4322 Eagle Crest DrCITY OF EAGAN Remarks ? - == 91 e=
Addition . SUN CLIFF 2nd Lot 2 Bak 4 Parcel 10 72976 020 O
Owner Street 4322 Eagle Amok Drive State Fagan, MN 55123
r. ,-k
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, 1985 369.3 24-62 15 344.75 C010 O 6-25-85
STREET RESTOR. -1.99?107 1986 4+5- .- 431.51 5 a/ -5 C- /06 CP /0-0-4,57
GRADING
SAN SEW TRUNK 1970 48.64 1.95 29 17.60 ii ii
SEWER LATERAL 1985 965 63 53-12 5 212-51 11 ,'
SEWER LATERAL 999 1986 829.62 165.92 5 02 a -/0 U S
WATERMAIN
WATER LATERAL 1000 1986 942.60 188.52 5 d .loo -/O /CU S
WATER AREA j /- 1973 62-34 4-16 1 1; 8.39 it
WAT LAT BEN 4-9'17 1986 57.88 11.58 5 , S' Y' C -/04
74,
STORM SEW TRK 971 161.72 0 • 2
STORM SEW LAT i2t
S/W SERVICE 1005 1986 808.77 161.75 5 p 7 7 C'-/0
CURB & GUTTER
SIDEWALK
STREET LIGHT
STORM SEW LAT 1006 1986 610.14 122.03 5 -/v o - F-,FS
WATER CONN. 500.00 if of
SUILDING PER. 1 ()n 111 it it
SAC 525-.00
PARK
CASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
RECKIVED
FROM Al
AMOUNT $
DOLLARS
too
? CASH ? CHECK
FOR
FUND CODE AMOUNT
L
Thank You ?'7 = )G
? ?,;
White-Payers Copy 4
Yellow-Posting Copy
Pink-File Copy
_ rl
Receipt I L. PLUMBING PERMIT Permit N0 f CITY OF EAGAN Fee
t J ' r ' fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address Lott', Blk. V Tract
4. Owner ?' y'l/"?_ T %7?l?!ir i;
5. Contractor Phone =" `f-
6. Address 7d >D l?.r ?"
7. City State Zip J
B. Building Type: ResidentiaNE] Commercial ? Institutional ?
9. Work Description: New ® Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Ces
l/D
i
fi
ld
Bath tubs spoo
ra
n
e
S
ti
T
k
7 lavatory ep
c
an
ft
S
L
Shower ner
o
W
ll
Kitchen Sink e
Urinal/Bidet Oth
Laundry Tray er
1- Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : t
?- . for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
Receipt f MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date ; - 2. Installation Cost
3. Job Address ?..._.TLot 81 k. Tract
4. Owner ,. _
5. Contractor f''\?.A t. r4 Phone _
6. Address u 1 N r n, a N C? ' i P r1
7. City ir • _ State Zip t
8. Building Type: Residential ® Commercial ? Institutional ?
9. Work Description: New C3 Add ? Alter ? Repair ?
10. Describe t4te4 1., aY •w? +ti, Fuel Type i
11.
No. Equiomant BTU - M. Ea.
Forced Air No. Equipment CFM
Air Handling:
Mfg. `i
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and(codes governing this type of work.
Signed : ?L..? .. ?? t S -vJ r•J?'•hSo'rl for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464.8100
BUILDING PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Site Address
Lot Block sec/Sub. L -L .F i''
Parcel No.
Name
Addre
City .
Name . - a
Address
Phone
Phone
Vc' 10014
Receipt *
Erect Lt Occupancy
Remodel ? Zoning
Repair ? Type of Const.
Enlarge ? No. Stories
Move ? Length
Demolish ? Depth 4 '
Grade ? Sq. Ft.
Install ?
Approvals Fees
Assessment
Water b Sew.
Police
Fire
Eng.
Planner
Council
Permit
Surcharge - v L
Plan Review + - 5 L
SAC - 00
Water Conn.
Water Meter C U
Rood Unit O G
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 Total
State of Minnesota Statutes and City of Eagan Ordinances.
Var. Date
Signature of Permittee
A Building Permit Is issued to: on the *2q"u condition that
all work shall be done in accordance with pill applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. Permit Holder Date Telephone #
Plumbing 15 b c rYk-e -1 ,
H.VA.C. 6,rlf ;7 L/ -?
Electrie 3s3
1317. vz?
Softener
Inspection Date Insp. Other
Footings -?a
Foundation
Framing
Rooting
Rough Plbg. ,a b- A
Rough HV
U
Insulation
Final Plbg
Final HVAC
Final
Cervoce.
Water Describe Location:
ftil
Sewer
Pr. Dais.
CITY OF EAGAN
3830 Pilot Knob Road WATER SERVICE PERMIT
P. O. Box 21199 PERMIT NO.;
Eagan, MN 55121 DATE:
Zoning: No. of Units: 1
. Law Owner: Kev
dIbb
i
v ° a
Address: r
jSiteAddress: 4BeftrTdisyf: fi ?ro#iJiti -? ^,,. ^liff
Plumber: [t in 1:
?i?eter No. S Gonne9tipn Charge:
1
n
Size:
".1,9 l - •
Account Deposit:
Reader No.: L 7 t.? O Permit Fee:
1 agree to comply with the City of Began Surcharge: 5,-
77 Misc. Charges: r-.1-00 pd mater
/
C'1
.4 P
Total: ' ^^ nn a
By Date Paid:
Date of Insp.: -fib - g3? Insp.:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road F ,.
P. O. Bor 21199 PERMIT NO,;
Y
Eagan, MN 55,121 DATE:
Zoning: No. of Units: I
Owner: "ev 1,ind Homes
Address:
Site Address: 4122 P&vles Cr eat !'r I' rt Strr, r' -Iff TT
Plumber. -0; -tff f:.1
Meter No.: Connection Charge: 500 _ 00 pc'
Size: Account Deposit:. I s , ?l(!rr'
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge: . 50pd
Orana.as. Misc. Charges: X3.00 Dd meter
Total: 1 1? _ [lf1 ^/c
By Date Paid:
Dote of Insp.:. Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Boy: 21199 PERMIT NO.. ' .
Eagan, MN 55121 _ T DATE:
Zoning: No. of Units:
ftv an .omen
Owner:
Address:
Site Address rap es -rest T-Y I'' ",} Sun r'Iif'r II
Plumber.
1 agree to eenyly with the City of Began
ordlanneee.
Connection Change:
Account Deposit: T'
Permit Fee: " ' n r
Surcharge.
Misc. Charges:
Total:
Date Paid:
R,.
Date of I nsp.:
S / ?42Z REQUEST FOR ELECTRICAL INSPECTION
27353 'See instructions for completing this fom on hack EB Il00at -414
of ysllom may'
"X" Below Work Covered by This Request - 6 -?S -
FwwewnaFaep.l Ivoe of Buildlea I /e....r:.....__ v F rr - _...2
Home nge Templxary Service
Duplex Water Heater Lighting Fixtures t
Apt. Building Dryer Electric Heading
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm tMnr cec, IV 01he, ISm ilvl
== t , SPeCIfy
__ Other Dthc,
p Fee Service Entrance Size p Foe Feeders?SUbleeders p Fce Circuits
G LI 0 to 200 AM[LS 0 to 30 Am 0 to 30 Amos
Above 200 Amps _ 31 to 100 Amps / .5i 010 31 to 100 Amnc
TOTAL FEE _37 ,St)
Rough-in Date
}/ 1, the Electrical
• -1 / IeapectM- hereby
Final D ?nih --t,
he above
Az/ ,rrspeetion has been
made.^?
3
This request wid ?/LP, a-- S- fa / r/J/
ro 6
Th q.t
Request Oaje
_J J
%
r Fire No. ROaglP'- pecion
Re ui
?Ready Now Inspec-
Wh
l
-
!
J ( ?No en en Ready
ot
UkIrce-A Electnca/Contractor I hereby request inspection of above
? Owner // electrical W k installed at:
Street Address, sos or Route City
-?L
Section
I
Township Name qrNo.
Range No.
Cou
Occupant (PRINT) Phone No.
Power lien Address
Elecbic.tractor (Company No 1 Contr or License NO.
d/'
Mail.J"{ABAddne s ( ntractor or Owner Ma ng Instal t onl
Authori wal ntractor ner Making nstellationl Phanne
r
THIS 11FISPECTION REQUEST WILL NOT
MI OTA -r BOARD ELECTRICITY
Gri s-MI. Ide- _ V. N-191 BE ACCEPTED BY THE STATE BOARD
1 1 University Ave.. St. Paul. MN 59101 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT Receipt
Assessment
Water 8 Sew,
Police
Fire
Eng.
Planner
Council
Bldg.off. 3/28/8
5
APC
Var. Date
To M wed 1m 'SF DWG/GAR Est. Volue $5Z r UUU Date APRIL 1 Iq 257
4322 EAGLE CREST DR Erect l Occupancy R
Site Address
2
SUN CLIFF
k 4 sec/sub
Bl
2ND Remodel ?
Zoning
Rl
Lot .
ac Repair ? Type of Const. V
Parcel No. Enlarge ? No. Stories
c KEYLAND HOMES Move ?
? Length 38
Name Demolish Depth
4 $
3471 W 173RD ST
Address Grade 11 Sq,Ft.
City JORDAN Phone 435-3323 Install ?
` Name SAME
Address
f City Phone
(Name DENNIS HALLQUIST
W TH ST
=Z Address
VOZ BLMTN Phone --831-1875
?W City
I hereby acknowledge that I have read this application and state that
the information Is correct and agree to comply with oil opplicable
State of Minnesota Statute nd Ci r of E an din noes.
Signature of Permiftee
A Building Permit Is issued to. KEYLAND HO ES
all work shall be done in accordance with applicable $t??
Building Official > 4
N_ 10014
d
Permit • 00
Surcharge 2 6 _ O C
Plan Review 144-5C
SAC 525-OC
WaterConn. _ S LOC
Water Meter ?63_ 0(
Rood Unit 2Rf1 OC
T.P. 132.0[
Total $1 , qS 9 _ 5 [
on the express condition that
Statutes and City of Eagan Ordinances.
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: s/V [e ms. valuation:-,-39,-06'0 Date: 3 - Z` -95
Site Address: y3ZL ?p ee ('jC5r- DK- OFFICE USE ONLY
2 Z
y 4
Lot: Block
Sect/Sub Erect X Occupancy
Remodel Zoning
Parcel 0 Repair Type of Const
{{- Enlarge 0 of Stories
Owner n?'t/ AND /v/aMc? Move Length
Address
33'7/ CJ 173 9c 5-?- Demolish
Grade Depth
Sq Ft
City/Zip Code -K-D" ^ S33J? ------------- ---------------
Phone X35 - 3325 APPROVALS
Contractor lA?D ?foncs
Address tj 1734 st
City/Zip Code :ji;"A.J 179N SS5-3WZ-
Phone -3S -,332 3
Arch./Engr. ['?J?Nis Lh"u15T'
Address 5'001 W SA--.73r
City/Zip Code y(eon ?lo?.J IIIN 555,97
Phone # 831- /875
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off„ Parks
APC Treatment Pi
Variance
TOTAL
R•3
48
-Lm, ea
14 4 s°
5(70.
2?O ="
?,?iaySO
24n 3C,, = g?4x ?4- - 4(cw 5co
2b x 2 4= 4(_-S 2 60
5 1°13G
rage 1 of 4
EXTERIOR ENVELOPE AVERAGE COMPUTATION 3 OWNER; DATF:
SITE ADDRESS:_ _ PHONE:
CONTRACTOR:_ 4?f LA c,
f
Determine working square footage of each
1. Total exposed wall area..... sq, ft. x 11
ZOO, 8897
2. Total roof/ceiling area ....._sq. ft. x •026
Z2 8 ??
Total exposed wall area above floor= /. ?.9l (,. awl
a. Total wall window area....
. Total door area..... ....................................... //40
bc. Total sliding glass door area.. ........' .......... •. 3 71
76
d. Total fireplace wall area.. " " " " " ' _-?3 9 99L
e. Total wall framing area (average 10%)..
f. Total rim joist area.. j? e6P
9• net wall area above floor ....................... " " ' 32 0 ? ?,
h. wall area above floor.. . •""""• • /7_ ?,?Ery ' S
i• wall area above floor .......................'•" ........j. frame wall area at foundation ...................................
Total exposed foundation area
k. Total foundation window area...........
1. Total net foundation area above grade ........••...,15
Determine "u" value of each wall segment
(e.g. window, door, each separate wall section)
X U.,
b. 37 X 0„ .3-- ! - !(_7
C .39, 9 94o X IV, --- ?-? F 9r9
d.- N44!? 1.I1, _ A"I'd
e • 1710 •_$__ X
X
9•- 1z&6.cn x
U.. .OB
V 0 4
°- X28
h
1? --- V ....,.
1. :%6 X ., 0 „-. 014,-_ a 8- -
3 ...Total
If item k3 is the same
as, or less than item
01, You a m h
intent OfSBC6006(c)2
A
rior Envelope Average "U" Computation
Page 2 of 4
4-
Total exposed roof/ceiling area G°nSt.
U1. Total skylight area ..................
n. Total roof/ceiling f.-aming area (nvcrarpn 104) ...
o. Total net insulated roof/ceiling 8 7? B 9
nr<.a........... 79 /. D S
Determine "u" value for each roof/coiling segmenL
n. rR7. B9 x 'lull
a• 79/.? x "v"
4 .................. . ...... Total
If total of 04 is the same as, or less than #l,; you have met the intent of
S13C 6006 (c) 1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by t)le sum of
items #3 and #4 shall not be greater than the sum of items #1 and #2.
1. ?-)DQ•Bfi9'1 + 2. _zz ZZ3 79-
3. 17() .j5-+Ze . + 4. l7 q? _ _ lB? 7?J_1
a ': pip 7?
Fy'9k ev?
PL.A u *k ?-
LINEAL FT. EXPOSED
W.0-4 .
FULLI -
C a F . l -
WALL
M Sal, PT, EY,.PoSED WALL
3Lodem. ; / /4;;?' K , S = J'6
x S = sBD
i ti {} y
U 1. L. I /3z, cz? X a = / ?5G L
f -- - ?f
AZEA
i.?? ,tom ?4 r u•b ,
®?JQ,?t • EKposeD GEI LIUq
e7B.94-iG;
WDWIS t5 ® Dooe.S ?t
?A-ri o DRS
1 ?- e
¦ / T +
F,S M u I i-5
c
?oofi/cciu?c
Construction A-Value
r• 3 (t 1. Interior air film . 0.61
3.
4. Extcrir._ air tl 1.1 (Stall)
Totem 2 45go
Sea[ flov 1. Interior air filri 0.61
rated 2. T -
3• `_-1.A4SUL _ 39.3$'
4. TT 'lam
:0tal 2. 9 0 ?s
TSG. OS
1_ Inside air film 0.61
3.
4,
S.. Outside :air fil:n 0.17
Total.
1?4tj? Ofi-il^i;
??•.qrr Lc • .
1. Inside air film 0.61
2.
$eOt flow up , vsnted 3-
4.
S. Outside air filia 0.17
Total
3 a 1. Inside air film 0.61
2.
:)•. ? S. Outside air film 0.17
.. ; ..
Total
NCN-; ir' =
}Teat
• a flow up
IPIG. !7
Note: U_:e idditional sheets if more space is
- Lecded for det._ils and calculations.
• Y7(Vt.G ?:CCTarN i
mot..
U:x a,z u! oJ,a,nr?
Wall area for
frnm•: runr.t ruct fun
3 IC
%LL
I -`
FIG. 81 1011VIF14 OF
FMAE WALL
FIG. 42
FIL
ISCAL f_
ic:al
? l'Ju
-? -0
r r,
r?=
U1011
L
u
P tl
n.
1
rir s
. 13 is- . , d
Q . a 9 1.
t
_ . T
-t? NN
Con' -.t rucl inn It-Val,,.:
aa_
4. TI?cL?e_C.?hi• xs? O
6
_- .
6. £r•tcrinr air film U. :7
U=.oB
INSuL•
1. Intorlov air !ilm
3.
.."?sV - - _--
---- ?3?
6. Exccrior_air t'i1La p 17
'fugal ZO.?
R r hA
•--
2. .- _
IrISUL_.?? ?._ _..?3.0
3. xt? --- - --- --l•89
6, F:xtcrfor Ptir film
TO taI Z .
V=.o9
.1L
1.
'7 -
i
fil^
1, a
r
;
it ?
:?. D.Gfl
2. .-_?ns(1-_?Y
QG
5.
G. 1::<tarirt: sir Film U. 11
t:,l y :,3
U=. ,/4
;r,nu ON MAUL
2C?'Iji -
/(1 Y
FIG. N4 Irt- d a / r
/Ij ? Irr ? ur
110TE: Indicate ty-_,e, "V" value, death and
1
I
1
2/84
j CITY OF EAGAN
(«I APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPETIPY ADDRESS :
' > 7 ? --e- C? C, i 0 e z>"'
7
LEGAL DESC.ZIPTICN: .? 'T Z sz"? tj r
(Lot/B ock/SL :divisicn or Tax Parcel I.D. N srberj
IF STRUC UME, DATE OF CRT_GIML BUILDING _E_%:IT ISSZ:;,_%r~:
.?r+
r L S' 'y
PPLES='P C.^, II /pECFOS US: R-1 Si: G=- Fr SLY
? R-2 DUPLC: (?`'0 L^:ITS7
? R-3 TC?t7M-?CUSE (MIR= i L^TITS) f T ^S)
? R-4 APART^^,T/CC.1 c,_,i7NILa1 ( L\ITS)
? CCUti!n1?^?CLAi./REI'AII,?OFF'IC::
? INSTI=ICNAL/G.=E :qE:?,,m
2) APPLI=' (PLEASE PRINT)
NA2•IE: ? ? '
ADDRESS:
Cm, STATE', ZIP: aIUY U?i? J9'I.".trv? ? S ) ]
PHONE: q 9 Z `- (u G +?'
3) PLL•IBE.R (PLLASE PRINT) FOR CITY USE ONLY
ADDRESS: PLUMBERS LICENSE:
I Active
CITY, STATE, ZIP:
AL e*G r / ?? A:J C] Expired
'iL?
PHONE: PLUMBER LICENSE fl L5 C75?s'7t//?9? 0 Not?o,F ecord
G
73" initial
4) OCCLPANT/Ct+j TER (PLEASE PRINT)
NAIL: R/w e f C' ? ??1
ADDRESS:
CITY, STATE, ZIP-
PHONE.-
5) INDICATE WHICH PEMIT IS BEING ECUESTED:
CCNNF.CPICN TO CITY SD7ER
COIdIv'ECI'T_CN TO CITY WATER
? CMIER (PLEASE DESCRIBE)
6) Ii.'DICA c ONE:
? PLEASE HOLD APPROVED PEMIT FOR PICK-UP BY ONE OF ABOVE
PLE7%SE %1AIL APPROVED P=UT TC 1, 2, 6 4 AECVE
(Circle one)
7) SIcaTLRE:
DATE: %- s?/i - S
?ew4+a.?w,e.say.araEw:ascaafwr+ea,a.s+aaasw..cw?:wa.?r?.?.- ?? ?'''
w?.??ws?a:evscsrr,
F O R C I T Y U S E O N L Y
PE^%tIT u ISSUED
?EES: $ /V, C
$ /J Su
$ 63. C? c
$
$ /? C C
$ "S•LG
$ tea- ?v
$ d
S
$
$ 13o.?U
S '
$ 7? . ULi
SEriER PER?IIT (INCLUDE SURC_:ARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SES•IER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
AMOUNT PAID/RECEIPT ?j
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A "PERMIT FOR WORK WITHIN
?? - PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED
TITLE:
DATE: . S xxoo _
wawwwwwaws?wwwm no-,W wwwwaW"wtwRa/aww,arialot's *mpg wsa=,aocwwalawiw
6
LIST OF LOTS WITH REQUESTED VARIANCE:
/Lot 109 Block 1, Sun Cliff Second Addition
10! side ya1d variance on Sun Cliff Road
Lot 1, Block 3, Sun Cliff Second Addition
10' side yard variance on Eagle Crest Drive
Lot 3, Block 3, Sun Cliff Second Addition
10' side yard variance on Sun Cliff Road
Lot 2, Block 4, Sun Cliff Second Addition
10' side yard variance on Bear Path Trail
Lot 1, Block 5, Sun Cliff Second Addition
10' side yard variance on Bear Path Trail
j
Lot 7, Block 6, Sun Cliff Second Addition
10' side yard variance on Bear Path Trail
Lot 24,,:Block 6, Sun Cliff Second Addition
10' side yard variance on Bear Path Trail
------------------
Permit #:
Permit Fee: 96
Date Received: > U
I 7 I
I Staff: I
-----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: AO-a,5-LDS Site Address:
Tenant:
Suite ti:
RESIDENT / OWNER Name: z6,'7 W/ P1S9 Phone: 6S/-`1S2-SoXO
Address/City/Zip: y.fz2 era.4l<' Gress D?:
F!
Applicant is: -Owner _A Contractor
TYPE OF WORK Description of work: TES -x-' OiG r ?f/H? 'ge® of ?oc6?
Construction Cost: 6117 Multi-Family Building: (Yes No
CONTRACTOR Name: ulze__Sfr///> GFo%s?S/OtT/ifG License#:
Address: 9100 131V .412_ ft/
City: ?LS//y o eif?L/ State: 0" Zip:
1SS yy/
Phone: 7?-3 41.3 e7 y Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1
Minnesota Rules 7672
_
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(J submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE., Plans and?supporting documents that you submit are considered to be public. information. - Portions of
the information may be classified as non-public if you pr
vide specific reasons t
would permifthe City to
,
re
,. , conclude that the a trade secrets.
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 &t/,z ? ?9'GH9 vrz<
Applicant's Printed Name
Applicant's Signature '
Page 1 of 3
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
? 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
?.ODD a-,
Occupancy
R 3
MC/ES System
Census Code -434_ Zoning •11:5 City Water
SAC Units. G I Stories Booster Pump
Nbr. of Units ,. O Sq. Ft. PRV
Nbr, of Bldgs I Length Fire Sprinklered
Type of Const 5 • Width
REQUIRED INSPECTIONS
Footings (new bldg) Final/C.O.
u? Footings (deck) _
,/ Final/No C.O.
Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile _
Roof _ Ice & Water _ Final _ Other
_ Framing Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. -Air Test -Final _
Stucco _ Stone
Siding
_ Insulation _
_
_ Windows (new/replacement)
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
1-00
-7O.U
Building Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION s 'rl O 0
1 l? q (o , CITY OF EAGAN
3830 PILOT KNOB RD - 55122 Q Q ?1
651.681.4675
New Construction Requirements RemodellReoair Requirements
• 3 registered site surveys showing sq. ft. of lot sq. ft. of house: and all roofed areas yr 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window sizes: poured found design, etc.) ?? 1 site survey for exterior additions & decks
1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE 4. 1 /0' zoo/ VALUATION (EXCLUDING LAND) ZS
JOB SITE ADDRESS ?1322_ 15c a lg_ >nt-cs-t` D-iL x-
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER Zj ;e_/ a c/ ??ir?tif (?!CSe
TYPE OF WORK h?°u? C?eeK FIREPLACE(S) _0 _1 _2 _3
APPLICANT L?i+ n 2 / 't?S C /n1 PHONE # 46_1-?-SOe4
ADDRESS ?3ZL /G ?iG17r Nei x ZIP CODE SS*1Z2
PAGER # CELL PHONE # &12 - S/ (y 6 3 y? FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY M
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 LJ
(check one) - Residential Ventilation Category 1 Worksheet Submitte
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672 By
- New Energy Code Worksheet Submitted "- -- - --- -
Plumbing Contractor: Phone #:
Plumbing System Includes: Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor: _
Mcch finical System Includes:
Sewer/Water Contractor:
Air Conditioning
Hcat Recovery System
Phone #
Phone #
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
114
Signature of Applicant Ol/? ?°r
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
Updated 1101
P a & ol 9"
For: Key-Land Homes
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C. R. WINDEN & ASSOCIATES, INC.
LAND SURVEYORS Td. 645.3646
13SI EUSTIS St. ST. PAUL, MINN. $5109
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ADDITION, Dakota Countv, Minnesota
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE
BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY,
THEREON, AND ALL VISIBLE ENCROACHMENTS. IF ANY, FROM OR ON SAID LAND
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ADDITION, Dakota Countv, Minnesota
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE
BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS. IF ANY.
THEREON. AND ALL VISIBLE ENCROACHMENTS. If ANY, FROM OR ON SAID LAND
Dowd IAis 207AAday of 64f4L a? A M fV 85- C. R. WIVOEN i ASSOCyIATES, INC.
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09/09/2013 11:47 7633150618 KISER PAGE 01/02
Use BLUE or BLACK Ink
I For Office Use y
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Permit
City of Eap I as
I Permit Fee: I
3830 Pilot Knob Road I 3 I
Eagan MN 55122 i Date Received:
Phone: (651) 675-5676
Fax: (651) 6755694 i Staff:
2013 RESIDENTIAL BUILDING PE IT APPLICATION
01
Date: - ` - 13 Site Address: Z2 I c- Unit
Name: Phone:
Resident/
Owner Address / City / ZIP:
Applicant is: Owner Contractor
Type of Work Description of work: V- roo
Construction Cost: 0(-) Iti-Famlly Building: (Yes No
Company: cove S ~PJT' v V\ Contact 3.2- 3 sy
City:
m v2_0 A, 0
Contractor Address:
State: `rQI Zip: S~ 3 0 Phone: 2~ 1
License Lead Certifica : : _ 0 VF I T If the project is exempt from lead certification, please explain why: (see P e 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUC ] G A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a similar plan ased on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Bawer & water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are consi to be public Information. Portions of
the informatlon may be classified as non-public if you provide. sp rc reasons that would permit the City to
conclude that the are trades ts.
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protecll against underground utility damage. Call 48 hours
before you inland to dig to receive locates of underground utilities. www. o herstateo
I hereby acknowledge that this information is complete and accurate; that the work will be in nformance 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 wo 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 plans.
Exterior work authorized by a building permit issued In accordance with the Minn to Building Co=ompleWd 180
days of permit issuance.
X t ~lt✓ \ x
Applicant's Printed Name App a 's Signature
Page 1 of 3