3919 Clippers RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3919 Clippers Rd
Lot: 2 Block: 1 Addition: Cutters Ridge 1st
PID:10- 19100 - 020 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Beissel Window Siding
1635 Oakdale Ave
W St Paul MN 55118
(651) 451 -6835
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
Jeffrey D Cahill
3919 Clippers Rd
Eagan MN 55122
$88.50 0801.4085
$1.50 9001.2195
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.
Issued By: Signature
Building
EA081378
12/07/2007
ePermit
CITY OF EAGAN )
'3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Nu `G 00 27
I
o' P? O? q
BUILDING PERMIa 1 PHONE: 681-4675 Receipt# ? n ? ??
Tobeusedfor SF DWG/GAR Est.Value $144,000 Date JAN 13 , 7992
Site Address 3919 CLIPPERS RD
Lot _3- Block 1 Sec/Sub.CUTTERS RIDGE 1S
Parcel No.
Narpe KEY LAND HOMES
Z Address 14450 BURNSVILLE PKWY
o City SURNSVILLE MN Zp
? Name SAME
? Address
? city Zp
Phone
? Licenag # 0001553
I hereby acknowlege Ihat I have read Ihis application and state that tha
infonnatwn is cortect and a e to comply vXh 11 applicabla State of
Minnesota Statutes and Ci agart Ordma ce
Signature of Permitee t -
A Buildmg Permit is issuetl to: ii-AME
on the express condrtion ihat all work shall be done m accordanCe with all
applica6le State ot Minnesota Stalutes and City ot Eaqan Ordinances.
Building Official
OFFICE USE ONLY
FEES
Occupancy R-3 M-1
zoning R-1 ekig. Pertnrt 794.00
(ACNapConst V-N Surcharge 72.00
(Anoweble) V-N Plw Reviex, 516.00
R oi stories -
581
Licanse
Q
- 5.0
Length
Deplh 41 ? SAC, City 1 00• 00
S.F.TOtal - SAC,MCWCC 700.00
S F. FoolDrinis -
OnSrteSewage _ WaterConn 675.00
OnSneWell WaterMeter 95.00
MWCCSystem X
X
Acct. Deposil 30.00
Ciry Water
PRV Reqmred - SAN Peimn 30.00
Booster Pump - S/W Surcharge _ 50
Treatmenl PI
0
300.0
APPROVALS qoydUnil "ARn nn
Plannar - park Ded.
Councrl
&dg Ofl. _ Copies
Vanance - TOTAL .2-.698. 0
n
.. ., _ . ... . ?'.i •4'? . _ . . .. w - ... . .
T CITY OF EAGAN ,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MM 55121 1?tl ?0, 2) 7
?" ' PHONE:681-4675 . BUILDING PERMIT Receipt #
92
To be used for SF DStG/c;AR Est. value $144, 000 oate 3AN 13 19
Site Address 3919 CLI?PERS [tD
Lot 2 Btock 1 SeclSub. Ct17'TERS RTDGI
Parcel No.
Name KEY I.AND HOltES
? qddress 14450 SURNSVILLE PKVY
0City BU RNS V I LLE MN Zp S S'
cr Name ?A"•?-
0
Address
citY ZP
Phone
? Lkvw # 0001553
I hereby acknowlege that I have read this application and state that the
information is correct and agroe to comply w(th all applicable State ot
Minnesota Statutes and City ot Eagan Ordinartceril.
. , , .?
. {y,• .
Signature ot Permitee
A 8uilding Permit is issued lo: K£Y I.ANa !lC1ME$
on the express condltion that all work shall be done in accardance with all
applicable State of Minnesota 5talutes and City of Eagan Ordinances.
o.:u:..,. n???..?..i . . .
OFFICE USE ONLY
R-3 M-1 FEES
Occupancy R-1 eldg. Pwnt 794.00
ZONl19
(Aquaq Const Y-N Srcharg, 72.00
(AlloWab1e) V-N
Plan Review Slb.t?0
+Y of Stories
sa?
??
5000
length
Depth 41 SAC, City 1 00• 00
S.F. Total - SAC, MCWCC 700•00
S.F. Footorints ---
On Site Sewage
_
?Nater Conn 675.00
On Site Well Water Meter 95.00
MWCC System X
X
Acct. Deposit 30.00
Ciry Water .10+?
PRV Required _ 514V Permil
Booster Pump - S/W Surcharge • 50
300.00
Treatment PI
APPROVALS qpad Unit 380• ?
Planner - Park Ded.
CWncil
81dg.Off. - coPies
3
698
?
Variance - ,
.
TOTAL
Parmft No. Permit Holder Date Telephona N
SNV
PLuMainG
i-ivac /
ELEcrRic
ELEcrRic
Inspection Dafe Insp. Comments
Footings I 41z
Faundation _ r
Framing 21-2
?
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace '?L /5 1
Final Htg.
o?Set Tesc
Final Plbg. P
tbg. Inspecta - Notiry PlumDer
Const. Meter
EngrJPlan
Bldg. Final ? ?
Dedc Ftg.
Dedc Fnal
Well
Pr- UisP-
Z-z ,6
(gex#ifirate uf (Orru?aury
titp of (Eagari
apprbnPttt uf iunnmg jttwrttiAtt
This Cer[iJrcate issued pursuant to tlre requirementr ojSection 306 of the Unijorm Building
Code certifying tbat vt the time of issuance tkis structure mas in compliance witk the Narious
aduances of the City regulating buiJding construetion or use For !he joUowing.
uK a.wamnoe SP IIdL'/GAR ewpandc rb. 20197
0-v.ncy 'rya R3 /M! I zon-mg oha;a R 1 7h, c- Vn
owaaorWA&Qg KESdM HMS Ad&= 14450 B'VIItz PKWY, B'VIIIE
3919 !? TppRUS RnAD Lma;q L2E B1 J. ClTI'ffi2.S RiilM
?
Datc 5?7_7?92
suMog`oW.i ,
POST IN A CONSPICUOUS PIACE
Address:3q1g CLIppERS ROAD Lot 2 Blk 1 Sec/Sub ? R? IST
These items were/were not complete at the time of the final inspection.
Date: 5/27/92 Yes No
Final grade (6" from siding)
Perrnanent steps - garage
Permanent steps - main entry
Permanent driveway V
Permanent gas ?
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Pleasa verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of watar supply to the outside lawn faucet before
freeze potential exists. ?
IIECICEDIMf11
White - City copy Yellow - Resident copy Pink - Contractor copy
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 w
DATE JAN 13, 1992
G? OFFICE USE ONLY
METER #?5" ,L 17 U PERMIT OATE 01 / 15/92
CHIP #?? 9 f Z? Sl PERMIT # 12493
METER SIZE YeV;u B.P. RECEIPT # S
lSSUE DATE - B.P. RECEIPT DATE 01 13 92
PRV - BOOSTER PUMP
SITE ADDRESS 3919 CLIPPERS EZD
LOT Z BLOCK 1 SECISUB CUTTERS RIDGE l`S
APPLICANT:
ADDRE3S:_
CITY, STATE
PHONE
ZIP
PERMIT REQUESTED
X SEWER x WATER _ TAPS ;
;
- COMMIIND X.RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: D C MECt1ANICAL Ahead of Domestic Meters on Water Line.
ADDRESS: 13845 DAN PATCH LN Credit W NOT be giv n for Deduct Meters.
CITY, STATE SAVAGE MN ZIP 55378
PHONE: 447-2323 a
0' ?
I EE TO C L WIT CITY OF
OWNER: KEY 1.AND HOMES EAG ORDIN CES I
ADDRESS: 14450 BURNSVILLE PKWY
!-
CITY, STATE BURNSVILLE MV ZIP 55337 ?
PHO?E: 894-263 SIGNATURE WHEN METER ISSUED
e Y - / /
PLEAS ALLOW TWQ R NG:a'Y,? VOR PROCj;IN'G. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEP,-;,'/? ??',?
_.,. _ . . ?
SEWER & WATER PEHMIT
CITY aF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 r
DATE JAN 13' 1992
METEA # -
CHIP # -
METER SI2E
ISSUE OATE
PERMIT DATE 01 / 15 J42
PERMIT # 12493
B.P. RECEIPT # -?'i L' ? ? ^ - ? ?
B.P. RECEIPT DATE 01 f 13/9Z
PRV -BOOSTER PUMP
SITEADDRESS 3919 CL7PPERs un
LOT 2 BLOCKI SEC/SUB CUTTEKS B.IDGE iST
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: _
PERMIT RE(IUESTED
X SEWER X WATER - TAPS '
COMM/IND if
ZIP X_ NEW _ EXISTING
PLUMBER: D C HECIiAANICAL
ADDRESS: 13845 DAN PATCF3 LN
CITY, STATE SAVAGE MN ZIP 55378
PHONE: 447-2323
OWNER: KEY LAND HOMES
ADDRESS: 14450 BURNSVILLE PKWY
CITY, STATE BURNSVI ZIP 55337
PHONE: 894-2636
w-
OFFICE USE ONLY
Lawn Sprinkier Meters are to be Installed °
Ahead of Domestic Meters on Water Line_
Credit WjN,L NOT be given for Deduct Meters.
1 btGgEE TO
EAGAN ORC
OF
SIGNATURE WHEN METER ISSUED
PLEQSE ALLOW TWO WORKING DAYS FOR PROCESSlNG. CALL 454-5220 FOR INSPECTIONS. FOR
SEWER PERMITS, C4NTACT ENGINEERING DEPT.
CASH RECEIPT
?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 ;
- ?,
;
- DATE 1 _ ; 19 .. j' ' • ?t .
atcErvFo
F110M
AMOUNT
& DOLLARS
iro .
O CASH GI CHECK
FO'
i ., . ?
FUND 08.lECT AMOUNT
I
` Thank You
ev
C O19[1 3Fr vrnice--Pavers Copy
, YelloxrPosting CppY
?: Pink-File Copy
DATE: JAN 15, 1992
RE: 3919 CLIPPERS RD (KEY LAND HOMES)
x Your Sewer & 1'Uater Permit (or the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer 8. Water Permit for [he above property cannol be completed for the following
reasons:
Your Sewer 8 Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meler at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance,
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
J3 737 ?,?, J ? ?- ?
flequest Date Fre No Fou -m I pection
/ R?Vestl' o ?adYNOw 7 W?Ih no,ReadyPector
ensed contractor O owner hereby request inspection of above electrical work at:
J. Atl ss (SVeet 6ax or Roule ;o j , ? C "
??q
Seclion No Township Name or ryo Range No
Cou
Occu n1 (PPlf,11 I f
Phone No
Power Suppher ? JAtltlress - ?
?? ' •
ElBCIr al 1?'aclor?pany N
? ? efi ? ConVactor's Licanse Na
MaJmg Adar s t p r Making ?Insta,lia yon?
? ? 12 A) 04_
Fulh r¢e amra (Convaclo,wner Making Inslallenon) Pna N
MINNESOTA STA E BOAFD OF ELECTHICITV iz
Gnggs-Midway Bltlg - poom 5?173 THIS INSPECTION qEOt1EST WIL NOT
1821 Umversily Aoe, 5t paul, MN 55104 BE ACCEPTEO BV THE STATE BOARD
Phone (612) 642-O800 UNLE55 PROPEF INSPEGTION PEE IS
ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
? ?
J??? S. ins[mooon Xs for completmg fiis farm on back ol yellow copy ?-"Cag?ri /O /?!1
kr84 v y?
\J ? ° BBIOW Wruk Cnvvred hv rtir? o,.,,,,,
ew Add Ren TypeofBmltling qpphancesWiretl V m
Equipment W ired
Home Range Temporary Service
Duplex water Heater Electnc Heahng
Apt Buildin9 Dryei
Other (Speoiy)
Comm /Indus[rial Fumace
Farm Au Conditioner
Other(specdy) trector's Remarks
Compute Inspechon Fee Below. ?I? S
# Other Fee # ServiceEnirance S¢e Fey # Circuits/Peeders Fee
Swimmmy pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ qmps Above 700 _ Amps
SignS Inspe aor's Use Onry
Irrigatran Booms
/ TOTAL
Speaal Inspection ? ?p ?
Alarm/Communtcation THIS INSTALLATION MAY
Other F 8E ORDERED DISCONNECTED IF NOT
ee COMPLETED WITHIN 18 MONTHS.
I, ihe Electncal Inspector, hereby Ro°qn-'" oatg
certify that the above inspection has
F'"a1
been made ? oate 5
OiFICE USE ONLY
This request voitl 18 months irom '
?
? ????
J
11462 '5?v.?o
?
ReQUesl Date Fre N.
_/ / ? s
C? Rough-in Ins ecLo
Re qw ?
? Fead y Now ?I N o ? i Ty I n s p e c t o r
9
Vas ? No When Reatly
I icensed contractor ? owner hereby request mrspection of above electrical work at .
Job Atltliess IStreet 6ox or Routa No ) C?ry ?
Secnon No Towns ip Name or No Ran9e NO CouMy
?
Occupent PRINT) j PYrone Na
Pow r S piier Address
?N?
Elecln oahaclor (Comp ny Namek?? ?qnVactor5 Qu6se No
Matlmg Atldre (GOnvaYOr or p.vnar Meking Insiallation)
l
Amhonzad ignaWre iCerilracto,/O ner .M/e?Wng InstaY i n)
• + JI'?
Va..J phoneNu mber
MINNESOTA STATE BOARO OF ELECTRICITY ' THIS MSPECTION REOUEST WiLL NOT
Griggs-MiOway Bldg - Room S-1)3 BE ACCEPTEO BV THE STATE BOARD
1821 Umversrly Ave., 51 Paul. MN 55109 UNLESS PROPEP INSPECTION FEE IS
Plwne (612) 66b0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ee-ooom-oe
? See ^stmetmns ior compleLng Ihis form on back o1 yellow mpy
"X" Below Work Covered by Thrs Request
J 11462
e Add Rep ? TypeofBmlding AppliancesWired EqwpmeniWired
Home Ranqe Temporary Service
Duplez Water Heater Elecinc HeaUng
Apt. Building Dryer Other (Speafy)
Comm /Indushial Furnace
Farm Air Conditioner
Otner (syeafy) Comracror's Remarks
Compute Inspechan Fee 8elow
# Other Fee # ServiceEntranceSize Fee # Circwts/Feeders Fee
Swimmmq Pool 0 to 200 Amps ? 0 to W? Amps
Transformers A6ove 200 _ Amps A6ove 100 Amps
Signs Inspecmr§ Use Onty TOTAL
O
IrriganonBOOms ?
Speaal Inspection
Alarm/Commumcahon THIS INSTALLATION MAY BE ORNECTEU IF NOT
Other Fee COMPLETED WITHIN 18 M H
I, the Electrical
Inspector, hereby
cerhfy ihat the above inspection has
been made.
RO19n-'"
F,,,ai
Date
? sd ?
OFFICE USE ONLY
This request vmd 18 monIDS irom
t _1?0 !5'
_'T?40 2005 RESIDENTIAL PLUMBING PERMIT APPLiCATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date-j /) S- l
Site Street Address 9 L4t DDNrS Kct Unit#
Property Owner Telephone # ( )
Contractor ?4 i LLC r?S I 7' C-J?• Telephone# ((pf2) i ??ld "Satl3
Aaaress (?3147 t,,.3o.re I'eI city Lina LGj?- C State-&;ft- zip W
The Applicant is: _ Owner _YContractor _Other
Alterations to existing dwelling $ 50.00
? Add plumbing fixtures. This fee includes putting in a water softener andlor water
heater at the same time. !f vou are insfallina ortlv a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
`Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $ 0
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event,ar'jplarA is required Yo be reviewed and approved.
R obe r I .S D'1 e ecl
ApplicanYs Printed Name ApplicanYs Signature
"z16
6 0
2005 RESIDENTIAL BUII.DING PERNII'C APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
TelepLone # 651-675-5675 FAX # 651-675-5694
tg-3 0 s
? ?
NewCansWCtbnReouirements ,R modeUfteoairReauirements Office UseOnN
3 regisfered site surveys showing sq. k. of lot, sq. ft o( house; and all raafed areas ?2 copies of plan CeR af Survey Rerd _ Y_ N
(20 % mazimum lol coverage allowed) (A-rJ? f?e61 SIaD V/ W4^;zcXt set of Energy CalwWtions for heated additions Tiee Pres Pfan Recd _ Y_ N_
2 copies of plan showing beam & window s¢es; poured found design, etc. ?1 site survey for additions & decks Tree Pres Requlred Y N
isetofEnergyCalculalions AddNon - irMkateBOnsNeseplicsystem On-sdeSepticSystem _Y _N
3 copies of Tree Preservation Plan rf lot platted after 7/1193
Rim Joist Detail Oplions seleclion sheet (buildings with 3 orless unils) Date 05-1 ConstructionCost ? ?3r?,
Site Address ?? ? 1:71 C\" )P'Q?-f'S f?6? Unit/Ste #
Description of Work
Multi-Family Bldg _ Y_(:]N::) Fireplace(s) 1 _ 2
Property Owner Telephone # (`-?J? ?y' ?? 3 cJ
Contractor --T-74Gri
Address_:;??
State E`-'1 %-D
? Zip ?v -1 S
Telephone #(L3 ?) Z''-? ?«7 5
1 MAY 1 9 2005 IU
COMPLE BE T AREA O LY IF CONSTRUCTING A NEW BUILDING
---
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Veniilation Category 1 Worksheet • New Energy Code WorCSheet
(4 submissiontype) Submitted Su6mitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance wittt 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.
ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
O 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage g 22 PorchfAddn.(4-sea.)
O 04 02-plex ? 10 08-plex ? 18 Deck A( 23 Porch (screen/gazebo)
? 05 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
)d 31 New
O 32 Addition
? 33 Alteration
0 34 Replacement
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
'DemoliUon (Entire Bldg) - Give PCA handout to applicant
Valuation 3$' '04x>, -
Census Code L) LI
SAC Units
# of Units
# of Bldgs
Type of Const ?
Occupancy R -3 MCES System
Zoning R - ? City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
Footings (new bldg)
? Footings (ifcehj-? 0 RC 1}
? Footings (addition)
?p Foundation
k? Drain Tile
Roof _)0 Ice & Water ? Final
? Framing
Fireplace _ R.I. _ Air Test _ Final
?J Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Final/C.O.
?Q Final/No C.O.
_ Plumbing
_ HVAC
Other
_ Pool Ftgs AidGas Tesu Final
_ Siding _ Smcco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspectar
1'? x/y'X3o.ao ?5'ayo.-
zQjtb? k /Soa = 7S7 u.-
2$?X6'nS??, pa- ^Yd?Z ,-
6'X6'
? nnat? ?---
S?eeer P0 1z4C ik+
L.4. V/11r.1?fSI?Q?
m/?rn F ?oo?z
V/0°432.Do
_
??,& Nen ?emcnet f0 1 x 30. xsN. oz) =?/G, z00 1-
3 y,s3z,oo
05/30/2005 23:33
2 -
6512920806
TITAN CONSTRUCTION
Permit Nuoiber
REScheck Complfa
2000 Mnnesota Ek
RE5cRerk SoSwnne Vrraios
Data fi[ename: C:\Pxowm 1
e Certftlcate
gy Code
P.elease Z
PttOIECT TTfI.E: Jedf.@ Kime Cahill
COUKTY: Dakata
STATE: Minnqota
ZCINE: 2
CONSTRUCYIUN TXPE: ingle Family
WINbOW / WALL RATIO 0.10
DATE: 05l31/05
DA'1'E OP FLANS:
PRO.iBCT DS5c
Kitrhm Remodcl
Titen Consvuc[ion
COMPLIANCE: Pasaes
Maximma UA = 412
Yan Home UA = 285
30.8% Betta Than Cade (U )
Cfiaclced By/Daze
PAGE 04
r7?0 ?a'J? a.r11i?
J ,? .2 oL•.. ? 5 •
Utoea C1r azidg
Atta m Caviry Conc oz Door
Pmm= $-YahM B-ValuG iL-Eadur IJA
Ceiling 1: Raisai or F.nagy
Ceiling 2: Raisel orEnpgy'
WaU 2; Wood Freme, 16" o.
Wall 3: Wood Framq 16" o.
DVindow 1: AbovaC'aade:Me
lloor 1: Solid
Wa114: Wood Frmne, 16" o.
Window 2: Abovo-Grade:Me
Door 2: Glaes
Eeaemmt Wali 1: Masoory !
Wdl hdght: 8.0'
beytL below gade: 6,5'
Insulation depth: 8.0'
Window 3:
Ba9emmt <= 5.6 92:Mdel
m 120 44A 0.0 7
iss 1074 38.0 0.0 27
244 19-0 0.0 14
2192 19.0 0.0 1I9
Prane:Aouble Pene rovith Low-E 139 0.350 49
38 0.320 12
272 19.0 0.0 s
FrmneDDuble Pane with Low-E 33 0350 12
96 9.350 34
rk cvitth Empty Cells 120 7.0 10.0 5
Paioe with LawmE 5
0.350 L 2
?I IDqI I-1??'? ? Il?i hdp-'-. I ' 1111 1 IId II'1. Ilnir',I_' 17''?tt ?t_.I•1 II;Cr! It?_'
; IFPERS RO/Y) 3508-F
EL
7VE'YaR'S CERTIFICATE KEYLAND F10MES
im EV I
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Data ..........1???? 6?
DEPT
NOTE= BUILUi1iG pMFlI510H5 SNOWN ARE
FpH FiORRONTAI b YItt1CJ?L ?- - NOTEt NO SPECIFiC SO1S iNV?STIGAi ION
HAS (?fEH COUAPL£TED N
M
A7ION 0f STRt7CTWIE OHLY. SEE E
LpT OY TF4£ EURVlYOR.
'
AACHITECTUAI Pl,? ??'LIN"
g FpUNDATION 041a1NlIONS. SUITAIILI7Y OF SOIIS TO SUM
CRT
THg IMECl7C IiQUK PROPOSED
, 19 NOR TFC AZpON'3MITY OF
THE SURrEYOR•
?--- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCfi - 30 FEET
S DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = gGd.45 FEET
0 DENOTES EXISTING ELEVATION
X000 PROPOSED LOWEST FLOOR - gSti,? FEET
.
(000.0) DENOTES PROPOSED ELEVAlION PROPOSED TOP OF BLOCK- c69S2 FEET
NE HEREBY CERTIFY 70 KEYl1aiJD HOMES THAT THI5,15 A TRUE AND CORRECT
iEPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 2, Block I, CUTTERS RIDGE IST ADDITlON, according to ttie recorded
plaT thereof, Dokota Courdy, Mlnnesota. _
CITY OF EAGAN FOR CITY USE ONLY
. - ? 3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # 0 .3
DATE: 9
"q,NiCAI:?'
WIA$'T(iTi7, PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ -------------------------------------------------------
WORK DESCRIPTION FEES
NEW CONST ?
ADD ON
REPAIR _
OWNER NAME: I
SITE ADDRESS : , 9,5 // 9 C2_ _. _??'
TT-
LOT: CII SLOCK / SUBD.
ZNSTALLER: / ?Z¢Zhr L.Lc.r lL? •
ADDRESS: I19,76 ? a,,e • ? ?"
CITY:??ccsJ ZIP: ?J37?"'-'
PHONE #: *- 7 " ?12X
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ a7' 00
STATE SURCHARGE: .50
TOTAL : S 5!?. d
SIGNATURE OF PERMITTEE
COMMERCTQLVTNDSISTRTAL't; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIY
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
S
TOTAL:
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN
? 3830 PILOT KNOB ROAD
' EAGAN, MN 55122
PHONE: (612) 454-8100
3'"&.??,t'i;.`:,I
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: ?
YLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMZLY DWELLINGS 6
TOWNHOMES/CONDOS WEiEN PERMITS ARE REQOIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS: 3 /
LOT:-"t- BLOCK ? SUBD. ?
INSTALLEi2: L7(?!'
ADDRES S: / 3S5?'5? 72.4N09,9Tc h .f .c> .
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
r SHOWER 3.00 3'00
3 WATER CLOSET 3.00 To 0
? BATH TUB 3.00 7i•? 0
q LAVATORY 3.00 / ? -v
? KITCHEN SINK 3.00 S,o ?
? LAUNDRY TRAY 3.00 ?i•O 0
? HOT T[JB/SPA 3.00 ,00
1 WATER HEATER 3.00 3•0 ??'
? FIAOR DRAIN 3.00 3, v?
GAS PIPING OUT.
? (MINIMiJM - 1) 3.00 3 •? `?
? ROUGH OPENINGS 1.50 •S?
_ OTHER _
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL s ?/9 5a
ST. SURCHARGE .50
TOTAL: $ ?DIfMBRG,rAL'jINI7USfiRIALi; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
?MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-------------
CONTRAC2 PRICE:
OWNER NAME: _
SITE ADDRESS:_
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP
PHONE #:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
( S I GNAT[TRE )
FOR:
CITY OF EAGAN
CITY: Sf)-!242 ?- ZIP:
-T
, Iq41. ?
-13}9? BIIILDIN APPL ATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
MULTIPLE DWELLINGS
COPASERCIAL
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLZES VHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MtJST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE U LDING PERMIT I SUED
f1
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: C.H ? Valuation
Site Address F
Lot Z Block r
Parcel/Sub ruomS "'&
Owner 61 1.64•? (?-Oy???S
Address 1Y?,?ja /3c?*'? f(a,?,kuA?•y
City/Zip Code &Ad+4? mN
Phone 294 - L3L/?p??
LJ6$?76E ?. ''?" {iR 0 K-S 3•:
Contractor?--?
Address ?
City/Zip Code
Phone
Arch./Engr.
Address ?
City/Zip Code
Phone #
1(4 y ot) 0
OFFICE
Occupancy R-3 M-I
Zoning 'R- I
Actual Const 1/-tT--
Allowable V_N
# of stories
Length ?
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
DEC2pin
-2 _.p_S'r
FEES
Bldg. Permit
Surcharge 92 , 0
Plan Aeview
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge iwv
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
Licensz I.?eo?i?tui
SUBTOTAL Penalty
Lot Change i
TOTAL 350
!
9"•n
-JZ.n
51?, u
=95 ?
G ;.r.
:`-o
3r,,
3 S c.=
,jL'
S,cr
306'
agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
VQL u?b'
GARAFJF'
3 o x-76 -? ?$o
6 Xl?l.? ?8y?
:....-
6 x 1s=
aSMT;
40 k/(r= 8?
?----
la9z x iq=
2a x 2e= '72?
???z K I?= I S
(0y lu% 8y
/0?440
IS,2B13
ly K.?-o _ ?80
?----
1 1? g = ?
?
15 7' ?
? ?')? X- ? 0`72
lX?t= 9
?-
il?l Xs3=
S9,3,s3
I??3,8?z p?
l y 4, o,d
EXTERIOR ENVELOPE,AVERAGE COMPIITA:fION
DATf
OWNE R: -.?----------
S?TE ADDRESS: I oT 2{ S?Cu i h!ONE:
I? IST,?7)D-IN .
CONT RACTOR: KG-?lL.sarJ? PIl+N # COS`?^-
Determine working square foota9e of each
1. Tota] exposed wall, area..... Z-78 11S1`« sq. ft. x.11 = 30`1 ln9
2. Total roof/ceiling area..... lo-I LI sq. ft. x .026 =
Tctal exposed wall area above floor=_Z3ti :L??
a. Total wall window area .......................................... .
b. Total door area ................................................. .
c. Total sliding glass door area................................... .
•-
d. Total fireplace wall area .......................................
rea (average 10%) ...........................
i
l .
. ?? LI S
e. Total ng a
l fram
wa 3 0 4131
f.
g. Total
net rim joist area ............................................
wall area a6ove floor .................................... .
. z1?9 1I'-'==
h. wall area a6ove floor .................................... .
i. wall area a6ove floor .................................... .
j. frame wall area at ioundat=on .................................. .
Total exposed foundation area= '1 Co ? Cn611.1
k. Total foundation window area ....................... St ?-?
l. Total
?
net foundation area above grade .............. 71
Determine "u" value of each wall segment
(e,g, window, (loor, each separate wail section)
a. I 3e,`l X?1 V_
b. X??U" r 3Z = 12, ( CF
c. 3z.`? X"ut,
d. -- X tL U ti --
e. Za3,'-IS X
f. 1oy?31 x
y. Ziq I 63 X
u?? ---?=-I-
??
u ?o = ?
„U„
,
h. X u 11 _
i. X u It _
X liuii _
J•
r.. s,zG x„UI, ? o?{ = 59
?. -71, y X „u„
3 . .................................Total 7 tr?vp r LP&
If item #3 is the
as, or less than i
021, you have met t
intent of SSC 600b
Total exnosed roof/ceiling area = o?1
•"n. 'b tal skyli.ght zrea
a. Total roor/ecilin,
o. iatal net ir.sulated
Determine ............................
framing arra (averagc 102):
roof/ceiling ?irea....,.....•.:
"U" value for each roof/ceilin
segnent
n. X "Ul. __ ? ..
n. a „u,,
X „U„ ,o? _ ?? ???
' ........................ ... Tbtal
_ toral c= -: is the s?nm e as, or less t:han , ou hav e met the intent of -
Sp3C 5005 ic? 7
elltzrnate Building Enve:.ope Design .
?_t:lize tre tocal envelooe'system method, the values established by the s'.:m of ite,-.s -3 z.d -9 sha11 rot be greater than the sum of itens ,1 and n2.
i. a Cc+ 2. Z7L9 ZI = 33'7,Cnl
3. +
4.' TOTAL EXPOSED RQOF/CEILING CALCULATIONS:
• ' • Total exposed
roof/ceiling area........ -L?21_ sq Ft
j) Total skyiiaht area....... ? sq ft x"U" °
k) Total roof/ceilinq framinc7
area (Averaae 1MQ ...... sq ft x"U" ?OT?
1) Totzl net insulated
roof/ceilinq area...... sq ft x"U" ,?
4 TOTAL j) thru t) L? LlGJ
li [otzl of "4 is the same as, or less [han Y2, you have met the intent of
2MC?Z 1.16005 A ar.d 0.
ALTERPlATE BUILDIPIG ENVELOPE DESIGN
To utilize the total erivelope systen method, the values established by the sum
of items =3 znd -k shall not be nrezter than the sum of items Nl and 92.
,. + z. y7,_?Z = 33??Crl
3. 6?1 7? + a. 7 7, y? = Zl5 Z?`?-
PL9N # p- - 373cos'- ?i
* LINEAL FEET EXPOSID WALL
BIACK.- Zt`srz,to"7+Zoa- 12.,1??-(i?33+1?f
W.O..
FULL 1: Z$ iZ,G'7+2o +214?t jc7StI--7 l??+-ZCo ° 15
tULLZ: ??t,s'+2,??+zo+lz,ic?13.8+ I`Ifl,s4)Z=rS'v,9
FIREPLACE : I
RIM: 'Sd4<3+
* SQUARE FEET E}POSID WALL ARFA I
BLOCK: IS-3,"33 x .5 = '7 co i(c Cp
KtddEE:
K
W.O..
FULL 1: I S 3,
FULL 2 : [ 13
FIREPLACE:
x 5 =
x 8 =
X a
x 8
x =
RIM: x 1 = Ic4,1I
TOTAL zTs 15,L15
* SQUARE FEET EXPOSED CEILING \O-i y
*WiNCeWS
II11 -3ayo : 8$9= 3s•s`l?
-Z3L0
?? ?` ?ZK?Ig = $= 32
?- Z3 3? - C. (v =SCa
? , t2lZ =(?
Ih -Z35-? = R.yL=2 ?.Zb
_-----
(
* DoORS I g 3 B
? o LJ
PATIO DOORS
( - cO° 32.q
* BASIIMM UNTPS
11 -2? %` ? `) = z,Ca3 = SZ?o
!tW t -1:t1 ?.1rv?
R-VAUJE
• ? ???? CONSTRUCTION
0.61k
IN'iERIOR AIR FILM
2. ?" •
3.
TOTP?. •
VF27T ?? ?l U = .02
?-?r ? ? E-T.f'a' T FIYJ?r'r
I? - u
UP
FTC, # S
LRlY'E
1, IN'!'ERIOR AIR FIiM 0:61
2. ?'T ? • •
3. x -
4.
U = 0.024
CONSTRUCTIOid
INSIDE AIR FILM 0.61
1.
2.
3.
4.
5. •' ' TOTA_L
U =
? J N_.l,T r i,OW [JP
u
. •• '
. .?.?•.
VENTED
;IG. €6
2 t?
? ?. ..
?
??
NON-VENTED
HEAT FIAW
UP
FIG. #7
?
?f
i . ?
PRAME
1. INSIDE AIR FIL14 • 0.61
2.
3.
4 . :.
S . OUT
U =
INSIDE AIR FILM 0.61
2.
3.
4. .
5. TOTAL
U =
IS
NOTE: USE P.DDITIONAL SHEEI'S IF t!aRE TpC S.
p?EEDED FOR DETAILS PND CPS0ULA--'-
,
A HEAT FDOitJ
uLTP
FIG. #5
c Lo
' . tBFAT FIAW UP
£IG. #6
" 3 9
,,. ? • ;,. .,
?i •V;I?• ?
L•
NON-VENTID
HFAT FIAW
UP
I. •
?,. .,•?''?:
4
l,or.S-?T??Y-rflti1 ? R-v,9IZ7E
1. ?„ - -AtZ ??H Lvl
2.
3. ? i,aT n1 ?,4Y. nc
4. Le1
U - ?oZ=
?
2 Sg
3.
4. xT? 'z-
3 ,i
U
1.
2.
3.
4.
5 .
1. T!OTAL.
U =
?
2.
3.
4.
5.
1. . U =
z.
3.
4.
5.
TOTAL
U -
NOTE: USE ADDTTIONAL SFEEIS IF 2'ORE SPACE ZS
NEIDID FOR DETAILS AND CALCUlATIONS•
f'IG. 07
ROOF-CEILING
W'rly_ JGrI^AV
Ar Use l S$ of opn4ue wa l 1 area fbr
. . {yame tlxw5fraCtiUn
4dAL.1.
pSG. #7
corrsrxvcTzoN=- FRAMIxr
l. INI'ERIOR AIP. FILM R- VALi7E
- -
0.68
2. 2 D ,u
3. 5 1 2 SOfT WOOD 6.87
4. -/4" iG?v:?abH ,+,?c? ?.,s,?•l 5.q
5. SIDING .8
6. EXTERIOR AIR FILM 0.17
TOTAL R= j .1 q
U= ,6-7
ATET
i..
=. #a
S;?t l$fkLsst,
f'?.NDhTTCY3
WALL
. ?
--------Q n
? n
A O ?1
V !
Q
t -'
1. INTERIOR AIR FILM 0.68
R.. ' i ,45
3.
4. %" pZ,t3-,, ????<<us?> 5.?
5. SI zrrc
6. R A R ILM
, dz. 3a
- U- 9
.o
1. INTERIOR AIR FILM 0.68
2. 6 INSUL. 19.00
3. 2x1 JOIST
.
4.
5. l i 1rl:?.iL: ?yN2D.'fkl.tU
IDI S.Q_
.62
6. EXTERIOR AIR FI 0.17
SLAB ON GRADE
y Y ?
O \
+ ? 1
, ??., •, _
•. .- ° ? L . 11 I _
A? "• ? If?
1:!:(:; . 43
? ? ,
, • K
tf ? tl ??? D a
fl'! , , ° •
U.L
U= .04
BI,,OC1C
1. INT'ERIOR AIR FILM 0.68
2.
3, , 0
4. PROTECfIOE BARRIER
5.
6. F
TOTAL R= 7.13
U= ,14
pz-G- RA
NQT'E
d"1.-Ico
* e ? ?
, •
f L ?
? ????"
?
P l ?
INDICATE T'YPE, "R" V.ALIJE. DEfTri ADID
PLACIIMENf OF INSUI.ATION.
pR,Are wnLc
-1ok 8l
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmchon Reamremenis RemadeUReoair Reamrements
3 regisfered site surveys showmg sq. il of lot, sq ft of house, ard ail roofed areas 2 copies of plan
(20% maximum lot coverage allowed) i set of Energy CalwiaLOns fir heated adddions
2 copies of plan showmg 6eam 8 vnndow srzes, poured found design, etc 1 sde surveq for addtions 8 decks
5 set oi Energy Calcufalions Adddwn - mdicate rf onsde sepfic system
3 copies of Tree Preservation Plan rf bt plafled efter 7/1l93
Rim JoislOetad Options seledion sheet (bwldmgs with 3 or less unAs)
?
4- w.oa
CHfids.Useoniv
WafswmxeGe
_x _N
IrE@ P[08 Mtl RCC[t _ Y _CV
TreeAnesRe9uvEd ._...Y.?N
QnsileSepNaSysiem ....Y ,_N
r
Date p? I? loli,? ?p
Construction Cost J vZ ?" ?C
Site Address _ c G
3 /? / /
?/ / UniUSte #
Descriptiou of WOrk i=pcr -(9 (a0 ? r lv o
Multi-Family Bidg _ YN? Fireplace(s) _ 0 _ 1 _ 2
Property Owner e l?t ? Telephane #(br () g? ?^? 79 r
f
`
' t
-?-?
cantractor ,
.9 •_
Address c6 t
? ? ??12 Lr +rJ ? F' .U City ?4, e7 i ,7.3
State 41-9- //l5 Zip Z z Telephone #(()rL) 6ti-/ - a L'2 6
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Su6mitted
. Energy Envelope Calculations Su6mitted
In the last 12 months, has the Ci1y of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master plon:
Licensed Plumber
Mechanical Contractor
Sewer(Water Contractor
Telephone #(
Telephone #(
Telephone #{
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 b' accordance with the approved plan in the case of work which requires a review and
approval of plan ? tQ
?AfIe?J ?b`sn-S 7?wJ
t's Printed Name Applicant's Signature
?f?`1?-Vd-
2007 RESIDENTIAL MECHANICAL rEUnuT arrLrcnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Tetephone # 651-675-5675
Please cumplete for. single family dwellings & toumhomes/condos when penruts are reqwred for each umt
llate
, p
Site Address l 9 4( r p p-Q t?y Q Unit #
Property Owner JCJ_-?a Ca__tL t ? I Telephone # (?'f ) 17-'I ? /T4`/
? -
Contractor _ BURNSVILLE HEATING & A/C IN
3451 W. Bumsville Parkway
Street Address Slllte 120 City
Bumsville, AAN 5533
State
dc* vpODS
Zi Phone#
Tele
Bond #: Y 1 15S 6 Ci?? 2 71 _3 Eapires: ? bz-)
The Applicant is _ Owner 4 Contractor _ Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration [o existlng dwelling unit $ 50.00
_ furnace _Additional ?( Replacement _ New
?
air exchanger ?
air conditioner
heat pump
other
Sta[e Surcharge $ .50
L?5 L Vj _E? ?
Totat MAY O 7 2008 I hereby apply for a Residen[ial Mechanical Permit and acknowledge [hat the mfortna[ion is comp(ete and accurate; tha[ the work will
be m confoanance with the ordinances and codes of the City of Eagan and with [he Mechanical Codes; [hat I unders[and this is not a
permi[, but only an applica[ion for a permit, and work is no[ to start without a pernu[; that the work wdl be in accordance with the
approved plan in the case of work which requires a review and approval of plans. ,
??d I e?
Applicant's Printed Name App(icant's Signature
I'f.r n' •"I Ipql 1•I10; Il-i IidI' II111 Ilh
3913 CLIFPEf2S RONJ ??' ?1 \.?'i4`
II'I Ip1iI',I' iTAt 1 t_.1-I II'4 11 1 IYi _'
3508-F
SURVEYOR'S CERTIFIC/ATE K[YLAN0 tiOMES
I ? ?-,-
_l ? .
o?
1
145.88
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? 45
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o ?
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z F4
LL
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o 1
(n
? 45
W
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,
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t?`!`I•,J) l
n __
V
u
`-
147.45
? .I
P
4 I
tn
Nes0ss'SS"w
1.00 3000
?
Q
?
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a,
JI
14.00 I p ?w a? I
I ?`? ?p h lY I
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N07E, NO SPECIFIC 901L4 INVESTMrATION '
HAS EEEN COMPtfTE7 ON 7H19
LAT OY THE EURYfYOR. THE
SUITASILI7Y OF sDfLS l0 BUPPOHf i
THE lRCpx HOUfE PI1Dr0iED
i9 NOR THE A?E1'QMSIO#,.ITY OF
7H! sURVEYOR.
NOTE? BUILDING
FORNORUM?TAL?p__Y?Ii1CAL LOC- '
ATION CP STRUCTUOx OIICY. S!S
SRFHOUMOAT ON DM-A IfAkNl1 NII.DING
-0 DENOTES PROPOSED SURFACE DRAINAGE '
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRpN MONUMENT FOUND PROPOSED GARAGE FLOOR - gqrJ.,4s FEET
X000.0 DENOTES EXISTING EtEVATION PROPOSED LOWEST FLOOR - ggy, I FEET
(000.0) DENQTES PROP(?SED ELEVATION PROPOSEU TOP OF BLOCK- fd95-.2 FEET
WE HEREBY CERTIFY TO KEYLAND NOhES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF;
Lot 2, Block I, CUTTERS RIOG£ IST ADDITION, according to the recotded
diai thereoi, Dakata Courrty, Minnesota.
I'f DOES NOT PURPORT TU SHOW IMPROVEMENTS OR ENCROACHMENTS, EXGEPT AS SHbWN. AS
SURVEYED BY ME OR UNDER MY DIREC7 SUPERVISION THIS 22ND DAY OF NOV. , 1991.
f'ROP09W 0 0 S SHOWM 1H?RE
TAk[N FROM YME 0!Vll.O%^NE1(7
PLAN• FOlt CU1'TERS RICO! t47
D 2ND ADORION YREPAR[D BY
ItOBERT A. TMENC, P.E. LAST
oa,rEo a-zo-ea.
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T OZ m R. HILL, INC.
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N89056'59" - --'• ? ?, . &o„
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
James R. Haill,'inc.
PLANNERS ! ENGINEERS / SURVEYOR5
2500 W. C7Y. RD. 42 • BURNSVILlE, MN. 55337 0 612-880-6044
� � � ___Use BLUE or BLACK Mk
i wr o�ce use �
. � ' �w `a-�-�' �
� Permit#:� I
lt� 0 ��lall � : . � �;-
� Permit Fee: �
3830 Pilot Knob Roac4
Eat,�n MN 55122 . - j Date R�ived: � I
Phone:(651)675-5675 � Q)'Y1 �
Fau:(551)675-5694 � ��:S�LL�L I
V������������� ��1.W� r.
. 2014 RESIDENTIAL BUILDING PERMIT APPLICATI4N � t 1.����
Date: Site Address: Unit#: ��
Name: E�� KA'7� �7�'�T Phone: �1 L Zt�Z �Z Iq
Resident/
Owner Address t Cily/Zip: ...3� �GI Gc.��p�s �,'e
Applicant is: Owner �Contractor
,eEn1v✓A'�� /"� �"� /Za
Type Of WOt'k Description of work: I�Sf /I-Ddf�r10� � S�tz.l� OF ti�lalrt�� �� ��"'S���
Canstruction Cost: �'���� d"a'� Multi-Family Building: (Yes /No�
LL�-
Company: �17�-1' t��t l�,.� Bv 1�-D S"►tiv�o� Contact �yi4� ST'I�rZ-
Contr�tor Address: 7I Z3 1�j��FvE S City: �'I/r���o�S
State: M� Zip: ,�4t77 Phone: (OlZ 4'�Z°ISa� Email: ��'�� �edi'���St�����.�,ow�
�icense#: �G �.3��0 Z �ead Cert�ficate#: N�T "SZ44a-�
If the project is exempt from lead certific�tion, please explain why: (see Page 9 far additional information}
�W c.T /N �°I�1 Z
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 morrths,has the City of Eagan issued a permit for a similar plan bas�on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Cantractor: Phane:
Sewer&Water Cantractar: Pho�e:
NOTE:Plans and supporting documents that you submit are considered to be pubtic information. Portiorts of
the information may 6e classiiied as non.public if you provide specific reasons fhat wauld permft the Cfty to
conclude fhef the are trade�rets.
CALL BEFORE YOU DIG. Call Gopher State One t�11 at(651)454-0002 for protedion again�underground utility damage. Call 48 hours
before you ir�tend to dig to receive locates of underground utilRies. www.aoaherstateonecall.orq
I hereby ackr�owledge that this information is complete ar�d accurate;that the wotic will be in conformance with the ordirrances arxi codes of the City ofi
Eagan;that I understand this is not a permit, b�only an application for a permit, and work is nat to start without a permit; that the work v+rill be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior woHc autharized by a building pertnit issued in accordance wifh the Minnesata Buildi Code must be completed writhin 180 II
days of pertnit issuance.
x�1�n�.�1rt11vf'� x
Appli nt's Printed Name Ap i t's ' n
Page 1 of 3
- - ��� � �t :��,@�5 � �
�O NOT WRITE BELOW THIS LINE � ��� ��
SUB TYPES
Foundation _ Freplace _ Porch(3-Season) _ E.xterior Atteration(Single Famity)
� Single Family _ Garage _ Porch(4Season) � Fxterior Alteration(Multi)
_ Multi _ Deck _ Parch(ScreeNGazebOlPergola) _ Miscellaneous
� 01 ot_..Plex _ Lower Level _ Poal _ Accessary Building
WORK TYPES
_ New _ Interiar Improvement _ Siding _ Demolish Buikiing*
Addition i Mcve BuFlding _ Reroof _ Demolish Interior
�Alteration _ Fire Repair _ Windows _ Demolish Foundation
��
_ R�lace � Repair _ Egress�ndow _ Water Damage
_ Retaining Wali '�Demolitlon of errtire building-give PCA t�ndart#o applic�t
DESCRIPTION
Vaivation Occupancy MCES System
Plan Review Code Edition � ,� �-�,?�"� SAC Units
(25%_100%�,} Zoning _I�� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinlders
Type of Construction �/ w Width
REQUIRED INSPECTIONS
Footings(New Suilding) Meter Size:
Footings{Deck) �nal/C.O. Required
Footings{Addition) f��Final I 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
Insulation Windaws
Sheathing Retaining Wall:_Faotings_Backfill�Final
Sheetrock Radon Control
Fire Walls Erosion CaMrot
Braced Watls Other:
Reviewed By: t.�s' , Building Mspector
RESIDENTIAL FEES �����
Base Fee
Surcharge _�" � �
Plan Review � .� � � � �,����'
� � � E
MCES SAC
City SAC �„i�,l���
Utility Connection Charge �
� (� � �.-��;a�
S&W Permit&Surcharge �,� V �
.�' � �
Treatment Plant �����
Copies � I (.�.� � �
TOTAL E
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GLtF'PERS R0/YM �')(�� �'t-� \:7�`�� � - � 3508-F . .
V �Y U R' S C �R T 1��i C l�►T E KEYI.AND HOMES --
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NOTE: flUtL�iNG O�MENSiOFtS StiOWN ARE _ N07E� tt0 SP�C��C 50�+ {tt'�57�GATfOt� +'
FOR HOR1ZONfAL a 11�T�1. t.�C- - Kas �N �ot�tt�� oH z��s �
A'f�Olt QF ST�iUCTili1L: Ot�I.Y. S�E tA7 OY TtiE 3tl1tYl.'YOR. ??IE
AACHiTEC1WIL PI�kS �R l����G St31T1�iLftY QF ��iLS 'i0 Si1Pi'Gf�
8 FCUNGATIOH Ot}�llttflOHS. � .� �C� �pv�g pnp+►p�gp
IS N�T YHC A�NSi1N-ttY OF
'[NL► S�JNVEYOR.
� -- DEN�C}TES PRQPOSED SURFACE C3RAiNAGE
O DEhi�TES IR4N MONUMENT SET SCALE: 1 iNCH — 30 FEET
O DENOTES 1R�N MONUMENT FOUND PROPOSED GARAGE FLOOR � �q�,� FEET
X000.0 DENOTES EXISTING ELEVATfON PROROSED l�WEST FL�OR = gg-t,} FEEi
(004.0) DENQTES PRQPUSED ELEVATION F'ROPOSEU TOP OF BLOCK— �d4S'�2 FEET
NE i-IEREBY CERTiFY TO KEYLAND NOflr�S � THAT 7HIS.I.S A TRUE AND CORRECT
�EPRESENTATION OF A SURVEY OF THE 80UNDARIES OF:
Lat 2, Block i , CUTTERS RIOGE 15T ADDtTlON f accading to tt�e recorded
piot thereoi, Dakota Courrty, Mlnnesota. '
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129705
Date Issued:03/09/2015
Permit Category:ePermit
Site Address: 3919 Clippers Rd
Lot:2 Block: 1 Addition: Cutters Ridge 1st
PID:10-19100-01-020
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Jeffrey D Cahill
3919 Clippers Rd
Eagan MN 55122
Hearth And Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
��`5 _ �� �� _ � a�
� ���
����� Use BLUE or BLACK Ink
�--- --i �
� For Office Use � C
I �f� � ���I
Clty of�a�aIl � Permit#:
� Permit Fee: /�?�- �� I
3830 Pilot Knob Road i �
Eagan MN 55122 I Date Received: �
Phone: (651)675-5675 � Staff: j
Fax: (651)675-5694 !________________�
2015 RESIDENTIAL PLUMBING PERM APPL�ICATION
�, �
Date: �� � � 1�J Site Address: � � ���� ��
Tenant: Suite#:
� � .
� � "� Name: �� �.1..�� Phone:
�tesiden�% �'��` '�
�e9 _ _
���'��� �-�:�� , �, Address/City/Zip:
�= , �-•,
�.,�� �-�y ���� �' Name: � � � License#: �� � ��� �
�,, � t+; �r �-��
��� ' � � �\ � 4
Address: � V City: �
tl"dCf" � .�
��✓ r ' "
�.„r� � State: ��; Zip: ��� �'�� Phone: � �
�- . ,
�� �� ��� � Contact: �� � ��� " ����' EmaiL � �V ��i � �� �(� ��
� � �� � - � , �
� � New �Replacement _Repair _Rebuild _Modiy Space Work in R.O.W.
�Of WQ ;_ — S F� —
�� ��s��� , �
r� k� Description of work: � � �l� '
.�..
� `� � ���� RESIDENTIAL
A� �
����� ���,; Water Heater
�;' : � �� '; Water Softener
t � '`� Lawn Irrigation�RPZ/_PVB)
����� � �t Ty� �� �Add Plumbing Fixtures(�Main/_Lower Level)
k , t Septic System
"����� � �� �� ����' New Water Tumaround
���� Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround'`(includes$5.00 State Surcharge)
"Water Turnaround(add$200.00 if a 5/8"meter is required)
$115.00 Septic SVstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge)
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. �I
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org
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
acco nce with the approved plan in the case of work which requires a review and approval plans. �
x �'�� x ��I �.i �il�
Applicant's Printe Name Applic Y Signatu
� � � ` � �� � � �a� � j z
FOR OF ���E�JS� � �°� � ; �� ��Re�iewed � ' � '�� � .
�� �f � � � ,� � �� ��, � � ,t"'�—�--�' � �
� e Ins ions, ..lJntl �,� u�� { � � ������#� �{� { - �
, � �4 �� ��S � � � :, �
�� �� �� �. � �� � � � �= � ���� �r ��"`
� � �
t 4..
+e#er Re�at� � _ ��e��w �����zr.� ead � -
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itEid
Cc�,;r 1_.....,.)
CAS-ie
MAR 2'1 2018 For Office Use. ,�� ��
„, % t ° : , ::::ee:
��� �� 7
Date Received:/.1 4 t
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 1 TDD: (651)454-8535 I FAX:(651)675-5694 Staff: fqj
buildindinspectionsecitvofeagan.com 1_
2018 RESIDENTIAL BUILDINGPERMITAPPLICATION
Date: 3/Z-74 g Site Address: 9 t� C t I t tt.
s d. Unit#:
/YDr'go.w 4I ec k Na J
z� Name: � 6 ��
�x� l� i a23-���.�. Phone: �-Z7�- ?O
�Wn Address/City/Zip: 3 9 al C l I e-+-.3 ( 1 c, �qa�, A/
Applicant is: Owner x, Contractor
+ �2I•slo se Y2 W,(\ 1' T t t R
Description of work: q o�r i •t
`�) OWf
Construction Cost: 6. 300 Multi-Family Building:(Yes /No )
'. Company: Coon,clod' -Y^%./ids Contact: L:op"Kr L r h jo �.o&i.--
Address: Z-44 3 R\1,Q r "ii- . City: 4�,i ci c-- 1
State: il/Zip: 5-S-10 3ce3 i&one:65?-336. -s96/Email: Co-i. mrtA-isi C3.0f..;I.c:o1/4i.
. License#: BC 69 2336 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
15a;1+ 1191 -1
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 X No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NN'O'i' Plans d umoieitag docurrrents tt at you.su bm to is asider r ata Pi ons, # it b y ,
class as k of !"*::,*: ::•?. :,vide-s #`c reasons ;_t conclude: at=,=.:,,`'
y
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe. ,
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.gopherstateonecall.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 L0 Vt v1 L;t,.It., `s f x�%�. .
Applicant's Print'ed Name Applican ignatur,
/z.( __ -•-75,--
I// ci,,,,,,v&e_, a
DO NOT WRITE BELOW THIS LINE
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 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 Gov Occupancy J,yf�L -/ MCES System
Plan Review / Code Edition ad/y SAC Units
(25%_ 100% Zoning A-/ City Water
Census Code y 3 y 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) cee, Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof; Ice&Water _Final Pool:_Footings _Air/Gas Tests _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: , Building Inspector
RESIDENTIAL FE �'..�� ,4 3 4 g op /( �Z
Base Fee /3,L ?-- 'T
Surcharge
Plan Review g6
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169295
Date Issued:05/20/2021
Permit Category:ePermit
Site Address: 3919 Clippers Rd
Lot:2 Block: 1 Addition: Cutters Ridge 1st
PID:10-19100-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Derek K & Morgan L Ramthun
3919 Clippers Rd
Eagan MN 55122
(507) 272-4670
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature