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4247 Dodd Rd....Y,css .? 4247 DODD ROAD Zip 5512 3 Lot 2 Blk I Sub SUNSET 5TH THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: /f7 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) V1/- Permanent driveway Permanent gas r/ Sod/Seeded grass i/ Trail/curb damage LIZ Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside awn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 3 OFFICE USE ONLY This request wid 18 months from validation data prin y ., 9 y II??f ?/f ,??& }" 'r III IIII III IIII VIII IIII II I II IIIII M * 4 4 O 4 8 S L %L PLEASE PRINT OR TYPE Request DareQ Q ('7 R.,hri: inspection required? es ? Na Inspection CMhtr Than Roughlo: ? Ready Now "I Call Ol k -` ? (You muse call Poe inspector when ready) Date Ready: I, 'tensed contractor ? owner hereby request inspection of the above electrical work at: bb Address t 5neet, B., or Ro a No.l city Zip Code l ^l 1 (0(3 1 1 Seaton No. Township Name or No. Range No. Fire Nn Coany kL?k Occu nt Phone No. 1 rrs? A Power Suppl 1 Address e ? ElecMC Contractor (Company Namel ntradar Lice No. Master Lie. No. (Plant Elect. Only) Cr'? q$FC Nwiling rqv (Contractor ar r Performing Instotlrnion dct Au 'zed Sigratere (Contractor or Owner Performing Installation) Phone No. W EMOOOPA-I 1 18796 STATE BOAR4MPY - SEE LNMUCTIONS ON BACK OF YELLOW COPY C?$ 7 440=485 © REQUEST FOR ELECTRICAL INSPECTION lP `_ Minnesota State Board of Electricity 1821 University Ave., Rm. S-128, St. Paul, MN 55104 Phone (612) 642-0800 Home Duplex Apt. Bldg. Other- -' ew Addn Commercial Industrial Form I' I Remod Re it Air Cond. Htg. Equip. Water Htr. Load Other: Dryer Range Elec. Heat Temp. Service OX" above the work covered by this request. Enter remarks in this space and on the back of the while copy only. l ?0 26 `i? Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # 'rcuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 10 Amps Street Ltg./Traffic Sig. Above 200_Am s Above 0-Amps Transformer/Generator INSPECTOR'S USE ONLY ./. 1 OTAL Sign/Outline Ltg. XFmr. 1 T Alarm/Remote Control Swimming Pool I hemb cent ohm I m Tirol s urn described hem- on the dares s Irrigation Boom R.,Wn Dat^ Special Inspection Investigative Fee THIS INSTAI I_ATIDN M Av RF n ural RnFRFD DI FD Dee (t 16H FD wr 1R MONT S. RESIDENTIAL BUILDING PERMIT APPLICATION 171.75 CITY OF EAGAN Fatted b-)-0-0) ;il y?,7? 3830 PILOT 51 681-4 R5!'- ? !r r New construction Requirements Remodel/Repair Requirements -? • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed are • 2 copies of plan \ (20% maximum lot coverage allowed) . t of Energy Calculations for healed additions 2 copies of plan showing beam & window sizes; poured found design, etc.) sfte survey for exterior additions & decks • 1 set of Energy Calculations •. Indicate ff home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 111/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) G DATE CIJ /0'D/? VALUATION JOB SITE ADDRESS 4 q 9 tJ(Xl CI 1L J IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ( YA CA + L(k l t Xf4 I Y._ln H_)-) TYPE OF WORK.A-cc W i ?V) o _n FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT CZ-k.1 -CA +- Lii .I0. h in PHONE#C/SD-G3S y3:3?cxk ADDRESS LG ?4-1?08 ZIPCODE S>SLZ3 PAGER # CELL PHONE #U1 FAX # T _9 3S CIS NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor. Water Softener _ Water Heater _ No. of Baths Air Conditioning Hcat Recovery System All above information must be submitted prior to processing of application. _ Phone #: Lawn Sprinkler Fee: $90.00 No. of R.I. Baths Phone # Fee: $70.00 . Phone # I K , "-,k- 1, !L4 I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Oft Signature of Applicant Certificates of Survey Received - Tree Preservation Plan , and agree to comply Not Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of-plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) W 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous i , *•y ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ,Jb 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation q?(Q Occupancy x-2 MC/ES System Census Code 5"-? Zoning 7Q ' City Water SAC Units Stories Booster Pump Nbr, of Units Sq. Ft. /J PRV Nbr. of Bldgs Length 13 Fire Sprinklered Type of Const A Width Footings (new bldg) _ Footings (deck) Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final Framing _ Fireplace _ R.I. _ Air Test _ Final ik, Insulation Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total REQUIRED INSPECTIONS Final/C.O. Final/No C.O. Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone Windows (new/replacement) Approved By Building Inspector ----------------- - ----- %erf`if icafe of cccupanc? wt? of agcrn McVari cut of Z>nii * Zubpection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification: S' M Bldg_ Permit No. 28381 Occupancy Type R3/U 1 zoning District R1 Type Const. VN Owner of Building S Hr Address 4466 WWWW DR, EAGAN Building Address 4267 nrM VIM Lnolity T.? , R1, 1N.SEU5IH Data I /A Banding Official POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ?'' I Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: '?Uf1'•1: 1 ', 1 II 1111. F31 +a1. K s APPLICANT: WWI) VII PERMIT SUBTYPE: TYPE OF WORK: „ INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. Permit No. Permit Holder Date Telephone S ELECTRIC 4 PLUMBING o? /D 7 ?l0(a -/009- HVAC 9 Z/- Inspection ate Insp. Comments FOOTINGS ' FOUND FRAMING ROOFING ROUGH PLUMBING S J PLBG AIR TEST REATING HEATING ,?JDP GAS SVC TEST 3-T 77 INSUL T! 7 G.?4 5 ??- GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL ff?, BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD ;CITY OF EAGAN PERMIT TYPE: N 830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: `' ` ' ! c a 1 t3f (31 ; APPLICANT: rt ; i IDD P(? ?.ttra?.t, r f;-1`11 DA441. F N (' F. A 1 1, PERMIT SUBTYPE: TYPE OF WORK: N 3. 1A !1; oIINW, I I .1 1 1NAI r Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH 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 FTG q -7 ,? Q 1 ' R' DECK FINAL CITY OF EAGAN Addition S I Owner Remarks Lot 2 Blk Parcel 10 729$8 020 01 Street State RgRan, MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1981 Paid and parcel 012 2 STREET RESTOR. GRADING SAN SEW TRUNK ?5 76 19 1 " SEWER LATERAL 6-7 171 " WATERMAIN WATER LATERAL 5 1981 WATER AREA 1981 " STORM SEW TRK /Q 19 00.5 80.06 10 U . STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road i 280.00 49851 3/1/85 WATER CONN. 500.00 of it BUILDING PER. 9937 It ' SAC 525.00 PARK PERMIT CITI OF EAGAN BUILDING 30 Pilot Knob Road PERMIT TYPE: 029381 Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Date Issued: 01/03/97 SITE ADDRESS: 4247 DODD RD LOT: 2 BLOCK: 1,r1?? SUNSET 5TH . ?, .4 4 DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW .° ; ' UBC Occupancy R-3 U--1 i.. Construction Type v-N t r Zoning R-1? h 4 Building Length 57 'r Building Width 44 Building stories 2 Square Feet 1,710 Census Code 101 1 - FAM. DETACH IrV OF eagan REMARKS: PRV S & W PLBR - HAEG PLBG FEE SUMMARY: VALUATION $116,000 j Base Fee $967.25 MISCELLANEOUS $1.979.50 Plan Review $628.71 Total Fee $4,583.46 Surcharge $58.00 SAC $950.00 +r?-J SAC % 100 4 ,fir ?yv SAC Units Subtotal $2,603.96 '! y?J4'y, y1 .A- '.??.. 'A ',+? CC? r j -_? 1T F?t.l'_`.yY4 ?f7?fCs yj.aY T S?,?S - {A ?RNTRACTOR: -- Applicant - ST. LIC OWNER: ORSON HOMES BRIAN L 14540644 0001317 THORSON HOMES INC 4466 WEDGWOOD OR 4466 WEDGWOOD DR EjQAN MN 55123 EAGAN MN 55123 (612) 454-0644 (612)454-0644 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 Mn. Statutes and City of Eagan Ordinances. ?I APPLICANT/PE ITEE SIGNATURE ISSUED Y: S NATU E V . ? ?' {-•>i t „ ?' ;fir , ? - ? _? s ? !fit?j+?' ,y.ti ?1 •, t, - r. r _ _. _ ? f -;?. 'k , K fir'' ? - i ??;, s ;? t[ t i4 } _ e Ly 4kk vAk or $: :. ice, !s k..- ! Pilot PERMIT )F EAGAN PERMIT TYPE: Road BUILDING a 55122-1897 Permit Number: 030184 Date Issued: 06/09/97 SITE ADDRESS: 4247 DODO RD a LOT: 2 BLOCK: 1'.s? "'?a? ? SUNSET 5TH y 'rte y 4A? :. :r i P.I.N.. 10-72989-020-01 8 t'x ,1 .? •?r!'p,k •:•a.' 4 Type DECK pe NEW 434 ALT. RESIDENTIAL V 4 City oF :} v y n .. • 16 tif. 11 +k T.t i . agan :E SUMMARY: r Base Fee $50.00 Silrcharge $.50 -I-nt:a1 Fee $50.50 ' .} y}, ? a L IM { y, to 1 3 , J 1 r ? F r 1. •rr.; , ,{ I r . ?. y r'; i OWNER: - Applicant CONTRACTOR: - ..?,.:` .. r 4247 DODD RD EAGAN MN 55123 (61-1)405-6902 a .Jr ? 3r` i v,E rl All J . p s rr P I jhereby c;4(,. tk owl edgy , t:hat I -have read this ap#yJ:i'cation and st,-to that. tl-w information is correct and agree to comply State with all applicable of Mn. Statute,- ond' : ttyd of Eagan Ordinances. D N 14 Pj) : APPLIC Tt ERMITEE SIGNATURE I ISSUED BY: SIGNATURE 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) Jf ?a? CITY OF EAGAN 3830 PILOT KNOB B RD RD - 56122 681-4675 N ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions 3 copies of free preservation plan if lot platted after 711/93 required: _ Yes _ No DATE: I I I rI CONSTRUCTION COST: I • rh,?t DESCRIPTION OF WORK: STREET ADDRESS: LOT ? BLOCK PROPERTY Name: DOLk 1" 0, Phone #:4)!54o'b2, OWNER u.. «. Street Address: City: state: A/))0 zip: 5 51 a3 CONTRACTOR Company: A Phone #: Street Address: License #: City: State: ARCHITECT/ Company: A114 ENGINEER Zip: Phone #: Name: Registration #: Street Address: City: State: Zip: ILI 14'q Sewer & 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 state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant r\yB j)'cJ? OFFICE USE ONLY Certificates of Survey Received Yes No BY Tree Preservation Plan Received Yes No Not Required RECEIVED BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE X31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION ? 36 Move ? 37 Demolition Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. # of Stories sq. ft. Length sq. ft. Depth Footprint sq. ft. APPROVALS Planning Building Fm Permit Fee Surcharge Plan Review License MCMS 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 OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Mufti Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? X15 Deck c f 1q " 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MCMS System City Water Fire Sprinklered PRV Booster Pump Census Cade. SAC Code Census Bldg / Census Unit Engineering Variance Valuation: $ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 14i of 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 VReoair Renuiremen ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 711193 required: _ Yes _ No DATE: oecemhe.2 -?p; 1,994 CONSTRUCTION COST: DESCRIPTION OF WORK: 1422-) ConSfe.?Cf,'v?/ STREET ADDRESS: 6°dd /&6/ LOT BLOCK / SUBD./P.I.D. #: lfu"Slf Z PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER Name: Phone #: Wi fIR61 Street Address: City: State: Zip: Company: o eso.? ,C vlni s Z..c Phone #: ?s -od s?s? Street Address: A,4 4wo6 a/ &C ?P License #: f3-'y City: ? a State: m.J Zip: Z3 i> 3 Company: Name: Phone Registration #: Street Address- City: State: Zip: Sewer & water licensed plumber: WA- ,d ??wn b,.rp Penalty applies when address change and lot change are requested once permit is i ued. 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. - Signature of Applicant: - OFFICE USE ONLY / Certificates of Survey Received = Yes Tree Preservation Plan Received Yes No L?-- No N- D BY: Iwo BUILD ? 01 j2r' 02 ? 03 ? 04 ? 05 ING PERMIT TYPE Foundation ? 06 SF Dwelling ? 07 SF Addition ? 08 SF Porch ? 09 SF Misc. ? 10 WORK TYPE OFFICE Duplex ? 11 4-plex ? 12 8-plex ? 13 12-plex ? 14 _-plex ? 15 USE ONLY M Apt./Lodging ? 16 Basement Finish Multi Repair/Rem, ? 17 Swim Pool Garage/Accessory ? 20 Public Facility Fireplace ? 21 Miscellaneous Deck p' 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) ?V,\/ Basement sq. ft. (Allowable) _iiA/ Main level sq. ft. UBC Occupancy V-3,0 1 1'^6 sq. ft. Zoning 12 sq. ft. # of Stories 2- - sq. ft. Length T7' sq. ft. Depth '43'6" Footprint sq. ft. APPROVALS Planning Building mi? i o 3 c. MCNVS System ro'70 City Water i r"72, Fire Sprinklered &40 PRV try Booster Pump Census Code. 101 1-710 SAC Code ?r Census Bldg r Census Unit r Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units LValuation: ?4Sewc?y. 20? iC. 2<{x Zl. S^ Z..d Z?u try ro xW 2UX Z2- $ tr1?,cZ0,? s zo 01'5 = 7 ?-o sl(. rpic, - 3,oaL G4? r o 64 • Sib ? sd = 5 7, ? s3 6,7Z ft 4 54 = 3 G-, 2.85 Z0C v qo Eva ?0,2KD iIS r1-7, LOT SURVEY CHECKLIST FOR RESIDENTIAL U .J F a °z 3? ? Q/ ? Ir, ? IR/ ? Cf ? M/ ? Q/ ? t8' ? PROPERTY LEGAL: 0?- A-161 I m q 13 DATE OF SURVEY: / G J 1 T/ TO LATEST REVISION: 1:21311!74 DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposed/existing sewer and water services & invert elevation • Street name • Driveway Q ? l? ? rY ? 13 ELEVATIONS E xistino • Sewer service (or Proposed) • Property comers • Top of curb at the driveway • Elevations of any existing adjacent homes Proposed r' ? 9K' ? rY ? W'? 0--,? 0 • Garage floor • First floor • Lowest exposed elevation (walkoutMrindow) • Property comers • Front and rear of home at the foundation PONDING AREA Of aoolicable ? M-? ? ? Q'' ? ? Gr- ? ? 3" [3 ? 1],, ? ?? ? &-"? ? 3-'a ? Br, ? ? 0 ? ? B ? • Easement line • NWL • HWL • Pond # designation • Emergency Overflow Elevation • Lot lines/Bearings & dimensions • Right-of-way and street width (to back of curb) • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) • Show all easements of record and any City utilities within those easements • Setbacks of proposed structure and sideyard setback of adjacent existing structures • Retaining wall requiremep* if any Reviewed: January 1996 CRAIDIQQMDDPRMr.FM I OIL mil( Q I3C 1 I C 7 . ED F, 452- Ide of in 021-25 Match Pt. °H " See ;heel 6 4 1 ? Iw Iz J 3 yc?t,?-,t )' ?lyt, (y ? Su-ET ',EHvi(7E-D f 1(D3tH0 l? ? 6 A 6 C G,GS?? 7 ?r .,6'1, rLUC FIFTH ?I II I--) t= T, I , N01I '•Nulet ?,n,nn iinm ,?iit," l h0vr covet Incidental MH-II 513 = 4° 31' 19" R = z, 819.49' T = 150.80' 01 44' 1 _ ;.5001 DO DD .4 I 6'xb'TEE, 6"v.V 5 HOX hYD I EvELANI,D 2 ROAD . y• A ? ' r? wner 612-474-OG7 L'r't'1171I t EXCELSIOR `WARD 422 P01 J1¢-1 le.' 92 17:47 ?-" HO ERGY COD Addptiun gt[activo ite Address mtractor gilding Classification: (Single Family 6 (Other) 'NERAL INFORMATION Building Perimeter Wall height (ground to cave) .3 aC Q S ft, z: (Over 3 stories) . A.fI .Phone ^a to 6In 5 hone Type A2 (Residential (3 stories ar ess S(.„gw5" I . x 2. (abova) gro ss wall dr!!ii. 1 CQC) ft, C_ (( ) Building dimensions (L) x (W) ?¦_ ft.2 roof S floor area Square fcot area of rim joist - Floor joist size (2 x to ? ) z IT? x Perimeter ¦ Rim o st area ¦ ;-?,\. ?7 ft Doors - Area ;6- `I Thick Hess ?r?, Type of Construct one is Manufacturer_ ?3e t r? 04, s ? aPerimter 10,3 (g. ?y? ft• Total door's perimeter ft - Windows: Manufacturer r_ State approved K\ N) U factor TYPE Q- -s _ SIZE AREA (F:•2) ^!? EACH m o - - `4 T `Z-cAo Z {i 1l 1 G1 G. NUMBER OF TOTAL FEET z UNITS 6w4 ? is ?. Total ft-2 Glass - 42-,-a,? I6 FIrepiace Area: Width x height x - -?_ Ft 2 • Exposed foundation: Height x Perimeter ?i x 0 Ft.2 PLETION OF T11I3 FORM IS REQUIRED FOR ALL NEW CONSTRUCTION. HAJOR REWDELIK, ACID BUILDMC,5 BEN ED-WHERE ENERGY. OTHER THAN THE MIHIHAt rnnc Atlnuimrr rK tmrn- 612-474-OG77 L` NAH EXCELSIOR YRRI) 422 P02 JUH 19192 17:48 training area • lox of gross wall area. Gross watt area O f`?2 z Window area A _ ft. U windows = _ 4`{ U x A = \ R,fR)oist area A -ft•2 U rim joist « c?-? U x A poor area A .?-I ft.? J door area + r O(?`iy U x A Fireplace area A rte` ft.2 U fireplaev = -tE?- U x A = Exposed foundation A o ft.' U foundation.- « \ U x A a Framing area A "7_l Q ft.` U framing area = . O U x A = 1g _?4 Net wall area A eft. J wall =_ C D:!S_ U X A = 1 13? 717,' ? ? ? ? U x ? Q Gross wall area x 0.11 (A-1 single family S d4 ;.:=x = allowable U A A/Code (13. above) x 0.23 (A-2 other residentia`; x .23 ;Other buildings' A ze (Over 3 stories) Must be larger than A ?. \ ?Q x ' 138 above Ceiling framing area (Af) aquals 10". of ceiling area or the same as) C l(?? \ _h, (o a ft.2 Gross ceiling area (1) ?-d 4 x ('x 9______ __ • Joist area (Af) ¦ lb° ceiling area = ft.2 Het ceiling area (Ac) (i5A - 15B) _ _ \ \ - ft.Z U ceiling x A c= o ?\ 2, x?\"d?_ U framing x A f+ * 0 -e Ga'T x_, \ -i--,. TOTAL U x A .............. ?........ ................. . O? -, _ Ceiling area (15A) x 0.028 (A-1 single family S duplex - code allowable U x A ITWM? x 0.033 (A-2 other residential) x 0.06 (other) BTUH Must be larger than 150 (above) A x (codel= ,q of (or the same as) !TOTE: Use U and A values obtained from ops 1. 3 and 4. CITY USE ONLY G L BL _L RECEIPT#: SUBD. :J RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: single family dwellings townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x a- _ Lavatory 3.00 x = = la. - Kitchen Sink 3.00 x I _ Laundry Tray 3.00 x ( = 3, Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x Gas Piping Outlet " minimum - 1 3.00 x - Rough Openings 1.50 x :3 = S Water Softener ' for dwellings under construction 5.00 x = Water Softener *for existing dwelling 20.00 x = U.G. Sprinkler 'fordwelling under const. 3.00 = U.G. Sprinkler 'forexisting dwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ` Dak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems ' Abandonment 20.00 = STATE SURCHARGE .50 TOTAL A1_9i I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. it Is the applicants responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS:{ I OWNER NAME: INSTALLER NAME: STREET A RESS: 1 144-40 ' -C CITY: TELEPHONE #: B && '-l?42- STATE: C / "?' ZIP: 4, k&OQ t! / SIGNATURE O PERMITTEE L )- BL C?C CITY USE ONLY RECEIPT#: Cv 5?/?O SUBD. cvw?a?T oe ? RECEIPT DATE: - /*? 7 - 1997 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 furnace __ __, Add-on air conditioning __ Add-on air exchanner, i.e. Vanes system; etc. Date: ? - 7 -cl? ?? ?? - `?oMFV -7S l EM ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @ $3.00 each) ?.? ? State Surcharge .50 TOTAL J?'?7S0 SITE ADDRESS: yaw> OWNER NA INSTALLER PHONE#: PHONE#: -! j - 11 STREET ADDRESS: ?3?75 ?i onJeeS rc? \ CITY: STATE: MAJ /ZAP: SS3`l? 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan d lot platted after MA3 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasca mechanical ventilation form RemodeVReoair Requirements Office Use Only 2 copies of plan showing footings, beams, joists Cert of Survey Recd _Y _ N I set of Energy Calculations for heated additions Soils Report -Y _N 1 site survey for additions & decks Tree Pres Plan Rood Y _ N, Addition - indicate if on-site septic system Tree Pres Required _Y -_N bh-site Septic System ! Y N 01? arc rnneirlnrnrl nnhlir• infnrmnfinn rrnipee vnu elate thev are trade secret and the reason Date I 1 / ? / O Construction Cost ' Site Address ('1 u(? L)Qdr? Unit/Ste # - Description of Work Qo CC 'O Multi-Family Bldg - Y --N Fireplace(s) 0 - 1 - 2 Property Owner K1 7?COC ?11Telephone ff6oS`) Contractor C Addres S S Cit3'?.? t? State ip ?-c C? C.o Telephone # ((AA) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Cade Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet submission type) Submitted Submitted • 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? Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( T hrrPhv anniv fnr n Recirlontial Rnildina Permit and acknowledize that the information is complete and accurat e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 App- 1 an's Signature 2422 Enterprise Drive Mendoto Heights, IAN 55120 * PIONEER LAND SURVEYORS COAL EN^nNEERS (612) 681•-1914 FAX-.681-94-88 enginmaring LAND PLANNERS. LANDSCAPE ARCHITECTS 625 Highway 10 N.E, * * * *• Bloine, MN 55434 ((612) 783-1880 FAX:783-1883 Certificate of Survey for: THORSON HOMES 4245 DODD ROAD BENCH MARK EXIST. J 932,2 , TOP OF PIPE ?i HOUSE i ELEV.=931.7L1 r .21 932, 3 - x i r ? ?r925.8 S89047'52"W 166.81 931 , f (9' 40 .6 I v,. Az az W 19 ee Y >? 929.9 Ln r- - T T _ oe n; -- - W ^ 16.4 216 7i 5 ~ C;; 10 f O ?- ~CL N 930.3 N to H d x 26.33\ --1 I e-- ?d M ? N I \? V I k ? z2 w ` fn " f?7to r I c¢ W ? 1 I ?an 2.00 ? ?Y n r- ZVr- dN?M •-- R ry ? r N M H I 15.50 T I \M I C`1 C7 ©Nr' I Q O ? ' Na C7 21,17 i e h °' m QU= x 929.3 Q C l 930.1 x 930.7 xl o, 9\ QO oM an N I \ a r m a , I F- - 20. 6 -- -- ^1 ?I r, -- NI L NI 10 I J 40 !! -^ -- ------- -- - - ?-- ?- - --- 929.2 x v 43.83 30„°17 1\1 926 .t ( A? $89047'52"W 929.75 2 169.0 ti 930. q, I 5 50 Ctt ti r 931.0 x t t?t x EXIST 931 6 T ?'(?\ I , , GARAGE I % 4 pQ ! BENCH MARK TOP OF PIPE o V ELEV.=930.42 '00). NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: NOTE: BVILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION OF STRUCTURES ONLY, SEE ARCHITECTUAL PLANS FOR BUILDING AND FOUNDATION DIMENSIONS. NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR, THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR, P POS HOU" EL VA71ON_ LOWEST FLOOR ELEVATION: 9Z 5, Z TOP OF BLOCK ELEVATION: 9 33.3 GARAGE SLAB ELEVATION: 93/,5 NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING ELEVATION THOSC SHOWN ON THE RECORDED PLAT, ( 000.00 ) DENOTES PROPOSED ELEVATION NOTE; CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. --- _ = DENOTES DRAINAGE AND UTILITY EASEMENT DENOTES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM 0 DENOTES MONUMENT -(B- DENOTES OFFSET HUB VIE HEREBY CERTIFY TO THORSON HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 2, BLOCK 1, SUNSET FIFTH ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 17TH DAY OF DEC.. 1996. _ SI fNEO PIONEER ENGI E RING P.A. SCALE : 1 INCH = 30 FEET 5 96546.00 SWK REVISED DRIVEWAY 12.-31-96 Jvhn C. Larson, L.S. Reg. NO. 1828 't PIONmR * elneerl Certificate of Survey for LAND PLANNERS. LANDSCAPE 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914 FAX:681-9488 625 Highway 10 N.E. Blaine, MN 55434 (612) 783-1880 FAX: 783-1883 THORSON HOMES 4245 DODO ROAD 1 BENCH MARK EXIST. 932.2 TOPVO931PE HOUSE 932.3 ?? I l X h?>1 (925.8 S89047'52°W 931.42 166.81 j (9310 . 40 929.8 43.83 28.39 X n Ln X 16.4 ------------ I ---I - N r_i ?_i r r , 10 23.6 I r I I I r N71 MI O I a 930.3 ry j j to ?a --- °o- X 26.33\ w ? O I ?a ni ? ti 1 a Q w? M o\rn ,Tn I cco p ¢vi 0\0? 2.00 I (V 1` . ?a aoo _ r` 17? -in 3 I///°W 2 M a 15.50 I 4NO oQ r Lr I Of ? 03 Q 11 929.3 I O 00 00 I? r X x 21.1 7 O\ N M o > I Co I04 930.1 930.7 M\?2001 a O ------ 20.66 of 1 Z l I` 5 10 40 1 L---------------"L-------"'---J LO -- 929.2, 926.1 \ S89047'52"W 929.75 '? 169 00 i qh 930.5 50 C?ti(a.l 931.0 X EXIST. X931.6 I\ 1q2 GARAGE q BENCH MARK •?,?jawt- TOP OF PIPE ELEV.=930.42 NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: PROPOSED HOUSE ELEVATION NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION 9 S. z OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND LOWEST FLOOR ELEVATION: FOUNDATION DIMENSIONS. TOP OF BLOCK ELEVATION: 9 33.3 NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE 93/,5 SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION: PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING ELEVATION THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. - - - DENOTES DRAINAGE AND UTILITY EASEMENT DENOTES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM 0 DENOTES MONUMENT $ DENOTES OFFSET HUB WE HEREBY CERTIFY TO THORSON HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 2, BLOCK 1, SUNSET FIFTH ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN. AS SUFj" BY ME OR UNDER MY DIRECT SUPERVISION THIS 17TH DAY OF DEC.. 1996. SI ED PIONEER ENGIIyEERING P. A. SCALE : 1 INCH = 30 FEET .5 96546.00 SWK REVISED DRIVEWAY 12-31-96 John C. Larson, L.S. Reg. No. 19828 ** * Pimrmrm * enginear Certificate of Survey for LAND PVANER5, LANDSCAPE ARCMTEC75 625 Highway 10 N.E, Blaine, MN 55434 (612) 783-1880 FAX:783-1883 THORSON HOMES 42*5-000D ROAD -?D 4q EXIST, HOUSE 11'3 d O N O z 166.81 h?l 932,3 1925.8 S89947052"W 931,42 MT -- - - - - - - - - - - - 51 If r I =,-•? 930.3 I ha x ,C .?j CL I UWz i Z2 < NO -7 of < \n / N I - NN / 110 ( I I r a I .Q `? o l// x 21.17N aWy I `n 9 50.1 930,7 xl o 0 ao I? I t ------ . s - 1 I n? ?I s Ito NI !) _ LT 40 400 M1nr. iV M .- O N r 11? Q 40 929.$ 1 I Q to x 10 l O 929.3 I 0 O 29,75 r rO.a? JV,O/ \\ if 926.1 S89047'52"W 9 169.0 y 930.5'\ 50 Cq2`' 931.0 x x i { ry?q ,A? EXIST. 931.6 GARAGE I?? Q ? BENCH MARK -'s 10 Z'ti' ELEV.= 930.42 NOTE; PROPOSED GRADES SHOWN PER GRADING PLAN BY: P P SED HOUSE ELEVATION NOTE: BVILDINO DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION 92`j,2 OF STRUCTURES ONLY, SEE ARCHITECTUAL PLANS FOR BUILDING AND LOWEST FLOOR ELEVATION: FOUNDATION DIMENSIONS, NOTE: SPECIFIC SOILS MVESTt0A HAS BEEN COMPLETED ON THIS LOT BY THE PROPOSED SURVEYOR. IS NO T T THE 7nE RESPONSIBILITY OF THE TOP OF BLOCK ELEVATION: 9 33.3 SURVEYOR. THE 1LITY OF F SOILS TO SUPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION: 9 3jr S SURVEYOR, NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000,00 DENOTES EXISTING ELEVATION THOSE SHOWN ON THE RECORDED PLAT. ( 000,00 ) DENOTES PROPOSED ELEVATION NOTE; CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. - - DENOTES DRAINAGE AND UTILITY EASEMENT DENOTES DRAINAGE FLOW DIRECTION NOIEf BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM -a DENOTES MONUMENT -5-- DENOTES OFFSET HUB WE HEREBY CERTIFY TO THORSON HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 2, 13LOCK 1, SUNSET FIFTH ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 17TH DAY OK DEC„ 1996. 5fE) SCALE 1 INCH = 30 FEET PIONEER EN61, P.A, B r' REVISED DRIVEWAY 12-31-98 John C. Larson, 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681--1914 FAX:681--9488 BENCH MARK 932,2 TOP OF PIPE i ELEV.=931,78 / / (8311°? 931. 28.39 x ? En Ld VI 1 En 23.s x nI N' I I 6,33\ --1 n 3 ? X!° to ? 0 ?W ]n,, 2.00 -?t PERMIT City of Eagan Permit Type:Building Permit Number:EA122494 Date Issued:05/09/2014 Permit Category:ePermit Site Address: 4247 Dodd Rd Lot:2 Block: 1 Addition: Sunset 5th PID:10-72989-01-020 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. 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 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Darrin Bramwell 4247 Dodd Rd Eagan MN 55123 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature G7tirj Use BLUE or BLACK Ink For Office Use 41,11111111. ^^��City Permit#:of EaQall Permit Fee: o"o 3830 Pilot Knob RoadoZ _/� Eagan MN 55122 --I, Date Received: Phone:(651)675-5675 Fax:(651)675-5694 FEB 2 7 2017 Staff: 7 � J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: nior i ph X051-555- %I31-1 ��d��"r � ; Name: G1.1(ri � M`, i �'�tr•�ael Phone: _esti ' al a O n r a Address/City/Zip: 12 1d A ��� Applicant is: Owner Contractor ��yIIPyWI' ��� i �i d� ,� k � Description of work:3 � V td" �n IRx tt U aileJ Vyhd, 0 i 9a 4� Construction Cost: Q ©0 Multi Family Building: (Yes_/No uf) Company: vow /Ie r0o,,1$ Contact: Rad t L_ipn ���u Address: 3/31 E_ n �i rT t C City: ✓ Ut )Svl QtIT d to ptState: Zip: 55 33/ Phone:9 'S9Email: r ureal eypods, 111iX- :1111041,':!1;=401111-;- License#: Lead Certificate#: AJC If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: �rN TE Plans ani' srpportr . • • rrrrrents a ya ;bmitlare iderea e. bl= info atio rtions s i�N �I p i `i' �I' i'i D nDii y it r3s' (GyiGrl ie ww�tihGN B, � nforma ion ma G' x^ Af1ed as ,® is if y't a pr 4.00s® "r,f/' Y,; " It s y H ��N a�a'� d ti u � h � lu �,t� hey air tra !secre' N 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.gooherstateonecall.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 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 ate Building Code must be •.mpleted within 180 days ermit is uance. / " C-4,161-440 x f Appli ant's Pr nted Name Applicant -ignature Page 1 of 3 Z/e9'` / -D DO NOT WRITE BELOW THIS LINE /4---// 2--5 -' SUB TYPES Foundation Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level )6 Pool Accessory Building WORK TYPES ,?D 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 Occupancy . 2d-/ MCES System Plan ReviewCode Edition y1/170t s SAC Units (25%_100%16 ) Zoning 12-/ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final )6 Pool: )a Footings )4 Air/Gas Tests )4 Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 7-0 vv'- ✓ 1 , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 POOL PERMIT — APPLICATION SUBMITTAL REQUIREMENTS Address: 4-2.41 d RG�,_ Applicant Name: ' o./Cf i. 1 £ )11 g( y>JP—ll GENERAL INFORMATION x ¢ b o z )1 ❑ ❑ Applicant name and contact information ,e1 ❑ ❑ Property owner name /21 ❑ U Address of property ,0 ❑ ❑ North arrow, scale (1" = 30' or 40') .� ❑ U Site Plan, drawn to scale showing location of house,pool, and other existing or proposed structures, including retaining walls and fences. yet ❑ U Location and name of all streets adjacent to property U U Directional drainage arrows(existing and proposed) ❑ )21 U Lot Square Footage ❑ ! U Lot Coverage ELEVATIONS Existing J21 U ❑ House corners 2 ❑ U Property corners to A ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ❑ ❑ Finished pool deck corners ❑ Set U Top of proposed retaining walls (if any) and at each different elevation(if it changes) J� ❑ ❑ Pool bottom(or max. depth) DIMENSIONS Existing • U ❑ All property/lot lines 0 U U All Easements on the property Proposed ❑ ❑ Pool ❑ ❑ Pool plus integrated deck/patio Gef ❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house Reviewed: -� f4m8/,7 N- e Date G:FORMS/Pool Permit Checklist/11-20-12 . 1-/1 ' . D.An. ., 2422 Enterprise privo R 4 4r * Mendota Heights, MN 55120 /(1/ o• ---7 * ICytuE�� (612) 681-1914 FAX;681--9488 ,•�-_ �_ [.ANO SUft4EYDRS • CINL EN'„kEER5 _ • eiJflet rirtF LAND PLANNERS. LANDSCAPE AHCIIITECTS 625 Hfghway 10 N.E. * * 6loine, MN 55434 (612) 783-18811 FAX:783-1883 Certificate of Survey for: THORSON HOMES 4245 0000 ROAD . x M 3 w BENCH MARK • — EXIST. 932.2 �/ TOP EVOF 931 78 n HOUSE r7g 932,3 / I I i )i. • i • (925.8 $69.°'1.7'52°W 931,42 u, 166.81 i 931. 40 43.83 • 28.39 • x fl. 929.5 ui w X - -, - - -3: C- _ n N 6 16,4 ./ n t,.1 ' 10 23 I lTi Nci, • f 1r?I I� 09 32 `yam v �V i 1 t. .. C7 930\ - 4 nee I x o J • 26,SS\ _ �� I W its m z` I ..... - S WW 4 �?r- I w C ¢� 3 \a 2.00 1 "[V N.—� _ • , , ow 2 + z3:� `a w •1 :511.7--'-. M ,3 1/43 m ,i m N I 15,50 • j e 0 CI 4�A c //rr .� .L? t 1,) o Mice' ,, '--- * CO -iv- 1 d ri V a`- 11 tt x 929,3 ' 0 O i� 7, ma `0., 21,17 I Ixr r`_ - RE... Q O -. • �/ e ',ink 9:0.7 x� c,L7 O��\9�', o °'n I 10m r N.I �7 r �' I 1 \ M' 10 `3 0 NI _ _ NI _ , 1 40 e f u) 1 I I 'n ._-k., 929.2,929.2 x .. �v ., 43.83 • 30.��� ; I( 926.1 S89°47'52"W . 929.75 169.001 930.5 \ 50 0'111 _ 931.0 x— ,x , /031 I • Z GARAGE 931,6 ��� u' , ,: > BENCH MARK �s� , c_s, TOP OF PIPE 3 ELEV,w 930.4-2 � PNr 6'4 , o •NOTE: PROPOSED GRADES SHO'hN PER GRADING PLAN BY: ii PROPOS ' HOUSE ELEVATION_ NOTE: Of}57fRUCNG OfURES`IONLYONS SfSEE ARCI-IITECTUAARE F �RPLANS FOR BUILDINIZONTAL AND IGAAND LOCATION LOWEST FLOOR ELEVATION: 9z 5'z FOUNDATION DIMENSIONS, TOP OF BLOCK ELEVATION: 3� - NOTE: NO SPECIrIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT 8Y THE 9S7i SURVEYOR, THE SUITABILITY OF SOILS TO SUPPORT THE SPECIrIC HOUSE GARAGE. SLAB ELEVATION: PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR, • NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 00P,00 DENOTES EXISTING ELEVATION THOSE SHOWN ON THE RECORDED PLAT, ( 000.00 ) DENOTES PROPOSED ELEVATION NOTE; CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. - ---= DENOTES DRAINAGE AND UTILITY EASEMENT DENOTES DRAINAGE FLOW OtRECTION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM --:---- DENOTES MONUMENT —E1— DENOTES•OFFSET HUB ' WE HEREBY CERTIFY TO THORSON HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 2, BLOCK 1 , SUNSET FIFTH ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 17TH DAY OF DEC.. 1996, sI •lIED' PIONEER ENCII3Z RING P.A, SCALE : 1 INCH . 30 FEET 1725 96546.00 SWK REVISED DRIVEWAY 12-31-96 John C. Larson, L.S. Reg. No. 19828 .....4 EWED_ ,%�,� _ ...* By Date 212;1/7 PAGAN ENGINEERING DEPT.