1551 Antler Pt
Use BLUE or BLACK Ink
r-------'----------
For Office U eq9qq
Permit ! j
City of Eapfl I 5
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 C~, Date Re eived:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone:
RESIDENT / n /
OWNER Address/ City/ Zip: ZA9A ^J 55-1 22
Applicant is: Owner Contractor ,
TYPE OF WORK Description of work: Pr gt9.~-
Multi-Family Building: (Yes / No )
Construction Cost: 1.2,6,06
Company:41'1aE~}}' ~ C"IG i tdrr~~ryat Contact: ",)E P.,0--/nE5
CONTRACT Address: / / Ole, City: ~S
OR
State: M tJ- Zip: 5v-v-7 Phone: 7 (o > " q2O 3 /d
License Q01522 I? _ 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.gopherstateonecall.orci
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, is not to start without a permit; that the work will be in
acc/o~rdance with the approved plan in the case of work which requires a review and proval of p
Applicant's Printed Name Applic 's Si ture
Page 1 of 3
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INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
. tl~ l:l 11r 1.
t i:i lrr~rl~ r lil rr!!t
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR114SPECTION TYPE .DATE INSPTR.
~ I I~;, I rllrt r .
~IIF~Ii1i►d I lj,fl'Iri~l
~'~!!,if 1 tJ ;~c!!i; r rl It I II
I { I li!r 11r~ l
I
I
I I Fl 11 li Y WWI k 611 III I (I) I;
111 PI rill VAI I I I
~I
L Ji
f ~
Permit No. Permit Holder Date Telephone R
ELECTRIC 9G
I .
I
I
PLUMBIN 901
HVAC
Inspection to Insp. Comments
FOOTINGS
FOUND T 7
FRAMING 11
d
ROOFING
ROUGH
PLUMBING A1,f
PLBG
AIR TEST
ROUGH 1-~~9G
HEATING
GAS SVC
TEST
INSUL , _ YI -4(9
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST b
FINAL PLBG ../l~ (049
FINAL HTG
ORSAT
TEST
BLDG FINAL
/~G /
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD
• " CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: t t 1 ! J I~! tlt r APPLICANT:
,tl I I , I' li 11
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR.
~ ~a .tll 't f l ~;C: k l 11 1 1 ~
~ir~k t 1 rtt, t l N ,I
I ~ loll{'1 1 ~ tl l ill I it i 3 11
1
Permit No. Permit Holder Date Telephone M
ELECTRIC
PLUMBING !!/cS
ILAV
HVAC
11 W&,
Inspection ate Insp. Comments
FOOTINGS
FOUND
FRAMING 7G
ROOFING
ROUGH
PLUMBING _ L . 60 4-C. A,
PLBG
AIR TEST ` C v
ROUGH
HEATING (f((~-
GAS SVC
TEST
INSUL / /UL1
GYP BOARD o ~f
FIREPLACE
FIREPLACE
AR TEST
FINAL PLBG '
FINAL HTG
y7
ORSAT
TEST y~
BLDG FINAL 22 x-16 1t-113 Aj
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD
~ITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 03395
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: APPLICANT:
fill
1;51 lilt, I'
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
L-L
Permit Holder Date Telephone #
SEWE
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
[DECK FINAL
Address 1551 ANTLER PT Zip 5512 2
Lot is Blk I Sub DEERMD -1rUNWWg
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: ! L
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
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 2 3 ~ M` OFFICE USE ONLY This request void 18 months from validation dale punted in this box
I~5~91v ~/l 95
cro
PLEASE PRINT OR TYPE )®r
Request oofe Rough-in inspection requved8 s E] No Inspection Other Than Rough -In ❑ Ready Now ill Call
I Q-114_ qs (You muss mll the,r,e r when ready( oaR Ready.
I, lye licensed contractor owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No) City Zip Code
Pt )5i an
Section No Township Name or No Range No Fire No County
f..1.ITU
Occupont Phone No
P)Dod
Power SSup'pln' Address
W .
Electriml Coof
I/nr he No (Plant Elect Only(
nlrocbr (Company Naffm__e) Con~ntrayNct~or~^Lcensa Na M~am
11 l~'1~~1aJ17 /'lM~
Mailing Addrea (Comraaor or Owner Pedormmg Insmllofion(
k LJ 554
Authanzed Si,.a .(Conhaaor or Owner Perlortnmg Insmllaeon) Phone No
EB-000O1A-106/95 STATE BOARDCOPY- SEE INSTRUCTIONSON BACKOF YELLOW COPY
Minnes NI
1I
11 L111 II III 11111111III IIII BEQUEaSlt Bo doo S c8A LIPauPMNT5040 3 1 8 7 Pho a ~42MW / S 9(P
ome Duplex Apt. Bldg. Other: I VT New Addn
Commercial Industrial Farm Remod Re av
Air Cond. Htg. Equip. Wafer Htr. Load Mgmt. Other:
'vf Dryer Ron a Elec Heat Tem . Service
"X" 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-
Fee
Other Fee # Service Enhance Sae Fee # Circuits/Feeders
Mobile Home Park Stall 0 to 200 Amps - 0 fo 100 Amps r
Street Ltg./Traffic Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECTOR'S USE ONLY 7 TOTAL eJ~
Sign/Outline Ltg. Xfmr.
Alarm/Remote Control D(~
Swimming Pool neren cen~ mar .n: d ~e eledn ~n,m anon untied h-, n on the date :aW
Irrigation Boom Rough In Dore ci
Special Inspection
Inves4ga}ive Fee ~50 Fleel ` Dor 3
THIS INSTALLATION MAYBE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
223-183 OFFICE US ONLY This request void 18 months from volidahon date panned in
i/s9G
PLEASE PRINT OR TYPE ACID
Rcxl Dale R.,gh-.n mspeahon rat..ad2 yes No Impedion Other Than Rough-In Ready Now mA✓m Call
_q _ - J (You must call the inspedor when ready) Dare Ready
I, [5 icensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Skeet, Box, or Rouls No ) cry Zip code
1553 I
Sechan No Township Name or No. Range No Fire No County
a
Occupant Phone No
Power Supplier Address
Q f - t
Elechwl Connector (Cempeny Nome) Connector o;e No Mamr tic No. (Plant Elea. Only)
~~1C M~
Mail, Address (Contractor or Omer Pedormmg Installation)
t, )q n RxA, IJ r `iH3
Authoneed Signature (Contmdor or Omer Performing Installation) Phone No
J o
EB-W001 A-10 6/95 STATE BOARD CO"- SEE INSTRUCTIONSON BACKOF YELLOWCOPY
IIII I II I~ I II I IIII Ilu REQUEST FOR ELECTRICAL INSPECTION `5f-9
Minnesota State Board of Electricity
821 University Ave., Rm. S-128, St. Paul, MN 55104
Phone (612) 642-0800 5 ome Duplex Apt. Bldg. er. ow Addn
Commercial Industrial Farm Remod Re air
Art Cond. Htg. Equip. Water Hr. Load Mgmt Other:
ryer Ran a Elec. Heat Temp. Service
"X" above the work covered by this request Enter remarks to this space and on the back of the white copy only.
Calculate Inspection Fee - This Inspection Request will not be accepted without the corned fee:
Other Fee # Service Entrance Size Fee # Circutls/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps ( - 0 to 100 Amps lo5 -
Street Lig./fraHic Sig. Above 200 Amps Above l00 Amps
Transformer/Generator INSPECTOR'S USE ONLY TOTAL 50
Sign/Outline Ltg. Wmr. ~G
Alarm/Remote Control
Swimming Pool I hereb cent that I ins eded the eledncal mstol dez d herein on the d ee .rated
Irrigation Boom Roaeh-ln na ~C/
Special lnspecion 4-
Final Ibrc r
Investigative Fee
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
Address I S53 ANTf.RR PT Zip 55122
Lot ' 17 Blk I Sub DEEK&WD TUA&MS
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) I/
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish t/
Deck V,
Please ver with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside awn 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
CERTIFICATE OF SURVEY
for
GOOD VALUE HOMES
PROPOSED BUILDING ELEVATIONS
Top of foundation tc~/•`JFront, of house
Garage floor U•Rear of house g0_D•7b
Lowest floor 8 - ,9 Walkout
arrow denotes drainage direction per development plan.
890E denotes existing spot elevation
890P denotes proposed spot elevation ,
i
O ~9CZ7.Cv ~69
S
p aS O° 630
rv eenemy Envelope ~4, •Sg ry ~s ,0 0048 F 15' O/S to h _ [V ryo 7808 \a
17 'S
^ ds~/ ppR
0.9
cy a & U
00
MF 18 p
p N.
Detail (typical) a 53 r PO
Not to Scale 4&y Me ~5 B 5.OEnvdope
s' o/s to 659 / N kj) \N
Building Envelope
pis
~n D~n S>a~'~ AcF co
P a ~ NCO
t O 3 ?04j c RgCeep C-9
o /
aWl~.~ O° h 2pg~ ry /
MUS \^S9
L- 63o38 O° a
~v. 'st8., E 5 p
~r ~v y~ O/5 to
L", n,f~~tl U', G DEid Q •'lo~~ BuREln9 Envelope
5 Y1dLLf l 51~ix,. 56RV• ~C = ~(~.5~
UJ \J~~`.~ ENCHMA K USED:
TOP O~ R.0. Li. 070NUIrtr' ;r So. 5 JOE o
-ZyZ5,.w00f-~, D1E.OSA37 P&ATLINE t5XTEN0C-;C1
NOTE: ALL DIMENSIONS ARE FOUNDATION DISTANCES LEGAL DESCRIPTION
( ) = RECORD INFORMATION
O DENOTES 1/2" IRON PIPE & CAP SET Lots 17 and 18, Block 1, DEERWOOD
L.S. # 23945 TOWNHOMES, according to the plat of
DENOTES IRON PIPE SET record thereof Dakota County, Minnesota.
FOR BUILDING OFFSET I hereby certify that this survey was
❑ DENOTES WOOD LATH SET prepared by me or under my direct
FOR EXCAVATION ONLY supervision, and that I am a duly
DASHED LINE DENOTES DRAINAGE Licensed Land Surveyor under the
AND UTILITY EASEMENT AS PER PLAT. laws of state of Minnesota.
PASSE ENGINEERING. INC. Donald E. , Si et MN L' o. 23945
CORN REGISTERED RAPIDS, PROFESSIONAL 8 OLAND SURVEYORS ) 9 y,
9446 EAST RIVER ROAD, SUITE 208 I Date: /J /~~j /C
~J
I
TeL 1812) 786-6240 Fax. , 1 1812) 1 75 7b6-1982 ~
JOB NO: 93-34 SCALE: 1 INCH =20 FEET FIELD BOOK: PAGE: DRAWN BY: CKP
DEERCRT2.DWG
` LOT SURVEY CHECKLIST FOR RESIDENTIAL
o BUILD PLLIICATION
G PERMIT AP'
y PROPERTY LEGAL
a m DATE OF SURVEY:
J y
LATEST REVISION:
o >
~ x ac
DOCUMENT STANOARDSS
:/p D • Registered Land Surveyor signature and company
a D • Building Permit Applicant
~O ❑ ' Legal dascrlption
t~o 0 Address
~O a North arrow and scale
91** D 0 House type (rambler, walkout, split w/o, spilt entry, lookout, etc.)
Q" O O • Directional drainage arrows with slope/gradient %
O Proposed/existing sewer and water services & Invert elevation
0 0 • Street name
W-10 D • Driveway
ELEVATIONS
Exisfina
Sewer service
O 0 • Property comer:
r3 ❑ } • Top of curb at the driveway
t7 O Elevations of any existing adjacent homes
/ Pro s
O • Garage floor
: ❑ First floor
D • Lowest exposed elevation (walkouthvindow)
• Property comers
0 • Front and rear of home at the foundation
PONDING AREA fir gMgkabjel
O • Easement line
O R NWL
O • HWL'
D I13 • Pond # designatlon
D 0 • Emergency Overflow Elevation
DIMENSIONS
1 • Lot lines/Bearings & dimensions
~+o 0 ' Right-of-way and street width (to back of curb)
0 0 0 • Proposed home dimensions Including any proposed decks, overhangs greater than 2',
porches, etc, p.e. all structures requiring permanent footings)
O • Show all easements of record and any City utilities within those easements
°1 O • Setbacks of proposed structure and sideyard setback of adjacent existing structures
t3 u • Retaining wall requirements, if any
Reviewed: W r~
me D913
Juy 1995
e,~o5o ~
---\1' Y OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: B U I L D I N G
026766
(612) 681-4675 Date Issued; 12/01/95
SITE ADDRESS:
1551 ANTLER PT
LOT: 18 BLOCK: 1
DEERWOOD TOWNHOMES
DESCRIPTION:
(ZERO LOT LINE)
B41d7'?j,-'6,?},Srmit Type SF DWG
Bu:ildi`ng: lrp'r{~, Type NEW
" u bccupa`ncy"+~, R-3
C.on.struct,ion,Typ;e V-N
Zoning,R-3
Build3ng:, L, ng'th TI 28
BuiJ,tlin.W'idth 66
8cY,1557clingy""series" 2
a _
9 ip%gr'
s3
t~
P: e~ I
9 "a i ~ >a* ` P }m .6-a E x~ Via , :.a2 g x a
REMARKS:
DUPLEX WITH LOT 17
S & W PLBR - VALLEY PLBG
FEE SUMMARY:
VALUATION $130,000
Base Fee $1,037.25 MISCELLANEOUS $1.692.50
Plan Review $363.04 Total Fee $4,207.79
Surcharge $65.00
SAC $850,00
SAC % 100
SAC Units 1
Subtotal $2,315.29
CONTRACTOR: - Applicant - ST. LIC. OWNER:
GOOD VALUE HOMES 17559793 0001563 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'-aoknawledge"th,a-t'I hav,e, readd this"'aPpl,icat'ion, and state tha"t;ttre
inform-ati'on Ys-correq.t a'ndr,agree' _>ocomply=`witYt all.appliCa•b1-a; State. afi 19i~
Statutes a•nd~City of`Eag-an Ordinances..,
~ `4x1
APPLICANT7PERMITEE SIGNATURE rISSUED 5 ATUf E
Y OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55122-1897 Permit Number: 026756
(612) 681-4675 Date Issued: 12 / 01 / 9 5
SITE ADDRESS:
1551 ANTLER PT
LOT: 18 BLOCK: 1
DEERWOOD TOWNHOMES
DESCRIPTION:
~,lp R1"px
(ZERO LOT LINE)
Bniltiiing-- R~ermit Type SF DWG
Building Wct4rk, Type NEW
VOC 'O,caup'anc.y, u R-3
Construetion.Type V-N
_ -Zoning R-3
Building ;Length- 28
Bui1,din'x W ,dCh;' 66
B;!ti,'I'di;n "-,Cta>r-ies, 2
z,
Cp
b`ro. a gee m..}w 9`J~b s~ rv. a"ei_.m w'~ ~}nd da vi
REMARKS:
DUPLEX WITH LOT 17
S & W PLBR - VALLEY PLBG
FEE SUMMARY:
VALUATION $130,000
Base Fee $1,037.25 MISCELLANEOUS $1,892.50
Plan Review $363.04 Total Fee $4,207.79
Surcharge $65.00
SAC $850.00
SAC % 100
SAC Units 1
Subtotal $2,315.29
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, ackn.oi~ledge that,',I have; read this applicati'0' and stmt`s; that'.1})e
- in-for-matio;n,'is ~.~loo-rr_ect` and agr"ba, t6 'C'Olmply"w4_th^,a]S!.;-.Irp~:1c` b3 ~ Late It n
v
$tatu'tes..and-Ci,ty•oi Eagen_Ord`Sn.ances,`.
( I
v - n l v P. -
L~. L. - _ - -1 , .
c Ct~~
APPLICANT/PERMITEE SIGNATURE ~ ISSUED By. S NA URE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number:
026756
Eagan, Minnesota 55122-1897 Date Issued: 12/01/95
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 18 BLOCK: 1
1551 ANTLER PT GOOD VALUE HOMES
DEERW00D TOWNHOMES (612) 755-9793
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
DESCRIPTION (ZERO LOT LINE)
INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTH.
FOOTINGS FOUNDATION
FRAMING ROOFING
INSULATION FIREPLACE
OUCH IN PLBG ROUGH IN HTG
IFINAL PLBG FINAL
REMARKS: DUPLEX WITH LOT 17
S & W PI-BR - VALLEY PLBG
E r
4.
,
_-n
CITY OF EAGAN~ 011{
3830 PILOT KNOB RD - 55122
S4 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Requirements Remodel/Repair Reouirements
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include !ream & window sizes; poured Md. design; etc.) ♦ 2 site surveys (e)derior additions & decks)
♦ 7 energy calculations ♦ 1 energy calculations for heated additions
♦ 3 copies of tree preservation plan if lot platted after 711193
required: _ Yes _ No
DATE: t t `a 11 S CONSTRUCTION COST:
DESCRIPTION OF WORK: NFw Towkli, rN
STREET ADDRESS: I_~ I (~➢ai yu P
LOT 16 BLOCK I SUBD./P.I.D.#: ~r 2we~D~.1'{t7Y11 111D1>
Duo<t>< U/Gor- /-7, TS-/
PROPERTY Name: Gew Va~u~ }~s Phone -75'S-5 -7 S3
OWNER
Street Address ~4~ Inc
City: ("men `lzat ir>s State: P&A Zip: Ss433
CONTRACTOR Company: SP r- Phone
Street Address: License
City: State: Zip
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration #
Street Address,
City: State: Zip:
Sewer & water licensed plumber: y4L-L4 y ~ g d C Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. ~,f
Signature of Applicant: of
OFFICE USE ONLY
Certificates of Survey Received Yes Na ~~Clt~ (j 2 ~~QS
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
cp42 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- 0 15 Deck-`==.-
WORK TYPE pT -G/--v
° 1 New
o 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) -/Y Basement sq. ft. Z3,6 MCNVS System
(Allowable) -ZL-ly Main level sq. ft. ifs City Water G
UBC Occupancy 9-3 sq. ft. srg Fire Sprinklered
Zoning A -3 sq. ft. PRV
# of Stories 2 sq. ft. Booster Pump
Length Zg.DB sq. ft. Census Code. /aZ
Depth Footprint sq. ft. SAC Code of
Census Bldg /
Census Unit f
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ oe:,
Surcharge
Plan Review
License
MCMS SAC
City SAC /
Water Conn. Anem i7`
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION
This supplement is provided to assist the applicant in computing
rgI'r'R.IOR ENVELOPE AVERAGE "L"' FACTOR INFORMATION. This informa-
tion is required so the BUILDING OFFICIAL can determine that
submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA
of the STATE BUILDING CODE (Section 6D00). It is the APPLICANT'S
responsibility to accurately compute the data; reflect the proper
DESIGN CRITERIA in the plans; submit product specifications, if
needed to support the "n" and "U" factors used; and to assure
construction is per approved plans.
JOB LOCATION r -TT4e ST>rrZL-I t~ C;;;1, I
OWNER(S) &C-4:9D 4LUS ~-UMa5 PHONE _ 755- 9-1
CONTRACTOR _ 4-11%&tVAE PHONE
A. Determine the Total Exposed Wall Area as follows:
1. Total wall window area 184-16
2. Total door area S-7
3. Total sliding glass door area W N_
4. Total fireplace wall area lzg
5. Total wall framing area (average 10A) Z11. Z
6. Total net wall area above floor
i._. Total rim joist_area: l2 .
SUBTOTAL: Total exposed wall area above floor 7- L
8. Total foundation window area tA I a
4. Total net foundation area above grade N A ~SUBTOTAL: Total exposed foundation area L_
'RAPID TOTAL EXPO5ED WALL AREA
B. Multiply the GRAND TOTAL EXPOSED WALL AREA X -11 = Item I Z 32 .3 Z
C. Determine the Total Exposed Poor'/Ceiling Area as follows:
10. Total skylight area ~t A
11. Total roof/ceiling framing area 1 Z 4
12. Total net insulated roof/ceiling area II-Z'3--2-
GRAND TOTAL EXPOSED RODE CEILING AREA
D. Multiply the GRAND TOTAL EXPOSED RODF/CEILING ARIA x•0z6- Item 11 13sa S 1
E. Determine the "U" value of each segment (1-9) and multiply by the area as follows:
I. CJ~ ./TV X "um ~-1 = Q l0, 17
x 11 U" -3 -7, f
3. N f A x 41 Lill a. S x "u" oS = 6.4
5. Zl l .-2 x "u" a9 1 = 1 q
7. l -A ~ x lull
B. N F~A x "u" r1~ A N A
ADD 1 - 9 FOR TOTAL WALL S-cGrENTS = Item III r 1 ~Q .
F. Determine the "U" value of each segment (1D-12) and multiply by the area as follows:
10. N x "U"
11. Z A. x 11 Ulf
12. 11'Z-S.-Z x "U" 0ZZ = -z 4,-1
ADD 10 - 12 FOR TOTAL ROOF/CEILING SEEM NTS = Item IV
G. If Item No. III is the same as, or less than Item No. 1, you have met the intent
of State Building Code 6006(c)2.
-H. If Item No. IV is the same as, or less than Item No. 11, you have met the intent
of State Building COfe 6006(c)1.
I. Add Item No. I -21-2 .3 2 + Item No. II 3 .3Z = Z
J. Add Item No. III 1,2q + Item No. IV Zg. = 717-5
K- If- the_sum of Items III and IV are less than Items I and II, you have met the intent
of-the-code-for total envelope system (State Building Code 6000 and MPS 607-3.5.
Overall Structure Performance Alternative).
The undersigned, as applicant for a Building Permit, hereby
affirms the above information has been prepared and submitted
by himself or under his direction, hereby acknowledges the
- information to be correct and accurate; and hereby presents
the information with required plans in support of the Building
Permit- Application.
Signature L j T
Date
C" ■.o. F~a Iasakr;ea
Grmdn~e I Raferem Ore WAR lint.,w.y Wa6m fioof Fieer Kind S.. ApPfi.d
M~ F11 5jt t E Room lsnst6 t~ 4 V-xM t 3 Hick 0 F M t 1 Reena l ls.rth Z glad i ffeiT}te
7aw" and Down-crac4a=e sad Alec Wmdo.n and Doer.-.Ctack+*e a.d Area
W44 LP4N Milt Yr411L wrP\ W4U MNPI M4 1A+10. waY
}II. Ir NN 1I MN 11(tNl It wYt y. rL ML /1 •1 I..r 11/\1( 11 /I\I\ Y. rL
I z 4S zo z 30 0.
z o $ a zo
I I o a l 13 to
I I I ICaet.l ate I I ICmct-I B
Iahluasion 20 I So l 6@tmtioe . I So 7 ob
Glass 17- t 4l •ci clau
SSP• wall ~t1 Z-tcx ,1 I Fsn. Wall Z I ,t I ~~p
Net eza. Walt 9 I-1 . Net GA. Waft Iz3S.3 TZ.
InL wall t I I _ Sat W►0 I
Flom Z ~4 . I -z- I li . Fiver I z8.3I 2 1 S& (o
cetZ. I c I Z8i1 Z 1 56(6
otal atn. I \-I)b-l . l Total Btu. 15943.
Reneircd sty. ft. r D.R. or sa. int. V k Leader area I Reoaired sr. fL UR or ao. ia~ G'A Lrsdcr area I
onF i - Los /$A71KR"m I LsaFth 2c> Zia%h 1-3 H ==ht $ Mp FLI 6Z~ R== I Lcas;th f 3 W idt61, s kci;'atf
w:adeti i and Doort-yraclrat" and AM Crintiows and Doorr--rrrackage aad Am
1.IC1\ hu(n\ I h>I{ I LI+.1 LL.1 wTy Mlat\ i hu(al I ha Ol ILln.a tL 1 AT/1
T16 I el b.« I P; r.n. tl(M. PS ptCl. R.'. T
I I I I NL N Nr b' /MOM IITPV ~S.TP\ Y.,ryL
O I ~ll I 1 SC7
I I 2 1 1-2.0 112
1 I 1 3 1 of z I 1 la I S
i I I I I.i Stn i 3 I I 11~.~ Izv ICoef.1 f
IsSf- alien I i I LEI rattan I a 3.3 I 15~ 1 9 i 5
M I 1 clan, 1q-7 141,9144A,
=z;. wan 1 I I -F-%P. Wan 13CAz I
Na =:;I. Wad I roe I .Z I (~p~ z - Net ems. wen I ors 14zl I Z
anL WILL I I ILL wan - 1 f I
Flaw I z6o I z 1 S'Z.o F1 lp S J_2 13~i it
eei!. I ~•-sl -2- I +b 4 ca I 1~ S I Z 130
TOW Bm. 11301 TOW RM IIISSi
Rczty rc: sr* ft ED.R. or sty. 6L W.1>_ 1=c6 area i Reoni-cd :c;. fL FAR or sq. is W F_ Leader Arm
rdU-rL/4ALL Room IL= th --7 Width 1 3 i llt MF=LI Dr RmmlL~rt-:b I l ddt riei~ht
wmdaws and Da i-Cracure and Euta ~Fmdrnn and Doorl--Csaekage and Asta
W4u wuraa w..u ynYtyL wrY WWI% 1.N\at w\i ].1«PI tL w1Y
A> \t NN st I ntllll tl ar\ea a:. rt Kr I .r Y«I Kan. 1 b.l... I tl me\ 1 Y. S
+ 13Z 180 I 19.E «.8 ! 36 I -90 I I t~.3 1 zo
l Z 73 I 1 3
f I I I I I i t I
I I I I I 1 coef.l > I { I' I I If•I
Isfl::'ti°n I I g 7 I I R) I 73 In.Sltr:tioa 1 2-7.31 I ~o 1136 a.
Clan 11 7.S WAI `c3S2. Glare 1 z3 14f.g1llol:
=xr- wall i ICS I I _ =x; way 11o I 1
Net = r - wall I W Z Q I Z I AM Z Ntt cxF. Wan l e t IA.Z I i4o.
inL wall I ! 1 ILL Wan I
F1°ar. ! Q ( I Z Fear I t0 I 12
CCU:...- 19 I z I i aZ cc' I I I
Total E:a Taml atn. I
Reoeired aZ. fL FAR or m. ins. WA Leader area I Repaired sF ft ~R.or sa ins WA t --^cr am I
WuatLena;ps C..~a N16
Ia.d.tipa
Wxrmdo+a ( Re wv bw Die-Wan 16L WJ Crumg Ra.f Floor rind How Applied
S F7 ( Lo F'f Room Length I I W -Ah I Height g, F11 Aaem I usttth Wedth Height
wtnav." and Dmmn ackaae and Ara Wm&d% and Dopt+--Craekale -ad A.ra
www McYM we./t LeewlaL awe 1Yl\ McHCt KM Yeee10. M. 1✓a et MM et MN 11IM1 of MYt 1. rL %a of MM eI rY 11/eY
IIwek w' rL
t 8 ZD
__^E I I I
I I I ICocf.l fire ! I I ICOef.1 B
Infiltration I s3 sn pion Infiltration I I I
GLu I zo 'Flat ~t5n clau 1
;sp. wall 14Z I 1 Exp. wall
Net =P. wall PZ I A._21 80~ . Net eza. wall _
Int. wall r ( I 6L wall
Floe I I R.r
Ccs1 L t-7zg z i -S4 s C-11.
I
Total Btu. 1 500xk . Total Btm
Repaired sq. ft. i:_D.R. or sg. inn 7A 1r tier a= I Required aq. it. EIR or sq. inL. WA Leader area
5rz FLI 13C Z Room I Lcnplh t 5• '&'idtb 'l 3 Hcicht Ej FLI Roo= 1 Lcavt6 Irldth Hcit ht
w:adowa and Doorr Crackatr-_ and Area vredo.a and DOOn-.:mcknge and Arc
1.'n:u MYVnI I.a/t w it awe M1/t\ Never Ha e[ 1JwitL nwe
1Ja cf sa+e I et vewa I IynY I e tt Icel. I M. n_
Ns I et eew I Year ( hTCV at e~eek I K. tL
I z4 1 d lI 12c) I I I I
i I I I I I I
I I I
lcocf.1 B:
In~!::ation l z I pl 1000 LnS:~ttnn I I I I
_ca = Giau I I i
=_P- wan I z I I waIl I I 1
Nd =:;L. wan 120014-z i IAI~ o Net rxp wan I I I
Int. Wall I I InL wan - i I I
Flsar 1 I I F,om I 1 I
cen. i 1~ s I Z 13CA o Cal. 1 I I
Total B= 1331 C t . fO -A ow Btc_
Remared sq. fL `_D.F, or sq. ins'WA Lca6= area I Recuircd aq fL = DR or sr, iiL W-P_ Leader area
Sr- Flt 3,T ,Tr. Rnotn ILcngth 15 Wiitb 13 H bt height
Window: and Door:- ratiase and Area
wWY I h{Itnl I ha p( jJeeel jL I a.aR
Ha ICI fer of Ww IICCU el mek
I I I I
I I I I I .
I I I 1 I iCnef.l ~ - -;3aaQ,a .s -raTA~ 13r~5 I~-I ~
fsE!tnsina I I I I - I i
Man
sp. wan 126 `a l I I i
Net 1= wan 26b 14,11 I I z S . Net cxp: wt11- - 1 1 1
Int. wan I 1 Int. wan i I
Floor-- - ( I tmwr I } 1
1411' 2_ I 3qO c~a 1 1
Total B.m . I I 15 G Total Btu. - I
Recuirrd fL =DR or sq. ins. WA Lust area Reh ired sc- ft. DR. or sq. iaL. WA trader arc
PERMIT C20504`1
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 7 5 5
(612) 681-4675 Date Issued: 12/01/95
SITE ADDRESS:
1553 ANTLER PT
LOT: 17 BLOCK: 1
DEERWOOD TOWNHOMES
DESCRIPTION:
(ZERO LOT LINE)
B,uilding`P.ermit Type SF DWG
Building Work, Type NEW
~UBC Occupancy R-3
Construction Typ'et V-N
Zoning R-3
Building Length 28
Building Width 66
Building stories 2
u Mi .
c rt,_
REMARKS:
DUPLEX WITH LOT 18
S & W PLBR - VALLEY PLBG
FEE SUMMARY:
VALUATION $130,000
Base Fee $1,037.25 MISCELLANEOUS $1.892.50
Plan Review $363.04 Total Fee $4,207.79
Surcharge $65.00
SAC $850.00
SAC 100
SAC Units 1
Subtotal $2,315.29
CONTRACTOR: - Applicant - ST. LIC. OWNER:
GOOD VALUE HOMES 17559793 0001583 GOOD VALUE HOMES
9445 E RIVER RD 9445 E RIVER RD
COON RAPIDS MN 55433 COON RAPIDS MN 55433
(612) 755-9793 (612)755-9793
I hereby.acknowledge- that I.have read this application and state that, the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan-Ordinances. -
APPLICANT/PERMITEE SIGNATURE TTSSUED13Y: GNA UR
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number, 026755
Eagan, Minnesota 55122-1897 Date Issued: 12/01/95
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 17 BLOCK: 1
1553 ANTLER PT GOOD VALUE HOMES
DEERWOOD TOWNHOMES (612) 755-9793
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
DESCRIPTION (ZERO LOT LINE)
INSPECTIONTYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
FOOTINGS FOUNDATION
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
INAL PLBG FINAL
REMARKS: DUPLEX WITH LOT 18
S & W PLBR - VALLEY PLBG
CITY OF EAGAN t 1 2 ti • f
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reouirements RemodeVReoair Requirements
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions 8 decks)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions
♦ 3 copies of Use preservation plan it lot platted after 7/1/93
required: _ Yes _ No
DATE: 11 Iz I9 CONSTRUCTION COST:
DESCRIPTION OF WORK: Haw 14 u•M7_n J
STREET ADDRESS: Imo-. l //;;uVyh/ j
LOT BLOCK _ I SUBD./P.I.D. ~ ~ ° - /Yn ~1! Tnn~
aft GAT A0 /3-/
II ~
PROPERTY Name: Ga°o VnLµ~ /MM$S Phone ~sS _753
OWNER
Street Address, 94-45" Qsz 'PIyER SAD
City: Cay F4p,Ds State: M_ Zip: 3
CONTRACTOR Company: Sp"-,- Phone
Street Address: License
City: State: Zip'
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address'
City: State: Zip:
Sewer 8 water licensed plumber: Ut Lt'j -PL-4~ ? 14 c Penalty applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
5ignatur of Applicant:
OFFICE USE ONLY / t
Certificates of Survey Received ✓ Yes o ^ tl 0 2
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex a 11 Apt./Lodging ❑ 16 Basement Finish
X02 SF Dwelling ❑ 07 4-plex ❑ 12 Mufti Repair/Rem. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility
❑ 04 SF Porch ❑ 09 12-plex77-~ - _ 0'14 -Fireplace ❑ 21 Miscellaneous
❑ 05 SF Misc. _ ❑ 10- _-plex ❑ 15/-'Desk.
WORK TYPE p ^ lipT ^ G I ~`l
31 New ❑ 3-motions ❑ 36 Move
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) -w Basement sq. ft. G z3~ MC/WS System rte.
(Allowable)) Main level sq. ft. / 23fs City Water f~
UBC Occupancy 3 Z 00 sq. ft. sss Fire Sprinklered
Zoning 2-3 sq. ft. PRV
# of Stories 244sw+- sq. ft. Booster Pump
Length ZO.ob sq. ft. Census Code. loz
Depth lo% Footprint sq. ft. SAC Code
Census Bldg
Census Unit 1
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ ~30,00~
Surcharge
Plan Review
License
MCMS SAC ~~jy
City SAC
Water Conn. ~~LGS,
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
ENERGY CONSERVATION SUPPLEMZNT TO BUILDING" PERMIT APPLICATION
This supplement is provided to assist the applicant in computing
£FTERIOR ENVELOPE AVERAGE "L"' FACTOR INFORMATION. This informa-
tion is required so the BUILDING OFFICIAL can determine that
submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA
of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S
responsibility to accurately compute the data; reflect the proper
DESIGN MTERIA in the plans; submit product specifications, if
needed to support the "R" and "U" factors used; and to assure
construction is per approved plans.
JOB LOCATION-T74E
OWNER(S) ~Praoc> \/4L.U ~_UMk5 PHONE" _ '75-9'- 9793
CONTRACTOR _ ~-X& t-1E PHONE
A. Determine the Total Exposed Mall Area as follows:
1. Total wall window area (84-5
2. Total door area S~.$
3. Total sliding glass door area
4. Total fireplace wall area 1 Z
5. Total wall framing area (average l0A) Zlt.-L
E. Total net wall area above floor S AO 'b-(o
7.--__ Total rim.joist_area: 12 .(o
SUBTOTAL: Total exposed wall area above floor 2_ l Z
8. Total foundation window area X11 a
g. Total net foundation area above grade t,1A
SUBTOTAL: Total exposed foundation area
GRAND TOTAL EXPOSED WALL AREA
B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .t 1 = item I 232.3 2 .
C. Determine the Total Exposed Roof/Ceiling Area aS follows:
10. Total skylight area
11. Total roof/ceiling framing area 1 24.`b
12. Total net insulated roof/ceiling area I V2 3_"Z
GRAND TOTAL EXPOSED ROOF CEILING AREA
D. Multiply the GRAND 70TAL EXPOSED ROOF/CEILING ARIA x•o Z6-- Item 11 1 5-
3z .
the
Determine the "U" value of each segment (1-9) and multiply by area as follows:
I. I S4. 8 x "u" .49 90 , ~7
2. i S x "U" I _ -7, -
3. x 1. Ull
4. IZS x „u„ oS = 6.4
5. 211 .Z x „U„ 09 1 = 9 •Z
7. "2d G x U.1 0!1 =
a. ~A x lull A = N A
9. _ x fluff
ADD 1 - 9 FOR TOTAL WALL SEGMENTS = Item III
F. Determine the "U" value of each segment (1D-12) and multiply by the area as follows:
x fluff
11. Z4, fS x „Ulf
12. x „u, .oZZ = z4,~
ADD 10 - 12 FOR TOTAL ROOF/CEILING SEGMENTS = Item IV
G. If Item No. III is the same as, or less than Item No. 1, you have met the intent
of State Building Code 0'006(c)2.
- -H. If Item No. IV is the same as, or less than Item No. II, you have met the intent
of State Building Cofe 6006(c)l.
(o
I. Add Item No. I -2 3Z .374 + Item No. II 3 .3Z = Z 6e4
0. Add Item No. III I Sq + Item No. IV Zg.'t = 71-7.5
K. If- the_sum of Items III and IV are less than Items I and II, you have met the intent
of --the code for total envelope system (State Building Code 6000 and MPS 607-3.5
Overall Structure Performance Alternative).
The undersigned, as applicant for a Building Permit, hereby
affirms the above information has been prepared and submitted
by himself or under his direction, hereby acknowledges the
_ information to be correct and accurate; and hereby presents
the information with required plans in support of the Building
- Permit Application.
- /
- - Signature L j
Date
'P%o4tmexrlva ~iyitia .ra+aavtretava f7a. Iaralatasa
Grmf3a.s Daea Rcferaas Ow- Wan 16L Will G;tms Reef Flow I:iad Flow Appiiad
~ I 19.
[ieiilttf
M~ FU SITE Room lLcartk1-14 Wilk 13 fieiakt S FFit t ReomlLeartk ~Fdrk I to
76datrs and };loor►- racka=e and Arcs Wmaom and Doom--CrackaR amd Arc
A.rw
MMta haN o ►4 ba 4.•.~1k w.w rr Nt► hNrat .%o, 1..1&6
ria I at YY N naw 1.{►1. a nraat ot. ti Na a1 o1 INay N orYt at. K
I 2 O $ 2:, Z C
I I O a 1 13 110
I I Ic0el.1 fkc { I I I I~!•I B.
Infiltration 1 20 i SO Ln@=6oa SO 1106
Can ! z 4I.f1 -claw N-7141-21 175`1:
Esp. wall z~ I Exp. Wall
_ 122 I I
Net czp. wan ►Z2'. 41 ci ri . Net cx:p. wall 1 ~Z I .
InL wall t I InL Wall I I I
Flow Z ~t1 I ~l g Now 1 zg~ I z 1561A
ca I I _ C-2. 12831.2 1 S66
TOW HttL I \~b"i l Total Bm _I~943:
Reouircd sq. ft. c D.R. o: so. int. VA- Lrsdcr am, i Required aq- fL E.DR or aq. 6L WA L.udct Arta
rnF F 1CL.*IfSMASRogm Len;tk 20 'cdik 13 ?ieinht 8 MF FLl 6~ RmL11=PI 13 S4~dik l S IielFhtl'
w:.^.daMZ and Daort-trracl:ag: and A:za Gr.A. and 1Doc.-1..nrkage and Area
w+c+: h.+rnt r.a ni Y._-_. tt. was arleq Hrmut ha of L...116 I Ara
Ns -f e_.. I ai r..F. ( Ur►u 1 n[erneh nn.
Nn. I of h.. I e• I LTau ni v.na w. tL
I I I I I ~I o f 6~ ( 1 40 15'0
1 3 T, I I mo I I z
f I 1
I i I I l+ze:.i Bits _ i 3 1 2 i 111.5 I z ICa_:.1 F:
Ir-0--2tion I I I Iafil~ati~a i ~te.31 I Sy 1491
ca,= I I Ciaat I q I~~ 914G,
Exp. wall I I I I =.=p. wan I ~lz) I
Na tea. wall I !oo 14-7.1 z Net tsp. wall I ors 14 zl I z3°
InL wal I I InL wan . I I I
Flow 12601 2 1 SZO Hoer 1a S 1 2 13g0
ce, I -2- I 16q cmi 11pI S_I 13`10
TOW B= 11301 TOWBtn. lISSL
Regs:ira Sr, EL =DR or sq. inL W1* LcA8= area I Required aq fL DR or sq, iaL Z'-A- Lud::t arcs I
M' _ 17340-6L MALL Room IL=a~th -7 -Width 13 i ht b MT-rw Dr 2.f RaomlLttt-th 1 t1+ l lieiFht;
Mxn's and Daozs=-Cra~uss and Arcs x1iadows aad Dora--Crackage and Area
wwu haN►l ha eI Lwal k ArA wNta hoN►t For el tL wr..
rta ni wM n1 Yw I IICFN ►1 OaC1 I S. ZL Ha I n1 Y..I •t.a.M I 4fFN I a1 t7t C!1!t I aC• TL
1 132 18v I I l t~.a 136.1 8o I 11~P.3 120
I 13
I t 1-41 -361
i I I I I I l I I I
I I I I I I ~•I ~ I I I' I ( I caefl $
I I I 136 5
Maven I 18.7 I 1 1 9 3 5 IrShniioa 12-73
Clan I l 7 1'1191 Fy;2 (m Glass I Z[ 147. 1101.
~~w~ IICc~ I I sp•wan lto I I'
Nei ~ wan Z. I .Z Q Net =-P. wall I ~o' I I~.z l •
IoL wan I I InL Wall I
. Floor I Q I Z I -2- Flow 11 !o 17, 12F( Z
ten - 19 I i f3 Z Ca 1 i I
_ Total Hta I z~48.8 Tgtal &n.
ReQcmd S:;. fL =DR or aq. im WA Lrsfsr area Refrtired i>r, fit. EAR or sq. inL VA Lr"cr arcs 1
WsatisrrRr;n Cawnwx6i Sm. L Aa iw
GrmrLsn Daen 8 Rafer.w D[t WAR I LL Wd cajag Roof flex l:iad flew Apphed
-Y;;= 19_
S Fu 17Room LaaetL l I G 7AL I S FieitLt $ FU Rowe I Le" Width Heisht
endows and Door.--Grar.La" aad Area Wv4w.s and Dool*-Garkaee aed Area
MMU MNIM tied Ye 16 err FYIY MNIYf 1..116 ~Iw
M► et MM W MM UCW, of ....r w. K Ma It ww er eew INYY of .s.Y w. Il
14 t s zo
I ~I I
I I ICoef.l 13te -~-I I IC-cf.1 Bt
lnhlt:atioa I~ ISn I GOO Lfily,uoe I 1 1
Glace I zo ~F1.gi :i52> Clan
Erp. wall z wall
Net esp. wan Trtz 1 A.z1 Sot.. fret exa. wan
fnL wall 1 1 I LL wd
now I I Fleur
cal »zsl z 1 3~ts c 1. I 1 I_
Total Btu. I ---sb . 4 Total Btu.
Reauircd sq. ft. E.D.R. or sa. im. VA Leader area I Rcauircd sa. fL E.DR or •a• iaL R'A Lridcr Arta
51= FI.I i3C Z Roar I Lca'tb 1 s- 7,dtL :13 ii i~ht a FLI Rnoc 1 LeaEtL 71clth ficittht
wm3aw3 and Dtwrs- ac6r- and kraa 'mmdow and Doa:s--Gac' eee and Arri
a.Ia.. MNrµ I ns .t 1 LL.1 c:..I alv, Flau hNSm La. et e...in wre.
Ha :f I es n.... flra.. at csee .a. r_ f+a I et e... 1 .r ew nrcv t e.eeY (w. K
12<l L4
I 12a z I I I I
1 1 I ~ I I I
I I I I I I~:.I Bra j i I I I ICacf.I E:
fa5f-•atioa l z I DI lOOO IaEl:ratua I I I I
ca' I ~4 I. I 1~4 g. sass I I f
-ea. wall I z I I wall I I I
he =:;L "'F I ~14.z I 43 o fret rxp wall I I I
InL wd I I 12 wan . I I I
fl~ I I I Flew I I I
c>s M5-1 13q 0 cu 1 I I
Total Bm. 133-Ia . (0 Total Bta.
Real:ircd So. fL EMR or 54. ins, WA lrader area ( Reauimd 5-4. fL E.DR or sc. iaL WA Leader area I
SF F4 3►arla 'fr. Room IL=Fth I S V'Idtb j3 fi -ht Qt li=isht
'W=6 "n and Deors---crzci,v and Aru ~G I Z~G~~ .
H> I vat !dot I item. ~1 e~+ee s n . • ~7 G( O 4'.
I I I I L
I I a 5-1 -33-,0 a_
I I I I I IC~f1 iw _..3898 .5 TaT+*L 13TJ5Icn11.1 B
fsEltranoa I I I I ~ I I
Glsa I I .
3p. wall I Z(e `31 I
Net t>rr- wan 26B 14-21 1' I Z5. ro net ems. waA - - - l - {
1nL wan I I InL wan I I I
floor-: - I I- - FYer } I I
_ CciL` - 1161-r Z 1 3q0 to 1 t I
Total Yin. 1 I 571 5 !o Total Bea. I
RcQuuucd 5-4. fL _DR or az. 6, WA Lead= area I Rtcraired so. fL ,cr %a. iaL WA Laaecr area I
CITY USE ONLY
L.. 4 BL / RECEIPT
SUED. PoNt ry9d~ [~cu, OY"4 DATE:
1995 PLUMBING 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
FIXTURES EACH NQ. TOTAL
Shower 3.00 x _
Water Closet 3.00 x 1)_ _ U-
Bath Tub 3.00 x i = -
Lavatory 3.00 x _
Kitchen Sink 3.00 x = 3 -
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x i = 7-
Gas Piping Outlet " minimum -1 3.00 x
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 const. 3.00 =
Alterations " to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL rJ
SITE ADDRESS: I S S 1 . 4 < ti P
OWNER NAME: C`~ i ( U c I e
INSTALLER NAME: U a I ! I i_.
STREET ADDRESS: k - -+4-
CITY: 1 G rcl a-~ STATE: V~ - ZIP: r
PHONE M( a f a r
5Tl, C~ ITT
OFFICE USE ONLY
L BL RECEIPT
SUBD. DATE'
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. . all oommerciaUndustrial buildings.
mufti-family buildings when separate permits are required for each dwelling
unit
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CUNSTRuCTION 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 Rl:= 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* SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE: INSPECTOR:
CITY USE ONLY
L BL RECEIPT
zll~
SUBD. ~,!~n~i}[~9~ _.>'INUYt HDHI~n /J DATE:
1995 PLUMBING 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
FIXTURES EACH ND. TOTAL
Shower 3.00 x I
Water Closet 3.00 x a = -
Bath Tub 3.00 x 1 _ _3-
Lavatory 3.00 x a = Q -
Kitchen Sink 3.00 x I = 5-
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x I =
Floor Drain 3.00 x
Gas Piping Outlet ' minimum -1 3.00 x I = 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 const. 3.00 =
Alterations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL 3 _
SITE ADDRESS: i 5 5 0-j 11 c, ~ 7-
OWNER NAME: l~ Lc, InL' e
INSTALLER NAME: Z-6 `
STREET ADDRESS: L^ n
CITY: ) 0 r~ I STATE: M. ZIP: S r3 i s
PHONE M ( ) 0, a '
SIGNATURE
OFFICE USE ONLY
L _ BL RECEIPT M -
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ~ all oommerciaUndustrial buildings.
multi-family buildings when separate permits are = 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 wn tt 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 SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE: INSPECTOR:
CITY USE ONLY
L ~~y"`d RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681.4675
Please complete for: ► single family dwellings
► town homes and condos when permits are required for each unit
DC New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanes system, etc.
Date: YS Z7 , lg 9.5
FFFS
► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
► HVAC: 0-100 M BTU
Additional 50 M BTU 6.00
► Gas Outlets (minimum of 1 required @ $3.00 each) Z &Do
► State Surcharge .50
so
TOTAL
SITE ADDRESS: k 55 1 A ►J t ~a uJ
OWNER NAME: Csfl66, 13a-wt PHONE
INSTALLER NAME: PLYI'"t°ZM E~e+AZ~Cs tA~
STREET ADDRESS, ;OLOR W cO t06 T" A46x- hi
CITY: Ubo~+-4 NL STATE: ~Aj ZIP: 55~c28
PHONE ( ) S~~ -41r.1
SIGNATURE OF PERMITTLE
CITY USE ONLY r
L BL RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ► all commercialAndustrial buildings.
► multi-family buildings when separate permits are II42 required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: $25.00 minimum fee 4r 1% of contract price, whichever is greater.
Processed piping - $25.00
► State surcharge of $.50 per $1,000 of 2a= 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 1L ) BL _L RECEIPT
~9 AT
SUBD. ~L2 imiYO~ {,1[tu~(}» DATE: r/
1995 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. Vanes system, etc.
Date: Nod Z? , (ak5
FEES
► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
► HVAC: 0-100 M BTU
Additional 50 M BTU 6.00
► Gas Outlets (minimum of 1 required @ $3.00 each) Z 6.0o
► State Surcharge .50
0
TOTAL s
SITE ADDRESS: IS53 An) l LER PbtaT
OWNER NAME: mod JA,. E t6-6-5 PHONE
INSTALLER NAME: Ng w° Iwrr ` A
STREET ADDRESS: p6ftmj 6?(~+~ tj
CITY: ~o~l~ rrA4 STATE: ZIP:
PHONE ( ) 53'5- if 51
CITY USE ONLY
L _ BL RECEIPT
SUED. DATE:
1995 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 IIQt required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ► $25.00 minimum fee Q[ 1% of contract price, whichever is greater.
► Processed piping - $25.00
► State surcharge of $.50 per $1,000 of pffmit 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
WAIVER OF HEARING #515
Special Assessment Authorization
UWe 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. I .02/sq. ft. $ 7,174.24
Storm Sewer Trunk 195,128 sq. I .076/sq. ft. $14,829.73
Lateral Benefit water 899.51 ff. 25.50/ff. $22,937.50
Lateral Benefit Storm C 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 and all hearings necessary, and waive objections to any technical defects in any
proceedings related to these assessments, and further waive the right to object to or appeal
from these assessments made pursuant to this agreement.
DEVELOPER AND OWNER:
GOOD VALUE HOMES, INC., a
Minnesota Corporation
By: Betty R Hardle Date
Its Chief Executive Officer
/ 0 Q)~
By: JRn R. Peterson Dat
Its: sident
r A A ~..XA.p -11. -k
w1 M'ti
DEERWOOD TOWNHOMES
r:::•. 'e'u ` -rte
X. N
'1••.:'~:•.~: tr~••~:~:':'"''''•`~ '~v .:sad'' .;•r. :•:i~~
X. -X
y ':'r''Ff?arc .-'t,•.~tc•;.:::
•`•7::i • lr::::?::
FINANCIAL OBLIGATION
3•:..+: LEGEND
~ ~•':::..:fir;;:``:"a:;:•' vp
ao¢ M400410 Lateral Benefit Water
11v a Lateral BenetM Sloan Sewer
` ~ • • Sanhary Sewer Trunk
Water Trunk
• . : Storm Sewer Trunk
s ,
I;¢er 30r t 0,
RECEIVED AUG 2 1 1995
RFrF1vr--l1 AUG 2 1 1995
STATE OF MINNESOTA )
) ss.
COUNTY OF DAKOTA )
1995, before me a Notary Public
On this day of aL eared JOHN R
within and for said County, o ho hey each by me duly sworn, each did say that
PETERSON to me personally known, g
they are respectively the Chief Executive Officer and president of Good Val a Homes, I on
instrumt was signed Directors and said Chief Executive
the corporation named in the foregoing instrument, and
behalf fficer oand Precorporan s dent acknowlauthority of edged said rinstrument to be the free act and deed of the
o
corporation.
Notary Pu 'c
NANCY L SEVERSON
APPROVED AS TO FORM: 6yco
. Attorney s
ated:
APPROVED AS TO CONTENT:
Public Works Department
Dated: S¢ r f 7-2 /49S -
THIS INSTRUMENT WAS DRAFTED BY:
SEVERSON, WILCOX & SHELDON, P.A.
600 Midway National Bank Bldg.
7300 West 147th Street
Apple Valley, MN 55124
(612) 432-3136
MGD/wkt
206-12870
~'i•'SS~X1F.i'<YI•'3kuc,Y:~<.: ~<YriYF:~$(M%7'>; X?'.:i;:isiN=?k.l.,k,.k't;ri!~;t,'F.z~<;;c,;:k•
CITY OF EACAN
CASHIER: 8 TERMINAL NOc 779
DATE N !L/09/98 TIME:,: 000137
1D::
NAME s !31.J~'E.JRPAN GROUP I NIC
2155 9001 _ 1Uia.00
32:10 9001 101 ANTI ...GiR .'T :162.2°1
ViD 9001 Q55 ANTLE:k F'T 162.25
3210 9001 1559 ON'T'LE'.R ;"'1' 16?-25
3RtO 59001 J562 ANTL i P PT 02.25
306 9001 156b ANTLER EST 162.25
:3PJO 9001 15V I)NTL.t-R F"I 1.62. P5
32:1:!] 9001 j570 ANTLER PT 20.25
ViD 900i 1971. ANII..Ei:R i'f
3FiG 9001 1579) ANTLER F'I 162.25
CRD9i`7r?P KM CONTINUE
USER !D:: NANCY M8: CONTINUE
8c,k;k>X'X9~ YF`7 ~kIFYF *Xi?X~$: ~ Y,i'~'.>`.oX?'FB::r". `?X i:>X"f:~nXti;,:.>! ~:k>X>K>k
%t.r~6>k~i.•Y~?kn:v;"t•'?k?'d~~'6~kYli<>Y:!~';:%Xk,.'~YF~kOitkA: C;Di3T'fNIJF
CITY OF EAGAN
CASHIER; 9 TERMINAL NO; 779
DATE: L L/09/98 TIME; 12:20:39
Dr.
NAN;E° S1.Jt:UF]A.N GRO IP LNC
NO 900' 079 ArFR..ti:R E•T 2 E.25
321@ 9OUI 1:532 r1NTLfii.R E't` 212.251
320 9001 15G' ANI"1'f Ltii'.2`
3210 9001 1586 ANTLER PST 20.25
100 9001 1587 AN 'I I. E'F: I-' 'T t1>2.2.5
3210 91101 3985 FAWN. WAY 02.25
3210 9001 3906 FAWN !="Y 02.25
320 90'11. 398119 FAWN WNe J.62.25
3^?:10 900:L 3990 1:-AI<1N WF9Y 162.25
Total Receipt Amount: 9,270.50
CRO99222
USER IV NANCY
Ys~~C.r,:?Y.NS~k;s M'Y.4,YFYF:4'?r~kYrw R: ~%XM>k v,',}'s;<M x;Y>;SY,.YFm>n~: ~k>9 %X>Y
PERMIT
JI CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, N6nnesota 55122-1897 Permit Number: 0 3 3 9 5 5
(651) 681-4675 Date Issued: 11 J 0 9 19 8
SITE ADDRESS:
1651 ANTLER PT
(OT: 18 BLOCK: 1
nEFRWUno TOWNHOMES
P.I.N.: 1@-20200-180-01
DESCRIPTION:
T.O. & REROOF
Building, ermit Type SF (MISC.)
Building Work Type REPAIR
'Census Code 434 AI-T. RESIDENTIAL
c
t- r
z
REMARKS:
INCLUDES: 1553
FEE SUMMARY-
VALUATION $10,000
Base Fee $162.25
Surcharge 0
Total Fee $167.25
CONTRACTOR; - Applicant ST. LTC. OWNER:
SUBURBAN EXTERIORS 18818232 4289 OEERW000 HOMES ASSOC.
97131 PENN AVENUE S 1551 ANTLER PT
BLOOMINGTON MN 55431 EAGAN AN 55123
(651) 881--8232
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.
L- -
QA
APPLICANTlPERMITEE SIGNATURE SUED BY SIGNATURE
1998 BUILDING PERMIT APPLICATION (COMMERCIAL)
CITY OF EAGAN
33`~ 681-4675
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 0) 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 MCNVS - SAC determination letter from MCIWS - SAC determination letter from MCIVVS -
call 602.1000 call 602-1000 call 602.1000
Special Inspections & Testing Schedule (1) "
project specs (1)
energy calculations (1) "
Electric Power & Lighting Forth 1
Contact Building Inspections for sample
Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details.
DATE: 1 ~ 3 --qc WORK TYPE: NEW REMODEL
DESCRIPTION OF WORK: LL-fC3~
CONSTRUCTION COST: [o1ocio TENANT NAME: LAN t ~~cJL,'VI~SL2
SITE ADDRESS: 1SS I , X553 " ~R~ SUITE
LOT + BLOCK SUBD.n.1 crt6 ~tJ WY,VlMW P.I.D. #
Name , U-)2) ( Phone
PROPERTY Last First
OWNER SS l i SS`3
Street Address:
City State: Zip:
Company:4s ~ -Jx\o n jC)s; $ Phone ~C3 ( "<a 2?J2
CONTRACTOR p/ n - 4
A
Street Addres(s~ ( ~U N2 A ~h /Cfu J License # ~
City 1JtC 1 C~1~\ State:I-LI Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (only if installing sewer & water):
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. \
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 19 Comm.And. Misc. ❑ 21 Miscellaneous
❑ 18 Comm./Ind. ❑ 20 Public Facility
WORK TYPE
❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. Census Code
# of Stories sq. ft. SAC Code
Length sq. ft. Census Bldg.
Depth Footprint sq. ft. Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee a - S Valuation: $
Surcharge
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 - - - - - - - - - - - - - - - - -
I For Office Use L~
Permit `
ing
City of Ea
Permit Fee.
3830 Pilot Knob Road 7
Eagan MN 55122 Date Received:=1d
Phone: (651) 675-5675 I7
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ( l Site Address: 1417o'l 40, ! t'~ r Unit
Name: i t P lJ U 76A,_),AJ {f'dmf- //fS,S Q .d"l9'T;1~cX Phone:
Resident/
Owner j Address / City / Zip:
Applicant is: Owner Contractor
Description of work: )eCc' 1~~ v~G Cis cL'~✓
Type of Work
Construction Cost: Multi-Family Building: (Yes / No )
-nLc
La~r~I/i~L
f ! /"l u t~ C tCompany: Contact: /4-1,
Address: City:
Contractor
State: Al/L-, Zip: Phone: -76 ? 4120 - S% 6 .7
License b CiLead Certificate 5~ ~~Gt>G~
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
J__7L,T_ TrIe- 8 l796
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 M
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work autho ' ed b a building permit issued in accordance with the Minnesota State Buildin de must be completed within 180
days of per s ce Lr~
x x
Applican ' ' ted Name Applicant' ignature
Page 1 of 3
Use BLUE or BLACK Ink
r________________�
I For Office Use I
� � Permit#: /��V�� �
Clty of ����� � : � � �
� Permit Fee (s�� ' �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: —
Phone: (651)675-5675 I I
Fax: (651) 675-5694 I Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ���� ��1 �/cr- �� Unit#:
Name: ���'�t.� ��,�" Phone:
Resident/ C� �1 ,/�
Owner Address/City�Zip: �J �� �?n��t� /" �
. Applicant is: Owner �Contractor
Tj/pe Of WOI'k ,', Description of work:___�e Sr�P_ ,� l�vi nG���-S
.�— �
Construction Cost: � f��GC� --- Multi-Family Building: (Yes /No�
Company:_ �ihc�,��,� �Ar IC Contact: �y.� �t��el
Contractor
Address:__��7� ��� J� City: Z,/h l� �w� ���
' State: �/�Zip: 5��� Phone: v� `�1��Jy��'Email:
license#: � �L� �� 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 informafion 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.ora
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x �rc��l C�, X �
Applicant's Printed Na Applican Signature
Page 1 of 3
� � Use BLUE or BLACK Ink
�----------- ���
I For Office Use �j}/t
, � ��rr
� � Permit#: �� If� ���
� �T n I ��v "1 Jl
jlt r O� �J���j! I permit Fee: �
J I -' ��
3830 Pilot Knob Road � Date Received: r `� �
Eagan MN 55122 ��
Phone: (651)675-5675 ._ � �� I
r-,.JO I
�' � '� � Staff:
Fax: (651)675-5694 �
4 a�}�� '-----------------i
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �-/� _�'S Site Address: �s s� �✓� T��`r ����� Unit#:
� �' Name: � � Phone:
Re���9�t� ��
����_ Address/City/Zip:
Applicant is: Owner Contractor
` Description of work:
GJ/'!I'I 7'`OGT�h S J �0 L�a�i /?P�✓ �OS�S� <�OXG�
� Ty�pe r��'I���rk�
Construction Cost:�� 804' Q� Multi-Family Building: (Yes /No_�
Company: I
...�t�� l �^lS�C1n �onS'�-. lr1C • Contact: J��-� �r'�°S"��'� '
` Address: ���� �• .�To�f� S� . City: ����C° /�/�1✓I�
�Ql�t'��'�3�' . : 1�R ,I
,�A CroD� l6?•-Zig" �`1�y Email: .�t?' 7�y� ��i Jt ,CO�'+�
, ':"`: State:�/" Zip: J � Phone:
�icense#: /Y� �97 °`�� I Lead Certificate#:
If the project is exempt from lead certification, please explain why:
l3� ; l� i � ) �qb
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:
NDT�:P�a�s��a�t�pQr��rg dc>�r�ra�s�r��aaf,��u�c�b�a�t�r�:�c��r�red to t�e��bl�rc.i�r��z�r�� For�o�s of
t�e er��'arma�i��r rr��y�e c�'a�s��l-as nvny�c��lic�'���prc���s��ec��a�c rea��s f��:�����aer�����"Gi�#y.to
c�rt��fude t��t i��ae`' a�e t�tl�s�erts.'
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.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 S 'Iding Code must be completed within 780
days of permit issuance.
__.
X .��-F�F f'�'�S-�-o� X
ApplicanYs Printed Name Appli gnature
Page 1 of 3
;�
�,..-�% !/1 C � - DO NOT WRITE BELOW THIS LINE ��C��
SUB TYPES "
_ Foundation Fireplace _ Porch (3-Season) Exterior Alteration(Single Famity)
_ Single Family _ Garage _ Porch(4-Season) Exterior Alteration(Multi)
_ Multi e,L Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex � Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding Demolish Building*
_ Addition _ Move Buiiding _ 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 Occupancy ,��'1�,�,��,� ., MCES System
Plan Review Code Edition �����4��,�� 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 r/� Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
� Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests Final
Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill Finat
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
._,e'� Other:
Reviewed By: _ , Building Inspector
RESIDENTIAL FEES � �
Base Fee � �° �� ��
� �- � �
Surcharge �'' �,� ,�� ��,
Plan Review
�� ���'
MCES SAC " � ±� �r
City SAC
Utility Connection Charge � �..,,�.^ �� �
3 "y �
S&W Permit& Surcharge ,,s�'
Treatment Plant
Copies
TOTAL
Page 2 of 3
: . -����. CERTIFICATE OF SURVEY � �� e���'�
f or
._ ���; f t��"���"GOOD VALUE HOMES
l 11-�
PROPOSED BUILDING ELEVATIONS
Top of foundation f�L•5 __ Front,of house 905_S
Garoge�floor �C_.L•�____ Rear of house �OD•'7a _—
Lowest floor �c�___ Walkout Nz�_____—
�-�- arrow denotes droinage direction per development p�on. ��
890E denotes exisiing spot elevation �
I �
890P denotes propased spot elevntion � (��
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�� �q(�.(.o �S°� ' .S 63 .
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�. ry �s'o/s to 0 F C �'
... BuYdmg EnvdePa ?3 ,ry IS O ` �/\ t � ,�/ ' I
_�� ` �,ry 3S �. � ; j�v �.. �
::� . • •33 p �8 � oO U� Q� J /+r�.•"1/�1 ' �
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Detail (typica!) a `��3 T k°,posf. ry 5•o,�,o
Not to Scale � ��',�^� tiOMe ��s e"'�"a�""`'°"°
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�'.AGAN ENG."" �t 'Ni�Di.a'1. (�0 �q05� e�narw��me
5 � � St�►x.,•S6�V. �(.= �{y.S+
W �� ENCHMA K USED:
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MOT�: ALL DIMENSIONS ARE FOUNDATION DISTANCES LEGAL DESCRIPTION
( ) = RECQRD INFORMATiON
Lots 17 and 18, Block 1. DEERWOOD
O DENOTES 1/2" IRON PIPE & CAP SET TOWNHOMES. according to the plat of
L.S. # 23945
� �ENOT�s iRON PtPE 5Er - record thereof Qakota County, Minnesota.
FOR BUILDING OFFSET I hereby certiEy that ihis survey was
o DENOTES WOOQ LATH SET prepared by me or under my direct
FOR EXCAVATIQN ONLY ' supervision, and that I am a duly
Licensed Land Surveyor under the
QASHED LINE DENO7ES DRAINAGE laws of state of Minnesota.
AND UTILI7Y EASEMENT AS PER PLAT.
PA88E FSIGINEERIN(} nvc Donald E.,Sigety, MN L' o. 23945
AEC+I8TER8D PROFE98IONAL�LAND SURVEYORS �
9446 EA9T RIVER ROAD, SUtTE SQ8 I Date: _/���'�fS
COON AAPID9. MN 66498 I —
Tel, S81F) 7b6-8340 Fax. 18731 7b6-1882 E
JOB N0: 93-34 SCALE: 1 INCH =__?fl__FEET FIELD BOOK: PAGE: DRAWN BY: CKP
DEERCRT2.DWG
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136545
Date Issued:05/19/2016
Permit Category:ePermit
Site Address: 1551 Antler Pt
Lot:18 Block: 01 Addition: Deerwood Townhomes
PID:10-20200-01-180
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Allen N Werthauser
1551 Antler Pt
Eagan MN 55122
(651) 226-5725
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature