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3852 Big Timber Tr
09/16/2010 09:39 FAX RONCOR CONSTRUCTION CJ001/001 - Use BLUE or BLACK Ink Petnit#CiV of Wan 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 i Staff Fax: (651) 675-5694 1 1 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Data: I I5 l0 Site Address: ~5~ 2 f lGt -r(*100e "ZQ~~4 Tenant: Suite M RESIDENT I OWNER Name: 'rEFr" laVt Phone: Address/ City /Zip: 01qS 2 914 :nug~TEd , & ft" I M.nl ffm Applicant is: _ Owner -X Contractor TYPE OF WORK Description of work: Leer VV 92RE Construction Cost: /3 j ,9,00 4,10 Multi-Family Building: (Yes_ I No CONTRACTOR Name: -J22624-0 License M 233"7 Address: 10'740 jXNbaLrc 4(IENkrL S City: aa4mAl State: Zip: ,!n5A20 Phone: 967-loLg 5.~:Z 2 Contact: cr t79b0t4 Email: G 0r0010-c~ C-Can C402 v COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the fast 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: CALL BEFORE YOU DIG. Cali Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilfties. www.gopherststeonecallsrg 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 w9th the approved plan in the close of work which requires a review and approval of plans x ailwipj AIU1 x Ap anrs Printed Name App Signature Page 1 of 2 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan t~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date 7 Site Address 1 /I'll,61ex, 7_1Q.4~ / Unit # Property Owner _3&4-0 C 17 /-.,z Telephone # ( 61Z.) 5>??- 7 S 7 Y Contractor A11 GL4 1 At= BIG 12253 Mcdet Avenue Sou* Street Address City i 65337 State et ~5 Q e -3A p 00 Telephone # ( ) Bond •3 / z 0Y Expires: Z A_ U-' The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional -Replacement ' / air exchanger / air conditioner New l/ Replacement other State Surcharge $ .50 Total $ 3a • -570 I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 approve plan in the case of work which requires a review and approval of plans. j.ee Applicant's Printed Name Applic is Signature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor 1"1t3 . Street Address State Zip Telephone k ) Bond Expires: The Applicant is Owner Contractor Other Work Type New Construction _ Underground Tank _ Install -Remove **see below Interior Improvement _ Install Piping -Processed -Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If ep rmit fee is $1,000 or less, add $.50 = $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 ermit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: ***~-~y~ycycxxxxx~ r r ~ ~ CITY OF EAGAN CASHIER: JS TERMINAL NO: 762 DATE: 05/01/00 TIME: 09:02:01 ID: NAME: JOHN OR CHRISTINE RUBISCHKO 3210 9001 3852 BIG TMBR T 60.00 2155 9001 3852 BIG TMBR T 0.50 3430 9001 3852 BIG TMBR T 2.00 r Total Receipt Amount: 62.50 CR128647 USER ID: JAN f RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN x 3830 PILOT KNOB RD - 55122 77- 651-681-4875 37q W Ngyr Constnaon Reauirenerits Re~dReoair Reuuiremmls C41W %3 X0/01 3 registered site surveys showing sq. ft of lot, sq. ft of house, and @jl roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions 2 copies of plan showing bearn & window sizes, poured found design, etc.) . 1 site survey for exterior additions & decks + 1 set of Energy Calculations • 3 copies of Tree Preservation Planrf lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION (EXCLUDING LAND) 06P JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER JOhn TYPE OF WORK ch~~-.s~'d!~~lYl ©rG~ FIREPLACE(S) SO ....1 2 -3 APPLICANT tGV~iScl kO PHONE # ADDRESS mo d' ~~g _1445f ZIP CODE PAGER # CELL PHONE # ~Ia ZS7 FAX # NIEW 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 Lawn Sprinkler ~ Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # By Mechanical System Includes: - Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the informkation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances UV, f Signature of Applic Certificates of Survey Received Tree Preservation Plan eceived i Not Required I Updated 11,01 OFFICE USE ONLY f 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ r 30 Accessoryl~dg } ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 3 I` irxt Alt • M ❑ 03 01 of - plex 0 09 07-plex ❑ 17 Garage ~ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ . 04 02-plea' ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06, 04-pisx ❑ 12 12-plex PI Y or N C3 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (interior) ❑ 44 Siding 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) • Give PCA handout to applicant Valuation ~1(0 Occupancy ~t► MC/ES System Census Code -,y Zoning City Water SAC Units 9Z/ Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const %/A/ Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. _ Footings (deck) Final/No C.O. ,XC 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 4'0 0 X 1,210 7 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 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ll~ ' 3830 PILOT KNOB RD - 55122 651-681-4675 New staaon Requirements Remodel/Recalr iaulM 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 dies of plan and lei footed areas Q1% maAmurn tot covefaas atiowed) 1 set of energy calculations for heated additions D 2 copies of plans (show beam & window sizes; poured Ind. design; etc.) 1 site survey for exterior additions & decks A i set of energy calculations 3 copies of free preservation pion it lot platted after 7/1/93 DATE: YJ Q~ CONSTRUCTION COST. 7 / (V o Fuyljrc DESCRIPTION OF WORK: 6-6 U STREET ADDRESS: _ T 1 yN_,1i^~ J LOT: _ BLOCK: 4- SUBD./P.I.D. C G 6_S r", ~pp 6l d f0 7S-79'~c Name:_ J(742 Phone: ~j 76 3 PROPERTY Lad First OWNER r Street Address: ia & i T) M h rm / City ZM'aAA State• Zip: 10~ 3 Company. ~a%7til P Phone #1: (area code) CONTRACTOR Street Address. License #1 Exp. City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone C ( ) Street Address: Registration C City State: Zip: Sewertwater licensed plumber (if installing sewerh ater): Phone I hereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply wlfh ate applicable State of Minnesota Statutes and City of Eagan Ordinances. 9/w, , Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No 2 Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY Y Q BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-piex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Fact. Alt - Muiq ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 03 01 of _ plex ❑ 09 07-piex At 18 Deck ❑ 23 Porch (screened) ❑ 36 Mufti ❑ 04 02-piex ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex Ping Y or _ N ❑ 25 Misceflaneous ❑ 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 01 # of Stories sq. ft. No. of Units O 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 Permit Fee Valuation: $ ia00 Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. j Other Copies a° Total: SAC Units % SAC 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CrrY OF RAOiAAht 3830 PIL OT KNOB RD - 55122 `~Z C) _C) (6511 "1-4675 be Construction Reaui~m~ Ftginq,~eUFteoair Requirements C ♦ 3 registored site surveys ♦ 2 cop!" of plan 3 copies of plans (include beam & window sizes; poured fod. design: etc.) ♦ 1 site surveys (exterior additions & decks) ! .1 energy calculations ♦ 1 energy calculations for heated additions # 3 copies of bee preservation plan if lot plattedlafter 7/1193 required: s Yes No MATE: -l 2 q CONSTRUCTION COST 2 } 7 9 ~ DESCRIPTION OF WORK: N 1~C7 STREET ADDRESS: Z. k I OT. 1 BLACK: An~ S Name: phone PROPERTY Last Fiat OWNER Street Address: City State: Zip: Cornpany~. ~ Irz-h V) Phone ( ~ r k „ /Lq CON'T'RACTOR Street Address: Aj,- License # =S 9! QExp. .•~~a S ZaI City oul~ State: m vtl zip: at D2 ARCHITECT/ ENGINEER Company: Phone s Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): ll-i w seuu-C Penalty applies when address change and lot change is requested once permit is issued. • I hereby acknowledge that l have read this application, state that the information is correct, and agree to comply with all applicable f State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: r (g; 31 -:1 LJ LE, OFFICE USE ONLY a 2 2 ~g99 Certificates of Survey Received 4JYes No Tree Preservation Plan Received Yes No ~ot Requ ed OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging CI 16 Sasement Finish M 02 SF Dwelling ❑ 07 4-piex 0 12 Multi Repair/Rem. Q 17 Swim Pool 03, SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Pumic Facility D 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous i ❑ 05 SF Misc. ❑ 10 ___-plex ❑ 15 Deck WORK TYPE 31 New ❑ 33 Alterations ❑ 36 Move 32 Addition D 34 Repair ❑ 37 Demolition GENERAL INFORMATION Coast. (Actual) 2TH Basement sq. ft. Census Code > > 1 (Allowable) Main level sq. ft. f SAC Code UBC Occupancy - sq. ft. Census Units C2 Zoning sq. # gr Census Bldg of"Stories sq. V- MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning. Building Engineering Variance Permit Fee Valuation: $ QV Surcharge Plan Review License MC/ES SAC City SAC Water Conn. 7 3 7 5 y Water Meter Acct. Deposit 7 ~~~x 1~ I p S/W Permit / J S/W Surcharge Treatment P1. Park Ded. Trails Ded. Other Copies % SAC SAC Units ■ 09/07/99 20:41 BRRNDT ENG 9208900 N0.028 D01. tOnFIcAM OF SURVEY M32-2027-99 for D,Re NORTON A 9oa.s Sig 0 16~~53$ ~ t 1 v -a od 10 / Rlb~~o V 5616 5 y r I M KAZ Z R l ab { VSO Z J-1 i2 SQ, F- ~r . . Top curb to Gar slob Top block Lowest bsmt fir = Apo Scale. 1,. 30' 3852 Big Timber Trail DESCRIPTION I hereby certify that this survey, plan, ar Lot 18, Block 1, report was prepared by me or under my direct GARDENWOOD PONDS FOURTH supervision and that I am a duly Registered Dakota County, Minnesota Land Surveyor under the Lows of the State of Minnesota. plot bearings shown o Denotes iron monument Reg. No. 8140 Existing~ Proposed ANOT ENGINEERING & SURVEYING BR 1600 Vilest 143rd Street,. Suite 206 Burnsville, MN 55306 (612) 435--1966 _ v4 f 1 2 Z b city of czagan November 28, 2000 PATRICIA E. AWADA Mayor MR JOHN RUBISHKA PAUL BAKKEN 3852 BIG TIMBER TRAIL BEA BLOA. QUIST N EAGAN MN 55123 SANDRA A. MASIN Council Members Re: Landscaping/Erosion THOMAS HEDGES City Administrator Dear Mr. Rubishka: I am writing to you as requested trying the best I can to recall past conversations with you in regard to your retaining wall and erosion problem at your property on Big Timber Trail. According to my records, we talked on the phone for the first time on July 13, 2000, five days after the super storm hit our area. In our discussion, you had concerns about runoff from the vacant lot to the north of you. As I recall, you wanted the developer, D.R. Horton, to replace the damaged sod and install silt fence to avoid further damage. I later got in touch with D.R. Horton's site supervisor, Butch, and explained your request. As far as I know, that job has been completed. The issue of the retaining wall was then introduced into the conversation and we needed to do some research on our policy, as we did. I notified my Supervisor, Russ Matthys, about the situation and was informed that prior to a Certificate of Occupancy, we could have reviewed the site to determine the required grade and potential need for retaining walls or regrading to acceptable slopes. The City's objective is to have a finished grade that can be mowed while providing adequate drainage. The point is to have this objective met and not necessarily determine who completes the work. However, following the issuance of a Certificate of Occupancy and the installation of the retaining walls, the building permit was closed and there was not much we could do short of assisting as a mediator between you and D. R. Horton. I felt I had explained this to you and that you had accepted my explanation. We did have several phone conversations where I stated that the City of Eagan had no grounds to get involved in a civil matter between builder and homeowner after the Certificate of Occupancy was received. The next request that was made by you was a copy of the grading plan for Gardenwood Ponds, which you received. Some time has elapsed since then, and I assumed matters were settled until I received a call from Butch stating I would receive a copy of a letter from D. R. Horton to you, which I never received until you faxed the letter to me on November 7, 2000. I apologize for any misunderstanding between us. My intent was not to ignore your concern, but with the Certificate of Occupancy already issued. This issue will have to be resolved directly with your builder. Sincerely, OO Bob Kriha Utility Construction Inspector BK/jj MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY 3830 PILOT KNOB ROAD THE SYMBOL Of STRENGTH AND GROWTH IN OUR COMMUNITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122-1897 EAGAN, MINNESOTA 55122 PHONE: (651) 681-4600 PHONE: (651) 681-4300 FAX: (651) 681-4612 Equal Opportunity Employer FAX: (651) 681-4360 TDD: (651) 454-8535 www.cityofeagan.com TDD: (651) 454-8535 v. CITY OF TD o 225C 9210 3852 BIG TIMBER 30,CK) 00 Koi 3252 BIG TIMN tr. ?832 t70 W _ .y,.} r'"i 1-'ice? ?i r of (Twill: -Vt i.-t PCs, i: _ i c f- D 30S 922C FJJ 4- CC, 9 R iE 4 .,,a.-. ...a. q:•~: ,~,-,i,.,~. r } --t- } r_v... r: ,r a a s~~.tZ.~-:.:~ a • LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL:' DATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS V/❑ ❑ Registered Land Surveyor signature and company ❑ Building Permit Applicant ❑ ❑ Legal description ❑ Address a'-'❑ ❑ North arrow and scale a?-,- ❑ ❑ House type (rambler, walkout, split w/o, split entry, lookout, etc.) 1!2-, ❑ ❑ Directional drainage arrows with slope/gradient % ur''o c Proposed/existing sewer and water services & invert elevation L~-'"❑ ❑ Street name m~ ❑ ❑ Driveway ia-'o ❑ Lot Square Footage [A- ❑ ❑ Lot Coverage ELEVATIONS Existing ❑ Sewer service (or Proposed) r' ❑ ❑ Property corners Q- ❑ Top of curb at the driveway ❑ ❑ Elevations of any existing adjacent homes ❑ P' ❑ Adequate footing depth of structures due to adjacent utility trenches Proposed 12-, ❑ ❑ • Garage floor ❑ ❑ First floor ram ❑ ❑ Lowest exposed elevation (walkouthMndow) 2-'o ❑ Property corners 1!t' ❑ ❑ Front and rear of home at the foundation PONDING AREA (if applicable) ❑ 2, ❑ Easement line ❑ N KO NWL ❑ o'` ❑ HWL ❑ r" ❑ Pond # designation ❑ 21" ❑ Emergency Overflow Elevation DIMENSIONS L❑ ❑ • Lot lines/Bearings & dimensions 12"'D ❑ Right-of-way and street width (to back of curb) o ❑ 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 ❑ ❑ Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ Retaining wall requirements, if any Reviewed: ame~~ 1 Date March 19W CRAIGBLDGPRMT.FM + cJ ~LLf/L(ILd ~~/il/IWILff, 'ILC. _ f 14750 Galaxie Ave. Suite 104 Apple Valley, Minnesota 55124 (612) 432-2044 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION NAME 1D. P- , F 1 f P. T"ew PLAN NUMBER ~ c i A ter ~ t? r,+ C? C~ - Determine working square footage of each 1. Total exposed wall area...... r sq. ft . X .11 S 3 Z , 2. Total roof/ceiling area...... y ? sq.ft. X .026 113 , a Total exposed wall area above floor = y W a. Total wall window area..... Ll B,3; . 2.- b. Total door area '~.Y c. Total sliding glass door area........... d. Total fireplace wall area e. Total wall framing area (average 10%)... 9,e) f. Total net wall area above floor......... g. Total rim joist area..........:»........ Total exposed foundation area = I41 h. Total foundation window area............ i. Total net foundation area above grade... Determine "U" value of each wall segment a. X ffU" .52 = Z z„ 4 b. X null ,139 = x,25 c. X fluff .52 7, d. X fluff .68 = e. X "U" .096 - 1L4 f. X 'full .00 = t y d-! E• X fluff Al h• X fluff 2 = •.5. i. X fluff .082 = 9. 3. TOTAL....► t2..~~a If item #.3 is the same as, or less than item #1, you have met the intent of SBC 6006 (c) 2. -1- 'Total.exposed roof/ceiling area = ~~3 sy Total gross roof/ceiling area = Total skylight area k. Total roof/ceiling framing area....... 5. Li 1. Total net insulated roof/ceiling area. 91.7, Determine "U" value for each roof/ceiling segment ~i x „ U" k. X "U" .024 - gy p , Lt L-1 1. X "U" .022 = V., ~ • 1V1AL . . . . . . . . . • /n14 If total of #4 is the same as,.or less than #2, you have met the intent of SBC C006 (c) 1.. 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 #1 and #2. Materials Thermal resistance "R" Exterior air......... Siditg material...... Sheathing............ Insulation........... Sheetrock............ Interior air......... :3 M44 Rim Concrete blocks...... -2- i • CERTIFICATE of SURWY M32-2027-99 for D.R. HORTON A ~d CE goa.s5 CIA 1`~I A ~ Co. V1 r' low NA. ~b5 5v; A' ° a \ cow \ .--log A 5 !+r N Co 0 Op I~!j \ 00 \ 1 `N C.O'T.. PRO = f it eU4 z 4 rr Top curb to Gar slab / Top block = -20L L-1 Lowest bsmt flr = _90oL40 Scale: 1" = 30' 3852 Big Timber Trail DESCRIPTION I hereby certify that this survey, plan, or Lot 18, Block 1, report was prepared by me or under my direct GARDENWOOD PONDS FOURTH supervision and that I am a duly Registered Land Surveyor under the Laws of the State Dakota County, Minnesota of Minnesota. Plat bearings shown o Denotes iron monument Proposed Date Reg. No. 8140 Existing__,, BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Suite 206 Burnsville, MN 55306 (612) 435--1966 ~ t Alf nA Zn r) nr) -7 nC1 CITY USE ONL (]g~r BL RECEIPT :AT SUED~~ RECEIPT PERMIT # 1999 PLUMBING PEftMrr (RESMENTIAL) CITY OF IEA eAN 3630 PILOT KNOB RD EAGA;N, MN 55 Y 22 (651) 681-4675 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 Bath tub $ 3.00 x = $ 13 Floor drain 3.00 x = $ Gas piping outlet " minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x j = $ Laundry tray 3.00 x = $ Lavatory 3.00 x - $ Minimum fee alterations to existing dwelling 30.00 x - $ Private Disposal System new/refurbished " requires MPC iic. 75.00 x - $ Private Disposal System abandonment 30.00 x - $ RPZ new installation/re air 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 x - $ INA Water softener if dwelling under construction 0 x - $ Water softener if existing dwellin x - $ Water turnaround 30.00 x - $ State Surcharge 50 $ .50 Total $ 5p Reminder: Cali for inspections of alterations, i.e. water heaters, water softeners, etc. t--h- ----ereby-ack---now--- ----ledge-t--hat-I---- have-r- -ead-this----ap--p-lic--ati-on-,--state----- -the-- informati -------on---is-con'ect-- -annd---agree----t-o-------comply----th--all- ---applicable----- - -City - of- E-- -agan- -ordinance•------s-.* That wi 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. SITE ADDRESS: V aQ j { b `rjra OWNER NAME:: TELEPHONE le,- 61 I '~s (AREA CODE) INSTALLER NAME: rl TELEPHONE 41 z3-'lI yG/ (AREA ODE) STREET ADDRESS: P-47 N S ~ ~~r - Tr I CITY: )roue 1'j'1 OGc~y2'~' STATE: JyI 1J ZIP: ~ 060 ,+r SIGNATURE OF PERMITTEE e CITY USE ONLY LOT BL RECEIPT i v SUBD. RECEIPT DATE: MECHANICAL PERMIT # V 1999 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3$30 PILOT KNOB RD EAGAN MN 55188 Date: . 99 (651) 681-4E675 Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) 3,0o State Surcharge .50 Total G Complete this section only if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New ` Alteration _ Repair _ Other Reminder: Call 681-4675 for inspections. Furnace Air conditioning Air exchanger Other $ 30.00 State Surcharge .50 Minimum Total Due $ 30.50 SITE ADDRESS: OWNER NAME: ~77 F PHONE ( G/ ysr/'S~ - 6 3 (AREA CODE) INSTALLER NAME: PHONE - -116O ~ co o 'q ,f (AREA CODE) STREET ADDRESS: ~~/~/C~ ~ct~o .Ff u it1 ZIP: S CITY: ,Q~y%eJ STATE: SIGNATURE O PERMITTEE CITY USE ONLY L BL RECEIPT A SUBD. RECEIPT DATE: APPROVED BY: INSPECTOR MECHANICAL PERMIT 1999 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3$30 PILOT KNOB RD EAGAN, MN 55122 (651) 661-4675 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 INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATE SURCHARGE ($.50 per $1,000 of germit fee due on all permits.) TOTAL SITE ADDRESS: OWNER NAME: PHONE - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE (AREA CODE) CITY: STATE: ZIP: SIGNATURE OF PERMITTEE city of eagan PATRICIA E. AWADA October 28, 1999 Mayor PAUL BAKKEN BEA BLOMQUIST PEGGY A. CARLSON D.R. Horton, Inc. - MN SANDRA A. MASIN Council Members 3459 Washington Dr. THOMAS HEDGES Eagan, MN 55122 City Administrator (651)454-4663 E. J. VAN OVERBEKE City Clerk RE: - Gardenwood Ponds 4'h Addition - Erosion Control Concerns it. Big Timber Trail & 829, 830 Bald Lake Court 3852J 3873 C: The attached letter was written and mailed out to general contractors on April 15, 1999, and has been distributed with building permit applications since that time. The aforementioned permit was issued in your name. A City staff person has observed the site where the permitted work is taking place and has found deficiencies in the erosion control efforts. The City Code clearly states the authority of City staff in enforcing the removal of siltation, dirt, clay, or soil (SILT) upon any street within the City (Section 7.05, Subdivision 5.1 of the Eagan City Code). The following erosion control efforts should be taken immediately: 1. Removal of all SILT upon the street and walkways adjacent to said property. 2. Installation and maintenance of approved silt fence at curb & property lines. You have 48 hours to bring this site into compliance with this section of the City Code. Upon your failure to bring this site into compliance in said time, the City's enforcement actions will be as follows: 1. Order street sweeping/cleaning activity 48 hours after initial faxed/mailed request. 2. Charge/mail sweeping/cleaning invoice to development contract obligee or permit holder. 3. No further Letter of Escrow Credit reductions will be granted. 4. Place hold on building inspections until compliance and payment of invoice(s). We appreciate your cooperation with our erosion control efforts. Please call us with any questions. Sincerely, Cc: Russ Matthys, City Engineer Doug Reid, Chief Building Official Engineering Section Dale Schoeppner, Assistant Building Official Department of Public Works Stan Lexvold, Construction Supervisor City of Eagan MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY EAG 3830 PILOT KNOB ROAD THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122-1897 EAGAN, MINNESOTA 55122 PHONE: (651) 681-4600 PHONE, (651) 681-4300 FAX: (651) 681-4612 Equal Opportunity Employer FAX: (651) 681-4360 TDD: (651) 454-8535 TDD: (651) 454-8535 dG 9288900 NO CtnFIcAM OF SURVEY M,32-2,027 rtrt forOR,p • t ~ l '1\1 1 m • 19 ,or tia °d \ \ 0 01 -SOP 10 jr 00 b Co Q'3'-1 11 (Ps 0,0 \ 15158 5 6 ` ~i _ 56 A•, ` 47 I-01, Al =11,W vu \ S~ ~ Z ,1 IZ SQ, ~7 O1J " I Top curb to Gar slab = 3,z6 Top block = 90, 71 930 Lowest bsmt fir = 1 Scale: 30' 3852 Big Timber rail DESCRIPTION 3 or O I hereby certify thol this survey, plan, a Lot 18, Block report was prepared by me or under my direct GpRDENWOOD PONDS FOURTH supervision and that I am a duly Registered Dakota County, Minnesota Land Surveyor under the . Lows of the State of Minnesota. plot bearings shown o Denotes Iron monument JUJ Reg. No. 8140 Existing~ Proposed Date RANDT ENGINEERING & SURVEYING 1606 West 143rd Street, Suite 206 Burnsville, MN 55306 (612) 435--1966 - - - , ;.,rms.---+ °"""~'1/~r► A ' '~1 -7 Address 3852 BIG TIMBER TR Zip 5512 3 Lot 18 Blk 1 Sub GARDENWOOD PONDS 4th THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: / q q Yes No Inspector: Final grade (6" from siding) - a Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. owk White - City Copy Yellow - Resident Copy Pink - Contractor Copy MNcheck COMPLIANCE REPORT Minnesota Energy Code Permit # MNcheck Software Version 3.0 Checked by/Date COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 3-26-2001 TITLE: 99-419 ADDITION PROJECT INFORMATION: JOHN & CHRISTINE RUBISCHKO COMPLIANCE: PASSES Required UA = 705 Your Home = 658 6.6% Better Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS: Raised Truss 2601 44.0 0.0 57 WALLS: Wood Frame, 16" O.C. 3772 19.0 2.0 211 WALLS: Stress-Skin Panels 456 21.0 22 BSMT: Conc. 8.2' ht/7.6' bg/8.2' insul 934 11.0 0.0 57 BSMT: Conc. 3.5' ht/2.9' bg/3.5' insul 79 11.0 0.0 6 GLAZING: Windows or Doors, Above Grade 706 0.350 247 DOORS 18 0.230 4 DOORS 40 0.350 14 DOORS 80 0.330 26 FLOORS: Over Unconditioned Space 320 38.0 0.0 8 FLOORS: Over Outside Air 224 38.0 0.0 6 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the quireme is of the Minnesota Energy Code. / Builder/Designer Date f l l I MNcheck COMPLIANCE REPORT Minnesota Energy Code Permit # MNcheck Software Version 3.0 Checked by/Date COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 3-26-2001 TITLE: 99-419 ADDITION PROJECT INFORMATION: JOHN & CHRISTINE RUBISCHKO COMPLIANCE: PASSES Required UA = 705 Your Home = 658 6.6% Better Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS: Raised Truss 2601 44.0 0.0 57 WALLS: Wood Frame, 16" O.C. 3772 19.0 2.0 211 WALLS: Stress-Skin Panels 456 21.0 22 BSMT: Conc. 8.2' ht/7.6' bg/8.2' insul 934 11.0 0.0 57 BSMT: Conc. 3.5' ht/2.9' bg/3.5' insul 79 11.0 0.0 6 GLAZING: Windows or Doors, Above Grade 706 0.350 247 DOORS 18 0.230 4 DOORS 40 0.350 14 DOORS 80 0.330 26 FLOORS: Over Unconditioned Space 320 38.0 0.0 8 FLOORS: Over Outside Air 224 38.0 0.0 6 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the perm application. The proposed building has been designed to meet the r uirem~ents of the Minnesota Energy Code. Builder/Designer U"/ ~ ~ 1i Date S U l d'a 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office 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 Pres 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 if on-site septic system On-site Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date Construction Cost c700 Site Address Unit/Ste # Description of Work YZ ub 1 C.-> Multi-Family Bldg - Y - N Fireplace(s) _ 0 - 1 - 2 Property Owner f Telephone ft 425 t) C~✓ u C? •T~ RENEWAL BY ANDERSEN Contractor 1920 COUNTY RD. "C" WEST ROSEVILLE, MN 55113 Address 651-264-4777 city State LICENSE #20130983 , _.,ne # ( ) 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 (4 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, 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 a review n appr al of plans f F h 2005 A plicanfs Printed Name Applicant's Signature BY OFFICE USE ONLY 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 I ❑ 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) ❑ 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 I ❑ 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) - 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 I License Search Copies Other Total a`.ov rna roe art 'g48iJ .t'~Pl~ft'hL ~L°'ki1ElJti~lSlY - - ~4'J tAU re al Tune t 2001 City of awn 3836 Micrt Knob Road Eagan, MN 55222 To Whom tt iSy ACM: Elder Tones is authorized to pj~a bniIdiu Eider Ioncs to g pits for Renewal by Atcdersan_ Please allow Provide tins crs►ice for us in Flan. 'ntis audwrizati fin is valid for any date beyond 6/6101; with a Ienowal by Andersen mmu= enreWy revokes it in wri to the City. I request this authorization be accepted-expeditiously, as to not deli in the J our building Pen nits any fuzthcr. Pfcasc calf me if thccc arc y p'Zan be of Y quesctona. Y can be coned at 763-502-4t6. Your immsdiaft attention to tbis matter is a ee}ated. . sinc~ialy, _ - Ymvnd-R. Rau vstallation NUnager Renewal by A,ndcrscn Comoraden CC,: Ksrra-Fide ~nne~ 4 cwsz ti ~ 7ii . Received Time Ju.n. 7. 1' 07PM 41' City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 1 Permit Fee: 10 S. 5 Date Received: 2 ( col 13 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: J Resident/ Owner Name: ePE t1 ea yv\ Phone: 651-3,gT"<J 9/1 �-- / Address / City / Zip: 3 8S' 2 r3 t' `� (i WI j t'r Tr a , 1 Applicant is: Owner X Contractor Type of Work '' Description of work: /memo yr il-Aq://e,tV. ani�rei &tie<tl oh L /r4fj3r9 Wert ler js Construction Cost: Multi -Family Building: (Yes / No -)(-) Contractor Company: Dam ntlyS. vCCD dide...5-;rreks2e, Contact:l7rf,8r-rh (ha -7d,-7546) Address:/?6,154xS�-//,t i -/a & S2'dle "fsla.,q City: 4_.%a.5 a State: %1911Zip: _5-66 9'3 Phone: 6/3 - 7,:,.2- 510.6 U License #:136tC464.3 9 6 4 c Lead Certificate #: 324 % e'..? e I i'- / If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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. 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.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 7-4130-1-5 5 €, r7-et— Applicant's zApplicant's Printed Name pplicant's Signature Page 1 of 3 '*° City of kali Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 REcoe° 0119 VA r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: / 41 Date Received: c'1941/ Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Type of Work Site Address: Unit #: /96 Name: ..Jq'b i-42_1 La(Altail I Phone: Address / City / JZip: /c --t471‘ y J 5 J Applicant is: Owner Contractor Description of work:b✓.yt. Construction Cost: 91-7/00a o Multi -Family Building: (Yes / No ) Company: ,R4vitaket ivot L,l Contact: `k-- 1a 9 -1?C Address: 17 S4C) City: it, C (-e State: of\ Zip: CS-C:4g Phone: 6 fa -964- 79c, mail: /%%Gt.'i`i1t C_I kt-cka J j / ,Ccs License #: Q x-79 SM 7 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non public; if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x (\' k= i�lt le 11��4'34Y\ 1 Applicant's Printed Name x� Applicant's Signature Page 1 of 3 3 rte ;7 6e7 7y DO NOT WRF1 BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water Final Occupancy Code Edition Zoning Stories Square Feet Length Width Framing Fireplace: _Rough In _Air Test Final )( Insulation �` Sheathing Sheetrock Fire Walls Braced Walls Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant vidfrd- c MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control Other: , Building Inspector ri4nt\-c- Page 2 of 3 Date: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenant: rE1VED 10 2m4 BY: Use BLUE or BLACK Ink For Office Use Permit #: /,29 53i Date Received: — Permit Fee: Staff: 20141RESIDENTIAL PLUMBING PERMIT APPLICATION I I LI Site Address: `� 2 P24 1 Fag( Tad d Suite #: Name: Address / City / Zip: 46/-a 600=7n) /22N State: Zip: 0 Pho Contact: / ' c„ License #: PC, /4 f)LI NUJ City: £+ ne: `7 t&-'427-71 Email: -& At II - II tit/ f-11 New Replacement Description of work: RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / _ PVB) Septic System New Abandonment Repair Rebuild _ Modify Space _ Work in R.O Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 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 CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x T41 -k) Applicant s Printed Name A icant's Signature