1844 Deer Pond CirAddress . 1844 DEER POND CIR
Lot 13 Blk
5ub si.n.ctcR2.wic FoxEST
Zip 5512?
THESE ITEMS WERE / WERB NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector: ?
Final grade (6" from siding) ?
Permanent steps (garage)
Permanent steps (main entry)
Pemtanent driveway
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing syslem and the shut-off of water supply [o
the outside lawn faucet before freeze potentiai exists.
ContaM engineering division at 6814645 before working in righbof-way or installing underground sprinkler system. ?
Whire - City Copy Yellow - Resident Copy Pink - Contractor Copy
. ?_
I 4
SaIiixg 3xdvcctisx
Tlus Certijtcate issutd pursuant to thc requiremerets of the Uniform BuildFng Code
certifying that at tlu tinte of issuanct this stnrcture was in compliance with the various
ordinances of the Cety regulating bueldiRg coiestrucrion or use. For the fol[owing:
use cbwe SF Di?lG/GAR swg. ae?;i xo. 27431
-:
? oa„pa,cy Type 8-3 U-1 zonm nasu;a R-1 Type crn,st V-N
Ownwo(BW" COLLEGE CITY HOMES Addmn 14750 GALAXIE AVE., APPLE VALLEY,
BWdftAd&m 1844 DEER FOND CIR ?y L13, B2. BLACKHAiiK FOREST !IN ,
55124
Doe:
Buil&" Olfioal
POST IN A CONSPICt10US PLACE
CfTYOF EAGAN
3830 Pilqt Knob Road
Eagan, Minnesota 55 1 22-1 897
? (612) 681-41
? SITE ADDRES:
; : , .,
I i:{ At: K 11 itil•!1
PERMIT
TYPE OF WORK:
INSPECTION .. . .. ?
?
I fl i i i;',
I
i I I , ' I Nii I
I kFMAKK'c- I•:; 1. w rI i 1-11: thN<' F,VA?a c,i N,.
?
?
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
ti 1.11 t rj r N ci
0 11 /4:'t i
HA I'tA l4f;
? ? ? ?' : `" ` d i ?• ?. 1 "; APPLICANT•
? ?? ? i s c?? ??? •
(?F ( I; t•i1Ni1 ? I N ?? i i?? ? I 1; ? ?'IJ . i I:tJ? 1 ? iiN
1?.1 4 s) 11
i-
?
?
Permit No. Permlt Holder Date Telephone #
ELECTRIC ??37 00
PLUMBING ? 4? ?/ •?/
HVAC (l
Inapectlon D6A 1 p. Commenta
FOOTINGS ',/,f/q(p /
r ? ?
FOUND
/
FRAMING
7
.?ru,x
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST ?
ROUGH
HEATING
GAS SVC
TEST `
3 r-°rG
INSUL ? 7 (l (O'o?7?C
o `L?
a? • 4,nX
GYP BOARD
FIREPLACE ?
FIREPLACE
AIR TEST
-G-
FINAL PLBG
-?s9?
-
FINAL HTG
Y -
ORSAT
TEST
l
BLDG FINAL -- - -
BSMT R.I.
BSMT FINAL
DECK FTG
OECK FINAL
1°
?
2 V V-5 3 7A OF? USE NlY Thls rcyaest void 18 monlhs irom volldallon date prinled n ths_6ox
9(o S t T
PLEASE PRINT OR TYPE
Reqoes? Dole . Raogh-in inspenion required2 Ves ? No Inspenion OihnrThon Rougb-Iv: 0 Reody Now?&(?Will Call
/~
,??1 _
1 (You must call fhe inspenor wh n reody) Dak Reody:
I, ?K licensed con}ractor ? owner hereby request inspedion of }he above electricol work at:
t, /Bax, ar R No.) ? //n
lob Add/res?s
(S
tr
ee Ciry Zip Code
?Z Z
,
/
/
L
VT T WKV Y/11z L' C'.?-f1?
Secfion No. Townshlp Name ar No. kange No. Flre No. Coun
?A ?
Ocm t Phone Nc.
Power plier Addresz
Eletln anlmdm ?Company amel ? Confmtlar Gcense No. Master Lic No. (Planl Elen. Only)
9
OJ9
Moiling Address ( anlmcior or Owner PeAorming Insmllo' n)
J I
I/ns/y '?onl
AuMor e ignolure (Contmtlor or Owner Perfarm?in9 Phone o
?
?
L w n A/Q 7`Y'ri Dd-d.LJ
EB-OOOOlA-10 6/95 STATEBOAIiU PY-SEEINSTRUCTIONSONBACKOFYEL40WCOPY _
IIIIIIIIII I?Ij If1l REOUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Eledriciry
N I 1821 L'niversiry Ave., Rm. 5-12 , St. Paul, MN 55104 ?
* 0P H88 S 3 7 4* Phone (612) 642-0800 ??j?''?
D ex Bldg
Apt Oihe? New Addn
.
.
friol Farm Remod R e air
r
Equip. WateHh. Load Mgmt. Other:
e Elc Haf Tem Service
d 6y fhis request Enter remarks in this spore and on fhe back of ihe whife <opy only.
Calculafe Inspedion Fee - ihis Inspedion Requesf will no} be ac<epred wifhout the <orcecf fee:
Other Fee # $ervice Enharce $ize Fee # Circuih/Feeders Fee
Mobile Home Park $toll 0 to 200 Amps 0 to 100 Amps
Sireet Ltg./Tmffic Sig. Above 200_Amps A 100_Amps
Transformer/Generofor INSPECTOP'SUSEONLY TOTAL ?
0
$ign/Ou}line Lfg. Xfmr. f
Alorm/Remote Conirol
$wimming Pool
Irrigation Boom i hareb oeni rhat i?n: ern nn-l'I m' n desEibed he- an tha dates smted
ko,h-ir ?t'""
Special Inspedion oare
t Imesfiga}ive Fee
uic iusrei i e7inN Mn
v BE OR
DERED DISCONNE EO IF NOT COMPL 7ED ?WITHIN 18 MONTHS.
. ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
(+p 557 Q/
BUILDING
027431
04/30/96
SITE ADDRESS:
1844 pEER POND CIR
107: 13 BLOCK: 2
BLACKHflWK FOREST
P.T.N.: 10-14325-130-02
DESCRIPTION:
Buildinq-,Permit Type
?Building W?acak Type
; u?6C Dccupanoy't
Cvnstruction Type
2ani?ng
Building Length
Building W1dth
Building, s1ories .-
SF DWG
NEW
R-3 U-1
V-N
R-1
64
46
2
2,077
101 1 - FAM. DETACH
REMARKS:
S & W PLBR - GENZ RYAN PLBG
FEE SUMMARY:
VALUATION
Base Fee
P1an;Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$1,322.25
$661.13
$93.50
$900.00
100
i
$2,976.88
$187,000
MISCELLANEOUS $1,923.50
Total Fee $4,900.38
CONTRACTOR: - Applicant - sT. LIC.OWNER:
COLLE6E CITY CONSTRUCTION 14311211 0001209 COLLEGE CITY HOMES INC
14750 GALAXIE AVE 100 14750 GALAXSE AVE 100
APPLE VALLEY MN 55124 APPLE VALLEY MN 65124
(612) 431-1211 (612)431-1211
I hereby acknowledge that;I h:ave read this appliaation and state that the .
informati n is correct and agree to comply with all applicable State of Mn. '
? Sta] tu?^?e nd'C ?rf Eagan Or,di?iances.? ?
ILICAN7 MITEESIGNATURE IS'nUES?I YALv-
U?l,? /
----------------
' CITY OF EAGAN -s 419 Dr? _51
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) voffpet
681-4675
New Construdion Requirements Remodelrt?eoaiE Reovirements
? 3 registered site aurveys ? 2 copfes of plan
? 2 eopies of plana (indude beam 8 window sizes; paured fnd. design; etc.) ? 2 sNe surveys (exterior addiNons 8 decks)
? 1 energy cakulations ? 7 energy calalationa for heated edditions
? 3 eoplea of tree proservaHon plan if lot platted after 7!1/93
mqu,red: -Yes - No ID?0,00??
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: t? i_f4.a -VUY lu- W(,VI
LOT ?"? BLOCK ?. SUBD./P.I.D. #:
PROPERTY Name:
OWNER
CONTRACTOR
ARCHITECT!
ENGINEER
-ey; MN-.WtY#
(612)431-121Atate: _
City: '-
u.,
mR
Phone #:
Street Address*
City: State: Zip*
Company: ' Phone #:
14750 Galaxie Ave,
Street Address: p Suite 100 License #• ?
r
Company:
Name:
Zip:
Phone #-
Registration
Street Address•
City:
Sewer 8 water licensed plumber: l ltly 1L
change are requested onoe permit is issued.
I herehy acknowledge that I have read this application and state that
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
State:
Penalty
Zip:
address change and lot
is corr#ct ar)Ei agree to comply with all
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
Valuation:
Zx Z 4"2-
22,-sZ
y x 3?.SS = ?S
zy
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
?02 SF Dwelling o 07 4-plex ? 12 Multi RepaiNRem. ? 17 Swim Pool
0
03 SF Addition o 08 8-plex ? 13 GaragelAccessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 _-plex ? 15 Deck
WORK TYPE
?31 New o 33 Aiterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. 137-1 MC/WS System ?
(Allowable) ? Main level sq. ft. T 3S- City Water ??-
UBC Occupancy 3 u- Z sq. ft. 13s? Fire Sprinklered
Zoning - sq. ft. PRV
# of Stories Z s?,... Sq. ft. Booster Pump
Length Z,_ sq. ft. o/
Census Code.
Depth y&, Footprint sq. ft. "z077 ^
SAC Code
Census Bldg ?
SxB,G? Census Unit
APPROVALS ?
Planning Building Engineering Variance
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
SIW Suroharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other Copies
$ &A5
Z,71x ?.?7 ? 2O
?r-
l, 33sX 5?? ?
.R
?
?-
(,
?
?l ; J`X ao = l&o
??/S13 ? ?= yy??
z98 x
?N• ' ?,3zi- zyrs = /? oZ3? ?S =
Z? z Zs? s ?s
zx ?y
'?
,
Total: sz
2",'f
y :
-
„
% SAC ,_,
Z.1T/IS.JT' ??
SAG Units
2.6]x1f.L?` Jo
zo
,
?
?3?Xsy=
.
,
x
(ere,z.?? =t??s> 72 ? C? o0
3X?z = 3?
Zaf?/ 69 . v33
Z X l rf. (a7 _ ??
•S3n ? ?-
?r 3x
i
?
°z
?O ?
zr'? ?
o"o ?
lf? ? ?
m'cl ?
Cd- ? ?
ca?- ? ?
C3'? ?
ff-- ? ?
[5`? o
PROPERTY LEGAL:
DATE OF SURVEY:
IATEST REVISION:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• Buiiding PermitAppllcaM
• Legaldescription
• Address
• North arrow and scale
• House type (rambler, walkout, split wJo, splR entry, lookout, etc.)
• Directional drainage anows with slope/gradient °•6
• Proposed/exosstlng sewer and water services & invert elevatlon
• Streetname
• Driveway
ELEVATIONS
'stin
? 0 ? • Sewer service (or Proposed)
gr'?O 0 • Property comers
zr'o o • Top of curb at the drnreway
?i Gr' c3 • Elevations of any exdsUng adjacent homes
ro ose
121? 13 ? • Garage floor
IT' o o • First floor
o' o o • Lowest exposed elevation (walkoutlwindow)
@" 13 0 • Properly comers
o ? • Front and rear of home at the foundation
PONDING AREA fif aoolicablel
? M 13 • Easement line
d o o • NWL
6- ? ? • HUVL
mr? 9?-fl • Pond # designation
0 0 0 • Emergency Overtlow Eievadon
DIMENSIONS
2r' ci ? • Lot IinesBearings & dimensions
Er 0 ? • Right-of-way and street width (to back of curb)
cr- 13 [3 • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. p.e. all structures requiring permanent footings)
Z, ? O • Show all easemenis of record and any City utilities within those easemenis
O1- 13 0 • Setbacks of proposed structure and sideyard setback of adjacent exissting structures
0 o/ 13 • Retaining wall requiremep45'if any .,,
Reviewed:
January 1996
CRA1079DBI8LDOPRMT.FlA
LOT SURVEY CHECKLIST FOR RESIDENTIAL
1tx
Kh
)NNECTION
.IT TEE
ALVE
WYE
S- 0+6C
795.61
?
??
WYE
S-I+gl
79iJ2
?
?Q oo A.
?
Gas GAjfE VALVE
WYE S- Itg6
BEND 7%•59
1+6
WYE '??'
S-1+54
799.52
a
: _ _ . .
0 WYE
? 7950.72 3 DA/??I, ..
A ? ..:=?J l.e ? . .
`
. .: _ .
? ? ?... ?_ "._. ? "!"IC,'•J 0 111 Ti-iE "i I ,--
UCT .
m ' SERVI
MH 21
OVER `
G 9 VCP SAN. SWR. ?
792.50 ( VERIFY PRIOR
TRUCTION)
\ ?=
BITUMINOUS SURFACE
:D BY CONSTRUCTION
` RESTORED TO ORIGINAL \ EX MN
'ER CONDITIpfy 1 = ?
? SANITARY SEWER AND WATERMAIN
SERVICES SHALL BE INSTALLED 15' ?
W
INTO ITH CROyESTANDARDCDETAINSEIN
SPECIFiCATIONS. O W _
? m
SEE
/-- EX :
? - -
N 4 I10'
A.
N .
. ti .
. ? . . .
. ' . . . .
?
I . M ,
N
m ? ' '
• V .
M. .
• N OD .
: : .
.
....... ? H ?
' •
.............. • .
....
......... F ........................................
?o......
........ .
...... .
...a ...
.................
3.52 D/O....
. ........................
,60, PuC ? INV. 798..33
I .
•INV 792.7 E •
?. . . . . . .INV.792.5. N$S . . . . . . . : . ' ? • • .
? ......... ..........................................
: : fJ i 1'
. . . . . : . . . . . . . . . . . . . . . . . . . : !`. . . . ..: . . :_r_?.::;?I•ni.;?;.. , ., • . ?. . . . . :
?. . . ......
: : : i..: _ . ,...:."s i?;'•: PUHPOS,?j
USING Ir SHC,.l1.! : . :
.-.-?J;,,' CiN TH17 SiT!= : . .'
....... .
..................
0+00 I+pO ...... 2 ....+00 ..................................
7,1110N. OR
RECT SCHOELL ----
& MensnN iNr
7 MER PONa` ? CIRCLE - ?
12° APRON W
4 CY 7
RIP RAP?'YPE?!11 ?
STINC
IITARY SEWER
MM 6 OVER EXI3TING
SEwER AT 1NY 803.88
TO CONSTRUCTION)
STORM SEWER SCHEDULE
ORAINAdE
a UTILITY
EASEMENT M
RUCTURE i PLATE TC INV CAS'i1NG IYPE
C8 71 232EE 797.00 793.78 NEENnH-R306T/
CH 12 230CC 797.42 793.76 NEENAH-R3067V
CH 13 230CC 797.42 793_56 NEENAH-R3067V
C8 14 230CC aif.N 818.53 NEEN.w-R3067V
CB 75 232EE Q'ti•? 818.93 NEENAH-R3067V
SidH 4 230 678.00 797.72 NEENAH-1642-1YPE B UD
SMH S 230 805.00 801.00 NE£NaH-76a2-TtPE 8 UO
SMH 6 230 811-DO 803.88 NEENAH-i642-TYPE 8 lID
SMH 7 230 800.00 793.66 NEENAH-1642-TYPE B L10
C8 lA0. 2jodc_. &j,4.1o aaeo NEENAH- R?le4TV
13 nrv e?2
ij
? .
/ ?2?
I
L?
I
J
24-12"RCPC 4,I7X.
- ?% DIICEevos?
.
EXISTING BEAVER
?
• EDGE QF
?'NETLAND
.
SEE GRADING PIAN
FOR DETAILS
?_ ,. ... ! .., .,..
; ?S_•?. ?, i ??s
i.. . . . ...,.f . P?1RPOvEJ (Y"i..
,_.. .,.?? U?:ING IT SHOULD
OPJ ON TNE SlTE.
m
?. . .
:i. . .
-. . . . . . . . . I . : .. . . . . . . . . : . . .
................, ....
.....c?r ................:....... "
............:830
? ad'-rz"RCpot.o%
,,_ , ............... ..........:.........:8 2 0
nvv e1843
B18.53 ? ? • •
PROPOSED GRADE :
.... ' .............. .............
.:.........:..................810•
: : : -•24'- l2" R C P TOP'OF DiKE
: : ' • ? 4.1T 9's ?06.50 .
N 903.68 EXISTINy GRAOE 12"APRbN ?
° - • . .
...............
: ? . . . . . . . . : . . . . . . . !2"APROM. . • lNV eoa.oo- :
.
..... nee avr;oo...........6o0
. ?,
•?
'N
m
U
U F"
'a i ?. . . . . . . . . . . . . . . . . . . . . . . .
? m •w_12• •
RC P m 16.6696
. 55?T12?? : : ? . • : :
. . . . . . . . . : . . . . . . RG P 0 2,67 % , , . • ? : PU1G END , .
.......... .... ..... ? ..............:
. : I INV 830A :
: ; ? ' • ?
. . . . . . . . : REV??ED. . . . . . . . .
?
INV ?
s ?
I eis.3s : ; sm.o :
. .: ..: ?
;ITY PROJECT. . . . . . i . . . . . . . . .
PU, j
?•0 E .?,.
N0. 95-5 ; C s
. . . ' `. .. ;,; t.€SeNG IT ;HOULD VE,;?fr Y
• . . ? :.,;:;;?';f??ONTHE_SITE:.....:
.............. 7400.................
?ROJECT NAME/SHEET TITLE
RI e rl[w e Wr enueoolr
;.
;
EXTERkOR ENVEIOPE AVERAGE "U" COt1PU7M';ON
04lNER ?
S1TE ADORESS
GON7RACTDR UATE
_ PHONE • y2) 1-12- 1 I
Oetermine working square footage of each.
1. Total exposed vrall area
ZOI_ sq.
......
ft.
x_?_
° zzz-
2. Total roof/ceiling arca ..... 1'?33 sq. ft. x?oZl?
Total er.posed wall area a6ove floor ='Lolq
a. Total wa11 %aindow area ..............:............ 2 S 7
b. Total door area ... ...........................
t. Total sliding glass door area ...................
.. --
d. Total fireplace wall area ........... ..: .....
e. Total wall framing area (average 10%)............ 15
f. Total net wall area above floor ...............:. ?7-
g. 7ota1. rim joist area ............................
Total-ekposed toundation area
0
. Toal l net foundation
1 ........:...
areaaabove.grade.
Determine "U" value of each wall segment.
25-7 X
a "u" .3A.b ° g°I -
. .
b• x NUM r IZg °?
c 40 'X "U. ?-
d. - X uUu ?.. ¦ ~
e. 5 X "U" •09Z " ?_
1? I?J 1? "' MUp
9, I 31 x „?„ , p_
11• .. _ O X MUH Q
-?--
t. x „u„ ,o e ?
3 ........................:............ TOtdl
If item 13 is the same as, or less t}ian item 11, you have met the intent
of 56C 6006(c)2.
,
Total..exposed roof/ceiling area a ! 333
J. 7ota1 skylight area ............................. -•--
k. Total roof/ceiling framing area (average 10X),., ?t•??
? 1. Total net insulated roof/ceiling area........... ??G q
Uetermine "U" value for each roof/ceiling segment.
. ¦• ??
I111
A V M11
V
k• ?9J A V Fl/
1111 V? C s'J?
?•_ .I i"1?' x MU1j ? OZZ ? Z6 .7/F5
a ..................................Tosai R ?l
If total of 14 is the same as, or less than :2, you have met the intent of
SOC.6006(c)1, .
Alternate Building Envelope Design
To utilize the total envelope system mathod, the values established 6y the
swn of items 03 and 14 shall not be greater than the sum of items :l and 02.
1• + 2• p .
3. + q, a.
K ?A u Y?l1L ?Y/r/'1?r 1 .71S?.y?rro-
r/VII _? '-2.
AI1NDOW AREA :
TYPji OP W 1 NDG?N :
0/8Of fN$UL. ei4ASS
TN[ WiNOOKJ UulTS /{AVt 91f4 Ti3rt'O RO;. "lt?VAa.?.sL? tMIY Aec. Aa 466190
nOoJ?c 4qc ?4y O1 Assi0Vto .,A Au?yN [aArt) Vsr..wc.
I?IC?Mp+uG AIR rILMS
S II1211
FObtNAA71oN yVINOoW /ARZA:
.r..
TyPc or lh'IP40ow :
TNL w)"noW u+hnN-ViG BLW rC3rtPPaR?R6 V,uxe, n?#.YARt*s tibiR3 AOAvIL w?lD
MlY YI A611fyNL0 A D??i6.rG??'4J VA44L bR ?,Qwr _ IaIC1.4D?l??/
A1l PlL-M! .
ILi: 004.. • 1/ ""
. /'oor.?e.4 + Feerwp[ 10 ?
J`' L1DINq (?LASS DoR ARfrA : TYPL af DaOR:
? . S?g lNSUL"G•c...
y4,jPW4 4(,435 0001tB NrVR OiRP{ T4s'rLO FoR"R=Vr1&•K=y T?CY'Ut'? uc? LIyTt0
rerr.
ADO?L Aa10 MAy Q!6 n3s'yNtiq A DIiI?IF4GfAP9) YALKL OR??.''Z69
AIC FILxlS Fve 06 4
?.1y? . v'ha a 1/ ' ?
DoaR i1RC ^: 7YPr QP LbaR t _
-('N erzM ^ Tizu
(]COQ UNIY3 HAy4 6L6.N TLSTlP APJp OPouVP To F+AV& AN
'R'-VAuH? dl' ANfj Alit 0I6MJ,
./Zs
'`'JPEGlALS : ryPE. :
r---
Fmrn4 L X:4 ----- _--
FbRM L-0 ,.A.?GJT;i, wrW '??N1:" --
CITY USE ONLY
' L ,? BL oZ RECEIPT
SUBD. (yRUectc.?lO.u?i2 ?s?eP? DATE:_I"?
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos whf;n permits are required for each unit
FIXTURES EACH rLQ, TOTAL
Shower ' 3.00 x
Water Clnset 3.00 x
Bath Tub 3.00 x ? -
Lavatory 3.00 x
Kitchen Sink 3.00 :c ? = T
Laundry Tray 3.00 ;c
Hot Tub/Spa 3.00 x
Water Heater 3.00 :c
Floor Drain 3.00 x
Gas Piping Outlet ` minimum - t 3.00 :c
Rough Openings 1.50 x
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. Ifcense 65.00 =
(new and refurbished systems)
U.G. Sprlnkler " home under const. 3.00 =
Alterations " to existing 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: 6t-elb
OWNER
INSTALLI
STREET
CITY: Z2?/,U'?f' STATE:? ZIP:
PHONE #: - V
CITY USE ONLY
L _? BL ? RECEIPT #:
SUB4?nPIWniJ , y/erT,¢n DATE:-
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: • single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
fidd-oii air cc;nd;t?uning A
dd-on air axchunger, i.a. Vu:;aa systern, eta.
Date: 2
? Minimum Fee: Add-on/Remodel (existing residence only)
? HVAC: 0-100 M BTU
Additional 50 M BTU
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge
TOTAL
SITE
OWNER
INSTALLER NAME: ??/ // -
STREET
??
$ 20.00
24.00
6.00
?
??• ?
.50
PHONE #: ???_ 0//
CITY: r 1L,'??%YI??4?1 ? STATE: ?I/ ?' ZI P: ??C?% •
PHONE #:
SIGNATURE OF-PER,Mrn
Surveyor's Certificate
I
SURVEY FOR : COLLEGE CITY
DESCR I BED AS • LOt 13, Block 2, BLACKHAWK FOREST, City of Eagan, Dakota County,
? Minnesota and reserving easements of record.
. ? k6,
6
P O 0?? s l
O
°? °i?
? u r?
„A,?? 810,b `
810,
814.b
\'
!
i
GWO.
\
N?
?
a S9 ?
os. ?
S9
Z
Pr ?
,xm io
?. ? O
JP` ??
00
`
?
?jB $?00 werLAxO•2 W
nw" 798.e
?P NWLc Bp?.? O
s g?o•I ?-'
n o
0?a ? f/`) o .
z
? -,.7
?
?
S \ If,?
a
e,,.
I812.1
?
g 19"pi0 804.7
?g
i^
0
?
I?
z•R? m
6 ? IN
?64 98 \ \ \ ?
y
q.. ,
Lor sQ
PROPOSED ELEVATIONS
Top of Foundation = giq,{
Garage Floor = 8137
Basement Floor = 8053
Aprox. $ewer Service = 79q,c,±
Proposeii Elev. _ ?
Existing Elev. _
Droinage Directions =
Denotes Offset Stake = •
GZIRD&OGVID
PfAJPMN6 BNldNBBRfNG Si/RYBYING
9201 East Mamrnington ? Y
Bloom„ an. MN 334
Phanx (812) 888-0289
FOOTAGE = 21,
SCALE: 1 (nch = 30 feet
W
AP-27 803r
NW 1- = gp3A
xw?= 8(35.2 h6
E ?,L
0
0000, , g3
1
? 6?
BENCHMARK, TNHCD ia,is/2
Elev= 811,90
MIN. SETBACK REQUIREMENTS
Front -zo House Side - ro
Rear - iyA Garage Side- 5
I HF7iEBY CER7IFY iHAT iH13 AS A TRUE AND OORRECT REPRESENTATION
or me eaur+oAPoes aF nE neove oESCRie¢o PaovExn As suRVErEo
BY ME OR UNDER MY DIRECT SL1PERN90N AHD DOES NOT PURPORT TO
SHOW IMPRONEMEN7S OR QJCROACHME!l75. EXCEPT.AS SHONN.
DAIE S/Ly-%
U. IJNDCDl, LAW SURVEYOR
ITA LICQlSE NUMBER 14376
N0:
9bR- Iob
: PAC
FILE:
cC9 b
Use BLUE or BLACK Ink
r
For Office Use
I I
City of ~a aPermit#:
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: °►Z-
Phone: (651) 675-5675 j Staff:/ I
Fax: (651) 675-5694
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: a J ~ ~ l yq z Phone:
CSI
RESIDENT ! } l{
OWNER Address/ City/Zip: --I c~
Applicant is: Owner Contractor
Description of work: PC-ZG_ 6Y0 F
TYPE OF WORK
Construction Cost: Lo" C Multi-Family Building: (Yes / No )
L- I ~ V,4
1° 4-"6tfc~'~ ~Contact: v ~f"~" '
Company: UZ t~P 4l "
CONTRACTOR Address: City: PLY2`° ~
State: ( Zip: Phone:
License Lead Certificate r i+_1 -
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the 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.gopherstateonecall.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 C de ast be completed within 180
days of permit issuance.
Applicant's Printed Name Appli n 's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132056
Date Issued:07/22/2015
Permit Category:ePermit
Site Address: 1844 Deer Pond Cir
Lot:13 Block: 2 Addition: Blackhawk Forest
PID:10-14325-02-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Scott M Strahota
1844 Deer Pond Cir
Eagan MN 55122
(612) 518-1952
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature