1157 Blue Heron Ct+t. E ???N
RECOR-1
?.
SM-aF EAG4N
?o ?bt wnoti Road .
Eikga,, MimesoW 65123
(812) fi8t-4675 '
$ITE ADDRESS:
'2 f!? ' ttL 14 E. !it_#t(?N I!
I.Ji)Ult r, i }f I
o- PERNT SUBTYPE: r, I
4 .?. Il W l:a , . ?
t30'?tlMr;;. ' F-011F4Oi11'ION
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t?r.?t?t?t?° rN (11 06 ? f,ia?i 6f) iN H 16
i"1 ttA! f'! Etci F( N A i.
14 t:iqltftV'.s :S' h GJ G1.lN?ii'Af:titld . f,t f.tJl_ €'1.?lMtN 11413
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Wertificate vf ccrioanm
Mt4 of Cfagan
?epartment of isui[bcag auepection
This Certificate issued pursuant ta the requirements of the Uniform Building Code
certifying that at the time af issuance this structure was in compliance with the various
ondinances of the City regulating building construction or use. For the following:
Use Classification: SF DW Bldg. Pertni[ No. ZZS lO
Oc-p-Y TyPr R-3lM+ I Zoning District RI _ Type Const. VN
Ownerof Buitding PEDER.SCXd HCHES Ilr Address *IS 11 14 Tl Q w-.ROSMW
Bwkiing anaren 1157 ffi11E HERn MiFtT LrAiry iA, R2} ST FRarx'TS wmn 6'tH
Due:
BuiWing Ofrwial,/ " `
POST IN A CONSPICUOUS PLACE
Address 1157 NM HERON COM Zip 5512 3
, , • -
Lot 4 Blk 2 Sub sT. FRANCIS WOOD 6IH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: Z9
Final grade (6" from siding) f-
Permanent steps (garage) f f ?
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass ?
Trail/curb damage
Porch
Basement finish
Deck ?
Please verify with the builder the cemoval of roof tesi 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
? 9??
? KV
T
S
9
3t
_ '
' 6A? Ce
Re ues? Date
?`?? ? Fire No. Roughdn Mpsection Required
(VOU m call inspector when reatly) Ins ection Other Than ough-In
? qeady Now 1?II Notity Inspector
Yes ? No Date Ready
Ii? licensed contractor D owner hereby request inspection of above electrical work at:
Job Adaress (Street. Box or Roule No.)
lln ff/vcl c/ City
.4 &-A ?
Section No. Township Name or No. Range No.
I County
XD,4 /`.' y?
? ?. -
Occupam (PRiNT) phone No
Power Supplier
AC J / I Adtlress
Eiectrcai Contractor (Company Name)
-J" AGc?z'j -n
Mailing Address IConiractor or Owner Making Instailation)
?P6
Authorizetl;ygnature (ContractonOwner Making Instaiiatlon)
MINNESOTA STA7E BOARD OF ELECTRICI7Y
Griggs-Midwey Bldg. - Room 5-173
1821 University Ave., St. Paul. MN 55104
Phone (612) 642-0800
mhacloYS License No.
G;Qo2L?1'
d',,g /? ur f?? A-W
?Phane Number
------L3zz- Y? s?
7HIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
SJ? f4 REQUEST FOR ELECTRICAL INSPECTION
( ( ? See instructions tor completing this form on back of y9llow copy.
14 o.. ?9 13 "- `X" Below Work Covered by This Request
??...
es-oooo,-os
?.
ew Add Rep. Typeof6uilding AppliancesWired EquipmentWired
Home Range Temporary Service
? Duplex Water Heater Electric Heating
Apt. Building
? Dryer Load Managemerrt
Co
mm.ilndustrial
?arrn _ Furnace
Air Conditioner Other (Speciiy)
( i IOther (sVecity)
1 I
Compute Inspection Fee Below: Comrector§ Remarks:
# Other
Swimming Pool Fee # Service Enirance Size Fee
0 to 200 Amps # Circuits/Feeders
0 to 100 Amps Fee
Transformers Above 200 Amps Above 100 Amps
Si9f15 Inspeclor§ Use Only: TOTAL
Irrigation Booms
Special Inspection
f
Alarm/Communication THIS INSTALLATION MAY BE OROERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
tif
th
t th
b
i Rough•in
y te l?yy?
37 -
cer
y
a
e a
ove
nspection has
been made. F;,,ai - ,
? Date •
OFFICE USE ONLY
ThiS request void 18 mombs from
???
PERMIT #: 6"" G
CITY USE ONLY
RECEIPT DATE:
5008 MII}F1VTIAL MECHMICAI. PERMiT APPLICATION
crrY oF EAL&x
3830 PaoT xxoB Rn
EA6lkN MN 55188
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: ;//? - c-I a - C) a
?
SITE ADDRESS:
OWNER NAME: TELEPHONE #: 6o.5
INSTALLER NAME: d?&J'1ZOJn ?),104J TELEPHONE #:
STREET ADDRESS:
CITY: STATE: ZIP: T
Piace a check mark next tu the permlt work type
Add-on, modification or alteration to existinp dwelling unit $ 30.00
( urnace replacement
• air exchanger
• air conditioner
• other
Nature of work:
ir'
i
y
? u ; 3 Q
u
State Surchar e $ ? •
„
TOtal ` ---
? _
S N TUR E E EE
t/o2
CITY USE ONLY
PERMIT #: RECEIPT DATE:
APPROVED BY: , INSPECTOR
2002 COMMEftClAL MECHkNICAL PERMTf AtPPLICATIOA
CI'PY og EALsAN
3$30 PILOT KAOB ltD
EMM,1NR 55122
651-6$1-4675
Please compiete for: all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
STTE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y
INSTALLER:
STREET ADDRESS:
CTI'Y:
TELEPHONE #:
PHONE #: -
N. NAME:
STATE: ZIP:
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
P*ocessed Piping
Specify Nature of Work:
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1%_$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/02
A CIT1F OF EAGAN PERMIT vR?qqlt
3830 Pilot Knob Road PERMIT TYPE: B U I L O I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 9 5 6
(612) 681-4675 Date Issued: 0 7/ 0 5/ 9 5
SITE ADDRESS:
1157 BLUE HERON CT
LOT: 4 BLOCK: 2
5T FRANCI5 WOOD 6TH
P.I.N.: 10-65905-040-02
DESCRIPTION:
Buildin"g Permit 7ype DECK
Building Wark 7ype NEW
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR:
?
OWNER: - Applicant --
S1"ALOCM JAMES
1157 BLUE HERON C7
EAGAN MN 55123
(612)452-4138
I hereby acknawledge that I Mave read this appla.catian and state that the
.informatiQn is correct and agree to comply with all app,iicable Sta'Ce'af Mn.
Statutes and City of Eagan Orda,nances.
APPLICANT/PERMITEE SIGNATURE
?(y) F o I'1r,.-
ISSUED B: SI ATU E
1NSYE(:rF1lJl\ 1\ECVRD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Mirinesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADD'RESS: P' r. N.: 10-65905--040-02 APPLICANT:
LOT: 4 BLOCKs 2
1157 BLUE MERON CT S7ALOCH JAMES
ST FRANCIS WOQD 6TH (612) 452-4138
PERMIT SUBTYPE: TYPE OF WORK:
CIECK NEW
?
?
suzLoING
025956
07/05/95
?
?
rt V'TY OF EAGAN
3830 PILOT KNQB RD - 65122
1995 BUtLDING PERMIT APPLICATION (RESlDENTIAL)
681-4675
? 3repisbr?d sibe surwys ? 2 copiK ot qm
? 2 eopiss of plna (NKNWo Omn & window siaes; pouNd tnd. dwipn, ebc.) ? 2 Nft surw"s (Ntbrbr addili?ons i dedcs)
? 1aroo aleubdoes ? 1*eanpy akdoidns iar heoM adlitlau
? 3 ooplsm of bee pnwvMon pbm iF lo't pWW alter 711193
wquked: _„, Yea _ No
nATE: /10 -..;2 (V - ?-5 coNSTRuc-ntN cosr. ±Z/50
?
DESCRIPTION OF WORK:
STREET ADDRESS: / /-'5'7 ?-Rhs £', d?i2L- 6_r? ,
LOT ? BLOCK SUBD./P.I.D. #:
PtoPeRrr Name: .I•4M?"S ST?¢?-D?-F?' Phone #:
OWNER
Street Address• ?°' & Aerall 61
?
CitY• State: Z+p'
CoNTRACTOft Company: Phone#:
Street Address: t.ivense #'
City: State: 74.
ARCHITECT/ Company: 5e . Z ? Phone ?-
ENGINEER
Name: Regastration #•
Street Address- City; S#ate: ? Zip.
Sewer & water kensed plumber. -- - Penalty spplies whsn arJdran char+pe arxi lot
dmqp we requested onoe pennit is issued.
1 hersby aftowlsdp thet i have read this application and state that ft irNorrration is oonec:t artd agtee to iaorrVly v?dt ali
applicable State of Minnesota Stebutes and City of Eagan Ordinanoes.
Signature of Applicant
OFFiCE USE ONLY
Cwdgcoes of Sunrey Reoeived Yes No ,1 U N 2 8 1995
Tree Preservatlon Plan Received Yes No .... _ _ - - - - rt .. .. - -
.
BUILDING PERMiT TYPE
OFFICE USE ONLY
?? ??.,•r'"'"?ii ? ?.i.,?,+?ii"`?'?'!6'
o 01 Foundation o 06 Duplex a 11 Apt.JLodging o 16 Basenerrt Finish
0 02 SF Darelling o 07 4-plex o 12 Muid Repair/Rem. 0 17 3wim Pool
0 03 SF Addition o OS &plex a 13 Garage/Ac;cessory o 20 Pubiic Faality
a 04 SF Porch 0 09 12-plex o 14 Fireplace 10 21 Miscellaneous
0 05 SF Misc. 0 10 _-plex c? 15 Uedc
WORK TYPE
n 31 New o 33 Atterations c 38 Move
4::? Addition o 34 Repsir n- 37 Demoiition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy _
2oning
# of Stories
length
Depth
APPaovaLs
Basernent sq. R.
Main level sq. ft.
sq. it.
._, sQ. ft.
sq. ft.
? sq. ft.
Footpririt sq. ft.
Planning Buiiding
MCNVS System
Cityt Vlfater
Fine Sprinklered
PRV
Booster Pump
Census Cocle.
SAC Code
Census Bklg
Census Unit
Engineering Varienoe
?
?
?
?
Permit Fee Vshotion:
Surcharge
Plan Review
Livense
MCNVS SAC City SAC
Wftber Conn. Water Meber
Acet. Deposit
SMI Permit
S/W Surdharge
TreatmeM PI.
Road Unit
Park Ded.
Trails [iecl.
Other
Copies Total:
%SAC
SAC Units -
$ ?? ?
• ` /?l- 3 i
, ?.
Certificate of house locatian for:
Pederson Homes Inc. ?
3511 West 143rd Street
Rosea?ount, MN 55068
DELMAR H. SCHWANZ
LANO SUFVEYORS. INC.
RepitterW Under Lawe ol TAa Slate o1 Minnosola
14750 SOUTH ROBERT TRAII ROSEMOUNT, MINNESOTA 55068 612/423-1768
SURVEYOR'S CERTIFICATE
N
,
? Scale 1 inch = 90 feet
?
? p = Iron pipe monument
\ ? = Set wood hub
= Existing spot elevation
I ? Q = Propoped elevati:on
? . I ? , , •
O?
?
Drainaqe & Utility Praposed garage floox elev. = 9? •?
N ? ------
Q N? Easements \ Proposed top of block elev. = 9061Z
-z
? vl Proposed lowest level elev. = 896
s? \
I ?
Description:
Lot 9, Alock 2, ST. FRANCIS WOOD 6TH
-p??. ADDITIONr according to the recorded
plat thereof, Dakota County, Minnesota.
I V`??? ?(Jw \ ? Also showinq the location of a proposed
n v ? house staked thereon.
?yy c n„
?? tt
? , ?y' ? ?L??? • ? ? " A4iS
!..
- \ ?/ W ?a ?r? ?w ?,,,•?'
? ? ?? ?? t • ?
r
pP 00
?e,30^'
?
? 1} • q8 ???
\ ?,v
'
A'oy
. . , ?? ?? •? ? qn• , ? `° ? ? (?0?01? ?3'L '.???
O6,o ? p \ ,`" •0?_
1`1?;i1141it1U!!llyj? ? ?/\ mr
{E.'Z'olu4?l4+ .7
???l, •??' • T rr 'V?2 •?? 1 ??' ?41 l,,,A?
? .... •?.,?, ?^/ 6?.q8i- f
.: ••.?? .?. ?,i ? .5 ?--T, .
DCLMAR H. ?, " ? •?' od`?4'
T n i SCHVJANZ
rr
; '• . ';',;.:''' b• v,t" . .
. •.•: ' ?:k' ..... ":??: '`' AZ1 U?? ?
1 hereby certify that this survey. plen, or report was
prepared by me or under my direct supervision and /
that t am a duly Registered Land Surveyor under
the laws ot the S18te of Minnesota.
December l, 1993 ,.,Delmar H. Schwenz
Dated _ lufinnesola Registration No. 8825 ?l
Revised 12-21-93 . /f .• Roa: qrrl
LOT: ? BLOCK: 2- Sl1BD./P.I.D#:-Si 40hCIS VVDd +k
2000 BU1LDtNG PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD - 55122
13?7;- 651-681-4675
New Construcfion Reauiremenfs
? 3 regfstered site surveys showing sq. ff. of lat, sq. ff. of hause
and all roofed areas (20% maxlmum lot coveraae allowed)
? 2 copfes of plans (show beam 8. window sizes; poured fnd. design; etc.)
? 1 set of energy Calculatians
D 3 ccpfes of tree preservatfon plan if lot platted aiter 7/1 J93
? Rim JoIsF Detaii Options seiection aheet (bulldinas with 3 or less units)
Name: '^`E N0 (.iNo Tf'fo 62 L4Av ,0 Phone #: 06' 36
lost Firs1
DATE: I1' 2- r3p CONSTRUCTi4N COST: L 1 rzzC?
DESCRIPTION OF WORK: i?ArZ o;7r` / /?E6Zr?v -F If mvffi-family bldg., how many units?
STREETADflEtESS: l I57 904e h? ?X-a A,, c T
PROPERTY
owwER
CONTRACTOR
ARCM ITECT/
ENGINEER
SfreetAddress: 1(57 ??C #'?crton? c T
City C'A G falV State:
(RE51DENTIAL)
1215-25
Remodei/Renair Reavirements
2 eopies of plan
1 set of energy cafculations for heated addMans
1 sEte aurvey for exieriar additions &decks
/in AJ
Zip: s S 1Z3
Company: ?-NeC5'T-Lfr.v Phone#: ?67 5141 -03Uy
(area code)
5treetAddress: 4700 i 3n A 1-1- /? Llcen:e# 26 t stt'd? Exp, $-15!'0j
City P4-- Y/'" o ?„T !t Stote:
Zip:
Company: Name:
Telephone #: (
Street Address: Registration #:
CHy
State:
Iip:
Sewer/water Gcensed plurnber (if installing, sewedwater): Phone #: (
I hereby acknowledge that I have read this app[icafion, state that t nfo atta Rect, and agree to
comply with all applical?le State of Minnesota Statutes and Ci ag an .
Signature of Appiicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Freservation Plan Received YES No Not Required
OFFICE USE ONLY
CJ 01 Faundation
O 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
0 05 03-plex
O Ofi 04-plex
0 31 New
? 32 Addition
0 33 Alteration
E3 34 Replacemen#
VALUATI4N
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
El 20 Poal
0 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch (screened)
? 24 Starm Damage
? 25 Miscellaneous
0 30 Accessory Bldg
GI 31 Ext. Alt - Multi
0 33 Ext. Alt - SF
0 36 Multi
? 35 Int Impravement ? 42 Dernolish (Foundation) ? 45 Fire Repair
? 36 Move Sldg. ? 43 Reroaf ? 46 Windows/Doors
? 37 Demolish (Bldg)* ? 44 Siding ? 38 Demalish (Interior)
" pemolition (Entire Bldg only) permit - Give PCA handout to appllcant
Occupancy MC/ES Systern
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinkiered
Width
IAISPECTIONS REQUIRED
_ Footiags: New Bldg _ Insulation ? Windows - new/replacement
_ Footings: Deck _ FinaUC.O. _ Siding
_ Footings: Addition ? FinaUNo C.O. _ Stucco/Stone
, Foundatinn Fireplace: ? r.i. _ air test ? final Roof: _ ice & water _ final
_ Framing Pool: _ ftgs _ air/gas tests _ fina]
APPROVALS
Planning
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Starage
S&W Permit & Surcharge
Treatment Plsnt
Park Dedication
Trails Dedication
License Search
Capies
Other
Total:
? 07 45-plex ? 13 16-plex
0 08 OB-plex 0 16 Fireplace
0 09 07-plex ? 17 Garage
0 10 08-plex ? 18 Deck
0 19 10-plex ? 19 Lower Level
0 12 12-plex Plbg_Y or _ N
Building
Engineering
Variance
PERMIT
,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
B uI L D xN r
02281.0
01 J28l94
SITE ADDRESS:
p e i. No : 10--65905-040--02
DESCRIPTION:
11 IS 7 I3LUt_ H[?FOIV C"i
l_OTs 4 BLQCKe 2
sF FRANCIs wraOD 61ta
s f- uwc,
P. r_ w
R- 3 M-- a.
v N
R- .t
74
40
REMARKS:
?'j ?. `?t?r? ?• ? ??,? _ ??
i??I ??
S&W C:UPdTRWCT'UR - PESNe PLUhfi3TNCi
FEE SUMMARY
VALIJ!•1TI!)'tV
Eia ,e Fee
Pl,?n Revip4,p
Surcharge
5(hC:
SRIu °i
SAC; Units
St.abtota1
$961 e 50
$6?4<98
$9t? ? 00
00
100
1.
__ . . _.. ._, ?$2 , 482 , 48
$192, 000
M I 5 C F E E S _.._.._.._.._._ $1 2 8_0 50
Tntal Fe?c $4.:.i1fdT9f3
CONTRACTOR: - flpp t.r can t -- s r e i, r c e OWNER:
F'ECIERSQM IIOMES :ti4C 14233086 0001.466 PEDERSC)N MQMES INC;
:315 11 11;3R1J 5T UJ 3511 LA;.',R p ST W
RCJSEMOIJNT MN 56068 kOSEMDUiV`fMN 55068
(E;:li' ) 423-3086 ( 61?) 4?.'3--3086
I hereby acknawSedqe that I t7ave read L'his applicata.on ar'id state that the
infcrrmatinrr is carrect and aqree i:a comp:3.y with a11 apPlacable State af Mne
? 5tatutes and ty of Eagan [)rdi.nances. -
APPLICANT EE SIGN TURE ISSUED U. SI ,?R
INSPECTION RECORD
CITY iJF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
[Or: ?? ?LOcK: 2
1.157 BLUE HERON (:"fPFt)Ef?5ON HOMES 1.NC
5'1` FRAN(?I5 WQU[] 6TH (6:L1) 42:;i--'i08Fi
PERMIT SUBTYPE:
S F UWG
TYPE OF WORK:
NEW
Bua-i._DxtvG
022810
0L/?8f94
INSPECTION
FOQTINGS .• .
FUUNDAIIQN .A
FF2AM:CNCa Rf?Uf=ING
TNSl1LATTON F]:F?FF'L.ACE
RUUGH T.N PLE3G ROt1GM TiV FITG
FTNAL PLBG F7NAL
REMARKSo S&W CON1"f;ACTOR -- PE1hlE F'LUMBTNi3
ZZ ACTIVA
P".:RMIT #
CiIY aF EAGAN
1809"BUILDING PERMiT APPLICATION ?flA J-fO
I4? 581-4675
T`
SINGIE & MUL7I-F14MILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets af irthitectural & structural plins, 1 set of
specif9cations, 1 copy of energy calcs.
Penilty applies: 1) when permit is typed, but not picked up by last rrorklnq day of ?acnth-
s requested once permit
d or 3) lot change i
h
dd
i
.
ange
ress
s c
in Mhich request is oade, 21 a
is issued.
Date 12 / 29 ,_ / 93 Val uat i on of work 175,000
Site Address: 1157 Blue Heron Court
fTREET . WITE •
Tenant Name: (commercial only)
LO? _4 BLOCK ,2_ SIIBWt.Francis Wood 6th P.I.D.
#t
Descri tion of work: Sin le Famil
The appl i cant i s: ? Owner__ ? Other (oe.??ibe). -
Name James Staloch phpnL454-4138
Property LAST FIRST -
Owner pddress
iTREET ttE ?
City aaan State MN tip
Company Pederson Hmoes, Inc. _ PhOne423-3086
Contractor Address 3511 143rd St, West Litense #0001 466 Exp.3-94
City Rosemount StateMN _ Zip55069
Company _ Phane
A?chitect/
Name Registration #
Engineer -
Address
City State tip
Sewer & water licensed plumber Peine Plumbin ' . Processing time for
sewer 5 water permits is two days once area has en ipproved*.
I hereby acknowledge that I have read this ap tication and'state hat the information is
correct and agree to comply with 1 appli ab State of Mi es Statutes and City of
Eigan Ordinances. -?
Signature of Applicant: ?? -
- oFFicE usE oNLY
BUILDING PERMlT TYPE O 01 foundation 0 06 Duplex 0 11 Apt./lodging
0 02 SF Owg. 13 47 4-Plex E3 12 Multi. Misc.
? 03 Sf Addition ? 08 6-Plex O 13 6arage/Accessory
? 04 SF Porch ? 09 12-Plex O 14 Eireplace
0 05 Sf Misc. ? 14 Multi. Add'1. O 15 Oeck
WORK TYPE
E 31 New O 33 Alterations O 35 Tenant Finish
O 32 Addition ? 34 Repalr E3.36 Move
GENERAL INFORMATION
Const. (Actual) J(?
?Allowable)
UBC ccupancy -? K-/ I
Ioning
/ of Stories z
Length 2Y
Depth 0,33
APPROVALS
6asement sq. ft. ! 3Q9
lst Fl . sq. ft. / 30q
2nd F1. sq. ft. 162y
Sq. ft. total
footprint Sq. ft.
On-site well
On-site sewage
Planning Buildin
Engineering Varlance
REGIUIRED INSPECTIONS
? Site
? Wallboard
footing
? Final
JT f rami ng
D Oraintile
Er Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Atct. Deposit
S/W Permit
S/M Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Oed.
Copies
Other
Total:
SAC 7G SAC Units
wturcton: $ _ lg-Z DAd
t(k- 7 Z; 4.G
3 -2 =-i4/4
k 38 2 3 y
)3, G 9.+- 2 '----`
? 3o9.3y,? 69 = 9a3ys!srG
2h?
f2/!.
???o«Zy,?SY ;
,
C7 16 Basement fin9sh
O 17 Srrim Pool
O 18 Coara./Ind. 13 19 Comm.Jlnd. Misc.
O 20 Public facility
O 21 Miscellaneous
0 37 Deawl i sh
MWCC System
City Water ?
ARV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code i
?
/-
Assessments
90y
? z? ? - 2z
,r
)
,-71-35
, N
.. .
.
Ce,rtifidate of house locatioa for:
Pederson Homes Inc.
3511 West 143rd Street
Rflsemount, MN 55068
DELMAR H. SCHWANZ
uNO suave,roas. INC.
, RpfaNrW Undsr Lwvs of Tha Shte of Minnssota
• 14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55068 812/423-1769
SURVEYOR'S CERTIFICATE
?
I r Scale 1 inch = 40 feet
f
\ p = Iron pipe monument
? ? = Set wood hub
? ,CQ9'7 = Existinq spot elevation
I \ (D = Propo¢ed elevation
O ? \
O?
Draina9e& Utility ? Proposed qarage floor elev. _
O N? Easements \ proposed top of block elev. = 9Q6,Z
Proposed lowest level elev. = 89(.Z
I \
?
Description:
Lot 4, Block 2, ST. FRANCIS UTOOD 6TH
ADDITION, according to the recorded
I ? V? ???•/? Q? plat thereof, Dakota County, Minnesota.
Also showinq the location of a proposec
? 4v honse staked thereon_
V?'?? IE E D
`pA , B -
o0 o y,{ R F1AG A:,?" E.ti' C`:]VE.r,,d.flNC =?EPT.
\ B94, z?
y
FQ' 0 W B?l?
?j ao'?' 13•y \
`8$?a
.0
49977 ? ?y???2 .gb y? ?i,-=?" ?o?Or ?,,,h
.
•, t ? k.= ?
., . _:-R,t. Y ! r?i??k? i?. LJ ! ? `B`
??
L"U Gr
. /
1 hereby certify thet this survey. plan, or report wes - /?
prepared by me or under my direct Supervision and
that 1 am a duly Registered Land Surveyor under
the laws of the State of Minnesota.
December l, 1993 Oelmar H. Schwenz
Dated Minnesota Registration No. 8625
Revised 12-21-93
Revised 12-22-93
?
?
_ ?D 0
? Q
D VI 3
I3` 0 Ll
VQ 13
?t) 13
?d D
LOT 8IIR?EY CSL"CICI.IBT FaR REBIDZNTIn
r
Dat• e! aurv.y:
DDCIIMENT 8?AERNRDB
• Aeqistered iand surveyor sf qnature and cvaapany 0 8uilding Permit Applicant
+ Leqal description
• Addrsss
• North arrow and bar sca2e • House type (=ambler,, Wnikaut, aplft Ltjo,, sglft lntty',,
lookaut, etc. )
• Directicnal drninage arrows wit3i alcpe/gradierit #.
• Fraposed/existinq sewer and vatsr serviGea
• Street name
• Drtveway
13 8""?D
• ILMTIONE
Zxf stina
Sewer service
? 13 H • Iot cotnerB
0 0
IIAOfCi •
• Top of curb at the driveway
i
EIevat
ons of ary sxisting adjacent homes
.
7`13 0 • ?ro?
Ga=age floor -
B"' 0 0 • First floor
?!G m • Lcwest exponed elevatfon (walkout/windoW)
a? 0 • Property coartsers
13 D • Front and rear af home at the fvundation
PQNDING AREAs fit aRplieablll
el • Eesement line
o
VD fCl
D
Y •
• NWL '
HWL
E • Pond f designntion
13 ? • Emerqency Ovsrflaw E1evation
? IC3 D
?
G
• ??MEN8?1N8
Lot 13.nes . .
0 • Riqht-of-way and street width (tv back of eurb)
• Praposed hamG dimensions fnc2udtnq any pragosed -decks,
overhangs qxeatel' thafl 21, POrChes, eto, ( f. s. O].l
?I3 0
• structures requirirrg permanent footfngs)
Shaw all easemer,ts af record and any City utSlitfes within
thase •asement6
?0 0 • Setbacks of p=opased structure and sethack of adjacent
/ existing homes
??/G • Retainfng r gui ants, if any
Raviewed: V:5
Nam / Da .
tiCtober 1992 , .
Page 1
E.\TF.RY08 ENVELOFE AVERA!;E "U" COHI°ili'A'C'IQIV
Oc+ner Addreas 1'lione
4 7 r c /' -!?-
Legal Description oF Property: Lot_?- 8lack Z, AddiCian 11P.1j-CV ?? a"V bate
Site Address ? C ? ? 5(-G ec' (,•?'?„?;y p?[ ???
AVEEtAG£ [.INFJtL FEET OP
El:P05ED k'ALL AttEA ABOVE GRADE
Tlafn Ievel
Llneal ft. of framed wa11 above grade 4-9 x heiRht of aali
2NO ?'I ? TJ ? Rim joist area ?? ?
Lineal Et. of rien x heiFht of rim
Lowe r icvc 3 f?
Lineal f t. of framed wiil above grade?x height of aall ? ? ? 7? .
Lineal EC. of aeasonry aaii above grade GM x heigh[ above grade?
-T-
TOTAL Wail area above grade including windovs aad doors - 3?0 Z .0
!a x "l!" value
4AY1'erv v G-ust sq. fc. x fou.. (U)(A)
sq, f t '°v"7 ?(U) iA}
sq. ft "U" ----??(lI) (A)
Mo? ? . 9-5 a 7. ? ? sy. fe "u,? Z (L) (n)
?? `!3_ i sq. f t "U If. 3 (G) (A)
_ ?t.d-6n 7 113 sq. ft •lU'"? ? (U)(A)
I d"?C L4'' S i 619 7 sQ. f t •'ll"?'?If (li) (A)
-7- Q 3 G? 4- 17 sq, fc flu,• ? 00 (u) (n)
z ,3? F? -z.• sq. ec "U" • .?7. 7 p (t3) (n)
7 ..sq. fC nU?. L(L') (A)
sq. ft. x ??U•? ? _ (U) (A)
sq, ft. x •'0" (lT) {q)
sy.. €r. x "u" N)(a)
sq. ft. x ..uli- . CEt)(A)
sq. f[. x "U" ft
(i')(A)
sq. ft. x (L') (p)
sq. ft. ... x .,?{L?)I+?a
X IT•,• (C) (a)
sq. ft. „
7j 16 !?f l??
DOORS: Area x "U" value , -': "'
/-- ?
9
?
Make S tYPe ?
k q. ft_ 74re-4- x ..v. ,r'?. (U) (A)
r u
i
?lT7??l`'?""' ?"+J4
Sq.
fC. X
17.
.rUn y
?le)l (U)(A)
sq. ft. x (U) {A)
sq. ft. x (U)(A)
-
"
9!
?3 ?
t ?,g
OPAQUE ?IALL C ONSTRUCTiON; Area x
U" value , • "'•'""?
FRANER KAI,L (to[al area less
Aetail refer- opening, fxaming a?embers in
eate from wgll, riat joist area 6 masonry
V4/'4LL )
s
2276
+5rx
ft
„u Gp
.Q?'3 - ??rt?t? (l
)FA)
actached
shee[s ..
F€amfnR members fn wnll q. .
.
€?,2.?f x .
"U" Q ? Z'Z? (G)?A)
,
gim ioist area sq, ft. 4fl, D x "U° D 11, 04. (l!) (A)
.
lSasonrv area ab_ o?Pradr sq. f [. . 0(?x U. I '3 7 ? 1 , 14- (U) (A)
?
r 04Zs
WINDOWS: A
?take 6 type
1t 1
., ,.
n u
a u
1? 11
.. ,?
TOTAL h'all Area IncludinR
Wiodows S Doars ?7,? ?* Q TO'fAL (i1) (A) ? ? ? ? ?
TOTAL (U) (A) VALUES ?0 AVG. "U"
DIVIDED BY TOTAL tiltLL AREA
AVERACE "U" ll3ainwm .11 or less fnr 1? 2 fam£Iy daellings •
NOTE:
Mfnidsum .23 or less for all okher buildings
If average "U" valuas es uleulaCed above do aoe eaet the 6nergv Cod• r'*qui
"•Al,eruaen 6nveLope Rraign" a• iadicahd ovPaRs S way bs.usad.;
..,.,..? .?q-.,,,?'
. 4,Ai 112
d" ' -
WALL SECTI04S Page 2.
NOTE:• tJse lOX of opaquc vall area
' for framing members . R-Value
FRAMINC MF?iBERS IN WALLS
Top Viev
Exterior air film ..1.? _
Siding
-------------
Sfieathing !?Z, `, 06
?1 ?Aofc vord Q V
nn, Y"..dr.y vall .45
?
?• Interior air film '68
`-- '" TOTAL R
dB5
u=i/e u_ •OR'
.
FRA21ED kALL
Exterior air film
Siding
Sheathing
a batt insulation
_
.17
•61
Z?0
• OD
.45
If" drv va12 -
InterioY air film .68
Z2.9'7
'U ? 1/R U
RIM JOIST ABEA-
Exteripr air film J T
Siding ? ,_ • 4j_
Sheathing Zf 0(0
1. 88
14" sofc woQd
Insulati
.68
Interior air film -
TCTAL R a Zf,Q' O
U- 1/R u. _a 0¢
MASONRY 11ALL
Exterior eir Eilm
.17
Page 3
??
-
tiAftR aE 411c.rNti
Uutside air film
.17
9uiltyP..r_anfing . 33
Insulation
liood decking
/ Intezior air film .61
TOTAL R ?
/
U - 1JR U '
ROOF/CL•ILING:
'COTAL AREA: sq. Et. as (U) (A)
"U" O x sq. ft.?'
G?2
'
Detail reference,
b ,
?
O
'?.? •
?v?? i? i? x sq. ft. ?r 7 === -
(u)
(A)
ove.
from a
Describe openings
"U" (U)(A)
x sq. ft. '- - (U) (A)
in roef x aq. ft. . (11) (A)
x sq. Et.
(U)??)
v.?
..U..- x sq. ft.
---- X sq. ft._ . (U)(A)
TOtALS 1 sa .
f t. .J .?1 (11) (A)
?
TOTAL (U) (A) VALl1ES
DIVIDEO BY TOTAL ROOF/ ` J a?? ? AVG. "li°
•
?
CEILLNG ARSA Z (I ?
AYERACL "U" .02 tes ventila ted roois
, .Y
,?.,;ri a ?Sw• 'Nf 'i, ?'.!
r .. - A
,: c933 ?84 ?l? tE11?? '+ , ?
_.. ,;.r ..
RQO? CeILINr,
_Outside air Eilm -61
•?------??
lnsulation 6f _ 0
4" Dryvall .45
Interior air film .61
TOTAL R- g7,6 7
u - ila u - 'D ZO
Outside air film •6?.--1 ---
Insulation /0 ,I r, r. ' 34' eb
- Iz I poi j ? .60
? Drvuall .45
Interior air film .61
rornL R
u - i/R u - ?? ?J
Page 4
!
*fin. R 7.5
Slab on grade
Eaterior air film ,92
h" plyr?ood 6 ?I" partiele board .66
Iasulation
Iaterior ais film ,gz
TOTAL R ?
U- 1/R U.
,Insulntioa shall have a ainimum R-Velue of 7.5 end muat
extend horiaontally (as iilustrated) or vertically a
diatance equivalent to the design frost line; that is:
Zone 2? 3 Eeee 6 inchea
.,,..; 4
ti L.,.'Ii?
1?^
.o?? .
' • THE TOTAL ENVI'_LOPE CALCULATION HF:THOD
The regulaCions state thac alternative ovetall "U" values for buildiao seetions are permiseable
if it is shovn tha[ the total building envelope heat loss/Pain does not exceed that of a
similar building that meecs the regulation "U" value maximuos. In chis case. ve vill consider
oaly the valls and roof/ceiling criteria•. assuainP thac the remaieder of the buildinp ceets
regulatior requirements.
A. Total heat loss ne desiqned (valls and roof/ceiling) 8TU/hr. degree P.
w'alls - UaAo m AvernRe "U" of ,
vall assembly x aveYaga vall ssea sq. ft. ?
RooE/Cei11nR - UaAo + AveieRe "U"
oE ceiling x average ceiling area sq. ft. ?
TO'CAL
9. Total heat loss if designed to meet the regulation minimum (valls and roof/ceiling)
Nalls o U A . i4lnimum requfred
0 0 "U" value of vall x average wall area sq. ft. ?
. ?
Roof/Ceiling - oAo e Miaimum required
"U" value of
ceiling x average ceiling area sq. ft. ?
TOTAL
pi a •.?
r ?`r i ?'
` #?..
l 1
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
----------------------------------------------------------------------------------------------------------------------------------------------
NO.
?
-??
-?
?
(
l
-?
?
-?
SITE ADDI
OWNER N
INSTALLE
ADDRESS:
?oi>?
CITY: STATE: ZIP CODE: '.?
PHONE #: ( ) 4134 FIXTURES
SHOWER
WATER CLOSET
BATH TUB
LAVATORY
KITCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPING OUTLET • minimum - 1
ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • Dak.Cty. lic.
U.G. SPRINKLER • home under const.
ALTERATIONS • to existing
WATER TURN ARDUND
EACH TOTAL
3.00 .3 °'0
3.00 ? - n"
3.00 3•cr''
3.00 • 0-°
3.00 3 • ?
3.00 3- ?
3.00
3.00 3• ?
3.00 -3 • ?
3.00 9 • ?
1.50 • S-f
5.00
20.00
3.00
20.00
20.00
STATE SURCHARGE .50
TOTAL:
I ( -,f "' 2
:,"Ga-f-A-
•???'rJ i
I-X-- ?R?y
SIGNATURE OF PERMITTEE
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
NL'W CONSTRUCTIUN
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
Fi:i:: l°Io OF CONTRACI' FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF F,FEE.
..................:
AIINIA'[U111 FEE: $ 25.00 ..............
CONTRACT PRICE X 1°l0
STATE SURCHARGE
TOTAL
SITE ADDRESS:
$
$
$
TENAIVT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
STATE: ZIP CODE:
APPLICANT
PLEASE COMPLETE FOR SINGLE FAMILY DWEI..LINGS. ALSO, F4R TOWNHOMES AND
CONDOS WHEN PERMTf"S ARE REQUIRED FUR EACH UNIT.
...._.---------------------------------------------------------------------------------------------------------------------------------
NEW CONSTRUCTION
ADD-41V AJC
ADD-4N FURNACE
FIREPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU
ADDITIONAI, 50 M BTU
GAS OUTLETS (MIIVIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING CONSTRUGTiON)
STRTE SURCHARGE
TOTAL
S1TE ADDRESS: ? /!5-
4WNER NAME: 9--.4-A
INST
$ 24.00
6.00
$ 20.00
.50?
?
ee?_
TELEFHONE #:
ADD
CITY,??? STATE:
?
TELEPHONE #: ??^
ZIP coDE:
SIGNATURE OF PERMITTEE
1994 MECHANICAL PERMIT (RESYDEN'TIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
Fa?cAN Ntlv ss122
(6I2) 5814675
1994 MEcHANIccaL pOVArr (coMMEUCiai,).
CITY 4F EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
FLEASE COMPLETE FOR ALL COMMERCIAL,IINDUSTRL4I. BUILDINGS. ALSO COMPLETE
F4R APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUTI.DINGS VVHEN SEPARATE
PERMITS ARE N4T REQUIRED FOR EACH DVVELLING UNIT.
DATE:
CO]VTRACT PRICE: $
NEW BUILDING
INTERIOR IIviPRQVEMENT
WORK DESCRIPTION:
FEES
????' FEE $
1 % OF .,.. . _. _? _?:v :::.:<.>v:?:.;;:.?:N
FROCESSED PIPING: $25.00
MINI]vIUM FEE: $25.04
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TQTAL $
SfTE ADDRESS:
QWNER NAME: TELEPHONE #:
TENANT NAME: (IMPR4VEMENTS QNLI')
1NSTALLER:
ADDRFSS:
CITY: STATE: ZIP CODE:
TELEPHO]VE #:
SIGNATURE OF PERMITTEE
CITY TNSPECTOR
RESIDENTIAL
BUILDINC PERMIT APPLICATI4N
CITY OF EAGAN
3830 PILOT ICNQB RD, EACAN MN 55122
657-687-4675
New Construction Reauiremerrts
• 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas
(20% maximum lot coverage allow+ed)
• 2 copies af plan showing beam & window sizes; poured found design, etc.)
• 7 set o# Energy Ca[cula6ons
. 3 eopies of Tree Preservation Rlan if lot platted after 711l93
• Rim Joist Detail Options select+on sheet (bldgs with 3 ar less units)
?" ? . d 5
RemodeUReoaie Reauirements ?
• ? copies of pian
• 1 set of Energy Calculations far heated additions
. 1 site survey for exterior additions & decks
. Indicate if hame served 6y septic system for additions
DATE I ' 'QN-Ce. VALUATION ?`,\
V?SIT?hDDcS 1151 b LWE 14JEfOM Q,,.T MUETI-FAMILY BLDG -Y *JV
-
APPLIGANT
STREETADDRESS_??%:? MlC.al&E3! *Vr7S,CITY.
TELEPHONE # 702-(& OOV' CELL PHONE #
?
FIREPLACE(S) _ 0 _ 1 _ 2
-A&,STATEMXZI PS$..?
FA?C #WR"` 4'tf t4 (o
IT=
PROPERTYOWNER_ _& &WWLAPM TELEPHONE#?j`4??'_G?G
COMPLETE THIS SECTION F4R "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLILES 7674 CATEG4RY 1 MINNESOTA RULES 7672
(d su6mission type) • Residentia! Vent'rlation Category 1 Warksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations 5ubmitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Confiractor: _
Mechanical system includes:
Sewer/Water Cantracter:
_ Air Conditioning
_ Heat Recovery System
Phane #
Phone #
JUl 2 4 2002
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the infarmatiQn is correct, and agree to comply
with afl applicable State of Minnesota Stcatutes and City of Eagan ik4z,
t
Slgnature of Applicant
OFFICE USE ONLY
Water Softener
Water Heater
No. af Baths
Phone #
Lawn Sprinkler ?
No. of R.I. Ba.ths ?
Cerkificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaied 4102
QFFICE USE OPILY
.;
C] 01 Foundatian 0 07 OS-plex ? 13 16-plex ? 20 Poof 0 30 AccassoryBldg
? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace 0 21 Porch (3-sea.) 0 31 Ext. A!t - Multi
? 03 01 of _ plex 0 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-se2.) 0 33 6tt. Aft - SF
? 44 02-plex ? 10 08-ptex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-pfex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-piex Plbg_Y or_ N ? 25 Miseellaneous
? 31 New 0 35 Int Improverrsent ? 38 Demolish (lnteriar) O 44 Siding
? 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration 0 37 Demoiish (BEdg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement '"Demolltion (Entire Bldg only) - Glve PCA handout to applicant
Valuation Occupancy MC/ES System
Census Gode Zoning City Water
SAC Units Stories . . Baostet' Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire SprinkPered
Type o€ Const Width
. REQUIRED INSPECTIONS
_ Faotings (new bldg) ? FinaUC.O.
_ Footings (deck) FinaUNa C.O.
_ Footings (addirion) _ Plwnbing
Foundatian HVAC
17rain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (ewlrep3acement)
? Insulation ? Retaining Wall
Approved By , BuiEding lnspeetor
Base Fee
5urcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & 5urcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
TQtal
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA128991
Date Issued:12/22/2014
Permit Category:ePermit
Site Address: 1157 Blue Heron Ct
Lot:4 Block: 2 Addition: St Francis Wood 6th
PID:10-65905-02-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Frank J Schmidt
1157 Blue Heron Ct
Eagan MN 55123
(651) 688-6700
Window Geeks Llc
1200 Center Pointe Curve
Mendota Heights MN 55120
(612) 315-1481
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
For Office Use zi
City Ol Eaaan :::e:
1 Co .
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t1 - 5 'J 7- Site Address itC1- i / - � -i G/'' Unit#
IName: �r�,,,,,lc I- /4•'zL-e-Chc -C,,,.._,,.(/-. Phone: .,...
Resident/ p
Owner Address/Cit /Zi I/'
I,
f
Applicant is: Owner Contractor
Description of work: n� � � �w. M. .. � �..tv-iis� .r
cs-gr.r
Type of Work p /t I �( a
� J
Construction Cost: 1/ZC>fJd Multi-Family Building: (Yes /No k- )
1 Company: _/..----A1-2 S i---e,4)t ( LI -- L.c Contact: - ✓}cit
Contractor I Address: /LA)L-e ,.L.SC,,..,,C / '-L. City: Z_okr J,-/cc
State: t/L1✓t2ip: cc-0441 Phone: & f-1147 y mail: _)�s��(®i G z-✓S rGu c�u 1-t r ,c'e
C5---
License#: /6G-6,3 D Las ,� 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:
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Mechanical Contractor: Phone:
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Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE Plans and support/ng documents that you submit are considered to be public information. Portions of
the information may be classified as nonpublic if you provide,specific reasons that would permit the City to i
conclude that the 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 comps-ted within 180
days of permit issuance.
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Applicant's Printed Name Ap t �,:'ure
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