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1269 Berry Ridge Rd PERMIT City of Eagan Permit Type: Mechanical Eagan. Permit Number: EA093681 Date Issued: 04/27/2010 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 1269 Berry Ridge Rd Lot: 4 Block: I Addition: Hilltop Estates PID:10-33000-040-01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Pronto Heating & Air Conditioning Benjamin A Frost 701 Washington Ave. S 1269 Berri Ridge Rd Edina NIN 55439 Eagan NIN 55123 (952) 835-7777 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature This request void gi l 1 C1-< l 1 C-~^z,r"~~ 11 ~[.a 1 J 18 months from T 600550 ' Request Date. Fire No, Rough-in Inspection Required? Ready Now K.", l Notify. Inspec- 'Elyes No When Ready Licensed Electrical Contractor I hereby request inspection of above tOwner electrical work installed at: Street Address, Box or Route No. City Section No. Township Name or No. Range o. County Occupant (PRIN } Phone"No. - - Power Sup tier Address Electrical Contractor (Company Name) Con actor's. License No. J ' Mailing Address (Contractor or Owner Making Installation) Authorized Siggature ( ontractor/Owner Making Installation) Ph ne Number 141 MINNESOTA ATE BOAR OF E TRICiTY THIS INSPECTION REQUEST WILL NOT - Griggs-Mid ay Bldg. - Room NA T BE ACCEPTED BY THE STATE BOARD 1821 University>Ave., St. "Paul,' MN 65104 UNLESS PROPER, INSPECTION FEE .IS Phone (612) 297-2111 ENCLOSED. EB-00001-03 y- r 5 REQUEST FOR ELECTRICAL INSPECTION0-15 To- tr C' h , See instructions for completing this form on back of yellow copy. "X" Below Work Covered by This Request New lfdd Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Fur nace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Specify) Other Specify Other Other Compute Inspection Fee Below # Fee service Entrance Size # Fee Feeders/Subfeeders # Fee - Circuits 0to100Amps 0to30Amps 0to30Amps 101 to 200 Amps 31 to 100 Amps 31 to 100 Amps Above 200 Amps Above 100 -Amps Above t 00-Amps Transformers Remote Control Circ. s"(J Partial/C ee Signs Special Inspection 6}1<4> Remarks TOTAL EE~Q. 't Rough-i Date 1, the Electrical f Inspector, hereby certify That the above Final Da inspection has been ♦i^~"~" made. This request void 18 months from This request void lOj~ l /3/, 4M4,cp E 7C~) ~ 18 months from TI 55,793 z7 A-S; Request Dat Fire No. Rough-i Inspection Requ? d~ []Ready Now i{I Notifv Inspec- es Q No for When Ready Licensed Electrical Contractor - I hereby request inspection of above - - ❑ Owner - electrical work installed at: - - Street Address; Box or Rou e No. City 'ection No. Township Name or No.17 ange No. County Oa;-~ (PRINT) Phone No. PoweSupplier Addres 'Fti Electrical, Contractor (CoRENDa ? tt?n actors, License No. - DEM. 5~1.. ..F .t.`.-. .1 S IN 2 Mailing Address (Contractor or m n 1 jtaa;fa ionf r c r ~Y, ~ ~ APPLE VALL Authorized Signature (ContrCgRyr'1SRa7T n I ti 4342-Z-:)jaKJne Number MINNESOTA STATE BOARD.OF ELECTRICITY THIS, INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room NA91 - - - BE ACCEPTED BY THE STATE BOARD - - 1821`University Ave., St. Paul; MiV 55104 UNLESS -PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ES-00001-03 T- 9.0 See instructions for completing this form on back of yellow copy. ""I " Below Work Covered by This Request >~7, Ne Add Rep. Type of Building Appliances Wired Equipment Wired - Home Range T mporary Service Duplex Water Heater Lighting Fixtures Apt. Building Wryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Specify) Other Specify Other Other - Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits _O .to 100 Amps 0 to 30 Amps D '00 0 to 30 Amps 101 to 200 Amps 31 to 100 Amps 31 to 100 Amps Above 200 Amps Above 100-Amps Above 100_Amps Transformers Remote Control Circ. Partial/'Ot Ws Special Inspection $ So TOTAL EE~2. d Remo J Rough-m '4WW 14 D 1, the Electrical f r Inspector, hereby certify that the above Final D e inspection has been This request void 18 months from This cop1 ( void L q i 31( 4('1 1 0-.~ /P o p e 18 months from Y~ T 60056 nate Fire No, Rou9. h-in Inspection Required? Ready.Now ❑ Will Notify. Inspec- tor When Read Yes ❑No y Licensed Electrical Contractor .I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. City E„ Z~;ae, ection No. Township Namey o. Range No, -"e- COW I I' t Occupant (PRI T) Phone No, r Power Supplier Address I ,s- Electrical Contractor (Company Na el Co actor's License No Mailing Address (Contractor or Owner Making Installation) Authorized Sig lure (Contractor/Owner. Maki g Installation) - hone Num/ber, MINNESOTA TE BOAR OF ELE TRICITY THIS INSPECTION REQUEST WILL NOT. Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Patrl. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111_ ENCLOSED. - - REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 ~a ~,...w' See instructions for completing this form on back of yellow copy. c~~1 X(3elrw-VVork Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric. Heating Commercial Bldg. Furnace silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Specify) Other {Specify Other Other Compute inspection Fee Below # Fee Service Entrance Size # Fee Feeders fSubteeders # Fee Circuits 0 to 100 Am s 0 to 30 Am s t2,54' -0 to 30 Amps 101 to 200 Amps 31 to 100 Amps 5~+w 31 to 100 Amps Above 200. -Amps Above =100_.Am s Above 100 Amps Transformers Remote Control Circ. r Si Partial.`Other _ Signs Special Inspection ~f1i~ TOTAL FEE Remarks Rough- De.,Pk I the Electrical Inspector;shereby_ $ 7 certify-that-the above Final D~ nspection has been This request void 18 months from - CITY OF EAGAN Remarks Addition HILLTOP ESTATES ADDN. 4 Lot Blk 1 Parcel Owner F2{(.4Cfl ?Cr{ ;C Street 1269 Berry Ridge Road State Eagan. MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, $1336,72$133.67 10 93 5 - 71 A 03 09-71 1-1.0-82 STREET RESTOR. GRADING SAN SEW TRUNK j 1973 172.14 8.61 20 86.14 A010971 ---3-10-!8Z loon * SEWER LATERAL WATERMAIN * WATER LATERAL * WATER AREA 1980 * Services 1980 s STORM SEW TRK 1980 * STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 26579 9-2-81 WATER CONN. 3.35.90 BUILDING PER. 6855 SAC 525.00 PARK CITY OF EAGAN N? 6 8 5 5 3799 Pilot Knob Road Jkloanj MN 55122 PH0NE:`4 ~ BUILDING PERMIT Receipt # To be wed for SF DWG/GAR Est. Value $122,000 Date September -2 19-11- Site Address 1269 Berry Ridge Road Erect a Occupancy R-3 Lot 4 Block 1 Sec/Sub. Hilltop Estates Alter ❑ Zoning R-1 Parcel # 10 33000 040 01 Repair Q Fire Zone Enlarge Q Type of Const. Vn ac Name Developer's Construction W Move Q # Stories 3 Address 12443 River Ridge Blvd. Demolish ❑ Length 58 ° c; Burnsville phone 890-6194 Grade ❑ Depth 55 Sg. Ft. Cr Name Owner Approvals Fees ,o 8800 • oU Address Assessment Permit u~ city Phone Water & Sew. Surcharge 61.00 Police Plan check 244.00 FW Name Fire SAC 525.00 ua Address Eng. Water Conn. 335. <W City Phone Planner Water Meter 60.00 Council Road Unit 185.00 I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and a to comply with all app ' able APC Total $1898.00 State of Minnesota Statutes ayr C' y of Ea an Ordinonc Signature of Permittee A Building Permit is issued o: Dev to ert s etion on the express condition that all work shall be done in accordance with pli' of Min Statutes and City of Eagan Ordinances. Building Official l CITY OF' GAN Include 2 sets of plans► -7 1 site plan w/elevations & BUILDING PERMIT APPLICATTON o set of energy calculations. To Be Used For S. l rn,~ valuation Date Site Address l~~ ~Pr cc`s OFFICE USE ONLY Lot Block Sec./Sub. -,P IA~u Erect Y Occupancy Parcel f~ 33cx~)C:> O Lo C) ( Alter Zoning Repair Fire Zone owner: .ye~ot~~s Ccs~s~~uc~~e~ 3r~c , Enlarge 'T'ype of Const. ~ -T Move # Stories 2- Address: 1z4 3 ~vw V d e. 1 Demolish Front ft. City/Zip Code: Nsv t 5S.33-1 Grade Depth ft. Phone X90- (Q 1 q APPROVALS FEES Contractor: S'DO Val oi~¢1, c j /vim . Assessments Perini t Water/Sewer Surcharge b Address: l Z44 3 et' on QtY A 'al v d . Police Plan Check _ a City/Zip Code: ' u Fire SAC Phone C,_ (,Iq Eng. Water Conn. 41- Planner Water Meter U: ~3 Arch./Eng.: Council Road Unit Bldg. Off. Address: F- J~ APC City/Zip code: Phone TOTAL ~8 (e Certificate for: Dunn & Curry Developers Construction, Inc. 12443 River Ridge Blvd. &5 77 / 33 Burnsville, Mn. SCHWANZ 55337 DELMAR H. LANDSURVEYOR FEA Registered Under Laws of The State of Minnesota &P P R O V E D 2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068 PHO 612 423-1769 SURVEYOR'S CERTIFICATE 13Y I hereby certify that this is a true and correct representation of Lot 4, Block 1, HILLTOP ESTATES, according to the recorded plat thereof, Dakota County, Minnesota. bk / Dated: October 10, 1979 Approved for Dunn & Curry Real / Estate Management, Inc. s ` 00 by : r. Elevations shown are existing N 1,40 ~ ~5i~ a~ C► \ i L y~ Benchmark: Top hydrant between lots 2 and 3. Blk. ~ti 2 - Elev. 879.63 ft. ' $ 6 q •f~QB % $93 p V'~ D G,~ ~ 8~6 ot a~s9 \0 t7• ❑ Denotes set wood hub P Revised to show proposed house as staked August 21, 1981. House moved 10.0 feet along same setback line, Sept.l, 1981. (Not restaked). MINNESOTA REG STRATION NO.8625 . f' v EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWN E R : SITE ADDRESS: 5/'o CONTRACTOR: 4?e a DATE: PHONE: DETERMINE WORKING SQUARE FOOTAGE OF EACH: 1. TOTAL EXPOSED WALL AREA, , , , . , 3 sq f t x "U" 1 = L,~ w,~-t-~ 2. TOTAL ROOF/CEILING AREA F. _ r } sq ft x "U" ~ . _ 3d 3. TOTAL EXPOSED 14ALL AREA CALCULATIONS: Total exposed wall area above floor,,,,,,,, sq ft a) Total wall window area: Lim. glazed...... ? t sq ft x "U" I7dG~J glazed...... sq ft x "U"~.. sq ft x "U" s = 11'^ b) Total door area . lei c) Total sliding glass door area: glazed...... `4 sq ft x ..U.. glazed...... sq ft x "U" aa. _ d) Total fireplace wall area sq ft x "U" e) Total wall framing area Average 109;) sq ft x "U" , j 7- _ I f) Total net wall area above floor (insulated)...... sq ft x "U" g) Total rim joist area Total foundation area (Exposed)......... OE sq ft h) Total foundation window area............ ` ►j sq ft x "U" i) Total net foundation area above grade........ ' sq ft x "U" Y, 3 • TOTAL a) th ru 1) = t~ , If item #3 is the same as, or less than item fl, you have met the intent of S.R.C. Section 6006 (c) 2. J v H 4 4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: f~ Total exposed roof/ceiling area........ sq ft - J) Total skylight area...... sq ft x "U" f ° k) Total roof/ceiling framing a rea (Average 10%) ' _ sq ft x "U" 03 _ 1,74 1) Total net insulated roof/ceiling area....... 124 ~~,5 sq ft x "U" + L 4. TOTAL j ) thru 1)•`~ If total of a r4 is the same as, or less than P2, you have met the intent of S.B.C. Section 6606 (c) 1. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items N1 and B2. _ 1. + 2. 3. + 4. _ C E R T I F I C A T 1 0 N I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described trees or exceeds the State of Minnesota Energy Conservation Act. fA ignature (Date) f ~ - rciyc lwv ' WALL SECTIONS NOTr.,:'UE►-!h- 10% of opayu^ wall area for frame construction Construction R-Value r1 1. I terior air film 0.68 Z 2. 3. } t inches soft wood 112, 5. C 1 1~2 BASIC 6. Exterior air film = 0.17 WALL Total 't • , '17•- FIG. #1 TOPVIEW OF _ FRPIM WALL 1. Interior air film 0.68 jL_Qj j 3. a~.-t 5 I( a D 4. t •50. Q 5. { LW t ~L 6. Exterior air film 0.1.7 FIG. #2 Totals. 04 r ' y--~-~ Interior air film 0.68 «t/i 4. «ipheral 6. Exterior -air film 0.1.7 Total 4'--6 ~ .~u - - ~ 1. Interior air film 0.6$ i~ 3. 1 1 Sri" ? aLeDC.IL. . tt ` , 4. 6. Exterior air film 0. 17 „ • . Total: sa 4 _ . SI.AE ON GRADE . . ♦ . l 71 ( i~ ~ s J ~ FIG. #4 IG. #3 • t. lLt x = r/~ NOTE: Indicate type, °n" value, depth and ` ~placement of insulation. rage lnree ROOF/CEILING Construction R-Value %~~rc 1. Interior air film 0.61 1 3.. 1 Ca"G t ~5 , q, ~d O.Gl 4: Exterior air film (still) IT total .4D U7, wag F~LOt w Wanted Heat f101- ~ % • - ''r~' up tom( r- - t L FIG. #5- 1. Interior air film 4. G1 •YV~?t'r'e~M~.~'1•r1•_-l-'~-:•:L: Oi 'r''~_C~'?Gf^".~-._AFy 2• i ~ ---s 3. VA 4. Exterior air film (still) O- .•nt//~ Total 191k L~~ I 2 heat flOW up ;vented FIG. #6 7 L, t1 G Inside -air film 0.61 4n1! __~r rc` yam 3. 0.17 P 4' 5. Outside .air film / Total Note: Use additional sheets if more space is needed for details and calculations. Heat flow up F. TG. 47 , 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) 11 4- 4 0 4 ~ CITY OF EAGAN lJ 3830 PILOT KNOB RD - 55122 651-681-4675 New Construuctim Reauirsments Remodel/RenWr ReauiremeMs 3 registered stle surveys showing sq. fl. of lot, sq. ft. of house 2 copies of plan and gi roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated addillons 2 copies of plot (show beam & window sizes: poured Ind. design: etc.) 1 site survey for exterior additions do decks ➢ i set of energy calculations > 3 copies of bee preservation plan If lot platted after 7/1/93 DATE: 7 - - o o CONSTRUCTION COST. DESCRIPTION OF WORK: e0 U 7 STREET ADDRESS: 1 9 LOT: BLOCK: SUBD./P.I.D. r Oo5 Name: A4,- RG I l G e /Phone PROPERTY Lost First _ OWNER Street Address: City State: 12~2« Zip: ~ ~ CCU Company. / V 5 l CYO S/( Phone Z L3 5 (area code) CONTRACTOR / All, ~7 zoo 8 Street Address: ~5~~~ License # Exp. / City k4 State: 'k7 zip: ARCHITECT/ ENGINEER Company: Name: Telephone c ( ) Street Address: Registration City State: Zip: Sewertwater licensed plumber (if installing sewertwaterl: Phone I hereby acknowledge that 1 have read this application, state that the infrar fiiation is corn and agree to corxtply with al applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applica ~s I OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required 8 OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Mufti ❑ 04 02-plex ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex Pibg _Y or_ 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 (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance CITY OF EAGAN Permit Fee V CASHIER: JS TERMINAL NO: 770 Surcharge DATE : 04/18/00 TIME: 14:23:15 Plan Review ID: License NAME : NORTHS I DE SIDING MC/ES SAC City SAC 3210 9001 1269 BRRY RIDG 265.25 Water Conn. 2155 9001 1269 BRRY RIDG 8.00 Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Park Ded. Trails Ded. Other r' Copies Total Receipt Amount: 273.25 CR126743 Total: USER ID: JAN SAC Units % SAC RESIDENTIAL BUILDING PERMIT APPLICATION 1 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 0- 651-681-4675 New Construction Requirements Remodel/Repair Requirements L _ 10-0 • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; 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 Options selection sheet (bldgs with 3 or less units) 00 DATE sw-7- VALUATION /210066 JOB SITE ADDRESS 12-0 _bE EZS4 Y--+i 01G~ Zd IF MULTI-FAMILY BUILDING, HOW MANY UNITS? t4 /A- PROPERTY OWNER M ~Ct-Il~EI K`t es► eO WbaAt L cib: TYPE OF WORK-//v L eowI d i2oy t- FIREPLACE(S) _ 0 - 1 _ 2 APPLICANT V 411 etj 0015 A 15 PHONE# Q!5Z - `f - ADDRESS - -30, 1' C, Fr ~ --P--AA V, 1\)5Jt t le ZIP CODE 5!5353_3_ PAGER # CELL PHONE # &IZ'- &/f- FAX # 95 Z- OW - (19_f' NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: Water Softener Y Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # n nn rim 7~ All above information must be submitted prior to processing of application. D JUN 0 4 ZUU2 M I hereby acknowledge that I have read this application, state that the informatio i orrect, and a ree~#d omply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex )K 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_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 t I 1~ Valuation 4e Occupancy =uol, 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_ 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 Y Pool Ftgs Air/Gas Tests inal _ Framing _ Siding _ Stucco _ Stone Fireplace _ R.I. -Air Test -Final Windows (new/replacement) Insulation Retaining Wall j Approved By Building Inspector Base Fee Do Cl , a~ Surcharge (o . U 0 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 Equipment Specifications • Date Customer Nis i-Mel r'Aid w,~y ' ~"l Adress te Phone/Home '6 /S40-j7- 05C L/ Off ice q-.7 -2 Z 3 ! - is Submitted by Valley Pools Inc. POOL DATA: Pool Size_ Turnover Rate _Hours Surface Area C 611 ~ r Filter Rate 20 GPM / sp. Ft. Capacitye Rate of Flow Perimeter f(g, " Piping Data: Suction: PVC schedule 40 & 100 Poly NSF Return; PVt Schedule 40 & I00 # Poly NSF Mainfold: PVC Schedule 40 & 100 Poly NSF Filter R'ei - J~-~ ck r r1- Sta-rite Pump & Motor j /-f S f S Sta-rite Skimmers Z Hayward Inlets 73 ctd/. a, fcpae' ec s Hayward With Dr. Flow Ftgs. Main Drairi Jere-,` V,:A- -r-ef c: Hayward Chlorinator- A//`/.I- Discharge Hose & c. ' Vinyl Thermometer- yes Pool Heater Diving board ( r Slide /j Ladders- Grab Rail Stainless Steel Ste--~_ Pool Lights Deck Box Vacuum Kit - Yes Maintenance Kit _ yes Water test Kit Bio- Guard Safety Kit_ Deck Work 6~~j4e1_ Electrical Gas Line Fencing work X11 9~ - Pool chemicals l Retaining Walls C~cel2.~ Solar cover -yes Winter cover - yes Other i POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS GENERAL INFORMATION o 'z ❑ Applicant - name, address, phone & fax numbers, signature !y/ ❑ ❑ Property owner name ❑ ❑ Legal description and address of property Q-d/ ❑ ❑ North arrow, scale (1" = 30' or 40') and date Fd ❑ ❑ Location and name of all streets adjacent to property tid ❑ ❑ Site Plan drawn to scale showing location of house, pool and other existing or proposed structures ❑ ❑ Directional drainage arrows (existing and proposed) ELEVATIONS Existin4 C~'/ ❑ ❑ House corners Q/ ❑ ❑ Property corners © ❑ ❑ On property lines at point of measured dimension to pool (see below) ❑ ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed fld/ ❑ ❑ Finished pool deck corners C ❑ ❑ Top of retaining walls (if any) and at each different elevation (if it changes) ❑ ❑ Pool bottom (or max. depth) DIMENSIONS Existinca ❑ ❑ All property/lot lines Proposed Q` ❑ ❑ Pool ❑ ❑ Pool plus integrated deck/patio © ❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house f ~ Reviewed: Nam Date G:/PECWJR 2002/Pool Permit Checklist L Certificate for: Dunn & Curry ` Developers Construction, Inc. 12443 River Ridge Blvd. o 5' 33 Burnsville, Mn. / 55337 DELMAR H. SCHWANZ g LANOSURVEYOR 1..~. A V A 1 , a - Registered Under Laws of The State of Minnesota 2978 - 145TH STREET W. - BOX M RosEMOUNT, MINNESOTA 56088 PHONE 612 423-1769 V E O SURVEYOR'S CERTIFICATE BY j DATE I hereby certify that this is a true and correct representation of Lot 4, Block 1, HILLTOP ESTATES, according to the recorded plat thereof, Dakota County, Minnesota. Dated: October 10, 1979 11 y Approved for Dunn & Curry Real ~ L?~~ Estate Management, Inc. s a- I ~i ~ by: 4 V ~ N oe~~ 4r. , Elevations shown are existing Ito 6 ~W\~~0~;,s6 ati C Z \ ^ 2411 Benchmark : Top hydrant between lots 2 and 3, Blk. 2 - Elev. 879.63 ft. .D 3 9713 c 9 ~~N 8 d~so / a ~45 8,53 t w. le- P~V B~, 9 v0 "67c, O Denotes bad` wood hub Revised to show 870 3 proposed house as staked August 21, 1981. 3 ~~,eHouse moved 10.0 feet along same setback line, Sept.l, or R1981. (Not restaked n MINNESOTA REG STRATION NO. 8625 LL2 fi•bL~ (ZZXfif ~'oL$ n t ~ ~ i,~ 91 L fi O~ ,b ,g b3 QIF Zl 2~ fti ~ ~~a S3ivN3d ~ L~' pI ,y-4 NO~.~/~~~ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan/ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 -;:?-0 Z 5 G~~. t r l LR - New Construction Requirements Remodel/Repair Requirements oftice-use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Tres Plan Recd _Y -N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required ,Y _N 1 set of Energy Calculations Addition - indicate Hon-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date ~G)v~ Construction Cost Site Address - Unit/Ste # Description of Work 04 Oc V` Multi-Family Bldg Y N Fireplace(s) - 0 - 1 - 2 Property Owner Y2WAt4 Telephone # Contractor Address city,. State Zip SA;S7 Telephone # (4j5A COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (q submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. ) Licensed Plumber Telephone ) Mechanical Contractor Telephone Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, nd w rk is not to start without a permit; that the work will be in accordance with the approved plan in the case wo is reiliziires a revt and approv 1 of plans. Applicant's Printed Name p licant Signat OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling 11 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex )KI 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) 7~( 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 - Brick Fireplace _ R.I. -Air Test -Final - Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Certificate for: Dunn & Curry Developers Construction, Inc. 12443 River Ridge Blvd. ~k5 5 33 Burnsville, Mn. 55337 DELMAR H. SCHWANZ ~ ~ ~ ~ ;§1 t~~C LAND SURVEYOR ~0 Z RIM Registered Under Laws of The State of Minnesota AryryPfY4, pp^^VVJEO P' L.! 2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 56068 PHONE 612 423-1769 f/ SURVEYOR'S CERTIFICATE B t `c.c/ CATS F I hereby certify that this is a true and correct representation of Lot 4, Block 1, HILLTOP ESTATES, according to the recorded plat .d thereof, Dakota County, Minnesota. Dated: october 10, 1979 Approved for Dunn & Curry Real )(opd' 2~ Z Estate Management, Inc. LA l 1~ / ~Dot~ ~ W ')o by N 4r• , Elevations shown are existing !!I,/~O N oSG~ ~ /v o Cole Z3• \ ~~6 /Z4.1% Benchmark: Top hydrant between lots 2 and 3, Blk. 2 - Elev. 879.63 ft..:,. .D 3 876, 3 0 FiA 2538' ~ ~ _ x ~P•wRg 0 Denotos lset wood hub g ~f-l 87b3 Revised to show proposed house as staked August 21, 1981. 3.1 House moved 10.0 feet along same setback line, Sept.l, pR 1981. (Not restaked U MINNESOTA REG ST RATION NO. 8625 4 P - - - - - - - - - - - - I Fir C-) afice UseQ / n I j Permit U l1~ J 1 j C ity of Ea Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: L---------_------J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: r ` Suite RESIDENT/OWNER Name: Phone: 2s~b - -8 Address/ City/Zip: e v._ ° Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: - Multi-Family Building: (Yes / No CONTRACTOR Name: ~c i'AcuAt", License 900%2 Address: City: •`tw- State: Zip: L~~{ Phone:5 Contact Person: vas COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _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. 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 otans. X Applicant's Printed Name Applicant's Signature Page 1 of 3 i Cit of Ea ~Il Y ~ 3830 Pilot Knob Road Eagan MN 55122 (651) 675-5675 RESIDENTIAL BUILDING PERMIT APPLICATION REQUIREMENTS: New Construction Requirements ❑ 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas ❑ 1 Soils Report if proposed building is to be placed on disturbed soil ❑ 2 copies of plan showing beam & window sizes; poured found design, etc. ❑ 1 set of Energy Calculations ❑ 3 copies of Tree Preservation Plan if lot platted after 7/1/93 ❑ 20% maximum lot coverage allowed ❑ Rim Joist Detail Options selection sheet (buildings with 3 or less units) ❑ Minnegasco mechanical ventilation form Remodel / Repair Requirements ❑ 2 copies of plan showing footings, beams, joists ❑ 1 set of Energy Calculations for heated additions ❑ 1 site survey for additions & decks ❑ Addition - indicate if on-site septic system Office Use Only ❑ Certificate of Survey Received ❑ Soils Report ❑ Tree Preservation Plan Tree Preservation Required ❑ On-Site Septic System Page 3 of 3 I i CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE g RECEIVED FROM AMOUNT & DOLLARS 100 ❑ CASH ❑ CHECK FOR FUND CODE AMOUNT --d Thank You {.,Y r C✓" BY White-Payers Copy Yellow-Posting Copy Pink-File Copy RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ~ ~ 3830 PILOT KNOB RD 55122 651.681-4675 ! ;~~ns Requirements • 3 registered sine surveys showing oZ ft of lot sq. It of house; and $A rooted areas 2axolpies of plan (20% maximum lot coverage allowed) 1 oat of E:nsigy Calciitations for to d additions • 2 copies of plan showing beam & window sizes; pored found design, etc.) 1 site survey for oftrior additiorfs & decks 1 set of Energy CaUxdations 3 copies of Tree Preservation Pmt if lot platted after 7/1193 Rim Joist Defati Options selection sheet (bldgs with 3 or leas units) DATE VALUATION (EXCLUDING LAND) JOB SITE ADDRESS ~ (Pq K(d If MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER i1A TYPE OF WOR ti 1'U f'1 FIREPLACf(SY YES NO. APPLICANT YV . 1 r PHONE # 1'Yt+~ X5337 PAGER # CELL PHONE # FAX # NIEW RESIDENTIAL BUILDING ONI:Y FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: r Water Softener Lawn Sprinkler Fee: $90,00 _ Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical System Includes: - Air Conditioning Fee: $70.00 - Heat Recovery System Sewer/Water Contractor. Phone # Alt above information must be submitted prior to processing of application. By t~y?~vith l hereby acknowiedge,that shave read this application, state t he information is correct, and agree to corn all applicable State of Minnesota Statutes and City of Eaga Ordi faces. Signature of Ap " nt Certificates of Survey Received Tree Preservation Plan Received Not Required updated Vol OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt Multi ❑ 03 01 of r plex O 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19. Lower Level -0. 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) - Givo 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 Width REQUIRED INSPECTIONS. _ Footings (new bldg) Final/C.O. Footings (deck) Final/No C.O. Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final _ Other Framing - Pool _ Ftgs _ Air/Gas. Tests _ Final Fireplace _ R.I. -Air Test -Final Siding Stucco _ Stone Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY OF EAGAN r 3795 Pilot Knob Rood Eagan, MN SS122 PHONE: 041-8100 BUILDING PERMIT Receipt # r f7 To be wed for Est. Value Date '19 Site Address Erect &cuponcy r Lot Block 4 Sec/Sub. Z_'.tor. .?t± Alter p Toning Parcel # Repair Q Fire Zone l Enlarge Q Type of Const. of Name `C'~-'_QC~ ?Z' a Construction W Move ❑ # Stories Address ll Demolish ❑ Length City zz*, ti r Phone Grade ❑ Depth Sq. Ft. `r Name Approvals Fees o 4 0R Address Assessment Permit • ' 1 11 u 7) f' City Phone Water & Sew. Surcharge Police Plan check Name Fire SAC Address Eng. Water Conn. <w City Phone Planner Water Meter 1!1 Council Rood Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: r jr on the express condition that oil work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing Q 30 81 H. V.A.C. „7(p~` j ~r~°ckt 4 24'81 well Water Disp• + Sewer ~ SS 7 q £ /t~-i`~`C (o -t 1( Electric T600S5 M0. r &C. ? Inspection Date Insp. Other Footings Foundation Framing Rough Pibg. Rough HVL:1-24,41 Insulation Final Plbg Final HVAC Final a.5 g Water Dasori 'on: _ I ag Y W®II h Sewer Pr. Disp. L AND, -4003opki fit of Qla an b. This Corti f sate issued pursuant to th reorrments of Section 3o6 of ten Uni f ors Br Wi»g Code cent f ytng that at the time of iismance this structure was in coinpltance with the various ordinances o f the City regulating building construction or use. For the following: ' h t rr U" Cbmiamcm SF I7t, ^T/fig Nk Pema No. 6f355 O-AP oarTYF* R~ Tn*c n- '1i) t tea.. zon~netwma af „sI veloner s C st . Add. VIVO River Ridt►e R1:ycl. , Bt e 1269 Be= Ridge Rd,-,, J nt- _1, Rl ore-; 1 , 13i11 t-a~ Fstat w s , February 25. 1982 7 _ )Y&T IM A CO,NPKMOUO PIRG - ~ . Y 1. - i va Slooe3 ♦8i - ~v~ ~ LITHOYN U.S.A- Receipt MECHANICAL RMIT Permit No. CITY OF EA N Fee_ Fill in numbere $paces S(C Type or Print 1 „,,¢¢,ibly Tot. 1. Date 2. Installation Gxost 3. Job Address 'r_f r r~ lot_Blk._ Tract .k 4. Owner r { 5. ContractoL, " . Phone 6. Address j = 7. City State Zip 8. Building Type: Residential 0 Commett6ai ❑ Institutional ❑ 9. Work Description: New Add ❑ Alter ❑ Repair ❑ 4 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the apove information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed c e t for Rough Final Inspections: Date lnsp.- Date Insp. i This is your permit when numbered and approved. Approved `'r-CITY OF EAOAN -81110 -7 Receipt PLUMBING PERMIT Permit No. t _ CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date-,/ ~ 2. Installation Cost 3. Job Address ti lk a 4. Owner 5. Contractor' Phone 6. Address- 7. City State Zip 8. Building Type: Residential b Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield 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 comply with all ordinan7 and codes` governing this type of work. Signed : for Rough Final " Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved t f"f CITY OF EAGAN 454-8100 1 'ANIL CASH RECEIPT i CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 r B Jti f~ Z 19 RECEIVED FROM a j Am T r r .J & DOLLARS . too ❑ CASH Q ir1 ECK FOR FUND CODE AMOUNT -44 L/ L/ e C_j 7 011, -3 Thank You" .3 / C.T BY/ 4_1 White-Payers Copy Yellow-Posting Copy Pink-File Copy '40'City of E3830 Pilot Knob Road Eagan MN 55122 (651) 675-5675 RESIDENTIAL BUILDING PERMIT APPLICATION REQUIREMENTS: New Construction Requirements ❑ 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas ❑ 1 Soils Report if proposed building is to be placed on disturbed soil ❑ 2 copies of plan showing beam & window sizes; poured found design, etc. ❑ 1 set of Energy Calculations ❑ 3 copies of Tree Preservation Plan if lot platted after 7/1/93 ❑ 20% maximum lot coverage allowed ❑ Rim Joist Detail Options selection sheet (buildings with 3 or less units) ❑ Minnegasco mechanical ventilation form Remodel / Repair Requirements ❑ 2 copies of plan showing footings, beams, joists ❑ 1 set of Energy Calculations for heated additions ❑ 1 site survey for additions & decks ❑ Addition - indicate if on-site septic system Office Use Only ❑ Certificate of Survey Received ❑ Soils Report ❑ Tree Preservation Plan ❑ Tree Preservation Required ❑ On-Site Septic System Page 3 of 3 Use BLUE or BLACK Ink r I I For Office Use City Of Eatdfl Permit I va ' - , I Perm it Fee: I 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: -3-z Z' 1 Phone: (651) 675-5675 I I I Staff: Fax: (651) 675-5694 L -----------------I 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION ~c f►^ y nf~ Date: L Site Address: 2 G'7 Tenant: Suite RESIDENT / OWNER Name: I" ^°S Phone: 1z2 Address / City / Zip :__U A ✓1 Name: MC,,r4tz~ c'~ ~~S)I' (ktrv ~L' License CONTRACTOR Address: City: (30, C ~ State: ~A'A Zip: ,s f I L Phone: 1 t .S ~ 2-- '2 Contact: AS Q) u3 Email: VA, Ca • A wrLJi 1 htiq, t • C-o TYPE OF WORK - New _ Replacement Repair _ Rebuild Modify Space -Work in R.O.W. Description of work: YVIOVc V `Vx 1711V IJc~z~r U%~ 'aS }w Sim RESIDENTIAL Water Heater Water Softener PERMIT TYPE Lawn Irrigation;(- RPZ PVB) Septic System Add Plumbing Fixtures Main Lower Level) New Water Turnaround _ Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gol)herstateonecall.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 2k Applicant's Print Name Appli s nat6re FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink r For Office Use l I Permit _1 7 C_61 ity of Ea(ia~ RECEIVED I Permit Fee: 3830 Pilot Knob Road P MAR 16 2012 Date Received: Eagan MN 55122 l l Phone: (651) 675-5675 I l Fax: (651) 675-5694 i Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: IY) L Site Address: (off -err ~ t ~ ~ \,QCS S _S1 Unit ' P ✓~`d ~ Name: Phone: RESIDENT 1 A OWNER Address/City/Zip: ~~~ccljP_(fC~C~g2 ~O~i~ 55/23 Applicant is: Owner Contractor _tX TYPE OF WORK t~ C t' e CVe ty t +~5 Description of work: roci VIN-- y` t' JOLAA " o~ Construction Cost: 3 1 00 ' n~ r Multi-Family Building: (Yes / No ) Company: ~ f~i El-& )C ~ vilr' : Address: 19)Z \,k-), _7_t~ f e City: Jt' Pa,-( CONTRACTOR State: Zip: 5!W-3 Phone: 6SI '.a 7 5-8qg License 03 L( Lead Certificate SAT - 16Q90-1 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuances. x~C0.reO VG~~,c*-~ x Applicant's Printed Name Applicant's Signature Page 1 of 3 ;?I'C48FINOT 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 ,1 Valuation K 0 Q Occupancy MCES System Plan Review Code Edition o7 SAC Units (25%! 100%,Y-) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction V6 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final ~G Windows Insulation Retaining Wall: _ Footings _ Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By:(/ , Building Inspector RESIDENTIAL FEES Base Fee Gu~ Surcharge ~tr' I&q ov Plan Review MCES SAC City SAC /,T v.7w Utility Connection Charge S&W Permit & Surcharge 3e Treatment Plant Copies l7 0 TOTAL D C/ Page 2 of 3 CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: _ Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to comply w* the City of Eagan Surcharge: Ordinances. '/C~~'( Misc. Charges: Total: By J Date Paid: Date of Insp.: Insp.: CITY O'F EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: _ Site Address: Plumber: I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: B Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA113606 Date Issued:09/05/2013 Permit Category:ePermit Site Address: 1269 Berry Ridge Rd Lot:4 Block: 1 Addition: Hilltop Estates PID:10-33000-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Vladislav Fogel Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Benjamin A Frost 1269 Berry Ridge Rd Eagan MN 55123 Estate Claim Services Llc 934 Cromwell Avenue, Suite 2 St Paul MN 55114 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA149113 Date Issued:05/08/2018 Permit Category:ePermit Site Address: 1269 Berry Ridge Rd Lot:4 Block: 1 Addition: Hilltop Estates PID:10-33000-01-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Benjamin A Frost 1269 Berry Ridge Rd Eagan MN 55123 (651) 983-9193 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature