Loading...
1848 Deer Pond Cir Jul.17.2011 09:02 PM PAGE. 2/ 2 Use BLUE or BLACK Ink For 01k* Use l I 1 Perms City of Bap ; Permit Fee: _ - acs _ 3830 Pilot Knob Road l l Eagan MN 55122 lI Date Received:. I Phone: (651) 575-5675 Oltzi Fax: (651) 675-5694 t_ Staff: 2011 MECHANICAL PERMIT APPLICATION Date: - 7 Site Address: / S y~J F= F_ . i'- 1 r•~tt1 G~ 1 f}• Tenant. Suite 0; i RESIDENT I OWNER Name: Phone: f Address I City 1 Zip: _ I r Name: [ .F17i rti'~t lL~] } 14 S` ! u i' 1') !2- License Address. P C' t 1< CityC-~~ s t . f ~t i CONTRACTOR' [ f- State: M r-~ Zip: 4 k, Phone: k- ( 7• - 3 ] J 7 3 i t I. 1..r Contact' 1 C."n F,mail alt, 1v-e. r_; r• r ~ } r_ i I i -New, _ Replacement _ Additional Alteration Demolition TYPE OF WORK Description of work: NOTE: Roof mounted and ground mounted nisechanical equipment is rrquirad to be ocfterted by City Code. Pisses contact the Mechanical Inspector for Information on penniited screening methods. RESIDENTIAL COMMERCIAL l 3 i Furnace Now Cvnstructiori Interior Improvement Air Cunditioner Install Piping Processed { PERMIT TYPE I - - Air Exchanger Gas Exterior HVAC Unit I j Heat Pump tinder I AWve ground Tank { Install I Romovn) 1 Other FEES: ~ j $55.00 inim m Add-on or alteration to an existing iri8 pncludas $5.00 State Surcharge) i $95.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE ' COMMERCIAL FEES: h $75.00 Underground tank installationlremoval OR Contract Value $ x 1% r $55.00 Mininiurn (inc judos State Srrchargo) . $ Permit Fee I 11 the (;.ggpli L= is leas than $10,010, surchaW rs $ h 00 $ ' Surcharge If the Permit fee is > $10,090, surcharge increases by $.50 for each $1,000 Permit Fee Z (i.e. a $10.010411,010 Permit Fee requires a 3 5.50 surcharge) _ $ TOTAL FEE GALL BEFORE YOU 010 Call Gopher Stall One Gall at 1ti61) 4644W2 for protection a9saw underground ud ty dome". Cat 48 hours Wore you Intend to dig to receive locate: of underground utlUBaa www,oopherstate4necail.4la 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 t.:agan, that I urKtarstand this is not a permit, but only an application for a permit, and work ig not to start without a permit, that the work will be W au:Wrd4Anczy with the approved plan in the case of work which requires a review and approval of..pterts \ L"r-YV -A Applicant's Printed Nrr,rne Applicant's Signature FOR OFFICE USE Required Inspections: ROVW*+d By: Door. Underground _ Rough in Air Text _ Gas Servim Test _ In-floor Heat -Final HVAC Screening Use or BLACK Ink / I - For Office Use Ny of Eaedfl Permit I 1 l Permit Fee: .(03 I I 3830 Pilot Knob Road Eagan MN 55122 C- C Iz- I E D Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 i StafI f U 1 j 1 I 2011 RESIDENTIAL BUILDING PERMIT APPLICATIONLY~ Date: Site Address: Name: -rl f- C-C Phone: RESIDENT / ~ OWNER Address / City / Zip: q rh o C t rC Applicant is: Owner Contractor TYPE OF WORK Description of work: R'k Construction Cost: -7011 4, eqe d Multi-Family Building: (Yes ! No Company: 1 (e~S c ~j l ~,-g f Contact: CONTRACTOR Address: -c e/ 11e T/'( I City: %z). ? U, 1(3c 7 State: f r « Zip: ©y Phone: / Sa 8"( 2' 3o License 42= 3 5-F~ Lead Certificate 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: Ucensed 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 speck 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. I hereby acknowledge that this information is complete and accurate; that the work will be in coMor mance 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_ r ~a . l l C h X , , -a, ~ pp Printed Name App icants Signature Page 1 of 3 194 D kq-c NOT WRITE BELOW TH S Porlctciv- DO INE ~ 1 ■ SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) Storm Damage Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/GazeboMergola) _ Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous _ 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 *Demolydon of entire building - give PCA handout to applicant DESCRIPTION Valuation 000 Occupancy MCES System Plan Review Code Edition SAC Units (25°x6_ 100%4 Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: Stucco Lath Stone Lath Brick Fireplace: __,_Rough in -Air Test -Final Windows Insulation Retaining Wall: - Footings Backfiil Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge ~Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Address 1848 nEEP PcRID CIRC7.E Zip 55122_ I.ot 12 Blk 2 Sub N.a.?wK FouESt THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INS CTION. Date: S7 & 99 Yes No Inspector• Final grade (6" from siding) Permanent steps (garage) Petmanent steps (tnain entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUwrb damage Porch Basement finish Deck Please veri£y with the builder the remova] of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. ContaM engineeting division at 681-4645 before working in rightof-way or installing underground sprinkler syscem. White - City Copy Yellow - Resident Copy Pink - Contrac[or Copy ? a Keftificate of Cccupaxco Witv of Wagan TeVartaeut of Iftitbing auoeccipn This Certificate issued pursuant to the requiremer+ts of 1he Uniform Building Code certifying tirar at the time of issuance this structure was in complianee with the various ordinances of tfce Ciry regutating building construetiorr or use, For 1he follawing: . Use Ciassification: AC17 TL1"` Bidg. Permit No. ?? 1. Occupancy Type R3?fl?Zoning District 12 ? Type Consi. VN Owncrof BuildinE PTF'IKM 1I17R.S AddressP ? BOX 218, LAKEVI'LE Bui6ding Addtess 1848 DEER POND ? I.otaliry I. 12 s B21 ELAaUM FOPM / Dxe- '?uil?rtg Official POS7 iN A CONSPICUQUS PLACE ? CITY OF EAGAN 3830 Pil t Knob Road Eagan, f?innesota 55122-1897 (651) 681-4675 ? SITE ADDRESS: 3 ' ??.. PERMIT SUgTYPE: APPLiCANT: ? „ ? . . ,a,,•; ,;??.?.? TYPE OF WORK: INSPECTION ? , .. . .• ---------------- PERIVIiT TYPE: Permit Number: Date Issued: I ; ; I ? N kU viraitra r.'t lfAY1VE M1ill t l:l II P I IlMltt ii MA ( I 6f6 I.J ItApl( t t` Permk Holder Date Telephone # SEWER/ WATER PLUMBIN HVAC dal ou-s?I',?'?J' Inspection Date Insp. Comments FOOTINGS a/31Q G? FOUND -? FRAMING ROOFING ROUGH PLUM8ING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AlR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER (RRIGATION METER FLUSH MAINS coNDucTivirv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL PERMIT CITY OF EAGAN 3830-Pilot Knob Road Eagan, "vlinnesota 55122-1897 (b51) 681-4675 PERMITTYPE: Husi_orNr Permit Number: Q 3 4 3 k71. Date Issued: 12l 3 2 I98 SITE ADDR 2.818 i;E r_R N() r!1) r.zrt LOT?, 12 BLO(;Ka .'l_ 8!.RC?KhIAWI( FCIftES7 P.I.N.: 10-14325--'1.20-02 DESCRIPTION: aux:lcfi,nC? t'@ i- rni.+. 1"vr) ;:; ?ua,l.dinq Wark Tvne=. Ut3G QucuPancy` Conv-T,riicri.nn Typ.?'. Zorrzrvq ?. 6us.ldi.n.q 4.2nqtilBGi]ti5.ng Wictrkt f3ulld.i,riri sturies ?. Rniuara Feet. c() dp . aP DI„Iti N i W iiz-J .. 1) --1 V PJ R -:l 54 36 2 FU Hi . 0 i: l'F4 I', H s ..I.. ';? .?t ?.. REMARKS: PI.AN REi1S;WED BY lSAYi'Sc ivlIll.f?R. S&W f'LUI+iEtER - f4A1'l"HEIA pAN.I.cL" FEE Fasa Fi.e Piatl R(3V12b) Surchar( ,4 e SIaC I SAC T, SAL' UnSts SLl?1"?6t:?cl.?. l/ ta G,. 0 A T 1 I) N .322.25 J?,85:i e 46 ?59;>.5(13 LJS'? i t 3 ,21 7P :1?.. t; ,, f; ; , 0 0 0 j r) L; ?] J. i e E; $:I-.h92.50 -1.86 7 .7 1 CONTRACTOR; -- ?ppiirailt - ST. LzC- OWNER: PIETSCH BI.DftS T.NC 14693044 000235S PTEI"SCH 13UI1_AERS INC. 0 8 3 IA IdOL'f AVF_' PaQ, BfJX 218 LAKEVIIGE hiiV 55044 I.AKEVTLLE MPd 55044 .r,612) 1169?-3044 t612)1 69 - 3 0 AA I her.ebv aekrro+r2edcIe that; T have read tf7is .appl,zcatiron atid statz: that ritb infiormar.ic,n is correct aiid aqres to aomply tditfi faLL applicable StaLe ot rvin. Statµtes and City q9° Eaqari Oydiraartc:?s4 ' APPLICANT/PERMITEESIGNATURE aiSY:SIGNA r.. 1 .,. ? ...i . ..?_ ?. ., :.,:. , ..,. ...,: i' 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ,3H -3C? New ConstruGion Reauirements CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4675 ? 3 registered site aurveys ? 2 copies of plans (inGude beam 8 wirMow sizes; poured fid. design; etc.) ? 7 8118fQy WIWI2h0113 ' ? 3 copies of tree preaervation plan if bt platted after 7H193 required: Yes X_ No DATE: DESCRIPTION OF WORK: STREET ADDRESS: LOT: ?2? BLOCK: ?'-' SUBD./P.I.D. #: RemadeUReaair Recuirements ",'""`-'L I -? ?) ( -9 ? 2 copies of plan ? 2 site surveys (erterior adtlitions & decks) • i energy calculaBOns for heateA addHiona CONSTRUCTION COST; hl ? WL) Name: Phone PROPERTY Last F'ust OWNER Sueet City State: Zip: ?) rj Iq 9 Company: ?T?C?l7 /?UAA/ZS 4;?,? Phone k: ?? 1? CONTRACTOR /? r? Street Address: /_ ??_ 0c' ?d' Licrose # a3? City ?'c.v ! llk't State: RA-' Zip: ??7 y ARCHITECT/ ENGINEER Company: Phone #: Registration #: Street City Sewer & water licensed plumber (new construction ony): and bt change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this application and state that the infirtnation is correct and agree to Comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant ?alP, OFFICE USE ON Certificates of Survey Received Yes _ No Tree Preservation Plan Received _ Yes _ No State: RECEIVED DEc z 91998 X Not Required $y;7-n OFFICE U5E ONLY BUILDING PERMIT TYPE ? ? 01 Foundation ' ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 02 SF Dwelling )21? ? 07 4-piex CJ 12 Multi RepairJRem. ? 17 Swim Pool O 03 SF Addition ? 08 &plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 21 Misceilaneous O 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE 161 New ? 33 Alterations 0 36 Move ? 32 Addition ? 34 Repair ? 37 Demolftion GENERAL INFORMATION Const. (Actual) VP Basement sq. ft. / 3NN MC/WS System ? (Allowable) vN Main level sq. ft. I 36" City Water UBC Occupancy 3•D? Ll f- SQ. R. / y 7 Z Fire Sprinklered Zoning Pt 4#A, sq, ft. 7 N'I PRV # of Stories ? sq. ft. Booster Pump Length ? sq. ft. Census Code. io/ Depth 3 Footprint sq. ft. 91 SAC Code 6/ Census Bidg ot Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review LiceCise MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W 5urcharge Treatment PI. Park Ded. Trails Ded. Other Copies 13aa a? ?36 Jb UO Ov '? a ?? a y X 2 u ? X 6 = luation: zzy = 2y i3yy $ Total: °k SAC 5AC Units T1f!/n/ X?rvEAS?F= I 3?/N yVlnA C.? ?/JJ ? ?5`? a? Mj X Z ? ?O ? ;.36H XF`1 - 7365b r i3 yX /6= y = lo?? X3?-kr 7y GHR ?o xz4 ? ygo 7N?! X /fa = ! I ?10 ? ' ENERGY CODFIIIkWQRKSfiEET IOR 1& 2 FAbSILY DWELLINGS SITB AUDRES9 _ II - Y ?jpr COHpLETED BYt f I? 1 5GN p1iONS N DATE QUILDIliG CLTSSIFICATIOiJ: ? cat egory 1(utandard) or eategory 1(muet iaalude vantllation) HI17ZHUH CRZTERIA Foundatlon Ineulation-R10 F7allo a Wiadowa Roof Attio Inaulationt Sla6 on Grade Ineulation-R10 (See Eorallowable percentagesy R44-With Attic No llael Floor over unheated epacee-R24 R38-Witli Attic Raieed Iteel Foundation Windowe 1/2" ineulated Claes. R38 4 RS-Solid Raftece -Wood or Vinyl Frame . STSP 1 Window G Doar Arae STBP 2 Calculate erea aa a percent o£ wall A. Total Window 4 Door Aroa in Sq. Feet ' - WINDOWS (Including Couhdation Windowo); , WINDaW HALNFACTURE NAMHi C. From Step 1 divide box A(Window k Door ?S?M?. I? WZNDOW MANUFACTURE TYP6s r? 'Aren) by box 6(total wall area) timen 100 equala Uhe window and door area ae a HItfDOW M7ISOFACTURH U PnCTORi percent oE wall area (box C). - R. O. QuanLity Dimensio e cq.EC.Atea 7- X 100 = ?• C = n [ ? 7? ? ( ? X 9 " F?Ir L- ? _v ? STgP 7 D i P L"LN X 5LO ae gn eaturco ' - P.SSGI4BLY ? 4 ? PRAHING TYPE: Z'_ON x ` 0 STANDARD FRAMING Y otuds 16" 2 Zi u ! o.c. 2 0 x ADVANCED FRNIING ntude 24'0 X 31?0 / ? - o.c. CAVITY INSUj,ATION it1 1 X __ T ' 9IiHATfiIt1G TYPBt - , x ? LESS TIIAN < R-5 . - X R-5 > OR h10RL' X U-FACTOR p DOjrS° (?v$ From tlic table, (reverse eide) Qetermine the maximum percent window 4 door are f Z? X/ 8 ??? ? 1R a or tha deeign optione eolected and enter the t value ln Box D below Uoned on the window mfg. U- --- --- !V Eactor: ? x (p8 _ o 1'ntal Area of n_ g tt Windowe 4 Doore " - B. Total Wall Area in Sq. Ft. The k value Erom tlic Cable in Box D eliall bo cyual to or graatcr than [he k in Dox C Wall Total Ileiglit Arca Perimnter &'6;4: lza 0 l?f?xgy.=l? 7! 4 5 ?7 7ota}il?rea oE Walls - 11= ?p q.(t Wil:- at 'fivU-VAntILY ft(:g• J 11/?L U 0 ni''Ewnut UILUING 1'IlL•5UU1'IIVL (CUUK•UCIOK) I.InxlhlUl.? 1VI14UUfV qNO L)UUlt AItGA Ag p ITiICt,:NI' U nitcn 11 VVUlA4,L WALt, L`.t4JltLhllw? I1?1???tt1lR?u.n,?,?n???i?r?ll IIeW.L 1Juleet 1VInJow uen equale inugh opr111t,g tnlnue (nilaliallon clcateucee. • .'. 1Yhxlow U-Nclnr musl be dclcti,1lntd by elllier Ilu Nal1oiial 1'eneetrallvn li"nling ' Cnuncll elntidnid IUO_91, or ASlltlAp 19931hndhook of fundemenlale, Clmpler21, 'I ?ble 5. . ro?4n•t?„livu terl Ic: v.rt-"----- 1 . • ?S?1?R11A?L1?4u131[t? vl?.u?9 ? .. ' , 0 ? w ? ? V a LC ? ? G3' ? cd?o Gd--, ? ? ? Ct3'' ? mll?O w ? m F i ?i ? ? ? ? ? ? ? ? ? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: DATE OF ZURVEY: / Z ?? ?/ `J ? LATEST REVISION: DOCUMENT STANDARDS • Registered Land Surveyor signature and company • 8uilding PermitAppiicant • Legaldescription • Address • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with siope/gradient °k • Proposed/existing sewer and water services & invert elevation • Street name • Driveway ELEVATIONS Existina ? ? ? • Sewer service (or Proposed) &K' ? ? • Pf0?.12rty COfRBfS &'?O ? • Top of curb at the driveway I;r'o ? • Elevations of any existing adjacent homes Proposed 2"?O ? • Garage floor ? ? • First floor ? ? • Lowest exposed elevation (walkouVwindow) 9' ? ? • Property corners Ca' ? ? • Front and rear of home at the foundation PONDING AREA (if applicable) ? [3, ? • Easement line ? Er' ? • NWL ? o-' ? • HWL ? ?j? • Pond # designation ? d ? • Emergency OverFlow Elevation DIMENSIONS o • Lot lineslBearings & dimensions U'o ? • Right-of-way and street width (to back of curb) [r? ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) 0-? ? ? • Show all easements of record and any City utilfies within those easements 2-? ? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures / ? cy ? • Retaining wall requirements, if any /z < Reviewed: ?r , - ? / a ? Nai 6e d' January 1998 CRA1G1986BLDGPRMTFM L /0 ?, BL SUBD. RECEIPT#: 4e7 Da7-1" RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IINOH RD EAGAN, NAI 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system - -- - - - - - - - ---- - ----------- FIXTURES EACH - - -- -- - ------------- # - - - - TOTAL Shower 3.00 x .a 00 WaterCtoset 3.00 x -3_ _ .oo Bath Tuti 3.00 x 21 _ .oo Lavatory 3.00 x 4.00 Kitchen Sink 3,00 x 1 = 3.00 Laundry Tray 3.00 x I = 3.00 Hot Tub/5pa 3.00 x = Water Heater 3.00 x 13. Floor Drain 3.00 x 3.00 Gas Piping Outlet ` minimum - i 3.00 x 3•00 Rough Openings 1.50 x 3 = *.5o Water Softener ' for dwellings untler construction 5.00 x = Water Softener " for existing dwelling 20.00 x = U.G.Sprinkler 'tordwellingunderconst. 3.00 = U.G. Spflnklef ' tor axisting dwelling 20.00 = AItB2tIOnS ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC rc. 75.00 = (new and refurbished systems) Private Disposal Systems `Abandonment 20.00 = STATE SURCHARGE .50 TOTAL 121.00 --------------------------------------------------------------------------- • ------------------------------ ----- -• ------------ --- 1 here6y adcnowledge that I have read this application, state that the informstion is cortect, and agree to compty with all appliceble City of Eagan ordinances. It is the applicant's responsi6ility to notity the property owner that the City of Eagan assumes no liability for any damages caused by Me City during its nortnal operational and maiMenance activities to the facilities constructed under this permR within City property/right-of-way/easement. SITE ADDRESS: AkR ?di5 ) ?vYl?? f lh,L) OWNERNAME: ?!?sTr3nlf 1 ?YiiJ?J,4.rI? INSTALLER NAME: TEIEPHONE #: _'Y`.?' 3- ,3%30 STREET ADDRESS: ' CITY: ?a.narYd.r.?.C? STATE: ZIP: '53-049 JSlFORMS BLOG/PLBG PERMIT (RESIDENTIAL) 1998 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ??+ 3830 PILOT KNOS IZD 55122 J 651-681-4675 ??p ???(?? mw-..?'`? 12- ? 1 -91 ?j New ConstrucGOn Reauirements Remode eoav eouirements ? 3 registered site surveys showing sq. ff. aflof, sq. R. olhouse ? 2 copies of plan and a!l roofed areas (20% maximum lot covereae allowed) ? 1 set of energy calculations for heatetl additions ? 2 copies of plans (show beam 8 window sizes; poured Fntl. design; etc.) ? 1 site survey for exterior additions & decks ? 1 set of energy cakulations ? 3 wpies M tree preservation plan if lot platted after 7/1193 DATE: I?_ ?zZ +- 1 CONSTRUCTION COST. ?Ot ? O O ? DESCRIPTION OF WORK: PW''Nd ?)h-loYl 6aWmQ,v+ -W1VlL'??)iV1f? STREETADDRESS: rDl1l? V4A. 5 'rJIZZ LOT: BLOCK: ? SUBD.lP.I.D.P./111'C_,lC.1rw1J?L Nazne:_ I{?Yl Phonefii: PROPERTY I ? F;,si - -'~ ?---'-- OWN'ER ??? Y B?I? Street Address: -- n -------------------?7--?-- CiIy - ------------- -- Sta[e: Zip: 1351 ? Compan}: U+?+o& klIU?mj -#'V 6C'1 -- Phone#: _ 10?2- 1v - 36L4 CONTRACTOR Street Address:____ + utkyGi ? ? "'v • _ Ircense #i Z- 35 S Exp,?j=?i hlctii(in? P-0• 1?)ox Zlpj r?i"?yv'uI,?rCil}' -- 'W?-V! ? ?Ks State: Zip: __-J ARCHITECT/ ENGINEER Compan}': Phone Name: _ Regisuation ^-------- Street Address: Ci[7' State: Zip: Sewer 8 water licensed plumber (re(iuired for new construction oniv): '" k' Penalty applies when address change and lot change is requested once permit is issued. :1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable ,State of Minnesota Statutes and City of Eagan Ordinances. ? ` Signature of Applicant: l DFFICE USE ONLY Certficates of Survey Received ? Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required CITY OF FAGFlN ? CASH7:ERe JS TF.-RNfINAL NOe 768 i DATE:: 12/23/93 TIHEe 15e25:03 BUILDING PERMIT TYPE NAMEc F'SETSCN HlJIL6EF5 INC. ? 01 Foundation 0 06 4-plex ? 1' 3210 9001 1848 DEER F•oNn E10.00 )rch (3-sea.) g 02 SF Dweliing ? 07 5-plex ? 1: 2155 3001 1.848 DEEF POraU 0.50 )rch/Addn. (4-sea) ? 03 1 of _ plex ? 08 6-plex ? 1: )rch (screened) ? 04 2-plex ? 09 7-plex ? 1A ;orm Damage ? 05 3-plex ? 10 8-plex ? 1; iscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr its/Fascia ? 32 Addition ? 36 Move Bldg. 1ota1 Rece; pt qR,o„nt ; E,p.5D 'oors A 33 Aiteration ? 37 Demolish Bldg. CRt21.865 ? 34 Repair O 38 Demolish (Interii i1SE,k :CL+: JAN GENERAL INFOR MATION Const. (Actual) N Basement sq. ft. ??z? Census Code y 31/ (Allowable) Main level sq. ft. SAC Code ?L LJBC Occupancy sq. ft. No. of Units i Zoning sq. ft. No. of Bldgs ' # of Stories - sq. ft. MC/ES System Length sq. ft. City Water Width ~ Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Pianning Building 7" b'U Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License ? ?'jt?Y) X ?s MC/E5 SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit SlV1! Surcharge • , Treatment PI. - Park Ded. Trails Ded. ? Other Copies Total: SAC Units ? ??g L ? C[TY USE OiYLY LOT 42' BL ? RECEIPT #: _ SU[3D.CAC??GC.K?? cy"? RECEIPT DATE: _ Air conditioning 1999 MEcHAlvtcA[. ?ERMtT fREsinENr[ALa crrY oF Ews:aN 3$$0 PILOT KNOB RD £.44EiAN MN 55122 ?y ?q (651) 6$1-4675 Date: o? Complete this section onlv if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 30.00 I ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) • 60 • State Surchazge: .50 • TOTAL: '50 Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. _ New _ Replacement _ Repair _ Other Furnace Air exchanger, i.e. Vanee system, etc. Remil ider: Ca11 681-4 6 75 for inspeetions. SITE ADDRESS OWNER NAME: _ INSTALLER NAMD STREET ADDRESS: CITY: ??VYI ?-?> 14 ?- ?-q`? Other $ 30.00 State Surcharge: .50 Total: $30.50 ?tA PHONE #: ..r?T ,Z ? dg? P PHONE #: v D k aAli ?N IP:? ]S/FORMS BLDlMf:CH PERMIT (RBS)- 1999 OF L gL --)- CITY USE ONLY RECEIPT #: f?) ? S SUBD. Cl-??\? RECEIPT DATE: ?? -I - 00 - PERMIT # J 6l D.?j -P 1999 PLUM$INH PEtMIT (P.ESIDENTIlkL) crrY oF eaeAx 3830 Pu.or xxos Rn EABAA. MN 55122 (651)6$I-4675 Piease complete for: ? single family dwellings ? townhomes and condos when permits ara required for each unit ? 6ackFlow preventer for underground sprinkler system FIXTURES EACH # TOTAL r Bath tub , $ 3.00 . x = $ Floor drain ? .._....__.._..- 3.06 -- x = $ GaS i in outlet ` minimum - t 3.00 X = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alteretions to existin dwellin 30.00 x = $ 06 Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installationlre air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water Softener if dwelling under construction 5.00 x = $ " Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e 50 --> ----> ---> $ 50 Total --> --? ----> °--> $ 30-azi Reminder. Call for inspections of alteratians, i.e. water heaters, water softeners, etc. ---••---------------------------------- --------•-••---••----------------------•-----------....-•-----•--------------_..------- I hereby acknowledge that I have read this appiicatlon, sfate tl?at the infortnation is cortect, and agree to comply with all applicable City of Eagan ordinances. It Is Ne applicanYs responsibiliry to notify the property owner that the Ciry oi Eagan assumes no liability tot any damages caused by the City during its normal operational and maintenance activi8es to the facilities wnstructed under this permit within City propertylrightof-way/easement. SITE ADDRESS: OWNER NAME: : TELEPHONE #: (05-? 99Al - 68?3 (AREA CODE) . INSTALLER NAME: TELEPHONE (AR/CODE) 1?3 _ le%-30 STREETADDRESS: /6'.13 BA,h.viralD yy"./.? 4 CITY: STATE: ZIP: 6'SD(o? ? SIGNATURE OF PERNII4E V (?prltf tratr prepared for: LT,.e Aacn;,pb,l,, 0 ?. "?,• : hub e]dvolion = a m -- \ La b > ? e,03 6? \M1,9 CARAC!' 9 ' ? D' a? 1?SM1 _ l0 2569 _ , ;.. m ? ? `? '?{1 y"d?.•',?P? ° ; ?4a ??'L '• ??y'I 5 ` M? 4 \ ?? - - - ?''.??' ?II x a ? ? ?- LOT \ 11 ? r0 ?p = \ hub e%vation BENCHMARK.• &. &.d.,y 91?" PIETSCH BUILDERS, INC. LOT 12, BLOCK 2, BLACKHAWK FOREST according to the recorded plat thereof. DAKOTA COUNTY, MINNESOTA ? ? V ADDRESS.• J'Py'p ? DE£R PONO C/RCLf g EAGAN, MINNESOTA u hub e%vofion = 0 f § 12/16/9B ?li?l?Pl? SCALE : 1 " = 30' LOT 13 ? S s,?o , c9?2 1 tSS hub elevotion = -- A 196 ? ,--?,?-- / I ? ??C '„yrZ* DRAINAGE & UTKITY £AS£MENT PER PLAT 6 ? ° ?J%?. LOT ? 12 ? 'a -? i ro f ? 5 ? i y o ? ' 0A 1?$ g1 ? ? Let 6, (bGaR, 1, a ° ?" LOT._ 10,. M,xiGz- 826.54 6?0,053, ? BLOCK 2 ? LOT AREA = 14,708 S.F. FOUNDATION AREA = 1,952 S.F. VERIFY ELEVATIONS & DIMENSIDNS PRIOR TO ? CONSTRUCTION .o Denotes iron monument " eea.s ¦ Denotes existing elev. WP i t f C J r P tt ?C ,l 8 S II r t M t P S, .J lt r. (987.0) Denotes proposed elev. 0 Denotes Off-Set hub -- LAND SURVEYORS -- (814.00) = Top of block elev. DROP 2 134 - 7TH AVENUE N.W. LONSDALE, MWNESOTA 55048 (812•33) = Top of fin. garage floor CWRSE (805.83? = Top of basement floor elev. PHONE : 507.744.2054 FAX: 507,744.2054 Indicates direction of surface drainage ?_. I IO01 m11iY TMT 1M lJMY ?Af 1?ME0 tY 1[ OR UOG Iff dSti CRqM5tl1 IS WA[tt TO TE SSf 6 W NqV.OR Il0 R1II. WAS [1ffMm M KWmMR YIIIM M lV WII ? rIGCm110 fpl M PMC1Rf 0! WO 9PKM10 IYaRO Cf TE Wl90TA SULCIY 6 PRR694VL SLM1LTdK /M TMt 1 NI A 0.tY Ilm? lN0 4RI[YUX 1lml nc uw a ?[ n?n v wmiti ne ne iwrce n ?u saam ?nweu m vn wa uo ne iouna a iw. v?c wowa?axn r wrc. nro? a a vs u+e. ?o Wam e ?v?m o?r m nE?a ne 9msr ?AS po/I? NS 1QA No ?s?a uo va u?snr e/s9Am aar raw nc rcnut msf [s nE alM.r. REVISqN:12/22/9 Book '2B? FLP MOUSE at , ?) ?? DATEP iH$ 22ND ?,.r m DECEMBER iym p, ?2471FLIP ? `" J ?,? Q"+Ninnesota Regrstrotion No. 19790 RESIDENTIAL BUILDING PERMIT APPLICATION ?4`4 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reouirements • 3 registered site surveys showing sq. N. of Iot sq. ft. of house; and all roofed areas (20°'o macimum lotcoverage allowed) • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) • t set ot Energy Calcula6ons • 3 copies of Tree PreservaUon Plan if lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE /-?-? JOB SITE ADDRESS I?S?/? ? ?cS7?d IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER E&cL TYPE OF WORK APPLICANT MMARnft dba RMWO CM ADDRESS LMmt1 #20M0911 PAGER # 2100t fNrviM?Mm e___.? ???. ????• _CELL PHONE # FAX # VALUATION (EXCLUDING LAND) I/ Cl0. co FIREPLACE(S) _0 ?, _2 _3 PHONE # CODE NEW RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY Energy Code Category' _ MIVNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Plumbinh Systcm Iucludcs: Mechanical Contractor: N-lcch,uiic<d Svstcm Includes: Sewer/Water Contractor: _ Wafer SoCtener Wat'er Heater No. oF ]3adis Phone #: _ L..1YVR SPCIRklI'C No. of R.I. Badis Air Couditioning Hcat Recovery System All above information' must be su6mitted prior to processing of application?. RemodellReaair Reauirements . 2 copies of plan • 1 set of Energy Calculations for healed addNOns • 1 site survey for extenor additions 8 decks Phone # Phone # I hereby acknowledge that l have read this application, state that the information is all opplicable State of Minnesota Statutes and City of Eagan Ordinancevo Slgnature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Fee: $90.00 Fce: $70•00 11-10.0U 1- agree to Not Required _ Updated 1l01 Use BLUE or BLACK Ink 1 For Office Use 1 j Permit I City of Wan a~ I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 1 I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ® ( Site Address: Unit Name: _Fj e e Phone: 10 `f ~ Resident/ Owner Address/ City /Zip: '4t l 5-5172- Applicant Applicant is: Owner Contractor a Description of work: V'e-_---► V Q1 I Type of Work ~ s ` Construction Cost: 1 ?2 o (77,7b - 6<-' Multi-Family Building: (Yes / No s Company-T-ax kVt(,d &!6 - r,z~ Contact Ltwvt Address: 4q S, VG ~y City: k Contractor Lid ` a, d) State: o Zip: SE:') 1-7 Phone: & SI - 44 Tl-1 flab License #6 Lead Certificate 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 theCity 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.oopherstateonecall.org I hereby, acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes 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. xy~ 7_4 c /rrt~ . V x Applicant's Printed Name plicant s ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137825 Date Issued:07/26/2016 Permit Category:ePermit Site Address: 1848 Deer Pond Cir Lot:12 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-120 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Timothy J Kappel 1848 Deer Pond Cir Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA164433 Date Issued:09/29/2020 Permit Category:ePermit Site Address: 1848 Deer Pond Cir Lot:12 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Timothy J Kappel 1848 Deer Pond Cir Eagan MN 55122 (651) 485-3244 Apple Valley Plumbing Llc 15615 Fairfield Dr Apple Valley MN 55124 (612) 387-1207 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA168285 Date Issued:04/15/2021 Permit Category:ePermit Site Address: 1848 Deer Pond Cir Lot:12 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Timothy J & Rebecca Kappel 1848 Deer Pond Cir Eagan MN 55122--114 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature