4625 1_2 Penkwe Way
40~ ar:OffrceUse
City of Permit
Dian
I Permit Fee: 5 i
3830 Pilot Knob Road
Eagan MN 55122 Date Received: ,Q
Phone: (651) 675,5675 t t
Fax: (651) 675-5694 t Staff: I
-14
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 1f2
tenant: L PL- i ( G- 191"1114 Suite
RESIDENT I OWNER Name: LX4 / 7 T/?q rga,,l ! 'hone:
Address / City / Zip:
Applicant is: Owner X Contractor
TYPE OF WORK Description of work:-TA-4-1- O °4a
ass
Construction Cost: 19, 50 0 Multi-Family Building: (Yes t No
CONTRACTOR Name: b C °?/`'-GOB I j Rt 73
Gx- License
Address:
City: ~1s/t~Cl~ State: Zip:
Phone: G/2- 5 l Contact Person: t N
Yi
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code _ Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 scission type) • Energy Envelope Calculations Submitted
In th lest 12 months, has the City of Eagan issued a permit fora 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:
NOTE Plans and supporting documer AS faa uubat are",consri~ei d to bepubllc:= ttforrr;at~on. Portions of
the information maybe classified'as non-p `licf yo e specific reasons that would permit the City to
nciOde that` trade ecrets.
I hereby acknowledge th this information Is complete 10 i+ccurate;; that the work will be in:conformance with the ordinances and codes of the City of
Eagan, that I understa s is not a permit, but one! ? pplicatior? for a p4lrmit, and work is no yo start without a permit: that the work will be in
accordance with the app plan in the case of 1 tt requires a review a n$ approval of pia
x { YY{
Applicant's Pri Name ants Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE SUB TYPES
Foundation Fireplace _ Porch (3-Season) - Storm Damage
_ Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi = Deck _ Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi)
_ 01 of _ Plex Lower Level - Pool - Miscellaneous
_ 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 Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation /~j DOD. Occupancy RG- MCES System
Plan Review Code Edition URA 200-1 SAC Units
(25%_ 100%_) Zoning - 3 City Water
Census Code 4 3 c( Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
1Q Footings (seek- PW) D)1 LJgl( Final / C.O. Required
Footings (Addition) Final t No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water _Final Pool: Footings Air/Gas Tests -Final
'4 Framing X Siding: _Stucco Lath -Stone Lath Brick
Fireplace: _Rough In Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee 5;~;~~ (Z( ~?(~fl . 6 rln' ~ZE'L?i~2o?
Surcharge 8 ®t7 Y~ d ®O . ~r~~ p)ql~ ~ 2~ tet~
Plan Review & 7• / 7 i~T~1+ U~ X4-11 f
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies Z d?i .Z S S0
TOTAL
Page 2 of 3
C. R. WINDEN & ASSOCIATES,, INC.
Vd LAND SURVEYORS of 645.3646
1381 EUSTIS ST., ST. PAUL, MINN. 55109
For:
U. S. Home Corporation y~ ZS, q 6 2S ~f6Z-7~
NJ
EAGAN
REVIEWED
Scale: 1" = 50'
ja..DING INSPECTIONS DIVISION
s o 2 ~ ~~FyL ,r
2
1 QV 3 4 ' n 1~ -1
3, ~ 8 a n: v
4 P
2. v ~T
3w
PR~VAT E tVE
ff,
Z C
Note: As of this date Johnny Cake
Ridge Third Addition has
not been recorded.
Lots 1 through 4 inclusive, Block 7,
Johnny Cake Ridge Third Addition,
Dakota County, Minnesota.
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE
BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY,
THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND.
Doted thisj c3 day ofLjJv -A. D. 19$Q C. R. WINDEN & ASSOCIATES, INC.
by
Surveyor, Minnesota Registration No.7
EAGAN Ml A ER SLR /K ' BAR
.,. ,. - - - Reed PERMIT NC ►.: :1;,
3l3122 DATE: (/ /'1.i .
:, No. of ' U ?: t t.-.! : .
r rs , - : ri„ ;t
'- t. p ..' . era.';we t ,i€- 12 . P7 .1 C 'dame „e ,iii
.enze
.. ►...: urge 305
C C .00 Pe
• T 1 6. Ci: pd
le**M * with Mn c, 4E #1 � y • w pd :,. '
,,, Misc. Cheivest c t ` . r )0 pd meter
Tot&:
B ...... war Date Paid:
Insp.:
4ITY- o JV - !E $141vick PERMIT
3795 ,PRee ; I► Ileeitiokr ,
!s , Ae 35122 ATE NO
�
DATE: `T --r ---- -- -__--
No. of Units: ,,
Plumber.
tepee to cesigdy WM the City of 1111JMe COnneCtiOn Charge. 1 ,
Account Deposit:
Permit Fee:
BY
Date Of MJsc. Charges:
Total-
Dote Paid:
tt
hF
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I For Qffice Use �
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�l� 0��� �Il f ; P�,�#: � �� ;
� � �/ � ( Permit Fee: � �
3834 Pilot Knob Road
Eagan AAN 55122 � Date Received: j
Phane:(651)675-5675 � �
Fax:(651)675-5694 1 Staff: 1
I I
� . . . . . . �� � � . . . . � . I�.�� ' � �.�J .
2014 RE51dENT1AL BUILDING PERM�T APPLICATI4N
��: �--���-�� ���,��,��:�� � -- �b a � '�z ����. w �n��:
f� ���
� Name:�C�/T!��� �r��� �t,vr}�?�i� Phone:
Residentl j�
£}W�'1@t' Address!Cit�+f Zip: �_.�:�''�`�° /_ ��L"�
ApPficant is: Owner � Contractor
Description of v�ror[c: ���''' r��'� `" � �� ''!'�os�'��
T e of Work ,
ya
Construction Cast ��'�I t�0 � Mutti-Family Buiiding:(Yes�i No,_,,,_,}
Company:/�/�YZsJ�5� C,t7,�i��v9�t'i�OfS �Cantad: t/r�t �L�t���7'
' C�ntr��#ar address:6'�-%�2 Z�e��/��►� L.;�-�`� /� city:l°J��'� �ar�t�1/�--
State:�`�Zip: ��.���,'� Phone:�j��'"�'Emait:aJemd?t�l:3s�"L.1��7'�Gc�VI`�✓�v���
✓� �,� ��?v C��
Licen�e#: 1J� �.�� � t_eatt Gertifiicate#:N�a.-t°,.•,��J�1�3 -1
If the project is ex�mpt from lead�et�ification,please expiain why: (see Page 3 far addifional inforgnation)
COMPLETE THIS AREA ONLY IF CONSTRUCTiNiG A NEW BUiLDtNG
In the las#12 morrt ., the City of Eagan issued a permit for a simHar ptan based on a master ptan?
_Yes �No If yes,date and addr f master plan:
Licensed Plumber: Phone: `
Mechanical Gontractor: ,
Sewer 8�Water Go r: ' Phone:
"�lt'J��: s�rrd s�rpportin�'�fc�uments t�at you srrbm�t are cons�d�,re�'to be,A�bfic irtfczr�a�i'+��,=f��arn��t�
�t�#c��a�t�n�►ajr b±��fa�s�ed�s rt€�n�vblic If�tou pravlaf�sp±��f�t�easc��ts�at.ti�rr�r)�'per�it��it,y t+� °
c�ttclutte ttr�t�ie are traEle s��:
CALL B�FORE YOU QIG, Cali Gopher State One Calt at(651)454-0002 far protection against underground t�ity damage. Ga!!�t8 hours 'I
befo�e yo�intend fo dig ta receivs locates of underground u#ilities. www.aooherstateaneeatl.ara
i hereby acknowiedge that ihis informatian is c�mplete and a�rate;that tt►e work wiil be in c:onforman�with the ordinances and codes of#he City of
Eagan;that t understar�d this is not a pe[mit,but c�My an aPplication far a permit. and w�k is not to star[wiihaut a pertnit;that tt�e wo�ls v�tl be in
aceordance v+rith the aPRroved ptan irt the case of alork which eeqtirires a r�view and approval of ptans.
Exterior Hrork authorized by a buiid3ng permit issued in acccrdance witlt the AAfnnesota State iiding Code m�t be complsted vrithin 180
days af psrntit issuance. � '
x ��� ��' :/'1'?� x
Appiican�s t�stirN�c!Name ' anYs Signature ;
: , Page 1 of 3