1410 Appaloosa Tr
CLAIII VOUCIIER - REFUND REQIIF.ST
CITY OF EAGAII
i
CLAMANT GENZ-RYAN PLUNBING & HEATING
ADDRESS 14745 SOUTH ROBERT TRAIL
ROSEMOUNT MN 55068
Location 1410 APPALOOSA TRAIL
f 1c) Bl SHERWOOD DOWNS
Receipt No./Date 4193 - 04/09/93
Reason for Refund BUILDING CONTRACTOR HIRED ANOTHER MRCHANTCA7. cnNTRnr TnR_TD
DO THE WORK.
Type of Refund Electticnl Permit 01-3211 $
Plumbing Permit 01-3212 $
Hechanical Permit 01-3213 $42.00
Surcharge 01-2155 $
Water Connertinn Permit 20-3713 $
Sewer Connretion Permit 20-3743 S
-r
Account Deposit 20-2252 S
/Tll~
Utility Account Over-rayment 20-2250 $
Other: $
S
TOTAL $ 42.00
I drCIATO under the penalties or law that this account. claim or demand is just and .
that no part of it has been raid.
04/12/93
51r ature Date
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MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
(6 1
E 55122
(612) ~ 1 75
- 1
PLEASE COMPLETE FOR GLE FAM WE S. , FOR TOWNHOMES AND
CONDOS WHEN PERMITS QU FOR UNIT.
CONS ION
AD -ON` \ f
AD ON C ( ~J
ATE \
l FEES
HVAQ-' 00 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
WAS OUTLETS (MINIMUM 1 @ $3.00 EACH) 2.0
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00
STATE SURCHARGE .50
TOTAL ,J-6
SITE ADDRESS: I"~ ~D f !/J lDO~~` / a/~l
OWNER NAME: (Y th AC K (an4 ( TELEPHONE
INSTALLER: GENZ-RYAN PLUMBING & HEATING CO.
ADDRESS: 14745 South Robert Trail
CITY: Rosemount STATE: MN ZIP CODE: 55068
TELEPHONE (612) 423-1144
G ATU OF PERMITTEE
PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE.REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
_ SHOWER 3.00 9,04
_ WATER CLOSET 3.00
BATH LAVAT RY 3.00 4, t9i9
! KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
_L FLOOR DRAIN 3.00
1 GAS PIPING OUTLET • minim - i 3.00 .!a 0V
ROUGH OPENINGS 1.50
• WATER SOFTENER 5.00
PRIVATE DISP. • Daixty. iic 15.00
U.G. SPRINKLER • home under cons 3.00
ALTERATIONS • to casting 15.00
WATER TURN AROUND 15.00
.50
STATE SURCHARGE 41,06
TOTAL: I SITE ADDRFSC- ~FtI D Awal m a al I
OWNER NAME: JO( ~i fIifI- l_16n5ti ~1. __Z0 .
INSTALLER: GENZ-RYAN PLUMBING & HEATING CO.
ADDRESS: 14745 South Robert Trail
CITY: Rosemount STATE: MN ZIP CODE: 55068
PHONE (612 ) 423-1144
WNATV,RE OF PERMITTEE
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1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681A675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - - - - - - - - - -
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE`
FEES
HVAC: 0.100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) 19.06
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00
STATE SURCHARGE .50
TOTAL 3656
SITE ADDRESS i
OWNER NAME.-Jb -ice 1 C TELEPHONE '4S~ ~O (0 3
INSTALLER Z ei & \~I
ADDRESS: \
CITY: Vc~ -L V\J STATE: I Y 14\) ZIP CODE: O
TELEPHON : ° (00 -0C D 2_-
I NATURE OF PERMITTEE
_ PERMIT oe'iln'?03 7
CITY OF EAGAN -yj
3830 Pilot Knob Road PERMIT TYPE: B U I L u. N O/~
Eagan, Minnesota 55123 Permit Number: 0 2 0 4 8 1
(612) 681-4675 Date Issued: 03/16/93
SITE ADDRESS:
14110 API't1LUUSA ,
LOT, 9 BLOCK:
SHLPI,'WOU COWINd
P.f N.: 10-676!0-090-01
DESCRIPTION:
f'6uild'3lao Perini t Type SF DWG
Building Woi w '1 "ape NI.W
t USC Occupano k-3 M--1
Construction. t"V pe V -N
Z0rting R-1
Building Length 66
Bu9.ldi.ng Wid't_h 50
`l V i r1, y
REMARKS:
s & W PLBR- OFNZ-RYAN i'Lhc~
FEE SUMMARY.
VALUATION o1.1 "1 000
Haae Fee PIISCEILbtI`IEOUS _ $1,7114.50
Tian fYe+✓i_ew '4`_:?.. 3E fotnL F-1= $3.706.35
Sii - charge 1; 3.50
AC 1:7so.00
SAC 1. 1G30
'SAC Units
1-1Ll to Lal.
'l
CONTRACTOR: - A p p l i. c: a - ST. L I cOWNER:
MILLER HOMES. JOE 7.45=.46b3 0002,13L JOI- MILLER HOMES
"''SQ WASHING'T'ON OR 341'x9 WASHINGTON OR 204
FAOR,N MN 55122 FA:1AN MN 55122
(617' 459--4663 (61.:.')454-466:3
II
7 hereby dcknowledge Lhat I have read this apptle!'.ion and ,Late th,it: tiie
intnrma"aiorl S3 correct and' agree to comply Uri ti all e'wplicrrbTa. StateoP 3jal.
Statutes arid City o~ Eagan Ordinances.
f1OLf~ I Illll
APF' ICANT/PERMITEE SIGNATURE ISSUED Bfl. SI NATUF~' E~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: CU I L 0 1 ill G
3830 Pilot Knob Road Permit Number: 0 ? to 4 3 1
Eagan, Minnesota 55123 Date Issued: 0:3 1116 / f3 3
(612) 681-4675
SITE ADDRESS: APPLICANT:
1.Or: eLO~;~~
LA10 ~1FIIALOOSA Trt N-ILLER HOMES, JOE
:,10 RWUOD DOWNS (57.1) 145'-1-4663
PERMIT SUBTYPE: TYPE OF WORK:
Sf OWG NEW
INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR.
FOOT 1"NG F"nMI NO
I NL t11. AT 10N FINAI
F I Pl Ill l1Ci
(i cRIAHK J: h W PLBR - GENZ-PY',1?' 1='L136
REACTIVATE - CITY OF EAGAN~
PERMIT 0 1993 BUILDING PERMIT APPLICATION
104it 681-4675 YAR 1 ~ w0
ar~ g-le
SINGL & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
talcs.
11 COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy talcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date / -5 Valuation of work 100,JD07
Site Address:/h`/0 a4 a1'
ET SUITE #
Tenant Name: (commercial only)
LOT '7 BLocK _j SU% /J P.I.D. M
Description of work:
The applicant is: ❑ Owner Contractor ❑ Other (Describe)
Name Phone
Property LAST FIRST
Owner Address
STREET STE #
City State Zip
Company JOE MILLER HOMES Phone ~&4-`f 6G 3
Contractor Address SUITE 204 License # Exp.3"9el
City #0002431 State Zip
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two da s once ea ha been approved.
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
Erdinances.
Applicant: 92n~ a_
OFFICE USE ONLY
BUILDING PERMIT TYPES
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging - ❑.16 Basement Finish
® 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind.
❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind..Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
x'31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
❑ 32 Addition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) y- N Basement sq. ft. MWCC System Yes
(Allowable) y_ 1st Fl. sq. ft. City Water YNS
UBC Occupancy -i 2nd F1. sq. ft. PRV Required
Zoning R_I Sq. Ft. total Booster Pump
of Stories Footprint Sq. ft. Fire Sprinkler
Length T On-site well Census Code rev
Depth On-site sewage SAC Code 01
APPROVALS a~5u5 U6"s
131
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ Site ❑ Footing ❑ Framing ❑ Insulation
❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace
Permit Fee Vahmtim: $ 0c'S
Surcharge Z x 12-, 41
Plan Review GARAGE; 3?_x gZ x704
License v-~
MWCC SAC $;-,w1T; GSA K Ifr, s /0 Bib
City SAC 5y X28: 15~z
Water Conn. Z X 11 22
Water Meter
Acct . Deposit 1534 x I.S~ 23, 01 c
S/W Permit as'r F~..ooR;
S/W Surcharge
Treatment Pl. lhxgc 12.
Road Unit I'h><II = tea
Park Ded.
n
Trails Ded. umr= ig34
Copies
Other I56ZXoz Vz07134
Total:
SAC % 100
SAC Units
M32-75i-yj
CERTIFICATE OF SIJ ~VEY ~~((((1111
'x1414
-7 X411 RQtt 54.
.10
`ate S mob) a _
48.00 10 r _
,f qtl - Gar slab' ~.2 I b,
P El 900,9 S
Top
\ r Blk 901.2 3+•00
5 t41
,Plr 10.00 = ,1.00 S I 3
9 Proposed house
2.00 Bsmt fir Y93.1 IQ
\ ~g ` g
\ 2200 / I
54.00 \ 110
J
Z
(
1iNP \ / Jp
0
co. s / 00
00 lT (P \ N 01
c^ 5 / m
e &
Scale: 1" = 30' Qro~ Jg\teose~er~s
1410 Appaloosa Trail
DESCRIPTION L
Lot 9, Block 1,
SHERWOOD DOWNS C
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument B '
r'i, Lu
-
~Ex~sting~ Proposed
cv EAGAN h~GI ZERING DE T
I hereby certify that this survey, plan, or o°
report was prepared by me or under my direct o,N
supervision and that I am a duly Registered Co
Land Surveyor under the Laws of the State
of Minnesota. ra-116'V N 005 .71
2039 8p
"E
Do e V-ntn L" 3 Reg. No. 8140
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206
Burnsville, MN 55337
(612) 435-1966
M32-752-93
LOT •VRVEY CnCELIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATS N
PROPERTY •.1►~t•.= ~ y~ ~
Date of surveys `
DOC NT BT ur»nna
6"D 0 Registered Land Surveyor signature and company
0 building Permit Applicant
0 0 Legal description
0 0~0 Address
@~ 0 North arrow and bar scale
VE 0 House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
0 Directional drainage arrows with slope/gradient i.
0 Proposed/existing sewer and water services
D Street name
0 Driveway
ELEVATIONS
Existiac
D D sewer service
p D Lot corners
❑ Top of curb at the driveway
❑ Elevations of any existing adjacent homes
proposed
D Garage floor
❑ First floor
D ❑ Lowest exposed elevation (walkout/window)
D Property corners
D ❑ Front and rear of home at the foundation
PONDING AREAS (if applicable)
D Easement line
B'~ D
NWL
HWL
G Pond N designation
D 19 D Emergency Overflow Elevation
DIMENSIONS
ID' D D Lot lines
6 D Right-of-way and street width (to back of curb)
D 0 Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
DAD ❑ Show all easements of record and any City utilities within
those easements
D/ D Setbacks of proposed structure and setback of adjacent
existing homes
ID~ D Retain' re ements, if any
Reviewed J
ftme / t
~CLeAs.tnoe
HIHHEROTA STATEA11ERrY MP CAI.CULAT101a
BASED ON CHAPTER 5 OF THE ~iJ_ I Q I
HME"HERH7L M - 1903_ER1TIoH
t7 Adoption Effective
Owner riGt~5c Phone Date
Site Address_ LoT 13L__Oc.j< J, 5", Rwoo-O D 56,uivS
Contractor J d~ 1 V~( LC;" N5 t.r Phone
Building Classifications Type Al (Single Family 6 Duplex)
Type A2 (Residential, 3 stories or lees) (Over 3 stories) (Other)
HQTEICoMt1la "Ages 3 and 4 firm-t.
HE~I~IHE~RHATI~H `7~"' ~
1. Building Perimeter ft.
2. Wall height (ground to save) (1 ft.
•3. 1. X 2. (above) gross wall area LPL!'5,5-
sq.ft.
4. Building dimensions (L) _ X (W) =~5 eq.ft.roof s floor area
5. Sq. foot area of rim joist - Floor joist size (2 X 1a )
_D X _h.~_(Perimeter) _ WLysq.ft.
12
6. Doors - Area 17i4i`_7
Thickness in U. factor !41
Type of Construction Peri a er ft.
Manufacturer
7. Total doorfs perimeter v1L~ ft. 1-t
8. Windowes Manuf rer_ State approved -
U factor it;
If
TYPE SIZE (I AREA (Sq.Ft.) NUMBER OF TOTAL
EACH 1111ITS SQ FEET
9. Total sq.ft. Glass
10. Fireplace area: Width X Height x = sq.ft. .
11. Exposed foundations Height X Perimeter_L~X_0_~=~ O sq.ft.
COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR
REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE HIHIHAI,
CODE ALLOWANCE, IS USED.
12. Framing area = 10% of gross wall area.
13. Gross wall area~I;7 sq.ft. _
Window area A b], sq.ft. U windows = 1 J(e UxA = ISM`
Rim joist area A sq.ft. U rim Joist= to_ UxA = S U
Door area A ,5 sq.ft. U door area= UxA =
/0
11 UxA =
Other doors area A ~sq.ft. U other doors=
Exposed fndu A (I sq.ft. U foundation= 1b7 ~ UxA = U_
Framing area A 1, V3 ~~sq.ft. U framing area. A:3 UxA - ~
Het wall area A c(L.5 -q.ft. U wall= 119V~ UxA =
(13B) TOTAL . . . . . . . . . UxA =
14. Gross wall area x 0.11 (A-1 single family 6 duplex) = allowable UxA/Code
(13. above)
X 0.23 (A-2 other residential)
x .23 (other buildings)
x .2e (Over 3 stories)
BTUII must be larger than or same
.41 U Code 0F. as 13H above
A
15. Ceiling framing area (Af) equals lot of ceiling area
15A. Grose ceiling area a (L) x (W) r sq.ft.
15B. Joist area (Af) lot ceiling area X01 sq.ft.
15C., Het ceiling area (Ac) (15A - 15B) sq.ft.
U ceiling x Ac A & x
U framing x A f A 117(^q x 3
15D. TOTAL U x A... o..,
16. Ceiling area (15A) x 0.026 (A-1 single family 6 duplex)
allowable UxA/ Code
x 0.033 (A-2 other residential)
50`1 x 0.06 (other)
BTUII must be larger than or same
A(15A)I x U Code OF. as 15D above
HOTEL Use U and A values obtained from pages 1, 3 and 4.
GERTMUTIM I hereby certify that I have calculated the "UII factors and
°1111 values herein and that the building here described meets or exceeds the
state of Hinnesota Energy Conservation Act.
Data signature
q~r
-t UP
22~ ~S
rr~n S
HI ZU~ c~~~rX~
II
L~~ Da wJ 5t-
= 8 X44,
Z~ s~~- JAR- ~1
~Z4 ~
U IMUC LNLLULHIM",
R VALUE U VALUE
inside air film .68
WALL Interior wall • 45 (Nall) U R
SECTION
Insulation 11.0
~J 1 Sheathing Z,O(o
Skiing (p7
Ar-
Outside air film .17
R TOTAL Z3 • O7j
_ Inslde.alr film .68,!
STUD Interior wall •47
SECTION 4,@ stud R- 4M (p,`j (Framing) U • R
Sheathing Z •of0 ,
Siding
Outslde alr film .17
R TOTAL I C> . S 3
a
i
Interior wall
SECTION., Insulation all U R
z
-f xterlor wall cover
Exterior air film' R ..17
R TOTAL
Interior ■ir film R- .68
RIM S-~ ( Insulation 19-00
1
JOIST iii Inch soft wood R=1,88 (Rim l) , a
Joist) '
Sheathing r-41
Exterior wall covering .101
Exterior air film R- ,17
R TOTAL M • 4(O
Interior air film R= .68
Insulation
1
\ Foundation (Fdn.) U n R =
\ Exterior air film R- .17 • O 1~
\ R TOTAL 3 , ( 3
Exposed Block
_
V
1
„
' n vni.nn
rnnulull 1 n vnl.ub
ue1L11111
-USA L~k
fish 4 vik site
.-I 1'l.
1.'I ~~P 'rnkallt` ~I_~L~
..i
p'IrlLnlll luarl isle
rogqgir a1p ank.
11kreklaN'e pl n1U/agllgr ral,k,4 ar Ilnnr alld nlnln,a~ nnQ•
Ilall-raa1do1111at dear 1111114111:1all 11,4 nld/IIIIaRI Innk ~l prank
(lil 17" nallurake 1,1aak Ile IIIe1114k1a11 '
14, 1711.aollaruko (,lank Illalllaka,l onren ,70 It 7,0
his 1711 IIg11k11e1gllt 111aak
Ilia 17" Ilghlllelgilt blank hulllekrd aurae 14 ,17 It lai
all
11 ■111ggI11 gimp" w ,(.171 111k11 ukarll 1116111011 Ohl
11 Ileu1,111 glean Mpg
u lliplu glean
i ,
All'eukarlar '
VR'oc ■rr rrbsllu and a d ~1 ~IRV
nllln II , rL v}}por h•rrlul (o.lo p•ra ►,ru,
rk 1,r on"ll'r u• , • (I.•k+~ rldu) ul Nall,' 1
v■'~•t ,Rrr •rN "664L al llla (lulyull,alollq k11111 I1~h (lays Iln II vallla.
I ' 1. .
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'T'
~'CITP' OF EAGAN PERMIT PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 7 2 3
(612) 681-4675 Date Issued: 04/16/97
SITE ADDRESS:
1410 APPALOOSA TR
LOT: 9 BLOCK: 1
SHERWOOD DOWNS
P.I.N.: 10-67670-090-01
DESCRIPTION:
Building"P,ermit Type DECK
1,Bulldint} W'b jk Type NEW
r Census Code'_. 434 ALT. RESIDENTIAL
!n
it
+°x
REMARKS:
FEE SUMMARY.
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: - Applicant -
ERICKSON VICTOR
r 1410 APPALOOSA TR
EAGAN MN 55123
(612)452-2088
I hereby acknowledge that f have read this application and state that the
information is correct" and~'agree to'tbmp y~`with alb.,-applicable State of Mn.-
St tutes and City of E~agan',nrdinances.
ma, nil
APPLICANT/PERMITEE SIGNATURE ISSUE SIGNATURE
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681.4675
New Construction Recuirements Remodel/Repair Reouirements
♦ 3 registered age surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) • 2 site surveys (exterior additions & decks)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions
e 3 copies of tree preservation plan it lot platted after 7/1/93
required: _Yes _ No
DATE: q-q CONSTRUCTION COST:
DESCRIPTION OF WORK: -~1 «K o r c K7 1 fl-Du s - -
STREET ADDRESS: III IU LOCSf, I ~~i t I f7l~} 1~
LOT BLOCK f_ SUBD./P.I.D.#:he~~-~N S
PROPERTY Name: V k t6k\ F C ' ,,V' V Phone Lbc) -C~ 09
OWNER Street Address LI I U P P( oos 6 -TR4 I
City: k) State: ~'ryU zip:
SS
CONTRACTOR Company: SC Phone
Street Address: License
City: State: Zip:
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only): Penalty applies when address change
and lot change, are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
RECEIVED
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No APR 99~
Tree Preservation Plan Received _ Yes _ No _ Not Required BY-
OFFICE USE ONLY • a
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 n 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 = plex X 15 Deck
WORK TYPE
31 New ❑ 33 Alterations o 36 Move
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
~T
Depth Footprint sq. ft. SAC Code DI
Census Bldg
Census Unit p
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
M32-752-93
CERTIFICATE OF SURVEY
X1414 L' ~9111;]Y Q
10
10
Gar slab
a El 900,9 f
5 q~ ` Top 8q\
\ Blk9ol.i *1413
,0.009 oo 's
g Proposed house
s.. Bsmt fir 393.1 Ig
s ~ `L
\ \ R200 / r 51.00 11.00
~ y I,D ~
y z
N J 0
1? N \ n~
NiO.?1 / ~0
N00
~ a
c^ 5 / m
Scale: 1" = 30' Qro jeaseme~~s
1410 Appaloosa Trail
,:,RIPTION L
Lot 9, Block 1, L rR=~ D
SHERWOOD DOWNS
Dakota County, Minnesota gy 7
Plat bearings shown pAT 1WX4L -7 -qp 9
o Denotes iron monument ILDING INSP Cl IONS DEPT.
°isting, Proposed
N
I hereby certify that this survey, plan, or 00
report was prepared by me or under my direct mc~
supervision and that I am a duly Registered 10 COUM MM C()Fv
Land Surveyor under the Laws of the State v:
of Minnesota.
~j /g~71181 ~ 55.71
N 0 `
Y (W Lw ~!A 0'2039"
DaaTe 9 9R J99-~ Reg. No. 8140
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206
Burnsville, MN 5337 APPROVED PLANS MUS
(612) 435-1966 REMAIN ON JOB SITE
k Awn „ r1Z
/ ✓ L BL CITY USE ONLY RECEIPT#: 9 S 15 p
J( 7 ~
SUBD. RECEIPT DATE:
1998 PLUMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MIN 55122
(612) 681-4675
Please complete for: ➢ single family dwellings
➢ townhomes and condos when permits are required for each unit
➢ backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet " minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener `for dwellings under construction 5.00 x =
Water Softener " for existing dwelling 20.00 x =
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 = O
Alterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ` MPC lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
TOTAL au, sa
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compy with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: 1411() A PAO L O d S A TR,
OWNER NAME: COA1NiiF 5.elcASdr✓
INSTALLER NAME: P/9L e LUrnR ma TELEPHONE#:
STREET ADDRESS: /,3 / O fl, S T %yTy ST.
CITY: aLdomr 6ru. STATE: m~ ZIP: sfva5
7-di
i?r - ~1- J--~~
SIGNATURE OF PERMITTEE pry 1
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 a 2
q 7
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
No Construction Requirements Reaure mots OfteLbe Qnly
3 registered site surreys showing sq. It of lot, sq. ft. of house; and d roofed areas 2.cgm of plan showing footings, beams, joists cart c4 Solvay Reod Y _ N
(20% maximum tit coverage allowed) 1'set of Energy Calculations for heated additions Sobs Report T Y N
1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres P1w Recd _ Y _ N.
2 cow of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on sife septic system Tres Pres Required _ Y N
1 set of Energy Calculations or"ite sew System _ Y --N
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail options selec ion sheet (buildings with 3 or less units)
M i nnegasco mechanical ventilation tam
Plans are considered public information unless you state the are trade secret and the reason.
Date_. If ;k, / l Construction Cost off. ~{f Do O
Site Address 1 4410 Loo 3 z ~f rz I Unit/Ste #
k
Description of Work ko A - 1!2 . d (n q
Multi-Family Bldg - Y L,~N Fireplace(s) - 0 - 1 _ 2
Property Owner r . y, 1,-/-( 2 t u1 Telephone # (6S 7 y
Contractor {'h [ ry S~ -/r ,rte f7a u} A-*-)Q S 1 J7t ~G- --r. Q- r
Address "1-7t O ~00 U!21(--.s ~r r J e -;L-9 O City G d t 4Q-"k 60
State /"~vk Zip 3` Telephone#(7fo3) SYS--0546
COMPLETE THIS AREA ONLY IF CPNSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category _'1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone
)
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
/w 6L-P-s1 Q r ,Q eJ
Applicant's Printed Name Aippli s Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113247
Date Issued:09/03/2013
Permit Category:ePermit
Site Address: 1410 Appaloosa Tr
Lot:9 Block: 1 Addition: Sherwood Downs
PID:10-67670-01-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Erik T Klein
1410 Appaloosa Tr
Eagan MN 55122
(651) 994-7234
Minnesota Window & Siding
1710 Douglas Dr. #290
Golden Valley MN 55422
(763) 545-0545
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA123208
Date Issued:06/02/2014
Permit Category:ePermit
Site Address: 1410 Appaloosa Tr
Lot:9 Block: 1 Addition: Sherwood Downs
PID:10-67670-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Linda Jernander
2026 Colburn Drive
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Erik T Klein
1410 Appaloosa Tr
Eagan MN 55122
Ron's Mechanical
12010 Old Brick Yard Rd
Shakopee MN 55379
(952) 445-8585
Applicant/Permitee: Signature Issued By: Signature
_._
From:Taylor Gable Fax:(763)400-5992 To: Fax: +9 j651 j 6i5-5694 Page 2 of 2 12J16l2015 12:A9 PM '
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