1582 Antler Pt
Use BLUE or BLACK Ink
c - - - - - - - - - - - - - - - - -
FUFOffceUs
I 990
City of EaRdticin I Permit#:
I I
I Permit Fee: / n- I
3830 Pilot Knob Road 1 I
Eagan MN 55122 Date Receive
Phone: (651) 675-5675 Cu, Staff: Fax: (651) 675-5694 I I
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone:
RESIDENT /
OWNER Address / City / Zip: /,5_8'Z A J -/X5 T f ~'qgo~g J S/2 2
Applicant is: Owner Contractor J~YmNq Ise
TYPE OF WORK Description of work: E 919~-
Construction Cost: 1-24_o6 Multi-Family Building: (Yes / No )
Company:A/31>=iCCAA) F=AFT (Crt~~ Contact: "OE R.`ME-s
CONTRACTOR Address: /ZE/,a 01 City: 2, S
State: MiJ Zip: !572)-7 Phone: -7 q2o 31c)
License 0/5-22 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
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 C)r"O& x
Applicant's Printed Name Applica 's Si ture
Page 1 of 3
INSPECTION RECORD
1--` TY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: '
(612) 681-4675
SITE ADDRESS: 4 ` APPLICANT:
0 1 1, t 1. P+141 1JAV t li
„r F r t+i,,.INfl,l,gr + 1 f,'/ .=rifiHfl ,
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
Permit No. Permit Holder Dote Telephone S
ELECTRIC 400
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING 22
ROOFING 7 /
ROUGH
PLUMBING 14 i)
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL Uf~fj~
GYP BOARD
FIREPLACE
I
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD
~ITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 63-39(.,5
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.
F
L
f
Permit Holder Date Telephone A
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
t
91wi~v W j
r Werti f icate of Ccc"anc~
Witv of Wasan
zowtMent of '3ixg 31tsoeetion
This Certificate issued pursuant to the requirements of the Uniform Building Code
t
certifying that at the time of issuance this structure was in compliance r 'th the various
ordinances of the City regulating building construction or use. For the fo4owing:
Use Classification: SF DWG/GAR s. sidg. Permit Wo. 27612
o=wawy Type R-3 U-1 zoning District R-3 Tya Conn. Vn
Ownaoteullding GOOD VALUE HOMES Addr= 9445 E RIVER RD.. COON RAPIDS, MN
s.mm Address 1582 ANTLER PT t owliry L27, Bl, DEERWOOD TOWMHOMES
POST IN A CONSPICUOUS PLACE
wemfcate of ccntpaucC
(Fhv of agape
~arhac~t ~ ~K~ing ~u~yection
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was incompliance with the various
ordinances of the City regulating building construction or use. For the following:
UseGnsifiwooa: SF DWG/GAR Bldg. Penmt No. 27613
y TYlw R-3 U-1 Zooms Dj,u R-3 Type Const. Vn
oww,(B,,w.g GOOD VALUE HOMES Addmss 9445 E RIVER RD.. COON RAPIDS, MN
B,ew;yg Ate, 1584 VTR spy L28, B1, DEERWOOD TOWNHOMES
Date:
POST IN A CONSPICUOUS PLACE
- INSPECTION RECORD
t 1 r~~,
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 1
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: j 1 rd 1 t'"' APPLICANT:
tlli ii ttlc~ t I
14 1 1 f ! f' T ICI II!;pit
PERMIT SUBTYPE: TYPE OF WORK:
i I o l!
INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR.
I W-111 A I t !ifJ 1 1 F I I ;I
is t;Iltdf 114 1'! !;r, rlli;;: I f! .t I F,
i hl~tt t l ki. i t Wt
fel MARE 11111111 ' ul fit I'. it f;l~ 1 l ! j I !I ! 1 f• lei 1 1 t.l: ;l I
F
Permit No. Permit Holder Date Telephone N
ELECTRIC 3/9 i ~G d
PLUMBING
HVAC
Inspection Difte Insp. Comments
FOOTINGS
FOUND
FRAMING
l y l~ G
ROOFING
ROUGH
PLUMBING Zj.
PLBG
AIR T
AIR d _
TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL Z~
GYPBOARD
5
FIREPLACE Z?- 7
FIREPLACE
AIR TEST_ _G 'UM
FINAL PLBG 4V-3-97 V
INAL HTG A
~RSAT
11
EST
13LDG FINAL u~~y~67
BSMTR.I.
SMT FINAL
i
jECK FTG
FCK FINAL
I
i
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: a! • t r
(612) 681-4675
SITE ADDRESS: 1 14 61 1 1 t+ I 1 APPLICANT:
I'•: M411 IF 1: r' I t:i~ttlt 1111 111rM1
t!1 + t:l )llttl~ i tt111111~IM1 ~ ( i r- "r l rl ; r•.
PERMIT SUBTYPE: TYPE OF WORK: I
~ r~r 11
INSPECTION DATE INSPTR. • TYPE DATE INSPTR.
I I ' I iilllli, l I 1~ ~
I
i W-111 A l l X11 1 110 1 1 At E
ttlti It I ~.I I'. t;~, letlllt~li 1 N 11 f It
• t t`, t t.<I: r l Neil
te1 MA14 1!111'1 1 fit 111 1ANI I I k I I M it l i it I I ill "Al I I . I'l k"
F
Permit No. Permit Holder Date Telephone tt
ELECTRIC J q(p(r ~O J~, D
PLUMBING
HVAC -,0 8(,5 -7
Inspection Mate Insp. Comments
FOOTINGS
FOUND
FRAMING !o ,s Ale
ROOFING
ROUGH
PLUMBING Q- 6
PLBG
AIR TEST
ROUGH
HEATING ~l(
GAS SVC t{ V
TEST
INSUL ,v![
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINALHTG Y/ /0! Q7
ORSAT !
TEST
BLDG FINAL
L11 r~(l '
BSMT R.I.
i
I
BSMT FINAL +
i
IDECK FTG -
DECK FINAL
319 - 664 OFFICE SE O Y This request .,d 18 months from valid-hum dale pnnted m fits box.
/ ~ G Gas
PLEASE PRINT OR TYPE ~kmtu / 0 Awo- Request Date Rough-in inspedmn required? Q'yes ❑ No Inspection Other Than Rough In. Q 3 Now LIi* Call
q (You must tall the mupedor eh? r dy) Dote Ready
I, olicensed contractor ❑ owner hereby re t Pection o above el work af:
lob Address (Street, Box, or Rauh, No) Gry Zip CRde
IS Ea can
SecROn No Township Name or No Range No Fine No au^^nty^^
1. LL&CA
Ocpcupa~nt tphone No
Power Supplier Address
Qakctaa EurJ11G
eleddcal Contractor (Company Name) canned., License No. Mosier Li<. No (Floor Eled Only)
ri iG CAot~50 Amoi5Qa.
Maihng Address (Conhador or Owner Pedorming Invollanon)
a~o
FbAL mPJ 5503
4()80-83rc1 ALA kb
Authorized Signature (Contrador or Owner Pedomeng installation) Phone No.
7 a a -SEGO
EB-OWOIA-10 6/95 STATE BOARD COPY- SEE INSTRUCTIONS ON BACK OF YELLOW COPY
tet Board d Rm. o ELECTRICf
II I II II II I~III f I VIII III II III I~ I~ III Minnesota REQUEST FOR L ECON
MNn55W494`
* 0 3 1 9 6 6 4 9 s Phone (612) 642-0800
ome Duplex Apt Bldg. Other: New Addn
Commercial Industrial Farm Remod Re air
Air Cond. Htg. Equip. Water Hh. Load Mgmt. Other:
er Range Elec. Heat Temp. Service
'X' above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
~S- 7S .Zm
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 Ltg./Froffic SAbove 200Amps i 00Amps
Transformer/Generator INSPECTOR'S USE O ,~.,('j TOTAL ~y~
Sign me Lig. Xfmr. ~ 1...~ / q(J
Alarm/Remote mo}e Control mrol
Swimming Pool i herb, aernr,\mat i 4111o anbed hamin on Jhe dare:: kd
Irrigation Boom RoughIn Dam jF1
Special Inspecion [ 9Y 9
D M
Final
Investigative Fee
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IFTZT P WITHIN 1 MON S.
till Illlf ll it l llal I l l I I I 11111111111 ill REQUEST FOR ELECTRICAL INSPECTION g4?~
Minnesota State Board of Electrici~r , P '
* 3 1 9 6 L. 5 6 * 1821 University Ave., Rm. S 128, t. Paul, MN 55104 0 "97
Phon312) 842-0800 /
ome Duplex Apt. Bldg. Other: is Addn
Commercial Indushlal Form Remod Re air
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
Dryer Range Elec. Heat Tem . Service
V above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
_Qo -gip? m
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee:
Other Fee 9 Servi ce Enhance Sae Fee CiricuwTeeders Fee
Mobile Home Park Stall 0 to 200 Amps - 0 to 100 Amps
Street Ltg./iraffic Sig. Above 200 Amps A mps
Transformer/Generator INSPECTOR'S USE ONLY T 7AL
Sign/Outline Ltg. Xfmr. iN Alar
m/Remote Control Swimming Pool eb idescribed heron on Irrigation Boom Roh-
Special Inspection
D
nvestigatrvis Fee
LET WITHIN 18 MONT S.
THIS INSTALLATION MAY BE ORDERED bf6beNNEOTE
OFFl USE ONLY This request wad 18 months from validation data printed in this be.
319 - 66 5
16 147
~/p~/~,7 ~ 795os
PLEASE PRINT OR TYPE p 96
Request Dote Roughin inspection regmred2 ~es No lospei Other Than Rough-In Ready Now II Call
g- ii (You must call the msperior when ready) Da
I, 93-licensed contractor ❑ owner hereby request inspection of the above electnca )
J.6 Address (Street, Be., or Rome No I City ?
~Q Q(1
-1i LL(
10)9(4 A(
Seawn No Township Name or No Range No Fire No C my t
ako+Q
Occupant Phone
Power Supplrer Address
Elecmoal Caron r (Company Nome) Contrarian License No, Master be No (Plant Elect Only)
CAN -60 AMID k5cia
Mailing Address (Contracor or Owner Performing Instullotionl
4t~SU - Aye r\k~ 3'ook n k (y) 55 I~{3
Authorized Signature (Contractor or Owner Performing Insmllation) Phone Na.
~ O
EB-011A-106/95 STATE BOARD COPY-BEE INSTRUCTIONS ON BACK OF YELLOWCOPY
CERTIFICATE OF SURVEY
for
GOOD VALUE HOMES
PROPOSED BUILDING ELEVATIONS
Top of foundation q il' -7 _Front of house 91_1_0
Garage floor i7 _a Rear of house _ aL•s~
Lowest floor Walkout ti
arrow denotes drainage direction per development plan.
890E denotes existing spot elevation o.3s
890P denotes proposed spot elevation Buadlnq E'"Nape
~0,
BENCHMARK USED:
ip 4. 1 17.33
TOP NUT fy GQfILI~.tri~ 0't-5 27.e7
AOcb-7 I Detail typical) 5.33
y t A G A N No to Scale
PROPOSED
R iE V O E W to D 03 TOwNHOME
3V qp .~d
J~0 aendMg En.Wepe
[NUi:~ D1'>w3'J OS'8~ 149
o Q~ O ILI
iZ Sulding Envelope
f 79 p6
B5.3-3
* ~ {a 0 17.33
a+0 Uy 27.67 0 5.33%
~ O
S~ Q1 ~G q10 Jo M 4~
OU`° 4 OA
2/ 600 s
O0 Otn
m
O O O o
c`~f r7 N o l ~ 1- O
o
pm 9. UR
IL O w 1 N 7 U1
78.33 0v
r O ~~~n Z S 6.0 00
r -10 Q G t7 0 r 'D v~~ ~d *0
M
1 0
Op 22 0 5.33 17.3 P
.IY, ~ pry ° 27.67
8
Z ~I *-Sg'M ENVELOPE
CORNER
N J gIJV V $a(]~3~,1 ` ^ BuWng/E "lope
`7p I V 'o~ 1.5 O 7NEEREN4ELOp
O/S [a
G q to, O/S [a
BunaIn9 Enwiep. IFA(sAN EN IIVEERING DEPT. mop~t V : ,U~$ !s Nor ~er,WN +o sC,iC'LEGAL DESCRIPTION
NOTE: ALL DIMENSIONS ARE FOUNDATION DISTANCES Lots 27 and 28, 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 suNey was
41) DENOTES IRON PIPE SET prepared by me or under my direct
FOR BUILDING OFFSET supervision, and that I am a duly
❑ DENOTES WOOD LATH SET Licensed Land Surveyor under the
FOR EXCAVATION ONLY I laws of the state of Minnesota.
PASSE ENOINEERINO, INC. -
REGISTERED PROFESSIONALOLAND SURVEYORS Donald E. Si et MN .23945
9446 EAST RIVER ROAD, SUITE 209 9 y'
COON RAPIDS. MN 55488 Date: 5~81~~ *~EII56b 5~/4~9Co
Tel. 1619) 755-6240 Pax. (612) 765-1902
JOB N0: 93-34 SCALE: 1 INCH =__20__FEET FIELD B_ OOK: 104 PAGE: 1 DRAWN BY: CKP
ncFt7r[zTt nwr.
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIIIT, APPLICATION
PROPERTY LEGAL: /
DATE OF SURVEY:
° ' LATEST REVISION:
6 F
DOCUMENT STANDARDS
°z
@~❑ ❑ • Registered Land Surveyor signature and company
q/b ❑ Building Permit Applicant
❑ • Legal description
❑ ❑ • Address
Reo"❑ ❑ • North arrow and scale
90"'~O ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
❑ Directional drainage arrows with slope/gradient %
❑ ❑ • Proposed/existing sewer and water services & invert elevation
~g 13 • Street name
❑ ❑ • Driveway
ELEVATIONS
'stin
B ❑ ❑ / • Sewer service (or Proposed)
❑ B' • Property comers
e" ❑ ❑ • Top of curb at the driveway
❑ e0'1❑ Elevations of any existing adjacent homes
Proposed
tD~ ❑ • Garage floor
t3~ ❑ ❑ First floor
❑ / • Lowest exposed elevation (walkoufhvindow)
❑ ❑ p/ • Property comers
❑ • Front and rear of home at the foundation
PONDING AREA Cif applicable)
❑ l~ Easement line
❑ Ca ❑ • NWL
❑ • HWL
❑ C~ ~1 • Pond # designation
❑ d ❑ • Emergency Overflow Elevation
DIMENSIONS
❑ Lot IinesBearings & dimensions
❑ ❑ p/ • Right-of-way and street width (to back of curb)
t~❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than Z,
porches, etc. (.e. all structures requiring permanent footings)
e~o ❑ Show all easements of record and any City utilities within those easements
3-'❑ C1 • Setbacks of proposed structure and sideyard setback of adjacent existing structures
❑ t7 ❑ • Retaining wall requirements, if any
Reviewed: /A
N e /Date
January7998
CRAIGICDBIBLDGPRMT.FM
PERMIT ca 5wv
CITY OF EAGAN 5a9*0
3830 Pilot Knob Road PERMIT TYPE: Bu LD NG
Eagan, Minnesota 55122-1897 Permit Number: 027612
(612) 681-4675 Date Issued: 05/28/96
SITE ADDRESS:
1582 ANTLER PT
LOT: 27 BLOCK: 1
DEERWOOD TOWNHOMES
P.I.N.: 10-20200-270-01
DESCRIPTION:
x (ZERO LOT LINE)
qu,il ltd Permit Type SF DWG
uild-ing- ork Type NEW
f BC Occup 'i"y, R-3 U-1
Construction T-Ype V-N
Zoning, R-3
f Building Length 30
Building Width 78
,E .k u'l d lrg__ -t o_r i e s 1
census Coda- 102 1 - FAM. ATTACH
REMARKS:
DUPLEX WITH 1584 ANTLER PT (LOT 28) S & W PLBR - VALLEY PLBG
FEE SUMMARY-
VALUATION $116,000
Base Fee $967.25 MISCELLANEOUS 1,923.50
Plan Review $483.63 Total Fee $4,332.38
Surcharge $58.00
SAC $900.00
SAC 100
SAC Units 1
Subtotal $2,408.88
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-_ap;plication and state, that.the
information is correct and agree to,comply.with all applicable State of Mn.
Statutes and City of Eagan Orrdinances.'
APPLICANT/PER ITEE URE SUED BY. S URE
CITY OF EAGAN s ill63)- .3
1q,~ 11 3830 PILOT KNOB RD - 55122 S4nre as
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~oF~ + X fak 46814676
° uNi7,✓tsABe/
New Construction Reauirements RemodeUReoair l3ggwEements LiS'sst'~S.
♦ 3 registered site surveys ♦ 2 copies of plan $eZ
tt11 i
♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) /i/ AaWA f1F,4 .
♦ 1 energy calculations ♦ 1 energy calculations for heated additions 71 &sM~.
♦ 3 copies of tree preservation plan If lot platted after 7/1/93
required: _ Yes _ No
DATE: ~TA7A?6 CONSTRUCTION COST: '~~l~~
DESCRIPTION OF WORK: X
STREET ADDRESS:
I i
LOT ~-7 BLOCK J- SUBD./P.I.D. Ae,-r 10<1 Gl ~oajA] r~ +cYs
~~£X .!-Car - 045
PROPERTY Name: -7N~, Phone#:
OWNER
Street Address* 9W-1 ZLY
City: (?VA) des State: _ Zip:
CONTRACTOR. Company: Phone
Street Address: License
City: State: Zip:
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address"
City: / State: Zip:
Sewer & water licensed plumber: 1/0 Ile, f~ ~eU, f Penalty applies when address change and lot
change are requested once permit is issued. -~U
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:
~ti~ 1191 P ~ [ADD
OFFICE USE ONLY O
t7 f~~~
Certificates of Survey Received Yes No MAY
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
Y
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 Li 21 Miscellaneous
❑ 05 SF Misc. 11 10 = plex_____-❑-a_S- Dec
WORK TYPE
~31 New ❑-33- Alteratioris ❑ 36 Move
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. s73 MC/WS System
(Allowable) -0-1V Main level sq. ft. 4,.573 City Water
UBC Occupancy 3 sq. ft. Fire Sprinklered
Zoning K 3 sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length o.o sq. ft. Census Code. /02
Depth 7Y> Footprint sq. ft. SAC Code 0/
Census Bldg i
Census Unit 1
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC 2 J
City SAC G6f ' J
Water Conn.
Water Meter
Acct. Deposit
S/W Permit ro
S/
W Surcharge ~
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
-his supplement is proi•ided to assist the applican: in co:pu:ing
M.-SIOF. T_?',,7 0.°1AS'tPJr ?l OF. I1:FOP' :0::. his Lion is required so the SUZZINC DFFICIA: can determine that
submitted plans co=ply with the LKERCT CDRSZRV k ION D_SICN CR:7`r.1A
of the S-A-r BL''I_DIhC CODT_ (Sec-ion 60DO). 1: is :he
responsibii4--.Y to accc.-a:e!y compu:e the dart; re-`lee: :he proorr
D=S:CN Cr: -=i.1A in the plans; submit product speti!ica:Ions,
nee6ed to support the "B" and "Lr' :actors used; and :o assure
censr-u::ion is ner approved plans.
JDS LOZ-ATIDU D~LfzW
DWIQ=R(5) PHONE _ -755"<::r7P
CMTRACIOR PHONE
E., Determine the iozal -Exposed Mall Area as follows:
Total wall window area 141
2. Total door are_
7oza1 s7idino class door area N ,d
4. Tcta7 f9reDlace wall area ZS
Total wall framino area (averaoe
TczaI net wall area above floor IoZo.Q
Toza7 rim joist.atea: } A _
I '~35
SUS OTa" Gul exDDsed wall area above i,1007
2. I07al fDunda.l Dn window area
F. TDZa7 net foundaziDn area above evade 103,
SUSTOTAL: TD:aI exocsed founaation area c~ 5
GRA,0 TDT?! EXPO=SD WA ! -AR A
!iu7.iPiy :re GRAND TO, 11 WALL AF-A -7
C. .Laze.::ire the Tcta7 =xncsed LD /-chino Area as 'o77Dws:
ID. Total skylight area
a. Iomal rDDf/Ceiling =rasinD area 1 2
i2. Total net insulated rDDf/Ceiling area
:RAND TOTAL EXPOSED RODS C P Iitic AR---A 132
D_ Mul_iPly the GRAND TOTA1 EXPOSED RD"u=/C=I'_II6n AREA x•~ z zem ii 3
De. r=ine :ne "L" vtiue of ea:h searcr.: and =1:iply by .ne area as follaws:
14 4A 69 , I
L--0, I X -L" r3 -7, 8
4. z5 X °u" 05 •ZS
1385 X oil = ~-2
7 . N ~k X U.,
x lull
103.3 X U., 13 z ~ ~ . 4
ADD 1 - 9 FOR TOTAL WP S_u~ZI,75 F Item i1I I I '1.~T5
Determine the "U" value of each sea ant (10--12) and multiply by the area as 7011DNS:
1D. r~ln X l.un
Ull 4.
PlUll
ADD 1D - 12 FOP, .TDTP! P.DD= r -Ti IG:: c= zw.-f"T5 = item IV 1 c,
I~e.n ND. _sI is ~ne Sam° a5, C' 1_SS -h=_n .tBm I1~. 1. you n3 V? ii tP.°_ ln
- rf St_-= Building LDC_ ODDS .2
n'D. IV is the s.^.n-e as. Dr 1°-SS than ii=_m N, a, you have u~t _he intent
GS S`t°_ Building Lore 60US(c)1.
rad _tem inc. I 1~3. - __eai ric. .I 3y-q =
Add Item No. IsI I4-7,45 - I_er.. Kc. iv 3o•ca =
'-'tha' sum Di .ms L.'I and 1V are i°C5 :han I_ems I =n! _i, yD❑ na Ve ;71=i :n°_
Ci the- CDCe- i- Dr .Dtwl =-n N.e1DDe Sy>-_eSi (5-:a a Bli idiny Cabe 600D and )l:DS 607---D.
Gverall S_r-u ure PerfDruLn:° Al _rratl ve).
- _ me r7.^dersianed, as avD1iL'nt for a BuSIdin4 hereby
ciiimns the abDVe informz tiDn has been prepared and suu:u~.t°ed
by himself Dr under his direction, hereby acl-nowledees the
info: 7rapion to Corr and a=^.•rratt; and hereby DrS°AS
the info.:LL ti on wl`_n `required plans in support of -he 3uildinc
Pe. rrt Apaii::_icm.
Si Ana - "T}w
C2 - Z4-9 S
Late
{~rfatiarra~iaa A-~i'- s' I.MMV=64 N16 taaalatiaa p2--~~I
G1i0 Hi Apntisd
mrio.e Dmn RJ:f(seaa Olt Prall 166 G•al c++amr Faaf Flaar ~+ad
)=F11S Room I flnrt6 11- `r -Ids I fieirk ~'F7 Rrom I Leartb 1 STidth l Fxirht rb
7udw % and Doom-Craclart fwd Arta Cr6a .r and Drop-Gaekare aed Aru LF
wYU N.Yw( wwa y~lla wYY N..Nt •`wk ..r1 aL •w
'~r
N.. of e. w. I .f r hrab d we.a I •a. K Na .1 I..w v Igey 1 ....Y w. ft. r 1 ~i
I: 12 r IZ.G~ z zt3 r IS .2 1.~ L1)
I 123 43 L m.3 IS. I l~ I 1(0111.6
I I I 3o lal-3 116.6
I Cocf.1 f3ta 1 12E J' I LC-I) 13 I 135 l cocf.1 Bru
]r5lerat on 244 P S lafilVatioa I JG • 1 I I -5
Glaaa 27 I "33q char If3~~ 4`31 3~~ 4
Ex;. wall 'Z243 Fsv. Yrall 1 S I 1
Net exp. wall 1 12 4.24 t:et IS¢ IZ~4 v 4,'L 1 5Z
Int wall
F,.w e I I
+z~ Z z54 awav
13151 2 130
ca• I IZ~. - zs¢ c 1315 I Z I (30
Toul Btu. 414ck --T 1 W B 1. I I O~ 41
Rewired so. ft r D.R. or sq. ins. W:A Radar area Required so. ft E DYL or aq. ma WA Leader area I
ICJ .1 DIr1I AL= Room 1 Length I I W dth I kg Huh: g I I I 11r Room I Ira I1o3 W;dth 13 HciF6t I Q_
Wlnfiaw and Doors-; Crac1_age aad Arcs window and Doom-Craekare and Area
wlete b ..hL hr N "-W It Ar.a 1161"r Mutat h.• el (t ^a
N4 I el I.L.O. I eI Ir.. I llrkt. I .1 eat I K. R Nw I 1 w I .f rw. II.eY a0 r.ek l
I zo 1~ 3 Zo I~ 4-°v 1 3 I w
I I I I I ~ I I I I I
I I I I I i I I I I
I t I I I Ico f.1 Btv t I I t I Ie°ef"I B:c
i_ltrztiaa I zo I I I tom laiiltratioa I I I ~I Ioo=~_
Imes 1481 r-ZO o _ct,, 174 I~31 IISZ
_f.. wau Iii` ( i fir, wau 1-2-1 CD I I
l,d ~.w•ay I~°. 14.1 5-2~ 2 nat av 11921 ~E3 I
I t w2u I 1' I iat wall • 17- I Z I -z
f11Nf I I_ I I z 3 r'.er
_ 113 I z l ~ 12tD I Z l 3~
J etal IS:L 2 7~ Jaw Btr_
Ree((i:e-? se. ft =D.R c aq. ia: V-A- L:Accr arse 1 Recuir cd s ft D.R. i._ V.A- L.L= :area
MFRIFBYc; Roc Ii"ngtl 5- Gdu H-h; IC) MIS,.IW1L e~T R.=ILcngtll0 i tGT r._s lc°~
Gladaws and Doo:>--cra'".- and Arta. Cvindow and Dvcr-- racl:are and Ana
W WiL 6tltkl is a. e. 31e..! L• Ar.a alYtn T.4at h~ 4 J.-l IL Ar.a
rI< I O( 9.n. 1 OS WM 1 11t1.Y I e2 [Tact 1 S Nw 1 .1 Nn.1 O(J.n. 1 I of t^Lk eC• rt
1 1 14 1 6 I 1 12. IS.p I I I I I
1 1 6 1 IIq. I?..o 1 I I I I
I I I I I - i I I i
I I I I I I cif-1 I~-a I I I I I I eoc`-.1 Bit
i~tntioa 1 1 I 1 1 ISd Ir,nltration I I I 1
Glus I zS Z I I Z ~8. Glass I O I 1
c z wall I I I :st wall iF~~ I I
Net wall 1 Zft 2 ~4Z1 102 Net czp wall I ~ I~•21 3~2~
int wail I I In' wall ( I 1
fllwr 14S z { CtO I7~•il
C el I
cl:l 1203 I Z I _
i Required Bet z~ t~ a al Btti I I 1 3
Rqu(red s. ft ~DIL or aq. ina. WA Lu =r xm* I _ Rcq-eired sq. ft Z--D.?-.or sq. ins, W.A. Lraoer atea l
Guabt*srs+va ~Gti s .~..eomsa t:~ y.dar;oa ~j-z
Deon Rcf:tce Qt WAR I laL c.'.Y Gismt R.ef Favor Ivied lie- Apoiied
~LJ" ReomILcnrtLC{3 Vx" Iq Fmr;0it FLI Re zaILAerth each ficir}st
Wiawtiows and Doors-Cracl;agt and Arta G•adswr and Doer.-Gac}are a\d Asu
tiro Nwr\t N. DI L_. .LL a.ww tiro Nwr\t t•.M L.rl 91 wr«
%w •I D. w.I •I U[\U .f .rwrt M R N. •I ls.+ •I V. III\r N.MY wt. rL
I I
I
t I I
I qtr. Btt I I I I ICocf.1 Btu
Inlilvation @yatIoe I I
Clali CAM I I I
Lp. wall Exp. wall I I
Net cs:p. wall --4 •2 I l b Net =P. wall I I
lnL wall In r
Flom 1-7'z Fl., I I I
Ce21. r-14. z c-3. I i I
Total Btu. Tow Btu. I
RcMircd K. fL D•R. or sq. ias_ W A- Leader arcs Reouircd aq L 1_DP or ac. ins WA Ludcr area
'T 1•Itrl RoomI Length Q) Width 1 q Hci:hl ~ FI.I Room I Lcn i Width Height
Windows and Doors-Crackagc and Area G.indnws and j)oon -Csar~age and Aru
W Iota hgrnl has Lwrl 1L ••I IL I wrDa
Mry N.Ir\l h. .l liw
Ns Of D. w. et D.n. I IIraL I al eDCY I Sr R I .I stir I yr I llr.v I a er.eY q. rL '
I I Z i g i t 1-7, I I I I
I ~ I I I ~ I I I I I
I I I I I
I I I I I lief-I are 1C.271 Btu
i:_IC'ation 11~~ I I.~ I 3S Icfiltratinn I I I I
Gliazz h1:~ i4.W,l ~ Gliaar I I I
wall 12 >Z- I I wall I I I
Net cw wall 1214,314 2 I ~ op Net ~ . w&[I I I I
I-,- Wall I I I I--,- wall . I I I
7,.r 1 frJ L 1 I rleOr I
C''- I) SL I CCq.
Total Btu. I jZGt~ 1 otal Btu_
RcV tip se. fL ~_R_ or :n. in_ V4A L-scnr area I Reouired sq. t- _D.R. or sq. v. ~'1r'_ Leader area I
F-1.1 Roos I Length wizen - cigSt
Wine Windows and Doors-= ramlxgc and Ars
%D I : ft~- I Z~f cx~4 wluln N.Ir.I L,r.l .L
~z_, I I I I I -
Al
I "~"GaL , '~f3°3 I I I I I
I B e I I i I I I ~mf•I Btu
Itri GI .(j1.3oi-N J Irimtntion I I I I
cdus (..lass I I I
-p. To-I'g~~ 13~fUf5 ~ y :a wall I I I
Net r Net t=p. waU I I
1nL InL w all
Auer - - - I I i
w.,.....-
CCU. I
Total
•i_ Total Bm
Required z: IL =U.rt or sq. ens. VIAL Ls Cc:r area l Rtcralred sq. fL ED_ L.or sq. ins. V•A• Leader area I
PERMIT W 57409 Y
CITY OF EAGAN '5'0~ 0
3830 Pilot Knob Road PERMIT TYPE: BU L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 027613
(612) 681-4675 Date Issued: 05/28/96
SITE ADDRESS:
1584 ANTLER PT
LOT: 28 BLOCK: 1
DEERWOOD TOWNHOMES
P.I.N.: 10-20200-280-01
DESCRIPTION:
(ZERO LOT LINE)
Ruildi 4i-Permit Type SF DWG
h3uilding1,ogrk Type NEW
r UBC Occupancy, R-3 U-1
Cohstru:btion_ T~_Vtpe V-N
ioning R-3
t Bui:7ding Leng~#; 30
Building Width. 78
l
tisus C'o'd'e,t 102 1 - FAM. ATTACH
4'_I,.',m`i
Alr
61
REMARKS:
DUPLEX WITH 1582 ANTLER PT (LOT 27) S & W PLBR - VALLEY PLBG
FEE SUMMARY:
VALUATION $116,000
Base Fee $967.25 MISCELLANEOUS $1,923.50
Plan Review $483.63 Total Fee $4,332.38
Surcharge $58.00
SAC $900.00
SAC % 100
SAC Units 1
Subtotal $2,408.88
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 tfiatal have read this applicaCion and state,th.at the
information~is`'borreci' an4 agree''=to comply 'witH" all applicable State of Mn.
Statutes and City,of Eagan Ordinances.
APPLICANT/PERMIT NATURE ISSUED : SIGNATURE
CITY OF EAGAN t 4,M ~ JD
11L'3 3830 PILOT KNOB RD - 55122 54,,;` ~s
1996 BUILDING PERMIT APPLICATION ~n(RESIDENTIAL) iofs 3 + ,flak
681-4675 uN
New Construction Requirements Remodel/Repair Reaviremente
♦ 3 registered site surveys ♦ 2 copies of plan $ae
♦ 2 copies of plans (include beam b window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions d decks) 3/y Fz at~i fi►':3~e+~
♦ 1 energy calculations ♦ 1 energy calculations for heated additions ~ l3s Myc,
♦ 3 copies of tree preservation plan if lot platted after 711,93
required: _ Yes J_ No
~f9 °G CONSTRUCTION COST:
DATE: /
i
DESCRIPTION OF WORK:
STREET ADDRESS: - /,&S-/ AnYlel. ),17-,
? LOCK J- SUED.lP.I.D. „APry- r
LOT
N(LfiG£X c.7CoT - 07
49
PROPERTY Name: J GJd laf . %c. -s net Phone* OWNER
Street Address
City: = .its State: A) Zip:
CONTRACTOR Company: S 41,1-ner Phone
Street Address: License •2el; 2'6-
City: State: Zip:
ARCHITECT/ Company: S~f I Phone
ENGINEER
Name: Registration
Street Address-
City: State: Zip:
Sewer a water licensed plumber: /0Ile 4 erkll' 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.
=~1
Signature of Applicant:
OFFICE USE ONLY N~ i " WE
~Q (b~ 1996
Certificates of Survey Received _ /Yes No MAY 9
Tree Preservation Plan Received Yes No -
OFFICE USE ONLY
BUILDING PERMIT TYPE
o 01 Foundation o 06 Duplex ❑ 11 Apt-/Lodging ❑ 16 Basement Finish
x(- 02 SF Dwelling o 07 4-plex ❑ 12 Multi Repair/Rem. 0 17 Swim Pool
o 03 SF Addition ❑ 08 8-plex 0 13 Garage/Accessory ❑ 20 Public Facility
0 04 SF Porch o 09 12-plex 4 Fireplace 0 21 Miscellaneous
o 05 SF Misc. 0 10 - le
WORK TYPE -2,r~0 - z r - L
ta" 31 New -33--Alf&ratio6 s- o 36 Move
o 32 Addition ❑ 34 Repair 0 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. /,573 MCNVS System d~
(Allowable) Main level sq. ft. ins 73 City Water
UBC Occupancy 3 sq. ft. Fire Sprinklered
Zoning < sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth 7e5 Footprint sq. ft. SAC Code o
Census Bldg i
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ 60--)
Surcharge
Plan Review
License
MCNVS SAC < 64
City SAC l G b j J l
Water Conn. G.
Water Meter G s,
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
L BL CITY USE ONLY RECEIPT#: snot?
~
DATE: `S
SUBD. &-/;w
Lxe
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 N-Q. TOTAL
Shower 3.00 x 3-
Water Closet 3.00 x a
Bath Tub 3.00 x t = 3 -
Lavatory 3.00 x a
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x 1 = 3-
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x = 3-
Floor Drain 3.00 x 1- = 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 71
SITE ADDRESS: 15 14 L L^ 0
OWNER NAME: GOA Un`'j r
INSTALLER NAME:
STREET ADDRESS: (J W A e ' e
CITY: iSTATE: ZIP: S636 a
PHONE
STU E FFERIVIIII ht-
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 commercialtindustrial buildings.
P multi-family buildings when separate permits are Dg1 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 FLUSHOMETER S 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:
L c,~Y BL CITY USE ONLY RECEIPT#: 416,
_L
r SUBD. DATE: & 96°
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4676
Please complete for: ► single family dwellings
► townhomes and condos when permits are required for each unit
FIXTURES EACH TOTAL
Shower 3.00 x I =
Water Closet 3.00 x
Bath Tub 3.00 x I =
Lavatory 3.00 x y =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x
Hat Tub/Spa 3.00 x _
Water Heater 3.00
Floor Drain 3.00 x I =
Gas Piping Outlet " minimum -1 3.00 x = a
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
So
TOTAL Jam" U
SITE ADDRESS: V5 9 LA
OWNER NAME: • & v
INSTALLER NAME:' C
STREET A RESS:G~
CITY: CL~ STATE: ZIP: -
PHONE#: ( ~Iz ) ~1a `ZI
IF PERMITTEE
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 commercialfindustrial buildings.
► multi-family buildings when separate permits are ngj 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 M SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE: INSPECTOR:
CITY USE ONLY
L -Z BL _L RECEIPT
SUBD. AitDIJ 'AB+wiJ DATE:
1996 MECHANICAL 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
X New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: r r i 11,,
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 @ $3.00 each)
► State Surcharge .50
TOTAL
SITE ADDRESS: Pr--j LC/- J
OWNER NAME: ~'r PHONE
INSTALLER NAME 2M ' n I
STREET ADDRESS;'-- C-' ' - • ' L-'; j '
CITY: c. n i i r•. STATE: ZIP:
PHONE
: i 4 ~.~y."- ^if y . a i.?^.. - 4 4~jGT • ~ Fa± c•'1 . :kU~ „y~, y..t Tl '4t.' .S>K' t W' R.1;~ 1Tr. '5t St iYPy,v N}i yr, ^S
c ky , t'~: ,L ~SS.'P~ t, ,a E s3. t.ti are a,`~,,'?.,-~,~ _r's3,~ ?y' c s hV..a" " ,'2+~' i"y. Ts ✓
•rI,✓~
,yi
i ...PPPPP A ,r. ~tir }r xL ^{k t.," 1 >1' '4 N 1
Fc'CITY:USErONLY"
,`?ii,~1 „t,~: ~ a Via- : _ x . , "3~~<y• p~~`~•`Y~"~~ =rv~y y, ~t xRECEIPT ~ ti - - ~
SUB ~4. 2~ r•+ 4w, y'x Z{ ;td 3 S r ur~l f M ~ Er
JfA"Gr^'.
r~L.rGE r ~~1 a b2"9 .t SG~`s ,,«6,'
Y++6T„'-'..'~wx
I 'a
='JZ-ras's5
~'~y ) 1996 MECHANIC~41: P RMhT(ESID
530-310," T,IAL)~~, . ' IN
P y x. i". art t b'n, tl h ~y Y
_ 4 F V O EAGANr '
kroF t AS% 4`s.'A
b y 4 x~7$k xr.,ge„ '`-d.} t' z M L'+w s 1 Sk 1:R
f r~~p'((~ sa : 3830PI°OT NOBRD'
a s"*: rkt kww-xi. u*..as k:ah`'.`ise 9t~`t°r7'IR"". +°t a+"s
1T,vI or K11 c. w, r r ~s. EAGANN 55122 v. & z j' b' •t. s zn
r. . -h 'r-°". tyga►x 1 ba y bA'. r .fu. 4a4~.r 131's i'ti~ 0 ^
7 .M d 3Fr<ra N TES'., t r 1 1' ^6
Ws~uF.a (612) 81.4675
teat .a.'
4 ,x„jt Zt,°+~{ry,,~ Y~'
?J.i..~(.. ,•.t}'"~j.~b .~``~`~'a ~ ~~5„aa''"•SS.C'r...fa'~.;~"~~y~..-a';';{t.•.✓+'~i.i"s"%',• `.~'~,~s; 73ti.?s
Please complete for Y►~`sing a family l e g :
P `rrv,'p""~",k ; } -.£E ` !{k!~'. A~ 11 k" a""° ~pqW` ►~°top nhome}sypariyw~cond"ikn ospw.hen per~mlts are requirryeach'unit?=^.
h'. s6."'FU y~4 "yis:S' ri' ':i~#rr2r ",i .'t y n.'° `iC• i s `r I"
,.2. 1'*, ;rn J L• Y i.'. - ~r F, "4 t; w'`+,~`Y~i
New.construcUorr+. ; .:.r~; Add-06fu ace
x x F, z s .r'":' 3y ts'. 7a . as
:t ~~"•Y4'.~r_, a.r~F ,t"S`. „~:-}`.'i~'~.."r. t~:., p„ _-.t.s -
.'•0'th. a ~u'4 wf't J';ti T` ka 7'y,.'sI~ `Y'R' y~.~ ~i .ye~ i;~x.. z~ `~t~b'<.~
T', S" .y. , r' »'°••.f},.0 '-hs-+-...,..,+ € *b ~r~''`.7'rt i ~~rir.>i3~'' y .as'l~3'Lk'.'Ru'..si 1 wv w$t'i't
`1,14 F s..4.>° Add omair=cond toning - r' _ Ada On alr exchanger, i e Vanee system, etc°m. } t,'
qd t [a` F g `3 3 i ;,zp x,r ru:il M("ut 4 yyss'~„xre a o-.. r. vy rr "'rr'L:.a"'~*'i'n'4 q .+'3
n ~ ~ r r r[[g Mt 3 ~a'fi,ay „y`"n ~~M "L ~.'fi ! y c YAIY,! r t ~~ASrc+x+~ f h~8~ .~F' rGHf.J„s *v q,~mrT ~`~Iyj~i~.' f5 i+. ~s "
1' 40 h n; ^xdE,
~y{A ldtC t~4
it
ir~ i g"'l. '"9.;1$" ?4°.e'~' 'a'S tj. ':v Yt~*~"F"t~ '"1^;.roe "n~, ~t~i. .'!'7-a.L,°.'~Ya,Y<E':d:+~ tt, p' y. '.=5 °,"'-e' 'Srr' - .•1
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SUBD_1,0UtL4,~ v1l~r~e~~
NEW RECEIPT # X9505
RECEIPT DATE CY Y 7n
DATE
TO 57z-Z.ll %SnP~ lee- ~/l G
JOB ) 5 lle2
OWNER 4"avals Ya' //f 'e- W S
PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABOVE
ELECTRICAL INSTALLATION IN THE AMOUNT OF $ O
REMARKS firer! T2 7
0 - 30 AMP CIRCUITS
31 - 100 AMP CIRCUITS =
0 - 100 AMP SERVICE =
101 - 200 AMP SERVICE =
TOTAL FEE DUE =
LESS FEE RECEIVED /
TOTAL FEE SHORTAGE DUE _ ~J U
PERMIT # 31 L S1
ORIG RECEIPT # C~~ 5
RECEIPT DATE
PLEASE RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE.
THANK YOU
L QL B~ n .
SUBD 4QJ A,, h'~jrurul( n o
NEW RECEIPT # / 9SOS
RECEIPT DATE 9J
DATE
TO /-5 e
JOB /6n I"-lee
OWNER ~roop+~ l~~r~cC e ffv~z
PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABOVE
ELECTRICAL INSTALLATION IN THE AMOUNT OF $ 3
REMARKS T~C< ref Z m
/ 0 - 30 AMP CIRCUITS = 7
31 - 100 AMP CIRCUITS =
/ 0 - 100 AMP SERVICE = /
101 - 200 AMP SERVICE =
TOTAL FEE DUE = / Z d -
LESS FEE RECEIVED g~
TOTAL FEE SHORTAGE DUE _
PERMIT # -31~ - Co" 5
ORIG RECEIPT # 6 q/ 7
RECEIPT DATE /
PLEASE RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE.
THANK YOU
WAVER 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 ..12,,; - r;,
Deerwood Townhomes ($2,895.35/Lot) ($86,860.47 divided by 30) for the benefit received
from the following improvements:
ITEM QUANTITY RATE AMOUNT
Sanitary Sewer Trunk 6 Lots $800.00/Lot $ 4,800.00
Water Trunk 37 Lots $835.00/Lot $30,895.00
Storm Sewer Trunk 358,712 sq. & .02/sq. R $ 7,174.24
Storm Sewer Trunk 195,128 sq. ft. .076/sq. & $14,829.73
Lateral Benefit Water 899.51 ff. 25.50/ff. $22,937.50
Lateral Benefit Storm C K
Sewer 1 Lump Sum 6,224/L.S. $ 6 22 . 0
TOTAL $86,860.47
to be spread over five (5) years at an annual interest rate of 7% against any remaining unpaid
balances.
The undersigned, for themselves, their heirs, executors, administ<ators, successors and
assigns, hereby consent to the levy of these assessments, and further, hereby waive notice of
any and all hearings necessary, and waive objections to any technical defects in any
proceedings related to these assessments, and fiuther waive the right to object to or appeal
from these assessments made pursuant to this agreement.
DEVELOPER AND OWNER
GOOD VALUE HOMES, INC., a
Minnesota Corporation
By: Betty R. Hardle Date
Its Chief Executive Officer
By: Jon R Peterson Dat
Its: sident
DEERWOOD TOWNHOMES
k
C.~a , :k4+'' ..Si. '.its>. ~F;:$
k X.
y.
FINANCIAL OBLIGATION
• :.•.;rf::iSet'ee+ LEGEND
a°F•a+'d "4401100m Lateral Benerlt Water
\
Intl Lateral Senelk Storm Sewer
• • Sanitary ::~~.•';~»r;. : . " Sewer Trunk
Starer Trunk
, r~ • ' • # Storm Sewer
T
rank
s1■zr f or a eiusn
RECEIVEL) AUG 2 1 1905
RFrFlvr-n Am 2 1 ;nnr
STATE OF MINNESOTA )
) ss.
COUNTY OF DAKOTA )
da of 1995, before me a Notary Public
On this A Y n rr~7?ilj £ JOHN R-
within and for said County, A ly appeared
PETERSON to me personally known, who being each by me duly sworn, each did say that Value
Inc they are respectively the Chief Eacecutive Officer an and President o Good instrument waHomes,
signed on that said the corporation named in the foregoing instrument, an
behalf of said corporation by authority of its Board ftD rector frand ee said Chief Executi
the
officer and President acknowledged said instrument
corporation. ~p
Notary Pu 'c
M CY V
1 3t.2ooo
APPROVED AS TO FORM:
' Attorneys
i
ated:
APPROVED AS TO CONTENT:
G&'0-X4 -
Public Works epartment
Dated: 6e f f -2-2 ~ 9 i -
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
CITY OF EAGAN
CASHIER: 5 TERMINAL NO: 779
DATE: 11./09/3$ TINE: 1.3:22:36
ID.
NAME: SUBURBAN GROUP INC
215; 9001 100.00
3210 9001 1551 ANTLER FT L62.25
3210 9001 1.550,:; ANTLER PT 162.25
32.1.0 9001 1.559 ANTLER PT 162.25
32:1.0 9001 1.563 ANTI ER PT 212.25
32it 9001 1.566 ANTLER PT .62.25
3210 9001 1567 ANTLER PT 162.25
3210 9001 :0570 AN'T'LER PT 2:1.2.25
1'210 9001 1`•.171. r1NTLI R PT 162.25
321.0 300:1. 1575 ANTLER FT 162.25
CRO99222 CONTINUE
USER ID: NANCY CONTINUE
is################W############# CONTINUE
CITY i.iF EAGAN
CASHIER: 5 TERMINAL NO, 779
DATE: 11/09/98 TIME: i.3"24. ii
IU:
NAME: SUBURBAN GROUP INC
3210 9001 1579 ANTLER PT 212.25
3210 9000. 1582 ANTLER PT 2:12.25
3210 9001 150;3 ANTLER PT 162.25
321.0 9001. 1.586 ANTLER PT M.25
3210 9001 1587 AN"FLER PT 1.62.25
32:LO 900-1 3985 FANN WAY 162.2_'5
3210 9001 3986 FAWN MAY 14-,2.25
3210 9001. 39EI9 FANN MAY 162.25
3210 9001 3950, FAWN WAY 16r.2.25
Total Receipt Amo..nt: :392.1'0.50
CRt:3992?2
USI::R ID: NANCY
CITY OF EAGAN PERMIT
3830 ilot Knob Road PERMIT TYPE: B U I L D 1 N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 9 6 5
(651) 681-4675 Date Issued: 11/09/98
SITE ADDRESS:
1582 ANTLER PT
LOT: 27 BLOCK: 1
DEERWOOD TOWNHOMES
P.I.N.: 10-20200-270-01
DESCRIPTION:
T.D. & REROOF
Building-Permit Type SF (MISC.)
Building Work Type REPAIR
'Census Code 434 ALT. RESIDENTIAL
r
i
I~JI - J
REMARKS:
INCLUDES: 1584
FEE SUMMARY:
VALUAr'[nN $14.000
Base Fee $212.25
Surcharge $~.@.0
Total Fee $219.25
CONTRACTOR: - Applicant - ST. I TC. OWNER:
SUt3URBAN EXTERIORS 18818232 4289 DFFRWOOD HOMES ASSOC.
9701 PENN AVENUE S 1.582 ANTLER P'r
BLOOMINGTON MN 55431 EAGAN NN 55123
(651) 881-8232
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Min.
L Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE IS UED BY, SIGNATURE
1998 BUILDING PERMIT APPLICATION (COMMERCIAL)
CITY OF EAGAN
681-4675 1 ` _ OI _ 1
Submit following to obtain necessary permit
Foundation Only New Construction Interior Improvement
structural plans (2 sets) architectural plans (2 sets) architectural plans (2 sets)
civil plans (2 sets) structural plans (2 sets) code analysis (1) "
code analysis (1) " civil plans (2 sets) project specs (1 set)
soils report (1) landscaping plans (2 sets) Key Plan
project specs (1) code analysis (1) " energy calculations (1) not always "
Special Inspections & Testing Schedule " soils report (1) Electric Power & Lighting Form (1) not always "
SAC determination letter from MC/WS - SAC determination letter from MCM/S - SAC determination letter from MCANS -
call 602.1000 call 602-1000 call 602-1000
Special Inspections & Testing Schedule (1)
project specs (1)
energy calculations (1) "
Electric Power & Lighting Form 1 "
Contact Building Inspections for sample
Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details.
DATE: ,,-3 WORK TYPE: _ NEW _ REMODEL
DESCRIPTION OF WORK: -e4" tea/ bgks~ _
CONSTRUCTION COST: UEf. O(0C) TENANT NAME: k -o(-PY\Flowv
SITE ADDRESS: Sgt L gEllkl ,,MQ--r SUITE
LOT a~ BLOCK ) SUED. P.LD. #
Name: Phone
PROPERTY Last ~i r C First r p
OWNER StreetAddress:
City _4 State: J-A,1!2, Zip:
Company: S~bur r { 54a io!$ Phone 'I%>- t- e Z32
CONTRACTOR 7 n
Street Address: -9 r[ c)\ Peh Yl License # 42Bq
s
City CXYh State: Zip: 1 Y
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (only if installing sewer & water):
I hereby acknowledge that I have read this application and state that the information ' TAAkO ct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 19 Comm./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 a 11 D . a)_ Valuation: $
Surcharge -7,C)
U
Plan Review
MC/1NS SAC
City SAC
Water Conn.
S/W Permit
S/W Surcharge
Treatment Pl.
Park Ded.
Trails Ded.
Water Qual.
Other
Copies
Total: 1
% SAC
SAC Units
Meter Size
Use BLUE or BLACK Ink
r
For Office Use I
I ✓ ~ ~ I
City of Ea(IQH I PermitRd I Permit Fee: (p3-75- I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2`013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: _ r ) /V, -66c s Unit
Name: l JAW 76)Uo'+j ff-0 `"LL 145D~ l~t¢_ /Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner _X Contractor
O~
Description of work:
;.Type of Work
Construction Cost: Multi-Family Building: (Yes /No
)
Company: /!Contact:
Contractor Address: r.;?_1-70 s X11 S~~`~ E~ City: LJtf~- r~ ~l~ 4r
State: /U/ Zip: Phone: ~b 1-1,20 . 1% 6 7
License Z C Lead Certificate S C> 413
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 author ed by a building permit issued in accordance with the Minnesota State Buildin de must be completed within 180
days of per snce / L~
x X
Applican ' 'nted Name Applicant' ignature
Page 1 of 3
L
Use BLUE or BLACK Ink
�________________-�
I For Office Uss I
� � Permit#: ���a J� �
clty of ����� ; . e/_ / �s �
I Permit Fee:__` �G'(� , i
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: '�� � �
Phone: (651)675-5675 � �� I
Fax: (651)675-5694 I Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ��J`�� ;�-n% �� /'� Unit#:
Name: / !�T�,S Phone:
Residentl �%
' Owner Address I City I Zip:����� ���� �" �
Applicant is: Owner �Contractor
Type of Work Description of work: %�e S�%��� r Inr�nC�v�-S �
Construction Cost: �` f��1G�� — Multi-Family Building: (Yes X/No_� �����
Company:_ �ihc�'���,n ��ti�e Contact:_ ,��,� I-�°i�P!� �
� .✓ �
Contractor Address: ���� ���� City: Z✓h i�- ����,r �:,� �
State: �'I/UZip: Sy�� Phone: � vZ '"�jG�'�f�3Email: �
� � � � 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 � ��
3
7
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? j
_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 wou/d permit the City to #
_ � conc/ude that fhey are#rade secrets. » � ��
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. CaII 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X �� , f __,_
i L`l w�i/ C�7 r,�/f X �
ApplicanYs Printed Narrye Applican�s Signature
Page 1 of 3
, Use BLUE or BLACK Ing4^�
r..--���_________���.f
� � � For Office Use �+-�
I , I � J
� � Permit#: ! ��� / � � 4}I �C
�lt 0� �� �Il � ���r
� � i Permit Fee:���� �� �,����
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: "� l �
Phone: (651)675-5675 RECEIVED � �
Fax: (651)675-5694 I Staff: I
I I
OCT 12 2015 - `----------------�'
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �� ��^/S Site Address: �s�� �7ri�/r'�" ,,,/ �'0/�� Unit#:
Name: Phone:
��S lt,��t�� l .
(1�y��1' Address/City/Zip: /��o� �/7���'r ��j/'��' .�,r'.��G��
Applicant is: Owner V Contractor � ;�
:�.��� �����,� :, Description ofwork: �D6���ys` �tid^ �D��-� p�j P,Cjs'�l��j .C/�'G,C
/ 8l��• �� t�
Construction Cost: i Multi-Family Building: (Yes /No�
�`� Company:�f'`r� ��t',5���� �/91J� .1/r�C• Contact: J�P �7` / �i°��Di'1
C{)ti�l'��'�Ql' . Address:���� � S����' ��� c�ty: ,���� .�'.�i��'
: State:�� Zip:S�a`� Phone:7G�--Z Z g" J q�y EmaiL• ..�p�t� y� J� l�" 1�V{ ., �d�
License#: �� 6�7 07�� Lead Certificate#:
If the project is exempt from lead certification, please explain why:
- -- ,�Gl���� //� �9r'J,6
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�'3TE�Fl��s-a�c�s��tort�r�g d����#��`,�t��#��t ar�co���ec�t�r i6��ru��c i�f�r���tr Pc��s+�`:
' t�e�n�`�����n���r�e c���s�'�ed��s t�t�n�re�b��J�'yat�pr��ic��+s�e�c��re�o�s�f���I�i perr��t�se�,�i� '
cti��ite;��� ,a�e�d��ecr����
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. vwvw.popherstateonecall.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 J��'�'' ������ --.�..� __
X
Applicant's Printed Name icant's Si ure
Page 1 of 3
� ��� f�j�'�--��--�µ '��, DO NOT WRITE BELOW THIS LINE I �-��`T �s ,
SUB TYPES � �''` �
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single 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 Interior
_ Alteration _ Fire Repair Windows Demolish Foundation
�Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation `°..�� Occupancy �j MCES System
4
Plan Review Code Edition �;� 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 WaIL_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
�_ �.�
Other:
Reviewed By: �_, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC � �
Utility Connection Charge
S8�W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
.
� �ERTI�'I�ATE OF �UR�EY
f or
GOOD VALUE Ht�1VIES l.���/��
� PROP(}SED BUI�DiNG ELEVATIC�NS ��g� �+�C� �
Top of founds�tion � (r'? ____ Front of house _ 911�p_.__ �
Gorage floor �� � ____ Rear of hovse �L� _
. lvwest flaar ��- —_--- Walko�t N ___....___ ,
�
�— arrow denates drainage direction per develapment p1an.
890E denokes existing spot elevation °'��
89QP denotes proposed spof elevation �pdM9�n���
�+�•
BENCHMARK USED:
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� � �
NOTE: A�1 DIMEMSIONS ARE FQl1NDA�lON DtSTANGES Lots 27 and 28� Btodc 1. DEERWC?flD
( ) � RECORD INF{�RMA'RON TOWNHCMAES� e�ccording #o the plat nf
O E3ENOTES 1/2" IRO�i PIPE �e CAP SET �cord thareof Dakota County, Minnesoto.
LS. � 23945 � I hereby certify thot this suti'.wey was
� DENV7ES iRt�l PiPE SET prepared by me or under my direct
FOR 8U1LD1NG OFFSET supe�visian, and that I am a duly
o DENOIES WOOD lA1H SET �ic+�nsed Land Surveyvr under the
F+DR EXCAVATION CIN�Y taws of the state of Minnesota.
s� o v. � �
RSC�IHTERED P1i4PE88IONAL�LAND 6URY Yt?�.9
g446 PABT AIvER ROAD, t3lJITi� 81f9 Doflald E. Sigety, MN . 23945
CODN AAPID9, Ml� b�48� D o#e: � � q� �8�1 Ja�1`J r"J 14 �LO
Tel. 1�1lq 't66-88lO Fes. (817E1 786-�88�
JQ8 N0: 93--34 SGALE: 1 IF�CH =__20„M,FEET FIELQ BOtlK: 1� PAGE: � � � ORAWN 8Y: CKP
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA138673
Date Issued:09/13/2016
Permit Category:ePermit
Site Address: 1582 Antler Pt
Lot:27 Block: 01 Addition: Deerwood Townhomes
PID:10-20200-01-270
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mary L Titus
1582 Antler Pt
Eagan MN 55122
(612) 269-4165
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140524
Date Issued:12/28/2016
Permit Category:ePermit
Site Address: 1582 Antler Pt
Lot:27 Block: 01 Addition: Deerwood Townhomes
PID:10-20200-01-270
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mary L Titus
1582 Antler Pt
Eagan MN 55122
(612) 269-4165
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature