4217 Daniel Dr
Use BLUE or BLACK Ink
For Office Use j Permit < V O ~o
I
I
\ I Permit Fee: 00
City of Eajan
3830 Pilot Knob Road
Recived:
-
Eagan MN 55122 J li L 2 Date ) ; ~ I I
Phone: (651) 675-5675
Fax: (651) 675-5694 C Staff- - - - - - - - - - - - I
2011 MECHANICAL PERMIT APPLICATION
Date: I~ Site Address
Suite M
Tenant:
RESIDENT / OWNER Name.1 Phone:
Address / C'
Dan Wohlers Southside Htg. & A/C = 7 9 e~7
CONTRACTOR Name: 6950 W. 146' St., #106
Address: _ Apple Valley, MN 55124 _ City:
State: (952) 431-7099
Contact:w t 1 1° Email:
TYPE OF WORK New Replacement Additional Alteration Demolition
c,-e_
Description of work: ~
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE _ Furnace New Construction Interior Improvement
Install Piping Processed
Air Conditioner -
_ Air Exchanger Gas Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
TOTAL FEE
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x 1%
$55.00 Minimum (includes State Surcharge) _ $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $
(i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) _ $ TOTAL FEE
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 oopherstateonecalLom
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
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By. Date:
Required Inspections: Under Ground Rough in _Air Test _Gas Service Test -In-floor Heat Final
Exterior HVAC Screening Inspection
Use BLUE or BLACK Ink
r
For Office Use
~ Permit
City of EaV~
d I Permit Fee: ~y ° LJ~
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
H zl 7 f ~-,n e 1 Or.
Date: (0. M. 7-016 Site Address:
Tenant: Suite
RESIDENT/ OWNER Name: V-e-lk4 C-,VAJ) Fnyx -:~XG>QA L''r' ~ Phone:
Address / City / Zip: r?
Applicant is: Owner Contractor
TYPE OF WORK Description of work: (2,e slde
Construction Cost: at, 913 Multi-Family Building: (Yes / No
CONTRACTOR Name: License ~s3z7y
Address: S£366 81o,c14sk,b e (~.Pli City: Grove- /fn t I)IS
State: M *J Zip: sSO76 Phone: l 6 &&' 636 S-
Contact: Sn SO; Email: isoone 0 krec~AexferoJ'S w
On•,
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:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.o_rg
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.
0 L
x Sonc,,.+Vy\ S 6 i r•e x
Applicant's Printed Name App 'ant's Signature
Page 1 of 2
., il \ AJi L t/ i i V 1 \ i_iJ 11 V ?m _L
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ,
Eagan, Minnesota 55122-1897 Date Issued: , (612) 681-4675
? SITE ADDRESS: APPLICANT: I
?I ,• 1 f i)AN 1 t i !)I
I 1,; t Wi?1 C7N plf !1!M611.
?1.tfulVt?i it l,aJ??,, t 1 t
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION .. . ..
. .. • . I ? . .{il,?`4 . Si ,', I 1.
I b f MnJr}. •, :, ": ' F, r.J 1I E tclr t= lVr: 11.I H,
?
_ ?
- - - - - - - - - - - - - -
Pertnit No. Permit Holder Date Talephone N
ELECTRIC _/,$Q-
17
PLUMBING
?
HVAC 661T?U Jr?61,y Q-
Inspection Date Inap. Comments
FOOTINGS y?? f
J
FOUND
.S? ?? mF c+ i-v
FRAMING
7
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
l
(Q
GAS SVC
TEST
G•-? ?
INSUL ?
GYP BOARD
FIREPLACE
?
FIREPLACE
AIR TEST
FINAL PLBG
6
FINAL HTG i!
ORSAT
TEST '
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
UU:JU , INC. , i 6
MIdtlES B??£D OI? C?11APZ' R 5 O Ti(jjE ?qJ' ?+!
lf?EL-EdERGlLr-08 -..1 2,@.3_MTI01I
kdoption Effective
owner
Phone pate
S ite Addrese '
contractor_ M ?D4l??LD one
Building clAeeification: Type A1 (Single Family 6 Duplex)
Typs Aa (Reaidential, 3 stari.es oC lesa) ([3ve= 3 etories} (Other
, )?
gEdERAi-I11"tia2Iot!
?
i. Building Perimeter? ? ?VET ft.
2. Wall heiht ?
g (ground to eave) ft.
?. i. X 2. (above) grose wall area 2-7 ? v Bq.ft.
4. Bullding dimensian9 (L) X (w)_^ }Z,_Bq,Et.ronf & fl.oor area
5. Sq. foot area of rim joi.et - Floor joist siae 2 X' 1? )
- j? „ x Z9?D (per?meter) = -L Z sq,ft.
?? 12
6. Doors - Area ?? ' .
ThickneBS in U. Eactor -144,Type of Constructian Perimeter ' ft,
• Manufacturer
7. Total door's perlmeter ft.
B. i+lindows: Manufacturer U. I State approved
U tnctor_ .32 (O
. TYpE SiZF AREA (sq,Ft, ) NDrfeER oF • ToTAL
c>? `' 1 AIOR?sI 1??.? U ' EAC11 1111I'P8 SQ FEET
9. Total sq.ft. Glass Z-Z-5
10. Fireplace araa: Width X Ileight = X ? sq.fk. ,
_.?
11. Expased foundation: ileight X* Perlmater (a-7,X,??= 4-sq, ft.
C011pI,ETIOti OF TIII9 FORtI 13 RE UI1tEl1 FOTt ALL
REHODELItiC AtIA BiIILDIHG3 SEYtIr MOVEp H11ERE ENERGY),fEOTf1ER Rf AN ' 1 1?c,tliliYltA1.
coDE XLl.otiAtlc:E, Is USEU.
-1-
PERMIT
-x' -Cii'Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
PermitNum6er: BUILDING
Date issued: 0 2 5 4 4 3
05/01J95
SITE ADDRESS:
P.I.N.: 10-45030-020-01
9217 DANIEL OR
LQ7: 2 BLOCK: 1
LEXTNG7pN MEADpW5
DESCRIPTION:
B#l1d1nqk.Permit 7ype
BVildiYi°g Ffo'T_44., Type
?IE3 C? ' Oc? trpa r? cy,"??, r
c qttstr?r?t.ia.n. fiyp?
in'g'°:
Bttil?d?.Yi..Wi.°dtkl-..,,;' ,
&tii3? ima"'9toriss:t
SF DWG
NEW
R-3 U
v-N
Pn R-i
60
34
z
1,498
?
jp
? S.
B s?.a„ e,? G W.vy i?
-4 y ?
?i
f?.??w"E a s?' ya, XM, Ee1 Fr
? V4 t ? ?; ?S A ?
REMARKS:
S& W PLBR - FIVE STAR PLBG
FEE SUMMARY:
vaLuArsaN
Base Fee
Plan Review
Surcharge
5AC
SAC %
SAC Units
SubtotaJ.
$713.00
$463.45
$60.50
$850.00
100
$2,086.95
$121,000
MI5CELLANEOUS $1,892.50
caPv $.5e
Total Fee $3,979.95
CONTRACTOR: - Applicant - ST. Lrc. OWNER:
MCDONAL.D CtlNST ZNC 14327661 9002376 MCDONALp CONST INC
7601 145TH ST W 7601 1457H 5T W
APPLE VALLEY MN 55124 APPLE VALI.EY MN 55124
(612) 432-7601 (612)432-7601
, A ? • .. 6 f' .
? I iiereby ;aaknoi,Rledgee that, iS hsve= rsJd k6ki.•'a??pl?16,at1qn -artd stat:e° the-?` ?
inform.a-Xihrr is correct..an.d ag:r`ee tv pl?oab le ,$t?t,f 1Nn_ .;
- .. ,?s'i"?3`"4t1t@&` a Rld ,E"s.?..-'Gtf 41"f E d 9 3?1 -0Pd.g-•I1,?`,eli1G@?:e`
L .-
APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNATURE
M443 CITY OF EAGAN 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
? 3 registered ske surveys ? 2 copies M plen
? 2 wpies of plans (include beam & window sizes; poured fid. design; etc.) ? 2 aite surveya (extedor addRions & dedcs)
? 1 energy calculations ? 1 energy calwlations for heated addkions
? 1 hee preservatlon plan A lot g,latled aRer 7l1/93
required: _ Ves ,Z No
DATE: ?& ? CONSTRUCTION COST: .? ? ? ? ? S ? • ?
I L
DESCRIPTION OF WORK:
STREET ADDRESS: ^I:? I t V H"''- L E ti k-
LOT rBLOCK SUBDJP.I.D. #:
PROPERTY
owNeR
CONTRACTOR
Name: Phone #:
yiyY FIR61
Street Address,
City:
Company:
State:
Al "tokA ',k .sK ?-
Street Address: I/06( 1YZ?-f
Zip:
Phone #: 4'3a,760(
License #: 000a3 ? C-
ARCHITECTI Company:
ENGINEER
Name:
Phone #'
Registration #'
5treet Address-
Ciry: State: Zip:
rrJ/? qa-?I
Sewer & water licensed plumber: ?u P- G4 R Pl rr9 6?k u. Penalty appiies when address change and lot
change are requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the information is co rrect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. ?
?
Signature of Applicant: 6
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
? Yes
Yes No
RECENE?
APR 14 1995
---------------
BUILDING PERMIT TYPE
OFFICE USE ONLY
r+
t„
,. _
... . <.. .
?? -
. ,,.
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
X 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool
13 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
? 05 SF Misc. ? 10 Multi (additional) ? 15 Deck
WORK TYPE
,d-31 New o 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demalition
GENERAL INFORMATION
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Ptanning
- Basement sq. ft. f 710 MC/W5 System DX-
- Main level sq. ft. ??y City Water 0<1
X?3 u ? sq. ft. jr 3& Fire 5prinklered
p-n aq sq. ft. PRV
sq. ft. Booster Pump
?p sq. R. Census Code.
39, Footprint sq. ft. 96 SAC Code ?
°
5? Census l
9
/
? y?
1 Census Un ?
8uilding
Engineering
Variance
Permit Fee Valuation: $
Surcharge
Pian Review
License 6sKT,
MCNUS SAC 7x
Clty SAC Z/o x t Y =/ozy `z" °? - Ctb>
Water Conn.
Water Meter ix ? z = ?z
Acct. Deposit I8 .• ?v = zsz 97o a? s'
sIW Permit
S!W Surcharge
Treatment PI. 9 7 y. s s?= Z, S y 6
Road Unit
Park Ded. z r, fG? Z z y z 2 =`1?Y
Trails Ded.
Other Z7.fx z•1
Copies . So ? r, z = i z --
TotaL• L (gb
/sx IZ - i?O ? y
%$ACi /oxio • !? ?l
SAC Units 6 s/o xrf + ?/y`/ -- -
fll I? 11 1JJJ VV'NV 1 LI'lll?.V• llYli. 1 V1G ?JG JVJJ i.VJ cV
.12. Fratnlnq area = 10% oE groee Nell nrea,
17. Groes wall area Z7 ti g eq.Et.
Wlndow area A?i 15 . sq,pt, U wlndowa =•3(l/ UxA = ?l
Rlm joiat area AZ"fr eq,ft. 11 rim Jolst= .O`T! UxA =/O
Door area A 5 ( __ eq. ft. 0 door area= l1xA =
otlier doors area A40 eq. Et. U other doors= ,#/ UxA - 1.?._
Sxposed fndn A - IL4`sry, ft. II foundation- . '97?0 uxA =
F[aming erea A 111LV eq,Et, il fremin9 area=?a? UxA =
ttet wall area AiBZO'Z eq, fl•. tl we] 1= uxA =-76
(13[l) 1'O'I'AI. . . . . . . . . . UxA = 7?7L'
14. Groee wall urea x 0.11 (A-1 elnqla Eamily 6 duplex) = allouable l1xA/Codo
(1], abuve)
x 0.23 (A-2 otlior reei(lenl•lal) •
, x .23 (0ther bu11(llnge)
x .20 (ovor 3 utoriee)
Z7(? ?' ??? H7'UII muet be larger thari or eame
1+ x ll Code -°F. ae 13D pbove
• 15. Celling freming area (AE) orytfnle 101 of ce111nq area
15A. Groes ceiling area x(19) r ? ZO? sq,ft.
150. Jo1et area (A () = lo$ celling area ? )Zc?? eq. ft. '
15C. Iiet oeillhg area (A.) (15A - 15B) 8q,ft. '
.U ceiling x Ac 71
?
II freming x A E e114_x 0Z?'J o 3
151). TOTAi,It X A ............................ z (Y
16. CeL]inq aren (15A) x o,026 (A-1 alnryla Famlly 6 duplex)
= allowable UxA/Code '
x 0.073 (A-2 oLlier reeldentlal)
x 0.06 (otlier)
l+(15A)x U Code,?L? a ? f oTUll muat be lorger L•lian or eame
.?_ F• fls 151) aVove'
IIOTEt Use U anil A values obtalnad from pegee 1, 3 ond 4.
CERTIFICDTIQII3 I herehy aertl[y tliat I Iinva colaulntod tlia "U" factora oncf
"R" values Ilereln om1 that tlio Inullding Iiore deACrlbed meeta or excaeda tlie
sL-ate of ltlnneanta Gnorgy Connorvol•lon Acl•.
oate 9lgnature
-2-
9???xC?4-t-3?-fi-Z7tz7? .?z2 = ?r8?
20)._.
S.?3xC 4c?t Z4t ?g,s-t Zi.s>?2o =-- ?°?°
?o -' ? Zoq ?- --? - - - --
1rlLLI?.?Dv`r.s._ . ._-- ? --- ? --
4(0 . =.1. I.. ZS k `l = 1 `j
' Zp3lo = Z? Z = 1.4
?Z°?.r._ = __?4 = 14
?+?u Z(,0 So__.- ?..1Z..Sk-7 = 68
Z25
p
A-r-lo 40
57C qz Inl/2 5.L ? 3 3? ; r
Ze src. s??- a?, = LEL
R?
-?9.?-195
CITY USE ONLY ?
L ? BL I RECEIPT
SUBQ.' 7e/ 'r IV,J? DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
Add-on air conditioning Fireplace conversion (to existing firepiace)
Date: '1?5 - 15 -RS
;1=1*1
.
.
Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
HVAC: 0-100 M BTU
Additional 50 M BTU
Gas Outlets (minimum of 1 required @$3.00 each)
State Surcharge
TOTAL
SITE ADDRE
OWNER
INSTALLI
STREET
CITY:
PHONE #: ( ?p(? ) z+(CJU 4000?
24.00
6.00
(?.0Q
.50
'DI
STATE: ? ?1J ZIP: ?D??
L ? gL ? CITY USE ONLY RECEIPT #: IrI4s16
SUB . a DATE: -50695
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-1675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet ` minimum - 1
Rough Openings
Water Softener
Pfivate Dlsposal * Dakota Cty. license
U.G. Sprinkler * home under const.
Alterations ' to existin9
Water Tum Around
EACH
x
x
x
x
x
x
x
x
x
x
x
x
NO.
TOTAL
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
STATE SURCHARGE
TOTAL
?
?
3?do
aME
3. 06
3_oa
3??a
? QD
y. Sb
.50
o o
SITE
OWNI
INSTi
STREET ADDRESS: "A? /3 c)N U
cirr: ? &o VC' s
PHONE #: ( )YV-SLO
Z,P:
L ? B
SUBD ?
NEW RECEIPT 0 V?c(r ?p --
RECEIPT DATE_-o / -S
m
JOB
ou t?
DATi
_PLFASE BE ADYISED THAT_ T1EFtE IS A.FEE_SHORTAGE.ON_ THE ABOVE.
ELECTRICAL IISTALLATION IN THE AHOUNT OF t
SHORTAGE MIJST BE PAID WHITHIN 14 DAYS.
:T?l."WJ-*-?
J"
0 to 30 amn. circuits= °'J
/ Up
( 31 CO lOO BIIID. CiCCUtCS° 71
0 to 100 amo service-
- /
101 to 200 amo, service= 99 GO
'
op
TOTAL FEE DUE= /0 7 -
w
LESS FEE RECIEVED 77,
<so
T(1TAi. FRR CRf1RTSCR 1111F a k3 a r
eeRrtirn 13o-ov7 - , - - .-- ... _
ORIG. RECEIPT/l 41310 %
RBCEIPT DATE Co' 7- ¢J
RETURN A COPY OF THIS FOltM WITH REMITTANCE.
P.02
*?c
* PIONI
? e rn
2422 Enterprtee Orlw
Mendoto Heiyhte, MN 85120
(812) 681-1914 FAX:881-948g
625 HiqhwaY ?10 N.E.
81aine, Nk 55434
(612) 783-1880 FAX:783-1883
Certificate of Survey for: MCDONALD CONST.
4217 DANIEL DRIVf
A N
nEl/IEddED
3Y
E y /? ?s y ...07-
J,A
eENccH uAtK
TOP OF PIpE -?
?ELEV.m976.88 ? M
??(
w
8?? w
y ? 1?"" Vsn.? S7$°3
? 7
oiaw ` 20 1?cp NIlk-
l/
1 ? `\ l -???'?f ? 0 1 719
??? o?"J:?;67.0\ ? , ?,?`
? ? \ 97a2 .o
c,?•`'? ?6
27+.1\
/9 7za i' 1
\?( ??.?? •? ??? ? 6^ ?+' ?• ? O ' 9,72.20
C !? ? \ c?a7
971.89 N.\ti , ?1. /-
, 3
ar.7?2? PIPEK ?
\? ETOIFPV.O ?F 97293
\ 071.48 C
\ 'b`3 ??
- `1 POND JP-69
NWL• 948.0
2 ` HWLa9SZA
?
? s y'].85 „
S78°26?32
?
?
/l 0 U 10 C.. f' C'f rC'JGC- ov
I.JO 1 CsfsCG
\ EAGAN
?
PaarosEb aaoes srwM nn o?IWG wM er.
Noie: euaouao orewsaNS sFwIAN uM r•ort HarozoNr,u. AND ucxncnL
IOCATON Ur STRUC7URE8 OHLY. 6kE ARpU7ECNAL PUNS /Olt 8W10iN0
AND FWHDA710N UINENSONA
N01:' CONiMCTQt YUSf VHtlFY ONIVEWAY DWW.
? un m? awc ?,nnu "0 ovsit NY,Ml7YIf fW 74lG
?;:G
7MS Wi'MG11C 00[S NOT PIMiPORT TO 9HOW EA9fyAEH}g
01NER MAN MOSf SHOYM ON 1lIE RECORDm PLAT.
SCALE : t INCH = 30 FEET
"W1uM' tl1nY41 lDC ICClWCI1
iai'4r'n+[ surtv[non, nie's`viineiuiv oF sous't'o wr`ratT vie"-
• SPEC'IFlC Hq15E PROPOSEp 1$ NOf 7NB ItESPONg81t17y OF 7HE SVRyeypR,
" K ooo.oo Oanotea Exlstlny Eievotbn
( o0000 ) Denotea Proposed Elevalton
--- Denotes Drainaye k Ut01ty Easement
- - Denotes Drainoge flow Directlon
---M-- Denotea Monument
-e- Danotos Oflaet Hub
PROPOSEU HOU"FYATIOu
Lowest FIOOr Elevotim:
Top of Blook Elerotlon: YLI-7
Gorage Slob FJovotion: 97S /
WE HEREBY CERTIFY TO MCpONALD CONST. THA7 7MI5 IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE gpUNDARIES OF:
LOT 21 BLOCK 1, LEXiNGTON MEADOWS
DAKOTA COUNTY, MINNESOTA
IT OOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEP7 AS SHOWN, AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION TNIS 3 AY Of MARCM, 1995.
Revs?n 4-t7-9f'
?
Z
SI NED: PIONEER EN CRI:N C, .A.
BY: .. .? ...,--
04-17-95 10:15A1L P002 #30
?
LOT BIIRVEY CBECRLIST FOR RESZDENTIAL
? BCILDINO PERMZT 71PPLICATION PROPERTY _
? Dat• of Survep: ?
DOCIIMENT BTAND stna /Cv-?- z ` 7= +
I?0 0 • Registered Land Surveyor siqnaturs and company
HI0 0 • Buildinq Permit Applicant
0^ 0 0 • Leqal description
D • Addrees
PT D 0 • North arrow nnd bar ccale
II? n 0 • House type (rambler, xalkout, split w/o, split entry,
lcokout, etc.)
6 0 ? • Directional drainage nrrows with slope/gredient t.
@? D 0 •• Proposed/exicting aever aad wnter cervicea
[YD 0 • Street name
D?0 0 • Drivavay
ELEVATIO1i8
Lxistinv
FJ` 0 0 • Sewer serviee
0'0 C) • Lot corners
??? 0 • Top of curb at the driveway
Ef ? D • Elevations of any existing adjacent homes
preDOSeQ
B'0 0 • Garage floor
Q?D 0 • First floor
C?D 0 • Lowest exposad elevation (walkout/window)
D? ,0 0 • Property corners
D? D 0 • Front and rear of home nt the foundation
p9NDZNG 7?REAB fif avpl3eablel
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D D--D • Emergency Overflow Elevation
r 0
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October 19
DiMExszolvB
• Lot linms
• Riqht-of-way and street width (to back of curb)
- Proposed home dimenalons inciuding arfy proposed decks,
overhanqs qreater than 20, porches, etc. (i.s. all
structures requirinq permanent lootings)
• Show all easements of record and any City utilities within
those sasements
• setbacks of proposed structure and setback of adjacent
existing homes
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Request Data Fve No 16*0y I pe,.lion Feqmr Inspection Other Than Rouqh-In
? 1 (YOU mus allinspector hen aay) Reatly Now ? Will Not?1 pector
Ves No te Read
"(%)t
I hcensed contractor ?owner hereby request inspection ot above elactnc at ?
Jab Adtlress (Str eel Box Route No) Cit
Seclion N. Township Name or No qange N. Co I
Occupanl(PqINT Phone N.
S
/
Power S r Adtlrass
hni
Elecln^ I Comractor (Cnmpapy Nan e) hactor's lmense No
Con
6 oo %(?
M bn Atltlress (Con[rac[or ; Owner iAakinq Installation)
k ?
uthonzetl Signamee (ConVar.tadOwoer Making Installabon)
C 4 ne Number
1 50 3?
MINN 5 Tq STATE BOAPD OF ELE RICITV
Grlggs-Mitlway Bltlg - Room 5428 II
11
1
111111
111111
1 I
11
1111
1111
111 TMIS MSPECTION REOUEST WILL NOT
111 BE ACCEPTED BV THE STATE BOARD
1821 Univerelty Ave, St. Paul, MN 55104
Phone (612) 642-0800 UNLESS PROPEF INSPEGTION PEE IS
cniri necn
(P/r? /C15 REQUEST FOR ELECTRICAL WSPECTION
' Sea instmclions for oomplaUng Ihis fomi on back of yellwi copy
(-) - / "?j -6:0 7 "X" Below Work Covered by This Request
EB-0000109
"N G67
?
Ne Add Rep: Type of Bwlding Appliances Wired Eqwpment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heahng
ApL 8uiiding pryer Loatl Management
Comm./Industrial Furnace Other (Specrfy)
Farm Air Conditioner
Other (specdy) Conlractor's Pemarks .
Compute lnspecfion Fee Below-
# Other Fee # Service Entrance Size Fee # Cvcuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps Above 100 _Amps
Si ns ?nspecror's use Only T T
IrrigaUOn Booms
Special Inspection ? ?O ?? -
Alarm/Communication }-
THIS WSTALLATION MAV BE O ED NNECTEO IF NOT
Other Fee COMPLETED WITHIN 16 MO THS.
1. the Electrical Inspector, hereby
certif
that the above ins
e
t
h Rouqn-io D.
y
p
c
ion
as
been made
.
r
USE ONLV
eq uest voia t8 monlhs trom
Use BLUE or BLACK Ink
r I
I For Office Use
Permit
Ila
City of Ea,a
I Permit Fee:
3830 Pilot Knob Road i I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Staff:
Fax: (651) 675-5694 L -----------------I
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: - -2,01 Z Site Address: 7b t I ~J~ 6-cj
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
Name: MLf !y►>C1`~A License
CONTRACTOR Address: _2601 L)L 2 City: ,J Zw ~
State: Zip? Phone: 7-o 2,2
Contact: Email: / g~ll
TYPE OF WORK - New _ Replacement _ Repair _ Rebuild dify Space • _ Work in R.O.W.
Description of work: 'F11- ~~i9 i /4➢~ W~
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation RPZ PVB)
PERMIT TYPE Add Plumbing Fixtures Main Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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.org
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 o 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 pl ns.
x /,YL '7~+L x
Applicant's P rated Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
` Use BLUE or BLACK Ink
I For Office Us - - - - - - - - - - I
~ I
I
My Permit of Eatan I Permit Fee:
3830 Pilot Knob Road j
Eagan MN 55122 RECEIVED Date Received:
Phone: (651) 675-5675 i staff:
Fax: (651) 675-5694 FEB U 2 2012
V
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: r-^d /wit -SG 0 e 6 C,- ~ Phone: foSYl-- `(S 0 &S'D
TOM
RESIDENT /
OWNER Address / City / Zip: 4 -1 7 D4 el
Applicant is: Owner ✓ Contractor
Description of work: 8 k Jew e,, Fh r~3
TYPE OF WORK
1" i,
Construction Cost: (J UUv Multi-Family Building: (Yes / No L
Company: K aired L J3y1/ c ,0 Contact: _ ~ I rASz5
CONTRACTOR Address: 32-0( Ad Q o lc City: rfi.J u'
State' )I N Zip: _S1 5_(2_J Phone: IG~N1 -3aa 7
License 00q l (Z ( -1 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
/30147' 919
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:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the infornmWon may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
x L( pp's tLti x
Applicants Printed Name Applicant's Signa re
Page 1 of 3
x:,
< .
DO NOT WRITE BELOW THIS LINE `l
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 *Demoiition of entire building - give PCA handout to applicant
DESCRIPTION
/ m
Valuation Lg 422~- Occupancy 12C MCES System
Plan Review Code Edition k.922 SAC Unite
(25°r6_ 100%_ Zoning 1- City Water
Census Code Stories Booster Pump -
# of Units Square Feet - PRV
# of Buildings / Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Motor Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: Stucco Lath -Stone Lath -Brick
Fireplace:2~-Rough in gEAir Test „Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By:, Building Inspector
RESIDENTIAL FEES 1ei0 ;'0
Base Fee l i
Surcharge
Plan Review 4f 3
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
bOJ) t O,aq`P`0 w 1, Use BLUE or BLACK Ink
1 For Office Use--------- I
~j
Permit
City of Ea~d off.
Permit Fee.
3830 Pilot Knob Road I I
;
Eagan MN 55122 ; Date Received: Ito
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 l Staff: I
--~~~-----------J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone: loot -LA0a`- 41 1 C(
Resident/
Owner Address /City/Zip: 43I bR ' Ek
Applicant is: Owner Contractor
Description of work:
Type of Work
Construction Cost: v Multi-Family Building: (Yes / No
Company: 0(,L Contact:
Contractor Address: ~ 1 ~ Cab L-E, City:
State:. Zip: Phone:
License #:E)`T Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NOTE: Plans and su ortm documents that you submit are considered to be t".
pp ~ g y public information. Portions of
the information maybe classified as non-public if you provide specific' reasons that would permit the City to
conclude that they are trade secrets
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.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x ~(1 Ce_ i--C~~ x UY ICsL
Applicant's Pri ted Name Applicant's g ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120787
Date Issued:03/03/2014
Permit Category:ePermit
Site Address: 4217 Daniel Dr
Lot:2 Block: 1 Addition: Lexington Meadows
PID:10-45030-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Thomas J Schoeberl
4217 Daniel Dr
Eagan MN 55123
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
Apr, 8 2814 9:04AM
Property Claim Solutions
4.1111. .
ulLE'ai
3830 Pilot Knob Road
Eagan MN 55122
Phone: (681) 675-5675
Fax: (661) 675-6694
RECEIVED
APR 0 8 7014
No. 2351 P. 1
Use BLUE or BLACK Ink
For Office use
Permit It:
g
Pe
Permit Fee: /L03,
Date Received:
Staff:
2014°RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Li— 8 - ( U Site Address: 44 7
Unit #:
ifC ,
- � I • � J Q ///�11
I. P o 1/� ✓r^� U _ q l�M`''ry
�'
,:---Nan;i
S:'..`J.'�%YB�...
Reside"'
, r Owner'' '
r,;a"~`'
_ .r� y - -Pilaw -IQr• /
- / i 7
�1d 17
Address / City / Zip: , ilj tz-.
Applicant is: Owner Contractor
_4
Description of work rpv.iy)/ 4
A It • -.4. " . ria 1 CRN
of�lila
"' '��"•' . `•N.�""u''
-�Cost:
Construction
MuMi-Family Building: (Yes / No
<,» :,': `� ?% d
��.,....,.....,.,.<,,.. , ...
Company jpe.5 ReZiCk./1 +/Q / Contact (. tk01 ✓la .
Address: _C1005 Aa Cal6 CI 2r I City: P.11..00 ✓1
State: I J t J Zip: 65/ Phone: .. /,Sl - ince D9
License #: �.t
���.�� ><�Cl Lead Certificate #
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
al47- 75 -PD.
- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has - . of Eagan issued a permit for a similar plan based on a master • Ian?
Yes 1No If yes, date and address of master plan;
Licensed Plumber: no;
Mechanical Contract. Phone:
Sew° - ter Contractor: Phone:
.asst..i ...,.o..... ..,.. . doum.ens.,-
. ._ ....T.E.....:;P._'arid.:: eau` balit ate cQnstderedtaLie litilcrn oRrtation:Portiors:of
.theinformaGonm0asslflag:nn- ubc;iiou.videsecific reaacrt�ffiaf �i�►o�l�t'emt�t�ti►8`�C ' ta :
;,',....:Q. , .. .... ;cone/udeY is they:are tradS. socreia'....,:...,,. ...�..... ,
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.gopher$jajeonecau.orq
I hereby acknowledge that this Information Is complete and accurate: that the work will be In conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work i$ 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 pians.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x(t -n►' - /per X G
Applicant's Print d Name Applicant's ature
Page 1 of 3
•
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% ✓ )
Census Code
# of Units
# of Buildings
Type of Construction
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Siding Demolish Building*
Reroof Demolish Interior
ie Windows Demolish Foundation
Egress Window Water Damage
*Demolition of entire building — give PCA handout to applicant
Lfc -Z
MCES System
oZ 427 SAC Units
10,/) City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
lk Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: Footings Air/Gas Tests Final
Siding: Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: Footings _ Backfill Final
Radon Control
Erosion Control
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
73,--
217
3i
TOTAL
,4' 14/ O7ic/YiL�(
&A ,pvv9' Prb 1 c'A-
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122959
Date Issued:05/23/2014
Permit Category:ePermit
Site Address: 4217 Daniel Dr
Lot:2 Block: 1 Addition: Lexington Meadows
PID:10-45030-01-020
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Thomas J Schoeberl
4217 Daniel Dr
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature