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1567 Antler Pt Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I for Office U A"6- I I Permit 'Ir City of Ea - Ed ~ d Permit Fee. r so I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 CIL Fax: (651) 675-5694 1 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit M Name: Phone: RESIDENT / ~ -2 OWNER Address /City /Zip: / $L? A al 6 -S/ Applicant is: Owner Contractor 156 Description of work: Pe 419- TYPE OF WORK Construction Cost: 1 .2l b o 6 Multi-Family Building: (Yes / No ) Company:4A16~ &F4,1t_ Rg5t0M(1&0 Contact: "yE Ro--Me-s CONTRACTOR Address: City: Qgcg State: Zip: !5'7,p-7 Phone: 7 L-,1 " q2y 3 iC.) License Q01529 17 _ Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans' and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are `trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 afproval of p x Dp\ oa x y Applicant's Printed Name Applicants Si9pAture Page 1 of 3 INSPECTION RECORD~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 6339 G0 Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SIT ADDRESS: ' APPLICANT: 15~~ AIi F r1 , PERMIT SUBTYPE: TYPE OF WORK: DATE INSPTR. INSPECTION TYPE DATE INSPTR- INSPECTION TYPE L i 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 FREPLACE 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 CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: 1,.11, lo i i III I ,i I F;c•111 t 1'! il. ,I +I; f Y1Nlf', IBS i l l 1111111 l'I{ JI•.ii'1I'II - i 1 J ' e PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. 1 rrlr 141.,1`. I .:girt; ~ ~r I i. l• 1 1 it 1 1 LIP! ! 1 I I r l II I f. it ,l' ! it 1:11 .i i 11111 + ; 111 1 .1 I tt l 'r 1 J 1'. ~rrti 1 I ~ i' rze`€. Permit No. Permit Holder Date Telephone # ELECTRIC UCo~ 4 C~U°r' PLUMBING HVAC rf yG 5,33' _<J Inspection q ate Insp. Comments FOOTINGS FOUND FRAMING ROOFING / ROUGH PLUMBING d-a - AIR TEST 7 /r ROUGH HEATING TEST VC INSUL p z~ q~ I~ GYPBOARD FIREPLACE AIR TEST FIREPLACE FINAL PLBG FINAL HTG /I ORSAT TEST BLDG FINAL v ~7 BSMT R.I. O BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: I Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I I •1 f„ APPLICANT: , r,IJ 11 V I( I' I I ~:~I Ilf lir►gl. PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. I ftH I Nr, i, I ! 1±1, 1 fl".III ti ! ► Elhl ~ tri 4'! ! I! ~i n k l~ u 11 1!! L! f I!! ► I o { Permit No. Permit Holder Date Telephone # ELECTRIC i V PLUMBING HVAC J Inspection to Insp. Comments 1 Lrj FOOTINGS FOUND FRAMING ROOFING ROUGH - ~ y PLBG AIR TEST ROUGH HEATING !p -0.1 GAS SVC rt TEST / INSUL GYPBOARD FIREPLACE O FIREPLACE AIR TEST ~D~ao7 FINAL PLBG FINALHTG k ORSAT TEST BLDG FINAL I BSMT R.I. 7 BSMT FINAL DECK FTG DECK FINAL 2 Q O ®2 2 OFFICE BE O Y This request void 18 months from valida on date printed in ims box. ~~3/~97 7l8'0 v PLEASE PRINT OR TYPE Ae~ Rarer Dote Rough-m mspedmrmaregwmd e " No Inspection Other Than Rough-In. ❑ Ready Now III Call (You must call the is do, when readys Dole Ready- O9 I, Q/(icensed contractor ❑ owner hereby request inspection of the abov lectrical w Job Address (Stmeq Box, or Route No I City IF 1b `l Anf,LQA PE an 11 1 Section No Township Name or No Range No. Fire No County Occupant Phone No eccd UQI_kj~ d0yo-,o Power Supplier Address Doklr_(_a ElI2.C ~t( Eleoi Conti (Company Name( Conkador Lcense No Master Lc No (Plant Elect Only) ri Cr~c.~1t r A01~5~ lgmc~~5ga Mailing Address (Contractor or Owner Performing Installation) 40;80- r A,.~ 55443 Authorized Signatum (Cantmdor, or Owner performing Installation( Phone No a - E&O,ii,10 6/95 STATE BOARD COPY- SEE INSTRUCTIONS ON BACK OF YELLOW COPY I~pI( I II III II III I ~I REQUEST FOR ELECTRICAL INSPECTION lOG& 21 Unive sity Av~Rmf S- Electricity IIII I III II I I I II III I I Minnesota 8 St. Paul, MN 55104 * 0 2 8 0 2 2 2 L* Phone (812) 842-0800 ome Duplex Apt. Bldg. ORer: = - ew Addn Commercial Industrial Farm Remod Re air Cond. Htg. Equip. Water Hlr. Load Mgmf. 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 be accepted without the correct fee' Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ug./Traffic Sig. Above 200 Amps a 100_Amps Transformer/Generator INSPECTOR'SUSEO LW /O TOTAL Sign/Outline Ltg. Xfmr. Alarm/Remote Control Swimming Pool 1 hertb crm ohm ,s e r ioI r de s hereto on the dare m Irrigation Boom R.,h.ln Special Inspection Finol Investigative Fee r ` THIS INSTALLATION MAY BE ORDERED DISCON ECTED IF NOT C TED WITHIN 8 MONT S. 2 80-223 OFFlC USE NLY This request void 18 months from validation date printed in this box lr PLEASE PRINT OR TYPE Request Dale Rough-m mspecimn requ ed? Wes ❑ No Impemmn Other Than Roogh.ln0 Ready Now III Coll l-9- (You must toll fie mspedm when ready) Dote Ready. I, E21licensecl contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Street, Box, or Route Na) City Zip Code 1t)9 rlLuL- R . E an 5eet an No Township Name or No Ronge No Fire No County LJe-AC..I~Y.Q Occupant Phone No. Power S,u.~ppf~lier ~ L Address Etednoal Contmdar (Camper, Name) Contractor Lceme Na Master Lc No (Plant Elect Only) SLnv-(sQ CAO II so flm~i5ga Moilmg Means (Connector or Owner Performing Insmllahan) 8D - FS3 e PJt) , V- rr4) 43 Amhommd Signature (Contmtlor or Owner Pedonnmg Insmllahonl Phone No EB-000OIA.10 6/95 STATE BOAROCOPY. SEE INSTRUCTIONSON BACK OF YELLOWCOPY if REOI °ST FOR ELECTRICAL INSPECTION MlnnesolRrEtate Board of Electricity II II II III II II II II I III I l ill ll . 3 1821 * 0 2 8 0 2 2 3 9 * Phone (612) 642 Ov m s f 6 s Paul MN 55104 /D / S G Home Duplex Apt. Bldg. Other: ew Addn Farm Remod Re air 1Commercial Industrial Air and Htg. Equip. Water Hir. Load Mgmt Other: Dryer Range 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. 1 Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Sae Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps ( t y- 0 to 100 Amps - Street Ltg./rraffic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL 50 Sign/Outline Ltg. Xfmr. ct<[.lt6' r r /m t¢"7 -1 go - Alarm/Remote Control ~i1iD Swimming Pool I heeb rem that I ins A101 inetallanon descnbed herein on she dates ss ed Irrigation Boom Rough-In / Date Special Inspection Darej4 / nvestigative Fee , l THIS INSTALLATION MAY BE ORDERED DI ONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. CERTIFICATE OF SURVEY for GOOD VALUE HOMES PROPOSED BUILDING ELEVATIONS Top of foundation D`~_`~__ Front of house q 80 _ Garage floor ~•O____ Rear of house _7_____ Lowest floor -7 - - - - Walkout -P - arrow denotes drainage direction per development plan. 890E denotes existing spot elevation 890P denotes proposed spot elevation BENCHMARK USED. 7pp P,.O. W 12701,,ur 6"-F 5o.5+pE ,e_WOO J U.06AMr Pe-n-r 4.+1vE ao 03~ °0~1 0 S9 15' 0/5 to G6 00 _a'2 Building Envelope P1 X PO 7 llP` J 4 699• CP p 10 7~ Detail (typical) Not to Scale Qa~ F o I? Vo Building Envelop J\~ s ay ~y \ 9 1' /S to ~~~/M7r 1A gg Envelo, v' a\ 15~ f~°Q~G o a0 v'° eGA~ P 903, a~ 6Q x TO • 90 5a~1aa~ ~wpr~~ \ oo 39 61 Sei2v~ccs 5+1aw,.~ a~,h 151, -revs: C) ge,°o prq` ~ ~ ~ F° ij r1 15' O/S W p Building Envd llJ O Ory~ ~~T ' ~21rT EIVGIIVI7ERING DEPT. ~ ~C 0 a ~ NOTE: ALL DIMENSIONS ARE FOUNDATION DISTANCES LEGAL DESCRIPTION ( ) = RECORD INFORMATION Lots 9 and 10, Block 1, DEERWOOD O DENOTES 1/2" IRON PIPE & CAP SET TOWNHOMES, according to the plat of L.S. # 23945 record thereof Dakota County, Minnesota. ® DENOTES IRON PIPE SET I hereby certify that this survey was FOR BUILDING OFFSET prepared by me or under my direct 13 DENOTES WOOD LATH SET supervision, and that I am a duly FOR EXCAVATION ONLY Licensed Land Surveyor under the DASHED LINE DENOTES DRAINAGE laws of e state of Minnesota. AND UTILITY EASEMENT AS PER PLAT. PASSE ENGINEERING INC. REOISTERED PROFESSIONAL*LAND SURVEYORS Donald E. Sigety, MN i .23945 9446 EAST RIVER ROAD, SUITE 208 COON RAPIDS, MN 66488 II Date: /l ~08! 4S Tel. (6121 766-6240 Fax. 1612) 765-1862 < JOB NO: 93-34 SCALE: 1 INCH =--?Q--FEET FIELD BOOK: (pa PAGE:1S8 DRAWN BY: CKP n CCgr`q T1 nMAI ` LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION m PROPERTY LEGAL C) did a m DATE OF SURVEY: V N LATEST REVISION: / DOCUMENT STANDARDS tY D Registered Land Surveyor signature and company 17 Building Permit Applicant 0 Legal description 0 0 Address 0 North arrow and scale 0 House type (rambler, walkout, split w/o, split entry, lookout, etc.) D • Directional drainage arrows with slopeigradient % • Proposed/existing sewer and water services 3 Invert elevation D Street name "r 0 • Driveway ELEVATIONS Exis na D • Sewer service 13 0 • Property comers 0 • Top of curb at the driveway 0 • Elevations of any existing adjacent homes / ro os f9 D Garage floor 0 • First floor 0 • Lowest exposed elevation (walkout/window) D 0 • Property comers ~D D • Front and rear of home at the foundation PONDING AREA Ofap„nMtilel 0 ¢1::~Mr • Easement line D 0 e NWL 0 2--'0 a HWL 0 tY 0 • Pond f/• designation 0 0'-'0 • Emergency Overflow Elevatlon DIMENSIONS 0 Lot lines/Bearings & dimensions 0 D • Right-of-way and street width (to back of curb) !3 0 D Proposed home dimensions Including any proposed decks, overhangs greater than 7, / porches, etc. (i.e. all structures requiring permanent footings) 0a 0 • Show all easements of record and any City utilities within those easements 0/0 • Setbacks of proposed structure and sideyard setback of adjacent existing structures 0 4 0 Retaining wall requireme !2n Reviewed: N ma /Date Jury 1995 Crzo~d~7 __r• CfTV OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 7 5 2 (612) 681-4675 Date Issued: 12/01/95 SITE ADDRESS: 1567 ANTLER PT LOT: 10 BLOCK: 1 DEERWOOD TOWNHOMES DESCRIPTION: (ZERO LOT LINE) BlAldin'j-Kermit Type SF DWG uil.ding_4~r1c Type NEW 'U Ocpupancy R-3 Const,hxlction" 7yjpyg V-N ' Zani ng n R-3 -BuildlIng Length.., 28 8uiId1'n.g Width 66 B'u ill'dffrng y "or-ies 2 A, i E - a' 13r e nuY;,x ss,'x i~ a" rvr i 1 g ,Tgtl o-tx ~r^' pt?*CIGU°'`n,a.q rtiY..ny`g REMARKS: DUPLEX WITH LOT 9 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.he-reby'acknowledge ','that -J have e'ead this , pplic_a-tion and, ,ate e: that,,the infor_mietion:is correct and a re4,_;-to, coo l y lei able state 9 P y PP , Statutes:and- Gity of )vegan Ordina;ncss. - E ° - n _ _ _ _ . - . . _ ~ ~ <DrP Ia APPLICANT/PERMITEE SIGNATURE J} ISSUEUElY SIGNATURE l INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 026752 Eagan, Minnesota 55122-1897 Date Issued: 12/01/95 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 10 BLOCK: 1 1567 ANTLER PT GOOD VALUE HOMES DEERWOOD TOWNHOMES (612) 755-9793 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW DESCRIPTION (ZERO LOT LINE) INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE NSPT9. FOOTINGS FOUNDATION FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: DUPLEX WITH LOT 9 S & W PLBR - VALLEY PLBG CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) C ; Z 681-4675 New Construction Reouirements Remodel/Reoair Requirements ♦ 3 registered site surveys 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: _Yes _ No DATE: I I./?- II S CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: I YI 11.tT~~~ "'T LOT It, BLOCK I SUBD./P.I.D. 72fs'~r" o °D - DeeCZK 4,/-7-n /3-/ PROPERTY Name: a°b V4LL,(r 9-i5 Phone 755-q713 OWNER "'T `"`T Street Address' 24-4s Ln s7 RULE- k°A a City: C°°N Izp f os State: AN Zip: -5s433 CONTRACTOR Company: M t Phone Street Address: License City: State: Zip* ARCHITECT! Company: 'So-- r- Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumber: V,wL~y f cum g r yc 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. ,i~/ Signal re of Applicant: OFFICE USE ONLY / Certificates of Survey Received J Yes No r ! y ~ l 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 Mufti Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition 0 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. _❑~10 WORK TY E ❑ 31 New --L`r-ss~teratlzs ❑ ove 0 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) -v-- /Y_ Basement sq. ft. 110,36- MCNVS System ° (Allowable) V---l Main level sq. ft. /1419 City Water UBC Occupancy Q-3 Z tn- sq. ft. .0-e Fire Sprinklered Zoning 'e-3 sq. ft. PRV # of Stories AI3 syr sq. ft. Booster Pump Length 2e, og sq. ft. Census Code. l0 Depth Footprint sq. ft. SAC Code Census Bldg i Census Unit i APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter 7- Acct. Deposit SNV Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT AooLICATION This supplement is provided to assist the applicant in computing EXTERIOR ENITLOPE 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 A_9PLICANT'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 j!I-74e I tse~ OWNER(S) 6rUo_D \/4LU6 AN1sS PHONE _ -7SS~ a193 CONTRACTOR !5&f✓IG PHONE A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area 184-16 2. Total door area 3. Total sliding glass door area 4. Total fireplace wall area 5. Total wall framing area (average 20%) Z11. Z 6. Total net wall area above floor 7. _Total rim jdist_area: 12 . SUBTOTAL: Total exposed wall area above floor Z1-1 L B. Total foundation window area _IL~ Total net foundation area above grade N A SUBTOTAL: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .11 = Item I Z 31 .3 2 C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area 11. Total roof/ceiling framing area 12 d .`b - 12. Total net insulated roof/ceiling area 11-2-3--2. "GRAND TOTAL EXPOSED ROOF CEILING AREA 2 ~I~Z D. Multiply the GRAND TOTAL EXPOSED R00;/CEILING ARIA x•az6F Item II I TT S i Determine the "U" value of each segment (1-9) and multiply by the area as follows: I. Ia4 .8 z "u" ,d.q - 90, ~p 2. 57.8 x °u" ,►3 -7, 5 3. N f x u„ 4. 4 Z 8 x "u" oS = 6.4 5. 211 ."Z x "u" 09 1 = 1 q Z 6. ldo~3.6 X "U" 6 43 = (22 7. x 11 Ull a. ~y A x u„ a 1 A 444~~~ N A „u„ ADD 1 - 9 FOR TOTAL WALL SEGMENTS = Item III IESIR. L r~ F. Determine the "U" value of each segment (1D-i2) and multiply by the area as follows: lD. N~A x „U„ 11. ~-Z4. ~ x „u" CD 12. 1 1 23.-2. z „u,l ,022 = -z ADD 10 - 12 FOR TOTAL ROOF/CEILING SEGMENTS = Item IV ZPs. G. If Item No. III is the same as, or less than Item No. 1, you'have met the intent of State Building Code 6D06(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 5006(c)I. I. Add Item No. I Z 3Z .3Z + Item No. II 3Z •3Z. = Z 64 J. Add Item No. III I Q Q .l + Item No. IV Z 06 . = -2 I7- S 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 Dace ~Sl tiseratr;pa Gftida .aelas~ N& Iasolatiaa GmdeYS ~.,r, Refa,..a otc Van It.L Wai c.:t6g R.4 F6w rand how Aovsi.d M Fla -5,)t-rE Rmm Lazrtct6 n 4 R'rdtb 3 Mick F F Fu t q7jFTRmm I Late, -7 Math 1 b Lieitht' CrmdeYs and Donn- ackw and Area WMAd s and Doom--crackare aad Aru YMM bNI\t MaN b+10. wn. MYY MNPS MN Y.+t{L wrM Na N MN N YM 1.{ala N IwH rL Mw \I ww \I w\r III\V \I Ir..t N. fL 3 12/4-1 4S zo 2-4-1 30 0. _ I 0 S. F3 z 0 i o da 13 Ito f I I lcoef.l Btu I I I It oef.1 L?: Infiltration 120 I so In@tratiaa so ob dart 17-4 Glass b. 41,4 I7501_ Esp. Wall 214n244 t 1 E u,. WLU ,1 2-711 i l Net eap. WaD IUD. T I 1 J Net C= wag I L J7.~ 1oL InL wall r LnL waD 1 ( I Flow 2 41 Z I n Fi\\r 1 z8~ 1 Z 156 (a Cal I I C-2. I ls3 Z 1 5GG Total Btn. LZb'I. 1 Total Lim 15943: Rewired sq. ft. r D.R. c. sg. ins. 'Zk L sdcr arm I RegYRcd sgq.`fLL I_D.R or sq. ms. WA L mader area nn~ F7IG~5/BARISF,oamJ Length zp tFi3tb 13 Light MF- FLI t9l R== I nVII 1 3 iGSdth 1. S Heirhq wmdaMS and Doors- lackav- and fun Tirmmxa and rpmrn rsaekare and Am •Wraaa MNrnt na \t Yr.t tL. an. Mau hotel i.<et s.ls..l tL 1 w... Na 1 =t \aw. I e: ...nl ( br nu I bete a. f N.. I N wa.. I sati 1 ar\~ I et ar.e\ s. n I I I i 1 I I Sn I I I I I z I 1-40 1 1-2 I I I I I I I I 0 bd Ba 3 i 30 i i I r1a.3 I z~ I~ef•I P, lc~-Ti t I>z1 ztion 1 1 1 Ll1•satizn I 1 I ;U Iqg I j Glss I 1 Glass I I:j -7 I4l. _ .s wall I I I 1 Eml:. Wan I Z I Nat cp. wall I (oo 14a I G Z fret exp. WiD 1 5 14,21 I Z IaL.raD I I InL waD • I I i Flow I z6o 1 2 1 I S210 FVow lips- 12 13y C r_11 igfi -2_ I 1C04 _r-1 I1a51 1390 ToW B= I l3~o l Tots B= II I~Si fi ID .F, or sq. ii:: WA I cad r arcs I Req,dred sc. fi LDIL or sr. ins. WA Lza6= area 1 Retrni:sd Sr M~: FLIU•(L''.I Room IL=Ftb -7 Z-XU 13 HC.w:bt MF FO Q, td V:Z~: Roomllrn-th 1 4 Cdrdth l Height Wmtiows and Doozs=Cracisgs and Arcs Wmoows and Doors-~ckagc and Am wma\ ANC\l I ha nt LI tL wr.. W YI\ >•.ISa[ IM. sa L ...1 rL w1Y Na et r..a ( st e.aw hr\u .1 e\ek I s. r_ Na I .t wN) \t..... I Ilr\aa I N me[ .e. sL 1 13Z 18~ I 18 •l 17.8 1 36 1 go 1 11.3 1 Zo f t 1.7- -3 I 13 I I I I I I 1 1 1 I I I I t I~f 1 I I I ( ICoco I Iallaa:;oa I 18.7 I 1 1 9 3 Infiltration I Z-].3 I I SD ►136 t Mme' 117.E ICI ql f3~2. (o Glaze I zE.~ 14?.y1llol EX;L W4 f IC~c~ I I Exp. WAD I la I I Net waD 1 Z. I .Z i Q fvcl exp. WaD I I i .Z iaL Wd I I IaL waD I _ I now-- . IgI 12 1 Z Floor 11 (ol 2, 1212 cc I9r t tS ca. i . I I~ soW B:n. To-al BttL Reotitred sry- fL E-D.R. or sg4 inL.WA I msr arti 1 Req-.tired sr_ fi F-D.R..or aq, ins. WA Lraoer aL= I Id G.{ Je :.tmvct .a Na. L o6t;m G endwn ( Relmace Ott Val 16L Gat C*;6c Ro.f F6w l=ied sc. Appwd 2e/ i9, S Fla L.Dr-r Room unith 11 6 Qh I S F-k'sht $ Fli Rmm I Lenttb SFddL fieisht wmdam and Doert-Crac4a=e and Arcs Wmdo M and Door/---Gaeti+te and Area MYN NY/4 Me. f[ YeNI IV ~//e FMN NNfN I+Y 1 _ IL/ea }1a. ft HN Y Ne/ Ilrn\L IL wfer e{, R ML /t NM el N~ IN\Y Y fwet M. rt 1 4 l8 Zo I I I I I I I I ICocf.1 Btu I I I I ICaf-I B: Infiltration I i3 150q Dc] lz@uatioa 1 I - Glatt I ZO ki,ci G`7 MASS 1 Exp. wall 2 Esp. wall I 1 -1 1 Net c=.. wall , ~tZ i ~1•ZI SO(e . }Net =It. -an InL Way t I 6L Wall I Fleur I I Finer I I I Ccil t7ZSI Z 1 -2,15- C-2. I I Total Btu 1300 1.4 Toul But. I Required It;. ft. r D.R. a tn. iaL WA. Ludes aru I Required to. ft. Z.DR or tli. inL WA Lander area 5F Fla I1C Z RogrILc::;tb is '\adth ,43 fi ht ~j FLI Room ILengtb Width Hci;zl%t rind>Na and Door- racknv- and Arc Trm~q.a snd Door>lsac t. and Arri I 'a t.u 1 w/{/n\ wa e[ Ln.~{ LL.1 ana M lac w/Nal wr et Le«1 LL Ana TLL of a sl[ n~n\ I Lrau I et eexT, q. i I Z` • 1 d 1 I Z~ I z Ne. I et a I ee a.n. nrav i v.e/ K. R I w i 1 I I 1 I 1 I I I I I I I I I If•i Bm i I I I I I~cf.l E L :'anion 12 1 SD I {000 L~EI:r tin I I I I C1au 12~ I I. 1 Idc~ . C~aat I I I EXP- wan 1-274H 1 --p. wan 1 i I Ne t=a. wall 1-Zoo 14.2 1 td o Net tom. wan I I I InL Wall I I _int_ wan . { I I flaw I I I Finer I I I C I Ic{S 1 -Yl0 Cr11 ( I I TOW Bin 133 1q • Total BUL I Rcquiad ao. fL E:DR or to. in,. WA Luber area I Rmuimd. 34. ft. ZDY- or so. is. WA ].ender aru 1 5 r- Flt t144T4 Tr. Room IL.en?th 15 Widsb 13 Fht PG I z~G~ . 3 HeiFhn Wm&a and Docr~ ,6gc and Alu wwu warns wn. st L...f sL was - qt O Ns I et r.. e[ HM I Ileac I et neck 71 ( I 1 V'• I I ► I I I I I I ICoo.l B~ 38`i$`1 ,S TOTAL 13T") 1Cocr--1 's Lrfi.aatmn _ t 1 C:Saa - { 1 Ezr- wan I z(e g1 1 Net tom. waB 14.11 (1 Z J` . Net =P6 wall - - - - - - - - - I I I I nt. wall 1 I„t• wan 1 1 Floor - I I I I F 'Leer Cad.=,: i l a -12 I 3~C0 Col i Total Bat. - I l - 515, Total Btu. - - I Rcntit:td zZ fL E11A or r'. ion WA Lusr area Rctraired Sp. fL EDR.or ao. inL WA Lrsder amt PERMIT r(20504&7 -CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 026751 (612) 681-4675 Date Issued: 12 /01 /95 SITE ADDRESS: 1569 ANTLER PT LOT: 9 BLOCK: 1 DEERWOOD TOWNHOMES DESCRIPTION: (ZERO LOT LINE) Building-,Permit Type SF DWG ,building Work, Type NEW ',UBC Occupancy R-3 Construction Type V-N Zoning - R-3 Building Length 28 Building Width 66 Building stories 2 REMARKS: DUPLEX WITH LOT 10 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 1-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. ~1c r ul- A( TY APPLICANT/PERMITEE SIGNATURE ISSUED BT SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road BUILDING Permit Number: 026751 Eagan, Minnesota 55122-1897 Date Issued: 12/01/95 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 9 BLOCK: 1 1569 ANTLER PT GOOD VALUE HOMES DEERWOOD TOWNHOMES (612) 755-9793 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW DESCRIPTION (ZERO LOT LINE) INSPECTION TYPE .DATE INSPTR. • TYPE DATE INSPTR. FOOTINGS FOUNDATION FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: DUPLEX WITH LOT 10 S & W PLBR - VALLEY PLBG CITY OF EAGAN ~r Z~ it II 3830 PILOT KNOB RD - 55122 " 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) (AIJ 681-4675 New Construction Reauirements Remodel/Repair Reauirements ♦ 3 registered sRe surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: _Yes _ No DATE: IluW CONSTRUCTION COST: DESCRIPTION OF WORK: Mew STREET ADDRESS: I LOT R BLOCK I SUBD./P.I.D. u~ r' {k uop PROPERTY Name: 1',o° D VP- kE }LM<s Phone 7 ,Cs -s -713> OWNER WY rwn Street Address, LAS' City: 1 a l ~vt'p, n s State: Y~I nI Zip: _S 4-33 CONTRACTOR Company: S~^ f Phone Street Address: License City: State: Zip: ARCHITECT! Company: A-i Phone ENGINEER Name: Registration Street Address, City: State: Zip: J n Sewer & water licensed plumber: kALLS y ~ L~'a" Penally 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. t l D Signal ur of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No v S Tree Preservation Plan Received Yes No OFFICE USE ONLY k w BUILDING PERMIT TYPE ❑ 4 1 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish 2 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_ ~~4 ace ❑ 21 Miscellaneous ❑ 05 SF Misc. 310--_ pleeI x ❑ 15 Deck WORK TYPE X31 Ne ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) ~N Basement sq. ft. 4 259 MCNVS System (Allowable) j25--,v Main level sq. ft. i. 3 is City Water UBC Occupancy -3 Z sq. ft. ssg Fire Sprinklered Zoning L 3 sq. ft. PRV # of Stories 2 g&J r sq. ft. Booster Pump Length ,oa sq. ft. Census Code. /oy Depth 1A1k Footprint sq. ft. SAC Code of Census Bldg i Census Unit / APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ~3~ vay Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit /y SAN Permit d-e ✓us S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATIDN This supplement is provided to assist the applicant in computing E=RIOR ENVELOPE AVERACE "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 CRITERIA 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 ff-r~ e t ~ OWNER(S) t~rcop SZ4l_UE M S PHONE CONTRACTOR `5&tv~E PHONE A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area IS 4-~ 2. Total door area 5~•$ 3. Total sliding glass door area t 4. Total fireplace wall area 1Z - 5. Total wall framing area (average 10A) Z11'. Z 6. Total net wall area above floor IAo c6,(o 7. Total rim joist__area: 12 SUBTOTAL: Total exposed wall area above floor Z1l Z 8. Total foundation window area Total net foundation area above grade t-4 A SUBTOTAL: Total exposed foundation area 1J GRAND TOTAL EXPOSED WALL AREA B. Multiply the GRAND TOTAL EXPOSED WALL AREA X •t1 = Item I Z 31 . 3 z C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area t~J c~ 11. Total roof/ceiling framing area I Z d >`b 12. Total net insulated roof/ceiling area IIZ 3 Z GRAND TOTAL EXPOSED ROOF CEILING AREA D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING ARIA x•c z-6= Item II 3-2 . S 1 Determine the "U" value of each segment (1-9) and multiply by the area as follows: 1. I1?)4.8 x .u. .del 90,E z. S7 > 8 x "U" 3 -7 . S 3. N~A x "U.. 4. I z8 x u., .oS = 6.4 5. ZI I. Z x U" b 1 = Z X "U" 7. x U.. - s. N ~A x ..U.' x ,u.. ~4A = iJ A. ADD I - 9 FOR TOTAL WALL SEGMENTS F = Item III ( F~q . F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. N~A x ..U.. A 11. 1 Z d. d x a U.. . 0 3 0 = 3, -7 71 12. 1 i21:, .'2- x "U" ,022 = Z4.-1 ADD 10 - 12 FOR TOTAL ROOF/CEILING SEGMENTS = Item IV G. If Item No. III is the same as, or less than Item No. 1, you have met the intent of State Building Code 6006(c)Z. - 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. I. Add Item No. 1 -2 3Z 31 + Item No. 11 - = Z 64. J. Add Item No. III I g g + Item No. IV K~ If - the- sum of Items III and IV are less than Items I and II, you have met the intent of--the code-for total envelope system (State Building 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. A jI /I "L. - - Signature - Date L~alatiea ~oatoenerp C.tide c••vsc~-s All. Wtndern Dora Refereao Qt Wan I6L Wag Waiw R..f Finer I:ied Ho- Apoli.d -T:- l9_ r.F Fu -~-'OrCE Room 1 Lsrretlt 7 4 W"Ai l 3 IHeick B F Fla Kt I-WT R.ois I heath Z Math t b Fkifh:l umoa.n and Doon--Crackw aad Aga %7w&ws and Daer.--Csae1<ase .ad Area wlau MwN nee Y! 1.....! K ~.ne ~'Trrru M/1/Ya ..a K Lrl fL uN H4 II MN /i NN IISYI. N /.ekk rL 11L ~I 1 NN /f hr 11/YV /1 IA/Y A• rL 3 z 4S Zo z so lo. I z o $ a zo I o da i3 I to I lc. f.l Btu { 1 ( IC-cf•l Ii: 3nfiltratien I Zo ISO 6a C~\ • 15-0 -=65 Clam 12~441•ci Cfau ~T•~ V751,' F3p• wall Zy,Lyt I 12p. wall 1 I Net erp. wau zta. 4z 1 9 11 . Net =l with 235.3 Int. waU t I InL wal _ flew I -Z~l 44CIIA Flhw 1 z831 2 I S6 ('O 1566 Cell 1 I C-2. 128 1-2 Total B= Taal Btu. 43: neouircd sq. ft. =D-R. o: so. i,t. VA Leader area I Rcouircd sq. f -D-R- or sq. ins WA Leader area I enF FLV- L* 13AA 15Rooal l Le"Eth zo 7111 13 H=I;ht S MF FLI 6~ Room I L=Tzth I '3 'Width IS' Fleit:htl' 7=80%Z and Doork--CracLcge and Arcs W-inflows and Donn- ~sackage and Arri r.. Mgant n /f Y, t:. aea Mlsu nn/Yl nee[ Ls.el rL nna I w¢te 1 C7-.,, N4 31 !aN N I 11;h I 0I pniY I .4 S• H/. I eI Nr I e! yarv 1 l1iLY I Ef rnCY 1 .O- [L I I I I I 14 o 1 ba I I Se I I 31 z I i 2.o i l l I I I 3 1 of 2 I I la IBS ' I I I Ic~:.i i 3 I 1 I I~.S Iz~ IC~cf.I '=°ti°' I I 1 Ill rats a I ~t9.31 I Sc;) 14 915 +L I 1 Elam ig~ I~i• ,h wan t I I 3¢, wan ! I Ne! r;• waU I loo 14,11 z Net esp. WZ I ~+s 14.21 I z3~ InL wan I I Int- wan . I I I Flow I Z6o 1 2 1 S Zito Fwm I Q S 12 1 Celt. ie4 z ( 16q Cam. llaSl Z ISao Total Btu I t 3G l -Total Sm IIISSi Requisrd sq. fL =DR or so. in, WA Lefler atca I Reouirea sq fL :-Ds2 a. an. m: WA Itsder am N\~ FZl to IIAtL Reota 1L>= Fth ~Fia:b 1 3- i;= bt 2!5 MFrZI 17rn1 FoE R=aIL Vh I l Width 1 iiniFht' Wndow and Doozs-C 6=vc and Arca Windows aad Doan-Craekase and Area ~r.a W W to A/ISeI n~ W LYN! LL r.~ W Wle ~elka[ n_ YI I I u eIt ri> OS N.... YI YN 1 Itch.. of crack I S. f N. 1 YI rN1 et.rY. I I.eea. al ern [ I R f 132 1 8o I 19 •l 1~.8 1 36. Bo I I t~t.3 1 Zn I I t l z 1 -3 I 1 3 I I I I I I I 1 f I I I I I I ceaf.l I I I I ( ! C~eI.1 ~ IxEltrariea 1 1Q.7 I JR)1 q 3 L-.Eftrat6r, 1 27-31 1 1 I~j6=, C=- 11.9, 147.g1 c3SZ.(e Class 123 147.glllol Exr- wall I ICS I I rsp. wan l to I I Net c:,-- wan z. I .Z I 4ql -Z Net fsp. wan lei fA.Zl Ufa, lat. wan 1 InL wan 1 Saw - 14 t z I t i Fr..r 11 61 T, 12F( Z Col-, . - 19( f i 8 Z. - Cam. 1 I obd B:n. I z~48 8 To=1 Bt%L Imo. Reoorssd s•-l. ft CDR or are ins WA L•cac~-r area I Rtepired aq. fL F D.R. or sq. inL WA Lz"::r are { '~..satl.er"" k ~ Iaaofati.a f Refermcm OWL Wam I6L VE + K id .of F6w find He. Apviiad ]4_ Fu r-r Rnota I Lin fth l I Z width I S Mirk 6 F LI Rmm I f eaftb V-i ich height Ci!udews and D""-.-Craelrase and Area Vr.,6. and Doors-Craekafe .ad Are& wwu w«.u al .----.w W"'b w«WS. ~..r a.P..3.L at." F.. "ema W ....a .W. m Mal .1 n.r w IW.W .1 ...Wt 1: CL 1 4,S 1 t 8 zo I I f I I ICocf.1 &e I I I I lC~f-I BI ss~ ]afiluation f Iso ADO Lnfilyatiea I I I Glass I zo ,41 .q q5~ Mass _.vp. wall Z Esp. wall I Net exp. wall r Z I ~.z1 SO(= . Net e$ an Int. wall r I Int, wall nom I I Ft.Wr I I Cal i77 S1 z I -z,,k s C1. I I Tout Bra { 30tF1.4 Total fien. Rvavircd sq. ft. E.D.R, o: sq. inL ZA- Leader nrea I Required sq. IL E.DR or sq. in, Qr.A. Lr-dar area 5F FLI i3CD z Roam, )Ler..sh S Sidtb ;t-3 si cht g FLI Room ILcnFtfi Width Height w:ajom and Door, Creckagn and Area Wiatiows and ueorr--Crackafe and Am V YI1i\\ )•µCAI Fc. .l Y..wl fL. ~iY M161\ NHlCI Fd OI Yw.d IL N6 1 Oww. f Of .nnl I IIC RW I Pt cw.CF, I .p, f Na. s1 P... I n! YcM SIiLW OI mOk I .C. rL 2~ I ~9 I 1 7A z I 1 1 I I I I { I I 1 1 I I I I I 1 1 f I I I I~f•I ~ I I I f I ICacf.1 E'. jn~s::ation I2 ISpI {00o L~fitrsr~-* I i I I cams. z~ 1 1 ~c4q , c aaa { I { wall I Z I/ I =-F waIl I I 1 Net w4 f'z-c~o2 I C Neu czp. waQ I I Ina WEE { I IaL wall • I I Hear I 1 I Facer I I I I~iS Z 13~(O Cal 1 I I Tots] BUL 133-I0l . c. Toraf Bm Required sq. fL ^ DR or sr. =nL W.AL Leaocr X= I Rrorired sq. ft ED R or sr, iaz W_, Lesdcr area SF r'LI gmu fr. Room ILtaath 1 ,:ET W-,cb 13 iicght Q~ p H isht Windows and Deco -Cracks sad Area ~ ` Z~Cl~l~1 W W W htliRl h., WI J.Awy1 = Ns I We rw. .r e.e 1 nen.. WI e..et at. a _ '7 - l I I I I Vim' L. w I I I I I I I I I Icf•1 aw 3.8glbcl TorA L 13T0 .5 ICI In52tntiea I I 1 I ~ I I _-p. wall 126 '8I 7- 7-Nei c=- war wb l .-Z I I Z s. Net caps wall Int. wall I I Int wall I Flow I I I _ =~°r i I I ca I I of T 2. I ZRO Cad. - { Total B-aL { 151 S (o Total Btu i Reauvcd Lt fL EDR or m ins WA Iraacr area Regt:ired sr. ft E.D-R..or sq. inL VA Leaner are { CITY USE ONLY SUBD. 1 °~/o4t DATE: 7119 / G 1996 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 NO.. TOTAL Shower 3.00 x Water Closet 3.00 x L =1 Bath Tub 3.00 x 5_ Lavatory 3.00 x (i = 2 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 1 = Gas Piping Outlet * minimum -1 3.00 x -L- _ 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 SITE ADDRESS: I56-1 OWNER NAME: n 2 INSTALLER NAME: STREET RlE'SSS: ~ 42 C L CITY: STATE: ZIP: PHONE (~pIZ) ~~1 ~ -Vt I-I oQ 7U &-A~ OFFICE USE ONLY L BL RECEIPT SUBD. 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. multi-family buildings when separate permits are ng2 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 permit 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: q CITY USE ONLY L / BL RECEIPT* SUBD. DATE: J9/re'v 1996 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 NO. TOTAL Shower 3.00 x T = Water Closet 3.00 x Z = Bath Tub 3.00 x i = Lavatory 3.00 x Z = Kitchen Sink 3.00 x Laundry Tray 3.00 x 1 = , Hot Tub/Spa 3.00 x = Water Heater 3.00 x I _ Floor Drain 3.00 x 1 = 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 3.~. S L) SITE ADDRESS: 1L `1 1a~~) / ` P Z OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: STATE: Wy\- ZIP: SSSS PHONE (~~Z) X57- L/Z I / /VI 1- ~ SMN OFFICE USE ONLY L BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: w all commercial/industrial buildings. W multi-family buildings when separate permits are not 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 Rarm t 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 nn SUBD.~ DATE:` .3,~.. 1996 MECHANICAL- PERMIT. (RESIDENTIAL),;' CITY OF: EAGAN 3830, PILOT ;KNOB,- RD EAGAN,:. MN,65122 (612) 6814675 _ Please complete for: single,family„dwellings. ,.,!town homes and condos When peimits are required for each unit' - New construction Add-on fumace - Add-on air conditioning ' Add-on air exchanger, i.e. Vanee system, etc: Date: r~ Q(d :3 Minimum, Fee Add on/Remodel- existn Y. _ ► HVAC: 0 100£M BTU i 24'0 i. Additional 50 M'BTU " 6.00 ~'~Izt~~n'fi.'.. . ► Gas Outlets (minimum of 1 required 'Q $3.00 each) Z'a "tom" u ► State Surcharge .50.. TOTAL M._,._.. r~ SITE 12 OWNER NAME:C~'f~"i.~_ PHONE `793 INSTALLER NAME:F_)Ic 4rrdLs Ri r__ . STREET ADDRESS6q i nn4~ Nc~ n... - G~ n SS L4 2a8 CITY: l)(OOK~I4n t~k STATE: fnn ZIP: PHONE ((0j01) L q BL / CITY USE ONLY RECEIPT M SUBD. AVOOJ///MV ,~fl/ fsu,L~ DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date:-, Ip 1q, EEU ► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ► HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 °C ► Gas Outlets (minimum of 1 required @ $3.00 each) I.D ► State Surcharge .50 TOTAL SITE ADDRESS: I '.)q pni lc"V- P+- OWNER NAME:C1--cm V_a'It 'O F-1C= n PHONE M 5 ~'773 INSTALLER NAME:Qk 4 u jt'. -y RI STREET ADDRESS65Cq LA 1 IKrj PVC, I 1 CITY: l (_QQ)(lt,n T STATE: fy)r) ZIP: PHONE ((0101) 7' y'~`7~ 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 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 /V ((~~B SUBD /f NEW RECEIPT !k ys'd kj RECEIPT DATE 3Z31/9 7 DATE 2 To (J!~ ~~~s G 1 C. JOB _ `/~S~p~ tf ! Q!/ /J/~ ~o CWNEa ~ ssJ~ -Q ~G ~T L ff +1> PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABOVE ELECTRICAL INSTALLATION IN THE AMOUNT OF $ SHORTAGE MUST BE PAID WITHIN 14 DAYS. REMARKS ~S J 0 - 30 AMP CIRCUITS = y _ l 31 - 100 AMP CIRCUITS = 0 - 100 AMP SERVICE _ /T 101 - 200 AMP SERVICE = / / FAO TOTAL FEE ➢UE _ LESS FEE RECEIVED - - - Bd TOTAL FEE SHORTAGE DUE _ D PERMIT # ORIG RECEIPT # , l n RECEIPT DATE - (=~zo.z ~'~/~1~fj PLEASE RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE. (0~,21J THANK YOU! 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 Think 37 Lots $835.00/Lot $30,895.00 Storm Sewer Trunk 358,712 sq. ft .02/sq. ft $ 7,174.24 Storm Sewer Trunk 195,128 sq. ft. .076/sq. ft $14,829.73 Lateral Benefit Water 899.51 £f. 25.50/ff. $22,937.50 Lateral Benefit Storm C Sewer 1 Lump Sum 6,224/L.S. $6,224, 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- GO(-?D VALUE HOMES, INC., a Minnesota Corporation By: Betty R. Hardle Date Its Chief Executive Officer / ! Q) By: R Peterson bat Its: sident 4~r ~ :i d..R 111 fl..A 11y DEERWOOD TOWNHOMES ~}•'•ii:•i:• . rr :i a: . r ft.4 tow 5-44 FINANCIAL OBLIGATION r ::.:•::'s; P. LEGEND OP lor Cry *«Y ~ ~~a PIMMMM Lateral Benef t Water i irl 00 . ' v ! • • • • • Lateral Senent Storm Sewer • • Sanitary Sewer Trunk b ;iY`•• i';::: Water Trunk `,.►p ~ ~ : Storm Sewer Trunk •;;-r.orISM M RECEIVED AUG 2 1 1995 PFrPlvr--n vr, 7 1 10M STATE OF MNNESOTA ) ) ss. COUNTY OF DAKOTA ) ~j~~~ 1995, before me a Notary Public On this A' day of „ TT A ^r'3 ~n JOHN R- within and for said County, orally appeared ~Tl I ~rY who being each by me duly sworn, each did say that PETERSON to me personally known, offi and President of Good Value Homes, Inc., they are respectively the Chief Executives and that said instrument was signed on the corporation named in the foregoing behalf of said corporation by authority of its Board of Directors and said Chief Executive said instrument to be the free act and deed of the officer and president acknowledged corporation. Sp Notary Pu 'c =wmr APPROVED AS TO FORM: 0 Attorney s 1 ated: APPROVED AS TO CONTENT: Public Works Department Dated: 6e r f 2 2% 91 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 PERMIT # Ln~ L!:~ RECEIPT DATE: RnIDENTIAL PLUMING PERNH AtIa IMATION CirY OF $AEM 3630 Poor KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ back-f oow preventer for irrigation system SITE ADDRESS: /56 / OWNER NAME:: Al f'Yc` L a- C;, TELEPHONE 5 / YS 2 ~6 2-3 (AREA CODE) INSTALLER NAME: /4~ C,-e B TELEPHONE M 9,57 ' ysy yo62-3 STREET ADDRESS: (5-67 A,1_21e-~ (AREACODE) CITY: C'~gCI-n STATE: / V✓ ZIP: ~S/ y2 Place a check mark next to the permit work type New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license x State Surcharge $ .50 Total $ SG S~ Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, slate that the information is correct, and agree to complywith all applicable City of Eagan ordinances. It is the applicants responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City pro /d htof-way/easement. fdPT E OF PERMITTEE Updated 1/01 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan . C~ f 3 3830 Pilot Knob Road, Eagan MN 55122 (ts Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodegReoair Requirements Office tJse Onl 3 registered site surveys shaving sq. ft of lot sq. It. of house; and all roofed areas 2 copies of plan CedbfiSu"vey!Reoi;,v:_wY _N (20% maximum lot coverage allowed) l set of Energy calculations for heated additions Tr&Rres`PJsoiReod~--- , = Y;,, :ff 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Ti e'.f3re, 'equjred,'Tgi4_=Yi}= N 1 set of Energy Calculations Addition- Indicate tlonsde septic system OgsiladSyste~__;Y; N, 3 copies of Tree Preservation Plan it lot platted after 71153 Rim Joist Detail options selection sheet (bli with 3 or less units Date 3 / o l 0Y A ,J Construction Cost Site Address /57~ 7 Az, 7` /~/r- Unit/Ste # Description of Work KJ rzso~ r~y1dCYO/ 7 mo d "'q-A A34 Multi-Family Bldg ,p^~ - N Fireplace(s) k-'0 _ 1 _ 2 Property Owner / ° C rrT - ~s~GC R Telephone # ySZ1 7 Contractor 7- Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. - Licensed Plumber ( J' E ? I II Telephone J Ill MAR 0 9 2004 u ( J Mechanical Contractor 1l Telephone Sewer/Water Contractor Iav_ Telephone # I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. At fp Applicant's Printed Name 6%/ p&c't's`Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Yor_N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair 14 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy 12-3 MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const V h Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco - Stone - Brick Fireplace _ R.I. _ Air Test - Final _ Windows Insulation _ Retaining Wall Approved By: ~Ijm Building Inspector - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN \ 3830 PILOT KNOB ROAD, EAGAN MN 55122 S-U\ 651-675-5675 Please complete for modifications to existing residential dwellings. Date Site Street Address Unit # Property Owner Telephone # ( ) Contractor Telephone # ( ) Address City State Zip The Applicant is: _ Owner _ Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 518" meter is required) Other: &w~r , V_. Water Softener - Water Heater $ 15.00 replacement additional Lawn Irrigation System RPZ - new - repair -rebuild $ 30.00 State Surcharge $ .50 Total r $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printed Name Applicant's Signature CITY OF EAGAN CASHIER: S TERMINAL NO: 779 DATE; 11/09/98 TIME.: i3:21..58 ID r. NAME. SUBURBAN GROUP INC 2J.55 9001 1.00.00 32..10 9001 1.551 ANTLER PT 162.25 3210 9001. 1555 ANTLER PT 162.25 32iO 90011 1.559 ANTLER PT 162.25 3210 9001 156-3 ANTLER PT 2i2.25 32d.0 9001 1566 ANTLER PT 162.25 329.0 9001 t'n67 ANTLER PT 1.62.25 32.'10 9001 J.570 ANTLER PT 2i2.25 329.0 9003 1573. ANTLER PT 162.25 ,3210 9001 157.`.; ANTLER PT :1.62.25 CR999222 0 CONTINUE USER ID; NANCY kk CONTINUE YF 'MX<YCi ~~M9FY:~:k;>F)kY~?;C.~'::jiX:%,YX<kC~:7kYFX{Yi ~k%k~*~C>kkC7k7kYk*kCiC k~kAOX~ M Xh :k# k9 N',i kY MY ~k kMY6 % ka Ytg N CONTINUE CT1"Y OF EAGAN CASHIER". S TERMINAL. A'O: 779 DATE: H./09/98 TIME.: 13:22:00 i T{ .j: NAME: SUBURBAN GROUP INC 3210 900:1. 1.579 ANTLER PT 212.25 3210 9009. 1.582 ANTLER ET 2J.2.25 321.0 9001 1583 ANTLER PT 162.25 3210 9001. :1.586 ANTLER PT 21.2.25 321.0 9001. 1.587 ANTLER 1°'T 162.25 32210 9001. 391:15 FAWN WAY 162.25 :320 9001.3966 FAWN MAY i62.25 3210 9001. 3989 FA14N WAY 1.62.25 3210 9001 3990 FAWN WAY 162.25 Total Receipt Amount; 31270.50 CRO992i22 USER IDs NANCY ~ CITY OF EAGAN PERMIT 3830.PilotKnob Road PERMIT TYPE: BUILDING Eagan Minnesota 55122-1897 Permit Number: 0 3 3 9 6 0 (651) 681-4675 Date Issued: 11 / 0 9/ 9 8 SITE ADDRESS: 1567 ANTLER PT LOT: 104 BLOCK: 1 DEERWOOO TOWNHOMES P.I.N.: 10-20200-100-01 DESCRIPTION: T.O. & REROOF Building'l?ermit Type SF (MISC.) Building Work Type REPAIR 'Census Code 434 ALT. RESIDENTIAL f REMARKS: INCLUDES: 1569 FEE SUMMARY: VALUATION $10,000 Base Fee $162.25 Surcharge.__ ...$.5°._0i0. Total Fee $167.25 CONTRACTOR: - Applicant - ST. LTC. OWNER: SIJ-BURBAN EXTERIORS 18818232 4289 DEERWOOD HOMES ASSOC. 97.01 PENN AVENUE S 1567 ANTLER PT BLOOMINGTON MN 55431 EAGAN MN 55123 (6;51) 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. L- Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE SUEDSUED BY, URE 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) Q CITY OF FAGAN d 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 (1) landscaping plans (2 sets) Key Plan project specs (1) code analysis (1) " energy calculations (1)notalways" Special Inspections & Testing Schedule " soils report (1) Electric Power & Lighting Form (1) not aMreys " SAC determination letter from MCAMS - SAC determination letter from MCMIS - SAC determination letter from MCNVS - 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 2150700 for details. DATE: WORK TYPE: _ NEW _ REMODEL DESCRIPTION OF WORK: 1 -p~~ CONSTRUCTION COSTT:j 3 UG C) TENANT NAME: Q` 2rul atk1 Tt.Uq\SITE ADDRESS: QX 1~ t SUITE LOT 1o 0 BLOCK ~ SUBD. ~ n,~r0 fyu~ ~ P.I.D. # Name: 0QQA(U-0(TA- 1C1✓y1 R~~ Phone t1: PROPERTY Last First Lssnt OWNER Street Address: 1 / y City State: Zip: Company: Phone I CONTRACTOR 4 Q A d p Street Address: License # `f ZC3 City yrN State: M~ Zip: SS / ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (only if installing sewer & water): 1 hereby acknowledge that I have read this application and state that the info Is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicarrt~Q?/VL~,`>UL,1 OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 19 Comm./Ind. Misc. ❑ 21 Miscellaneous ❑ 18 Comm./Ind. ❑ 20 Public Facility WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code # of Stories sq. ft. SAC Code Length sq. ft. Census Bldg. Depth Footprint sq. ft. Census Unit APPROVALS Planning Building Engineering Variance Permit Fee I L Valuation: $ Surcharge 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 RESIDENTIAL I--- BUILDING PERMIT APPLICATION 1177 CITY OFEAGAN -)MN 024 260i D 4175-19 3830 PILOT KNOB RD - 55122 v 651-681-4675 New Construction Requirements RemodellReoair Reauireme Y _ • 3 registered site surveys showing sq. ft. of lot. sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculatiore for heated addibons • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate 0 home served by septic system for additions • 3 copies of Tree Preservation Planf lot plaited after 711/93 • Rim Joist Detail Opttioonns. selection sheet (bldgs with 3 or less units) DATE VALUATION JOB SITE ADDRESS 5-6 7 Al1;~ f IF MULTI-FAMILY BUILDING, HOW MANY UNITS?_ PROPERTY OWNER i 0/ w TYPE OF WORK 60 L5 FIREPLACE(S) _ 0 It" 1 r~s 2 APPLICANT Mtrw %B PHONE# ~ 'f~~'1623 ADDRESS 157 7 Ai -t ~ ~f ZIPCODE SS/ Z~ PAGER # CELL PHONE # 612- 2--,5,2 7 ~W FAX # NIEV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) Residential Ventilation Category I Worksheet Submitted Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone Plumbing System Includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00 _ Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical System Includes: - Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor. Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applica Certificates of Survey Received _ Tree Preservation P eceived _ Not Required _ updated 1/01 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt- Mufti ❑ 03 01 of - plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex PV 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or - N ❑ 25 Miscellaneous W 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant v Valuation CL Occupancy MC/ES System Census Code Y~ Y Zoning City Water SAC Units Stories Booster Pump Nbr. of Units _L Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const s Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. - Footings (addition) - Plumbing _ Foundation _ HVAC _ Drain Tile Roof _ Ice & Water _ Final _ Other Framing - Pool - Ftgs - Air/Gas Tests - Final _ Fireplace - R.I. -Air Test -Final _ Siding _ Stucco _ Stone I Insulation - Windows (new/replacement) Approved By /iLKI Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA116032 Date Issued:10/02/2013 Permit Category:ePermit Site Address: 1567 Antler Pt Lot:10 Block: 01 Addition: Deerwood Townhomes PID:10-20200-01-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Heather Brockman 21210 Eaton Ave Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mira Lacous 1567 Antler Pt Eagan MN 55122 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use I City of Ea , Permit I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: , I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C Z~3/Z01Z Site Address: Unit Name: 1L(.JCGD TC)cJAj /Ats Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: _ ,J~ ~n Etta-c f✓T- Construction Cost: Multi-Family Building: (Yes / No ) q-, i /~,i m~ ~ f Sts: J€~-.~t✓T Company: Il1u `~/t ~v Contact:.. ./k," ZJA Address City: G1/fa-7~ .BE-~2 Contractor State: f~ Zip: Phone: C / 1 0 7 License C ~6 9 C) Lead Certificate S ~ 1SLrGac-~ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ~~LT- 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 ized by a building permit issued in accordance with the Minnesota State Buildin de must be completed within 180 days of/per s ance,~ L~ x x Applican ' ` 'nted Name Applicant' ignature Page 1 of 3 III I I For Office Use Permit City of Wan I I Permit Fee: `y I 3830 Pilot Knob Road I - I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: i 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite Resident/Owner Name: Phone: 79 Address/ City /Zip: Name: y' / /!u /Xc!e se w Contractor Address: City: State: V Zip: ~3 17i~ Phone: ®J r7'.3j~,~' CQ Contact: Email: Type of Work - New Replacement _ Repair -Rebuild - Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) Permit Type Add Plumbin Fixtures I Septic System 9 Main / -Lower Level) _ Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $0 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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 w4wois rmance wit dinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, of to s without permit; that t he work will be in accos with the approved plan in the case of work which requires a review and as. x u~/ x Applicant's Pr' ted Name An ture FOR OFFICE USE Reviewed By: Date: _ -Required Inspections: -Under Ground --Rough-In__ Air-Test -Gas Test ------Final - Use BLUE or BLACK Ink r————————————————� I For Office Use � ' j Permit#: I��O �d j Clty of �� , �s � � Permit Fee: � 3830 Pilot Knob Road i � // �� Eagan MN 55122 Date Received: � (0 Phone: (651)675-5675 I �� I Fax: (651)675-5694 I Staff: w a � I I 2014 RESIDENTIAL BUILDIIVG PERMIT APPLICATION Date: Site Address: ��r6 7 ��/t� � Unit#: ' Name:_ Zfi l av�' Phone: Resident/ .D Owner Address/City I Zip: /�� /��Jt� l� � :' Applicant is: Owner Contractor Type of Work Description of work: J�e S�i�� rG l�v�nC�vwS Construction Cost: � ��/�iU — Multi-Family Building: (Yes /No� Company: /�/hc�,2�n �� lC Contact: ,� ��Pl _ // S --��7� II Address: ��7� �� S� City: �.✓h l� ��r' ��r� Contractor State: �'1/j/Zip: Sy�Z Phone: „ vZ `�1��J�IG�Email: 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 documents'that you submit are considered to be public information. Portions of the information may be classified as non-public if yoa 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. wvuw.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. x / l�c�tie'i� C�-,� X � ApplicanYs Printed Na Applican s Signature Page 1 of 3 Use BLUE or BLACK Ink r-----------------� • I For Office Use � `� C� �� ' � Permit#: ✓'�� / V I Y � ' ��° 'R"�`� � � �� :"�x� I Permit Fee: �� I 3830 Pilot Knob Road ��_�`� �� ,� , �� Eagan MN 55122 �„� � � ��°�t'� � Date Received: � Phone: (651)675-5675 ��< ' I � I Fax: (651)675-5694 I Staff: 1 I I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �� Site Address: �S� 1 �T�`/' � � ��'t Unit#: �� Name: //�//'� L� �Gv � Phone: ` I�t�S�#��!t�#1 ('�� Address/City/Zip: , Applicant is: Owner Contractor Description of work: ��'G�S��t` �` G�`��ra.,�.S~ �'r'"�"` / r /�/J �Cr�' /.7G.S',7�...� Gr/�'�i ,�,X�o Ty�f�Of V�/O�k �� ,,� '—�� Construction Cost: �0 G� � �� Multi-Family Building: (Yes ✓ /No� ' Company:JP-�'F / ('PS,'��h �G,.�� . L ,!�C' . Contact:.J P f' f //`,Ps�a�'1 Cca�r�ra�tor � Aaa�ess: /�� ,��. .S'-�� f��` ,�� . c�ty: �P//r ��i'��c ; State:I�..'�Zip: .�� '�� Phone:I��`r��-'�� '�Email:...��'�� /� �� U �i�� . �� -, License#: �� .� � e� Lead Certificate#: If the project is exempt from lead certification, please explain why: ��/� �� /� �'� �-� 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: N��'�':P�a�s.,��d-^,�pc��t��d�►curner��s��aaf,yo�r�s��rr��re cat�s�'�►�eral tr�be��i�°�a�t�'�i�. Pra��►�s cr�' tl�e in�'ot�r�tafi�n m��e ctasrsi�ed as n�n��r�ic r�';��+pro��l�s�re��'��c re��o�s t��t��d�r�t�t�e Cr#y;ta ��l�al'e�°�aa�it�e "are�rad��ec�rc�t�< CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X .J P�� Sf�� X _ ApplicanYs Printed Name A ica Signature Page 1 of 3 � �[,; � ��y� �--`�:.-.� ��.DO NOT WRITE BELOW THIS LINE / -�� `-9 � SUB TYPES F Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Singie Family)� Single Family Garage Porch(4-Season) _ Exterior Alteration(Multi) _ Multi �/ Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex '��Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding _ Demolish Building" _ Addition _ Move Building _ Reroof _ Demolish Jnterior 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 '� x �'"`�� Occupancy '��'�+„�r��' MCES System Plan Review Code Edition ,�,��„7";,'� SAC Units (25%_100% ��) Zoning � City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ;' �^; Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required � Footings (Addition) � Final/ No 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_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: s�"�° Reviewed By: � � , Building Inspector RESIDENTIAL FEES Base Fee � �'J . Surcharge ��"�`�� s_,��-�' �` � Plan Review �TM �'� ��} �j��"'� MCES SAC ��`�� i � City SAC � � Utility Connection Charge S&W Permit&Surcharge ry Treatment Plant Copies TOTAL Page 2 of 3 � , CERTIFICATE OF SURVEY - � �. . for � `� �� -�� . GOOD VALUE HUMES PROPOSED BUILDING ELEVATIONS Top of foundation O�_`;�__ Front of house �' 8� Garage fioor �___�____ Rear of house ��___ . Lowest floor Q�_7��____ Walkout ��______ , � -� � �---- arrow denotes drainage direction per development plan. �� I� , 890E denotes existing spot elevation � f�� 890P denotes proposed spot elevation V,�� BENCHMARK USED: �-pp , u � � ' r4 0. u� /I7o�, rnEn��r�' � � S�.S�oE �6�°w00 D �R.�EI�ST Qc,�T Z�NE f,,�� '��,o o�y'� i �XT�1.�T�XJ E[..= R��.73 � �, �l� '�`' �9a�- ��.�� , -S a ;� ,. �. qoa.co � ; � 9 pO��Q � �' 1 � 15' O/S ta ` L � � G� O Q 1� Building Envelope C � N� ' � � �� o cp 'f � �,�k '?,�.�J�,°� '� � ..� 6qq. � ,,� . �� ; �a s ,�g°� '-' ,��°$ �� '� 0 .f ,�' � s �� `ss, Detail (typical} '�� .� 1� � �� p, �N ot to Scal e � y ° � s� � D�`� ti$°� Q�o��,o�'�' �%�� A, a � :.. �°�1 g �° '� ac�� `'` ' -� �F,r �. �o - o�Eo� '�� Q �� ". �'�� Q�oe�a�°� � �'a� _ g �,� ""` �� `� (.P�I GL� t ' o/s to ,�\ `��, `� �� g�`1 �Y. �' '�""�- Build�g Envelop �J' � 6' �/ �'�i9 \ �i9 1 ' /S {o �� Z Y �� / 5�O �O � g Envelo 'za tJ' CP �,� �5� Q�pe�� b �'° �' � �P� P q0 �j �CS. 1� �..� OS�c�.� �O�`1 (G �1• . `l � T7�.,�� i.�\ � QG�P'G �OQ V" � �,P,,l��'3�� .�q�,Q• o �1 S '� ,�y• /c 9 S aN�-,��.y �.c,up-r��, �� \ `�°� oo ,, � °3-39 5T1�1 vSGEs 'S+1ow►� a�h s� p� 100��ti � �°�1 / 'S�� 0 5�° �� , � aa S �._:, ° �. ' 15' 0/S to\ !^ `� .l g �- � Bu iiding Envdod� +J� V' ` V` / � � W � 0�'� P ' �Iv ENG �'E�ZING D� � � �u Q o 0 2� � G r� NOTE: ALL DIMENSIONS ARE FOUNDATION DISTANCES LEGAL. DESCRIPTi ON ( ) = RECORD INFORMATION Lots 9 and 10, Block 1, DEERWOOD O DENOTES 1/2" IRON PIPE & CAP SET TOWNHOMES, according to the plat of �.S. # 23945 record thereof Dakota County, Minnesota. � DENOTES IRON PIPE SET I hereby certify that this survey was FOR BUtLDiNG OFFSET � prepared by me or under my direct o DENOTES W�OD LATH SET supervision, and that I am a duly FOR EXCAVATION ONLY Licensed Land Surveyor under the DASHED LINE DENOTES DRAINAGE laws of e state of Minnesota. AND UTILITY EASEMENT AS PER PLAT. _ PAS..9E EN(�INEEItING INC A8C3I8TERED PROFE88IONAL�LAND 3URVEYORS Donald E. Sigety, MN i . . 23945 944b EA$T ItIYER ROAD, SUITE 208 COON RAPID3, MN 66499 I� D a t e: /l�08� 4`j - Tel. (612) 7b6-6240 Fax. �612j 76b-1882 :� JOB N0: 93-34 SCALE: 1 INCH =___20___FEET FIELD BOOK: jpa PAGE: rjg DRAWN BY: CKP