No preview available
 /
     
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 l?. 3.r y? t?F, z s-° lyo8.3 )/?s -- ?Js35,s -2 N ? /OgO l/r Z ? z? .1-- ? S2z / z d- 2 Z - 2-?-L k3?-I' -- 13 m _ s?j>2z, o0 i1sya ??0 (c, o ? ?a ?/?,so 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$EMENT- 892,83 = FINISI-IEU (UARAUE PLOOR ELEVATION 885.1 "L - BpSEMENT FLOOR ELEVATION 893. )(- = TOP OF BLOCK ELEVATION . / I5 00 ??a$a 0> I ttct gK•? \ ???„31 ,Z.? ? 6 c ?6 - s.. ?,oa , 0 6p •° ?• ? z2 3 ? w a % 2 E A G AIA 2 'REV16VdED ? N ? 90 ,aTE. 30' FRONT BU/LD/NG (s??,¢) ?? SET,B9CX G /NE x ?N i tl? m ti ? N ? o ? N \ ? . w l 2.14 34 L Z ? ?y ? 1 I5 ° is9_o, p, , 9 ? RR?I `--•??- ? AV&--- ';'NGl't?,'EERTTdG DEPT+ 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 v      öðö         ÿþþ  ýüûüú     ùþþ ïî ï í üî   óù ÞÞ   ÿþö  ÿþýüûúùõù ùüûúàæ  ùúùõù Ýþ  ù ùù úùëùñþùë  îþýùâ ùù  ÿ ù   úù éãç  þ ôôãô ÿìù ÞúúùôÞîÿ Üã â åèèô õù  ÿþùî ùðêåèèã  ô ó ö òñ úú  ìùø ÷ù Ûäì ÞúúùôÞîÿ óÞó ûýùùû  ÿþã  âàãó úú ûâàãô éãçôó îùýû æî  î íù î  úú    î îìùë  ùù  ùëúûæî  úú ýÿ  ìâ  ÿ þ  õûì  ïù  è úú ß þûÿ þù          ï  ÿ ÿÿ  þýýüü     ûÿÿ òðþò è áûì øö ÝÝá   ÿø  þýüûúù  ø÷öòöýûúù  øöûúù ø÷öõ ÷ ù ô   öùóý ò ýò ññîýùú ð  þïýö   ôùöí ô ì ìô ö ïýö ô   öü öôë ê ö ù  ÿêöêöô   ÿ ù ëòêöêù ê öë òöüôé   öö ö ïýö üú  êôúìô ë   çñæçëëñ ÷û  þýöìö  èýçñæçëåëå èýñÿë  öþõüþ ø úô ùù óô  ùóô þ öí  Úæ  ê ááä  ìí ëõÝúü ööú Þ è úäõñÝ  äõ âÝáàñá ì ö üú  ì ìí ö ìùù ìì êöôöö  ö ôùúìùùü þ  êä þý òúê  îö ë ùù÷ ý úþ ýö 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 Page 2 of 3