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4513 Alicia DrAddress 4 5 1 3 A l i c i n D r i v e Zip 5512 Lot 15 Blk I Sub Southern Lakes West THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 6..<sda,U Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent. driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch x' Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy PROPERTY LEGAL: toy` 15 BIK I So14 rr'?6,A/ /4't 3 W,6--f- V1 DATE OF SURVEY: 2-2Z-(2'() LATEST REVISION: _'2__d o DOCUMENT STANDARDS a O Q ? ? Registered Land Surveyor signature and company ? Building Permit Applicant ta' ? 0 Legal description ? ? Address 0 ? North arrow and scale r?Y 0 -0 House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0 ? Directional drainage arrows with slope/gradient % (2f ? ? • Proposed/existing sewer and water services & invert elevation qY o ? n n • Street name Driveway V0 ? Lot Square Footage rY ? ? Lot Coverage ELEVATIONS p ? Existina Sewer service (or Proposed) ? ? Property corners ? ? Top of curb at the driveway Elevations of any existing adjacent homes ? e' ? Adequate footing depth of structures due to adjacent utility trenches Proposed V ? ? Garage floor 0 ? First floor ? 0 Lowest exposed elevation (walkout/window) ? ? Property corners r4' 0 0 • Front and rear of home at the foundation PONDING AREA (if applicable) 0 0/ 0 Easement line 0 qa" ? HWL ? /? ? " ? • Pond # designation n fl w El ti r O E q o ver eva gency o me DIMENSIONS // ? 0 • Lot lines/Bearings & dimensions , (/o 0 Right-of-way and street width (to back of curb) ? ? Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. ' (i.e. all structures requiring permanent footings) t ? ? • y utilities within those easements Show all easements of record and any Ci 6Y ? ?a • Setbacks of proposed structure and sideyard setback of adjacent existing structures o Can Retaining wag requirements, if any Reviewed: ame / Date March 1999 CRMGIBLDGPRMT.FM LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF SAGAN 1 3830 PILOT KNOB RD - 55122'-} 1 651-681-4675 New Construction Reaulrements > 3 registered site su.veys showing sq. I of lot, sq. ft. of house and SM rooted areas (Z% ma3dmum lot coverage atkQwed) 2 copies of plans (stowbeam a window sizes; poured Ind. design; etc.) A 1 set of energy cdculations 3 copies of tree preservation plan if lot platted after 7/1/93 DATE: -2 d v 2 copies of pion 1 set of energy caiculallons for heated adc tIons 1 site survey for extetlot ad 1$ons & decks CONSTRUCTION COST: 1X00 -' DESCRIPTION OF WORK: STREET ADDRESS: LOT: BLOCK:SUBD./P.I.D. #: SC? v 'T?f ?` j CS' Name- Phone #: PROPERTY Last l 2 .CC' cry OWNER 7 7/ /t r: ate' / fly' Street Address: City State: Zip: Company. Phone C (area code) CONTRACTOR Street Address: License, ° a Exp. City State: Zip: ARCHITECT/ u ENGINEER Company, TV- ( Name: 6 Telephone #: Street Address: Registration #: City State: Zip: tz Sewer/water licensed lumber Phone #: plumber (if sewertwater) 1 hereby acknowledge that I have read this application, skate that the information Is comsat, and ON State of-Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Certificates of Survey Received Tree Preservation Plan Received Qes Yes OFFICE USE ONLY No No ' C ..:-I4ot Required FF OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mud X 02 SF Dwelling 0 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF 03 01 of _ plex ? 09 07-plex 0 18 Deck ? 23 Porch (screened) ? 36 Multi ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage / 0 05 03-plex 0 11 10-plex PIb9 Y or_ N ? 25 Miscellaneous 0 06 04-plex ? 12 12-plex 0 20 Pool ? 30 Accessory Bldg. WORK TYPE 31 New ? 36 Move Bldg. ? 43 Reroof 0 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding 0 33 Alteration 0 38 Demolish (Interior) ? 45 Fire Repair 34 Repair 0 42 Demolish (Foundation) 0 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code _ # of Stories sq. ft. No. of Units Length 01 sq. ft. No. of Buildings Width Footprint sq. ft. II Const. (Actual) Basement sq. ft. Census Code 101 Z (Allowable) Main level sq. ft. L ! MC/ES System UBC Occupancy q. ft. 47<- City Water Zoning It'd sq. ft. Booster Pump PRV Fire Sprinklered ' CELLANEOUS INSPECTIONS M' Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 7 goo Surcharge 46C (o / ..... ,` X Plan Review 100 License off? ?? MC/ES SAC -- ti City SAC Water Conn. 07 0 Water Meter S/W .Permit it "` ` .. SAN Surcharge Treatment PI. Park Ded. J-?&OTrails Ded. Other Copies Total: SAC Units % SAC !JL'00Q711, s • ENERGY CODE WORKSHEET FOR 1 & 2 FAMILY DWELLINGS t?• : __ b SITB• OT SOG 7 ? ' CITY COMPLETED BY: PHONE DATE BUILDING CLASSIFICATION: 0 category 1 (standard) or j' category 2 (must includ e ventilation) MINIMUM CRITERIA Foundation Insulation-R10 Walla & Windows Roof Atti n c I sulation: (See table on reverse side Slab on Grade Insulation-R10 for allowable percentages) R44-With Attic No {{eel .Floor over unheated spaces-R24 R38-With Atti c Raised Heel Foundation Windows 1/2" R38 & RS-Solid Rafters insulated Glass. -Wood or Vinyl Frame STEP 1 Window & Door Area STEP 2 Calculate area as a percent of wall A.. Total Window & Door Area in Sq. Feet WINDOWS (Including Foundation Windows): WINDOW MANUFACTURE NAME: C. From Step 1 divide box A (Window & Door WINDOW MANUFACTURE TYPE: Area) by box 8 (total wall area) times 100 l _ equa s the window and door area as a WINDOW MANUFACTURE U FACTOR: .. 7 percent Of wall area (box C) R. O. Quantity sq.ft.Area BOX A Dimensions X 100 Box B C X STEP 3 ? X ZILI&I Design Features ASSEMBLY -L' X '' - ) u1 L JL FRAMING TYPE: X - - X - STAtDARD FRAMING • studs 16" o.c. X i ADVANCED FRAMING J ? studs 24" o.c. - X CAVITY INSULATIOU R "x.) A .4' •j 7 . G/ 22 SHBATHIt7G TYPE: X LESS THAN < R-5 X R-5 > OR MORE X U-FACTOR DOORS: ,rJ From the table, (reverse side) determine the maximum percent wi d X n ow & door area for the design options'se)acted and enter the v lue a in. Box D below based t w on he indow mfg. U- factor: X T t l l o a Area of A q.ft. Windows & Doors '7+ 51 B. Total Wall Area in Sq. Ft. The t value from the table in Box D shall bin equal to or greater than the t in Box C Wall Total Height Area Perimeter ?j7.c7 lee Total Area of Walls II t '" ONE- & TWO-FAMILY RESIDENTIAL BUIL DING PR APPROACH ES CRIPTIVE (COOK-B OOK) MAXIMUM WI NDOW AND DOOR AREA AS A PER E AREA C NT OF O VERALL W ALL Penn Ru les part 7700975,ltilbpart item F Framin Cavit Insulation Exterior Sheathin 0 49 Window U-Factor . 0.36 0.32 0,27 STANDARD STANDARD R-13 R .7 13.4% 17.8% 21.3% 24.3% STANDARD R-13 _ R-15 -?.R- 12.4% 16.4% 19.7% 22.50% STANDARD R-18-19 4R-5 <R-5, 12.9% 12 1% 17.1% 16 096 20.1° 1 % 23.4-Io STANDARD R 8 . . 8.8 22.0% -1 -19 R - 5 14.0% 18.6% 21.8% 25 3% ADVANCED ADVANCED R-18-19 <R-5 12.9% 17.1% 20.1%6 . 23.4% STANDARD R-18 -19 R-21 2: R - 5 14.5% 19.2% 22.5% 26.1% STANDARD R-21 <R-5 > R - 5 12..8% 14 5% 17.0% 19.9% 23.1% ADVANCED R-21 <R-5 . 13.6% 19.3% 18.1% 22.5% 21.2%-- 26.1% -24 6% ADVANCED R-21 R - 5 15.0% 19.9% 23.2% . 26.9-/0 valueq STANDARD R 7 STANDARD -1 - <R-5- 11.9% 13.7% 18.4% 21.5% ADVANCED R 17 R-17 ?_R-5 13.8%'a 18.44 21.5% 25.0% ADVANCED R-17 <R-5 R-5 12.6% 14 3% 16.8% 19.6% 22.9-/0 . o .22.29'- 25 7% . Notes: Window area eq uals rough opening minus Installation clearances. Window U-factor must be determined by eith C er the National Fenes tration Rati ng ouncil standard 100-91, or ASHRAE 1993 Handbook of Fundamentals, Chapter 27 Table 5. , Po.tdr Fox Now 7671 ' on• F oat ? Mrom covot MOM- 1 Phone 0 ran 0 b CITY USE ONLY BL RECEIPT #: s l SUBD. (? G U I „e I'Yte S w{3 }" RECEIPT DATE: PERMIT # 2000 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 IF TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 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 lic. 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 Underground sprinkler if dwelling is under construction 3.00 X = $ Underground sprinkler if existing dwelling 30.00 x = $ 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 Surcharge .50 --> ----> ----> $ .50 Total -> --> -- -> -._.> Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. r --- -- ------------t f hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ir?ance . 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 s normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. C?1? (? SITE ADDRESS: q 3 /T l I Lr ::1 OWNER NAME:: 15 5 9 C . TELEPHONE #: 6f L 9 _ S (AREA CODE) INSTALLER NAME: l TELEPHONE #: 6 S/ y? ?- 2$Q Z (AREA CODE) STREET ADDRESS: ??O r' 7 S f '1G.'l,h) jOQ QDx rD (? CITY: __ C(.cr.r 11C D-? S TE: s?--- ZIP: 5-50 2 SIG ATURE OF PERMITTEE O} G CITY USE ONLY LOT ? BL I PERMIT #: 10 ! ?} SUED. Y a RECEIPT #: a rJ RECEIPT DATE: 2000 MECHANICAL PERMIT (RESIDTTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGM ) i 55122 -3 O "(0 651-681-4675 Date: Complete this section i if you are installing HVAC in a single family dwelling, townhome or condo under construction and not ow°nerloccupied. • 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 on if you are remodeling, adding to or re airin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration Repair Other Furnace Air conditioning Air exchanger Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: Call for inspections SITE ADDRESS: OWNER NAME: 9?- PHONE #: r (AREA CODE) INSTALLER NAME: PHONE #: (AREA CODE) STREET ADDRESS: Air Conditioning `-i,ret tttl $, 201OS Calgary Tr. CITY: a n rminaton, MN 55024 STATE: ZIP: CITY USE ONLY L BL PERMIT* SUED. RECEIPT#: APPROVED BY: , INSPECTOR RECEIPT DATE: 2000 MECHANICAL PERMIT (CONK&RCIAL) 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: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1% = $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ - - -- - ----- - ----- - ----- - - ------ - ---------- SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE #: - (AREA CODE) CITY: STATE: ZIP: SIGNATURE OF PERMITTEE a registered site surveys showing sq, ft. of lot, N. ft. of house l$rid all fed areas + oopiea of {fir (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks I set of Energy Calculation • Indicate if home served by septic system for additions 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detait Options selection sheet (bldgs with 3 or less units) )ATE S-2-Zb01 VALUATION boo . ?? JOB SITE ADDRESS 4G)-b, A i (. t 1 _ • t ??`{? F MULTI-FAMILY BUILDING, HOW MANY UNITS? 'ROPERTY OWNER eV v IL,-Fa I t v t YPE OF WORK Q _?_ I?IL FIREPLACE(S) " 1 2 __3 kPPLICANT 4::"Y hLV s -c-tc ' PHONE # RSZ-440 --I-)S D ADDRESS 1SolAP 16vt? rti?-e ?- D y ZIP CODE S<3 2 0 LAGER # CELL PHONE # to 2--1b2- 01 iP '7 VA FAX # q97-14w - S<iv NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) r - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plumbing System Includes: Water Softener - Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone kll above information must be submitted prior to processing of application. hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ]II applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant w4l ,ertificates of Survey Received Tree Preservation Plan Received _ Not Required Updated 1/01 1WX 07-*x 17 G*ojp 1, 717 3 04 020" D 10 08-plex , D Deck D 23 torch ($cr d) t 36 ': ti,, '.. x . . ,. 3 05 03-plex d 11 10-plea ? 19 Lower Level ? 24 Storm Damage 7 06 04-plea 0 12 12-plex Plbg_Y or N ? 25 Miscellaneous P 31 New ? 35 Int Improvement ? 38 Demolish (Interior) D 44 Siding 3 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 3 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors 3 34 Replacement *Demolition (Entire B ldg only) - Give PCA handout to applicant fatuation 2? _ 42 Cd --- Occupancy `-3 MC/€S System ensus Code Zoning City Water )AC Units Stories Booster Pump 4br. of Units Sq. Ft. PRV Jbr. of Bldgs ® Length Fire Sprinklered ype of Const :Ll Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O Footings (deck) _ Final/No C.O. Footings (addition) Plumbing Foundation HVAC Drain Tile Roof _ Ice & Water Final Other Framing Pool Ftgs Air/Gas Tests ' -Final Fireplace - R.I. -Air Test - Final Siding Stucco - Stone Insulation _ Windows (new/replacement) Approved By_(?--- --, Building Inspector 3ase Fee - ------- ---- 3urcharge Ian Review AC/ES SAC ity SAC Hater Supply & Storage 3&W Permit & Surcharge -reatment Plant 3lumbing Permit Aechanical Permit Jcense Search .opies ?. _ )they dotal ;1i1RK H€8ET+ Sic I . M. RDD SS Pee Qfl = 4Y7- i Aulc1A DelvE -Poe Igo F;t X40 ? ?,= 9g4,o3 ,13 4 ?o q 7 0 -77 MT 0 U1Tl F-Iyw- Me - 0 0?' r.I nla 4 L q31 T 4e, 1410- Oki IV 1• R?1? i 25.01 ! I `? N ?- j ' n , ?? O J'' J' V` 14 U r 30 + ? 93.2 ?' ??' ° 1. 4V d (?-`? 40.33 LE f B 0 10 l o.o0 40^ AAA WA 2070 PROR NR G? Id To l o 38, 81 No c2.p?o ?-( 05 +` 5 ^t'op J,= g3 i; i4 ,; rv1?a? Gs SN j Top SPK E T icz.o 13,& 50% - for 0,Y) are assumed t3u?? owt? ?Rr:A 24°11 Subject to easements of record if any 0 1o Cove 01 E : S?UJEe ' T PE1Z Pi.R?.15 Q Denotes set or found iron pipe monuments 5 = 2-? r?Z ? ' ?K ^ j' tut? = 9Lb,} Denotes set weed hub and tack (? ,L Cs=93c47 Proposed garage floor elevation "'tip Denotes existing elevation c 41. G? Fo?uo?-1?0,? Proposed top of 4aleak elevation Denotes proposed finish grade elevation Denotes direction of surface drainage Proposed lowest floor elevation CO - T? ??TE v I hereby certify that this is a true and correct representation of a survey of the boundaries CC ?KoTq County. Minnesota as on file and of record of Lot l , Block VJ EST in the Office of the County Recorder in and for said County, also showing the proposed location of a house as staked thereon. That I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. Dated:'1 F.. zkAwk{ ?2'' 2 R lJ bStti: f , F E ??un?y 2g ? Z0?0 T. ?.: Allan R. Hastings ?-* Minnesota Registration No. 17009 z •.;, 212 First Avenue E. Suite No. C Shakopee, Minnesota 55379 Phone 612 445 4027 RVEY Fi ,I Roo S P'pe C,n' = 447 t kte?f, DR10 OR RkK eve llectql4g N POR 4 `lo p 940,) ELJr0' 944.©3 t3 GOJO 00 d? ? ?, F???N G ? UT? ??{ 1?t?EMEuT o Cr D dr7 0. • z=,? ?/ 1410, 7.0 / l b'! N. n- llfooooooe eT .t) QQ', Al * I '/ Lr '0 ..PV 0 Lf, 8-a svv .3 ---__. r ALE ' 937, /WA t4TA X E Z"lo . ID-00 {o, ?r +ri PROPER {o To Ie06 8, q19 lq p r rat Gs rO tczo? n-c AP-r--R -135 Qr fY1Bw{ are assumed 3u«o?vGe.r s 2491 `???? Subject to easements of record if any 1 01`E : SE. i) - ?ll? Q. E2 ?L: t 0 Denotes set or found iron pipe monuments Q's 93 to. $ Denotes set mead hub and tack `-? Proposed garage floor elevation 'Te4.0 Denotes existing elevation c4t'G FOLiuO#1Tlo Proposed top of-b4eskk elevation Denotes proposed finish grade elevation Denotes direction of surface drainage Proposed lowest floor elevation t 1 U , 1ADTa OP%Nt4?a FU1,tp1a1S c _ Sco 1 20 "TD ?STE o I hereby certify that this is a true and correct representation of a survey of the boundaries C C 4Ti of Lot 1r7, Block I , o??cN .e? I aK?S?EST County. Minnesota as on file and of record in the Office of the County Recorder in and for said County, also showing the proposed location of a house as staked thereon. That I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. ^ yy l Dated:l F,,P-)R,VX'PW-L( GZ' Ftl?s ?y ; E R,u y 224 20oo RR F I E Ep Allan R. Hastings Minnesota Registration No. 17009 212 First Avenue E. Suite No. C '' -- Shakopee, Minnesota 55379 445 4027 Phone 612 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 01 0 3830 PILOT KNOB RD, EAGAN MN 55122 651.681-4675 New Gon • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed area • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for 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 711193 • Rim Jost Delay Options selection shed (bldgs with 3 or lea units) tom" j? i DATE ?' L J VALUATIO 3 O y SITE ADDRESS MULTI-FAMILY BLDG Y VN' TYPE OF WORK FIREPLACE(S) T 0 - 1 - 2 APPLICANT_ AAJ STREET ADDRESS 2 2F 1?Q (YYI,IN a t c -O i C t??`? _STA Zl ? _I TELEPHONE# 4 S0" «a`a CELL PHONE # FA T (?? 1 oil ?3` PROPERTY OWNEJ-" TELEPHOI COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category I Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # D `' Plumbing system includes: - Water Softener Lawn Sprinkle ee: $ Water Heater No. of R.I. B FN3 1 5F7002 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 t informati n is ct, an gree to comply with all applicable State of Minnesota Statutes and City of Ea n dinances Signature of Ap ant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg Cl 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea) ? 31 Ext. Alt- Multi ? 03 01 of_ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex 0 18 Deck ? 23 Porch (screened) ? 36 Multl 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex 0 12 12-plex Plbg_,_Y or _ N ? 25 Miscellaneous ? 31 New 0 35 int Improvement ? 38 Demolish (Interior) 0 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroo# ? 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. PRY Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) T _ Final/C.O. T Footings (deck) FinaUNo C.O. Footings (addition) Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final - Pool - Ftgs Air/Gas Tests Final Framing - Siding Stuccoes Stone Fireplace - itI. - Air Test - Final - Windows (new/r eplacement} Insulation Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC II ' Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT City of Eagan Permit Type:Building Permit Number:EA121901 Date Issued:04/18/2014 Permit Category:ePermit Site Address: 4513 Alicia Dr Lot:15 Block: 1 Addition: Southern Lakes West PID:10-71300-01-150 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 . Brett Ehret 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 - Scott D Rindahl 4513 Alicia Dr Inver Grove Heights MN 55077 Mastercraft Exteriors Inc 330 E Main St Suite 600 Rockton IL 61072 (815) 624-6840 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use I 4* ity Permit#: /p_!( ._.� I pof Eaall I Permit Fee: oC) • ]a 3830 Pilot Knob Road I Eagan MN 55122 Date Received: I Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: I J 0() -1).01fiRESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: /J /) ,1/C ;.c, di"' - Tenant: Suite#: I - . Name: Ae�'/lel ✓e, /� Phone:j/ . // " *7/6 J Fd Eiden € r r ''''''"-• ',6 , Address/City/Zip: 7.5�/. .-17/c: ick il,"°, ui ��� �-Li ( , ._. I . Name: License#: Contractor Address: CCity: 1—6 State: f A fj -7 11\ ! 1 Zip: ��(.% l � Phone: f eSt ' , „u Contact: Email -New —Replacement —Repair Rebuild Modify Space Work in R.O.W. J -rA rs - Description of work: RESIDENTIAL Water Heater Water Softener eT117'Tp Lawn Irrigation(,RPZ/—PVB) Septic System Add Plumbing Fixtures( Main/_Lower Level) New Water Turnaround _,- Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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.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 ss not to start without a permit; that the wo will be in acordannc1 'th the approv pla the ca of work whi requires a review and approv of pla s. • x -, x H i • Applicant's Printed Name Applicant's Signature FOO RFieFIC 7a � ' s ' - 4- 3� o ,,,,:,--.70,ri �- 2- ' cY4t iAsJ Jv *,..;„4:,r iP 7B - � Y M � J mi X Required Ipecions d� ' d . tEL ., d0 At ... " r , telt . � Mereeltems: Meter te _ � .-J, 4 - 4=4�'44.44,!-44.44-4", "4.,n� R d `���i T ^„ � = = 't i. Use BLUE or BLACK Ink r -� For Office Use I �L31 �City of Eaall ::::e: ( L°� 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Q Unit#: h Name: / $C/IfL) t > Phone: 12 17_7/6 OResident/ %. i3 sAddress/City/Zip: /iC14- , /2-I(iA., Applicant is: Owner )C Contractor Description of work: re.‘1 ECNC" Type of Work Construction Cost: C j <r/0 4) Multi-Family Building:(Yes /No-7 ) Company: CD 1i1��« tilt. Contact: /2-la n r,../..0. Contractor Address: 19ZC/4 hkir1 LIJI 'V City: g.,6,„,,,,....1--- State: llin/Zip: 61 Phone: Z Y/6Email: rYCt i'r`e^" a 5d.,r /,Audit •04,4% License#: Lr6.71 o6 C ) Lead Certificate#: 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: CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of p s. Exterior work authorized by a building permit issued in accordance with the Minnesota e Building Code ust be completed within 180 days of peit issuance. 1 1 �LL�AA,- ,,,i/(Z.4. x x Applicant's printed Name Applican Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171000 Date Issued:07/27/2021 Permit Category:ePermit Site Address: 4513 Alicia Dr Lot:15 Block: 1 Addition: Southern Lakes West PID:10-71300-01-150 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 - Blake C Anderson 4513 Alicia Dr Inver Grove Heights MN 55077 (612) 247-3821 Ddn Mechanical Llc 3033 Independence Ave N Golden Valley MN 55427 (763) 913-1323 Applicant/Permitee: Signature Issued By: Signature