4542 Ches Mar Dr
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CITY OF EAGAN
03795 Pilot Knob Road
Eogan, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
Meter No.: _
Size:
Reader No.:
I agroe to eomply wiH+ !he City of Eagon
Ordinances.
R?
WATER SERVICE PERMIT
PERMIT NO.:
DATE: No. of Units:
Connection Charge: '
Account Deposit:
Permit Fee:
$urchorge:
Misc. Chorges: "
Totai:
Dote Paid:
Dote of Insp.:
CfTY OF EAGAN SEWER SERVICE PERMIT
.
8795 Pllot Knob Road PERMIT NQ.:
Eogon, MN 55122 DATE:
Zoning: No. of Units:
Owner: _
Address: _
Site Address: ?
Plumber:
I agree to complp with fhe City of Eagan
Ordinances.
By
DoYe of Insp.:
Connection Charge:
Account Deposit: _
PermiY Fee:
Surcharge:
Misc. Charges: -
Total:
Date Paid:
CITY OF EAGAN
-, 8795 Pilot Knob Road Eagoa, MN 55121
' PHDNE: 454-8100
BUILDING PERMIT Receipt #
M4 4890
Site Address Erect ? Occuponcy
Lot Block Set(Sub. A(ter ? Zansng
Pa?l # Repalr ? Fire Zone
Enlarge ? Type of Const.
e
o Name Move ? # Stories
W
Z
O Address Demolish ? Front ft.
Citv Phone Grode ? Depth ft.
Fees
Name _
Address
I hereby acknowledge that I have reod this application and
the information is correct ond ogree to comply with all
State of Minnesota Stotutes and City of Eagan Ordinanc
Signature of Permittee
Assessment _
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bldg. Off. _
APC
Permit _
5urcharge
Plan theck
SAC
Water Conn.
Water Meter
?
7otal 1 0 ", . 1; (1
A Buitding Permit is issued to: on the express condition that
all work shull be done in occordonce with all appliwble State of Minnesoto $tatutes ond City of Eagan flrdinances.
Suilding Official ' r , ? ? '
? P.n.ir # oete Iswae . Pen.m«
Plumbing fZpO CpA-,-,
Mechanical
- - -- c?r??-?-- =--
INSPECTIONS DATE INSP. Rouqh-In Find
FoOtings ;", hs' Date Irisp. Date Inap.
Foundation - Plumbing .??jQ-
. ~
Frome/ins. _ • Mechonical 2 x ? .'
Finol
Remarks:
cinr oF E?GAN
• • 3795 Pilot Knob Read
Eagon, Minwasofa 65122
Phoes: 454•8100
HEATIN' _ YERMIT
Dote: SePtember 6, 1978
Site Address: 4542 Ches Mdr 17rive
Lot ' Block ? Sub/Sec. r24 IIi
Nome
; Address
O
City ;t?le Valley Phone:
Name Fredx'ickson Hetting & A/C Co.
.
Address 1030 BeHU d' Rue Drive
e
0
v .:an 55122
Ciry Phone:
This Permit is issued on the express condition thot all work shall be
Minnesota Statutes and City of Eagan Ordinonces.
No. 1272
Receipt No.:
Single I
Residential '
Multi Res., Comm./Ind. I
New/Alter./Repoir
Cost of Installation
Permit Fee '10. 0C)
-
. 5
?
Surcharge
Tota I 20.50
done in occordonce witfi all opplicoble State of
Building Official
CITY OF EAGAN
3745 Pilot Keob Raad
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT No.
_
_
2b, i 18
1 <
Dote: Receipt No.:
Single I
5ite Address: -?542 Che, :r Iirive Residential
Lot Block ? Sub/Sec. U}ley Multi Res., Comm./Ind. I
Nome A -=iSC., r?,; , .
oir
/Alter
/Re
N
.
p
ew
.
; Address - : " r: . :'D .l ? o F F
Cast of Installotion
O
? e `: c1ley
4J?^,-? s_ , y•l !'
City Phone: Pertnit Fee
?
Nome
'`ien2-Ryan
Surcharye _ • ??
14745 :io. RObe2't 'I
r-' =
? Address .
City Phone: Total
This Permit is issued on the expreu condition that oll work shall
Minnesoto Stotutes ond City of Eagan Ordinonces. be done in accordance with ail opplicable State of
Officiol
CITY OF EAGAN Remarks
Addition CHES MAR 3RD ADDITION Lot 3 Rlk 2 Parcell0 17102 030 02
Owner street 4542 Ches Mar Drive smte EaganL NRV 55123
? A, A"
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 3ggo 197$ 2263 13 150.88 11-12-79
WATERMAIN
* WATER LATERAL 197$
WATER AREA
STORM SEW TRK ? 1980 313.04 20.87 15 Z 8-11- 3
* STORM SEW LAT 1978
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit Char e 75.00 11108 8-1-78
WATER CONN. Z$O.OO 11108 8-1-78
BUILDING PER. #4890
SAC 00.00 11108 . 8-1-78
PARK
CITY OF EAGAN
3830 PilofiKnob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTIaN
;CURD
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS: , oi 4 lt l, , ; APPLICANT:
10'0f 1 ??fJ 1 I• '?? 1 t IJ?, . ???t{: ;
4 ? iit '. MlFlk ikl) ( n 1.' 1 J!-, t
PERMIT SUBTYPE: TYPE OP WORK:
?11 10111 i Nt, I I I: I Nni
Permit No. Permtt Holder Date Telephone M
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings i "0
vY
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Finel Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr.lPlan
Bidg. Final
Deck Ftg.
Dedc Final ?p !3
Well
Pr. Disp.
/O
G7¢
"
M
I
6 6 4 2:3 ?? aet.
Request Date Fi e No. Rough-in Inspe i
Fequiretl? NOTICE: Vou Musi Call Elecvical Inspector
II A Rough-In Inspec[ion
0 ygg Is Required.
I'Ansed contractor ? owner hereby request inspection of a6ove electrical work at:
Job Atltlress (Sireet, Box or Route No.)
YSIC2 l? f s:?.rr? D? Clry
f? ,?i-?
Sec[ion No. Township Name or No. Fange No.
?
Gounty
Occupant(PRINT)
&nn; s .s 6Ak.) nr Phone No. r-?
Power Su
pplie
t Atltlress
N
?
(? ?
Elecirical CoMracmr (Company Nam I Contrac
License No.
?G l? O
?
V2
Mailin Address (Co actor or Ownet Making Installation)
Au ori d SignaWre (ContracloY/Owi Making Installatio
a?C?o
v
Phone Numbar
'?
?5?7
MINNESOT STATEO( BOAHD OF ELECTHIqTV THIS INSPECTION REQUEST WILL NOT
Griggs-Midway 81dg. - Raam 5-i]3 '? BE ACGEPTED BYTHE STATE BOAFD
1821 Univenity Ave., SL Paul, MN 55104 b UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ? \ 1? ENCLOSED.
J
?/??9j REQUEST FOR ELECTRICAL INSPECTION
? See insimclions foywmpleting Nis lorm on Dack ol yellow mpy.
R -
_ 6 6 4 C "X" Below Work Covered by This Request
...,?
?` ee-aoooi-oe
44 , /
e Add R. TypeofBuilding ApplianceSWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Load Management
Comm.4ndusirial Fumace k Other (Specify)
Farm Air Conditioner
Other (specity) ConVactor5 Remarks: an -zV ^? y
Compute lnspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Cimuits/Feeders Pee
Swimming Pool D to 200 Amps 0 to 100 Amps
Transformere Above 200 _ Amps Above 100 _ Amps
SigpS InspeclorS Use Only: TOTAL
Irrigation Booms L fa, ? ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ED DISCONNEC ED IF NOT
Oiher Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rrugh-in ? Date?; ?
certify that the above inspection has
been made. oate
p
OFFICE USE ONLY
This requesl void 18 months hom
This request void 18 months from 110-9-7
Date of this Request 17 fJ c 1-n`3R 0974
I, as O Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. /t d i'l7N? Cityr?Yff r
Section Township y` ? T 3 43 )angeZ County -Dp 41CQV-ok
Which is occupied by ?U-?SOA) [? lak .5'.
(Name of Otcupant)
Is a roughin inspection required on this job? No ? Yes I/ Ready Now ? Will Cano
Power Supplier D4 k'a 7')o Cri Address e ? -I-)
ElectricalContractor M4.snlR Contractor'sLicens?eNo._
(COmpany Name)
Mailing Address y 27 ?'7 yJ £ •??' U? ?
(Ele t?ltal o ?act r or Owne? Making Thlz lnstallatlon) ?/ ?r
Authorized Signature Phone No.a n/a ?.!
Electrical Contractor off O f Mdking Thli Installatlon)
.?''1 f_1 ?? C/',? RD `pC?r This inspection request will not ba accepted by the
S??) fn? 9 ?,'?-„} ?,? State Board unless proper inspection fee is endosed.
Minnesota State Board of Electricity
_3954:,Iniversity Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAI INSPECTION
CHE: K BELOW WOAK COVERED BY THIS REQUEST
//-s97
R 0974
Type of BuilEing w dd. Rep. Check Appliances Wir For Check Equipment Wued Fot
Hom ? ? ? Range Tempoiary Wiring
Duplex
?
?
Watei Heate[ ?
Ligh[ing Fixtutes ?
Apt. Bldg. ? ? ? Dryex Electric Hea[ing ?
Commercial Bldg. ? ? ? F'umace .. Silo Unloadet ?
Indus[rial Bldg. ? ? ? Au Con t )
" Bulk M0k Tank ?
Faxm ? ? ? List Lis[
Othec ? ? ? p
Hehe?s( HehersI
COMPUTE INSPECTION FEE BELOW
Service Entcance Size: x Fee Feedeis&Subfeeders: # Fee s: n Fee
0 to 100 Am s. 0 to 30 Am res eres
101 to 200 Amps. 31 to 100 Am res m eces
Above 200 Amps.
Atiove 100 Amps. K_Amps.
Transformers RemoteControlCirc. ertee ?
Signs Special l
Remarks
y6• o?
,?CI
I, the Electncal Inspector, hereby certif ihat th pbyve i,nspection has been m de.
(Rough•in) ?7-- ??/r/-?-,-(F?,- -??)- Date ?-/
??
(Final) 4? 444 4 Date
This request void 18 months from ?"? ' ???
C/ ?7 PLUMBING (RESIDENTIAL)
PermitApplication
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when pemuts aze required for each unit
a?
05
((
Date
/
/
Site Address 7 j (? v?/1 GS /"( Gi ? ??• Unit #
Property Owner Telephone #( )
?
Contractor tJ a l4GL(G?/ ? ?y ?
Address _7aD (' Gh 7L2r. RL. City l/Y(eplc0f?
State ,/ V A`-- Zip ??(ck) Telephone #
The Applicant is _ Owner ? Contracror _ Other
Septic System New Refurbished Submit 2 sefs of plans and MPC license $ 100.00
InGUdes County fee. Additional consultant fees may apply.
AlteraGons To ExisUng Dwelling Unit, Includin $ 50
00
x Adding fixtures to lower levels or room ddition , excluding water softener and water heater .
_ Abandonment of septic system
Waterturnaround (+5/8"meter'rf eeded-$121.00) i
_ Other.
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener i Water heater $ 15.00
l
t (\
ddi
i
_ rep
acemen
a
t
onal
State Surcharge $ 50
T
t
l
o
a
I hereby apply for a Residenaal Plumbing Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
perxnit, but only an applicauon for a pernrit, and work is not to start wirhout a pemilt; that the work will be in accordance with the
approved plan in [he case of work which requires a review and approval of plans.
V
(J,4 t- r o V',44- ., e.C- ApplicanYs Printed Name r ApplicanYs ' ture
MECHANICAL (RESIDENTIAL)
t-?'?jp p L PermitApplication ?
?J l O 8 City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. Single Family Dwcllings
Townhomes and Condos when pemvts are required for each unit
Date?/Yz/ D?
Site Address 4?2 Unit #
?
Property Owner G ?-' Cd"lt?tsf'i/ Telephoue #( )
l-S
Contractor
StreetAddress City
State Zip Telephone #
The Applicant is _ Owner /?Contrnctor _ Other
Add-on, modification or alteration to existing dwelling unit
/X
fumace replacement
air exchanger $
u
U? 30.00
- , i
I !
air conditioner l
_ other i "
, Sta{tR,?.ajrcharge $ .50
Tota? s
I hereby apply for a Residenrial Mechanical Pemut and aclaiowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical es; that I un rstand this is not a
permit, but only an application for a permit, and work is not to start without erntit; that e w will w co with the
approved plan in the case of work wluch requires a review and approval of p ns.
//L
Applicant's Printed Name Applicant's Si re
RESIDEN'ITALBUILDING
Permit Apptication
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction ReauiremenLS RemodeVReoair Reauirements OHice Use Onlv
3 registered site surveys shaving sq. ft. Gf bt, sq. ft of house; and all roofed areas 2 copies o( plan CeR o( Survey Recd
(20% maximum lot coverege allowed) 1 set of Eneigy Calculations for heated additbns Tree Pres Plan Recd
2 copies of plan showiig beam & window sizes; poured found design, etc. 1 sfle survey for addNOns & decks Tree Pres Not Reqd
1 set of Eneqy Cakulations Adddion - indicate i/on-site septic system _ On-site Sep6c System
3 copies of Tree Pmservatbn Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date__?/
SiteAddress ?V
Construction Cost p(9 c)
hR luE, UniUSte #
i
Description of Work 71 o
^
Multi-Family Bldg _ d4 N I
?? Ftireplace(s) 0 _ 1 _ 2
Property Owner D¢ H h^S - Bc?+ R 7' 19'i n y ki o &I Telephone #(6ps-1) 7 SCgoZ
Contractor 4e a d,-?
Addres5 / liaZn.?
State S/Re tT (.'¢ S? City,?oke?/i??
Zip .'SSOV 4/ Telephone # ((?,?a)
,$ 445• 6P (P
-C A LI Iz21a3
? ow
COMPLETF THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(dsubmissiontype) ? Submitted Submitted
_ • Energy Envelope Calculations Submitted
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #f?'n
ll ll l
I? ? AFR ]. 6 200.i IIII
I hereby apply for a Residential Building Perxnit and acknowledge that the informati;I on is c and a curate;
?J
that the work will be in. conformance with the ordinances and codes of the City ' Ea an--and-the-State? of MN
Statutes; I understand thxs is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
`10 ,
ApplicanYs Printed N ie Apphcant s Signature
Sub Types
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ?r- 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex 18
t Deck ? 23 Poreh (screen/gazebo)
? OS 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
? 06 04-plex ?' 12 12-plex Plbg_vw_ N ? 25 Miscellaneous
Work Types
? 31 New ?
-yl. 32 Addition ?
? 33 Alteradon ?
? 34 Replacement
Valuation / awo
Census Code
SAC Units
Nbr. of Units _
Nbr. of Bldgs
Type of Const VN
_ Footings (new bldg)
Footings (deck)
?C Footings (addi5on)
?t Foundation
_ Ikain Tile
Roof Ice & Water Final
Framing
F'veplace _ R.I. Air Test Final
? Insulation
Zoning City Water
Stories ? Boaster Pump
Sq. Ft. PRV
Length ? Fire Sprinklered
Width
Occupancy &_3 _//_ MC/ES System
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall Approved By % 2 , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?
w... '
? 30 Accessary Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
'Demolition (Entlre Bldg) - Give PCA handout to applicant
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Permit Number
MECcheck Compliance Report Checked By/Date
2000 Minnesota Energy Code
MECcheck Software Version 33 Release Ic
Data filename: C:\Program Files\Check\MECcheckUheis.cck
TITLE: heisler/gagnon
COiJNTY: Dako[a
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 04/16/03
COMPLIANCE: Passes
Maximum UA = 79
Your Home = 79
0.0% Better Than Code
Gross Gluing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling I: Flat Ceiling or Scissor Truss 200 44.0 0.0 5
Wall 1: Wood Frame, 16" o.c. 475 19.0 0.0 22
Window 1: Above Grade, Metal Frame with Thermal Break, Double Pane wi th Low-E
50 0.330 17
Door I: Glass 50 0330 17
Basement Wall I: Masonry Block with Empty Cells, 4.0' hd0.0' bg14.0' insul
144 5.0 10.0 8
Crawt 1: Muonry Block with Empty Cells, 4.0' hU3.0' bg/4.0' insul
125 10.0 0.0 10
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U -Factor
Above-Grade Windows and Glazs Doors 0330 0.370
Includes Foundation W indows > 5.6 ft2
COMPLIANC'E STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been
designed to meet the 2000 Minnesota Energy Code requirements in MECcheck Version 33 Release lc and to
comply with the mandarory requirements listed in the MECcheck Inspection Checklist.
y..
.
Date_
i
4
, MECcheck Inspection Checlclist
2000 Minnesota Energy Code
MECcheck Software Version 3.3 Releaze ]c
DATE: 04/16/03
TITLE: heisler/gagnon
PLAN REVIEW AND INSPECTION ISSUES
This list of items may be helpful for Plan Reviewers and Building Inspectors to use as a guide for
enforcing the Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, one- and
two-family residential dwellings. The items marked with * apply only to detached one- and two-family
residential dwellings.
PLAN REVIEW ISSUES
FOUNDATION INSPECTION
[] foundation wall insulation R-5 minimum
[] foundation insulation extends from top of wall down to top of the footing
[] extetior foundation insulation is covered by a protective coating finish
CONCRETE SLAB OR UNDER-SLAB INSPECTION
[] slab on grade perimeter insulation R-5 minimum
[] slab insulation extends from top of slab to design frost line or top of footing
[] floors over unheated space R-30 minimum
WINDOWS / DOORS / SKYLIGHTS
[ J average U-value is 037 maximum for windows and glass doors (excludes foundation windows)
[] window U-values consistent with building plan and MECcheck Report
[]- window and door areas consistent with building plan and MECcheck Report
MECHANICAL VENTILATION ISSUES
[] residential mechanical ventilation system provides adequate ventilation per code requirements*
[] furnace efficiency is consistent with MECcheck Report or building plan
[] protection against excessive depressurization is installed per code requirements*
ENVELOPE INSULATION FOR PLAN REVIEW
[ J interior basement insulation R-5 minimum (if no exterior insulation)
[] ceilings with attics R-38 minimum or consistent with building plan and MECcheck Report
[) wall framing and insulation level is consistent with building design and MECcheck RepoR
INSPECTION ISSUES
CONCEALED INSULATION
Framing and Sheathing
[] wind wash barrier installed at attic edge
[] exterior wall corners framed so that insulation can be installed after exterior sheathing is installed
[] intersections of interior partition walls and exterior walls framed so that insulation can be installed
between the partition and exterior sheathing after exterior sheathing is instafled
[] gaps between framing less than one-half inch are eliminated by securing framing together or are
insulated at the time of assembly *
.;=.
:
%
[] all penetrations between conditioned and unconditioned spaces made prior to framing inspection are
? sealed *
Interior Air Barrier
[] all fire stops are air sealed
[] pipes, ducts, wires, equipment and flues and chimneys through the interior air barrier are sealed
[] a sealed continuous interior air barrier is installed on the warm side of the building envelope at
ceilings, walls, and floor rim joist areas *
[] air barrier behind tub and shower is sealed and protected
[] recessed light fixtures are sealed
Envelope Insulation
[ ] basement insulation R-5 minimum
[] wind wash barrier on wall separating house and garage is sealed
[] loose fill insulation is prevented from entering the eaves
[] insulation on skylight shafts and walls exposed in attics is supported on the unconditioned side
Attic Insulation
[] attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel
[] attic card attached to framing neaz access opening
[] notification of attic R-value and date of installation posted near building pemtit inspection card
This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions?
Call the Department of Public Service Information Center at 651-296-5175 or 1-800-657-3710.
Oe:10669
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F. C. JACKSON
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TNAT TMt AtOV[ IS A T11U 'AND OORRECT PLAT Ow A SURV[Y Or EAGAN ?
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Lot 3,Bloclc 2,Chea Mar Third Additinn,
Dalwt• County,Mineesota.
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RESIDENTIAL ?15
??-? BUILDINC PERMIT APPLICATION
S? CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Constructian Reauiremente RemodeVRewir Raauirements
• 3 registered site surveys snowirig sq. R. of !ot, sq. R. of house; and all roofed areas • 2 copies of plan
(20% marimum lol coverage alluwed) • 7 sel of Eneryy Calculations for heaMd additions
. 2 copies of plan showiig beam 8 window sizes; poured found tlesign, eta) • 1 site survey lor exMnor additbns 8 Aecks
• t sel of Eneryy Cakulations • IfMicate it hame served by seplic system for aaaitions
• 3 copies of Tree PreservaUon Plan if lot Dlatted afler 711193
• Rim Joist DeUil Optlons selection sheet (61tlgs with 3 or less unifs)
DATE 21E ? VALUATION ? k 0-((D
SITE ADDRESS MULTI-FAMILY BLDG _Y X N
TYPE OF WORK T u''l- of(- FIREPLACE(S) _X 0_ 1_ 2
APPLICANT djL°`?-kuac- c- e- ?vr'V At) G .
STREETADDRESSy\ ?l(o /F31:` CITY A"' crK STATE 'UZIPSS? ?
TELEPHONk#2"°JSed4/(// CELLPHONE?riz),36L 6Y7y 61 FAXJ:?A3?:56o ? 3?2
PROPERTYOWNER ID &vAlt S TELEPHONE
COMPLETE POR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNP:S01':\ Rl'L1•:S 7670 C:\"CEG0R7' l _ bIIVVES0"C.1 RCLES 7674
(J submission type) • Residential Venlilation Ca[egory 1 Worksheet Submitted • New Energy Code 4VOrksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Contractor: __
Plumbing systcm includcs:
Mechanical Contractor:
Mcckiviic:il s}slcm iucluclcs:
Sewer/Wafer Contractor:
_ Air Conditioning
-- Hcat Rccovcry Systcm
Fee: 590.00
I, i
Phone#
Pcc: 570.00
Ph I ne-#- - ----
I hereby acknowledge fhat 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 OrdirC, nces. `_?
Signature of Applicanf
OFFICE USE ONLY
_ Water Softener _
_ Water Heater _
_ No. of Baths
_ Phone #
La%m Sprinkler
No. of R.I. Baths
CeRificates of Survey Received - Tree Preservation Plan Received - Not Required _
Updated 4/02
? CITY?OF EAGAN
.,3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMITTYPE: BuiLozNe
Perrnit Number: 022132
Date Issued: 10 / 0 4 j 9 3
SITE ADDRESS:
P.I.N.: 10-17102-030-02
4542 CHES MAR DR
LOT: 3 BLOCK: 2
CHES MAR 3RD
DESCRIPTION:
Bu,3ldin'g? Permit Type DECK
Building Work Type NEW
?_UBC Occupancy\ R-3
/ Building length-, 29
Building Width ..? 18
,
? _ ?. -
?F-- (?11
1J?, V ; j ?S ll 1???
cJ
`--
•?= .-.. r?\ G:1
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: -
.70HNSTON CONTRACTING,
29190 SUNSET TR
CANNON FALLS MN
(612) 751-2955
Applicant -
GARY 17512955
55009
OWNER:
GAGNON
4542 CHES
ERGAM
(612)452-4582
DENNZS
MAR OR
MN
I hereby acknowledge that I have read this
inPormation is correct and agree to camply
Statutes and City nf Eagan Ordinances.
APPLI ANT/PER ITEE SIGNATUFE
INSPECTION
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: Lor: s BLOCK:
4542 CHES MAR OR
CHES MAR 3RD
PERMIT SUBTYPE:
DECK
applicaCibn and state thet the
with all applicable 8tate of Mn.
J
fiatto R.c);r1.111?
'ISSUED B : SI NAT RE?
RECORD
PERMITTYPE: BuzLozNs
Permit Number: 022132
Date Issued: 10 / 0 4/ 9 3
2 APPLICANT:
JOHNSTON CONTRACTING, GARY
(612) 751-2955
TYPE OF WORK:
NEW
-1
REACTIVATE _ j---% ??EWED CITY OF EAGAN
PERMI-T t .1993 BUILDING PERMIT APPLICATION b)z(„_6D
P 1993 681-4675
r.c''
S1N6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural E structural plans, 1 set of
specifications, I copy of energy talcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) tot change i.s requested once permit
is issued.
Date _9 3 Yaluation of work
Site Address: y5-VZ- c- ~- ? s? _Y o?-
STREET SUITE /
Tenant Name: (commercial only)
LOT ? S1ACK SIIBD.
l P.I.D. M .
Descri tion of work:
The appl icant i s: ? Owner ,13:?Contractor ? Other (Deser{be) .'
Name C- ., c- ,? ? .? ?? ? ,? ,? •. s Phone `f 5? 2 - 4 S' g
Property LASi FIRST
OWtI@f Address '-? ?`'! 2 s r?-
STREEi fTE /
City L- ?- -_.j State ZiP
Company ..1T -T • _ ?! ; -cr Phone s s,
Contractor Address License d le? Exp.
city s State Zip s 5 °L
Company C . Phone s `, o
Architect/
Engineer Name Registration y
,
Address Ns v'• Q-
City State Zip
Sewer & water licensed plumber Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this apPlication and state that the infarmation is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ' ?-_?-
urrlvt uam vnLi
BUILDING PERMIT 7YPE
? 01 Foundation
O 02 SF Dwg.
0 03 SF Addition
? 04 SF Parch
O 05 SF Misc.
?
0 ll Apt./Lodging
0 12 Multi. Misc. '
? 13 6arage/Accessory
O 14 Fireplace
p 15 Deck
..? ,p „
0 16 Basement aFinish
E3 -lf- Swim Pool
? 18 Coam./Ind.
? 19 Comm./Ind. Misc.
0 20 Public Facility
? 21 Miscellaneous
El 06 Duplex
? 07 4-Plex
? OB 8-Plex
? 09 12-Plex
E3 10 Multi. Add'1.
WORK TYPE
Ar31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish
? 32 Addition O 34 Repair 0.36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
SAllowable) ]st F7. sq. ft. City Mater
UBC ccupancy R-3 2nd F1. sq. ft. PRV Required
2oning Sq. Ft. total Booster Pump
/" of Stories footprint Sq. ft. Fire Sprinkler
length 2 BOn-site well Census Code y3y
Depth i-1,/L' On-site sewage 5AC Code
?
APPROVALS L'
Planning Building Assessments
Engineering Variance
REQUIRED tNSPECTIONS O Site A Footing ? Framing 0 Insulation
? Wallboard ?K Final ? Draintile ? Fireplace
Permit Fee 2.S?00 V•trtim=
Surcharge ? K
Plan Review
license
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
?ii LMY•
. ?
'? I i61
? _--i• ? ?o -
2, 9"
I D D' h
P
t
98.0 ? ?SP,"k$
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As runv[rco w ra
Lot 3,31ack Z,Ches Nar Thizd Additioa,
Drlcota Caunty,lsinnssota.
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1978
?
F. C. J N, MfNNCSOi'A wwraN. No. 3600
-
cinr oF Er?caN
3793 Pilot Knob Raad Eagan, MN 55122
- ` PHONE:4548100
BUILDING PERMIT APPLICATION Receipt #
Sita Address 454L C;t12S MdT DT1Ve
Lot 3 B1ock 2 Sec/sub. Ches Mar 3
Parcei# 10 17102030 02
W I Name Eric Miller
3 Address
0
olName Tollefson S1dYS_
a? Address 13816 Holyoke
"? ,,,?,Apple Valley„N_e 454-6863
Name _
Address
I hereby acknowledge that I
the in(ormation is corred ,
State of Minnesota Statute
SignMUre of Permittee
A Building Permit is issu
cll xrork shall be done ic
reud this opplication and state that
3ree ro comply wit alt applicabte
.City of Eagan Or inunces. A
N8 4890
>//?f
Erect g7 Occupancy I
Alter ? Zoning R1
Repoir ? Fire Zone 3
Enlarge ? Type of Const. V
Move ? # $tories
Demolish ? Front 52 k.
Grode ? Depth SZ ft.
Approvab Fees
Assessment .y
Water & Sew.
Police -
Fire
Eng.
Planner _
Council -
Bldg. Off. _
APC
Permit 1 att _ nn
Surchorge 15 -n
Plon check
SAC snn nn
Woter Connz-54rQa
Woter MMer 6.0 T.0.0
Total I f)_P
on the express condition thof
all applicable State of Minnesota Statutes and City of Eagan Ordirwnces.
0
Building Offictal -?4
naTE
SUZLDING PERMIT APPLICATION
include 2 eets nE plane, 1 eite plan w/elevati.ons and 1 set of energy calc ?lationa.
o a c J
4b be used for Valuation? ?
Site Address:? 1L p,
Lot Block Sec. Sub. Parcel Number JQ JJ/Do?- 030 O;?,
?
Owner Telephone
Address
Contractor , (Qn? Telephone
Address
Arch./Eng• Telephone
Address
_ EreCt
itepair
Emlaige
Move
Aemolish
Grade
:OFFZCE USE
I Date of A roval & Initial
Assessment F,
Water/Sewer
Police
Fire
Eng.
Planner
cbuncil
Bldg.. Off.
A.P.C.
A_5_??_ G If ?;3
OFFICE USE
occupancy f
Zoning X-/
Fire Zone
Type of Const.
# of Stories
Front
Depth `'Sa
FEES
Pezmit
?
Surcharge
Plan Check
snc
Gtater Conn.
t•laterMeter Eo1 a '-
i'?va?/ZO
TOTAI, / b ? q . 5`0
?
n ?4
Tollefson Builders Inc.
.
,
F. C. JACKSON
w+c suRVFroR
RWIfTlIl6D VNO[R U1W6 OF fTl1T[ OF MINNILlOrA
LICiNY[D M1' ORDINANC[ M CITr OF YINN[AIOLIf
C,•?t[g??
_i
Or.10869
183-26
?v
3616 eAsr aarH sTReer 55417 PA. 4•4681
727-3484
buibtpoi'f{ 4Ctit'lfltatt
?•
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7£. ?
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0
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;RTI TNAT TN[ A60V[ 1{ A TRU,ANO ODRRECT RAT Or A SURV[Y 0/
i
? ?y ' - i-^- i •%
J? 1 1
Lot 3,Slack 2,Chea lior ?hird Addition,
Dalcoc• Coun[y,Nianeioca.
1978
Ai BURVBYED BY M! TNI4 lOCh--DAY OF ?y A.D.
F. C.
? - +
?i
?
i
?s
I
MINN[fO7A
sC y lc'
e a ?I`d ?J
+irf+la<
?
. No. 3600
r . -
Storm Sewer Trunk
rChes_
? - Mar_3rd. ?
Block 1,_Lot 1 338.62
LBlock _
2,__Lot) 1 354.00
2 320.32
L- 313.04
4 313.04
5 364.00
Block 3, Lot 1 364.00
2 347.65
LOT: 2
BLOCK: 2- SUBD./P.I.D #: ? hed '" ` CIY 2 r?
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651•681-4675
4 ?b),z6
New Construction Reauirements
* 3 registered site surveys showing sq. ff. of lot, sq. ff. of house
and all roofed areas (20% maximum lot coveraae allowed)
: 2 copies of plans (show beam & window sizes; poured fnd. design; etc.)
: 1 set of energy calculations
> 3 coples of hee preservation plan ff lot platfed affer 7/1/93
z Rim Joist Detail OpHons selection sheet (buiidinqs with 3 or less un'rfsl
DATE: ljdtl 4"q
I
Remodel/Repafr Requirements
2 copies of plan
1 set of energy calculaHons for heated additions
7 site survey for exterlor additions 8 decks
? 3v, avo
CONSTRUCTION COST:
z
DESCRIPTION OF WORK: TA.e o?r DeD S;a>?/c'-? ?is?+? T,?.rN??ivletf multi-family bldg., how many units?
STREETADDRESS: ?SYo7 C'1IP5177A!° D,Q C'd6d/l,/
Name: GA Nv1r1 't9PN/vI5 phone #: 6751 2--
PROPERTY ast Firsi
OWNER
Street Address: $?3-%2 ?/lPS?inR D4'
City ?A t?A /? State: m A) Zip:
CONTRACTOR
ARCHITECT/
ENGINEER
Company: 6?3 ,E'eOCraCPtnew% LJZnJLbws? S7/17.Jl-Phone #: G 11 SY?? --5? 76
(area code)
/a /
0 . %A.'4uP[c/cs .Ls ?.rov License#?%5¢%B..S Exp.3
SfreetAddress:J`-6 ?
7- 7
City r7ui6N507,?Le State: 1?7A--**'
Telephone M: (
Skeet
City
zip: 553 32'
- Name:
_ Registratton
State: Zip:
Sewerlwater licensed plumber (if installina sewer/water): Phone #:
I hereby acknowledge that I have read this application, sh
comply with all applicable State of Minnesota Statutes and
Signature of
OFFICE USE ONLY
the information is correct, and agree to
Eaaan Ordinances.
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
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Use BLUE or BLACK Ink
r________________�
� For Office Use I
� � � Permit#: ��� �� � 1
Clty of �a��� ; . L ��� �
Permit Fee: I
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � �
Fax: (651)675-5694 I Staff: �
1 1
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: '�� '� �"7 Site Address: �5 y� �.�'t es ��i i' ��° Unit#:
Name: �C�'� lT�t���^ Phone: <O.S�— 7�7_� �U�
Residentl.
Owner ' ' Address/City/Zip: �S�`/2 Ch..eS- !�'(cc� ,Qi�
Applicant is: Owner x Contractor
' Description of work: /C� ��' � � — SI�,G._--
Type of Work �
Construction Cost: � �7, (�4 V Multi-Family Building: (Yes /No�
Company: 6 �a1���� (S s� rr�c �4 � � c��7�
1� '��r � /' "�Contact: <f
Contractor Address: /7��� �d�r�.sdh S� h/ c�ty: L�i� �`,��'
State: 1�'��Zip: � 'ja3,�(� Phone: U�7'���°���F�iail:S�ai�f(o��s�-�yc��'(� �i�Jl r CV�
� _,'
License#: �� Z�P�7,5� 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 tratle 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.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota Sta uilding Code must be completed within 180
days of permit issuance.
. ....,
x fcJ 4'' ^� �/'/ � _
Applicant's Printed Name ApplicanYs Signature
Page 1 of 3