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4528 Alicia Dr 04/0712011 03:42 6516590995 ALL SYSTEMS ROOFING PAGE 01101 Use BLUE or BLACK Ink cam. q j j Permit City of Eap I r 061 I Permit Fet;~: l 3830 Pilot Knob Road j I Eagan MN 55922 i Date Received: l Phone: (669) 875-5675 I stair: l Fax: (651) 675-5694 t - I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t~ 7 Site Address: H S A d' I i c t •a- D Unit Nome: lRtmp 13l,4R'\0 Phone, t"st11A-3~ RESIDENT l OWNER Address / City l Zip: l/5'.Z. lk" Al Coq- J)2•. .off .qn- 1W`!._ Sp 7? Applicant is,. Owner Contractor TYPE OF WORK Description of work; Skt alt IL TCIAI~ Construction Cost I -?'y Multi-Family Building: (Yes / No K Company: `5 ~db l=1 v~ .y~►~c Contact: `J -e---K -Do uS„ L,4V CONTRACTOR Address: V34to CLoA)*s A"- City: S)- State;.. Zip: Phone: 6 1 G q1. -3S 3" ~A Llcense F19 41's Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF C0NSTRUC'11NG A NEW BUILD1140 In the last 12 months, has the City of Fagan issued a permit for a similar plan based on a muster plan? -Yes -No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: _ AlOTE !'b'its gird supporting ddpuntentg t hdfyod subtrtft at* bonsfde-id d, 6 be-pub11c>1hfart6A6on: Pb!lrt'lorie *f , the !hfori► ffiD0, maybe classified os norr-public # yo pr6V1de spet;,Nc ;tmohts fhat v(r60 poltiNi the 'City to ctairCltrde.that .tho .amtr de.secreO:.:. . CALL BEFORE YOU DIG. Gall !Gopher State One Call at (651) 454-0002 for protection against underground utlllty damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ag,~)Ierst te9nacw1i,ora I hereby acknowledge that this information is Complete and aocurate; 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 or work which requires a review and approval of plans. x r9-nl ) a L"C /T s^' ry -r_) L`_ Applicant's Printed Name Applicants Signature Page 1 of 3 r CITY USE ONLY L Ei. RECEIPT SUED. -`7 JID~~ 1-4, h-S 2s~' RECEIPTDATE: PERMIT # 9 CP g 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN,_M 55122 551-681-675 Ptease complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling -minimum fee $ 30.00 Describe: Bath tub $ 3.00 x $ Floor drain 3.00 x Gas piping outlet minimum - t 3.00 x _ $ Hot tub/spa 3.00 x $ Kitchen sink 3.00 x $ Laund 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 - $ Under round sprinkler if dwelling is under construction 3.00 x _ $ Under round sprinkler if existing dwelling 30.00 x $ Water closet 3.00 x $ Water heater 3.00 x - $ Water softener if dwelling under consb wction 5.00 x _ $ Water softener If existing dwelling 30.00 x $ M Water turnaround 30.00 x _ $ State Surchar a .50 $ .50 Total -.-a $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. i horeby'adcnowledge that I have read this application, state that the information is correct, and agree to i omply wit i ail applicable City of Eagan ordinary. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of way/easement. SITE ADDRESS: OWNER NAME:: TELEPHONE (AREA CODE) 610 INSTALLER NAME: TELEPHONE {AREA CODE} STREET ADDRESS: ZIP: CITY: STATE: 1! 1/~ SIGNATURE OF PERMITTEE CITY USE ONLY 4V1 ! 1 LOT. ~ BL ~ PERMI'I° SVBD. SCJUA- t" L4(6 weS RECEIPT 1 3 RECEIPT DATE: 3-- 3o . G 2000 NECHMICAL PFFOUT (>RZSXDZNTX") CITY of ZAC" 3830 PILOT KNOH RD EAGAN W 55122 Date: 651-681-4675 Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo un er construction and not owngrloccu2ied. • HVAC: 0-100 M B T U $ 30.04 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) '310-0 State Surcharge .50 Total $ ~ amr~mmmmmsm~an~mmmmmmmr` Complete this section only if you are Mm_ 2delins, 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 T Alteration „ Repair Other Furnace Air conditioning Air exchanger Other Fee $ 30-00 State Surcharge .50 Total $ 30.50 Reminder: Call fort inspections SITE ADDRESS: A!~2&-q PHONE moo?' _ gqe-~~I OWNER NAME: CODE) (AREA CODE) INSTALLER NAME: PHONE 6~ _ _A60 zcno (AREA CODE} STREET ADDRESS: CITY: STATE: - ZIF: S, IGNATURE O ERMITTEE a CITY USE ONLY L BL PERMIT* SUBD. RECEIPT#: APPROVED BY: , INSPECTOR RECEIPT DATE: 2000 NECBANICAL PZRIlt<IT (COOMRCIAL) CITY OF ZAGIAN i 3830 PILOT KNOB RD LAGAN, NN 55122 651-681-4675 Please complete for all commercial/industrisf 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 ffie 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 I%-$ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base 'Fee TOTAL $ SITE ADDRESS: OWNER NAME: PI40NE (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE - (TJ CODE} CITY: STATE: ZIP: SIGNATURE OF PERNITTEE I 6128958590 t 2-11,-200 11:39AM FROM HOMES BY CHASE 6128968590 P. 2 67, 1L.44~ O2 Detts• a ttittt► •tlt~t~tfft• 4&W If. 77th Street. Sle 209). Edtaa, NW 55135 (41P) (~M-11W/(A00)tab-i127/Da••t: Br-0-1117 PACE or - M-1 //S PRODUCT APPLICATION W.RIFICATION JOB N 94. Ids v !tt'•£~tdLi.,~4 r...L0CAn0lt MWffAffA ss>x = ZFtllr Q Pain= Wawa... 3PAP VARM v ►J = -0- '43: O. c. ALA: TMEW-MV.- x Cox -"C-- DL it LL --Ao TL NON-ttlllftshU LOADING v=CRWMN. woultu a% LOCATION R610E* 'Iltubs R-O OVEMUNG UP. t EW µ t~aavi M a Lt7! drrtt,.. rift on dolour. ..,..~.a';c~ • w°s«. L/tr ..s`~°wn."" I.j.M`as..+e fwAsrr bj w»etWtMeittTee t111~eflseltn sir •aIy' M Vol M1K1 Nf~r+tNet R~t++e ..d to =OIL W tto 1Matid ax typtef<t for Tel Find . w*M il1 othK pq COIt1tFiNT~: Jl.r,. 18. ?:SM Pr1t:1 Time An. 10. 7.55U. r% 6128958590 r2-td- 200 11:40AM FROM HOMES BY CHASE 6128958590 p 5 Y t Z ptj= 37- IZ,- ~ w~ l„~ fkr•,~f'Gc, c? E ,,,br67"" , _ t i~ ~ X41' t2''- j *14 '-C PK 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KNOB RD 55122 ~J v I ~ 651.687-4675 .New Construction Reaulrement: Remodet/Reoair Raul menra 3 foostered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies o(plaur and 91 roofed areas t2D maximum lot coverage allowed( 1 set of energy calculations for heated additions 2 copies of plans (show beam & window sizes: poured fnd. design; etc.) 1 site survey for exterior additions & decks 1 set of energy calculations D 3 copies of ft" preservation pion if lot platted after 7/1/93 DATE: ` l00 CONSTRUCTION COSP 1~aX0- DESCRIPTION OF WORK: -~~i-tnr` U9t l~t{cc~rc~-St STREET ADDRESS: 4,Q% &2-- LOT: sLocru SNBD./P.I.D. ft: 5c~ ~r ~ I ~c t5 Name: t Inn?cS C~nG~S Phone: PROPERTY Last First OWNER Street Address. I C t i w City zwwlsv Cl-c_ state: 1M Zip; Company: mow. 0.S L~`L~oJt._ Phone: (area code) CONTRACTOR tt Sheet Address: license # «t°1 3 t00 City State: Zip: ARCHITECT/ SG.yv"t_ AS ~by~-- ENGINEER Company: Name: Telephone Street Address: R"Istrotion : City State: Zip: Sewerlwater licensed plumber (ff installing sewer/water): 0 Phone VV') I h4reby acknowledge that 1 have read this application, slate that the to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. I , Si9nature of Applicant: is OF ICE USE ONLY Certificates of Survey Received yes No FEB - 7 Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY B ILDING PERMIT SUBTYPES 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea) ❑ 31 Ext. Aft - Multi 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Adds. (4-sea.) ❑ 33 'Ext. Aft SF 03 01 of _ Alex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 04 02-plex ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex Plbg Y or_ N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. ORK TYPE 31 New 36 Move Bldg. ❑ 43- Reroof 32 Addition ❑ 37 Demolish (Bldg)* ❑ 44 Siding 33 Alteration ❑ 38 Demolish (interior) [3 45 Fire Repair 0 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings l Width Footprint sq. ft. Const. (Actual) I/ /V Basement sq. ft. Census Code l dl (Allowable) Main level sq. ft. MC/ES System UBC Occupancy Z. 214 sq. ft. Z3 i. City Water Zoning sq. ft. Booster Pump %0' or PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS Stucco/Stone Arat ` /u- v F U , APPROVALS Planning Building J-( Engineering Variance Permit Fee Valuation: inao Surcharge Plan Review l License a5 c 3 g MC/ES SAC City SAC 5 90 Water Conn. Water Meter Acct. Deposit d-r,10 31 0(f S/W Permit / S/W Surcharge = / Sr 7 ql ` Treatment Pl. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC _ I & 2 Family Residential "Cookbook Methoa SITE ADDRESS City BUILDER Data Minimum Criteria: Rite .Iolst: R-19 insulation Foundaton Windows- Insulated glass. 112" air space. wood or vinyl frame' Entry doors: 13/4 inch solid wood with storm or better STEP I Window & Door Area STEP 2 Calculate area as a percent of wall Total Window & Door Area in Sq. Feet Box A (window & door area) divided by Box .B (total WINDOWS (including foundation windows): wall area) times 100 equals the window and door area ' Dimensions Qnty.. Area as a percent of wall area (Box Q. ' a x wrr~ Box .A 7 x 100 = , {l C . x Box 8 x oil/ STEP 3 Design Features X U X 3 L I ASSEMBLY OPTION X FRAME WALL.:' X STANDARD FRAMING X X ADVANCED FRAMING X CAVITY INSULATION C A X ; DOORS: _SHE&II NG LESS THAN R-5 ,1 L x `z L R-S OR MORE X 2 W d s wtn o WINDOWS (except foundation 1 X 7° / 1 Total Area of U-FACTOR f i Window & Doors -2-7.7 A From the table, determine the maximum percent window' Total Wall Area in Sq. Ft. & door area for the design options selected and enter the Wall Total Perimeter Height Area value in box D below: C ~ ,s Box C must be less than or equal to Box D Total Area of wall B • F. The building must not exceed the maximum window and door area as a percentage of overall exposed wall area listed below for the combination' of framing technique, R-value of insulation within the insulated cavity sheath"g R-value, and window U-factor. Other components must meet thi requirements of this subpart. MAXMIUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL FJMOSED; WALL Cavity Window 'U-Factor Fran-Lin Insulation Sheathing 0.49 0.36 0.31 0.27 STANDARD . < R=13' Y w. w,. 13 4%:: 17.8°'0 2L3% 243% STANDARD ..2It-7 R-15- µ ,ZR-5 171% 20.1% 23.4% . • STANDARD ' : R .18. ~.t~ , cR-5 2L1 16A9'o _..1$.$°% o 22.0°!0 STANDARD R-18 ADVANCED, 'S 13 5% 18.6% 21.89'a 25.390 ; R"18 19'0'. ;17.1 9a ADVANCED w - M.Y W 20.10. 23.49'0 ' R-18 2R-5 STANDARD. 13.5% 19.29'0 22.5% 26.190 STANDARD M , ` ,I 896 'eta 17.0°Yo 19.90/6 23.1% k-21 2R-5 14.0-%- 19.3% '22.5% 26.1% ADVANCED R 21.:x. <R» 5 1$. .,...1189`0 ADVANCED , a;=,. .1°0 21.2% 24.6% II R-21 ZR-5 14.0% 19.9% 23.2% 26.9% Subp. 3. Performance criteria. The combined` thermal transmittance (Uo) factors for walls, roof/ceilings, and floors over unheated spaces must be less than or equal to: A. 0.110 Btu/h ft2 °F for walls; B. 0.026 Btu/h ft2• °F for roof/ceilings; and C 0.04 Btu/h ft2 OF for floors.4 STAT AUTH.- MS § 216C.19 HIST: 18 SR 2361 7670.0480 Repealed, 18 SR 2361 Minn. Rules Chapter 7670 26 June 1994 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: L / LA DATE OF SURVEY: 1-21-00 N LATEST REVISION: w o DOCUMENT STANDARDS 0 ❑ o Registered Land Surveyor signature and company ❑ ❑ Budding Permit Applicant 50~ ❑ Legal description ❑ Address ❑ • North arrow and scale eee~~~/~ ❑ . House type (rambler, walkout, split wlo, split entry, lookout, ft.) P0 ❑ Directional drainage arrows with slope/gradient ~6 ❑ Proposed/odsting sewer and water services & invert elevation ❑ Street name ❑ Driveway p ❑ Lot Square Footage m/ ❑ ❑ Lot Coverage ELEVATIONS is in ❑ Sewer service (or Proposed) P ❑ ❑ Property comers 04. r Top of curb at the driveway 0 C3 0 Elevations of any existing adjacent homes ❑ ❑ Adequate footing depth of structures due to adjacent utility trenches Propose rY ❑ ❑ Garage floor ❑ ❑ First floor ❑ ❑ Lowest exposed elevation (wakout/window) a~ ❑ ❑ Property comers ❑ Front and rear of home at the foundation PONDING AREA (if awlicabie) e' ❑ Easement line oa/ sty ❑ NWL P/00 HWL 0"o Pond # designation ❑ Emergency Overflow Elevation DIMENSIONS ❑ ❑ Lot tines/Bearings & dimensions W'0 ❑ Right-of-way and street width (to back of curb) Q ❑ Proposed home dimensions including any proposed decks, overhangs greater than 2% porches, etc. (i.e. all structures requiring permanent footings) ❑ Show all easements of record and any City utilities within those easements • Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ e43 Retaining wall requirements, N any Reviewed: Name /Date March t9®9 CRAKU8L0GPRMr.EM r 2422 Enterprise Drive ~c Mendota Heights, MN 55120 * * (651) 681-1914 FAX: 681-9488 * PIONEER LAND SURVEYORS • aVIL ENGINEERS E-mail: PIONEEROPRESSENTER.COM engineering LAND PLANNERS. LANDSCAPE ARMTECTS 625 Highway 10 N.E. * * Bloine, MN 55434 * * (612) 783-INN FAX:783-1883 E-mail: PIONEER20PRESSENTER. COM Certificate of Survey for: HOMES BY CHASE 4528 ALICIA DRIVE BENCH MARK TOP OF PIPE ELEV.=932 9 0 Z 0 I (VACANT) Ctf } J ~ I 587 'a 3 Q 5851 E .®9.44 Q' 931.8 930.2 40.18 39. c,"? U Io i _ _ 32.80~ 10 zw O _ I-L- 6' 36 3 _SO 1 ? + U 930.0 V. fi"q ' V1 O 26 2s.z ~ ?O as X933.0' v 93 00 ID,,a ° 'o ' C.B. 0j. ftcc 9 W~i . a CL 0 Q E a o o an 929.9 BENCH MARK f- R Cif z ° 928.8 x EOLE 932 4 10 sQUIRE g 928.6 . ~ LLJ z y 3 0 925'1 ft %P ~r . o I / ~L Uri N RE Qf r -ISM s U JtKC~ --SURVEY LINE C) 6, C14 _.1 //yy O~POG• (411.) s.tM.H. X3•'8 ! , I LOT AREA = 16.680 SF F HOUSE AREA =2.366 SF O POND HOUSE COVERAGE ? 22STORY L.O. / LP 30 LL / NWL-909.3 HWL=914.6 PROPOSED HOUSE ELEVATION NOTE: PROPOSED GRADES/SHOWN PER GRADING PLAN BY. PIONEER LOWEST FLOOR ELEVATION: q47.3 NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION TOP OF BLOCK ELEVATION: _93(0-1 OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND FOUNDATION DIMENSIONS. GARAGE SLAB ELEVATION: 415 7 NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE 47 34. S SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE TOB 0 LOOKOUT ELEVATION: PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING ELEVATION THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION DENOTES DRAINAGE AND UTILITY EASEMENT NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. - DENOTES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BASED.ON'AN ASSUMED DATUM -0-- DENOTES MONUMENT DENOTES OFFSET NUB WE HEREBY CERTIFY TO HOMES BY CHASE THAT THIS IS A, TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 10, BLOCK 1, SOUTHERN LAKES WEST DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 21 DAY OF JANUARY, 2000. SI NED• PIONEER ENGI ING,- A SCALE..: 1 INCH = 40 FEET RECEIVED FEB 15 BOO B ' 657 199585.01 JJS John C. Larson, L.S. Reg. No. 19828 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 , 651-681.4675 New Construction Requirements RemodsURepair Requirements • 3 registered site surveys showing sq. ft. of lot, sq.;ft. of house; and all roofed areas + 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions decks • 1 set of Energy Calculations : Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) , DATE / O Z-- VALUATION QM, 06 SITE ADDRESS C^ MULTI-FAMILY BLDG Y N TYPE OF WORK tM S` U>' FIREPLACE(S) _ 0 _ 1 2 APPLICANT MecAprVICA 'T _ STREET ADDRESS 72-Zq M S CITY STATE///1ZIP 3 TELEPHONE # & CELL PHONE FAX # PROPERTY OWNER :~vJ we"4- TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softener Lawn Sprinkler' Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: jaa-m c- VV\e-aN Phone lip, 3 Mechanical system includes: Air Conditioning L Fee: .00 Heat Recovery System i O CT 2 3 2002 Sewer/Water Contractor: Phon,~ - I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or ces Signature of Applicant - 7_.02' 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 ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 ° Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA'handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing Foundation _ HVAC _ Drain Tile Other Roof Ice & Water _ Final _ Pool Ftgs Air/Gas Tests -Final Framing _ Siding Stucco Stone Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) Insulation - Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Address 4 5 2 8 AL I L I A DRIVE Zip 5512_- Lot 10 Blk 1 Sub SOUTHERN LAKES WEST THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF TH INAL INSPECTION. Date: 00604* 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 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 f V - RESIDENTIAL BUII.DING C Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeliReoair Requirements Office Use Oniv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cert of Survey Reod (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd 1 set of Energy Calculations Addftlon - indicate 1f on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bid9s with 3 or less units -t Date 3 / Z. 5 / 03 Construction Cost "t 000 Site Address 45Zg A kLG rl- V r I/Qi Unit/Ste # Description of Work 3 'pmt oo 51,(,A too (n ild t7 L( 10+ Multi-Family Bldg _ Y_ N Fireplace(s) 0 1 2 Property Owner &.GU'1 6-" '7 am d,, Telephone # ( ) L Contractor ~~%>LO S1,ft ( 00 C5 Address I Q' 3 5 t. 0" P i GLL4 I ~ City State aa)1, oo0v Lt.l.n Zip Telephone #((f~l) r1~(e' ~3 tc 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 (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone # ( Mechanical Contractor Telephone # Sewer/Water Contractor Telephone # 7UG 2 5 I hereby apply for a Residential Building Permit and acknowledge that the informa 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 pt" in the case o work which requires a review and approv 1 of plans. 'S 0 b ~Y I+ItI, -L' AA) Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ?K 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Adds; (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) q 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Pibg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 lnt Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding /K 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy M ystem C/ES S- 40, Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire SPrinklered Type of C onst Width INSPECTIONS REQUIRED Footings new _ bldg) Final/C.O. _ Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundation HVAC Drain Tile Other Roof _ Ice & Water Final _ Pool Ftgs _ Air/Gas Tests Final Framing _ Siding _ Stucco Stone Fireplace R.I. _ Air Test Final Windows (new/replacement) Insulation - Retaining Wall Approved By , Building Inspector Base Fee Surcharge 3 ..lji"~a ~ Po►2t~li Plan Review MC/ES SAC City SAC -17 Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies' Other Total 2422 Enterprise Drive s Mendota Heights, MN 55120 alV~EFt (651) 681-1914 FAX:681-9488 LAND SURVEYORS • CML ENGINEERS E-mail: PIONEEROPRESSENTER.COM ;gig neer n® LAND PLANNERS. LANDSCAPE ARCRTECTS 625 Highway 10 N.E. Blaine, MN 55434 * * * (612) 783-1880 FAX: 783-18&3 E-mail: PIONEER20PRESSENTER.COM for: HOMES BY CHASE . Certificate of Survey 4528 ALICIA DRIVE - TTOPCOFMPIPE ELEV.=932.47 O Q (VACANT) Z Q Q S8T58'S1 "E .09.44 3 ~ 9316 930.2 40.18 39.53 10 0 C) 32. io LL_ 6' 6 33 LA Q Y U x 930.0 w9 (?1~ yQ~ I Z 129.2 pF V?O• i \933.0 C~3 00 ~Ji n~~ $ k C.B. CLI 1-- Q p N ~zl s• W O f q'Ld 979.9 BENCH MARK I)f Z ar a ` / TOP OF PIPE J Q ow+ 928. x a / bc ELEV.=932.44 0 10 ` K(b• Ila. LLi i 8 Lli LLI D , t X r y~ /hJ~o~-ate J 0 101 0 10 _j cn 15 < ' 925. l(K>j Ole- I e T Z 0 a 0 ~r -15*1 / RE V E S •.t(>' © ` I ~--SURVEY LINE OF'POOG (411-0) atM.H LLI , ' LOT AREA = 16,680 SF F HOUSE AREA = 2 366 SF COVERAGE = 14.R / I PONS HOUSE TYPE =2 STORY L.O. 0 0 LP-30 NWL-909.3 Ni I HWL-913.6 PROPOSED HOUSE ELEVATION NOTE: PROPOSED GRADES/SHOWN PER GRADING PLAN BY: PIONEER LOWEST FLOOR ELEVATION: 9 Z T 3 NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION TOP OF BLOCK ELEVATION: 9 3 (p' 1 OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND FOUNDATION DIMENSIONS. GARAGE SLAB ELEVATION: q5S 7 I NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE TOB ® LOOKOUT ELEVATION: PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING ELEVATION THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION _ DENOTES DRAINAGE AND UTILITY EASEMENT NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. - DENOTES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM - DENOTES MONUMENT DENOTES OFFSET HUB WE HEREBY CERTIFY TO HOMES BY CHASE THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 10, BLOCK 1, SOUTHERN LAKES WEST DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 21 DAY OF JANUARY, 2000. SI NED• PIONEER EPlGI ING, A. SCALE 1 INCH = 40 FEET e-- 2657 199585.01 JJS John C. Larson, L. Reg. No. 19828 .0 2004 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 Reauirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y N 1 set of Energy Calculations Addition - indicate if on-site septic system on-site Septic System - Y N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Construction Cost -r Site Address ys'.;k iQG/G/A b4 Unit/Ste # Description of Work ,aECC, Multi-Family Bldg _ Y N Fireplace(s) 0 1 _ 2 Property Owner A4 ^J WSAV IM Telephone #(&S y*641• & AW&' 4/ Contractor dArD^e tr' r%c& Zac e S Address / V z Z 3 CD ACA *S,4 S T . AA4r City AIA At G-A se u State M~J Zip SS 10 Y Telephone # (vi L ) 70 3 / O y Z 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 (4 submission type) Submitted Submitted Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone Sewer/Water Contractor Telephone # ( IV I hereby apply for a Residential Building Permit and acknowledge that the informa ~ ate; 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. S6,+ n1 G.#A*. A10JTCriC Applicant's Printed Name A is Si OFFICE USE ONLY Sub Types ❑ 01 Foundation. ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg ❑ 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 `iZ1 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_y or _ N ❑ 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 Valuation 12 000 -yo Occupancy - 3 MCES System Census CodeZoning (Z-- ( City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Z Fire Sprinklered Type of Const l Width / REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. ~D Footings (deck) Final/No C.O. Footings (addition) _ Plumbing Foundation _ HVAC _ Drain Tile Other Roof ` Ice & Water _ Final - Pool Ftgs _ Air/Gas Tests Final Framing _ Siding _ Stucco Stone Brick Fireplace _ R.I. Air Test -Final _ Windows Insulation _ Retaining Wall i Approved By: , Building Inspector - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total e ` 2422 Enterprise Drive Mendoto Heights, MN 55120 4 (651) 681-1914 FAX: 681-9488 JNEER LAND SURVEYORS • CIWL ENOINEERS E-mail: PIONEEROPR£SSENTER.COM ng neap ng LAND PLANNERS. LANDSCAPE ARCNnECTS 625 Highway 10 N.E. Blaine, MN 55434 ~r (612) 783--1880 FAX: 783-1883 -jK E-mail: PIONEER20PRESSEN TER. COM BY CHASE Certificate of Survey for. HOMES 4528 ALICIA DRIVE M BENCH MARK TOP OF PIPE 99 ELEV.=932.47 O Q (VACANT) oAQpi~1 j ctf SID --1 , I'll 3 Q 51 E .09.44 CC e 40.18 39. 09 2 Y r" - a ~o v~' 0 tw l,1 32.8 10 (J1 Rod ` L.L ` 363~~ w o 0. 0 40P ~ptN 930.0 v~ 7 Z i 29.2 Da 11 E > a X933.0 V`a~* 9 . t ~ JI , ~0 sz 2 Y `I CO a C.B. M a 93 Q p N W11 LZ F-- Q j 1 - w F~ 929.9 BENCH MARK - TOP OF PIPE C]_' 928.e pc ELEV.=932.44 gri`O~•v 10 ~4 , 928.6 W ~ M Lv LLJ ~ I ~ • _z I 0 _j r o J o, ~ ~ ~ r (n et- is 0" V*Kj < REV -SURVEY LINE N O~POOG. AIL IT.M.H. W , `SOF LOT AREA = 16,680 SF HOUSE AREA = 2,366 SF cl-~ PONS HOUSE TYPE -2 2STORY L.O. O / I # LP-30 LI_ NWL=909.3 NwL=913.6 PROPOSED HOUSE ELEVATION NOTE: PROPOSED GRADESISHOWN PER GRADING PLAN BY. PIONEER LOWEST FLOOR ELEVATION: `Sz_ 7-3 NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION TOP OF, BLOCK ELEVATION: 9 -3G-- I OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND C) 3o f 7 FovNOnnoN DIMENSIONS. GARAGE' SLAB ELEVATION: NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE 30. SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE TOB 0 LOOKOUT ELEVATION PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 'DENOTES EXISTING ELEVATION THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 )'DENOTES PROPOSED ELEVATION DENOTES DRAINAGE AND UTILITY. EASEMENT NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. . _ - DENOTES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM --i-~- DENOTES MONUMENT IT-- DENOTES OFFSET HUB WE HEREBY CERTIFY TO HOMES BY CHASE THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: 1 SOUTHERN LAKES WEST LOT 10 BLOCK MINNESOTA DAKOTA COUNTY, HMENTS EXCEPT AS SHOWN, AS SURVEYED BY ME OR AC ~ IMPROVEMENTS 0 IT DOES NOT PURPORT TO SHOW R ENCHRO UNDER MY DIRECT SUPERVISION THIS 21 DAY OF JANUARY, 2000. SI NED• PIONEER ENGI ING, A. II 4 SCALE 1 INCH = 0 FEET g r' RECEIVE -11 15 2000 John C. Lorson, L. Reg. No. 19828 2657 199585.01 JJS To eve (8 f 3 . ~5 q~ fn te~J i . C }p 2005 RESIDENTIAL BUILDING PERMIT APPLICATION laic\l ec - City Of Eagan r / 3830 Pilot Knob Road, Eagan MN 55122 (2 JIJ Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Reauirements Office Use Onlv 3 registered site surreys showing sq. ft. of lot, sq. it. of house; and all roofed areas 2 copies of plan Cart of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd - Y - N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site surrey for additions & decks Tree Pres Required _ Y N 1 set of Energy Calculations Addition -indicate lion-site septic system On-site Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date Construction Cost Site Address qA ~/J ✓ Ve Unit/Ste # e ^J _5-5-0-7 7 Description of Works tit I t'~01G Multi-Family Bldg Y __V/N Fireplaces 0 - 1 2 S Property Owner ea V\ I d-l ~ I^GL W eo_ t/g_~ Telephone # 0057 t/5_y - Contractor P G~ !fin S Address City 1~se-7" 0, State Zip Telephone # (60 0 ~2~2 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category I . Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y N If so, 25% plan review fee applies. - Licensed Plumber Tele Mechanical Contractor Telep e p) ZQ05 L Sewer/Water Contractor Teleph # ) 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. , aAW_ hl&41,01- o::~ ~ a oCA&Z Od Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex 20 Pool ❑ 30 AccessoryBldg ❑ 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) ❑ 36 Multi Misc. 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_y or ` N ❑ 25 Miscellaneous Worts 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 (Eptiree Bldg) - Give PCA handout to applicant Valuation ©o Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing Foundation _ HVAC t ortf- 6voqu6 Drain Tile Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests Final Framing i mg Stucco Stone Brick- Fireplace R.I. Air Test Final Windows Insulation Retaining Wall Approved By: , Building Inspector - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total S M POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS i Address. Js_z-s A 1 UA U, Applicant Name: v GENERAL. INFORMATION v O z ❑ ❑ Applicant - name, address, phone & fax numbers, signature ~SY ❑ ❑ Property owner name ❑ ❑ Legal description and address of property fit ❑ ❑ North arrow, scale (I" = 30' or 40') and date ❑ ❑ Location and name of all streets adjacent to property 7 ❑ ❑ Site Plan drawn to scale showing location of house, pool and other existing or proposed structures ~d ❑ ❑ Directional drainage arrows (existing and proposed) ELEVATIONS Existing rX ❑ ❑ House comers ❑ ❑ Property comers L3 JA ❑ On property lines at point of measured dimension to pool (see below) ❑ 2 ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ❑ 0 ❑ Finished pool deck corners Ll 0 ❑ Top of retaining walls (if any) and at each different elevation (if it changes) ❑ ❑ Pool bottom (or max. depth) DIMENSIONS Exi'stino ❑ ❑ All property/lot lines Proposed 0 ❑ ❑ Pool ❑ ❑ Pool plus integrated deck/patio ❑ ',0 ❑ Shortest distance from outside edge of pool deck to lot lines and house Reviewed: Name Date WORMS/Pool Permit Check A106-02-04 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Site Street Address Unit# Property Owner Telephone # ( ) Contractor C P ►^ti b r?^3 tt C_ Telephone Address® - VG- City State Zip-5-So Z The Applicant is: _ Owner - Contractor -Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Altera ions to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. if you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment _ Water Turnaround (add $130.00 if a 5/8" meter is required) - Other: Water Softener Water Heater $ 15.00 new _ replacement Lawn Irrigation _RPZ _PVB new -repair rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential 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 the plumbing,: codes that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with t approved plan in ~l t e event a plan is required tabe reviewe app ved. f ~ pj~~ C o'SO Applicant's Printed Name is re • Todd Hendry 612-706-8215 p.4 Aar.25, 2L~0 6 ; 0 2P"I a.ASE H 7635~CW6 All) r 7Z7~'7 2 y Jfi~ Jg l-/G O - 0. _*97VTAE`jjJD*jPR14; E LL-C t 9630 Watcrtavcr GyrC1C ° MitmeaGt~ rwN SSR~ r 37Et'r~ t8QQ1 Q8ti-33+L? ~ I763? 554.33UO ~ ~ac(~b31 S84(1~t5 1701 C:rosa{raint Aw-nu - I*mtnn, Tk 77054 S~f)7 (AFXT► 7Wi•87d3 (7i]) 796.9743 Fart {7t1? 796.153 wetrrlre: www.ftkwnt!n+egmeee,cam t Pro(ttr 1 fle$criptian fo 13w-ing application guidelines adheres tenaciously to framing members amt substrates, prmdmg superiorenv y econoWand durability while sigaificandy reducing unmanaged moisture and air j irtfl tration. As a component of a "systems approach" to proper building`euvelope- construction irr both residential and commercial construction, FE 158 CC3 Provides exceptional performance in reducing heat transfer, moisture CCU. Crertenntiafs ASTM l wi*Omep finrtrlra Thickness-(V} Maximum Flame Spread 2 trr Smoker Det;@opment (450) " Polyurethane foam-syste,ns should not be left exposed in interior applications and must be protected by a mmi mi tam o€a 1 T nfim to the barrier. I Ms, manericatftame spread rating is'not' ntendedt-rt reflect i hazards presented by this-or any other material underacauadfire ' ~ ~ ,_candirinrts. ....t g G C~H203S,.Qtsruec.Cxi4.l?' gun,_92-Mix; g nber Pr h=Ls,,aats Parameters hose 125°F 1349F. A minimum spray or working pressure of 1004 , 1 Physical T FE kW Properties (Liquid c Z P uc -Ratio. i 8y iltune . 1_4 1.0 F l 4 1 f Specific ASTM D-1638 1.22-1.25 1.17-1.19 Viscosity Brookfield 150-254 800-1304 RVF ' Todd Hendry 612-706-8215 p.8 AP r. 25. 2uC-6 5 04PV SASF FE 7633;09916 N' : ?649 P. 6 *'Aftt.~.rt c Safety Pre"utiQns for Spray 'ram Cn Work Crews -4-4 Should have a complete physical examination before they staff worts with isocyanates or pollearetlranaor polytsoeyentuate /+(1 components and periodic checkups if they continue working with them. F-raplayees witSrthe following conditions; should` not uwk with those materials: Chronic respirwarrdbeaeas'. Asthmatic or asthmatic bronchitis medical history t~-~-1 History or presence of allergic disease Spray foam mechanics shall be properly fitted with perdonal braething apparatus by industrial hygenist standards to insupe ~J 1 proper protection from respirableMDI or misted isocyetfes. itcfer to API gaidtlias AX 2". Protective Equipment . For Spray Craw should include the;Momng, Air supplied full-face mask or hood. -Air must be oil frbo. Fabric coveralls (MDI RESISTANT); Rubbers or boats (MM RESISTANTn Fabric-or impervious gloves.(iviDi RESISTANT) Suitable warning signs must be set up in obvious entryways to prevent unimentionai exposure to atomized MDI. Non-span foam-personnel-Or-ace, fptimi appicatiw~aeea. Cd Cleaning Solvents { Such as Dipropylem Glycol Mg*)l FAtr (DPM) shouldbe-usedfor cleanup. 4lauufaesuxer s:pneeautiow sl t .be r...i observedesexpressed on container tabels.and Mmerial Safety. Data Sheets (MSDS). Spirinkler..Systctn( Pire..Extiugt► s r ~1 Water spray, carbon dioxide or dry chemical extinguisher may be used for extinguishing fires involving liquid urethane V4. components. Firefighters should weer self-contained breathing apparaaes. Exposed Foam Itran irnor>tir applicaziowspray polyurethane team dtxsraprescitt as extreme fire hazard and w such prior to the appication oftlttttrcresistsntceveriarg L firms mast6c pnoroat dd!ftiew lEi iai city Isaac, sparks or+cuctWg %*nu vw contact the foam. Signs must be positioned and jobsite management must be notified in writing that exposed foam represents a patnttiel life asfrty cone-M Protective Fire Barriers This foam. system is fiunwabie.under many ..fm canduions and sheuldhe Coveted wult anyinimum of barrier. Material Safety Data Sheets Material Safety Data Sheets (MSDS) are provided for the Isocyanate -A component and.Resin-U component chemical's furnished by Foam Erttu rises. LLC. They uc~ Aw limished for solvents, oils and coatings that are distributed by Fown -Enterprtm,h2c Tt ca.cre~ris ut~erQSB `a"Ili6lst. TlecrsiraMMAW shown and instruction given all people wording with or potential of being exposed to the chemicals in the work area. Various-p oducts.andmatcrial mavailab£e,P Lmany-die'witawilcatiant-b3::profaasacnai.ttredtane..>o:~. eta: Not e--1 ail products will work for aA applicariona. If you have not used our components for a particular use or application Ct previously, give us a can=to- confirm theproper fount compounds for your intended application. Design coasitierations and uses can also be dfs . The Spray ftli rureuhsno foam Affbow , effirsmenr OUi*fitws atnd an bet, contacted at 800.523.6154 or by mail at SETA 4400 Fair Lakes Court, Suite 105 Fairfax, VA 22033 or at 4 a uanusoraufoanSpecial_consid4ratioas must..-be_giuaa-fat- caul swrw'.-high ltumiditX acrd high t__. pe: __M applications of polyurethane foam. )3ispcuah DispmW-ofrowAinets_or..unusedchmiaalmust.bedote.in compliancewith all.applicable federal, state, coutnty ormunicipal gduletiaa>:. Fit}ccaatair~x.t}aat~ssrcc5raeu.pa>paSlypoe^°••~~~.~.~..,,U bcncq?ckd.ity oartaQsag..ilxb~ADA-The,. Association of Container Reconditioncts at 800.533.DRUM for the nearest reconditioner heir you. i~ t•-3keif~ I~ 7 -73 7 70. Z)6 2006 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 Offrce e -.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 / Certe# Survey Recd Y -0 (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions "Tree Pres Plan Recd Y N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 046 r Tree Pres Required Y N 1 set of Energy Calculations Addition - indicate if on-site septic system On-.site Septic System Y N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date 3 / ZS n Construction Cost Site Address 45Z'b fC1a.. l~'~1--0- H2~z-C Unit/Ste # Description of Work Tz plck,A~,i~ ( c- SSe ,A S Le Y% c Multi-Family Bldg - Y ) N Fireplace(s) 0 1~ Property Owner bp, d- ale n. l Telephone # ((o t) 14 N -9 9 c~ t Contractor Address 2-~ 0 ~3?_^°~ S City 1 l- State VVIIJ Zip S S6 b $ Telephone # ((p 5 t) 22 3 $ d 3 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 (J 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 of master plan: Licensed Plumber g C E ~ v T6ihone # ( ) Mechanical Contractor MAR 2 8 200~elephone ) Sewer/Water Contractor 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. wC Applicant's Printed Name Aiq~p icant's ignatur i DO NOT WRITE BELOW THIS LINE Sub Types ❑ 30 Accessory Bldg ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt Multi ❑ 03 01 ofr 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) Q 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex X 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 4~4~ Occupancy MCES System Plan Review 100% or 25% Census Coder 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) _ Final/C.O. Footings (addition) Final No C.O. HVA C Foundation Other Drain Tile Roof Ice & Water _ Final Pool Ftgs Air/Gas Tests Final Framing _ Siding _ Stucco Lath - Stone Lath Brick _ Fireplace _ RI. - Air Test ` Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge 2061-o Plan Review nncrES sac '7 City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~(I J sa?1 8 2009 i ~7 c c City of Ealan ; Permit#: I 3830 Pilot Knob Road Permit Fee: ` l I Eaigan MN 55122 Phone: (651) 675-5675 Date Received: Fax: (651) 675-5694 i Staff: l 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Dste: Sfts Address: J t C4 Tennant- Suites?#: RESIDENT / OWNER Name: Phone: Address J City I Zip: Y 'that C~ , ~1 C CONTRACTOR Name: License Address: City: State: Zip: Phone: %12112' '1 E '/If 'sS_ Contact Person: TYPE OF WORK JCNew , Replacement ! Repair Rebuild Modify Space `Work In R.Q.W. 0ascsf n of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener 4- lawn Irrigation Add Plumbing Foctures RPZ 1 PVS) (i Main _ Lovver Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES. $W.50 X11 t m Water Heater, Water Softener, or Water A-1111 Softener (Includes $.50 State Surcharge) $30.50 Lawn Irrigation (Includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment. Water Tumaround` (Includes $ 50 State Surcharge) 'Water Tumaround (add $165.00 If a 6V meter Is required) $100.50 Septic System Now ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordnances 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 Applicant's Printed Name Applicant's re FOR OFFICE USE Reviewed By: Date: rsr;yur+ea~ trispecxttins:. UitErrciurtci Heudn to - . Tpct - r;as ~r~~r Fm r PERMIT City of Eagan Permit Type:Building Permit Number:EA146233 Date Issued:10/16/2017 Permit Category:ePermit Site Address: 4528 Alicia Dr Lot:10 Block: 1 Addition: Southern Lakes West PID:10-71300-01-100 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Rumyana T Kreidler 4528 Alicia Dr Eagan MN 55123 (612) 366-1491 New Town Exteriors Llc 4751 Tonkaview Ct Mound MN 55364 (612) 221-0952 Applicant/Permitee: Signature Issued By: Signature RECEIVED TRITON EXTERIORS TRITON' MAY 01 2018 9687 63'Avenue N Maple Grove, MN 55369 763-746-7474 Office 763-746-7470 Fax 1 M C O ■i P al A Ai t N. d pot'As j. * bgam/r /I/c I.. 3 3 Job Address: 4528 Alicia Dr. Inver Grove Heights Permit# This letter is a affidavit for the Ice & Water pictures required for the raofin final. This job has Ice and water shield installed 24"past all heated walls. We installed the Ice and Water to meet or exceed building codes. I personi saw the under layment and the pictures have been discarded by the home owners and/or deleted from emails. Bill Cranston Date: 11111(e Nate r / 1 rY .,�� 1 � +� � Date... :: : 012 JAMIE LOUISEGROS#1 PERMIT City of Eagan Permit Type:Building Permit Number:EA151283 Date Issued:08/16/2018 Permit Category:ePermit Site Address: 4528 Alicia Dr Lot:10 Block: 1 Addition: Southern Lakes West PID:10-71300-01-100 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Rumyana T Kreidler 4528 Alicia Dr Eagan MN 55123 (612) 366-1491 New Town Exteriors Llc 4751 Tonkaview Ct Mound MN 55364 (612) 221-0952 Applicant/Permitee: Signature Issued By: Signature