Loading...
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