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1587 Antler Pt Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - For Office Use I _ i I Permit .W D City of Galan Permit Fee. 3830 Pilot Knob Road Eagan MN 55122 ; Date Recei ed: Phone: (651) 675-5675 j Staff: j Fax: (651) 675-5694 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone: RESIDENT / OWNER Address/City/Zip: 2 5S/22 Applicant is: Owner V- Contractor S 1~ TYPE OF WORK Description of work: QE gtg~- Construction Cost: l' .2r D o 6 Multi-Family Building: (Yes No ) Company:Afl G.Atq (r }rc9n~ Contact: "OE :^/ncs CONTRACTOR Address: /,2 City: Q R State: tJ Zip: la5-Z>-7I Phone: 7 " q2.o Sjc) License 01,2Z2 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, Pd- is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and proval of p X 0~\O& xllll~ _ Applicant's Printed Name Applica 's Si ture Page 1 of 3 INSPECTION RECORD (,--CITY OF EAGAN PERMIT TYPE: u 3830 Pilot Knob Road Permit Number; bCi b~ f Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: i INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. - r Permit Holder Date Telephone A SEWE WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD • CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road i; ! I Permit Number: ~ Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I I, , I I!;11 I I APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: t „ 10 INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. r ~1b1 I !l~, irslfir I Fsr1; Iq . I I I I I I I rJ ! I I:: ,1, i l+., 11 I !J I Permit No. Permit Holder Date Telephone s ELECTRIC 3A(KABING 7 Inspection Date sp. Comments FOOTINGS NCO FOUND FRAMING ROOFING ROUGH PLUMBING AIR TEST ROUGH HEATING ASIR GAS SVC TEST INSUL /~<3lQ GYP BOARD FIREPLACE o27~f~ j~ FIREPLACE AIR TEST f ~l FINAL PLBG FINAL HTG i ORSAT i EST BLDG FINAL 6SMT R.I. "P BSMT FINAL E DECK FTG DECK FINAL INSPECTION RECORD CITY bF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: I Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: f~f it INSPECTION TYPE DATE INSPTH. INSPECTION TYPE DATE INSPTR. III t: 1 3 ttr! t l i~. t i ~ 1 r+ I'' I{~ ! crr~ 1 N it ! I i Iti:•I l I ~ :I~ i Permit No. Permit Holder Date Telephone # ELECTRIC ~C11v70 //lv Q PLUMBING • HVAC 5B- Inspection ate Insp. Comments FOOTINGS FOUND ~Jf FRAMING / /A//2`ci4 ~1~~3 5rt c,</rv2 roe ...c f. _ s u rn 7 ROOFING 7 ate' Z-Z$ ~7 ROUGH _ O~7 y-y-~fG yG PLUMBING PLBG AIR T AIR TEST ROUGH Ji 73 7 7 HEATING GAS SVC TEST INSUL ~l 2 7 - is Z / - j ' Jr GYP BOARD tzv FIREPLACE FIREPLACE AIR TEST _ fINALPL-BG AW - - - FINAL HTG ORSAT i :EST [BLDG FINAL .2 BSMT R.I. t ' iSMT FINAL i oECK FTG -1 ECK FINAL f i 319 ®670 ® O/z`7 FFICE US77ONLY This reque .oid 18 months from validation dale printed in his bos ~9/7G PLEASE PRINT OR TYPE RLquest~( Dak n Raugh-m mspedion regmred2 Vas ~Mo Inspedion Other Than Rovgblm [I Ready Now 15"Y'll Coll r~V - " - -'1 (You mwl mll the mspedar when ready) Dole Ready I, licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Street, Sos, or Route No) Gry 2p Cade 1515~j Qry~U r% PE v, Sechan No. Township Name or No. Range No Fire No. Count, LL l Ck Occupant Phone No Power Suppler Address ookd-ck E Elecmcal Contmdor (Company Name( Contmdor Llanse No Master Lc No (Plant Eled Only) r~ ~ CA~I~t50 m0 ~Q d Mails, Address (Commoor or Owner Pedorming Instollo on) L4 - L)P- 00 U iG m x+43 Authoneed Signature (Conlrodor or owner Pedormmg Insmllahon Phone No 5 -8 EB-00001A 10 6/95 STATE BOARD COPY- SEE INSTRUCTIONS ON BACK OF YELLOW COPY II I REQUEST FOR ELECTRICAL INSPECTION 60 III II III II I IIJ I II II II I III II Minnesota State Board of Electricity * NNNO 3 11 9 6 7 p 6 IN 1821 University Ave Rm 128 St Paul MN 55104 Phone (619 642-0800 I,. _ /U~j"+7 ome Duplex Apt. Bldg. Other: ew Addn . Commercial Industrial Farm Remod Re air Air Cond. Hfg. Equip. Water Htr. Load Mgmt. Other. D 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. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # CircuWFeeders Fee Mobile Home Park Stall 0 to 200 Amps 100, Amps Street Ltg.aroffic Sig. Above 200_Amps Above 10 Amps Transformer/Generator INSPECTOR'S USE ONLY / j'~ ~ t OTAL Sign/Outline Ltg. rXimr. ata (-IJj./fff///ll~~~V//// ' qO Alarm/Remote Control Swimming Pool I herb.0, Ihm 1 : eaed do n esriEed heron on the dare. t.W Irrigation Boom Rough4n ate Special Inspection al t Investigative Fee THIS INSTALLATION MAY BE ORDERE ISCONNECTED OT COMPLETED WITHIN 1 M NT S. 319-671 OFFIC OSE ONLY This request void 18 months from validation dole printed in this box v 6, #4/9'7 ' 79505 PLEASE PRINT OR TYPE Regvest Date ry Rough-in inspection req ned? ~1s ❑ No Inspection Other Than Rough-In Ready N ill Call S-J _ ~ o ou must roll mspector when ready) Date Ready I, licensed contractor ❑ owner hereby request inspects o e abave ctrical work at Job Address (Street, Box, or Rovle No) CMr 1-589 Al~aLn GQ `Ctrl Section No. Township Name or No Range No Fire No County O.Pant Phone No Power 5uppher Address DaLotiG aaf--ktG n Canwdor b<ense Na. Mmter be No (Plum ElcOnly) Electrical Cooor (Company Name) Y1Y l E li CAO1150 G 15P a Mailing Address (Cammoor or Owner performing Insmllotion) 4D Orci Aye MQ 5)p443 Avthodxe f SignoWne (Controalor or Owner Per-Forming Insmllation) Phone No. T O/ EB-OOOOIA-10 6/95 STATE BOARD COPY- SEE INSTROCTIONSON BACKOF YELLOWCOPY f I 'II II III VIII II1 IIII I) II Jill REQUEST FOR ELECTRICAL INSPECTIO I 1A1111 N 11 Ifll Minnesota State Board of Electricity 1821 University Ave., Rm9. ~~/5 Paul, MN 55104 - 0 * 3 L 9 6 7 1 4* Phone (612) 642-0800 / Home Duplex Apt. Bldg. Ot71er: - New Addn Commercial Indusfrial Farm 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. -7 --3ef) li5~5 - //O l ' ~Q ~ 7 - <cial~ ~O Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee. Other Fee # Service Enhance Size Fee # CircuitsyFeeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Lig./Traffic Sig. Above 200-Amps Ab ve 100_Amps Transformer/Generator tNSPECTOR'SUSEO ~ TOTAL Sign/Outline Ltg. Xfmr. / Alarm/Remote Control ` Swimming Pool hereb cernf that f ,ns d he lednml instollaoon described herein on the dates rented Irrigation Boom Rough-In Spectallrvs ction Final ~at4les Sl l] Investigative Fee , ! V / T THIS INSTALLATION MAY BE A RED OISCON CTED IF NCIT COMPLETED WITHIN 18 MONTHS.' CERTIFICATE OF SURVEY for GOOD VALUE HOMES PROPOSED BUILDING ELEVATIONS Top of foundation 917-1 Front of house _ 1 •0 Garage floor Rear of house _!q~~____ YES Lowest floor (~9~]C___ Walkout arrow denotes drainage direction per development plan. 890E denotes existing spot elevation 890P denotes proposed spot elevation BENCHMARK USED: Top to L,77- 0-4 NyD194P J Goys l~ Aa I CLEV- = 90578 9 E^ ef"pe G % t~ 03 gEVIE 7ED p0 49 PROPOSED G 6 J gtlllOlNG By 3Y._ Co D )ATE. a EAGAN ENGlidI1ERIN DE 15' O/ S to Zq/Q 98 Building Envelope heI X80 1 x,91 15' O/S to q ~1 " E q15 1~. Building Envelop $2013'07 ^ 41 a a8 88.33 _ 4-- C 0.41 6.59 G AN • I1,N. J, ~•~Q gO4.0t 1D 6.59 16.33 ~ "1 q 2000 16.00 20 ~ ~ A- 10 4a~~ 0 1 140.1587 W O. IU POSED ci F++ u 1f3 i 2 TOWNHSOMDE GARAGE N O ~ 11n W %0 ~ TO N 5 ~ 0 r, n l `V r 0 0 6 q r F~ LO O 66.33 140.1589 O O O er 17.00 PROPOSED a O o PROPOSED GARAGE N 03 ~ r TOWI'1HOME r7 O 20 5qN . I PV. S z O 12 19:0~ 1 qd~•a} U~ - N to 16 00 16 " - 18.33 20.00 6.59 p~C3' TIG I7•-ld- v 6.59 sa.33 8~1 9 qU 13.41 S 8213'07„ W 15' o/S to 17 18ding Envelope 15' O/S to Q Building Envelope LEGAL DESCRIPTION NOTE: ALL DIMENSIONS ARE FOUNDATION DISTANCES Lots 1 and 2, Block 1, DEE°1ZY~OOG To 1 1-10ES ( ) = RECORD INFORMATION F 2ND ADDITION, according to the plat of • DENOTES 1/2" IRON PIPE & CAP S record thereof Dakota County, Minnesota. L.S. # 23945 N 1 hereby certify that this survey was ® DENOTES IRON PIPE SET prepared by me or under rry direct FOR BUILDING OFFSET supervision, and that I am a duly O DENOTES WOOD LATH SET Licensed Land Surveyor under the FOR EXCAVATION ONLY lows of state o Minnesota. PASSE ENGINEERING, INC. DOnald E. Sigety. MN Ic 23945 REGISTERED PROFESSIONAL* LAND SURVEYORS J 9445 EAST RIVER ROAD, SUITE 203 Date, /ao~l i9CO COON RAPIDS, MN 55433 Tel. (612) 755-6240 Fax. (612) 755-1362 I JOB NO: 93-34 SCAIE:1 INCH =__20_-FEET FIELD BOOK: 110 PAGE: 9 DRAWN BY:I)1J0 DEERCRTI.DW LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: 11'Z e,« Wow/ L / DATE OF SURVEY: d LATEST REVISION: ~E V DOCUMENT STANDARDS F O a z ❑ • Registered Land Surveyor signature and company ❑ • Building Permit Applicant Q~'❑ ❑ • Legal description R~'O ❑ • Address a~❑ ❑ North arrow and scale G3~❑ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) e' ❑ ❑ • Directional drainage arrows with slope/gradient % Ca~❑ ❑ Proposed/existing sewer and water services & invert elevation Qty ❑ Street name p~ ❑ ❑ • Driveway ELEVATIONS Existina l3~ ❑ a Sewer service (or Proposed) 62'*~'❑ ❑ • Property corners • Top of curb at the driveway ❑ r 3 • Elevations of any existing adjacent homes Proposed V ❑ ❑ Garage floor t1'❑ ❑ • First floor m~❑ ❑ • Lowest exposed elevation (walkoutWndow) ❑ • Property comers ❑ • Front and rear of home at the foundation PONDING AREA (if applicable) ❑ ❑ Easement line ❑ Cf' ❑ • NWL ❑ Gr' ❑ • HWL ❑ m~ • Pond # designation ❑ ❑ • Emergency Overflow Elevation / DIMENSIONS IS ❑ ❑ • Lot lines/Bearings & dimensions 2~ ❑ ❑ Right-of-way and street width (to back of curb) t~ ❑ ❑ Proposed home dimensions including any proposed decks, overhangs greater than 2% porches, etc. (i.e. all structures requiring permanent footings) ❑ • Show all easements of record and any City utilities within those easements • Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ t 0 • Retaining wall requirem ts, if any Reviewed: to e 7Z r° Name / T January 1996 cRAIG1996AaLDDPRMr FM ~as~9 PERMIT CITY OF EAGAN B U I L D I N G 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 028413 (612) 681-4675 Date Issued: 07/30/96 SITE ADDRESS: 1587 ANTLER PT LOT: 2 BLOCK: 1 DEERWOOD TOWNHOMES 2ND DESCRIPTION: (ZERO LOT LINE) Buildi'mg„Permit Type SF DWG =`BUilding Mork Type NEW UB Occupancy;, R-3 U-1 Construction Type V-N Zoning R-3 Building L'ength., 28 Build,i.ng Width.66 -Quiiddng.~stories 2 _A64hrsus Co`de` 102 1 - FAM. ATTACH tt yr i REMARKS: 1 OF 2 UNITS FEE SUMMARY: VALUATION $130,000 Base Fee $1,037.25 MISCELLANEOUS $1,923.50 Plan Review $518.63 Total Fee $4,444.38 Surcharge $65.00 SAC $900.00 SAC & 100 SAC Units 1 Subtotal $2,520.88 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)755-9793 I hereby acknowledge that 'I have 'read thisappl-icetion and state that, the a g- ree to,comply_,uith:all a gplicable.State of Mn. information is correct and,' Statutes and City.of.Eagan-Ordinances. NInP\jJ A I* APPLICA PERMITEE SIGNATURE ISSUED B1 SIGNATURq= ' 3830 CITY OF EAGAN 1t,I ~Q PILOT KNOB RD 55122 } U 1996 BUILDING NG PERMIT APPLICATION (RESIDENTIAL) 1%413 g 681-4675 New Construction Reouirements Remodel/Repair Reouirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; poured Ind. design; etc.) ♦ 2 she surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711193 required: _/Yes _ No DATE: 74)~ 1 l CONSTRUCTION COST: q DESCRIPTION OF WORK: ~~t5 7S^Coc ?1 STREET ADDRESS: LOT `Z BLOCK SUBD./P.I.D. #:°9°r~yo~ T~s~GL:7/~t~5 0~ L!L LX OT B'~ O°~ O4frns~ Ixte- Phone PROPERTY Name: OWNER MOT Street Address- '/Vc7lf_ L-- .e6l City: Gd°dr a1 jZJ'' State:MAII Zip: 53 X133 CONTRACTOR. Company: 'XI,7erC Phone a Street Address: License 2 City: / / State: Zip ARCHITECT/ Company: / ~oorl d/43" 4/-,n7--I- Phone # ENGINEER Name: Registration # Street Address- City: ~a State: Zip: Sewer & water licensed plumber: d c-, / - Penalty applies when address change and lot change are requested once permit is issued. 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 Minnesota Statutes and City of Eagan Ordinances. ~~77 Signature of Applicant: X. OFFICE USE ONLY rR IEC E Q M E D Certificates of Survey Received Yes _ No S9@S Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE + ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish rz(' 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool B❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. Q -p ex ❑ 15 Deck WORK TYPE ` ZE LOT - L / )0'31 New ❑ era i s ❑-36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) V ',v Basement sq. ft. /z- 38 MC/WS System (Allowable) -Z-N Main level sq. ft. z 3gs City Water UBC Occupancy /z 3 210 sq. ft. ss-e Fire Sprinklered Zoning re-z sq. ft. PRV # of Stories 2 48f. r sq. ft. Booster Pump Length Ze. oK sq. ft. Census Code. o z Depth Footprint sq. ft. SAC Code e i Census Bldg i Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 30, oez Surcharge Plan Review License ' 5,:~ 140 MCNVS SAC City SAC r o ~,S Water Conn. of l Gp Water Meter Acct. Deposit S/W Permit SNV Surcharge i Treatment Pi. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units F,y RMUM7 its rnnct r, SAM t~ l~ A--S rte-`. O TARGET We're growing - You wiii too! PERMIT ~~asa q CITY OF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 028412 (612) 681-4675 Date Issued: 07/30196 SITE ADDRESS: 1589 ANTLER PT LOT: 1 BLOCK: 1 DEERWOOD TOWNHOMES 2ND DESCRIPTION: ~ (ZERO LOT LINE) a6i1ding Permit Type SF DWG /B.uilding 4ork Type NEW U.BC Occupancy, R-3 U-1 Construction=,Type V-N - Zoning. R-3 Building Length- 28 Building Width 66 Bukldtmg-stories ` 2 rC!e'nfsu Cb:de; , ; - 102 1 - FAM. ATTACH 1,4 , REMARKS: 1 OF 2 UNITS S & W PLBR - C & N SEWER FEE SUMMARY: VALUATION $130,000 Base Fee $1,037.25 MISCELLANEOUS $1,923.50 Plan Review $518.63 Total Fee $4.444.38 Surcharge $65.00 SAC $900.00 SAC % 100 SAC Units 1 Subtotal $2,520.88 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)755-9793 I hereby acknowledge that I.have read this--application and state that the information is correct and;d.gr..ee-to comply, with-all applicable State of Mn. Statutes and City of Eagan,Ordinances. 9 APPLICANT/P MITEE SIGNATURE rTSSUED : SIGNATURE! OF EAGA 3830 PILIOT KNOB RDN 65122 i r 3 U IIW12 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) , 6814675 New Construction Requirements Remodel/Repair Reauirements ♦ 3 registered age surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & whtdow sizes; poured fad. design; etc.) ♦ 2 she surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan M lot platted after 7/1/93 required: _/Yes _ No DATE: ~L;~196, CONSTRUCTION COST: S~ a r DESCRIPTION OF WORK: ~!f'W a S7YUCy 7~7b STREET ADDRESS: /SAC/ / _ / LOT BLOCK SUBD./P.I.D. Du.~tz w/ t r z o-/ PROPERTY Name: l/A-uc AgV&-S- ~'✓c- Phone `27 OWNER Street Address~ 9~4~5^ E- e City: /60/6 State: Zip: 53 33 CONTRACTOR Company: 60,94 1zuF It s Phone 2 9Bi Street Address: License City: G ` State: Zip' ARCNITECTI Company: (/Vcr< U~1 llvlltr'c Phone ENGINEER Name: Registration Street Address, City: State: Zip: Sewer & water licensed plumber. Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: X/1 OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE [1 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish e62 SF Dwelling E3 07 4-plex 13 12 Multi Repair/Rem. ❑ 17 Swim Pool 0 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex "4-Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = ex ❑ 15 Deck WORK TYPE ~cr - o ? ^ ~~YE 31 New 13 33 Alterations ❑ Move I ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual)N Basement sq. ft. Z 38 MC/WS System (Allowable) ;Z-r-N Main level sq. ft. 11 z3 r5 City Water UBC Occupancy 19-3 z sq. ft. S?-9 Fire Sprinklered Zoning sq. ft. PRV # of Stories z ! s. r sq. ft. Booster Pump Length 0-f. ors sq. ft. Census Code. o z Depth l~6 Footprint sq. ft. SAC Code o r Census Bldg r Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ / 3Q,oao Surcharge Plan Review License MC/WS SAC City SAC Water Conn. _ / Water Meter L oT - ~s > Acct. Deposit SNV Permit SNV Surcharge C, f GC S- Treatment PI. D~/Z ~r 7- Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ENERGY CONSERVATION S'UPPLEK-ENT TO BUILCINu oERM7 AppLICATION This supplement is provided to assist the applicant in computing E=RIOR ENVELOPE AVERAGE "L"' FACTOR INFORMIATION. 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°PLICAI:T'S responsibil4ty to accurately compute the data; reflect the proper DESIGN CK=r-1-.IA in the plans; submit product specifications, if needed to support the "n' and "U" _`actors uses; and to assure construction is per approved plans. JOB LOCATION TrfC ~~'CrrZL l I~(~ I Ok''N=R(S) 6rc)-op \/w-us ~UM S PHONE 75- 9193 CONTRACTOR `~i✓~E PHONE A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area 184.2? 2. Total door area f-7 • S 3. Total sliding glass door area f~ 4. Total fireplace wall area iz Total wall framing area (average 1DA) ZI1. Z 6. Total net wall area above floor 7. Total rim joist area: 12 SUBTOTAL: Total exoosed wall area above floor Z ll Z B. Total foundation window area 9. Total net foundation area above grade t~l SUBTOTAL: Total exposed foundation area iJ I GRAND TOTAL EXPOSED WALL AREA B. Multiply the GRAND TOTAL EXPOSED WALL AREA X ,tl = item i z 32 •3 Z C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area 11. Total roof/ceiling framing area 1 2 4. b 12. Total net insulated roof/ceiling area i12 3,Z 'RAND TOTAL "YPOSED ROOF CEILING AREA 2 ~l D. Multiply the 'RAND 70TAL EXPOSED ROOF/CEILING ARIA x.o 2o6= item 11 3-2 S Determine the "U" value of each segment (2-9) and multiply by the area as follows: 1. I a~ x U. 90, (r-7 2YS x "U" 13 S 11 U1. NIA x 4. 7S x „U„ oS = 6.4 5. 2t1 .-2 x „U„ b9 = Iq.Z 6. o`U. X U.. X643 = (,~{O_(o 7. 1 - . x U„ a. ~Ia x „u„ g. ADD 1 - 4 FOR TOTAL WALL SEGMENTS = Item III 1 F. Determine the "U" value of each segment (1D-12) and multiply by the area as follows: 10. N L~\_ x "U" 12. i23.-2x „u, oZZ = Z~.-1 ADD 10 - 12 FOR TOTAL ROOF/CEILING SEGMENTS = Item IV C•. If Item No. III is the same as, or less than Item No. 1, you have 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 60D6(c)1. I. Add Item No. I Z 37 13Z + Item No. II _Zf_/f J. Add Item No. III 2g T Item No. IV Z a. A = 71~/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 env=elope 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 Date Wfratucrv~a C.f mW=*ai N16 Iraolst;aa G snde+, D.on Rcfa*an Olc Wall (laL W al Gams Reef ( FYar fled App;;ad NF fl l ~t C£ R~ I l.enssb M R"Idm , 3 fit"sI{t c f11 Kt 1 Feem I Ira z c> I b t kinc~ 70&d sand Doers--Cracksp mod Area W.,6, a[d Doer.-c" CkAre aad Area 1YYN AOf al Fawf ".t taw "NI{ MNIwI MM Lwr.f{L /.rot wl ww UlaU M testa M. M1 Ma wt ww wf wr IaI\y Y .awwt w. fl Ha 1f slw 3 I Z "1 4S I ZD Z ~jp iC~ I I Z I o S I Zo 13 I o lc ef.l Btu I I I o l a 1 t Ieetf.l B. d I I I I f Iahltratson zn, So ln@tratioo I Al • I 150 l 5 Class 17-4 4-lA Qan I3(m7 4~.q IlS~I: :SP. wall Z"iGStl I wall I LEI L I I Nct exp. w4 I z es.4J4.Z I ci m . _Ncl ctp all 17'35.-1 1 Qom. Int. wall f I _ InL wa11 I I Flera I z I Z I Fa..r 1 2n1 Z 156, Ccil. I ( C 1 2831 Z 156to Total Ba I b-1. l Total B 15943, Reouircd sc. ft. =D.R. w se. us. 17A Lu6cr arcs I Rtouircd ■e. fL Z .DR or sq. iLL WA I e'dCr aru rnF F•-V-Laj BAnISF,onr I Lu~tb zp 71:i:6 1-3 ~ ht S IMF FLI E~'bIf Roc=ll-cnpt4 1 3 SG dth 1, He;sktl ;Zado%s and Doors-rrac6ag ant AMR I Ar{ndowa and Doom -rmckLpt and Arc, l.aut hennt hL wf L.,W aav wmla Narpl ha ai I yln.a [L wea Ns I +f notes. I o: n.w. I brnu I ct r-crt I w• i Ne. I of ww I ei swot. I b[LV a. v.at w. [L I I I I I I O 16o I I~b I I I I I IZ I Iza 11Z 1 f I I 3 1 of z I I I~t IBS 1 i I I I 1 i 3 r ~o l i rG.3 i T.~ h~tf.1 B I: Gtr1I2eD 1 I ~ I LIu..SLL I "f'.i?..'' ( f S~ I`I a'I Class I I Mass 1 ~1? I ~1 lid B= wall 11~ f I sp, wall Ne! wall I (.o 14a I (0-12 Net. rSp 1 s I4:~I iZ InL wall I I Int. wall . I ( I Floor I ZL O I Z 1 S ZO FYer I cks-I Z 1 3ciC U '24-51 Z f i6q Cra II~51 1390 T ctal $ta 11301. Total BLL HISS Rcw;r-a se f_ IDYL or LCD. ins. ltf FA L=cl-r arta I Reenirtd ac. f:. a-D.R or 1-1. Ludt. area 1~F FLIurC /JAIL Roos ILeagt6 Wdrb 1 3 f'i-_g6t 8 MF ZI 17r~1 RooglLtn-t6 1 ~'-:n t iit;~h -W=cows and Doers-Craccags and Aru Windows and Doom Zrackair. and Aru w a W hwa L h., pr Lwt 3L 1rw wYLl a, h.1f Ol M C: LnN.I S1 I AYw }I6 I w I OI Y I nrF\. 1 al rawer I f.. [L Na I I: ww.t Or.YM I htFaa I a1 R.Ct YC. [L l 13Z 18o I 118.1 t~.a I I I I t 11 36 I So I 1 I zo 1 z 1 3 co 1 I 1 3 I I I I I i I l I I I I I I I 1~-I I I I' I I 1 ~ef•I I>3ILU oa 118.E I I I g 3 S Ia Umt;ca I z~.3 ! I so I t Clan I S 14-1,91 c3 Z (e Class 127 14-7.911101 wall III~V 1 I } I Exp. wall Ilo 1A Nra cp. wall 1 bZZ14.Z 1 4C1'I 2 Nct t wall ( I I t,Z lnL wall I 1 I Tat [Call Ft~ IQl 17 I t b-- F'u 14~( 2, IZ9 c~f I R 1 z f 16Z cd 1 I I Tara! E:a I z~48 -8 Total Btu RI eec[red srr It. =D.RZ or A^.. InL V -A- + afir area I Rtgt;rad sY fL :~.R er ma. in,. WA Tracer araa • ~:utaenen~t Cr,a~ ~ Iaadatln. G ande.. Alen Reference Ace W&B 16L Wd cz; mw R..af Fl I:~d I bw Av" 5 F1J f~ r-{ Room ►1 e~t1+ I I ~sR~ I S 1 ie~6t g FI.I R~ I l~et+6 w'dtfl ti<kllt wmdr.rs and Aren--Cracka>rt and Arsa Wmmws and Darn-.4ack+R srd Aru MMM bMrN w.. YrILL A.w ww" MNI\l qw L.... ~.Y H~ If f.Y .I w U!M. 1.~at y. rl Ma a wY •f wr IM.a. N...aa w' fa I -I d- Y t8 Z4 i ~I I I - I I I I I I orf.l &t 1 i 1 1 I Icxdfj B lafltration 1 14~ 15U qD0 6@tratioe I _ Class I ZO l,ci c1S~ Clau ;xp, wall 1747- 1 1 wall I I net erp. wall ) r z 1 ,A-zl SO(o q net C. wan i I I fnL wan 1 1 I 1 6L wan 1 I floor I I I N.., I 1 I cen )iZSI Z 1 5" C-1. Tonal Btu. 1 --~t uzk. 4 Told Btu. Rewired sq. ft. r D.R. or in. iaz IWA Lmde: arm I Rewired ac. fL :-D.F_ or aq. inz CPA Leader arcs 51= FLI 13C Z Ronr.. I Lcn pth 15- wrdih .13 z::.ht Qj FLI Room I Lcagta wab HaiFlrt wrndovz and Doorr-aackar: and Arta Cr'andows ::,d Dos:s-~lacknge and AM :emu w.,r nl ne a ..w.., sew wmace Ir nral nd et L,...1 f~ I .a^. 2"I I Izo Iz I I I I I I I I I ~ 1 1 ! I 1 I I I I I I I I ! uef.l n-, i i + 1 i I l.n::'..! E I:S.rL-adoa 1 2 U I iSDI IOOO I-~Irti:n I I I I Giasa 1 2G` 141,C1 1 Act . Gus I _ I; wan I2Z 1 I r_ WIE I I 1 he c:;. K-a 1 7~rJi~l-Z 1 net =p, wall Ina- scan I 1 IaL wan . I I ru.er 1 I I ri4w CrL. i !9 S 1 Z 13^t 0 Crs1. 1 I I iotalBm 133~q•~ ow B= Rrgnir>-~ ae. fL FM.R or sq. inz CPA. I.u~r arch I Rccuircd s{. f ..D.R or sq. iaz- CPA L esdrr arch j ieiFh rJ~ Ste, Room ILea~ ! S wkith wsndowa and Doars--Craws and Aru I ~~J ' 5'1::*1 Ck w.,,aa worn! ww w L.W LL ~.w f ¢ Hp I et wY 1 et ww 1 Ilrhu v.et I t. r: I 1 I I I I I I I I ( ~1.15~ 33go I I I I ! I I 1 1 1Cxf.l B..0 38q$q ,s 'rTz,L 13TL15 (eoef.I Ir.S!tratioa I 1 I I I I G:a I I I 1 I _r wall i z(. Cal I I I Nei =tr- way ► ?~8 i .21 I I z S . ~ net =-R...-an I f I IDL wan ( I 1 InL wan ( I Floor I { I i..er I I i CeiL Pot T 2. 1 ZRO ~ 1 I 1 Total B.U. 1151 s (o Total Btu R=d-t-3 s;. IL E:-D.FL or s q- inu CPA Ln6= a na i Rrcq.:ircd sq. fL .D.R.. or Lo. inz CPA Lca icr arm I CITY USE ONLY L o2 BL _L RECEIPT SUBD. t' L . DATE: big ~O 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► single family dwellings ► townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES ► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ► HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ► Gas Outlets (minimum of 1 required @ $3.00 each) ~CY ► State Surcharge .50 TOTAL SITE ADDRESS:~~ ~ Pn+ ley- OWNER NAME: lI Vc)jj _ Y/ ~-ic~l Y1~L PHONE INSTALLER NAME:Q Air STREET ADDRESS: r nr~e +rsa f)v-c n. CITY: STATE: MY-) ZIP: PHONE ((ol~a)'~']' X351 J 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 IlQt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ► $25.00 minimum fee Q 1% of contract price, whichever is greater. ► Processed piping - $25.00 ► State surcharge of $.50 per $1,000 of 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 CITY USE ONLY ~pa /79 L / BL ~ RECEIPT T SUBD. &,y~ p~Imd DATE: 702 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: 'lam 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) C' y ► State Surcharge .50 TOTAL SITE ADDRESS: I npsc) ~Y 1 +10I- Q OWNER NAME: O -)MCI V r)I 11p PHONE INSTALLER NAME: 211 1 r I \ I ' STREET ADDRESSIL>~r~LL JI flr1P+ pl"iP n CITY: I STATE: ron zip: PHONE 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 Q 1% of contract price, whichever is greater. ► Processed piping - $25.00 ► State surcharge of $.50 per $1,000 of R n t fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE M SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CIT! USE ONLY L J_ BL RECEIPT e n ~ 9 SUBD.~ur~s~t ,~O~VCVf~2se~ DATE: l 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: ► single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH NQ. TOTAL Shower 3.00 x 1 = 3- Water Closet 3.00 x ; - 0 Bath Tub 3.00 x 1 = 3 Lavatory 3.00 x a = b - Kitchen Sink 3.00 x l = Laundry Tray 3.00 x 1 _ 7. - Hot Tub/Spa 3.00 x = Water Heater 3.00 x 1 = 3 Floor Drain 3.00 x 1 = 3 - Gas Piping Outlet * minimum -1 3.00 x 1 = 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 33 s TOTAL SITE ADDRESS: S B A- I P t OWNER NAME: G t v 1 INSTALLER NAME: U n I I Q! S~ c s-. STREET ADDRESS: U - - CITY: 'S v c~ STATE: ZIP: S s 3, PHONE bl(3NA I ~ERMITTtlz OFFICE USE ONLY L _ BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: w all commercial/industrial buildings. W mufti-family buildings when separate permits are 13M 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 RESULTIN 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: CITY USE ONLY L _L BL / . RECEIPT / d SUBD. .fl1Lt6teo DATE:. 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH NQ TOTAL Shower 3.00 x Water Closet 3.00 x _a _ 6 Bath Tub 3.00 x 1 = 3 Lavatory 3.00 x a _ G_ Kitchen Sink 3.00 x 1 = Laundry Tray 3.00 x 1 = 3 Hot Tub/Spa 3.00 x = Water Heater 3.00 x I Floor Drain 3.00 x = 3 Gas Piping Outlet * minimum - 1 3.00 x 1 = 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 cont. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL 3 SITE ADDRESS: OWNER NAME: c1 y 1-e INSTALLER NAME: v a T, STREET ADDRESS: ` CITY: STATE: ZIP: 5 S 3 s z PHONE ( ) a•>> SIGNATURE OF PERMITTEE OFFICE USF 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. W multi-family buildings when separate permits are 4t 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: B SUBD n etrs~ ~(~rs2.c 9 NEW RECEIPT # 9S0 S RECEIPT DATE ~j DATE 7 ? o C TO JOB OWNER 6Z~,, PLEASE BE ADVISED THAT T - HERE IS A FEE SHORTAGE ON THE ABOVE ELECTRICAL INSTALLATION IN THE AMOUNT OF $ REMARKS _ 0 --30 AMP CIRCUITS 31 - 100 ARP CIRCUITS = --LO - 100 AMP SERVICE ___101 - 200 AMP SERVICE _ TOTAL FEE DUE _ LLSS FEE RECEIVED TOTAL FEE -SHORTAGE DUE _ ly PERMIT ORIG RECEIPT # G=6O RECEIPT DATE PLEASE RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE. THANK YOU ~,;:.!(9F%!"k>'r.Xr:Et i;%FYF%k%~;;>'F ^:W.?k%V•MU:i;.%k#';!.fi~9F:X?Y'd,:'F"r~ "l,<::.~TV: d;nk!, CT: Y I".,.- E.AGAAN it r. DAM U/M/98 ME: 1001129 F M: Rpill:; .i.i'JC r 32.10 57001 1551, 1! _E ti 'r F•%'.„c`f.'i,' 3017 `?M 151'1 5'Ti...1.i.G i'T 1.bs..25 „i u ')pi'l:i = 1 r, P3T!..fi:!,: PT arm 1210 9001 1506 iNTLER P1 lorm IP16 900 1501 MUR PT 16205 M0 900t 109 ANTLIN PT BI 405 300 90"L M, AN TV LR P'; .25, 3210 5091 Mr- ',NT11 Q-t ISCR 10c NANCY :~.M'i.':k%kY~.a'S~'+F;A'#,kY~~r~'>}~~Yr"%n"•r>f'~k4;.M?kx:.5}.,}m..>{.',yip:,!.?R;it'M i 1$,,.n?KMMMIU''r eke .nr ¢..S,k<;lk:><.IM :,{Y r.,. L. CASH.'L[I;: ?~r'9 DA-M:: ME. 1 1. 1 nI - ` f+'A(.ir;:: `;11Ttlh;rl;aPd [„!!;Ill' TfJf'. 21 'ac3:L(J `.rp.if.l:I. i ~ r ..i tT r:.( ' • P. 321(7 900L 19Mr.. (i rR i'1' 121 R'.. "i e 300 9001 1'5,3 .)N TV I:h' I'T 300 9001 Y'r' Q P r1 OM 9M iSSY ANTI FR PT I "012, 900.1. .s"! YS I. C1k1` HAY 2qi t 221,0 9001 29DO PAWN MY 1620 1. 1 Alk"VI 1,11',Y 160.2u C21 f) '?001 3990 1 AWN MAY 16P.9 5 crla99202 ME R ~r 1. Tf.!e NANCY :~Y,•i, •,.yFA:%k%'F/F&:X"~i;X::t uy: riK>r:•F~>k':K>k:%? :K?k ~ X:i~',:; k'><: K CITY OF EAGAN PERMIT '3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 9 6 8 (651) 681-4675 Date Issued: it/09/98 SITE ADDRESS: 1.587 ANTLER PT LOT: 1 BLOCK: 1 DEERWOOD TOWNHOMES P.I.N.: 10-20201-020-01 DESCRIPTION: 1'.0. & REROOF Building -Perm.lt Type SF (MISC.) Building Wo',rk Type REPAIR 'Census Code 434 ALT. RESIDENTIAL REMARKS: INCLUDES: 1589 FEE SUMMARY: VALUATION $10.000 Base Fee $162.25 Surcharge 00. Total Fee $167.25 CONTRACTOR: - Applicant - ST. LIC. OWNER: SUBURBAN EXTERIORS 18818232 4289 DEERWOOD HOMES ASSOC. 9701 PENN AVENUE S 1587 ANTLER PT BLOOMINGTON MN 55431 EAGAN MN 55123 (651) 881-8232 T hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. "ice APPLICANT/PERMITEE SIGNATURE UED BV: SIGNATURE 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) '~j ~J °t CITY OF EAGAN L 681-4675 -9 g' 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 (i 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 MCNVS - SAC determination letter from MCNVS - 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 Forth 1 Contact Building Inspections for sample Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. DATE: L/~ WORK TYPE: _ NEW _ REMODEL DESCRIPTION OF WORK: ~_2 f'~2~csC>✓J , CONSTRUCTION COST: tQ-D 000) TENANT NAME: SITE ADDRESS: IS~s~I E ~j O((~~~ / l C- l SUITE M LOT it BLOCK SUBD. lLe,~ 1~ 1`s E~ P.I.D. # Name: ` QD41 ~ d UJ N ll`lt.1. M A ~ Phone M PROPERTY Last First /n` yt~1 ry~~ , OWNER Street Address: Ls , T 46^ ` ~jQ'r Ti e City State: / 101 Zip: Company: V td~ Phone#: Q'~ 1 CONTRACTOR c~ ~ Street Address: r( l A Ar-s License # 17 5CJ`~ State: /11~ Zip: City LC ARCHITECT/ ENGINEER Company: Phone Name: Registration M Street Address: City State: Zip: Sewer & water licensed plumber (only if installing sewer & water): I hereby acknowledge that 1 have read this application and state that the information is rte and agree ply 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 (o a - 2 5 Valuation: $ Surcharge U Plan Review MC/WS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: 1 5 % SAC SAC Units Meter Size Use BLUE or BLACK Ink r I For Office Use Permit ~v- Clty of EaRd~ I to co Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: J L8 7/ 3-00rt Unit Name: L l lL C ~Q / OLJ<+lj t( fti is /*S-S OC-119' _x'-/Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor v'~C~9 C ~i~-c Description of work: Type of Work Construction Cost: Multi-Family Building: (Yes / No ) Company: Contact: ..ltt C~~~.I Contractor Address: ~Z 1 -7 r s'~ S/~-~ T+ City: . State: f-/ Zip: S r/~ Phone: -76,?, '/,2U 7 License #4c g1070 Lead Certificate S 67if /~Gr>t If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 9 /7 COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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 b a building permit issued in accordance with the Minnesota State Buildin de must be completed within 180 days of per s an/t/eJ~ L~ Applican nted Name Applicant' ignature Page 1 of 3 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use Permit City of Ea I Permit Fee: 3830 Pilot Knob Road I p~ i I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION I k9 Date: 'Z Site Address: Unit Name: O [ L ~nw _'o-,', Phone: Resident/ i . _ Owner Address / City / Zip: J S ~7~~~✓ 'i Applicant is: Owner Contractor Type of Work Description of work: ge, rl Construction Cost: Multi-Family Building: (Yes x / No ~j Company: r~rn`ctin ~a5~+2 Contact: r _ ~ Contractor Address: I7 City: State: 1*1*74ZZip: / Phone: &,~Email: License 6 C a f0 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. E 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 authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. - x Al ~I k a C , x Applicant's Printed Name Applicant's Signature Page 1 of 3 ` Use BLUE or BLACK Ink . � r———————— --------�tl�� i For Office Use ��l��s � � Permit#: ��c� � caZ ( � City of �a��Il ; . //�� ; Permit Fee: !d'(!� � 3830 Pilot Knob Road �./ Eagan MN 55122 's.;' "�� ,-�:�~•, � Date Received: � ( � � Phone:(651)675-5675 � " ` ' "` � "�' I I Fax:(651)675-5694 g n , .�jt. I Staff: � '� . 6�'lyi � _��_______ I ` 1 1^• i�%dY 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �� `�' �g Date: �`/�9 �Lj ��'��SiteAddress: a I � /� �fr` f �,h�` ��"► �� Unit#: $��' * �� ; � ' Name: Phon ��x��s�� 1 S�'7 �r�f lP r ��• . �. � %*�` Address/City/Zip: �� °� �� y� p.� Applicant is: Owner Y Contractor �� r� � =yF �� #��5 Description of work: ��[t �+.� C�+l G� �t�.�"'�`.�" v� •�r� �+L3 Q'�r "+5.,1' af� �C �t , �� n� ' Construction Cost: ! ��Q ' �� Multi-Family Building:(Yes �' /No ) �� . � � ` /� �j' '� ; � F� :; Company:J'{t� !� �'r`�`Tv/^� � f� �"�,�`�, xr��Contact: �'"��. � } � ,� p�� .�''.'�"*'��''t� :�� . .� � �.� .�l+�,4�P �� y Address: City: �� C�(��'�.; �. � � �� '`� State:��Zip: �� Phone:�i�'�"�a"�'��oEmaiL Jrf-F y�ya �/j v� _ ��d � � � �� C i /�?'7�.� �° � $�.y License#: 1 lU Lead Cert ficate#: 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 8�Water Contractor: Phone: Fire Suppression Contractor: Phone: � ;{��'E ��s�nal � oc��e� hat�r � .� �re cnns��1 r�� a� �u�bf�� #, �'" � �=h; ��the�n�� H�a��y� s�� +�n A��i� �ov pro�� + �r��+er� � ��. � t� ��:. ' � �` . �� x�~,� � �. x=� f�K�k�� wn !�Cl. .�s�.n � �i2 +alE;;�. x , �.. r. ,ss x... ,.,.. � k CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.or9 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 .��P� t Jp�`�":5�� ti X _ ApplicanYs Printed Name A icant's Si ture Page 1 of 3 �� ,�,�-�C'--�.�-�; , DO NOT WRITE BELOW THIS LINE �� 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 t" WORK TYPES �j,��.�_.} -�°°. �'�� New Interior Improvement Siding _ Demolish Building" Addition Move Building Reroof _ Demolish Interior Alteration Fire Repair Windows _ Demolish Foundation �C Replace _ Repair _ Egress Window _ Water Damage t Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION �'"'''� ,� Valuation � Occupancy MCES System 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 Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: �� , Building Inspector F RESIDENTIAL FEES � �,��7 �`� "�, Base Fee _ -��,��'� � �`�f � � Surcharge , ,.��; -�` Plan Review MCES SAC �`f --} City SAC � �'� Utility Connection Charge S8�W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ; � � } CEI�,TIFICATE C��' �URVEY for ��`�'�� GO�D �ALUE HUME� ��'s� /�f�e�. -�%'�-� PROPOSED BU1LDiNG ELEVATIONS Top of foundation _I��_7____ Front of house �� •O Garage fioor �/��____ Rear of house ��____ Lowest floor g(��a___ Walkout __ YES _ '� �--- arrow denotes drainage direction per developmenl plan. 890E denotes existing spot elevation 890P denotes proposed spot elevation BENCHMARK, USED: �P NV7' o� �yD��NT� L ofs �o a�,o � l E�v• = 9oS.-79 � BuAdi�9 E^velope � � � � 0.33 �ine �E1IIE � �' ,8.4' � ,,.� Zo.ai B� r �Y � �� `_ PB�LO NG (P � r..� �.._.._,__ )Al'E..�.----�" �G�t�NG . � �tG�E�, 4.98 i 5 o/s to '' , / Building Envelope 1� � ��,� �� i4 ,5' o/s to � q� ,` '�� . a��o � �q � Building Envelop N 82,� ��h} �j a �•� ..�______ gg.33 8.a, ""i� 6.59 �Q�. �►..�V. � ._- ` .....s.a '�' Uv --'��^ Q.. � qo4.o- �. 6.5_ ...•-- 18.33 � . p^' U 4 20.00 __-- a.00 `� � �."{ G c7l .93 � o�� : � , Q°l o ` � � w � �� a �,''� o v �j o � PROPOS��p GARAGE `v � p � � t� N TOWN � �.1. O � 5 `� � � c�� _ g � � ss. / o ,._ , tn o �' ss.�3 No.,589 a��• o o � � � 17.00 PROPOSE� � � � j� I� PROPOSED GARAGE � • t7► O TOWNHOME M F--i Z o � 20 5�N. 1 r1v• S-._--""_.-- O oo Q(�j,Q�} � _____�,,..�--.. N In � �r � S.00I � --- � 18.3� / � �''' � 20.00 6.59 0� -- T�G `Q►r]•��- 6.59 � 8.a, 9 gg.33 „ .� � •d i qLp 8.a, S 82°13 07 � �5' o/s to ��• � � -�„_„B Iding Envelope �Pqo�� I �3 �s' o/s ta Building Envelope NOTE: ALL DI�IENSIONS ARE FOUNDAl10N DISTANCES LE G A L D E S G R I P TI O N L��s � v^�' 2, �!3�k 1, u�c��r'�CC ivYr'iynvivicS ( ) = RECORD INFORMATION �ou�p 2ND ADDITION, according to the plat of • DENOTES 1/2" IRON PIPE dc CAP �f record thereof Dakota County, Minnesota. L.S. � 23945 I hereby certify that this survey was � DENOTES IRON PIPE SET prepared by me or under rry direct FOR BUILDING OFFSE7 supervision, and that I am a duly ❑ OENOTES WOOD LATH SET Licensed �and Surveyor under the FOR EXCAVATION ONLY laws of state o Minnesota. , � PASSE ENGINEERING, iNc. Donald E. Si et MN ic . 23945 REGISTERED PROFESSIONAL��AND SURVEYORS 9 Y� 9445 EAST RIVER ROAD, SUtTF 203 Date: COON RAPIDS, MN 55433 �aa I q(p Tel. (612) 755-6240 Fax. (612) 755-1362 JOB N0: 93-34 SCAI E: 1 INCI-1 =__20__�EET FIELD BOOK: /�p PAGE: 9 DRAWN BY: l�"l�U DEERCRTI.DW{