Loading...
1414 Appaloosa Tr 1 For Office Use „, Ø Permit#: /W9/D./ E AG A N 7 , Permit Fee: b('2-© L✓ Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsc cityofeagan.com L i(g2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: (5. !t 18 Site Address: Tenant: Suite#: 9 Name: 1 'n1 4 1�6tyfe.'! Neir4L Phone: I✓ � ` L� �� Resident/Owner �,- Address/City/Zip tAtofrl )�I7A i Name: � License#: Contractor Address: City: 11 State: Zip: Phone: a Contact: Email: Type of Work New Replacement Repair Rebuild Modify Space Work in R.O.W. : Description of work: RESIDENTIAL s Water Heater x Water Softener Lawn Irrigation ( RPZ/_PVB) Permit Type s Add Plumbing Fixtures ( Main/_Lower Level) Septic System i New Water Turnaround i Abandonment 1 RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ - CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.org You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. 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 o plans. x Y,A4JU c_- - EMZEI � tiil1i n Applicant's Printed Name Applicants Sig ture / FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: May. 01.2018 12:36 Hessian Plumbing Services 6516818306 PAGE. 1/ 1 For Office Uee r' /..11 1 ; EAGAN Yt e' Permit ft 0� j '1 R.yw+ .0, J ko d J Permit Fee: (7V aAefC. T M Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 5122.484 (651)675-5675 TDD: (651)454-8535 AX; (651))6675-5684 Staff: buiidinginspections@cilyofeagan.com ` .4. 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: S `I ' i $• Site Address: I 11 / 9 A p Trt ; f Tenant: Sults#: Rest et1f0Wr1er Name: 11 n •. Are /� e 2.e t Phone: 6S / GP' 7 v ("? `/ . ) AddresslCitylZip: / 1 y )ovs'�`, 2�� Ss / 2. Name; I- 4.Ss iqn ��,„�;>, fe (-Ls' �'^ticense#: PC- 69 f 3SS 'Conti for ,''.' • Address: P 0 Q a.x G? /7- City: • '' State: )'V Zip: SS"/ Phone: fp f) e I — }f' 2 S. Z- Contact: 0-7 Me.., Email: r. )'( CO .-( • • ''•.., • New replacement _Repair _Rebuild —Modify Space _Work in R.O.W. :Type of Work : Description of work; • RESIDENTIAL stater Heater • Lawn Irrigation( RPZ/_PVB) - -Water Softener Perniit,;1'ype:•..' Septic System Add Plumbing Fixtures( Main!—Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFOREYOU DIG.Call Gopher St ie One Call at(661)454-0002for protection ainst underground utility damage, Call 48 hours before y u "- Intend to dig to receive locates of underground utilities. www,gouherstateoneeall.org You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeegan.com/subscribe. 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. x '16.t c A i"? x ,4461,; Applci ant's Printed Name Appl cant's Signature • , • • Reviewed By . .. Re' q ns:, "''• ,;,_�Under'Ground. .,_Rough-In • Air Test,' _;-�;,Gas:Test . ,_Final,-:.wulrod.'It1e b to MetE!R,$ated:ltelfieli ; MeterS'ize' ; ; 'Radio Read._:.' Manometer '• ;,•' 'Staff: ' ' • ..' .. .. CITY OF EAGAN ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121, t? ~1:~r L1 PHONE: 681-4675 BUILDING PERMIT Receipt # Tobeusedfor SF DWG/CAR Est. Value $147,000 Date JAN 17 1942 Site Address 1414 JPPALOOSA TR Lot 1 Block 1 Sec/Sub. SHERWOOD DOWNS OFFICE USE ONLY FEES Parcel No. Occupancy R-3 m-1 804.00 Rw~- Permit JOSEPH N MILLER CONST Zoning Name (Actual) COnsl V_ Surcharge 73.50 2 Address 18133 CEDAR AVE S (Allowable) V'N Plan Review 523.00 , FARM I N=ON PIN # 01 Stories o t,ity Zip SS024 Length M License 5.00 Phone 431-2001 Depth 4 ' SAC, City 100.00 cc Name SAME S.F. Total SAC, MCWCC 700.00 S.F. Footprints 675.00 Address On Site Sewage - Water Conn I City Zip On Site Well y- Water Meter 95.00 MWCC System 30.00 Phone X Acct. Deposit City Water License # PRV Required SNV Permit 30 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge .50 information is correct and agree 1o comp)y;taith alllicable State of 30d Minnesota Statutes and CityEagarlDr[d_'~nces. Treatment PI Signature of Permitee f +F APPROVALS Road Unit 380' 00 A Building Permit is issued to: JOSEPH M MILLER Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Oft. Copies 3,716.00 Building Official Variance TOTAL Permit No. Permit Holder Date Telephone # S/W PLUMBING WAC ELECTRIC ELECTRIC I Inspection Date Insp. Comments Footings I Foundation Framing .Z/ Roofing Rough Plbg. Rough Htg. Isul. Fireplace c~ Z RV Final Htg. Orsat Test Final Plbg.O- a Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN w ° METER # PERMIT DATE 01/17/92 3830 Pilot Knob Rd. 12498 Eagan, MN 55122-1897 CHIP # PERMIT # METER SIZE B.P. RECEIPT # - f .1 1 DATE '.IAN 17, 1992 ISSUE DATE B.P. RECEIPT DATE 01/17/92 PRV BOOSTER PUMP SITEtBDRESS 1414 Appaloose Tr. PERMIT REQUESTED LOT BLOCK SEC/SUB Sherwood Downs SEWER -WATER TAPS APPLICANT: Joseph M 14illor Canat Ynn 18133 Cedar Av S - COMM/IND x RESIDENTIAL ADDRESS: CITY, STATE Farmington, Nn ZIP 55024 x NEW EXISTING 431-2001 PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: Gana-Ryan Ahead of Domestic Meters on Water Line. ADDRESS: 14745 S. Robert Credit WIL NOT ben for D uct Meters. CITY, STATE Rosemaeutt , Nn ZIP 550(5 R r i' PHONE: 42.3-1144 I AGREE TO COMPLY WITH CITY OF OWNER: EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. i CASH RECEIPT 0 w CITY OF EAGAN 3830 PILOT KNOB ROAD ' EAGAN, MINNESOTA 55122 DATE rEcerho I p\~ FROM AMOUNT & DOLLARS +ao O CASH CHECK lf( FOR FUND OBJECT AMOUNT Thank You BY ~t C 016918 VeNow-4osdng copy Pink-F" Copy SEWER & WATER PERMIT OFFICtE USE ONLY CITY OF EAGAN METER # s 22 /'S 37 PERMIT DATE 01/17/(,2 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # b l5 7 PERMIT # 12498 ~ b Ph ~ l ~ 11 METER SIZ 5(4 B.P. RECEIPT # - " 9ZB.P. RECEIPT DATE 01/17/92 DATE 1 7 , 1'"'~ 92 ISSUE DATE _ PRV -BOOSTER PUMP SITE i PDRESS +"D,10096 Tr. PERMIT REQUESTED LOT BLOCK SECISUB Sherwood Dons ' 7. SEWER "I - WATER -TAPS APPLICANT: Joseph M. L'111er Const Inc 1:;133 Cedar Av S -COMNVIND RESIDENTIAL ADDRESS: CITY, STAT, arwin;ton, Mn ZIP %?P24 x NEW EXISTING F_ 1-2001 PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: Genz-Ryan Ahead of Domestic Meters on Water Line. ADDRESS: 1 +745 s. Robert Credit WI NOT be, ' n for D#duct Meters. CITY, STATRosemount, Mn ZIP 55068 F~ PHONE: 21-1144 I AGREE TO COMPLY WITH CITY OF OWNER: ;;UREE ORDI C ADDRESS: CITY, STATE ZIP PHONE: WHEN METER ISSUED r PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 0 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I I Al 1 nl li.a I r+I Ir f I Pf~l I Il r III i t? + I,ii lo' PERMIT SUBTYPE: TYPE OF WORK: r.l . 1 i INSPECTION TYPE DATE iNSPTR. INSPECTION TYPE DATE INSPTR. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings l Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. Deck Final / Well Pr. Disp. Address: 1414 ARPALOOSA TRAIL Lot 10 Blk 1 Sec/Sub SBERjMD DUWS These items were/were not complete at the time of the final inspection. Date: 03/24/92 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry , Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish 1/ Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. White - City copy Yellow - Resident copy Pink - Contractor copy DATE: JAN 17, 1992 RE: 1414 APPALOOSA TR (JOSEPH M MILLER CONST INC) X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. - Your Sewer & Water Permit for the above property cannot be completed for the following reasons: - Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CITY OF EAGAN '3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N020038 0Jn /rn BUILDING PERMIT PHONE: 681-4675 Receipt # h Tobeusedfor SF DWG/GAR Est. Value $147,000 Date JAN 17 119-92- Site Address 1414,fPALOOSA TR OFFICE USE ONLY Lot 10 Block 1 Sec/Sub. SHERWOOD DOWNS FEES Parcel No. Occupancy R-3 M1 804.00 Zoning R-1 Bldg. Permit Nagle JOSEPH M MILLER CONST (Actual) Cons( V-N Surcharge 73.50 W Address 18133 CEDAR AVE S (Allowable) V-N Plan Rewew 523.00 z a of stories City FARMINGTON MN Zip 55024 Length 6n, License 5.00 Phone 431-2001 Depth 42 SAC, City 1110 - Inn S F. Total SAC, MCwCC 700.00 Q Name SAME ~ S F. Footprints Address On Site Sewage Water Conn 675.00 City Zp On Site Well Water Meter 95.00 MWCC System R Phone Acct. Deposit 30.00 City Water -X- License # PRV Required SAN Permit 30.00 1 hereby acknowlege that I have read this ap licahon and state that the Booster Pump SM/ Surcharge .50 Information is correct and agree to co th all icable State of Minnesota Statutes and City 5yt n di ces Treatment PI 300.00 Signature of Permitee APPROVALS Road Unit 380.00 JOSEPH M MILLER Planner Park Ded. A Building Permit is issued to: on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City ~of Eagan Ordinances. Bldg. Off. Copies Building Official ~nblq ell, (111/ Variance - TOTAL 3,716.00 Request Date I I- Fire No Rough-in Inspection Regwredn ❑ Ready Now EN When Re Inspector Pee2<any 5, 1992 e~V6 ❑NO When I - Icensed contractor O owner hereby request inspection of above electrical work at. Job Address (Street. Box or Route No I City 1414 4ppa-ei 72aii Eagan Section No Township Name or No Range No County Dokota Occupant (PRINT) Phone No. Joe &,Uen Korae% 431-2001 Power Supplier Atltlress 4300 220#h S.l-. S. Ii Dako& EQectiz-ic t um ~x ton, l7N 55024 Electrical contractor (Company Name) Contractors License No Ndi!aii i In 041610 Mailing Address (Contractor or Owner Making Installation) 7803 172nc1 St. Id. Lakev.iUe,/V 55044 Aumorvdd Sign re Gomract mq Inslallatio Phone Number 432-6688 wi~ M TA STATE BOARD LE ICITY THIS INSPECTION REQUEST WILL NOT Gnggs-Midway Bldg. - R 0 BE ACCEPTED BY THE STATE BOARD 1621 Umverstly Ave. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 662-0600 ENCLOSED J~ / REQUEST FOR ELECTRICAL INSPECTION °°r a joooog1 SL J 1 ~ 81 ~ See msirucbonslor completing this form an back of yellow copy Y~ "X" Below Work Covered by This Request ew Add Rep. Type of Building AppliancesWiTed Equipment Wired Home &o-Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial urnace Farm it Conditioner Other (speefyl Contractorts Remarks Compute Inspection Fee Below. # Other Fee # Service Entrance Sze Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps / 1/410 to 100 Amps ps Transformers Above 200 Amps Above 100 -Am Signs Inspector's Use Only TOTAL Irrigation Booms DV ~5~ Special Inspection ~J Alarm/Communication THIS INSTALLATION MAY BE ORDE D D NNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S. I, the Electrical inspector, hereby Rough-in Date certify that the above inspection has Final t Detail been made. 1-7 OFFICE USE ONLY r This request void 18 months from PERMIT ~CIT1fOFSAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 021528 (612) 681-4675 Date Issued: 07/19/93 SITE ADDRESS: 1414 APPALOOSA TR LOT: 10 BLOCK: 1 SHERW000 DOWNS P.I.N.: 10-67670-100-01 DESCRIPTION: B,aildPermit Type DECK Building 40k Type NEW vat occupancy-,, R-3 r` Building Length';. 20 d Building Width 16 jt 3 1 REMARKS: FEE SUMMARY: Base Fee $25.00 COPY $•50 Surcharge $.50 Total Fee $26.00 Subtotal $25.50 CONTRACTOR: OWNER: - Applicant - NE MZEK TIMOTHY 1414 APPALOOSA TR EAGAN MN (612)687-0468 I hereby acRoowlsdge that i-h,"e read this ,ap lication and stag that the information is correct and agree to opmply•wit`h all applicable State of Mn_ Statutes and City of Eagan, Drdin:arlce%. AP LICAN7/ ERMITEE SIGN RE ISSUED : SI NATUR INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021528 Eagan, Minnesota 55123 Date Issued: 07 /19 /93 (612) 681-4675 SITE ADDRESS: LOT: 10 BLOCK: 1 APPLICANT: 1414 APPALOOSA TR NEMZEK TIMOTHY SHERWOOD DOWNS (612) 687-0468 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. FOOTING FINAL REACTIVATE CITY OF EAGAN PERMIT` # ° 993 BUILDING PERMIT APPLICATION L 13 1993 681-4675 2!5J U SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2.sets of architectural & structural plans, I set of specifications, 1 copy of energy calcs. 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_ Valuation of work Site Address: f 7~ Q 0 5o ro'- ST ET SUITE Tenant Name: (commercial only) LOT BLOCK 1- I SUBD.Sh~~oo uJY?5 P.I.D. M Description of work: 0 £t lc~ v The applicant is: Owner ❑ Contractor ❑ Other (Describe) Name iYl MD h d- 0.Y Phone Property LAST F)ksT Owner Address 1414 &~ojoc6a_ Tra~I W REEF STE X City State Zip Company Phone Contractor Address License # Exp. City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has 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 Eagan Ordinances. Signature of Applicant: la-.- 11 v OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑,A ,8,4sement,F,inish ❑ 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. Add'l. $1 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump #F of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth, On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site t9 Footing ❑ Framing ❑ Insulation ❑ Wallboard it Final ❑ Draintile ❑ Fireplace Permit Fee v 17 valuation: $ Surcharge S Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units ._1d4 F Jc ,fF'k 2422 Enterprise Drive 3~IONEER LANOSUflVEYOI 'CIVILCNGiNEEITS MendotaHeigh[s,AMN55120 yengi1'•leeriT'Pg ^ -Ar4Q PLAt I[iEft4• LAI40SCAPE ARC'4ITCCTt 16121681'1914 1. V V Certificate of Survey for: Josh M. Miller ruction_ne. House Address: 1414 Appaloosa Traif, Eagan~._MN_ Model Name: Revised Vanderbilt 2 I ~ I i I f~ P O~ r 1 9 1L i ¢4Q Ise D ~g 'ase.a J `101136 Ca=`" ~ O,t9oo.oz\ ~ /~\x. S ~ \ '9• ~2. N q=~~ `jOt \ pQ u _ J \ 1 L21.~~ ry ~2 5 t Ltn F' ~S 1 s t0.~_ i>CFy J t ~5c~ tl y 998.0 y ti~ 1 ~~aw ti~ t v ~~1 r~' ~FGSCO Y a~y"`s~ 5po tii;AS t Tt _X r v 1790!.7 F,+~). o ( [ O Lri p co 001.- ' 7c `7oo. X t4 \ / / 696 \ fz a \ 10 GAD \ , i a y'{ A 3t IN tkb aq~ • ~r ~ cog 1~ eaao 6 8'I 897 n+ 8 r~ I eoo"o Denotes Existing Elevation PROPOSED HOUSE ELEVATION soa. Denotes Proposed Elevation Lowest Floor Elevation: 896.46 Denotes Drainage & Utility Easement Top of Block Elevation:904.56 Denotes Drainage Flow Direction Garage Slab Elevation: 904.23 -o-- Denotes Monument - _B _ Denotes Offset Hub Bearings shown are assumed LOT 10, BLOCK 1 SHERWOOD DOWNS DAKOTA COUNTY, MINNESOTA I hereby Certify th+t 01;0 $ 5 true snd CVtretl rRD~°.'entalina of a -,wcw OF the bOnndal IV; of the aboyyy333 d cubed Ian , and of the focedon of all buildings, thsreon, and ell visible encroachments, it an, lrorn or on se'd land. As vpveVed by me this dey of A.Clqv-. Cle'✓s "IY1j^12 Add Cre 5Z I'LOu, 1-(~k-1 Z. , r~,oPe Als Scale: ~Inch=30foat ROB F B. 51 IdH S. RECt. 14P.91 '`(~79J 907.Ofi.09 r _ 19 BUI1L~ ATION CITY OF EACAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. &7000 J 1-110 To Be Used For: Valuation: Date: Site Address /y~/}~ Q.tJ OFFICE USE ONLY Lot ILI) Block Tr- FEES ~y Occupancy Bldg. Permit Zoning Surcharge 73.3'6 Parcel/Sub 2G(~fl~Q3~ a- Actual Const Plan Review 523 Allowable SAC, City 1/ Owner # of stories SAC, MWCC 200 Length 0 Water Conn. 67s Address Depth y2.3V Water Meter 9s S.F. Total Acct. Deposit b City/Zip Code Footprint S.F. S/w Permit 300 yi S/W Surcharge .50 ~f~IxA /~I1tYJl~J. On site sewage- Treatment Pl. 3000 Phone On site well Road Unit 310 Contractor CC System ✓ Park Ded. City water Trail Ded. Address _ L Cci J PRV Copies ,r Booster Pump _ City/Zip Code SUBTOTAL l / APPROVALS Penalty Phoned - CJ f Planner Lot Change =100 Council TOTAL 3-11 Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # Sewer/Water Licensed Contr. agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ol~ 3. S k z ~ - S~ 30, ask _ ~5, ~G 0, zs LHlie 1- 3 33.5 = zlf, ~b ~ L z'~,~ ✓ /dd, 925 Qr A TIDAVIT OF SDBNESSION OF 11 ` APPLICATION FOR STATF. CONTRACTOR. LICENSE State of Minnesota) Affidavit o - ` I. ) ss Contractor's Name County of Dakota ) Joseph M Miller Const Inc being first duly sworn,,upon oath, deposes and (Contractor's Name) I I states the following: ;I I 1. This Affidavit is submitted in couaection with the building permit application made by J.._eph h. Mijje r v T (Contractor and/or Company) for a proposed work project located at 1414 AppA nnca Tr Eagan, Mn 2. I am a residential building oa for/remodele (circle one) in the State of Minnesota. 3. I acknowledge and understand t1w,- Minnesota St tntas, Chapter §326, requires all residential building contractors/remodelers to obtain a license from the Minnesota DenaT ent of Commerce by January 1, 1992, unless such coma'actor/remodeler is exempt undem he statute. 4. hav ave not (circle one) submitted an application for a license to the esota Deparment of Commerce as required by Minnesota Statutes, Chapter §326, on Dec. 20,1991 _ 19 Date of Application i I 5. I am/am not (circle one) exempt because I am/am not (title one) a one specialty remodeler. 6. I am/am not (circle one) exempt because any -n^n=1 gross receipts are less/ gate (circle one) than $15,000.00. j 7. 1 am/ not (circle one) exempt because contracts on individual projects in a gat' do not (circle one) exceed a total of $2,500.00. I 1 acknowledge and understand that the statements in this Affidavit are made under oath and if I make any statement ini th-7 Affidavit that I know to be false or incorrect, I understand that i could be subject to criminal prosecution or denial of the buildingIperm=it or both. FURTHER YouR AFFIA_NT SA_YE1'M NOT. Jose 41ler Const nc Dated: Jan. 10,1992 1992_ Contractor'A Signature (Signed in presence of Notary Public) i I i Subscribed and to before me this of'' CHARD H. L. GRAY day a r YO NOTARY PUBLIC-MINNESOTA P HENNEPIN COUN3Y t MY COM.'d. EY.P. 07/2f,,/92 k" S" tore of Notary Pu Iic i 2422 Enterprise Drive * PIONEER J Mendota Heights, MN 55120 y LANG SURVEYORS -CIVIL ENGINEERS engineering.- LAND PLANNERS- LANDSC APE ARCHITECTS I (p~q) 6p~_~^14 T V < O O Certificate of Survey for: Joseph M Miller Construction, Inc. House Address: 1414 Appaloosa Trail. Eagan. MN Model Name: Revised Vanderbilt 2 I I I / I I / I?- Ila P / / n ~ ~ 6h~ aae.4 P S / \ RAD i i \ \ 9j Try, - '06 'rq, \ ~ 900 \ B \ 2s o0 2 mt SE ° , ~ O U _ µ0 _ 1 Z N \ t4 GO ` PRg AMENS LGO 2i o 4,165 \ N~ t~0 ! 'p a FULL ! ~ N \ \ ~ ~ oG 1 o Nom: ° ! tC •w \ 000 4 / / (n 0 cA .5\ \ x 8:97: / \ / / / pu~j.1g A6 897.0 Q ~ `~1 _ S ~808040n W\~~ By, Da Z~GM . NGI EERIDIG DEPT 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION 900. Denotes Proposed Elevation Lowest Floor Elevation: 896.46 - - - Denotes Drainage & Utility Easement Denotes Drainage Flow Direction Top of Block Elevation: 904.56 -o- Denotes Monument Garage Slab Elevation: 904.23 -B Denotes Offset Hub Bearings shown are assumed LOT, 101 BLOCK 1 SHERWOOD DOWNS DAKOTA COUNTY, MINNESOTA I hereby certify that this is a true and correct representation of a survey of the bound=EB. ' bed land, and of the location o all buildings, thereon, and all visible encroachments, it any, from or on said land As surveyeofA.D. 19 Scale: 1ine-h=3Ofee ll . . REG. NG. 14891 [2 90206.09 MNNE SO IA 51AIE LIIERGY CODE CALCUln- i `onsEU oii-ciini i'i n ti - IlOOEL.EIIEIIGY CODE - 1903 E0111011 t9a-3a3 ' ~ ndop[Ion EEffective )71/r1~1'. . ~ Phoneme Date owner Sllc Address Contractor Tyre A2( OuliJing Class6flcatlon: Al (Single romily t.dup1cx)___ OIL- (3 storles or essf__ Type , h first. (ever 3 storles)__~ UOT_: Com Icte !ages I _and (Other). GENERAL IIIFOIIIIATIOII 1 E G p r t. • I, DuIlJing Pcrlwetcr 110-61111 W ft. , 2. wall helghi (ground to cave) 2 ' e -20 31 ft. 3 1, x 2. (above) gross •wal I ara ft:2 goof •c• floor area ~ x - ) h. Building Ulmens Ions - {J Z, f t2 5,• Square foot area of rim joist ~ O°'•X3Perimeter (2RIm durst area ' S/z 15w ' I lf'~ I~ G. Odors Area In, U factor _ er ft. lhlchness Perimeter Type of Construction hanufacturer ft. 7, Total door's perimeter 1 ~ • I _ _ n ~ 1 G ~ y l=(' ~`lfF5~ f----- S t a t e approved! VI ndoeus: Itanufae[.urer 2 U factor TOTAL FEAT AREA (Ft.2) IIultuER OF TYl'E SIZE' EACII UNITS g, Total ft.2 Glass Ft.2 x 10. FlFeplace area; Wdth x height e I S ~ Ft•2 (p x L~ (.P I -iln.lo t('-FiEiirti€ Tl~c nii~6L1Ti~Tllcs t 11. EXRoSed fonndationp Ilelght X PFOR ALL ~ P colAr Tlol1 of TUIS FOIUI 15 REQU LLUM~IAUC nI1CIRED FOR ALL IIEI)~ 11~ E, U I 1, ItOVED NIIERE EIIERGY, DINER TIIAII TILE IltiIIIIAL CODE AS USED. 12: frap,ing area ° 101 ur gruss wall area. I,?~3 ft.2 area 2 • U 'x A °h-• 13. Gross wal I. r~J j ft. u wtnJow# ° I J NIiIJoa area A Z5z U x A I ft.2 U rim Joist ° film Joist area A' : 2 IG~ U'.x ft. U door area ° I II Ix~ Door area' A 2 , [ • U x A O f t. y4 U €-b1 epl ate ~1 1C~y p elllacc area A _ o (Q ' U x A° QL•1 j L• (t.2 U juundation ` I G~~~ CxposeJ fouildatlon A U rlaminy area 5 U x A w_ 15 Framing area A t~7 U x A Z (0~7 f t. U wall i O -7 L t IIeE wall 'area A . . . . . . .U x A L i ° allov,ablo U x A/Code 14. Grosz wall area x 0.11 (A-1 single fawlly 5 duplex r (1]. above) Q.23 (A-2 gther residential) x .23 (Other bulldings) ' X '.20 (Over 3 stories) UTUII, Flust be larger than 3 L~ 133 ° 133 above: 02 .2 -;I 1I~> 7 x UCgJe•' I - or the. Sallie as) A 15. Cellin9 framing area (At) equals 10% of cell ln9 are.d ° ft 2 15A. Gross cellln9 area ° (L) lC ft.2 153 • Jolst areh (At). 10~ cellln9 area ft.2 Ile[ cell 1119 af ea (Ac) (15A - 150) ° r 15C. ~ ° C.• I 1 ' U ceiling x A Ca, U frau,ln9 x A f°, I 9 I'li0 15U. TOTAL'U x A ~(~-r_--_ A ' A-1 single fawlly S plex - code allowable U X du 16• Cell 1119 area (15A) x 0.026 x 0.033 (ft-2 other residential): x 0:06 (other) D UII 14ust be larger Ulan .15D (abov nn~? ,oz(a (or tll•e• same.-as) . f x is odes A 154 f , 1 ' MOTE: se u and A values obtalned fIt pages cIa,l'c3u°11d I• 0„ factors and values U CERTIFICATI011: I heie u by certify tha I have lated the Ccreln and ll~at the bilding here described mJcls or exceeds [Me Stale of Illnnesota Energy Conservation Act. , ~'lgnature pate i g ---=(f~l X111 ; Lo o I X I - 2(tco_._.-.._..__ I _ _ it ' • • • . • • ' r I _ we r_%vam FOR G1TY USE ONLY 3830 PILOT KNOB ROAD EAGAN. MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT #14 &E DATE: / RESSDEtLT PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 d - BATH TUB 3.00 OWNER NAME: JOE MILLER CONSTRUCTION CO. INC. LAVATORY 3.00 ~ /J KITCHEN SINK 3.00 .3 SITE ADDRESS:)'//Y Q.f?.19 i~en/10. /may -L HOTTRY TRAY 3.00 3 HOT TUB/SPA 3.00 WATER HEATER 3.00 3~s LOT:O BLOCK SUBD. "Au)ezr,// i.J~w7l~ I FLOOR DRAIN 3.00 3 INSTALLER: GENZ-RYAN PLUMBING & HEATING CO. GAS PIPING OUT. (MINIMUM - 1) 3.00 ADDRESS: 14745 South Robert Trail ROUGH OPENINGS 1.50 S=J`< _ OTHER _ _ WATER SOFTENER 5.00 _ CITY: Rosemount, MN ZIP: 55068 PRIVATE DISP. 15.00 _ F-:ONE 612 423-1144 U.G. SPRINKLER 3.00 SUBTOTAL S /??.s u EL ST. SURCHARGE .5( SIGNATURE OF ERMITTEE TOTAL: S SD= t30MlfERCZAIi I6TDU5T IAL"t` PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AN] MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EAC] DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT D~EG~#ANICAI`PEi~NCTT DATE: ~ S pE IAT PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM J 3.00 OWNER NAME: OF 1 PER PERMIT \ SUBTOTAL: $ SITE ADDRESS: STATE SURCHARGE: .50 LOT: BLOCK SUBD.C~ (~C~\1C l ~~?~~cl S TOTAL: 0911156 INSTALLER: \ SLSS~~C ( „E C~ I C ADDRESS: ~ ~l FO SIG ATURE OF PERMITTEE CITY: s1 ~1G~ ZIP: PHONE X(42 (j20QQ- COMMERCIWINDU$TRIW PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN II •IA111t .I cLlllnll I RAIII IIV, Y Air Film U.GI I o.61 l:isulation L •00 G(•~~ Joist Ceiling ~6 11.G1 t1 t <I u~ - AIr film S. ~I X L'Z, I 1o1al 4 =t ? l 027 U . f.Al ROOF Ult CA11lEUItAI. CE ILIIIG 11 ,IALUE• V~7V l 1f It Vnltie CE1Ll11G f aA1II IIG n.Gl Inside air filar U•GI V if v~Q Y~__ _ - - - - Cull Iu Joist sEiidl r Air spacd Roof WHO l"sulaLlon Uullt-up roof outside Or hlm U•li I'•'lolal It - li y U Ilndo+l I'MIL atluu 5 11"'llueal 'out of crack " tesldeotla ldoo a r Inrl,.lLvatIO 0.5 II11/1sG(m/lineal foot oaf cracYlnlawm coda ractulremenk : luu 2.1 1l: 12't'toocveLG block :io olaedtlor .2G it 7.0 )L 12i1 tu"c eLe block lnsl'J cores y eJ2 h 7.1 Jb Ild l10 Lmalght Flock )b 1211 Ilyhluelght block Insulated' cures :l? IL llnc)l~ glass = 1.13; tl{lh storm Windod ,54 } coolrll glass = .55 J It Iltll glass = •41 in0 111 txlerlor galls Q04 ceilings most We 1 vlhor barrier (G.IU perm x.}t I I t Alcor Larder must: 6e on We "side (healed s ad of Duval Idpor bal'lers of the pulyelhelone lhlu Illy 1041 no Il value. PERMIT:; X,2?1 RECEIPT DATE: 1 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KaOa KD EAGAN, MN 55122 651-6$1-4675 Please complete for: % single family dwellings , ` % townhomes and condos When permits are required for each unit backflow preventer for irrigation system SITE ADDRESS: r>1~it~e,t~taJ OWNER NAME:: \ tm Q Q!A? TELEPHONE 4PAV OA16 (AREA CODE) INSTALLER NAME: 14d4hPLL) Zanie]6, &C• TELEPHONE#: 651 -123-3,730 (AREA CODE) STREETADDRESS: TZZ0 0orrous&_I ~2~1 CITY. &;emAun'~ STATE: Afly ZIP: SS66Y Place a check mark next to the permit work type I _ New residential dwelling unit under construction and not owner/occupied S 90 00 j II i Add-on, modification or alteration to existing dwelling unit, including: S 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround 2,4 ; I~ I I~ Nature of work: 1,a10- _4rxt l/k_ _ Septic System, new/refurbished - { S 225 00 • includes Ccunty p. Consulting inspector fees • requires MPC license State Surcharge $ .50 Total $ SO. 5Z Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply 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 prop rt ylright-of-way/easement. SIGNA RE OF P M TTEE Updated 1101 RESIDENTIAL BUILDING PERMIT APPLICATION `J CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 New Construction Reaulrements Remodel/Repair Reauiremerde • 3 registered site surveys showing sq, ft. of lot, sq. ft. of house; and till roofed areas • 2 copies of plan (200%morimumlot coverage allowed) • 1 set of Energy calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • t site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate a home served by septic sWem for additions • 3 copies of Tree Preservation Plan if lot platted after )/1W • Rim Joist Detail Options selection sheet (blogs with 3 or less units) DATE VALUATION ly 0©~ SITE ADDRESS t-1~~`~ ~,11L5A T~~ t L MULTI-FAMILY BLDG _ Y N TYPE OF WORK T RE: -000E FIREPLACE(S),4 0 _ 1 _ 2 APPLICANT 1 < ^ ~E51Coh1 IJ 1cl STREET ADDRESS fo°t69- IJi,;MST' CITYlRP41_ JRDs STATE Mfg ZIP 551 ` TELEPHONE # 2?-2L 2 7<, CELL PHONE # lost a81 `7 FAX # PROPERTY OWNER t>M t~1 wi FK TELEPHONE # (61-Zo`6_7-01A6:R COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: - Air Conditioning Fee: $70.00 - Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of - plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg-Yor_N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bkigs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. Footings (addition) - Plumbing Foundation _ HVAC Drain Tile Other Roof - Ice & Water _ Final - Pool - Ftgs _ Air/Gas Tests _ Final Framing - Siding _ Stucco _ Stone - Fireplace - R.I. - Air Test - Final - Windows (new/replacement) - Insulation - Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL BUILDING PERMIT APPLICATION - oG l CITY OF EAGAN h 3830 PILOT KNOB B RD RD 55122 651-681-4675 470,00 New construction Requirements RemodellRegalfReguiremenis q_1 -I_0I . 3 registered site surveys showing sq. ft. of lot, sq ft. of house, andall roofed areas • 2 copies of plan (20% maximum lot coverage albwed) . 1 set of Energy Calculations for heated additions LLn,. 2 copies of plan showing beam & window sizes: poured found design, etc.) . 1 site survey for exterior additions & decks t . 1 set of Energy Calculations . Indicate if home served by septic system for additions . 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) 0 0 0 DATE 2Z Z a VALUATION ~Z b, JOB SITE ADDRESS y / to o a S T r IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER T; r-~ N ~ In, `Z \L TYPE OF WORK -A', s 1 1 ,ti r FIREPLACE(S) _ 0 2 APPLICANT C- T e -.J C_ PHONE# 61'L-7< I -"L9~3 ADDRESS I-') 1" o S s= \ Y n ZIPCODE S I PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # MechanicA System Includes: Air Conditioning Fee: $70.00 Heal Recovery System Sewer/Water Contractor: Ph All above information must be submitted prior to processing of application. is corrct, andgre to comply on I hereby acknowledge that I have read this application, state that the inform l with all applicable State of Minnesota Statutes and City of IQ& Ordinanc Z . Signature of Appllcan Certificates of Survey Received _ Tree Preservation Plan Receive Not Req ired _ Updated 1101 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 EM. Alt - Multi ❑ 03 01 of - plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex 'IlP9 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or - N ❑ 25 Miscellaneous lqo 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)` ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant O U Y~ Valuation Occupancy R--- 3 MC/ES System Census Code Zoning k-1 City Water SAC Units 69 Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const~ Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck)` Final/No C.O. - Footings (addition) _ Plumbing - Foundation _ HVAC Drain Tile Roof _ Ice & Water _ Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. -Air Test -Final _ Siding _ Stucco _ Stone Insulation _ Windows (new/replacement) Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Use BLUE or BLACK Ink ForOffi0 [J- __.--___..___-I j Permit Cat of Ea an Permit Fee:. 3830 Pilot Knob Road I i Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 i staff: Fax: (651) 675-5694 1 1 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT / OWNER Name: T; rh U VACS V_a rev-\ Il l t e Vl Zc' IL Phone: Address / City / Zip: 11-4 1N A QAO1 MSc, DM i t _Ck~2vl Applicant is: Owner _X Contractor TYPE OF WORK Description of work: `S e 4- i n S kr-11 ",k/ w l"Y0vw5 Construction Cost: S41, 1~il 3 D, Multi-Family Building: (Yes / No X_j CONTRACTOR Name: Kt-e&k ~1C Y ~'G~S License '205(931-711 Address: 574(-~- f3L_.cksh le PC14 City: Tr,vej - tiro -e 1je~'jlrt+s State: M00 Zip: 6-L70-76 Phone: 651. 6,54. 6 3(o6' Contact Person: In G 1 a . 6SS• X13 7y 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.orp 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 a plans. X Jc~~1GilcM SQ~~ 2 x Applicant's Printed Name A ant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA092102 Eagan, MN 55122 . Date Issued: 11/19/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1414 Appaloosa Tr Lot: 10 Block: 1 Addition: Sherwood Downs PID 10-67670-100-01 Use Description: Sub Type: e - Gas Line Work Type: New Description: Stove Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Nicole Whitley 2200 W Highway 13 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Gem Ryan Plumbing & Heating Timothy G Nemzek 2200 West Highway 13 1414 Appaloosa Tr Bumsvil e MN 55337 Eagan MN 55122 (952) 767-1000 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. Applicant/Permitee: Signature Issued By: Signature 07l16l2015 08:40 �AK) P.0011002 Use BLUE or BLACK Ink ��������W�������� ���. =,��A.i'°ti"�,...� � Fo�0ltica Ua� I � � ; Pem,�t�: /�l �� � � Cit� of Ea�a� ���_ � � ���� , � � ; Pmrtn��Fee: �` `� � 3890 Pllot Knob Road Eagan MN 86132 j Dete Recalvetl: j Phone:(651)676-b676 j SteM: 1 Fax:(661)B78�694 � � �-----------------' 20 5 RESIDENTIAL BUILDING PERMIT APPLICATI4N ', �� �� i , � Date: � 31ta Addreae: I � {� Unit#; Name: � �� ��C�C�' Phone: Resident/ ' b � L �nn��Sa ��, Owner Address/Ciry/Z�p: ��1 l"f � �Y 1��� Applica�rt is: Owner � Contractor Type ot Work Descriptlon of work: '�A,V�"�t� ���'►e 1�6'�'' Construction Cost: �Y� MuIU-Femily Buildfng:(Yes /No� Compeny: ��Q� c�iC'�f'�N�v'S Co�tact:�e�VU� �� Address: ��(0 ��.G71.1.1.lCU1,VLf� � City: ��� Cont�aCtor — StaEe:.V_l�,Zip:�'�'� Phone:�� � '��'��mall: �_�G4�'1�;� �(:4�lV' Lleense#: � Lead Certi/Icab#: 1 1 T I�^ r '( .�✓��' If the project is exempt from lead ceRificatlon,please explein why: COMPLETE TMIS A,REA ONLY IF CONSTRUGTIPIG A NEW BUILDtNG In the last 12 montha,has the Clty of Eagan looued a permlt for a slmilar plan be�ad on a mastar plan9 � Yes No If yes,d�te and eddress of maste�plan: Llcensad Plumber: Phone: Mechanical Convactor: Phone: 8ewer&Water Contraotar: Phona: Fire 8upproaslon Contractor: Phons: NOTE:P/ar�s and supporting documents�at you submlt are cons/dered to ba public Information. Port/ot�s of tha/nfom�atton may be c/ssslfled es non public if you prov/de speciflc reasona t�,at would permit the CI[y to conclude�hat the are trade secrets, CALL BEFORE YO DIG, Cell GopAer 81st•On�Call al(661)464-0002 for prolecllon against uede�ound uUilty demaga. Call a8 hours betore you intend to dlp lo�eeelve locstes of underground u011tles. vwwv.00pheratateone�ILa[a I hereby ecknowledpe thet t�ls Infortnallon Is complete and eccurale;th9t the work wNl be In coMorme�ce with ll►e otdinar►c�es and codea oi the Ciry oi Eagan;ihet I unde►ete�d lhls la nol a permk,but oniy an eppliC9llon fo�a permil, and work is nol to elart wllhout e permlt; ihat lhe work will ba In accordance wilh the approve0 plan In�e case of work which requlfee e rovlew end approval of pians. Exbdorwolk authollied py a bullding permlt Issvad In aCC01'deMCe Wlth th0 Minmsofa 9tafo Bulldln�Cod9 muat es compi�tad wlthln 180 d�y9 of pe�mlt lesuance. x �V'�fl� ��'�� ,�,"�'� C,7.�2-�/"'� Appllcant'a Printed Nams Applleant's Slgnature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA164704 Date Issued:10/06/2020 Permit Category:ePermit Site Address: 1414 Appaloosa Tr Lot:10 Block: 1 Addition: Sherwood Downs PID:10-67670-01-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Timothy G & Karen E Nemzek 1414 Appaloosa Trl Saint Paul MN 55122--382 (651) 307-3232 Gladstone's Window & Door Store 2475 Maplewood Drive Suite 110 Maplewood MN 55109-0000 (651) 774-8455 Applicant/Permitee: Signature Issued By: Signature