4502 Alicia Dr- i ? --? -- --
i ? i
i i
-TRANSMISSION LINE EASEMENT-'
PER DOC. N0. 998724 ?
I ? I ?0
\10 5
?--h---------- ?' .
? LOT 3 SFP, lelrdl Fw Vk
, _" , I Ex re I i-or? eAcjtosqenote47
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2 ?
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l
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?
\ N
p0
N.S.P. EASEMENT - o
PER DOC. N0. 405155 1 ?
AND BOOK 62 OF MISC.
RECORDS PAGE 540 I ?
???d GAR! j j .
B1`? EW?? I I
? I
DDqp?e J ?
? auBLg)P GDAISPECFE?Rf? I
alw&o
----?----------?-+---
-DRAINAGE AND-? Kt~ I ? W-o
?W ? UTILITY EASEMENT PER ` ?T r
-? - - _ DOC. NO_1494149
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9
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I HEAfBY CIXTIFY IXAT TYS VLAN WAS
W1fPMFD BY YE OR UNOFR YY qRECT
"EVA" µp TIAT I/iM A WLY -
'S ?S?m LAND SURVEYOR
urNF.n n?E uvs a n1E sr?1E
df WNNESOTA n ,
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?uaress 4 S n9 n i; v; a n,- ; vo Zip 5512 3
Lot 4 Blk I Sub Southern Lakes West
THESE 1TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector:
Final grade (6" from siding) ?I
Permanent steps (garage)
Pennanent steps (main entry)
Permanent driveway ?
Permanent gas ?
Sod/Seeded gtass ?
TraiUcurb damage ?
Porch ?
Basement finish ?(
Deck Ix
Please verify with the builder the removal of roof test caps from the plumbing system and the shuhoff of warer supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - Ciry Copy Yellow • Resident Copy Pink - Contractor Copy
CITY OF' FnGAN
CASNTEI'ie 75 TEfiMSNAL NOk 764
DA'iE: , 0001/1:10 TShSF:: 08o204i.
TU:
NAMEa• rfAl;l; HLRf'R7
2252 0c 24 4502 ALICIA TlR 30.04
3210 9001 4502 ALICIA 1?R ` 17363.35
3866:93i9 4502 AL:LL"IA DR 100.00
3422 iOt19. 4502 AL.IC]:A PF2' E386. i.8
2273 9220 4502 ALICIA Z:R , 1,089.00
8446 9001 4502 ALICIA lik li.00
205 `,?iJ01 4502 Al.:fGIA Dli 0„50
3743 122t) 4502 ALICIA Lqi 50.00
205 :3001 45€12 AL'1'L']:A OR , 83e00
386£4 9220 4502 ALICIA lift 492.00
Ck12419i' CI7N-(INUI=
USf=1', TL;, JAN *?k CONT:CNIJE
9 9
cnxtr.rauF
C:[7Y f']F EAGFIN '
CASH:iEk: :IS TE:IihiTNAl NQ: 764
DAT'[u 03J01/00 TTMwe 0EI05:42
II? ? K'AME; ` MAFt4: HF_'REE;T
371.6 92rO 4502 ALICIA LiR 04.00
303 9220 4502 ALICIA DR 50.1]U
3865 9220 4502 ALICIA DR 240.00
i
Toto:[ fieccipt, Amaunt: 57109.03
CRi?0_7'i
lJS1=:R TD: ',7At!
C.':T+t OF ER^n.^.N PERi9IT
3833 PILOT tChjj iB f?D
EAP? VMa MId 551.22
651-68i--1675
CATCH: C;9
S?,'i-E-5 WF-T
f 36752%
5Ys's43362S
F.EF: Ci74
i) tNE: 'JISfl
1; "
iFc:
'47: rB 24, p 14::6:21
TOTAL SSi09.43
q.V: 4251247;''a.7,') --N: M3
..'f-'IN
Tn
ru.nr:'Ji.,n,r..El's rECEIFi ;f hU...a
,?.3 t i r'"l:2 "?t-q1:Ct5
pak; AEFr: ,I r"ra
? -
r
Y?'I1k,:hE rw;fR
i:? ))??-;7,r,.7 CaCTrl r;y,r1STfCZT
L BL cirr use oNLr RECEIPT#: Id l 5 I ?, 9y
? -3
SUBD. ?SUAJF,Y?1 I (kriG:??kk& RECEIPTDATE:
PERMIT#
2000 PI+UMBING PERMIT (RESIDENTIAL)
CITY OF LAGAN
3830 PILOT KNOB RD
EAGAN, IIIN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTlJRES
EACH J/
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x $
Gas pi in outlet ` minimum - i 3.00 x = $
Hot tub/spa a,, ? 3.00 x ( _ $
Kitchen sink 3.00 x = $
Laund tra 3.00 x $
Lavatory 3.00 x = $
Septic System newrrefurbisned ' requires MPC lic. 75.00 x = $
SB tIC S 5t@R7 abandonment 30.00 X = $
RPZ new installationlrepeirlrebuild 30.00 X = $
Rough opening 1.50 x 3 = $
Shower 3.00 x = $
Underground sprinkler if dweliing is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x 3 = $
Water heater 3.00 x $
Water softener if dwelling under construaion 5.00 x = $
Water softener Hexisting dwelling 30.00 x = $
Watertumaround 30.00 x $ r-?D
State Surcharge .50 --> -> -> $ .50
TOt01 op
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I here6y adcnowledge that I have read this application, state that the informatian is wrreG, and agree to compty with all appliwble City of Eagan ordinances.
It is the applicanYs responsibility to notify tha property owner that the City of Eagan assumes no liability for any damages caused by the City during its
nortnal operational and maintenance activRies to the faalities canstructed under this pertnK within City property/rigM-of-way/easement.
SITE ADDRESS:
OWNER NAME: :zr/YS ?50G • TELEPHONE #: In J 2 553- 362Q7
(AREA CODE)
INSTALLERNAME: F"pd M/..,4-v- TELEPHONE#: 651 41G4i"
STREETADDRESS: s? Q? eso, ?ro ih??(I ?Gi )E)
CITY: NSTATE: ZIP: 5502-t?
NATURE OF PERMITTEE
10)
M CITY USE ONLY
V
? LOT L? BL I
SUBD. &LAfi Y h vvo
142.s o
PERMIT #: 1- 4 O ( b3
RECEIPT #:
RECEIPT DATE:
J asq3s
- 3a- G0
2000 MECHANICAL PERblIT (RESIDENTIAL)
Date• 3 - e?? - o c)
Complete this section on& if you are installing HVAC in a single family dwelling, townhame or condo under
construction and not owner/occupied.
• HVAC: 0.100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
CITY OF &AGAD7
3830 P2IAT IQNWS RD
BAGAN DIII 55122
651-691-4675
State Surcharge
Total
$ 30.00
6.00
?
.50
$
Complete this sectioa onlv if you are remodeline, adding to, or repairing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, atteration, or repair.
New Alteration
_ Fumace
_ Air exchanger
_ Repair _ Other
_ Air conditioning
Other
Fee
State Surchazge
Total
Reminder: Call for inspections
$ 30.00
.50
$ 30.50
SIT'E ADDRESS:
OWNER NAME: ML'V&Q_t `y--1z ,4 _&P ? rxoxE n: 9Sc2 - 9,!!?3 '36 ?'1 y
(AREA CODE)
INSTALLER NAME: PI-IONE #: F-OFGREN (AREA CODE)
STREETADDRESS: y,??,Rm Q. o,r Conditioning
--20108 Calgary i r.
CITY: Farminaton, MN_ 55024
CTATF• 7iP:
CITY USE ONLY
L _ BL _ PERMIT #: _
SUBD. RECEIPT#:
APPROVED BY: , INSPECTOR RECEIPT DATE:
2000 MECHANICAI. PSRMZT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT 1Qi08 RD
BPaGAN, bIlQ 55122
651-681-4675
Ptease complete far. all commerciaUndustrial buildings
multi-family buildings when separete permits are not required for each dwelling unit
DP.'f£:
WORK T'YPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
if'hen installing/removing underground tank, call 651-681-4675 jor inspection by ftre marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price Q$30.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1%=$ (Base Fee)
State surchazge
calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE RDDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLl):
WAS TFERE A PREVIOUS TENANT IN TFIIS SPACE? Y N. NAME:
INSTALLER
ADDRESS:
CIT'Y:
PHONE #: -
(AREA CODE)
STATE: Z[P:
SIGNATURE OF PERMITTEE
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cin oF EAcaN
3830 PILOT KNOB RD - 55122 C)
851-681-4675
t??ew ea?na, ?are?m a ?-`?I - C??
D 3 replatered We wrveys showinp sq. M, pf Ipt, zq. H. W houae 2 coples d plan
andgff roded areas @0% rtimdmum bf eoveraae atbwedl 1 set ol energy cmcWaMOnt fOr heateG Ctlt9tlOns
D 2 copies of plara (daw beam R window slms; Poured hW. desiprr etc.) 1 tue wrvey tw exteAa addiMana a daeb
> I te? a a,eryy caaaeanons
> S ooples d hae prewnadon plan H lot plalled aftr 7/1 /93
DATE: ,G- " 7?- ? O C C?
DESCRIPTION Of WORK:
STREETADDRESS: q,?-d 2- ?C_t ?r ?r- CONS1RUCilON COST: (?'? 7 Z?
2r w?
LOT: ?
BLOCK: SUBD./P.I.D.6: ?
717 Ca
Lt-,c?C:) 7-
y /.Z
Name: Phone U:
PROPERTY lasr Flrst f
OWNER s ?
Sheet Address:
c,t,, stme: nP: s r- ZY
? Z- - ? 2 ?7 - Z S ? Z
Company. Phone #:
(area code)
CONTRACTOR
Sheet Address: ' License # Exp.
CHy G/ Srofe: Zip: $ 70 G? .
ARCHRECT/
ENGINEER Company:? L?h- C O Name:
Telephone M ( )
Sfreet Address: ReglshaHon Y:
CNy State:
o OAA)Z)X--
3ewerlwater licensed plumber (if Installino sewer/water):
Lp:
("s f- 4- (, 0:_,?
I hereby ackrawledpe lhat I have read thk apptlcaAion, atate thaf ihe inforrnalbn is correct, and
of WNnnesoM Stahites and Cify of Eayan Ordtnances.
Sipnalure of Apptlcant
OFFICE USE ONLY
Certificates of Survey Received ? Yes _ No _?
Tree Preservation Plan Received _ Yes _ No ? Not Required
OFFICE USE ONLY
, • ,
BUILDING PERMIT SUBTYPES
O 01 Foundatlon ? 07 OS-plex 0 13 16-plex O 21 Porch (&sea.)
P( 02 SF Dwelling ? OB 06-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.)
O 03 01 of _ plex O 09 07-ptex 0 18 Deck O 23 Porch (screened)
p 04 02-piex O 10 08-plex O 19 Lower Level ? 24 Storm Damage
O 05 03plex O 11 10-plex Plbg _Vor_N E3 25 Miscellaneous
O 06 04-plex 0 12 12-plex ? 20 Pool ? 30 Accessory BId9•
WORK TYPE
? 31 Ext Alt - Muld
O 33 Ect. Alt - SF
0 36 MuIU
31 New ? 36 Move Bldg. O 43 Reroof
f? 32 Addition O 37 Demolish (Bldg)' O 44 Siding
? 33 Alteration O 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair O 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to appiicant for demotition permit
GENERAL INFORMATION
SAC C
d
# of Stories
ft.
sq
o
e .
No. of Units Length sq. ft.
No. of Buildings / Width Footprint sq. ft.
Const. (Actual) I[AL Basement sq. ft. i ?_/?. Census Code I.?
(Allowable) _
J[LV Main level sq. ft. / 2/ 1. MC/ES System
UBC Occupancy 21y,0 sq. ft. / 3/( City Water
Zoning 6j±DAAk sq. ft. ?
94= Booster Pump ?
PRV
Fire Sprinklered
MI,SCELLANEOUS INSPECTIONS
? Stucco/Ston e 134 rf-k
APPROVALS
Planning _
Permit Fee
Suroharge
Plan Review
License
MC/ES SAC
ciri sac
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Building qA&4-1 Engineering Variance _
Valuation: $0o o
??--?.? )2??X ?YV ?5?
wl"I?
OiU""
I C) q.o3
G;s"k l? = I os ovq r
SAC Units
% SAC
rri/ / i/f
ENERGX COD.E WORKSHEET
- t._._ ?
?
? ??I LAT
1 & 2 FAMILY DWELLTNGS
. ? categori 1
! HINIHUH CRTTBRIA
Feundation Ineulation-Rio
Slab on Grade Znsulation-R10
Floor'over unheated epacee-R24
Foundation Windowa 1/2"
insulated Glase.
-Ylood or Vinyl Frame
.STBP 1 Window t, Ooor Area
A. Total Window & Door Area in Sq. Feet
WZNDOWS (Zncluding Foundation Wiudowo):
WI2IDOW MALIUFACTbRE NAMHt
WItfDOW MAt7UFACTORE TYPHi
WIt7DOH HANIIPACTURB U FACTOR:. ?(./e
R. D. QuantiCy cq.fC.Atea
Dimensions
?r UN X 45
I rljr? x
X 3'- U" -u/l-
j
?NX?/?t? '__
(i
?-----
7 rli? X 5 1.C4'
X
x
X
X
oooRS: ?g / ?o
v
Z? X 46
(!/
D X
'Ibtal Area of p_ oq ft
Hlndowe 4 Doore
8. Total Wall Area in Sq. Ft.
Wall Total }(eight Aroa
Perimeter .
7
Area oE Halls Ftalle F Wiadowo
(See l•a61e on reveree eide
for allowable percentagee)
1 (muet
RooE Attic Inaulatioe;
R49-With Attic No Ifeel
R38-With Attic kaised Iieel
R38 fi RS-Solid Rafteie
ST6P 2 Calculate area ee a parcent o£ wall
c. From Step 1 divide box A(4lindow 6 paar
Area) by box [i ([otal wall area) timeo loo
equals [he window and door area ae a
percent of wall area (6ox C).
DOX A 333 X 100
e F e
eoX B 3Z34
STBP J Deeign Featurao
A.SSGt4BLY
PRAHING TYPE:
STANDAR? FRAMStJG otude 16" o,c.
Af7VANCEO FRNtINd ntude 29" o,c,
CAVITY INSULATION a
SNBATHItIa_TYPBI
LESS T!{AIJ c R-5 ?
R-5 > OR MORE
U-FACTOR p
From the table, (revetee aide) detetmine the
maxlmum percent window E door area for the
deeign optione eelected and enter tha t valuo
In Box D below based on tlie window mfq. U-
factor:
FMq o
Tha t value Erom tlic Cable in Dox D sliall ba
equal Go or greator tlian the t In Box C
0
ONE- & TWO-FAMILy RPS[DENT'IqL 0[JII,DING pRESCRIpMI! (COOK-IIOOK)
APi'ROACfI
MAXIMUM WINDOW qND DOOR AREA AS A PERCGNT OF OVERALL WALL
AREA
Natee:
Window arca equals rnugh opening tnfnus Inetipatlon clearancea.
Wlndow U-Eactor mu9t be determined by either the National Feneslration Rating
Council standard 100•91, or ASHRAE 1993 Handbook oE Fundamcnlais. Chapter 27,
Table 5.
Pod•8• Faz Nata 7671
Prom Mlnn Ritiom par! 7670 0;7C, aubFdl ?L?. ?rm r
Addillonai ?als?lated valueo
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
? PROPERTY LEGAL A:, Y
n DATE OF SURVEY: ?
?4
?
W
LATEST REVISION:
?
o DOCUMENTSTANDARDS
og 0
a
7 ?
? • Registered Land Surveyor signature and company
? • Building Permd Applicant
? o • Legaldescnp4on
? ? • Address
? ? • North arrow and scale
m13 ? • House lype (rambler, walkout, spldwlo, splitentry, lookout, etc.)
P?`o o • Directionai drainage arrows vrtth slope/gradient °h
P/? ? • Proposed/ebsting sewer and water services & invert elevation
sl ? ? • SVeM name
p/o ? . Drneway
? • lot Square Footage
m? ? ? • LotCoverege
ELEVATIONS
? 6cistina
d' ? ? • Sewer service (or Proposed)
??a ? • Propertycorners
q/o ? • Top of curb at the driveway
y/} ? • Elevations of any eaasting adjacent homes
4/ ? c Adequate footing depth of structures due to adjacent uGlity trenches
Prooosed
?p c ? Garage floor
g/ ? Firstfloor
? ? • Lowest exposed elevation (walkouUwindow)
g/ ? • Property corners
? o • Front and rear of home at the foundation
PONDING AREA ('rf anolicadel
o a/? • Easement line
? 121/? • NWL
o o
;/? • HNfL
0 -/
yr q- • Pond # designa0on
? n/o • Emergency OveAlow Elevation
"r ?
?al ? ?
rG? ? ?
?,/^ ?
? ?
4?
DIMENSIONS
• Lot IinesBearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions induding any proposed decks, overhangs greater Man 2', porches, etc.
(i.e. atl sVudures requiring permanent foobngs)
• Show all easements of record and any Ciry u61i0es within Mose easements
• Setbacks of proposed structure and sideyard setback of adjacent epsting strudures
• RCtalfliflg W811 f2/+uiromonls Annv
Rewewed'
March 1988
CRAIdBLOGFRMTFM
r7 ? . ?D? ?{.
1?? 53?2 E ??`I'op 1¢0?l
L?uF tRSSME*?S
w
0
O
?
Z
6:
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--- -- 17QA?uAG? ? uTtl.\T?( ERSEME?.1T RI.ICIA ?
=---- 413.?3 ?• Roi'E.,
?
?
? o °
p
P? ?o?. No °i9??24 - S4? 4D5!5
ZOQ.Oa ?5? ???K?Ny1?bR SP?E
=';-- - R?o n .?oc.?io.1494149
? o OF2R?ti14K9E ?41).'(??.tT?t E?ua?rnko? - N--?
'??E??? SS0cd,
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C
?pPOSC.????/
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us? ?
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0
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? ? •,.
i E r' p?'1, i oc
. ?
S 4S. q,? gti ? ?w
?Z o ? ? ?°?i PER
2(o,v7 E f?
ru
? N lp °•sa ?
Bw+1mo(A
CouEK
Nt?Y'e',SEVJFe?I,I)h`CE? r?PPuRn?.S
+4?2.
1 r?V = 9319
CS = q41 q
24?'2 Proposed garage floar elevation
245 (o Fotauap,T100
Proposed top of bleek elevation
.4h
, /0
'Coe?
??.?? ??"(
\ ?
?A\L IC I
?
- a ,\
/?`
v
ngs are sumed
Subject to eaaements of record ii any
(D Denotes aet or Yound iron pipe monumenta
{B- Denotea eet w.?and, hub and tack
'Tg,¢p Denotea exiating elevation
gQ Denotes proposed iiniah grade elevation
.20
Denotea direction oP surface drainage ?6r Proposed lowest floor alevation ?O?'. i?0 ?IZ LF_ D?>1 ?.Ilpta FtJlR?lSt}ED •
Z) _ Ak Sca?-??n?=e?
-?--o .
S hereby certiPy that this is a true and corract re resentation of a survey of the boundaries
of Lot County, Minnesota ae on file and of record
?t. Hlock 1,SouT?EtzN ?.AKES `?V EST I a-?rR
in the Office of the County ftecorder in and for said County, also showing the proposed locatioa
of a house as staked thereon. • •
That I am a duly Registered Land Surveyor under the Laws of the Stata of Minneeote.
Dated: FEUlA?}12.i 2Z'IVl/D R??: F?eU?eY 2?) , 2oOb
(I u 4.
J? Allan A. Hastings
?r^v /; p- ` F(";,_ j?i?e?? Minnesota Registration No. 170l59
4? ? U r 212 First Avenue E.
Suite No. C
`^- Shekopee, Minnesota 55379
T Phone 612 445 4027
RECE9VF1FFO
;
; a?x?•,;?, ;, ?.
? .yr?,lRt+;i _ .
lij
0
0
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E7
?7
? C''
I ? &? /
1...?w?F C.nSEMENT ?? ? ??-
'CRRI-15M?SS?o4J oo?lOF L.'?o
vFR qo?. No 998?24 - 55•
oolP ?hSEM_.-E???Do? Spnr,E
E?.bEtAEIlT
?atc.e.rnk? .. N`
??-
? -
_-_- 113.?3 DeA?uA4E ?uT???T? ERsEME?aT
n P.R'?!\ U I R ?? `?
L? ? t
?`roP ?Ro?J
l
t,Rop?ss ?Ee ??,? =4?02
kLICIN D¢M
?EY
s o ToP?PK 30
I
? ??;,• .`
T \
q?' 1
?
o
7 vw ? /
oppsc.o?' G? •
?
?
/ ?-ba\?
L"\ \ .
CO?? ? 10
M
a-
N
4?
Q„
w
S?Za
?
?ousF \\
9, 2szoe?( 0
`, ?
?
\ g'l. 41 Sew
PER
CV
/ so.?
L6C- ?1?r F C? ="704Gn ,ca? pc,tl?u„' 0\
Bu??n??? Re?rr= Ig?Co? ?oQ?
C,ouEv,
IVI?g'e'. ?EUJEV--t wk`CE? ?PP?RNS
?5 =\ +42
I??V= 93?a
CS = q4l °1
q4?1 2 proposed garage tloor elevation
q45. ?n FouuoATIoa
Proposed top of bleck elevation
;-
?? .
o?
?
? 4?
U To? Se'?
? E,xu;-445,?4
.A`'o
\ 3?Q??r--- ? ?0 1 aai.ok
w
p?? wny? ? • ..
?
??'????iCiA,
Np \
are
Sub,ject to easementa of record if any
(D Denotea set or found lron pipe monuments
{+} Denotea set Xd hub end tack
'rgq:p Denotee existing elevation
CjEi?)Denotes propoaed finish grade elevation
Denotes direction of aurYace drainege
proposad lowest floor elevation
. Scal?? ??c = 0
-t-o V)A?. e?
I hereby cartiiy that this is a true and corract re resentation of a aurvey of the bounderiea
oi Lot 4, Block ?, SO?T?1EtZN ?A?ES V V?ST, Cou?nty. Minneeota es on 411e and oi record
in the Oiiice of the County Recorder in and for said County, also ahowing the proposed locetion
of a house as staked thereon. . •
That I am a duly Regiatered Land Surveyor undar tha Lawe oi the State of Idinneeota.
nacea: 'FEF3QUf??2.? 71 ?2WD
R??: F?seu?a?Y 22> , 2oob
N " Allan R. Haetings
Minneaota Regietration No. 17069
r 212 Firsf Avenue E.
Suite No. C
Shakopee, Minnesota 55379
Phone 612 445 9027
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RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 f 4f )_. f-"t, S
Now ConsW ctian ReauiremeMa
• 3 registered site surveys showing sq. fl. af lok sq. %. of house; and all roofed areas
(20°/a mazimum lot coverage ellowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc )
• 7 set of Energy Calculalions
• 3 copies of Tree Preservation Plan if bt pla8ed aftar 711193
• Rim Joist Detail Options selection sheet (bldgs wilh 3 or less units)
DATE U ` l? -U -?--
RemodellReoair ReauiremeMs
• 2 wpies of plan
• 1 set o( Energy Calculations for heated addilions
• i sfle survey for exterior additions & decks
• Indicate if home served by septic system for additlons
VALUATION 7??) ?
SITE ADDRESS LI SD 2- 0- I i L I c? v^P MULTI-FAMILY BLDG _Y ?
TYPE OF WORK n /l `<.s o of FIREPLACE(S) _ 0 H' 2
APPLICANT
STREET ADDRESS
;^ , LV'- C
3325 eo„?n...,-r-cl
f-s
s s37 y
TELEPHONE # IG ?- y,,-.c, - !?:55?CELL PHONE #?/L •?FYO -( 9 L 0 J FAX # 7Ca 3•q 2. cC, '?,' ?,-' Z(.
PROPERTYOWNER L u ,d, IJ v TELEPHONE# 651' NS(1/ ?/ Lt 576
COMPLETE FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CAT'EGORY 1 MINNFSOTA RULES 7672
(J submission type) • ResidenUal VenGlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope CalculaGons Submitted
Plumbing Contractor: ___
Plumbing systeai includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
Heat Recovery System
Fce: $90.00
?FTIU TI
Phone # AUG 1 3 2002
I hereby acknowledge that I have read ihis application, state that the information is
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Water Softener
_ Water Heater
No. of Badis
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
agree to comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg onl» - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing Siding Stucco Stone _
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
? RESIDENTIAL BIJILDING
` Permit Application
? ? ? ? City Of Eagan
d` 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construchon Reauirements RemodeVfteoair ReauiremenGs Otfice Use Onlv
3 registered sfle surveys showire sq. h of lot sq. iL of house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y _ N
•(20%maximum lot coverage allowed) 1 setof Energy Calcul2lions for heated additons Tree Pres Plan Recd Y_N
2 copies of plan showing beam 8 windav sizes; poured found design, etc. 1 site survay for additlons & decks Tree Pres Reqd _ Y_ N
1 set ot Energy Cakulations Add'dion -indicate if on-site sepNc system On-site Sap6c System _ Y_ N
3 copies of Tree Pmservation Plan if lot plaHed after 7/1/93
RimJoislDehailOptionsselectionsheet (bldgswiN3orlessunifs
? io
060
Date / / Construc tion Cost
i
Site Address '{ S 01 A blr' UniUSte #
Description of Work New (J 2G,? 44e?)r r krf) i p?•'? 4 t?f1 f? d°' 7x9t °?.+f?" ? y?
o u????
Multi-FamilyBldg _ Y _ N Fireplace(s) _ 0_ 1 _ 2
?
PropertyOwner L;tideti ono} pOhha nu h4?y Telephone#(?SI ) 45`i? 56
Contractor I
qrv- COh $ f?^ U G ?i ?
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Address
c?. U dtC C' t? /?-
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City ucu.Tti lp,
State Zip SS ?Y Telephone #( 6 1d- ) 3U
COMPLETE THIS AREA ONLY IF CC
Energy Code Category - Minneso[a Rules 7670 Cateeorv I
• Residential Ventilatlon Category 1 '
(Jsubmissiontype) 5ubmitted
• Energy Envelope Calculations Sub
Have you previously constructed a building in Eagan with a
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
? ? l1 U Ik
0 2 200? j
:)lan? Y _
?
Telephone # (
Telephone #(
Telephone #(
Energy Coda Worksheet
N If so, 25% plan review
I hereby apply for a Residential Building Perxnit 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.
1lGv? C4tnST^ 4Gf-fa,1 IlnC.(VP?t'?`?ary'}?? NT^"-?-
ApplicanYs Printed Name \ Applicant's Signature
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex x 18 Deck ? 23 Porch (screenlgazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt- Multi
? 33 E#. Alt - SF
? 36 Multi Misc.
Work Types .?^? /L
?l/ ?' f !?
i??'B T??v1 ? /
P? 4? ? goc P(J72.14
/
? 31 New ? ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
N 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)• ? 43 Reroof ? 46 Windows/Doors
••O 34 Replacement *Demolitfon (Entire Bldg) - Give PCA handout to applicant
?
Valua"tlon Occupancy MC/ES System
Census P4ode,';"`. ' 1•-? ?`? Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const 1l,?1 Width
!
Footings(new hldg)
? Footings (deck)
_ Footings (addition)
Foundarion
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
FinallC.O.
,,K FinaUNo C.O.
_ Plutnbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _
_ Siding Smcco Stone
_ Windows (new/replacement)
_ Retaining Wall
?
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156625
Date Issued:07/10/2019
Permit Category:ePermit
Site Address: 4502 Alicia Dr
Lot:4 Block: 1 Addition: Southern Lakes West
PID:10-71300-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Linden K Dungy
4502 Alicia Dr
Inver Grove Heights MN 55077
Golden Valley Heating & Air
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature