3761 Bayberry LaneSEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 551 22-1 897
DATE MAY 6. 1991
METER #
METER SIZE J jPN u
ISSUE DATE
_ PRV - BOOSTER PUMP
ADDRESS 3761 ??AYFscY.i?Y LN
4 BLOCK 1 SEC;SUB THE WQODLANDS 3RD
APPIICANT:
CITY, STATE
PHONE: -
PLUMBER: MATTHEW DANIELS PLUMBING IN
ADDRESS: 15155 CAROUSEL WAY
CITY, STATE ROSEHQUNT MN Zip 55068
PHONE: A23-3730
'E ONLY
PERMITDATE u5/06/91.
PERMIT # 11975
B.P. RECEIPT # C 1 3? 5 2
B.P. RECEIPT DATE U')! C (L' )1
PERMIT REQUESTED
X SEWER x WATER -. TAPS
_-COMMiIND tY RESIDENTIAL
X NEW - EXISTING
ZIP
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credrt'WILL NOT be gi?rn for ¢edcfct Meters.
CITY OF
OWNER: R A KOT HOMES INC EAGAN QRDINA?CES
i
ADDRESS: 7901 UPPER HAMLET CT
CITY, STATE APPLE VALLEY MN ZIP 55124
PHONE: 687-9513 SIGN URE WHEN METER ISSUED
PLEASE ALLOW TWU WaRKiNG DAYS FOR PROCESSING. CALI. 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
Re 3761 BAYDERRY LN
MAY 8, 1991
(H A KOT;HO1rItES INC)
Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued ar occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hail. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
• ?: ?• ?..? '
- `"
?, . - • ?
Oexfif irate uf (Oxrupaury
Citp of Cagari
lorpotttntl af laild'aT jttwrtiirni
77iis CerdiTcale Lssuadptusuant to the requirenratts of Seciion 306 af lhe Uniform Building
Code cxnilYinB rhat at the time ojirsuance tlris sdrrcuire xru In compliance witk the various
ordnances of the Oty regukdn8 buildin8 oartslruction w use For rhe fallowing.
tse ak=rKdw SF D4G/GAR mk nnra r4m I9004 .
O-„W„n, .tyx R3/M I Zooing DLqrict R I =ra J-- vN
L,,sk,, IA, at, 10 woMc.arDss3RD
vrUZtr
POST IN A CONSPICUOUS PLACE
SEWER & WATER PERMIT
CITY'OF EAGAN
3830 Pilot 9Cnob Rd.
Eagan, MN 55122-1897
w
DATE MAY 6, 1491
SITE ADDRESS J 1131 68`?'-;
LOT 4 BLOCK 1 SEC,'SUB
APPLICANT:
ADDRESS: _
CITY, STATE
PHONE: -
OFFICE USE ONLY
METER # PERMIT DATE
CHIP # PERMIT # ? 1 C,
4
METER SIZE B.P. RECEIPT # L 132
ISSUE DATE B.P. RECEIPT DATE 05
_ PRV - BOOSTER PUMP
PERMIT REGIUESTED
LAIiD3 3RD
-? SEWER WATER _ TAPS
- COMM/IND RESIDENTIAL
_ ZIP ? NEW - EXISTING
PLUMBER: A EH AiQiELS PLUMBI#i[: IIiC
ADDRESS: 151E35 CA80U3EL itAY
CITY, STATE RD:;EMOlTN? N314 ZIp 5306$
PHONE: 423-3730
OWNER: R A KOT HOMES INC
ADDRESS: / 90ZUPpER FlAMGBT CT
CITY, STATE APPLE YALLF.Y ' 1!v ZIP 95124
PHONE: 687--9513
Lawn Sprinkler Meters are to be Instalied
Ahead of Domestic Meters on Water Line.
Cre¢itiNILL NOT be giv8n for Oeduct Meters.
? r ;^.
CITY OF
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CITY OF EAGAN . .
454-8100
DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at a"
I have this day inspected this structure and
these premises and have found the following
violations _of city codes governing same:
When corrections have been made, please
call 454-8100 for inspection.
Date
Inspector City ol Eagan
DO NOT REMOVE THIS TAG
3830 Pilot N
"'io oe used tor SF WdG/GAR Est. value $ZZQ,a
Ske Address '1761 tat??_QtY j,N
?
Lol A? Block _I Sec/Sub.THL wnnnt.aMM 'tn
Parcel No.
Fy -
W Name R A KOT w3 INC
3 Address 79D! IIPPR?! atrrrrr CT
0 Ci APP1.F YA -Y
ty Phane 68M513
,o Name s?
z?-
00 Q Address
City Phone
? V¢
W Name
Address
a W eit+ Phone
that 1 have read this aoo
and
EAGAN 19009
)x 21-199, Eagan, MN 55121
54-8100
Receipt # ? - _
OFFIC E USE ONLY
Occupancy R- 3 A64 FEES
Zoning
(Actual) Const . ?? Bldg. Permil t
Q"9.00
(Aliowable) ?p ,
# of Stories
_ Surcharge I I8-Do
Length Pian Review 689.00
DePih ? SAC, City 100.00
S.F. Total - SAC, nncwcc 650.00
S.F. Footprints -
On Site Sewage _ Water Conn 660.00
On Site Well - Water Meter 9eL _L1(1
MWCC System x_
A
Ciry Water X_ A-00
Acct• DePosit
PRV Required _ S/W Pemtit 30-?
Booster Pump - g/yy Surcharge - ?
Treatment PI 276,
?
APPiiOVALS Road Unit 3M _[X'i
Planner - Park Ded.
Council _
BIdg.Off. _ r-opies
Variance - TOTAL 4,070•?
. Permit No. Permit Holder Date Telephone #
WATER
SEINER
PLUMBING
e?v^ ' U . Z?
H.V.A.C. ' 0 5'0dl0
ELECTFiIC c?Ior96 ?410
Inapection Date Insp. Comments
Footings I
Foundation
Framing 7? - ?? AS
Roofing
Rough Plbg. ?
Rough Htg.
7 Air
?SU?. ?-ii-5' Ds 7 -s Ds - ?s?
Fireplace 7
Final Htg. Jl?+ ? ? ' /,j "`l ??? .LC?'•?.
Orstat Test ? ?
Final Plbg. Ibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Ueck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN ?? O O:1
3830 Pilot Knob Road, P.O. Box 27- 199, Eagan, MN 55121
PHONE: 454•8100
BUILDING PERMIT Receipt #
C,
Tobeusedfor SF DWG/6AR Est.Value $220,000 Date MAY 6 , 7g 91
SiteAddress 3761 RAVBFRRY rN
LOt _/-? BIOCk _]_ SeC/Sub.THF WOOD AND OFFICE USE ONLY
P8fCBl N0. Occupancy R-3 li--1 FEES
zoning R=1
Name R A KOT HOMEINC (Actual) Const V-N Bld
Permit 1
060
00
=
3 Address 7901 llPPFR AM ET T (Allowable) V=N g.
,
,
o
Clty AP T. VAi . Y ph011@ 687-9513
NoiStones
- Surcharge 110.00
1 689.00
Pl
n R
Length 54 ewew
a
F Name S/+ME oeocn 54' 00
100
snc
cn
} .
,
y
Address S.F. 7otal
-
?a SAC,MCWCC 650.00
?'.Ily PhOnO S.F. Footprints -
00
660
On Sde Sewage _ .
Water Conn
U. Name On Site Well
0
95
0
w .
Water Meter
?? Address MwCCSystem X
w X /+cct. Deposn 30.00
g Clty Phon@ Ciry Water
30
PRV Reqwred - .00
S/LV Permit
I hereby acknowlege that I ha
cation and ate that the Booster Pump -
0
SnN Surcharge .5
information is correct an h all pl abl?$e fate-of
Minnesota Statutes an ity of s.
0rdinan Treatment PI 276. 0
4
SignaNre of Permile i APPROVALS
RoadUnit37n_o
A i d to: Planner - park Detl
on Iha express condition that ana in accordance with all Council _
applicable Slate ol Min
nesota
l Eagan Ordinances. gla9, pry, Copies
?
q1'I
Building Oflicial .f ? 1m1Q ?1.DIlA ? '??7 Varianca -
0
TO7AL 4,070.5
Address; 3761 RA?? IAM Lot q Blk j Sec/Sub DE yppDI.ANDS 3RD
These items were/were not complete at the time of the final inspection.
Dat : 8/15/91 Yes No TnspPrtnr*
Final grade (6" from siding) r/
Permanent steps - garage ?
Permanent steps - main entry i,l?
Permanent driveway ?
Permanent gas tlx?
Sod/seeded grass ?
Trail/curb damage
Porch ?
Basement finish ?
Deck j?
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 lavn faucet before
freeze potential exists. ?
PFCVR[ONttR
White - City copy Yellow - Resident copy Pink - Contractor copy
e ivxv?
4917/ - ?? *?Wo°
Request Oate 5re No Roughiin Inspecbon
Requvetl' ? Aeatly Now H'VJJI Nohy Inspector
..s ? No When Reatly,
I,Clicensed coniractor ? owner hereby request inspection of above electncal work at:
Ja4 Aotlress (SVeet Box or No ? Pty
AY
t77 TownsM1ip Name or No Range No Coun
, C7 A
OccupanllPRINTI PM1One No
!?'. A
Power Suppner Atltlress
Eiecr.ical Gonvac.or ICOmpany Namel ConVactor5license No
V)"/'F _ E
Idanmy naaress ICOi or Owner Making Instailauono
Slz
Autnonzea Sig?n e IGonhactonOwn
er°°a mg Inswllanonl PM1One Number
?
-?? -) s?ac`( l
?Q.Y.f,v? to83-?
.
MINNESOTA STATE 90APD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlwey BIEg . qoam S-173 BE ACGEPIED BY THE STATE BOARD
1821 Umversiry Ave.. 51 Paul MN 55104 IJNLESS PROPER INSPECTION FEE IS
Phone(61l)86IA600 ENCLOSED
71-flil REQUEST FOR ELECTRICAL INSPECTION
? 52P instmcLOnS 11o' completing thi6lcrrn on bock ofyellOw copy
B, na q 17 "X" Below Work Covered by This Request
EB'00001- 8
ew Atltl Rep TypeoBuildmg AppliancesWired EqmpmentWired
Home ? Range Temporary Service
I Duplex Water Heater Elecinc Heating
Apt Building Dryer Other (Specify)
Comm /Industnal Fumace
Farm Av Conditioner
Otner (sueaty) Conlrectors Ramerks
Gompufe Inspectron Fee Below.
M Other Fee # Sernce Entrance5¢e Fae # Circwis/Feeders Fee
? Swimmmg Pool ? 0 to 200 Amps s 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs inspectors Use Only c? TOTAL
Irriganon Booms
v
Speciel Inspectwn
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee , gC> COMPLETED WITHIN 18 M S.
I, ihe Electncal Inspector, hereby Rouqnrin ? e _3-V
certrfy that the above mspection has
been made oate
- ??
Y /'??• YVUJ
OFFICE USE ONLY TM1is requesl vae 16 months Im.
! Z?.
LV3/ Y/ 101e27S
a 1596 4 r 011500
Repuest Date Frte No Rough-in Inspection
Repuire0'
?XBeady Now ? Will NoUly Inspector
y ,_3(7, ? ? Yes ? No When Reatly+
IX,hcensed contrector ? owner hereby request inspection of above electrical work at:
Job Mtlress Slreet, Box or Foute No, / Qry
37? 1? yr F¢ ,)f 21`1
Sectuw+ No Township Name or No Ranga No. Cou
nry
?
TA
OccuOant (PRINT) Phone No
or O/nc? il T) - q ^a 13
PowerSup
pbe
r Atlmess
?
^
1? ?LEC'T?'iC -7-
f-'qcY1'1 ??1
Eleclncal C°° ?ractm (Company Name) ConVactor5 License No
7" A &ECTe K- =r?c • .ZB?tS
Mailing AtlOress IGOnVatt or Owner Making Insta
llation)
I
I ?DV i hG.T'r'"1 !, v? . ?ACv4 i Z2
Awffionzed Signat ICOnVactovpwner M InstallaUOn) Number
Phone
?? p
j0 D? ?033Z
MINNESOTA STATE BOAHD OF ELECTBICITY THIS INSPEGTION REOUEST WILL NOT
Gr1g9a-MlEway BIAg. - Room &193 BE ACCEPTED BY THE $TATE BOARO
1821 Unlversky Ave., SL Paul, MN 55104 UNLE55 PROPER INSPEGTION FEE I$
Phona(6tZ) 642-0800 ENCLOSED
S 3?? REQUEST FOR ELECTRICAL INSPECTION 's'? esooom oe
? Sea insVUCtions lor oompletng this form on Oack of yellow copy ??.A/Q?5
G? 31596 "X` Below Work Covered by This Request . ?•?
ew A d Rep. Type of Building AppliancesWired EquipmentWired
Home Range emporary Serwce
• Duplex Water Heater Electric Heating
Apl. Bwldmg Dryer Other (Speafy)
Comm./Indusinal ' FUfnaCe
Farm Air Conditioner
Olher (apeaty) Contracmrs Remarks
?
Compute lnspechon Fee Belaw:
# Other Fee # ServiceEntranceSrze Fee # Crtcuits/Feetlers Fee
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 - Amps
Signs Inspeclors Use Only. TOTAL
?O
IrrigaLOn Booms -?-
Speaal Inspection
niarmlCommunicanon THIS INSTALLATION MAV BE ORDEREO DISCONNECTED IF NOT
Other Fee , SO COMPIETED WITHIN 18 MONTHS.
I, the Electrical InspeCtor, hereby Roig6"" ?
? oaia
certit that the above ins ection has
Y P
been made pinal
OFFICE USE ONLY
This repuest witl 18 monlhs irom
RESIDENTIAL
6a3li
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
657-681•4675
New ConsVUdlon Heauhemems
• 3 regislered ste surveys showNg sq. tt. ot bt sq. 8. of house; antl gp roofed areas
(20% maximum lot coverage albwed)
. 2 caplas ot plan showing 6eam & window sizes; poured found deslgn, etc.)
• isetafEnergyCalculatbns
• 3 coples ot Tree Preserrdtion Plan il bt plane0 afler 711/93
• R'un,bist Detail Optbns selectlon sheet (bklgs wi) 3 or less unils)
DATE Lo-a-("Z
37G / 34-/&i,, Y La ve-
MULTI-FAMILY BLDG Y ?'N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT
STREET ADDRESS /9"7 STATgf?' ZIP S5`33
TELEPHONE #9'j';'909'9p5`t CELL PHONE # FAX #7537 Q)D?6-_46N?o
PROPERTYOWNER TELEPHONE#4?-OC"57q`l'
COMPLETE THIS SECTION FOR °NEW,, RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I M b22_
(d submission rype) • Residential Ventilation Category 1 Worksheet Submitted • New ??r? C?e?o?l s??t
(f LS lJ ?i
• Energy Envelope Calculations Submitted ?
JllN 2 6 ZWZ
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor:
Mecharrical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $70.00
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 OrdinancDt:?1
SignatureofApplicant???^-' OFFICE USE ONLY
Phone #
_ Water Softener
_ Water Heater
_ No. of Baths
aj
RemodeVHaosir Neauirements
• 2 copies ot plan
• lsetofEnergyCalculatlonsforheatedadd0bns
• 1sResurveyforezterioraddrtions&decks
• Indkate N Fwme served by septic system for edd0bns
VALUATION t .9 `a
_ Lawn Sprinkler
_ No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
UpdetBd 4102
qob1? 2000 BUILDING PERMIT APPLICATION tRESIDENT{ALl
$ ??t 5. 6b
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New ConshucHon ReAUl rements C? ?? 11?q? 1 R 7Reoalt Reaulrementa
> 3 registered site wrveys showiny sq. lt. al bt, sq. rt. of lwuse Ci -3 -d 6 2 copies of Pian
and gj{ roofed areaa (20X mmcimum bt covemae allowed) 1 set o1 en6rgy calculatlons for heaFed atltliHOns
> 2 copiea o? plans (show beam & wlntlow alzea; poured fid. design; efc.) 1 site suney for e)feAor addiNaa 9 decka
* 1 aet of energy calculatlona
> 3 copies of hae preservaHon plan H lof ptalletl alFer 7/1193
DATE: CONSTRUCTION COST: ?? Sy O v o
DESCRIPTION OF WORK:
STREET ADDRESS: 2 7 G ? L
LOT: ? BLOCK: SUBd./P.I.D.t: TGIt WAOdlaK?3rA
1 f?'
Name: ??If'`Lo Prione ?6 J?/ E1 6, 9r?r 9?
PROPERTY ?? OWNER
sneet
a .-,
City C' v v State: / Zip:
61
. company:?/? ?a? r? ?one#: f/Z ,YJ/- 5?s ?9
(area code)
CONTRACTOR S ?f E °`?
Sheet Adcfress: .T? uce? a
Clty StOf6: Zip: S' 1/Z y?
ARCHITECT/
ENGINEER Company: Name:
Telephone #: (
Sheet Address: Regisha8on M:
City
State:
Sewer/water licensed plumber (if inetallina :ewer/waterl: Phone #:
?P:
I hereby acknowledge that I have read 1hls apPlicaHon, state that 1he Wortnafion is comect, and agree to comPN with all apPfl?ble State
of Minnesota Stafufes and CHy of Eagan Ordinances.
Signalure of ApplicanY.
Certificates of Survey Received ? Yes
Tree PreservaUon Plan Received _ Yes
OFFICE USE ONLY
v No '
No
Not Required
-,25
?
C?pul siqaa
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex ? 73 16-plex ? 21 Porch (3-sea.)
? 02 SF Dweliing ? 08 06-plex ? 17 Garage ?-9r- 22 Poroh/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex 18 Deck ? 23 Poreh {screened}
? 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-piex Plbg _Yor_ N ? 25 Miscelianeous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg•
WORK TYPE
.? 31 t:ew ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (lnterior) O 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
` Give PCA handout to appUcant for demoUtion permit
GENERAL INFORMATION
SAC Code 0) # of Stories a sq. ft.
No. of Units o Length 1s- sq. ft.
No. of Buildings I Width ? Footprint sq. fi.
Const. (Actual) Basement sq. ft. Census Code
(Allowreble) Main level sq. ft. MC/ES System
UBC Occupancy -F. sp. ft. ? s 2 Ciry Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinkiered
MISCELLANEOUS IMSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building EG Engineering Variance
? 31 Ext Alt - Multi
? 33 Ext. Att - SF
0 36 Muld
,y3N
Permit Fee Valuation: $_ILOCrU
Surcharge
Plan Review
License
MC/ES SAC ? ? a o G
City SAC
WaterConn.
2 S 2?l T S y 0o0
?
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
??, •_ ? ? ? .r a
URVEYCIR'S CIERTIFICATE
01.64 8AY8ERRY
?b5 M
'"6
?+l1?ll
7.00
-,_
j'SBS, L,
r -
1
i?
...,
?f?
LANE
1 • V V V
HONES
NOtt: NO SPECIFIC 90L4 JMVIC!?IOATION
HA9 11[N COMPI.lTlrl ON TINS
WT itt 11? lIM1RY6M. 1HE
lW7AILITY 01.8qLt io lIMPaW
rHE a?er?cwwm?
•Wb iTNE lI11NtY011.
A
6.1
_._
,.. ? Ra694211- 404
a9.24-J?ZI 55 o ti., ? 888,7 )
? a .?-
-?? pqppOSED
y? 1 pRIVEWAY
57 N ? ? $ ?9
w ?
I ? ?
? I
M
?
t
1
i x
ae _
/q
LOT 4 `'K
DRAINAGE d UTILITY "
EASEMENT PfR PLAT? - I
J
O
'-92.97 N I° 12' 37" E
NOTE: a LD?` IOCATION ? SYMICTUIIERONLY. ?
E
RAN! " SUILOW & FOUHDATIdI
?----- DENOTES PqOp05ED SURFACE DRAINAGE
O DENOTES IRON (uIONUMENT SET
• DENOTES IfiON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
? l
-' ?3.00 i
4h.
N
ao
1
N.
7 ?r . .
?
! 18??•?)
z n
SCAL?: 1 INCH - 30 FEET
pf20pOSED qARAOE FLOOR - 890.3 FEET
pROPO5Eb LOWES7' PLOOp - 6$1.b FEET
PqOPOSEb 10p OF BLOCK - gqo.7 FEET
WE HEHE9Y CERTIFY TO R, A. KOT HOMES tHAT 7HIS IS A TqUE AND CORpECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
t_ot q, Block l, tHE WOODLANDS THIRD ADbITION, 6Ctafdnq to fhe recaded plat
theroof, Dokota County, Minnesota.
tr nnee einr bi ioonoT Tn runw iMpRnVFSAFNtC nq_FNCR[lACWlAENtR. EXC'_FPT AS SHCIWN_ AS
.aw
'" „
ra a „?o
CLLY!093F
saI. s
?
?
M2.7
I
L?
-i
LOT 4 BLOCK L SUBD. ? ZC a,oafA"
RECEIPT #4J469 DATE '?&%S
1995 CITY OF EAGAN
- IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: l9 Commercial GPM
Residential (boulevards) GPM
• Existing residential
Area/address to be
Installer:
Street address, / C-o ''?, Z- V J 0 w
r r IN/ L, ao -
Owner ? Plumber 14
City, state & zip code: I.C.I. 4z_ v 5i II P- 01 NSSeqj Phone #: 4 t Z"? 72-? 1/ 7
Owner Name- v Q??,j "0\pe,rT $ 0?
Street addres^. 3 ! S? 0? e-r r
City, state & zip code: ? N nl ? Phone #:
Irrigation contractor, if different than installer:
Telephone
I hereby acknowledge that I have read this application, state that the information is correct, and agree
to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify
the property owner that the City of Eagan assumes no liability for any damages caused 6y the City
during its normal operational and maintenance activities to the facilities constructed under this
permit within City property/right-of-way/easement.
ApplicanYs signature
Approved by:
G-L?
Title
PRV ? Yes ? No New service
Meter Size ?_ & Cast ?
Date:
? Yes P?No
----------------------------------
y?I
Fees due: C> Calculated b .
PROCEDURE FOR IRRIGATION SYSTEMS - 1995
An irrigation permit is required - please contact Protective Inspections at 681-4675.
Fees
Commercial project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee onlv if new service is installed.
$300.00 per tap if, installed by City.
Residential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee if new service is installed.
$750.00 oer connection - WAC.
$372.00 per connection - water treatment facility.
Existing residence: ' $20.50 irrigation permit to •cover installation of backflow preventer -(not
required if backflow preventer previously installed).
1Neter charge: If galions per minute are less than 25, a 1" meter will be required at a cost of
$170.00. If gallons per minute are more than 25, a 2" turbo with strainer will
be required at a cost of $800.00. This information is to be supplied by the
designer of the system.
No meter will be sold before all sewer and water inspections are complete on a new service. If new
service lines are not reauired, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utiiity Billing Clerk.
The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
C,ITY OF EACAN
3030 PSLOT KN06 TtUAD
F.ACAN. 1^: 55122
Pk10NE: (612) 454-8100
X'L'UliBING' 1E122fI'1'
POR CITY USE ONLY
PERMIT # a
RECEIPT # D O
DATE:
? 4-
RESIDFNTTAL- PLEASE COMPLETE UPPER POR1"'ION ONLY FOR SINGLE FAHILY DWELLINCS fi
•
TOWNF30MES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------
---------
WORK ---------------
DESGRIPTION --------------------------- --- ---------------
COMPLETE THE FOLLOWING:
N0. FIXTURES EA.
NEW GONST ? ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00
a? BATfI'TUB 3.00
$ LAVATORY 3.00
OWNER NAME : ?? k'yk 7? ?S KITCHEN SINK 3.00
/ LAUNDRY TRAY 3.00
SITE ADDRGSS: ?&I I?QVCJ /?
??"YI/ (?QY? HOT TUB/SPA 3.00
LOT:
BI.OCY. Si1BD. „?f?
? ? WATER HEATER
FLOOR DRAIN 3.00
3.00
GAS PIPING OUT.
INSTALLEP,; /?
///(.?7Ylk'GSJ 9'-Jl//? /P?S ZYJG, L (MINIMUM - 1) 3.00
? ROUGH OPENINGS 1.50
ADDRESS:
//1
W
QV
_
OTNER
_
WATER SOFTENER 5.00
CITY: 93 fiY10!/7'Y? ZIP: SSNZ _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHOPiB #: ?- "59-90
SIGNATURE Ofl PERMITTEE
TOTAL
3.aD
9•d?
vD
115--al
3,. ?
3 r?
3, w
3..GJ
3 60
411Sa
SUIITOTAL $ 1?5D
ST. SURCHARGE .50
TOTAL: $ 6-34D
tOriMERCIAL/INDUSTRIAL':' YLEASE COMPLETE TIiIS PORTION FOR ALL C0:41ERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WFIEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DS7ELLING llNI3.
-------------
CON1'RAGT YP,ICE:
OWNF,[; NAME:
SITE ADDRESS:
LOT: BLOCK SUED.
INSTALLF,2:
ADDRF.SS :
CITY: ZIP:
PHONE #:
FOR:
GI1'Y OF EAGAN
------------° -------°-- ---------°--
FEES
18 OF CONTRACT FEE.
STATE SURCNARGE - $.50 FOR
EACtI $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
GONTRACT PRIGE x 16 $
STATE SURGHARGE $
TOTAL: $
(SIGNATURE)
.. 1400
1991 BUILDING PERMIT APPL CATION
CITY OF EAGAN
SINGLE FA2IILY DWELLZNGS
MTLTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - fi STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES W[iEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT NAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
APR 2 9 Reco
To Be Used For: A/E.u) Valuation: -1*? Date: _?-
-?
Site Address 3710 ( ?y?Cr? t+„-?f
Lot Block ?
Parcel/Su? Hr 1(JOpj1Q_1Cfly SZ-Q
Owner ' !7-' ISOr Z?tL
Address [?r 790 / IA (L!'-(;f- Au.n+ t11'T c4
City/Zip Code ? vA /'?l'J
T?
Phone &fj°7 -ofr13
Contractor Say?? ?_s a4n JC'
Address
City/Zip Code
Phone
Arch./Engr. T?Ldln-? /tyoL??7?-4
Address
City/Zip Code
ZZv,oou'
Occupancy R'3 M-l
Zoning 7G-1
Actual Const v-N
Allowable V -N
# of stories _T
Length
Depth .54
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?
PRV
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. ?36.91
Variance
FEES
Bldg. Permit /O60,00
Surcharge 110.00
Plan Review $9'Oo
SAC, City
D
D 0,0
SAC, MWCC (PSU0O0
Water Conn. d .OO
Water Meter 95ivo
Acct. Deposit 30,0O
S/w Permit 30100
S/W Surcharge So
Treatment P1. 296,00
Road Unit Y! D ?0o
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
Phone # 66)o r - ? CO (o -7
????'?'?' - -` ?'? ?-'' ! agrees that all work shall be done in accordance with
?gnature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
-----_?.
VJ?IA . ?
X3L4 = ? 1g .
z k2i = ?y z)
?
=?i?z???-
? so ,
Sb ?'z(? z 130 n
3 X -?-1- ?7 3
yX I?I = sb
G X 6
Z2?Sl X IN? 31?3K
1 s-f FLO 012
3smr = Z2S1
f X14 = (y
Zr?l2- ?
23yy 'A
?N'? TiW?L,
2 x.2o _
ZK'Co °
3° ? ac- =
2?4,3 _
7\? 710 -_
0
?
12
???, ?t 53
5' I 1?1?
2
o!2 2 2-o , 000
,
iUaVE'YOR'S C04TIFICATE
.,.•. BAYBERRY LANE
R.A: KOT, NOMES INVItil Nbtki ? Si?M?tN W?a1`!If ON T? N
tAT iY TIIL lUIIVt1fOR... 1ilE
iWtArlUtY 0t _oON.l.1r! lurrd+?
T!I[. lWN6!}qyM?Ox1?
,?A is wor
TMC SiiNtYd1.
u21?55°_..R'?.21-- e.o.`
p T ti ? 868,? )
r?0 0: ?...- 89.24 o ?1
--
? aae,Z
9lNG? Y?pK
TpICOp 0,
N
W
r^
1
IF?
I
Z i
?
?
O?
M
?
S
,?-- ? vaoPOSeo
? DRIVEWAY
(BVn.O)
-?-T
I18.5T
$ f9
b
1
i p
ll ?i
I
?
I
ROPaSF D
HbUgE ,
( 86t,o?
Lor 4
I ORAINAGE 6,UTILITY
y?EASEMENT PfA PLAT'
C_
- ---? s
A ?
? '0
N ?
1 ?
/ t?? 4
?
K«? ?
v
M'S?
*
°`
? `
t
c
I
`
?
(--?i
., -?-? ?-, r ?; s,- , •.,
I
6 7S•0)
(971•7 ?. ?1i ,° . .{ , . .,.... ..,_,.?w.... °
- 92.97 . N I° 12' 37' ?
NOTE: 9UL01NG DIMFIHSIONS SHGiYN AiIE FOR, FbN?pN rAL
6 val'?ftAt. LoCkrltNl oR 3t}MICrU1fE oul.r. !EE
PLAH3 nA AIdLOM1d (! FOUHbATICN
OW
.+1 DENOTES PFtOOOStD SURFACE DRAINAGE
O DENOTES IfiON MONUMENT SE?
6 DENOTES IktON MONUMENt FOUND
X000.0 DENOTES 8XISTfNG ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
§CALt:iINCH ? SO FEtT
pqoPOStb t3AkAG€ PLOO{i ? 806.1 FEET
pROPOStb LOVV€gf IFLOOFt ? 89t,b FEET
PqOoomb 'TOO aF 6LOClC- aqo,y FEE1'
WE HERE9Y CEqTIFY TO R. A. KOT HOMt S tHAt fHIS IS A 7qUt AND C0AAtCT
AEPRESENTATION OF A SURVEY OF THE BOUNDAiiIES dF:
Lot y, Block I, tHE WOODLANDS THIRD AbDITIONi deCdFdinq lo the tecadbd plat
thdNiot, bakofo Couniy, MMnesOtd.
IT DOES NOT pURPQRT TO SHOW IMPRQVEMENtS Op ENCRQACHMCN?S, rXC5P7 AS SNOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT 5UPERVISION tHIS 241'H bAY OF ApRIL ,1991•
R. HILL, INC.
r
JOHN C. LApSON, LANCI5URVEYOR .
NIINNitSaiA LIC"t NUmatft 1lAA °
w?. _ ?? z_ ?
;, T ? ? ? o ? ? ? ?.1"`t'?1 `?°,?, I I'"'I??'
?p?_0
AO ??D??
r W?LAN?v??s.l' c?IIV??IS i:;??UAv?oas
0 I?I O Ni ? a Z? m m
,? ? o?om ?m { , .
- 2900 W. CTY. I?bi?42'? it1hNtV1LLt; MIN. $63?7 •612•880-8044
_ . . __•..; ...._? .....wir .. ..w-...,m/d._ 91 ..M. ?p ., w,+wu.Iro .r _ J..:
R
w
E_XTERJ.f}N E=1`,lVEL.Of-'E f`r'JER4=iGE:. °l.l" Cf:.)I`1F'IJFF,F1:01q
UlJIVE_F: ,IOHI'+I ?: JCANI'dTP'tE RC]Dt:;iTS01W t"'l.Ai'v iVC 4-0809-1
_-'-- - -
5'fl'E: HI7DRESS_..?Q'7' y?..._.
C::UI?lI"f;Fd(.: TCH?---------..... .{'t. i-l. f;OI' t{{:?IES
L`L'I'ERMli°if: WOPi1<.:TPdG SQtJA4F FOO"f'AGE
4029.317
1, fnt.al exF.,c.-,s;ecl wal.}. ,r;sa4l.u7..557 =_q. f't. :. .11 %451. 171'"'
._.. Tota1 i-ncy4/ceiling s.r-caa 2346 sq.ft :. „c>;_b 60.996
_. -rota1 f_c?or cant. area 4£35 sq. f?.. ,. =.i>',_b 12.61
(over unhente.ci errcl.c:,5ed arnara)
4. 'i'c,Pal floor carrt. area 63.51 =_.y.Ft. ., 0,08 5.0802
iover- ur,heato-:d e>:poscad area=_,
- • E*:: 3752.147
?i, ,C:?'8.t ''1C1?"..,F?C'I w;?:c2 1 ' . . ' r . ll'f.?e?? L?:I:)i5L'E' ..IE' '' ..C?CeI" .. a. 'fotal wal 1 w; ndcsw ai• c.,a . . . . . . . . . . . . . . . . „ ,. . . 407.6345
b. Totz,l dcnr area . . . . . . . . . . . . . . .. . ,. . . _ . . . _ . . U7. 87.£-`1=>
C. T(:7tcl
?. .(:11. .ti .
'.55.3.r? (?.?.1S'"? C?(:IOY" f3Y"C?::d
. . . .? ?? . . . . ?, . . . 17.7822
d. ,16tvil i 7 Y'BC'lEN':C-) inrE.'d . . . . . . .. . . . .. .. . . .. . . .. i)
e. l'oial wall fr-arnlng c11^E?id (av-r_. iO;:) ........ "S.:t.147
f. Tc:,i:al nei wa1 :t area ahc,ve t.hc f 3 oor. ..,.,. . 2833.697
ci. Tr_,tail ri.m .lni!:st airect..... ..... ............. 277.17
fGl i=il_ EX.Fi75.F.:Ci PCIUhdLSa`(T.T.CiI`.1 FiF:E:i=,. , . . . . . . • • • . . . . .. 72.2394
h. 'I"ut_al foundation window area .............. C!
i. l'o{-tnl net rt,ttnda2inn area.......,,......... 72.2391
C)ete=i-rr:i.nn Li" val.ue of each Waa].1 =;cqrrieni:,.
zi. 4r.i7.M45 :. "l;" 0.36 = 146.7484
b. 17.E3189 .. °U" U.OI.6 - 2.254134
c. 7.7822 :. °L)° 0_36 -_ 35.20159
ci . ij y° i ??? k) :- a?
E. 375.2147 .. "ll" 0.090334 = _.3.519474
f. 283:.69:' .. °U" 0.043215 = t22.458g
t:1. 277.17 .. "i!" C., 0406B3 _ li? ????,?
24
h. 0 ., "l.J" D.::;u _. ii
s. 2.2344 ., "L.;" 0.0I616I = 5.5411858
6 . . . . . .. .. . . . . . . . . . . . . . .. . . . . . „ .„ .. . . . . . .'fo'L-<_t3 357.35u
1f ;tem #b i.E Fhe: s«me a.=, c,r- 1;,.;s than lt:Em #:L vou iia ... ,. ffie C:LIY"Y"Ent
encr-gy cndF:. 2 Mf.;F;R 1,,16008 Fl AhID 0.
.
rrrrAr_. r-:xPras,En r-,r.,UF: Ei- Ii._INe aaREj-•i
_.';%
.
7., -1"uta:l s4:yl..in-?'t. =?r-e.e? . . . . . . . .. .. . . . . . .. _ . .. . . . ., `?
_
E;. Total fiat rorh;'cei.V.tnq frarstin4 area...... 230.6
1. '{'ota:t nc.t. (-lz:rt rryryP:ceil.i{ir7 proa ,.........., 2111.4
Dete•.rm.ir;sr "t!" ralue far F-ach 1'00{fL'Iq. sFCJfTief7C.
]. 0 :. W° (') - l>
?
k, 234.6 ., "t1" 0,.026925 =• (6
].. .'.:t1'3.. 1 ., °;,° ??.C?`?:?'4 - ;3. t '35;:,
............................ ......a.'fota! 54.44520
IF i.k.cm #? :is t.he ss:mF= ra, cr :Lr+<_:s than :i (_em Ft::_ vc!u I'iave met t.ho
energy cncic+. __ M.CAR 1„ lvi>>>Ei A F,V',Ill C).
l'OTr^,L 1=1_.00R f:)r-,Pd'f. AP:Ef3 ten.r.'Losecir. 485
u, Tc:,tal floue' ;_asnt.. +r'aminq arexi !ave, 10"l.>. 48.5
p. lotal ne'v insulai_t=d E1oor;c_a.rit. <,rea...... 456.5
I7r!*'r%p..l'11].fte "fi" vali.iu::r fnr- e•ar.ch flc,or/can t. sr:,qm ent.,
o?. 48.5 „ "L}" 0.046317 -= 2.24541k)
p. 436.5 ,. "il" 0.024981 - 10.9043:'
8 ....,„......,.,.„... „....,„........„...'T'n'l.s,l
-9 1::.15072i
?
If titem N8 ..- YtiE> same as fJ•" leSS than i+:czm #=: ,ou hrve met the 7
L:IIE?Y'q`p' COdC'.v c.? i°Il.!'YI'i 1.16008 b? {=iND 0„
lCil'iiL_ F'LC3C}RiC:F=uNT. PREF'i (e.:po,erl)
63.51
q. "i'r,tat f7 oar-lcant.. frami.ng area (ave. 10%). 6.351
r. Tot.al ne_>t inssu:tak:c•cl , toor-rc.:ant.. .u•'ea ....,., 57.159
Dctermi.nc. "lJ" valt.tc_ for ceieh floor•Jcnnt_. seqment.
I?. 57.J59 ,. "iJ"
S'......_e.,,...,, .............,,........T[7ta7.
] f ;. t.eri 4?9 i s t_hr.= .,ame t:stas r.',.-- 7e.__.s i:han i tr-;ni
=_.nf•r-ov codF. .:: MCAfi 1.16008 F? FaND 0.
7' I-{f.:.F:L-:.z;'r f..f:l;'I']:F`! "ftd:;T '!: HA'vl_ :
':-Ai_UES HER6: S hl AhdI7 }-HAT THt Bif T
i'NE :=5'f'(,.'7E OF t1:iIVI+JFSC3?A F_I`JE1=:GY
0.057438 - 0.364790
0.027e94 = :I.. 59.
1 . 9??zi 1 ci`:
04 vou 1°yave rnc l. t.hH
Yi...AT.r:r., 1i91ii: °l!° f-A{:;'iC]fiS FiiVX7 ''
ivS t{ERt_M`'f.:RIBGD I"iEET8 OF:/4-
-- - --?_'-- -------? - __
(S1 g1 [ft1llY'E)
'.(jcl{'_t:'%
OiitiiN7i.i1)ArRtiSAMM.i.Pil".rliI r}ONU[.::;''
in'Cr'c'1o1'" M3.Y',....,,. il.;-u
,
..
GhE.%Et iiG.Ck . . .,. .. ..
jhE?t'fTiC'"'p,P rak . .. . . . ('}
,_'_ . ,?..
a
t.:.?d . ?. ,. ?. ?? . . .? ?. .? . .? . .? !??.'r.?.
S! l eT.'.'1: h7. f7 i: . . . . . . . . . .... . 0;
; i 7. d1 r-: tJl . ,. „ .„ .. . .. .. , . 0.7H
E'..('E EP] P1F' f-4.1.1` , ., . . . . '_i.]..'
..I.r.i"8J °Nu VctlUr.:............ 31.07
7.1;, - "!J" VAluu ............ ...,_9;:}:?31
ft-It±! 1 1 P:I',:;l.ll...Fy'i f Cll`I W3:1"Fi S?: i.} I: h.iF: `: f:i., R.
I.n?.s=rior Aa.r'...... 0,.6;3
bt'ie::_'h. Rack . .. . . . . , r;, &.:;
I hfiP'mrt:l-'A:;r"E?i3k . . . .. .. 0
rrr->ulrrtican.,..,.... J.`?
,;
,_-i's.?r. :. , _ . .i°? i; . ,. . . . „ ,. . . 2.06
?'i:1.
S1 Cl'i nCJ. . . . . . .. . . . . 0. :'f:."
EY.'CF3Y':If)1" (-;7.C'.„.,.„. O.j:
Tot.al uf{" V<:t} l:E'. . . . . , _ . . ., .. 23.14
.,/?1 ._
,;_, i:41" iia..l.i..tt:............ 0.V4'.;2l,`.i
-rnr:U cF_::i.Ir,ii., wiE.Mf;«R
.[ fl "F i3 r.L rA" Fi'L P' „ .. . . . .
::ihE2F_:,}. FtiC:Ck . . . . . .. .
+..:,.=.i.l.tnq I'leiritaer,„„.
ii"lfiu7 cit'.i GI'i, . , . . . , ,
i:? t7. l l (Ji :I. P . . . .. ... . . .
0. N?D
0. ,`Jc:1
4. : ;:;
.. . 92
il. 'St
-rot.,_,? :,R,, Vri.;. uf=. . , . ., ., . . . ., . . 1r ,. a.4
1/3.; ... "H" :'x=.7.s..ue .,.,.„...„„.,..0.0::_L'f2.:.-1
i FiF.•{ 1 t:r.l:l_'. NB 3J'.iS.iL.11...HTT.i_N
iI;tki'I'1oi" ftii.Y"...... O.be,
sI'te+et. f"'.nc.k........ Ct. ".''1_;i
1.nsu1:a±;.on ..... ., . <t.::
c;tiii 'lir-..,...... L1.;.,:I.
43.27
.;t.<::?.. . VE....ifa,. . ., . . ,. . . . . . ,? 1/Fi -- °H" .'A3.i.lf'r............. ':.z.0:.'..i.'914
Ti11=:iJ t;i]TlEi'-;t=-rr. kit..i]C1;:
1'ili1F•Y"1C.7P' itli'"...... =%.t:?;
r_.;nc. E17 6c., . . ., . ., . , . t,,::'.s?
I tr,t,1 art i nrt . . ., „ . . . . 1 i.
2ihe,=_` Fii:. (caP!c. ) . V
',:_.: tmr i. c;:r Air . „ ,. ,. . . ... „ } '
Eri'_<3! •.h;' 'Ja_uP2............ l.::`
13.
7. %I.?; == ?.???r ,. .? . . . ? 0.06161
. ? . . . .. ,. , . .? .. .. ?. . ?. ?. -
1: ri `.4=. ri ;:;r A'. ; „ . .. ,. . 0. Wi;
i.IY>ulc?i: i(=i:l. . . . ..,. . 19
Rzn, ,:ni:_,r.......... I,B;_
Sisnar.h3R:, „.„.,.... 2.0&
,....cl:i r:q . . . o . .. . .. . . ;0„ 7°U
('ri{:?::r'i.i:ii' 133.....,,.. 0.0
To'ha;. °R° Vzdi.U.E',.. „....., .. , ... 24..0-1
!iR - n1
{ n ... . . ... . . . . . . .. ..
i.i ?'rili]2 1 oAr yY7.i'1df}LN........ 0.16
u , ' 0.06
l.l ??.• <.,1. ? i t= fcr r. d c3 ,r,.<r- s . . ., ,. . . e . ., U" v<<luF- fc,p Pah.z.o Dr es.... . 0,16
'I'f-iI':Li C'.(tiiT, M Y^.Ft•9Rt=R (er-ii::l.o=_:rtca}
I,-ri.r,r-ior :-.ir..„„.,. 0.6'
Farai.sh Fl.ctc5r-ing ... 1.2:'
='ii If'itY N E!tlB . „ „ .„ . . . . E':.
R;. ti wc;c:acl . , . . . . .. . . . „
,}o.i :=.f... . „ . . . ., . .. . . „
:al'iG:I::l.-. R?.-.ii::k . . .. .. ... ..
St:tll Air .........
0.'?::
1.I.;i6
0. JCi
0. . G> i.
I Cli:..:.1. ''I^:' .•m.i.4lt:?. . . .,. . . .. .. . .. 21.,59
j;c.{ ..._ "t.;",.......................::4_'-:=17
l iitil..i i.:r}Pd'I',. @ 711;:iI.J(...riT:t t71V , cnc.:l. o=.>e=d?
a n.,...r:r :i.:,r Ai. r „ .. . . . 0,, 6£3
Fin.iah F3oori.nc,,,.. 1.23
`:f iF_i. i rtlfvS . . . . !)
P.I.Y'Udr:a[ur;........... 0 .9 ::
Inaul.a::;-.i nr-,... . .. . , . :;i;
"it1pp2' !?ryC:4::. . . . ., . . , 0.50
Sti.-f.:t Rir .,„„.„„.. '.fer.;a
fo'M_.a7 °tt 'J;:a:l. ue . . . .. .. „ ,. .„ „ .. 40.0'
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CITY OF EAGAN
3830 PILOT KNOS ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
ZIP:
"Mgmw PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH i7NIT.
WORK DESCRIPTION
NEW CON5T _
ADD ON _
REPAIR _
OWNER NAME: /C/7/ /`GCTr /16JNEJ
S ITE ADDRES S: 3_M/ ?i4Y6?Q?vr G?n? -
LOT:? BLOCK -j SUBD.
INSTALLER: ?ko/?k,lf G7f3'4? f ,C??ii/G•
ADDRESS: I/4// G.. CG1FF 1G?..
CITY: 4ZA.4SV/L4--c,- ZIP: M37
PHONE #: 0 /hy'D31D
FEES
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDIRGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLZNG UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING m $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
FOR CITY USE ONLY
PERMIT # -?A?6l_-1
RECEIPT # IL?
DATE: 5 9
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00 -
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00 ?
OF 1 PER PERMIT
SUBTOTAL: $ zl a
STATE SURCHARGE: .50
TOTAL: $ '3 a
4???-/
SIGNATURE OF PERMITTEE
$
(SIGNATURE)
CITY OF EAGAN
RESIDENTIAL BUILDING
Permit Applicatioo
City Of Eagan
3830 Pilot Knob Road, Eagao Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
??o.Oc)
New ConsWction ReauiremenLS RemodeVReoair ReuuiremenCS Offce Use OnN
3 registered sde surveys showirg sq. fl of lot, sq. R. of house; and all rocfed areas 2 wDies of plan _ Cert of Survey Recd
(20%maximum lot coverage albwed) 1 set of Energy Calculatiois far heated additions _ Tree Pres Plan Recd
2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey for additioris 8 decks Tree Pres Not Reqd
lsetofEneigyCalculations Addition-mdicafei/m-sAesepfksysfem _On-sdeSepficSystem
3 copes of Tree Preservalion Plan if lot piatted a%er 7Hl93
Rim Joist Detail Oplans selection sheet (bldgs with 3 or less units
Date ?_ / 1$ / ? Construction Cost C) ?
Site Address p y'/r 4 L2 /I le Unit/5te #
Description of Work gf"?? aac
? / Y` r? r?q?mkt a
I
Multi-Family Bldg _ YX N Fireplace(s) _ 0? 1 _ 2? ?
/
P
t
O Telephone # -9);
wner y
roper
y
1
Contractor ?
11?rtr
Address City
State ? ,?/. Zip -< ? Telephone # (7,?} ?02_5-?
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672
Energy CAde Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
# ?f?r- ff 91P1__l?`7s?z
40FI)UI
I hereby apply for a Residential Building Permit and acknowledge tt1at,the information_is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City ofTagan 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 plagalhe case of work which requires a review and
approval of plans.
i
0 a r, l 1=FJ AlC2s?? 1
Applicant's Printed Name ApplicanYs Signature
2004 RESIDENTIAL BUILDING PERMIT'APPLICATION „4US9 ?"?S
r " City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
lLi i Telephone # 651-675-5675 FAX # 651-675-5694
New Cons6udion Reauirements RemodeUReoair Reouirements Aficellse ONv
?
? a?,?'i
?-_ ,.., e.. .
3 re9isle2d site surveYs showin9 sQ. ft of l06 sQ. R of house; and all roofed areas 2 copies of Plan Ge
(20%mazimumlotcoverageallowe? 1setWEnergyCalamBonsforheatedadditbns T"?ee;Pre$Plan_f?ecd; Y
2 copies of plan showug beam & window s¢es; poured found design, etc. 7 site surveydor addilions 8 decks 7iee Pfes Requued" =?_Y,_ N,
lsetofEnergyCakulations Add'dion - irMicateifon-sdesepNcsystem On-s1teS@pticSystem[J
3 copies of Tree Praservation Plan if lot plaHed afler 711/93
Rim Joist Defail Opfions selection sheet (bidgs with 3 w less uniLS
t? t???a?r c rs?- cr..?1.u?..?-x 1 inn T
Date 2-/ - - ?_Z
Construction Cost
Site Address
? Unit/S[e #
Description of Work 1ts>xak: .-?'I, f l -G2?? ?
Multi-Family Bldg _ Y _IV N Fireplace(s) _ 0 2
Property Owuer ?C(a ?'iT i( ` lYfc-N Telephone #((7'?j ) r.,?(o l?l`F
Contractor O -?-
Address 1?O ?onht??}LF ?E City W
State ti.n 1,? Zip ? Telephone #-7 -J S-._0U-U
vJ
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitled Submitted
. Energy Envelope Calculalions Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies. ?
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the informarion 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 pemut, and work is not to start without a
permit; that the work will be in accordance with the approv d p? lan in the case of work which requires a review and
approval of plans. W_-r_____1 n
ApplicanYs Printed Name pplican s ignature
OFFICE USE ONLY
Sub Types
,
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plhg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
A 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 d 0 d Occupancy 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 1? ?) Width
_ Footings (new bldg)
_ Footings(deck)
_ Footings(addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ RI. _ Air Test _ Final
Insulation
Approved By: :1 -Z,, , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?. QS
REQUIRED INSPECTIONS
_ FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Other
Pool ? Ftgs K Air/Gas Tests ?Final
_ Siding _ Stucco _ Stone _ Bric?C
Windows
Retaining Wall
PpDL ?s?poo
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
?
?
?
?
ENERAL INFORMATION
o d
z
?a
? 'JiWb Applicant - name, address, phone & fax numbers, signature
1$ ? 0 Property owner name
? ? -10 I.egal description and address of property ?o" d.vLcAL%:+g)
rgL ? ? North arrow, scale (1" = 30' or 40') and date
51 ? 0 Location and name of all streets adjacem to properiy
? ? +W Site Plan drawn to scale showing location of house, pool and other existing or pmposed
h
structures < Se&sZijf'?,'eneC) ,?:-? c, dre k 1 p??io LS
? ? Directional drainage arrows (e?usting at? proposed) 1'?t<: (h ?K
,J
ELEVATIONS
Existina
? ? House corners
? ? Property corners
?4M Op property lines at point of measured dimension to pool (see below)
?Zi If applicable, ground elevaiion at each end of retaining walls and at wall's greatest height
Prooosed
)d ? $` Finished pool deck comers
19 ?-4ilr--Top of retaining wall (if any and at each different elevation (if it changes)
Nr ? W Pool bottom (or uiax. depth)
DIMENSIONS
Existina
V ? ? All pmperty/lot lines
Prooosed
,? ? ?- Pool (Oh BQr'Raea.y?)
At ? 5a Pool plus integrated deck/patio
$?M Shortest distance from outside edge of pool deck to lot lines and house
Reviewed:
Name
?
Date
3-(- O y
G•/I'EC WJR 2002/Paol Pemtit Chxklist
' L.csr 4 --BLaci? I iivc, woa%>L,ak?
?
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{ - NbUSE 14
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Performance Pool & Spa
1896 Wooddale Drive
Woodhury, MN 55125
651-731-3440
651-731-8372 Fax
Attn: Brett MacNally
b S/c.T
PENCE'
,
? EQGAu?
REVAEVVED
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iUAVEYOR'S CEaTIFICATE Notr: NO lPECM? ?! ??t??ON
, ,
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NOTE: 9UlDPN1 DIMFNSIONS SHOWk ARE tOPt m{' WN-L 19,11 ?S
? Lq'As10N?R l1MICFUIIE OfeLX E
uLL rUWS Ito?l lun.tlN10 a potNNfl?rtdN ?y
d - DENOTES PROP05Eb SURFACE DRAINAGE
o DtNOTts ipoN µoNUMEW sFt ScALt: i INCN i 30 FEF-T
b DENOTES ICtON MONUMEN7 FOUND pFtOpOSVO dAAAdE PLOdit i6 096.# FEE7
X000.0 DENOTES EXISTING ELEVATION pFiOPO5P-b LOWtSfi PIOON - dA2.4 FEET
(pUQ.O) DENOTES PROPOSED EIEVATION PFlOPO$Eb TOP OF BLOCK -$90.-I FEET
WE HEREHY CEpTIFY 70 R. A. KOt HOMES 7HAt THIS IS A tpUE AND COqHECT
RE.°RESFSJTA710N OF A SURVEIr OF THE BQUAfDARIES OF:
Lor q, Block 1, tNE WOOb1..ANDS 1HIRb ADDIttON, 6ctorchnq to thE rAtolded pbt
ihlMof, bokoM County, MInn0Ofd.
,' , ?
-'._. J
??-5?q 5
;zoos RESIDENTIAL PLliMBING pERMi; APPLICA7iON
. CI7Y OF EAGAN
3830 PlLOT }CNOB ROAD, EAGAN N1N 55122
' 651-675-5675
se complete:#or.modifications to existing reszdential dweilings.
-4,1s .. So
SVeet Address -9? "7 jl5 /
Unit #
2rty
?
Te3epfione # d gw6-
? wa B
t Teiephone # H?(? ?'???
{g? ,
rac
or
Cit
?
?WLLV Staieft Zipr
54mm
y .
.
"ess _
_ _
Applicanf is: _ Owner X ConTractor _Other I
ic System _ New _ Rafurbished aubmie 2 sets of plans and MYC., !icense )nciud es County fee
? $ 100-00
Per as-buil?
I $ 10_00
rations to existing dwelling i $ 50-00 ?
Add plumb+ng fixtures. This iee inGudes installation of a water soften er and/or waier
heater at tne same *.ime. !f you are instalfing onlv a wafer sottener and/or water
heater, do not complete this sectior., ;nove io Yhe next sec'tion and check the
appliance(s) you are installing.
_Septic System ALandonment
Waier Turnaround (add $130-00 ii a 5!8" meizr is rsquired)
Other ?
- ?
-- -?? -- - ----
Water Softener _ Water Heater I
$ 15.00
_ new X1 replacemeni
Lawn Irrigation _ftPZ _PVS _new _repair
- reouiid
--' $ 3400
? r?
h
S . ;??; ?? I $ 50
arge
urc
e 9 ?T 2
7 ???
-- - - - ?( SO
3? I $
1
reby appty for a Residential Plumoing Permii and acknowledge inat the information is complete and accurate, that #he
'c will be m conformance with ihe ordinances and codes of the Ci+y of Eagan and the plum6ing codes, thai I
erstand this is not a perrni?, but only an application 4or a permii, work is not to siart wiChout a permit and work wi(i be in
Drdance wdh the approved plar, m the even[ 2 p)an is ,equired to oe reviewed and apgroved.
,71canf' Name ? Rp[NicaAz's Signaiere
Use BLUE or BLACK Ink
For Office Use �p
• Permit#:
C1ty of
Eaftall
Permit Fee. /C"5—.>'‘S
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
buildinginspections u(.cityofeagan.com Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Kc )G`�L` der" (� \ O
Name: v Phone: 6/
Resident! /
Owner I Address/City/Zip: 3-76/
3-7 4a I&..
Applicant is: Owner Contractor
Description of work: t'Ou ��„
Type of Work
Construction Cost: �-3 4066 Multi Family Building: (Yes /No )
pany l 1i 1 0$ r l�
Company: �C.�+ �"�` ��. r Contact:
Contractor Address: O X ') ��+ �r-L 166' S City: 4001.1,
State/t/ ip: C.— Phone: e- 'I'lb nail:
I License#: L -7 I ✓ / Lead Certificate# 4/44—/-11005S/9 0
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the
information maybe 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.com/subscribe.
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. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval ofplans.
"---fLe/(v
X
Applicant's Printed Name Applicants Signatu
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA164157
Date Issued:09/21/2020
Permit Category:ePermit
Site Address: 3761 Bayberry Lane
Lot:4 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kurt R Nierengarten
3761 Bayberry Lane
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA167136
Date Issued:02/24/2021
Permit Category:ePermit
Site Address: 3761 Bayberry Lane
Lot:4 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kurt R & Laurie E Nierengarten
3761 Bayberry Lane
Saint Paul MN 55123--242
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature