The URL can be used to link to this page

4520 Alicia Dr? 2000 BUILDING PERMIT APPLICATIC?N (RESIDENTIAL) , • . ciTY oF EaGaN 3$30 PILOT KNOB RD - 55122 -? 651-681-4675 ? New Canstruclion Reaulrements Rerrwdel/Rendr Reaui?emenis t ? 3 regtsfsred site wrveys showing sq. tt. of lot, s4. ff. ot house 2 coples of pbn and 2LI rooted oreas % mcpcimum lot covero4e a1lov?e? 0" ? V t saf of weryy calculpNons tor hedhad addNions ? 2 copies ot plans (ahow beam & wtnrbw sizes: poured fid. destgn; stc.) i siie survey tor extsrFar crddtians & decks ? 1 set ot energy Caiculaiions ? S copies ot tree preservaiion plan H lot plafted atter 7/1193 DATE: :2--- ?- 2.OB v CONSTRUCTI4N COST: ? DESCRIPTION OF WORK: tf mul#i-famity Wdg., fiow mcny,units? STREfT ADDRESS: 2(0, Gi ?f LOT: BLOCK: SUBD./P.I.D. #: ?,-rV- C--4-zi 6- j llk-, .lt,A.L Name: Phane #: PROPERTY L t ?t OWNER ? Shee# Address:? ?! City S#ate: Zip: Z ?-' ' ? Company: Phone #; . (areo code) COMRACTOR Street Address: License # Exp. , City 41 ?\"'State: Zip: ARCHITECT! , fNGiNEER Compa : Ncme: Telephone # ( ) Sheet Address: Regbtraffon #: City Stata: 2ip: : 6,ia Sewedwater licensed plumber (if installipg seweriwaterl. fPhone #: ! hereby acknowledge thct I have read this oppfictrtion, stnte that the infomncytion is cortect, and gr to ro wNh aN applicoble Stcdo ot Minnesota Statutes and Ciiy of Eagan Drdinances. Signclure of AppNcan , .. . _ .._ ___ f. OFFICE USE ONLY Certificates of Survey Received Yes No ?I'9 ^.., Tree Preservation plan Received Yes No ? Not Required OFFICE USE ONLY , . , ? BllILDING PERMIT SUBTYPES ; 0 01 Foundation ? 07 05-piex ? 13 16-plex ? 21 Porch (3-sea.) 0 31 Ext. Alt - Muffl X 02 SF Dwelling O 08 06-plex O 17 Garage ? 22 PorchiAddn. (4-sea.) 0 33 Ext. Att - SF CI 03 01 of ` piex 0 09 07-piex 0 18 Deck 0 23 Porch (screened) ? 36 Muiti D 04 02-plex 0 10 O$-plex ? 19 Lower Levei Q 24 Storrn Damage 0 05 03-plex ? 11 10-piex Pibg ,.Y or _ N ? 25 Misceilaneous ? 06 04-plex 0 12 12-ptex ? 20 Pool ? 30 Accessory Btdg. WORK TYPE ?. 31 New ? 36 Move Bidg. ? 43 Reroof ? 32 Addition 0 37 Demolish (Bldg)" O 44 Siding 0 33 Aiteration 0 38 Demolish (Interior) O 45 Fire Repair 0' 34 Repair O 42 Demoiish (Fauncia#ion) : ? 46 WindowsiDoors * Give PCA handout to app{icant for demalition permit GENERAL tNFORMATION SAC Code (9_ " # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width footprint sq: ft. Const. (Actual) Basement sq. ft. Census Code ?.1.._ (Allowable) Main level sq. ft. ?fES System U ater BC OccPncY ? it W u a N+t? s-+9. ft. C Y Zoning sq. ft. Booster Purnp PRV Fire Sprinklered NIISCELLANEOUS INSPECTIONS E3 Stucco/Stone . APPROVALS Planning Building --7 Engineering Variance Permit Fee Valuation: $ Surcharge Rian Review y? ?? /)?L?9 License 0?7 MC/ES SAC 2?' f _ City SAC {?l ??y.l?-? ' ? ? v ?}` ? ,?"r f ?'°. Water Conn.. Water Meter 7l1 D` 4 Acct. DePosft S/W Permit St1N Surcharge Treatment PI. Park Ded. Trails Ded. 1?q 9' t l Other l coPies Totalc 5-0 Ol 9 . 2 ? ? SAC Units . % SAC ? , 2000 Buiiding Permit Application (Residential) City of Eagan 3830 Pilot Knob Rd. 55122 651-681 -4675 New constructian requirements 3 registereci site surveys showing sq. ft of house and aN roafed areas. ZO 96 max coverage 2 copies of pians (show beam & wicuiow sizes, paured foundation, design, etc. 1 set of energy calculatfais 3 copies af tree preservation pian if tat is platted aRer 7-1-9Ci Remodel / repair requirements 2 aopies of plan 1 set of energy caiccOation for heatmd areas 7 site survey Far exte?ror additlons & decics rio Qate Julv 5th 2000 Construction cast S 929&0 Description of wark Sinale Family Dwelling 3treetAddress 4520 Alicia Drive Lot 8 Biock 1 5ubdivisiorri PID. # Sau rn,Lekes:West Propertv Owner Name M. R. Hebert & Associates inc., cantact Marlc Hobe,rt Phone #952-963-3699 , mo ite 612-328-2592 F@X 61_2-432-1842 9-mail mrhebe ,,,_sn.com Street address 843814 3 Street Wgst. Citv Aaale Vai ev, gtate Minnesota Zip 56424 Contsactar Comn nv M. R. Mebert & Associates tnc, Phgpe 862•963-3699 CQ ntractor M.R. Heb ert & Aslaciates tnc. Phane 952 553-3899 , „ , Street adgre§s $439143 Stget West ticense # 57Q0 Zio 55124 ArchitecU Enailleer C ompanv Planco Ngme Tam Kqcte , -07Z4 Phone # 6§1 -452 Address 3438 WashinotgnQE Street , Citv Eaaan. State , Minnesata Zip 551 22, Sewet 1 Wate[ contractar licens , ed Ptum?,er Scft,erer f!iumbing (61,3) 447-6734 I hereby acknowiedge that I have read this applicahon, state that the 'snformation is correet, and agr'ee tzD compty with all applicable state of Minnesota Statutes and Cfity of Eagan Ordinarces. Signature of applicant CedMcates of SuM received Qfflce use oniv ves Na 1'r" Prej;ervat o?,agn Receivgd ves ?w Site Address 4520 Alicfa prive Lofi 8 Btock Subdivision Southem Lakes West ` Permit # This structure is constructed to meet minimum requir+emerrts of the Mn Enwgy Code, Ghapter 7670. _,,,,L_This structure wili be constructed to meet mare restrictive requiremerrts of Chapter 7672, ar 7874. Path,1 A liance 6as Etectric Manufacturer Model BTU's Ventin T Water Heater Gas Bradford White Mit 50 20,040 t?trect oweir vent Furnace Yes Carrier 58 MYP 080 vr = 80 000 S8?? ?' D r ? ? ? ? ? Yo be pu?chasea & Mstadled fiorr?eowner Exhaust System l.oca4aon Ty e Madel CFM"s Yented Yes No Kitchen Kitchen Over the range mkra n+enw Nrana MVti260 WlUE or a ZSD Yes Bathroam # 1 Main floor bath Ceilin Braan # 688 or = 50 X Bathroom # 2 2"d Ftoar Main Bath Ceilin Broan # 688 or = SO X Bathroom # 3 Master bath Ceilin Brvan # 688 or = 50 X Bathraom # 4 Other Fire lace s toea#an Gas Waod Mariufacturer Modsl BTU's Ventin Direct Atrnos Famil room Yes Heat N Gla 6000 TR or = 30, Yes Make-u air Model T pe CFM's Summer Aire Pra Ventor SH125 or = HRV 125-180 I hereby acknowledge that the above information is correct and agree to campiy with the Minnesota Energy Code and #he City of Eagan requiremen#s. Signature . Company Name M. R. Nebert & Associates Inc. l.icense # 5700 ?_ _ Na+ichock CC?MPLIANCE REPORT Minresota Energy Code IyII'lcheck 3oftware Version 3.0 COUNTY: Dakata STATE: Minnesota ZONE• 2 GONSTRVCTION TYPE: Single Family DATE : 7-18-2000 TITLE: Lot 8 Block 1, PROJECT INFORMATION: 4520 Alicia Drive Eagan Mn, 55121 Sauthern Lakes West COMPANY INFORMATTON: H.R. Hebert & Assoaiates Ina. 8439 143 rd Street West Apple Vailey, Mn 55124 COMPLIANCE: PASSE3 Required UA = 411 Your Home = 338 17.796 Hetter Than Cods 1 i 1 1 ? Permi.t # ? I 1 ! 1 ? checlced bylDste I I t Area ar Cavity Cont. G1aZingjDoor Perineeter R-Va1ue R-Value ^ U-Value - - UA - _ _ __ ---------------- _ __ __..__________------___.. CEILINGS 1544 44,0 4.0 _...._-- --- - --- - 42 WALLSs Wood grame, 161, O.C. 1963 19.0 2.0 110 83MT: Canc. 9.01 ht/7.01 bg/9.0' insul 164 12.0 0.0 10 GLAZING: Windows or poors, A'bove Grade 360 0.350 126 nooRs 42 0,350 15 SLAB FLOORS: Unheated, 42.0° insul. 51 10.0 35 SVAC EQUIPMEDIT: Etzrnace, 90.0 AEUE -------------------------------------------------------------- ------------ ----- COMPLIANCE STATEMENT. The proposed building de,sign deseribed here is consistent with the building plans, specificatians, and ather aalculations submi.tted with the permit appliaation. The proposed building has been desiyried to meet the requirements of the Mi.nr?esota Energy Ccde. Builder/Designer Date Aggregate Make-Up Air AI#ernative and Ventilation Documentation (Gan be Used as a Supplement to Permit Application) Bid Address: 4520 Alicia Drive Date: 6/29/2000 Ci : Eagan Zi Cod+e; 1 55122 Compieted By: Mark Hebert Cc. Name: M.R. Mebert & Associates inc. Path 1, Aggregate Aitemative F-chaust oevices cFM Space Heater. Sealed Cambustian Clothes Dryer 150 Water Heater: Power Vented Kitchen Exhaus# 250 Gas Hesrth: Diroct Vonted MWer Bathraam 50 Sattd Fuei Hearth: None 2nd FI BatMroom SO CO Atarnn: Not Required 1st F1 Bathroom 50 Make-Up Alr Requi rements centrai vacuum 121 Exhaust Devices Dryer Ki#chen Largest. Other Total Exhaust Capacity 150 250 50 450 Distribution CFM Passive Infiitration 175 Passive Opening(s) Rigid Flex Direct 275 9 10 8 Powerea Mak"p a Ventilation lUlinimum Required Sq. Ft Bedrms Tatal Ventilatian Peopie Ventilatian 3upp!tenrreMal Ven#itatim 3826 4 191 75 116 Peopte lupplemental HRV cr ERV 1 86 cfm. HRV ar ERV 1 11fi cfm. Peopie: 86 cfm. Supplementaf : 146 cfm. Totai: 202 cfm. ? , Ventilation Measurement Documentatian Bld Address: 4520 Alicia Drive Date: Ci : Eagan Zi Code: 55122 Completed By: AAark Hebert Co. Name: M.R. Hobert & Associates Inc. Path 1, Aggregate Aitema#ive Ven#itation: Measured Rerformance Peapk Ventilation Suppletnsntal Ventilabon Total Ventilation Minimums --? 75 116 199 Measured M$asured People Designed intake Exhaust Suppterraentat Designed Intake Exhaust HRV or ERV 1 86 cfm. ,HRV or ERV 1 146 cfm. Peopie TotaL• 86 cfm. Supp{emental To#a1: 116 cfm. Note: Air flow for balanced venttiati cn systems must be balanced within ten percerrt. Total Desig ned Ventilation. 202 c#m. Total Measured Ventila#ion (peaple + suppiementat); Canpliance 8ta1901Ient; kwWfed ventilation system is in comptiance with the M M Enetgy Cade and sizod to provide tha desiyn air Noinr. , E?Pokant (Prfnt name) 3iyoature [)att Phone nundw ? Window Door Schedule Type Gount Serles Size Location Width Height S" Windows . A 2 201 6ox4o Basement 72 48 6912 B 1 201 9ox50 Famil Room 108 60 8480 C 2 701 20-56-2/1 breakfiast ri ht tem & left 25 61 3050 D E 1 701 20-44 Zi2 Kitchen 49.25 49 2413.25 F 1 701 20-56 3126ox5a tiving room 73.6 61 4483.5 G 1 701 24-44111 rids taund riqht o rate 29 49 1421 H 9 204 5ox4o bed 6t1 48 28$0 i 1 201 6ox4o Master bed 72 48 3456 J 1 201 5ox4o Ternp Master bath 60 48 2880 K 1 201 Sox4o front bed grids 60 48 2880 L. 1 201 front entry transom 68.25 18 1228.5 M N 2 5GD Brealtfast lower levet 72 89 19520 O 2 Front i3oar tass Eniry 14 82.25 2303 Total Sq.ln. 51907.25 Total S . Ft 360,467 Doors AA 1 3101 SG dow basement Ri ht opera#e 72 80 5780 BB 1 3101 SO door Breakfast Ri ht operate 72 80 5760 GC 1 e-10 Front doar and side light entry door* hinge ri ht 69.25 82.5 5713.125 DD ! 2-8x6x8 t3arage fre daor ara e, hin e right W/ closure 34.25 53.5 2825.625 Totat Sq.In. 14298.75 l.ow E Total S. Ft. 99,28688 White vin f Jamb 6 1l2 ine 4520 Alicia Drive, Lot 8 ? U Value • . i i Mcheck COMPLIANCE REPORT { ( M:i.nnesata Energy Cod.e I Permit # 1 MNcheck 9aftware Version 9.0 i 1 1 1 ( Checkod by/Date ? ! I COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRVCTION TYPE: 3ingle Familg DATE: 7-18-2000 TITLE: Lot 8 Block 1, 3outhern Lakes West PAOJ'ECT INFQRNtATIOTI: 4524 Al.icia Drive Eagsn Mn, 55121 Ct7MPANY INFORMATION: M.R. Hebert & Associ.ates Inc. 8439 143 rd Street West Appie valYey, rn 55124 C+QMPLIANCE: PASSES Rdequired VA = 411 Your Home = 33$ 17.7% Better Than Code Area or Cavity Cont. Glazing/Door Perimaater R-Va1ue R-Value U-Value __ - UA _____ --__-_..__ ---- - ------------- -_-----..___..____-------------__,,..___ CEILINGS 1544 44.0 0.0 42 WALL3: Wood Frame, 16" O.C. 1963 19.0 2.0 110 BSMT: Conc. 9.01 ht/7.01 bgf9.0' insul. 164 12.0 0.0 10 6LAZING: Windows or poors, Above Grade 360 0.350 126 DC14R3 42 0.350 15 SLAB FLOORS: Unheated, 42.0" insul. 51 10.0 35 SVAC EQUIPMENT; Fu:rnace, 90.0 AEUE y_ _______------------ -----,._---------- - -- - ----- ---------- ----.._____-_- - -- COMPLIANCE sTATEMENT: The proposeed building desi.yn described here is consistent with the buildinq pwlans, sgecifiaations, a;nd other caleulafi:ions submitted with the perrait appla.cation. TlYe proposed building has been desiyraed to meet the requirements of the Mi.nnesota Energy Gode. Builder/Designer Date r " LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPUCATION ? PROPERTY LEGAL: L-aT e7 .•?GVG' / - ,? J ? h DATE OF SURVEY: N ? w LATEST REIASION: ? o ROCUMENT STANDARQS Y Q O ? Q ? ? a • Registered Land Surveyorsignature and company a • Buitding PermitApplicant a?,o ? • Legal description ?a/ p o • Address ?d a • North arrow and scale a" ? o. • House type (rambler, walkout, spit w/o, spNt entry, laokaut, etc.) ? p ? • Direction? drainage arrows with slope/graden# % m/ a Q • Proposediexasting sewer and water services & irnett elevation m??o ? • Street name p ? • Driveway ? • lot Square Footage a? ? o • Lot Coverage dr/ o ? lu/ ? a ?? ? 0?a ? ?? d/ o ? ? o ? a ? d? ? ? t? o ? n R/o o h( ? ? wa o q? ? o ?n dr? a ? q? o ? ?a ? k o a a o ? Much 19M c1Ar9U8LoG~.rM .. , ? ELEVATtONS ExiWna • Sewer service (or ProPosed) ' • Property comers • Top of curb at the dtiveway • Elevations ot any existing adjacent hornes Adequate foofing depth af struclures due to adjacent uft trenches Proposed • Garage floor • Firstfloor • Lowes# exposed elevation (walkouWvindaw) . Properi.y comers • Front and rear of home at the foundatiOn PONDIt4G AREA ('d applicable) • Easement Ine • IyVyt • HWL • Pand # designatian • Emergency Overlfow Elevation OIMENSIONS • Lo# linesfBearings 8 dmensions • Right-of-way and street width (to back of cwb) • Proposed hcme dmensions induchny arry propased decks, owerhangs greater than 2'. Rofches, etc. (i.e. aN structures requiring permanentfootings) •' Show ag easements of record and any City utilities withfn those easements • Setbacks ot Proposed structure and sWepM selback of adjacent existing structures • Retaining waN requirements, if any - Reviewed: - `J ame l ? i - Y . . ... . ? . . . . . . . ? .. . . .w w .. ..__.. . . .. • ? .... . . .. . . .. . . k. . C17Y Us? t?t.Y •? ? L ? RE+CEIPT #: 11: .. SUSrr. e''h ??S ?? REcEIr?r DArE: 0- PERMlT # 2004 PLUMBING PERMIT (RESIDEAtTIAL) CITY 4F SAGAN 3830 PILOT Ifl+tOH RD EAGAN, lyIld 55122 , ` 551-681-4675 Please cc>mplete for: p single family dwellings ? townhomes and candos when permits are requ+red for each unit ? backflow preventer for underground sprinkler system clvrnioGc FACH # . T[YfAL Aiteratians to existing dwelling - minimum fep Describe: $' 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x - $ Gas pipin outfef * minirnum - i 3.00 x ( = $ Hot tub/s a 3•00 X = $ Kitchen sink 3.00 x l = $' Laundry tra 3.00 x = $ ? Lavatory 3,00 x = s ( Septic System newirefurbisned ' requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new instaAation/repairtrebuiid 30.00 X = $ Rough openin 1,50 : x = $ Shower 3.00 x $ Underground sprinkler if dweliing is under cflnstruction 3.00 x = $ Under round sprinkler if existin9 awerliny 30.00 x = $ Water cioset 3.00 x - $ Water heater 3.00 x ? - $ Watefi softener ifi dweiling under construction 5.00 x = $ Water softener if extsting dweuiog 30.00 x - $ Water turnaround 30.00 x = $ State Surcha e :50 $ .50 7otal __, Reminder: Cail for inspections of alterations, i.e. water heaters, water softeners, etc. ` -----------------------------------------------------------------------------------_--- ------- --•----------._..------------.. ------------- i hereby acknowledge that i have read this application, state that the information is corcect, and agree W compiy wkh aN appUcabte Ci#y of Eagan ordinances. It is the applicank's responsibility to notify the property owner that#fie Cit}I of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the #acilities constructed under this permit within City propertylright•of=way/ease3ment. SiTE ADDRESS: ?'" I? Z? ?`"? ? 1 C i c3 ???t VT,' OWNER NAME: : ?1 ?-?I?- I"?t'?,/"? *-A?s0 C .TEI.EPHONE - (AREA CQDE) INSTALLER NAAIiE: C I a- TELEPHONE #: ?'--E'?'?? STREET ADDRESS: R0? (A?? COOE) C711% I CIIY; kP STAT : W.*1ZIP: C?'v SIGNATURE OF PERMITTEE ir, CITY USE dNLY LOT ? BL PERMIT #: 01 ?9- StBD. ? C? l?Y?,l A?,• C,. ?, n,\??'" RECEIPT #; RECEIPT DATE: 2000 MECHANICAL PERMIT (RES2T?ENTSAL) CITY •OE' EAGAN ; 3830 PILO2'- IQ?TOB RD ? EacM ra*r 55122 651-681-4675 Date: 11- aa = o?J Complete this section onlv if you aze installing HVAC in a` single family dwelling, townhome or condo under cottstruction 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.) ,3-6-0 State Surchazge .50 Total Complete this section onlv if you are remodeling, adding-to, or re ai in an existing, singte-family dwelting, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration ` Repair Other Furnace Air conditioning Air exchanger Other Fee $ 30.00 - Staxe 5urchazge .50 Total $ 30.50 Reminder: Call for inspections SITE ADDRESS: ?- OWNERNAME: M.plafPHONE#: - c(AREA CQDE) INSTALLER NAME: 1 C7 ?C, RGN FHONE #: - _ -?v,- . STREET ADDRESS: Heating & Air Gond'?tion?ng (at?a conE> ..p ra Far° MN 5502 CiTY: 4644 450-8313 STATE: ` ZII': 1 06 ??CIL! S. ( Description of work: Fees: 1% of contract price DR $30.00 minimum fee, whichever is greater. Under$round tank removaUinstallation = minimum fee . Contract price: $ x 1% = S (Base Fee) State surchazge calculate at$.SO for each $ 1,000 B_ ase Fee uk . . . . . . . .,?'; . . . . . . . 'a.'.. CITY USE ONLY ' l BL PERMtT #: SUBD. RECEIPT#: APPROVED BY: 1NSPEGTOR RECEIPT DA'TE: 2000 MEC8ANICAL PZRMIT (CtUbMRCIAL) CITY Ct!' ZAGAN 3$30 PiLOT lCt+T08 RD EAGAN, bII+i 55122 651-681--4675 Piease campiete for ali commerciaUndustrial buildings muiti-famiry buiidings when sepacate permits are na required fcr each dweiling unit DATE: WORK TYPE: New construcrion Install U.G. Tank Interior Improvement Remove U.G. Tank Pracessed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. TOTAL $ CT'I'E ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONL1): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE #: (AREA CODE) CITY: STATE: _ ZIP: SIGNATURE OF PERMITTEE Address 4 5 2 o a i i c i a n r Zip 55123_ LAt 8 Blk 1 Sub Southern Lakes West THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: t L Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck r 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 sprinkier system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy - RESIDENTIAL BUILDING PERMIT APPLtCAT10N CITY OF EAGAN 3830 PII.OT KNOB RD, EACAN MN 55122 651-681-4675 New Gonstructlon Reauirements RemodeUReoair Recuinments • 3 re9isteretl sitesurveys showing sq. ft. of fot, sq. ft. of house; and aii roofed areas •- 2 copies of plar (20% maximumJOtcoverage ailowed) . t set of Energy CalcUations for heaked additions • ? copies of plan strowing beam & window sizes; poured found desgn, etcj ; .' 1 site survey °or extenoraddition3 b decks • 1 set of EnerCaicu!at ?rons . . . :f rvs stem f r addi 9Y Indicate home - ?e ed by ephc sy o trons • 3 copies of Tree Preservation Pian if lot platted after 7i1/93 + Rim Joat Detail OpGons selection sMeet (bldgs with 3 or less units) DAtE 2 Z_ VACUAt10N SITE ADDRESS MULTI-PAMILY BLDG _ Y N TYPE Of WORK??a.. ineSk SE?? FIREPLACE(S) - 0_ i_ 2 I u APPLICANT SQ-?c.L STRfET ADDRESS Wa(1, C? Ct Lavt t STATBLIL ZIP TEIEPHONE # CfIL PH<)NE # fAX # PROPERtY OWNER :!;Sa-rn TEtEPHOAIE #CaS- -7 ----- -------- --------------- -- --- --• ---• ___. .._.- __ --- - --- COMPLETE THIS SECTIaN F4R "MEW" RESIDENTIAL BU}LQINGS ONLY Energy Code Gate99rY ? MIVVF,S01"A 1tCILES 7670 C.-vTI:G{)KY 1 NIItiN ''. . (v submission type) • Residsntial Ventiiatian Category 1 Worksheet Submitted • _ r@?- e o h,? itied * Energy Envelope Calculations Submitted ? JUt 12 2002 Ptumbing Ccntractor: Phone r _ Plumbing system includes: ? Water Softener Larvn Sprinkler By ? Water Heater No. af R.I. Baths -- y'o. of Baths ? Mechanica! Confiractor: Phorte # NIccti-ulic:al svstecn includes: :3ir Conditioning Fee; S70.()0 F1eat Rccovery Systci7i Sewer/Water Contracfor: Phone # I hereby acknowiedge that I have read this appiication, state that fhe informafiican is correct, and agree to comply with all appiicabie 5tate of Minnesota Statutes and Gity of Eagan Ordi nces. ' Signature of Appiicant ------ - --- - -- ----------- - --- - - -- - --- - -------------- ------- (OFFICE USE Olti LY Certificates of Survey Received Tree Preservation Plan Received _ Not Required Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool 0 30 Accessory Bidg ? 02 SF Dwelling 0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea:) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-piex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF 0 04 02-plex ? 10 08-piex 0 18 Deck 0 23 Porch (screened) ? 36 Muiti 0 05 03-piex ? 11 10-piex 0 19 Lower Levet 0 24 Storm Damage ? 06 04-piex 0 12 12-plex Plbg_Y or _ N ? 25 Misceilaneous D 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding CI 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) Cl 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof - p 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCAhandout to applicant Valuatian Occupancy MClES System Census Code Zoning C+ty Water SAC Units Stories Booster Pump Nbr. ofUnits Sg, Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width , REQUIRED -1NSPECTIONS Footings (new bldg) ? Fina1 CA. ? Footings (deck) FinaL,No C.O. _ Footings (addition). _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water Final _ Poal Ftgs _ AiriGas Tzsts Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test Final - Windows (new/replacement) _ Insuiation _ Retaining Wall APPtoved By , 8uilding Inspec#or Base Fee -- -------------- ------------__.------------__ --_--_--__ Surcharge Plan Review . MC/ES SAC City SAC W ater Supply & Storage S&W -Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total - RESiDENT1AL BUILDING PERMIT RPPLICATfON CITY OF L=AGAN SrZ o .0 v 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirements RemodeURepair Repuirements • 3 registered site suNeys showing sq. ft. oflot, sq. ft. of house; and all roofed areas • 2 copies of plan ? U (20% maximum lot coverage allowed) . 1 set of Energy Calculations farheated additions • 7copies of pian showing beam & w(indow sizes; poured found design, etc.) ' • 1 site survey for exterior addiEions & decks • 1 set of Energy Calculations • Indicate if home served by septicsystem fw additions • 3 copies of Tree Preservation Plan if lotplatted after 7i1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE z- I+-" DZ VALUATION ? Sr00D JOB SITE ADDRESS 45.2-D A1 l C l G?.. bY 1 Vt.. IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER JtEE "Vt1rMuv tC_C\ TYPE OF WORK Ntw Okff,V-- P br'tisA-v?A r4,.w-\ FIREPLAGE(S) f0 _ 1_ 2 APPLICANT ?v6Y1-1??.?- CbYIS,+n.t f-ktt'i*n PHONE# qSZ-44p°-7"1S U ADDRESS I S b(D (Q 9V1(,[q r° irvA-?-e v DV - ZIP CODE SS31 P? PAGER # CEII PHONE #(O IZ -`16Z?D l?? FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTARULES 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 Fee: $90.00 Water Heater _ No, of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanieal System Includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Wpter Contractor: Phon All above information must be submitted prior to processing of application. FEB 1????Z I hereby acknowledge that I have read this application, state that the informati is corrE?. ,?d agree t comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. '?Y__,,,,r,,,,,?,....._.......- Signature of Applicant _.??UA'??? 2 Certificates of Survey Received _ Tree Preservation Plan Received _ Nat Required _ Updated 2002 OFFICE USE fJNLY ? 01 foundation ? 07 05-plex 0 13 16-plex ? 20 Pool 0 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) Cl 31 Ext. Att - Multi ? 03 01 of _ pfex ? 09 07-plex ? 17 Garage 0 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-p{ex 0 10 OS-plex X 18 Deck ? 23 Porch (screened) ? 36 Multi 0 05 03-plex ? 11 10-plex O 19 Lower Levei ? 24 Storm Damage ? 06 04-plex 0 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous ? 31 New ? 35 Int Improvement 0 38 Demolish (Interior), ? 44 Siding x 32 Addition ? 36 Move Bidg. 0_ 42 Demolish (Foundation) Q 45 Fire Repair 0 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 48 Windows/Doors ? 34 Replacernent "Demolition (Entire Btdg onty) - Give PCA handout to applicant valuation ?zo vU `' occupancy -3 -( MCrEs System Census Code Y3? Zoning Ciiy Water SAC Units Stories Baoster Pump Nbr. of Units - Sq. Ft. PRV Nbr. of Bldgs " Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS a - Footings (new bldg) _ FinallG.O. Footings (deck) _ FinaUNo C.O. ? Footings (addition) - Plumbing Foundation ' HVAC Drain Tile Other Roof _ Ice & Water ? Final Poot ` Etgs _ Air/Gas Tests J Final Framing Siding Stucco Stonz Fireplace _ R.I. -Air Test _ Final Windows (new/replacement) _ Insulation Retaining Wall Approved By , Building lnspector Base Fee Surcharge P1an Review MCIES SAC City SAC z'10J0'`.-- Water Supply & Storage S&W Permit 8 Surcharge Treatment Plan# Plumbing Permit Mechanical Permit License Search Copies Other Totat ?'. . .?.r . . .(? .e.. . . . . . ? . .? . .. . ? 1 . .. ? . . ? . ? ? . ... ? ? . . ? . .. . .. ? . . ? 7 • 1 d U ? . ? F01:1 k . ?L1C?A kD('.f,5 ?(Z / U.? ? Q 0 10 ?,: ? ? ( ? C? • ? O 5.v ( SfNJt?Z ,..?. ? ? o ? ? ?- ?'' ?' .? - ?; . ?1,? . . ? I ??? ,= 9???z ? ? ? ? ? . ? ? _. . c?.?? 1 ?' - ? .. ( . ,_... :a ,.. ? • Z(0;?`?` ,._ _ _ ???I,2. ? + ...- . 10 ? .. ? ? ?\? No?: ? I?u? t?0 ?i?u??ese ? ? jWcM,.5-7 Q? ?1„?3?,? ?-° ? ? ?? °?e, ao,?'t • ? (? m, • ?! ? ? ? ? a ?? +- . zz.0 C;? o ? ? ? ts, tA . ? _ `?;, '??° ?g?' 5 I C0 `? ? -roPlmio 2, ' -TIDP e,W=93?.?1 .. . . ? - - Losc . ,BWl_Z)1Q(1,, WN = Z.?? Bearings are assu"d Subject ta easements of reaord ii any " . Q Denates set or found iroa pipe ?anuments . .$ Denotes get wood hub and tack, ???•J Proposed garage tloor elevation Denotss existing elevatian ..? . . 11proposed,top of block elevation Denates proposed ifnish grads elovation ? , Denotee direatian of surface dralnage ??0• Proposed lrnvest Yfloor eievation . . ! I? OTF, 71 T? ? R ? k) I D ? ?uQ t??s -? ? = in . I hereby certity that this ie a trua and carrect representation o# a survey oi-the boundaries of Lot B, sioak County, Minneaota as on tila and of racord in the Ottice:.of. the County: Aecordearip and for safa CauntY, also.,ahowinS the proposed location of a house as staked thereon. ? That I am a du2y Regiatered Land 8urveyQr_under the Laws of the 8tata of Minnesota. Date - - azlan R. ft$tinsB , < ?,?cuss , '?o. ?`,?:1?',I?x F.?T:k?; Mirtt?eaots Registrattan 212 F'trst Avenue E. 8uite No. C ????iVEQ JU LA $ M \ 8hakopee, liinnesotA 55378 . Phone 612 445 4027 ? , .. .. , .... .._. . .. ...... .. _ ..._.... , , ? 2004 RE AL IC RMIT IATI SIDENTi MECHAN AL PE APPL C ON City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Teiephane # 651=675-5675 Please complete for: single family dwellings & townhomes/condos when pernuts are required for each unit : Date Sit Add q6aQ A , l ua onuo U it # - e ress n Property Owner Telephone # ( ) ' Contractor Uor,Jv \?,rw? LC.? St t Add 4?4 CJ A o ( ?A gfN al Cit ??• U 6 i ree ress o , u O y =() . State ?A,J Zip _(,e:9 Telephone # Bond #• Eapires• The Applicant is Owner Contractor Other Add-on or alteration to ezisting dwelling unit $ 30.00 furnace _Additionai Replacernent air exchanger air conditioner New Replacement - ? other ? 0 H 6?? 0 , State Surcharge $ : .50 Total $ ? I hereby apply for a Residential Mechanical Perxnit 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 pernrit, but only an application for a permit, and work is not to start without a perxnit; that the work will be in accardance with the approved plan in the case of work which requires a review and approval of plans. L _ 1-?c Applicant's Printed Name Applicant's Signature 2004 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 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 pernut; 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: Date/0? Site Street Address 6V Unit # Tenant Name (if appiicable) Previous Tenant Name Property Owner TelepTxone # Contractor Vogt Heating, Air Conditioning, & Blumbing LLC Street Address 3260 Gorham Avenue City St, Loui s Park State MN Zip 55426 Telephone #( 952 ) 929-6767 Bond #• Ezpires: The Applicant is Owner X Contractor Other Work Type New Construction _ Underground Tank _ install Remove 'see be/ow ? Interior Improveme , Instali Piping _Processed _Gas Nature of Work: r(? t **When installing/removin underground tank, caU for inspection by Fire Marsha/ and Plumbing Jnspector Permit Fees: $70.50 Underground tank instaliation/removal - $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _$ Perxnit Fee • If pernut fee is $1,000 or less, add $.50 => $ State Surcharge If ermit fee is over $1,000, add $.50 for every $1,000 nermit fee $ Total Fee ?OJ?6 08 2004 RESIDENTIAL BUII.,DING PERMIT APPLICATION c , City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reaoirements RemodeVReair Reauirements 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and aU roofed areas 2 copies of pfan (20° maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of pian showing beam & window sizes; poured found design, etc. 1 site survey for addi6ons & dedGs 1 set of Energy Gakulations Addition - indicafe if on-sife septic system 3 copies of Tree Presenration Plan ff lot platted after 7/1l93 Rim Joist Detail Options selection sheet {bldgs with 3 or less units I ?,d Date 6 , / J 5 /_?4 Site Address q$ZC? A''?--t L 1 VL ?JS',1;t?- Constrnction Cost? S"Z?a Unit/Ste # ..zz Description of Work Multi-Family Bldg _ Y _ N Fireplace(s) , 0 1 _ Z , Property Owner Telephone # { (j15') ) (9 S7 0864 Contractor Address lS'-oS- State t/K ? Zip City SS(2 ?O Telephone # (LOZ ) 9(-5 ' (aS? ? COMPLETE THIS AREA ONLY IF Energy Code Category M?esota Rules 7670 Category 1 _ • Residential Ventilation Category 1 Worksheet (4 submission type) Submitted • Energy Envelope Caiculations Submitted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet 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 11 Lis 19 200 I hereby apply for a Residential Building Pernut and acknowledge th?.t the informa omplete and ` urate; that the work will be in conformance with the ordinances and codes of the City o and the State f MN Statutes; I understand this is not a permit, but only an application for a permit, and aut a permit; that the work will be in accordance with the approved plan in the case of work which requires a revievu and approval of plans. ?35 G'S? \?-/?t t.t_i '?hvr ` ' A ?r ?? • Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex 0 20 Pool ? 30 AccessoryBldg 0 02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 31 Ext: Alt - Muiti ? 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 0 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types 0 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding X 32 Addition ? 36 Move Building ? 42 Demolish Foundation O 45 Fire Repair 0 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement *Demolition (Entire Btdg) - Give PCA handout to app{icant Valuation G4''/e Occupancy ?- MCES System Census Code L Zoning City Water ?- SAC Units ' - Stories Booster Pump ' # of Units Sq. Ft. PRV "'- # of Bldgs ? _ Length Fire Sprinkiered 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 _ Insulation REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: , Building tnspector ----------- ------ ------------ --------------------- ? Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Eonnection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total i i .., . ? .... , ? ' . • ?j? ?4? ? `'1-?ZO DQ.?J E ? S ?Q. ? \T? ? LIM44, ? ; ?to t,?F ?ta -Nu?ese ?z t-?' ?,$ ? 6:0-+E ? ?.=?6 3? U,.g3(1010) L- ?97-? -!>-7 . . --.. . . . . ' "? . - ??r?Or . . ... , 10 _ - 9,. _"_ Iaao -?-_.., ? ?.. ?;? zo,U ?. ui Q 30, G7 ? ??1 0 ? ? ??,w Q M C'- I 0 cr co ? , . ? ?'?N* ? oI •z2.10 9,,i.0 o I • ?. ? ? 4 N f Z?..?y.,?...,.? ? M . ? ID L?' ??.._? ??9 -- - ? ? `?? ? (50 '. , °r7-!2?: S 1" = ?. . . rTop ? -r?P c-ou ? CaP?- L ??- 44-0: (109 ?- t?,a EA; q36.o3 : .?. ? - 12,5?3 •?-, BWl..plQ(x WPc = Ztl-?> .0Vr' Bearings are assw»ed . I?' ??Ek .. Subject to easements of record it any . ' Q Denotes set or found iron pipe monwnents ' .. $ Denotee set wood hub and tack. r??•? Proposed garage floor elevation 'T8 ?natee ?,xiating elevation V?? ??A 3'7 Proposed?- top of block elevation (1?p Denotes proposed finish grade elevation benotes d3rection of surtace drainage Proposed lowest tloor elevation ' ? ?pTF., ? ?? p `T1T?.,E ?(? ? ?J ? D ? ?Q ?t5tl? .-?. ? - . I hereby certity that this 1s a true and correct repreaentation of a survey oi•the boundaries 6K(,S\hj?? Da?oi Lot Block ???.Q? ? County. Minttesota as on tile and of record in the Otfice:.ot, the County. Aecorder,„..ip and tor.s:aid County, also.,showing the praposed location of a house as staked thereon. ' That I am a duly Registered Land Surveyctx under the Laws oi "the State o! Ninnesota. DatedA?UE Allan R. Hsstings • ?N_; Minneaota Registration No. 17069 212 First AVenUe E. ?. :Su1te No. C ???????? ? ? ? ? 8 ZO : Shakopee, Minnesota 55379 . . ` Phone 612 445 4027 . ?. . ...... .. ..._.... . ... ;, ..._. .. ..... ...,. _ .. : ?t 10. Co ? ? ? ? 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodellRepair Reguirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copiesof plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1'site survey for additions & decks 1 set of Energy Calculations Addition - fndicate if on-site septic system 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units -1 `-70 ,?) ? ?-? Date Z",;, / Construction Cost 00 6> Site Address 4q2Z> (4z:1? P 6? TL?v? UnitlSte # Description of Work Multi-Family Bldg _ Y N Fireplace(s) _ 0 2 Property Owner V01- Telephone # ( W/ ) ?87 08 (0 ? Contractor Address T2-r> City State iMl k--) Zip !M? Z (,,w Telephone # (CP12) COMPLETE THIS AREA ON1Y IF CONSTRUCTING A NEW BUILDiNG - Minnesota Rules 7670 Categor? MinnesotaRules 7672 Ene[gy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Gode WorCSheet (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 Mechanical Contractor Sewer/Water Contractor Telephone # ( ) . Telephone _ Telephone ? MAY 2 5 I hereby apply for a Residential Building Permit and acknowledge that the info tion is c, lete an ' accurate; that the work will be in conformance with the ordinances and codes of the City og te 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 0 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg 0 02 SF Dweiling ? 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. 0 05 03-plex ? 11 10-plex ? 19 Lower Level ?` 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbgyY or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement O 38 Demolish lnterior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair x 33 Alteration O 37 Demolish Building* ? 43 Reroof 0 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg) - Give PGA Mandout to applicant Valuation ? Occupancy R-3 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) FinaUC.O. Footings (deck) ? FinaUNo 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. kAir Test ? Final _ Windows Insulation _ i Retaining Wall Approved By: , Building Inspector ---------------------- ----- ---- -------------------------------------------- Base Fee 74,,2 f ------- ------------------------------------ ---------------------------- ----------- Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Date v I ? Site Street Address T Jr? ?? ?Unit # Property Owner LA V_I0,!M_jjA..,AM Telephane # (d jJ ) 6$ 7- CS ? G?f Contractor ? Telephone # ( 763) ?/?-1 ?'-? Address City State,41 4 Zip _4??b I The Applicant is: _ Owner ='Contractor _ Other Alteratio s to existing dwelling GiAdd fixtures to rooms, excluding water softener and wafer heater _Septic System Abandonment _Water Turnaround (a d$121.00 if a 5/8" meter is required Other: &LR,w?_L "j Vl-? ? $ 50A0 II Total LV I $ I hereby apply for a Residential Plumbing Permit and acknowledge thafthe 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, bu# 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. 5t e vL ?Iu `L 9, at?- v Applicant's Printed Name Applicant's Signature 3 ?J 2006 RESIDENTIAL BUILDING PERMiT APPLICATION City Of Eagan 3830 Pilot Knab Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ? New Construction ReauiremeMs 3 registered sfle surveys shrnving sq. fl. of lot, sq. ft. of house; and all roofed areas (20%maximum lot caverage allowed) 2 copies of pian showirg team & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if bt platted after 7t1l93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation fornt RemodeURepair Reauirements 2 copies af plan showing footings, beams, pists 1 set of Energy Caiculations for heated additions 1 site survey for additions & decks Addition - indicafe if on-site sepSc sysfem Date 02 lzooCP Canstruction Cost Site Address Unit/Ste # Description of Wark Abc>ve- C,?rnu..rtd 5c-o;mh'i i YL,? !'?OO I 1 N1 ??q Multi-Family Bldg _ Y X, N Fireplace(s) _ U _ 1 _ Z Pro ert Owner ?°-? Tele hone # ?1) A / "'09(P p y p Contractor j cA? Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONI.Y IF CQNSTRUCTING A NEW BUILDING Energy Code Gategory -MimeSOta Rules 7670 CategorY 1 _ Minnesota Rules 7672 • Residential Ventilation Gategory 1 Wforksheet • New Energy Code WUarksheet (,I submission type) Submitted Submittetl • 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? _ Y N if yes, date and address of master plan ,: Licensed PlUmber Telsphone #( ) 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 af the City of Eagan and the State af MN Statutes; I understand this is not a permit, but only an application for a pernvt, and work is not to start without a permit; that the wark will be in accordance with the approved plan in the case af wark which requires a review and approval of plans. ?e_?W V4e_f14Lkr14e,, Applicant's Printed Name Ap ant's ' ature __ __.... PPrftp'(?? Y :,IU; _ , _ _.......... ?'Ras?e?... :>:........ y:?. <7t?-s??Se6??:::: ?„y ? + ` . .., . DU NOT WRITE BELOW THIS LINE Sub Tvqes ? 01 Foundation ? 07 05-plex ? 13 16-plex ?K 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 13 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 Mulfi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscelianeous Work Tvpes 31 New ? 35 int Improvement ? 38 DemoGsh Interior ? 44 Siding 32 Addfion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Alteration ? 37 C3emolish guilding* ? 43 Reroof 0 46 WindowslDoors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Dartrege Yes / Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type ofi Const VWidth REQIJIRED INSPECTIONS _ Footings (new bldg) _ Sheetrack _ Footings (deck) _ FinaUC.O. _ Footings (addition) FinalJNo C.O. Foundafion HVAC Drain Tile Other Roof Ice & Water Final ZC. Poal _)C Ftgs _,,C AirfGas Tests X Final _ Framing Siding _ Stucco Lath Stone Lath _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 License Search Copies Other Totaf POOL PERMIT - APPLICATIQN SUBMITTAL REQUIREMENTS Address: 4SZ.O Applicant Name: ?Lqq 0 ? GENERAL INFORMATION o z v ? , C! p Applicant - name, address, phone & fax numbers, signature .1a' Li ? Properiy awner name JI ? ? Legal descriptian and address of property $ ? ? North arrow, scale (1" = 30' or 40) and date ,,,0" O 0 Location and name of a11 streets adjacezrt to praperty ,,el ? 0 Site Plan drawn to scale showing location of house, pool and ather existing ar proposed structures ?d' ' CI L3 Directional drainage arrows (existin,g and praposed) ELEVATIONS Existina Z ? ? House comers 0 ? ? Property corners ?0 Cl On property lines at point of ineasured dimension ta pool (see below) 0.Z ? If applica.bte, graund elevation at each end af retaitting wa11s and at wa11's greatest height Praposed C1 A 0 Finished pool deck cornars Ll eO U Top of retaining walls (if any) and at each different elevation (if it changes) ,d ?? Pool battom (or max. depth) DIMENSlONS Existina fJ U C1 All property/lot lines Propased .? 0 C! Pool ? 0 0 Pool ptus integrated decklpatio 0 CI Shortest distance from outside edge of pool deck to lot lines and house Reviewed: -A aLazlr Name "?A Date G:FORMS/Pool Permit Checklist/06-02-44 n'S : .... ? - • . ? ba 6 ? ????`? ???? ? ?` . ? Fol: . _ ? ?terA RVEY re ??4?- tZ Q.?"oe ?OuKF t?a 'Nu?e?e. 6 ? , oP ?'p' " ,^ ?.3? U? °? 3? ??`? ? ? ? -f---? -t-- ,-. ` J t0 ?? • `?? f. Y, ` •'1'?`? - ' ?O,'?? ? \? ? ? ,' -1'? ?. ?A 4 ? . `? ?. G7 ? ? q d ?j ' `?I ? ? %0 ? . ° j , ?? MM? '? ? ? ? • ?t C`?c-?'?- -A - ? - P . ? g ? t,? N ? S=l+33 ? ? ? Q ._..1 . i ? 017 92i,? a ,.`p 40;609?' It?A '? . : ? ? U1 '?? w???•b? E'?1?3?. . . : • r .. . _ _ . .._ ' ..r .. . _ . . Q ? ..?.... ..... .. .._ .. . . .. , , . ? . , ?'?:;,.....1;? ? ? ??, . . ...? . .. , . . . . . .?:;? p?11.ot11?? ?E?t = ????3 'Q.Bearings are aasun?ed subject to gas . . . ements of ?cecord i= anY, ?,. . . : , O Dencttes set or iound iron pipe monwme?nt?s ' , , ..•' • $ Deaotes set wood hub and tack proposed, ga?rage lioor elevatioan Donot.es e?cistiag elevation ? . Denotes proposed iiniah grade elevation . `` ' Proposed tap o! block elevation ? . Denotes directian ot surfacexdrA3aage , s Propased 1?ov?est floor elevation • . . ? representation v! a survey ot,the boundaries _ I hereby certify that thfs is a true aud correct ? ? ,, ?? . Countq. Minnesota as oa tile and of record . g i, of Lo?t ° ? Bl+bak` in the Otiice of the County Recorder fn and tor said CQUnty, al&?$?B the propased location _ : ED? of a house as, staked the?eost. . BY: . Laws at the 9?1 soZa. That I am a dul.y Aegistered l.and 8urveyoac und*b?: BUI N SP • . : . 1, . Dated:?U?? 2?, A M?. ED 'A ,. _ IEW Alls?t"1?: H?sstl gS ata Rac?,strAtion ?To. 17009, ,. - - . ?? 212 Fit'$# Aveftue E. By. b1? , 8uite Na. C . ? . Oate ? ;? . , gACiAN ENOIINBER?NG DEPT. Shakapee, Minnesc?ta 55399 ? ? • ? Phone 612 445 4027 . ;:• , . ; : ,. . ? , .. . £ ?? , . .. : , , . , ; 3e3sro ? 2oo6 RESIDENTIAL BUILDING rERvrrr AprLicATIoN City Of Eagan 3830 Pilot Iinob Road, Eagan MN 55122 Tetephone # 651-675-5675 FAX # 551-675-5694 New Canstruction Reqvjremts RemodellRwarc Reairements 3 registered sile surveys ahoNrir?g sq. ft. of bt, sq. ft. of house; and d raofed arem 2 copies of plan strowing fodings, bearris, Joists (20% maximum lot oaverage albwed) 1 set of Energp CaWations for heated addi6as 2 copies of plan shoxnng beam & window sizzes; poured fOUnd design, etc. 1 sits survey for addilrons & decks 1 set of Energy Calculations Ad*ion -tn*m* if on-siEe septic system 3 capies of Tree Presrvation Ptan if bt pMed after 7/1193 Rin Jast Detail Options selectian sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Sftayao* Ce?taFSatva9+Fieed TY -N Tree Pm Plar? Recd -Y N, Tree Pme ! Y _ N On.?e Sep? S?n _Y ._,N Date ? I 5 I iQ40 Construction Cost 500 ? Site Address ? ?2 (4D 44 1 r i C:k, Y- 1 \/ R-- UnidSte # Description of Work ? S? vt??1 J?Ieak. I ve-)4- Multi-Famity Bldg ? Y N Fireplace(s) _ 0 1 2 Property Owner Telephone # ((O) (-7'"/Qk/„ Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTINli A NltAl BUt1.DING - Minnesota Rules '7670 Categorv 1 Minz?sota Rules '7672 Energy Code Category . Residential VeMifation Gategory 1 Worksheet • New Energy Gode Wortcsheet (4 submission type) Submitted Submitted • Energy Ernrelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar pian based on a master planZ _ Y ^ N If yes, rlCtto and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor ?@ I T aT ml?l JUN 0 6 ZOOo Telephane # ( j : Telephone # { ) Telephone # ( } I hereby apply for a Residential Builtling Permit and acknowledge that the infotmation is camplete and accurate; that the work will be in conformance with the ordinances and cades af the City of Eagan and the State of MN Statutes; I understand this is not a permit, but oniy an applieatiou 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 icant gnature ? ?. . . ?. ,• , . DO NOT WRITE BELOW THIS LINE ' Sub Tvaes O 01 Foundation 0 02 SF Dweiling ? 03 01 of _ piex ? 04 02-plex ? 05 03-piex ? 06 04-plex Work Tvaes ? 31 New x 32 Addition ? 33 Alteration ? 34 Replacement ? 07 05-plsx ? 08 06-plex ? 09 07-piex ? 10 08-plex 0 11 10-plex ? 72 12-plex Descriation. wacer oamage Valuation 000 Pian Review 100% or Census Code -jd 34 SAC Units # af Units # of Bidgs Type of Const 0 13 16-plex ? 16 Fireplace 0 17 Garage x 18 Deck ? 19 Lower Level 0 20 Poot ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch(scrsen/gazebo) ? 24 Storm Damage ? 25 Misceilaneous ? 35 {nt tmprovement ? 38 Qemolish intefior O 44 ? 36 Move Building ? 42 Demolish Foundation ? 45 13 37 Demolish Building* C! 43 Reroof ? 46 •Demolition (Entire Bidg) - Give PCA handout to applicant Yes ? 30 Accessory Bldg ? 31 Ext. Alt - Mutti ? 33 Eact. Att - SF ? 36 Multi Misc. Siding Fire Repair WindowstDoors Occupancy MCES System 25% Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock Footings (deck) FinaUC.O. _ Footings (addition) ? Final/No C.O. Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Fina1 ? Framing- _ Siding T Stucco Lath Stone Lath _Brick _ Fireplace _ RI. _ Air Test _ Fina.l _ Windows _ Insulation _ Retaining Wall Approved By: r , Building Inspector Base Fee Surcharge Pian Review MC1ES SAC City SAC Utility Conr?ectian Charge S&W Permit & Surcharge Treatment Piant License Search Copies 4ther , totai ¢ ' ` ? ?o a ? ? t ,•"? ? ? , s 1..,. k I g' 1n1'? x SZ H- ?I. ? ? . . . .. . . .. . .. . . . :... . . .. ... . . . . . . . .. . . . . ? . ?. . ' . . . - . . ? . ? ? . . . y . . . . ? ! ? ? . . .. ? . ? . . . . . I . . .' . . ? . . :: . ? . '' ?? . . .. ? .. . . . I 01? 1r/? • _ ?t soe?. ?-5zQ ?bf?a1 N6`t?t gt9uso? 14o'Nul?&e ? v-o « a? ? - ? c,.7 ?e, ?`?,cfl ?° e)-J° r7- e)51 F- : : ; .3 . _ a) Oi k,.+?/`? . . . ? . . ...,_. ? ? . r .?M?n; ? . . . ? ????..?...?? . ?.,?. ?•?' , ??` . . ?? y ? . . .. . 10 / ? j? .1_.? ?.? .•-?.w. ?...r ?+?? ?? /?W . ? . ... l/ ? ?..?^'^^ . ?. T . ? q** UJ. ? . ? . , (,j 0 17D ? V . 30t 4*7 q?' 2A ? -\ ?c.a? •," K, ? ? o o;, `` Q "" ?-/ m ? Q ?^, %M ? ee? th Q. ,? ? ? ? Pe I,i D (Z? 'L'n 5,0 ? -- . ' ? ? 1+33 ? ?? ? Q r..1 c..s '9 lru??=9?5,7L . . .. . I 35, 2 ? Q t ? ? 2?0.33 .? I 3t?.30 . ?o, . 17 , a ` ' Y 0 =q ZI."?' . ?l . . ,-TflP `?, ba3 93 ?. . ?1 q? ? ? ,? . bS ? . , .? • r ?? ??? ?-.._? ? ?.? . ,. ... , ..? . .. ...w?....?.W. . . , . . . ._. . .,. ... . _ _ .. . searinga are assumea Subje:ct to easements oi record if any t ., Denotss set or taund iron pipe monwnents . . ,. , . . . $ Denotes net wood hub and tack ?? J•? Proposed, ga?rage tloor elevation 7940 Deno. tes existing elevation 3 s? Denotes proposed 3lnish grade elevation . 4' Proposed top of block elevatian . . • ????3? , ?O .. Denotes direction of surtaee drainage ,. ' Propased ;owest tloor elevation ? . ?Q`r?., ; ? Q ???t..? ? ? ? I? l ? ? fkmsl?? • 'ZO . ?o Q, in? . `rD ? i)Pr`Fe , • i hereby certily that this is a true and correot representation of a survey ot the boundaries ._ : ? TDP*0TPt . ot Lot B]L'bCk' .., . County. Minnesota as on rtle ana of recard .: in the Ottice of the County Recorder in and ior said County, a].so showing the progased locution _ of a house as. staked thereop. ? That I am a duly Registered Land fiurveyar under the Laws of ths 3tate of Mi.nneffioxa. ` Dated:duUF, . ? ? U' _ Allatz;`R: `Ifastings . y .?.:. .? . ,.,.y«,.:.?r'• , _..'Mittxiest>t& Ra$istjro.ktiots NO. 17009 „ .. .. ° : - 212 FirS.4 AVtfiuB E. ? Suite Na. C 3hakapee, Minnesota 55398 . ` Phane 612 ; 445 4027 , .. . r .. , _ , ? PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA126576 Date Issued:09/02/2014 Permit Category:ePermit Site Address: 4520 Alicia Dr Lot:8 Block: 1 Addition: Southern Lakes West PID:10-71300-01-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Scott Lofgren 5708 Upper 147th St W #102 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Jeffrey L Vermurlen 4520 Alicia Dr Inver Grove Heights MN 55077 Lofgren Heating & Air 5708 Upper 147th St W Suite 102 Apple Valley MN 55124 (952) 431-5811 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink , For Office Use it15 .S City of Eapn Permit#. / ---- "- Permit Fee: 3830 Pilot Knob Road Eagan MN 55122RE 0 Date Received: Phone: (651)675-5675 rt buildin f in, •ections ociofeacon.com (7.-L'.,.IV:::: Ste 1 52017 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (IAA gifl/011 Site Address: k-dk SID NtA UP Ov—• `ePTC,Ptits4 MNI GGISA1 Unit#: \\I Iii\ i, • Name:3 ,1;f\-1,4 \rFALWAI-AirCiA Phone: 11/4.15i—'Lc% ' Resident, ! t , , w h..a r-21,7,1.,,,t I : , OWner . Address/City/Zip: ‘451)0 NM CM VO--- 1?\i,uptcN IN,\s, ;-,‘Jo I 1 ) 4 : Applicant is: Owner Contractor i -- I Type of Work Description of work: 6.....,/ 00 1 1 ; Construction Cost: Multi-Family Building. (Yes /No Nt( ) 1 ' , Company:VIrtet-01_,C-tr‘,1 Utiscp-Vghtelitt\i'k i - Contact:CAAAN Oit.\\V-Lig- I I PCIAt011ittch3 I I AddressTbkAt \—VN4\NCity: _Contractor 1 (1)5t„ ./• State:tj'et.A Zip: 5511A Phone: (ALI-1.1&1444 Email: 'it,..//.. ,„ '4:1 it;,..„_, , t,„&„„ ..14, iii CN- ; Li:MA.4 I License#: S;CAPalb 5111 Lead Certificate#: iss.IVA,. 1 . If the project is exempt from lead certification, please explain why: 1 i 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 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. ,..._;... You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www„cityofeagan.cornisubscribe. 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. 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. vwmclopherstateonecali.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 approv of plans. x SV.-tatA\-\cjo‘offs..1 x Applicant's Printed Name Applica 's Sig'a, re Page 1 of 3