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4320 Dunrovin LanePERMIT City of Eagan Permit Type:Mechanical Permit Number:EA128741 Date Issued:12/02/2014 Permit Category:ePermit Site Address: 4320 Dunrovin Lane Lot:027 Block: 005 Addition: Wilderness Run 6th PID:10-84355-05-270 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Janel Behrends 122 West 3rd S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 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 - James P Hobday 4320 Dunrovin Lane Eagan MN 55123 Haley Comfort Systems 122 3rd St W Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN Remarks Addition W11DERNESS RUN 6 H ADDITION-Lot 97 Blk 5 Parcel 1.0 843?55 270 05 Owner ,?? Street413 2Q Bup."ixIa T ane State Eagan, Minnesota 45123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 161,21 8,04 20 121-()l 10003480 )-9-77 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1977 162.14 $:$fr 15 1 r.1 %A r0034gn 9-9-77 STORMS WTRK 3 197R 563 - 41 15 3-41 COOS490 9-9-77 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. aao-oo &+'o BUILDING PER. SAC p7 PARK 4-( a4- 6 ZZ 5-V 77- , Cities Digital ? Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEIVED 19 AMOUNT & DOLLARS goo ? CASH ? CHECK FOR BY NUMERICAL FILE COPY CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4373 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Date 19 Site Address _ Erect p Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone - Enlarge ? Type of Const. Ce Name Move ? # Stories 3 Address- Demolish ? Front ft. o Cit Phone Grade E] Depth ft. W N Approvals Fees ame -0 o' Assessment Permit - Address vF Water & Sew. Surcharge city Phone Police Plan check ?W Name Fire SAC 415. 00 T? Address - Eng. Water Conn. ; _ 8f? QW Ci Phone Planner Water Meter Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee -- A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official - -- Perk ?j Date laved Pee ram Plumbing !o ?/ 7 -moo - 7 7 a--?--?? r C? . Mechanical :?4p 9 y- ,6 - -7 'T • F ?f'?? INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Dote Insp. Foundation _ Plumbing -757 Frame/ins. Mechanical ' y ? Final 99 _ l Remarks: CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. Date: 197 / Receipt No.: Single Site Address: Dunro,li T cc r•.e Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. Name " `j If°''?s New/Alter./Repair ' Address 7 Snel! -r? City nau? Phone: Name'-'? s Ii. Peter Co. Z 1854 Grand Avenui? Cost of Installation Permit Fee 20.00 r Surcharge -City "_i1 _ Phone: ITom1 20.50 This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3793 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT Date: epteriber 23, 1977 Site Address: 41?0 r`trnrrtyi Tenn Lot Block Sub/Sec. Nome 7 -4, 0 3 Address C City . Paul _ Phone: Name Rin?ar SnnIF Tr v" Address 12 F Flit 1 wr City ''j"st. St. pa J] :? 1< Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. No. 07 Receipt No.: Single Residential Multi Res., Comm./Ind. New/Alter./Repair •??« Cost of Installation Permit Fee Surcharge Total done in accordance with all applicable State of Building Official INSPECTION RECORD Control No. 0903 CITY OF EAGAN PERMIT TYPE: 801 L v I "o 3830 Pilot Knob Road Permit Number: 00111.77 Eagan, Minnesota 55123 Date Issued: 09 /of; X192 (612) 681-4675 SITE ADDRESS: L OT t 21 BLOCK : 5 APPLICANT: 4120 nu"RONIN LANE JOSEPH LONS+T 3 WH OFNHESS RUN 6TH (61-2) 454-6002 PERMIT SUBTYPE: TYPE OF WORK: Nfit DL SCR IPI X ON 3-SEASON INSPECTION FC1gtIN6 DATE INSPTR. INSPECTION TYPE f-RANtH6 DATE INSPTR. INSULATION FINAL w 4 P. mss.. - Permit No. Permit Holder Date Talephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing Roofing Rough Plbg. Rough ft. Isul. Fireplace Final Ng. 4rsat Test Final Plbg. Pibg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: ~ Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of I nsp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner. Address: Site Address: Plumber: I agree to comply with the City of Y Eagan Connection Charge: of I nsp.: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4373 PHONE: 454-8100 000. $53 6407 BUILDING PER , MIT APPLICATION Receipt #k To be used for Sing. FAm Dw1g. Q Att. G$Yg. Date June 16, 1 77 Site Address 4320 Dnnroyin Erect 0 Occupancy i Lot 27 Block 5 Sec/Sub. Will 6th Alter ? Zoning R1 _ Parcel #k Repair ? Fire Zone _ Enlarge ? Type of Const. V z Nome Gary Morrison Move ? #k Stories Z Address Demolish ? Front 52 ft. O city Phone Grade ED Depth 34 ft. sen Homes Approvals Fees Z Name 27 OgV Snelling Assessment - Permit 149-50 ~ Address St P$Ul Water & Sew. Surcharge 28.00 , City Phone Pl h k ww Name Police Fire an c ec SAC 465_00 r Address Eng. Water Conn. _239.00 city Phone Planner _ Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee - A Building Permit is issued to: all work shall be done in acc0 Water Meter fin-0C Total V4L. 50- lsen Homes _ on the express condition that all a Iicable-StcV of Minnesota Statutes and City of Eagan Ordinances. Building Official 5? • til--"i ?ya3u Thfs request void 18 months from ,6e aG?3'-?- O 80895 Date of this Request F_;0_77 1, asKBticensed Electrical Contractor ? Owner, do hereby, request inspection of the above electri- cal wiring installed at: Street Acjdress or Route NB. d 0 IhQ r. oydrG `yam J Cit n^? n Section Township Range County Dakota Which is occupied by Tilsen Homes Is a roughin inspection required on this job? No 0 YesO Ready Now 0 Will Call Power Supplier Dakots Ctv. Address Farmington Electrical Contractor 0. B. Thompson Electric Co. Contractor's License No. 32503 SSCOm 12201 Mtk any1d Name)11tka Mailing Address a 5.. 55343 Authorized Signature 933.2521 or a Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 545-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REOUEST .? e G 0 80895 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home x$] ? ? Range 131 Temporary Wring ? Duplex ? ? ? Water Heater fR Lighting Fixtures 3E9X Apt. Bldg. ? ? ? Dryer f. Electric Heating ? Commercial Bldg. ? ? ? Furnace U Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm ? ? El List ) ) List Other ? ? ? po }} Aerersf. i s po Heiers? COMPUTE INSPECTION FEE BELOW _ PI 5t-?\ Service Entrance Size: # Fee F &S '_ • \?'fk Fes Circuits: # Fee 0 to 100 Amps. - 0,8 ere 0 to 30 Amperes 101 to 200 Am 31\ 00 31 to 100 Am' res Above 200 Amps. 1 Ab 10 -Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special In ection Minimum fee $5 Remarks Hal l? TOTAL FE y0 , 5p I, the Electrical Inspector, hereby tha fi v tion has been ry2de ? (Rough-in) v ' f_ Date C? (Final) Date /? 7J This request void 18 months frorfi/ Homes, In SNELLING AVENUE MINNESOTA 55116 )NE: 698-5501 Subject Date S Z' 7 Message (? i amcD ) V 1) G?c a a- c? ? o 0 A vM & v-ucinb a? -71 PLEASE REPLY 0 Siumad ? .CG Cl ( /S ?n A yi l? Reply 61 Signed Date Form No. QL3 SEND PARTS 1 AND 3 WITH CARBON INTACT - PART 3 WILL BE RETURNED WITH REPLY rp? Date: !O / / BUILDING PERMIT APPLICATION TO'^oc BLOCK S ADDITIOPS?J???.GcirL? ? _ '! T'-ET, & SECTION NUMBER IF UISPLATTED Or P;.:-,,CEL`1,32o 1,9a,.ezz , z -- "??^? OCCUPANCY USE T-- - pax 3? )t7?iR . TELEPHONE NO. i/ COt3'.'RAC??R ./?pQO? ?y1C97jZ?.Q/ TELEPHONE 110. - L1)PRESS rote-. Include site plan, building plans, and energy calculations with ihi.^ application Signed _ __- OFFICE USE c*6 IALUATIOM 6-1-606- -00 77 . ;£,3 1.C:3iSEC`_IOiT (JI IO_ 00 ... . .ih';"R I+YETER l GLU/•q®?_._. -UILDING PER13IT FEE -?T7RCINS.RGE FEE 6 - PL:91S C'r:P.CK FEE 7b ` - PA1LZ DEDICATIOA FEE OT,'ZR _ n ._r.mAL* _ ?e6 SSi9n?'i' CLERK BUILDING DE POLICE DEPT. T R & SEWER DrPT. FIRE DEPT. PARK DEPT. __?_, 4 170 L R'E/?R_ PROPeATY LINE err ell, L%NE` 5 Z- ` I l-I? II i. LINE Nfl?s E Q ' I I M i S/C9 ' Oulyu LOT of 7 Mack I vi rRon1T__ P-piDGR-TYLi -l1 r OLT ?4 LAN ? MMR ACS Ml ? ? di r ? (To be tdt g pe n il iaft) idd wit? m! tt esb Of an family drelling_ l Omer QI caber site Address :oatraetor T 1 ' : i t?? nrr? , 14??C , Date 4 -'??? - '1(o plwe. LIMAL TT. OF ? WALL + + +?+1+iL"L2s?`O•Ab PT SE ?O . D WALL AREA SQ. 1681 44 x • 5 = 154 +/74 OPAQUE WALL CONSTRUCTION: "U" value x area (? ft " " (A) . U z sq. "U" Q 7 z sq. ft. Ll -9 ., / (D) (A) a4t'c Gf2+rt ®ta1l reference - 6?a? .U„ z sq. ft. (U) (in I'i L p-n ft z ll ' (A) (A) C ?? ?cTE from . (? sq. •4 1 Tj ?LSA (A) ttaahed sheets '•u" z sq. ft. (V) .„ ,F ft (A) . I sq. u (U) (A) ,lull a sq. ft. W,,HQoWS ?{ PA7 o noon ; 1I)EA-tHEk sN ern ! WBIDOUSs "u" VALUE 5Ones 2z x 50 27. io t @ 24 x 44 sq.ft. sq. ft. 3 @ 3i x 2 c .Q sq.ft. 23.2 sq. f t. I @ ?iG- x 24 ! 2.0 _sq.ft. [7 @ sq. ft. 4 x 24 _ d ? . aq'ft. (? Q? x 24 13'?S A r 4w ti 1 2Q? x ?2- Co • 2. ,v„a sq. ft. Qns? _ Make b type ?? ???. _ 1 STr, s „U„ i z sq. ft. (A ?L ?Tn .` (U) A ¦ " v„ a sq, ft. (U) ft. "U„ 5 a s (A a '• A,.,?l. L,? f q. .5 *OfZMS i 90M: "U'l value Y area T)o OfZS; P? & A -E rlce b typo 1 @ 3= ri fo lu„ .`Zb : sq. 'lull sq. l8 x 1^ 'lull x sq. . „ sq. TOTAL (U) (A) VALUES G ?• v DIVIDED BY TOTA: WALL A'FJ1 r -7 k7 CE "U" .17 or less for I S 2 family dwellings .22 or less for all other buiIdlnF's Q901E/CEILINC: ' TOTAL AREA: f'. Detail reference a from ...... -(r attached sheets _ _ - ---.r Describe openings -- -X is roof -- - - -% ft. (A ft. 11. 7 - Q.4. (U) (A ft. (U) (A ft. _(U) (A TOTALS l7 ?? sq• ft. 2el(y.9 MY sq. ft. _. -(U) sq. f[._/_ri i¢ (ems.L(U) sq. ir. (U) Ry, ft. (U) TOTALS 1Jx sq. ft.?(U) TOTAL (U) (A) VALUES (aE, I I _ .® DIVIDED BY TOTAL ROOF/ 54 O4, OEILIRG AREA 1735 (A?C 'q^ -05 for ventialfted roofs :10 for all other construction NW/CBILIM : R- value 1. O i?S AJQ •1 1 2. O)>- LE-T 12nc k- -4-5 n 4 3. I nft 1 "l 20I kl 1 01= ZZ-• rn I 5. 6. .Z . NUSTNXTION FRAMING: R- value 1. ??mS.nF AIQ -1-1 2. T, nf? 3. )1.00 4. ?.. o 12 QOC-W- . 4z, ?- 5. r .ati NOTE, If average "U" valuss as calculated above do not Beet the Energy Code auirements, the "Alternate Envelope Design" as outlined in SBC 6006 (g) any b used. itional sheets may be used to show calculations. PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 Control No. 0903 PERMIT TYPE: Permit Number: Date Issued: BUILDING 001177 08/05/92 SITE ADDRESS: 4320 OUNROVIN LANE LOT: 27 BLOCK: 5 WILDERNESS RUN 6TH DESCRIPTION: r 3-SEASON ,'Build n,g Permit Type SF PORCH Building"-Work Type NEW UBC Occupancy R-3 Building Length 14 Building Width'--, 12 i t t t;?•-? I? i,.?, tV'' iL ?J REMARKS: a oat a-/L? FEE SUMMARY: VALUATION $8,000 Base Fee $99.00 Surcharge $4.00 Total Fee $103.00 CONTRACTOR: - Applicant - ST. LI OWNER: JOSEPH CONST J 14545002 000602 HOBDAY JIM 4380 MALMO CIR 4320 OUNROVIN LN EAGAN MN 55123 EAGAN MN 55123 (612) 454-5002 (612)452-0411 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. L- -?l APPLICANT/PERMITEE SIGN R ?. ISSUED 13Y. SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued (612) 681-4675 SITE ADDRESS: LOT: 27 4320 OUNROVIN LANE WILDERNESS RUN 6TH PERMIT SUBTYPE: SF PORCH BLOCK: 5 APPLICANT: JOSEPH CONST J (612) 454-5002 TYPE OF WORK: DESCRIPTION Control No. 0903 BUILDING 001177 08/05/92 NEW 3-SEASON INSPECTION TYPE FOOTING .DATE INSPTR. INSPECTION TYPE FRAMING DATE INSPTR. INSULATION FINAL v, f1, ?- J PERMIT # REACT 1IYATE IIN9 CITY OF EAGAN Alur, 1992 BUILDING PERMIT APPLICATION 681-4675 2 2 REP" SINGLE MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot than a is requested once permit is issued. Date t / 22- / /99z Valuation of work 9SOC?- Site Address: ??ZC7 ?V-???oV?N .cl v e STREET SUITE N Tenant Name: (commercial only) LOT -Z SLACK _,5' SUSD. P.I.D. 0 Description of work: S N rc The applicant is: ? Owner Contractor ? Other (Descr(be) Name IVO q Phone 03// Property LAST FIRST Owner Address S?.3zp Dv? RQ?%? ZA-E STREET STE / City EA?.q.? State Zip .SS/23 Company - o c ro,?/ ?p.vST Phone 40 ? g i7 D2. Contractor Address `,i/2 License # ooo6020 Exp. City 6:4 C, ,<(,v State A-'4 Zip SS/23 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area as been approved. 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: v . OFFICE USE ONLY B UILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory R 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck WORK TYPE 31 New ? 33 Alterations ? 35 Tenant Finish 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) 1st Fl. sq. ft. UBC Occupancy 2nd F1. sq. ft. Zoning Sq. Ft. total N of Stories. Footprin t Sq. ft. Length ly On-site well Depth ?a On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ff Footing ,15 Final 3- s;-;z AS-0 r-4 sE] Bas Ant Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments 3? JEr Framing ,13?Insulation ? Draintile ? Fireplace Permit Fee 'T7, 00 v.tustion: g ?j 'U ZJ U Surcharge y., o 0 Plan Review License 12 xtf = / b 8 ?c ?{S MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units i 1 P?/?i2 owoPFJtTY LANE r- ?vN 1 LiNt? 3 N\N\\\\\\\ \\Fl N i° IN N\ n ? 4a rY LINE I LOT ? buxK 1= rRoniT pozopEfZTY _ LINE u r--l I {f /-PLOT -4 L NN SUBJECT: VARIANCE 49o,,f7 ;7-/ ? APPLICANT: J JOSEPH CONSTRUCTION LOCATION: NW QUARTER SECTION 27 (LOT 27, BLOCK 5, WILDERNESS RUN 6TH ADDITION) EXISTING ZONING: R-1 (SINGLE FAMILY) DATE OF PUBLIC HEARING: JULY 21, 1992 DATE OF REPORT: JULY 13, 1992 COMPILED BY: COMMUNITY DEVELOPMENT DEPARTMENT APPLICATION SUMMARY: An application has been submitted requesting a Variance to the required 30' setback from public right-of-way for a home located at 4320 Dunrovin Lane. COMMENTS: The site in question is located at the northeast corner of the intersection of Dunrovin Lane and East Balsam Trail. The applicant is proposing a three-season porch addition to the south side of the existing home which is set back 38' from the south property line exceeding the required 30' setback; however the proposed 12' x 14' structure will encroach 4' into the setback. According to the applicant, the addition will blend with the present layout and an addition off the east, or rear side of the home, is not feasible due to the location of an air conditioning unit and a gas meter. The buildable area of the lot does not contain any severe topography or unique characteristics. Staff recommended a 10' wide structure to minimize the Variance request, but the applicant preferred the 12' wide layout. If approved, this Variance shall be subject to the following: 1. No other Variances shall be granted for this lot. 2. All applicable City Codes. I 4 ?i ?? Sf i r 1 x?PI i % _gmx ?E P Nu rnRK L nxnrv yWrx .r /"I 1111 PARK NO R DA I/ y3 ? a CauNRoV,^? LANs -1 ,y. si' 3 B" J NZ W now r"? _DU,jQoVotl LANE aZ RESIDENTIAL S -7S BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys shoving sq. ft. of lot, sq ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • t set of Energy Calculations • 3 copies of Tree Preservation Plan d lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE /9 - © 2' SITE ADDRESS TYPE OF ?inl APPLICANT VM6,rtTln/?F ?Jt-' 1.Q1,13F- _ STREET ADDRESS rss CLi F? L FL F J STATEM0/ ZIP 37 TELEPHONE # CELL PHONE #Ak9 -,y?3°' FAX # `9tV 3 tf 3 S__ PROPERTYOWNER ?YlQ4 ?'r • V TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: - Air Conditioning - Heat Recovery System Phone # Phone # -- lFee:L $90:00 1 i J L \ IIIIL 1 fern ? I. 27' -Fee: -?70 90- 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 EagQn Ordinances. Signature of OFFICE USE Water Softener Water Heater No. of Baths RemodellReoair Requirements 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks Indicate ff home served by septic system for addibons VALUATION MULTI-FAMILY BLDG _Y ?XN FIREPLACE(S) _ 0 _ 1 _ 2 Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 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 08-plex % 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg Y or N ? 25 Miscellaneous _ - W 7Or )<d 2 p00 1,9C-We" t ? 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 fit() 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation /0/ e c)C,? Occupancy z -3 MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) uI Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Ice & Water Roof Final Pool _ Figs _ Air/Gas Tests -Final _ Framing _ _ Siding _ Stucco _ Stone _ Fireplace - R.I. -Air Test -Final ?J Windows (new/replacement) _ Insulation _ Retaining Wall Approved By 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 ?CoC- k - z DUCE W',,))UuD 5 Building Inspector p? Q RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 1 1137' New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and all roofed areas 2 copies of plan Carl of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Regd _Y N 1 set of Energy Calculations AdMon - indicate don-site septic system on-sde Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Dated / Z 7 1 A*3 Construction Cost ?OOd Site Address OrJ?(d?jJ?1 pyJj?/ ? Unit/Ste # r r Description of Work a-e,r: ( ac_? Multi-Family Bldg _ Y Z N Fireplace(s) _ 0_ 1 _ 2 Property Owner ?-Ma! B Telephone # ( ) Contractor a GL _/dt?rJ?ST/rJ? c/!S 6A)5,7 ?. Address p j7`F City k4eAt"j State zip Telephone # (6?7) COMPLETE THIS AREA ONLY IF A NEW BUILDING Minnesota Rules 7670 Category I _ 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? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building 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 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 approval of plans. C 41 Applicant's Printed Name A licant'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 08-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 ? 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) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED I NSPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) _ Final/ND C.O. - Footings (addition) _ Plumbing Foundation HVAC _ Drain Tile _ Other Roof _ lee & W ater _ Final Pool Ftgs Air/Gas Tests Final Framing _ _ _ Siding Stucco Stone _ - Fireplace - R.I. _ Air Test - _ Final _ _ _ Windows (new/replacement) - Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector      øðø    ýüõ þ  ý  ÿ þëþü     ûÿÿ ýü îï ø÷ÿÿï  äì ÿ  ø  ÷á÷ ø÷ûúùõô ÿ÷ù÷á÷ Þ ÿÿ÷ ÷÷ ù÷ð÷Ý ÷ðÿÿ  ü÷ó ÷÷ÿý  þ÷ ÿù÷ýêãç   ä ß ó ÿ øÿì÷  óþ ÷ðëêïù ðÿçæåäåää ÷û  æåãåã Ú  ýãå  öõõô ø óò ùù  ö úáðñ÷ úÿðÿß ðÿ öü ú øÿì÷ ì ÷â  ö ÿÿóõììþ  óõì êçìììä  ÷üú ô  â÷  ÿ ùù  ÿ   ñ÷ð ÿ÷÷  ÷ðùúô   ùù ü   ñóÿ    ÿ áúñþ  í÷ ÿå ùù è ÷ð   ÿÿ ú   ÷ Use BLUE or BLACK Ink r------------------ I For Office Use ~j I Permit 1 ~ 0)(~ ~j -t / I City of Ea aii I 5 I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: _ l.~V `41&e.- Unit Name: Q/ n.~~ D dt Phone: 6g/ Y(-p O y// RESIDENT OWNER Address / City / Zip: 7 uih 40,7 - Applicant is: Owner Contractor t7 TYPE OF WORK Description of work: yol;ow Construction Cost: 'tAl $ Multi-Family Building: (Yes Nqt ) Company: -/Paac4/ z2~el/uz- &c Contact: -1~ n dc'04'k,4e CONTRACTOR Address: _/oL 9Jr .SS.S"Sx City: 1 Ct&2 State:-&- Zip: S'0 Y,~ Phone: 6 S7" 77J--0 7 ~ Z' License &3063 Y Lead Certificate N.A / - '79~1--1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information.' Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciooherstateonecall.ora 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 Sta uilding Code must be completed within 180 days of permit issuance. X low" S a x Applicant's Printed Name Ap s Si ure Page 1 of 3