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3173 Doneene Lane1 a- (, f? o (.Y- I b 0 - cc?? a C= 4 19 3 . e 1 2005 RESIDENTIAL BUILDING PERMIT APPLI ION . 11 ' City Of Eagan p go ?,c6 ` 09 3830 Pilot Knob Road, Eagan MN 55122 S? Telephone # 651-675-5675 FAX 9 651-675-5694 New Construction Requirements Remodel7Reoair Requirements RIQQ y5a Vrn_v 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cud of Survey Recd ' _t+l (2T/. maximum lot coverage allowed) 1 set of Energy Calculations for healed additions Tree PresPlan Redd _Y 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres f2equued lset of Energy Calculations Addi n-indic fonsitese tcsysfem Drr-sile.Sephc m:: _Y:ii ._N 3 copies of Tree Preservation Plan if lot platted after 711/93';31 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date3 19 10-5 Construction Cost ©D F??? Site Address 31.1-3 Doneene. LGtn4a, Unit/Ste # L 5 r. h Wan A20 - e-fin/ cct it s4r l-1 Li')n Description of Work a y Multi-Family Bldg _ Y/ \ N Fireplace(s) 0 _ 1 _ 2 Property Owner Scar)- er Q rc)S , (13nst.) I (? Telephone # 45 l) y 5C- 0 y9 I Contractor 5? he `e r g r on. Cons Address 1 State M ? / ``t Zip 7 n City I ?Ver?C/=?rr>??P His Telephone # (,5h 450 f 614 a T COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING A- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? X Y - N If so, 257o plan review fee applies. Licensed Plumber We n ze-I Plum 6,(029 Mechanical Contractor `? Y Gl i-te??t Sewer/Water Contractor Wen tum 61 na Telephone #((5I) sla_ (5z- Telephone#((5t '1a3-,3si Telephone # I hereby apply for a Residential Building Permit and acknowledge that the information is ceir/ana-a curate; that the work will be in conformance with the ordinances and codes of the City oUf,Eais C and the State f MN Statutes; I understand this is not a permit, but only an application for a permit, an?-work-ig-M o s a 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. ?<r'i scI I lc( L 5cha-Fe? c J 5c?- ? -?-? Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ¢} 03 01 of=plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types 10 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant Valuation / / Z'?? C)) Occupancy ! -3 MCES System Census Code p Zoning City Water SAC Units V ( Stories Booster Pump # of Units Oil' Sq. Ft. / ! 1- PRV # of Bldgs J Length_ Fire Sprinklered Type of Const Width b Footings (new bldg) _ Footings (deck) Footings (addition) ?o Foundation _ Drain Tile Roof Ice & Water Final 1D Framing - _ Fireplace _ R.I. -Air Test -Final Insulation Approved By: REQUERED INSPECTIONS Final/C.O. _ Final/No C.O. _ Plumbing _ HVAC Other _ Pool _ Figs Air/Gas Tests _ Siding _ Stucco?Stone - Brick _ Windows Retaining Wall Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total rr.n:g?feD l3nselftewfi F/o'7 jg,Ftx <<?? J ^ Iii n; l7't L' i3ef_CP 117ef17- X?'B 59.14?. A -'5- -AID &-H r2A 6,F_ qA -0 (1 tl 1/3.? q'747 -06 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: 81aGK I , S LtKls/I L DATE OF SURVEY: LATEST REVISION: 3IZ3,0? Ya_ Oz B ? .P ? '2? ? ,2- ? '0 ? ,La' ? ,9' D m m c R L U a 11 11 13 11 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 (grade & width - in RIW and back of curb, 22' max.) • Lot Square Footage • Lot Coverage ELEVATIONS Existing .if, ? ? • Property corners ? ? • Top of curb at the driveway and property line extensions ? ,z . Elevations of any existing adjacent homes - Slow f 1do. of 7 /Cr/ Is A/o /a rfrPi t ? ? • Adequate footing depth of structures due to adjacent utility trendies ? .0 ? • Waterways (pond, stream, etc.) Proposed tee' ? ? • Garage floor 'X ? ? • Basement floor .' ? ? • Lowest exposed elevation (walkout/window) g ? ? • Property corners SY ? ? • Front and rear of home at the foundation PONDING AREA (if applicable) ? ? Easement line ? Rr ? • NWL ? -d ? • HWL ? e ? • Pond # designation ? z ? • Emergency Overflow Elevation ? $ ? • Pond/Wetland buffer delineation Y ?N . Shoreland Zoning Overlay District Y ® • Conservation Easements DIMENSIONS '' ? ? • Lot lines/Bearings & dimensions X ? ? • Right-of-way and street width (to back of curb) '0 n E * Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) 'z ? ? • Show all easements of record and any City utilities within those easements 'z ? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures ? ? • Retaining wall requirements: d Date 3 ?. v i R ev ewe G:IFO RMS/Bui lding Permit Application Rev. 11-26-04 Permit Number REScheck Compliance Certificate Checked ByMate 2000 Minnesota Energy Code REScheck Software Version 3.5 Release le Data filename: C:\Program Files\Check\REScheck\SCHAFER - 04-0202A4.rck PROJECT TITLE: 04-0202A4 3 ' ,6 os 'D H n f- -e n e L- A- n ,e- COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 07/29/04 PROJECT DESCRIPTION: SCHAFER TWIN PROJECT NOTES: RES CHECK IS CALCULATED FOR ONE SIDE ONLY COMPLIANCE: Passes Maximum UA = 391 Your Home UA = 387 1.0% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 1347 44.0 0.0 36 Wall 1: Rim 176 10.0 2.0 36 Wall 2: Wood Frame, 16" o.c. 1546 19.0 2.0 70 Window 1: Above-Grade: Vinyl Frame:Double Pane with Low-E 173 0.310 54 Door 1: Solid 38 0.350 13 Door 2: Glass 84 0.370 31 Basement Wall 1: Solid Concrete or Masonry 581 5.0 0.0 45 Wall height: 8.3' Depth below grade: 8.0' Insulation depth: 8.3' Basement Wall 2: Solid Concrete or Masonry 70 5.0 0.0 8 Wall height: 3.5' Depth below grade: 3.0' Insulation depth: 3.5' Floor 1: Slab-On-Grade:Heated 126 5.0 94 Insulation depth: 3.5' Furnace 1: Forced Hot Air. 90 AFUE Proposed and Maximum U-Factor Averages L Proposed Maximum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0,330 0.370 Includes Foundation Windows > 5.6 f12 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the - building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in REScheck Version 3.5 Release le (formerly N ECcheck) and to comply with the mandatory requirements listed in the REScheck Inspeption h;ckfist--- Builder/Designe Date 05 c REScheck Inspection Checklist 2000 Minnesota Energy Code REScheck Software Version 3.5 Release le DATE: 07/29/04 PROJECT TITLE: 04-0202A4 PLAN REVIEW AND INSPECTION ISSUES This list of items may be helpful for Plan Reviewers and Building inspectors to use as a guide for enforcing the Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, . one- and two-family residential dwellings. The items marked with * apply only to detached one- and two-family residential dwellings. PLAN REVIEW ISSUES FOUNDATION INSPECTION [ ] foundation wall insulation R-5 minimum [ ] foundation insulation extends from top of wall down to top of the footing [ ] exterior foundation insulation is covered by a protective coating finish CONCRETE SLAB OR UNDER-SLAB INSPECTION [ ] slab on grade perimeter insulation R-5 minimum [ ] slab insulation extends from top of slab to design frost line or top of footing [ ] floors over unheated space R-30 minimum WINDOWS / DOORS / SKYLIGHTS [ ) average U-value is 0.37 maximum for windows and glass doors (excludes foundation windows) [ ] window U-values consistent with building plan and REScheck Certificate [ ] window and door areas consistent with building plan and REScheck Certificate MECHANICAL VENTILATION ISSUES [ ] residential mechanical ventilation system provides adequate ventilation per code requirements* [ ] furnace efficiency is consistent with REScheck Certificate or building plan [ ) protection against excessive depressurization is installed per code requirements* ENVELOPE INSULATION FOR PLAN REVIEW [ ] interior basement insulation R-5 minimum (if no exterior insulation) [ ] ceilings with attics R-38 minimum or consistent with building plan and REScheck Certificate [ ] wall framing and insulation level is consistent with building design and REScheck Certificate INSPECTION ISSUES CONCEALED INSULATION Framing and Sheathing [ ] wind wash barrier installed at attic edge [ ] exterior wall comers framed so that insulation can be installed after exterior sheathing is installed [ ] intersections of interior partition walls and exterior walls framed so that insulation can be installed between the partition and exterior sheathing after exterior sheathing is installed [ ] gaps between framing less than one-half inch are eliminated by securing framing together or are insulated at the time of assembly * [ ] all penetrations between conditioned and unconditioned spaces made prior to framing inspection are sealed * Interior Air Barrier [ ] all fire stops are air sealed [ ] pipes, ducts, wires, equipment and flues and chimneys through the interior air barrier are sealed [ ] a sealed continuous interior air barrier is installed on the warm side of the building envelope at ceilings, walls, and floor rim joist areas * [ ] air barrier behind tub and shower is sealed and protected [ ] recessed light fixtures are sealed Envelope Insulation [ ] basement insulation R-5 minimum [ ] wind wash barrier on wall separating house and garage is sealed [ ] loose fill insulation is prevented from entering the eaves ( ] insulation on skylight shafts and walls exposed in attics is supported on the unconditioned side Attic Insulation [ ] attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel [ ] attic card attached to framing new access opening [ ] notification of attic R-value and date of installation posted near building permit inspection card This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the Department of Public Service Information Center at 651-296-5175 or 1-800- 657-3710. LOT SURVEY CHECKLIST FOR RESIDENTIAL {{ BUILDING PERMIT APPLICATION PROPERTY LEGAL: S S C F I , S?GkJMZ ?. DATE OF SURVEY: LATEST REVISION: a oz ?Y ? ,B ? 2' ? _-ET ? ,a ? ,0' ? ..a ? .H' ? ,a' ? 2' ? AT ? N tr c m r U 9 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 (grade & width - in R/W and back of curb, 22' max.) • Lot Square Footage • Lot Coverage ELEVATIONS Existinq 'Er ? ? . Property corners ? ? • Top of curb at the driveway and property line extensions ? X • Elevations of any existing adjacent homes 5Ww £12?, o?7 L 7 loo iS A/o /orl 6 n i '0 ? ? • Adequate footing depth of structures due to adjacent utility trendies ? a ? • Waterways (pond, stream, etc.) Proposed _.io ? ? • Garage floor 011 ? • Basement floor .B' ? ? • Lowest exposed elevation (walkout/window) 8 ? ? • Property corners f? ? ? • Front and rear of home at the foundation PONDING AREA (if applicable) ? ,a ? • Easement line ? z ? • NWL ? x1 ? • HWL 0 .0" ? • Pond # designation 0 z ? • Emergency Overflow Elevation 0 -e ? • Pond/Wetland buffer delineation Y • Shoreland Zoning Overlay District Y ® • Conservation Easements DIMENSIONS 'W 0 0 - 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 'z ? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures y1 ? ? • Retaining wall requirements: o D t 4 Z l a e Reviewed By: G:/FORMSBuilding Permit Application Rev. 11-26-04 3169 and 3173 DONNENE LANE CERTIFICATE OF SURVEY For:.SCHAFER BROTHERS CONSTRUCTION, INC. PROPERTY DESCRIPTION: Lots 5 and 6, Block 1, SCHWANZ ADDITION, Dakota County, Minnesota. We hereby certify that this is a true and correct survey of the above described property and that it was performed by me or under my direct supervision and that I am a duly Licensed Surveyor under the laws of the State of Minnesota. That this survey does not purport to show all improvements, easements or encroachments, to the property except as shown thereon. March Signed this 23rd WED ?VV?VV? D ; 2005. James R Hill, Inc., By L ( Date 3[7? lc?.?' By. u ' FAGAN ENGWEERLdG DEPr, a . Gary n esota L.S. No. 11529 Not s: 1. Building dimensions shown are for p Denotes set spike horizontal & vertical placement of structure 0 Denotes set iron monument only. See architectural plans for building 9 9 Denotes found iron monument x927.6 Denotes existing elevation & foundation dimensions. (930.0) Denotes proposed elevation 2. No specific soils investigation has been Denotes proposed drainage completed on this lot by James R. Hill, Inc. TC Denotes top of curb The suitability of soils to support the specific TNH- S.W. Ouad. Pilot Knob house proposed is not the responsibility of Bench Mark: 908.67 _ and Jurdy Road James R. Hill, Inc. or the surveyor. Proposed Garage Floor= 902.2 3. No specific title search for existence or non- Proposed Garage Top of Block= 902.6 existence of recorded or un-recorded easements Proposed House Top of Block= 902.6 has been conducted byb the surveyor as a part Proposed Lowest Floor= 894.6 of this survey. Only easements per the recorded plat are shown. 4. Proposed grades shown were taken from the grading &/or development plan prepared by Bearings are on assumed datum JAMES R. HILL, INC. Scale T=30' co LW 0 > O CN°a a) M O 0 W Inc Hill James R M o M CD D M r -0 < \ . , . f A N? o p a o -1" m i ° m \ o a PLANNERS /ENGINEERS /SURVEYORS N o 0 ^ J ;o _< 0 2500 W. Cfr. Ru. 42, 9m120, MN 55W _P? N 0 i m PHONE: (MOD-6W FAX: (9UPD-6244 Address: 3173 Doneene Lane Lot: 6 Block:I Subdivision: Schwartz Zip: 55121 THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON /, 17, ©b Yes No Comments Final grade - 6" from siding Permanent steps - garage ? Permanent steps - main entry Permanent driveway Permanent as Retaining Wall or 3:1 Max Slope ,? Sod/Seeded lawn Trail/curb damage Porch Lower level finish 1-11 Deck Fireplace • Verify with your builder that roof test caps from the plumbing system have been removed. • Turn off water supply to the outside lawn faucets before freeze potential exists. • Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing irrigation system. V BUILDING INSPECTOR: 1141,I? CONTRACTOR: Schafer Brothers Construction 9470 Abigail Court Inver Grove Heights, MN 55077 a 3169 and 3173 DONNENE LANE CERTIFICATE OF SURVEY For: SCHAFER BROTHERS CONSTRUCTION. INC. L_I 1 I\L_v? A nr?ITlrNNI Z N00°06'13"E N00°06'13"E 46.00 (887.8) 46.00 (887.3) 889.0-" v? 887.1 `,886.3 (886.5) .? RAINAGE & UTILITY, I ;° VASEMENT PER PLATI CLOT ? 6 LOT 6 i? 893 2 0 N 15.00 <' I N 891 0 'N , 6 K w D I . ) 0 DECK (894.1) ECK ( 0. 0 (894.1) DEC 00 ?1 m l - I a, 36.0 36.0 as ? o f I0 ml 1 ° 77 ` ?34Q OG PROPOSED °0I I PROPOSED\ gad4 ??a6g I00 PROPOSED /O) Lr) M ( W/O) \ WUOE \ I I (WHOUSE r7 \M M \r? M T r 0 M It \ 00 \ 10 "6 Ln 'n n LO LO CC ? ° ? o ni A nl I \ I O 10) V I v I 11.33 11.3 d 0 0 8 8 1 . (89 . (9$1.9) I I 1 ((901.9) cd R. GAR, u ) CAR.\ 4 ^ I 20.33 I 000 ^ (901.9) (901.9) 10 (897.4) BENCH MARK I I j rn 15.00 < I 1 I? BENCH MARK 0 TOP OF SPIKE 51w PROPOSED pDRIVEWAY m >? J TOP OF SPIKE ELEV =900 25 J • I ° . . 90 6 ?I w k' SERV. 6 J SERV. ELEV.=897.43 "'• 1 -"? TC 898.5 TG go@ - - DON EENE I ? LANE .) _ )I\ In TF- N N N nTL)r-r-T` ' L aaca ozaof I - \ I V, , I L_ m I I\ L_ L_ I N _ N LOT 5 AREA-8188 SO. FT. LOT 5 COVERAGE AREA= I \I 1840 LOT 5SSAN 22.4 7 I DRAINAGE & UTILITY. : N I I l EASEMENT PER PLAT LOT 6 AREA=8188 S0 FT ; . I . I I LOT WEST LINE OF BLOCK 1, 6 COVERAGE AREA= % SCHWANZ ADDITION 1820 SOFT. OR 22.2 X LOT 6 SAN. SERV. ELEV.=889.0 - - o e n v ?- _ a ?_ 46.00 46.00 RIGHT OF ACCESS TO THE T DEDICA ED OUNTY OF DAKOTA N00°06'1 YE N00°06'13 "E C PER PLAT n EXISTING SIDEWALK C. S.A.H. N0. 31 - ??I I r\ -r I-( N Irl'- F)r\ A r\ I ; IL.\J I r\I\1 L. I\vt 39 ELJ - By ' ATE .... _.._.a Scale: 1"=30' Page 2 of 2 James R. Hill, Inc. , Use BLUE or BLACK Ink � For Office Use--------- � ��'� • �' j Permit#: / ��/ �V � C� J �� '7 ��. [�� I�� '� / 1� � Permit Fee: � 3830 Pilot Knob Road � '' I Eagan MN 55122 R�CEIVED � Date Received: �� j Phone:(651)675-5675 I I Fax:(651)675-5694 NO V � 9 2415 I Staff: I I � ��J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �� l�° �--�''�� Site Address: 3�7 J ��N ��-0`�C �-� Unit#: \ �� e Y��.a -m 3\�-� �.' Name: 4.,�M �y t�1��S G� Phone: ��J� 3 �3 �''{4� � 6 � ° M �� - �' Address/City/Zip: ��btv�1v� (,�N � `j�Z 1 �� , ' �_��, y�a�a� , � �: Applicant is: �Owner Contractor ' � a �� : � � 3 ('� ' '�� v Description ofwork: �a+-S��`^��i t�i I�►� `��N � � � h 2-l�'�✓`'1� T � ��3-� �� ar.�, Construction Cost: '2.� ,��b Multi-Family Buiiding: (Yes�/No ) �: ,��<�. � �' �� z�� ;.Company: �14-aR--�� 14e�.� ��M.�S �--C„ �-- Contact: ��'�Q i�� a �� :�� `" __ � Address: �� Zu t^'� �`�!G��tZd�k� City: ��"�"'�� x� � ��0 �0 2.� � ��'�7. P�Dt�Q�C-{L� �-il C�,- �iZ-1:�I� � � � �� \ �= State: 1M+�► Zip: Phone: � t �' maiL• a� ��- � .�� '�c�w�ES �N ,• Lz�w1 � ,� �; '"``�- License#:��--��'t�(� Lead Certificate#: If the project is exempt from lead certification, please explain why: ��T" F 1 �� t-I��s� ��;L�r ('��r� i�� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 72 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: r � x ='3-'�& "�� 3 � /� ��, M�� . � �z � ° ��.. z�� .. �: y ��t .a. "z�';��'�� `, . ... .'.( �t��`#7�. :�� :r K � �.. � .� y��€' � � �'�.,t ''% ,:+a r .� --.�l'�.�` � ur CALL BEFORE YOU DIG. Call Gopher State One Cail 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.aooherstateonecall.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. Euterior work authorized by a building permit issued in accordance with the Minnes Building Code must be completed within 180 days of permit issuance. x ��'�-�IC�' �0�`�'7 x Applicant's Printed Name plic nt's ig re ' Page 1 of 3 . ,�� y��Z�- �O NOT WRITE BELOW THIS LINE � �� (� SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Aiteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex � Lower Level _ Pool _ 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 )7 oQ . � Occupancy �.}Z C—,3 MCES System Plan Review Code Edition gv�y� Z,m� � SAC Units (25%_100%� Zoning R--2 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction _ �� Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) � Final/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick c Insulation Windows Sheathing Retaining WaIL•_Footings_Backfill_Final , Sheetrock Radon Control I Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By: `I�DlYl 1��lk�ti�- , Building Inspector RESIDENTIAL FEES / Base Fee �C�`� 's j�• ��z � ~�� 's�' �T Surcharge Plan Review MCES SAC City SAC Utility Connection Charge SB�W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r_________________ 1 For Office Use � I � I � � Permit#:� i Clty of E� �Il � � ; � � Permit Fee: � � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 � � Fau: (651) 675-5694 I Staff: � �-----------------I 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: �Z �"L 11� Site Address:__ � � � 3 � d v\. ,C-� K--L L—/�.�z- Tenant: Suite�: �teSiden#�O�ner ` Name: Phone: Address/City/Zip: Name:__ S G��t� �✓ ��Z''�� License#: �s �Z S 2 Contrac#or Address � 'S°S �/�j � c� U r�..i�r �� ity: �r,�� C-/-i�c� State: �'— Zip: ��7�1 L Phone: �,O� 2- �'��— 3 a �'c, 3 Contact: J�G �-� Email: T�/pe Of 1l�lOt'k �'"ew _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: -R� � �'" �� , ��;� �, ��^'F's.. RESIDENTIAL Water Heater Water Softener Lawn Irrigation�RPZ/_PVB) ��g Add Plumbing Fixtures�Main/_Lower Level) Septic System New Water Tumaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Turnaround*(includes State Surcharge) ''Water Tumaround(add$210.00 if a 5/8"meter is required) $115.00 Septic Svstem New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. vwvw.popherstateonecall.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. x � � S .L S�..e/-�✓ X Applicant's Printed Name Ap i nfs ' ature �OR OFFIC�USE Reviewed By: Date; Requiretl Inspections: Under Ground Rough-ln Air Tes# Gas Test �inal Meter Related Items: Meter Size Radio Read Manometer 5taff: