS INC 3210 9001 1773 BRANT CIR 50.00 2155 9001 1773 BRANT CIR 0.50 Total Receipt Amount". 50.50 CRO9833r USER ID g NANCY PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 5 9 7 (612) 681-4675 Date Issued: 10/09/98 SITE ADDRESS: 1773 BRANT CIR LOT: 44 BLOCK: 1 MALLARD PARK 4TH P.I.N.: 10-47253•-440-01 DESCRIPTION: Building Permit: Type DECK Pullding Work Type NEW Census Code 434 ALT. RESIDENTIAL - i I I I REMARKS: PLAN REVIEWED BY BILL ADAMS. FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 I CONTRACTOR: - Applicant - ST. LIC. OWNER: DESIGNER DECKS INC 14786885 20092021 JENSEN CINDRA x'662 HAMMEL RD 1773 BRANT CIR VDINA MN 55340 EAGAN MN 55122 4612) 478-6885 (612)984-8070 T hereb`y,acknowledqe that I have read this application and state that the information As ~c-orr.ect arid ~agrse to comply with a11, applicable' State cr1`Mn. J 4 G 4~~i . W~ n b M ~1 4~ C n Sd - - - r n Cfn- a _ PL CANT/PERMITEE GNATURE ISSUED Y: SIGN RE _ PERMIT Co.s~~~-9 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 0 4 6 (612) 681-4675 Date Issued: 02/09/96 SITE ADDRESS: 1773 BRANT CIR LOT: 44 BLOCK: 1 MALLARD PARK 4TH P.T.N.: 10-47253-440-01 DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBCOccupancy, R-3 U-1 Construction Type V-N Zoning R-1 Building Length 72 Building Width 57 Building stories 2 Square Feet 2,403 Census Code 101 1 - FAM. DETACH REMARKS: PRV S & W PLBR - VALLEY PLBG FEE SUMMARY: VALUATION $156,000 Base Fee $1,167.25 MISCELLANEOUS $1.923.50 Plan Review $583.63 Total Fee $4,602.38 Surcharge $78.00 SAC $850.00 SAC % 100 SAC Units 1 Subtotal $2,678.88 CONTRACTOR: - Applicant - ST. LIC.OWNER: HOMES BY CHASE 18955337 0001619 HOMES BY CHASE 1668 E CLIFF RD 1668 E CLIFF RD BURNSVILLE MN 65337 BURNSVILLE MN 55337 (612) 895-5337 (612)895-6337 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 C NT/PERMITEE SIGNATURE ISSUED BY/ SIGNATURE I( INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 2 7 0 4 6 Eagan, Minnesota 55122-1897 Date Issued: 02/09/96 (612) 681-4675 SITE ADDRESS: P . I . N 10-47253-440-01 APPLICANT: LOT: 44 BLOCK: 1 1773 BRANT CIR HOMES BY CHASE MALLARD PARK 4TH (612) 895-5337 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FOUNDATION FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: PRV S & W PLBR - VALLEY PLBG IL CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1104L 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)i- 681-4675 New Construction Reaulrements Remodel/Repoir Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 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 If lot platted after 7/1193 required: _Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: 17'73 LOT = BLOCK _ SUBD./P.I.D. #:Z~ PROPERTY Name: Phone M OWNER Street Address 6714 City State: Zip: ~42 CONTRACTOR Company: Phone M Street Address: License City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Strseet Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit it3 Issued. I hereby acknowledge that I have read this application and state that the informat' n 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 E C E R~ 10 Certificates of Survey Received /Yes JAN 2 + 1996 Tree Preservation Plan Received Yes No - v - - - - m a o - - o @ m OFFICE USE ONLY « It ~kt 1 did, BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish 4-02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessoryy ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ ! 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. 13 10 = plex ❑ 15 Deck WORK TYPE 1 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition- GENERAL INFORMATION Const. (Act(jal): i ; Basement sq. ft. MC WS System (Allowable) Main level,sq. ft. .14 &72- City UBC Occupancy Z to sq. ft, ,7 %6 Fire ~ater rinklered Zoning s ft. PR # of Stories- z ga,,£.~~. sq ft. Boo ter Pump Length,-' ?4~ sq• ft. Census Code. dal w Depth Footprint sq. fta r z, 003 SA Code e Cen us Bldg Census Unit la f APPRQVALS Planning ` Butc(jng' 4+•~ :'r'?' Engineering Variance 06 ° Permit Fee . ' Va"I_uation: $ Plan Review l3sM Licgnse Geer z X = i s, ; 67Z MCMS SAC sJ-~zz = iz1 City SAC Water Conn. 6, 5 & Water Meter Z~ X ya ~,ovd z Yo Acct. Deposit 77_i S/W Permit S/W Surcharge ~z X sy _ ~o, z e, 9; Treatment Pl.__~a~ Road Unit Park Ded. 2 3 3 X 3 Trails Ded. 20 x 3 z = Other Z2.tx = 3~~ 7,v : 1/0 Copies l~ X y yD I q = S ya 11 Total: x 3 i°,Y . s X 1/ s° " y~ ~~v 8J % SAC SAC Units - /S ML'f1UUIU rtt;lyl1(`J, IVIIV a:114V 1 p10pmEn L ENCINEERS (812) 881-1914 FAX:881-9488 ~h 11"Ie ~ t-AND PLANNERS. LANDSCAPE ARCMItCrS 625 Highway 10 N.E. Bloine, MN 55434 1(612) 783-1880 FAX: 783-1883 Certificate of Survey for: HOMES BY CHASE 1010 l ~a ¢ a~ 964.'1 947.5 9y~5o1 946.0 r O f` e~oFD'~ 6, BENCH MARK TCP OF h6E N e Osrc,~ ELEV.=946.98 1119 47.1 '945.0 ~ .r JJ \ ~ 0 45 845.9 J 946.9 d a' U \ h 946.5 948.7 ~r \ 1Q, SA c~~► / \ `yL \N 944.12 BENCH MAR g g 2 ~o ~'~~P~l' TOP OF PIPE ELEV.=947.39 \ dp r' ~ 1< \ ! 0 4~ 43.6 948.7 ` 7.F3 .•''r 1 x ~ 937.8 20°OAK~' ~s ~ '-I 940.8 44 x w{ 947.02 \ x 945.5 • ~1 ~i7 - ElkGAIAA Fy►~ 1 ~ 1 IRV D`_ ]EAGM MG EMG DEPT. P■ R.V■ Q' NOTE: PROPOSED G4ADES 51-IOYN PER GRADING PLAN BY: Mc 11BS FRANK RODS _.Q3oPU.SI~U. ~!UUSE..~1~~vAilc~N. N91E: BUILDING DIMENSIONS S1101AN ARE FOR tIORIZONTAL AND VERTICAL LOCATION LOWEST FLOOR ELEVATION: f 1_ OF S1RUCrURFS ONLY. SEE ARCHITECTVAL PLANS FOR BUILDING AND r FOVNDAToN DIMENSIONS. TOP OF BLOCK ELEVATION: NOTE: NO SPECIFIC WILS INVESTIGATION HAS ?FEN COMPLETED ON THIS Lor BY THE r SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE GARAGE SLAB EI.F VA I ION: _ PROPOSED 19 NOT 11-iE P.ESPONSIOILITY OF THE SURVEYOR. NOTE: THIS CERTIFICATE DOI NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING CIFVATI(-'N NOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION - - - DENOTES DRAINAGE AND UTRITY FASFMFNT Ng1E: CONTRAr,TOR MUST VERIFY DRIVEWAY DESIGN. DENOTES DRAINAGE rtow OIRFCYION NOTE: PEARINGS SI TOWN ARE BASED ON AN ASSUM90 DATUM -f-- DENOTES NONU+.ICN r -(4DFt4OTES OFFSFT HUM VVE HEREBY CERTIFY TO HOMES BY CHASE THAT T1419 IS A TRUE AND CORRECT REPRE aF'.NTATION OF A SURVEY OF THE BOUNDARIE5 OF: LOT 44, BLOCK 1, MALLARD PARK 4TH ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEME=NTS OR ENCHROACHIAENTS, rX(TFIT AS ShI(r'~I, AS SURVEYED BY MF OR UNDER MY DIRECT SUPERVISION THIS 18th DAY OF JANUARY. 1996. S GNED: Pl N EER F:NCIr. 171 Fl, A, SCALE : 1 INCH = 30 FEET 1445 96005.00 PJH REVISED HOUSE" 1-31-96 John C. L:Irnan, L.S Reg. No. 1989'si natt+wl SEE SHEET 5 S-0+27 46. 929. , • S-0+20 41 S-1+42 932.0 ~S 937.0 6" GAT 42 45 VRL VE 19 P r~-~, ~_~,b"Y OF I~~~~ ~ ~ ra 12 r ~4,n l I ~ ~d" aY IONS. TIT NT, 3 IT 6 S=fl+~ 1, M T I=II SITE 935.0 936.5 43 / 1/8 BEND 44 HYDRANT MH 18 6"x 6" TEE \ V-1/32 E 4 \ 43 44 / i BRAE H MH. -1 -2 • fD •CRRDf . . . . . . . - 939. .29 . 1' i w:.... .......:155 off.v . ................:i........... , . :...::V 9 Dy 13 2 L F-• 8" P N C e C . : a cn ccr 3' Q?j qo..:::::::: m 'a`mp ° i~y. ~ : ...M C- .ac"........ j 17 15 15 14 13 5-9425 I i 27 LOT SURVEY CHECKLIST FOR RESIDENTIAL r Z B LDING PERMIT APPLICATION r~ PROPERTY LEGAL: DATE OF SURVEY: <v 9 LATEST REVISION: DOCUMENT STANDARDS a Z' ❑ ❑ • Registered Land Surveyor signature and company fr' ❑ ❑ • Building Permit Applicant e ❑ ❑ • Legal description Mro'-❑ ❑ • Address Ems* ❑ ❑ • North arrow and scale W- ❑ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0--"'13 ❑ • Directional drainage arrows with slope/gradient % W"❑ ❑ • ' Proposed/existing sewer and water services & Invert elevation :~p ' ❑ • Street name ❑ ❑ • Driveway ELEVATIONS Existing Pro"❑ ❑ Sewer service (or Proposed) Bo' ❑ ❑ • Property comers 9" ❑ ❑ 0 Top of curb at the driveway [K~o ❑ • Elevations of any existing adjacent homes Proposed 0'❑ ❑ • Garage floor I'❑ ❑ First floor tT' ❑ ❑ • Lowest exposed elevation (walkout/window) ❑ 0 Property comers :~~PO ❑ • Front and rear of home at the foundation PONDING AREA (If applicable) Z P--'13 ❑ • Easement line t?- ❑ ❑ • NWL rrY ❑ ❑ • HWL W---❑ ❑ 0 Pond # designation ❑ 0---0' • Emergency Overflow Elevation DIMENSIONS C9--" ❑ ❑ • Lot lines/Bearings & dimensions 13' ❑ o • Right-of-way and street width (to back of curb) E' c3 E3 0 Proposed home dimensions Including any proposed decks, overhangs greater than 2', porches, etc. p.e. all structures requiring permanent footings) ~f ❑ ❑ • Show all easements of record and any City utilities within those easements 13' ❑ ❑ • Setbacks of proposed structure and skleyard setback of adjacent existing structures ❑ Retaining wall requirements, if any Reviewed: r Na k. or / ate January 1988 CRW19WfiK DWnW.FM P 01 2--q~ • - P, - , Post4t- bra pd fax transmittal memo 7671 •e+pages . From To -p ft ura suw+eTOns w1l co lsROina®r A~ LAND f1 AN 41. LANascM p, e„ss _ a r Pea r Certificate of Survey for: HOMES o t %..n^%)ie BRANT CIRCLE 964.1 .'S6.pl rvi $wE g~ 6 46.0 W% d5 6 ~wvlpP°~ OVTp BENCH ~ FAoY. ~ 1 E ppV.~948. 8 P a arp~' 995.0 r ~O r ' PD~V o7 94.7.3- \ ham' v 945.9 ~ 9 oc+~Z~ / ~ E ~ \ ? ~.~-~1 `3+ 9407 / T S P4 ;944 . BENCH IAA x RK piLOPVS a'4. TOP OF P Pg 'a jr ma`r' 4 141, 948.7 91+1®OAK;. R \ rtRO CV Iffier 1i,. fir, 1 ♦ .r~ 947. x 948.0 c~ 43 ~4. ><x >a>KSr - Qot~serv~l..rr. ~er~~ ~,\Q -ro e~ ~a+,eHa EAeAN.Fow iY ©1i iSION NOTE: Voinroser1 C9ADEs 1h10wN rep ORAOINO PLAN MY! MajAfl9g FRANK moos REV I _ .SE ~ZSE..EI QYAlIQK NQtC~ bUgLUINO 01►Ir,N_.1UMII 31#0%% ARE tuat FIOIUSONTAL AMU VERTICAL LOCA1110141 LOWEST L O - TI~]N: Or SIRUCIURE9 ONLY. SEE ARC/gTCCTUAL PLANS FCQ BUILDING AND FOWNI{AnoN 01MENVUNY. BY7 ot+ NOrE• NO SPECIFIC 700.$ INVE3T04TION NAS H![M COMPLETED ON T'M7 LOT Br THE VianluR. THE SUIIABHLIIT of SOILS TO SUP"111T THE SPECICIC FIOWSC GARAGE SL I, I.E"IiON: PRpP4lt0 1Y NOT T.E RL`iPaNS1DIUrY OF we wjWAYOR. ~Jy_ NOIV THIS CtNIU1CATE DOES NWT PUMVRT IU SHOW EA51rMENTS OTHeR THAN ~ O O►es Fn TIED REYArION •IMOst 614OWN ON TIC RECONZE0 PLAT. NOTE! CONTRACTOR MUST vEwur DRIVEWAY DE904. OCNO►LS ORAINA ~ or rHpM OVKGTIVT h NOTE: IItAN11407 SIIDN'N AN! TIANCO ON AV AVM49O DAIUM OENOT99 M4MJMT.N1 -13-- DEMO VVL IIERCOY CLK IIF Y TO FIOMES 13Y CHAS-t THAT THIS IS A TRUE AND 636- A SuR JEY OF THE BOUNDARIES OF: LDT~44~ BLOCKfK-STNA1.701 T1<)N OAFtLA i tviv 1 ~:~4 :4~6~ Ir` IT IJULS NO1 IdUl-(PORT TO SIIOW IMPROWLMCNTS OR ENCHROACHMENTS, I-:)c-F.f+T At SHOWN. AS SURVEYEn RY /AF Oft NOER %4Y DIRECT SLIPEWASION rf11S 18th DAY OF JANUARY, 1996. S CJ-).D: F-'IONrER rNC:I fl r• A. SCALE 1 1NC:11 a 30 FEET P ~r 1445 95005.00 PJH FeEwSEO HOUSE 1-51-96 John C. L- mart. L.S. Rxg. f4e,. 198:8 - - I & 2 Family Residential "Cookbook" Methou SITE ADDRESS City BUILDER Date Minimum Criteria: Rim Joist: R-19 insulation Foundaton Windows: Insulated glass. 1R" air space. mood or vinyl frame Entry doors: 13A inch solid wood with storm or better STEP 1 Window & Door Area STEP 2 Calculate area as a percent of wall Total Window & Door Area in Sq. Feet Box A (window & door area) divided by Box B (total j WINDOWS (including foundation windows): wall area) times 100 equals the window and door area Dimensions Qnty. Area as a percent of wall area (Box C). ~!v x rN7' fr,- Box A7 7 x 100= ,0~1 C] I . x s441 ~ BoxB ~o56'o to '2- i 1 X STEP 3 Design Features d v_ x ASSEMBLY OPTIO-i X FRAME WALL- x STANDARD FRAMING x j x ADVANCED FRAMING I x CAVTI'Y INSUI.ATION R- x DOORS• SHEATONG: LESS THAN R-5 R-5 OR MORE •7- WINDOWS (except foundation windows): X 7 Total Area of U-FACTOR Window & Doors From the table, determine the maximum percent window Total Wall Area in Sq. Ft. & door area for the design options selected and enter the Wall Total Perimeter Height Area. value in box D below: o Box C must be less than or equal to Box D Total Area ke f walB o i F. The building must not exceed the maximum window and door area as a percentage of overall exposed wall area listed below for the combination of framing technique, R-value of insulation within the insulated cavity, sheathing R-value, and window U-factor- Other components must meet the requirements of this subpart. MAXBWM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL EXPOSED WALL Cavity Window U-Factor Framing Insulation Sheathing 0.49 0.36 0.31 0.27 STANDARD .:4R-13~' 13.4%. 17.8% 21.3% 24.3% STANDARD R-15 zR 5 12.9% 17.16/6- 20.1% 23.4% STANDARD _ -?`R 18 "n _ 1 d., ~2L1°/n~,~° 316:09'0: 18.89'e 22.0% STANDARD R-18 zR-5 13-5% 18.6% 21:8% 25.3% ADVANCED.. _.<R-5 , _ .20.1 % 23.4% ADVANCED R-18 2!R-5 13.5% 192% 22.5% 26.1% ARD.. ; R-Zi • _,_.,.._....17.09'0.._`. _.19.99`0_ ' 23.1/0 STANDARD _ R-21 _ ZR-5 14.0% 193% '22.5% 26.1% -ADVANCED ` . R-21.."x. 11.8% _ /6;,'1-.--...21.2% 24.6% ADVANCED R-21 ZR-5 14.0% 19.9% 23.2% 26.9% Subp. 3. Performance criteria. The combined thermal transmittance (Uo) factors for walls, roof/ceilings, and floors over unheated spaces must be less than or equal to: A. 0.110 Btu/h ft2 OF for walls; B. 0.026 Btu/h ft2 OF for roof/ceilings; and C 0.04 Btu/h ft2 OF for floors. STAT A UM. MS § 216019 HIST. 18 SR 2361 7670.0480 Repealed, IS SR 2361 ' Minn. Rules Chapter 7670 26 June 1994 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF BAGAN 3830 PU.OT KNOB RD - 55122 , 681-4$73 tru n R i nts Remodel/Repair Reouirements -2~CX ' b' o r ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 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 treated additions ♦ 3 copies of tree preservation plan if lot platted after 711193 required: , Yes No DATE: 102T CONSTRUCTION COST; DESCRIPTION OF WORK: STREET ADDRESS: 07 3 ~l ¢'C( e LOT:_ BLOCK: SUBD./P.I.D. Name: Phone PROPERTY Last First OWNER 17-73- Street Address: city c GI l~ LAG( 15e2 ~h State: ~ll/J Zip: Company: ~~Sl P~!E6 Phone CONTRACTOR `2- _ 1/LAy Street Address: O `7 ~ License # S3 ~D City G1 Stated' `6 zip ARCHITECT/ ENGINEER Company: e- Phone Name: Registration Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and ree to co ply with all applicabi State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant ( SOW OFFICE USE ONLY D Certificates of Survey Received y Yes No OCT 5 i998 Tree Preservation Plan Received Yes _ No Not Re OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation 0 06, Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex 15 Deck WORK TYPE 4 31 New ❑ 33 Alterations ❑ 36 Move 2 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. - City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 4e-7 Depth Footprint sq. ft. SAC Code Census Bldg Census Unit ~ 0 APPROVALS Planning Building Engineering Variance Permit Fee Valuation: s Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units I 16 ~~y/J rnQerluutu r,uIbrlty, Iwlr u:ll/ ' µR✓S'V~~ S v YCOW ENGINEERS 151-1914 FAX: 881-9488 engineer ng LAND PLANNERS LANDSCAPE ARCHITECt3 r-. 625 Highway 10 N E. * * 131aine, MN 554.34 (812) 783-1880 FAX:783-1883 Certificate of Survey for: HOMES BY CHASE _ BRAN T CIRCLE ~Q~ 964.1 V w` ~J~,i aQ ~~~j. `I 1 947.5 946.0 0b501 \ N6 S`R~lat+ r \ h a' _•r- BENCH MARK ~UIPO ELEV.-946.96 vl945.0 ~'w F•U E`~ r 945.9 1946.9x di\ L a C~ . 0 wU d 0 0 O :3'ypo7 \ 946.9 \ Ct ar*+ t 948.7 SA '0 / \ 1 5 0, Joe< .,A 944,12 9ENCH MARK x di TOP OF PIPE 9113.2 wp ('P~~~,v' / o+ ELEV.=947.39 of \ O o`s ~ ~ \ 0 LOA o 3.6 V% r° xvrp. 7.8\ I 1 6.9 x lr$ 948.7 20 "OAK ~r. 937.8 ~ 940.8 x \ }G f Off(>~ I ~j 947,02 x 945.5 Ile 51 ' E TI i v~'74C• By . - qtr `>L ~pRPE~~~~ O~ad Q ),ILvE Z y60" A W TO$N 0 ,54% 4L ac D. Ell 3AN ENCT "EKING DE.F T. _ PAN, NOTE; PROPOSED GRADES SHOWN PER t?RADING PLAN TTY: Mc 1BS FRANK ROOS _F'PQE~.I!S~S! tE..~IzF,VI~iIQN, J j 11QTE: E?UFLOIN^, DIMENSIONS SIIpkSM ARE FOR IIOrTIZDNTAL AND VERTICAL LOCATION OF STRVCrURfiS ONLY. SEE ARCHITECTVAL PLANS FOR BUILDING AND LOWEST FLOOR ELEVATION: x l_ Fnt:NpArCN DIMENSIONS. ?"OFE7 NO SPECIFIC SOILS INVESTIOgTION HAS BEEN COMPLETED ON THIS LOT BY THE 1C4y OF BLOCK ELEVAnrarJ: SUR%,ETOR. THE SUITABILITY Or SOILS TO SUPPORT THE SPECIFIC IIOUSE GARAGE SLAB E.I.F VA ZION: r PHLN°OSED IS NOT 114E P.ESPONSIBiLITY OF THE SURVEYOR. ' NOTE: TIIIS CERTIFICATE OM NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 1]00.00 DENOTES EXISTINr, grVA11101 n10SE SHOWN OIa OIE RECORDED PLAT. ( 000.00) DENOTES PROr• OgEO T[LEvATION NOTE., CONTRACTOR MUST WRIFr CRIVE'NAY OCSFGN. =Z-==-= DENOTES DRAINAGE. AND UrnIIY FASrurra NOTE: NEAI:ITJr3 snDt\~I ARE BA..Ea ON AN A+SVMEO DATUM DENOTES ORAINAr.E now glrrFCTt(FI -f-- OCNOTES 1+ONU\gNr --F~--- QFr.17TES OrrSFT ►Vurl N!E IIEREDY CERTIFY TO HOMES BY CHASE THAT THIS IS A TRUE AND CORRECT REPRE .,r -ITATI0I-4 OF A 9,URI EY Or ME BOUNDARIF.5 OF: r LOT 44, BLOCK 1, MALLARD PARK 4TH ADDITION DAKOTA COUNTY, MINNESOTA i. IT DOES NOT PURPORT TO SHOW IMPROVEMCNTS OR ENCHROACHIAENTS, r ):(V"T AS SHOWN, AS F;IJRVEYFr) RY IAF OR UNDER AlY ()IPCCT `aUPER•ASION TFIIS 16th DAY OF JANUARY, 1996. e GhIED: PIONCER F'NCR- Frv A. SCALE : 1 INCH = 30 FEET - 5 96Og5,Tjci PJH REVISED HOUSE 1-31-96 John C. L:rrnon,• L.S. Reg. No. 198:8 n+lawl ` L CITY USE ONLY '6581'9.'2_ I . L BL ~ IIII RECEIPT . T ~ S DATE: A~L III 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY -OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete fosingle family dwellings r ► townhomes and condos when permits are required for each unit if i New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. ~i Date: I, FEES ► Minimum Fee: I` Add-on/Remodel (existing residence only) $20.00 ► HVAC: 0-100 M BTU 24.00 Additional 50 M BTU --6.00 / ,oa ► Gas Outlets (minimum of 1 required @ $3.00 each) ► State Surcharge .50 h TOTAL 3 , so SITE ADDRESS: 11 1-77-3 C;~Gle OWNER NAME: a ~o f~,-S w C~~se PHONE Fs~i s-S33 Ile.Z 4,,m INSTALLER NAME! STREET ADDRESS: .21.210 F-G, eve CITY: STATE: MAI, ZIP: S5-D°2 y PHONE (~lz) IIII ~~06-(D a CITY USE ONLY L BL CEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMER IAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 12) 681-4675 Please complete for: ► all commerclal/industrial buildings. ► multi-family )uildings when separate permits are not required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INT RIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: $25.00 minimum fee or 1% of contract price, whichever is greater. ► Processed piping - $25.00 ► State surcharge of $.50 per $1,000 of onng fee due on all p irmits. I CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL - SI i E ADDRESS: OWNER NAME: TEL PHONE TENANT NAME: (IMPROVEMENTS ON I'Ya INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: INS CTOR SIGNATURE OF PER ITTEE CITY M CITY USE ONLY L BL RECEIPT 53,301 DATE: 0~yr-9( su ~ 9896 PLUMBING PERMIT (RESIDENTIAL) CITY OF. EAGAN _ 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-"75 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH TOTAL Shower 3.00 x Water Closet 3.00 x 3 Bath Tub 3.00 x a - Lavatory 3.00 x 3 = Kitchen Sink 3.00 x I = 3- Laundry Tray 3.00 x I Hot Tub/Spa 3.00 x Water Heater 3.00 x = -3- Floor Drain 3.00 x _ 3 Gas Piping Outlet minimum -1 3.00 x 1 - Rough Openings 1.50 x 7 _ Water Softener 5.00 x = Private Disposal * Dakota Cty. license 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: a OWNER NAME: 0 v -e INSTALLER NAME: V Q 1 I, c ci r STREET ADDRESS: ~~rrw r w.i CITY: STATE: - ZIP: 5 3 ra M ~"s PHONE ( ) << a ? - t OFFICE USE ONLY L BL - RECEIPT M SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► all commercialtindustrial buildings. ► multi-family buildings when separate permits are W required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF'SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM. YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of hermit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE M SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: L B SUB ado,ft l 9 NEW RECEIPT # RECEIPT DATE ~3I DATE TO " JOB, 7 3 ✓ 4-~- L OWNER e PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABOVE ELECTRICAL INSTALLATION IN THE AMOUNT OF $ ~~GU SHORTAGE MST BE PAID WHITHIN 14 DAYS. REMARKS u/xO,- 0 to 30 amp. circuits= 31 to 100 amp. circuits= 0 to 100 amp service= c~ 101 to 200 amp. service= TOTAL FEE DUE= UU LESS FEE RECIEVEDJ TOTAL ERE. SHORTAGE.' DUE _ ~l (J PERMIT# A~ 1 f130 ORIG. RECEIPT# RECEIPT DATE RETURN A COPY OF THIS FORM WITH REMITTANCE. r For Office Use I I non I Permit E I C I ity o Ea Nov 0 6 2009 I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Q ~ S' Address: / 23 Tenant: Suite RESIDENT/ OWNER Name: Phone: 9sa Address / City / Zip: CONTRACTOR Name: / ~99-7 W y Address: CZ/~~Y°~1 ,l City: wl5em State:. 1,0Z Zip: V-v z Phone: ~ Contact Person7- ~ 6 B TYPE OF WORK _ NewReplacement _ Repair _ Rebuild Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) Main _ Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) `Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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. an Applicant's Printed Name p Ica Igna r - FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Air Test Gas Test -Final r - I For Office Use I I Permit City of Eap I i ,Ilk I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ! T -I i) CL(1 ( rC ( e Tenant: Suite M RESIDENT / OWNER Name: iYV rct ~f sec) Phone `a0o - ` 6 Address / City / Zip: L-712) &w- f 6 rc_LP Applicant is: Owner _2&' Contractor TYPE OF WORK Description of worka r-- ) l Vva, {r Construction Cost:) 5J 2L) ulti-Family Building: (Yes / No , X~ CONTRACTOR Name: 6(f J2, ('Lj0Sjn_r_f;t7l SerVt(P i LL(_ License J 01 VOOQ Address: 1laP,hct City: ale a D [I] State: A Zip: Phone: C-) Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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. 1 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 1 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 1n a A-Ja m s x &(kAAA_~ Q&Z*Lk__)- Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA119330 Date Issued:11/25/2013 Permit Category:ePermit Site Address: 1773 Brant Cir Lot:44 Block: 1 Addition: Mallard Park 4th PID:10-47253-01-440 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Laura Gillespie Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Cindra J Jensen 1773 Brant Cir Eagan MN 55122 Able Restoration Group Inc. 17316 Kenyon Avenue, Suite 103 Lakeville MN 55044 (952) 378-5000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA131001 Date Issued:05/27/2015 Permit Category:ePermit Site Address: 1773 Brant Cir Lot:44 Block: 1 Addition: Mallard Park 4th PID:10-47253-01-440 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Cindra J Jensen 1773 Brant Cir Eagan MN 55122 (952) 200-5902 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature