535 Chapel Lane? cirY oF EAGaN
3795 PiloF Knob Road Eagan, MN 55122 M! 6723
PHONE: 454-8 f 00
BUILDING PERMIT Receipt # --
To be ured for Est. Value Dote , 19
Site Address Erect 0 Occupancy
Lot Block Sec/Sub. Alter ? Zoning
Percel # Repair p Fire Zone
E
l T
f C
t
orge
n ? ype o
ons
.
Nome Move ? # Stories
W
Z
0 Address 1 Demolish ? Front ft.
Ci p}bne Grade ? Depth ft.
?o Name
?? Address .
?
F- r?.., • oL..--
Nome _
Address
I hereby ucknowledge thot I hare read this application and state that
the information is correct ond agree to comply with all opplicable
Stote of Minnesota Stotutes and Ciry of Eagan Ordinances.
Assessment _
Woter & Sew.
Police
Fire
Eng.
Planner
Caunci I
Bldg. Off. -
APC
Fees
Perrnit
Surcharge -
Plan check -
SAC
Water Conn. _
Water Meter -
Road Unit -
Total -
Signature of Permittee ?
A Building Permit is issued to: on the express condition that
oll work shall be done in acrnrdance with oll applicable Stute of Minnesotc Statutes ond City of Eagan Ordinonces.
Building Official
PMntf # paN bnad parniKw
Plumbing
Mechonlcol
INSPECTIONS DATE INSP. RapMln Finol
Footings -g/ Data Irnp. Date Insp.
Foundution Plumbing
Frome/ins. i
Mechnnicol
Final - % ?
Remorks:
CITY OF EAGAN Remarks
Addition B11Y'Y'V1eFT Lot 4 Blk 1 Parcel 10 156 00 040 00
Owner to'k street 535 Ghapel Lane 5tace Eagan., MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, ?. 1974 1 00.00 130.00 10 _•
STR EET RESTOR.
GRADING
SAN SEW TRUNK ' 1970 125.00 5.00 25 Pazd
SEWER LATERAL 1972 221 . Q 1 10. 20
WATERMAIN
WATER LATERAL 1972 20
WATER AREA 4
1977
160.00
10.66
15
STORM 5EW TRK 1984 561 . 00 37.40 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
I
crrr oF EAcaN
N? 6 7 2 3
.. 1 3793 Pilet Knob Roed Eagen, MN 35122
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt # 3-3
To be oaed for GARAGE Est. Value 3200 Doce TimP 1Z, 19-s1_
Site Address 5.35 Chnpel IxnP Erect [A Occupancy R3
Lot 4 Block 1 1 Sec/Sub. BurrvieW ACI'E8 Alter ? Zoning RI
Porcel # l(1 l Fi? Oo 040 Ol RePOir ? FireZone NA _
E
i T
f C
t
v
n
arge ? ype o
ons
.
rc Name Dovglas W3tt Move ? # Stories
3 Address 535 .()bRpgl Ly=y Demolish ? Front 72 ft.
0
Ci Phone 454-4692
Gmde ?
Depth 24fr.
p Name St ? ApProwls Fees
o p,a?
Address?{?, 2955 Co. Road A
+W/
F r:... i8•
Name _
Address
I hereby ocknowledge that I have read rhis aDPlicotion ond stote that
the informotion fs correct and agree to comply with alI applicable
SMte of Minnesota Statutes and City of Eagan Ordinanus.
Signature of Permittee
A Building Permit is issued to: S
all work sholl be done in acwrdance
Assessment -
Water & Sew.
Police -
Fire
Eng.
Planner -
Council -
BId9. Off. -
APC
Pertnit 16, W
$urcharge 2•50
Plon check
SAC
Water Conn.
Water Meter
Road Unit
Totol $20.50
LL on the express conditfon Hwt
of Minnesoto Statutes and City of Eagan Ordirwnces.
Building Official
1 ?
?-
.,
CITY OF EAGAN
BUIIAING PEFtMiT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
'Ib Be Used For (p Am A(/ u- Valuation agi-iq Date 4"' Z 7 i dl
site Paaress: 53 6'- GR"sl. l.?#& p e
Lot ? Block.5 I Sec./Sub. Erect
Parcel #: 4Q?V RRV?B? i?-??Cil31 ?ter
i? Repair
Owner: ?I?o V Q ?1lrS 'W' 1`"C Enlarge
Nbve
Address: 5'? t,/<JlJ&, Demolish
City/Zip Code: WWqjvjft , 1CGOI'Z I Grade
OFFICE USE dDII,Y
occupancy 3
Zoning
Fire Zone
'Iype of Const.
# Stories
Front _ ??? ft.
Depth ?? ft.
Phone #: 44 %.7 - % q Z. APPFiOVAIS FEES
Contractor: J Q rat s ?
Pddress: Z SS . o ? 12..) 44
city/Zip Code: S .
Phone #: .
Arch•/EYng• :
Pddress:
City/Zip Code:
Phone #:
Assessnents Pexmit
Water/Sewer Surcharge
Police Plan CheckT-
Fire SAC
En3 •
Planner
Council
Bldg. Off.?
APC ?
?b
Water Conn.
Water Meter
Road Unit
1C)'PAL d
e n IS D
EAGAN TO\!VN S H I P
BUILDING PERMIT
N° 822
Eagan Township
Town Hall
Dale lt?fJ.?.'__> ...............
SYories
- Ta Be Used For
----- - Fron! Depih Heighi EsY. Cosi ermi! Fee Remazks
?.? o7-C3 1s?'V ???- /0 /
LOCATION
SlzeeS, Road ox o3her Descripiion of Loeafion Lo! Block Addiiion or Trac!
This permii does noi aulhorize the use of streels, roads, elleps or sidewalks nor does ii give the owner or his agenf
the righlfo create any siYuation which is a nuisanee or whiah presenis a haaard Yo the healfh, safely, convenienee and
general welfase !o anyone in the communiYp.
THIS PERMIT MUST BE KEPT 0- ? ?N? 'T$T?pREMISE WHILE THE WOAK IS IN PAOGRESS.
This is So ceslify' 7hal._:7 n.. / .z ----- .. ? ......_.has Pesmission fo erect a....... . ... . ...................... .upon
`.,.c ._._._._.___.""_._.. _ "'..._ ...._..'___
the above described premise subjec2 So the prOVisions of the 8uilding Ordinance for agan T nship adopled April 11,
1955. f ? /? ? ?
........_...._........ ..:.
.."""__-------- '------------ ? ... Per ?'C
._-------------- ..'__... __...__.....?___ Su____9 ""'_'p._....ector""'_.'___'_.___._.'..
Cheirman of Tnwn Board ildin Ins
EAGAN TOWNSHI P
BIJIIoDING PERMIT Ownex ------- ?f-----A__:f-'-=--""-.-"- -- -.-_..X4 ---------??------.. ..
f ]s . . ..
Address (present)
---- .'-...---------"- -- ----'
Builder ----------- '^?77i_---------------------------------- ....................... ---
Address
DESCRIPTION
N° 795
Eagan Township
Town Hall
?fC7 1(7
?.
Dale .°---------..................
5lories To Be Used For Froni Depih Heighf Esi. Cos! Permii Fee Remarks
.-Z'/ ga?
!/ ,% LOCATION ? V
SSreeT. Aoad or olher DescrEpfion of Location I Lo! I P•lock I Adtl93ton or iraci
This pesmit dces not auYhocise the use of s3reeYs, roads, alleps or sidewalks nor does it give the owaer or his ageni
the righY !o creafe any sifuafioa which is a nuisanee or which presenis a hazard !o ihe healfh, eafefy, convenience and
general welfare io anyone in She communiiy.
THIS PERMIT MUST BE ?Kyg7PT ON THE PREMISE WHILE TI-YE WORK IS IN PAOGRE5S. ,
This is fo cerlify. !hal-----(CllE.-:-'-?--------------------------- has permission fo eteci a- -- ----.---'---'-- -t?!'-upon
the above deseribed premise subjeci fo the provis9ons of the Building Ordinance for E an Tcwnshi adop epril 11.
1855.
------------------ ....'_.__._._..-------------------------- Per --------------------------------- ....... - _.
Chairman of T?v?ys Board Building InspecYOr ?
d ? Gt x?
Gja3S
' 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements RemodeVReoair Reauiremenfs Office Use OnN
3 registe2d site surveys shovdng sq. iL ot lot, sq. R of house; anA all mofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20% meximum lot coversge ailowed) 7 set of Energy Calculations for heated add'Nons Tree Pres Plan Rerd _Y _ N.
2 copies of plan shawing beam & window s¢es; poured found design, elc. 1 stte survey tor add?lons & decks Tree Pres Requlred _ Y_ N
7setofEneqyCalalations Add'Non-ind'icatei/on•sdesepticsystem OnaReSeptic5ystem _Y _N
3 copies of Tree Preservatbn Plan If iot platted after 717193
Rim Joisl Detall Options seleclion shcet (buiWiigs wnh 3 or less uniLs)
Date ? 11241 / 05 ConstructionCost r, ooO. Oa
Site Address 53 5 LrtJ Unit/Ste #
Description of Work ? 0e c? -(? J)?lLt?,,,o 6mdf'IT Sw ap
Multi-Family Bldg _ YX N Fireplace(s) Q 0 _ 1 _ 2
PropertyOwner Telephone#(G4/ ) v5y?87o?-
S?
Contractor J
Address -67 City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Calegory 1 Worksheel • New Enargy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Su6miried
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
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.re.quires a review and
approval of plans. ?1 j
? ' Ul
. ?v1AY??,Applicant's Printed Name Applic t's.Signature "`'
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck g 23 Porch (screen/gazebo)
? OS 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
O 06 04plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New
;6 32 Addition
? 33 Alteretion
? 34 Replacement
Valuation
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
_ Footings (new bldg)
_ Footings (deck)
_;K Footings (addition)
Foundation
Drain Tile
Roof Ice& Water Final
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Width
REQUIRED INSPECTIONS
FinaVC.O.
? FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wali
Approved By: L , Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
. . ,
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Att - SF
? 36 Multi Misc.
? 35 Int Improvement O 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish 8uilding` ? 43 Reroof ? 46 Windows/Doors
'Demotltion (Entlre Bldg) - Give PCA handout to applicant
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
O't-.-UT 51-0010
S v X 3D = ((ZD
?3? c?
;si- 4sv -8?0 3?
?8?Y -7
2005 RESIDENTIAL BUILDING PERNII'C APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauirements RemodeVReoair Reaui2ments Offrc;e Use Onlv
3 registe2d site surveys showing sq. R. of lot, sq, ft. of house; and all roofed a2as 2 copies af plan CeR of Survey Recd _ Y_ N
(20%mazimum lot coverage allowed) 1 set of Energy Calculations for heated addilions Tree Pres Plan Recd _Y _ N,
2 copies of plan shovnng beam & window sizes; poured found design, elc. 1 site survey for additlons & decks Tree Pres Required _ Y_ N
1 set of Eneyy Calcula6ons Adddion - irMkete d onsde sepfic system On-site Septic System _ Y_ N
3 copias o( Tree P2servalbn Plan tt lot platted after 711/93
Rim Joist Detad Options selecGon sheet (buildingswiN 3 or less units)
D8t0 ?/
.7 / & nJ
/ os ConstructiooCost SOoa
Site Address S 35 ?? LN Unit/Ste #
C-!9(.'? N /`?.J S-Y / Z I
Description of Work O4602tA[6nE?l w?N90" t/p w 57-07N6r
Multi-Family Bldg _ YN Fireplace(s) 0 _ 1 _ 2
PropertyOwner / UfITC ??yryerr-us/ Telephone#(GS'? ??fS?fJT7u"?
?z )
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel
(4 submissiantype) Submitted Submitted
• Energy Envelope Calculations Submitted
4f ? y, Z-?---
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
Sewer/Water Contractor
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the infotmation 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.
?t-l9N.77EG I??lic/Z,,?c?(.? /.? - .?_ _ ___...___`}
ApplicanYs Printed Name Applicant's Signature "
e '
FROM :ADVRNCED ONSITE
952 758 6278
FRX N0. :952 758-6278
24375 Highview Ave.
Lakeville, MN. 55044
Phone:(952)481-2356
Fax: (952) 985-5828
Fcoax
To: Mike Lece
From: Tom Klanchnik
Sep. 30 2004 01:23PM P1
Fax; (651) 675-5694 1late: September 30, 2004
Phone: (851) 875-5878 Pagec: 5
Re: MPCA Qompliance Inspection Form CC:
O Urgerk 0 For Revlew ? Please Comment O Please Reply ? Please Recycle
•Comments: Hi Mike,
This is the MPGA Compliance form for poug Witt at ?535 Chapel Lane: Eagen,
Mn. 55121. The system is a Failina or Non-Comaliant system due to an issue with
a tank that is a seepage pit. Please call if you have any questions.
7hankslllfllll!
FRDM?:ADVANCED ONSITE FRX N0. :952 758-6278 Sep. 30 2004 01:23PM P2
24375 Highview Ave
Ncw Prague, MN. 58071
Phone (812) 461-2356
Fax (952) 758-6278
Memo
To: Doug Witt
From: 7om Klanchnik
date: 9/30/2004
Re: Septic Complianoe Inspection: 535 Chapel Lane Eagen, Mn.
Hi Doug,
Please find enclosed MPCA compliance inspection infortnation for the above
mentioned location. During the inspection the septic tank was found to be a
Leeching Pit which classifies the system as being non-complying.
Based upon the site evaluation of Septemher 28, 2004 the septic system has been
classified as a non complying system. Information regarding compliance time frames
may be ohtained by contacting the Gity of Eagen at (651) 681-4676.
If you have any questions please feel free to contad me at (952) 461-2356.
1
FROM:ADVANCED ONSITE FRX N0. :952 758-6278 Sep. 30 2004 01:24PM P3
1129/02 Water/Wastewater-IST54.31
? Compliance Inspection Form for Existing
Individual Sewage Treatment Systems Minnesofa Pollution
Control Agancy
WaterTes! I D # 04-09-18W1
Completion of thls form fulfrlis tho minimal requirements o/ Minn. Stat § 115_55 (2001) and Minnasota R. ch. 7080 (1999). Plpase
role??Ml???I?J:? ? e i__ . _ ..
General•
Date of inspectinn: 9-28-04
Property Owner(s) Doug WlTelephone (651 )454•4696?
Person requeating inspecdon
Site Address 535 Chapel Lane_
Fire No./ Parcel No.
Leqal DescHpdon _See address __
Local Regulatory AuthaHty _City of
County _Dakota Township _City of Eagan
Date aystem wnatructed _1963 System In Shoreland Area: yes no Stirsbam in Wellhead
Protection Area: yes no Syatem serving a MDM Ilcensed fadlity: yes no Lacal permit #(if any)
Systems bullt pHor to Aprfl i, 1996 and not lopted in
ShOrel2nd or Wellhead Protection Area or Serving a Food,
8everage or Lodging Establishment Systems located in Shoreland or Wellhead Protectlon
Areas or Serving a Food, eeverage or lodging
Establishment, or systems Built after
March 31 1996
the s ste ' e 'c e I o Is the svstsm an imminent threat to public bqAilb
(a yes answer rs an I7PH5system) or saferi? (a yes answer is an 17FN5 system)
- Disc ge of sewage to the ground surtace? YE NO - Discharge of sewage m the graund surface? YES
- Dischar of sewage to draintile or surface waters? NO - Discharge of sewage to draintile or surface waters? YFS
- Sewage ba up into dwelling? YES NO - Sewage backup into dwelling? YES NO
- Situation w' e potentlal to Immedfately and - Situation with the potentlal to immediately and
adversely impa or threaten public health or
safetY? YES
NO adversely impad w threaben puWlc heafth or
safet
? YES NO
y
I (a yes a r is a farling system) ?s the system falllnq7 (a yes answer Is a falf7ng system)
- Less than 7{NO feet of ve I se tlon between - Less than THREE feet of vertical separation between
system botCOm and satura or bedrock? YFS N4 system hottom and saturated soil or hedrndc? YES NO
- A seepage pit, cesspool, d , r lea[hing piC? YE5 NO - A seepage pK, cesspool, drywell, or leaching pit? 1:5 NO
Ia e - 3s the system non-rnmpliant7
- Is the system regul ed under a mo oring plan or - Is tha system regulated under a monitoring pla or
operating pe
no, go to page 2) YES No operating permit7 ('d no, go to page 2) YES NO
If yes,
7 If yss,
ilred
- Has the reonitofingtaken place? YES NO - Has the required monitoring taken place? YES NO
(lfno, the stem is non-complying) (lfno, the systemis non-comp/ying)
- The onitoring indicate that the system meets - The monitoring indicate that the system meets
rformance expectations? YES No perFOrmance expectations7 YES NO
(lf no, tho system !s non-comAlYin9J (!f no, tfre systsm is non-complyinq)
Telephane ( )
City Eagan Zlp Code 55121_
Reason for Inspection:_Property 7ransfer
Page 1 of 2 wq-wwists4.31
FROM ':RDVANCED ONSITE FRX N0. :952 758-6278 Sep. 30 2004 01:24PM P4
Property Owner(e)_ v V^? FIre No./ Paroel No,
(v/ease descriGe the system components: Leech/ng pff distribut/on box arnd dc+ep trerhes.
What methods were used to make the tleterminstlons for the oompNanee inspaetlqn? (No[e.• No slandaMproooca/ ex/_45?
The foNo+sdng /ist is irot erhaustlve, not in mquentia/ order nor /ndicates wh/oh cpmbinatiohs are neasrary to make a delerminattivn)
WaterHaht tankls}
X Probed tank bottom
? Odserved low liquid level
? Examined const. reoorcls
? Ekamined empty (pumped) Wnk
o Pro6ed outside tdnk for "biack sofl"
? Pressure/vacuum check
CI Other
HvAraulic Functionina
rX Searched for surface outlet
? Perforrrled hydraulk test
>? Searched for seeping In yard
o Checked for back-up in home
u ExcessWe ponding in soil system/D-8oxes
Ne Homeowner testlmony
Q 6camined for surging in tank
? "Black soil" ahove soll sysbem
Vertical5enaration Dlstanrs
? Conducted soil borings
DepTh to Iimiting layer
Depth tA system 6ottom _
U Ecamined records
o LGU Limiting Layer VerifiCation
q Other
S
? Other
Based ott the aompliance crlterla, the system statua is: (check one)Xailing (to protect groundwater) LJ an
imminent threat to pubtic health or safety (ITPHS), 0 non-tompliant (monitoring tssue). O compliant (non-of the 3
prevlous conditlons). Is th(S SyStCm a EPA qasa V InjectEonyY ell7 ? yes C7 no
Tlterefore, this document is a: O Certiflcate of Compliance ?i*otice of Noncompliance
SSJ31ficat19.n
I hereby certify as a slate of Minnesota licensed Inspector and/or Designer I or QuallFled Employee Enspector and/or Qualified Employee
Designer I that I conduded an Investlgatlon that atturately determined the mmpliance status of thES System dnd that my recorded
observatlons are aaurate as of thls date. No determination of fi,ture hydraulic performance has peen nor can be made due to
unknown condidons during system construction, abuse of the system, inadequate mairrcenance, or fucure water usage.
Inspector's name (print)_Thomas Klanchnik Phone_952-758-6278
License and(or Reglstration Number 265 Address 313 Lyndale Ave. North, New Prague, MN. 56071
Employed hy Advan n- e In Address _24375 Highvlew Ave Lakeville, MN. SSOAR
Signature / Date _9-28-04
SlggradeRebuirements (derivedfromMinnesota5wtutes§115.55)
An I7-VH5 meut be upgraded, replaced, w its use dismntinued within ten months ofrecript of this notrce ar within a slwrter perla! /f
required by /aa/ adinance. If the sysfem fails to provide su/ISaent groundwaterpiateaon, then the sysfem must be upgraded,
rep/accd, or 2s use disc»nNnucd wifhin the ti" rcpuired by rule or the /ocal ordirnarnce. 7fan existing system Is not fai/ing as deAned m
law, and /ws at kast twa feet of deslgn soll separatkn, then the syslrm need not be upgradW, repaired, replarea; or i15 usr
discnn(rnued, notwithstanding any /oca/ ortJinance thaf is more strict. This does notapp/y to systems in shore/andareas, we/Ihead
protec'tion areias, or those used in cnnlAectiorr with food, beverage, arM /odging estab/ishments as delnetl in law.
Suggested Attachments
1) Site sketch whith includes the system IocaNon (mandatory). Other ibems could include: well, well setlback to system, dwelling or
other buildings, tank(S),r25erved soil treatment dred, Surtace water and soil boring locatlons. Include as6uiR drawing if available.
2) Sofl boring logs, showing each horizon. Indicate the teuhure, cobr, retloximorphlc features deptlt W bedrock, Stdnding water and
whether the material is fill.
3) A list of any and all requiremeMs of the local ordinance that are different from the state requirements refened tn on thls form.
4) A homeowner survey of system pcrformance, signed by the homeowner as heing factual.
5) MonitOring dafa as appropriaYC.
Page 2 of 2
FROM ':RDVRNCED ONSITE FRX N0. :952 758-6276 Sep. 30 2004 01:24PM PS
S(„AZy$i 1" "'56
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f1.w
S? /0? dMp?w.N ?? ? ????4Kf to Nr?l ?
Ineludl tha 1n0 Mmldh r?d IPIroOMM down A-
e?dUA?+?.Muq?rden?Mnr.C?rdAnttld M :rnn :hc saEl
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^?fit Borlt?? (86t N!: Loeue a,b be[ies an dw ? obew, indiaa on ?.
!}{swta, f4vcturG Col?, dr?Ptb Of e?eh dl?hlret 10i1 tYA?• ?`'1?1? of tpoN+? ?, hr;tr rc• n d s?anr.tn g ?vater.
?i?a'?adieue [f the mACadal is Sll. ?
? 9R r • 8R +? p a..._,
F1
odlo
--?---
1
mCAA ?0M1?1?'r'R?10. S/A?1 R ? ? _?.....
„ _ . 1?..cL
QC?(ON ABn?"
?,..,_ . .. u ? wA7? oR MDIi
2005 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.
L. . /1J'
Date
Site Street Address Unit #
Property Owner ,A- -p F/ yn Telephone # ( f ? )) ?3 ( ' 1.'? ? ?l
Contractor ?P? a1-P Y Q5f4.--Qr Telephone #('16'?s) `753
Address ??{7C7 1 ?-P. City C--?aOm r State_ 2ip ?L
The Applicant is: _ Owner ontractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
-Water Turnaround (add $125.00 if a 5l8" meter is required)
? ?5
d J
other. •
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
DEC ' 2004
Total ? $ 1'-75,5
IBV I
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.
f1; ke 6Ci rnrri, 7k_?_
AppiicanYs Printed Name Applicant's Signature
Alma-
' city oF eagan
PAT GEAGAN
Mayor
PEGGY CARLSON
CYNDEE FIELDS
MIKE MAGUIRE
MEG 7llLEY
Council Members
THOMAS HEDGES
Ciry Administrator
Municipal Cenrer.
3830 Pilor Knob Road
Eagan, MN 55122-1897
Phone:651.C75.5000
Fxs: 651.675.5012
TDD: 651.454.8535
Main[enmce Faciliry:
3501 Coachman Poinc
Fagan, MN 55122
Phone: 651.675.5300
Fix: 651.675.5360
TDD: 651.454.8535
wwryv.cityofeagan.com
THE LONE OAK TREE
The symbol oFsaengch
and growth in ouc
communiry
October 1. 2004
DOUG WITT
535 CHAPEL LANE
EAGAN MN 55121
RE: COMPLIANCE INSPECTION
DearMr. Witt:
The City has received information that the individual sewage treatment system at the
aforementioned property has been classified as a failed system as defined by MN Rules, Chapter
7080.0020, Subp. 16b attd City Code Section 4.04.
A failed system occurs when
L There is insufficient vertical separation from the bottom of the drain field to the high water
table or bedrock.
2. A hottomless or leaking septic tank is present
3. There is discharge from a cesspool, drywell, or seepage pit.
Failed svstems must be repaired, or replaced, within 180 davs of this notice. If at any time the
system backs up or discharges above grade, corrective action should be completed within 30
days.
Minnesota Pollution Control Agency licensed conYractors must complete all repairs or
reptacement of Individual Sewage Treatment Systems. The Ciry has a list of septic designers and
installers in Dakota County available for your use. A permit is required before corrective work
on the system begins.
Your attention to this matter is required to protect the health of your family and the community.
Only a properly designed and operating system can treat the effluent to reduce harmful bacterial
and other contaminants.
If you should have any questions, please contacY me at 651-675-5676. Thank you for your
cooperation.
Sincere]y,
Mike Lence
SeniorInspector
ML/ld
cc: Dale Schoeppner, Chief Building Official
? H
c.?431r?'
? Council Minutes
June 15, 1981
Mr. Stuke stated that he would not allow anyone in the center under 19 unac-
companied by a parent or guardian. Mr. Parranto stated that he would vote no
on the 3.2 beer license and there was considerable discussion concerning the
application for the 3.2 beer license. There were concerns by Councilmembe.^s
that it would not be economically viable to operate a pool hall and recreation
center aithout minors allowed and further that serving 3.2 beer would be quite
difficult. Parranto moved to deny the application for conditional use permit
for 3.2 beer on the premises, Wachter seconderd the motion. Those in favor
were Wachter and Parranto. Those against were Smith and Egan. Blomquist
abstained.
Smith then moved to approve the conditional use perait for 3.2 beer
license xith annual review of the conditional use permit at the time of
renewal of the 3.2 license and further that no one under 19 would be admitted
to the property without being accompanied by a par,ent or guardian. Egan
seconded the motion. Those in favor were Smith and Egan. Those against were
Wachter, Parranto and Blomquist. There was no action on the amuseaent device
application.
?- -
rDQI1GLA.S_E._.YIIZ_GARAG83dRIANCB;
Mr. Douglas Witt appeared on behalf of his application for variance in
order to build a garage within the 30-foot setback requirements on11:Q1-4__ an
f"?res?,at 9J5_G:rapel-L-ane. The Planning Commission recommended aoproval
subject to certain conditions. There were no objections. Smith moved,
Wachter secoaded the motion to approve the application sub,ject to the Pollow-
ing condiLions:
1. Access to the new structure will be provided by the existing driveway
off of Chapel Lane.
2. The City will retain all existing drainage and utility easemente.
3• A11 other City ordinances will be complied with.
All members voted in favor.
VIH%LEA/JACRSON dDDITZON PRE[.Il1INdRY PLAT
The applica*_ion of Richard Ninkler for preliminary plat approval of the
Winkler/Jackson Addit:on was next considered by the Council. Mr. Winkler was
present and:^ayor Bloaquiat stated that a meeting will be held betueen the
Eagan and gurr.sville City Administrators on the following Friday concernir.g
the Slater's Road extension into Burnsville. Wachter moved, Egan seconded the
motion to continue the application for preliminary plat approval until the
next regula.^ City Council meeting. All voted in favor except Parranto Who
voted no.
A petition had been received from Mr. Winkler for a feasibility study for
streets and utilities. Smith moved, E3an seconded the motion to accept the
petition and authorize the feasibility study as requested with the under-
standing that the cost will be paid by the petitioner. All voted in favo^.
8
RESIDENTIAL
BUItDiNC PERMIT APPLICATlON
CITY OF EAGAN
? 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reuuiremants
. 3 registerea site surveys showinq sq. A. of !o[, sq, ft. of house; and all rwfeG areas
(20°6 mauimum lot coverage allcwed)
• 2 cocies of plan showuig beam d window sizes; poured found design, etc.)
• 1 ;et of Energy Calculations
• 3 copies of Tree Preservation Plan if lot Flatted aRer 711193
• Rim Joist OeWil Cptions selectian sheet (hldgs wifh 3 or less un85)
DAiE
/
RemodeURevair Reuuiremants
• 2 coFies oi,tan
. 1 set of Enzny CalculaEOns for heated additions
• 1 site scrvzy `cr zxtedor acditions 8 decks
. Indicale / home served by septre system ror additicns
VALUATION !? O.Sn
SIiEADDRESS 5 3-5 MULTI-FAMILYBLDG Y v N
TYPE OF WORK ?(?• FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS
TELEPHONE #
CITY d??STATE ./ZIP ?`?
CELL PHONE # 6/? d83?ydSS FAX #
PROPERTYOWNER I OGCt .t I'? TELEPHONE# ?(-yS1- Y6f'6
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9orY _ N[[\VISO"C:A RULES 7670 C_A"!'L:GOKY l MIV"NGSO`f'_t RI'I.ES irfi`?
(v submission type) . Residential Ventilafion Category 1 Worksheet Submitted • New Energy Code Worksheet SubmitteC
• Energy Envelope Calculations Submitted
Plumbing Contraetor: Phone
Plumbina system includes: Water Softener Iawn Sprinkler Pce: S90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor:
Mcchanic>il scstctn includcs:
Sewer/Water Contraetor:
Phone #
Phone #
Pcr. SiO.O0
----------------------------°--°-°-----°-----------------------•-----------•-----------------•---°-------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Sfgnature of Applicanf --°-----°---------"-------^-°-°---°--.._"---°----°---
-°-°--°__.""-_'-'-'-_---- "-----'-°-' ????!-- -----"
L j_Q_2DW__
OFFICE USE ONLY
r,
Certificates of Survey Received _ Tree Preservation Plan Received ot Require? _ .. 0
Air Canditioning
Hcal.RccoccrN5?stcm
Upaated 4l02
Pernut #:
Cv??
c-
Receipt Date: ?S?? 3 i?
CITY OF EAGAN
2004 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING I2ESIY)EN'I'IAI, PROPERTY
Address _ J 35? OFFICE USE ONLY
Properry Owner \.JlM.?
Telephone # Co S I- 3 3 I- ( 3-? ? ?° PRV required
Pluxnber
Date of Inquiry l t- a 3-%
Contact Name
Sewer
4" Sewer Service
Lateral chazge @
Trunk @ $1,000/,
City SAC
MCES SAC
Receipt # _
Sepric abando
Permit Fee
Siate Surcharge
Total
Date
100.00
1350.00
50.00
50.00
.50
$
County R-O-W Permit
City /
Water
1" erService
Lateral c e @ $24.85/ff
Trunk @ $1,0 onnecriot
Water supply & sto e
Receipt # ,
Treatment plant
Permit Fee
State Surchazae.
meter to
Total
Sewer and Water
4" Sewer Service
1" Water Service
Sewer lateral charge @ $24.60/ff
Water lateral charge @ $24.85/ff
Sewer trunk @ $1,000/connecrion
Water trunk @ $1,040/connection
City SAC
MCES SAC
Receipt # , Date _
Water supply & storage
Receipt # , Date _
Treatment plant
Septic abandonment
Permit Fee
State Surcharge
Total
Plumbing pertnit required
Water meter to 6e acquired with plbg pemut
93U.UU
588.00
50.00
.50
uired - water
with plbg pernvt
1 UU.UV
1,350.00
930.00
588.00
50.00
100.00
.50
$'?LI1 S.
$
,
Pl QV
ad
B ? c J?
lt
1??1Gy
cc: Cazolyn Krech, Finance Department
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110722
Date Issued:05/23/2013
Permit Category:ePermit
Site Address: 535 Chapel Lane
Lot:4 Block: 0 Addition: Burrview Acres
PID:10-15600-00-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Chris Nitardy
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 -
Nathaniel D Hegerman
535 Chapel Lane
Eagan MN 55121
Alexander Homes Inc
1640 Orwell Avenue North
Stillwater MN 55082
(651) 436-6916
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink i'ki
r For Office Use Oti
1t f Eapu
/1/6 /
-- .�:Cit Ol Permit#: 1 /�`� / �
Permit Fee: 565'` 7IG' .
3830 Pilot Knob Road /
Eagan MN 55122 Date Received: / ' ' ( )
Phone:(651)675-5675 l-f
buildinginspectionsecityofeaoan.com Staff: 7
2017 RESIDENTIAL BUILD NG PER 1T APPLICATION
Date: 7 Y.--17 7 Site Address: v Unit#:
Cl / v 6�1 � �� 77?t(
, ( Name: Phone:
Resiiertt/ / J`�
'Nowt Address/City/Zip: ` , 7 77��5 Z'e /44/ e
t Applicant is: Owner ) Contractor
Type of Work ''', Description of work: /" C_ lt2� 4/P.' A-0ot 6N 47
:,.;..,!:V.,,‘ Construction Cost: �� Multi-Family Building:(Yes /No )
7-
l ., Company: tf1-5./41,-/ C -'04)—.5. JO
�/j�2
'' Address: 7C,.2-) 27.:,G^ 7 v c City: _, v /; l(
Contractr
QP
State iJ zip5— S/O PhoneP22 /`�2 Email: ( ,'�/>` /L 7t) ✓`�,
License#:i di Lead Certificate#: AI r7 I "! I-/ .)/ ,s /u,..
If the project is exempt from lead certif{ication, please explain why:
rr
,,,,-, g--\
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: u g � Y ftp
pportin tlocun:�#�shat ou submit are onsideretl#o�� e of the
to ory tion ma .be classified as i in--public if ' K ytt ocs #
�� ,� p yt'proytde��ecific reasons cYu d p r +to ty�onc/ude t by
.are grade secrets. ' ..,. :.. #v . v ,cmv v
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.citvofeagan.com/subscribe.
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(651)454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; tha 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
accordan - 'th the approved plan i .se of -or which requires a review and approval of plans. �,/ \
x / 4I ffr" x )6" 4 N ___ ,,,,- ,../
• • • icant's Printed Name Applicant's Signature
Page 1 of 3
L.
(21 ' DO NOT WRITE BELOW THIS LINE ///q6 `: c -
SUB TYPES
_ Foundation _ Fireplace Porch (3-Season) _ Exterior Alteration(Single Family)
4- Single Family Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
_ Multi 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 i Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 4�; F// Occupancy Z�G- / MCES System
Plan Review / Code Edition .0/5---- SAC Units
(25%_100% Zoning ft -/ City Water —
Census Code L-( .3I-/ Stories Booster Pump
#of Units / Square Feet PRV
#of Buildings / Length Fire Suppression Required
Type of Construction -37'/3 Width r--
REQUIRED
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final /C.O. Required
Footings (Addition) .k Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
ik Roof: uL Ice &Water otyinal Pool: _Footings _Air/Gas Tests _Final
JIL- Framing ,i 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test Final Siding: Stucco Lath _Stone Lath _Brick_EFIS
kInsulation Windows
Sheathing Retaining Wall: _Footings_Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced WallsErosion Control
Shower Pan Other:
Reviewed By: g-? - , Building Inspector
RESIDENTIAL FEES
Base Fee33°/
Surcharge
Plan Review A.10 3-
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
01/26/2018 FRI 9: 32 FAX 6517668249 MAPLb000pieo UO02/003
,4`^77`(s'/IN Midwest Maudu �1. Trues: C61224
Address 1 Cj`F! (.4...e,/ JohN.a A:RfJ93000K
d/.."_5 7L- Address2 Data 02/22/17 09:27:43
Ci h.State Zip • Ate! l of 1
SPAN Krtl1 QTY OHL OHR CAM L CANTR FLYS SPAM() WOTA'LY
2440 6/12 1 2.04 2.0.0 0.04 0.0.0 1 24 to 71 fba
l 26.0-0
l
1
2-0-0 1 6.3.4 1 5.6.12 J 5-B-12 6.34 240
6.34 12.0.0 17-a-Ia 24.0.0
51.
iii
15,41 154,/
^3 011 6
n
7 \ /
03 - 31�-
T9 T. ii 77 10 ,0
4A- 3Y4. 4714
0.0.0 0.0.0
l
8-2-3 7-7-10 I B-2-3
8-2-3 15.9.13 24.0-0
All plalta attpwtl 10100 R gl020 unlnng nlbrnvi rr nnhal.
Loading(psi) General CSI Summary Deflection L/ (lur) Allowed
1.CLL: 42 B Ids Co:b: 1RC20151 'PC: 0.78(241 Vo4Tie 0.2!12 1./999 (5.6) L/110
9mw(P0g):4260 7711.200'/ )JC; 0.14 OH) 4bat1L• 0,1910 11999 (5.6) 1./210
TCIR.: 10 Rap Mb:harass:Viso Mb: 034(941 HorsT14 0.0110 5
8CIL: 0 latalbor1),OJ.c 11516
BC11.c 10
Reectlon Sununary
1T BcgCombo Bac WddlBad Bat 9.I6s MuRaact MraOravUPlift MasMWFRSUWM WACAC UaliR MuUplifl MaRafs
1 1 3,514 16603 1,696164 .276Jba -276 Ps •2116
5 1 3.510 2.6610 1,696 Poi -276103 -2761134
Materiel Smmnnry fleecing Summery
1C SPPIn204 20 Wacky 9ba6cedaPinks at3.O.O,Ma41algObyMori
BC 021'622ac4 BCBraebg SboodsdotPc*Ilmat10-0.0,Pur9odelgobyOben
Woba SIT Sod2a3
Loads Summary
1)'11441naabwbaendadgoedfor the effacoD balaccod nod uthaluxed reminds for 1001446104 iaoasordeas 041149C1i7-10 with dm Movingmar Mood 5opca 60pdwouod
Wow load.hcraloCategary B,&pause Categ ry u3yl§cpoeed(Co=0.9),Risk Category/1a=1.000hermolCoodlfoo Cold mimed(Q.111 D0 -1.15.Umast io13d.11 dr
reef minguralaw Jaw kuro I:liftable,Bulking Dealgoee shot verify scow loads.
1)7Nstnuebu beandedgred for 100616060 of vd0d loads la ouaedaoao wldaA1027.10 Oh(yc felloudeguseo defined I2p.:115 mph(Paarerad).&paneaB,8aelooed,44131040,
RlakCategory f,Nord Bld9Dlms 25 Aa601t 11=150.BadZboonos,BaboOdcabscomldaed.DCL=1.60
3)Minimum/map aide leac logbaeban appllodInaaoordanoe wAh BRC 901.5
Member Forces Summary owh1emdioau,afrcm D,au 091 nu aai0Ix0 fie:erapr.f.r4a'ddire010a1 mot MY km)Oalykm1 F000*a 900101 n caom la thli 60e
40 1 k 0.760 4.111101 34 0.164 .4,15!131
1.9 2.904 ' 5.!!101 44 0,700 -0,54111.
BC 5 0_7x6 0)99113. 011 10 64 0.576 1elle 101 07 aTae Liv,m1 fl1Aa.('
dft 1$ 0.341 •709121 14 0,314 0*i 1, (4e a.)94 0543 60113. (411 04 44 01711406104
JS1 Summary
1.o91,2.see,9..0.75,4..0.46.5-091,6.0.78,7.Lao,calm a73
Notes
*Wee naiadodaondw,do at oft Car afar any truss member a plata witho span'approvalfrom 0Pr01e01w01,EIf osor,
7)Wan ibis humble been dawn for quaky 1400.149000104p40603.the Double Palma Method per TPI).2007C3apmr 3 ha bo u1d
9)714 fabdaodan teler000e for daiscod tars iso 1b(Cg=1A0).
4)Brea baton 4100dwJ11 approved#aealblogat putllapar Beaal%g Summary
S Caw bosbaao comdered in 6r and*01014 Kw,
6)Used v/AdupMraoodeosbased gowns&coo kicks
,w.
ALL PERKINS FABRICATING.HANCLINO.EcUCCIDIO OR GaTCALLING ANYMUSS RASED UPC14 THIS TOSS DESIGN DRAWING ARB INSTRUCTED TO 112PERTO ALL Tnm)uad®SOW"v33,2,240
op 71031269MUCTIONS,L1141334T101411 MB QUILTFICIBICA13 9M170Brd1N11111BAOLB MESCAL P.BCDUCT3 Mow NOMS Issurnwrill MR TOUNAND Pasta Metal Products
AVAILABLE mai PAOIBUPONmum D831(9dVALID ONIxw1arN ROOM METAL CONNIC101133AREusls, ow..Au75194.
01/26/2018 FRI 9: 33 FAX 6517668249 MAPLbocopier 1003/003
p '1',////— /BGG 3,2
Midwest Manuf •ng Truss: C61224E
Address] 55c 41 tlaC. JobN1at1 RESET&aC ENDS
Add(eeo 2 12404; 02/22/17 10:47:03
5a„L 14.4-15S� Page 1 ail
City,State Zip l
MAN PTCCH QTY 01.0. 01 IR CANT L CTR FLYS MONO WOT/Ai.Y
24-011 6/12 1 2-043 2-041 0.0-0 0.00 1 241n 96 Ito
1 20-0-0 I
1 2.0.0 I 12-0.0 1 12-0-0 1 2.0-0 1
12.0.0 24.0.0
4%.1-
ti— 13iir 35 7
4�4 6
6 074 6
el 2 10
r;
•
I .i. . 0 1 8 M 0 i 0 0 e
21 ... ...........1 12 15 1, 5x6 Tb 1a 10 12 22
0-0-0 0.0.0 •
I 24.0-0 1
24-0.0
A11plMea shown tobe.Saga 20 unines otherwise nand.
Loading(psn General CSI Sum nary Defection L (loc) Allowed
TOLL: 42 331dgCodo: 113C2012r 7C: 0.79(H-32) %a'IL 0,0110 L/699 (11-12) L/180
84o4.(PaR 42/60 TPI12007 BC: 0.10(13.123 Vett LI; 010 L/999 12 L/240
TOL: 10 Bop Mbelauaaea:No 177.b: D.17(547) Dote'TL 0b
B CLL: 0 Lumber D.L2L.: 115%
BCDL: 10
Reaction Summary
Combo Reg 2.1416 MaJae al Ave Reset MM&o'4 Up36 MeeMWAR31bEf1 MIL.C&CUWM Men tbl'ift Man Hark
1 260 he 365p10 .34 be .1116 -177 hi -1271121 -190bs
Material Summary Bracing Summary
'IC SPP 02 2n 4 TC Stung Ir, 96eethed DP Pm/1mM 6.3.0,Plrl n&Apo by Ghee
DC 5P17a22a4 ACBrad* Sheedm('etP►rlinat10-0.0,Pudlo4edplbyC1t ro
9Mbe BIT SW 2x 4
Loads Summary
1)'Odehueshsab000dadgnonfamoeffiseeofbabmada0duobslexedsomatadsforbipsiptdasnaeosotdamewahAsCt6/•10ad41hslolloikeuser delaed' 60paf God
nowlood,7dedoCategory33,Ibrpoa:eeCatage 1+u1yDepssed(Ce.0,9),R4kColegelyII 4,1.00),11:elms ltl3
3CmoC014uerdmed(Ct.1.3),D0LI.3, WodIo ldoegoof
ernesraEoOMori keathlitabb,B1dk8agDea oeedull vie*soowlaade
2)'MI musbesbeeo&Ag ed m seeauoe for the effects af lee doss leu14oc at lamas,
9)1 e e Irueshasbow chivied far toate oh of adod loads In accaedaose wahASCB7.10 w166m!okra*user ds:oedkph 113mph((eooxed, poo to B,1foola sd,Baric FBp,
P.M Catgaryll,Overall BldgDbss 2.5.12o 60 ft b-15 it.Pad TaooTruss.Balheed webs aaaddoee4.Dale.1.60
_-_AQam3lol:�ersasSum>}lat3, �a. s,.
ic
Was 100 0072 -600 let 745 0.104 40711.
4 411 0 117 .90010. 044 0.117 40111.
347 0.100 .307114 1042 0.070 401111
JSI Summary
1-0,30,2-032 3—0,53.4-QS.5-052 6-0.44.7-053,8-053,9-043,10-0,73.11-0.38.12—0,79.13-0.51.14-047,15-047.36-0.18.17-0.57.IP•0,97,39.0Y/,sod 20.0.79
Notes
1)Udem babel'herwhe,do not cut at:afar Day mai member at place Mimi prize eppcevd lrem 6 Ptofeadeal 0e)a.r.
2)01646 raqubaa aoodmeembooae abardboorke
9)Obis wobeplotod at 24"O:„U N.O.
4)Atasob gable uebsvd,h lx4 24 plates U.N.O.
5)Dee einQiMxtefor laplset�e�d1eh erosPotetrooffleraretpdomecM,refer leDell 333pb11dsedbydn98CA.
61 Whoo&le hues bas tem ettoeeo tar quality a eeraose*tuba.the bauble.P Wyse.Madmd pet TP11.2007/0h/ptlr 9 tlwll bo used.
7)iba labsicatim tokraaro fur bib roof baso is 1096(Os.Q90).
11)Creep has 1660 eonddeet d b the sealysle of the rum.
9)DA to otpotNatacdo0+10 graNlylad anti epedsl emeeelleos to the beetlags:sfeee et 0=42 I maysmed tube amddeeed
10)Bead wild uplift rated= on/MFRS&C&C larks
AIL PERSONS PABRICKCQe0,11ANPl•140,PRPCTDJOOR04 U.D40ANY1RU981AD,110UPON 1189TAM DPSOONDRAW1NOAD21NYIRUCl'BOZORBNPATOALL TaueBufdeSOfkwaav63.2.240
OFTHOINaTRUCTIONS,LIDd1TAIIONSANDQUALIFICATIONS11[31'POR'[BIN'060EACLE343DIPRODUCTS DEMON NarE3 ISSURD WITH T31S1316110PIAND Bask Meld AUducte
AVAILA33L1111R044 EAOLU 00014 REQUEST DESIGN VAUDONL.Y W1ENPAOLSMErALCONMPCTOxs AARUSPA Mr,93173194
For Office Use
ti E AGA N
o e ::::
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections(c�cityofeagan.com L
2018 MECHANICAL PERMIT APPLICATION
❑ Please submi two(2)sets of plans with all commercial applications.
Date: ,5-/e 0 Site Address: 535 CA Q eI LNi
Tenant: Suite#:
Resident/Owner Name: Phone:
w Address/City/Zip:
# '` Nama�AfV YA/I S ,LfeP/!�W 6 ianlp C ", G `�G License#:
e Address:72 LtD CA�flpu'.4 / -�/ City: �e4'/714
��ntra>E:t��� ��. I
State: /11/4 Zip: � � � Phone: 6 2 — 29� --671'671
Contact: S�j Email:
n
� New Replacement Additional Alteration Demolition
'''''TY •'.°4:6f
Wow Description of work:-art smell /1.-ecu ,/ez H 4,,, Ai' . �..a Zd�
' S #,; '�#. and ".�., - •-vireoi4
N. E (Roof mounted an• •r fumed`mach x ca � uipmen • • r
�� Code,. 'lease.Contact� Mechanical Inspector 4,p 4, } - IA t nS>r# a
RESIDENTIAL COMME• RCIAL
v- Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
' Permit Type ,\
,:: _Air Exchanger Gas Exterior HVAC Unit
r 4 Heat Pump Under/Above ground Tank L—Install/ Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES
$60.00 Permit Fee Minimum Contract Value$ / x.01
$75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee
=$ Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signin up for an email update on the City's
website at www.citvofeagan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work will be in nformance w h 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 start withou 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.
xS/4' w^-Y/- 4
Applicant's Printed Name Apert's i'�"�ture
FOR fl ICE USE S .
Required Inspest n • ... Dahl:
*lei d By
Under round _ .- Rough In v- Air Te Gas rice Test � final AC Scr
For Office Use 1
(f
,/ Permit#: I / ! 7 7
Permit Fee: � - 1
Date Received: /b / I
kD I EAGAN, MN 55122-1810 RECtEVED
651)454-8535 I FAX:(651)675-5694 Staff:
/ofeacian.com �$ L
"1 MAY 16
1 �3 RESIDENTIAL BUILDING PERMIT APPLICATION
Da "/ (�a Site Address: 5.5 Cit ( 2rt. Unit#:
Name: J 6(1Phone: K
Yqd 7/ C
C�Wo ':. Address/City/Zip:
/439 iveilecieci /lye, /47,4
M Applicant is: Owner Contractor
",";4".". (
Description of work: rP,,( ( f"(
• pfWork er �'✓tO
Construction Cos . ,Qglulti-Family Building:(Yes /No
Company: Contact:
gotraot
Address: City:
, State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE Plans and )porting documents.that you submit are to beepu ictin portions of the lnformatro� r.
classified as nonj(4
u provide ecifiic reasons that would perCity la* l the r are lrade,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.citvofeagan.com/subscribe.
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(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and • • 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 app plans.
x 1 D x 4.) �t
Applicant's Printed Name Ap• ica is Signature
ChilfDO NOT WRITE BELOW THIS LINE /`7 /qq
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ 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 X Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION ,,-
Valuation lr! Occupancy ' �, MCES System
Plan Review Code Edition ti , Y t, SAC Units
(25%_100% I) Zoning / City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V6 Width
REQUIRED INSPECTIONS �/
Footings(New Building) Meter Size:
Footings(Deck) ?( Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: Ice&Water Final Pool: Footings _Air/Gas Tests _Final
>+,, Framing 30 Minutes )( 1 Hour Drain Tile off, /1-04.4)&-
Fireplace:
fFireplace: Rough In Air Test Final N Siding: Stucco Lath _Stone Lath _Brick_EFIS
Insulation X Windows .,1- (9f I)
Sheathing /V Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan X Other: OV4A., Plow GIPA,P44 1919°)(1-
_
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC 7L/ g/
Utility Connection Charge l
S&W Permit&Surcharge
Treatment Plant 9'(9/ C2 C7
Copies
TOTAL j2 5/Y5 r11k I . 2__557 4 i
Page 2of3
t a
14
E AGA N
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-5694
I�uildin ins ections asci# ofea an,corn
�—� For Office Use `. —_ ~. — — '. — — I
I I
I Permit #: / I
I
I Permit Fee: _L I
I II
Date Received:
I I
Staff: i
L_--_—_------ --
2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: o n
Tenant:w
Resident/Owner
Contractor
Type of Work
Permit Type
Suite #:
Name: € {l11'i i 26(4 6565 �q6 --�-?,(y..., _ Phone:
Address !City Zip:q'-7q Le V- t rLq4vA &e _R1 4p,&J, mn,:55-10c)
Name: 50 'A 4, l I0 ) V' ' License #:
Address: -1 1-P-9 (4 D z
City:
// r
State: Zip: Phone: ( I"
Contact:`-
- Email:i f t '
New Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work: e`4 .4 A Ce0(t L-3 , b/e
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation (� RPZ ! PVB)
Septic System Add Plumbing Fixture in/ Lower Level)
New Water Turnaround r
Abandonment z
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes State Surcharge)
*Water Turnaround (add $280.00 if a 314" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $
. 60
CALL BEFORE�YOt1 DIGr pro
. Gall Gopher State One Call at (651) 454-0002 fotection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. v±rsrrr r:;trktcsnw all.t rg
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for mail update on the City's
website at www.cJti(ofeaiaan.com/sut>scribe.
I hereby acknowledge that this information is complete and accurate; that the work will be in conform ce t he dIna ces and codes of the City of
Eagan; that I understand this is nota permit, but only an application for a permit, and work Is not o st rt p rmit; that the work will be in
accordant ith the approved plan ' e case work which requires a review and approval of plans.
X
u(�t r
Applicant's Printed Name Applicant's Slgnature
FOR OFFICE USE Reviewed By:
Required Inspections: Under Ground Rough -!n Air Test Gas Test
Meter Related Items: Meter Size Radio Read Manometer Staff:
Date:
Final