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1929 Berkshire Dr
Use BLUE or BLACK Ink I For Office Use yy~ I Permit#: I I City of EaRdft I Permit Fee: U®- c I 3830 Pilot Knob Road -1 / 3W I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 L Staff: - I INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water ! Date: Site Address: j q 2 l Nr Of'LrL Or ~0,imj ?11V Tenant: JJ Suite Resident/Owner Name: &pn F6 re5f Phone: b 0 _3) ~ Address/ City/Zip: Z4 6e r h 5 kk're Or ?4, Z 71 V Name: License Contractor Address: City: State: Zip: Phone: Contact: Email: P MBING (Within the building envelope) SEWER & WATER (Outside the building envelope) Type of Work Sump Pump Repair Repair Other: Other: Description of work: ~fV 0Vr_ V ai'1 ye to 00W 0W N ttor Description to ' j 0 iQlco FEES I $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ IY D~ 00 *Permit fees will'NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.goaherstateonecall.orci 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 wo is not to start without a permit; that the work will be in accordance with the approved plan in the case o7wvohich re uires a rev' d a val of plans. ,ro Fovvg f (so d Le x x Applicant's Printed Name Ap ant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1929 Berkshire Dr Lot: 2 Block: 1 Addition: Berkshire Ponds PID:10- 13750- 020 -01 Use: Description: Sub Type: Work Type: Description: e - Water Heater & Water Softener New Water Heater & Water Softener Meter Size Meter Type Manufacturer Comments: Fee Summary: Contractor: Permit expired without required inspections. 9/2/09 CE Aaron Godfrey 1929 Berkshire Dr. Eagan, MN 55122 PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Aaron F Godfrey 1929 Berkshire Dr Eagan MN 55122 $50.00 0801.4087 $0.50 9001.2195 $50.50 Plumbing EA088552 03/25/2009 ePermit Line Size - Applicant - I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature peck .t ?,.?,???v- ?r .- 6'''/? ? vs1 ? T? . /o/sla6 s ?•?c ? ?r.?,.,?•?"'? -27 SU o L .$ G G l ??t/GLOS U?.? U rv0?? zYC4 ? G-lI °(o , ? , ,.. ? V? ? CITY OF EAGAN --- 3830 Pilot Knob Road sewER SavICE PmtR P. O. Box 21199 Eagan, MN 55121 PERMIT NO.: ;' .49 7 Zoninp; :• t DATE: Owrnr: RSM 110?as No. of Units: I Address: Site Address: 1929 serksltire Plurr?ber: `'rAc?r ;?r. :.2 BI ' ?er:csre ?ourjs 'up" to whb 1w City oF BooA "a.ma,, Cor??i.c"o?, cF,,m.: :U`,.:.• _ :,z -i . aa n Aooow,t oepogit: ?.., Ponmlt Fie; • . , nc gy Surdwr": • ? ' ;?? Dote of Irop•: M(sc. ChorOss: Ir,sp,; 7'otol: Doh Pal& CITY OF EqGAN 3830 Pilot Kno-a Road WATER SfRVICE P P. O. Box 21199 RMR Eagan, MN 55121 PERMIT NQ.; Ionfnp; DATE: Owner: HOmeB No. of Units: 2 Address: Stte Address: I9? Berkshire Plumber: ?'rior Lak tIr. ? I L` ?1 aerksi?:fre I'onds c l;aC Meter No.: / Siu: Connection Charge: 00 .00pd ? Reader No.: AcO°mt QePosit: I5.54 p,j J ? ?SM ft emPh' Whb tha Cjh• of la9ae Permif Fee: J'1„ 00 PC! I o1dlRaaft& Surcho rye: By __ Date of Insp.; Mtsc. Choroe:: 132. pd S C.? Tofol- ;,? ,1n_ . ? . ? aoeE ENG CONSUITiHd ENaIHEEAS ,NEERING PLANNEAS ond IAND i11A11EY0AS COMPRNY, INC. 1000 EAST 1461A STREET. BURNSVILIE. MINNESO?A 533377 PH 432 •3000 Cela"AFZ? o_ y ;???rY Z.?ostl .?,?cr?i.o? fosa_ L OT 2, BLOCK /, BEiQkSH/RE ?i?/LLS, ?-Z4XpTA coa?vey .4fIrvNESor.4. N 89° 40' 42"W 921 65.00 is29.9o; . N UT/[/TY EASEMEwT AS PCR DOC. NO. 11S2.T7 N i 'Of N •-. -1 D T Z Ur/z /TY EASEMENT • ., NDI?TH - F_ _ 6? s.?:?.xa?92$;7 .? SCAL E: 30' 34 oa 's o? L07 • `0 PRbitOSED ? ? - ? m N JlovsE a?i nl ? p ?. ??? O r'93c• o t -0ENOTES EX/ST/NC `? ?, o?? ? h 30' ?'RdNT ?!/?CD/iY! EL E{ii9 r/4N ° SETBACK L/NE 90.00 ? ?- ? { 9 3d • o ) pENOTEs P?POSED ,?s? ? ?q? . ??; . - ELEY,?T/ON . g . ? ?r? /ND/CA T£S D/REC TYON 5 c+? 5 QF SURFACE ? N ? 65. DO ? 1O?'? r . DRA/NAGE ^? '4 .,? ?- ti ., BEIPKSf1/RE OR/VE F141134Ea &ARA4.E il.aok ?47-I, CITY OF EAGAN „? 't? 1?'945 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ? ? BUILDING PERMIT Receipt # BUEORT 41 ,5w Jun 1 990 Est. Value To be used for Daie , 1 1929 D9=bIRB qR - g Site AdIress OFFIC E USE ONLY LOt BloCk SBC/Sub. PdfC@I N0. Occupancy - FEE S Z i JOlIATW LAAM on ng - 13.00 W Name (Actual) Const - Bldg. Permit U??BIRlC DR i ?? o Address (Allowable) _ Surcharge City EAGAN_ Phone 0"1 # o1 Stodes - t Plan Review Leng h _ p ?MU ?ZUZ? Name Depth - SAC, Cily , ?a Addres S.F. Total - SAC MCWCC ? ? ? ? City Phone S.F. Fooiprints - . a e O Sit S Water Conn n e ew g _ W W Name On Sile Well - Water Meter W ? Addre55 MWCC S?tem - ? Acct. Deposit <W City Phone city water - i d PRV R SIW Permil equ re _ I hereby acknowlege that I have read this application and state that the Booster Pump - gMl Surcharge information is forrect and agree to comply ith all applicable State of ces. Minnesota Statutes and Ci pCEagan Or Treatment PI e Signature of Pertnit ' ' . APPROYALS Road Unit Y DAYSTJIii Ei1YLD8RS A Building Permit is issued`fo: ' Plenner - Park Ded. on the express condition that all work shall be done in accordance with all Cotincil - COP'eS applicable State of Minnesola Statutes and City of Eagan Ordinances. Bldg. Olf. - ? Building Official Variance - TOTAL Permit Mo. Permk Holder Date Telephone # WATER SEWER PLUMBING p? (O-)A o H.V.A.C. ELECTRIC v Mapsction Date Insp. Comments Footirgs 1 FoundaGon Framing G S 90 Roofirg Rough Plbg. ?? ` ?h??. // yo V isu1. N U Frepl;ice Fnal Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notity Plumber Engr./Plan Bldg. Final Oeck Ftg. Detk Rnal Wetl Pr. Disp. CITY OF EAGAN Addition BERKSHIRE PONDS Owner Street Lot 2 alk 1929 Berkshire Drive Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1982 239.09 23.91 10 143 •49 C010542 -5- 5 STREET RE5TDR. 1985 123.80 8.25 15 115 • 55 C010542 -5- 5 GRADING SAN SEW TRUNK k14;", 19$2 176.04 lj •]/{ 15 129.12 0 542 -5- 5 SEWER LATERAL ? 19$2 57.24 3.82 15 * . 8 5? 8- -g WATERMAIN 1982 46.09 . 3.07 15 33.81 C010 2 $- -$ * WATER LATERAL 1 WATER AREA 19$2 il. ]4 1S STORM SEW TRK 1985 399-01 25.67 15 352-37 010 2 $- -8 STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN, n n 9UILDING PER. sac 525.00 PARK . . • . _. ._ -- 1''? BUILDIN6 PERMIT Parcel No. ?? Address ?- City Phone Ga roame ?W /k u? d[Ire58 =i tr City Phone I hercby ocknowladqe thot I how road this applicotion ond state thct " intormation fs oorred and agree to tomply wifh all applicable Sroh of Minnesota Stotutes ond City of Eo9nn Ordinances. Sipnoture of Permiftee 55121 ,.. Remodel LJ Zaning Repair 11 Type oFConst. Enlarge ? No.:Stories , Move ? Length Demalish ? ? ueptti Grade Sq. Ft. lnstall ? /?ssessment Pemut Water 3 Sew. Surchorge PoUte Plan Review Fin SAC Eny. Water Cwm. Ptanne? Wcter Metar Council Road Un+t ? Bidg. Off. 7, APC C?a P` Ver. Dete A Buildinq Pernif is issued to: on tht express condition that all work shall be dons in occordonce with oli cpplicobls SMte of 1Ninnesota Statutes and City of Eoqan Ordinonua. Buildirq Offitiol Pwmit Na. PKmk HnWer Dwto Tei honeo * t?lumbinp H.VA.C. q Ekctric ,, Softsmr Inspsction Data Insp. Othar FootinOt ? (J UGp G??-R Foundation v?? v l?GG Q W?? Frpminp Roofing Rouyh Plbq. Rouyh HVAC Inwlation A? Final Plbq. Final HVAC Final Crrt/Occ. 12, Waar Dese?ibs location: YYsll Sowsr Pr. D'ap. a J PLUMBINQ PERMIT For Offfc "e ?sep !Y CITY OF EAGAN PERMIT# ` CONTRACT 3830 P?LOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# y?-? ?? PRICE O PHONE 4548100 DATE: Site Addr9os BLDG. TYPE WaRK DESCRIPTION >C. , ? Res. New Lot ? 910 --- '__ S,er/Sub Mult. Add-on ? Nam Comm. Repair Other ? Address..i.5061.MINNE{ON . . c City h RES. PLBG. ONLY - COMPLETE THE FOLLaWING: NO. FIXTURES ;O? L Water Closet - $3.00 $ '?' Name ` Bath Tubs - $3.00 ? . , ; , -7- ?r? c Addr • Lavatory - $3.00 ? Cit Phone ?- Shower - $3.00 Y - Kitchen Sink - $3.00 FEES COMM./IND. FEE - 196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - CDMM.IND.lFEE $20.00 STATE SURCNARGE PER PERMIT .50 (ADD $.50 S!C PER EACH $1,000 OF PERMIT FEE) Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Oudets - $1.50 (MINIMUM -1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 PERMIT FEE: STATES S/C: ? GRAND TOTAL: Reaipt MECHANICAL PERMIT Psrmit No. i CITY OF EAGAN Fm Z??n - Fill in numbered spaces S/C S' TYpe or Prrnt IegibJy Tot, 1. Date .-? . 2. Inatallation Cost . . yJ l 3. Job Address = rt'^p Lot?$Ik. 4. Owner 5. Contractor Phone "17 6. Addreu ? . . 7. City State ' Zip 8. Building Type: Residential ? Commercial ? Institutional O 8. Work Description: New 0 Add ? Alter ? Repair ? I 10. Describe L. r' :::,,; Puel Type -- _ - C9 i n I 11. No. ? Equjgffignt BTU - M. Ea. Farced Air No• EQUipment CFM Ai H dli Mfg. Boilers r an ng: Mfg. Mech. Exhaust Unit Heater Mf9• Other ? Air Cond. Mfg, Gas, Piping Outlets 12. I hereby oertify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Oate Insp. This ia your permit when numbered and approved. Approved CITY OF EAGAN 454$100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Frll in numbered spaces S/C Type or Prini legibly -? , Tot. 1. Date 2. Installation Cost 3. Job Address -- ? Lot. 131?. 4. Owner 5. Contractor , Phone 6. Address • ?'.?/ ' 7. City State • ' Zip 8. Building Type: Residential Wr Commercial ? Institutional O 9. Work Description: New V Add ? Alter ? Repair ? 'i 10. Descri be ? 11 No, ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield i Bath tubs Septic Tank / Lavatory Softner / Shower Well Kitchen Sink Urinal/Bidet Other / Laundry Tray ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to wmply with all ordipances and codes governing this type of work. Signed : ' for Rough Final Inspectians: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 MEMO /--- ,8e-r 6 2: gTir ? , ? --- C`??t 1 BRUCE HARRIES REPRESENTATIVE Cur:`s ?Q?? P. O. BOX 64109 ST PAUI, MINNESOTA 55164 ? ? Phone: 483-6651 Befter Forms To Communicate On ...... More Useful Envelopes To Carry Your Communications '--? CITY OF EAGAN Na_ . 17945, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454- /! C 8100 n BUILDING PERMIT q 0,04 Receipt # ?- To be used for BASEMENT Est. value $1, 500 Date JUNE 1 1990 Site Address 1929 BERKSHIRE DR Lot 2 Block 1 Sec/SubBERKSHIRE PONDS OFFICE USE ONLY PflfCBI N0. Occupancy - FEES Zoning - w Neme JONATHAN LARSON (AcNa1) Const - BIdg.Vermi[ 35.00 Address 1929 BERKSHIRE DR (Allowable) - 1.00 S o urcharqe City EAGAN Phone 920_1500 # oiSwries - Plan Rewew Lenglh _ o Name DAYSTAR BUILDERS oepcn - snc City , ?a Address 14165 DUCK LAKE TR S.F rotai - . SAC ,MCWCC ? EDEN PRAIRIE phone 997-9446 City SF.FOOtpnnts _ Waler Conn On SAe Sewage _ NamO OnSdeWell - WaterMeter F Addf@SS MWCCSystem z? City Phone cirywater - Accl. Deposit il S/W P PRV Raquired _ erm I hereby acknowlege thal I have reatl this applicaUOn and sta[e that the Booster Pump - 5/W Surcharge informaUOn is correct and a ree to comply wrth all applicable Stala of Minnesota Statules and Cn Eagan Ordi n c e s . 7reaiment PI ? . ? ., , / ? Signature ol Permd ??'/ AFPROVAlS Road Unit D STAR BUILDERS A Bmldmg Permit is issu to: Planner - Park Ded. on the ezpress wndition thal all work shall be tlone in accordance with all Cwmil -- apphcable State of Minnesota Statutes and Crty of Eagan Ordmances. gidy, pry_ _ Copies ,?r 1 Bmldmg Off iaal Variance _ TOTAL 36.00 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 6308 P. O. Box 21199 PERMIT NO.: Eagan, MN 55721 DATE: 6-17-85 Zoning: Rl No. of Unirs: 1 pWner. RSM Homes Address: Site Address: 1929 Berkshire Dr. L2 Bl Berkshire Ponds Mumber: Prior Lake Ex / Lakeside P3bp Meter No.: Connection Charge: SOO.OOP d Sixe: ??` ?- Account Deposit: 15.00 v d Reoder o.:0 _3 M .5 O'r/ 0,5- permit Fee: 10.00 D d 1 aeroe fo aomplr whA Ma Ciry of Eaean $urcharge: .50 A d , ordi MIx. Chorges: 132.00p d S/C 7oral: 63.00n d mete By Date Paid: Date of Insp.: -7/?3) X-5? Insp.:_ 7kOUest Date Fre No Poug'in Inspection ReqwreO, ? Reatly Now,,00VJ1I Nolity Inspector O es ? No When Reatly+ I?'i licensed contractor ? owner hereby request inspection of above electncal work at: Job Adtlress (Sheet Boa ar RoNe NoJ Qry / a ,? ic s/f?.?E l ?'?rif'-?? Se? ion No Townshiv Name or No Range No County I 1 ` 7?.7- Gccupanl(PRINT) Phone No ? L. --5 99'1 5 &'72- Power Sup0lier f? Atltlress Elecmcal Contractor (COmpany Name) Conlraclor's License No rcG ?Y.L'/G do. D,!/D7 ?-3 MaiLnq Aotlress (GOnlractor or Owner Mahin9 InstallaLOn) Amhol 1i9naturz (C(y?trectorrOwner Mekmg lastellauon) Phone Number ?r P?o - 35 S:j MINNESOTA SiATE BOARD OF ELECTPIGIq THIS INSPECTION REOUEST WILL NOT Grigga-Mlpwey 81Eg - Roam S173 BE ACCEPTED BY THE STATE BOARD 1821 UNVersly Ave, SL Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS Vhona (612) 662-0900 ENCLOSEO 30 -7B yl REOl1E5'T FOR ELECTRICAL INSPECTION ? See insVJEUOns lor n1M01eting ihis form on back ot yellow copy "X" Below Work Covered by This Request ?t4s?'EB?00001-0] "' ?i < i3 ?. ?.. ew Atltl fSep? ?-TypeofBudding AppliancesWired EquipmentWired ? Home Range Temporary Service Duplez Water Heater Electnc Heahng Apt Building Dryer Other (Specity) Comm./Indusirial Furnace Farm Air Conditioner Other (epecity) Gonlrector5 Remarks Compute Inspechon Fee Below Other Pee # ServiceEnlranceSae Fee # Cucuits?Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SI JIIS Inspector's Use Only: . TOTAL Irrigation Booms Special Inspectwn '30 Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. ( I, the Electncal Inspector, hereby h td h b i Rougn-m ate G? y i at t e a ove nspection has cer been made. F,nai oeie S?d OFFICE USE ONLV This request witl 1B manihs Irom (03 ? ?r Repuest Oate 8S 5 Fire No. Ibuph-in IRSpection fle?QU/ ed ? OReatlY Now ?1 Notity InsPec- p '' ?.es ?No [or Wl?n qeatly PLIcensed Electrical ContracCm 1 haraby request insPection of ebove [] Ownpr elec[nol werk instalbd at: Street Address. Boa r Route No. City . IlAel / 45?6? ction Towrtshi0 Marne or o. 11anqe No_ Cwn[y Occupant (P111NT) Phone No. ' SM r,ts .s?e. ?3S - 886 ? Power SuVPlia Address .4 r,4 502 . ?., ' 7oN MnJ Elecvical Contractor (COnpany Name) Conhactor"s Liccnse No_ GE ? - NC, O 5' O'S WailinB AdJres (Can[rac r a Ovmer Yakinp 1 piW[ionl 9q c a P I? ctt Mn? s"S! z. Authoriz SiBnature IContrac[ / r Making Immllatiml Rwne Nunnb¢r ?/ - ?37D MINNESOTA STp7E Bpp?/ OF ElEC7ii1CI7Y THIS INSPECTIOM REQUEST INILL NOT Grigps-YidwaY Bidg- - Ropn N-781 BE ACGEPTED BY 7NE STAIE BOARD 1821 Univsrsity Ave.. S[. Peul. YM 5610/ UNLESS PROPEB INSPECTION FEE LS Pho. 16721 297.2111 ENCLOSEO_ IREnuESr Fon eLEcrwcaL inJSPEcnoro ,. , See iiistructions M cooplating [his tmm an bnck of wllar coPy- ""7("" Be/aw Wwk Covered by This Requesl Ee-aOM1114 (0((0 ?d 4 Add ReP- T9pa oi BYiMin9 Appliancsa Nieed EOuiPmenl Wiled Home fiarnje TertporaryService Duplex WaLer Heater Lighfing Pixtures Apt Buildfng Dryer Electric Heabn <'-onmercial Bldy. Fumace Silo Unloader Irdusvial 81dg. Afr Cwditiooer Bulk Milk Tank Famt ox?. aec. ' the, lsoerjtyl iM.r Specify Oth?r Othe? Computelnspecuon Fee Belaw • Fee ServiceEntram:eSize 0 Poa Feeders/SubFCeders i¢ Fee Grcufts 0 0 to200 Amps 0 tu30A `O 0 to30Am Above 200A ? 31 m 100 Amps 31 ta 100 Arnlxi Sw?mming Pool Above 100_/WnyPs Above 100_.0? Tramtonners Irrigation BourE j? Partial.`OTher Fee Signs Special Inspectim Ne?arks $ 29 O010 TOTA.L FEE _ Rough-in he ElaciKCal he,eby het tM bv F Firgl D7»te 1?v ' has bean -Ii. - ae_ . Thhre9uestvaNtBmonms4an ' This re0uest voiA 18 rronths from 7 nA2 La/?! ?-?- P? ?ooo Dale ? Fire No. Bough-in Inscection i??/? /•/{? Iley ?red? ?Readv Now [] Will NoulY. InsPer '" Z/ ? LI nYes nNO «r When ReaAy Licensed Electrical Contractor 1 hereby requas[ inspection oi abova ? Owner electricai wak in¢ialled ar Sireet Atldress, Box or u[e Nw 21 { ? City ? l 17 KS ,e? ?ti. ecuon a. Towns iD Name or No. Rarqe No. Coun[y OccupantlPRiNTI Phone No. S 35- ffff (o F Pawer Supplier Addres ' nI M.?J lec rical Conlract r IConmany Nemel Con[ractu s License No. I o is O- S iling Atldress (Caniract w Owmer Yak:ng Ire ilat n) ) S'$1 z qqq 2 cE tt MA Au?honz Signatur ?Conv t r 1laking IreUllation) PM1one NumGer Q J/? L7O NINNESOTA STATE eOAfl F EIECIRI I7Y THIS INSPECTION BEQUEST WILL NOT Grigps•Mitlwey Bldg. - Ibom N-797 BE ACCEPTED BY THE STATE BOARD UNlESS PROPEB INSPECTION fEE IS 1821 University Ave., SL Peul, YN 5510/ ENCLOSED. Phone 16721 297-2111 REQUEST FOR ELEETWCAI, INSPECTION EB-00001'04 , S. inrstruetims la rompleting [his lurm m heck of yellow copY. Be/ow Work Covered by This Request Add PeO. Typq pi 8ui Wing APpliincBS MirW _ EquiDment Wired Fi Commercial Bidg. ? 1 Fumace Silo Unloader ? IMustrial 61Aa. Air Corditioner Buik Milk Tank M Fee ServiceEgrtmMeSize p fge Fcedews/5ubfeeders # Fee Circuits ?0 O 0 to 200 Amps 0 to 30 A s 0 to 30 Am s Above 200 qrnpy 31 to 100 Amps 31 to 700 qm Swinming Pool Ahove 1 W-Amps A6ove 100-Am{ri Transiormers Irngation Bowns Pattial'Other Fee u I Signs ' I ISpecial Inspec!ion ' 5 0.5-,0 TOTAL FEE NertNrks Boueh-in Di11e 1, the Elacbical 1?jrY?cbq hereby I ?t6rlity thet the abpva Final D.I. impection has been _de. iltlit8puntvoiAlBmmlRSfran //__' /???/.j,?J/ _ _ A? ??Vr i i/Wvf..6?J :. . " CITY OF EAGAN N! 102 3 O 3830 PiIM Knob Road, P.O. Box 27-199, Eagan, MN 55121 BUILDINC PERMIT PHONE: 4548100 Receipt # / T SF 0 1929 BERKSHIRE DRIVE Eraet EX Occupanev R3 SiteAddrea 2 ls b 1 ? BERKSHIRE PONDS Remodel ? 2onlng R1 Lot u ec . Bloek Repair ? TypeofConst. ji Percel No ? . Enlarge No. Stories RSM HOMES Move ? Lenyth 36 W Name Oemoliah ? Depth 4 6 14486 ER UTHRIE C T G ? s F ? Addre c.iv sa APPLE VAL phone 435-8868 rade lnstail ? q. t. ? Neme 0?viz Addreta ? City Phane GW Name ?W i? Addreu w City Phone i 1 hereby acknowfed0a thot 1 hove rcad t ia- ication and stare thot tha {nlormotion is eorrect and agr o mply th all apPlicoble SMte of Minnewta Stotutes o E?nce;/ ! Assessment Water S Sew. Polica Firo V?lanner CAUncil eida. orr. 5 13 8 APC / Var. Date Sipnoturo of Permiffaa A Bulldinq Permif Is fuued to: RSM HOMES all work shall be dwr In accordanee with all imbla State i .? 8uildirq Officiol ...?!_Q. Permit 304.00 SurcFarW 28.50 Plan Review 152.00 gqC 525.00 Wafer Conn. 500, 0 Water Meter - 6 3-.-4 0 Rood Unit ---2ao-o 0 T.P. 132.00 Copy -50 'otal $1,985.00 on fhe axprcaf conditlon 1hat Sfatutef ond City of Eopan Ordinoncas. C lt? 0f EIl 3830 Pilot Knob Road Eagan MN 55122 Phone:(651) 675-5675 Fax: (651) 675-5694 Date: 2008 MECHANICAL PERnnIT Site Address: S'. Tenant: 7^+ .4 /zq, n (:Zp AUG 0 6 2008 RESIDENT / OWNER Name: Phone: S?' ?.SB ?7a Address 1 City / Zip: &4-1"3'+ e_ CONTRACTOR Name: BURNSVILLE, HEATING & AIC, INC. License #: 3451 W. Bumsvi e a way Address: SLWfP 120 MN 55337 Bumsville , ?ity; State: Zip: Phone:1S ,;- OOO C Contact Person: TYPE OF WORK - New ? Replacement _ Additional _ Alterahon Demolition Description of work: NOTE: Both roof mounted enrl ground'moirrited mechanical equipmeoE is required to be screened by City Code. Please contact the Mechanica! Inspector or one of the Planners for infomration on ermitted screenin methods. RESlDENTlAL COMMERCIAL PERMIT TYPE Furnace _ New Construction _ Interior Improvement _)(-Air Conditioner _ Install Piping _ Processed Air Exchanger _ Gas _ Exterior HVAC Unit _ ' HVAC units must be screened _ Heat Pump Under J Above ground Tank L_ Install / Remove) Other '" When installin9lremoving hank(s), call for inspection by Fire Marshal and Plumbin Ins ctor RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace bumed out appliances, tluctwork, etc.) (includes $.50 State Surcharge) $ 60 so TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) _ $ Pertnit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is >$1,000, surcharge increases by $.50 for each =$ State SUfcharge $1,000 Pertnit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). $ TOTAL FEE I hereby acknowledge Mat this infortnation is complete and accurate; that the work will be in conform ith the ordinances and codes of the City of Eagan, that I undershantl this is not a permit, 6ut only an application for a permit, and work is not to start HnNout permit; t[he waccorance with the approved plan in the case of vrork which requires a review and approval of plans ? X O U. S LQ-in cXL?b U I X J? ApplicanYs Printed Name ApplicanYs Signature ?_________________ I For Office Uae ? I ? ? Percnit #: 9; 67 ? I Permit Fee: 60. 6-0 ; I ? ? Date Received: ? I I C?J I ? Staff: -? ?_-_ P ' FOR OFPICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In _Air Test Gas Service Test In-floor Heat Final 11445 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAifILY DWELLINGS MIILTIPLE 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 SY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT 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 & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: eys,?T ?N? h, Valuation: ?r. Site Address /9e,7 Y ?¢?????e ?}c I Lot 9 Block I ISDO Occupancy I /? IZoning Parcel/Suh ox f??hu, Y GA Actual Const / Allowable Oconer ?/?,?a.%,(w,,.? ,6.???o?J # of stories Length Address c5 R r-t ? Depth S.F. Total City/Zip Code Footprint S.F. Phone `?700- /.) Uv On site sewage_ On site well Contractor MWCC System _ ? Lu 1 City water _ Address PRV _ rA ??T Booster Pump City/Zip Code r-{i ?Phone y.` Arch./Engr. _ Address City/Zip Code Phone # JAY 2 9 RECo Date: USE ONLY APPROVALS Planner Council Bldg. Off. 5M?5/30 Variance FEES Bldg. Permit 3-TDO O Surcharge 1,0 Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL : --- 4?O.??A /r//,j - (0,')-30 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRAC?ORS MUS? BE LICENSED UITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: NJ• V luation: cco 20 - Date: Site Address: OFFICE USE ONLY l.ot: ? Block ? Sect/Sub? Erect ? Occupancy ?-3 Remodel Zoning R?I Parcel ? ? L`.???C Repair _ Type of Const SC Enlarge # of Stories Owner J/?? Move Length 3l0 LDemolish Depth ? Address (?.Ic<C?ade , Sq Ft cY City/Zip Code 5-,S/ -------------------------?r_? Contractor 5-/LbPf ? APPROVALS Address City/Zip Code ' ?3 S- Phone !I Y-C( p - Assessments Permit Water/Sewer Surcharge Police Plan Review C.SL 3 y 4fe sAC ? y?Engr Water Conn Planner Water Meter Arch./Engr l`o ?- 1411/j Council ad Unit Bldg OFf:/ Parks Address APC Treatment P, Phone U % Variance I G A( o• * 304 • 00 + ?h•50+ 15?•?n+ `?S•!1O + + 53•--0+ 280• :0+ 7:?•00-F 0•50+ 1?985•30, ?04, ? 28. s' I 52, = SZS - 5 oc?. -°' ?m t3Z • S-- yo 0 I, F?-',S t, . 2/84 C ? I CITY Or EAGAN APPLICATION FOR PERMIT • SEWER AND/OR WATER CONNECTIODI ft?EASE I 1) PROP?'CPY ADDRESS: LEG.aI, DFSCRIPTICV: (Lot/Block/5ubdivision or a.,c Parcel I.D. N=ner ? ?' ?-;IS'_=:G 5r.°.tiCPTvT:, DAiY. 0_° CRIGi TAL 'uiILCI`:G =-E-Si ISSi;.a::C.: P.nESENm. .r.f=-r'/P?OPOSED L'S:: JKR-1 SL:GL.S :PMSLY ea?, . ? R-2 DUP= ('Iti•:O L'NITS) ? R-3 iC:v'ivr?CY?SE (TI?RW.' + II^IITS) ( Wi ITS) ? R-4 t1F'?TIGN'P/CCiIIJCi'SIILtil ( Wi IT_JJ ? CCi`.n1E.°,Ci'?L1?E=AIZ?OFFICE ? I\i'DL'ST'RSr1L ? PJIST=I0:1AL/Gv^UMNZIE?r"I` 2) APPZSC::NT NAME: ? (PlEASE ?R 41) r P ?DRESS: .e ? OAP-Q-61 CITY, sTATE, ZzP: rn ? 5-s 2 PHONE c 3) PLL7eMER PLEASE PRlNTJ FOR CITY IISE U4LY NA ?: Pll1HBER5 LICEVSE: ADDRESS: ? Active CITY, STATE, ZIP: 7S?`Q(?L Q Expired SiE Q Not of Record PHONE: PLU,MBER LICENSE N0N>)3&q7I)1 D a nitia q) pCCL*p??/Cry-?;ER DIANIE: (PL ASE PRINT) ADDRESS: Y/ 5?v? . I Cl'i"l, STAT'E, ZIP: rnrnnm _ / <- _ O G ii/ ' """'?•' i v - U u / ?CJv 5) 6) Pi:DIG,':M C:+E: ? PI.EaSE F?OID APPROVID Pg21IT FOR PICF:-UP BY ONE OF ASWE ? PI£11SE bAIL APPRWm PEfhMlT 'IYJ 1. 2. 3, 4 AHOVE (Circle one) 7) SIG!,Ir1TL'RE: DATE: `S- INDICIITE S,ItiICH PERMIT IS BEING REQUESTID: ? CO.1NF_CPION TJ CITY SEYdER ? CONNEC:ZON 'IO CITY WATLR ? 0r171ER (PLEISE DFSCRIBE) ?F?lqiR_aqfs.aasiLasY:g?ca ? -?? •, ? ? F 0 PE?2^?IT '-` ISSUED C I T Y U S E ON:,Y F°ES: $ 10.5 U $ $ S S $ SO&, ctiU $ $ S S $ ? SEi^iER PER,1IT (Z`IC=-DE SU°C?i?RGc) WATER PERD1IT (INCL'JDE ,^liRCHAcZGc,) WATER METER/COPPERHORN/OUTSZDE READER WATER TAP (INCLUDE CORPORATION STOP) SE:VER TAP ACCOliNT D-l.^rOSIT - ?iATER HTt=iC $AC TRUVK [JATER ASSESSi4E;dT TRii:JK SEWER a55E55MEAIT LATEZAL BEDIEFIT/TRUNK SE:•lER LATERAL BENEFIT/TRUNK SqATER OTHER ' $ TOTAL $ P.I?IOII:VT PAID/RECi2PT DOES UTILITY CONNECTIOIV REQUIRE EXCAVATION IN PUBLIC RIG:iT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ?--NO'- ENGINEERING DIVZSION. LIST AS A CONDI- TION. SUSJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: L ? ?- TI:LE: DATr: ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construclion Reauiremenb • 3 rngistered sile surveys showing sq. ft. of l04 sq. R. of Iwuse; and all roofed areas (20% mauimum lot wverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • isetofEnergyCalculaUons • 3 copies of Tree Preservatbn Plan K lot platled aRer 117193 • Rim Jolst DetaB Optiore selectian sheet (bldgs wiN 3 or less unXs) DATE JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ?/Y'PSTGoaF,e? ? TYPE OF WORK XI-F APPUCANT V/NyLTIvlPfo J ADDRESS QJ 0 t kI? PAGER # /?/?4 RemodeVReoalr Reauiremenh • 2 copies of plan • 1 sef of Eneigy Calculatioice for heated additbns • 7sitesurveyforextenoradditions&decks • Indicate'rfMmeservedbysepticsystemforadditions % VALUATION ?pp0 ?c Q/"! ll e- CELL PHONE # FIREPLACE(S) 7)(0 _ 1 _ 2 _ PHONE# 60-979-$000 K ZIPCODE _ FAX # NEIV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RiJI.FS 7670 CATEGORY 1 (check one) - Residential Ventila6on Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plumbing System Includcs: _ Watcr Softener _ Iawn Sprinkler Fee: $90.00 _ Watcr Heater _ No. of R.I. Balhs No. of Baths Mechanical Contractor: Phone # Mechanical Systcm Includes: Air Conditioning Fee: $70.00 HeaL Recovery System , Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is c?ct: with all applicable State of Minnesota Statutes and City of Eagan Ordir?ance,./ , f ? Signature ot Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY O 01 Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plax ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-piex ? 11 10-plex O 19 Lower Level ? 24 Stortn 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 Alteratlon ? 37 Demolish (Bldg)• ? 43 Reroof O 46 Windows/Doors ? 34 Replacement *Demolitlon (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 Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ plumbing _ Foundstion HVAC _ Drain Tile Other Roof _ Ice & W ater _ Final Pool Ftgs AidGas Tesu Final - FraminB _ _ _ Siding Stucco Stone _ _ Fireplace _ R.I. _ Au Test _ _ Final _ Windows (new/replacemen[) _ Insulation _ Retaining Wall Approved By 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 Building Inspector CITY USE ONLY LOT :D--- BL f susD. 7 (J -??,??c?,?w PERNUT #: RECEIPT #: RECEIPT_DATE:. 39 aS 2000 MECIiANICAL PERMIT (RESIDENTIAL) CITY OF &AGAN 3830 PIIAT IINOB RD - EP.GAN IIII 55122 ? D/?a3/Oa Date: 651-681-4675 Complete this secrion on[v if you aze installing IiVAC in a single family dwelling, townhome or condo under constrttction and not owner/occu?ied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU " 6.00 • Gas ouUets (minimum of one required @$3.00 ea.) ? - 3tate Surcharge Total $ Complete this section onlv if you aze remodelin¢, adding to, or repairine an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _ Alteration ? Fumace Air exchanger Reminder.• Call for inspections SITE ADDRESS: OWNERNAME: _ 4-e7z,¢.. INSTALLER NAME STREET ADDRESS: /,?-¢ra-/ CIT'Y: _ Repair _ Other ? Air conditioning _ Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 - (??3 S&7Z ,3-9' 2, STATE,/A H ZIP: S.S-f?e J"?C J24-? SI NATURE OF PERMITTEE CITY USE ONLY . L BL SUBD. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECSANICAL PERMIT (COhMRCIAL) CITY OF EAGAN 3830 PILOT 1QTOB RD EP+GAN, MN 55122 651-681-4675 -- __,?:- Please complete for: all commercial/industrial buildings mulU-family buildings when separate permits are not required for each dwelling unit DATE: _ WORK TYPE: _ New construction _ Install U.G. Tank ;.eruo-vrz U.G. Tb:ilc _ Processed Piping When instafling/removing underground tank, call 65I-681-4675 for inspection by frre marshaf and plumbing iespector. Description of work: _, - - _ Fees: 1% of contract price OR $30.00 minimum fee, whic6ever is greater. Underground tank removaVinstallation = minimum fce --- - -'-= -- - - - -- - Contract price: $ x 1%= a (Base Fee) State surchazge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNEA NAME: PHONE #: TENANT NAME (R2PftOVEMENTS ONL1): (AR£ACODE) WAS TfERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE LU N Q 111 rn YS cN- o o a Lt! L E Ln O LI .43 .E cNi U 16 a o 9 E, Q a) c U co 9- �O (Y U)'a c6 '' Wim? �� O O� N� ce _ O c6 c W"0-0 •— �O d O O Ocp O J — to O < c�E'� 5 — °>as0 —I CD 0 _ o W.010Ua) c• C O O 0..Q f/) co O co c.) 'O •?, LL O2 8p O W a) .( CO • L a t .c.ca) co :,E U)I—H-I-W OH O O a) :s7)o c U QW a) O'a coW c co_ O O 0 N -C 412 >, 2 c N E 0 C .a N O O ) tl) L U_ a).-• :EJ W to E - Z p -o t6 N Z m E w a) co— — Z >, ° "� t O N (7 a) 0 - "O 0 — 3 CO 7 Z J a CC W J W Scale: 1/4" = 1'-0" F -J m 0 O N_ dcfl m 0 E m z G) LL E a) ♦>� V) O -OU) c M Oin O v) �- Z m- �— 0) CD ti= U) L to -) J m Y • N W• U N_ z 2 0) ca w Cz CLY I TOP PLATE THREADED ROD MAIN PLATE BACK PLATE BOTTOM PLATE SUPPORT INSE MATERIAL DESIGNATION A36 A36 A36 A513 TYPE D (DOM) A36 A36 0 o o Q 0 o � Q 0 o � Q SAE J429 GRADE 8 m c%) Q A194 -2H DIMENSIONS (IN) in 0 X in X in ,n 0 X o O `- 7 x 14 x 0.375 9x4ODx0.39t* 24x3x0.375 x X LO 2.875 OD x 0.25 t * 2.875 OD x 0.25 t * c? O X M X 0) 0 Z = O `- ' M Z D O i- . c \ Q z n O r i d` co COMPONENT MAIN PLATE BOTTOM PLATE BACK PLATE MAIN TUBE - SUPPORT INSERT STRAP TOP PLATE EXTENSION HELICAL PIER COUPLING BOLTS WITH NUTS THREADED ROD (X2), YELLOW ZINC THREADED ROD NUTS (X4), YELLOW ZINC Cr- Scale: N.A. w Z U_ 2 F - w 0 J m ce c w 1- w 0 J w 0 Z H 0 Z w .J z 0 z w X w 0 w J v) w z 0 w 1- w 2 0 w 0 z 0 w 1 w 0 w 1 0 1- 0 I I 0 0 Jeffrey Wheeler JUN 2.1 2016 From: Patrick Nevison <patrick@safebasements.com> Sent: Tuesday, June 21, 2016 7:48 AM To: Jeffrey Wheeler Subject: Fwd: Re: Fwd: RE: 1929 Berkshire Dr. Eagan - Helical Piers Follow Up Flag: Follow up Flag Status: Flagged Jeff, If you would like to be the third party and witness the installation, we can schedule you to be there at that time. Please see the response from the engineer of record below: Patrick Nevison SafeBasements, Inc. patrick@safebasements.com 320-535-0320 Original Message Subject:Re: Fwd: RE: 1929 Berkshire Dr. Eagan - Helical Piers Date:2016-06-20 20:12 From:Joseph Dubel <dubel.joseph@yahoo.com> To:Patrick Nevison <patrick@safebasements.com> No I don't think it is needed, this code is for driven deep foundation elements. Helical piers are not driven like a sheet pile or a push pier. And I think this code deals with more of a commercial building and not residential. In the inspection table he lighted it referred to number of blows; push piers and helical piers are not recorded that way. And if he wishes to be the third party and witness the installation we should schedule him to be there during the installation. Original Message Subject: RE: 1929 Berkshire Dr. Eagan - Helical Piers Date: 2016-06-17 09:22 From: Jeffrey Wheeler <JWheeler@citvofeagan.com> To: 'Patrick Nevison' <patricktc7i safebasements.com> Hi Patrick: 1 September 18, 2012 Darle Canova Main Street Fabrications LLC PO Box 10263 Brooksville, FL 34603 Reference: Helical Pile Design -Numerical Evaluation Report RE&A Project No.: 2825 -12 -033 -ED Location: PO Box 10263, Brooksville, Florida 34603 Mr. Canova: Ramos Engineering & Associates (RE&A) has determined the theoretical capacities of the Helical Piles manufactured by Main Street Fabrications & Manufacturing (MSF&M) for use by Safe Basements, Inc. and/or their approved dealer(s)/installer(s). Our findings and conclusions are based solely on numerical analysisconducted by our office, and load testing has not yet been performed to validate these theoretical findings. Thus, these Helical Pile Capacities are theoretical in nature, and only represent capacities derived from Limit States of the Helical Pile components, and do not account for in-situ soil conditions, which shall be designed for by a Licensed Professional Engineer for each separate implementation. The assumptions and conclusions in this report were made with a reasonable degree of professional engineering judgment, and are based on codes and standards as well as our understanding and experience with the subject matter. The assumptions and codes and standards are referenced accordingly in the "Numerical Analysis", Appendix 1 (Sheet 5). Introduction: The helical piles are steel structural piers designed to be installed in new foundation construction projects and also to stabilize and/or lift foundations of existing structures. The piers are composed of a central steel shaft with helical steel plate(s) factory -welded to the shaft, which are installed in sections by the application of torque and subsequently connected and pressurized into the structure's foundation through the ESB -SD, ESB -HD, or ESB -LD brackets manufactured by MSF&M. The foundation loads are thus transferred through the support brackets, through the central pile shaft, into the helix plates, and finally into the bearing stratum through a combination of axial bearing as well as skin friction. The starter section always has at least one helix plate, while the extension sections have optional helix plates. The helix plates range in sizes of 8, 10, 12 and 14 inches in diameter. The competency of the bearing stratum shall be determined by a Licensed Geotechnical Engineer. Because the varying helix applications affect only the in-situ conditions, only the five sizes of central pipe shaft groups are considered in these analyses, with outer diameters of 2.875, 3.50, 4.00, and 4.50 inches. The 2.875 inch diameter shaft group is produced in two different specified wall thicknesses. 2625 minuteman lane, bcdanon, florida 3351 i -95C4: phone S13-4534935 fax S13 -C,53-1732 WWW. ran t,seneineetiina.r MSF&F — Evaluation Report September 18, 2012 Main Street Helical Piles RE&A Project No. 2825 -12 -033 -ED Technical Specifications: Material Specifications as well as dimensions and manufacturing tolerances for the products are presented in the "Specifications Package", Appendix 2 - (Sheets 1 — 9). Important to note is that the product surfaces, come in either Bare Steel Condition, or Galvanized (Zinc Coating). Numerical Analysis: Potential failure mechanisms were identified, and each component checked against respective Limit States to determine Allowable Capacities. It is important to note that the "Allowable" Capacities represent the theoretical failure loads at which failure is defined as elastic yielding and is reduced by a Factor of Safety according to its mode of failure, whereas the "Ultimate" Capacities represent the theoretical failure loads at which failure is defined as tensile rupture and are not reduced by a Factor of Safety. Factors of Safety were set according to ASD and varied by mode of failure, per RISC Steel Construction Manual, 13th Ed. (AISC). Summaries of the considerations behind the respective components' analyses and their Factors of Safety used are presented below, while detailed and tabulated summaries of the results can be found in the "Numerical Analysis", Appendix 1— (Sheets 1— 4). Allowable Axial Capacity, P. Axial Capacity refers to the maximum downward vertical load which may be imparted on the piles. Mechanisms identified as potential modes of failure included buckling under concentric load, buckling under eccentric load, and fracturing of helix welds. The results indicate that for the pipes with outer diameter of 2.875 inches outer diameter, the controlling mode of failure is buckling of the pipe shaft due to eccentric load, while for the pipes with outer diameter of 3.5 inches or greater, the controlling mode of failure is buckling due to concentric load with a laterally unbraced length of 120 inches. Forces due to combined flexure and axial compression were not considered, nor were second -order analytical considerations. For Bare -Steel product options, corrosion effects over 50 years were considered per ICC AC358 specification. Allowable Torque Capacity, Ta Torque Capacity refers to the maximum axial torsion which may be imparted on the piles. Mechanisms identified as potential modes of failure included shearing of the pipe shaft, fracturing of the helix welds or coupling weld (couplings welded to the shafts for 2.875 in. shafts), shearing of the coupling bolts, and block shear of the coupling. The results indicate that for the 3.5and 4.0 inch outer diameter shaft group, the controlling mode of failure is block shear of the coupling, while for all of the other central pipe shaft groups, the controlling mode of failure is torsional shearing of the shaft. Corrosion effects were not considered for torque resistance, per ICC AC358 specification. Allowable Uplift Capacity, U. Uplift Capacity refers to the maximum upward vertical load which may be imparted on the piles. This direction of vertical load will have different behavior at the connections. Mechanisms identified as potential modes of failure included yielding and fracture of the shaft due to tension, shearing of the coupling bolts, coupling or shaft block shear, rupturing of the coupling weld, and rupturing of the helix weld. The results indicate that for 2.875 inches outer diameter pipe of 0.188 inches wall thickness, block shear of the shaft is the controlling mode of failure, while for the standard 2.875 and 3.5 inches outer diameter shafts, coupling bolt shear is the controlling mode of failure, and for the 4.0 and 4.5 inches outer diameter shafts, the coupling weld rupture is the controlling mode of failure. For Bare -Steel product options, corrosion effects over 50 years were considered per ICC AC358 specification. Uplift Capacity is only applicable where helical piles are cast within footings of new construction. 2 MSF&F — Evaluation Report Main Street Helical Piles WW RE&A Project 1 7 ?n1C September 18, 20g No. 2825-12-033- Allowable Void Span Allowable Void Span refers to the maximum vertical distance which may be spanned by the piles under specific load. The loads under which the spans for each pile group are the minimums of that specific pile groups capacities due to axial load failure (compressive) and uplift load failure (tensile). Careful consideration to in-situ soil conditions will indicate whether or not the spanned depth shall be considered a void or not, "very loose granular or "very soft" fine soils will provide zero lateral bracing and shall be considered as a void. Forces due to combined flexure and axial compression were not considered, nor were second -order analytical considerations. For Bare -Steel product options, corrosion effects over 50 years were considered per ICC AC358. Slenderness ratio requirements for compressive buckling, and slenderness ratio recommendations for tensile yielding were each considered; per AISC specification. Results: Based on our analysis, the following table (Table 1) theoretical allowable axial capacities may be correlated to the Helical Piles: Table 1 Helical Pile Theoretical Capacities Part Code Bare Steel Allowable Axial Capacity, Pa (kip) MSI MS s` S Ultimate Axial Capacity, Pu (kip) Galvanized Steel Allowable Axial Capacity, Pa (kip) Ultimate Axial Capacity, Pu (kip) We reiterate that these results are purely theoretical and have not been load tested. Again, "Allowable" Capacities represent the theoretical loads at a failure defined by plastic deformation, while"Ultimate" Capacities represent the theoretical loads at a failure defined by tensile rupture. For complete results including Uplift Capacities; Torque Capacities, and Allowable Void Spans, please review "Numerical Analysis", Appendix 1. 3 MSF&F — Evaluation Report Main Street Helical Piles September 18, 2012 RE&A Prosect No. 2825 -12 -033 -ED Closing: RE&A appreciates the opportunity to provide you with Professional Engineering Services on this very important project. Should you seek further services during the load testing of these products, or on other projects, please don't hesitate to contact us. Sincerely, Ramos Engineering & Associates LLC t{Will/ \\ TO Christopher "Max" Jones Engineering Assistant Copies: (2) Client Attn: Darle Canova Enclosures: Appendix 1 - Numerical Analysis Appendix 2 — Specifications Package Gilberto Florida R s P. ., LEID AP !tpaUonN r 9RID ; ©NAL 4v‘ MAY -26-2016 15:05 FROM: TREBILFOUNDATION SYS 3205938720 4911 City of Eaaau 3830 Pilot Knob Road Eagan MN 56122 Phone: (651) 6766675 Fax: (651) 6755694 Date: RECEIVED MAY 272016 TO:16516755694 P.2'3 Use BLUE or BLACK Ink For Office the Penult*: /S7/ % b Permit Fee: 6729'q. Date Received: ?1'/c \ SU 6--/2016 RESIDENTIAL BUILDING PER IT APPLICATION patSite Address: irks/Ile-6 D V/ Ut Calantinitt Name: d IQ11 Ods 'Resident/ Owner ! Address / City / Zip: Applicant is: Owner rat Srta.La, r' f�Szire.d .r Phone: -a czn /M/ 6741a -P, Contractor Description of coo Construction Co Multi -Family Building: (Yes / No„___) Company Jesse Trebil contact Christine Adoress: 60335 us hwy 12 _City: Litchfield state: Mn Zip: 55355 Phone: 3205938729 Email: Info@safebasements.com Lead certificate #: NAT1106229-1 License #: 6C446489 If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the teat 12 months, has the City of Eagan Issued a permit for 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! 1 Fire Suppression Contractor Phone: NOTE: Plans end supporting document that you submit are considered to be pubic Information. Porion of the information. may be. Classified, es non•publlc If you provide specific reasons that would permit dub City, to .. conclude that theyare trade secrets: CALL$EFORE yOU DIG. Call CophorStets One Cab al 1651) 454.0002 for protection against, underground utility damage. Call 48 hour* before you intend to dig to mceive locates of underground utilities. www troolmotnt pnecalliuo I hereby acknowledge that this information is complete and accurate, Um the worts will be in conte mans° with the ordinances and codas of the .Clay of Eagan; that 1 understand this is not a permit, but only an application for .a penult, and worlt isnot to start without a permit; that the wont vh41f be in accordance with the approved plan In the case of work which requires a review and approval of pians. days Exterior � It authorized by a building permit issued In accordance with the Minnesota Stats. Building Code must be completed within 180 Christine Smith Applicant's Printed Name z RL Appllcant'a Signature Page 1 of 3 9 � 6ock_s I LE ONOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Pian Review j (25%_ 1 00% V ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level _ Interior Improvement Move Building Fire Repair *- Repair k341 Yis REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows _ Egress Window _ Exterior Alteration (Single Family) Exterior Alteration (Multi) _ Miscellaneous Accessory Building Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant 4®/S Ph MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required timmoo Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 7? `e. /SR otj71 TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA142798 Date Issued:05/19/2017 Permit Category:ePermit Site Address: 1929 Berkshire Dr Lot:2 Block: 1 Addition: Berkshire Ponds PID:10-13750-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Aaron F Godfrey 1929 Berkshire Dr Eagan MN 55122 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK InkCC .- For For Office Use I' Cityof Eaaali Permit#: i Permit Fee: /47,•6..5 3830 Pilot Knob Road Eagan MN 55122 a I '' Date Received: �� 'I I 9 Phone: (651)675-5675 (+sfi,t I Fax:(651)675-5694 Staff: Ile I I 1 2017 RESIDENTIAL BUILDING P RMIT APPLICATION Date: �� 20 17 Site Address: ('1�` ��� � �re- rUnit#: .1 ..:,-. Name: f'((.'�,I�;�n G o j Frey Ic-i'3J ,' y �if Phone: Owner Address/City/Zip: 6a 24 . /� „L l e i9r. Ea t It iV, / 12' 1 Applicant is: Owner Contractor r 1 b k o �sruc� �. Description of work: �' p�rc� OCk+`'^g��. fix.;x; 5 0 J\; y„` .. Construction Cost:„� V 00 Multi-Family Building: (Yes /No' ) ,f - Company: Contact: Address: City: Contractor State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: ?S) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: , Phone: lean nd SU,,,-;° �i ;e ® e 6 ent c ... bmltf a n e ==-der to be ng • n � ,1forma#on May be ci 7 eco as nth • l st ,,, e • e+ d permit the i t e µ d m r- 1 ,a M y are`trade a ' , ..._ =x; ,. ,,- 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.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Co must b-, ompleted within 180 days •f permit issue•r•. f/ ib•iiii ika P , ,, iit i dip 7- ,..„. Applica f's •rinte• Na / Applicant's Signature 4 Page 1 of 3 ( tVQ 1 Fore' (ifa 1 12 rj 4--/e4-4/2(.... ,ADO NOT WRITE BELOW THIS LINE /Z1:...766. SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) _ Exterior Alteration (Multi) Multi ,,C Deck ) Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement _ Siding Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation eUIQ Occupancy 'uC-:l°i. MCES System Plan Review Code Edition ° s ;, SAC Units (25% 100% ) Zoningra City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction UC) Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) V Final I No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof: Ice &Water Final Pool: _Footings _Air/Gas Tests Final cC Framing ! 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test Final Siding: _Stucco Lath _Stone Lath Brick_EFIS Insulation Windows Sheathing Retaining Wall: _Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 11,- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge i (--) 2 (2 S&W Permit&Surcharge f)41LA ) 2 g y t ``-^' Treatment Plant ' -7 Nab ' pr Copies _ - -----•--- TOTAL }- / / Page2of3 . ROBE ENGINEERING CONSULTIN3 ENdLNEEAS PLANNERS and LAND SURVEYORS COMPANY INC. k 1000 EAST 1461A STREET, BURNSVILLE, MINNESOTA 55337 PH 4323000 Cer-1 tli CCXIC ‘Ya [.7-'Ye LiQ►ZZ - 4 r cejioft: LOT 2, BLOCK 4 84-RA-SH/RE PWS, PAkoTA . COUNTY A9/NNESOTi4. _ N 89° 40'42"W C2i.isk.) 65.00 (qts'o) (gt9.o) t$ 0 (q ,9) N r¢ Uri[/rx EASEMENT AS PER AOC. NO, //s'2.S7 P.) / "1 / *. / / I _ 0L......,l,_- l...0 .-0/ % t\1/ .4/ T 2 P+PA/NAGE am/TY - t�f" I 51 OLI ) ' • i�_5- ,5 EASEMENT Nof�TH =.6T) 5.e.o.o,L928J SCALE: /1"---' 30' , _ /6.op ^ s4.oo is. o� r_ r' T •:-,) p\ H PROPOSED • O cn 0 <: JOUSE ii �'1 o . c Zoo 7 ti, 1 (_,-9'30.0.,) DENOTES EX/ST/NC ^GARAGE I ' 30' A"OIVT 411/LD/N, EL E4i9 r/oN mil„---- , i /6.00 I } riDOW any 20.oa tti_' . SETBACK L/NE (136.0) DENOTES PROPOSED millIP723.2. ' iq3 ':24 EL EVA 7/6A/ o ► •\ I /'� � —� -'- INDICATES D/REC T/o/Y 5 5J ,r-( -i • OF SURFACE M b ,65.00 0 ,-,t I�� ✓L DRA//NAGE n' 89`40'42"!4/ iv�� �, �, '� 01/C 430117 ', N trm i. �I BERKSH//RE tc' DR/VE F/A//.5NEL) (,AA( . nook F�E./4T/oil =( 933,33 I hereby certify that this is a true and correct representation of .a tract. of land as shown' and described hereon.. As prepared by me on this .2..i. day of Ma , , 1955; r Kinn. Rea. Ito. /40,5 PERMIT City of Eagan Permit Type:Building Permit Number:EA161400 Date Issued:05/21/2020 Permit Category:ePermit Site Address: 1929 Berkshire Dr Lot:2 Block: 1 Addition: Berkshire Ponds PID:10-13750-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Aaron F Godfrey 1929 Berkshire Dr Eagan MN 55122 Kaufman Sheet Metal Roofing 2521 24th Ave S Minneapolis MN 55406 (612) 722-0965 Applicant/Permitee: Signature Issued By: Signature s w EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinginspections a(�.citvofeagan.com For Office U f /� Permit* 1 l9),491 (P Permit Fee: I cl.. rE E I VE Date Received: 0 JUN 0 5 2020 stat. BY; 2020 RESIDENTIAL BUILDING PERMI APPLICATION 6/5/2020 1929 Berkshire Dr., Eagan, MN 55122 Date: Site Address: Unit #: Resident/ Owner Type of Work Aaron and Kari Godfrey 651-336-5149 Name: Phone: 1929 Berkshire Dr., Eagan, MN 55122 Address / City / Zip: Applicant is: ✓ Owner Contractor PD Description of work: Tear down and replace side deck l- dA61,_c $12,000 Construction Cost: Multi -Family Building: (Yes / No ) Contractor Owner Aaron Godfrey Company: Contact: 1929 Berkshire Dr. Eagan Address: City: 41 55122 651-336-5119 fgodfrey@bigw.org State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of the Information may be classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 webslte at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you LL intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances code 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 per�rx�twork wii be in accordance with the approved plan in the case of work which requires a review and appro„•f plans. Aaron Forest Godfrey x Applicants Printed Name Applicants iignature DO NOT WRITE BELOW THIS LINE SUR TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level telgi _ Porch (3-Season) Porch (4-Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building _ Fire Repair Repair Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* _ Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL nr�w �7sx rs elilmoua- Page 2 of 3 ROBE ENGINEERING t Pf`ANN�es° Inn" iUAVEVOI%S COMPANY, INC. ,1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA 55337 PM 432-3000 Cep" ilif jccsic # atatr'i/.ey I"V1t -DeAter4eiton: L or 2, BLOCK /, BER,tSH/RE AVNAS, P9korA COUNTY) AN/NNESOTi4. N 89 ° 40' 42 " ITV CL"Ye, 6. 00 (41i fQ C9i1.e) /) 1r'• // (../!./ t. NORTH SCALE: /"= 30' r910 o ► DENOTES EX/Sr/NC ELEk4r/ON (9 3e . o) "7ENOTES PROPOSED EL EVA7ZON /ND/CA TES D/REC TioN DF SVRFACE BRA/NAGE ,- vric/Ty EASEMENT AS ,'WR DOC. No //.5'2s7 /LOT 2 &RA-SR/RE r .�� f/A/i6NED CARA&E. nook CLE2✓4r/od = "133,33/ INS (12 6'60 Proposed N w Deck Replaces existing deck of same width (10') 5 feet from side property line. go "n4Z PP/114; AS( ENT L/M 1_ 0 7- '' 30' Sired/VT/MP" SETZOC#C L/NE 0‘1G 6:4_6(24,fr/ 13%7 OR/YE I hereby certify that this is a true and correct representation ,of a tract* of land as shown' and described hereon.. As prepared by me on this .4o day.,of :of .Minn. Reg. Node.ar5