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1878 Bear Path Tr For Office Use I Permit o City of Ea a~ o b I Permit Fee: 6?0• 3830 Pilot Knob Road Eagan MN 55122 i Date Received: Phone: (651) 675-5675 j staff: i Fax: (651) 675-5694 I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: d © Site Address: 7 112 ,l? (U~ 1~ e- Tenant: Suite RESIDENT/OWNER Name: n LAC , )\,j CA`s Phone: fJ -1 ::~4~7 c ~(,p Address / City / Zip: l k -7 L R 'T-t2-t 6-oe Aa I MOV 5'n 2 Applicant is: Owner Contractor TYPE OF WORK Description of work: r- ~ 42 a Construction Cost: Multi-Family Building: (Yes Lam' No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • 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? _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 the are trade secrets. 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. x P R L /\1 G(Ax J Applicant's Printed Name Applicant"---' W , „ Page 1 of 3 r_._______________- I For Office Ulsek Permit City of Eakan 1 t I Permit Fee: ~0 I 3830 Pilot Knob Road I l Eagan MM 55122 Date Received: Phone: (651) 675-5675 t t Fax: (651) '675-5694 I Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION - - - - - - - - - - - - - - - Date: CIQ 'a;ASite Address: y l~_~_[~ \ Tenant: Suite RESIDENT / OWNER Name: Phone: (.O`°j l 70~~ Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work:, ~t~t \ cC tIFS Construction Cost: vv u2ilinj.~n-/No CONTRACTOR Name: (ense Address: City: State: n3A'~Zip:~ Phone: ~J ® 10<~~ w oC-ntact Person: r~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • 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? -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 thro are trade secrets. 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. x \ ~c Y\`~, ~S1 x Applican s Printed 'Name Ap Signature Page 1 of 3 Moisture Meter Results Moisture Test e Administered on: MAY 13, 2002 8:30 AM Requestor Name: YELENA SUPONITSKAVA Address: 878 BEAR PATH TRAIL Type of Building: SF Telephone Number: (651) 681-0723 Reading Result: 8-10 % OK Comments: Ok on all walls. No moisture above normal range. Signature I 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3834 PILOT KNOB RD - 55122 J 651-681-4675 Reauirements ➢ 2 copies of plan - ~ Q a DATE. 10-23-00 CONSTRUCTION COST. X lJ^ /lli DESCRIPTION OF WORK: t1 o c c If multi-family bldg., how many units? INDICATE THE FOLLOWING EQUIPMENT TO BE REPLACED AND BY WHOM: Plumbing Homeowner or Contractor Name Mechanical Homeowner 21 Contractor Name "Note: If somebody other than the homeowner is performing plumbing or mechanical work, they must apply for appropriate permit, Only licensed plumbing contractor or homeowner may complete plumbing work. STREET ADDRESS: LOT: BLOCK: ° SUBD./P.I.D. C q~l r H Name: 01'1/ Phone 6J~f 2,~ PROPERTY st / First OWNER Street Address: ' irou city State: (Y) AZ Zip: SDC; Company:2 1 Phone (area code) CONTRACTOR Street Address: License # Exp. City State: Zip: 1 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 Ordinances. Signature of Applicant: 14658 Request Date Fire o. FIT ~'tp tion Required Inspection Other Than Bough-in ry~_ (1 (Yo st caP nspectw when ready) Ready Now Will Notify Inspector Ves ❑ No Date Ready 1,04censed contractor El owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) D City 1928 '64?a_ 124W / Section No. Township Name or No. Range No. County Occupant (PR Phone No. IN P017 //5/ Power uppf r L Address - "t Electrical Co tractor (Company Nam) Contractor's License No. Mailing Addres Contractor or Owner Making Installatio ) Author, , ature IContractorlOw r Makin Ins t,on) Phone Number 1 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT 11-40 Griggs-Midway Bldg. - Room 5773 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION S EB•00001.08 • See instructions for completing this form on back of yellow copy. N14658 X" Below Work Covered by This Request ew add `ep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Spee'Ify) Farm Air Conditioner Other (specify) Contractor's Remarks: 00by7 ~ C.Ar Compute Inspection Fee Below: 7 ' x'e J- ► y~ ' # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Amps Signs Inspector's Use Only: 'DI OTOTAL Irrigation Booms td/ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE 0 ED SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS: I, the Electrical inspector, hereby Rough•in Oat 7 7 p certify that the above inspection has Final Date S [J been made. OFFICE USE ONLY This request void 18 months from , 0®1 39s ®196 !.dc __0 ~ a Request Date Fire No. Roug -Iy inspection ReV,,hV.dy) Inspection Other Than R gh-In (YoC mQust oall`4MSpectoReady Mow Will NoCrfy Inspector 26-~r'/ . J Yes Date Ready I I (licensed contractor ❑owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City q ~xe, 'Pa A -e_a Ck. Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. ~ol cAo oq c) Lo Mailing Address (Contractor or owner Making Installation) 2 mm ~GW7 Authorized Signature (Contractor/Owner Ma ing Installation) Phone Number MINNESOTA STATE BOARD OF A& THIS INSPECTION REQUEST WILL cab 1 I 1 1I II 11111 1 1I 1 Z -2 UniiversiyAve.,S o Pul,M128~ ELECT 1 (pV~Itl~~tl1!!(1~ ~ 4~I~i~illli+~l tI111i11t~lliJiii EBE A XEPTED BY THE STATE NCLOSED. 1821 T NSPECTIONFOEEIS Phone (612) 642-0800+~~ \ / REOUESToFOR E~LECTRICAo INSPECTION ~r ack of yellow copy. See for this form 1;A195 "X" Below Work Covered by This Request Ne A Rep. "Type of Building Appliar%es Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heatin Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: W,\ VC gas ~1 ~Q` # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 Amps Transformers Above 200 Amps 0 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms 6RDER Speci al Ins ection Alarm/Communication THIS INSTALLATION MAY BE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON I, the Electrical Inspector, hereby Rough-in f Date certify that the above inspection has Final D e ~a been made. OFFICE USE ONLY This request void 18 months from This request void 5`3 " J.) Sl,//~~ p d f months from s to Fire No. Plough-in Inspection - i Required? [itieady Now Will Noti#y 10yes ❑No for When Ready Licensed Electrical Contractor 1 hereby request inspection" of above ❑ Owner electrical work installed at: Str Ad , Box or Route-No. City 00-;J 1r - zt~ction No. Township Name" or No. Range ` No. County Occ nt (PRINT) Phone No. 11 S ►p 1$ ~ ~O S Power Supplier Address Af AJ Electrical Contra or (Comparry Name) Contr ctor's License No. f - © f~f r S' Mailing Address (Contra or or Owner Making Ins s onI tail 4~~e MA) uthor Signature (Contracto ner Making Installation) Phone Number MINNESOTA STATE' OF ELECTRICITY THIS INSPECTIONREQUBST WILL NOT Griggs-Midway Bldg. Room N-191 BE ACCEPTED BY THE STATE BOAT 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION IO N FEE IS Phone (612) 297-2111 ENCLOSED, REQUEST FOR ELECTRICAL INSPECTION Ea-00001:04 j ' Sse instructions for rwmpleti' this form on back of yellow copy. r ~ 0250-8 6 Below Work Covered by This Request 6l ~ Add ReP- Tvpe of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg_ Air Conditioner Bulk Milk Tank _ Farm Other pecify Other (Specify) Other Specify Other Other Compute Inspection Fee Below i Fee &erviceEntranceSize # Fee LAbove eeders/Subfeeders # Fee Circuits QO 0 to 200 Amps o 30 Amps Lo 2,Co, 0 to 30 Am Above 200~A~ to 100 Amps 31 to 100 Amps _C, 00 Swimni Pool 100 Amps Above 100-Amps Transformers igation BoornS S Partial%'Other Fee Signs ecial Inspection S> f~ SO Benarks TOTAL r ~ L© Bough=in Date 1 the ElecYrivcal t e -V f I Inspector, hereby c~dlify that the above Final Date inspection has been made. Me request void U morphs hoe. 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 Dote d 1 Site Address ` f Bit, ?rlT T.R Erect occupancy RxF.h c~L ~s~ x' s a Remodel ❑ Zoning yid Lot Block Sec/Sub. Parcel No. Repair ❑ Type of Const. Enlarge ❑ No. Stories P-11F`-i"f % (,'0NS`!'.X..$C"T10N C Move ❑ Length -90 Name W Demolish ❑ Depth . Address . • y, ''1 j Grade ❑ Sq. Ft. b City Phone 4.15-6445' Install ❑ Name Approvals Fees ZZ~ ~ .i .xl U. u Address Assessment Permit 3. b 3 ' b U. City Phone Water & Sew. Surcharge Police Plan Review 171 .5i? W Name Fire SAC 525.00 FW xO Address Eng. Water Conn. 500- C <W City Phone Planner Water Meter > i ii Council Road Unit 2 8 a - 0 1 hereby acknowledge that I have rood this application and state that Bldg. off. P. 112. 0 the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagoo 3Drdj'nonces. APC Total . $2, 5 Var. Date Signature of Perrnittee v A Building Permit Is issued to: on the express condition that all work shall be done in accordance with all,eapplicoble State'of Minnesota Statutes and City of Eagan Ordinances. . Building Official # Permit No. Permit Holder Data Telephone Plumbing rn _ -3 H.V.A.C. o -rod d uCz~ g Electric' v j/ ~o . 67) lil Softener li inspection Date Insp. Other i Footings li ~ W Foundation Framing Roofing Rough Pibg. Rough HVAC Insulation Final Pibg. G.. I Final HVAC Final Cert/Occ. Water Describe Location: Well Sewer Pr. DisP. I` Receipt PLUMBING PERMIT. Permit No. CITY OF EAGAN - Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk.i Tract 4. Owner I' ? T- 5. Contractor Phone .~j 6. Address 7. City State J14 Zip 8. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: New Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool /Drainfield _ Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other ,i Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. _ Signed : l" i - _ for Rough Final Inspections: Date Insp. _ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee E Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address 1 kR 2 --Ear . at hl-ot Blk. Tract ConT ruction q 4. Owner 5. Contractor TLidd' Cn.,Inc. Phone 431-x233 6. Address 1`•1110 "-,alaxie :!ay i 7. City A'ir-,le, .,alley State Zip ";51.4 S. Building Type: Residential IJ Commercial ❑ Institutional ❑ 9. Work Description: New Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type 11. No. EQuiipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust f Mfg. E Unit Heater Mfg. Other Air Cond. Mfg. / Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I`agree to comply with all ordinances and codes governing this type of work. Signed:,~ for rRough Final Inspections: Kate_ Insp. Date Insp. This is your permit Wien numbered and approved. Approved CITY OF EAGAN 454-8100 CASH RECEIPT CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 t~ ,M DATE! r 19 AMOUNT Is~) U DOLLARS f 00 C] CASH U CHECK - FUND CODE A lOU NT U f 7' LO V G Thank em D 1 White-Payers Copy Yellow-Posting Copy Pink-File Copy z PERMIT Ca/?-, o 3 5~ 6 CITY OF EAGAN /-//-a --~7 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 025446 (612) 681-4675 Date Issued: 04/25/95 SITE ADDRESS: F 1878 BEAR PATH TR LOT: 12 BLOCK: 2 SUN CLIFF 2ND P.I.N.: 10-72976-120-02 DESCRIPTION: (OAS) Building Permit Type FIREPLACE Building WotJ, Type NEW REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge .50 Total Fee $25.50 CONTRACTOR: Applicant - ST. LIC. OWNER: FIRESIDE CORNER INC 16331042 0001068 SUPONITSKY SALV 2700 N FAIRVIEW 1878 BEAR PATH TR ROSEVILLE MN 55113 EAGAN MN 55122 (612) 633-1042 (612)681-0723 I. hereby acknowledge; that I have read this application and state that the information is correct and agree to comply with a.:t appticabl.e State of Mn. Statutes and City of Eagan Ordinances. Alvin . S TUR T/PERMITEE SIGN T E IS INSPECTION RECORD UTY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 025446 Eagan, Minnesota 55122-1897 Date Issued: 04/25/95 (612) 681-4675 SITE ADDRESS: P . I. N. : 10-72976-120-02 APPLICANT: LOT: 12 BLOCK: 2 1878 BEAR PATH TR FIRESIDE CORNER INC SUN CLIFF 2ND (612) 633-1042 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIPTION (GAS) INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPIR. OUGH-IN FINAL CASH RECEIPT i CITY OF EAGAN P. O. BOX 21-199. x EAGAN, MINNESOTA 55121 y^,, ' DATE 19 RECEIY6D - ~ _ FROM M1. AMOUNT 1 & DOLLARS •oo CASH CHECK FOR M FUND CODE AMOUNT / a d Q I ~ ,moo ~ c3 Thank You w ±~q++ B Y White-Payers Copy Yellow-Posting Copy Pink-File Copy INSPIECTION-RtCORD"" CITY 00 EAGAN PERMIT TYPE: p tr`I hO fW(# 3830 Pilot Knob Road Permit Number: 0 4 4 6 Eagan, Minnesota 55122-1897 Date Issued: +=Rt; I~ y . r (612),081-4675 SITE ADDRESS: <1 0 a APPLICANT: 9.e 3.3 111'Ak f'A(II Iv # It.1 ill#: 0 1H It 1N AM (A Ff 1 04e, w PiAMIT SUBTYPE: TYPE OF WORK: g: I' rtlt'I~I. n►.: # t- 1.4 Iif ;.t r t P 114)#4 # 6A'; } r. d.A t! is H I! 7f i Pl tb i PUA*WAI no% COMWAOM FoanNGS .a FOL"D FRAMS F F OUM - PLAID A0 1M mourn HEATM I CARS sw TEST Wam G" OOMD MMAM MTW FW& HM OWT TEST o.LKi mm 86MT R.i. NW FIMAt. DECK "G DECK FMM CITY OF EAGAN Remarks /)A/ /'.I l d>fJ ly-640 Addition SUN CLIFF 2nd Lot 12 Blk 2 Parcel 10 72976 120 02 Owner Street I R78 Rpa,r Path TraU State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. a(~ 344,75 C010440 7-945 1(),qs 369-37 24-67, 15 STREET RESTOR. -1.e ~ o7g 1986 ^_-45 53- 431.51 5 --21.5 C--/0&4 v 0-y'8s GRADING"/?~ 5.3 SAN SEW TRUNK 2 1970 1L 9 1; 17-60 7 9--85 A. 1-99 SEWER LATERAL * 1985 265-63 53-12 5 2 7-9-85 SEWER LATERAL 999 1986 829.62 165.92 5 0- Z C- 164-& O O- ,g WATERMAIN WATER LATERAL 1000 1986 942.60 188.52 5 °/`7~~• (p Q C- /O GO 70- 5 WATER AREA "Ap/ 1973 62.34 4.16 1 •3 11 WAT LAT BEN +662-/027 1986 57.88 11.58 5 F ~'-/d O /0-e'-,FS STORM SEW TRK JOS 1971 161.72 8.09 20 40.52 7-9--65 STORM SEW LAT S/W SERVICE 1005 1986 808.77 161.75 5 9'og,77 CURB & GUTTER SIDEWALK STREET LIGHT STORM SEW LAT 1006 1986 610.14 122.03 5 /O , t 0-10-- Road Unit 280.00 50908 4/15/85 WATER CONN. 500.00 n if EUILDING PER. 10098 SAC 525.00 PARK CITY OF EAGAN W #R /ICE PERM 3830 Prbt.ilfRoad , P. O. fox 2919 PERMIT NO.: 6I08 Eagan, MN. 55921 BATE: 4-25-85 Zoning: Rl - No. ofUnitsF, r; Pietech c c€. ~i? i SRO A d ew 1878 Boar iihy Trail L12 B , C1if Zed r. tag{ a ke f tar No.: 5 5' O 8 Connection Charge: 500.00 pd S1 ~f ` `y*- Account Deposit: 15.00 x8' No.: 4 D • Permit Fee: 10,00 I agree to iaWAOY with tbo City of fegon Surcharge: • 50 Misc. Charges: 132,00 pd Total: K3 - OQ Udmetar By Date Paid: Date of insp.: Insp.: CITY of ..Ail WATER SERVICE PERMIT 383Q~Pilo b Road 6148 P. 0.Bbx 2 99 PERMIT NO.: Eagan, MM 55121 DATE: 4-25-•85 Zoning: Rl No. of Units: Owner. Pietsch Const ; Address: Site Address: 1878 Bear Path Trail L12 B2 Sun Cliff nd Plumber: Wei erke Trenching & Exc. Co Meter No.: Connection Charge: 540.00 pd Size: Account Deposit: 15.00 Reader No.: Permit Fee: 10.00 I "me to eomply with the City of Eagan Surcharge: • 59 ordiw Nom Misc. Charges: 132.00 ltd Total: 63.00 meter By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3838 Pilot Wrfbb Road 7295 P. O. Box 21199 PERMIT NO A-23-85 MN 55111 DATE: Zoning: No. of Units: Owner: Pietach Cttaat ' Address: 1878 Site Address: Bear Path Trail L12 B Sun Cliff axag ier e-n ng c. 4-15-85 50903 10D.00 425.00 1 some to cam* with the City of Eagan Connection Charge. PA 1500 • Ordinances. Account Deposit: Permit Fee: 10.60 50 Surcharge: • By Misc. Charges: Dote of Insp.: Total: Insp.: Dote Paid: CITY OF EAGAN± ±v 3830 PILOT KNOB RD - 55122 1995 FIREPLACE PERMIT APPLICATION 681-4675 DATE: DESCRIPTION OF WORK: LC INSTALL NEW FIREPLACE: _ WOOD BURNING GAS INSTALL GAS LOG ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLED IN:G °l STREET ADDRESS: 1(8 78 P LOT 1), BLOCK j_ SUBD./P.I.D. APPLICANT: (circle one only) OWNER CONTRACTOR 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. l ` Phone PROPERTY Name: t,3 OWNER uST FtR&T Signature: Street Address: \ (2, 7 9 R? City: Iu ~ I," State: h1,3 Zip:. Z- 77-, 'Ll. 1 INSTALLER FIREPLACE Compa:ddress:22do y: Phone Signate: Street Al-- r-n)iZV2s~gvJ License ' City S-2 'milt h,-L'IC- State: ..,4 ,t Zip GAS LINE Company: _ Phone # INSTALLER I /A Name: Signature: Street Address- City: State: Zip: OFFICE USE ONLY - BUILDING PERMIT TYPE ❑ 14 Fireplace WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 32 Addition ❑ 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKS: Chimney/flue must be inspected before concealing. FEES Permit Fee Surcharge Other Copies Total: 1 999 BUILDING PERMIT APPLICATION RESIDENTIAL CITY OF BACIM 3834 PILOT KNOB RD - 58122 -t `C (651)681-4675 - Ggule tion -Roguirements ft2k B q S ftats # 3 registered site surveys # 2 copies of plan # 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) # 1 site surveys (exterior addWons desks) # 1 energy calculations # 1 energy calculations for heated additions # 3 copies of tree preservation pion if lot platted after 7/1193 ruined: _Yes _ No DATE: 1 CONSTRUCTION COSST- ,+P j DESCRIPTION OF WORK: 2aK C1 STREET ADDRESS: 1. LOT: BLOCK: „ SUBD./P.I.D. " Name: 31D 0~1'i Phone M/` PROPERTY L t irst I OWNER / Street Address: ! City State:__. Zip: Company: A74r I Phone f~ CONTRACTOR ~yt Street Address: 1m 1~, License &69141a, Exp. _ City State: Y14 Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when.. address change and lot change is requested onr permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Sate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: si OFFICE USE ONLY park 2 .7 19c erffimtes of Survey Received Yes No ' Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 0 16 Basement Finish 0 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. 0 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility 0 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _-plex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code' UBC Occupancy sq. ft. Census Units Zoning sq. ft. Census Bldg # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units T ' CITY OF EAGAN N° 1 0 0 9 8 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 i PHONE: 4548100 S s BUILDING PERMIT Receipt * To be wed far SF DWG/GAR Est. Value $70,000 Date APRIL 15, , ly 85 Site Address 1878 BEAR PATH TR Erect a Occupancy R3 Lot 12 Block -1-Sec/Sub. SUN CLIFF II Remodel ❑ Zoning R1 Parcel No. Repair ❑ Type of Const. Enlarge ❑ No. Stories PIETSCH CONSTRUCTION CO Move E3 Length 50 Z Name Demolish C3 Depth 48 Address SLETON AVE Grade ❑ Sq. Ft. City LAKEVILLE Phone 435-6445 Install ❑ SAME Approvals Fees Name z~ Assessment Permit 343.00 Address 35.00 City Phone Water a Sew. Surcharge Police Plan Review 171.50 toe Name Fire SAC 525-00 uI Address Eng. Water Conn. - S00 - 00 W City Phone Planner Water Meter IS -1 - 0 0 Council Road Unit 2 R n -00 1 hereby acknowledge that I have read this application and state that Bldg. Off. 4/11/8 5 '1' . P , 132.00 the information is correct and agree to comply with all applicable APC Total 2 n 4 9 _ 55 Q State of Minnesota Statutes and City of Eagan rdi ones. Var. Date Signature of Pennittee A Building Permit is issued to: ETSCH CONSTRUCTION CO on the express condition that all work shall be done in accordance with all Ii bl St ,{~Ain~ ~~d City of Eagan Ordinances. Building Official V-j .y 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: c/ a g j* Valuation: 7QOM,60 Date: Site Address: z4zl-a ll OFFICE USE ONLY Lot : /.2 Block Sect/Sub 5a, A4:1Erect X Occupancy Remodel Zoning Q-I Parcel # Repair Type of Const Enlarge # of Stories Owner e!5 r j/ Move Length 50 Demolish Depth 4 g Address] Grade Sq Ft City/Zip Code , Phone ~-YA25 APPROVALS Contractor 1 00 Assessments Permit ~j~7j. - Water/Sewer Surcharge S Address Police Plan Review Sn Fire SAC X25 City/Zip Code 119 AV.. Engr Water Conn 500. Planner Water Meter (v3. T Phone Council Road Unit 2gp. Bldg Off ./'1 arks Arch./Engr. APC Treatment Pl 132.d= Variance Address TOTAL ~ 0 City/Zip Code Phone # C. R. WINDEN. b _ASSOCIATES, INC. LAND SURVEYORS Tel 645-3646 1381 EUSTIS ST., ST. PAULR MINN. 65108 For: PIETSCH CONSTRUCTION N /9oz 8~ o ~ ~ o 4 Sl'4,4 O i'0G, Scale: 1" = 30 c~- O Denotes Iron 9 Monument f►TE: Or o 'h Z~ j J 392`-- e Denotes Wocden Stake Pr: posed Garage Floor .907.! (706.1) Denotes Propcsed Finished Ground E1. Denotes Direction n)N 2 2 42 ` Of Surface Drainage j Vertical Datum - N.G.V.D. 1929 \j C, 0 r n~ ~ ti yoUSE h a ~ f~, U; . to J !crt ~-!n 46 w~°~rfE Wa7 `rV j'J: I ~t f ~ ~ ~ 1903 s~ J ✓ 'x(962. S} ~1 Lot 12, Block 2, SUN CLIFF SECOND ADDITION, Dakota County, Minnesota WE HERESY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES Of THE LAND ABOVE DESCRIBED AND Of THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND Dota4 this gtA day of 04"'c'A A.D. 198.5- C. R. WtNDEN E, ASSOCIATES, INC. Revised-App; l 9, ~9BS' r, , Surveyor, Minnesota Registration Na 7 N 73: City of IWtMIsialze EXTERIOR ENVELOPE AVERACE "U" COMPUTATION t Iwne 1" J? f yam _Address ' r.cl ` f y J u J Phoue~ f'' ~ry'r , i,ei;ai Description of Property: T.at_Bl.ockAdditioq= -Hate Ltc Addrevs----f AVERAGE LINEAL FEET OF EXPOSED WALL AREA ABOVE GRADE ~ f `lain level 1 Lineal rt. of framed wall above grade/y x height of wall Rini joist area Lineal ft. of rim x height of rim =-/Y9 Lower level Lineal ft. of framed wall above grade f y`/r x height of wall_ Ly L i nedl ft. of masonry wall above grade, ~x height above grade T~5 TOTAL wall area above grade including windows and doors WINDOWS: Area x "U" value x nUn (U)(A) Make & type ~JeaL' q • f t . c~_, sq. ft. / x "U (U)(A) 11 11 '~TY,~ sq. ft. x, r,U„~ (il) (A) 11 fir. q. ft. / x 11*+,1 L l~lr Lfl~ (l (tll') f/) A~) 1 11 ~f b + i/:~ SQ. ft X ,IUU 11 = f/~. t~✓l . „c ;Z,/,.: II +1 7 s . ft. `y x lrlTl, - = - -Ie (U) (A) e?-(sx q V (11) ( ) 11 a- sq. ft. /y x $full n ,l 11 ;yam ^n sq. ft. x nU,l G' (U) (A) n ,r v2 l«al sq. ft. x rlUet 11 1 (U) tA) 11 rr .l. "'l(s. _sq. ft x nUn__:~:~~- (11)(A) it 11 H .I. i ` • / x 117111=.-tf (1,1) (A) sq. ft. 11 11 ~i sq. ft._ x "il"_ (U)(A) x IIU,1 = _ - U A Il /r - Yx _s -sq • ft. Z-a „ 11 sq. ft. x "U" = (U) (A) x #fulf 3 (U) (A) 11 11 sq, ft. U n rl _ $q• ft. X ,tuff (U) (A) 11 11 sq. ft. x Ifull = (U) (A) 11 n sq. ft. x Ilan _ ft~) (A) DOORS: Area x "U" value "U" U A Id' " x 4 ~ ( ) ( ) Make & type i 4141 l t504- sq* ft. V " 1' t> sq. ft. f x nU"~ _ 7 j 01) (A) sq. ft x 'lII1t:Lt1.1~ ~Cli.= r, fluff (U) (A) Il rf ~u ft. ti 1 X $full C _ N (A) sq. 2K OPAQUE WALL CONSTRUCTION; Area x "U" value sq. ft. x "till (11) (A) s . ft x 'full .Z,3 _ 'Sr (U) (A) Detail referJ- F. rn i~itcLFrBt sq. ft__.s x nU" tf (U) (A) ence from sq ft. x fluff (11) (A) attached sq. ft. • ~x x null (11) (A) sheets _Li~~~►t'_ sq lull (11) (A) . ft. ~ I -sq* ft. 71 x "U" (U)(A) - TOTAL Wall Area Including / , , Windows & Doors l,,d TOTAL. (U) (A) TO'T'AL U A VALUES AVG. DIVIDED BY "TOTAL WALL AREA AVERAGE "11" Minimum .17 or less for I & 2 family dwellings Minimum .22 or less for all other buildings NOTE: It avorage "u" values as calculated above do not meet the Energv Code requirements, the "Alurnnte Envelope Design" as indicated on Page 5 may be used. ;t WALL, SLCI'IUNS Page Z NOTH Use ( OZ o I 0IM(I Ile W,► I 1 area (ur i-iim ng member;; R-Value FRAMING MEMBERS IN WALLS ('ll , V teW Exterior ai_r..-film _ _ _ _ ..17.....__._ - YSiding. l0/. Sheathing i `a Ur g-j' soft wood - dry wall - `45 ~ Interior air film .68 II ~ TOTAL R U 1/R U I FRAMED WALL Exterior air film _ .17 Siding Sheathing e~ batt insulation dry wall .45 .68 Interior air film T(ITAT. R - U = l/R U - RIM . JOIST AREA- Exterior air film - Siding °f Sheathing - 1.88 soft wood - ion, .68 Interior air film - K TOTAL R U - 1/R U MASONRY WADI f Exterior air film .17, 12" concrete block r, ^'70 Insulation Interior air film _•.68. TOTAL R - U • i/R ROOT CEILING r Outside air-film .61 Insulation Drywall .45 Interior air film .61 TOTAL R =t~. " U 1/R 11 = ? J_ Outside air film Insulation_ I- Q - ~ ;j" Drywall .45. - Interior air film .61 TOTAL R = U - 1/R U - Outside air film .17 Built _up.-rao£inla - - - 33 _ . . Insulation i i ' Wood decking__.,____ Interior air film .61 r' - - TOTAL R = U1/R U (ROOF'/CEILING: TOTAL AREA: sq. ft. Kl , I (l~> (A) 'Detail reference "U" x sq. ft. - from above. "U" x sq. ft. (i;) (A) iDescribe openings flUff x sq. ft. (U) (A) - (~J)(A) iin roof "U"' x sq. ft. _ fluff x sq. ft. (A) Ifull x sq. ft. _ (U) (A) flute x sq. ft. _ (U) (A) TOTALS _ sq. ft. (ll) (A) TOTAL (U) (A) VALUES DIVIDED BY TOTAL ROOF'/ AVG. "U" CEILING AREA AVERANE "U" .05 for ventilated roofs .10 for all other construction NOTE: If avvraNe "I'" values as calculated above do not meet the Engerry Code requirements, the "Alternate Envelope Design" as indicated on Page 5 may be used. tom- , y" 2/84 CITY OF EAGAN APPLICATION FOR PER`IIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) Pf?OP tTY ADDRESS: _ I1 13 . +-Tf 7: I,EL'y`tiI, DES=PTT_CV : ~ 2 ` (Trot/Block/Su~lsicn or Tax cel I.D. Nluzr er) IF STR;,'=E, DA%. OF ORIGiIAL E ILDI::S _~_?IT IS=,I~CZ: PRES=T ^`lI' 'P *S ~ ?OPOS~ L CJ ~ 1 SZ;GLE FAMILY ❑ R-2 CUT= ('7 1:7LT ❑ R 3 TC ILKEICr'SE (TL UNTI^lS) ~ p COi.nSE±:C-~=~L/RE'Lui,,~Cr~ ICL' ❑ 1'DL'Si?T~L ❑ T`.STITv'I'IC~?AL/G:vim =r 2) APPLIC kPLEASE PRIV) NAME: IN, c~4 A, TS t- !T' e- c-" 1 ADDRESS : / .p7-s- Z / + w f) V CITY, STAT-, ZIP: At- ke PHONE : e Y nkME: 3) PLL:IBE' (PLEASE PRINT) FOR CITY USE ONLY PLUMBERS LICENSE: ADDRESS: Z-6 LIZ- if tp I U Active CITY, STATE, ZIP: f Expired Ha ~n Not of ecord PHONE: PLUMBER LICENSE # ~ att nitia 4) OCI'UPANT/azTER (PLEASE PRINT) NAME: .42 ADDRESS. CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERAIT IS BEING RFX)UESTED: rCC NNE Ci'ION TO CITY SEFIER NNEM"ICN TO CITY WATER ❑ 071M (PLEASE DESCRIBE) 6) IlVDICA--" C.Z: Lv-'aSE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ❑ PLEr1SE :7UL APPROVED PER-UT M 1, 2, 3, 4 ABC1E (Circle one) 7) SIGnTL'RE: ~ ~ DATE: mw OR Ant= go *a *0 AM am MlUwwswjftlmm~wm on UK mwZ=0WZW4NXW4W F O R C I T Y U S E O N L Y r PERMIT u ISSUED FEES: $ -~,0--' SEER ?!-:F !T_T (I`ICT DE SURC ARGL) $ WATER PET.UITrt' T (INCi,uD~. SURCHARGE) $ `--e-) WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP ACCOUNT DEPOSIT - WATER $ WAC SAC $ TRUNK WATER ASSES S'/!'-r' NT $ TRU NK SEWER ASSESS.,iENT $ LATERAL BENEFIT/TRUiIK SEI,:ER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL $ AMOUNT PAID/RECEIPT l--e3-/e DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERIDIG" DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : - S WON 41mum ! M AN .4}w it ~ art wm jlw~w 04 w A MIR wr6 w m WHO 1! No m ow me WHO /E w sa f~ OLi R am m w" w 7J 1 3 61--9 `78t~7~ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office UsEi Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd Y, N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _ Y N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd -Y- `N, 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required - Y _ N 1 set of Energy Calculations Oa-site Septic System ;Y _ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form ZZ~ Plans are considered ublic information unless ou state the are rade secret anthe reason. Date 3 / 01 Construction Cost M . 6-D Site Address A 7 ~ 6 a"t- &;ffo T- ~ Unit/Ste # N ~Description of Work Q Multi-Family Bldg - Y N Fireplace(s) - 0 - 1 - 2 Property Owner Dtk Telephone # ( r Contractor 617 Address &,i, City A-6 0 State Zip 2 Telephone # ( y 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 (q 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 offl7master plan: Licensed Plumber D ~ ~ u Telephone # ( ) Mechanical Contractor J U L O. 3 7007 Telephone # ( ) Sewer/Water Contractor l~ 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. Applicant's P ' ted N Applicant's ' ature DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex PQ 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 (screen/gazebo/pergola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 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 Description: Water Damage Yes Valuation q, Dot). 0d Occupancy 1 MCES System Plan Review 100% or 25% Code Edition C ~~a Census Code q3q Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Sheetrock - Footings (deck) _ FinaUC.O. - Footings (addition) _ Final/No C.O. _ Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final } Pool _Lp Ftgs jo Air/Gas Tests to Final Framing _ Siding _ Stucco Lath _ Stone Lath -Brick - Fireplace _ R.I. -Air Test -Final _ Windows - Insulation _ Retaining Wall C~1~ A~ IMA114 Approved By: , Building Inspector - - - Base Fee Surcharge / 3- F 120 Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total WOSOWS. POOL INSTALLATION AGREEMENT 110 INSTALLATION PACKAGE 1. Excavating the site up to 8" out-of-level. Additional excavation costs $20 per inch up to 24" out-of-level. This is payable to the excavator at completion of excavation. Over 24" out-of-level is by bid only (see Section 6, Extras, opposite). 2. Providing patio blocks and erecting the pool per manufacturer's specifications to within 1" of level. 3. Spreading/packing the sand bottom and cove as a firm liner cushion (see Section 4, Customer Responsibilities, below). 4. Seating the liner and mounting the skimmer and return jet. 5. Installing the pump and filter system without electrical hook-up (see Section 4, Customer Responsibilities, below). 6. Assembling the deck ladder or safety ladder. (Watson's does not place the ladder or steps in the pool.) 7. Watson's is not responsible for water replacement for any reason. BUILDING PERMITS 3__1 ELECTRICAL REQUIREMENTS; Most counties and cities require a building permit for an The Customer must provide a 20 Amp 110v power source for above-ground pool. It is the Customer's responsibility to obtain the filter that is protected by a Ground Fault Circuit Interrupter this permit prior to installation. The permit holder is responsible for compliance with all zoning, fencing, and electrical require- (GFCI). This service should be provided by a qualified electrician ments, including final inspections. The Customer is acting as in accordance with state and local codes after the pool has contractor. Watson's is the pool subcontractor, and Watson's been installed. An extension cord does not meet electrical must install the pool exactly where it is located on the Permit codes and will void the Manufacturer's Warranty. Plot Plan. 140 CUSTOMER RESPONSIBILITIES 1. Locate and flag power, cable lines, septic tanks, or field lines where applicable prior to excavation. Damage to unmarked utilities is solely the Customer's responsibility. 2. Mark the pool site and filter location prior to excavation in compliance with all zoning requirements. NOTE: Watson's strongly recommends installing the filter system on the low side of the pool. 3. Provide an 8' access path where trucks and excavation equipment are needed. Watson's cannot be responsible for repair of damage to yards, driveways, or sidewalks within that access path or around the pool site. 4. Order and pay for fine mason sand, delivered to pool site but not in the pool location. 15' 3 Tons Fine Mason Sand 18'............................ 4 Tons Fine Mason Sand 1' ............................5 To 24'.... .................6 Tons Fine Mason Sand 27' ............................8 Tons d 18'x 33'.......................9 Tons Fine Mason Sand 30' 13 Tons Fine Mason. Sand 21'x 41' ..............QAT 14 Tons Fine Mason S ......................16 Tons Fine Mason Sand 5. Furnish water and fill poo rur&RP" ICiWrllfx Nf r~V~6 S skimmer) before starting the filter. 6. Provide adequate electric supply after installation, according to state codes (see Section 3, Electrical Requirements, above). 7. There will be excess dirt and/or sand after excavation. It is the Customer's responsibility to backfill, spread, and remove excess dirt or sand after the pool is full of water (see Section 6, Extras, opposite). 8. The pool must be backfiiled around the bottom of the pool to prevent sand washout. Excavation over 10" requires a positive drain system using "weep" pipe to direct ground water. 9. Any additional excavation beyond what is required, or if additional work is requested of the installer such as backfilling, spreading, or moving of excess dirt or sand, must be discussed with the excavator prior to installation. 10. Check your local county and state codes and provide any permits or approvals needed to insure complete compliance with all codes or ordinances. 11. Read all safety and informational literature provided by Watson's and manufacturers. Teach pool safety to family and guests, specifically no diving, as instructed at Watson's weekly Pool School. • 1. Approximately how far out-of-level is the pool site? Inches _A.re there overhead power lines by pool site? ( ► Yes No. 3. ''Are utilities underground? Y Yes' ,0 No 4. Are there any trees or tree stumps within 10' of pool site? Yes ( ).No., 5. If you have a septic system, will it be within 10' of pool site? ( ) Yes No Feet 6. Approximately how far is the installation from Watson's? Miles. 7. Have you ever encountered rock on excavation before? ( ► Yes 1; No 8. Are you putting the pool within 2' of an existing deck? ( ) Yes (-..,,►.No EXTRAS ,61 ..1.' Installation,beyond 40 miles is $2.00 per mile; one way from Watson's payable to the excavator after excavation. 2.,: In,.the event1hatthe site isout,of-level by more than 30", a retaining wall or additional site preparation such as gravel,build-up will;be;required. Retaining walls are.not available through Watson's. 3. Leveling. over 8" is $20 per inch. Additional excavation beyond what is required is available at $30.00 per inch. 4.: In the case.where excavation has been started and an obstruction is encountered which renders the site unsuitable, the following options may be suggested: A. The charge to move the excavation site is $100.00. There is no additional charge for rough grading back the initial site. B. A process known as gravel build-up may be recommended. It is the Customers responsibility to order and pay for gravel. There' is a $5.00 per ton charge to locate and level the gravel, payable to the excavator. Watson's will provide polyethylene barrier for placement between the sand and gravel. C. In the event that the pool site is determined unsuitable, the installer will fill and rough grade the site back to the approximate original contour. There is a $100.00 show-up charge payable to the excavator for this machine time. 5,,,?. DirL-removal is-not a-vaiIable"through Watson'sand shall 'not b.e Watson's responsibility. 6.- Tree removal is not available`through Watson's and shall n'ot be Watson's responsibility. .7. Damage to pool bottom or liner due to roots ornutgrass is not covered under warranty. Ask your salesperson for options. 8; Sand-bottom washout due to improper backfilling or failure to install a positive drain system is not covered under warranty. 9. Proper winter maintenance and pool upkeep is important to the, longevity of your pool. Watson's will not be liable for winter freeze damage, and/or ground settling resulting from ground freeze. A.J I have read this Installation Agreement and fully understand it and agree to its terms and conditions. Customer Signature Date fj Print Name (for Records) Invoice ; POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: 2, Applicant Name: ~JO(44n/A GENERAL INFORMATION U Q ~ O z Q ❑ ❑ Applicant name and contact information ❑ ❑ Property owner name ❑ ❑ Address of property ,U( ❑ ❑ North arrow, scale (1" = 30' or 40') 0 ❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls. ❑ ❑ Location and name of all streets adjacent to property ,JJ ❑ ❑ Directional drainage arrows (existing and proposed) ELEVATIONS Existing IF-' ❑ ❑ House corners ❑ ❑ Property corners ❑ ZU ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed L X ❑ Finished pool deck corners ❑ )z ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes) ~d ❑ ❑ Pool bottom (or max. depth) DIMENSIONS Existing ❑ ❑ All property/lot lines ❑ ❑ All Easements on the property /Ja Proposed ❑ ❑ Pool T J ❑ Pool plus integrated deck/patio f~ ❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house Reviewed: Name "~A Date GTORMS/Pool Permit Checklist/02-13-07 • F i • r~f~ C. R_ WINDEN &_ASSOCIATES, INC. tJ LAND SURVEYORS Tot 645-3646 1381 EUSTIS ST., ST. PAUL, MINN. 55106 For: PIETSCH CONSTRUCTION R' ~3qC l~ /902 tq 4fls D ?5.7C) 4 t C)GScale: 1" = 30' c 0. Denotes Iron Monument i ~ 91) \ ~1 OTE: o Denotes wocden Stake p. --39 n used Garage floor 907• f 22 - (946./) Denotes Propcsed J ' in Finished Ground E1. 1z N / Denotes Direction Of Surface Drainage n1 282 .4.2 Vertical Datur - N.G.V.D. 1929 m n, yoUS ~ l ~C, L krl L I 6 Lvo, l keH t ' Jj r: IEWEaPm/ 1 f l S j (9o3,S} x 1 By X ' } _ (90 $ Date ` ZCZCZ a I AGAN LNGINEE JUNG DIF.M 'vo 3, SAgAl R V IEWED Lot 12, Block 2, SUN CLIFF !w-$ECOND 7 ADDITION, Dakota County, MiT1 S, Qn s~a .7 SP?G Dt~11S1(j WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION Of A SURVEY OF THE BOUNDARIES Of THE LAND ABOVE DESCRIBED AND OF THE LOCATION Of All BUILDINGS, If ANY, THEREON, AND All VISIBLE ENCROACHMENTS, If ANY, FROM OR ON SAID LAND doted this ,0-A do y of OarCA A.D. 19S.5'" C. R. WI,NDEN & ASSOCIATES, INC. Revue-d-April 9119,65' by ' Surveyor, M,nneswo Ror,,strotion NO-2 72 C Use BLUE or BLACK Ink r-----------------I I For Office Use I I • Permit ( Il 1 Eap I vJ I bi Y of ~j RECEIVED I Permit Fee: I 3830 Pilot Knob Road 1 Eagan MN 55122 APR 0 1. 2014 i Date Received: l "f I Phone: (651) 675-5675 1 1 Staff: Fax: (651) 675-5694 L - q 2014 RESIDENTIAL-PLUMBING PERMIT APPLICATION Date: ~ Site Address: Tenant: E- Suite Name: L - ! \ l Phone: A ` N6 Resident/Owner ~ Address /City / Zip: I~~ 611 5K ~~Kt Name: L "~nse o Aix. City: ~G 1 L i M Contractor Address: ~-C D y State: Zip:' Phone` lF\l Q Cpl r Contact: Email: Type of Work - New Replacement _ Repair _Rebuild - Modify Space Work in R.O.W. Description of work: RESIDENTIAL r Water Heater ];Water Softener Lawn Irrigation RPZ PVB) Permit Type Add Plumbing Fixtures Main Lower Level) ti Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) I $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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.goRherstateonecall.oro 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. X XA Applicant's Printed Name - Applica- 's Si ure 7M. 7977~7 FOR OFFICE USE Reviewed By: Ma. Required Inspections: Under Ground Rough-In Air Test S Test T Final of ltllet+~r telatef #t::eft8di Idea eta PERMIT City of Eagan Permit Type:Building Permit Number:EA123926 Date Issued:06/17/2014 Permit Category:ePermit Site Address: 1878 Bear Path Tr Lot:12 Block: 2 Addition: Sun Cliff 2nd PID:10-72976-02-120 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Gregg Biske Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Hieu Duc 1878 Bear Path Tr Eagan MN 55122 Rooster Exteriors Inc 986 Inwood Ave N Oakdale MN 55128 (612) 382-4057 Applicant/Permitee: Signature Issued By: Signature