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4627 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 --------------I Fdr Office Use Permit City of Eaall Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 III Fax: (651) 675-5694 1 Staff: I - - - - - - - - - - - - - - - - 2009 RESIDENTIAL BUILDING PERMIT APPL ICATI Date: Site Address: Tenant: uite RESIDENT I OWNER Name: P hh ne: Address / City I Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes I No CONTRACTOR Name: License Address: a. " City: State: Zip: Phone: C ntact Person: COMPLETE THIS AREA ONLY IF 96NSTRUCTING A NEW BUILDING Minnesota Rules 7670 Ca o 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Cat ory I Worksheet • New Energy Code Worksheet Category Submitted Submitted (I submission type) • Energy Envelope Calcul ions Submitted In the last 12 months, has the City of Eagan issued 4ermit for a similar plan based on a master plan? _Yes __No If yes, date and address of mastef plan: ~ Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting doc lments that you submit are considered to be public information. Portions of the information may be classifi dlas non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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. x x Applicant's Printed Name Applicant's Signature Page 1 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 NO. of units: tra to i . s p 4627 .: _kwe'''1 B 8 C R.±&e 1 1 ' euz . � P.m , F 0 . ©Q ► 0 pig*: .50 ' 'p(T ...414111101411.00* wilkiiiii R ,,O mac. 60.00 IA meter / Dpi Paid: Da �rw f _ . trap.: *1518 NEI R1Net II." 1� Roes tay PERMIT N ��- " b410 " 18122 DATE: ` No. of Unita:. 3 , °, it t inter r rr :r Thomson i : `4. es �1dck�ess: . Site Addams: 4(,7?; Peyilms 7 1 71 J Pit'ne I£ Piwnber. ' 'ena /6 /CO 20344 100 00 pd ! Apo to ss*plj w111)110 C1y Sown Coransc ion : 425 _ OD pd Account Deposit: Permit foe: 10 .00 p Sao . 50 m 3 0r _ Misc. Charges: ..,,_el "-!- Total: M aps J Dais Paid: `i ) ' y :, • �/��� � �-'I��.� �I�- , ! lP ��� `Z c��i� t /a" Use;BLUE or 6LACK lnk UJ -- - - ------ I For Qffice Use � . } ' [23�1 f � �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