3753 Bayberry Lane? CASH RECEIPT ?
CITY OF EAGAN ,
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE w6/- 19 ?O
?
REeeiveol',
FRIYA
?.l L.?,?,1 L 7 ? 7 ?
AMOUNT $
J
DOLLARS
,oo
O CASN /N CHECK
BY j. '. `„\;
...r
C 8330 1Nhit DSi?Copy
Y
Pink-fife Copy
Thank You
CITY OF EAGAN 1140 18006
?3830 Pilot Knob Road, P.Q. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ` • ' BUILDING PERMIT Receipt # SP AWG/GAR $171.000 JUNE 14. 90
To be used for Est. Value Date , 19
SiteAgdress ?-
Lot Block
Parcel No.
VVYiK v ??yrw W??YL
W Name '
; Address
0 City Phone
Phone
Name Address -
Ciry Phone
I hereby acknowlege that I have read this application and state that the
infortnation is correct and agree lo comply with all applicable Stale ol
Minnesota Statutes and City of Eagan Ordinances..
Signature of Permitee JuL,T T
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota f-atutes and City ot EaganOrnces.
? `•-_?,L.,t. , ?{_ _.i.•z-? .
Building ONiCial 17
OFFlCE USE ONLY
occuPertcy R-3. H-1
?+2 Zoning R-?-
(Actuaq Const Vll!!?- ' BkJg. Permil
(Allowable) Vn
Surcharge
# or stories 5?,r
FEES 50,
.
S77.p0 ?
•
Lensth
-
Plan Review
---Tou-
w
6r
Depth - SAG City .
S.F. Tolal - SAC
MCWCC •
S.F. FootpriMS ,
On 5ite Sewage _ Water Conn 90.00
On Site Well Water Meter
MWCC Syslem xx-
t
r
Ci
w p,cct. Deposit
ry
a
e
PRV Required _ SAN Permil 1?
Bopster Pump - gryy $urcharge ?
Treatment PI
APPROVALS
Road Unit
?
Planner _
Council
BIdg.Oft -
VarienCe -
Park Ded.
Copies '?
?
TOTAL
'- Permit No. Permit Hoider Date Tsbphone #
WATER ?ilA 11
SEWF,R
PLUMBING
H.V.A.C.
ELECTRlC • 02 90
Inspection Date Insp. Comments
Foaings I ,
Foundation
Framins Z
Roofiny
Rough Plbg.
Rou9h ?ft9. 7 p
lsul, r
Fveplace
Fnal Hlg.
Fnal Plbg. -? ?
Const. Meter Plbg. Inspector - Notify Plumber
Ergr./Plan
Bld,. FinW
Deck Ftg. ?i & -
Oech Fna1 2L'12 -
Well
Pr. asp.
PLUMBING PERMIT
CITY OF EAGAN
)NTRACT 3830 PILOT KNOB RQAD, EAGANj MN 55122
PRICE aNeNE a-re.ainn
Phone
Phone
FEES
COMM./tMD. FEE - 1% DF CONTRACT FEE
APT. BLaGS. - COMM. RATE APPLIES
tOWNHOUSE & CONDO- RES_ RATE APLUES
WIINIMUM - RESIOENTIAL FEE $12.00
MINIMUM - COMM.INO.lFEE $20.00
qTATE SURCHARGE PER PERMIT .50
(?DD $.50 S1C PER EACH $1,004 OF PERMIT FEE)
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE F OLLOWING:
. FIXTU RES TOTAL
?
Water Closet -$3.00 $ cl eU a
I Bath Tubs -$3.00 3. 041
? Lavatory - $3.00 > > ? o °
Shower - $3.00 3 r 0 'j
? Kitchen Sink - $3.00 9. OJ
UrinaUBidet - $3.00
? Laundry Tray - $3.00
3.00
Floor Drains - $1.50
- /. )70
? Water Heater - $1.50 /• jo
? Whiripool - $3.00
- ?
r Gas Pi in9 OuBets -$1 50 ??o
P •
(MINIMUM -1 PER PERMIi)
I Safter?er - $5.00 r.0 a
WeN - $10.00
Private Disp. - $10.00
?- Rough Openings - $1.50 S o
U. G. Sprinkler System - $12.00
PERMIT FEE: ?
STATES S/G: -50
-?
• MECHANICAL PERMIT PERMIT #
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100 DATE: -
m Name ?
? Address c Ciry
? Name
3 Addre
O CnY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Phone
r
? M BTU
M BTU
M BTU
M BTU
CFM
Gas Piping Oudets #
Other
PERMIT FEE: _
S/C: _
TOTAL: _
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMM - 1.50 EA.
COMMIIND FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
.•
r
SIGNATURE OF PERMITTEE • .
FOR: CITY OF EAGAN
SEWER & WATER PERMIT
CITY OF EAG/tN
3830 Pilot Knob Rd.
Eagan, Mld 55 1 22-1 897
I DATE I i -'
- PRV
. 7 5 ! • _ ,?' ; k't' i.ANE
SITE ADDRESS
LOT ' BLOCK 1 SEC/SUB ri?E WOOR
APPLICANT: & A$' ?ER WNST
ADDRESS:_
CITY, STATE
PHONE: -
)PLUMBER: _
ADDRESS: _
CITY, STATE
PHONE: -
OWNER: _
ADDRESS:_
CITY, STATE
PLEASE
METER #
CHIP #
METER SIZE
ISSUE DATE
PERMIT DATE
PERMIT #
B.P. RECEIPT #
B.P. RECEIPT DATE
PERMIT REQUESTED
? dt)
~ SEWER ? WATER -TAPS
- COMM/IND RESIDENTIAL
5512? _ NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
ZIP
SIGNATURE WHEN METER ISSUED
RKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
T ENGINEERING DEPT.
«
s•
(litr#if trafP of (Orrupanry
titp of (Eagari
Erprttttetc# af BuDing Jnpertiun
nis Certificate Lssued pursuartt to die requirer?:ents of Section 306 of the Urtijorm Building
Code certify?ng tlwt at !he tiw of issuaace this stnrrture Kws in con; pliance witli dw various
ondinances of the Gity regulating bullding corrstnrrtion or use. For the foUowieg:
U. cwwm,,. SE' DWG7GAR ewe. F...i N. 18006
Oamw-r TM R3/N1 ? &0ist oOW R I ryve c„w VII
J[1I.TK & ADLF-R rJONST. Add? 1426 DF?.'?WOOD PATY, EAC'?AN
?V AMan 3753 &iYPEtRY LAiE yomfitr L6, B I. IlHE WOODI.ANIDS 3RD
nM 5[27142
POST IN A CONSPICUOUS PUC£
i?
-ft _16. 00 * DATE:
JUNE 26, 1990
RE:- 3753 BAYBERRY LN (JULIK & ADLER CONST&UCTION)
:
X Your $ewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORICS (454-5220) FOR YpUR PERMANENT WATER TURN OM.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy alluwed until further notice.
COMMERCIAL PRoJECTS DNLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQU(RED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPAR TMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
OFFICE USE ONLY
MET'ER # PERMIT DATE
CHIP # 0 PERMIT #
METER SIZE B P. RECEIPT #
ISSUE DATE AIII ? B.P. RECEIPT DATE
_ PRV - BOOSTER PUMP
SITE ADDRESS • 753 B?3'BERRY LANE
LOT BLOCK SEClSUB
T9r', WUODLAIdW', ';.
PERMIT REGIUESTED
X SEWER - WATER - TAPS
APPLICANT. ? jL1'( `e` A`%Lci1 CONS'T
?
1425 DF;.`f,)TIATti
ADDRESS:
-RESIDENTIAL
COMM/IND
CITY, STATE "' V' AN ZIP 5 17
- EXISTING
NEW
PHONE: ;:J
Lawn Sprinkler Meters are to be Installed
?PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: Credit WILI. NOT be given for Deduct Meters.
CITY, STATE d ZIP
`-
PHONE:
I AGREE TO COOPLY WITH CITY OF
OWNER: "ONgT EAGANORDINANCES
ADDRES5:
ZIP
CITY, STATE
SIGNATURE WHEN METER ISSUED
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 45,4-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
7/.2/9 O
9719/9
?
0 67584,GA /
,4 ? ?//a°°
Requesl Oate Fire No Rauqh-in Inspeclion
Fequrtetl'
ClReatly Now ChkA(NOtitylnspector
? N.
-Zi
Whenfleatly'+
L?tfcensed contractor O owner hereby request inspechon of above electrical work at:
Job Atltlress (SVeat. Box or Route No)
3753 ?
?
1 Clry
1-
uA7 ?-
Jerr.
a u ?k,
Seclion No Township Name o No qange No. Cou'nntyQ C I -{-
,G?O / Q
Occupant(PRINLT)
?
I
?
?
?? Phona No
U
N? ioY
O ?JJ
! 1` 9' L
P
Power $upplier [ i
.}-
?
? R
' Atltlrew
P!
a .L ( e cv
h r
Elecincal Con[raclor (Company Name)
"
? ConVactorS L¢ense No
r ,
?- ,
I O
Mailmg Mdress ICOnVaC1or or Owner Making Installat on! ?(n JI
Authonzetl Signeture (COnVactor/Owner MakAing Inst ation, Phone Number
_:),_2_
MINNESOTA STATE BOMiD OF ELECTRICITY v d THIS INSPEGTION FEQUEST WILL NOT
GtlggsMlOway Bltlg. - Hoom 5-113 BE ACCEPTEO BV THE STATE BOAPD
1821 Umvemi[y Ave., St PeW. MN 55104 UNLESS PROPER INSPECTION PEE IS
Phone(blY)6a2-0800 ENCLOSED
;EQUESToFOR oEPE9TRI?CALMSPECTION
R67584 "X" Be/ow Work Covered by This Request
EB-00001-07
ew Ado FeO? ?' TYPeofBwlding AppliancesWired EquipmentW?red
Home Range Temporary Service
Duplex Water Heater Eleclnc Heahng
Apt Building Dryer Oiher (Speci(y)
Comm./Industnal Fumace
Farm Air Condmoner
Otner ?speciry? Conbactor§ RemaBS ?? DD
i 9 o-3'a
Compute Inspection Fee Below: 3 3ro _1O Q %2 ) '0, Q
# Olher Fee # Service EntranceSae Fee # Cirwits/Feeders Fee
Swimming Pool 010 200 Amps ;'d6 o to 100 Amps
TranSfOrmefS AbOVe 200 _ Amps Above 100 _ Amps
Signs Inspeaor's Use Onry C TOTAL S"O
Irrigation eooms ((oj.? 1 J.?-?
Speaallnspechon
Alarm/Communicanon THIS WSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHI ' MO
I, the Electncal Inspector, hereby Rough-m oaie _=r?
cerhfy that the above inspection has
been made. Finai , oai?^
OPFICE USE ONLV
This repoest vaitl IB monlhs irom
CITY OF EAGAN (!JO 18OO s
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, M N 55121
PHONE:454-8100 7?'1
BUILDING PERMR Receipt # ?3
?v
To6eusedfor SF DWG/GAR Est.Value $171,000 Date JUNE 14, 1990
Site Address 3753 BAYBERRY LANE
Lot 6 81ock 1 Sec/Sub. THE WOODLANDS 3 OFFICE USE ON?v
Parcel No. Occupanty R-3iM-1 FEES
RJ Sn
ng
zorn
- AD
$ 888.
a Name JULIK & ADLER CONST (qctua
q Const Vt
i B?dg. Permit
; Address 1426 DEERWOOD PATH (Allowable) pn-
S
h 85.50
0
CitEAGAN phone 688-7209
Y
aotstories urc
arge
577
00
66.67 Plan Rewew .
Length
o Name SAME 868-1864 Dapih 62 SAC,City 100.00
?Q Address (mobile) s.F.iotai - 600.00
? City Phone S.F.FOOtprints - SaqMCwCC 625
00
Waler Conn .
On Site Sewage _
uw Name OnSiteWell - WaterMater 90.00
i X
E Address MwCCSystem X 30.00
oc+
iw
City Phone
ary water
X}L_ Acd. oapasn
S/W PermA
30. DO
PRV Required _ _.To
I hereby acknowlege that I have read this application and state that the Booster Pump - SNJ Surcharge +?
mformalion is correct and agree to comply wtlh all applicable State ol 252
00
Minnesota SlaWtes and City ol Eagan Ordmances. Treatment PI .
i?
Siqnature of Permitee ?L? G l '/-"S.
? APPROVALS qoad Unn 355.00
A Building Permit is issued lo: `ruLlJ( & ADLER CONST Planner - park Ded.
on the ezpress condition that all work shall be done in accordance with all Camll --
apphcable State of Mmnesola tutes and City of agar?,Qrdlf?ances. Bldg. Otf _ Copies
3
33 0
Bwldmg Official Vanance - TOTAI ,
.. . _ _. . . ? . _ . . _ _. _ _ _. _
Address: 3753 BAYBE:_RRY LANE Lot 6 Blk I Sec/Sub IM yMDLANDS 3RD
These item5 were/were not complete at the time of the final inspection.
D te: 5/27/92 Yes No Tnqperroy.
Fina1 grade (6" from siding) ? evv- jpk,/c
Permanent steps - garage
Permanent steps - main entry
Permanent dxiveway
Permanent gas
Sod/seeded grass ?
Trail/curb damage ?
Porch
Basement finish ?
Deck
Please veri£y with the builder the removal of roof test caps from the pltunbing
system and the shut-off of watar supply to the outside lawn faucet befora
freeze potential exists. ol-z
cecxiEOaxn
White - City copy Yellow - Resident copy Pink - Contractor copy
, RESIDENTIAL
' BUILDING PERMIT APPLICATION OC?
?" Q CiTY OF EAGAN
?? 3830 PILOT KNOB RU - 55122
651-6814675
r Construction ReauiremeMs RemodellReoair ReouiremeMs
3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas • 2 copies of plan
(20°/a macimum lot coverage allowed) • 1 set of Energy Calculationa for heated additions
2 copies of pian showing 6eam & windorr sizes, poured found design, etc.) • 1 site survey for ecterior additions & decks
1 sel of Energy Calculations . Indicate'rf home served by seplic syslem for additions
3 copies ofTrae Areservafion Plan if IW platted afler 711193
Rim Joml Detail Options selection sheet (61dg5 with 3 or less units)
are
)B SITE ADDRESS
MULTI-fAMILY BUILDING, HOW
;OPERTY OWNER ,/•c.???c
PE OF WORK ??"?9? HC%?ca4v
'PLICANT
)DRESS
\GER #
VALUATION 4?/?? 1 Y?
?ANY UNITS?
FIREPLACE(S) 0 01 _2 _3
PHONE (760
'f?-I/ ZIP CODE
CELL PHONE # FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
=_nergy Code Category MINNESOTA RULES 7670 CATEGORY 1 ___ ----°
(check one) - Residential Ventilation Category 7 Worksheet Sub[rif jP
- Energy Envelope Calculations Submitted t D ?. ,
_ MINNESOTA RULES 7672 ? f?i ??Y ! g
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
\fechanical3ystem Includes:
Sewer/Water Conhactor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
above information must be submitted prior to pmcessing of application.
ereby acknowledge that I have read this application, state that the information is correct, and agree to complywith
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of
:rtificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Water Softener
_ Water Heater
No. of Baths
Phone
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
Heat Rccovery System
Updated 1101
2 3
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lyo8.3 )/?s -- ?Js35,s
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J
.
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISSERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH SLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Single family Valuation:
Site Address 3753 Bayberry Lane F--
OoO Date: 6-6-90
OFFICE USE ONLY
Lot E Block I
Occupancy I"
Zoning
Parcel/Sub Woodlands 3rd Addttion Actual Const
Allowable
Owner Julik w- AdZer Constructioh,Inc # of stories
Length ?
Address 1425 Deerwood Fath Depth ?
S.F. Total
City/Zip Code Eagan, $5122 Footprint S.F.
Phone E38-7209 mobile 868-1864
Contractor Sulik & Adler Construction
Address same as above
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
/ 900 - ,
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
On site sewage_
On site well
MWCC System ?
City water ?/
PRV
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. /&04
Variance
FEES
Bldg. Permit "'?
Surcharge T3,?-rO
Plan Review Y99
SAC, City /&?o
SAC, MWCC /Q6
Water Conn zg-
Water Meter - 50
Acct. Deposit 30
S/W Permit 30
S/W Surcharge 50
Treatment P1. 2S2
Road Unit 3S.S'
Park Ded.
Copies
SUBTOTAL
Penalty ?
TOTAL
(0203 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATI ON
City Of Eagau
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
,R-7C5oo
,Ae ,114.-? ,/t(alby
New Construction Reaui2ments RemodeUFieoair Reouirements Office Use OnH
Yt.;?.
'' ty... ?,_?,. y:.
3 2gislered site surveys showing sq. tt of lot sq. 8 W house; and all roofed areas 2 copies of plan C"a??SyFve?eCd?,t?'-?+-r? - Tsj, _?{
(20°k maximum IM wveraye allowed) 1 set ot Energy Cakulatlons for hesffid additions Tree_Pies P.fari,Recd„7?',' 'ti- ' N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additlons & decks ;irea?RfeaRmifed;,y^.?;?°„===uY?.?N
lsetofEnergyCalculations Addifion-indkateilon-s8eseptPosysfem OrV=?SeDtic5y3tem„?:'° °_?;?,`Fl
3 copies af Tree Pmservatron Plan if bt platled after 711/93
Rim JoistDeWil Options seledion sheet (61dgs with 3 ar less units
Date ?A,? ZEc
SiteAddress 37:53 617 Y?CZA'-y Zj Construct>ion Cost o
UniUSte #
Description of Work 4 c L,,CX' 4 6 ? )!-}'S I?
Multi-Family Bldg _ Y!f N Fireplace(s) _ 0_ 2
Property Owner D-4r J %.F', I :Y KS?)C-IC' ? K Telephone #((6 S'/) 7 S 7' 2
Contractor
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code CategOry , Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(dsubmissiontype) 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 appiies. I
Licensed Plumber I? ? Telephone #(
Mechanical Contractor JAN 1 4 20 a I 7elephone #(
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.
23 s ?
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 Ot ot_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? OS 03-plex ? 17 10-plex 'A 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plhg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New (X 35 Int Improvement ? 38 Demolish Interior ? 44
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46
? 34 Replacement •Demolitfon (Entire Bldg) • Give PCA handout to appliwnt
Valuation Occupancy ?2--3 MCES System
Census Code Zoning ?^ t City Water _
SAC Units Stories Booster Pump _
# of Units Sq. Ft. PRV _
# of Bldgs Length Fire Sprinklered _
Type of Const ?u V?_ Width
_ Footings (new bldg)
_ Footings(deck)
_ Footings (addition)
Foundarion
Drain Tile
Roof Ice & Water Final
? Franring
Fireplace ? R.I. ?j Air Test 4 Final
Insulation ?
Approved By:
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
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
?o ?b 3
r? 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
?U 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date/-l?I
Site Street Address 7, ?3 Unit #
Property Owner /Y/w Telephone # a) %?( 2?
Contractor Telephone # J??) f '/'7v
Address ol ?c? City i State Zip,-;;72v
The Applicant is: _ Owner Contractor _Other
Alterations to existing dwelling $ 50.00
x Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RP2_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total ?o
? s?
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 the approved plan in
the event a plan is required to be reviewed and approved.?
ApplicanYs Printe Name ? ApplicanYs S' nature
PROBE I ?
ENGI?JEEflING C PLRNNEfli oiId6LAND s,uRVEYORS
COMPAN4', INC.
j„Lii< I Aut,-P, C?sr.
6m+? /4¢
Pa&E' /(o
1 IODU EA9T I467h STREE7, BURNSVILLE, MINNE607A 6633i PH 432'8000
Certificate of Survey
Legal Description : LoT 6, azoc.? i?TNE W00UL4N05
DAKUT•4 GOUNT,Y M/NNE.S'DTA.
7N/RO ?9DD/7/On,/
5 ) DENOTES EXISTING ELEVATION
(89z,5 ) DENOTES Pf1aPOSEU ELEVATION
-. INUICATES UIRECTION OF SURFACE DRAINAGE
SeA1E = i" = 30'
Ore! /N/-JGE fIND
UT/L/T`/ EA$EMENT-
892,83 = FINISI-IEU (UARAUE PLOOR ELEVATION
885.1 "L - BpSEMENT FLOOR ELEVATION
893. )(- = TOP OF BLOCK ELEVATION
.
/ I5
00
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30' FRONT BU/LD/NG
(s??,¢) ??
SET,B9CX G /NE
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I hereby certify that this is a true and correct representalion oF a tracl o( land as shown
and deacribed nereoo, As prepared hy rne on tliis L:? Jay oi JvNE ?ig 2e-) _
/??7? X/9""*°" Minn, Reg. No. I o085 _
?. • "' . - ^'•,`"7„ fiXTERIOR ENVE7AP& AVSRAGS "U^ COMPUTATION ' -
, • (TO be submitted with buildinq permiC application)
One or two family dwelling `? Owner.'
All'other
Site Addresa
1
Contractor HL?u R C f9niS 1" Date ' Phone
LINEAL FT. OF .., sxeOSED wALL + + + + + + + + above grade = ?.R?G,• lin. ft.
• - - - - - - -
TOTAL E]POSED WALL AREF?
OPAQUB WALL COIvSTRUCTiON: "U" value x area .
"U" x sq. ft. _ (U) (A)
1601
^U^'Oqt"x sq. ft. 7 ,&- = L9,6'/ (U) (A)
Detail reference p L "U"yfj44 x
hmn sq, ft. 23ZtJ, LL/ ° 1t92.0 y (U) (A)
from ' "U" # Z-x sq. ft. 912 = r Z (U) (A)
attached sheets "U" j x sq. ft. JzU,GG (U), (A)
"U" x sq. ft. _ (U) (A)
' "U" x sq. ft. _ (U) (A)
WINDOWS: "U". value x area ?
Make 6 type x sq, ft. _ (U) (A)
^' " 1IU"1,fS` x sq. ft.qZg', 71= t3?'.9(] (U) (A)
"U" x sq. ft. _ (U) (A)
n n , 11Un x sq. ft. _ (U) (A)
DOORS: "U" value x area
Makfl & typa "U" x sq. ft. (U) (A)
e n nUn j7 X SQ. £t. 37•7? ° Z(i`? (U) (A)
n w nU^ X SQ. ft. ° (U) (A)
" " . TUTAIS
75'12L2 Sq. ft.
'j'1q„37 (U) (A)
TOTAL (U) (A) VALUfiS s79• ?1 = ' ? ? . .
DIVIDED BY TOTAL WALL AREA 35I L rGL .
AVG. ^U" . . . .
,: al I?vg. "U" .Value, Stata Oode
AOOF/CBILING:
mrrw Axaa: 1 yZZ,eo sq. ft.
Detail reference "U" x sq.
from 01s5 ;V<"U",OL x sq.
attached sheets. x sq.
Descxibe openings x sq.
in roof "U" x sq.
TOTAL (U)(A) VALUSS
DIVIDED SY TOTAL ROOF/
CEILING AREA
ft. _ (U) (A)
ft Rf,/ (i
(U)
(A)
ft.?= 13.Y0 (U) (A)
ft. _ (U) (A)
ft. _ (U) (A)'
TOTALS )? T-Z,OU Sq. ft. lS U (U (A)
ly? avc. °v^ •
.M6AVg. "U" Value,
.lO,Avg. "U" Value,
MINNESOTA ENERGY CODE MAXIMUM
BT[J LOS3 THIS BUILDING
THIS BUI
BTU LOSS
&S/ 2 L ?_. SQ: FT. OPAQUS WALL @ 4 . ° ?o - 3 ' t
)4?.2,U 0 SQ. FT. CEILING @ol6=_s
SQ. Fr. UNVENT CLG. @,10 = HOME DESIGN
. TOTAL BTU LOSS/HR./SQ. FT.I " ' ' . ' .. , .
. DEGREE OP TEMP DIFFERENTIAL = ? ?, . Z- , . & ` ; •.
PLAN SERVICE
. ? - ,. .
.. ? • ' ,i ' _.
---- ---- -
- -- --- - ._----
Stata Oode, Vented
State Code, Unvented
WALL SECT7.ON5
-NOTEs Use 108 of opaque wall area for
! frame rnnstruction ?-?--ry ------ %T11- ---0
AASIC
gALL
FIG. #1 T6PWIEVI OF
FRqld3 P+ALL
I .,Ulf n 1
R
Construction
1. Interior
2.
3. sLinc
4.
5.
6. Exterior
1.
2.
3.
4.
5.
6.
FIG. # 2
11
Periphera
Floor all
VlALL
1.
2.
3.
4.
5.
6.
• 2
0.17
0.68
0.17
0.66
0.17
o,:o'',?;o; 'lull = 1 ZlU" = 1 ° ,
' i z3•?q
:.:
o .o•.
2
' 1.
Interior air
film
0.68 0:68
.•?',e:-e. Z
,. ;a hZ$
? • :',.?0 4. '
' ::p'. • DE
•
. ., e ? ? ? S.
il
17 0
17 "
0
,
? ?(? ; 6. Exterior air f
m .
.
?° ' = I-(TT• Total 3
nUn v 1 ?,?lf nUn ? 1 ?
SLAB ON GRADE
.O ,.'. _
e • ij > ? ?.•e? III ?RAL
O _
? e ? `? • - ??? ??
' ,v? ?•s ? ?II - __-.
FIG. #
' u • '
D ' . •e . . •YJ
• •?^ ? • . a.' ; p 4 ' ?
• • `. •
? ?K_ . • - -• . ' .. ??.
.• . ?
'
' ? " • '
- • . o:
N . ,
J ? .
. . . ? . . .: . ' ?
•' • • u
• • ' d .
•
? {
° ' • ? • ?
. . ? .
. ? . p . .
o a
. . `. ,` .
, ? . •
O
NOTE: indicate type, "R" value, depth and .
placement of insulation. ".
..- . ..ti? ..
`S ..
R-Value R-Value
0.68 0.68
?? n ? 1 = Oys??ti,? = 1 =
nUn = i d.???U?? e 1 e
L2-?C.
.? .
% ROOF/CEILING
i
r'
VF.NT
Vented
Li Heat Flow Up
4 ?
FIG. ?? 15 C'r?
FIG. # 16
1?
1
nUn ? ?
1
nUn ? v
I
.• .
l. Inside air film 0.61 0.61
2.
3. ,
4.
5. Outside air Eilm 0.17 0.17
Zbtal
1 1
nUn m ? nUn e
FI(3. # 8
NOTE: Use additional sheets if more space is
needed for details and caloulations.
-------- - -- ; _____ .--?.
`N --
? . :.,
?<<• ?a..
nUn c R
3
Construction R-Value R-Value
1
. Interior air film 0.61 0.61
z
. - s. ?sZ0
3. LtlL) 1J /uS?JG SuI.O'V
4. Exterior air film (st'll) 0.61 0.61
Total
1 - If un 0 1 ?
OUll
° ;iT7 , 0 LI
l. Interior air film 0.61 0.61 '
2.
3. Cord Depth 3 (?'i f38
4.
? 5. Exterior air film (still) 0.61 0.61
Total Gr!
?
2 ,
,lU,l
.
1. Interior air film 0.61 0.61
2.
3.
4. Exterior air film (still) 0.61 0.61
- 7bta1
U Heat Flow Up Vented
FIG. # 7
I39nc u
Flow Up
?;'•
i
?
Window Areas, Door Lite Insulated Glass Area, Special Insulated Glass Areas
NOTE: Unit Quantity=Numher of units in group Sgl=1, mul1=2, etc.
QTY
?
?
?
Z
?
?
?
?
?
DESCRIPTION
UNZT TY SQ ET/UNIT
T ,?
?n "id, Oo
.o Z ? g
3 fd.vo
? 9117
il, oo
Entry Doors
Doors With Insulated Glass Figure Glass Area With Windows •
Entry Units With Side Lites List Side Lite Only Separately-DOUble Door Equals 2 x Single
QTY DESCRIPTION
UNIT TY SQ.FT/UNIT TOTAL SQ FT
•• ?U?J''J
TOTAL SQ FT
TOTAL WINDOW SQUARE FEET ZG?i,`?U
"U" Rated @ Side Lites
QTY DESCRIPTION
TOTAL DOOR SQUARE FEET F, 7• 7 /
Door "U" Ratinq , 'Sy
SQ FT/UNIT TOTAL SQ FT
/.Ac/ / Z ?D,a
Side Lite "U"
Rated
TOTAL SQUARE FEET 12?,7d 0r7__
Patio Doors
QTY DESCRIPTION
? bi_c.g PAno Dn.
? 9 1, 0 _ rp.iui?l Qn
"U" Rated
I 4alwr A-rfiivin iJ2 ,
UNIT QTY SQ FT/UNIT TOTAL SQ FT
53,3 3
/.OUO
TOTAL PATIO DOOR SQiIARE FEET 1 C3.3 3
d
.. . , _ .c?- - ---- - ---
R
. : • . . ?
I ,
??,?3.... ?`.i _ ?•.g1:: '? . . _ . . . ., . . . _ . . ._.._•?-_ . ?T ' . i, t7 ?Y
?i . . , g.'..
..1.1[?r1E 5
, . - -- -- ----^ .
/'.' "?'• WALL AND CEILING AREA COMPUTATIONS
•'PLAW.SERVtCIC
7b Figure Stud Wall Area
31LZ,)1,/
Standard stud wall incl. plate=1('J? sq, ft./lin. ft. x_ZE?_lin. ft. wa11=- ..sq. ft. wall
Knee stud wall incl. plates= ' sq. ft./lin. ft, x lin. ft. wall=,•.'sq. ft, wall
Other stud wall incl, plates= sq. ft./lin. ft. x lin, ft, wall= sq. ft. wall
Other stud wall incl. plates= sq. ft./lin, ft. x lin. ft, wall= sq. ft. aall
' TOTAL z 7 d
Stud And Plate Area
Total sq. ft. stud wall area including knee wall area =,3 Z2,7 sq. ft.
108 total stud wall area3 z,7y =?];-? sq. ft. stud and plate. This percent allowed by state.
Rim Joist
sq, ft./lin. ft. rim joist = 2-913zsq. ft. rim joist
Lin. ft. rim joist ?31L x ,U
Lin. ft, rim joist _
x sq. ft./lin, ft, rim joist = sq. ft. rim joist
Lin. ft, rim joist x sq, ft./lin. ft. rim joist = sq, ft. rim joist
Exposed Basement Block
Inches above 9rade x.0833
A lin. ft. wall =?/_U,G Q s4.
x1&q6 ft, block
Inches above grade _
x.0833 _
x lin. ft. wall = sq. ft. block
Inches above grade x.0833 x lin. ft, wall = sq. ft. bloclt
Inches above qrade x.0833 x lin, ft. wall = sq. ft. block
Znches above qrade x..0833 x lin. ft. wall = aq. ft. block
inches above grade x.0833 x lin. ft. wall = sq. ft. block
Inches above grade x.0833 x lin. ft. wall = sq, ft. block
Net Wall Areas
Total stud wall area IL2L.N Basement block area /21J,GU.
Less windows 2'?5;4O ` Plus area well
Less doors 371-ti Less windows
Less patio doors 1513 3 Less doora --"'"
Less stud and plate 31Z.00 Less fireplace
Less fireplace 7J4,vo TOTAL BASEMENT BIACK AREA /.2U.(0 d
TOTAL , 2,U 2
Ceiling .7oist or Cord
Number of cords or joists x length =11_ total lin. ft, x.125 = ' sq. ft.
Number of cords or joists x? length = LS?r total lin. ft, x.125 = • sq. ft.
Nwnber of cords or joists xI f length = total lin. ft. x.125 = sq. ft.
IZ ?,) 3u ? ?Gtd X?i2 S= 93.7S'
, Ceiling Area ,
Ceiling width x ceiling length = "sq, ft. ceilinq
Ceiling,width ? x ceiling length = sq. ft, ceiling
Sq. ft. ceiling 1lEZZ,%60 less sq. ft, cord /193.7s = 3 3•7- • 6q. ft. insulated ceiling
Sq, ft. ceiling lesa sq, ft, cord = sq. ft. insulated ceilinq
' FIREPLACE
?
Opening width
(,p '• x opening height 00
sq. ft. fireplace,, +', ?,. ?.
•
_
4
i 7
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Use BLUE or BLACK Ink
-------------------�
� For Office Use �
�# � � � ���� I
��#� �� ����� I Permit#: �
� �� I
� � Permit Fee: �� �
3830 Pilot Knob Road � I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � I
Fax: (651)675-5694 � Staff: �
�——————————————————I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
ri �
Date: G� T l i' � Site Address: y�� �� �'`�'� R��� ��" Unit#:
�°� �,,�r.��� ,��, „w,�.,,,����, �.�.v�.�.,. ,..�,..�..��,�,.�� .��,. .�..�,��», �
�/ / (_ i, �
� Name �� �` 1`"1t.M �` ��:�-�"7 G�-l�- Phone: r
� ���1C1�1Y� � /�,��,, ,'.�,..� ) '
� QWCt�t' � Address/City/Zip: ����� t�,.-.it-��!""',�,.,�.�� C..G�i,.�... �
� ,
, _ _
�F�i� = Applicant is: Owner Contractor
� ��»»»,����».�»,,,,,,,wr.r��.�,.�.�_��,. � ��..� a����w�w� ���,�,��»,��„�r.�� �
� � Descri tion of work: G> � �" E
�T�r��of W�rk � p
�b r � �
� " Construction Cost ��Fr�� Multi-Family Building:(Yes /No�)
g � .. .,..,�,,,r�,,,,,,�.�»,;.., �—.,���,.�.���»�» , .....�� ... __ g� — �,.a�,�....�
� _ ;������ Company: � �- �.�-��.5 � � �� ') Contact: ��1f1� J �'�-'��-"�
��. �. -� ---r �
��� '�t--I�°'�� � ��..�C ' � t�l_ . �'llc�--�i�.��:�'.�,,.
�`►OI�,��`$C�t�C, � Address: � ��-� City:
1 !�1 °
� State�• Zip:���� Phone:"��)��.� Email:���`,7k:i�(l+�t�.,l�=��'��"� `�
�
� *� v��,�y ��License#: ��z"�2'�� Lead Certificate#: � �"� " ������� � '
� U..�.�.er ,.�..�... ..0 ..�.� ��.��.�.�w.�.�H=..=H,..�.....�.a� _�.,���..�..�n.� .. �
f the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
, 4
� �'��''"1�;,. ��t�l (� lTf1 � 1C11 '� �
� �� 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? �
i� Yes _No If yes,date and address of master plan: ;
� Licensed Plumber: � Phone: �
! �
� Mechanical Contractor: Phone: �
�
� Sewer&Water Contractor. Phone: �
� .
c ..�,..,,""'".�
s:: � i '
v,.,�.b..,.,�»�,»»,. ..��«:::«�.u...«,.«�,.. ..
� :�t7TE Pfans a�d�rY�tpvr�ing doi�umer�fs that you subma�'����grr�td�ra����s be pu�l1 �»farrn�t����� c�r�s of .;
� ,�t�h�r ir�forrna€ri�n trf���,��l,�ssr�ed as norr public�fyflcr p�f���s�ecrfic�`�asc►ns#ha���a�rid perri� Cft�to ;�
, .�y� �fj �` �yj �y yp �r.� �i�y
„ y�
' `,_�yt1 a�// / Y��Li��Y'��G�.{�Tn��(5�!G�.��!{—i����
d.'�/ � ' ��. "� / .,,.. �' � �'., , ww ...�.o.�
.'� ''� ,.,i i..l x .. 't". ...,. '� ..'.
CALL BEFORE YOU DIG. Call Gopher State One Call at(657)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. wu�w.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 State Building Code must be completed within 180
days of permit issuance. �
X L� �}� ��.1+ `.....
.-��1�"�t"...- C7`�.�.-��r'^1 X '►,-�u..�.. \
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139130
Date Issued:10/11/2016
Permit Category:ePermit
Site Address: 3753 Bayberry Lane
Lot:6 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Daniel J Kenefick
3753 Bayberry Lane
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139628
Date Issued:11/01/2016
Permit Category:ePermit
Site Address: 3753 Bayberry Lane
Lot:6 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel J Kenefick
3753 Bayberry Lane
Eagan MN 55123
(651) 470-6486
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
®4: nC c, ®g �•� For Office Use
LG.4 Pemit#: ' /q 7 d 6 0Permit Fee: /`i'/• 3 I�--i[ h1�J Date Received: /a.—le ^//
3830 Pilot Knob Road I Eagan MN 55122 Staff:
Phone:(651)675-5675 (Fax:(651)675-5694
buildinoinspectionsCa7cityofeagan.com / '` (9-1,0q0
2017 RESIDENTIAL BUILDING PERMIT APPLICATION - ,0)
r
Date: 12 .G-111 Site Address: tf, .4 A'/LA 0-_.-1_-' . Unit#: !f_7 _/7
Name: 10-4 mac—fiC. k Phone: K1 1.4`1ka
Resident/
Th
Owner Address/City/Zip: .7._,,--
7� 3 ! i"z ri't Laj -e.
Applicant is: Owner l/.
Contractor �J
• eE,,gS7 3k.L.
Type of Work Description of work: ' P I �/ a . O( rS :. a
Construction Cost: / /nO i Multi-Family Building:(Yes /No )
Company: Kira IN JC-(T1VZC).s Contact: ATOLL.)
Contractor Address: 6P1bb r3L(ztLah hrC PC((C��q I City: (6 '1
State:1 Zip ) tp Phone: &?t 10621 mail: 6nii.f V1 U►6$r(.4y;
License#: "X;.613 J�-7 Lead Certificate#: #61-74,,53j --•
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 OM*information maybe
classified as nonpublic if you provide specific reasons that would permit the Cit*to conclude that they are imide secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.comfsubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at M51)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.000herstateonecail.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 wi the work be in
accordance with th . ... .Ian in the a of work which requires a review and approval of
Applicant's Printed Name App!Ca •ignature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE 11704
SUB TYPES .32 )
3? ) t3ctl .b€'�y Is -
-
�
Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage — Porch(4-Season) Exterior Alteration(Multi)
—
Multi )Q Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex — Lower Level _ Pool _ Accessory Building
WORK TYPES
— New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition
— Move Building _ Reroof _ Demolish Interior
Alteration — Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wail *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 3,2-c3c. — Occupancy `1 g c- I MCES System
Plan Review Code Edition Vhf 20 /5SAC Units
(25%_ 100% ?4) Zoning R – 1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 112::. Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) _ >p Final/No C.O. Required
— Foundation HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water Final Pool:_Footings Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In Air Test Final Siding: Stucco Lath _Stone Lath ,__Brick
Insulation Windows
_ Sheathing Retaining Wall:_Footings Backfill_Final
_ Sheetrock Radon Control
_ Fire Walls Fire Suppression:_Rough In_Final
_ Braced Walls Erosion Control
Other:
eviewed By: 1-6/yl Ni/4.I y,d-- , Building Inspector
ESIDENTIAL FEES
Base Fee D .6)c_ __ 2 U oL ken iZ p&l ck
Surcharge
Plan Review / 5 ?C
f
MCES SAC (,
City SAC X
/C^_ 5�j , F.T.-
Utility Connection Charge !
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
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