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4517 Alicia Dr o 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 7S / { CITY OF IEACAN 3830 PILOT KNOB RD - 55122 651-681-4675 I a~- ~-a New Constnrctlon Requirements RemodellRevafr Reguirements ➢ 3 registered site surveys showing sq. ft of lot, sq. ft. of house 2 copies of plan and all roofed areas (20'A maximum lot coverage allowed) 1 set of energy calculations for heated additions 2 copies of plans (show beams window sizes; poured fad. design; e1c.) 1 site survey for exterior additions & decks > 1 set of energy calculations 3 copies of tree preservation plan if lot platted after 711193 DATE: ! / LT CONSTRUCTION COST: DESCRIPTION OF WORK: WS, STREET ADDRESS: ~p 7 L v c T t~/~ LOT: I c. J BLOCK: SUBD.IP.I.D. #t .So vi 1`t art N L - ' f CJ~S~ Name: phone PROPERTY Last First OWNER ? Street Address: City State: Zip: Company: (J~ w fr cU e~ Phone (area code) CONTRACTOR Street Address: License # -?cy/y Z ffY Exp. 0 c) City State: A' Zip: ARCHITECT/ 'f ~ 4 ENGINEER Company: ~ Name: -2 4- Telephone M { G~Z~ Z_1Y7 - /d fv ~LfyB CJ Z Street Address: Registration City State:/ Zip: Sewer & water licensed umber new construction one T fi h► e!e'hane Penalty applies when address change and lot change is requested once permit is issued. • I hereby acknowledge that I have read this application, state that the infomration is correct, and agree to comply with all applicable State of 111innesota Statutes and Cit of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received CYes No Tree Preservation Plan Received Yes No "ot Required OFFICE USE ONLY ' BUILDING PERMIT TYPE O 91 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea. 03 1 of_ plex ❑ 08 6-plex 13 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) 04 2-plex ❑ 09 7-plex ❑ 14 'Apartments ❑ 19 Lower Level ❑ 24 Storm Damage. 0 05 3-plex ❑ 10 8-plex 0 15 Lodging ❑ 20 Pool Q 25 Miscellaneous' WORK TYPE 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only 0 43 Siding/Soffits/Fascia 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert 0 44 Windows/Doors 0 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair: 13 34 Repair 0 38 Demolish (Interior) ❑ 42 Reroof * Give RCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) A Basement sq. ft. I l a Census Code jot (Allowable) Main level sq. ft. ;?'16 q SAC Code a r UBC Occupancy - h sq. ft. <<-S.,9 No. of Units _ Zoning ~ sq. ft. 66 2 No. of Bldgs # of Stories sq. ft. MC/ES System Length 5 C, sq. ft. City Water Width 5 2- -?5 Footprint sq. ft. /ci26 Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 1 yl `iojl Surcharge Plan Review License MC/ES SAC yq~ Z3 CIZO City SAC ~ k / 0 = o -zo 12-0 S xi 6 19-00 Water Conn. , t u = «a Water Meter Acct. Deposit t< ` r S/W Permit 2~C x I = ?wK 2.q ~ ~ ' 12 ~ ~ ~5 K 2 6S-, ~LS 6 SJW Surcharge Treatment PI. ~aX z~s N~aa~ Park Ded. 2 ~l 1 e ~i t Trails Ded. V Ll 3 y .25= k 2 Z} =Sr3 Other Copies' Total: 20 x ~2' b uG .y 16 IO .S Ci a SAC Units 2-3 v z y6 z.q °1o SAC PNGINEERING CONSULTING ENGINEERS, YORWAY HOMES ROSE PLANNERS and LAND SURVEYORS PROJECT NO. 9479.00 BOOK 296 COMPANY, INC. PAGE 1000 EAST 146th STREET. BURNSMU.E. MINNESOTA 55337 PH 432-3000 CERTIFICATE OF SURVEY Legal DeSCript1011; LOT 14, BLOCK 1, SOUTHERN LAKES WEST DAKOTA COUNTY, MINNESOTA. g35( 6% DENOTES EXISTING ELEVATION 937 7 DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE _ FINISHED GARAGE FLOOR ELEVATION BASEMENT FLOOR ELEVATION TOP OF FOUNDATION ELEVATION SCALE : 1" = 30' LOT AREA= 12,643 SQ.FT..~, HOUSE AREA= 1,890 SQ.FT. ADDRESS: 4517 ALICIA DRIVE r% Ewa BENCHMARK: TNN AT LIZ-81, a ■ ■ ~LEV, _ 934, 57 RE"WRED 25.00-- VACANT Lar" S`tcT ~'NC ;c~i M 't357 ^,8.987, 00 3s.~ ~4sae N87 5851 W ptlo 93722 ?M' 939,9 - - 138.81 ® J , AA r s me v 3 .t0 937,6 N ~ 37, ~ ~ SWAL~(~ MZN 10 I 2.33 - 207* QLam ' LUI o o„_( I x~ g g 10 OCV h (937, s--- of W co 3 J I n cn ~3s,T ° rf 3 0.33 - - X0.00 'a X1.00 t-- ( to Q 019.67 O o I tr to OC/ (s o li ~ cc) 2.00 C C 30.67 ` 3-U_-. Z ~ oo ~ao° 36.0 I ~37, t 935, r+ 20.33 935, 5`-'► c, 10 937,0 10 It i`9j 33.?' ®25.00 eN! 142.15 M r i,M33, Nae= V.4; 02 S87758'51 "E /W 935, sz 89, i~ a, v I 9 93 _ V/ACAMT LOT" DRAINAGE AND UTILITY EASEMENT 1 RE'v 'r . By y/, --✓7 _ SS 's=- FJ.'Y1.NG DEPT. 9.-"'. I hereby certify that this is a true and correct representation of a tract as shown and described hereon. As prepared by me this JL!~ day of 192. KEV r 5CD 12-1;-99,- PROP GARAGE t - WvZoF 140, Am"In4- /9086 Minn. Reg. No. RECEIVED DEC 1 3 1999 C' LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: Z- 0 r A/ 7, °L t7 DATE OF SURVEY: H LATEST REVISION; lp1-/~ w rY o DOCUMENT STANDARDS y o . o • Registered Land Surveyor signature and company y ❑ Building Permit Applicant ~a ❑ Legal description ❑ Address ❑ North arrow and scale . ❑ . House type (rambler, walkout, split w/o, spat entry, lookout, etc.) ❑ Directional drainage arrows with slope/gradtient % ta'/Li ❑ Proposed/existing sewer and water services& invert elevation e(~t5 ❑ Street name ❑ Driveway ❑ Lot Square Footage ❑ Lot Coverage ELEVATIONS Existing /Gr ❑ Sewer service (or Proposed) ❑ Property comers a~' ❑ Top of curb at the driveway Elevations of any existing adjacent homes ❑ Q' ❑ Adequate footing depth of structures due to adjacent utility trenches Proposed ❑ Garage floor ❑ First floor ~Y/ ❑ ❑ Lowest exposed elevation (walkout/window) ❑ Property corners pJ ❑ C3 Front and rear of home at the foundation QONDING AREA (if applicable) ❑ a❑ Easement fine ❑ R'/❑ NWL ❑ t!'// • HWL ❑ rl0 Pond # designation ❑ ❑ Emergency Overflow Elevation DIMENSIONS a / ❑ Lot tinesJBearings & dimensions ❑ Right-of-way and street width (to back of curb) m~ ❑ ❑ Proposed home dimensions including any proposed decks, overhangs greater than Z, porches, etc. / (i.e. all structures requiring permanent footings) m~ A~ ❑ Show all easements of record and any City utilities within those easements ❑ Setbacks of proposed structure and sideyard setback of adjacent existing structures E3 ❑ Retaining wall requirements, if any Reviewed: J Name / Date March 1999 cRAIGAR DGPRMr.FM EXTERIOR ENVELOPE ENERGY CODE COMPUTATION WORKSHEET To Determine Compliance with the Minnesota Enemy Cade (Section 502 of the State Amended 1989 Model Energy Code) ?roject Title Site Address 1. EXPOSED WALL CALCULATIONS AREA "U" VALUE AREA x "U" A. Opaque Wall 1. Masonry/Concrete a. L,r jr - ~C x , 6 3- G are .Am b. x C. X 2. Foundation Wall (Above Grade) i L b. x _ 3. Wood Frame Wall 1*6 #Zc. 6 a. Insulated Area 118,1 01 x p - l ~.f b. Framing Area (Ave. 15% at 16" oc) zS~ x c. Framing Area (Ave. 10% at 24" oc)' x - 4. Peripheral Floor Edge/Rim Joist a. x b. x - B. Glazing 1. Windows a. d't s, to es. ' qy x 35 3" p ZT b. vLfi x 2. Doors ` - 2 Z x Al&k Zro- - W4 C. Doors 1: Wood a. Solid x b. With storm door x 2. Metal Z(Z !X Z X 3. Overhead x - 4. Other x - SGu' D. TOTAJ. WALL AREA, sq.ft E. TOTAL OF AREA x "U" 2 84 ?39 H. ROOF/CEILING CALCULATIONS A. Roof/Ceiling Insulated Area x 02f _ J ` B. Roof/Ceiling Framing (Ave. 15% at 16" oc) _ x C. Roof/Ceiling Framing (Ave. 10% at-24" oc) _ C x eol-0- 1/6 D. Skylight x = E. TOTAL ROOF/CEILING AREA sq.ft f--- F. TOTAL OF AREA x "U" . . T'} /t.en ~ 2 III. BUILDING ENVELOPE REQUIREMENTS TOTAL AREA REQUIRED "U" ALLOWABLEr (From I.D. & H.E) (From V.) (Area x "U") `A. Exposed Wall: 3S~ x 3 iy r B. Roof/Ceiling: x , oaf 31 ~3~>t C. TOTAL ALLOWABLE BUILDING ENVELOPE (Total of A & B above) 17f~ IV. ACTUAL BUILDING ENVELOPE ACTUAL (Area x " Zar, 4.3 A. Exposed Wall (From I.E.) B. Roof/Ceiling (From. H.F) z r, C. TOTAL ACTU .L BUILDING ENVELOPE (Total of A& ' B) 34 *(Meet; code requirements if less than III. C} V. REQUIRED "U" VALUES WALLS ROOF/CEILING Detached one and two family dwellings .11 .026 * Multi-Family Residential Buildings (3 stories or less in height) .238 .025 * All Other construction Types (3 stories or less) .238 .06 * All Other Construction Types (More than 3 stories) .28 06 *Based on 8307 heating degree days (Mpls /St Paul) Adjust '71" Values accordingly for other locations CERTIFICATION I hereby certify that I have completed the above information and that it complies with the Minnesota State Energy Co --DATE tore Si a BCSD 4-93 CC/SM/6574 CITY USE ONLY l- ~'l.a® 7 LOT I BL l RECEIPT 7 SUBD. 50 Lt+~ e~r vt h akeL W RECEIPT DATE: ` G 0 1999 MECHANICAL PERMIT (RESIDENTIAL) crrY OF EAGAN 3830 PILOT KNOB RD: EACAN MN 55122 Date: (651)68 1 1-4675 Complete this section ©nlv if you are installing HVAC in ' single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section o rX if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. New Replacement Repair Other Furnace Air conditioning Air exchanger, i.e. Vanee system, etc. Other Reminder: Call 681-4675 for inspections. $ 30.00 State Surcharge: .50 Total: $30.50 SITE ADDRESS`. S l \ ► iC OWNER NAME: C~ ref ca U h n ~.Q S PHONE INSTALLER NAME: --A, Y) U PHONE W -Al _ STREET ADDRESS: \~v 553 CITY: ~ C STATE: ZIP: SIGNATURE OF PE ITTEE' JS/FORMS BLD/MECH PERMIT (RES) - 1999 CITY USE ONLY L BL RECEIPT SUED. RECEIPT DATE: APPROVED BY: , INSPECTOR 1999 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1%0 of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x I% PROCESSED PIPING PERMIT FEE STATE SURCHARGE ($.50 per $1,000 of pernut fee clue on all permits.) TOTAL - SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (1MPRovEMEws ONLY): INSTALLER: ADDRESS: PHONE CITY: STATE ZIP: SIGNATURE OF PERMITTEE L Bt CITY USE ONLY ~ `RECEIPT -'W _ SUED. dt l e,r ✓1 l~ 411- W RECEIPT DATE: ~ - 7-00 PERMIT e 12, ~ S "i 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, VIN 55122 651-681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground, sprinkler system FIXTURES EACH TOTAL Alterations to existing dwelling minimum fee $ 30.00 Describe: Bath tub $ 3.00 x Floor drain 3.00 x $ Gas piping outlet * minimum - 3.00 x _ $ Hot tubtspa 3.00 x _ $ Kitchen sink Inn x = $ Laundry tray 3.00 x _ $ 00 Lavatory 3.00 x _ $ [a, co Septic System newirefurbished ' requires MPC tic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild. 30.00 x = $ Rough opening 1.50 x 71 _ $ . Shower 3.00 x = $ -3-00 Underground sprinkler if dwelling is under construction 3.00 x _ $ Underground sprinkler it existing dwelling 30.00 x - $ Water closet 3.00 x = $ to, Do Water heater 3.00 x - $ Water softener if dwelling under construction 5.00 _ $ Water softener if existing dwelling 30.00 x $ Water turnaround 30.00 x $ State Surcharge .50 $ .50 Total Reminder: Cant for inspections of alterations, i.e. water heaters, water softeners, etc. i hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with an 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 by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: LAS vi 1A\1 mk o,- ` rw¢.. OWNER NAME:: WaV oluskayN IAO(Mcs TELEPHONE (o lZ.+ Oqg - 3q34 (AREA CODE) INSTALLER NAME: ~C-~~C~ P ~Um'b In TELEPHONE (0 12 - LILA11- (013 4 STREET ADDRESS: V~~ ~d 1~n d r Sit- (AREA CODE) o CITY: `~lO~' ~..i0►~- _ STATE: ZIP: ' SS 3 r7-L ICI SIGN TORE OF PERMITTEE CITY USE ONLY L BL RECEIPT M J SUBD. RECEIPT DATA:: 7 PERMIT# ` l (J ✓a 20100 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: , > single family dwellings` > townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling minimum fee $ 30.00 Describer Bath tub $ 3.00 x Floor drain 3.00 x $ Gas piping outlet " minimum - 1 3.00 x - $ Hot tub/spa 3.00 x $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x - $ Lavatory 3.00 x $ Septic System new/refurbished " requires MPC Iic. 75.00 x - Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x $ Shower 3.00 x $ Under round sprinkler if dwelling is under construction 3.00 x Underground sprinkler if existing dwelling - 30.00 x $ C7 Water closet 3.00 x - $ Water heater 3'00 x $ Water softener If dwelling under construction 5.00 x _ $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcha a .50 $ .50 Total o Reminder. Call for Inspections of alterations, i.e.'water heaters, water softeners, etc. . - Ihereby-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 by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-ofway/easement. SITE ADDRESS: 7G a, c us- OWNER NAME:: - TELEPHONE* _51 z At-?/ / (AREA CODE) INSTALLER NAME: kf Q`7 Ael TELEPHONE f, (AREA CODE) STREET ADDRESS: CITY: /C STATE' ZIP: SIG ATURE OF PERMITTEE RESIDENTIAL yt1a 2 BUILDING PERMIT APPLICATION CITY OF EAGAN G 3830 PILOT KNOB RD, EAGAN MN 55122 O S 651-681.4675 New Construction Requirements RemodeReReir Reaulrements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (200% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks 1 set of Energy Calculations • indicate a home served by septic system for additions • 3 copies of Tree Preservation Plan I lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE /J a VALUATION t SITE ADDRESS 5 ,C l ( r MULTI.-FAMILY BLDG Y TYPE OF WORK FIREPLACE(S) 0 1 _ 2 APPLICANT STREET ADDRESS S CITYTATE 21P3 TELEPHONE ft LF1 4z37- CELL PHONE# FAX # PROPERTY OWNER TELEPHONE # = COMPLETE THIS SECTION FOR -,NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone Mechanical system includes: - Air Conditionings Heat Recovery System D ~I 1. Phone # JUN 1 2002 Sewer/Water Contractor. -v--- = hereby acknowledge that I have read this application, state n is oyrr t, gree to comply with all applicable State of Minnesota Statutes and City of gan 0 n nc Signature of Applic t OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received Not Required _ Updated 4/02 OFFIGE-USE ONLY ❑ 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 ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) 0 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const 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 _ Pool _ Ftgs _ Air/Gas Tests -Final Framing Siding - Stucco Stone Fireplace R.I. Air Test Final Windows (new/replacement) Insulation Retaing Wall Approved roved BY , Building Inspector - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply& Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 3 RESIDENTIAL ` BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 'o u J 651-681-4675 New Construction Requirements RemodetlReuair Requirements • 3 registered site surveys showing sq. ft. 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 1 • 2 copies of plan showing beam & window sizes; 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 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE - VALUATION 60 SITE ADDRESS/ MULTI-FAMILY BLDG _Y 1 TYPE OF WORK rf 7Y Ide FIREPLACE(S) _ 0 -1 -2 APPLICANT Q -!54-n I^/o17 'ITn q STREET ADDRESS cS: / e_14 1!~ CITY 1.= a ah STATE.$'~/t/ZIP TELEPHONE # CELL PHONE # FAX # PROPERTY OWNER 6 :5~ a O in TELEPHONE#1JI -1- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 2 (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted D• 221ode V4f5r t Submitted • Energy Envelope Calculations Submitted ~AY d 2U 2 P Plumbing Contractor: Phone # gy Plumbing system includes: Water Softener Lawn Sp ' er Fee: $90.00 Water Heater No, of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $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 -Ordina ces Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received Not Required Updated 4/02 OFFICE USE ONLY x ❑ 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 ❑ 17 Garage ❑ 22 Parch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-piex Y118 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 , Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy k-..-Oft MC/ES System, Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. Footings (addition) T Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests Final Framing _ Siding Stucco Stone - Fireplace _ R.I. Air Test -Final _ Windows (new/replacement) Insulation Retaniing Wall Approved By Building Inspector Base Fee Surcharge Plan Review MAO MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total . CONSULTING ENGINEERS, YORWAY HOMES ROBE PLANNERS and LAND SURVEYORS PROJECT NO. 9479.00 ENGINEERING BOOK 29b COMPANY, INC. PAGE 78 1000 EAST 148th STREET, WRNSMU.E. MINNESOTA 55337 PH 432-3000*." CERTIFICATE OF SURVEY Legal Descdpfion: LOT 14, BLOCK 1, SOUTHERN LAKES WEST DAKOTA COUNTY, MINNESOTA. q3.?, bi DENOTES EXISTING ELEVATION (937 o) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE 3 3 q37 FINISHED GARAGE FLOOR ELEVATION BASEMENT FLOOR ELEVATION Uho, 3-3 TOP OF FOUNDATION ELEVATION SCALE : 1" = 30' LOT AREA= 12,643 SQ.FT. HOUSE AREA= 1,890 SQ.FT. ADDRESS: 4517 ALICIA DRIVE BENCHMARK: _M4 AT L►2-8I, , 4 ELEV, = 934, 57 R E Q U I R E, E D 25.00 VkAta '!351.7 f/v$~ 937, oo `I 93s. 04sab N8 38 51"W HvA•= 93'!.22 939; _ 8f en 04-3AO 39.9; 3 X10 A=NTAXtN 937.6 nur, 937• 10 3'WAt. ( t N . I ` 22.33 W ~ ~ m ~ 0 3 r > N a;t] Of f- CL' O f p W p N 35.1; a- ~f Bit 0.33 0 OW 10.0 1 00 p Q 19.67 - cn I ) acv Z U 0 r <I p`j t4 a ~ r, N <f i N ► ~ 0 t1 cc~ 2.00 < 30,67 z ~ O QoCc3 .o 10 437.0 " 20.33 U5710) Aflo - An ~_j 025,00 14 .f5 ~ M MuN,I ,'l Hub=9~soz S87'58'5"E ire= 935.52 ~ 939 a VACAMT CoT ~ DRAINAGE AND UTILITY EASEMENT e r 21 KEA, -~7 T7 I hereby certify that this is a true and correct representation of a tract as shown and described hereon. As prepared by me this JjL!~ day of 19. _v►sEO 12-13-99 s PROP GARAGE 1-COURSE Aow 110, Aosv,~ Minn. Reg.' No. ~~D~~ Use BLUE or BLACK Ink r For Office Use Permit#: City of EaEd O E ~ I Permit Fee: I I OZ- 3830 Pilot Knob Road Eagan MN 55122 I Date Received: a''7 I Phone: (651) 675-5675 RECEIVED I I p Fax: (651) 675-5694 I Staff: I d`` MAY 14 2011 I------------------ 2012 RESIDENTIAL BUILDING PERMIT APPLICATION ~IV 1 Date: Site Address: Unit M Name: t° - - ,L A:1:677 !rt Phone: RESIDENT OWNER Address / City / Zip: Applicant is: Owner Contractor - ' TYPE OF WORK Description of work: ~ Y S C-~~t't5 4 ~ Construction Cost. Cr? L Multi-Family Building: (Yes / No ) Company: Contact: Address: City: - CONTRACTOR State: Zip: hone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to - _ conclude that they are trade secrets._- CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.-goaherstateonecall.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 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. x6w-'ar? / x cJ Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE `L~ S1-G SUB TYPES 11-s- I - 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 GD Occupancy ✓ G-.~ MCES System - Plan Review Code Edition a; SAC Units (25%_ 100% kl-~ Zoning n ~l City Water Census Code Stories Booster Pump # of Units / Square Feet PRV # of Buildings 1 Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / 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 -23 Surcharge Plan Review 4/7 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA161112 Date Issued:05/06/2020 Permit Category:ePermit Site Address: 4517 Alicia Dr Lot:14 Block: 1 Addition: Southern Lakes West PID:10-71300-01-140 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Robert A Fleming 4517 Alicia Dr Inver Grove Heights MN 55077 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161192 Date Issued:05/11/2020 Permit Category:ePermit Site Address: 4517 Alicia Dr Lot:14 Block: 1 Addition: Southern Lakes West PID:10-71300-01-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Robert A Fleming 4517 Alicia Dr Inver Grove Heights MN 55077 Angell Aire Inc 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature