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4221 Daniel Dr ~R For QfficeUsie., 293T7 ~ Permit Q) j City of Eapn I Permit Fee: 0101 00 3830 Pilot Knob Road I 1 Eagan MN 55122 j Date Received: I v j Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 Staff: I 1 G I 20" RESIDENTIAL BUILDING PERMIT APPLICATION Date: /10//0 Site Address: 97-L1 Nr 3 t L A q a IIJ Tenant: _ aj , j t't [A n &A Nn, Suite RESIDENT / OWNER Name: Cif S mnsfntn, sfPhone: Address / City / Zip: 412- Z Applicant is: Owner Contractor TYPE OF WORK Description of work: z - ft-o(3i Construction Cost ©®.O > Multi-Family Building: (Yes / No CONTRACTOR Name: Ar e} Z rfP O P t°t(~.S License Z,vA lm l 1- Address: I0 1`A( Wei"X-reSF Ur ~ NVQ City: C (sr~ s D C State: MN Zip: S Phone: L/n IL " Z L. - 5908 Contact Person: ►~lp`I P Vim) t;,11 v^~Q 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 N submission type) • Energy Envelope Calculations Submitted 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. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances an odes 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; at the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X- ~w 9-- r`.cf- >p6pplicant"s Applicant's Printed Name Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use City of Eatd~ j Permit I Permit Fee: ~V I I I 3830 Pilot Knob Road , I Eagan MN 55122 Date Received: I Phone: (651) 675-5675 I I I Staff: Fax: (651) 675-5694 L -___I 2010 //1lRESIDENTIAL /PLUMBING PERMIT APPLICATION Date: Site Address: [ ~4{ h t e L- Tenant: Suite M RESIDENT / OWNER Name: Phone: Address / City / /Zip: CONTRACTOR Name: 1~h 23 <s-~ - 'In License Address: 112 m/SG°k-/ City: State: hZip: S S OS ? Phone: Contact:)-"," Te 5S e ~ Email: J L h Jim ~L~Jr~ TYPE OF WORK -X New _Replacement _Repair -Rebuild ` Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ PVB) V Add Plumbing Fixtures Main / Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turaround* (includes $.50 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) S 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 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 A is ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test )Final ? ' CIl'lf OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 1 00 Eagan, Minnesota 55122-1897 Date Issued: ? l.11 ! (612) 681-4675 SITE ADDRESS: t??sNlE l. 171< i i r x t kt; i??r? Mr n?it???? PERMIT SUBTYPE: ?. - ue.sn APPLICANT: I? 4 ?ill'. f 1 ft? ( n l,' .12 -- 110: N i TYPE OF WORK: INSPECTION D. . .. ? i: . , I I;?, • f?.ff•,? i ? I ?? --- - -- - -- - ? ? Permit No. Pertnk Holder Date Telaphone / ELECTRIC PLUMBING HVAC Inspeetlon Dete Insp. Comments FOOTINGS FOUND P FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST 1! 1? ROUGH HEATING ,? 97 9? ? /t c NOr ? GAS SVC TEST LL /! y/?' `/? Cr 6S 7? INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG 0 FINAL HTG G- ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTO DECK FINAL LOT: ? BLOCK: SUBD./P.I.D #: 1--'f'? V Y`-CU lv? .' 2000 BUILDING PERMIT APPUCATION (RESIDENTIAL) CITY OF EAGAN (? 0 142JJ -? I ,-t 3830 PILOT KNOB RD - 55122 651-681-4675 ?? ??¢e,? ? p - New Construction Requirements Remodel/Reoair Reauirements ? 3 registered site surveys showing sq. H. of lot, sq. B. of house 2 cop(es of plan and all roofed areas (207, maximum lot coveraae allowed] 1 set of energy calculations for heated additlons ? 2 cop(es of plans (show beam 8 window sizes; poured fnd. design; etc.) 1 sffe survey for exterlor additions 8 decks ? 1 set of energy calculattons ? 3 copies of heg prese?'ation plan H lof ploMed aBer 7/1/93 P Rim Jotst Det fl Opti hs telectlon sheet (butld{nas wRh 8 or {ess unHs} CONSTRUCTION COST: i DATE: DESCRIPTION OF WORK: IfmuBi-familybldg.,howmanyunits? STREET ADDRESS: PROPERTY OWNER CONTRACTOR ARCHRECT/ ro (Z SL ( 75 (? ' S ?"L 0`-) Phone #: tast Flrsf Street Address: 1; '? / ?? f'T4 Low ? City State: M 01- Zip: 6s1 - ?{5?1= 465?i Company:`-'?7ti1 Phone#: ? ?? (area code) Street Address: /o ; . ) s ??(fLiC _ License # 73 Exp. City State: ? N Zip: S??z Z ENGINEER Company: Name: Telephone N: ( ) Street Address: RegisMation #: CHy Stafe: Zip: Sewer/water licensed plumber (if installin9 sewer/water): Phone #: U I hereby acknowledge that I have reod ihis application, state t the rm n s c rect, and agree to comply with all applicable State of Minnesota Statutes and ' of Ea Orc?in? nces. Signature of OFFICE USE ONLY ti,-?-,-- ? Certificates of Survey Received _ Yes ` No I OCT 16, 2000 Tree Preservation Plan Received , Yes _ No _ Not Required = -? -,-r. L _' ' OFFICE USE ONLY ? 01 Foundation ? 07 05-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 PorchlAddn. (4sea.) ? 04 02-plex ? 10 08-plex lp 18 Deck ? 23 Porch(screened) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 30 Accessory Bldg " ? 31 Ext. Alt - MuRi ? 33 Ez[. Alt - SF ? 36 Multi 0 31 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? ? 32 Addition ? 36 Move Bldg. ? 43 Reroof 0 ? 33 Alteration ? 37 Demolish (Bldg)' ? 44 Siding ? 34 Replacem ent ? 38 Demolish (Interior) ' Demolition (Entire Bldg only) permit - Give PCA handout to applicant VALUATION Occupancy /C -3 MC/ES System Census Code ? Zoning :R-Dj City Water SAC Units Stories Booster Pump Nbr. of Units ! Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinklered Type of Const Width INSPECTIONS REQUIRED 45 Fire Repair 46 Windows/Doors Footings: New Bldg _ Insulation Windows - new/replacement ?b Footings: Deck FinaUC.O. _ Siding _ Foorings: Addirion ?D FinaUNo C.O. Stuceo/Stone _ Foundation Fireplace: _ r.i. _ air test fmal RooL _ ice & water _ final _ Framing Pool: _ ftgs _ air/gas tests _ final APPROVALS Planning Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Park Dedication Trails Dedication License Search Copies Other Total: Builtling !, Engineering Variance ? CITY OF EAGAN 3830 Pilof Knob Road Eagan. Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-45030-030-91 DESCRIPTION: PERMIT 4221 DANIEL qR LOT: 3 BLOCKc 1 LEXINGTON MEADOWS BU`zldln§P;permit Type B?Uilding 'W°aTk Type ="UIBC _ a C C,U,+'? t1.h;G']' C43EtS'tNUC.'f;l-O'Ff TYT3',P Zanin.g .. ??.e? 6u'31da.ng' L.engeh: _ BUA 3.difl6.Wii3C#i":? 'a q,ut e=z`F160 ;t.. a " JV11 ? - A: „E asti V? " `u??'' o •`A?tC`: ie'k ?"? PERMIT TYPE: Permit Number: Date Issued: SF DWG NEW R-3 U-1 VN R-1 PD 60 36 1,751 IXfi" ? ? ? e VY? IR S.C WO 1-15 9';7 8' BUILOTNG 026100 07(21/95 i1a" 'xi`3`? P 3i{,.'-?`',`?. REMARKS: S&W PLUMBER - FIVE STAR PLUMBER FEE SUMMARY; 6ase Fee F'lan Review Surcharga SflC 5AC ? SAC Units Swbtotal VALUATION $1,067.25 $373.54 $68.00 $850.00 100 1 $2,368.79 $136,000 MISC FEES $1?892.50 Total Fee $4,251.29 CONTRACTOR: - Applicant - sr. LIC. OWNER: MCpONALfJ CQNST INC 14327601 0902376 MCDONALD CONST TNC 7601 145TH ST W 7601 lASTH ST W APPLE VALLEY MN 55124 APpI.E VALLEY MN 55124 (612) 432-7601 (612)432-7602 f.., y S hereby a.cknowle:dg,e th'at T hav_e`read."ChAs a{??l,a,'c"?crri c?nstdt? tfiat .?h°e,'. .?` ;Lnformratian;is--eorreztanci? aVi'e?pto, motrjPly yditM"a i'l'i P FI'i;ca b Te.,SkaGe ' Statu?es„s?r}d".C,a?'ty"o.f OPd?`?aYioes - PPLICANT/PERMITEE SIGNATURE ISS BN SIGNATURE ` CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ?U 7995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 iagisterod site swveys ? 2 copies of plans (hdude beam 8 windav saes; poured fid. design; etcJ ? t anergy celalations ? 3 copies M tree Presentation plenB bt pletted after 711/93 ?equired: _ Yes ?No DATE: ? q 5 CC ? 2 wpies of plan ? 2 stte surveys (exteAor addttiona 8 decks) ? i energy calwlations for heated additions COST: t oZ I, S0O DESCRIPTION OF WORK: Al e w -\e A04 \ H an.L e STREET ADDRESS: ?A Y?,'L F- I U/ LOT 13 BLOCK r SUBD./P.I.D. #: ?? ?'? ou) S ? PROPERTY Name: Phone #: OWNER Street Address- City: State: Zip: CONTRACTOR Company: ..?-wc. Phone#: ??3a r7(o U ? Street Address: 7PO( Iqt?+.? License #• oooa37C Ciry: #qo le V11-Ilf'X State: 01A ZipS5/ ARCHITECTI Company: Phone #• ENGINEER Name: Registration #• Street Address• Ciry: State: Zip: ? 37'?a ?? Sewer & water licensed plumber. S? A/L ? f U M? r k 4. . Penalqr applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiipnt: OFFICE USE ONLY Z - FfE--C E t v E? Certificates of Survey Received Yes o JUL 19 1995 Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish ?GG 02 SF Dwelling o 07 4-plex ? 12 Mutti Repair/Rem. 0 17 Swim Pool a 03 SF Addition o OS 8-plex ? 13 Garage/Accessory o 20 Public Facility o 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE ,12(-31 New a 33 Alterations ? 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning J Basement sq. ft. 03 MCNUS System C>/- ,; -N Main level sq. ft. /,or7 City Water ? sq. ft. by` Fire Sprinkiered sq. ft. PRV z/Qr - sq. ft. Booster Pump 60 sq. ft. Census Code. i0/ 3& Footprint sq. ft. .7 s/ SAC Code o/ E ? ' Census Bldg i C 1` Census Unit ? / . Buiiding Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment Pi. Road Unit Park Ded. Traiis Ded. Other Copies Total: % SAC SAC Units Valuation M ArN GL?!? ? $ !y x YD = ?D? z lzy 10 _ 340 /. &7 K G17 ' Z t /z OS7 xj- `/_ $7, 07g ? .% Z M-o z7. r x ?o -- u 5-n ?- ?, yG x ? ' ys ? S Y ? ,?-- -i l7?zf Y? fMT. 1? l i = lvS7 ?/.sf?•? = < ") ia> l0?5' FNn?ca =!yr f?a 7 z r z,?= ? /u3Y-G?L=16z,?r- S ygo L7 ??, • ? .7s,rz = y 3fi _ y ?yy?ic = U 6 ? o W W N m W U W J ? m ? ? a W a m d ? w ? U N L O ?J 4 2 S LOT SURVEY CHECKLIST FOR RESfDEN7fAL BUILDING PERMITAPPUCATION PROPERTY LEGAL: DATE OF SURVEY:' LATEST REVISION: ? 7/11 / 9-S- ? DOCUMENT STANDARDS ?o ? • Registered Land Surveyorsignature and company W?'O ? • Building Permd Applicant a' 4 ? • Legaldescriptlon 9"?'13 ? • Address ?o ? o • North arrow and scale ' ? • • House type (ramhler, walkaut, split w/o, spl d entry, loakout, etc.) L3" ? ? • Directional drainage arrows with slope/gradient % Proposed/epsting sewer and water services & invert elevation 0 • . Street name B--'O ? • Driveway ELEVATIONS Existina ? • Sewer service ? • Property comers o ? 11 • • Top of curb at the driveway Elevadons of any epsting adjacent homes 0' 0 ? ? ? ? O ? 9--'13 ? 4T f'r' ? n ? ? ? ? ? ? ? ? ? m/a er'?o ? e-?o ? o% ? ?? ? [7 ? ?? ? [? ? Pro ose + Garage floor • First floor • Lowest exposed elewation (walkouUwindow) • Property corners • Front and rear of home at the foundabon . . . . PONpING AREA fif aoolicablel Easement line NWL HWL Pond # designation Emergency Overflow Eleva6on DIMENSfONS Lot Iines/Bearings & dimensions Right-of-way and street width (to back of curb) Proposed home dimensions inciuding any proposed decks, overhangs greater than 2', porches, etc. Q.e. alf structures requiring permanent footings) Show all easements of record and any City utili6es wfthin those easements Setbacks of proposed sVucture and sideyard setback of adjacent ebsting structures Retaining wall Reviewed: July 1995 m -I I I I 1 --T- - --- - 2Z_-RG_ P=-- --_- _- i ? EX 20" CIP ? - - ? - ----- - -- - 1 I 1 4` I \ ??d01 .??,E?1?i-, ? NSP :?. ` I.IIIlII :?C? _ . .•.,.? , ? .iv =,i._. ? SEMLNT ?0 J?O? ?i.? ,?! iJ ='?.4 I i ? 1 ? 1 ? 1MH=2 1 ? - 126, T10?S /I ` ' . ( LOQ i F UT?Li 5 62 ?? ? •..• ? r?,","TIONS. T 15 wit' ?., AP ? . . CPdLVI PURPOSES IT SHOULU ? ? ? ? ` _ - • THESITE• ' ? ? 1 k ? E .2' } MH-I ' -- - ---/ To J RCp ?h I } / µGP ? 9P \p ; / /? i. . \Q / % r / A C- i/ ? . ? ? ? . \ \? \ I / V / ? <v tr- ?V ? % a h / N ? ; \ POr ? ? , ? ? , /, _ I` , ? • JVL 1i 1IIJ 1G VJ 1 Sc 2 Family Rcsldcnli?l "CnolcUool:' 1?lelhon ?q?. 3?j ? ? ft-E nvuKt:? 21 ?-(?KEKTS6Jv ounoEn ?cDoNALD CorvS? hlinimum Crilcria: Rim Joist_ R-19 insuloiion Poundhiun\Vindows: InsulamJ glass, 1r1' ait spacc, uoaJ or vin)l fi2inc En[ry doors: 139 inch so)id woal iritli slorm or bellcr $TEr 1 NAIndOw& nnorArca I STLP 2 Calcni-alc arc:i as a pcrcenl nf WaU 13nz A(window S; door aitia) dividcd Uy Aoz B(mial ?•zll zrz) timcs 100 cqt!zL ihc lAndoW and door xrc2 as apcrccnt of %vall arca (Ijnz q?. ]32xA-1C) _-- x 100 = linx 11 7-9 07J. J'U C S"I'rl' 3 A S S1=1N'fT3 (.Y o,1 c llcsiyu l'eaturrs PRA1.fE YJP.Li_: STI.1tD?.RI) IT ;.1.I111(i, 14.1)V.+.11C=1?I) 1'12!.1.1111G C.a,vT1'Y R+su1 !.rlotI o1Mov I? ?. I2 _ ?-l snrAnrnIc: IX ss rn isai it.s ri-s oit HcWr ? \!'llll)OW$ (cxctpl funnddiion u?iuJo??'S): urA c-r')k T)OOR3: ?-- 6?? x x?? ? -?v- Tofal Arc1 of RrnJow & Doors 49 A --.-- Total \'1a11 P,rca in Sq. Pt. Wall Total Perimeter 13eiglU '.?eo ._._- v4?2 Total Arca / of wall i•rom t1w tablc, dciciiniiic ihc maxiinnm 1+crccnt winduw ,L door arca for ihc (Icsil;u apiions sctcacd and cniu ihc vahoe in Uox T) b:low: llox C ninst loc Irss Ihan or crywil In lloi Il Total Window & Door,4rca in Sq, I'ccc \'lTNDOVIS (ia:.luding CcunJationwin:fows): DimcnSions Qnry. P.rca 7 3 2] ?? Z, 3 Req st Da?e (`? Fire N ugp-InY p c[ion Reqmr tl (VOU mu call mspector whe.n ready) Inspcnn Other Than Rouyh-In ? r.hReatly Now ill Notity Inspecbr Yes ? No Date Ready I I censed contractor ? owner hereby request inspection of above elecincal work at : : J. A dress (Slreet, Box Route No ) qty i Section No Township Name or No Ll? & Range No County V w`.' F u, Occupant(PqWT) ? f? t? 1.,D O N5T . Prone No . 503 ? Pawer p6er Htltlress Electnca ConVactor(COmpany Named ConVactor's License N. ? ? ? 0 C" ? aAin qdtlress (COnVaotor o wner Mekmg Installotion) ?y? A'! onze0 SignaWre (ConlracrotlOwner Makmg Installation) Phone ber !1-03I MINNESOTA 5 FTE BOpRO OF ELECTPICRV Griggs-Mltlway BIOg. - qppm 5128 1 1111 1111 11 THIS INSPECTION FWUEST WILL NOT BE ACCEPiED BY THE STATE BOARD 1821 Universily Ave. SL Paul, MN SS10G Phone (612) 692-0800 UNLESS PROPER INSPECTION FEE IS -iri necn REQUEST FOR ELECTRICAL INSPECTION ? FR-00?1- ? See instruqions for rompleting Ihis lorm on back o( yellow copy a? 9s "X" Be/ow Work Covered by This Request e Add Re . Type of Building Apphances Wired Eqwpment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building ryer Load Management Comm./Industrial Fumace Other (Specify) Farm ir Conditioner ONer (speaN) CoNmclofs Femarks Compufe Inspection Fee Below: # Other Fee # Service Entrance Srze Fee N Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers SI nS A6ove 200_Amps Inspeclor's Use Oniy Above 100 _Amps TOTAL Irrigation Booms S? Special Ins ection AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED I Other Fee F NOT COMPLETED WITHIN 18 MO M. I, the Electrical Inspector, hereby certify that the above mspection has RO119?rin L ??\ Dale t been made F'"al Dale OFFICE USE ONLY TTis requcst voitl IB months fm. ,r' , r 11?e I?iiil?li??i? musl ilnl Cxcecr? Ihe nt?xiinintl tvin?lo??? ,in?1 ?Ianr i?•c? ,,, ,? perceiuage o( nverall cxposecl wall ,irea lisled bitlmv fnr the cn,nbillaunn . oi framing Iccluiiq»c, lt-valnc oi iiisulalinn rviihin lhe insulaieil c;»•ilv. ' shealhing It•wlue, anul window tl factor. Olhr.r componLnls mi,sl Ihe requirements nf lhis subpan. N•(nxlAlI ini 1Yip11nw ai m l) non A w:n AS n Prnc-i:I•rrOr• nVt:tinIi. iizi°nsri11YAi i. Cnvlly . lVinlnw f; 1=acinl Inzidalinn ' Shca?l?ipG°•-- 0 ?9 • 4.3h 1131 u?; S'fANAARII It•19 cl;-7 1] 9°? 17.0",t "113"". 1.1.3';, srnNnnren ' i2.o4: 17.14/. zn,:L a°:. 2 j 51 nNnaltll Ic•1?I .:It?S ll.l•:. 1NU:;. . 21 11•:: STANnAItn It•lA cR•5 13 5:L 1Q G:e 21 !i".; 25 !';:, ADVANCIin , It-!tl :R-5 II.1;L 'IY.1 : ?UI:: 21.1;;. ADVAIJCI:I) ' It•10 i:IFS I1 5°: 1920, 2':5::, 26 1':: 5 (Al`Il)AltO li•21 .:1:- 5 Il ll;: , 170".: 199 "L:I I':: STANDARI) It-21 _R 5 lIh•:: 17:11:: '_%;;;, 3i, AI]VAPICf:D I(-2} ,:It•5 1111;;, 1l11",: 21'?I:, ADVAT1CIi1) It•21 ::1:.5 19 96,:. 21 2•::, 2 6 9':. Subl'j.3. Ycrformancc crilt:iio. 'I'lic cninl,ined ihcrmnl iran;, niU(110) Factors for walis, ronf/cuilings, ;?n?l llnnrs ovr,r 1111lir,aicd spaccs mii:o Lc lu:_s IL<ui (11- equal to: A. 0.110 AUt/h 0 °I*- Goi w,ills; B. n426 1iiii/h f12 °F foa' 111uf/c.61iiy's: iinil r c. n 64 nlt,/ii rjz °iz ail nL1111:,. srnrAin7r: nisg216r.,» nis•r: 18 sit2161 'r670.01110 uclodaied, 1e s« 2361 ."j . CITY USE ONLY r/ L ? BL ? RECEIPT #: SUBD,--Za1......f,crYlY/% lpn .Uvu si. DATE: o/?0 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: ? singie family dwellings ? townhomes and condos when permits are required for each unit FIXTURES + EACH NO. TOTAL Shower 3.00 x Water Closet 3.00 x ? O Bath Tub 3.00 x = ?.?a Lavatory 3.00 x = Q, n a Kitchen Sink 3.00 x = 0a Laundry Tray 3.00 x = 3, pa Hot Tub/Spa 3.00 x = ,0 -o_ Water Heater 3.00 x = ?.0c? Floor Drain 3.00 x = 3, W Gas Piping Outlet * minimum -1 3.00 x = 3. Co Rough Openings 1.50 x ? Water Softener 5.00 x = Private Disposal * Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 Y'07AL - ? SITF AnDRFSR• OWNER NAME: x G oh a 01 r n ?. - INSTALLER NAMF• FIVF AU m sUi A2, STREET ADDRESS: v- r CITY: d a C ^ Ge STATE: ZIP: ? PHONE #: ( ) `" CITY USE ONLY ? ? g L y? BL / RECEIPT SUBD.??OATE: -5/?? 95 7995 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 Add-on air exchanger, i.e. Vanee system, etc. Date: ?- / 3 - ?S l y_=1 ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.Op Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) 3.0v ? State Surcharge .50 TOTAL ?27.'f SITE OWNER INSTALLER `/l?? (?7//S % • PHONE #: y32-766/ STREET ADDRESS: F,9g 5T CITY: FxklN lN?rpA/ STATE: 0411 ZIP: L PHONE #: (6/2 ),ze 0 -00 ?TGNATQ?'PE}?ffTr 2 21 ??hUi? Z)4114? 9-r-i6 ?- AT- * * * * PIONCERI * e?n?rl * -jK ** R' ,C'kc (:X,\ so?'- llWD PLMINEFS. 2422 Enterprlse Drive Mendota Helghts, MN 55120 (812) 681-1914 FAX:681-9488 ""n^TE0n 625 Hiqhway 10 N.E. 8latne, MN 55434 (612) 783-1880 FAX:763--1883 Certificate of Survey for: MCDONALD CONSTRUCTION 4221 OANIEL ORIVE 2 . / .5 / I G ?i 974. .? 61PS6 1\g ? .e --" EP ?? ? BENCH MARK 'y ?7 5 TOP OF PIPE 'b?l' 91 3.4 EIEV.=973.21---,?975.1 ,7.5 ,4i ?2 ? 9js \ ?'?Ic? 5- 7 ?sz.a ?. ? oo F ?.o'°o? 71.7/ ?\ j?iy3l Ip ? L.S?rsc`?j 971.5 ? ,p Y. ?;??0• ? I I I ?o s? ?o ??sF -,- R \ r 969.9?? ? . SERVICE / -\INV.=956.7 .S? . e70.8 . h \ \? ??'sO9 \ \ ? ?/ ? \ \ 1q ? 96 ?e y.7) \\ ? ?h ti NOTf: PROPOSED GRADES SHONN PEA GRADING PLAN 9Y: \ SH0 NOTE; oFISTRUCNRE5510NSV. SEE ?RCHITECNA?RPUNS R BVIlOING ANO?A¶? FOUNDAnON DIMENSIONS. N07[: NO SPECIFIC 5045 NVESTICATON MAS 9EEN COAIPlETEO ON 7Mi5 LOT BY THE SURVEYOR. THE SVITABIl1TY OF SOILS TO SUPPORT THE SPEqFIC NWSE PROPOSEO l5 NOI THE RESPONSIBILIri Of THE SURVEYOR. ? / , / . ? DO ?ry0' 3 ,..F.ES. ; INV..=945.6 V r' , ? ' N6 ? ?959.3 f16 C,B. i1.1 4 `m E [E --..,T.wurwG DEP'r. EAGAN BENCH MARK TOP Of PIPE ELEV.=968.58 ''fit A G i`i 1 tl IE.WED ? LOWEST FLOOR ELEVATION: TOP OF BLOCK ELEVATION: _ y 75 7 GARAGE SLAB ELEVATION: 1 7 ¢'- ^ NOFcTHIS CERTFlCATE DDES NOf WRPORT 70 SHOW EASEMENTS OTHER 1HAN X 000,00 DENOIE$ E1fIS7ING ELEVATON TNOSE SHOWN ON THE RECORPED PLAT. ( 00000 ) DENOTES PROf+O5E0 ELEVATION --- OENOTES ORAINAGE AND UTILITY EASENENT r+07E: GONIRAC70R MUST vERIFV DRIVEwAY OESICN. - DEN01E5 ORlJNAGE FIOW DIRECiION NOTFa BEARINGS SHOwN aRE BASEO ON AN ASSU4ED DANM ---?- OENOTES MONUMG+T E3- DENOTES oFFSEi HuB WE HEREBY CERTIFY TO MCOONaI.D CONSTRUCTION nin7 THiS IS A TRUE AHO CORRECT REPRESEN7aTiora OF A SURVEY OF THE BOUNDARIES OF: LOT 3, BLOCK 1, LEXINGTON MEADOWS OAKOTA COUNTY, MINNESOTA iT DOES NOT PURPORT 70 SHOW IMPROVEMENTS OR EnlCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED 8Y ME OR uNOER MY DIRECT SUPERVISION THIS 6TH Dnv OF ,7ULY, 7995. -'- SI NE?PIONEER EN?INEER? V.A. er. SCALE : 1 INCH = 30 FEET . „ ?...-r /..-• .: 1 naoa? nR cwr John C. Lcrsan, L. . Reg. NO. 19&28 L?n'??G?}??w..?-a?.`....-•?.?- ? - / i '??_ . _n ? ;i1CEA R - , C-kE 0.x S o,-- s•OV4 t WIDSClGE 2422 Enterprise Drive Mendota Helghls, MN 56120 (612) 681-1914 FAX:681-9488 ?o sF k' /'ifi ca te 625 Hlqhwoy 10 N.E. Biaine, MN 55434 (612) 783-1880 FAX:763-1883 of Survey for: MCDONALD CONSTRUCTION 4221 DANIEL ORIVE 2 iENCH MARK \ OP OF PIPE lEV.=973.21 ---.,975.1 q?1 g5ti , 7,.7<? 971.5 ?O ?5 i , . .',? / G?S ?? PIUdIML/,C ?j . 9 9? / ? o°- oa f-`4. ?.`y 3 /..F.E.S. ? INV..=945.6 i Ll! y 6 k1°E , , N65 , ?959.3 ?b C,B. 4 \ 69.9'11 ? ? . sJ N. ? SERVICE \INV,=956.7 ?. ? 970.8 ? ?9 \ S°y . ? Q\ 12 1+ ? ? ??? 969.4 ? n .\,?/ o°j h i 7"•'4b Br D BENCH MARK ?96 y,? 1 EIEVO968 68 ? 1?1 NOTE: PROPOSEO GPtADES SHOYM PER GR.WWC PLAN BY; \ NOiF: BURDING DIMENSIONS SHOY.N ARE fOR NaR20NTAl ANO VER7ICAL LOCAiION oF SIRUCNRES ONLY. SEE ARCHITECNAL PUNS FOR BUIIDING ANO f0UN0AT10N Df4ENSI0NS N07E: n0 SPEUFIC SOILS WVESOGATON NAS BEEN COMPLE7E0 ON mi5 LOT BY THE SURYEYOR, 1HE SVITABIIItt OF S01L5 TO SVPPORT THE SPECIFIC HWSE VROPOSED IS NOT ME RESPONSIBRITY OF THE SURVEYOR. ? IJ DEPT• la A N I F,wE D LOwEST FLOOR EIEVATION: f• ? TOP OF 640CK ELEVATION: _ y 75' 7 GARAGE SLAB ELEvATtON: ; I 4- a NOTE: TNIS CER7IFlCATE DOES NOt PURPpRT TO SHOW EASEIAENTS OTHEA 114AN X 000.00 OEN01E5 E%IS11NG ELEVATON tHOSE SMOWN ON TiE RECq2DE0 PLAT. ( 000.00 ) DENOTES PROPOSED ELEVAIIOtu DENOIES DRAMAGE AND UTILITY EASEAtENT N07E CONiRACTOR MUST VfRIFY DRIVEWAY DESIGN. ?- DEN01E5 ORAINAGE FLOW DIRECTION NOTFl BEARINGS SHOWN ARE BASED ON AN ASSU4ED OA7UN ?- DENOlES MONUMENT -e OENOTES OFfSET HV8 WE HEREBY CERTIFY TO MCDONAlO CONSTRUCTION TFtn7 1H15 IS A TRUE AND CORRECT REPRESENTATION Of A SURVEY OF INE BOUNDARIES OF: LOT 3, BLOCK 1, LEXINGTON MEADOWS DAKOTA COUNTY, MINNESOTA t 17 OOES NOT PURPORT TO SHOW IMPROVEM6NTS OR ENCHROACHMENTS, ExCEPT AS SHOWN, AS SURVEYED BY ME OR UNOER MY OIRECT SUPERVISION THIS 6TH OAY OF JULY, 1995. ?r ! '"'• SI I NEPIONEER EN9INEERINP.A. SCALE : 1 INCH m 30 fEET , BY: ?.?:--r I. ?.. 111 94257.05 SWK John ?. . Reg. No. 19828 7 ?, Use BLUE or BLACK Ink F----------------- I For Offted Use 1 City of Eat an , Permit I MAY 03 2010 1 Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received/ j Phone: (651) 675-5675 i Staff: Fax: (651) 675-5694 I I 2 010 RESIDENTIAL BUILDING PERMIT APPLICATION C( 5 Date: l© Site Address: Lf Z L f OAN l E L d'e- Q 4"j Tenant: f2-1 Q&XT S-614 -f (-qP 45 to StAd Suite M RESIDENT/OWNER Name: Lab R4 f--445V-1_Sotl CIrtC.e5 K14N5Et~ Phone:6'~ 1 67S 113 Address/ City /Zip, L4Z 2 l D_&a (6L 01Z Applicant is: Owner Contractor TYPE OF WORK Description of work: V>t_o-'t ao2 /y` 'f= (N (cm Construction Cost: 01'" Multi-Family Building: (Yes No X_j CONTRACTOR Name: ll"AC • License* -z0(-3t475_ Address: 1-+44 LEA (f3 LUG G(eC LG city: N 6R-T'4 P1 tL-6 State: A^ N Zip: T,Sts Phone: 9; 2 L0 t f c;- (`1~2 Contact:, D~AV ~k"AB61-t' Email: 3) 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes 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 ~c4IN Nu3ls2L, x V Applicant's Printed Name nt's Signature Page 1 of 2 ' DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation Fireplace Porch (3-Season) T Storm Damage _ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck T 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 l Occupancy MCES System Plan Review Code Edition 0') SAC Units (25% 100%4 Zoning City Water Census Code fj Stories Booster Pump # of Units Square Feet PRY # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.Q. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -,-,Footings Air/Gas Tests -Final Framing Siding: Stucco Lath Stone Lath -Brick Fireplace: -Rough in Air Test -Final Windows Insulation Retaining Wall: Footings _ Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee } Surcharge ell, Plan Review ~j fff i MCES SAC " City SAC ' Utility Connection Charge . S&W Permit & Surcharge 1,A Treatment Plant Copies TOTAL Page 2 of 2 iVAiPOR 13RRIER Keivt.raT i?E MAY 07 2010 usTALLE0 wAttm fove QF ALL 'AALLS AND tt.frTIC CEIL446. • MONCiXIDE MARIN/HAL/SI dt. I4STAL D IN Al..).. NEW pINOLE FAKIIILY • AND.MU TI FAMILY DWpLUNGUNITS. 'SMOKE IkThCIORS. ARE: REQUIIZED ON EVERV.EVEL OF THE HOUSE AND IN EERY SLEEPING 'ROOM AND IN EVERY 'HALLWAY LEADING TO A SLEq'INd ROOM FIRE STOP SOFFITS AND ALL OTHER DEAD SPACES, • DIVISION PERMIT City of Eagan Permit Type:Building Permit Number:EA127994 Date Issued:10/22/2014 Permit Category:ePermit Site Address: 4221 Daniel Dr Lot:3 Block: 1 Addition: Lexington Meadows PID:10-45030-01-030 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for 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. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Leo N Rickertsem 4221 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