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870 Betty Lane 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122f Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Onto 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd Y N (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions Soils Report _ Y N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd yY N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required - Y _ N 1 set of Energy Calculations On-site Septic System Y N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 D T T Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form I~ U NO V _ r Date / 3 l) 0? ~ Constr on Cost Site Address 49_T V Unit/Ste # Description of Work t, ` 1 IjJN Multi-Family Bldg - Y X N Fireplace(s) 0 2 Property Owner ~f^t.(~ Telephone # ((L7,19) Contractor IV) Address City Faa o State Zip X551 I Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeoa I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (~J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y - N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in t case of k which requires a~review and approval of plans. Applicant's Printed Name Applicant's Signatur i DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of- plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous J' t ii Work Types ~i',}eXS0, ~LWO ❑ 31 New ❑ 35 Int improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair 33 Alteratio ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation' Occupancy MCES System Plan Review 100% or 25% Census Code i 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) _ Sheetrock Footings (deck) Final/C.O. - Footings (addition) Final/No C.O. Foundation T_ HVAC Drain Tile Other Roof V Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing - Siding _ Stucco Lath ! Stone Lath -Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation - Retaining Wall Approved By: V Building Inspector Base Fee Surcharge Plan Review MC/ES SAC^ City SAC 14- ~ ✓ d Utility Connection Charge a S&W Permit & Surcharge ` Treatment Plant License Search Copies 0 L> Other Total l 2422 Enterprise Drive * * Mendoto Heights, MN 55120 PION' EE_R LAND 9UH0EVORS • CINL ENCiNEEP$ (612) 661-1914 FAX:6181--9 489 y _ LAND PLANNERS- LAUD;C1fE ARCNIliC f4 625 Highway 10 N.E. O Blaine, MN 55434 ak (812) 783-•-1880 FAX:783--1883 Certifeote of Survey for, R.A. KOT _ . n~c. rr~no`~C 00T AN/All AR! E FROM CITY OF F_AiAN BET1 Y LANE. " 904.4-____.. ~ 904.2 904.?, L4 15 N 9041 . . (0 905.1 (ao 4, 9) 4~ ' { 5 r ~ t BENCH MARK ~Q~ • TOP OF Plf E SC Rv~1fcc.EE~ ELEV.=9C17,A1 + ~ INV.=F,94.0 83 r -5( _6„92 I I --BENCH MARK ?C CF PIPE ELI V.-907.133 4' 2 6.2 nCRCk 6.5 N 1 f, ° t ; 6? N / I Z..S 7.3 013.6tr/ GAR Ica f t Gl NT r)~/ ~ / `tA PROPOS, 899.E I / }'OUSzr / 17,67 1 Q I ; 52 50,00 ~ ° 1 907.5 I Ca 899. 1 .1. 13 ~t~ soty o W 836.4 If { 7~ Vic} x { 4 941.? i Z V I 0 Q DRAINAGE & UTILITY V, 0 ~(4 EASEMENT PER PLAT cJ \ ~ ~ ~ , 5 \ o . z2.o1 891.i N89°55'28"W 90.01 904.4 NOTE: PROPOSED GRADES SHOWN PER OR,.OINO PLAN 9Y: PRQPQSED__L4Q~ ELE1A110N NOTE: DUiLDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION OF SIRUCTURE$ ONLY, SEE ,,RC81TECTUAI. PLANS FOR BUILDING AND LOWEST FLOOR ELEVATION: /OUNDATION CIMENSIONS. .1~ NOTE; NO SPECIFIC SOILS INVE511CATICN HAS BEEN C041PLEtED ON THIS LOT By THE TOP OF BLOCK ELEVATION: 50VE10111 THE 50TABI'LITY OF SOILS TO SVFF ORT THE SPF0FIC HOUSE GARAGE SLAB ELEVATION: 1 PROPOSED IS NOT THE RESPON5101UTY OF THE SURVEYOR. NCIC: THIS CERTIFICATE DOES Nor PURPORT TO SHOW EASEMENTS OTHER THAN X 000,00 %''NOT'ES EKI37ING ELEVATION THOSE SHOWN ON THE RECOROEO PLAT. ( 000.00 ) DENOTES PROPOSED E[EVA"N NOTE: CONTRACTnR MUST VERIFY CR'VEWAY CIES117N. - DENOTES DRAINAGE AND UTILITY EA5EMEN1 - DENOTES DRAIUA.GE FLOW DIRECTION NOTE: BEARWCS SHOWN APE BASED ON AN ASSLIVEC DATUM - 0 DENOTES M04UMENT --{3---- DENOTES OFFSET HUR WE HEREBY CERTIFY TO R.A. KOT THAT THIS 15 A TRUC AND CORRECT REPRESENTATION OF A SURVEY OF THE ©OUNOARIES Oc': LOT 4, BLOCK 1, WESSEL POND ADD11ION DAKOTA CO:~NTY, MINNESOTA IT DOGS NOT PURPORT TO SHOW IMPROVEMENTS OR FNCHROACHMENTS, EXCEPT AS SHOWN, AS SURVE1,:D BY 1,4E OR !JNDER MY 17!RECT SUPERVISION TH'S 131-H DAY OF MAY, 1997. SI NED: PIONEER ENGINV InI~, P,A, SCALE : 1 INCH - 30 FEET 1825 9:193.00 SWK John C. Lor2ort, L.S. Rt9- Nn. 19828 1071 r . PERMIT 'CF Y OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 031912 (612) 681-4675 Date Issued: 05/04/98 SITE ADDRESS: 870 BETTY LANE LOT: 4 BLOCK: 1 WESSEL POND P . I . N . s 10--83623-040--01 DESCRIPTION: SCREEN PORCH & DECK Building Permit Type SF PORCH Building Work Type NEW Census Code 434 ALT. RESIDENTIAL REMARKS: CONTACT STATE BOARD OF ELECTRICITY.REGARDING ELECTRICAL PERMIT & INSPECTIONS 445-2840. PLAN REVIEWED BY MIKE BARCK. FEE SUMMARY: VALUATION $7,000 j Base Fee $124.75 Surcharge 3.50 Total Fee $128.25 CONTRACTOR: _ Applicant - ST. L I C . OWNER: KOT HOMES, R A 16879513 0001506 SWAMDA MIKE 7694 128TH ST W 870 BETTY LANE APPLE VALLEY MN 55124 EAGAN MN (612) 687-9513 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. 5tatut s a ity of Eagan Ordinances. APPLICANT/PERMIT S NATU E ISSU D BY IGNATURE 1998 BUILDING PST APPLICATION ENT ) _ Z MY or RAI 3830 PMOT KNOX ~2 681 ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (Md+xb beam & window sue; poured int. des t etc.) ♦ 2 sfe surveys (wdeftr *kWions & dears) ♦ 1 energy cal unions ♦ 1 energy calculates for tested additions 3 odes of tree preservation plan if lot platted air 711/93 required: Yes No DATE: ? 7 CONSTRUCTION COST, 1.2, Do DESCRIPTION OF WORK: ~c w sort w.c SIRE ADDRESS: e► LOT. ~ BLOCK: / SUBD./P.I.D. GUCS;;4 Name: /t'Mt.5 Phone PkOHATY Lasc )riser OWNER Street Address: 670 1& 6q SW A) J' ` Zip: City 'e q State` Company: •146= Phone f CONMACTOR Street Address: 09Y / f') License # city Awlt. (h- State: : ~2 4.) Zip; r ARCHITECT/, EPT MER Company: t Phone tT o+~r't (x~ Registration Name: Street Address.: City State: Zip: Sew & water used plumber (new caonstntclrort only): Penalty applin when address chang aid lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the inft rmation is ~ SgMe to comply with all appli Stab of Minrtesate Statutes and City of Eagan Ordinances. rte'` r. Signature of Applicants x t OFFICE USE O certificates of Survey Received Yes No iP 2 7 199$ if - Tree Preservation Plan Received Yes No Not Req OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging D 16 Basernent Finish 0 02 SF Dwelling, ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 &plex ❑ 13 Garage/Accessory ❑ 20 Public Facility AW 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 =-plex ❑ 15 Deck WORK TYPE c rz >=iJ r. ❑ 31 New ❑ 33 Alterations ❑ 36 Move 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City water UBC Occupancy sq. ft. Fire Sprinkiered Zoning sq. ft. PRV #t of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Skig Census Unit a APPROVALS Planning Building _ Engineeiring Variance ..__w . Permit Fee Valuation: $ -7. Surcharge Plan Review, License ► 2 u tc(~ bQ 3n s r ey c~. MC/VVS SAC City.SAC zvv . Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies ;SAC O Units - 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 6111-•1914 FAX:1481--94$8 LANG SURVEYORS • CIV4 ENCINEEfl9'~^"^ 9 dn>~ nga~ LANG PLANNERS- LANOSCAfE ARCHITLCR 625 Highway 10 N.E. Blaine, MN 55434 (612) 783-1 SW FAX: I83-1863 Certificate of Survey for: R.A. KOT .,n T[. Aflnocc(C n11T A\tml ARI E FROM CITY OF FAGAN _ _ - - - - BETI Y LA 904.4, 904.2 904.2 _ 1~ + f4o4,7) 904,1 y • • y ~ jo 905.1 (qo 4, 41 430 - j 5 m L BENCH MARK GO i-- c y^~` l' wk TOP OF PIPE y~ c INNS=aV~ p-'• ELEV.=9G7.41.,\ ♦ bt / 0U I ~ -BENCH MARK ~ry 6 @2 907.2 I TC - OF PIPE CL V.=907.83 _ I r c~ J cr22.6 4. 2 906,2 06.5 PC'RCFi /V, 11.62 N 12'1 t / IaD 3 013.67 G ! I 'd PR DPOJE0~ 1 -ovs~ s 7 I ~ i 899, ,,0 907.5 i 8* 0 1 52 50, 0/G co ; + I i 899.8 ~9 ~ _ _ _•~t t --3 3,13 I i 906+0 i I 511)(896,4 o C 4 901:7 1 . z I yy w,~V^• i 4w/ -DRAINAGE & UTILITY. N EASEMENT PER PLAT, Cf 5 c s91.i N89055'28"W 90.01 904.4 NOTE: PROPOSED CRADES SHOWN PER GRADING PLAN SY! Pa-QU.$-r-E.REt,P N NOTE= eUiLDING DIMENSIONS SHOWN ARE FOR HCRIZONTAL AND VERTICAL LO.ATICN LOWEST FLOOR ELEVATION: OF STRUCTURES ONLY, SEE ARCHITECTUAL PLANS FOR BUILDING AND fCUNDATION DIMENSIONS. TOP OF BLOCK ELEVATION: . ~2~1~ NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE r SL'RVEYCR. THE SUITABILITY Of SOILS TO S'J4'FORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION; PROPOSED IS NOT' THE RESPONSIBIUTY OF THE SURVEYOR. NOIC: TI-;;S CERTIFICATE VOL$ NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000,00 DSNOTES EXISTING ELEVATION THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPCSCD ELEVATION DENOTES ORAINAOE AND UTILITY EA$EMEN1 NOTE: CONTRACTOR MUST VERIFY CR'VEWAY DESiON. DENOTES DRAINACE FLOW DIRECTION NOTE: BEARINGC SHOWN ARE 84S'£0 ON AN ASSUMED DA1VM -0 DENOTES M04UMENT DENOTFS OFFSET HLIS WE HEREBY CERTIFY TO R,A, KOT THAT THIS IS A TRUC AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES Or: LOT 4, BLOCK 1I, WESSEL POND ADDITION DAKOTA CO' ~NTY, MINNESOTA IT D011S NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOMI, As SURVEti" D BY ME OR UNDER MY I?'.RECT SUPERVISION THIS 13TH DAY OF MAY, 1997. ~ SI NED; PIONEER ENGINp IN P.A. SCALE 1 INCH - 30 FEET fY Sly: 1825 91193.011 SWK John C. Larson, L.S. Rt9. No. 19828 i T~ •d .r. t r I T4,1 E l::.3: , NO 34 WNW TWO 1509sco s t k 970 PETTY f OWN& Y ~lj 942 ,s-r Tyr r PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: , a_ :7 i.+ Permit Number: Eagan, Minnesota 55122-1897 (612) 681-4675 Date Issued: SITE ADDRESS: DESCRIPTION: S''J , T REMARKS: FEE SUMMARY: F' i° r' .l iLi 7 tc A i:; ' CONTRACTOR: OWNER: i' i t 15 > 1 "f' , i fit j 't 1 L i ! t I iJ l L APPLICANT/PERMITEE SIGNA URE ISSUED U/SIGNATURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN U t ( 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements RemodeUReoair Reouirements 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree ervation plan if lot platted after 7/1/93 required: L Yes ` No DATE: 4 7 CONSTRUCTION COST: '2 So 0 © 0 P. DESCRIPTION OF WORK: STREET ADDRESS: 870 ,fie ~r7 t't A.0 r ?a t4 LOT BLOCK SUBD./P.I.D. S t10_ PROPERTY Name: _ o% 0( Phone OWNER „,Y .a, Street Address: 74,f K Z 2e-g City: /14,41 State: Zip: CONTRACTOR Company: q --ft~ Phone Street Address: 12--, iJ License j-?~ city: zj i~e aof ! State: Zip: ~ f 2 ARCHITECT/ Company: Phone $ 3 ENGINEER Name: GI L y C Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): we Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct d ree to co ply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. r Signature of Applicant: OFFICE USE ONLY RECEIVED Certificates of Survey Received 4- Yes o MAY 19 1997 Tree Preservation Plan Received Yes :Z/1No Not Required $Y: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging E3 16 Basement Finish 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex t3 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 __._7plex ❑ 15 Deck WORK TYPE 31 New ❑ 33 Alterations ❑ 36 Move 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION i Const. (Actual) Yh1 Basement sq. ft. 4$ MC/WS System (Allowable) Main level sq. ft. 2 City Water UBC Occupancy V 1 4 sq. ft. Fire Sprinklered Zoning esq. ft. PRV # of Stories 1,616 sq. ft. Booster Pump Length sq. ft. Census Code. .1d1 Depth Footprint sq. ft. SAC Code , 1 Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 1*4000, Surcharge Plan Review License 21?j2- , 00 f MC/WS SAC City SAC Water Conn. X 00 Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment Pl. 0, 00 Road Unit Park Ded. Trails Ded. c~ Other 01-J-17, x l` 49 l ~ 44 , a 0 Copies Total: % SAC YOO 5 51 (000.00 SAC Units bZ# TOOd FgVZ£:OT L6-TZ-90 °096=2T i ' 2422 Enterprise Drive Mendota Heights, MN 55120 * PIRaMV~EA (612) 681-1914 FAX-1181-"M LANG $uRWYORS . CML ENMEEM ang near ng LAND p~wdERS• LANDSCAPE ARL~uT~TS 6 Highway Blaine, MN 55434 * 1(812) 783-188Q FAX: M-1883 Certificate of Survey for; R.A. KOT NOTE: ADDRESS NOT AVAILABLE FROM CITY OF EAGAN- BETTY LANE EAGAN 804.4 EVI ED 904.2 904.2 ,-t) BY 9041 1. 40 DA .10 UILDING INSPECTIONS DEPT. = . 905.' BENCH MARK 0°ll _ i I rn RR~~IICC rl TOP OF PIPE '04 . 50 °o I O 6 I~ BENCH MARK 907.2 TOP OF PIPE br - ELEV_ 907,83 906,2 U) 0.22, 4 f06.5 © PORC14 a C3 11.87 'zt X2 33 .3 013:67 GARAGE + I0 A . r to P A dpo*p~ I GY 899.4 r HOUgE5 17 7 f ¢ o° p 907.5 SZ 0. d r I , ~ C1 899.8 C 9 L 903.8^~'`,~-t3.53 d` I ~ sa 51x896. k ~ 901.7 ( Z I, c if - I f" U 140 ~t ~ a ~:-DRAINAGE & UTILITY I (A EASEMENT PER PLAT,,,, POND JP-60 15 N WLw 6$$.0 HWL=890.0--- - fi~l l i 22.01 o o~ fqF~ 4 ) 891.1 N89055'28wW 90.01 904.4 NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: PROPOSED HOUSE ELEVATION NOTE: BUtLOINO DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION G9 OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND LOWEST FLOOR ELEVATION: ~`~r1 r3 FOUNDATION DIMENSIONS. TOP OF BLOCK ELEVATION; NOTE: NO SPECIFIC SOL$ INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR, THE mi moILIrY OF 30115 TO SUPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION: PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR, NOTE: THIS CERTIFICATE DOES NOT PURPORT To SHOW EASEMENTS OTHER THAN X 00(.00 DENOTES EXISTING ELEVAAON THOSE SHOWN ON THE RECORDED PLAT. ( 000,00) DENOTES PROPOSED ELEVATION NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN, - - DENOTES ORAINAGE AND UPUTY EASEMENT 1 DENOTES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM - 0 DENOTES MONUMENT 43-- DENOTES OFFSET HUB WE HEREBY CERTIFY TO R.A. KOT THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE 13OUNDARIES OF; LOT 4, BLOCK 1, WESSEL POND ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED 13Y ME OR UNDER MY DIRECT SUPI=RMSION THIS 13TH DAY OF MAY, 1997. SCALE : 1 INCH = 30 FEET S NEa' PIONEER E 1NE ING, P.A Y: 4e 1825 97193,00 SWK REVISED 5-21-97 CITY REVISIONS John C, Larson, L.S, Reg, No. 1J826 i0'd LOT SURVEY CHECKLIST FOR RESIDENTIAL t ILDING PERMIT APPLICATION PROPERTY LEGAL: r.. DATE OF SURV~Y LATEST REVISION: f Z H DOCUMENT STANDARDS D • Registered Land Surveyor signature and company D D • Building Permit Applicant ❑ • Legal description D ta'" ❑ • Address Q'-'❑ ❑ • North arrow and scale M--"D ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0' D D • Directional drainage arrows with slope/gradient % (;Y' ❑ ❑ Proposed/existing sewer and water services & invert elevation [3' ❑ D • Street name M ----C3 D • Driveway ELEVATIONS Enstina 13-'13 ❑ • Sewer service (or Proposed) ::~00 D • Property comers Top of curb at the driveway C3 O • Elevations of any existing adjacent homes Proposed 5~r_ ❑ Garage floor 3 ❑ • First floor ❑ Lowest exposed elevation (walkout/window) ❑ • Property comers ❑ ❑ Front and rear of home at the foundation PONDING AREA rif applicable) C3 ❑ Easement line 0- 13 D NWL 301" ❑ ❑ • HWL ❑ ❑ • Pond * designation ❑ C7' ❑ • Emergency Overflow Elevation DIMENSIONS r/❑ ❑ Lot lines/Bearings & dimensions ❑ ❑ • Right-of-way and street width (to back of curb) 2-'13 ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2 porches, etc. (i.e. all structures requiring permanent footings) ❑ • Show all easements of record and any City utilities within those easements en, • Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ ❑ Retaining wall requirements if any Reviewed: v ZD N re /Date Janary 196 CRAIG199al8LDGPRMT. FM INV = 894.0 ; REMOVE PLUG & r CONNECT TO EXIST. Q 60.5 6" DIP WATERMAIN INV = 896.0 63.0 Q CO. o INV C0895.0 33.5 r, L BETTY LN. TV. n~ 4L LEC. CONSTRUCT 6"`~TP X Cl 52 WATER EX. 6" WATERMAIN I \ Iv~I 19.0. -t- CONSTRUCT HYDRANT - - 1 ~ I \ 41.0 INV = 894.0 L~ _ J 26.020.0 67. TO BE 4" PVC SDR 26 INV = 894.0 35 61.0 EX. 8" SANITARY SEWI TO BE 1" TYPE K COPPER REMOVE PLUG & INV = 894.0 CONNECT TO EXIST. - EX. 18" RCP STORM " BE PLACED ON PROPERTY LINES 8" PVC SANITARY 0 / S 15' INTO PROPERTY SEWER O I U OF SERVICES IN J CONSTRUCTION -SERVICE INVERT _ HE END OF STUB 4 TTY LANE.. N~p EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER MIKE AND MARY SWANDA II PLAN NO. 9-0130-7 SITE ADDRESS CONTRACTOR: R.A. KOT HOMES,INC. DATE 05/07/97 PHONE 687-9513 DETERMIME WORKING SQUARE FOOTAGE, 3830.86 1. Total exposed wall area3894.041 sq.ft. x .11 428:3445 2. Total roof/ceiling area 1451 sq.ft x .025 37.726 3. Total floor cant. area 0 sq.ft. x 0.05 0 (over unheated enclosed areas) 4. Tot~kl floor cant. area 8 sq.ft. x 0.025 0.2 (over unheated exposed areas) 5. Total exposed wall area above the floor. 3495.56 a. Total wall window area 332.01 b. Total door area 37.8189 c. Total sliding glass door area 80.04 d. Total fireplace area 0 e. Total wall framing area (ave. 10%)........ 349.556 f. Total net wall area above the floor....... 2696.135 g. Total rim joist area 335.3 TOTAL EXPOSED FOUNDATION AREA 63.181 h. Total foundation window area 0 i. Total net foundation area 63.181 Determine "U" value of each wall segment. a. 332.01 x "U" 0.54 = 179.2854 b. 37.8189 x "U" 0.06 = 2.1269134 C. 80.04 x "U" 0.49 39.2196 d. 0 x "U" 0 = 0 RIM M f. 2696.135 x "U" 0.044843 = 120.9029 g. 335.3 x "U" 0.042123 = 14.12384 h. 0 x "U" 0.54 = 0 1Rt ~t "ti" 0 o7r1E11 A:811957 6 J0 162 If item fl6 is the same as ox' less Lhan item #i you Piave mdtr the ct r"x-erIt energy codes. 2 MCAR 1.16008 A AND 0. I TOTAL EXPOSED ROOF/CEILING AREA 1451 j. Total skylight area 0 k. Total flat roof/ceiling framing area:..:.. 145.; 1. Total net flat roof/ceiling area.......... 1305.9 Determine "U" value for each roof/clg, segment j. 0 x duff 0 0 k. 145.1 x "U" 0.025549 = 3.707205 1. 1305.9 x "U" 0.021801 28.46959 i 7 ...................................Total 32.17619 If item #7 is the same as or less than item #2 you have met the energy code. 2 MCAR 1.16008 A AND 0. TOTAL FLOOR CANT. AREA (enclosed). 0 o. Total floor cant. framing area (ave. 10%). 0 p. Total net insulated floor/cant. area:..... 0 Determine "U" value for each floor/cant. segment. o. 0 x "U" 0.047192 = 0 p. 0 x "U" 0.021622 = 0 8 ...................................Total 0 If item #8 is the same as or less than item #3 you have met the energy code. 2 MCAR 1 . 16008 A AND 0. TOTAL FLOOR/CANT. AREA (exposed) 8 q. Total floor/cant, framing area (ave. 10%). 0.8 r. Total net insulated floor/cant. area...... 7.2 Determine "U" value for each floor/cant. segment,' q. 0.8 x "U" 0.039793 - 0.031834 r. 7.2 x "U" 0.099241= 0 143455 9 ...................................Total 0 1752$9 If item #9 is the same as or less than item #4 you have met the ' energy code. 2 MCAR 1.16008 A AND O. a T 11,Y111 f at t',I) gill', 11011 # ACWH RIC 'N VALUES HEREIN AND THAT THE BU~TDING HERE D CRIBED MEETS OR E EDS THE STATE OF MINNESOTA ENERG' CONSERVAfW CT. # w 41 ~.V (Ina (date) DETERMINE "U" VALUES" THRU STUD WITH SIDING & S.R. Interior Air...... 0.68 Sheet Rock........ 0.45 Thermo-Break..Q Stud 6.93 Shthng(Bracerite). 1.22 Siding............ 0.78 Exterior Air...... 0.17 Total "R" Value............ 10.23 1/R - "U" Value 0.097752 THRU INSULATION WITH SIDING & S.R. Interior Air...... 0.68 Sheet Rock........ 0.45 Thermo-Break...... 0 Insulation... 19 Shthng(Bracerite). 1.22 Siding............ 0.78 Exterior Air...... 0.17 Total "R" Value............ 22.3 1/R = "U" Value 0.044843 THRU CEILING MEMBER Interior Air...... 0.68 Sheet Rock........ 0.58 Ceiling Member.... 4.35 Insulation........ 32.92 Still Air......... 0.61 `vol.,1,11 "F€" vffluf-~ 1/R - U Value 0.025549 '1'11f~t1 ~'I~~II~Illii II`Ifilflil~'i'Ii11~1 Interior Air...... 0.68 Sheet Rock........ 0.58 Insulation....... 44 Still Air......... 0.61 Total "R" Value............ 45.87 1/R = "U" value 0.021801 THRU CONCRETE $LOCK Interior Air...... 0.68 conc. Blk......... 1.28 Insulation... 11 Sheet Rk. (opt.) 0 Exterior Air...... 0.17 Total "R" Value............ 13.13 1/R = 'full 0. 0761 61 THRU RIM JOIST Interior Air...... 0.68 Insulation........ 19 Rim Joist.... 1.89 Shthng(Bracerite). 1.22 Siding............ 0.78 Exterior Air...... 0.17 Total "R" Value............ 23.74 1/R = "U" 0.042123 U" value for window........ 0.54 U" value for doors......... 0.06 U" value for Patio Drs..... 0.49 THRU CANT. @ MEMBER (enclosed) Interior air...... 0.68 Fiti i_gft F1norIng.. PI y wood 0.93 Jo1st(W/2x4 Fuzr). 15.9 Sheet Rock........ 0.58 Still Air......... 0.61 Total "R" Value............ 21.19 1/R = "U....................0.047192 THRU CANT. @ INSULATION (enclosed) Interior Air...... 0.68 Finish Flooring... 1.23 Shthng(Bracerite). 1.22 Plywood........... 0.93 Insulation....:... 41 Sheet Rock........ 0.58 Still Air......... 0.61 Total "R" Value............ 46.25 1/R = "U" ..................0.021622 THRU CANT. @ MEMBER (exposed) (Assumes 2x10 Joists) Interior Air...... 0.68 Finish Flooring... 1.23 Underlayment...... 0 Plywood. 0.93 Joist(W/2x4 Furr). 15.94 Sheathing(3/4";5.4 Soffit............ 0.78 Total "R" Value............ 25.13 1/R = ..U.. 0.039793 '1`lllil l i ~1+11'I~ . q} 11`It~1►1,ii~~~ I ~ X11 ► i:;i}.~~ ~r7i:~ I I • (Assumes 2x10 Interior Air..:.:. 0.68 Finish Flooring... 1.23 Underlayment...... 0 Plywood........... 0.93 Insulation. 41 Sheathing(3/4",1"= 5.4 Soffit............ 0.78 Exterior Air...... 0.17 Total "R." Value:........... 50.19 1/R = "U" ..................0.019924 i 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 33 CITY OF 6ACIM 3830 PILOT KNOB RD - 55122 651-681-8875 New Construction Reaukements D 3 registered sffe surveys showing sq. ft. of lot. sq. ft. of house 2 Copies of plan and ON roofed areas (2(% maximum tot coverage allowed) 1 set of energy calculations for heated addftm ➢ 2 copies of plans (show beam & window slaw, poured Ind. design; etc.) 1 site survey for exterior additions & decks D 1 set of energy calculations D 3 Copies of tree preservation plan it lot platted offer 7/1/43 DATE: ro Ix- al L CONSTRUCTION COST: DESCRIPTION OF WORK: 6.,jJ' C~ st. ~~T STREET ADDRESS: RI-7-0 8,414 a1-dilyl- 7 LOT: BLOCK: -SUED./P.I.D. !t: ° Name: A A/ dl.a /la Phone 68L; ' 0`1' PROPERTY Lad Fed OWNER ~n ~,v ~~N~ Street Address: ~ $ ~ © ;.Ll city E~ n/ - state: zip. S51 3 Company: Phone (area code) CONTRACTOR Street Adctreu: License #p• CRY State: Zip- ARCHITECT/ Nome: ENGINEER Company: Telephone: area code ( ) Stree Address: Registration city state: ZIP: Sewer & water licensed plumber (mguked fa new condrucllon onN): Penalty applies when address change and lot charge Is requested once penrsit is issued. 1 hereby acknowledge that I have read this application, state that the hftrmatlon is correct, and agree to comply with all Sabi State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-piex ❑ 16 Fireplace ❑ -21 Porch (3-9e9.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-piex ❑ 17 Gorge ❑ 22 Porn A . (4-sea. ❑ 03 1 of _ Alex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ?E j 9 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous . WORK TYPE ❑ 31. New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/So ascia ❑ 32' Addition ❑ 36 Move Bldg. d 40 Gas Insert Q 44 Windows/Doors Alteration ❑ 37 Demolish Bldg,* ❑ 41 Wood Stove 0 45 Fire Repair 433 Repair 0 38 Demolish (Interior) ❑ 42 Reroof Give PCA handout to applicant for demolition permit GENERAL INFORMATION i Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bklgs # of Stories sq. ft. MC/ES System Length sq. ft. City WSW Width. Footprint sq. ft. Booster Pump PRV Fire Sprinldered j APPROVALS Planning Building ngineenng Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC 4 City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI: Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC 3 X33 o 1999 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 122 651 681-4675 Date:_ Description of Work: V Construct ne fireplace Vas Masonry Alterations to existing Install as in se onl Install gas line only Other Sob address: is -ka~~ Lot: Block: Subdi io I.D. #:zJ Applicant (circle one only): Owner Contra Permit Fee: $60.50 T Name: -ii NQ,41 d ` c~ Phone ~5" - y 7 c7 PROPERTY Last First OWNER Street Address: City n ~ State: m tJ Zip: Phone CJ Com an P Y (zjj~ (area code) FIREPLACE INSTALLER Street dress: 3 10 City ~~-~VLU"O State: o l Zip: S~ Company: Phone (area code) GAS LINE INSTALLER Street Address: City State: Zip: I hereby acknowledge that I have read this application and s t at t informa 'on is correct and agree to comply with all applicable State of Minnesota S to s and Ci of Eagan rdinances. REC;EI``TED Si a e OCT 18 1999 BY-. OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 16 Fireplace WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 39 Gas Line ❑ 41 Wood Stove ❑ 32 Addition ❑ 34 Repair ❑ 40 Gas Insert GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. L_ BL / CITY USE ONLY RECEIPT SUBD. L~J ~I RECEIPT DATE:g- 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit ✓ New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. - - - - - Date: Z 9'P FEES ► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ► HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ► Gas Outlets (minimum of 1 required @ $3.00 each) 0) Q60 ~ ► State Surcharge .50 61~ TOTAL© - - SITE ADDRESS: r~ OWNER NAME: PHONE: f , PHONE* Y'9 6' INSTALLER NAME Attl 0 STREET ADDRESS: yc~ CITY: ' k3 /I STATE: ZIP: 2 SIGNATURE OF PERMITTEE CITY USE ONLY L BL RECEIPT#: SUBD. RECEIPTDATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: all commercial/industrial buildings. ► multi-family buildings when separate permits are no required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: $25.00 minimum fee or 1% of contract price, whichever is greater. ► Processed piping - $25.00 ► State surcharge of $.50 per $1,000 of ermi fee due on all permits. CONTRACT PRICE x 1 % i PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE* SIGNATURE: Ir SIGNATURE OF PERMITTEE CITY INSPECTOR /Q OFFICE USE ONLY This request void 18 months from validation date printed in this box. T j J ,753 7/ tL~IIIIN~1111{~II~INlllllfllllilll11111111111~~~1J * 0 4 5 5 8 8 2 L PLEASE PRINT OR TYPE pG Request D to Rou h-in ins on r uired? Yes g pecti eq ❑ No Inspection Other Than Rough-In: ❑ Ready Now ill Call lkw 7 (You must call the inspector when ready) Date Ready: I, ;&'censed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Street, Box Route No.) ~ City Zip Code Section No. Township Name or No. Range No. Fire No. County /fKQ T~ Occu nt - Phone No. D r W'a__y ower pplier Address 41/1 L1_'-;07X'<C Eleciri Contractor (Company e) Contractor License No. Master Lic. No. (Plant Elect. Onl f) AL L C 7V i C Mailing Address (Contractor or Owner Performing siallotion) 9~al /t~-nos 9L Y Af.30 ~oo~~-v6Tdo"r IVIV 5541JI Autho :ZlSignatur (C tractor or ner erforming Installation) Pho EB-00001 A-11 8/96 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY -7 REQUEST FOR ELECTRICAL INSPECTION 4 5 5 wQ (J C~n I L j Minnesota State Board of Electricity 1821 University Ave., Rm. S-128, St. Paul, MN 55104 Phone (612) 642-0800 Home Duplex Apt. Bldg- Other: New Addn Commercial Industrial Farm Remod Repair Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only- Calculate Inspection Fee This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Lt9/Traffic Sig.. Above 200 Am s ve 100 Amps Transformer/Generator INSPECTOR'S USE o TOTAL Sign/Outline Ltg. Xfmr. Alarm/Remote Control Swimming Pool III 1 hereby certify at I ins a electrical installation described herein on the dates stated Irrigation Boom Rough-In Date Special Inspection Final / Date' Investigative Fee C~! THIS INSTALLATION MAY BE ORDERE S N ED OT COMPLETED WITHIN 8 M4(0)N)rHS- CITY USE ONLY L BL RECEIPT SUBD. Lt.~ 0~as ('Kum( 0~5 DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH N-0,. TOTAL Shower 3.00 x > = 3.00 Water Closet 3.00 x 3 = 9•o0 Bath Tub 3.00 x _ (o.DD Lavatory 3.00 x Ar. 00 Kitchen Sink 3.00 300 Laundry Tray 3.00 6.60 Hot Tub/Spa 3.00 ;c = Water Heater 3.00 x = 3.00 Floor Drain 3.00 ;c = 3.00 Gas Piping Outlet * minimum - 1 3.00 x = 3.od Rough Openings 1.50 x 13 Water Softener 5.00 x = Private Disposal * Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS:- o"76 ZZ74U ~nri2, OWNER NAME:- IC A 7~7~ /far~'~~5 INSTALLER NAME:-en ~ ~ar~~els e . STREET ADDRESS: 15234 &rroccse.l 1'Ya✓ CITY: i` osema«~Z STATE: /i✓ ZIP: PHONE 'SIGNATURE OF TERMITTEE J- OFFICE USE ONLY L BL RECEIPT SUBD. DATE 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: all commercial/industrial buildings. ► multi-family buildings when separate permits are not required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERf3 TO BE INSTALLED? _ YES ` NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of r i fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: i CITY USE ONLY L ~ BL RECEIPT SUBD. RECEIPT DATE:, l'l PERMIT # / 8000 PLUM$IN6 PERMIT (USIDENTIAL) CITY OF EALG kN 3630 PILOT KNOB RD AGAR, MN 5518E 651-661-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to a (sting dwelling - inimum fee Describe: $ 30.00 30 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet * minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished * requires MPC tic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x _ $ State Surcharge .50 $ .50 Total $ G c~ Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acKnowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. it is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. Z SITE ADDRESS: ~J U 'L 2 Al OWNER NAME::1 C-6, : w ~1-0 C l TELEPHONE 3 (AREA CODE) INSTALLER NAME: ,e cS yJ~nid~i /,(-ay/L r~ TELEPHONE M. 5'~ STREET ADDRESS: (AREA CODE) CITY: STATE: 1741Y - ZIP: ~L ~n SIGNATU E OF PERMITTEE INSPECTION RECORD C TY OF EAGAN PERMIT TYPE: k 3830-Pilot Knob Road Permit Number: Eagan; Minnesota 55122-1897 Date Issued:p " f (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. fl~I Hutt Y.'= # 1} t'i 41 1$;f S' _ , # "i f #i# ? I1AN I t AI f I Permit No. - Permit Holler Date Telephone # ELECTRIC #5588,&L .y ' PLUMBI GAF' o?S t1Ga / HVAC & tc- 9 9-7 9N-0005 Inspection Date Insp. Comments FOOTINGS 7 FOUND FRAMING l~ 7 h ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING -6 'f7 7:: W4 z GAS SVC TEST i INSUL ~212I GYP BOARD FIREPLACE 7-/0 "47 /10 AIR TEST FIREPLACE 77~ 6 1! 0# A0 M FINAL PLBG FINAL HTG 7 ORSAT TEST BLDG FINAL BSMT R.I. 66 BSMT FINAL DECK FTG DECK FINAL .+~~cafe o f ~it~j ~ tan This Certificate issued pursuant to the r,equirementa',of*e Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use C %ificaiw-. SF DWG Bid& tuna Nm 30119 occupwy Type R-3 U-1 Zol►ng District 1t..1 Type Cont. _ t . owner of Btm&ng R A KOT Adtta- 7694 31M ST V s Pte- VALLRY. eniwi" Adams 870 BETTY LIENS tray L4 St. t ESSI PM Daw: -7 - 1 MI A CONSP#GUOUS PLACE Address 870 BETTY LANE Zip 5512 3 Lot 4 Blk 1 Sub WESSEL POND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) 1/ Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy INSPECTION RECORD , R CITY OF EAGAN. PERMIT TYPE: °i' { r''# ' 3830 PMot Knob Road Permit Number: 413 t '11 Eagan, Minnesota 55122-1897 Date Issued: #t ` (612) 681-4675 ti #1 -0 1 SIT5A ESS: APPLICANT: i PERMIT SUBTYPE: TYPE OF WORK: I`F_Iti 3 H t0111 ,f Pr f N f"ONt' L MA' t' i iNSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. V!f MAI-i', 4 0-HIitf' 1' 14 4i# f # to li }f' a IV :d s,iff fI) 1 (JQ f l~ ~ Permit No. Parmit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST iNSUL GYPSOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL City of Etail 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11/20/13 Site Address: 870 BETTY LN J Unit #: Residen Owner Type of Work ntract� Name: XIANGHONG LIU Phone: 612 - 702 -7703 Address / City / Zip: 870 BETTY LN, Eagan Applicant is: Owner X Contractor Description of work: Re -roof Construction Cost: $8,600'00 Multi - Family Building: (Yes / No X Company: Select Evergreen Contact: Jim Address: 1200 Centre Point Curve STE 200 City: Mendota Heights State: MN Zip: 55120 Phone: 612 - 290 -5230 License #: BC20547260 Lead Certificate #: 22743 -1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) The renovation will not disrupt 6 square feet or more of painted surface per room for interior activities, or 20 square feet or more of painted surface for exterior activities, and does not involve windows. 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: Mechanical Contractor: Phone: 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 they are trade secrets. CALL BEFORE YOU DIG. CaII 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 Sta • g : de must be . mpleted within 180 days of permit issuance. x James Wiles Applicant's Printed Name is Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA164915 Date Issued:10/12/2020 Permit Category:ePermit Site Address: 870 Betty Lane Lot:004 Block: 001 Addition: Wessel Pond PID:10-83623-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 - Thomas S & Suzanne M Rysavy 870 Betty Ln Eagan MN 55123 (952) 484-5667 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA168063 Date Issued:04/08/2021 Permit Category:ePermit Site Address: 870 Betty Lane Lot:004 Block: 001 Addition: Wessel Pond PID:10-83623-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Thomas S & Suzanne M Rysavy 870 Betty Ln Eagan MN 55123 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature