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1418 Appaloosa Tr Use BLUE or BLACK Ink I For Office Use-J I j Permit G -7q City of Eap I Permit Fee: 3830 Pilot Knob Road J (f N g 2~~~ I Eagan MN 55122 1 Date Received: 1 Phone: (651) 675-5675 1~'r I I Fax: (651) 675-5694 G Staff: I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date. Ale O Site Address: 1-4 1 S ARP A4,oc % A ::.L Unit V Name: '1 ►d of A L-Atl (j~ Phone: (06- qds& RESIDENT / OWNER Address /City/ Zip: 14 ~PQ,t LOQ'~,a1~r Applicant is: Owner Y Contractor TYPE OF WORK Description of work: ZXc Construction Cost: 4 &L-70 Multi-Family Building: (Yes / No Company: 6V-sS Contact: r4 CONTRACTOR Address:664, .Ai4 1sr 94> V City: ~ PowL- State: t4 Zip: Phone: CGr~,~"d I License /?,3 T 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, 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 - J n 1 i~ Y-0 r' x Applican s Printed Name Appli nt's gnature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage _ Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy 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 Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required ( Footings (Addition) Final / No C.O. Required yG Foundation HVAC , Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: Stucco Lath -Stone Lath -Brick T~ Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control f Reviewed By: Building Inspector p RESIDENTIAL FEES Base Fee Surcharge Plan Review~ MCES SAC City SAC o1f Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 H` I t.reer t=r-3? I r-leer - i r~-0 k::1 A&Pdoosq qq~~ 2a22 Enterprise Drive Menclo#o Heights, MN :35120 y P'oNr=r=R LANG SURVEYORS • CIVIL ENGINEERS (612) 681-'1914-Fox 681--9488 s~.ngi16ee.r~nq LANG PLANNERS - LANb9CAPE**ARCHITEGTS 625 Highway 10 Northeast Blaine, MN 55434 * .K- * (612) 783-1880-Fax 783'-1853 Certificate of Survey for: Joseph M. Miler Construction Co. House Address: 1418 Appaloosa Trail. _Eagan, MN Model Name: Harrisburg t I l r / r APPALOOSA b, "J -7 z. N { ~ l0 'ter` y~ ~a Lik GE ` w , w ~ PROC' R9Ep 9A3EMF.N Y C.rt t~ _ GdV 12 ~ W ~ 4 s N y7'h6'3L~ 11 C^ ~1 1 rri 1 } 7 n H04.2 Q ,t •"G~ V as i.: t. i. s D r 4 J v r r r x 9mo Denotes Existing Elevation PROPOSED HOUSE ELEVATION X 900.oP Denotes Proposed Elevation Lowest Floor Elevation: 899.35 Denotes Drainage & Utility Easement - Denotes Drainage Flow Direction Top of Block Elevation: 907.46 --o-- Denotes Monument Garage Slab Elevation: 507.13 --q- Denotes Offset Hub Bearings shown are assumed LOT 11 BLOCK 1 SHERWOOD DOWNS DAKOTA COUNTY, MINNESOTA I hereby certify that this survey, plan or report ~vvst,prepared by me or under my direct supervision and that I am duly Registered 1-arrd SU:vdyor under the laws of the State of Minnesota. Dated this day of Af794 t- A.D. 19q2__. Scale: 1 Inch- ...3afeet R06ER 5j1 t L.$. REa• NO. 14891 z7-9 90206.10 tA)Nt 2Sr SlETBA'C.K PeR 7,>F=/LZDPMtk7',~6►2&F:~4E4T OF 4U,( 21j H- 'f ( INSPECTION RECORD Control No. 0213 CITY OF EAGAN IO TIVATE FOR DECK-4/'28/93 PERMIT TYPE: 3830 Pilot Knob Road Y OR KURT BETCHER 456-9664 Permit Number: *a#* 33 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: 1.0' ft It 13 L RCN.: .1. APPLICANT: '14tti APPALOOSA TR MILLF" 1,10MES JOSEPH i Siif. pwoun DOWNS (61:) 464-4863 PERMIX,§UBTYPE: TYPE OF WORK: MFW I INSPECTION TYPE DATE INSPTR INSPECriON TYPE DATE INSPTR i ~M 1 uu I N~~ f RAN1.N6 MiUlArION FINA1 1 11 UPl-ACC hl14AVOt r W l OWIRAGTOP - 6FNi fr7AN PI-86 +y3a _~57 F7: 1 `~I{z7 'ii(.'-. z,„ 10. A10 .~t'rk'•4 1F `7f Permit No. PwmB Holder Date Telophorw N S/W PLUMBING -A I ELECTRI t3 ELECTRIC Irmpoction DOO Insp. Commirft Footingel ! r 7 ~I i i Foundation Framing Roofing Rough Plbg. Rough Htg. r~ AA isul. 1 Rreplaoa s 2 Po Rnal Hlq. OrsatTest ~f fr Rnal Plop. Plbg. lrgndor - Notify Plumber Const Meter EngrJPlan Bldg. FWW Derck Fig. y Deck Final { Z we Pr. Disp. 5 yw Request Data Firere fJO Rough-m Inspection /p p + q rted? E) Remly Now III Nobly Inspector 7 / Yes a No hen Reacry? 1 ] licensed contractor owner hereby request inspection of above electrical work at: Joto Ad ess Istreat. Bo or Route Nor City Pig / ooSG Section No owns ip ame or No Range No County E Phone No. Oa t IPR (v c I ell Power Supplier C- Address Emdncal nhactor (Company Name) Contractors License No om r-0 wn Mai g Addre IC ntractor or owner MaXing Installation) Aumonz ignatur omra r/O q Inst laeonl Phone Number / ySG- Y L11NNE5O ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigg ay Bldg. - Room S-1T0 5M BE ACCEPTED BY THE STATE BOARD 1621 Unlveraity Ave.. St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 602-0600 1 nJ S ENCLOSED REQUEST FOR ELECTRICAL INSPECTION N" //EB-oc0o/l-oe See msm.Clions for completing this form on back of yellow copy ► 45110 "X" Below Work Covered by This Request e Add Rep Type of Building AppllancesWired EquipmeniWlred Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other,(Specity) Comm./Industrial Furnace Farm Air Conditioner Other ispecnyl Contractor's Remar s Compute Inspection Fee Below. # Other Fee If Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps $1905 Inspectors Use Only TOTAL Irrigation Booms ~ -~Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN IS MONTHS. I, the Electrical Inspector, hereby Rough-in Dat_/~ certify that the above inspection has F,nai D been made. OFFICE USE ONLY This request void 18 months hom -51 j-49233Z Y-5 Request Date File No Rough-ld Inspecbon E-- No ❑ Ready Now WyW Reypeda When hen Read Ap i 2 3 0, 1992 Require I icensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street Box or Route No, City 1418 AppaPooha 74ait Eagan Section No Township Name or No Range No County tOakota Occupant (PRINT) Phone No aoQ Naieiz llomea 454-4663 Power Supplier Md. Dakota £QectAic TalLmington,ON 55,024 Electrical Contractor (Company Name) Coniradors License No idPand £~ectzic 041610 Mailing Address (Contractor or Owner Making Installabon) 17854-D au&i8ee Clay LakeLiZZe,MN 55044 Authonzed ign a (Contra 10 r Making Installation, Phone Number Lz~ 892-1444 JIUMSTWSTATE'BOARD OF E RICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room - BE ACCEPTED BY THE STATE BOARD 1821 University Ave, St. Pa 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 84241800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION° = Ee-~a$ot e 3 0, See instructions for completing this form on back of yellow copy. AbS'l "X" Below Work Covered by This Request J 4-923 ew Adtl Rep Type of Building Appliances Wired Equipment Wired _ Home ange Temporary Service -Le Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./Industrial urnace Farm Air Conditioner Other (specify) Conhactors Remarks Compute Inspection Fee Below. # Other Fee # Service Entrance Sae Fee # Circuits/Feeders Fee Swimming Pool / 0 to 200 Amps / / 0 to 100 Amps 7 Transformers Above 200 _ Amps Amps Signs Inspector's Use Only OTAL Irrigation Booms gL 58 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date/~ been made. CCU OFFICE USE ONLY This request void 18 months from Request Dale Fire No Rough-in Inspection 3i - Required eddy Now 0 Will Nobly Inspector G Yes iwll~ When Ready' I - tensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street, x or Rout I City - 9 Section No Townshp Name o No Range No County Occupa RINT Phone No Power Supplier Atltlress Electnc C [rat r ompa amel CoM.Yr~'acCt9rY License No. z/- Mailmg Addmss tCOnvaclor Owner Makm Ilationl 'a e G~ ~r Auth zed ignatur omraclonOwner king Installation[ PM1One C! / V MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST W L NOT Griggs-Midway Bldg - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0600 ENCLOSED 51111Y.Pl- REQUEST FOR ELECTRICAL INSPECTION g eemom-0e 8 No See rnstroctmns for completing this form on back of yellow copy /O7a~ 63 u.' "X" Below Work Covered by This Request J ew do ep Type of Building AppdancesWlred EquipmenIWIred Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm /industrial Fur ce Farm Ir Conditioner Other (specify) Contraclor5 Remarks Compute Inspection Fee Below. l//~~[ry-1C_-`y~l~yJ/Jul # v Other Fee # Service Entrance Sze Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs inspectors use Only TOTAL 4 Irrigation Booms G~'~ Special Inspection D Alarm/Communication THIS INSTALLATION MAY BE ORDERE ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Dale certify that the above inspection has Final oat been made. ^ i s Car ~~./v( y OFFICE USE ONLY This rNuest void 18 months from Ad ess: • 1418 APPALOOSA TR Lot 11 Blk 1Sec/Sub SHERWOOD DOWNS These items were/were not complete at the time of the final inspection. Date: JUNE 24, 1992 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 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. ,(a o9 White - City copy Yellow - Resident copy Pink - Contractor copy CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT DATE: kSTXa11t#3CT 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 _ BATH TUB 3.00 _ LAVATORY 3.00 OWNER NAME: KITCHEN SINK 3.00 f LAUNDRY TRAY 3.00 SITE ADDRESS: c4- HOT TUB/SPA 3.00 WATER HEATER 3.00 LOT: BLOCK I SUED. ~LC /ULOtyrv FLOOR DP.AIN 3.00 GAS PIPING OUT. INSTALLER: r (MINIMUM - 1) 3.00 ROUGH OPENINGS 1 OTHER .50 ADDRESS: y~ - WATER SOFTENER 5.00 r- CITY:I I I n~ s ZIP: I(~ PRIVATE DISP. 15.00 - 1 ~j U.G. SPRINKLER 3.00 PHO SUBTOTAL $ .45. 6A ST. SURCHARGE .50 SIGNATURE OF PERMITTEE S J C L7~ TOTAL: ~J 014MERGIAliJINI3iTST8?AT.,: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AN 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. LOT: BLACK SUED. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN /D Sf L l I B pp~~ MECHANICAL PERMIT RECEIPT* SUBD. HAIP l l PilYIY Al 6Zt/V16 (612) 6814675 DATE 5 L RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPUTE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER ~~LG C~/~i FEES SITE ADDRESS: ADD ON/REMODEL (EXISTING $ 15.00 CONSTRUCTION ONLY) INSTALLER: y mfg „mow, HVAC: 0-100 M BTU 24.00 PHONE ADDITIONAL 50 M BTU 6.00 ADDRESS: r)/,L Al, 7 2 GAS OUTLETS - MINIMUM 1 @ $3 EA. CITY: ZIP. SURCHARGE: $ .50 SIGNATURE) TOTAL $ COMMERCIAL 2s q.A S- H-/c. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIAINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS APE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 MINIMUM FEE - $25.00 OWNER: TOTAL $ SITE ADDRESS: TENANT: SUITE _ INSTALLER: ADDRESS: ZIP: CITY.. PHONE CITY SIGNATURE: SIGNATURE. PERMIT Control No. 0213 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Permit N Eagan, Minnesota 55123 umber: 04 0 3 1392 (612) 681-4675 Date Issued: SITE ADDRESS: 1418 APPALOOSA TR LOT: 11 BLOCK: 1 SHERWOOD DOWNS DESCRIPTION: Building.Permit Type SF DWG Building Work Type NEW ,-'UBC Occupancy-, R-3 M-1 Construction Type V-N Zoning R-1 Building Length 62 Building Width 34 t ,J REMARKS: C 0 k $ a S S W CONTRACTOR - GENZ-RYAN PLBG FEE SUMMARY: VALUATION $140,000 Base Fee $779.50 MISCELLANEOUS $1,610.50 Plan Review $506.68 Total Fee $3,666.68 Surcharge $70.00 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $2,056.18 CON RNTONUMES JOSEPH- App 14544663 0002 3 WJO-ERMILLER HOMES 3459 WASHINGTON OR 3459 WASHINGTON DR 201 EAGAN MN 55122 EAGAN MN 55122 (612) 454-4663 (612)454-4663 I hereby acknowledge that I have read this application and state that the information is correct and agree to, comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L- - APPLICANT/PERMITEE SIGNATURE ISSUED Y: SIGNATU INSPECTION RECORD Control No. 0213 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000233 Eagan, Minnesota 55123 Date Issued: 04/13/92 (612) 681-4675 SITE ADDRESS: LOT: 11 BLOCK: 1 APPLICANT: 1418 APPALOOSA TR MILLER HONES JOSEPH SHERWOOD DOWNS (612) 454-4663 PEgpIaw%UBTYPE: TYPE OF WORK: NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S 6 W CONTRACTOR - GENZ-RYAN PLBG F L CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 Wow rP n; u;. SINGL & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot change is requested once ermit is issued. Date q / q / Valuation of work Site Location: NI E a43 a6-a-1v~ 'A -04EVT STE # Tenant Name: LOT BLOCK SECT/SUED. LM1.Wa~ot1~_ I.D. # Description of work: The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE N City State Zip Company Phone 21S`/- ~flo~ 3 JOE MILLER HOMES Contractor Address 18131 CEDAR AVF M License # WMiNGTON, MN 55024 City 40002a31 - State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days one area as 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: OFFICE USE ONLY BUILDING PERMIT TYPE X01 Residential 0 06 Commercial 0 11 Other Structure 0 02 R. Garages ❑ 07 Industrial 0 12 Demolish 0 03 Two-family ❑ 08 Public Works 0 13 Fireplace 0 04 Townhouses ❑ 09 Utility ❑ 99 Undefined 0 05 Multi. Dwellings 0 10 School WORK TYPE A.90 New 0 93 Remodel 0 96 Move 0 91 Addition 0 94 Repair ❑ 99 Undefined 0 92 Alterations 0 95 Tenant Finish TYPE OF STRUCTURE 78.'101-01/20 1 Family Res. 0 214-30 Other Shelter/Board 0 324-30 Office/Bank 0 437 Alt./Add. Non res. 0 102-03/22 1 Family attached 0 318-30 Amusement/Rec. 0 325-30 Utilities 0 438 Alt./Add. Res. Garage 0 103-02/21 2 Family (duplex) 0 319-30 Place of Worship 0 326-30 Schools/Ed. 0 645-50 Demo 1-Fam. 0 104-10/23 3 & 4 Family ❑ 320-40 Industrial 0 327-30 Retail/Rest./Whse. 0 646-50 Demo 2-Fam. 0 105-10/23 5 or more Family 0 321-30 Non-Res. Pk. Gar. 0 328-30 Other Nonres./Sheds 0 647-50 Demo 3 & 4 Fam. 0 213-30 Hotel/Motel 0 322-30 Service Station 0 329 Non bldg. Structure 0 648-50 Demo 5 or more 0 323-30 Hosp./Institution 0 434 Alt./Add. Residential 0 649-50 Demo Other GENERAL INFORMATION Length 6 Z MWCC System _S Occupancy 9-3 M-1 Depth City Water -;Yes Zoning R-1 Sq. Ft. PRV Required Const. (Actual) v-N On-site sewage Booster Pump (Allowable) y_N On-site well /Sprinklers # of Stories ~n/i.aq O1 APPROVALS 01 Planning Building bL5 V13-)z Assessments Engineering Variance 211{,1131:1A+3111 .0-1 'AL I PA011 EE i 81 REQUIRED INSPECTIONS e.Sat.e.;'t!,Vol1-111,Rki) l,.9Sfl:.G# ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace SAC Calculations: GAYtAGC-.1 ay x 34 = S16 U4\,(,tlNr`Clt3f \j ; 11) 4 D) 00 c7 Description . i4 K! = I\26) CiSMT• .26x38= 988 ~9n x 1x 1~ = /I 0Uo /SAC % /4x4= 12c !D~ IATFicxoR', -1l /S= 16~r7)0 1 X fssmT= 11144 %5-3c S9i 0LO2- SAC units 2 yA_FL0.tz. Z3G~~ 26x36 = 989 x.s3 = 5 ~~~o 13~,ts~ Vnlyo lunnl oln SWE EHLRGY CODE CALCULA11011s OASEU 011 Cllftf'IEII 5 OP- 111E MODEL EUERGY CODE - 1903 EU1110N nJop[IuEffectlve 1717911' Phone Date rcr La`r I t o~x 1 Sit whoa -DDLJ J2, Le Address ~11t~a~ I•", (hone retractor ~ [v ~J~----- Ilding Classbflcetlon: Type Al (Single Family G Uuplex)_` k Type AAResldentlal) 0 stories or Tess . IS: Complete pages j and h first. (Other)---------------- (over 3 stories) IIGRAL IHF04HATIOII GEN ✓nJ_ft- bufldlny Perlmeterlrr y f , .11a{1 1,elyht (ground to cove) t. Z 1. x 2. (above) gross wall area ~UOWN x (H)_ ~~/'7 ft•2 roof t (loot area OWN aul ldlnq dlmonslons (L) , Square foot area of rim joist °rxl(erimeter hilli joist area ) IZ_11 11~ ft2 12 15(D i. Doors - Ai ed 111.0 rl'r I~ ' lhlckness In. U factor_I me t e r ft. Type of Construction I' er Manufacturer 7• iota) door's perimeter ft, I n State npproved_~~ ~ G.U(rr ~~7~(5~~' ' 4. Windows: Ilanufacturer S U factor 2) IIUIIUER OF TOIAL FEET Z TYPE SIZE AREA (ft. TS EACH WI , IV XA 9, Total ft.z Glass- ZS~1"1~ Ft.Z 10, Fireplace area:' MINK X height = X _ Ft.Z ItEItUUE ~IIG AIIU UUILUIIIGS bElll( 11. Exposed fonndatlon: Height X PerimeterX IIlO ALL O111EIs REQUIRED L COUi ALiLU41AlICEI,Ul15 1USED. IIoVEO E111lERE UEI ERCY, FORM 12. Framing area = 106 of gross gall area. 3~1 t ~a- ft.2 I,,rf 13. Gross Wall area 7 U,k A , 7 r ft.2 U Windows Window area A' v✓ v C(~ U X A ~r v t.2 U rim Joist =JC=t-, - Rim joist area A 2 U door area = , I U x A t(~ Door area A J---- Z U x A= 11 t' L l~,hrlc) 442, . r U ft. U UU,eplaLe•' r C r,weirlace-area A b~~ U x A Q ft.z U fuundatiou G,) Exposed~foundaHon A Z g~ U'x A = Zfj~'r . C) ft U framing area = t Framing area A " (O~5 it. U wall = U x A r Z 1 5 llet wall area A U X (1JU) TOTAL 1 S duplex wall area x 0.11 (A-1 single family = allowable U X A/Code 1q, (13. above) x 0.23 (A-2 other residential) x .23 (Other buildings) x 28 (Over 3 stories) pTUll, Bust be larger bran or• 13U above___._ r2 x U Code.° I or the same as) 15. Ceiling framing area (Af) equals 10% of ceiling area t.2 x (W) ISA. Gross telling area (L) ' ~d ft.2 15R Joist area (Ar) = 10,, ceiling area _ f t.z 15C. liet ceiling area (Ac) (15A - 15O) _ ~7` _ C; I t (v ~1 U ceiling x A t= n~~~ --fo _ "5ov U framing x A f= x f _ 15U. TOT AL'U x A x ' S duple le U A 1G Ceiling area (15A) x 0.026 (A-1 single family A 0.033 (A-Z other residential): (above) x 0.06 (other) quit I-lust be lar9er than •150 I~ 14 I (or the same..as) L-0 -541 x U (c~deA ROTE: Use U and A values obtained (roar pages 1,•3 and It. CERT IFICAIIOil: the bullJingtheretlJesulbed a,a!Callaed etsuortexceeds1the(Statesofrlllnnesotaues i Energy Conservatlon Act. ' Signature Date I --~,1111~.11I ~ vlx~1~ .=,..III?-~~.-11 l._.IZ31~7.5. ' .I , o --=1f~1-1111-~ ; o I ~ 1 J... • . - . IGPI IIII I i l rnl U+- ' ~ ~ li `inl.(IL ~ I ELILlI1C ' r` 1 unlilna , nlr rllm G r_ C ~)----,ajC(~ cetling 7C~ u,Gl n1r r11m 1 iaZL tOZ~7 U-Il . ' ~ rtnl _uyur uR t:ntuLUUnII_ ~E►Lllla It ynlUE C~7V Il vnlufs _E1L111U - t nnn 1 nr, - j - U.G1 Julst ~9fiiJJ loaf OnWiy _~-.J -`~-----y lnsulatlvn Uullt Up rout _ _ U1_ uutslJe ~Ir f11m U.11 1•••• lolal It ~U 11nJv}t Jntlltralloo 5 clmfllneal tout of c1'aco lesldeu~lAl Jvvr Infllf+atlralton 1111UseIu+lllueal foot oft cract.`t+lu+u++ cote requlrem12+~ luu-I eslJentlal Jour Inf11 ql R 2.1 11, 12ii toncreLc blvd: no' Insulallou J ,2G It 3.U )1i 12 t tav+creLv block IusulaleJ cores i ;32 It 3.1 Jb. 12 Jlght+clyht bluck F 1b J2n 11yhl~+elyht block 1nsUlalvJ`cores a +12 R U,~ 1 singl~ glass 1.131 111th slotm ulnJot .5I J '106112 yIass .55 ' tpJlilc glass .41 (U.IU perm fi3x•}+ \11 ~xlerlar v+alls anJ culllnys nnlst 113,112 1 v~por bawler 11 IicnleJ s Je) of vial I i t lopor barrier must he on Lhe uslJe lapot• battlers v( Lhc pvlyclh12le+tie thin Illm hale no Il volUe. . li I CITY OF EAGAN SUBD. B MECHANICAL PERMIT RECEIPT # 105e3l E?~ u (612) 6814675 DATE G ga RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMEWCONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: JOE MILLER HOMES FEES SITE ADDRESS: ADD ON/REMODEL (IMSTING $ 15.00 jza a CONSTRUCTION ONLY) INSTALLER: GENZ-RYAN HEATING HVAC: 0.100 M BTU 24.00 PHONE 423-114 ADDITIONAL 50 M BTU 6.00 ADDRESS: 14745 South Robert Trail GAS OUTLETS -,MINIMUM 1 Q $3 EA dV ✓ CITY: Rosemount ZIP: 55068 SURCHARGE: $ .50 SIGNATURE TOTAL: 1$3,0,10 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCLWINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 $ ASV!♦liL~ U Na M FEE - i25.W rails OWNER: TOTAL: " $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CITY: ZIP: PHONE CITY SIGNATURE: SIGNATURE: CITY OF EAGAN FOR CITY USE ONLY r 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # ~oJrt~3/ PHONE: (612) 454-8100 RECEIPT # mmam DATE: 9a- Et PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NEW CONST + NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 ° BATH TUB 3.00 io aro OWNER NAME: JOE MILLER CONSTRUCTION CO. INC. LAVATORY KITCHEN SINK 33.00 .00 SITE ADDRESS: 7/ J ~ a~ qua ~j LAUNDRY TRAY 3.00 3 `a _ HOT TUB/SPA 3.00 / WATER HEATER 3.00 LOT: IJ BLOCK SUED. FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: GENZ-RYAN PLUMBING & HEATING CO. (MINIMUM - 1) 3.00 3``0 ROUGH OPENINGS 1.50 0 ADDRESS: 14745 South Robert Trail OTHER _ _ WATER SOFTENER 5.00 CITY: Rosemount, MN ZIP: 55068 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 F::oNE 612 423-1144 SUBTOTAL S--V 9 ` - X arc _ - - ST. SURCHARGE .50 SIG A OF PERMITTEE TOTAL: S COMMER.. ' zIR._....,... PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% 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 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN REACTIVATE L_RAR IME® CITY OF EAGAN ERMIT # i 93 BUILDING PERMIT APPLICATION 6 1993 68i-4675 - SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 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: ////9 A4g 1od sn 1 !G, STREET SU17E 1 .a.n~-ast i..n;wm,~ 4 1. , t~..J -l-~ILa,•; _ ter- LOT BLOCK SUBD }1CRl~l0C9~ 1)C JA`s P.I.D. # AZj~ 1T1 O Description of work: The applicant is: ❑ Owner ❑ Contractor ❑ Other (Describe) Name &A ~'C' ':2,Q -J A Phoned Property LAST FIRST Owner Address- I q / 6Qa~~ ~ac~ T,~c, l t STREET STE # City t- C1 C4 State /}1 K) 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 haver d this apppplicafi Zdst a thatthe information is correct and agree to comply with 1 ape Is e o ota Statutes and City of Eagan Ordinances. Signature of Applicant:; OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 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. Addl. 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 9 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 Fl. sq. ft. _ PRY Required Zoning Sq. Ft. total Booster Pump N of Stories Footprint Sq. ft. Fire Sprinkler Length 20 On-site well Census Code ray Depth 14 , On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site Footing ❑ Framing ❑ Insulation ❑ Wallboard Final ❑ Draintile ❑ Fireplace Permit Fee 6n ° wiuatia,: g Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units t-' I or,zzr tna I r'~zzr I rra ob 194c;~ F. k9~ * 2422 Enterprise Drive Mendota Heights, MN :35120 * PIONEER LAND SURVEYORS • CIVIL ENGINEERS (612) 681-1914-FOX 681--9486 * engi- ee _afing LAND PLANNERS • LANDSCAPE-AACWlEDTS 625 Highway 10 Northeast Blaine, MN 55434 * ~C (612) 783-1880-Fax 783-1883 Certificate of Survey for: josoph M. Miller Construction Co. House Address: 1418 Appaloosa Trail Eagan MN Model Name: Harrisburg r i I i APPALOOS - ~R~ 11.0442 2 Lr72. 2 0 ~ ~ IN Urf" ~ ~ i oRwEwnv ty 38 to 24.67 % 37.33 AS'E' ` SE 11 N OSED }II GAR t2 0 aEMENT CIO g2.2e W C? CAUR tls, li ~g4.DU o 38.00, 1 1~ N I N yy.g5'32G 1 A 12_2.3- 1 L~ V11 . = ~ 1 m ~ nA 1 e97.a> .r v I` r p. TIG714EERINTG DEEP- ~l X 900,0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION 966.6 Denotes Proposed Elevation Lowest Floor Elevation; 899.35 Denotes Drainage & Utility Easement Top of Block Elevation: 907.46 Denotes Drainage Flow Direction Denotes Monument Garage Slab Elevation: 907.13 - EI Denotes Offset Hub Bearings shown are assumed LOT 11 BLOCK 1 SHERWOOD DOWNS DAKOTA COUNTY, MINNESOTA I hereby certify that this survey, plan or report qw-a~s/ ~prepared by me or under my direct sup/~er,~vision and that I am duly Registered LarTO SU:veyor under the laws of the State of Minnesota, dated this`dav of APM1 1- A.D. 19Z~ .r . V S ry l p inch. 3 o f9et Ra6ER 1 L.S. RE LNO4891 ~.A 1. I L./__. 79 90206.10 M)Ni as SETBACK PER DF=VQDPM~JT-, G6K&~fG)JT'OFA6k~-- 27; ~,~~r i r X11 'f * * 2422 Enterprise Drive Mendota Heights, MN 55120 * PIONEER La+O SOVEYORS • CIVIL ENMURS (612) 881-1914•Fax 681-9488 rG FL4NNER5 • LAN09CAPE MCHIMC73 1 en rnee m 8 ~ LAN 625 Highway 10 Northeast * Blaine, MN 55434 * ~C (612) 783-1880•Fox 783-1883 Certificate of Survey for: Joseph M. Miller Construction Co. House Address: 1418 Appaloosa Trail, Eagan MN Model Name: Harrisburg r t I i 1\ APPALOOSA 4 ~ 11'p4r 12 Ofj ~ - ' J- y rl 01. r' 1~y ! 2 o NI ~N C9~ N r ~ f I oFIVEWeY T~ N 10 L 24.67 w 37.33 } <n 18.53 I GARAC£ ' HpUS~ $ j P 4I , PROPR BPSEME Y ` W O r .,1 GGU t2-.2t6 Co W ~ ii 1 l ~ j8.00 { l U1 ~ 14.00 c ~ 1 Sn O 1 l 3~ . N 7Y'4~~ 7~K I I ijn fLJns ~ fr' ~ Ir;.- 1 rn tr I 14 .7 71 1, . 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION • 9oo.a Denotes Proposed Elevation Lowest Floor Elevation: 899.35 Denotes Drainage & Utility Easement Top of Block Elevation-907.46 Denotes Drainage Flow Direction -o-- Denotes Monument Garage Slab Elevation: 907.13 - El Denotes Offset Hub Bearings shown are assumed I LOT 11 BLOCK 1 SHERWOOD DOWNS DAKOTA COUNTY, MINNESOTA I hereby certify that this survey, Plan or report~wasprepared by me or under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota, [)tied this. 2-chiv of 4M' L- A.D. 197.-.. L Scale : inch _ feet ROeER L.S. REO. N0.14aa1 79 90206.10 MIN, aS fit: BACl~ t ~R ~~VL~Oi'M 47 4KJK=~ -)J T:)F 4U6~ L I 11'1( ~I~ rah 1 city of ccagan ShW I,00o1) 000y)s PATRICIA E AWADA Mayor PAUL BAKKEN BEA BLOMQUIST PEGGY A. CARLSON SANDRA A MASIN Counc4 Memben THOMAS HEDGES March 14, 2000 City AdmiNsilofor E J. VAN OVERBEKE City Clerk KURT & SANDY BETCHER 1418 APPALOOSA TR Eagan MN 55122 Dear Mr. & Mrs. Betcher: On January 10, 2000, we sent you a letter asking that you submit plans and apply for a building permit to remodel the lower level of your home. The City of Eagan affixes a flat fee of only $60.50 to lower level finish permits so homeowners, such as yourself, will apply for a permit and call this department for inspections to insure that work being done meets the requirements of the building code. If you are doing any plumbing work, you will need a plumbing permit (fee $30.50) and you need to contact the State Board of Electricity regarding a permit for any electrical work. Please come in with your plans and apply for a permit by March 30th so further action by the City will not become necessary. If you have any questions, feel free to contact me at 651-681- 4679. Thank you. Sincereleeze a ombination Building Official C TZ/j s cc: Doug Reid, Chief Building Official Mike Dougherty, City Attorney EAG MAINTENANCE FACILITY MUNICIPAL CENTER THE LONE OAK TREE 3830 PILOT KNOB ROAD THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 3501 COACHMAN POINT EAGAN. MINNESOTA 55122-1897 EAGAN. MINNESOTA 55122 PHONE (651) 681 A600 PHONE (651) 681-4300 FAX (651) 681-4612 Equal Opportunity Employer FAX. (651) 681.4360 TOD (651) 454-8535 www.CRyofeagan.com TDD (651)454-8535 51~eyy 0 0 od dl Ol~i'l ~ ~ ~ ~ ~ , 1 city of eagan PATRICIA E. AWADA Mayor PAUL BAKKEN BEA BLOMQUIST PEGGY A CARLSON January 10, 2000 SANDRA A. MASIN Council Members THOMAS HEDGES City Administrator KURT & SANDY BETCHER E J VAN OVERBEKE 1418 APPALOOSA TR Qty Clerk Eagan MN 55122 Dear Mr. & Mrs. Betcher: It has come to our attention that you are remodeling the lower level of your home. A check of our records reveals that building and electrical permits have not been issued to you for this construction. Please bring two copies of your plan to our office and apply for the necessary permits. Thank you for your anticipated cooperation. If you have any questions, feel free to contact me at 651-681-4679. Sincerely, Terry elenka Combination Building Official TZ/j s Tfi-t lc /J i ~~7 Tt 3 i3~ ~a~ ~l 3 "0 9 3 MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY 3830 PILOT KNOB ROAD THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122-1897 EAGAN, MINNESOTA 55122 PHONE ,(651)681-4600 PHONE (651) 681-4300 FAX (651) 681-4612 Equal Opportunity Employer FAX (651)681-4360 TDD (651) 454-8535 TDD (651) 454-8535 S S RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN SS122 651-681-4675 New Construction Requirements RemodellReoair Requirements _ • 3 registered site surveys showing sq. ft. of lot. sq. ft, of house; and all roofed areas • 2 copies of plan (20% maxmum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sues, poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Option 7selecti wd~ Idgs with 3 or less units) DATE VALUATION C~ f V SITE ADDRESS r/(~-f MULTI-FAMILY BLDG _Y _ N TYPE OF WORK FIREPLACE(S) _ 0 _ 1 -2 APPLICANT r STREET ADDRESS /h CITY~STATE ZIP. TELEPHONE # 6 3.3 CELL PH NE # FAX # PROPERTYOWNER TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (4 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. (4-11 h-Raths n i_ i I No. of Baths SEP 2 3 2002 Mechanical Contractor: Phone # lJ Mechanical system includes: _ Air Conditioning bu Fee: $70.00 Heat Recovery System gy_ Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the informa ' is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc 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/Adds. (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_Y or - 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 Bidgs 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. _ A r 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 CITY USE ONLY 124(o, ' G EL I ,.(J RECEIPT#: SUED. O ~-k 0k n)YJC) RECEIPT DATE: p~~p~111a' PERMIT# ~ f f 0 8000 PLUMBING PERMIT (RESIDENTLkL) CITY OF EASAN S$SO PILOT KNOB BD EASRN, MN 5512E 651-6$1-4675 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 Alterations to existing dwelling - minimum fee Describe: F~I~i 31!4 k °ry! D.m' bA'n4 $ 30.00 nU Bath tub $ 3.00 x = $ Floor drain 100 x = $ Gas piping outlet " minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished 'requires MPC Ile. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repairlrebuild 30.00 x = $ Rough opening 1.50 x = $ $ ds rinkler if dwellin is under construction 3.00 x $ Under roun Under rounds rinkler ifexistin dwellin 30.00 x $ Water closet 3.00 x $ Shower 3.00 x E----:,, Water heater 3.00 x $ Water softener if dwelling under construction 5.00 x $ Water softener if existin dwellin 3000 x $ Water turnaround 30.00 x $ State Surchar a $ .50 Total > > $ S-Q--- Reminder. Call for 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 applicants responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-wayleasement. SITE ADDRESS: IL ca EI~ n QC,sA T~ OWNER NAME:: 3011DY°l ( &LO-h L TELEPHONE* SI ~I -glow f (AREA CODE) INSTALLER NAME: 2- Q t 3Cl y-) TELEPHONE 421b-f(44 STREET (AREA CODE) ADDRESS: CITY: STATE: U~'~ry ZIP: 5~^ SIGNA RE OF PERMITTEE CITY USE ONLY r' LOT _J~l\ BL PERMIT SUED. ~112Y VJ00(l ~()~1~ 5 RECEIPT I DO ~ ~r ll RECEIPT DATE: -0 V 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF F.AGAN 3830 PILOT KNOB RD EAGAN MN 55122 651-681-4675 Date: Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) State Surcharge .50 Total $ Complete this section only if you are remodeling, adding to, or re airin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. - New Alteration _ Repair _ Other Furnace Air conditioning Air exchanger Other ~~urp U t,~e 1 a ):iYe~ I RCS Fee $ 30,00 State Surcharge .50 Total $ 30.50 Reminder: Call for inspections ` SITE ADDRESS: OWNER NAME: < 1 "4 CC1T PHONE Co SI LI Slv q ('PI'00 (ARE /~'f~ A CODE) INSTALLERNAME: `S' pf~~ - r t l PHONE#: 10sk 4z.3-11~~1 (AREA CODE) STREET ADDRESS: jynqS Cl~ nn¢~(_~~ (Q1~ CITY: Qt5~ ,VY'm A ~T STATE: A I Aj ZIP: SIG A OF PE TTEE CITY USE ONLY L _ BL PERMIT SUBD. RECEIPT#: APPROVED BY: INSPECTOR RECEIPT DATE: 2000 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1 % = $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ - - SITE ADDRESS: OWNER NAME: PHONE (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE - (AREA CODE) CITY: STATE: ZIP: SIGNATURE OF PERMITTEE 6 sa~~ 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675.5675 Please complete for modifications to existing residential dwellings. I n 7 LAMBERT, TOM Date ~i 1 2 5 1 Dq 1418 APPALOOSA TRAIL Site Street Address I EAGAN, MN 55122 Unit # (651) 683-9056 Property Owner L - telephone # ( ) NORBLOM PLUMBING CO.- ( ) Contractor (612) 827-4033 Telephone # Address 2905GARFIELDAVE. 8©, city state Zip 11WHINNEAPOLIS. MN 55408 The Applicant is: _ Owner Y_\ Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 518" meter is required) Other: _ Water Softener Water Heater $ 15.00 X replacement _ additional Lawn Irrigation System RPZ_ new repair build $ 30.00 State Surcharge d~ 004 $ .50 Total 1 J 1J ~x✓~ $15.50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. IA-, IV 6 rblOVY\. Applicant's Printed Name p cant's Signature JtitlC'.$;k~tYdY~JK'Rk'.*M`..'C$x(Y,iy,C~ti;C~=:R7: ~ :;;'1,dYri9rvXtYCN'll'ft~O'dYCY,<.*Y;t CITY O EA&-)N CASH:Cf_1'{r, 33 TERMINAL NC: 932 DATO 0301/00 TWO IW NAME: RALPH WNSON CONS1RUCTION INC. KJO 9001. 108 APPALOOS T 60.00 2155 9001 i&B APPOOOS T 0.50 Total Receipt Amounts CROWS, USES: ID: DAN >KY.:Xc:XB<r~rk.KM~d>kk'~~~,:~X~ ~:~>k~Xt~~~F~tPd~*ytYk;»JkJX~c ~rtrkY% 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN ` 3830 PILOT KNOB RD - 55122 ` Q . 150 l 651-681-4675 CmLL,,Q 3- 1C) -v~ New Constnrction Readrements Remodel/Reoaif Reauk ments D 3 registered $Re surveys showing sq. of lot, sq. ft. of house 2 copies of plan and gli roofed areas M% mmdmum lot coverooo allowed) 1 set of energy calculations for healed odrlitions D 2 copies of plans (show boom a window sizes; poured fnd. design; etc.) 1 site survey for exterior additions a decks > 1 set of energy calculations n 3 copies of free preservation plan # k# planted after 7/1/93 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: rerkey l1- I h Gf/' 4w/J-1/ STREET ADDRESS: o u ~v LOT: BLOCK: SUBD./P.I.D. U`o Name: /CUVy ~JRhdI~/SG~Rt~ Phone #:L~S~/ PROPERTY Last First OWNER Street Address: /7/ ~Y Zt o 4xx rc 7,4 - City S G a State: /-Z.14 Zip: Company. Phone (area code) CONTRACTOR Street Add//roes: 3 902 License # Exp. Y?(/d D City State: Zip: S~ ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Street Address: Registration City State: Zip: Sewer/water licensed plumber (if installing sewerhvater): Phone I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply wi all applicable State of Minnesota Statutes and City of Eagan Ordinances Signature of Applicant:. OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required MAC{ 01 OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Fit. AN - Multi ❑ 02 SF Dwelling ❑ 08 06-piex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 ExL Aft - SF ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 18 Deck O 23 Porch (screened) ❑ 36 Mufti ❑ 04 02-plax ❑ 10 08-plex 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex P1bg _Yor_N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. WORK TYPE ❑ 31 New ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)' ❑ 44 Siding 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code N (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning _j444,_ sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: l~•~'[✓ Surcharge pp Plan Review License V f MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC m 3 s I Him ou I LL Y~+i <€q y( ~iir4b.~~OtUtpt~ I ~qsl N ~M fill y8 w i ~ A X 0 p ME .1L Jb m .sA 93 00-0 P P • Use BLUE or BLACK Ink For Office Use of E n I Permit I jul an I ff-- I City I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: j I L - - - - - - - - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~Z 3 Site Address: Unit Name: _ ~V III e 5f or Phone: (OS 71 Z.Z rc" Resident! Owner Address/ City/ Zip: l Lu I Npa ooso - 1-e d Applicant is: Owner x Contractor t Type of Work Description of work: GrV"'ib Re t'Oof Is Id I et Construction Cost: A 6-t 17 -71). 01 Multi-Family Building: (Yes / No X' ) Company: _VNyP+YW1Gw~ hC~f I . Contact: C ~/~o.,. s Contractor Address: PjCO IlC+ I$& S City: O AR,5 State: MP Zip: 19 Phone: ~Z -4a26_" 2-'a00 License M _ ( 2.39 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) &1 It a 4-e V 1476 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit fora similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that 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.ciopherstateonecall.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 mu t be co pleted within 180 days of permit issuance. x J 1 ( x A p icants Printed Name Applicants Signature Page 1 of 3 ~f 1~~1 Ungerman Construction Company Inc. ALL>, General Contractor 4450 Nicollet Avenue South Minneapolis, Minnesota 55419-5035 Minnesota License #1239 Client: Lambert, Julie Cellular: (651) 226-8826 Property: 1418 Appaloosa Trail Eagan, MN 55122 Operator Info: Operator: GARY Estimator: Gary Ladyka Business: (612) 825-2800 Position: Estimator Company: Ungerman Construction Co., Inc. Type of Estimate: Hail Date Entered: 8/28/2013 Date Assigned: Price List: MNMN7X AUGl3 Labor Efficiency: Restoration/Service/Remodel Estimate: LAMBERT JULIE I r Ungerman Construction Company Inc. UO: General Contractor 4450 Nicollet Avenue South Minneapolis, Minnesota 55419-5035 Minnesota License #1239 LAMBERT-JULIE Roof DESCRIPTION QNTY 1. Remove Ridge cap - High profile - composition shingles 78.00 LF 2. Remove Laminated - comp. shingle rfg. - w/ felt 9.00 SQ 3. Drip edge/gutter apron 40.00 LF 4. Ice & water shield 240.00 SF 5. Roofing felt - 15 lb. 7.00 SQ 6. Laminated - comp. shingle rfg. - w/out felt 10.00 SQ 7. Ridge cap - High profile - composition shingles 78.00 LF Exterior DESCRIPTION QNTY 8. R&R Fascia - metal - 6" 100.00 LF 9. R&R Soffit & fascia - metal - V overhang 50.00 LF 10. R&R Siding - vinyl - High grade 520.00 SF 11. House wrap (air/moisture barrier) 520.00 SF Gen/Miscellaneous DESCRIPTION QNTY 12. Taxes, insurance, permits & fees (See Supplement) 1.00 EA Grand Total 6,770.09 Gary Ladyka Estimator LAMBERT-JULIE 10/22/2013 Page:2