1840 Deer Pond Cir5-
City of Dian
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use l
Permit #:
Permit Fee: /6. J. 2
Date Received:
Staff:
L
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
1161 Iv Site Address: I -(4Q OC-ec } orlc-{ �',('
Unit #:
.011
Name: 1 f i S +1i C/)1Ca y Phone: OP -X51-- 58' 1
Address / City / Zip:
Applicant is: Owner 'ontractor
Description of work: 1 SI
Construction Cost:. OW 00
Multi -Family Building: (Yes / No
Company:( 41w9-0C(C(. COrWj. C.30 . 1x16.
Address: 108'60 6,0t" c5 . .
State: (YIN Zip: c:0842
Contact: 1 I C, -,
License #:
Phone:
Cc1
City: )?l 1\
(-139 -t-t30
Lead Certificate #: NAT- - 1Q5G —
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:
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.
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.
Applicant's Printed Name
x 1�
Applicant's Signa ure
Page 1 of 3
AddiESS 1840 DEER POND cix Zip 5512_
Lot 14 Blk 2 Sub BLACKHAWK FOREST THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: / 0,3! ?''J Yes No Inspector. tv, (
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanentdriveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage . ?
Porch ?
Basement £inish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing sys[em and the shubo& of water supply to
the outside lawn faucet before freeze potential exisis. Contact engineering division at 681-4645 before working in rightof-way or installing undergrouod sprinkler sysrem.
White - City Copy Yellow • Resident Copy Pink - Contracmr Copy ?
•' - +
Is
Watificate of cccuvanc? `Witi) of ?agatt }
?a?cx? .? Saahts 3x#0tCr9x
T7iis Certifecate issued pursuant to the requinments of the U+eiform Building Code
cenifying tleQt at 1lu time oJusuance lhis structure was in correpliance with the various
orriinances of the City regulating building construction or use. For the following: ?
UxCtm;fiar;o,,: SF DWG/GAR sbg. Pe,,,,;, No. 27948
0-"-r TYve R-3 U-1 Z,.;,g aWj, R-1 Type ca,5t. Vn
owwro(8,,;l&ng CLASSIC HOHE DESIGN A&w,,, 1630 NiIY 10„SPRING LAKE PQ, !!N
8,,;W;,,g A&w,. 1840 DEER POND C1R L,,,w;ry L14, B2. BLACKHAWK FOREST
D?'??jl
PO.ST IN A CONSPICl10ltS PLACE
??CITY OF EAGAN
3830 Pilo rt Knob Road
? Eagan, M innesota 55122-1897
? (612) 681?-4675
SITE ADDRE SS: t7
, „i , , ?;? ??? r
i. i?? i•i •? i?hi11 ( I{;
PERMIT SU BTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
rr, E,
l:u i t ??, t???
A:'7`?AFi
t?fi/i9l9Cti
INSPECTIONTYPE
- D• . DA
A pt t 14 7
I N ii i0 !I I•?
N nI i i I' I ranI
i't ,•nHIIIi» i?r iti,
TION
,
' Parmit No. Permit Holder Date Telephone •
ELECTRIC YS4 1"91-
PLUMBING
HVAC 8l?-
InspecNon Date Insp. Comments
FOOTINGS 711,/Q
(
FOUND ?Zz
aff-
FRAMING
?
ROOFING
ROUGH
PLUMBING ? ??? •?/
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
?
N
FREPLAGE
AIR TEST
FINALPLBG
FINAL HTG l( ( (
ORSAT
TEST
-
BIDG FINAL - ? -
BSM7 R.I.
j --
BSMT FINAL
DECK FfG
DECK FINAL '
- t--
I
r
2 I ?° 3 4 6 ? OFFl E US ONLY This reqoestvoid 18 momhs (rom validatian doh pnnled in ihis box.
? ? ?a??o
97 70 589
PLEASE PRINT 0
OR TYPE pl
Requesf Dak Rou
ghmspedion reqoired2 Yes 0 N. Inxpecion Ofher Than Raugh-I¢ Q ReadY Now ?py.??j II Call
? ?
(Yo
m
mosf ll ?he'mspenm whe mdy) Dote Ready
/
I, li<ensed confractor Q owner hereby requesf inspedion of the obove electrical r 5 ?
Jab Address (Areel, Box, r Roure No j GH .
i ZIfp o
U
Seclion No. TownsMp Name or No. Ronge No. Ftre No. Coonry
O0 ? Phone No.
3? 3- Q8'
Po 5? ?,e,
PP Pddress
,
I'<al Conhanar (Com ony Name) Commdor License Na. Masrcr Lic Nn (Plam Elea Only)
Mai ing Address (Canlronor a ^er Perfarming Insmlla?ion?
.
?
? •
A imd Signawre (Co a or Owner Perf inq Installati ?
!y ne No.
_ o-Gw%!H-iu e/vo STpTEBOAp
/ / pCppry-6EEIN5ipUCTIONSONBACKOPyELLOWCOPY
\
IIIIIII? I?I? I?I?I?I REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Electriciry
? 1821 University Ave., Rm. S128, SL Paul, MN 55104
Pnone (siz) saz-oeoo ?J?6/q1'
e Duplex Apt. Bldg. Addn
mercial Inustrial Farm Remod Re air
ond. Htg. Equip. Wo}er Hfre the work mvered 6y this request Enter remarks in fhis spoce ond on the hack of the white mpy only.
7ov
Calwlate Inspecfion Fee - 7fiis Inspec>ion Request will not be occepted without fhe correct fee:
Other Fee # $ervice EMrance $ize Fee # Circvils/Feeders F
Mobile Home Pork Stall ( 0 to 200 Amps 0 fo 100 Amps (?-
$free} L}g./TraHic $ig. Above 200 Amps Above 100 Amps
Transformer/Generofor INSPECTOP'SUSEONLY TOTAL
Sign/Outline L}g. Xfmr. ?
Al.rm/Remo}e Control
Swimming Pool I
"
I
i
ofi
B nn, I hereb anl th t I ins eled Ihe '6n3e
scn'bed herem on the dales sta "d
rr
g
on
oom Rou9h I D
Special Inspecfion are
TH Inves}igotive Fee
IS INSTALLATION MAY
BE OR F??O? o°te
DERED DI NECTED'IF NOT COMPLETEU WITHIN 19 ne0u714s.
? PERMIT
CITY'OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 ' PermitNumber: 027948
(612) 681-4675 Date Issued: 0 6 J 19 / 9 6
SITE ADDRESS:
1840 pEER POND CIR
LOT: 14 BLOCK: 2
BLACKHAWK FOREST
P.I.N.:110-14325-140-02
DESCRIPTION:
., ?
6uildi,n?g,Permit 7ype SF OWG
*Buildimg Wb.rk Type NEW
?UBC Ocbupancy,.E R-3 U-1
CorrStrubC.ion' Tyqe V-N
Zoning ?"- R-1
Building Cength- 'C; 68
+ Buildi
li g WidCh ,
58
- .y Buf'lding `;stories
. 1
? 3,055
C'ensu:,su???`de 101 1- FAM. DETflCH
f
R
et
j
)
G t
V"y _=
REMARKS:
S& W PLBR - PLYMQUTH PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
5AC
SAC %
SAC Units
Subtotal
$1,292.25
$646.13
$90.50
$900.00
100
$2,928.88
$181,000
MISCEILANEOUS $1,923.50
Total Fee $4,852.38
CONTRACTOR: - Applicant - sT. LIC.OWNER:
CLASSIC HOME DESIGN 17839866 0005867 CLASSIC HOME DESIGN
1630 HWY 10 NE 1630 HWY 10
SPRING LAKE PARK MN 55432 SPRING LAKE PARK MN
(612) 783-9866 (612)783-9866
I hereby acknowledge that I have read this application and st'ate that the
infiormation is cv-rrect a;nd agree to comply,with all,applicabl.e State of Mn.
L Statutes and City of Eagan Ordinances. ?
APPLICANT/PERMITEE SIGNATURE ISS,UED <SI RE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 7? ?•?
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 ? ?O JU
New Conalruelian Reauirements Remodel/Reoalr Reavirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy calculations ? 1 ener9y eeleuletions tor healed additions
? 3 copies of hee preservation I n if lol pleNed afler 7l1193
required: _ Yes Nu
DATE: CONSTRUCTION COST:o??
DESCRIPTION OF WORK:
r ?g
STREETADDRESS: r°?/?-r'2'
LOT /'?K BLOCK ? SUBD./P.I.D. #:
PROPERTY
owNeR
Name:
fIPSi
CONTRACTOR
Phone #:
Street Address,
City: State: Zip:
Company: Phone #:'!Z'73-27604?--
Street Address: License
City: ?? ?? c?l?? State: ? Zip:
J
ARCHITECT! Company:
ENGINEER
Name:
Phone #-
Registration
Street Address*
City:
5tate:
Zip:
Sewer 8 water licensed piumber Penalty applies when address change and Int
change are requested once permit isXssued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with aR
applicable State of Minnesota SWtutes and City of Eagan Ordinances.?
Signature of Applicant' e-
OPFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
V Yes N
Yes - No.
4 V"?
J U ? 5398
- ?--------
BUILDING PERMIT TYPE
OFFICE USE ONLY
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ?
?02 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRem. ?
? 03 5F Addition o OS 8-plex ? 13 Garage/Accessory ?
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ?
? 05 SF Misc. 0 10 = plex ? 15 Deck
Valuation
WORK TYPE
p31 New ? 33 Alterations ? 36 Move
6
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actuaq 0- N Basement sq. ft. 2t °& 2 MC/WS System ?-
(Allowable) ,-22?'-N_ Main level sq. ft. Z o City Water -J
UBC Occupancy sq. ft. Fire Sprinklered
Zoning ? sq. ft. PRV
# of Stories /<r?? sq. ft. Booster Pump
'
Length 69, 33 sq. ft. Census Code. /O tl
Depth {S Footprint sq. ft. 3, osts SAC Code o?
P ?v
#
Census Bldg
Census Unit
APPROVALS
a (pry
?
Planning Building`? Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
aner
Copies
Totai:
% SAC
SAC Units
oww
? " , ? ,•?,; :: ..,.
4 ?
'? • ? .
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
pr
-7.37.?,_
X zs =
l
- ? _ ?o
- z s'x s-s ?T
- ?? f3% 67 = SLo
- ,??¢ x 8} _ ?y8,
n.>Z ? ZX?,13 ° 29
ZX 13•33 = y-7
/
m
g G/6? =
L7??
ZS'x71.?7 = Yy2
7 = 39
.33 x laG7 " y? _ ? S ??of5
?o ?
M."'O ?
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CY//O ?
B' jY O
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PROPERTYLEGAL:
ur% i c vr ourcvr- T.
LATEST REVISION:
• Registered Land Surveyor signature and company
• Building PermR Applicant
• Legal description
• Address
• North arcow and scale
• House type (rambler, walkout, splR w(o, split entry, lookout, etc.)
• Directional drainage arrows wfth slope/gradient %
• Proposed/existing sewer and water services & invert elevation
• Street name
• Driveway
ELEVATIONS
Ebstina
W-'-?o ?
• Sewer service (or Proposed)
o? ? • Property comers
0??7 ? • Top of curb at the driveway
? ? • Eievations of any exisbng adjacent homes
Prooosed
? • Garage floor
E3 ? • Flrst floor
e' f3 ? • Lowest exposed elevation (walkouUwindow)
??y ? • Properly comers
a? ? ? • Frant and rear of home at the foundation
PONDING AREA fif anolicable)
? ? • Easement line
? ? • NWL
Q--- 0 ? • HWL
? e'o • Pond # designation
m?o ? • Emergency Overtlow Elevation
DIMENSIONS
?o ? • Lot IinesBearings & dimensions
?,l/ ? ? • Right-of-way and street Mridtlh (to back of curb)
4?? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
w" ? ? • Show all easements ot record and any Cily utilides within those easements
[a--El ? • Setbacks of proposed structure and sideyard setback of adjacent exdstlng structures
? p---t • Retaining wall requirements, if any ,
Reviewed:
January 1996
CRUGt aBMOGPFArt. FM
LOT SURVEY CHECKLIST FOR RESIDENTIAL
??
?l??
Kh
WYE
S-1451
799.12
Nro
WET TAP CONNECTION
8"x d' SPLIT TEE
,d' GATE VALVE
W YE
S- 0+6C
C /.p 795.61
?
? \N Sw \
? R
NF
?
?
AAH 21
6"
WYE S-1i56
799.59
BEND -?l
1+6
7 j
h?
WYE N?
S -1+54
799.52
wyE- C: i`° QF EAGRN DOES NQT GUA7
S?-.O+63.'Cl!°ACY OF UTILITY LO 7195•T2`-? n_cl1r,rioNS. THis DATA i;.
PURPOSES ONP.'
,. ,? ? r_._.
?, „ .,?. , IT H IJLD VL
?. `
--:,,i f'MI ON THE SITE. ...
?
?
?
0+00
URSE
RSE
NE
CONSTRUCT MH 21 OVER
EXISTING 9" VCP SAN. SWR.
EX. INV. 792.50 (VERIFY PRIOR
TO CONSTRUCTION) ?
?
EXISTING BITUMINOUS &URFACE EX MH _
DISTURBED BY CONSTRUCTION ?
SHALL BE RESTORED TO ORIGINAL
OR BETTER CONDITION
? SANITARY SEWER AND WATERMAIN 2!
SERVICES SHALL BE INSTALLED 15' ? Q
INTO PROPERTY IN ACCOROANCE O W -
? WITH CITY STANDARD DETAILS IN m?
SPECIFiCATIONS.
?
E VALVE
F . . ?
M . ?
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EXISTING GRADE ? : : •
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PROPOSED /GRADE : ? ? ' ? ••
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. 3.52• . . . . .
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:..
: :.........:...........I.......:.........
..... ........... ,.
? ? ? 2+00
p+ 00 I+00
-
m- r
?=RTIFY THAT THIS PLAN, SPECIFICATION, OR ? SCHOELL &
5 PREPARED BY ME OR UNDER MY DIRECT ENGINEERS ? S?
_.._i. ... . ..v o??IcTCORfI ORCIFFSSIONAL ? _,
.I .
Planning Design Inc. COMM. NO. 86138
1611 Highway 10 NE •
Minneapolis, MN. 55432
612-780-1920
Minneaota State Energy Code Calucationa
Based on Chapter 5 of the Model Energy Code
. 1983 Edition -- Adapted 1/1/84
Owner: Comm. No: 86138
Site Addrese: Phone: 783-9866
Contractor: GLASSIC:HOME DESIGN, INC.
Bldg. Clase: A1 R1 for Single Family/Duplex
A2 Residential 3 Storiee
Over 3 Stories "
Other
GENERAL INFORMATION:
Note: The aection designatione ("Section A", "Section B" etc) are for
convenience in calculations only, and are not related from one aet of
calculations below to the next.
1. Bldg. Walls
Section
Section
Section
Section
2. Buildin,
1875.04
Length Width
Floor to Ceiling
Area
468
288
360
0
1116
Section A: 26 18
Section B: 16 18
Section C: 30 12
Section D: ' 0 0
Total floor or ceiling Area:
3. Rim Joist Perimeter: 166
Floor Joist 2 by (811, 1011, 1211, or 16")
Rim Joiet Area: 166
4. Doors
Area:
Perimeter (feet):
Type of Construction:
5. Total door's perimeter:
Perimeter
Wall Lengths Area
Ground to Eave
14.24 862.88
9.54 992.16
0 0
p 0
A: 62
B: 104
C: 0
D: U
Gross Wall Area:
:j Dimenaions
47.8 Thickness (inches):
0 .
New
0
0
6. Windows
CEILING WITH VENTED ATTIC SPACE ABOVE
VALUE R VALUE
AMING CEILING
.61 Air Film 0.61
36.00 Insulation 44.00
.38 Joist
.56 Ceiling .56
.61 Air Film 0.61
44.55 Total R 45.78
.024 U R .021
FLAT ROOF OR CATHEDRAL CEILING
R VALUE -' R VALUE
FRAMING CEILING
.61 Inside Air Film 0.61
Ceiling
Joist Stud
Zneulation
Air Space
Roof Decking
Insulation
Built-up Roof
.17 Outside Air Film 0.17
Total R
Window infiltration :5 cfm/lineal foot of crack
Residential door infiltration 0.5 cfm/square foot/door & minimum code
requirement. Non-residential door infiltration 11.0 cfm/lineal foot of
crack
12" concrete block no insulation = .47 R 2.1
12" concrete block inaulated cores = .26 R 3.8
12" lightweight block = .32 R 3.1
12" lightweight block insulated cores = .12 R 8.3
Single glass = 1.13; with etorm window .54
Double Glass = .55
Triple Glass = .41
All exterior walls and ceilings must have a vapor barrier (0.10 per max.)
Vapor barrier must be on the inside (heated side) of wall.
Vapor barriers of the polyethelene thin film have no R value.
WALL SECTTON
2ND WALL
RIM JO
R VALUE
Inside air film .68
Interior Wall .45
Insulation 19.00
Sheathing 2.06
Siding .67
Outside.air film .17
R Tota1= 23.03
Inside air film .68
Interior wall .45
4" Stud 6.50
Sheathing 2.06
Siding .67
Outside air film .17
R Tota1= 6.53
Inside air film .68
Interior wall
?Insulation
Sheathing
?Exterior wall covering
Exterior'air film .17
R Tota1=
Interior air film .68
_Insulation 19.00
1 1/2 Inch soft wood 1.88
Sheathing 2.06
U VALUE
(Wall) U 1/R
043
(Framing) U 1/R
(Wall) U 1/R
(Rim joist) U 1/R
.041 '
Exterior Wall Covering .67
_Exterior air film .17
R Tota1= 24.46
-Interior Air film .68
-Insulation 10.00
Foundation 1.28
Exterior air film .17
-
R Tota1= 12.13
Exposed Block
(FDN) U 1/R
.082
STUD SECTION
Manufacturer:
State Approved: YES
Type Height Length
(inches) (inches)
Doublehung Zq Zg
Doublehung 24 32
Doublehung 20 32
Doublehung 30 28
Casement 60 20
Casement 36 20
0 . 0
0 0
U Factor: 0.52
Number = Total
of glasa units (sq. ft)
8 37.33
2 10.67
4 17.78
8 46.67
2 16.67
3 15
0 0
0 0.-
7. Window Glass area (square feet) = 144.12
Type Height
(feet)
8. Patio Door 0
9. Atrium 6.85
10. Fireplace Area
Width 6
Total Sq Ft= 0
11..Exposed Foundation
Height area A:
Sq Ft Area A=
Exposed Foundation
Height area B:
Sq Ft Area B=
12.
Gross Wall Area
Minus:
window Area
Patio Door Area Atrium Door
Rim Joiat Area
Door Area
Fireplace Area
Exposed Foundation
*Framing Area
Equale:
Totals for net wa11=
Height 4
Length Number : = Total
(feet) (unita) sq. ft. :
0 0
3 1 20.55
0.71 . Perimeter area A: 164
116.44
0 Perimeter area S: 0
0
Sq Ft U Factor U x A
1875.04
144.12 0.52 74.94
0 0 0
20.55 0.44 9.04
166 0.041 6.81
47.8 0.14 6.69
0 0.14 0
116.44 0.14 16.3
187.504 0.095 17.81
1192.626 0.043 51.28
Totals for Gross Wall Area:
182.87
* Framing area is 108 of groee wall area
13. Gross wall area factor below = U A per code
Factor is .11 for A-1 single family & duplex
.23 for A-2 and other residential
.23 for all other buildinge •
.28 for over 3 stories
Factor is 0.11
STUM= 206.2544 Must be > or = 182.87
(calculated above)
. I.
14. Gross ceiling are= 1116
15. Ceiling framing area (10% of ceiling area) 111.6
16. Joist Area ( 10$ of ceiling area) 111.6
17. Net ceiling area (Gross ceil. area - joist area). 1004.4
18. U Ceiling: 0.021 Net Ceiliag area 21.0924
19. U Framing: 0.024 Joist area 2.6764
20. Total of item 18 item 17 23.7708
21. Gross ceiling area facto below U x A per code
Factor is .026 for A-1 single family and duplex
.033 for A-2 and other residential
.06 for other buildinga
Factor is: 0.026
BTUM= 29.016 Must be > or = 23.7708
(Calculated above)
..
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NOT AN APPROVED
SITE SURVEY
REUIEWED'FOR TREE
PRESERVATION
COPvtP:.IAhGE atLY
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EAGAN FORESTRY DIVlSION
REVI ED
BY
DATEL ( ? q ._--.--
???_?
CITY USE ONLY r/
. L ? BL ? RECEIPT #: ?
SUBD. &.1 A? DATE:-1-?-
1996 PLUMBING PERMIT (RESIDENTIAL) 19
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NgL TOTAL
Shower 3.00 x . °O
Water Closet 3.00 x 9, o?
Bath Tub 3.00 x . °P
Lavatory 3.00 x /S. O°
Kitchen Sink 3.00 ;( ?3 0?
Laundry Tray 3.00 :c
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 ;c - • C,0
Floor Drain 3.00 :c = ? • C70
Gas Piping Outlet ' minimum -1 3.00 ;c
Rough Openings 1.50 ;< _
Water 5oftener 5.00 x =
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler " home under const. 3.00 =
Alterations • to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
1.41
SITE
)0q-
OWNER
INSTALLER
STREET ADDRESS:h'aCJ?/ / [/,n/4?710?&Qe /l/,
CI • aSTATE: A//U . ZIR?S?'i a5?
PHONE #: (?•? )•_j -? , r/ ?,G??-G?
?aF?EFr1R1T
OFFICE USE ONLY
L BL RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (CQMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ? all commerciallindustrial buildings.
? multi-family buildings when separate permits are DgS required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINYtLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of pgjnj( fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER: _
ADDRESS: -
ciTV:
PHONE #:
STE. #
SIGNATURE:
OFFICE USE ONLY
METER SIZE: ' DATE:
STATE: ZIP:
APPLICANT
INSPECTOR:
CITY USE ONLY
L ? BL ?2-- RECEIPT #: l° °?3d3
SUBD. aV? ?d`1CP?liT DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? New construction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: - ?? E - 't ?,
ri-
? Minimum Fee: Add-oNRemodel (existing residence only) $26:86-
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL -??
yCZ. . S c)
SITE
OWNER
INSTALLER NAME• i1- Pa,• r
STREET
PHONE #: 78.L?z 6
CITY: STATE: ZIP:
T'
PHONE #:
? CITY USE ONLY
L sy
BL o2-? RECEIPT#: /+3e?9v
SUBD. C.-A-A?IG'7.YI,tY.? ?VO'Wi.r RECEIPT DATE: -51 T /n
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for: . single famity dwellings
. townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES FACH TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3;00 x =
Kftchen Sink 3.00 x =
Laundry Tray 3,00 x =
Hot TublSpa 3.00 x =
Water Heater 3.00 x =
Floor D[ain 3.00 x =
Gas Piping Outlet " minimum • 7 • 3.00 x =
Rough Openings 1.50 x =
Water Softener ' kr dwellings under wnsWction 5.00 x =
WaterSoftener `foraxiatMgdwelling 20.00 x =
U.G.Sprinkler 'tordwellingunderconst 3.00 =
U.G.Spfinklef `torexistingdwelling _20.00
Alterations " M existing residence 20.00
Water Tum Around 20.00 =
Private Disposal System ' oak cry iic. 75:00 =
(new and refurbished systems)
Private Disposal Systems'Abendonment 20.00 =
STATESURCHARGE
TOTAL
a o s'c?
I hereby adcnowledge that I hava read this applicadon, state that the Irrfortnation IscorteG, and agree 1o comply with ell appliwble City
of Eagan oNinances. It is dre appliwnNsresponsibility to notify the proparty owner ihet the City of Eagan assumes no liability for any
damages eaused by the Cily durirg iLa nortnal operational and maiMenance -activities to the facilities construGed under this: pertnkwiThin
Cirypropertylright-of-wayleasement. b?? ?DRJ
! 1 d?O nl
SITE ADDRESS: ?
OWNER NAME: iT1'1`
INSTALLER NAME: ^ I'7 C:.C Y---- ?'
STREET ADDRESS: I
ctrv: L'Z? VNe.v`,II?
/o-z o -e717
7ts -2? o d
/'0 U'5
#: 7 ?-2-- 6? 1s
STATE: ZIP: 1 U
SIGNATURE OF PERMITTEE
M
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V '4D01 2006 RESIDENTIAL SUILDING rERMIT arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements
3 regbtered site surveys showing sq. ft of lot sq. il of houu; and all roofed areas
(20% maximum lot coverage agowed)
1 Soils Reporl'A proposed building is to be piaced on disNrbed soil
2 copies of pWn shwring beam & window sizes; poured found design, eta
t set of Energy Calculatlons
3 capies of Tree Preservation Plan H lot piatted aker 711193
Rim JoislOelag OpUons seleclion Sheel (buildings wi) 3 or less units)
Minnegasm mechanial ventilation lorm
RamaleVReoair Reaui2menffi
2 copies of plan showing foo6rgs. 6eams, joists
7 set o( Ener7y Calculations for heated addAions
1 site survey for adtlitions & decks
Addilion • Irdicate ifonsite septic sysfem
23ay 3
Off
ce`!lSs on
CertofSutveyRecd? Y_N
So? Repart Y =N
TraePreSPlari(iecd f Y '.IJ
it6ePresReqmred Y?-=N
664ife'SeplicSysietn
Date I U ! 2 !
Site Address 1 d? p ?/ Construction Cast
p y6 rJ{ Pv '?Ot, ?"Y ? (,e UniUSte #
Description of Work vU0-R rf' !?P v C D;
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2
ProperTy Owner k U i v Telephone #((? 12 ) 7 f(' s??l
Contractor
Address h !a ?7
State ?2?YJ?/'i'i? /T'• /?/.
Zip
:S? ??CU'.(tJTP/?
City
Telephone k (/p57)
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 rype) Submitted Submitted
. Energy Envelope Caiculetions Submitted
In ihe lasf 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plon?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Pernut and aclrnowledge 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 trus is not a permit, but only an applicarion 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 ofplans. '
Applicant's Printed Name ApplicanYs 33gnah?ire
i
2422 Enterprise Drive
?t * *Mendota Heights, MN 55120
't PIONEER LANU SURYEYOFS • qVIL ENGNEEftS (612) 881-1914 FAX:681-9488
y
* engneer n g IAND PLANNERS. LAfJDSGPE MCHIlEC15 625 Hi9nWaY 10 N.E.
.k Blaine. MN 55434
(612) 783-1880 FAX:783-1883
Certificate of Survey for: CLASSIC HOME DESIGN, INC.
1840 DEER POND CIRCLE
?
\ 1?y I
17 27
,
/ ; NS 28
:
sb??94?
^'?N
? 798.3 'Oo,?,O
0
? NWL = 798.0
A, HWL = 800.7
F°Ge
A i
0i1'0 i
o? 'OFR '
801.5
15 cq
T ?'?I \
\ q.y p
/ O .
s? ?\ AF?A\/ , ?
14
+N ad?.a FtiTF4aoa i
pM / 0 ag A?' GqC/?? 49-
C)
807.2 \? ?
?? zg?p?g¢ ?,p Qy??E / O
io.s ?? . ? ?3 ?
oN a ? s? \ o0 33 \ 801.2 Z
NZ ?n X ? 0? ro/p0
r•, fo.
811 p
?7 802. \
PCOF PPE aRqc OG0S / .802. --
=v.=811.47- ?"??jE`FO
S\ 4n j, ? ?? ' hg26Yo?/
°
?
O
[w? ? N ? ppR? ? o /?0 2?00 p 4 \\800.3 y?
f
SERVICE---_
INV.=799.6 0 ?S`?.Q\ 811.5 806$.? ?? ?rllOO.p? 1?
808.9,
809.4
?.°o sos.s
.0 804.2
O EXISTING 1 3
810.0 11. 56?,Ar6; HOUSE
DEER POND ,
CIRCLE 1 0 \`BENCH MARK
TOP OF PIPE
ELEV.=806.62
SCALE : 1 INCH = 30 FEET
* * *
* PIONI
* eng?n
Certificate of Survey for
2422 Enterprise Drive
Mendota Heights, MN 55120
RNO SUPVETIMS • qNL ENGINEEflS (812) B8l'1914 FAX:681-9488
i PLANNEFS• LANDSCRPE ARCHIIECiS 625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
CLASSIC HOME DESIGN, INC.
1840 DEER POND CIRCLE
V'
?
.?•?
NOTE: PROPOSEO GRAOES SHOWN PER GRAOING PLAN BY: SCHOELL & MADSON
NQTE: BUiIDING OIMENSIONS SHOWN ARE FOR NORIZONTAL AND VERTiCAL LOCATION
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND
FOUNDATION DIMENSIONS.
NOTE: NO SPECIFIC SOILS INVESTICATION HAS BEEN COMPLETED ON THIS LOT BY T1iE
SURVEYOR. THE SUITABILITY OF SOq,S TO SUPPORT THE SPECIPIC HOUSE
PROPOSED IS NOT THE RESPONSIBILITY DF THE SURVEYOR.
NOTE: THIS CERTIFlCATE OOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN
THOSE SHOWN ON THE RECORDED PLA7.
NOTE: CONTRACTOR MUST VERIFY DRIVEWA7 DESIGN.
NOTE: 9EPRINGS SHOWN ARE BASEO ON AN ASSUMED DATUM
I
WE HEREBY CERTIFY TO CLASSIC HOME DESIGN, INC. THAT THIS IS A
SURVEY OF THE BOUNDARIES OF:
? E
By
^yl.
'.-S1J?{}i- _n.C -?_
PROPOSED HOUSE ELEVATiON
LOWEST FLOOR ELEVATION: ?? 4'
TOP OF BLOCK ELEVATION: g?zp
GARAGE SLAB ELEVATION: /Z
X 000.00 DENOTES E%ISTNG ELEVATIDN
( 000.00 ) OENOTES PROPOSED EI EVATION
--- OENOTES ORAINAGE AND l1TILITV EFSEMENT
OENOTES ORAINAGE FLOW DIRECTION
T OEN07E5 MONUMENT
9 --- OENOTES OFFSET HUB
TRUE AND CORREC7 REPRESENTATION OF A
LOT 14, BLOCK 2, BLACKHAWK FOREST
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 28TH DAY OF MAY. 1996.
PfONEER
?
P.A.
No.
Use BLUE or BLACK Ink
For Office UseQ I
City of Eap Permit
I C J5
Permit Fee: J I
3830 Pilot Knob Road -
Eagan MN 55122 Date Received: ~~13 l
Phone: (651)675-5675
I l
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: C 1 Site Address: p(~► ~J1 Unit
Name: Q~411s 1r°Pl'14l'1 Phone:
Resident/
F Owner Address / City / Zip:
T { Applicant is: Owner ontractor
i
Type of Work ! Description of work: A- f- q1 st,
Construction Cost: Multi-Family Building: (Yes / N~
Company: xi l~q`XA r( Al COy + C4 int., Contact:
Contractor Addressq 1 Ma1_azps City: S4Y I~f, X4e
s State: ! I I Zip:
sS Phone: 6031-1429 `14,390
I
License Lead Certificate #:N)qT-
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 cl
ssified as non-public if you provide specific reasons that would
F 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.oODherstateonecall 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
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 State Building Code must be completed.within 180
days of permit issuance.
x_ 0 . 'f I_ I 0 ~ Cd/t
Applicant's Printed Name x
Appl' ant's Signa ure
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA120051
Date Issued:01/14/2014
Permit Category:ePermit
Site Address: 1840 Deer Pond Cir
Lot:14 Block: 2 Addition: Blackhawk Forest
PID:10-14325-02-140
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.
Craig Angell
12253 Nicollet Ave. 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 -
Dennis O Hirman
1840 Deer Pond Cir
Eagan MN 55122
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature