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1381 Camelback Dr s - , s: : Trrtiftratr of orrupaury a ~ 7~, ~Citp of (Eagan fY t Egwbumt of lu ftg lWeritnn 4i t This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building ~c'`,>-: s •.1 Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.- F Use Classification Bldg. Permit No. W I Occupancy Type zoning District k t Type Cont. Owner of Building 1Q\V 7a an- ,,caress 8- - kuwm sJ6,Y , r r ;F 1 r, tr B1, kAT.1+WAY ~L Buitaing Address Lowity R rr tf ~ i r br Date: , ZM7R 9. 11'S r+ Building Offihrtil'' POST IN A CONSPICUOUS PLACE r y BLDG. PERMIT NO. 01-3210 Bldg. Permit 01-3422 Plan Check. 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge f'G °1'. ~7-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. A", 44-3855 Park Ded. ~v! U TOTAL CITY OF &4iAN Permit No: -2 Date: 3630 Pilot Knob Road Meter No: Size: P.O. Bt+x 21199 Reader No: Date: Eagan, MN 55121 Owner !'02.-maun Coust. Site Address: 13810r-azelback Drive L15 7airi7,i Plumber. 211 Mouth Plumb i.urv Conn. Chg: 50.00pd Zoning: Acct Dep: 15.OOad No. of Units: Permit Fee: 10.00Rdt Surcharge: . SOpd I agree to comply with the City of Eagan Tr. Plant 204 •00?)d Ordinances. Meter. Misc.: By WATER SERVICE PERMIT CITY OF-E,~GAN Permit No: Date: 2---S-82 3830 Pljo#`ICno"oad B/P No: ' - Date: -21-L' P.O. fox 21199 Eagan, MN 55121 Owner. Al Hermann Const. Site Address: 1381 amelback T,ri'1.rr 1.1.5 X33 rairway Plurnber:. P1 Uth plu* ~ F:.; MCC: 5- 5 O.t`' T'. Zoning- City Chg: -130,00p", No. of Units: Acct. Dep: 15.00pd L~ , ~(~nd I agree to comply with the City of Eagan Permit Fee: Ordinances. Surcharge: Misc.: By SEWER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value f~ttr ti Date Jlaftuary 27 19 Site Address 1361 Canoe 1 back Ur OFFICE USE ONLY Lot 1 5 Block 3 Sec/Sub. a 4 r - ~1 I s On Site Sewage Occupancy A-3 MWCC System Zoning-1 Parcel No. On Site Well Type of Const City Water (Actual) At iiernmAnn Cartst (Allowable) LU Name W # Of .5.'tOfleB z Address 8"723 Fi ~xlhwood Wav Length City AaP 1 e Va 11 a:hone 431-1-'65 Depth S.F. Total p Name Footprint S.F. o a Address APPROVALS FEES P City Phone Assessments Permit 672.00 Water/Sewer Surcharge LOU w Name Police Plan Review' Address Fire - SAC, City I • yj 0 ZZ5 Engr. SAC, MWCC 115. 00 zw City Phone Planner Water Conn. • ~ Council Water Meter 57. 010 I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit ' -0' 'that the information1is correct and agree to comply with all applicable APC - TreatmentPill 2G 4. -00 State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks . Copies Signature of Permittee TOTAL ' • t"` A Building Permit is issued to: Al r"ors t on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value Date Site Address OFFICE USE ONLY Lot Block Sec/Sub. i I i' On Site Sewage Occupancy MWCC System Zoning Parcel NO. On Site Well T Type of Const City Water (Actuao w Name > t (Allowable) w it of Stories 3 Address Length City Phone Depth S.F. Total , p Name _ Footprint S.F. 0< Address APPROVALS FEES O'c City Phone Assessments Permit Water/Sewer Surcharge Ow Name Police Plan Review Address Fire SAC, City Z Engr. - SAC, MWCC 5w city Phone Planner - Water Conn. Council - Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit that the information is correct and agree to comply with all applicable APC - Treatment P1 State of Minnesota Statutes and City of Eagan Ordinances. Variance - Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances, Building Official Permit No. Permit Holder Date Telephone # Plumbing /v HN.A.C. Electric Softener inspection Date Insp. Comments Footings 1 r Footings 11 Foundation - Framing Roofing Rough Plbg. Rough Htg. [Sul. 3 Fireplace Final Htg. Final Plbg. Bldg, Final i~~ ~.cck oQ Cert Occ. ' Temp. LP / Deck Ftg. Deck Frmg. Well Pr. Disp. r PERMIT # r PLUMBING PERMIT RECEIPT # CITY OF EAGAN y i T r 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address + " BLDG. TYPE WORK DESCRIPTION Lots Block -J- Sec/Sub Res. New " Mult Add-on Name Comm. Repair w Address Other L6 City Phone -2 RES 82 PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name ! ray [ c ..7 a Water Closet - $3.00 Bath Tubs - $3.00 C Address Lavatory - $3.00 J.. p City Phone I -Shower - $3.00 I Kitchen Sink - $100 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE / Laundry Tray - $100 APT. BLDGS - COMM RATE APPLIES r Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES / Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 51?hATME OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: n5• 1 ° w V Y "'T'9 ¢.F .YA?' ^b F'&zN aw i r std ..,r '"Ca -`;"C t PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF €AGAN /L~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 [)ATE: CONTRACT PRI4Q? PHONE:_54=8100 - C/ f $ Site Address C~Ll @LDG. TYPE WORK DESCRIPTION Loth Block Sec/Sub J. ..s New _ Name z h4ult. Add-on 'Comm. Repair Address ac, ilubi City r o f 1.&L,& Phone y-y -43/ ly other S-S-C7 2- FEES Name s.!~ ES. HVAC 0-100 M BTU $24.00 3 Address _ . +~.az rJ I.ti , ~ DDITIONAL 50 M BTU 6.00 C City Halt- to 11(- Phone 8T%_-:;y034,, KRES, HVAC INCLUDES A/C ON NEW QONSTRUCTION) GAS OUTLETS MINIMUM - 1 PER PERMIT) TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE 1.50 EA. Forced Air /!r) M BTU $ APT. BLDGS. - COMM. RATE APPLIES ;TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS 12.00 iMINIMUM COMMERCIAL FEE - 20.00 ~ Air Cond. M BTU $ STATE SURCHARGE PER PERMIT - 50 a Vent. CFM $ ,(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # 1' `BEYOND $1,000) q Other FEE: I' SIC: SIGNATURE OF PERMITTEE: TOTAL: ,FOR: CITY OF EAGAN r CITY OF EkGAN Permit No: Date. 3830 Aot Knob Road Meter No: S`a 7 40 I rs'~ Size: a ch P.O. ox 21199 Reader No.0 Date: Eagan, MN 55121 Owner. Al Hermann Const. 1 Site Address: 13811 Ca_neT back Drive 115 B'- 'I-a.Cr .r a -v _ i 1 G Plumber. PI,,Tnouth P1tlLhl na,, Conn. Chg: 550.OOgd ` oriing Acct Dep: 15.0 ,1idBgfnrp diucTin jA1 it es :L Permit Fee: 10.00 crr =L ~I'M GAS M, Surcharge: ~ b 9 ~ fo Ith the City of Eagan Tr_ Plant 2.04 .00:-Q F Ud f 0.po Meter. 6 4 . 9 91171 Misc.: By WATER SERVI E PERMIT This request void /~/z 18 months from J/47/ D 6243-7/. Request Oate Fire No. Roug_ - n Inspection ❑ Req dz Ready Now 91VAll a Inspec- ~S go Yes ❑Nu for WhehenR Ready Licensed Electrical Contractor Ilhereby request inspection of above ❑ Owner electrical work installed at: Street Address. Boz or Route No. City /47 Mel '9661-1 71rl V'~~ Section No. Township Name or No. Range No- County Occupant Will TI / Phone No. K O(1L7z0 Po Supplier [ Address Electra cal Contractor (Company Name) Contractor's License No. Mailing Ad Jress (Contractor or Owner Ma kb g Installation) 8 X37 lLtu~ t~ 5"5 7kV4 Authorized Signature (Contractor Owner Making Installation) Phone Number 1 1 ~S/913 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-181 BE ACCEPTED BY THE STATE BOARD 1821 Univarson, Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phnnn 16191 669-nRnn ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-00001-06 See instructions for completing this loan on beck of Vellow copy. ► D 6--r. 4 37 "X" Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatio Commercial Bldg. Furnace Silo lJnloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Oth«r peel v 1her ISpeniyl other [SW.,Ify) Other 01h., ompute inspection Fee Below N Fee Service Entrance Size p Fee Feeders/Subteeders k as DOTA rctv.#00 I (DO 0 to 200 Amps 0 to 30 Amps 2 7 AAbove 200 Amps 31 to 100 Atnps 0 Swlnvmng Pool Above 100Ann s 0Transformers Irrigation Booms XSigns Special Inspection $ ^ Remarks d FERough-in 0cVVV r, haFinal on This request void 18 months from a.~ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651.675-5675 FAX # 651-675-5694 a tka(kt = a Cz 00o New Construction Reouuements RemodeNteoair Requirements Once Use OnN 3 registered site surveys showing sq. R of let sq.I of horse; and all meted areas 2 copies d plan showing footings, bums, join Cart d Survey Recd _Y -N (20% madmum let coverage allowed) t so at Energy Caladationsfor heated additions Sills Report _Y _N 1 Sills Reportifpmpused budding is tq be placed on dMaW sill 1 site survey for additions is decks Tree Prey Nan Recd _Y -R 2 copies of plan showing basm& window saes; poured found design, etc. Addision- indeala Ion.sde sspacsystem Tree Plat ReWred _Y _N 1 so of Energy Cdalnbns Onalte Septic System _Y _N 3 copies afTme Resw4bDn Plwr # M platted aW711rg3 Rim Joist Odail Options selection street (buildings Wth 3 or less wall) btnnegesto mechanical venWsion form tans are considered public information unless you state the are trade secret and the reason. Date -(9/ -7 / 0-1_ \ L Construction Cost9 110, ~a Site Address ( ( amlAa b! VQ2 Unit/Ste # F-A SS 2 aw AtV~tA d) Description of Work NaVVt5a S X! FCo1A poo OVeAft i frdAI4 4 r 0101•(, Multi-Family Bldg _ `Y X Npp Fireplace(s) _ 0 X 1 _ 2 Property Owner Dt Ap q S . ~rO iwv. Telephone # (bS l )b'0- "13S$ W ` b - Sig l2 Contractor s 1 Address City state Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 (J submission type) • SResiden~tlal Ventilation Category 1 Worksheet New E ergy Code Wodmireet . 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 Telephone # Mechanical Contractor Telephone Sewer/Water Contractor Telephone # I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Y)r,- ? V,-OP A" -L - Applicant's rinted Name pp's Signature C~ 0 JUR 12 2007 DO NOT WRITE BELOW THIS LINE , Sub Tvoea ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft- Multi el~ ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 EM. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-p1ex ❑ 12 12-p1ex ❑ 25 Miscellaneous Work 'I'vm ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 WindowslDoors ❑ 34 Replacement •Demolnim (Entire Bldg) - Give PICA handout to applicant Description: waterDamage _ Yes ~j Valuation Occupancy l MCES System Plan Review V 100% or 25% Census Code ~rT Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUHLED INSPECTIONS Footings (new bldg) _ Sheeirock Footings (deck) Final/C.O. _ Footings (addition) Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice&Water _ Final _ Pool Ftgs A' Final Framing siding _ Stucco Lath Stone L -Brick Fireplace R.I. Air Test Final Windows Insulation - - - _ Retaining Wall Approved By:, Building Inspector Base Fee Surcharge _ p Plan Review^ y MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant 2, 3 _ License Search L Copies Other q 3 t7 Total AL /A C) B E NERRMANN COHSUlTIHO ENGINEERS CAPIJT. ~NGINC SING ptiIHNEFIS and LARD lURVEYORs CCIMPANY, INC, IIf6.of 1~~~. 1000 EAST !46th STREET, BURNSVILLE, LUNHESOTA 53337 PH 432'3000 I LAgc=l cr~,o2iarc: . LOT )5 BLOCK 3, FAIRWAY( HILLS, DAKO A COUNTY, MJNNESOTA ( lor7.o ) DENOTES EXISTING F( FVATION f lolao ) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE 101833 FlNISHED GARAGE FLOOR ELEVATION ra~~,~ S 86°04' l4 „ Gs1F3) /03.87 E (o iy) DRAINAGE ANO UTILITY O EASEMENT Bf7---------- ~ f LOT f 5 -7s l ~40 / .`t p I x~o 3 V. Lo I sc 40.0 lawny O~ I °e .3o h Q PROA73ED B.on qa"~G 3 0) / )4.0 C7 1 0 o I 12.17 n 1 13.33N 1z.n , r,~4k4tjE 30 FRONT BUILDING fole~) (ipi~.o) o /1 SCALE : 1"=30 X101 ) SETBACK LINE ~ ~o f lee.) i~) '41~~"' o Qols.4) O I 1 I 30.53 (io,'x • L' 66162 Gax3) G`' y d S Ib E I D= 8°4 ' 2638.36 m I 3 (~~CAMELBgC-RiV O 4 ~ 190 ~ Z I hereby certify t at this is a true and correct representation o! a ttractt f land as shoxn'and described hereon. As prepared by me an this Y ~it<ihry , 19 ~ ' //Lstd,. Ninn. REa. No. /lour 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 t°Is Telephone # 651-675-5675 F - 75-5694 Ca de + New Construction Require mens Remodel/Reoalr Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and L11 roofed areas 2 copies of plan Carl of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for healed additions Tree Pres Plan Reod _Y _N. 2 copies of plan showing beam & window sizes; poured found design, eta 1 site survey for additions & decks Tree Pres Required _Y _N l set of Energy Calculations Addition-indicate Non-ste septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan If lot platted after 7/1193 Rion Jost Detail Options selection sheet (buildings with 3 or less units) Date O c- Construction Cost S O 2. 6 ! Site Address c r ifa n Unit/Ste # Description of Work f}G~~ To EYisJiHt ~ciraf lPXlo ~e~_/~ GZ Rae F' Multi-Family Bldg Y ~N Fireplace(s) - 0 - 1 - 2 Property Owner 6 rod Fr_ r, Telephone #(GS/) 66-e• S- C ! Z Contractor NA r'-4 e A- t k C 17 Address 3 26 .5," . w r eS 4E City 61¢~g SC State M Zip 5G D 8 Telephone # (5167) Z Z 7- /Y 9/ L/6 n 7 r~~r S ~O /8s- ;3 e COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted 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 Telephone ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. l M Applicaln~~ts Printed Name Applicant's Signature I' I J m0.r`ler{ rlA Fry- - OFFICE USE ONLY r' Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex X 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Yor_N ❑ 25 Miscellaneous Work Types O 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding X 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building` ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 1x C60 Occupancy R -3 MCES System Plan Review ! 100% or _ 25% Census Code A139 Zoning n City Water SAC Units Stories / Booster Pump # of Units - Sq. Ft. f4 PRV # of Bldgs - Length Fire Sprinklered Type of Const Width f REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) FinaVNo C.O. Footings (addition) Plumbing Foundation _ HVAC Drain Tile Other Roof Ice & Water Final - Pool = Ftgs =Air/Gas Tests -Final Framing Siding Stucco Stone Brick Fireplace _ R.I. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: 4,41, Building Inspector - Base Fee O - 310911 AY d;PW rL4 39! ct ~6 = - 63N Surcharge ~h iv = Plan Review 1'040,V /9-C'0 36a- MC/ES MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total AL AO B E HeRRMANN CQHSULTIH0 EN(31NEERS CONST• ENGINEERING PLANNERS ERS and LAND 9URVEVORS COMPI3NYJ INC, 1116.01. I, L 1000 EAST 14615 STREET, sUANSVILLE, MINNESOTA 55337 pN 4]2-b 0o C~r~z}'i ecz> a EJ~ e5`u>~-zr'e r Z& c7 .Detcr4,o2ion. LOT 15 BLOCK 3, FAIRWAY HILLS, DAKOTA COUNTY, MINNESOTA ( %017.0 ) DENOTES EXIS77NG E1. EVATION lolso ) DENOTE75 PROPOSED ELEVA-MN INDICATES OIRECFION OF SURFACE DRAINAGE I /0/833 = RNI5HED GARAGE FLOOR EL-EVAT10N 6- p) S 86"o4'14 " (11153) (rgd.a) i E /03.8-7 Qolv.4) DRAINAGE AND LJf1l.ITY O EASEMENT SI LOT 15 -7s `ELI 1 eI I I CO N I ( 1 O - o M I aw'rnip - I 1 -k ev L'o I SC 40.0 a~2y OO O Q A?OPCXD B,°e a°onvo 1A I'r 0E 0 r__~ i9a) 1 I i 1° 72.1 Ab I h ae.°) 13.33 J 7 (igk406 30 MNT BUILDING SCALE : 1"=30' SETBACK LINE 2423 a I / 1 ~ lae.a~) er3ol 5L-( 1 0 i Goer".+) _ _ 1 30.53 S84'47'/6'!E ' 6152 R h` d 1 °¢3' 2638.36 m (+~~CAMELB,gCi~~ I hereby certify that this is a true and correct representation of a tract of land as shovn'and described hereon.- As prepared by me an this ~/Y ,'day of 19 ff • i!~Ed'*w Ninn. ReR. No. N.ets~ 103.87 bWim :Pd*1(Under s PMW peMM, 8.00 It Deck = 18 X 10 I Porch = 18 X 12 (to cover existing 2 foot cantilever) Porch will be less than 2 feet off the ground (home has full basement) Electricity will come from existing good light located on cantilever New Screened Poroh~ 13.00 ft - 5 ft 24 ft Garage Existing 2 foot cantilever ° Addition 20 ft I ~ mud o room O n wall 1.50 It Install 14ft2X12 0 header o u; v 22 It 4in Existing Garage garage depth 24ft w Driveway Bradley and Kimberly Fromm Lot 15 Block 3, Fairway Hills 1381 Camelback Drive Eagan, MN 55123 Work/Day - 651.228.5037 Home - 651.686.5612 82.05 %3390 3D , 3u 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ! l &-4 Site Street Address /m/ an j?r Unit# Property Ownne~r zra/ f r runr✓L Telephone # (&S-1) g90' o~Z Contractor nt i Telephone # i6a) J~ -SQL Address ?i s~crP y City rl~ 1250/! State-A&{ Zip 90 The Applicant is: _ Owner Scontractor -Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing on a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. ~ v a D -Septic System Abandonment Y 1 6 70n~ -Water Turnaround (add $130.00 if a 5/8" meter is required) ~f1Q Other: Water Softener Water Heater $ 15.00 new _ replacement L Lawn Irrigation _RPZ _LPVB -new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $_30 • s0_ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printed Nam Applicant's Signature S4 `6':zK'-S RESIDENTIAL ysLAJ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodellReoair Requirements • 3 registered site surveys showing sq It of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window saes; poured found design, etc.) . 1 site survey for exterior additions & decks . 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711/93 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) 'zW-,2 7'C~ ~C VALUATION ~ 9- (0 0 SITE ADDRESS f3' "ggmr c~,e TI-FAMILY BLDG Y 1444 FIREPLACE(S) 1 _ 2 TYPE OF WORK ~~2/PPrAn__c;n APPLICANT~ela,n ! X ( 2_C STREET ADDRESS 7 S CITY IlelfSTATE Z&hIP, Z5/ TELEPHONE # C L PHONE # FAX # 9~9 -R$/46111 PROPERTYOWNER~~Qa~~ TELEPHONE L61,9( L,5 (-0, COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY t _ MINNESOTA RL LLS 7672 (J submission type) • Residential ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone 0 D Plumbing system includes: _ Water Softener Lawn Sprinkler I n~ F G R/~~Z Water Heater _ No. of R.I. Baths I No. of Baths uu Ely ~ Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Pee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ord' antes Signature of Applica P/. --------------------------------r--------------- ' - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4102 CITY OF EAGAN No 14 5 7 4 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PHON E: 454-8100 1 Oo 8 l Receipt # 1 Tobeusedfor SF/Gar Est Value $130,000 Date January 27 1988 Site Address 1381 Camelback Dr OFFICE USE ONLY Lot 15 Block 3 Sec/Sub. Fairway Hills On Site Sewage Occupancy R-3 MWCC System ~i- Zoning R-1 Parcel No. On Site Well Type of Const City Water X (Actual) V-N a Name Al Herrmann Const (Allowable) V-N w x of Stories 3 Address 9723 Hi ghwand Way Length 62' 0 City ApQle ValleyPhone 431-1455 Depth 37' S.F. Total p Name Footprint S.F. u Address APPROVALS FEES City Phone Assessments Permit 672.00 Water/Sewer _ Surcharge 65.00 Om Name Police Plan Review 336.00 Address Fire _ SAC, City 100.00 to Engr. _ SAC, MWCC 550.00 aw City. Phone Planner _ Water Conn. 550.00 Council Water Meter 67.00 1 hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit 125.00 thatthe information is correct and agree to complywbh all applicable APC - Treatment Pt 704.00 State of Minnesota Statutes n City f Eagan Ordinances. Variance Parke Copies Signature of Permittee TOTAL 2,869.00 A Building Permit is issued to: Al H rmann ns t on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ininx .t,.a, 111;, 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS RECD JAN 19 1988 To Be Used For: Valuation: n~ Date: reel mu Site Address $ 13~eao -OFFICE USE ONLY Lot -_1~7Block _ On site sewage_ Occupancy R-3 MWCC system ✓ Zoning -I Parcel/Sub i S On site well Actual Const V-N t City water Allowable V-N Owne-~1rMaan~ PRV required # of stories Booster Pump Length 6 2 f Address Depth T S.F. Total City/Zip Code Footprint S.F. Phone (pu K -O(DcOo I~? I I mo? 7iL Cf,, APPROVALS FEES i Contractor Engr/Assess Permit 6 pl2,a~ Planner Surcharge 00 Address 22a3 Lt~c~ Council Plan Review ` 6,0 Bldg. Off. Z] SAC, City 100.00 City/Zip Code Z Variance SAC, MWCC .550 00 Water Conn 01 Phone 0(9 of Water Meter 69, Road Unit w Arch./Engr. Treatment P1 z oW s0 Parks Address Copies I I TOTAL City/Zip Code llC, I \ f~ S Phone # 1 n K ®a9k~ -r--~ VALUA-1-ION G I~R AGE' z. Z-)( Z 4 ~ 5Z8 x 12= ~334 - B,nSE M E W7 U9 = 9?- qo ~ 1,57= t.00 SO ►3='Ry 2x ~192~14= i ST Fi.ooQ 2X I%= 36 3SmT 1192 Cin.95 Z8 125 ~ q4z- 55Z6y Zug Loo j, 14 = 52- 1'16q x,14 = 5o R96. ~JN-- Rose AL_ Rose CONSULTING EHOIHEEAS NERRMANN ENGINE RING PLANNERS and LAND ~UAVEVOnS T compnNy INC It~6.ot;: s= 1000 EAST 1461h STREETS BURNSVILLE MINNESOTA 4333 PH 132'3000 ;a . .Z&- al -?-JCl"4.-02i0'n: L07-15 BLOCK 3, FAIRWAY HILLS, DAKOTA COUNTY, MINNESOTA C (on.o ) DENOTES EXIS77NG ELEVATION I C loi6.o ) DENOTES PROPOSED ELEVAmN INDICATES DIRECTION OF SURF r.E DRAINAGE /0/833 RNISHED GARAGE FLOOR ELF-VA-noN /03 87 (1017.+) DRAINAGE AND UTLr v O EASEMENT - - - - LOT 15 - - -75 ELI co / y r I r~°~ / I Nou88 0 I-g I 12.17 n 3.33iJ 1117 30 FROM' BUILDING Ai 0180) il.ol ~W406 SCALE : 1" 30' SETBACK UNE h01 a 24 I ~aes3) ~ . 001x.4) 30,53 (!0L'~i n-. p S84'47'/6'E i L' 5162 s 6ax~ 11 D °~32636.36 GIMELIIAC r~2t47+) K DR/V I hereby certify that this is a true and correct representation of a tract of la.~nd` an shown and described hereon. As pruparad by me an this .4jA-day of 4 Ninn. Rego NO, 1110t-"I CITY OF BUILDING DEPARTMENT F EXTERIOR ENVELOPE AVERAGE 'lull COMPUTATION (To be submitted with building permit application) One or Two Family Dwelling , Owner All Other Site Address 1. CYT 15 $LCCKa E-A112w &N N 1 LLC Contractor At }f ETCk~{~-1}}~ {~,~r.1'"f Date Phone LINEAL FEET OF )J EXPOSED WALL %fr` )~t~ r._) f{E{EJ 4 ft. above grade Z 9 1L,~:? 1 TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WALL CONSTRUCTION: 'lull Value x Area Detail - lull,0+} , x SQ. FT.ZIgZ• 114,zC0(U)(A) reference e flu" 07Co x SQ. FT. a3.zF,= '7.-z (P (U) (A) from ,0.4C-D x SQ. FT. FbZ,Z~;= I0 4Q (U) (A) attached flUff x SQ. FT. _ (U)(A) sheets i'UII x SQ. FT. _ (U) (A) fluff x SQ. FT. _ (U)(A) WINDOWS: "Ulf Value x Area Make & Type rhk4( , ~%Wn/T nufl x SQ. FT. T,7) (U)(A) ff u uun n x SQ. FT. _ (U)(A) fluff x SQ. FT. _ (U)(A) If u nun x SQ. FT. _ (u)(A) DOORS: 'lull Value X Area Make & Type Gi7Z• Jti, iip~i x SQ. FT. 77, co = _ =(U)(A) 11 P4Tir> U ;4 7 x SQ. FT.S.~n = I(p" 4 (U) (A it it - nUu x SQ. FT. _ (U) (A) x SQ. FT. _ (U)(A) TOTALS z-5~a SQ. FT._ 07 (U) (A) AVERAGE "Ulf TOTAL (U)(A) VALUES 2-~; ,C7 DIVIDED BY TOTAL WALL AREA Z9• - - AVERAGE ;115 'or less for 1&2 family dwellings ROOF/CEILING: TOTAL AREA: - Sco Detail reference nUil .O x SQ. FT. 14L1a - 29-7Z-0)(A) from Iful x SQ. FT. : (U)(A) attached sheets. fluff x SQ. FT. (U)(A) escribe openings FfUli n roof x SQ. FT. (U)(A) . --~__flllu x SQ. FT. _ (U)(A) TOTAL (U) (A) VALUES DIVIDED BYf _ T, 'A, L5 > TOTAL ROOF/ I1~-J-11 AREA - - - ) AVERAGE; Ull .025 for ventilated roofs. `j.s X ~sS+sSt ~;4 +34) = 1748.00 B.S~X (,3~v+31v-}-3ot3o~ IIloS.slp Co e. cv7X ~58+55 rte-+zq~ = 1 z ~.z~c .gam x~ Irmt m8t72-rtoo~ _ 2Cvz.ZB~ Z7XJ4 2.Co X 3 = 780 I (P X = 4.0 X Z g. on 00 x3h = S.o j~ ) S.oa lox" = ~O.7 X I p _ 607.oo Zo x too = 8.4 ->c 4 = 3 ~.loD u1X&o = lo.o, X to = 100.00_ zz~-70 R~,es 2 ff STS. 5~~ _ in. J . o0 5~ P~-tio = ~S.op ` 1l Z-oo . f;7 ~aSeD . W~~ EQvALS. &gP5.5 .W4t,t_ zq ls.s(n 20, X3(0= Go ss Code. z x )4= z g r-) #1 1 Z(oz.z 48 ~1Dvi's zz3. o -7zl-zlv 4x iz=- ZZ X 14= boo ~~'s 1!2.00 ~ X I f~ = 3 Z ZI 9z • ~o~ I X ~2 = 1430. o0 7~ --WALL SECTION-- v Determining 'lull values at Roof, Wall, Rim, and Conc. Block 5 ROOF/CEILING R VALUE 1.) Interior Air P'ilm 0.61 2.) 5/8t, Gyp. Bd. .56 3.) Insulation 4.) 5.) Exterior Air Film .61 2 3 (STILL) 7 6 "U" = 1/R= ,l~C O 'TOTAL (R)=`T'1.7~j g WALL (R VALUE 9 6.) Interior Air Film 0.68 7.) 1" GYP. Bd. .45 8.) Insulation 19.00 9. ) ~ItT-r tT~ 10.) Masonite Siding 677 to 11.) Exterior Air Film .17 It "U" = 1/R= .04-3 TOTAL (R)= 12 RIM R VALUE 13 12.) Interior Air Film 0.68 13.) Insulation 19,00 1 14 14.) 2" Fir Rim Joist 1.88 IS 15• ) Kv1UT-F-iTE~ Z, 16.) Masonite Siding .6 17.) Exterior Air Film .17 0 uUn = 1/R= ,Oc~D TOTAL (R)= Z, 4 FOUIIDATION R VALUE 18.) Interior Air Film 0.68 l$ 21 O 20) F-'l/ ~i~1~1~'I' 1 x.00 n b 8~ n 4 21:) 1211 Concrete Block 1.28 ° ?0 22.) z3 b 23.) Exterior Air Film .17 ° D° + (go "U" = 1/R= . 0;7(p TOTAL (R)= r * CITY OF EAGAN ~ ~ i['nPrr M TIME OF * APPROVAL OF PERMIT. APPLICATION FOR PERMIT INSPECTION OF sEAIII2 AbID/oR MIER » TntSmnr.r.AmrONS WILL NOT BE SCBED- SEWER AND/OR WATER CONNECTION ULED UNTIL PERMIT HAS BEEN APPROVED. I*f * * _ P ease Print 1) PROPERTY ADDRESS: /3 g/ C LEGAL DESCRIPTION: /15~ 3 ifc~c/n (LOt/Block Subdivisicnn or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: Mon Year) ❑ CDMWRCIAL'/REIAIL/OFFICER-1 SINGLE FAMILY ❑ INDUSTRIAL ❑ R-2 DUPLEX (Two Units) ❑ INSTITUTIONAL/GOVERNMENT ❑ R-3 TOWNHOUSE (Three + Units) ( Units) ❑ R-4 APART<ETT/CONDOMINIUM ( Units) 2) 5~,,~•f~ NAME:/ ~tvJr, ril/f~1 ADDRESS: ~7a3 {y i /I /L/>C! Wy~~ CITY, STATE, ZIP: PHONE: 3) For City Use NAME:_ L- oU,LI Plumbers License: ADDRESS: a o tic Active CITY, STATE, zip: Expired % eyu /z d Not recorded PHONE: E&3-2`.f7V MASTER LICENSE# _le~/~O(aS 5 dal 4) Fe-'olklyMmo NAME:- Af4 r- l~IS ADDRESS: CITY, STATE, ZIP: PHONE: 5) • • r: •:I :a • IDeONNECTION TO CITY SEWER rz: ON ECTION TO CITY WATER ❑ OTHER 6) • • r HOLD APPROVED PERMIT FOR PICK-Up BY ONE OF ABOVE - - ❑ PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) • IS S. .11 I V• ~.•i•RS'h~ 1 I ~ • • ~ ~'1• i• 01• •:I• •:I• • • D• ' • ~ Y .FOR -CITY USE ONLY PERMIT # ISSUED 913s 13 i Pd W/Bldg. Permit FEES: $ $ ~O - 7 C7 SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ l $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ 5-, O~) ACCOUNT DEPOSIT - SEWER $ $ /,S ~D ACCOUNT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ 626 ! $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ t / $ _Jr G Z~ TOTAL -g R C RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES ..IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: Js ~Q DATE: 40 Sy 6 0,2 S S. --I-S f RE 2005 RESIDENTIAL BUILDING PERMIT APPLICATION CA t C 9 j7- _ ~ le fln City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 AU G 3 1 REST' Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reoulrements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. it of lot sq. ft. of house; and all roofed areas 2 copies of plan Cad of Survey Recd _Y _N (20% maximum lot coverage allowed) l set of Energy Calculations for heated additions Tree Pres Plan Recd _Y_N. 2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required -Y -4 1 set of Energy Calculations Addition . indicate it on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after VV93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Date l b / 30 _ / -0-C /2 Construction Cost /T"000 Site Address 1.5 ?1 L2j2&414 D2 Unit/Ste # Description of Work 20 Y-`r%t g`utrw c v..~0 ~Occ~ Multi-Family Bldg - Y - N Fireplace(s) - 0 - 1 - 2 Property Owner r//~~ J'L40 ~/2Grl~i►1 Telephone # 0 S7 S'6t Contractor & /:VFJT! F /4925 Address E City L State Zip SS/ 17 Telephone# (6,.)7) -F, (~S/- 3 9 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • 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 Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 4z•" 4 / Appganis Printed N e Applicant's Sig e OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex *P 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 EM. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg-Yor_N ❑ 25 Miscellaneous Work Types ~p 31 New ❑ 35 Int Improvement ❑ 38 -Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 1160 Occupancy MCES System Plan Review _ 100% or 25% Census Code ~ 9 Zoning 2- I City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const y 1 Width REQUIRED INSPECTIONS Footings (new bldg) - Final/C.O. Footings (deck) - Final/No C.O. Footings (addition) - Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final to Pool 1C1 Ftgs Air/Gas Tests `b Final Framing - Siding _ Stucco _ Stone _ Brick Fireplace - R.I. - Air Test - Final _ Windows Insulation , - Retaining Wall Approved By:-?Building Inspector_ _ Base Fee Surcharge e Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ' POOL PERMIT - APPLICATION/ SUBMITTAL REQUIREMENTS Address: O ~,Cc (M,e Applicant Name: d GENERAL INFORMATION v dz o , ❑ ,l( Applicant - name, address, phone ax numbers; signature ❑ ❑ Property owner name ❑ Legal description and address.of property ❑ U North arrow„scale (I" = 30' or 40') and date ❑ ❑ Location and name of all streets adjacent to property ❑ A Site Plan drawn to scale showing location of house, pool and other existing or' roposed structure ❑ Directional drainage arrows (existing and proposed) p4ckj F A ELEVATIONS lpcmc Existing $1 ❑ U* House comers ❑ O Property comers 1 ~ ❑ ML On property lines at point of measured dimension to,pool (see below) ❑ ® ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed /WA ❑ A Finished pool deck corners IJ 11 ❑ Top of retaining walls (if any) and at each different elevation (if it changes) ❑ ® Pool bottom (or max. depth) ,Vid DIMENSIONS Existina ® ❑ ❑ All property/lot lines Proposed j~ ❑ ® Pool s ❑ A Pool plus integrated deck/patio ❑ N Shortest distance from outside edge of pool deck t(o loot, lines and house Reviewed: ~J G~'~-~- 9~ 2 ame Date GTORMS/PM Permit CheckliW06.02-04 /6At 03/02/2002 16:04 6514903119 PRESTIGE POOLS PAGE 02 _R12418 2/20M 11:37 EAWN ENG+COM DEV 96514903119 NO.388 003 i7,o } DENOTES EXLMNG azw nm If &o ) DEW)rM PM"ED F 7?ON IND►CAM DIRMrI ON OF SAW.F. DRAINAGE 10!93• FlI41 SH 6D C*4MC ; FLOUR FELLVAtlON two ® Gals 8 86° ' 14 ryA q la~b7 c~~ b ?1'05- !NAmE AMO q OARS" ~I d ~ I ~s 14 Iota f Alp o j ~ ram ao 6d~$a ~ V•.°~ f`• • ~ ~ a r- wa I h ~ ~ • 90' FPDNr etnLAINO r SCALf'CS I%30 SETBACK LINE Gam: _ r ' N R3~ac~3, h~i/k~~/~Y~S f~r~p s ~ o ~ - ~s p • Qi9~OTf~ ~,N•`t.( /r►.~ . d 5ea~~7'!b"~ ~ ~`QSI °43,R 3~ 6~ Lpiq.'?~•. SAM , D • hereby certify that this in a true and tamest representati in of a tract cf , a~j d_ ~Its_~ ~IhMM' and described hereeni, As prepared by fie tan thi 6. 'day of ~ MPOOS G5t • q%o • I~i~ SSt PI~IIL o R55117d Ada' }I e • e 1! NO e2irS" f st ~fao•3[t~l '13 fib 50 Zoos RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-6754675 Please complete for modifications to existing residential dwellings. Date f Site Street Address J/~ ! f`/~//Zrl°~ eYr Unit # Property Owner ~ ra(~ 4 2Z Telephone # ((oSl) ~(o -J`~(a / z Contractor \,F WUt J \W E c Telephone # (1010) Ol 5[~ ~OO Address U 14 'y C 5 City Hu. State Zlp J~ The Applicant is: _ Owner Contractor -Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. ff you are installing ontv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment lh'~ 1 6 . -Water Turnaround (add $130.00 if a 518" meter is required) j Other: Water Softener _ Water Heater $ 15.00 new _ replacement Lawn Irrigation „RPZ ! wPVB $_new -repair -rebuild $ 30.00 State Surcharge $ r'.~50J]~~ Total $ 3C) 1L50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan i i to be reviewed and-approve . - ~.Q~v~.a \ A/~C1~ cam= Applicants Printed Name Applicants Signature Use BLUE or BLACK Ink For Office Use, --------,1 j Permit 4127-5V City of Ea EdIl Permit Fee: 3830 Pilot Knob Road Eagan MN 56122 I Date Received: /CyJ Phone: (651) 675-6675 I I Fax: (651) 675-6694 1 Staff: I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 101 71 2 Site Address: I3~ I ~A1~'1~IbOl Yfl ✓e, Unit Name: ®tr'MAQSl ~CdMM Phone: (QS -~0~~ SEzI Z RESIDENT ! -I OWNER Address / City / Zip: (311 Cy ft-a c.c 1C ®r v e AN 5s1 L3 1 Applicant is: X_ Owner Contractor TYPE OF WORK; Description of work: 1~ r o ~j~t~ rwll-tO Construction Cost: Multi-Family Building: (Yes No Company: Se Contact: CONTRACTOR _ Address: City: State: Zip: Phone: License Lead Certificate from lead certification, please explain why: (see Page 3 for additional information) L1 X If the project is exempt l g COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit f rpa similar plan based on a master plan? _Yes _No If yes, date and address of master plan: 1't Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide speck reasons that would permit the City to 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.ooaherstateonecall.orn I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x VN'r C C%Aq.Ll P T(0PAAN Applicant's Printdd Name Ap-p1hic-anWSig nature Page 1 of 3 ,16Jb1T C ' Ic V-T D~-(E BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level Pool Miscellaneous _ Accessory Building WORK TYPES New _ Interior Improvement ` Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy L4 MCES System Plan Review Code Edition 1441 SAC Units (25%_ 100%-~ Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: !Footings -Air/Gas Tests Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: - Footings _ Backfill , Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review ~ MCES SAC City SAC. V Utility Connection Charge S&W Permit & Surcharge Treatment Plant ° Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink For Office Use I F 4110, ' I Permit City of Eatan I ; ~ Permit Fee: 3830 Pilot Knob Road 1 Eagan MN 55122 I Date Received: ; Phone: (651) 675-5675 I ; l staff: Fax: (651) 675-5694 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION ~-Nv~a~~Ac, Sri ✓e. Date: 1 ' ~ ~ lZ Site Address: Tenant: i\ Suite M Z Name:VD(!~C)tl 7f 0 M/n Phones -S(01 RESIDENT / OWNER I r \ \ r Address / City / Zip: 13-S, Name: C License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK - New - Replacement _ Repair _ Rebuild X Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener PERMIT TYPE Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) Septic System _ New Water Turnaround _Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) 'Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) p TOTAL FEES $ ~o CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.-gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval f plans. X c~ 7-(0MX Applicants Prln Name A cants ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final