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3853 Big Timber TrRESIDENTIAL BUILDING Permit Application ( j - City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 3 _ t 6 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 (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. I site survey for additions & decks -Tree Pres Not Reqd I set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date __ / 1 / c Construction Cost 30(cyJU? Site Address ? 1 t ??. ?-,- Tr ( Unit/Ste # '?n CL GLVL l? ' , ki Description of Work Lcr .&v Le. ( Fi yr t S h Multi-Family Bldg _ Y N Fireplace(s) ,K 0 - 1 - 2 Property Owner 0) n _e_ Telephone # #(i ) 6(? 2!'7Z-,? 39S3 13 7 irn hr., ra,, e, Contractor u?eh - rrld&LIInC,? 1i'tc Address 00 / Q J 1 uivvJ / rr I I City fu 91'i" State r. Zip _S -S J Z 3 Telephone # (65-0 6 (?S- O 7 S P COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet J • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #1 )" i ,,I . kR X005 I hereby apply for a Residential Building Permit and acknowledge that the inforniation?ete and laccurate; that the work will be in conformance with the ordinances and codes of the City df. 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 requires a review and approval of plans. Applicant's Printed Name Applicant's Signature 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 ? 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 1 0-plex )1 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bl dg) - Give PCA handout to applicant Valuation ` LP Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) Footings (deck) - Footings (addition) Foundation Drain Tile Roof Ice & Water _ Final Framing _ Fireplace - R.I. -Air Test - Final _Y Insulation REQUIRED INSPECTIONS Final/C.O. Final/No C.O. Plumbing HVAC Other Pool Ftgs _ Air/Gas Tests -Final Siding _ Stucco _ Stone Windows (new/replacement) Retaining Wall Approved By Z , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Site Street Address ' S $ 3 ? ' '? I r Q + Unit # Property Owner Telephone # ( ) Contractor S S q r, 9-f, V i CR-J Telephone # ((.S 1) 8)-8 Z S Z. Address U ?o 1 City q State rn?' Zip S S / 23 The Applicant is: _ Owner _v ntractor -Other Alterations to existing dwelling 4 a 50.00 _dd plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). -Septic System Abandonment _._Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement - Lawn Irrigation _RPZ PVB new -repair rebuild $ 30.00 State Surcharge $ 50 Total $ s U ° _Sc, I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. On ?) V) I e_ S, ?_ ? I I L 'A?_ Applicant's Printed Name Applicant's Signature SCI d PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit jr30-SO Date 7 / 3/ / 03 Site Address 3 ?1 ' £ ? I 'I A I T/' Unit # P t O k?l SCE K 31 roper y wner h Telephone # ( ) /fh Contractor rn b 1 Address 7$ 1 J702 S 41, City Zg?c°dr/l State /X Zip Telephone # (,7) .-23 F 9/22 The Applicant is Owner Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions, excluding water softener and water heater - Abandonment of septic system - Water turnaround (+ 5/8" meter if needed - $121.00) Other: - RPZ new installation repair _ rebuild $ 30.00 Lawn irrigation system Water softener Water heater - - $ 15.00 _ replacement _ additional State Surcharge c I $ .50 Li Total $ ,,,10.S•V Q `r I hereby apply for a Residential Plumbing 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 Plumbing 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. k w 5? ql - XA1 Applicant's Printed Name App icant's Signature Address 3853 Big Timber Tr Zip 5512 3 Lot 2 Blk 2 Sub Gardenwood Ponds 4th 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) 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 4LaJ - Q -4 4 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 1_4 v 3830 PILOT KNOB RD - 55122 1 1 651-681-4675 S as `06 Remodel/Repair Reatdremen > 3 registered site surveys showing sq. ft. of lot, sq. ft. of house and lei roofed areas (20% maximum lot coverage allowed) > 2 copies of plans (show beam a window sizes; poured Ind. design; etc.) > I set of energy calculations > 3 copies of tree rvalion plan 9 lot pkftd after 7/1/93 DATE: DESCRIPTION OF STREET ADDRESS: LOT: 2 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions & decks CONSTRUCTION COST: L $ /i Z , 4 Name: Phone #: PROPERTY Last First OWNER Skeet Address: City State: Zip: Company. Phone #: 5(0 71 Sto (area code) CONTRACTOR ?I Skeet Address 3??JQ=Sf _ l?ioi 7)r , y,20+License # 2tma ioS7 Exp. 3/3 r i City Lae?? State: MA Zip: ,1? (22 ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Street Address: Registration #: City State: Zip: Sewer/water licensed-plumber (if installing sewer/waterl: Al ? W = Phone #: (&I'2j 753- - 5 83 I hereby acknowledge that I have read this application, state that the correct, and agree to comply with alt pp le State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY (' I 18 Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No / Not Required BLOCK: SUBD./P.I.D. #: ( C<JLP,r':)Qg -)CROCE OFFICE USE ONLY i BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mull X 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg Y or_ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 , Accessory Bldg. WORK TYPE X 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 (21 # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings I Width Footprint sq. ft. Const. (Actual) Basement sq. ft. --T-•? Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy asi 2L," sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCE 5OUS INSPECTIONS A Stone (3 (L. L APPROVALS Planning Building Tdfi-x? Engineering Variance Permit Fee Valuation: $ o Surcharge Plan Review License MC/ES SAC City SAC Water Conn. 7 71 Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P!. t Plo q vo ark Ded. Trails Ded. Other Copies f 9 7 C 0 Total: `-7 a- U C f SAC Units % SAC MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 Permit # Checked by/Date COUNTY: STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 4-14-2000 TITLE: Concord Walkout Lot COMPANY INFORMATION: D.R. Horton - Minnesota COMPLIANCE: PASSES Required UA = 675 Your Home = 496 26.5% Better Than Code S Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value --------------------------------------------------------------------------- CEILINGS: Raised Truss 1533 38.0 0.0 WALLS: Wood Frame, 16" O.C. 3786 19.0 0.0 2 BSMT: Conc. 8.0' ht/7.0' bg/8.0' insul 944 0.0 10.0 GLAZING: Windows or Doors, Above Grade 449 0.370 1 DOORS 51 0.230 HVAC EQUIPMENT: Furnace, 90.0 AFUE --------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the perms application. The proposed building has been designed to meet the rfiiryements of the Minnesota Energy Code. Builder/Designer Date-S 2 - !?e 03/18/99 09:57 CONTROLLED AIR HEATING AND A-C -651 454 04606 NO.685 t02 SIN RSR21250 RIGFIT-J SHORT FORM File name: 29755T41. RSR Job #: Htg C1g For: CONCORDF 2975 $QFT JOE MILLER HOMS Outsidedb -12 89 HOMES 3.16.99 Inside db 74 74 CONCORD MODEL . MN Design ID 86 15 Daily Range M Inside Humid. - so ay CONTROLLED AIR Grains Water - 33 21210 EATON AVE. Method S implified FARMINGTON MN 55024 Coast. g1ty Average 460-6022 Fireplaces 0 HEATING EQUIPMENT COOLING EQUiPM61T MalGe Ma Trade >• ...._ ....: Trade Efficiency 80.0 AFUE Efficiency 0.0 EER 0 .. Btuh• ..,.Sensible Cooling •.,:•: ._.?... ?, ;,.,:..:, ?. ?....p ., gtuls., :...;........ _.,.;,? ..:.. Hating Output 0 Btuh Latent Cooling Heating 'l`cmp Rise 0 Deg F Total Cooling 0 Btuh Actual Besting Fan 1660 CFM Actual Coofirig Fan 1660 CFM Htg Air Flow Factor 0.021 CFMIBtuh CIg Air Flow Factor 0.048 CFM/Btuh Space Thermostat Load Seassble Heat Ratio 83 ?<w ROOM NAME AREA HTG CLG ITTG CLG SQ.FT. BTUH BTM CFM CFM SR4 192 3290 1978 69 95 METH 8TH 322 3333 1756 70 84 MBR WIC 392 6301 3191 132 153 BR2 240 4125 2916 87 140 BR3 195 4149 2597 87 124 FAMILY 304 5887 .3734 123 1'79 KIT DINETTE 336 7234 708.0 152 339 .5TH. LNDY HALL .182 5227 1250 110 60 DINING. 225 3253 1484 68 -•. '•71 LIVING-,,, .:. . _ . .182 3811 1605 80 77 STRS-FOYER 202 8563 2,839 .180 136 BASEMENT 1380 23962 1 4264 503 204 Entire.House `: d "4152 79134 34694 1660 ....1660 ?.....; jlraiauAir. , ?:.::; • .,4257: 743 ,....,.• E 0.94 RSM 33310 - C Poo :. 7444 =y> •.. sr.:•':~-? l TOTAT •L4u.N;,.?.i ..... .. .-.. .. .....A y C7 Q']40t AAit'C ....rr?i.Y?.^Gfl" •.t' `-I ran 4 • e LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION 1iir/ PROPERTY LEGAL:` DATE OF SURVEY: __ j_°0 sa LATEST REVISION: o DOCUMENT STANDARDS 0 4 4 Q ? ? Registered Land Surveyor signature and company ? Building Permit Applicant 0 ? Legal description V ? Address ? North arrow and scale b? ? ? House type (rambler, walkout, split w/o, split entry, lookout, etc.) p a Directional drainage arrows with slope/gradient % V a Proposed/existing sewer and water services & invert elevation ,o ? Street name ? Driveway ?a ? Lot Square Footage V0 a a ? Lot Coverage ELEVATIONS Existing ? Sewer service (or Proposed) p ? Property corners tY'p ? Top of curb at the driveway iV ? ? Elevations of any existing adjacent homes ? m'? Adequate footing depth of structures due to adjacent utility trenches Proposed ? ? Garage floor ?? ? First floor ? ? Lowest exposed elevation (walkoutfMndow) a 0 Property corners V? ? Front and rear of home at the foundation / PONDING AREA (if applicable) ? rz? ? Easement line a C ? NWL ? j ? HWL ? ?/Fi a Pond # designation ? Emergency Overflow Elevation DIMENSIONS p//a 0 Lot lines/Bearings & dimensions ,? C3 Right-of-way and street width (to back of curb) ? ? Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) w p n • ' Show all easements of record and any City utilities within those easements (Y' 0 0 Setbacks of proposed structure and sideyard setback of adjacent existing structures ? ? Retaining wall requirements, if any Reviewed: Name / Date March 1W9 CRAIGBLOGPRMTFM I CER11FICATE OF SURVEY for D.R. HORTON Tm b er M32-2324-00 TraTL 0 S 24•nR'n7", F )24 Lot Area 26,424 SF House Area 2,082 SF Scale: 1" = 30' I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. Fate l1 D M 1 WOO Reg. No. 8140 3853 Big Timber Trail DESCRIPTION Lot 2, Block 2, GARDENWOOD PONDS FOURTH Dakota County, Minnesota Plot bearings shown o Denotes iron monument Proposed Existing_,,, BRANDT ENGINEERING & SURVEYING 14041 Burnhaven Drive, suite 114 Burnsville, MN 55337 (952) 435-1966 M32-2324-00 RF-cr E. 122.20 N 26'00'06" W Top curb to Gar slab = _??S Top block = -9&1fL_ Lowest bsmt fir = 9QI?a WOW. M; LA 911,36 CERTIFICATE OF SURVEY for D.R. NORTON L9 , i imhL If M32-2324-00 Ira__1 0 65.00 52'2" L 47.68 5r I -- - Isls S 24'08'02 E 49.30 sett. p IJ!V P,96.5 _ 1.5 a10' w r cc o LO N? tD Z o\? J ???`S ep5e? I 15/1 •i Lot Area 26,424 SF House Area 2,082 SF -------------00) 122.20 N 26'00'06" W Scale: 1" - 30' Top curb to Car slab 2,S Top block = 911-4L_ Lowest bsmt fir = 903,70 (anrj'V? 3 83 . w I t I o o 1 '4 c ' c I ^N Z I I 5L U, DESCRIPTION I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of M' nes a. ate 007 Reg. No. 8140 3853 Big Timber Trail Lot 2, Block 2, GARDENWOOD PONDS FOURTH Dakota County, Minnesota Plot bearings shown o Denotes iron monument Exi g? Proposed BRANDY ENGINEERING & 14041 Burnhaven Drive, Burnsville, MN 55337 (952) 435-1966 Gar slab El 911,0$ I elk 9/I, 4 i I WP,L OV l -1 16.000 Proposed house Bsmt el 903.70 7-;? - - 0 r) I S' - 18.14 ? Dc ) SURVEYING Suite 114 M32-2324-00 City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ----------------- For Office Use C? ! - f Permit #: I Permit Fee: Date Received: Staff: ----------------i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Q(_0L0;l.1 8 Site Address: 3$53 L3(ts TIm 1481L EPA, Y!?lJ S51?3 Tenant: Suite #: RESIDENT / OWNER Name: VON i?-LPcRM i I t& Phone ) `` CJ' TI ?Vt r= (? '[ I C. L%?Ctst`C?? , pt4ii Address /City /Zip: 30653 Applicant is: Owner Contractor TYPE OF WORK Description of work: R E r t : I t 1 a O"Multi-Family Building: (Yes / No ll>e J Construction C o s CONTRACTOR S GRV I '_ Name: 70-TAU y License #: 3 ?' P40. , i +? r Address: t??t 9 CA ry4 B9- 1 D(, b t City: SFi La.' 5 Vfl1-K- State: ?1 N Zip: Phon 5 -3 Contact Person: f&r,NCr ti f COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 Minnesota Rules 7670 Category 1 _ Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted ('1 submission type) a Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans x !j& x Applicant's Printed Name Applicant's Signature Page 1 of 3 Rti inder. f for inspection , of alterations, Le. water heaters, water softeners, etc: i hereby s that i iswi read tits'...- _ do _. e t ai r intotrn atlon is corm, a nd 'te compry witt alt , ._, _... _ y n, It is** apOrws responsibility b no fy the property o riet tf the City o€ Eagan assume. no for any demage$ Cou"d by #* City dieing its nom?at operafl d.a nd maintenance awes to the fads constructed under this permit v+ tin City p1r pertylripttl-t f-wa? ate. : J3 srrE ADDRESS OWNER NAME:: TELEPHONE #:?_ (AREA cofl21 INSTALLER NAME: - TELEPHONE M 2 ? ,( STREET ADDRESS: c_ .?J CITY: 'ATE: ZIP. SIGNATURE OF PERAT`tEE CITY USE ONLY LOT PERMIT-#t: RECEWT #; ! CIL; 1, i 1,;,,r REtIPT DATE. .2000 IVJaC Z V ZFaUT (ft TuL) t= or saam 3$30.. PILOT ARC RD X i lil 55122 w681-467S - C ktm this $Zefift &I& if you a? a ' I ag HVAC in a single fammily ch 1 , tavwnhom or cc*d& =du • HVAC: Ar 1Q$ iii i T iJ ;: 34+(lt AU;, BTU { ? 00 outlets (MiIo1lititri of one t?E{ (1?' $3.00 fpc}, Total $ t awr a .? iip• 1 j1 to or Act' if '• ou are d l if j y.? . ?y r if itis ?i\?R"hemp aftwation,o foow ash"`` W New ACbaratirn R+espi?r ?,", ._; c eing fee > - _ 3040.0 ' .. -- ... - Sta tG swdnrp 050' Total <3 V n3V " , CON, ' hLcpect Own NAW--.6 oom PHONE • Y wv?^f AMMS: ?tiy: 17 STA' : 2V' s. , r i G tA'TUR'E PE"T`TE 1 crryuwmy. APPROVED SY: INSPECTOR RFC ' DATE:_____________ +L' 'PY or JUA" 3$3O LO ' MOB AD SS1.2Z 651-691-4675 P . b %r "oh d*o" t t ( may, NM >?h n I?Y f g ? % DA : WORK TYPE: _. um pct ?.,,?. . lam V.L« Took aryl l I ??YMi?l4 Pow".U6. To*R 04, **Como PWM IT R -1!111 ? Yt'N n o 1 - Few 1% of comma poet SAM *. in, *hkhar r is Unwavowd t k o7aY taw== f S 1 s a * f o r Mth S = A& S% s ?U$& ?'NW NAM: -PHONE : T NAN T NAP±! E kt7VE QN ,Y}: WA3 THiE1 A PRtVWW OM " IN THIS SPACW Y _ .; N. NAM- . .. ,. - a ADDRESS: PHONE M ca ASK- RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN . 3830 PILOT KNOB. RD - 55122 651-681-4675 t:S?n Reauinmsrrts 3 registered she surveys stowing sq. ft. of lot, sq, f . of house; and Of roofed areas 0% nom" lot coverage Mowed) 2 copies opba showkig bean & window sizes; poured food design, etc.) I set of Energy Galcu>ationa 3 copies of Tree Presnvtlon Plan if lot platted after 7!1193 Rim Jost QetaY Options select sheet (badge wfth 3 or less orate) )ATE VALUATION 108 SITE ADDRESS 3 $-<3 $1' V% 1'/ .r' / F MULTI-FAMILY BUILDING, HOW MANY UNITS? 'ROPERTY OWNER C? s c ! YPE OF WORK t?,c-k FIREPLACE(S) -q .:.,_1 '_2 -3. APPLICANT s cq PHONE WDRESS n W ZIP CODE .s/a 'AGsER S8?'•8 7c9'/3 CELL PHONE # 6/a ^3?.?'~ YcYocT' FAX P n /o 5?.98'a, NE=W RESIDENTIAL BUILDING ONLY FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category I Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted j Plumbing Contractor. Phone Plumbing System Includes: Water Softener Lawn Sprinkler, Fee: $90.00 Water Heater - No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: - Air Conditioning Fee: $70.00 _, Heat Recovery System Seweer/Water Contractor Phone # #ii above Information must be submitted prior to processing of application. hereby acknowledge that I have read this application, state that the information is corrects nd agree t©`lv'ompi A applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant 'e ti#icates of Survey Received _ Tree Preservation PI Received Not Required - . Updated 1/A1 O 30 Acaty Bldg' ? 31 Ext. Alt -Multi 0 33 Ext. Alt - SF ? 36 Muffi OFFICE USE ONLY 7 01 Foundation 3 02 SF Dwelling 3 03 01 of __ plex 3 04 02-plex 3 05 03-plea 3 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex W18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_,Y or _, N ? 20 Pool 0 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous 31 New 3 32 Addition 3 33 Alteration 3 34 Replacement ? 35 Int Improvement ? 38 Demolish (interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof 0 46 Windows/Doors *Demolition (Entire Bldg only) : Give PCk handout to a}oIicant 02 taluatlon 7 ©D( Occupancy MCIES System wensus Code Zoning i- / City Water AC Units Stories Booster Pump 4br. of Units" Sq. Ft., :PRV 4br. of Bidgs / Length Fire Sprinklered ype of Coast Width REQUIRED I NSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) b Final/No C. O. Footings (addition) 7 i 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 is Fee - ---- ------------ ---- -- -- -- -- Surcharge clan Review AC/ES SAC `,ity SAC water Supply & Storage S&W Permit & Surcharge reatment Plant )iumbing Permit Aechanical Permit .icense Search :opies )her rotal Date: City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: 5.11 I L ( Permit Fee: (1 J a Date Received: Staff: 2016 RESIDENTIAL BUILDING-�PERMIT APPLICATION di/IS l�fl Site Address: S3 ; 1;17/ f 77h Unit #: s lent! mer % • Name: t a t/ U''d1 Phone: ‘S/ St/I ©7v �� Address / City / Zip: Z Applicant is: Owner ' Contractor Description of work: Alt® l i4 441 Construction Cost: Multi -Family Building: (Yes / No ,C ) r r Contractor)`" Company:'Pe` V. fetremleatt Contact: Cie -eft - Address:< � / it LL City:c I t fel Stater Zip: Phone: Email: C 6 42 ,/,, ? 6pA License #: ed_ wyS Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No 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? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: OTS Plans and supportingoco nts t at u � » � tiered, ®� pr lr infori the infora on m r Abe cias f n public if , u ovinespecific rea chide tha Y ecra Portions CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code mune completed within 180 days of permit issuance. Cfl�i7LC'C Applicant's Printed Name x„.- Applicant's Signature Page 1 of 3 ,Lt (r 'L Use BLUE or BLACK Ink CityofEaali lJFor Office Use • Permit#: 141 ri Permit Fee: 0.6� 3830 Pilot Knob Road MAR 2 7 2017 Eagan MN 55122 Date Received: I Phone:(651)675-5675 Fax:(651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION -� c `V Date: Site Address: \ \\--oe--e ."A-7,-;14 Unit#: Name: (3Y-e---C. Y-N Phone:it/`t Z -7`r Resident! �) owner: Address/City/Zip: Se'. t'1�� .� tk5. Applicant is: Owner ( Contractor i Description of work:, 3 e i. `� Ven 1�/1 I A C�t4 S )---e�'pi W� ( p � Construction Cost: /!C Q Multi-Family Building:(Yes /No ) CompanyWf, �,-- ,y �u C a i l CC3.- Contact: E1 C�' Y t✓ `� Contractor Address:G ' 7 I -1"i ', c -(K City: 1. Lf.�f S Vl 1/(-9<_) 77 � �'�/ °` Zip: �" Phone: 951- , /SEmei1C�/ � � Ll� ✓ i4 State i✓ I; L 'Cie, License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:"Plans and supporting documents that you submit are considered to ba ppubifc information. ons of the information may tie classifiedatsnonipublfc if you p, ide * roosppiihittwouldpeiiijit4heO* 'f conclude that theye secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(851)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.oro 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 , = ust be completed within 180 days of permit issuance. / . Appl cant's Printed Name plicant's Sign. .v Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA167649 Date Issued:03/24/2021 Permit Category:ePermit Site Address: 3853 Big Timber Tr Lot:2 Block: 2 Addition: Gardenwood Ponds 4th PID:10-28803-02-020 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 - Gregory W Tste Ahlstrom 3853 Big Timber Trl Eagan MN 55123 Ray N Welter Heating 4637 Chicago Ave S Minneapolis MN 55407 (612) 825-6867 Applicant/Permitee: Signature Issued By: Signature