4225 Daniel Dr? ,_.... _ ?
- -
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
t:?,tJ 1 l ! J?f<
? •. t f+d 13 fOP1 M 1- A 1.1 t) W 5;
PERMIT SUBTYPE:
TYPE OF WORK:
GiiJ11 f?1N1
INSPECTION „ . D•
? I r • iJ?i1' ! Ii?,
?j1 1) 1 1 i
I ?1Rrcli t yv I' l.tik - VAl 1 t:_Y P I l4f7
_ , `.. -g?
-_?
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PERMIT TYPE:
Permit Number:
Date Issued:
APPLICAMT:
PermR No. Permit Holder Date Telephone f
ELECTRIC
PLUMBING
t?
__
HVAC
Inapectlon Date Insp. Comments
FOOTINGS
1 t7
FOUND
J k4
FRAMING
•t+
ROOFING
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATING „
cAS svc
TEST
INSUL „Q
?
GYP BOARD
FIREPLACE
FfFEPLACE
AIR TEST ?
FINAL PLBG ?
FINAL HTG l?L,f 9` ?
L ?+r'
ORSAT
7ES7
BLDG FINAL 7I(?/?? y -.
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
FST-
? IN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ? . H . "
?.fxiMi?t?1M af?Af30i?tS
PERMIT SUBTYPE:
i I ' I 1 Nli
RECURD
PERMI7 TYPE:
Permit Number:
Date Issued:
i"V O'"" '' l APPLICANT:
4 fs L4fE. r ,
f ?:??;2) r;?3-•i?ty
TYPE OF WORK:
fr 1 ?.,
i' Frli% l
?
?
Permit No. PArmit HoldBr Date TBlephone #
ELECTRIC
PLUMBING
HVAC
Inapection Date Inap. Con?ments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
FOUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
r
2 21 ? V L J ? OFFICEpgE pNLY Thiz reqwst void 18 momhs From volidaUon dafe primed in ??s box?? ^
33 y
PLEASE PRINT OR TYPE
Request Dofe Rauqh-m mspecnon reqmre 2 ? ? N. I on Olher Than Rough-In ? Ready Now ? Will Call
?' ?/p lYou m?sl mll iIre inzpecror hen ready) Dak Ready
I, JSLlicensed mnfracfor Q owner here6y reques} inspedion of the above electn<al work o}
Job Address (Sheet, 0ox, or R e Na ) Cdy Lp Code
.? h'Nf?-? ?e, ?iJ??s?
SecM1On No Townsh, Nome o. No Range N. Fire N. Coonq?
V r?
i??
Ocmpanf
/ Phone N.
-
/'
L? !FL' 7T/< c D m.r-S 7
yJ ?/- L?p ,r?
Paw?er,s1applier
LJ.FKO Address
i.v C, rCi,v
Eled' I Cammcbr {Compony Name) Co
nr
ac
ior L
a
nse N. Maskr Lc N. (Vlont Elen Only)
HIIJE LEt?ii? iC ?N C. /
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/
)
C._/1 C/ /'?1?.9? Z
Mail dmss (Conlmdor or O?w ,nar Performing Ins?allo on?
?9??/ J.?.? s ? So 'ei..?a ?va,w,,.6- 77 .-)
AoManz i9natum (CoMmdor or nei Parfarmrng InxMllobon) Phone
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1
G
m-mnniw-iu e/y5 STATEBOAPD COPY-3EEINSTRUCTIONSONBACKOFYELLOWCOW
? III I II II II ?? ? II REQUEST FOR ELECTRICAL INSPECTION 5??
Minnesota State Board of Electriciry i.???;
1821 University Ave., Rm. S-128, S? aul, MN 55104 ??LL_???
* 0 2 1 8 2 5 3* Phone (612; 642-OSDD a
??
Home Duplex Apt. Bldg. Other. New Addn
Cammerciol Indusfrial Farm Remod Re av
Air Cond. Htg. Equip. Wofer H}r. Load Mgmt. Other.
Dryer Ran e Elec Heat Tem Service
"X" above the work mvered 6y }his request Enter remorks in fhis space and on the back of the white mpy only
Calculafe Inspection Fee - Tbis Inspecfion Request will not be accepted wdhouf the correcf lee.
Olher Fee # Senrice Emrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Sfall ? 0 to 200 Amps °0 0 to 100 Amps Q C)cu
Sireet Lig./TraHic $ig. Above 200 Amps Abov 100 Amps
Transformer/Generafor INSPEC7oR'SUSEONLY TOT?
g0
i
Sic?n/Oufline Ltg. Xfmr. D(7 ?a
_
Alarm/Remote Conhol
$Wimming Pool I hereb ceni thaf I ms d 1he al d?nabllobon d nbed herem on Ihe doks sloted
IrrigationBoom Rwgh-In Dafe ?
Speciallns
edian ?^ ?? + _
C
p
Investiga}ive Fee Fnoi
THIS INSTALLATION MAY 8E ORUERED DfSCONNE E IF NOT C MPL ED THIN 78 MONTH .
14w- )qV3
2006 RESIDENTIAL PLUMBING PeRnnir aPPLicaTioN t I CJ
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date I
Site Street Address Unit #
Property Owner I M Telephone #((prj})
Contractor ? Telephone #((4 ) 3to:& I?4-1 O
Address 3knif City EM04l SWteJAjQ 2ipIJ5(c
Oth
`
er
Contractor _
The Applicant is: _ Owner
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener andfor water
heater at the same time. !f you are installing onlv a water soitener and/or wafer
heater, do not complete this section; move to the next son and check the
-
rr
appliance(s) you are installing.
Septic System Abandonment
r
Water Tumaround (add $130.00 if a 518" meter is required) ?or?f. ' '.
_
Other.
- r ;
--? ---?--
--„_..`'- _..: -
-
Water Softener \ Water Heater
$ 15.00
_ new ?eplacement
Lawn Irrigation _RPZ _PVB _new _repalr _rebuild $ 30.00
State Surcharge $ .50
Totai
I hereby apply for a Residential Plumbing Permit 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 plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
?ri s 0 i e h &-.0 o o?
ApplicanYs Printed Name Appli an s Signature
tfp
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConaWCtlon Raouiremems
• 3 registered site surveys showing sq R of lot, sq ft. af house, aM all mofed areas
(20% mazimum lot coverege allowed)
. 2 capies of plan showirg beam & window s¢es; poured found design, etc )
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted aRer 711193
• Rim Joist Defail Optiore selection sheet (bldgs wilh 3 or less units)
DATE 6Z6/ Z
SITE ADDRESS `TZZ? //fIN`? ?- ?
TYPE OF
oy
RemodellRaoairReouiremenb ` ? ?
• 2 copies of plan
• 1 set of Eneqy Calculations for heated additions
. 1 site survey for extenor additions & decks
• Indicate if hane served 6y sepfic system for addihons
VALUATION 00 ?
APPLICANT
MULTI-FAMILY BLDG _Y AN
_ FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS ?Z?!J ?? ? CITY /Z' C STATe"7N ZIP.??z
TELEPHONE # CELL PHONE # ?2 3 76 ? FAX # ,63 53.5 ?
PROPERTY OWNER TELEPHONE #?
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDi'NGS ONLY
Energy Code Category _ MINNESOT:1 RULES 7670 CATEGORY t
(J submission type) • Residential Ventilalion Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Confractor:
_ .tir Condilioning
_ Hcat Recovery System
Phone #
Phone #
Pcc: $70.00
--------------°--------------------------------------------------°------------------°-------------------------°-----°
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan OrdiqpFt?es.
Signature of Applicant
OFFICE USE ONLY
_ Water Softetier
_ Water Heater
No. of Baths
_ Phone #
Iawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
Fee: $90.00
.? CI'FY Of EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675 ,
SITE ADDRESS:
° PERMIT
PERMIT TYPE:
' Permit Number:
• Date Issued:
4225 DANIEL pR
LOT: 4 'BLOCK: 1 '
LEXINGTONMEADOWS
P.I.N.: 10-45030-040-01 ,
DESCRIPTION:
rmit Type
g'a :TYPg
DECK
NEW
434 ALT. RESIDENTIAL
?
BUILDING
029583
03/10/97
REAAARKS: FEE SUMMARY: Base Pee $60.00 }• Swrcharge, $.50 -
Total Fee $50.50
r
CONTRACTOR: OWNER: - Rpplicant -
pANIELS CHRIS
4225 DANIEL, DR
EAGAN MN 55123
{612}683-0673
c
997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
Naw Construction ReauiremeMs
RemadeVReoair Reauiromanh
41o .-?o
X"3-1 0
? 3 registered site aurveys ? y opp{es p{ plan
? 2 copies of plans (IncluAe beam & window saes; poured tnd. design; etc.) ? 2 si[e surveys (exterior addiGons S decks)
• 1 energy calculations ? 1 ene
rgy plculations for heated add8ions
? 3copies of tree prexrvation plan if lot plattetl aRer 7/1/93
required. _ Yes No '
CGG . Oc:
DATE: 45 CONSTRUCTiON COST: 45,
DESCRIPTION OF WORK: b ?-
STREET ADDRESS:
LOT ? BLOCK
S -L) anft
I SUBD./P.I.D.
rt% °.5 51
PROPERTY Name: Chn-5 {-be-lr,z7L_ I m i el `,; Phone #: LS3- 0/L731
owNeR
StreetAddress: ?nre.C ?i i Ve.
City: 6 ?- ct,vL State: A1 tJ Zip:
coNrRacTOR Company: ?>T6 5 =, Phone #: 14 *(?3 .56 `l 11
Street Address: License # :
City: State: Zip:
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registratio n #:
Street Address:
City:
State:
Zip:
Sewer 8 water licensed plumber (new construction only): . Penalty applies when address change
and lot change are requested once permit is issued.
i hereby acknowledge that I have read this application and stste that the information is correct and agree to comply with all applicable
Sfate of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant ? 1"4u 4'
OFFICE USE ONLY CEIVED
Certificates of Survey Received _ Yes _ No ilAAR 0 5 1997
Tree Preservation Pian Received _ Yes _ No _ Not Required BY.If=
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
o 03 SF Addition ? 08 8-plex
0 04 SF Porch ? 09 12-piex
? 05 SF Misc. 0 10 _-plex
WORK TYPE
J3' 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. o
? 13 Garage/Accessory ?
? 14 Firepiace ?
,0'? 15 Deck
? 36 Move
0 37 Demolition
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning Sq, ft.
# of Stories gq, ft.
Length gq, ft,
Depth Footprint sq. ft.
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Building 61V6 Engineering
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System /
City Water ?
Fire Sprinklered
PRV
Booster Pump
Census Code. 4134
SAC Code ol
Census Bldg 1
Census Unit a
Variance
% SAC
SAC Units
PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: suxLoING
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 9 9 8
(612) 681-4675 Date Issued: 0 2/ 0 5/ 9 6
51TE ADDRESS:
azzs oaNxEL na
LOT: 4 BLtlCK: 1
LEXING7tlN MEADOWS
P.I.N.: 10-45030-040-01
DESCRIPTION:
Btiil,dz"ng'- Permit Type
guilcEing 4b#r,k TYPe
Fu'"UBC .Qccu.pahc`y`'.£ a
C;on.str'u c,Cfisn ?T"'oe ;aLl 11d -L E"R gx h,: _
Bux2iling Wi:dth ` ;
a_ Bsui?3i9?h?i`•stvriee' C
SF DWG
NEW
R-3 U-1
V-N
PD R-1
46
38
2
1,245
101 1 - FAM. DETACH
x ??, p%a:+
.A,r-^A ? ? ?d¢ ?? +e v+?,- .,?; .? [
,r-s?st', s '? . r,.. .i``? pf ?g ,^n ?,z ?'? ?``
? ?s' rec ; t 1+ u?.. ?
?a ?4 Ts?"?',w'°- ??;. 'o?,!'s?. „s =a^gc,? `via xr :.a• .rrv
<2. Crr,?,'"-r"e
REMARKS:
S& W PlBF2 - VALLEY PLBG
FEE SUMMARY:
VALUA7ION
9ase Fee
plan Rev3ew
Swrcharge
5AC
SAC %
5AC Units
Subtotal
$887.25
$443.63
$50.00
$850.00
100
$2,230.88
$100,000
MISCELLANEOUS $1,923.50
Total Fee $4,154.38
CONTRACTOR: - Flpplicant - sT. LIC OWNER:
LIFESTYLE HOMES INC 14547866 0801288 LIFESTYLE HOMES
1489 LAKE PARK CIR 1459 IAKE PARK CIR
EAGAN MN 55122 EAGAN MN 55122
(612) 454-7866 (612)454-7866
? T hiere4y.acknawle?dge-that I have rxea d',?Gh3s' erppl3aa?aan artd'sta't? t?a-? .the : I
inforPnatior+cnrreo?, ancK qgr,ee to ?c4mp'ly?'wr°i?h a1,4.&p•pliaak!]:s.$tA?tls?•?'? Mtt. .
,
? sCatut'es? arit4 City`of lE'a9an Ur0inarjees,!-
?PPLICANTlP MITE SI ATU?EJ?? ? 5??'??!'R Udw 111:-E/
3830 PILIOT KN B RDN 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registered site surveys
? 2 copies of plans (include beam 8 window saes; paured fid. design; etc.)
? 1 energy ealculationa
? 3 capiea of tree preaervation pl d lot platted after 7N193
required: _ Yes No
DATE: 17?0 Kl . I D?, I? q(D CC
OESCRIPTION OF WORK: !4
STREET ADDRESS: ?? ??
LOT __q_ BLOCK ? SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
COST:
Name: IjS `" ?-L Phone #: ?
Street Address:
City:
Company:
Street Address:
City:?
Company: ?
Name: ?
Street Address:
City: ,
Sewer 8 water licensed plumber: V
change are requested once permit is issued.
Zip: (?-
,Phone #: -
License #* rwin
?
Zip•(-/ (
Registration #4
? i
? Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all
appliqble State of Minnesota Statutes and City of Eagan Ordinances. {? ?L
Signature of Applicant:
OFPICE USE ONLY ???ENED
Certificates of Survey Received Yes .l AN 2 4 1996
---------------
Tree Preservation Plan Received _ Yes No
? 2 copies of plan
? 2 site surveys (exterior addRions 8 dedcs)
? 1 energy celculetions for heated addNbna
OFFICE USE ONLY
BUILDING PERMIT TYPE
.
? 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
,5?;"2 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
0 03 SF Additian o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Firepiace o 21 Miscellaneous
0 05 SF Misc. 0 10 _ plex ? 15 Deck
WORK TYPE
?31 New o 33 Akerations ? 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
"y Basement sq. ft. -'7 MC/WS System ?-
?N Main level sq, ft. -7 G h' City Water a?
sq. ft. y40 Fire Sprinklered
-? sq. ft. PRV
24 as?,?; sq. ft. Booster Pump
s'S sq. ft. Census Code.
??• 73 Footprint sq. ft. /, ZYS SAC Code o ?
e a yy ?
s
s
?15 Census Bldg ?
Census Unit ?
? ?7,
v
_ Buildi ng Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
?
valuation: $ ?0C"'9, C)on
A/N
C.?,?rZr ? = iG
/7.L3x3z =S'?
y.sn z? _ ?ofs
J7
Z, 31 x ?.r = 2_?_
., 7l0 7 X ?/
i? ?? Z7 ?P
/s!? 3z' ysG
Iz,n1??2; y?i ?
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C2 .e.=- .
,s.ri3•r = 7
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? z ? `/
LOT SURVEY CHECKLIST FOR RESIDENTIAL
-RUILDING PERMIT APPLICAT{ON
PROPERTY LEGAL: ?
DATE OF SURVEY: L
LATEST REVISION:
I?OCUMENTSTANDARDS
0"? ? ? • Registered Land Surveyor signature and company
M--, ? ? • Building Permit Applicant
?? ? • Legal description
?? ? • Address
e? ? ? • North arrow and scale
io-? ? ? • House type (rambler, walkout, splR w/o, splR entry, lookout, etc.)
R'' ? ? • Directional drainage arrows with slope/gradient 96
G?-,o ? • Proposed/existing sewer and water services & invert elevation
5Y' ? ? • SVeet name
p-'? ? • Driveway
ELEVATIONS
e"' ? ? •' Sewer service (or Proposed)
m-l' o ? • Properly comers
ffl?'
o ? • Top of curb at the driveway
- /
yy ? ? • Elevations of any eAsstihng adjacent homes
r sed
?? ? • Garage floor
C9'? ? • Firstfloor
9---?o ? • Lowest exposed elevation (walkouUwindow)
? • Property comers
O ? • Front and rear of home at the faundation
PONDING AREA (iaoolicable)
GY ? ? • Easement line
9K'? ? • NWL
L7?Q ? • HWL
m?? • Pond # designatton
? ? • Emergency Overflaw Elevation
?O ? •
f9?O ? •
?? O •
B-'d ? •
0?-C'3 ? •
? fYl? •
Lot lineslBearings & dimensions
Right-of-way and street widfh (to back of cufi) Proposed home dimensions induding any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
Show all easemenis of record and any Gty utilitles within those easements
Setbacks of proposed structure and sideyard seiback of adjacent exissting struchues
Retaining wall
Reviewed:
January 1988
CRAIOtY001BLDOVRIAT.FM
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?;'?•N.•? . ., , __- ?? +CONNECT TO 5XISoINQ,?, ? ? , ,
6 STUB WITH 6-90 BENL? Q4 POND JP-69 -
\? ESMT NWL = 946•0
?0, 2 NWL = 952.9
INV 96 .60 .
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iotal expWed roofloe111ngIarc8 ,.,?. , .
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Determine "U.. rallue o1 saeh t.uQ!lta?Nlag se?+?oni. ?. : .
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-tr
x?„»
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L? gL CITY USE ONLY RECEIPT #: ?
5UBD???_ DATE: °2lr?lo
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55123
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? New construction Add-on furnace
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date: Z! 22--`1 Co
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.0
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) G?
? State Surcharge .50
TOTAL 30 , sa
SITE ADDRESS: qZZ'S
OWNER NAME: ?-I ('-ei%': ur I??S PHONE #: i/jY-7
INSTALLER NAME: AIR
STREET
9601 Jefferson
CITY:
(612)
STATE:
ZIP:
PHONE #: ( ) ZL L
CITY USE ONLY
BL ? RECEIPT #:
L /
SUBD. 'c?GG.?-l?r(o,.,?ls?s-t, •? • DATE: ? 9ze
v
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for: ? single family dwsllings
? townhomes and condos when permits are required for each unit
FIXTURES EACH ?Q TOTAL
Shower 3.00 x r = 3-
Water Closet 3.00 x 3 = G-
Ra4h Tih 3,00 v a - L-
Lavatory 3.00 x 3 = ?-
Kitchen Sink 3.00 x '-
Laundry Tray 3.00 x 3-
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x 3,
Floor Drain 3.00 x 3-
Gas Piping Outlet * minimum - t 3.00 x 1 = 3-
Rough Openings 1.50 x 3 = 4?
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 50.00 =
(new and refurbished systems)
U.G. Sprinkler " home under const. 3.00 =
Atterations " to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: `? aAs DA"', `I
OWNER
L; S< ? a,, I ? 1 -1. M. t
INSTALLER NAME: Vn It?_, ?j I? 3_?
STREET ADDRESS: ?00 Q <<? A--
CITY: -TuICJ?- STATE: J"`' ZIP
Ss3sa
PHONE #: ( ) `?`"- -? r'D
CITY USE ONLY ?
L r" BL I RECEIPT#: 7I
SUBD. r'-R?Z14. RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. . singfe family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH NQ. TdTAL
Shower 3.00 x =
Water Clcaet 3.00 ,. _
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet • minimum - 1 3.00 x =
R ---- 1.50 x =
?
'?w'??egsl?- 5.00 x
ce?sti ell(ng 20.00 X :00
U. . prin er ` for dweliing under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Altefati0n5 " ta existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System *oak cry iic. 75.00 =
(new and refurbishad systems) ,
Private Disposal Systems ` neandonment 20.00 =
STATE SURCHARGE
TOTAL
.50
C -.5 d
I hereby acknowledge that 1 have read this epplicatlon, sfate that the infortnalion Is cortect, and agree to wmply with aIl applicable Ciry
of Eagan ordinances. It is the eppliceM's responsbility to notily the property owner tM1et Ne City'of Eagan assumes no liability for any
damages pused by the Cily during its rrortnal operational and mairKenance ecthrities to the Padlities construc2ed under ttiis pertnR within
City property/right-of-waylease
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS
DAN I ELS OEBfin
4225 OANIEL dRIVE
EPriRN , 55123
H 583-W73 W
TELEPHONE #:
CIN: STATE: ZIP:
NORBtAt.1 i'E.UhiSl."!3 CO. ?
DBA YeNTCO/APPLIANCE ItdSTALLERS
(612) 527-40.33 I ATURE OF PERMITTEE
2905 GARF1ELD AVE. SOUTH
hA1NNEANOLIS, MN 65408
P.02
? PIOM
? unigrn
*,k **
2422 En4erprlae tirive
Mendota Helghts. IUM 55120
•??? (812) 887-1974 FAX:681-9488
°I."°=s• LhN°WAPE AFqp1E01Q 625 Hlghway 10 N.E.
8loine, MN 55434
(612) 783-iB80 FA*783-188J
Certificate of Survey for: L1FE STYLE HOMES. INC.
4225 DANIAL DF21VE I
41.10
S89°52'14'E
+`4,
N°
h'+n
POND JP-69
NWL=946.Q
HWI.=952,0
70P OF ICEm848.5
?o
9ly ?
.N ?P rY
? s.,C,?Q ,
? r,,•Y 64.3 p
?r ? fR tqT ,;
966 2 961.6
973.8 .r
m}_43 ? ?ry 1 4 F~` /7 x
BENCHMARK
TOP OF iRON
ELEV=971.89
:r• ?^ ?BS . I i 8 ' - 91
/r e???J`lo
971.5 22.?Q?ry^
l? e
rl ? "?`• ? •. ?'° ,?o?a,?
.?o??
?
?41 968.2
D A ."- .0 .7
x se?.s
F? OR? 1 F AT
NOTf': PROPDSFD GRAtlE5 SfiOYN FER CR+10NG PLAN 6Y: ,
NCfE: flNLqNC OMEH9W5 SHONN ARH FOR HOHlZONTAL AND VFAMCAl LOCA710N
OF S7ftUCNRES WLY. 5FE ARCFIITECRIAL PLAN5 FOR Bl11IbING ANO
FOUNDA710N DME17S?atls
,
?
a
&O401v r- s, a.tr Fc..)cG
"I la4^THen rieww 1s-
/?fi8f?1 T ?
'yg ^ ?• ?e
?71.3 m?rd`
5
` BENCHMARK
RIvA439
968.2
G8 ?)
NQ1E: NO SPEf.1F1C SOIL5 @14E511GATON HAS BEEN GOMPLE77CUp qJ TFIIS IDT BT 7HC
SURVEYIXi. 7HC SNiABILIIY Of StlILS Tp SUPPoRT TfIE SPECIflC HWSE
pppPp$EO IS NOT IHE (1fSPON9IBILJiY OF TN8 SilR4EVOR.
iE:AC?ri.dv
F7
[ACAN
VED
PROP=Q WOl1S . . _VATION.
LAWEST FLOOR ELEVAl10N: R/, 3. r
TOP OF pLOCK ElEVATIOPl: !Z Z / 7
GARAGE SLAB ELEVATION: ro' ?
NOTE Ti15 CERTFlCn7C OOES NOT PURPOMY TO 6NOW [/.NAENtS OTiEIt 7HAN X 000.00 DENOTES FXI3TINC ELEVAiICN
iHOSE SNOWN ON 7HE REEORDEO PLAT. ? 000,00 ) oENM raoPOSm ELEvenai
N01E CONTRACTOR YUSi VEpIFY OF`IVEWAY DESICN. DENOTES ORAINACE AHp U141N EASEMOdT
-?- DENOTES DRAMAGE FlAW OIREC710N
HO7E: BEARINGS SHONN ARf BASED ON AH ASSUYED DANM -r DENOTES MONl1MENT
9 DENOTES OFFSE7 I1U9
WE. MEREBY C£RTiFY 70 LIFE 9TYLE HOMES, iNC. THAT THIS IS A TRUE PNO CqRRECT REPRESENTA110N OF A
SURHEY OF THE BOUNDN2IES OF:
LOT 4, BLOCK 1, LEXINGTON. MEADOWS
DAK07A CWNTY, MINNE'SOTA
IT DOES NOT PURPORT TO SHOW IAIPROVEMENTS OR ENCHROACHMENTS. EXCEPT AS SNOwN, AS SURVEYED BY AiE Ott
UNDER MY DIRECT SUPERV1510N 7HI5 17THT DAY OF JANUARY, 1996.
PIONEER ENOtREERING,/ P.A.
SCALE : 1 iNCW = 30 FEE7
r
it=96% 01-23-96 04:39PM P002 3t49
P.02
** * *
* PlDmlIF7
* eng t1eAr
^k,? ?*
Certificate of
2422 Enlerprlae arive
Mendota Hsights, MN 85520
1-? sunvznp6 , OWL DOMM (817) 881-1914 FAX: Q81-9488
i^"oK"Wm+M. u"°sc^re Ma"'t°'$ 625 Hlghway 10 N.E.
BloSne, MN 55434
(612) 783-1880 FAX783-1883
survey far: LIFE STYLE HOMES. .I._NC,
4225 DANIAL DR1VE i
41.10
589°52'11 "E
,?#ls
?
?? - POND JP-69
NwL-946.0
HWI.-9520
?`?.„?? • 70P OF ICEa946_5
965.8
i i 3
973.8
966.6 ?+ ? ???fNT ANp
,?Q 3 ? RA; ` ,•. =a.? L "'?"
64.3 xl? pa lrY,
aes ? / ? ? S ••
BENCNNARK
TOP OF IRON
ELEV=971.89`
2 ?i-rf=
971,5
x /
66.2
96$.3 46.0 vI rL
7Y 68.7 PfS la ??NcK. fC/yf r?
' 68 1 ?
? 9Et8. f 17P`
ry^? ? 869. ' O -07 -v 6
' \ 4?'Qa`? , a d /?.
O
?
71.3 ?r?W 5
EfAC?!?!N
a R E''i i? W'?'D '
8
s2; a90.2 9682 z
By
°,?,.,` Di
?roTE: PeorosEn auines sHOwr PEre cnAaNa ru?i er.
'I NOTE: BtqlqNO OMQ18dNS SHOYM ARH FOR HOAQONTAL AND VR71CAl LOCAlION
aF s7ftUOTURES aMlr. 5EE AttCF6TECTUAL PLAF18 FOR BWLdN6 ANO
FOUFIDATION OMEMSIONS.
NOIE: NO SPVM0 SOiL5 WYE511GATWN FUS BEFN CONPLE1Ep ON 1HI3 LDT BY iHE
SIRtVevoR. niE swrAenm ar s01LS TO 9"ORr TNE WEGflC kQUSE
PRO+OBED IS MOT 1H[ (ipPpN$tBIU7V OFYHE 9UR4lYOR.
NOTE TH19 C43jTl?1Cw7E DOES NOT PURPONY tQ SFiQW EASihqJTS OTIER 1HAl1
THDSE SHONM ON THE RECORDED PLAT
1 BENCHMARK •jY ?
. .
sAr? ? Z b . ? .
RENAEMD
EE?:?..,•, DEPT.
pRW=p WpUSE FLE'VATION
LOWEST FLOOR ELEVATION: 9LI,
TOP OF 6LOCK ELEVAl10N: !Z Z
GAFtAGE SLA6 ELEVATION: 70'
1( ooo.ofl DENOTES IXIStiNG ELEVA110N
( 000,00 ) 6EN01E9 PROPO5E6 ELEYAtION