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882 Betty LaneCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 882 Betty Lane Lot: 2 Block: 1 Addition: Wessel Pond PID:10- 83623 - 020 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Royalty Remodelers 4411 Slater Rd Eagan MN 55122 (612) 414 -8199 Permit closed without required inspection(s). Letter sent to applicant on 2/13/09. (pf) If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: 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 Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: $88.50 0801.4085 $1.50 9001.2195 $90.00 Owner: Darnel C Mott 882 Betty Lane Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Issued By: Signature Building EA080883 11/05/2007 ePermit in ihis box. ?(3 - OFFICE USE ONLY This requestvaid 18 months kom validaHtion dofe prinied ?j g ? # 7 /J'?.5/ / 11111111111111111i11111111111flllllf{I!llllllfflli????? ,.,a (2?- 07? * 0 4 6 6 3 1 8 3? PLEASE PRINT OR TYPE Requesf Date Rough-in inspection required2 es ? No (You must coll the inspector when reodyl Inspecfion 01her Than Rough-In: ?&eady Now W11 Call Date Ready:' -IfZ " I, ?{icensed conlractor ? owner hereby request inspection of the a6ove elechical at+'=--"?' Job Address (Street, Box, or Route No.) City - Section No. Township Name or No. Range No. Fire No. Counly Occupant Phone No. s ? - 62 Power Supplier ec _rr Tc- I Address . -?() 'Z „f',' Elechical Contractor lCompany Name) Contractor License No. Master a No. iPlant Elect. Only) CIA-0evC ?6-T- Mailing Address iConhoctor or Owner Performing Installafion) ST ?? c?s Aofhorized Signature (Contractor or Owner P orming {nsta{lation) , Phone No. 1:114W01A-I I 8/Y6?/ (/ BEQUEST FOR ELECTRICAL INSPECTION ? 466„e. 31Q , Minnesota State Board of Electricity u 1821 Universiry Ave., Rm. S-128, St. Paul, MN 55104 " Phone (612) 642-0800 me Duplex Apt. Bldg. Otlier: New Addn l mmercial Industriai Farm Remod Re ir Air Cond. Htg. Equip. Water Htc Load Mgmt. Other. D er Range e E?ec. Heat Temp. Service "X" above the work covered by this request. Enter remarks in this space ond on the ck of the whrte copy only. e7o" ??4- ") 5.?,.? NV Calculate /nspection fee - This Inspection Request wi!( not be accepted without the correct fee: Other Fee vice Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 200 Amp t 0 to 100 Amps Street Ltg./Traffic Sig. 200 Amps Above Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTA SignjOutline Ltg. Xfmr. Alarm/Remote Control Swimming Pool lbti ib i th t t t l hi i i t d d h d d I h b i h I i d h irrigation Boam escr n on ca ns a on e ere ere cert i aY ns cte i e e ec Rough-In e es s a a e Dare Special Inspection Final ./' Date THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. ? wcm•cQte Of ccc???? ? ? ? Ktti) Of ?R?RIt zePartMext of ZniLbi»g ?u??iectian This Certificate issued pursuant to the requirements of the Uniform Butlding 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: uu Classiecafion: SF DWG sleg. nermit Na. 30136 Occupancy Type R-3 U-1 Zoning District R-. f Type Const. Vri ownerof Buitding J S HOMLS Aedress 4371 BENT TREE LANE,-BAGAN 55123 Building AddRSS 882 $ETT3i LANE t.ocaliry L2, $1 . WESSEL POND uaze- uiWing Official POST IN A CONSPICUOUS PLACE AdCIIeSS _ 882 BETTY LANE Zip 5512 3 L:at '2 Blk 1 Sub WESSEL POND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 8' p?0 ?"7 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) L/1-1 Permanent steps (main entry) ? Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch ? Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. 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 e RESIDENTIAL BUitDfNG PERMIT APpLiCATlON cITr oF EacaN 3830 PiLOT KNOB RD, EAGAN MN 55122 C)b ? 651-681-4675 Nsrr Conahuaton Reaubents Remo&Vlteoair Requiterttats e- • 3 registered sitea surveys showiing sq. ft. of lot, sq. ft of house; and a!! roofed areas • 2copies of plan (20% maximun lot coverage at4owed) . 1 set of Energy Caic?ations for heated additions l? - I?-C? ?--- • 2 copies of p)an stwwing beam & window sizes; poured found design, etc.) • t site survey for exterior azfdipons & decks • 1 set pf Energy CMculafim . irnlicate if home seroed by septFC system for aklitions • 3 copies of Tree PreServation Plan if lot platted after 7/1/93 • Rim Jast Detatl Optiots selecdon sheet (bidgs with 3 or fess units) DATE fIl ?/ ?.2- YALUATION SfTE ADDRESS 962, &1d`V/- n AAULTI-fAMILY BIDG _Y kN TYPE OF WORK I5:7t titsh .Bk?cif ? FIREPLACE(S) - 4-11_._. 2 .11 APPUCANT DGl h /no7?1- STREET AQDRESS ,9$2 &,?& !?CITY 1??? c.h STATE ?wZIP? 0'-/Z TELEPHONE # 3393 CAtt-pHONE #61Z- 6 07 -2-3 1..S_ FAX #61Z ~ 6 07- 7/0b PROPERTYOWNER ??m2 TELEPHONE# COMPLETE FOR "MEW" RESIDENTIAL BUILDtNGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) . Residential Ventliation Category 1 Worksheet Submitted + +?eW ?eray C(?2ie(W?s? • Energy Envelope Calculations Submitted 0 ? 2002 11 ? Plumbing Contractor: Phone # J"____ Plumbing system includes: ? Water Softener ? Lawn Sprinkler E Water Heater ? No. of R.I. Baths °" ? No. of Baths Mechaniccl Contractor: Phone # Mecha.nical system includes: Air Conditioning Fee: $70.00 Heat Recovery System SewsrJWater Contractor: Phane # 1 hereby acknowtedge tnat i have read this application, stafie that the infarmation is correct, and agree to compiy with afl applicabie State of Minnesota Statvtes and City of Eagan ces. Signafiure af Applicant OFFICE USE 0NLY Certificates o# Survey Received ? Tree Preservation Plan Received ? Not Required _ Updated 4l02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling O 03 01 of , plex ? 04 02-plex D 05 03-plex ? 06 04-plex O 07 05-plex ? 13 16-plex ? 08 06-plex O 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex O 18 Deck 0 11 10-plex X 19 Lower Level ? 12 12-plex Plbg Y or ,_,_ N ? 20 Pa01 ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous O 30 Accessory Bidg 0 31 Exk. A!t - Multi 0 33 Ext. Att - SF [] 36 Mutd ? 31 New 0 35 Int improvement C] 38 Demolish (interior) O 44 Siding O 32 Addition ? 36 Move Bldg. 0 42 Demolish (Foundation) Ll 45 Fire Repair ? 33 Alteratian ? 37 Demolish (Bldg)" 0 43 Reroof C! 48 W+ndows/Doors D 34 Repiacement *Demotition (Ertt+re Bldg only) - Give PCA handaut to applicant Valuation Occupancy MCiES System Census Code Zoning City Water SAG Uni#s Stories Boas#er Pump Nbr. of Uni#s Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinktered Type of Const Width . REQUIRED INSPECTI4NS _ Foatings (new bldg) ? FinaUC.O. T Footings (deck) ? FinaUNo C.O. , Footings (addirion) i Plumbing T Foundation HVAC i Drain Tile pther Roof ? Ioe & Water Final Ftgs AirlGas Tests Pool , Final Fraxning ? - , ? Siding _ Stucco Stone ? Fireplace 4 R.I. ?Air 1 Test ? Final Windows (new/rsplacement) Insutation r? ^ Retaining Wall Approvecf 8y ? Building lnspector Base Fee Surcharge P lan Review MC/ES SAC ciry sac t W l S & St ? ,,...... ? er a y upp orage S&W Permit & Surcharge Treatment Plant Piumbing Permit Mechanical Permit License Search Copies Other Total ? CITY OF E-AGAN 3830 Pilot Knob Road Eagan, Minnesota 551 22-1 897 (612) 681-4675 PERMIT PERMtT TYPE: Permit Number: Date Issued: I L. 0 1. { '1 iY} •.? ..:- 43?.).. ..i 1! SITE ADDRESS: DESCRIPTION: REMARKS: FEE SUMMARY: 3 ? CONTRACTOR: OWNER: , , . . . _ ? )_.. Q. , . ? ; .? ' ' '1 l.? i"'s I . ? ? f- _..._ ' ?? G' _. _ ? :? :.. .. .. . . '•`' ..` .? ''1"t .?;. i"t 4;3 ?, ? 'r t c:4 ?F' ? Y ?"r";?'? ?.. :S. {;? Yl C? i"# 0: ? ti;'. ,' £.: Ay i ) r? i;; ?;:"t 1 :1 f Y } Ci i ?X a_: , p ; a o +.3.jf 'i,1# ?ei?r?t! ? C APPLICANTlPERMITEE SIGNATURE ISSUED B. ATUAE- 't r,, ? „ n , `-:'v.? . } ?. 7,?,'f .,.;. ..,. , ,,. ,? ... _ . _ . ? . ... .g ?.? "' ? _?:. , ' . ..._-.., a . _.. .. -, .. . . r _ ?,;i ,,. z r3°,c. :;' ._. .. ?, r_? ? f•:'j :j+3? ` ,,,r .? 1 ? ??•.: ? ? .? r,. . i ,".: _ . . ? Y' S .:.;`°? ? ,.r? ?';? } c : ?z`.?r• i }r? r 1 ., ?...s. ? 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?/4 7J 2 f? I'3 ?, CITY OF EAGAN V ?J ? 3830 PtLOT KNOB RO - 55122 ???1G?i? ??'Yl??? ss?-as7s ? /Z Ng?r,Construction Reauirements Re ode ec ir ReauiromerKs ? ? 3 registered site suroeys ? 2 copiss of pian ? 2 copies of ptans (include beam & window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions & dedcs) ? 1 energy calculations ? 1 ene rgy calculationa for heated additions ? 3 copies of tree rvation plan if lot platted after 7/1/93 roquired: Yes - No OATE: s/1Y1f 7 DESCRIPTION OF WORK: F7 ET ADDRESS: LOT 01, BLOCK ? CONSTRUCTION COST: SUSD./P.I.D. #: 1,16:ff a_ '".0 46nq - PROPERTY Name: ' -f -?= f l/"-? - Phone #: OWNER - ? Street Address:- ¢ 32 eC-T Wz G-s.- ^ City: f.4? State: Z,-;Zip: SS? Z-3 CONTRACTOR Company: Phone #: Street Address: License #: City: State: Zip: ARCHITECT/ Company: Phone #; ENGINEER Name: Registration #: Street Address: City: Sta#e: Zip: Sevver 8 water licensed plumber (new construcction only): ?Ity applies when address change and lot change are requested once permit is issued. ! hereby acknowledge that I have read this application and state that the information is correct and agree to eomply with all applicable State of Minnesota Statutes and Ciry of Eagan OMinances. Signature of Applicant: OFFICE USE ONLY REC ErV,D Cer g"tes of Survey Rec:eived Yss MQY 191997 Ttee Preservation Plan Received Yes No Not Required $. ?-- ?_-- 1 OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish X 02 SF Dwelling o 07 4-piex ? 12 Muiti Repair/Rem. ? 17 Swim Pooi a 03 SF Addition ? 08 8-plex n 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace n 29 Misc:eilaneous a 05 SF Misc. ? 10 _-plex a 95 Deck X 31 New a 33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL tNFORMATION Const. (Actual) (Allowable) UBC Occupancy Zaning # of Stories L.ength Depth APPROVALS V14 Basement sq. ft. Main level sq. ft. sq. ft. rZ- 1 W . sq. ft. sq. ft. 2 sq. ft. Footprint sq. ft. Planning Building ? ((, S1 MC/WS System _w_.....___ 1(, s $ City Water it's 8 Fire Sprinklered PRV ? Booster Pump Census Code. /d 1 2 3 ? -7 SAC Code ? Census Bldg Census Unit Engineering Variance v Permit Fee Valuation: $ 23?. CX?• 0? 5urcharge Plan Review License A15E7"EN7: MCNVS SAC City SAC Water Conn. Water Meter T ?y? Acct. Deposit a S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. oJ Other Copies "'VfU45" 1?NlJS /e?.?!? 3'?j? / X 77 = ?115'004. 00 Total: % SAC SAC Units -'a ( A t Certif3cati? of House Location For: J.S. fiomes, Inc. 4371 Beht Tree Iane Eagan, MN 55123 Lot Address: 882 Betty Lane ??? Ui?x? DELMAR N. SCHWANZ tANO aunVIErons. u+c. MpMIMoO UndN lew d TM stN- zl Ylnn»o1e 11750 SOUTH RCBERT TRAfL ROSEMOUNT, MINNESOTA 55068 9URVEYOR'S CERTIFIC/lTE ? `i` J ? / I ' A 4 TI- I ?' Drainage & Utility Easements ' ?Pq8 y? I g ' I ? ?d? a s ? I I 'R.?3 .?? 1 ? 0 0 ? ? ? I ?g N O a i?q??,4 , E12/42i-i i:O ? 7? 0 + q04.4 ? ?-. b? ?j << o\? 9c?''1 9°by2 / b ? /s / \?? q°? ??/? i ? /?8Q1 l ??E ' gqg,z io ? 0 g I ? ??qo P ? lt.ovIn c )a T 2 I o Q2 ?qoo ?ri ? 171005E Co"W 1S , rnE',¢yU/lEI? 9?.?/GHT A?c/6LE? Td LoT 4M/6- ? 903.91 ??. .\ / Scale: 1 inch = 30 feet e = Iron pipe rmnument C] = Set %;ood hub at bldg. offset xqpl =. Existing spot elevation O = Proposed elevation Proposed direction of drainage ",?d6 ?,°.;??s? f3r?:y?'. f 1 : •.:? el e., . 'ZS ? 1lC?,l 5?7;'oZG Proposed top of block elev. •?, Y? 47,, Proposed lowest 1eve1 elev. Drainage & Utility Easement o ? .r. . -- / ? ? GvA -1ew PW 04 -Zq-9,7 ?7 Description• IAt 2, Block 1, WESSEL PCJrID ADDITION, , aooording to the recorded plat thereof, Dalcota county, Minnesota. i,? O. ? Also shawing the location of a proposed house staked thereon. • ? ,? 1 hereby prtify IhN th{e suney. pian. or tepoA w.s pnparb by me w under my dirocl supervision and 1hH 1am a duly Rpistend Land Surveyor under the Iawt ol tns Stde of Minnesola. p?ted 05-28-97 I ??N RLV` I E D s'r f?W DATE 5 - 3 - g -7 ; BUILDINIG INSPECTIONS DEPT. ; . ;- ? JeImar H. Schwen= Mlnntsota R'9I9tntion No. 8625 LOT SURVEY C1-IECKIlST FOR RESIOENTtAL BUILDING PERM T APPUCATION PROPERTY t,EGAL: ? ? I DATE OF SURVEY: LATEST REVISION: 9Q CUMENT STANDARDS ! C: 0 • Registered Land Surveyor signature artd comparry 1 3 ? 13 0 8uildirtg Permit Applicant ? o • Legai descripiion tg'? D ? • Address C??U E3 • North arrow and scale M---'1-3 C3 • House iype (rambler, waikout, spiit w/o, spiit entry, loakout, etc.) 0% 13 0 Direotionat drainage arrows with slope/gradient 96 , 0 0 C3 0 Proposed/exissting sewer and water services & irzvert elevation ? ?? m'' C3 ? o • Street name • Driveway ELEVATtONS 'stin ? ? ? ? Sewer service (or Proposed) ??? o • Property comers - ? O ? • Top of curb at the driveway - 0 ? a • Eievations of any eiosting adjacent homes Proposed 2-'C3 C 6 Garage floor o • First floor 0 • Lowest exposed elevation (walkout(window) i? ? • Property comers 03 E3 • Front and rear of home at the foundation PONDING AREA (if aaolicable) C3 13 0 • Easement line ? ? ? • NWL ? ? CJ • HWL o 0 13 • Pond # designatiort 0 13 13 0 Emergency Overflow Elevation OfMENStONS cy'C3 ? 0 C) • Lot lines/8earings & dimensions ? ? o Right-of-way and street width (to baclc of curb) 0 E3 • Proposed home dimensions including any proposed decics overhangs greater than 2' , , porches, etc. (.e, all structufes requiring pertnanent footings) 9,"0 - o • Show ail easemenls of record and any City utilities within those easements 0'- • Setbacks of proposed structure and sideyard setbaclc of adjacent exasting structures 0 0 • Retaining wall requirements, if any Reviewed: lz'?ru 19 Na e / Date F January 1996 CRAIGI99WBLDGPRMT.FM ` EXTERItiR £NVELOpE AVERAGE i'0" COHPUiATi4N , . ?tE R: ? ? ?'1.v1' ?.?.?? ---_. .---------_.? ------------------ ---- rE aoaaEss: . NTwAcToa: ,.? 14- bA1E : ... _?//g - IY.7" ----pHONE : ?.,?2..c`'pl.?,.ff e2 ..-?.-. DETERMiNL WORKlNG SQUAR£ f40taGE QF EACN: ?(?'fAL EXPOSED WALL AR£A, , . . t . .. ? 85 4 • sq f L x "U" _ - f/ ________ ' • ??. - TflTAL ROdF/CE t t, i NG AREA........ ! 4 v 6 sq f t x "i1" . (,? r.2- ? _ '" ? ?• ? ?6 . TOTAL EXPOSE4 WALL AREA CALCi1LAT f ONS : . . Total exposed walt area above f laor. ,,,,,,, .Z 93q sq ft t a) Total walt wlndnw area: g t azed, . . . . . sq f t x ,iull 4. efv .._:._........ . ??j:?r•l lazed r . in A;. 9 . . . , . . _.....l.?...?..,........?.._ Sq f t x •L ? ti? b) Total door area .. .. . ... sq ft x "U" 7. c) Total slldinq qtass door area: glazed...... Sq ft X tiUtl qlazed...... SQ rt x "U" ? d) To t a t f 1re p 1 a ce wa t 1 a re a s q f t x"tt" -a e) Total wati framinq area (Average 109,) . . . . . . . . . . . sq f t x IOU#, ? rh$.2 ° ?? fj Total net wali area above flaor (Insulatsd)....... 1475 sq ft x "U" q) Total rtm Jotst area ...... sq ft x"U" Total foundation a?? area (Exposed).........._ sq ft h) Total faundation w 3 n daw a rea . . . . . . . . . . . . --- sq f t x "v, ? 15'c Fj Total net foundation arca above grade........ 410 sq ft x-U" • rOTAL a) thru If item #3 ts the same as, or less than 3tem #1, you hava met the tntent of 2 MCAR 1.16008 A snd G. ?? . , , , ?- 4: T07Al. EXPh5Ep RQOFJCElLEF#G rALCULA?lOtaS: , , ?Y • . Tatal exposed roofJceiling area...;,,,, ? ?4?sq ft ? Tatal skyltqht sq ft x"U" k) Totat raof/cellinq framing a rea (Ave reve t ?q ? . . . . . . ? 4 6 . v, sq f t x "U" d.?......_... " ? 1) Total net Insulated ' raof/cei 1 ir?y area. ... , sq fC x "UII 4. rorAL 1} tnru 1) tf total of #4 ;s the same as, or tess than N2„you fiave met the intent of 2 ricaR 1.16048 :A ar.a o. Al7ERt1A7`E SU! LD i DJG ElJVEtiOPE pES t GN To utittze the totai envelope system method, the vatues estabtished by the sum of ltems #3 and #A sha11 nat be greater than the sum af ttems #1 and #2. 1. + 2. m ?. + 4, C E R T t F i C A 1' 1 Q N 1 hereby certtfy that i have calculated the "U" fattors and "R" vatues herein and that the bulldlnq here aCscrtbed meets or exceeds the State ot Minnesnta Enervy Canservation Act. S a L r' CITY USE ONLY " ?_LOT BL ? D RECEII'T #: SUBD. biLi'Li RECEIPT DATE: ZZ7i / 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 Date• (612) 681-4675 Complete this section only if you are installing, HVAC in singie familv, townhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one requixed @$3.00 ea.) _6-" • State Surcharge: .50 s., a- • TOTAL: Complete this section onlv if you are remodeling, adding to, or repairing ezisting single familY dwellings, townhomes, or condos. Add-on fumace Add on air conditioning Add-on air exchanger, i.e. Vanee system, etc. 4ther Minimum fee applies to a11 remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 3I'TE OWNER NAME: '? 5 ?S PHONE #: c?j?C? -?cGT 2 INSTALLER NAME: No 1Yh='T1.aC .T ),0j 7 A-1 2 PHONE #: ?34C 1?14:;) e STREET ADDRESS: zq? 7,Q STATE: M Aj/ ZTP: ? 70 SI A OF PERMITTEE CtTY USE ONLY L BL SUBD. RECEIPT #: RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PlLOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTIQN INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee or 1% of contract price, whicMever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of ep rmit fee due on all permits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL. SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (innPROVEnneNTs oNLv) INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP: ? all commerciaUindustrial buildings. ? multi-family buildings when separate permits are not required for each dwelling unit. SIGNATURE: SIGNATURE OF PERIVIITTEE CITY INSPECTl7R CITY USE ONLY L 2- BL ? RECEIPT#: 77Z 5 SUBD. RECEIPT DATE: 7/j ? 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? singie family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkier system FIXTURES EAGH NO. ?OTAL Shower 3.00 x 1:P0 Water Closet 3.00 x Bath Tub 3.00 x 2_ Lavatory• 3.00 x 12-L Kitchen Sink 3.00 x J 510 Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 x _?_ _ ?•v ? Floor Drain 3.00 x Gas Piping Outlet * minirnum -1 • 3.00 x = 9, oa Rough Openings 1.50 x .41i2 3 G Water Softener " for dwellings under construction 5.00 X = Water Softener * for existing dweUing 20.00 X = U.G. Sprinkler " for dwelling under const. 3.00 = U.G. Sprinkler "for existing dwelting 20.00 = Alterations " to existing residence 20.00 = Water Turn Around 20.00 = Private Disposat System " Dak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE .50 TOTAL 5A 0 ? I hereby adcnowledge that 1 have read this application, state that the information is correc4, and agree to iomply with all applicable City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages pused by the City during its normal opera6onal and maintenanae activities to the faatities oonstructed under this permft within City property/right-of-way/easement. SITE ADDRESS: ? 2 _2 ?t°??? ?z 4.01 OWNER NAME: Z-714? INSTALLER NAME: /r G A-' ` TELEPHONE #: STREET ADDRESS: ? `? A' CITY: STATE: ZIP: SIGNATURE OF PERMITTEE PERMIT # --?z 5 " RECEIPT DATE: ?44 d z- 800E UISIDENTIAL PLUM$INF PERMIT APPLICi4TION crrY oF EAsAx 3$30 PILOT KNOB itD EAsAx, Mv 55122 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: U4-XCP-,- F-GtC%iw',_ OWNER NAME: : 1?,YA , t-? yI1 TELEPHONE #: ) ? 3?G 3 ? (AREA CODE) INSTALLER NAME: - I.>,?'` STREET ADDRESS: TELEPHONE #: C( 4S?? 3 3c-73 (AREA CODE) CITY: STATE: Yw? ZIP: S5 o' ? -? _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: X, - Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. ?--- $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system Replacement/additional: _ water softener _ water heater $ 15.00 State Surcharge $ .50 Total $ fo • o 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 applicanYs 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 ity property/rig t- f-way/ nt. `rz,?n rnT.. , I I 1 i --;? 1 oa- SIGNATURE OF PERMITTEE 1/02 ----- ,?.- ? INSPECTION RECORD c . ???Gff-Y OF EAGAN PERMIT TYPE: -= 3830 Pilot Knob Road Permit Numbcr: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: '. F lf?i.a APPLICANT: > TYPE OF WORK: INSPECTION S't?lft )? 1.0 j , ; D. • 3 ff'A I I i?;.? •A IA l I`lAi Permit No. - Permit Halder Date Tetephone # ELECTRIC ,4 PLUMBING Hv,ac fnspection -Date Insp. Comments FOQTINGS G •-9-9 I'?s6l?c'?7? GLvts. -/w l++a.vP CZ? ? e/ ??-t- FOUND 6?.J7/ r? f"v?/.1'ilOJ ft?rr++4 ? 'S7?r /k??CG FRAMING G? ROQFING ?N/ 7 ROUGH PLUMBING PLBG AiR TEST ROUGH HEATING 7 « QT JVd'T- A&W'pJ? ,-7? GAS SVC TEST INSUL GYP BOARD FIREPLACE C FIREPLAGE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FIPIAL DECK FTG DECK FINAL ,e)S Use BLUE or BLACK Ink I For Office Use1.~ ~r I Permit A1 City of Ea~~11 I Permit Fee: I I 3830 Pilot Knob Road ' 0 J Eagan MN 55122 I DatOReceived: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: ~ Arm A-rrl r "t `I Cpl 0-1--r- Phone: I I ^ G fJ ~ ~7~ Resident/ Owner Address / City / Zip: Applicant is: Owner l/ Contractor Type of Work Description of work: QO (ZA- IL-~ yC. O f=' szr,~%~v G y Z Construction Cost: Multi-Family Building: (Yes / No Company: nU' ~Ot~'L pn.7 S Contact: Contractor Address:-/ 931/ 6 0u 7-14,t® Zi4 Q/L/LZ. City: ( State: I'YI A). Zip: Phone: gig- z qqo u 2 License 8 i 3 7 gZ Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) OLLZ_ ~UC7% y2~~x cJ~,L A-JC, C90 4-7 C7 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: t 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 specifia reasons that would permit the City to conclude that the are trade'se~rets. 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._qopherstateonecall.org I hereby acknowledge that this information is complete and accuratd; that the work, will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a,permft,,~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 is uance. x ~Z.] ruAJ/,~- x Applica s Printed Name Applicant's Signature • Page 1 of 3 6e i DO NOT WRIT ELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) Exterior Alteration (Single Family) Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Multi) Multi 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 Occupancy G MCES System Plan Review Code Edition 00 -7 SAC Units (25%_ 100%-V-~ Zoning City Water Census Code X/ 3 Stories Booster Pump # of Units / Square Feet z~~y PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required 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 Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector 14 RESIDENTIAL FEES ~y pry J* 1~ 3PI Base Fee /©3 Surcharge Plan Review G 7 MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Certftcatb of House Location For : RECEWE j. s. Homes, Inc. SEP 2 0 201,3 4371 Bent Tree Lane Eagan, MN 55123 21 DELMAR H. SCHWANZ LAND SURVEYORS. INC. rNO Ned UndM Low@ of The 310- of MinnsWe 14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55066 612/425-lie) Lot Address: 882 Betty Lane SURVEYOR'S CERTIFICATE `j'> q1D . AID a /69 o~ X04 ¢ ~o4to? 77Y Zo•7~ - 93.8h jj.q 1ai3,¢ two Drainage & R q I ti /o~ , AJm8 W~ 3,91 q# utility- Easements ? a~ A e 9a5 n43; ry o bh" \~1 sqD q ' o s s SDI Z ib ,~po~,2~ O Scale: 1 inch = 30 feet y.l 1~ jl✓ o ! = Iron pipe monument 0 = Set wood hub at bldg. offset I ~ f,~ouSE Co~lJc~ s5 ~Hi1L 10 ~PJ x906 Existing spot elevation gqb '(°pQ q1 ~o, 32 F,f?o in ~coT u.✓~; (D = Proposed elevation D 4r POLO Vllo AA16U:5 70 LoT.Ua/5 = Proposed direction of I C ficv' t=+c~J S drainage I )oT z S "NJ ~ -•xOsed a ge flora- elm* t 1~705 ~l ` I, S~joZG ,•8 Proposed top of block elev. • I c f Proposed R~AWvel elev. REVIEW 12,3 009 BY. CRATE: a2 ~/,3 Drainage & Utility Easement ) BU:! G»1G i' N N o Q, Description; Lot 2, Block 1, WESSEL POND ADDITION, acoording to the recorded plat thereof, Dakota County, -Minnesota. L Q Also showing the location of a proposed LA) house staked thereon. 1 A. AN WED BY i NIE~SDATE s - 3 - -7 ,~~'~`N•" °BUILDING INSPECTIONS DEPT. I hereby certify that this survey, plan, or report w.a S LM R H = - prepared by me or under my direct supervision and i that I am a duly Registered Land Surveyor under r ? 8625 ; the laws of the Stale of Minnesota. C '-1~ J/ ~~~~1 / / 05-28-97 ~~~••,`Ij'';~ r;:: 4• lmar H. Schwartz Dated •,q, r°, .,,a<' Minnesota R,991stration No. 8625 • i;;f l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ity of Eagan Permit Type:Building Permit Number:EA171234 Date Issued:08/05/2021 Permit Category:ePermit Site Address: 882 Betty Lane Lot:002 Block: 001 Addition: Wessel Pond PID:10-83623-01-020 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Daniel C & Tamara J Mott 882 Betty Ln Eagan MN 55123--246 Garlock French Roofing 2301 E 25th St Minneapolis MN 55406 (612) 722-7129 Applicant/Permitee: Signature Issued By: Signature