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1559 Antler Pt Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - for Office Usa' ~ I Permit City of Ea Permit Fee: 3830 Pilot Knob Road / Eagan MN 55122 I Date Received: L Phone: (651) 675-5675 j Staff: j Fax: (651) 675-5694 I I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone: RESIDENT / OWNER Address / City / Zip: 9 A, -S 16- _,4 N 5-S/.-2 lo, Applicant is: Owner Contractor C TYPE OF WORK Description of Pe Construction Cost: b a 6 / Multi-Family Building: (Yes .X__ / No ) Company: A/AE ' 84P((: & tt&PJ Contact: "yE P_"0.•ME-5 CONTRACTOR Address: City: 2~ State: #t,) Zip: x_-71 Phone: (0-:) Ll2b 'j l® License 901522 17 _ Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information.' Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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, is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and proval of p x 0~-,Oi= x Applicant's Printed Name Applica 's Si ture Page 1 of 3 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: f111► E " i Ids{ 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: " 1 (612) 681-4675 SITE ADDRESS: APPLICANT: ! i ~N 1 1 l k I i +~Fi;, i t I1; {1~11'1I i ui~+l1 Ii~l11'I~I~iI'i:'~ ih(.' i ,+•I ` it i PERMIT SUBTYPE: TYPE OF WORK: IJt it i . ! t 1 ( r • DATE INSPTR. • TYPE DATE INSPTR. I I " A M I H0, !'11111 C P!1, i! •t 11 I Ii i I r+ i`I ! 1 i l! I f 11111,11 I C1 1'C f',I• I ~t"i•i! 1 II I! I s ! 1 I /1 Ft 11 i+ 1 ! 1 111 l'1 1 t1 I'1 ttt 1l I 1 t 1 tt1, Permit No. Permit Holder Vat! Telephone M rip ELECTRIC OQ ~tO 9D PLUMBING HVAC Inspection to Insp. Comments FOOTINGS (p FOUND FRAMING p` ROOFING ROUGH 7 1c0 J PLUMBING 9l PLBG AIR TEST ROUGH / 7-/S"SIG HEATING GAS SVC TEST 1( INSUL b _ GYPBOARD 3 FIREPLACE G I FIREPLACE r ! AIR TEST FINAL PLBG FINAL HTG ORSAT TEST i BLDG FINAL 7l~ i BSMT R.I. _;SMT FINAL ECK FTG !r-GK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: t 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 551 22-1 897 Date Issued: t" (612) 681-4675 SITE ADDRESS: APPLICANT: t i t tl It l 1+~ i! ;l r? I I I It r 1 t, t++ 1+ A l 111 I10MI l•r ~ I l,l,tl+ 1 ir1J16#{IfIMI ~ Ii : 1 _ r PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. • TYPE DATE INSPTR. I l fit,' ,t1Jlllir, (4 f i Pt . Jlfti 1 f,41 M 1, I I ifi~,lll 11I 1tJf:l f !ul I'i At t ! rllll;ll 1 ri •'l l~t;,ttlli f~ Y; II C f, flJt! 1. 1 II,: 1 ta; i V1 PI A1:1.'. ttllf•i t lil 111 i' I l:it 11 1 I If I f I J Je lJ PtHp VAI 11 + I F Permit No. Permit Holder Data Telephone A ELECTRIC 8aot~l 8 2 9G O PLUMBING HVAC `j IE i Inspection i7ate Insp. Comments FOOTINGS Q FOUND FRAMING j9h ROOFING !!~i ROUGH PLUMBING PLBG AIR TEST ROUGH 7 J.t9C HEATING GAS TESTSVC INSUL A'21~~r `"LCD o~c GYP BOARD FIREPLACE FIREPLACE AR TEST flw FINAL PLBG ) FINAL HTG 7 19 .;RSAT / /LO TEST q%7C Q . 13LDG FINAL -ISMT RI. 3SMT FINAL DECK FTG - DECK FINAL INSPECTION RECORD j TY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: p3395`1 Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: .4 111. 1 " : F PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE it4SPTR. INSPECTION TYPE DATE INSPTR. Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD L',~ITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: d 339~s~ Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS:' APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. 7f~t. f OIf1i•. 1 tati`: J permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 280-221 ,8' ~ © OFFl E US ONLY This request void 18 months from vaLdahan date pnm m Miz4yx/~ o1(v 4FO PLEASE PRINT OR TYPE / 8 /D Request Dore Rovgh in inspeWian rogmred2 s [3 No Inspedion Other Than Ravgh.ln 0 Ready Now V1411 Call q _ q~ ou must call he msseaOr when reody) Dore Ready I, ®licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Sheet, Box, or RoWe No) City Zip Code 155q Anuoy- Pt, Yl Section No Township Name or No. Range No Fire No Covnry O.pant Phone No Power Supplier L~ Address EI<driml Contrado~r (Company Nama) Conhodor Lcense Na Masrer Uc No (Plant Elea -Only) nrt I AmOl59a Mailing Address (Controdor or Owner Pertmmmg Installation) 4CE0--83rd ALe-- kk~) b-cc n R,4 mN) 55,4y3 Authanud Signature (Cormador or Owner Pedarmm, Inemilanon) Phone No. i`~a - EB.000OIA-106/95 STATE BOARDCOPY- SEE INSTBUCTIONSON BACKOFYELLOWCOPY REQUEST FOR ELECTRICAL IN~S~E~/TION O/~Ljy(/ IIII II III ~I Minnesota State Board of Electricity 1821 UniversityAve., Rm. S-128, St. Sul, 55104 * 0 2 8 ~P22 1 3 * Phone (612) 6420800 Home Dup ex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Repair Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other. D r Range Elec. Heat Temp. Service "K' 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 correct fee: Other Fee # Service Enhance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 1rj- 0 to 100 Amps Street Ug./Traffic Sig. Above 200 Amps 0_Amps Transformer/Generator INSPECTOR'S USE ONLY O TOTAL Sign/Outline Ltg. Xfmr. 9~ Alarm/Remote Control Swimming Pool I hereb cerh met I ~e:.ced the ei.vr~<ol ~o .xribed h.,..n oo the date..led Irrigation Boom Ro•gh-In <799P- -96 Special Inspection Final y1investigative Fee THIS INSTALLATION MAY BE ORDERED DI NNECTED IF OT COM ETED WITHIN " 8 MO THS. 280-214 ® OFFIC USE NLY This request wid IB months trom wlidoHon data pr tined in this bax. 4 ( 90 Pn PLEASE PRINT OR TYPE ,g ~ Request Do% Rough-in mepecnon regwred2 ~'9 s ❑ No InsPedon Other Than Rough-In Q Ready Now V"III Call (You must call the inspector when ready) Dan, Ready I, U'ficensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Sheet, Boa, or Route No) C Lp Code Secfion No. Township Name or No Ronge No. Fue No. County Da y-olfc), Occopont I ~ , - 'I_ PL Phone No lA lJl YA-D-D Power SUP,aIlh.^, ,,A.. a Address Dal<. Electncal Conhamr (Company Name) Contntmymyr licensee No Maskr L¢. No (Plant EIM Only) C~ 50 Maihng Address (Contractor or Owner Pedomnng Instalahon) &W Pc-AL AuMootued Signatum(Contractor or Owner Performing Installation) Phone No. EB-00001 A.10 6/95 STATE BOARD COPY-SEE INSTRUCTIONS ON BACK OF YIN I OW COPY IIII IIII II I II I~ IIII II II I I I III i~ I~ REQUEST FOR ELECTRICAL INSPECTION Gal Minnesota State Board of Electricity 9ld .1821 Un versity Ave., Rm. S-128, St. aul, MN 55104 i ~ * 0 2 8 0 2 1 4 8* Phone (612) 642-0800 ome Duplex Apt. Bldg. Other: New Addn Commercial Indushial Farm Remod Re air Av Cond. Htg. Equip. Water Htr. Load Mgmt Other. D er' Ran 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 he accepted without the correct fee- Cher Fee # Service Entrance Size Fee Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./traffic Sig. Above 200 Amps Above l00 Amps Transformer/Generator INSPECTOR'S USE ONLY J TOTAL Sign/Outline Ltg. Xt Alarm/Remote Control Swimming Pool hereb am L?c Inaknonon described o. the date: rm Irrigation Boom Roogh.ln Dare py Special Inspection Inv cial Inspection Fee F,n THIS INSTALLATION MAY BE ORDE D C N ED I COMPLETED WITHIN 16 MO S. CERTIFICATE OF SURVEY f o2t GOOD VALUE HOMES PROPOSED BUILDING ELEVATIONS St,p~ ou Ge.~oe G Top of foundation Front of house Garage floor --L-7L Rear of house _-Qp •S____ Lowest floor __LOP! Walkout arrow denotes drainage direction per development plan. 890E denotes existing spot elevation 890P denotes proposed spot elevation BENCHMARK USED: a TOP NUT" WyDCa,.rr Loth 104•11 P AO's 8(6V. = Q OS.74 BuOding /Envelope Vo off.. F, g 90 4 00 $o X411 .y5 ~ e S a. '1 a 5 8.87' TO CPE A (y 1~ 79 aQ qP N ep0 COiLNER ~ ~.a 4 CORNER ENVELOPE OQ '00 ,g09 14 h Q~o00 !b Detail (typical) 13 Not to Scale ~p °e0~~~' ~ 00 8.807' T ENVELOPE 15 0/5 to Building Envelope 15 / W ~ 9 001~ 15, En °S-O.t,7 yvv Butldng Nope A1 o P P° " Y ti>g o~ ~`~1~o eG~d,.a p q05, s v` g 0) 113 p9 .S ,,pp tr e TO ENVELOPE CORNER CO X0 q 1 ,5 u/s to Bubding Envelops Q o~ ao3 • ~ o C EAGAN EN 1NEE_RING DEPT. LEGAL DESCRIPTION NOTE: ALL DIMENSIONS ARE FOUNDATION DISTANCES Lots 13 and 14, Block 1, DEERWOOD ) = RECORD INFORMATION TOWNHOMES, according to the plat of O DENOTES 1/2" IRON PIPE & CAP SET record thereof Dakota County, Minnesota. L.S. # 23945 N I hereby certify that this survey was ® DENOTES IRON PIPE SET prepared by me or under my direct FOR BUILDING OFFSET supervision, and that I am a duly 13 DENOTES WOOD LATH SET Licensed Land Surveyor under the FOR EXCAVATION ONLY laws of the state of Minnesota. PASSE ENGINEERING. INC. REGISTERED PROFESSIONALOLAND SURVEYORS Donald E. Si et , MN L . Vo 945 23 9446 EAST RIVER ROAD. SUITE 808 y COON RAPIDS, MN 88488 Date: 57 ~~j~gco REV1S5//41 gCo TBL (814) 766-8840 Fax. (818) 768-1888 JOB NO: 93-34 SCALE: i INCH =__20 __FEET FIELD BOOK: /041 PAGE: 11 . DRAWN BY: GSO nrroro T, nwr LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: 1 ~ZZI f ZAW,W~eu DATE OF SURVEY: > LATEST REVISION: DOCUMENT STANDARDS a li~ ❑ ❑ • Registered Land Surveyor signature and company C ❑ ❑ Building Permit Applicant 0~ ❑ ❑ • Legal description 0' ❑ ❑ • Address 2-~ ❑ ❑ • North arrow and scale ET~ ❑ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ca" ❑ ❑ • Directional drainage arrows with slope/gradient % [y ❑ ❑ • Proposed/existing sewer and water services & invert elevation 01~ ❑ ❑ • Street name 2"0 ❑ • Driveway ELEVATIONS Existing 11' ❑ ❑ • Sewer service (or Proposed) J2~ ❑ ❑ • Property comers ❑ ff" ❑ • Top of curb at the driveway tY ❑ ❑ • Elevations of any existing adjacent homes Proposed ff~ / ❑ ❑ • Garage floor 17 ❑ ❑ First floor 3"' ❑ ❑ Lowest exposed elevation (walkout:Wndow) 3,0 ❑ • Property comers ❑ ❑ • Front and rear of home at the foundation PONDING AREA (if applicable) ❑ ff' ❑ Easement line ❑ e ❑ NWL ❑ J~ ❑ • HWL ❑ ❑ • Pond # designation ❑ Emergency Overflow Elevation / DIMENSIONS ~T/ ❑ ❑ • Lot IinesBeadngs & dimensions f~ ❑ ❑ • Right-of-way and street width (to back of curb) 2r' ❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2% porches, etc. (i.e. all structures requiring permanent footings) 1~ ❑ ❑ • Show all easements of record and any City utilities within those easements ❑ ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ ❑ Retaining wall requireme if any Reviewed: ~o ame / ate January 1996 CRA1319WA3LDGPRMr FM PERMIT 6057(0 4 9 `C ITY OF EAGAN SIC9519_i 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 027599 (612) 681-4675 Date Issued: 05/29/96 SITE ADDRESS: 1559 ANTLER PT LOT: 14 BLOCK: 1 DEERWOOD TOWNHOMES P.I.N.: 10-20200-140-01 DESCRIPTION: (ZERO LOT LINE) B'Oildrh-q Permit Type SF DWG uildingP,ork Type NEW UB¢ Oecu_pancy R-3 U-1 Const-uo"tion V-N / ,Zonin_g ?R-3 Building Length 28 ''Bu I'l din .0u1`,1d ,,n g,, stories 2 1Cehsus CldW~-- wP~102 1 - FAM. ATTACH REMARKS: DUPLEX WITH 1561 ANTLER PT (LOT 13) S & W PLBR - VALLEY PLBG FEE SUMMARY: VALUATION $105,000 Base Fee $912.25 MISCELLANEOUS $1,923.50 Plan Review $456.13 Total Fee $4,244.38 Surcharge $52.50 SAC $900.00 SAC % 100 SAC Units 1 Subtotal $2,320.88 CONTRACTOR: - Applicant - ST. LIC.OWNER: GOOD VALUE HOMES 17559793 2005498 GOOD VALUE HOMES INC 9445 E RIVER RD 9445 E RIVER RD COON RAPIDS MN 55433 COON RAPIDS MN 55433 (612) 755-9793 (612)255-9793 I hereby acknowledge that~I have read this' application and state that the information- is- ca-rrect:uan-d agree to•comply. with all applicable State of Nn. ,Statutes and City_of Eagan Ordinances. APPLICANT/PERMIT GNATURE U D BY. SIGNATURE 14.199 CITY OF EAGAN s4,).44.,~1 3830 PILOT KNOB RD - 55122 -54/F < 1996 BUILDING NG PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reouirements oR rA. RemodeVReoair Reovirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (Include beam & window sizes; poured find. design; etc.) ♦ 2 site surveys (exterior additions d decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan H lot platted after 7/1193 required: _ Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: ~~s `d ~r ~1n I A.'.°a) Cr~r s STREET ADDRESS: 1.1 S 9 nRESIM lLC, 7-i re P7 LOT Aja BLOCK ~J SUBD./P.I.D. YJtr~tS t~ Tr > Ann7cl. DG PGZX ':~~z Lof - I3 PROPERTY Name: 6ere. ' La la r We lit rs Jx,-. Phone ~ z '27 -s OWNER , T Street Address- 9011 6~)' lP.` l- Pei, city: 0,4 State: 14e1 A) Zip: -rN`/3-i CONTRACTOR Company: --5,4 lJl r Phone Street Address: License Lf `T City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: - 4m { Registration Street Address- City: n State: Zip: Sewer a water licensed plumber: 1/X 14le✓ #J) ; y Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: r l ° OFFICE USE ONLY r e r z- / Certificates of Survey Received V Yes No AY 0 9 1996 -----------I Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 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. ❑ ex ❑ 15 e WORK TYPE 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) N Basement sq. ft. MC/WS System _S (Allowable) 37*- Main level sq. ft. 42.1,5 City Water oC UBC Occupancy ZIX./ sq. ft. 5-r5 Fire Sprinklered Zoning _'e. ff sq. ft. PRV # of Stories 2 sq. ft. Booster Pump Length 2b-a/s sq. ft. Census Code. /oa Depth Footprint sq. ft. SAC Code O/ Census Bldg Census Unit / APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ~6S o~ Surcharge Plan Review License MC/WS SAC City SAC c~ - Water Conn. CUr'~~I Water Meter / G Acct. Deposit C~GG S, S/W Permit 5/W Surcharge ~ Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units y PERMIT UO57(o CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BU LDING Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 5 9 8 (612) 681-4675 Date Issued: 05/28/96 SITE ADDRESS: 1561 ANTLER PT LOT: 13 BLOCK: 1 DEERWOOD TOWNHOMES P.I.N.: 10-20200-130-01 DESCRIPTION: (ZERO LOT LINE) Permit Type SF DWG building"Work Type NEW ~UBC DbcU'Oandy_, R-3 U-1 j Construction.T-y,,pe V-N ' Zoning R-3 8uilding,_Le,mg,th. 28 f, Building. Width 66 jB u ldin.g~,.stories r.r= 2 G~C*bsu's Catl _ 102 1 - FAM. ATTACH k"s ~eq;`_a '`,ti j~~..'. 'L:E__.o r:,v'u' '~R: _.i~ j~ REMARKS: DUPLEX WITH 1559 ANTER PT (LOT 14) S & W PLBR - VALLEY PLBG FEE SUMMARY: VALUATION $105,000 Base Fee $912.25 MISCELLANEOUS $1,923.50 Plan Review $456.13 Total Fee $4,249.38 Surcharge $52.50 SAC $900.00 SAC % 100 SAC Units 1 Lic. Search Fee $5..00 Subtotal $2,325.88 CONTRACTOR: - Applicant - ST. LIC.OWNER: GOOD VALUE HOMES 17559793 2005498 GOOD VALUE HOMES INC 9445 E RIVER RD 9445 E RIVER RD COON RAPIDS MN 55433 COON RAPIDS MN 55433 (612) 755-9793 (612)255-9793 I hereby acknoUle•dge-that"! have read this application and state"that the' informati-on_isco-rrep,t and,ag-ree.to comply with all applicable State of Mn. Statutes'and City of Eagan' Ordinances. / APPLICANT/PE 6 SIGNATURE - ISSUEDVY: SIGNATURE CITY OF EAGAN 14132 jqm~ 3830 PILOT KNOB RD - 55122 _5410 ~S 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~~s /3f~G ~kk1 681-4675 S1m0~- on~ra~_ New Construction Reguiremenls Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan H lot platted after 711/93 required: _ Yes _ No DATE: CONSTRUCTION COST: 612,6~~-crj DESCRIPTION OF WORK: R1--S A,J-k) t`e-ns~,- STREET ADDRESS: / XA)rl,k' 1377 LOT /Z BLOCK SUED./P.I.D. Vlfcru5ytr~ TyR7 ~nMr s DGPGLX ' `,z -~y / PROPERTY Name: 6,z ~ L),~uF WIA"e0s14,n Phone OWNER L., FIRST Street Address 9V -1 A y k `el' 0,/ City: -y/ v /.6/ "i-t State: Iri A) Zip: 33 !/33 CONTRACTOR Company: Phone Street Address: License -7,r9,,9 415? V/ City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: S Z,&15~ Registration Street Address- City: State: Zip: Sewer & water licensed plumber: I/ /M 1~e t anA ! <i - Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY / FE V D 'V E Certificates of Survey Received t% Yes No MAY 0 9 199$ Tree Preservation Plan Received Yes No OFFICE USE ONLY r' w BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex o 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. ❑ 1 = }Ste o '15-beck WORK TYPE - 6~:) r- - X-31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) -P7-,V Basement sq. ft. If ~4 MCNVS System (Allowable) -IK Main level sq. ft. 4 z 38 City Water eL UBC Occupancy ;7-~," sq. ft. sS B Fire Sprinklered Zoning Q- 5 sq. ft. PRV # of Stories 2 sq. ft. Booster Pump Length Zb-~ sq. ft. Census Code. OZ Depth Footprint sq. ft. SAC Code Census Bldg Census Unit / APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCIWS SAC City SAC c Water Conn. COf'~~I Water Meter Acct. Deposit S/W Permit S/W Surcharge T U°- Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units :N[nGh CONSERVATION SUPP'_t.1'-_NT TO 51ULLD1 NG PERM-,T :)D_11 CA TION This supplement is provided to assist the applicant in computing E37MRIOR ENVELOPE AVERAGE "L"' FACTOR INFORY.ATION. 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 CFITERIA in the plans; submit product cnecifications, if needed to support the "n" and "li" `actors used; and to assure construction is per approved plans. JOB LOCATION -r~C ~.~'f r~ L I t~l OWNER(S) 6rC)OD \/4LU1= ~oMCS PHONE 7SS- 9_123 CONTRACTOR _ SdPHONE A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area 184-12) 2. Total door area S~,g 3. Total sliding glass door area 4. Total fireplace wall area Z91 S. Total wall framing area (average 1CA') Z11. Z 6. Total net wall area above floor 1~{~ ~;,(o i. Total rim idist-.area: 121.E SUBTOTAL: Total exposed wall area above floor 2- 11 Z 8. Total foundation window area tAI , _ Total net foundation area above grade SUBTOTAL: Total exposed foundation area 1J(F~ i GRAND TOTAL EXPOSED WALL AREA B. Multiply the GRAND TOTAL EXPOSED WALL AREA X -t1 = Item 1 z Z _ Z C. D_termine the Total Exposed ROOT /Ceiling Area as follows: 10. Total skylight area 11. Total roof/ceiling framing area 1 Z 4.6 12. Total net insulated roof/ceiling area 112 3_Z GRAND TOTAL EXPOSED ROOF CEILING AREA 1 2 Q~ D. Multiply the GRAND 70TAL EXPOSED ROOF/CEILING AREA x-'>2,6= Item 11 3~ , S Determine the "U" value of each segment (1-9) and multiply by the area as follows: 1. l .8 x U. 2 S`7 J 8 x U. 3 = 7, S 3. N' A x "Lli,, 4. IZS x ..U.. oS = 1,.4 6. Z11.-2 x .lull c91 = ~q.Z 6. 1do x ,.U,.. X643 7. x 41 Ull 8. y I x U" to A = N 4 9. x lull 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: 10. N x "U" _ 11. 1 Z.4, x ..U" 12. I12-S.Z x "U" 022 = Z4,-1 ADD 10 - 12 FOR TOTAL ROOF/CEILING SEGMENTS = Item IV C. if Item No. III is the same as, or less than Item No. 1, you have meet the intent of State Building Code 6OD6(c)Z. -k. If Item No. IV is the same as, or less than Item No. II, you have met the intent of State Building Cofe 6OD6(c)l. I. Add Item No. I Z 3-2 .3 2 + Item No. II 3 S {Z = Z ~ , (o J. Add Item No. III 189 ~ T Item No. IV ? 717-5 K. If-the:sum of Items III and IV are less than Items I and II, you have met the intent - - 0I 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. 17 .,L Signature c e> _ a 3 Da Ee . , tat-~;•• - - • - ~ - P.eataentr;p. a kLV.L da convoct6a Na. L olat;ta Wma-ft _Doan Rclt Ue. W,It 16L Wd Gum Roof Fw. l;.ied Now Apnii.d e=_ -4 19_ Kmi tht MF FU Room I L ngth 1-14 Widtk , ficicht a F F11 {Ct 1 Room l lsatrt6 Z vlidl t 10 7m6wr and Doen--Lrackare and Ana Wm&.n and Door.-Laekart .ad Aru MMw lanNN Mr et Y.~I K ws MNta M Lrl0. wrw Mnq Yt N Ma I of". .1 nnw ItShN .1.1 1 R L_ Q Ma rt rw nt frtr INYN nlrtuY !L J I _ 1 4g ZO ~ 1 . I Z OI $ 18 Zo 1 I l I `o 4C6 1 I +3 1101 I i I I ICncf.l Btu I I I IC~f.I B; lahltratioa I Zp 50 lafifaatioa :5 I 15-01-7065 CJ,tt I Z4't 41,E a,,, IN,714721 1-7 5-1, :3P• wall I Z~(ar I Fso. wall I Z Nr:f =P. wan Iz1a. 4 -L I ci 1'1 . Net wall I73<.4 T geb: Int. wall r I Iat wan I I I Float Z 24.91 -Z I G{ ~1 Noor I zg~ I I S~i IO Ccl I I C-2. I z831 I S66 Total Br= I ~~b'1 I Total Btu. 15143: Rewircd so. ft ^ D.R. o: se. ins. T-k !rick: area I Reouircd tr. f` E MIL or sq. imL W.A. I-eader arm cnF F1IGl.oSIBAatISFioomlLcaf:tb 20 7+'rsb 13 ti r t $ f l= FLI 4,T Rncr:llsat;ta' I3 Widcb1 C' He'FrttT, w. dnwa end Doors Zrac6s~ and Aru grmdoaas and Doon-r.-rackare and Arm, :rf¢tn I IaaNnt na, n[ Lw.I LL. w7z Matk Nnrat rt-YS Lnaaf tL I L Ns +f nanr e: aaw I brhu 1 et e+.:r I C Na. I at ear I a! wn. I L[e.v I et track w. tL I I I I I I O I6h I 1 0 1Sd I I 1 I z I I Zo i I z I l I 1 3 1 0l z I I IG IBS I I I I 1CU...I ~ t i bI I l 1G.3 12_~ ICa=I•I Et IsSfyet on I ( 1 LaE! rtua 1 {5 1 I ~U 149 15, Gl= 1 1 cl.a. 1,9 l I ~.91 a -ml, F_= wan 11 I ( `--'L• wax I I Net cp. wall I (0O I .Z I C-.~ 7 Z Net ezR waft 1 r5 14,zi 12511 Iat waIl I 1 Iat wtll . I I I Floor I Z60 I-2 l s z.o Ftem I a s l Z l ~Li J C-''- I _ z I lbq Cu 1i~51 Z 13~fo intLIEtc. 113~a Total Btm 1~158D RmguirCA sq. fi EM IL or sr. ins. ~^A L=ater area I Rcnui. _d sg. ft E_DA c.: ii: Lrader area I 1J~ F1IUTt /,1 LL Ranm ILength H-kith 1 3 ii^ht a MF II r~l G Y RoomlLu-tb 1 ~vtdrl+ 1 neisht` `Trmdaws and Doo:s.--Crecrsge and Am Wmdmrs and Docr.- clage and Area wwlu n Nlat Aa or Lwnt ZL I ar.e plYtn >,narst wa a: Lwf tL wa.k Ha et ww i t etw I Ilrnaa nt enet q, IL Ha I N .ual n[...w I IfrnN 1 ai met I e. IL 132- 1 8v I I IS ._7 t7.S 1 '3 8o I I ~~.3 1 zo I 1 I I 1 1 tzl3(ol I 13 I I I I I I I I I I I I I I I Cyr Ear I I I I I I Cnmf l B L} rzs oa I 18 I I I G 3 S 1: filtration 1 Z-7.31 1 So 11 j~, C cla,r 117F,147gi ~3SZ (e Man 12~' 14i~11101- w k I I C~c~ I I Z3 win l l o I Nctc=wan IwzzI4zI 91 Z Netc==wan ICI I~,zI -j4o mt wan I I I Iat wan I I 1 Flow I`~1 I I taZ FI II 1-2,IZft2 Cmii. 19 I z l t S 2 cam. I i I Total Eta I z~48 -8 Total Btu. Reovned ft L D P. nr a- ins WA Lucimr crrr I Rtq--fired sr- ft F D.R. or sq. inu ~Lr A Lrseer aru W.eataert<tq C+na-' a !a Iaealariw Grmdon ' Deees 11 Refosa At Vat I lat. C•ty Reof F1eor Kid How Aposi.d S FU tr>rf Raom Leaeth I I T-xkh I S fie's1d $ FU Ftaem I Lcurth Welch flela..t !=dews and Door.--Craehaee and Area Wmc6m and Doom -Crackare a" Aw wwa. fl as Wt Mw/el MM L...l 1L ~rw N. of I.w Nw•N Awd t• .f MM 11!¢11 II Ir/e/ 1. R Ml .f WI& If IYtw 11 R. [l I 14 S zo I 1 I I I I f I I I 1c~f.1 ikn I 1 I I 1Coef•I B'. lafiluttiop 15 U 1 c:( I I I I ~ Ia5ltratioa Call I ?o ki,cil clan I I _ ;sp. wall 24Z 1 EM wall I I Net exp. wall Z i ~.z1 So~ Net =P. wall I I I Int. wall r I - Int. wall I Flom I ( Fl..r I I I Ceil. ~Z c7 Z I s C-3. I I I Total Era (3oC~ 4 Total Btu Revuircd sq. it. F D.R. or se. ias. VA Lcader arm I Reou'ved ac. ft. U.I? or sq. mL WA Linder area 5F FIA 13C Z Room. I Lcr.Fth t S ldcb (3 is h Qj FLI Room I Length wdth 14ciFht w, adows and Door~-^ at,61,_ and Arm Grmdowa and Doan-r-mrkage rad Area ''rlut M•Ir^I I h~.i L._--. c_.I ar.. avmu hotel h., o[ Le..l IL TI. et a..e. I e: ...n. urn! 1 et evert m. r_ Z4 1 4 ~3 I I zc~ Na. I et e.« I e' v.K tlreu I e .et I [L I I I I I I er ( I I 1 I I I I I ( I I 1c.=:.l Sta t I I I I Ill ef.l B: j:5?-adan 1 2 o I Sn ~ 100 L1Ei:rtiza I I I ( Cl= 12q 1.1r~. 1 1~c4. amass I ( I 'r' . w 11 I Z I I Exr- wxn he waE I -zc;=) .z I ~3 0 Net cru. wall Int. .ran I I Int. wan i I I Fipor ( I I F.ow I I I r-11 I I,S 13°t 0 CrL I I { TOW B= 13310.6 Tntat Btm I Revci.^x srr, f: =D.R ar ac;. ins. VA Linda area I Recuimd sg. r ZDR or sq. i^-, W f_ Mader arm S FLI 34rra1 y(_ Rnas )Lcagth 1,5 !tdh I j rr-ht b Might !=taws and Dnon---Crackare and Area 2~GC-~ C~ wwaa h..ryl J... of Lw.u tL I Ana Tie. .t a..« e[ u..r I tltna. w e.eet fL ~ '~1 ~ O I I I I \ 1 t%1.1 s 1 53 ~l O I I I I 1 I I I I I Icaaf.l Bw 3SG$g ,s 1~=ra.L. 131-05 1Cacf1 B, I=~`tra i°a I I I I I I Gars I I I I EXP. wall 12(e sal I I I Nei =rr- wan ( 2j6-3 14121 1 I Z5. (11 Net =P. w•au I i I Int. wan 1 I Int. wall I I I C::a I I a S Z I 3q0 C-t 1 I I To ~ B.C. 1 l rj I S (o Total Bta I Rev itrcd ry t. SDP or an. m& WA Lur=r :,m I RerTared sg_ ft. F D.R or sg. iar_ 'WA Leader arm I CITY USE ONLY L - 4-1 BL RECEIPT #:.S& e SUED. DATE:. 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH Shower 3.00 x _ Water Closet 3.00 x Bath Tub 3.00 x = 3 Lavatory 3.00 x Ti = Kitchen Sink 3.00 x = Laundry Tray 3.00 x Hot Tub/Spa 3.00 x _ Water Heater 3.00 x Floor Drain 3.00 x I = Gas Piping Outlet ' minimum -1 3.00 x -1- _ Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal' Dakota Cry. license 65.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 = Alterations ' to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .60 TOTAL SITE ADDRESS: S `I L OWNER NAME: d INSTALLER NAME: ~rn ' L STREET AD RESS: CITY: 1 h STATE: In ZIP: PHONE f bIGNATQ OFFICE USE ONLY L BL RECEIPT SUED. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ~ all commercial/industrial buildings. mufti-family buildings when separate permits are IIQt 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 pent 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 stJ~/ LN1,-~- BL RECEIPT* SUBD. DATE: ~°9G 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN . 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: ► single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH NQ. TOTAL Shower 3.00 x = 3 Water Closet 3.00 x = 1~ Bath Tub 3.00 x Lavatory 3.00 x Kitchen Sink 3.00 x = Laundry Tray 3.00 x _ Hot Tub/Spa 3.00 x = Water Heater 3.00 x = 3 Floor Drain 3.00 x I = 3 Gas Piping Outlet ' minimum -1 3.00 x = 3 Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 65.00 = (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 6 l SITE ADDRESS: S I .Q~~1 W OWNER NAME: °d~ INSTALLER NAME STREET DR,ES/S_: CITY: N ! STATE: Y" A~ ZIP: S SSyj~ Z PHONE#: (bit ) ( u OFFICE USE ONLY L BL RECEIPT SUED. DATE' 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . all commercial/industrial buildings. W multi-family buildings when separate permits are n!2 required for each dwelling unit. DATE: CONTRACT PRICE: 'WORK TYPE: NEW CONS'RUCY10N AiOD 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 2a=l 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 rg~ L/BL ~ RECEIPT SUBD. A1kC Y.CU90 .mil rtc ~l6/xea DATE: S/-90/9(1 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: 1-1 q le FEES ► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ► HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ► Gas Outlets (minimum of 1 required @ $3.00 each) ► State Surcharge .50 TOTAL SITE ADDRESS: I ssq not IPr G 1 n~ OWNER NAME: 0-col Ua IL ~P I Ir~(Yl~ PHONE ~ t -1' n IC . INSTALLER NAME2, I rrnL A h I± STREET ADDRESSA nq OCi LAnne ila AVE fl CITY: Zr-COKJL An PcNrl_ STATE: Mn ZIP: PHONE UQl ~'~3- V_~51 CITY USE ONLY L BL RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: all commercial/industrial buildings. ► multi-family buildings when separate permits are IIQt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: , $25.00 minimum fee gr 1% of contract price, whichever is greater. ► Processed piping - $25.00 ► State surcharge of $.50 per $1,000 of permit 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 L -I= BL _L CITY USE ONLY RECEIPT SUBD. Zau~- i DATE: S 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ► Gas Outlets (minimum of 1 required @ $3.00 each) ay ► State Surcharge .50 . TOTAL SITE ADDRESS: V(A yr ~l PHONE OWNER NAME: INSTALLER NAME:DI~ jryn 1}h J-Ci -w A I STREET ADDRESS:hq log I nre+ ~ 4:\ r1 CITY: 1-2)rcot lure STATE: I'rnv, ZIP: PHONE ((ola-) f)n -`I3S-I CITY USE ONLY L BL RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814676 Please complete for: ► all commercial/industrial buildings. multi-family buildings when separate permits are Lt4S required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: $25.00 minimum fee Q.r 1% of contract price, whichever is greater. ► Processed piping - $25.00 ► State surcharge of $.50 per $1,000 of germd fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE M SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR WAIVER OF HEARING #515 Special Assessment Authorization I/We hereby request and authorize the City of Eagan, Minnesota (Dakota County) to assess the following described property owned by me/us: Lots 1 through 30, 'Block_ 1, Deerwood Townhomes ($2,895.35/Lot) ($86,860.47 divided by 30) for the benefit received from the following improvements: ITEM QUANTITY RATE AMOUNT Sanitary Sewer Trunk 6 Lots $800.00/Lot $ 4,800.00 Water Trunk 37 Lots $835.00/Lot $30,895.00 Storm Sewer Tnink 358,712 sq. R .02/sq. R $ 7,174.24 Storm Sewer Trunk 195,128 sq. & .076/sq. ft. $14,829.73 Lateral Benefit Water 899.51 ff. 25.50/ff. $22,937.50 Lateral Benefit Storm C y - Sewer 1 Lump Sum 6,224/L.S. 6,224 0 TOTAL $86,860.47 to be spread over five (5) years at an annual interest rate of 7% against any remaining unpaid balances. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the levy of these assessments, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made pursuant to this agreement. DEVELOPER AND OWNER GOOD VALUE HOMES, INC., a Minnesota Corporation By: Betty R. Hardle Date Its Chief Executive Officer / By: Jart R Peterson Dat Its: sident a A . 4-_A _ilF p 3l 11 DEEAWOOD TOWNHOMES erg-' , a 4•.:.,ryt',;:: P,.~:::. ~:..:.t ::::::,:,.art, r i~:• r do a too oo~ , 7,;#•• Sty':•::~;:;{:•,:;:;:;::~::::,'::i•' .'•i•'~: •:jii :r }:;;?t;+.r7i~. C~. v:,a:}.{:}::v'i:i:}:}:;: ~ri]i~"•"~'IO~Q' ys e • tl: •.::•:,e:c ' ' S• i'`''`'`"" FINANCIAL OBLIGATION LEGEND tmmnnniafn Lateral Benelk Water I~rl Lateral Benent Storm Sewer • • Sanitary Sewer Trunk 1 Water Trunk • • Storm Sewer Trunk RECEIVE) AUG 2 1 1995 RFrr-lvr-n AUG 2 1 1995 STATE OF MINNESOTA ) ) ss. COUNTY OF DAKOTA ) 1995, before me a Notary Public On this ~ day of JOHN R within and for said County, Ably appeared mown, who being each by me duly sworn, each did say that PETERSON to me personally IInc they are respectively the Chief Executive officer andpre~ent of Good Value a H.so~~ed on the corporation named in the foregoing instrument, Chief Executive behalf of said corporation by authority of its Board of Directors and said Officer and President aclmowledged said instrument to be the free act and deed of the corporation Notary Pu 'c ~~CY L u APPROVED AS TO FORM: tyr~l st. g ttorneys : APPROVED AS TO CONTENT: ZIA Public Works Department Dated: 54 f Z 2 d" - 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 CTTY O VCAN CASHIER, S fERMINAL NO;: "'i"J- DATE: it/09/98 TIME: 0:2037 ID:: NAME;. SUBURBIAN GhOUP INC 205 9001 00.00 3210 9001 15-; ! 1'1 .1 111'' 300 9001 1555 AI\ T L ER PT 11:2.25 3210 9001 1557 ANTLER PT 0205 32iO 90U1 15% 11N'1E"T 2iii.25 3010 3001 1.5% AN'T'LER P'T' '-c'.P5 3'•.'.1.0 9001 1570 6VII _:R PT P12 ?''S 300 9010'!. 1971 AC'L.ER 1''T %P,25 3210 9001. 110 ANTLER PT 02.2:5 USER !Dg NANCY *1 CONTINUE Nf 9n M.M'R,~.$Ui,•$YF 1X9FNl # Y:.$:7X N:''F%k§`?'i X+>S~.h"•)Y:~e$:~Y.'MNI%Y>Y=#Yn'r1t ~1;Y}' CONTINUE CITY OF CAGAN 3. eAISHIERE b IE.R:MiNA1. NO: /79 SATE: 11/09/93 TIMQ 0:21129 ID NAME SUBURBAN GROUP INC 32,9.0 9001 15 TD AN'!I..ER PT 212.25 3210 9001. 1582' ANT J ..R PT 2:!.2.•25 320 900i 158C ANTLER PT ib2.25 3210 9001 15£40 ANTLER PT 21P.P5 120 0001. 1587 PNYI..1'R PT 102.05, 3210 900i. 3985 FAWN WAY 02.25 3210 9001 3986 r NqN WAY 3"P...0 9071i. :i ]9f1 f'1 WAY 22iU 9001 399Q 4 *10 i+}r`:Y 162.25 Total Receipt Amouniz 3070.50 CRO992PP USER Lis NANCY NF'kN;n :df.#JFN~vFNt~N,N{Nli%N:vF%R~/'#N:'#N•M>XheN;~~.':7K#i$:'(.>i'%;~Yn~7K CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan. Minnesota 55122-1897 Permit Number: 0 3 3 9 5 7 E651 T661-4675 Date Issued. 11/09/98 SITE ADDRESS: 1559 ANTLER PT LOT: 14 BLOCK: 1 DEERWOOD TOWNHOMES P.I.N.: 10-20200-140-01 DESCRIPTION: T- D. & REROOF Building-Permit: Type 1,31= (MISC.1 Building Work Type REPAIR 'Census Code 434 ALT. RESIDENTIAL i is REMARKS: INCLUDES: 1561 FEE SUMMARY- VALUATION $10,000 Base Fee $162.25 Surcharge _____t5 . 00. Total Fee $167.25 CQNTRACTOR: - Applicant ST. LIC. OWNER: SUBURBAN EXTERIORS 18818232 4289 DEERWOOD HOMES ASSOC. 9701 PENN AVENUE S 1559 ANTLER PT Bc00MINGTON MN 55431 EAGAN MN 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 APPLICANT/PERMITEE SIGNATURE QBBSUED BY. SIGNATURE 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) n CITY OF EAGAN ~j J ~1 1 681-4675 - -al Submii following to obtain necessary permit Foundation Only New Construction Interior Improvement structural plans (2 sets) architectural plans (2 sets) architectural plans (2 sets) civil plans (2 sets) structural plans (2 sets) code analysis (1) code analysis (1) " civil plans (2 sets) project specs 0 set) soils report (1) landscaping plans (2 sets) Key Plan project specs (1) code analysis (1)" energy calculations (1)rwtalways" Special Inspections & Testing Schedule " soils report (1) Electric Power & Lighting Form (1) not always SAC determination letter from MCANS - SAC determination letter from MCANS - SAC determination letter from MCANS - call 602-1000 call 602-1000 call 602.1000 Special Inspections & Testing Schedule (1) project specs (1) energy calculations (1) Electric Power & Lighting Form (1 Contact Building Inspections for sample Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. DATE: 1 13 -IF& WORK TYPE: _ NEW _ REMODEL DESCRIPTION OF WORK: -IL4E ^ t ~-V /r- CONSTRUCTION COST: I Cpl O dV TENANT NAME: OQOru-nrL Tcx",hn~ SITE ADDRESS: I S9 I S(0 l~ SUITE LOT ) BLOCK L SUBD.4 ~~SLSC)C Y~(/Vt t.I.D. # Name: Phone PROPERTY Last First OWNER ISSN ( tS6~ f jT V 1`1 Street Address: City State:_ Zip: Company: Phone l CONTRACTOR Q, ~ Street Address: ~p~ ✓'~"c S License # City State: Zip: S ~l 13~ ARCHITECT/ ENGINEER Company: Phone Name: Registration M Street Address: City State: Zip: Sewer & water licensed plumber (only if installing sewer & water): I hereby acknowledge that I have read this application and state that the informatio='d 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./Ind. Misc. ❑ 21 Miscellaneous ❑ 18 Comm./Ind. ❑ 20 Public Facility WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCMS System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire SprinklereA 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 ~U Plan Review MC/WS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size Use BLUE or BLACK Ink r I For Office Use I Permit City of Ea~d~ Permit Fee: 3830 Pilot Knob Road I ) Eagan MN 55122 Date Received: Phone: (651) 675-5675 I /Ip I Fax: (651) 675-5694 I Staff: irJ I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ?Z>13 Site Address: Unit Name: ~W G~iD T0L03J ` r 6*S'~ pC-:1 /4'7 Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: ~y Xr_&4 wit--c 6i✓7- Construction Cost: Multi-Family Building: (Yes / No ) Company: 11 /''t~~`!► ~y Contact: Address' s'~~ S`%7~ Ell City: Contractor State: A Jv Zip: ~/V Phone: __26?, Y 26) 6 License X C g 1 oqU Lead Certificate s 979f ~ Gatj If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work autho►ted by a building permit issued in accordance with the Minnesota State Buildin de must be completed within 180 91 days of p7/7L-1 L~ 166HI C~ . x x Applican ' 'nted Name Applicant' ignature Page 1 of 3 Use BLUE or BLACK Ink r-----------------� I For Office Use � ' � Permit#: /�� " /5� � Clty of ����� � —, � Permit Fee: � � � 3830 Pilot Knob Road I ��I Eagan MN 55122 � Date Received:����i°,�' Phone: (651)675-5675 I ��=f--� i Fax: (651)675-5694 i Staff: i 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: n �r Unit#: Name: �t��e- Phone: Residentl ��- Owner : Address i City i Zip: I �S�y �n��C� ! ' Applicant is: Owner (► Contractor Type of WOrk Description of work: U�e. 5��� tb w'i nG���-S Construction Cost: � f��IGU — Multi-Family Building: (Yes /No� Company: �i�c��2�n �ati�e Contact: ��,� ���e� Address: m��7� 3�4 J� City: �.,/hl�� ��� ��� Contractor ' State: �'Vl�Zip: Sy�� Phone: ,, v� �"il�G�'J`�G3Email: ' License#: � ��`��� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:Plans and supporting documenfs that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific keasons that would:permit the City fo eonclude 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. wuvw.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 State Building Code must be completed within 180 days of permit issuance. /�j __-_ x / (ic��� C�� X � Applicant's Printed Na Applican s Signature Page 1 of 3