4130 Diamond DrCITY OF EAGAN
37" Pilot KnA Rood Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT
5,n0o.
Site Address
Lot Block Sec/Sub.
Pereel A
this a
to col
of Et
ac Name
3 Address 1
0
City
Phone
o Name
r
OU
~
Address
City
Phone
tL"
W
Name
9W
=Z
Address
I hereby acknowledge that I have
the information is correct and a
State of Minnesota Statutes and
Signature of Permittee
A Building Permit is issued to: _
all work shall be done in accordai
r rve
and
all
Receipt #
Erect ?
Alter ?
Repair ?
Enlarge ?
Move ?
Demolish ?
Grade fl
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. -
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Total
on the express condition that
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
N° 5363
19
Occupancy
Zoning
Fire Zone
Type of Const.
# Stories
Front ft.
Depth ft.
Building Official
IMMMIt # Oats booed Pamittw
Plumbing
Mechanical
INSPECTIONS DATE INSP. Rough-In Final
Footings Date Insp. Date Insp.
Foundation Plumbing
_
Frame/ins. tr„Pj Mechanical
Final - ?-
Remarks:
BUILDING PERMIT
CITY OF EAGAN
'ilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
4Q 17334
I
Site Address 4 30 DIAL
Lot _ S Block -S Sec
Parcel No.
W Name GARY JOHNS
o Address 4130 DIAW
CitV EAGAN
Name
I hereby acknowlege that I
information is correct and
Minnesota Statutes and Cib
A Building Permit is issued to:
on the express condition that all work shall bg done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CE USE ONLY
Occupancy 161 FEES
Zoning
(Actual) Const V_N Bldg. Permit 136_00
(Allowable) V-N Surcharge 6.00
A of Stories t
Length -12-' 68.
Plan Review j
Depth 3' SAC. City
S.F. Total SAC, MCWCC
S.F. Footprints -
On Site Sewage Water Conn
On Site Well Water Meter
MWCC System
City Water Acct. Deposit
PRV Required S!W Permit
Booster Pump S/W Surcharge
Treatment PI
APPROVALS Road Unit
Planner - - Park Ded.
Council
Bldg. Off. Copies
Variance - TOTAL 210 - 00
the
: of
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I lZ t
f
Foundation
Framing 7. ?9 Ls
Rooling
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Consl. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
?/ 0 & i
CITY OF EAGAN Remarks * Cedar Grove Acquisition
Addition CEDARGHM Al Lot 5 Blk 5 Parcel 10 16700 050 05
Owner k J '-Street 4130 Diamond Drive State Eagan, MN 55122
c,lr er?d5
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1985 94-46 19 189 4 9 coaggral 19-6-184
STREET RESTOR. -
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1972 1,304.00 52.16 25 Paid
WATERMAIN
WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
I
BUILDING PERMIT APPLICATION
Receipt #
N9 5363
/3-37
To be used for Addition/SF DW19. Est. Value 5,000. Date 8-15 , 19Z9-
Site Address 4130 Diamond Drive Erect ? Occupancy R3
Lot 5 BO ck 5 Sec/Sub. Cedar GrOVe Alter ? Zoning
Parcel # 1 16700 Repair ? Fire Zone
z Name Wayne G. Srends
Address 4130 Diamond Dr.
o Eacian
o Name 'Jeliniyes Uornst.
o? Address 330 W. King
St. Paul 55107,, _e 222-0183
Name _
Address
hereby acknowledge that I have read this application and state that
the information is correct and agree to comply with all applicole
State of Minnesota Statutesjqnd City of Eagan Ordinances.
Signature of Permittee Y-
A Building Permit is i to: Jenny
all work shall be done in accordant/yy jth all
Building Official -?-
CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN 55122
PHONE- 454-8100
Enlarge M Type of Const. V
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth ft.
Approvals Fees
Assessment Permit 18.00
Water & Sew. Surcharge 2.50
Police Plan check
Fire SAC
Eng Water Conn.
.
Planner Water Meter
Council
Bldg
Off -
'
-
.
.
20":
0
APC Total
ti uctlOn on the express condition that
State of Minnesota Statutes and City of Eagan Ordinances.
9 GF
r { °`
CITY OF
EAGAN de 2 secs of plans.
1 site plan v/elevations S
.
BU?LDING PERMIT APPLICAT N 1 set of energy calculations
To be used
for ecL C Valuation Goa 7 9
Date 5 y
Site Address U ?0 I M L'?/? 01-1 N ?. OFFICE USE ONLY
Lot a Block Sec./Sub.,"_Lz e ?I Erect Occupancy .9 .3
Alter Zoning
Parcel l 70' / /v JG b Repair
-
- Fire Zone
d S
? ?
e 477
Enlarg Type of Const
s
i
6 S
Owner: w /
^ Move e
tor
ft
Address: f ,4-,
t 1 '? / AMC ?` ! Demolish _ .
Front
h ft.
Grade Dept
Phone $
Contractor: T eNNI y e 5 CG^' 7 --
Address: 3e) w /T 1 -1.2 57" A/fuL
LL?- /t7
Phone G: Gf C ?6 3
Arch/Eng.:
Address:
Approvals Fees
Assessment
Water/Sever
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit ?l g
Surcharge ?g
Plan Check
SAC
Water Conn.
Water Meter
Road Unit
Phone 9: TOTAL'`Sb
EAGAN TOWNSHIP
BWJ .DWG PERMIT
Owner .- < a --- v /
Address (present"5.I.?:.1..P.._.I-----?-sSilL
Builder ................
Address ..... .__ .-..----------- ---
- -------..........-.--
DESCRIPTION
'/
Eagan Township
Town Hall ;;77 4
./...........
Sfories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
I
Street, Road or other Description of Location Lot Block Addition or Tract
This permit does not authorize the use of streets, roads, alleys or sidewalks
the right to create any situation which is a nuisance or which presents a hazard
general welfare to anyone in the community,
THIS PERMIT MUST BgJ??,.PT 0% THE P MI =VI ?E WORK IS IN
This is to certify, that.-k414 -i... :. s permission to erec
the above d ribed to the provisions of the Building Ordinance
1955
Per
nor does if give the owner or his agent
to the health, safety, convenience and
PRO/GRES
! ..........................upon
e for Eagan Township adopted April 11,
...... .. .... . ... ..._ .-.... _. ............., .. ....-_.-..._.._.......... .... ------- --------- .._.------------ -g....._P------_---- - .
Chairman o wn Board Buildin Inspector
CITY of EAGAN
BUILDING PERMIT
Owner ..... ................... ...... `Q..`/..........................
......................................... .............................
Address (present) ''" 14"?
Builder ...........!.Lr? ..................................:................................
Address ...............................................................................................
DESCRIPTION
V i•
N2 3745
3795 Pilot Knob Road
Eagan, Minnesota 55122
454-8100
f-7-7-
Date ..................................
Biories To Be Used For Front epth Height Est. Cos! Permit Fee Remarks
D
LOCATION /O- v-o
Street, Road or other Description of Location I Lot I Block Addition or Tract
1 1 ? I (-- . r-r , --/#
This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, thal.... .:.... -"`-?. .................. ...haspermission to erect a...°_?..?.-...... ... ?......_upon
the above described premise subject to the provisions of all applicable Ordinances for the City of Eagan.
J "i".`-' .......................... Per
Ma or ''6 Building Inspector
I
EAGAN TOWNSHIP
BUILDING PERMIT
Owner ....._.cf_R..tY..CL............................
Address (present) ....................
Builder ...???.t .... ZL?. r' .:.............
Address .. Z7i....................... :kpl..A?. 1..... ?SS'/5 6
DESCRIPTION
N° 2261
Eagan Township
Town Hall
Dale ...... ..l? g ................."-...
Stories To Be Used For Front Depth Height Est. Cost permit Fee Remarks
or
--?r- I s 1 e.. ,V
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that.... .:...., ? ........................has permission to erect a...Ale.- .?.. .....- ....._upon
the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11,
1953.
.--.......... _.: ... ................."'....°-°"'... Per .............. ....._''`................'`"'......._'.......°.........'-"...............
hairm of Tnwn Board Building Inspector
1'
I
I- ,
EAGAN TOWNSHIP
BUILDING PERMIT
Owner .. ......... .. ......... .............................. - -
Address (Presenl) -------"""R'-.".--N"--=-----------
Builder ..... a ......................................
Address .......... ........ -...................... `--------......
DESCRIPTION
N° 1439
Eagan Township
Town Hall
Date ...0-.1.?.G.6
.........................
Stories To Be Used For Front Depth Heighl Est. Cost Permit Fee Remarks
LOCATION
Street, Road or other Description of Location Lot I Block I Addition or Tract
5 1 -;5- 1 eA-Jr- i
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does if give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BF?KEP ON THE REMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, lhat ...:.... ................................ .........has permission to erect a......:.. .......... ...--..... upon
the above described premise subject to the provisions of the Building Ordinance for ran To nTo nship adopted April 11,
1955.
............--..-'.......,Y/---!--- --.!""'`.'........"!'_uca.... --------- Per ........ .. u:....(.d.4.' j... ....................._.
Chairman of Tnwn3o9d Building Inspector
i?
BUILDING PERMIT
To be used for (_ARd
CITY OF EAGAN N2 17384
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 -C-5V1
Receipt # ?
Est. Value $12,000 Date DEC 13 1989
Site Address 4130 DIAMOND DR
Lot 5 Block . 5 Sec/Sub.CEDAR GROVE 1ST OFFICE USE ONLY
Parcel No. Occupancy 1I? FEES
Zoning
Name GARY JOHNSON (Actual) COnst V=N
136-nn
Bldg
Permit
W
c Address 4130 DIAMOND DR (Allowable) VN .
6
00
City EAGAN Phone 454-1679 #of Stones .
Surcharge
Plan Review 68.00
Length ?
o Name v KENO BUILDERS Depth 34, Cit
SAC
Address 8609 HARRIET AVE S
S.F.Total ,
y
SAC, MCWCC
City Ri 00MINGTONPhone 888-2225 S F Footprints
Wat
Co
n
On Site Sewage er
n
W
' Name On Site Well
t
M
t
W
% er
a
e
er
xz Address MWCC System
X
aW City Phone city water Acct. Deposit
PRV Required SrW Permit
I hereby acknowlege that I a e read this appticaiion and state that the Booster Pump SrW Surcharge
information is correct and e o con3p ly wit II hcable State of
Minnesota Statutes and C as-Oan s Treatment Pl
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to* PLEKKENPOL BUILDERS Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council --
applicable State of Minnesota Statutes and City of Eagan Ordinances Bidg. Off. Copies
Building Official i?.D1A II1?II
L, Variance TOTAL 210.00
71x151
x_38378
REQUEST FOR ELECTRICAL INSPECTION
10 See instructnns rorc3ttTnetmg this form on back of yellow copy
X" Below Work Covered by This Request
EB-WW1-0e
New Ad Rep. Type of Building AppllancesWlred EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Coniracmrs Remarks ^? k C rp L r_
Compute Inspection Fee Below. ?'F ?l
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above t00 -Amps
Signs Inspectors Use Only
l
?7 TOTAL
Irrigation Booms ,
O
L SU
3, _
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electrical Inspector, hereby Rough-in oet . `1f
certify that the above inspection has
been made. Final Q,. G, CY/
O O L/
OFFICE USE ONLY
This request wid 18 monihs from
83
a? -L 71
78
3 00
Request Date
G Flre No. Rough-m Inspection
Regmreal
? Reatly Now j'WAI Nobly Impactor
'
1 'ves ? No When Ready?
10 licensed contractor owner hereby request inspection of above electrical work at-
Job Address (Street Box or Roule No.)
- City
E
`-E
?) o D D r a a (v
Sectwn No Township Name or No. Range No. County
Occupant (PRINT)
G Phone No.
?
°
a Jofnn o? 4S
i
f--z3
Power Supplier PAtlress
Electrical Contractor (Company Name) Contractors License No.
Making Address (Contractor or Owner Making Installation)
4(3c DIP-vv-Le » r'r
AutMrN gnalure (Camratto ner Making Installaton) Pbonne Number
L? (?
45-14 Z l
MINNESOTA STATE BOAR OF ELECTRICITY
Griggs-RbweY Skig. - Room 5-113
1821 UNVershy Ave., St. Paul, MN 55101
Plane (612) 542-0800
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCS.
MULTIPLE DWELLINGS RENTAL UNITS
2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS.
FOR SALE UNITS # OF UNITS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED..
SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING
PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT RAS
BEEN COMPLETED INDICATING A LICENSED PLUMBER.
PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
,Valuation: ZZ4L Date:
To Be Used For --Valuation:
Site Address y1
Lot Block J^
Parcel/Sub(?Oh'Q?,Qi7LC
Owner cr' 19Rj? 5oH S c
Address
City/Zip Code Phone 415x/ `16 7
s
Contractor
Address ?C/ <u
City/Zip Code
Phone
?xr?aa?
Arch./Engr.
Address
City/Zip Code
1989 BUILDING PERMIT APPLICATION
CITY OF EAGAN
11,3211
MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG DIV.)
1 SET OF ENERGY CALCS.
Occupancy M "
Zoning
Actual Const
Allowable
# of stories
Length 32
Depth
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System
City water v
PRV required
Booster Pump
APPROVALS
Planner
Council
2?iZ
Bldg. Off.
Variance
FEES
Bldg. Permit 13(..-0'
Surcharge eo
Plan Review 613,00
SAC, City
SAC, MWCC
Water Conn
Water Meter
Aect. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
Phone #
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2
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30F 5' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF BD -
3830 PILOT KNOB RD 55122
651-681.4675
New Construction Reaulrements
D 3 registered site surveys showing sq. ti. of lot, sq. ft. of house
and all roofed areas (20% maximum lot coverage allowed)
? 2 copies of plans (show beam & window sizes; poured Ind. design; etc.)
1 set of energy calculations
D 3 copies of tree preservation plan R lot plafted after 7/1/93
DATE: /-0 -
DESCRIPTION OF WORK: -Ce
STREET ADDRESS: % / Jy "/ GmOxd' L
LOT: S BLOCK: 16 SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: ( CGn ?1 ?/? ??T Phone #: el5t/ - Z3 S?
Last First
Street
City S!n State; ? ?- Zip: -
Compan)r e-XLa&t== / Phone #: L?5/--YO 6 - 9 ydr,
(area code)
Street Address: 3 ?Yb .?Ae ,4G Q-f- License # 2413 e0/ 9 Exp. 3?Zar)
City 15sw 4;? a+- State:
Telephone #: area code (
Name:
Street Address: Registration #:
City State:
Sewer 3 water licensed plumber (required for new construction only :
Penalty applies when address change and lot change is requested once permit is Issued.
Zip: 55-12.2-
Zip:
I hereby acknowledge that I have read this application, state that the Information is correc and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Yes No
Tree Preservation Plan Received Yes - No - Not Required
Remodel/Repair Reaulremenfs
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions a decks
(('? 2s-Yl
CONSTRUCTION COST- 2L, a. ,
`' JUI_ I n
[1
•
/ (? e'e fc3
/,67 /3L0?'K s ?c?fl? t?'KOUC d 1
E rAN I6WVSkl p, OA KO- A. C60AI 1`11,/VN
D1,4 ly aNc( ORi Ue>
f
I
l
/d
'
16
f5?
ti
MASTER CARD
0 LOCATION
S S?i
OWNER
STRUCTURE AND 0# v INI e r /?i dd n
LAND USED AS
Permit
No.
Issued ssued To
Contractor Owner
BUILDING
PLUMBING 4z z 6 / __ Mc ?.8rs ?n,? 7 00A
Q,,,y _ ?JJ«
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
•
W8
Items Approved
(Initial)
Date
Rema,ks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING --??- ? TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK ??'
CESSPOOL d
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
4r
r
Violations Noted
on Back
COMMENTS
LOCATION j
OWNER
STRUCTURE AND
LAND USED AS
MASTER CARD
Permit
No.
Issued Issued To
Contractor Owner
BUILDING 319s -z?
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING uT. ?,e?o TILE FIELD FT
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
-----------------
Fai [3N' e;,UrySe p
Permit: 6 !1 7
Permit Fee:
Date Received:
I I
Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
,L.& 2L Site Address: r I ?? r GrNOn? LCD
Tenant: Akpn 4 f 1_ In Suite #:
RESIDENT / OWNER Name: A l i e y) ' eSe Phone:
)
Address / City /
"E?Et,4
/
Zip:: :3r)
-
,
Applicant is: V Owner _ Contractor
TYPE OF WORK Description of work: QO-Q
oS
Construction Cost: S COQ Multi-Family Building: (Yes No
CONTRACTOR
?? I S Sy ?b
? License #:
N
W
d
?
ame:
i r
S
;; 4
Address: 12112 T m a. 54? di 66,
City: State: La 4,1 Zip: S S o s
Phone: )Z - e 6 ^ U 4 2?' Contact Person: 1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
Minnesota Rules 7670 Category 1
_
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(J 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. Portionsot
the information maybe classified as non-public if you provide speck reasons that w_ ould'permit the Cityto+' -
conclude that the are"tradiazecrets.
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 approkaI of I ns.
-L
x
10 x `
A 1
Applicant's Printed NMr a Applicant's Signature
Page 1 of 3
�
�
,r ,
'.� . Use BLUE or BLACK Ink
• i Faorr���--�----i 1��
� Pemrit#. r ✓� � �� �-
C�t� of���aIl � P�mit Fee: '� � � � "°�'�� `�
3830 Pilot Knob Road /,",� f
Eagan MPl 55122 t� � Date Received: �+�% �� �i
Phone:(651)675-5675 F��������--
Fax:(651)675-5694 '-� 1 Staff: i
�A� �� ���� �----------------�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: S �G�" �J Site Addr+ess: y��� �i' '4�'`o�f�' ��' - Unit#:
►vame: %���"�y L o�,s0/ �hone: 6�l°-.�� e/—0�9d�
Residenti Z, ��'9 �,o� )
QVY[i@1' Address/Gity/Zip: ll.�G� d ��` ��4h r .���2�
Applicant is: Owner C�tractor " �
� ����
Typ@ O�f WOF'IC Description of work: .� sC�tIO�I 7 0��� / �,�-�'/� Z�� '�• �
Construction Cost: �/�� Multi-Famify Building:{Yes !No •X )
Company: Contact:
C011#Y1CtOC Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please expiain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEVY BUILDtNG
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. p��;
Mechanical Contractor: p��:
Sewer�Water Contractor: phone:
Fire Suppression Contractor: Phone:
NOTE:Ptans and supporting documents#hat you submit ar+e consider�d fv be petbtic informa�n. Por�►s ot
the int'ormation may be classi�d as non pubtic if you proride specific r+easons��t wciutd pentrit dre City ta
conclude ifiat the ar+e trade secrie�s.
CALL BEFORE YOU DIG C�I 6opher State One Call at(651)454-0002 for protection against underground utility d�nage. Call 48 hours '
before you intend to dig to receive bc�ates of underground utilfies. www.qopherstateonecall.orq �
I hereby acknowledge that this iniormation is complete and accurate;that the work will be in conformance witt►the ordin�ces and codes of tfie City of
Eagan;that 1 understand this is not a pertnit, but oMy an ap�ication for a pertnit, and work is not to start without a pe�mit;that the wak vvill be in
accordance with tt►e approved plan in the qse of work which requires a review and approva{of pla�.
F�cterior work authoraed by a building pertnit issued in accordance with the Minnesota State Building Cod�must be completed within 180
days of permit issuance.
X T�r ��tsvh X ?� _
Applican s Printed Name ApplicanYs Signafi�re
Page 1 of 3
" �f� � / � �
`• ' � ��f�� �����tu�� "� Dt? NOT WRITE BELOW THIS LINE J" ��` �
SUB TYPES
_ Foundation _ Fireplace � Porch(3Season) _ ExtetiorAlberation(Single Family)
_ Single Family _ Garage _ Por+�h(4-Season) _ Exte�ior AFteration(Multi)
_ Multi � Deck _ Porch(Scr+een/Gazebo/Pergola) _ Miscelianeous
01 of_Plex _ Lower Levei _ Pool _ Accessory Building
WORK TYPES
�J New _ Interior Improvemerrt _ Siding _ Demolisfi 8uilding*
_ Addition _ Move Buiiding _ Reroof _ Demolish Interior
_ Alteration _ Fir+e Repair _ �ndows _ Demolish Foundation
_ Replace _ Repair _ Egress�ndow , Wate�-Damage
_ Retaining Wall •Demolition of eMire butiding—give PCA handout to appiicaM
DESCRIPTION
Yaluation � /l, 3�Z�.�"" Occupancy �G- 't MCES System
�-
Plan Review Code Edition wi n Z-o�S� SAC Units
(25%_100%�} Zoning jZ-J Ciiy Water
Census Code Stories Booster Pump
#of Units Square Feet l q Z PRV
#of Buildings Length / 2 Fire Suppression Required
Type of Construction V �. Width �
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
� Footings(Additionj _� Final/No C.O. Required
Foundation HVAC Gas Senrice Test Gas Line Air Test
� Roof:�Ice&Water 4�Fina1 Pool:_Footings _Air/Gas Tests _Final
�_ Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:`Stucco Lath _Stone Lath _Brick
Insulation Windows
� Sheathing Retaining Wall:_Footings_Backfill_Final
Sfieetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: 1 01/►/� ��k�y�- , Building Inspector
RESIDENTIAL FEES � � �� fl � S� . �,� ,
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S$W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Larson Englneering.lnc. ��� ! � �
Corporate Office
352d Labore Road
White Bear l.ake.MN 5519Q-5126
65f.481.9720 Fax: 651.481.92Q1
www.iazs�erx�'.c�m
Larsor�
June 22,2015
Mr.Larson.
4130 I}iamond Drive
Eagan,Minnesota
Re: 3 Season Porch Adition
De1T MT.1..8TSOily
I have reviewed the attached drawings and added additional items and changed items as
necessary to meet the cunrent code.The pages are indicated as 1/3,2/3 and 3/3 dated June 22
2015.Please let me know if you have any additional questions or concerns.
Sincerely,
Larson Engineering, Inc.
�
Carol Ous,P.E.#25385
Project Manager
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