1149 Blue Heron Ct
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. (612) 681.-"76
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Witi) af Wagatt
wevartraent o? euirhbis 3x4pecrion
This Certificate issued pursuant to the requirernents of the Uniform Building Code
certifying that at the time of issuance this srructure was in compliance with the various
orrdinances of tire City regulating buiiding construction or use. For the following:
Use Ciassification: C!i TLt^ Bidg. Pertnit No. 2 I94r"
Oocupancy Type __?,,,?, -. •? Zoning District R 1 Type Const. VN
Owncr of Building UE WIjij]AJOW M_IM Address D n pl1X 74399, APPf F VAT IEY
Buildin8 Address I 11+4 R1.ijR EERM Ca1RT l,ocaliry T.?, R2, Sf' FRAWIS WOM 6TR
D2LC: / .. , . , ? _.
- BlLLbln$ OffiQal ?
POST IN A CONSPICUOUS PLACE
Address 1149 BLUE LERON m= Zip 5512?3
Lot 2 BHc 2 Sub S C FRANCIS WOOD 6TH
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)
Pertnanent 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
19
1 ????
7
28248
02
• • ??
°?
Request a FI? o. Rough=n Inspection
Re
d? NOTICE: You Must Call Electrical Inspector
I
If A R
h
I
ti
, q
es L No on
oug
-
n
nspec
Is Required.
I licensed contractor Li owner hereby request inspection ot above electrical work at:
Jo A re s Box r te NoJ
.
St l
t
, Ci
S ion No. wn ship Name or No.
o Range No. Co
\/,
O u a (?RINT)
m I P
r )
__ 0
10
P p lier Addre
c[ Contract (Compqny N e) tra r5 Li
?•
i'n Ad ? traqo or er Making Inslall tio?J_
?d
\ ?
Iriz d ignature MractorlOwner
• , . in r I
MMNESOTA ST3tTE BOARD OF ELECTRICITY THIS INSPECTION RE4UEST WILL NOT
Griggs-Midway Bidg. - Room &173 BE ACCEPTED BY THE STATE BOAqD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
/0/?9/?j_
M 28248
REGIUEST FOR ELECTRICAL INSPECTION
ji? See insiructions for completing this form on back of yeliow copy.
`x Be1ow Work Covered by This Request
'?'a°•; ' EB-00001-08
/0r5o
.??
e _ d Re . TypeofBuiiding AppliancesWired EquipmentWired
Home Range Temporary 5ervice
Duplex Water Heater Electric Heating
Apt. Building Piryer Load Management
Comm./Industrial -woo urnace Other (Specify)
Farm Air Conditioner
Olher (specify) CoMractor's Remarks:
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Abov 0 Amps
SignS Inspector§ Use Only: "IN T AL ?
Irrigation Booms ? •d
?
A05
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby Rough-in Date / r
?
certi that the above ins ection has
? p
been made. Final Datei
OFFICE USE ONLY
This request vaid 18 months from
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES E1ND
CONDOS WHEN PERMI'I'S ARE REQUIRED FOR EACH UNIT.
---------------
NO. FIXT[TRES EACH ZQ
? SHOWER 3.00 6.00
0
IA
4 WATER CLt7SET 3•00 '
? BATH TUB 3.00 . o 0
-? LAVATORY 3,00 l 5. ? v
-T^ KITCHEN SINK 3.00 ? • ° `?
LAEJNDRY TRAY 3.00
?T HOT TUB/SPA 3.00
00
3 _
3 '
T WATER HEATER •
00
3 3 .
FLOOR DRAIN •
?- GAS PIPIhIG QUTLET • mFnimum - 1 3.00
C) ROUGH OPENINGS 1.50
WATER SOFTENER 5•00 ?
PRIVATE DISP. • naLcty. lcc. 15.00
U.G. SPRINKLER • bome under const. 3•00
ALTERATTONS - ?o oos<ing 15.00
WATER TURN AROUND 15.00
STATE SUFtCHARGE .50
T4TAL:
SITE ADDRESS: ? 1'*V`? ? ? ?-W-
OWNER NA.ME:
iNSTALLER: ?-
ADDRESS:
ZTP CODE•
CTT'y: STATE•
PHONE #c (?1`L) 14L-?? ;-) --lD, 0
SIGNA7"URE PERMITTEE
1993 PLiTMBING PERNIIT (RESIDENZIAL)
CITY OF FAGAN
3834 FILOT KNOB RD
FAGAN MN 55122
(612) 681-4675
1993 PLUMBING FERMIT (C4MMERCIAL)
CITY OF EAGAN
3530 PILOT KNOB RD
EAGAN MN 55132
(612) 681-4675
PLEASE COMPLETE FOR ALL COMVIERCIALJIIVDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMILY BUr. DING5 WHEN SEP.ARATE PERMITS ARE NOT REQU'IRED FUR EACH
DWELLING L':,.T.
idE'W CONSTRUCTION
ADD QN
REPAIR
woYUC nESCittPnoN:
CONTRACT PRICE: $
FEE: l% OF CONTRACT FEE.
STATE SURCHA.RGE $.50 FOR EACH $1,000 OF IFMMIT FEE,
MINIMUM FEE: $ 25.40
.. . . . .
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TUTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER h'AME:
INSTALLER:
ADDRESS:
CTTY: STATE:
PHONE #:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
PLEASE COMPLETE FaR SINGLE FAMILY DWELLINGS. ALSO, FQR T4WNH4MES AND
CONDOS VvHEN PERMITS ARE REQUIRED FOR EACH LTNIT.
- --- -------------------------------------------------------- - - - ---- ---- - - ----
NEW CONSTRUC'I'lON
ADD-ON AJC fiDD-ON FCTKNACE
nATE zl - /- IS
UEs
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
?
GA5 OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-QNlREM4DEL (ExIsnNG CoNSTRvcrIorr)
STATE SURCHARGE
TorAL
StTE ADI]RE55:
OWNF"cR
INSTALLER:
ADI?RESS: A
GITY:
TELEPHaNE #:??-????
_f
$ 24.00
6.00
?.?0 v
$ 13.00
.50
?S-a
T'ELEPHQNE #: L?!
i
STATE: 2n)' ZIF C4DE: ?.???JW t5
1993 MECHANICAL PERIVIIT (RESIDENTi4,L) ,
CTT'1' OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN S5122
(612) 6$1-4675
1"3 MEcsAxicAL rERMrr. (eoMMERCi?ai.)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FaR ALL Ci7MMERCIALJINDUSTRIAL BtJII.DIlNGS. ATSO CQMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMTLY BE,IILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNI7'.
DATE:
NEW BUILDING
INTERIOR IMPRQVEMENT
CQN'IRACT PRICE: S - -
WORK DESCRIPTION:
FEES
1 °?'o OF CONTRACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE. $25.00
STATE SURCI-iARGE $.SQ FOR EACH $1,000 OF !.?!? _.M FEE.
TQTAL $
SI'TE A']URE5S:
OWNER NAME: TELEPH4NE #:
TENANT NAME: (]MPRdVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZFP CQDE:
`TELEFHONE #:
5IGNATUP E OF PERMITTEE i-TT'Y INSPEC'TOR
RESIDENT1Al.
BUILDiNG PERMIT APPLICATIOH
3830 PILOT KNa R?a -557Z2 s? C)
831 481 -4BT5
Nwc???? ?mbaft
• smgMerod ske eum" Wowing sy. s. of Wt ea. iL of nmm; sM d matea arm
(2096 maximun lot coverage aNowed)
• 2 Copin 04 plan WioMnp bmn 8, windw saea; pouiod found design; e6c.)
• 1 set of Enwpy Calculdm
+ 3 copies of Troe Pffis,rvmion PIan # Id piebd aAu 71t193
+ Rim Joiat Detd Oplions eelectlat slieet (bldgs wli 3 or bs unb)
1--a-,- 1-1- o (
a z,oopin of plan ------- T-_ . . ,"?.,,.?
• 1 set of E aAkio?s : Aor bea?etl edIddt?B .
• 1 aibe ?fcr C,? iedebr additlom & dedw,
• Indi?e M IKKhe ?ved by iep?C ? 11N' a?Fat
DATE ! 2 - IL-{ '" o j VALUA7`.1ON
JOB S1TE ADDRESS 0
IF MULTI-FAMILY BUILDING, HQW MAMY UNITS? '
PRGPERTY OWNER
TYPE OF WORK i3G I-e= t'#- FIREPLACE(S) B,;?„ 1
.
APPUGANT ?? cka•?.1 L? C\?,rv ' pHQ?E# 01?f
? ,.,..?....,......_.. , , .
ADDRESS r'v,r. our?' .Ss'I ?
iwCom 0 .. ,..., ? ?
p*M 93Z-277-147o4 CEIL PHONE # (91_7-^ ?9I -- ?ZJa FAX # 43t z"77;-27
Uo oiL K. ' h/o i t? V?/??.? n?'--• .. ?-t?p
MIEW RE IDENTIAI BILDihl UNLY - FtLL C)UT COMPLEMLY
Er,ergy code category _ MTNmFSOTA RULFS 7670, CA'1'EGORY 1
(chsck one) - Residental Ventqatisin Category 1. Workshes# 3ubmited
- Energy Envelope Calculatiors Submitted
Plumbing Contrac#or.
Plumbing Systern Inctudes:
MINNESOTA RULES 7672
- Newu Enerpy Code Worksheek S?;ibmitted
_ Wat,er Softener
WaLer Heaber
_ No. of Baxhs
Ph4ne
Lawn Sgrinlcler Fee: $90.00
No. of R.L Baths -
Mechanicol Conlrartor.
Mechanical System Includes: _ Air Condidoning
_ Heat Recovery 3}rtstem
Sewer/Wa#er Contractor.
All aboae informadon must be submitted prior ta processing of appltca#ion.
wtione 0
Fee: $70.00
.
Ptone #
I hereby acknowledge that I have read fhis appliccttion, state that the informa#ian
with ali appficable State of Minnesata Statutes and City of Eagan Ordmances. ?
2grmture of Applicant
Certiiicatss of Survey Received _ Trse Preservation Plan Receivecl - MOf Requirsd '
. :.. U: d:,, i_!n
Updoftd 1101
OFFtCE USE O[VLY
O 01 Foundati?on
O 02 SF Dwelling
O 03 01 of _ plex
0 oa o2-pleX
O 05 03-plex
O 06 04-plex
0 07 og-Am
O 08 06-piu
0 09 07-plex
o 1,0 o8pex
0 11 90-pleac
O 12 12-plex
O 13 t6-pbx
C] 18 FireplM
D 17 Gerage
o Ia ueak
o 1e LWAW UWOI
P{bg,_,Y or ,_ N
D 20 Pool
13 21 Porrfi (3-se.)
0 22 PamrAdan. (4-m.)
C) 23 Porch (wmened)
0 24 Stan» DanMe
O 25 Misoepianeous
C! 30 IAmmiM BId9
['3 31 EA Alt - multf
a 33 F.xt. A1t - SF
o se Wld
0 31 New
O 32 Addidon
0 33 Alteration
D 34 ReplacemeM
Vsluation
0 35 IM Inqkpvartent O 36 DemoNsh (tMerfar) p 41 Sidkg
0 38 Move SM9. O 42 Demc?lish (Faundatbn) O 45 Fire Rspiir
0 37 DertiolNh {Bldgp O 43 Remof E3 40 WfndowslDQOre'
"Domdlon 010IM 81dq oNy+j •0hr! PCA hmtbut to appltcant
Censua Code
.-? ZcynkV Ci#y Water
SAC Units stories ` Boaeter Pump '
- ?
,Ntx. of Units 3q. Ft PRV
Nbr. of Bldgs ? Length : Fire Sprinklwed
Type of Caist . _T Wid#h
REQUIREE3 IN3PECTION3
_ Footmgs (aew blcig) Fiati/C.O.
-- F°°hngs (deck) F?tUNo C.O. .
-- F°°tinp (additi°°) plmbing
_ Foundatian ? HVAG ,, .
_ Drain Tile -
Roof _ Ice 8t Watet Fimil pdier
- Franing Pool ? Ftp Air/fias Tests Pinal
_ Fireplace _ RI. _ Air Test _ Fiml r Siding Sduxo Stone
- InsWation ? winav.vs (iww/repkcemont)
APPnWW gY- IroPector
88se Fee ?
Surcherge
Plan Review ,: .
MC/ES SAC
City SAC
Water Supply 8 Stordge
S8W Permit 8 Surcher+ge
Treetment Plant
Plwnbing Peffnit
Mechanical Permit
Lkense Search
copies '
Other
Total
,
,CIT`? OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
P ` ?L
BUILDING
021941
09/14/93
SITE ADDRESS:
1149 gLuE MERnN cr
LOT: 2 BLOGK: 2
ST FRANCT5 WOOD 6TH
P.T.N.: 10-65905-020-02
DESCRIPTION:
5 F DWG
NEW
R-3 M-1
V-N
R-1
64
? 58
REMARKS:
S& W PLBR - MATTHEW DANIELS P1.8O
FEE SUMMARY
Base Fee
Plan Revisw
Surcharge
sac
SAC %
SAC Units
Subtotal
$2,419.93
$19e,eee
MISCELLANEOU5 $1,744.50
Total Fee $4,164.43
CCINTRACTOR: - Applicant - ST. Lrc. OWNER:
WIN(iW00f1 CO TNC 18914605 0002197 THE WINDW0017 CO TNC
P 0 BOX 24329 P 0 BOX 24329
APPLE VALLEY MN 55124 APPLE VALLEY MM 55124
(612) 691-4605 t612j891-4605
?
I hereby acknowlsdge that I have react this appllcACiorr 4C?d state that° the
informatinn is correct and agree to comply with all ap,pl3cab7:e 5tate nf Mn.
utes artd City of Ea?c?an Ordinances.
S7C,
i - APPLIC T ERMITEE SIGNATURE ISSUED . SIGNATURE
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
VALURTIQN
$554.50
$620.43
$96.00
$750.00
100
1
-j
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Ln r: 2 sLo G K: z APPLICANT:
1149 BLUE HERON GT WINDWQQD CO ZNC
ST FRANGIS WOOD 6TH (612) 891-4605
PERMIT SUBTYPE:
S F DW6
TYPE OF WORK:
NEW
euzLoiNG
021941
09J14/93
INSPECTION .A . .•
FOOTING FRAMTNG
INSULATZON FTNAL
FIREPLAGE
REMARKS: S& W PLBR - MA77HEW DANIEI.S PLBG
1-
?
?
REACTiVATE ti ?."
PERFI I T 1 U
cirr oF EaGAN
1993 BUlLDtNG PERMIT APPLIGATION -4110-43
f 81-4fi75
SINGLE & hiULTI- ` -=s vf plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8? structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applie5: 1) when permit is typed, but not pickecl up by last warking day of manth
in which request is made, 2) address is changed or 3) 14t change is requested once permit
is issued.
Date Va1 uation of work
Site Address: 114-9 '?&,jr Fteat?
STREET SU17E t
Tenant Name: (commercial only)
LOT Z BI.OCK Z SVBD. ?, c?? ?
T P. I. D. o '
Descri tion af work: ?
The applicant is: Owner Contractor 0 Rther (Dtscfibe)
Name Phone
Property LAST f1RST A-1 ?
QWneT ? i°'x
432
9
,
Address
?
- -
&Tf ?Y
S?REET
? State n2nl Z i p
?Pl
Cit
.-
y
Company Rhane
C011t1'aCt01' Address License # Exp.
City State Zip
Company Phone
Architectl
Engineer Na"'e Reg; strat; on #
Address - --
City State Zip
Sewer & water licensed plumb€r Ak-j. roces sing time for
sewer & water permits is two days once area has be n approved.
I hereby acknawledge that I have read this a licatinn and state that the information is
correct and agree to camply with 11 te of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
L.)
4FFICE USE ONLY
@UILDlNG RERMIT TYPE
13 01 Faundatian
0 02 SF Dwg.
0 03 SF Addition
? 04 SF Porch
? 05 SF Mist.
WaRK TYPE
e31 New
CI 32 Addition
O Ob Quplex
? 07 4-Pl ex
? 08 8-Plex
? 09 12-Plex
? 10 Multi, Add'1.
? 33 Alterations
0 34 Repai r
r, llu f
M ? *
w ?
.. , .
? ' .r.
?.. .
? 11 Apt./Lodging *w-0 Zb Bltsftlht Finish-
? 12 Multi. Misc, C] 17 Swim Poo]
? 13 Garage/Accessory ? i8 Conm./Ind.
? 14 Fireplace ? 19 Cumn./Ind. Misc.
? 15 Deck 0 20 Public Facility
? 21 Miscellaneous
O 35 Tenant Finish CI 37 Demolish.
? 36 Move
GENERAL'lNFaR!lAATION
Const. (Actual) V-N
(Al l owabl e) V_ N
EJBC Occupancy R3 M_1
Zvning R-?
f of Stories
Length by'
Depth sg'
APPRQVALS
Basement sq, ft.
lst F1. sq. ft.
2nd F1. sq, ft.
Sq. Ft. total ?
Foatprint 5q. ft.
On-site well
On-site sewage Planning Building
Engineering . Variance
REQUtRED iNSPECTIONS
0 Site 13 Faoting
? Wallboard O Final
? framing
O Draintiie
? Insulation
? Fireplace
Permit Fee v.tuation: 811n0 QOO
Surcharge
(
q
Plan Review I aY
A&C ? ,34
n x
MWCC
SAC
c i ty sac
Water Conn gs Mr ;? ?7 9 z???= 1 Z, 6"? 2
.
Water Meter
Acct. Deposit
5/W Permi t
S/W Surcharge
7reatment P1. Firzs-c Ftoo,&?
Raad Un i t ,
g,3MT Im,
Park Ded. Z )4,9_
Trails Ded.
f z
??"7'
Cap i es -- `I o? ?ISta
---
`
Other 1o5
x 5q--
Total :
5AC X
3?1
? I 1? C
`b?
SAC Units ? "
l?
93g
MWCC System r
Y
City Water ,,.
YES
PRV Required ?
8ovster Pump
Fire Sprinkler
Census Code
5AC cade ar
!
Assessments
'G71/33r
/
?
2e30 METao oAive
5U17E 523
9LOOMINGTON. MN 55425
612/854-4511 1 "",
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'?-To p o?' )-?r- 944. 3 J' ..r_13?_
f'
c #4h Gr? 7- 119 - 5'
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I hereby certify that thzs R1an,
saecificatian, ar repoR was prepared by
Me. vr under my direct supennsivn anc3
that I am a duiy Registered !'rofessional
Enginesr under fhe Laws of tha e of
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t3ate No.12113
_ .?.'_?? a?:^:a:W"r?,•?
• 28$0 METRQ ORIVE
SUITE 523
? VdAify that this plan,
11Lo2/85?
speci cation, ar report vvas prepared by
me ar under my diract supervisivn und
that I am s du+y itiegistered r rofessiana!
Engineer under the Laws af the State afi
Niinne ?t . .
.01
1W*P0.32??-3?.
Date p
?f1-S 7"
?2.
.? ,
Projects? No.
SubjeCt a
?. !?!tlf? G.J !?'TTl?".?a r"'r ?.?.,?- ???i? ? YS J C..
By pate ?? ?' ? ?Sheet ?
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e op /
9sg'o
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2850 METRO DRIVE
SUITE 523
Bl00MINGTON, MN 55425
6 8 -<511
t2/?`iereby certify that this p an,
specification, or report was prepared by
rre or under. my direct superv:sion and
that I am a duly Registered Professional
Ergineer under the Laws of the State of
ilfiinneso •
Date Reg. ?o.12113
90 7, s
3
.
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ate heet -s
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SUIT 523? ? ?Q%16Y ' C@rti{y thai tfll$ pian,
, ,
sLo?ed?rcadaotisor report was prepared by
s,z/"idsbr under my direct supervision and
that ! am a duly Registered Professional
Engineer under the Laws of the State of
Minne t . .
Oor
Date ??9T 93 Reg. No:-121 13 /
?
Project No.
Subject
,
Date?4 Sheet
By ?
?-
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• 2850 METRO aRIVE
SUITE 523
B lQOirtl PIG70N, M hl 55425 ? a? ?
qzra"?by certify that this p
specification, or r iae twu?ervi? ?nd and
me or und..r my
?hat 1 am a duty ReCisteTed Pro#°ssional
Engir?eer under the l..aws a?' the Staie of
t4'?inne? .
Date ? ? , Reg. No.12113 !
I
r
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Project_..?? NQ'
Subject
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GNGINCOUNG
COMPAN.Y? I N C. .
?.......a,1oap ?sT J4e? sa?FaT, aur?t?sv«.?.E, us?rFrE.or?? B:aa7 Pii ?3?-aooa ,cac? '`trt.r-?? . .
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PRAINAGE RND -e--
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hoireby cartify that this is af?i?u
«d 49 :havn' and dcncribed hereor??
Iv?i' , a.g?. .
?+?+?! B?r9-9a . a???7"rcc?i Z?+0"r FraVz
66
• ' m F'!N1'?F+l?p ?AJ?"I?ICsX FLODR`
?'LEVATI'QI?1 '
_._._ ....._ .,._.. ..._..._ _._. _..._ -.? M.04 ? m?rl&rr' F?oR E?rrR71?1
?
' Il° ? f ? = 7?P ?t? ?vt?wCaATI ?i?1
Ev?E oF E ? ?YATlonl .
wE?rcAuD
DRAIAIACr? q ?
? ?'A5 ENJE,?r
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c, ,0,`2 o?x• a?'NoT?s Exrs`f1?IG ?lrVA7?bN
(94715 ) 99NO??i ?RO?5?D E?.EVA?QN
?_,,.• JNalCATES DIRECt"ION OF
,SURFACE DJ?Afi?q?r?'
`107 $3
'? ° °` ? ffv ?„
a0 sn f
??; ,. _? . ?+?.?;aJ4,?
N
?
07=51 Husg9p2,
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w:..-•., '8u,t?lNG s?rf3AC?? ?.fNE
? '9oi. j
_ .
?07._03l
a and corra?t rapreaentztiat? af a txact of
. h a g r a par n d b y m a a n t h f i day lpf
. • ? ?
??? ninn* log. ?No.?r
? LOT SIIRVEY C$ECKLIBT FOR RESIDENTIAL
? w HIIILDTNG ERMIT APPI,ICA I
? SJ ? PROPERTY LEGAL:
? a m
? K ? Date of Survey:
K DOCOMENT STANDARDS
.Er 0 0 ? Registered Land Surveyor signature and comgany
i1"' 0 ? • Bui.lding Pennit Appl icant
0.1" ? • Legal description
500EK-11 • Address
[3? D ? • Nortta arrow and bar scale
[r- 00 • House type (rambler, walkout, split w/o, spiit entry,
lookout, etc.)
? • Directional drainage arraws with slope/gradient t.
?'? • Proposed/existing sewer and water services
C? ? • Street name ? ? • Driveway
ELEVATIONSExistina
? ne" 11 • Sewer service
9' 0 ? • Lot corners
Q" ? • Tap of curb at the driveway
? El • Elevations of any existing adjacent homes
Proposed
C?? ? • Garage floar
? ? ? • First floor
?? ? • Lowest exposed elevation (walkout/window)
?
? ? • Property corners
_
?? ? • Front and rear of home at the foundati4n
PQNDING AREAS if a ZicabZe
? 0 • Easement line
0 0 ? NWL
. 0 ? ? • HWL
p 9;?'t • Pond # designation
0 ? • Emergency overflow Elevation
DTMENSTONS
?? [7 • Lot lines
?Q 0 • Right-of-way and street width (to back af curb)
p 0 • Froposed home dimensions including, any proposed decks,
overhangs greater, than 21, porches, etc. (i.e. al.l
structures requiring permanent footings)
J?0 ? • Shaw a11 easements of recard and any Caty utilities within
? those easements -
,
? p • Setbacks of p sed structure and setback of adjacent
exi:sting ho
D ? • Retainin r ir ents, if any
?
Reviewed:
N e / te
October 1992
fz.4 F'": = :....???:.?.._. ._.._.. ___. . .. _ .
P 82
. f / • ? 1
.. ALd A"W/1t+f,?,
! 14750 Calaxie Ave. Suete 104 '•
ApplC Valley, Minnesota 55124
(612) 432-2444 '
E3LTT,TTOR F.NNETAPE AVERAGE "U" OlMPtFrATSOId
NLVE C,?- ?' 4 /,VOGL'. PLAN MY= ,Id - Z -5
Detemdne arorktng square faoCage af each ..._.?, ,
a.. Total e.xposed wa1l area....... C1 S c,vsq.ft. x.11_.
?,
2. Total roof'lceiLi.ng a.rea. , . . .. sqa,fta x .026
?
4
Total exposed wa1.1 araa above floor = Cl ?S '
a. Tota,]. ?a11 wixadovr area . . . . . . . . . . .. . . . » «. ?. :, 7..0o ?-1
b. q-'atal daar area ..............o..........
o . Total qiiaj.rg giass aoor area. . : ? . . o . . . .Y /,r z ?
a. Total Pirepl.ace vra,71 area . . . . . . . . . . . . . . .? ..
' @ • Total VT2l1 ftwdrg 3X`ea (aV@Y'^'e 10%). . a ? °...?'2 . ? ?
f . Total net tva1l area above floar......... 2 '71,c
g. 1 V ti4l rlm Joisli G1 4a o a ....a i .....e ...i .• 5q L^ . 5' '
Total exposed f ourxat3ort area = 1.5 7
h. Total fourdatian wirxdow area. o . . . , . . . . . . ?--
i• Total net Fourdation area above grade a a• J? ?? r?
i 1JGllell•, , ne trU-t Value of each walJ. ?egnenV
a, x 117i11 a52 ? ,???.t'•.3 t'!?
..?................... , . _----_--_ _ . _ -'-' ---•
' kJ . X trUtl ? 139 - ."} .
.....,..?...?.,.?.. --
? x ItUlr ? ;
. ._ S ?i s Z.L
c' . . • ?__,__ ..'r7
?.
dr X 'IV'. •6$ -. rP-
8r .7[ uCiu .096 - ;? 'cf, y'^?.? ,
. ?• ..______._ - - --- x uV, .043 9• X "Ulf .041
.
?-
h. ? x fil?!i .52
?. - ?- - --
?.. X "U" . i3B2 r',., ?il
. ?
. . . ?r- SUJ.tLJa ? r o?fy ??r ? i a r..z.a a a v.m a a a..e v.
I
Tf iten #3,is the same as, or less than item #1, ynu ha.?ve
met the intent of SBC 6006 (C) 2, •
-i
. . _ ._ . ..,. _
?'_.R=95% 09-13-93 10:19AM P002 #09
P 03
;?a;' • ..,••?r -r.?+, .. tn•, :.ti..;..:.:.:.-?s: •: •, :r`xL•• . ,w: , a.., .. .
?c.?i•a?' . .?..5'i?:-5?.._. .._. ..._.?._..???=' '???:... .-•-_..._ ? .._ --'- --
4 • t
' r"O"I'r8.i P.]CpOSEd rCSOfICedlirg arec'L -
Thtal erass roof/ceilirg area =
? • 147 VELL ?sky.-.^0ht area + .a .i ....a .r ! .a o a ? o?
k. fintal roof%ceit.3.x.ig S'i^.-mi.ng axVa. o. .. o.
1. Total nat instilated raoflceilirlg a.xmea . 'Z T_OG I'L
I3eternd.rle "tJ" value far ea.ch roof/ce.ili.r4g seament
X
-- - - .? --
k, ' X r'Lr' .024 l .
_.?.?. -
1. )C "tJ"' . 022 - ,? "Srt Z b
?„-
? . TC3TAL . . . . . . ... . . a ? . . . . o . . 40 . . . . . . . . . . . . ?,v. ?. ? l
If total a? #4 is the same es, or less than #2,, you rarre
met the 3.ntent a£ S13C C006 (a) I, ..
To utilize the tcatal erive].ope systern method„ the va,].ues
established by the sLn df items #3 and #4 sha.1.l not be .
greater than the st$n of itms #1 arrl F2,
1• +
- - - -- -- ? __ ?
,
3. -2 + 4. -5?-1q. rq
- -???-- -
I-'?3?8Y'.2?.5 `?78YY(k?.7. 2"BS?.Sti?"iC@ es?i?
Exterior i7.Lr .a.a m..a a
• : Sidi-bg mk1tBl'ir1l . .... .
?''he3th?. . . . . . . . . . . .
. ?,.?..?.....+......o
IYlSt1l3t3.O17: 0 9 ? . . d ? . . .
LlI3Cet].'ock a a.a.. a W a.r r_ .
A.i1tC1-1?r air, a. s• x.o s
Q V l1[.i?l u w? n? a a o?? e? ? a??
1 WJlti r o ? ? ?? Y i??? ??? P a•
Gi.l?crete b1.ocks ......
I -2-
R=949d _ R .
09-13-93 10:19AM F003 #09
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use �
Permit #: Z`-%% '" t 3 -2 --
Permit Fee: l v�
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Unit #:
Resident!
Owner
Name: AJ I 12\41 Phone: G S - '' a4i y " nj,S3-Cj
1
Address / City I Zip: 11 Lk 9 Q,Wi e..k(9v. C,--
Applicant is: Owner lcContractor
Type of Work
Description of work: \2-006k-5
Construction Cost: R w4^- .0 Multi -Family Building: (Yes 2.±...12
Contractor
_
Company: `1A9_. 0 '1\f4.0 ti.) Gr2 ' IC.S LLC€ontact: &ue- kix 5 G5i fspb
Address: 16)-1_,D (Q, d Q— Pock \-€_. Girt-vs—City: y kt;a Q v
J
State: 1'41n) Zip: S3—I 0 Phone:
License #: i.( j 'od S Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
2s )ok- L9 -1-%
In the last 12 months,
Yes No 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:
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.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 MinnesoState Buildin• Code must be completed within 180
days of permit issuance.
Applicant's Printed Name
-s
x
Applicant's Signature
Page 1 of 3