1290 Deercliff Lane.?.... ,_i_ ?.. . .. .. _..
QTY OF IIAGAN
BUIIDING PEfsSIT APPLICATZON
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
7b Be Used Ebr 1 o Fq P t v- K Valuation $'Ss, 00 p Date ((- IS -$ Z
Site Address (Zl(D D&v-r Cl k- ??- C9 - pFFICE uSE oNLY
Lot (C slock 3. Sec./Sub. W c ndet-es?- ??ect occuPancy
Parcel #: (00 OCnO 03. Alter Zoning CPD?) 2-3
Repair Fire zone N?
Oaner: D??kz.`LL' --['Eno(d Ehiarge _ Zype of const.
Address: ao01 Cc? L?o ?1 p la??
? MO"e
i # stories
44 ft
Demol
sh Front
.
City/Zip Code: ?k4. S"5 3?'.? _ Grade Depth a ft.
P1wne #: 54(0-(07-2 3
Contsactor: C)t.LDrVF- C'-
P,cklress:
City/Zip Gode:
Phone #:
Arch./F1ng.
Address:
City/Zip Code:
Phone #:
APPROVAIS FEF_ti
Assessmnts Perniit aq 8, o C:>
Tdater/Sewer Surcharge . c,
Police Plan Check 9• oC?
Fire SPG 525, o b
Ehg. Water Conn. ?ZO?oa
Planner Water Meter (oo , oC,
Council Road Unit ,'Z o ? 0 6
Bldg. Off.
APC
nrrAL -A 111q ? so
:.:..:.?....?:._,?... ? _.._.: .. .. ... ..:..: . ... .:,:, , .. .. . . _ ... ___ . ., __.._. .,_ .. . _ . _.
CITY pF FAGAN Include 2 sets of plans,
..' (D(Q 2 1 site plan w/elevations &
7
? BUILDING PEFMPP APPLICATION 1 set of energy calculations.
Zb se usea For 1 o F 4 P 1t)(- valuation -VSs , o o 0 Date I(- IS - g 2
site paatess tzRq bEzpjN ?F L0.?? - aFFice usE orrr.Y
Iot S Block 3- Sec./Sub.tt)cndcr?s?- ? ??
.L_. 'cy P - ,a
? ?t ?
Paroel #: 10 %4V coo aso
oaner: D;kZ1Ec- - -['Enold
AddrOSS: .LoO A C((?!L ?o A ?
City/zip code: AkVy-'a' S'S 3!
PhorHe #: Sq (o-(07--2 3
03 A7-ter Zoning (PO? R- 3
Rspair Fire Zone Nk
IIzl.arge _ Type of Const.
Nbve # Stories
Demolish Fmnt ft.
Grade ? Depth a ft.
nPnxwAts
ContractAr: 0?-,DA-e '(` Assessments Permit all B'+ o v
v4ater/Sewer Surcharge .
c?
Acldress:
Police ? oc?
Plan Check 9
City/Zip Code: Fire SAC SZS? c C3
Phone #: ?9 • Water Conn. 4'ZO ? o h
Planner Water Meter (ao. o?
COUT1C11 Road UIllt .Z O l b G
ATCil./?Enj.. Bldg. Off.
Addzess: APC
City/Zip Code:
Phone #: RC7LAL -Al7lcl ? SO
r?...=.....___ _ -{ __... ._.Y,__..._._._. __. .... : ,. . . . .. . . __ ., .. . ,.. . _ . _. .:.. _ .. .. __.
7(o
QTY OF FAGAN
B[JILDING PEFS9IT APPLICATZON
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
7b se usea Fnr 10 F 4'PI E K valuation -1?5s, oa o Date It-IS -$ z
sit.e paaress lzaz 1?&E,cli Fp orTice usE orn,Y
I,ot _1 Blocx 3- sec./sub.w,ndct-£4- 1?.et L?^ occupancy
Paroel #: ?p `G4y(od 0-70 03 Alter Zoning C4b:,) Q-3
Repai r Fire Zone
O+mer: D:kz\Er - 7Fn0ld IInlarge _7.ype of Const.
Address: .-001 Cck L ?od pla?L rd°"e # stories
? Dsrolish Fmnt 4q ft.
c.iry/ziP coae: lkVka, Ss 3q 3 Grade - Depth a ft.
Ptone a: s4(o-co`r?3
Contsactor: Ow?k @
Pddress:
City/Zip Code:
Phone #:
APPROVAIS r r1r
S
Assessments Permit a`l 8, 0 u
water/Sewer Surcharge A , O
Police Plan Check J 9, o a
Fire SAC SZS, c o
Enq, Water Conn. 4ZO?0 6
Planner Water Meter (oo. a cD
Council Faoar3 Unit ARC o L o b
Bldg. Off. J - Ff^?ri
APC '
Arch./F.lng. .
Addrnss:
City/2ip Code:
Pkaie #:
2CnAL -A l'i lQ ? SO
a?.,. ?. _ . .? .,.., .. .. .. . _,.___,
_..._?{ -_._.._...,._? ? ._n. ___ .. _ . - . _ .. . .,
? QTy pF gp,GAt•7 Include 2 sets of plans,
1 site plan w/elevations & `
? BUII,DING pERNIIT APPLICATION 1 set of energy calculaticros.
To se used For loF q'P1eX valuation ?Ss, oop Date jt-
sire Aaamss 1.2-9 0`D Lan E.- - oEFYCE usE orRs
Lot Sr slocac v- sec./sub.t,O,ndcras?- pccupancx ? 3.
Parcel #: 1() Sqq(o0 C$O pa Alter Zonin9 CPb? R-3
Fepair Fire Zone
Owrier: zlE-r --CEno?? Enlarge _ 7ype of Const.
sess: .?oo \ Cck L?? d P la?? r'?°ve # Stories
? ? Demlish Fmnt qq ft.
city/zip coae: /A.VkcL, SS 3(4 3 craae -Deptr, ag" ft-
Phone #: 5qf0-(0723
Contractor: C) wl'vF- '("-
Address:
City/2ip Code:
Phone #:
. AIC11./Eng.
AddYess:
City/Zip Code:
Phone #:
. __,i.__.. ....r .. _.a _._. . . .
APPROVAIS rrz_S
Assessments Peznu.t A?l S'+ ° ?
[4ater/Sewer SUTChdY'gE e2'I • S6
Police Plan Check ( 49 , o c?
Fire i SAC 52- S. c o
Eng, / Water Conn. 42A . oh
Planner Water Nieter (00 c oCD
L'OUI1Cll ROc'U3 UT11t. .Z O l b 6
Bldg. Off. /j_4Z _e&,-
APC
Tam A l-7 Lg ? so
CITY OF EAGAN
. 7795 Pllet Kaob Rood Esyon, MN 55121' Np 7660
PHONE: 45I-8100 _ BiIILDING PERMIT Receiat
rs ?. „..,e a.. 1 of 4 PLEX c? v.,i". $55.000 0...> November 18 tq_82
sire Adaress 1290 Deercliff Lane
i.or $ BI«k 3 5ec/5„b. Windcrest lat
parcel # 10 84460 080 03
w Nome Ditzler-Tenold
Z Address 2001 CBDE Cod P18Ce
9 _ v.v_ eeeee . eee t?n?
p IName ?nek'
i? Addrest -
Name _
Address
I hereby ocknowled9e thot 1 have read this epplicalion and state that
the inlormation is correct and ogree Po wmply with all opplico6le
Stute of Minnewta Stotutes and Ciry of Eagon Ordinances.
$iBnuture of Pertnittee
A Building Permif is issued to: _
pll work shall be done in occordorxe
Buildirp Officiol
Erect 7[$ Occupancy x-3
-
Alter ? Zoning (PD
Repoir ? Fire Zone I=_Nb
Enlorge ? Type of Const. -0
Move ? # Stories
Demolish ? Length44_
Grode ? Depth94_Sq. Ft.-
Aoerorals Fees
Assessmenf _
Woter 8 Sew.
Police -
Fire
Enp.
Plonner -
Cauncll -
Bldg. Off. _
AVC -
Permit cya.VU
Surchorge 27•50
Plon check 149,00
snc 525.00
Woter Conr620, 00
Water Meter 60 . 00
Rood Unit 240 nn
Total $7779_50
on fhe express condifion lhnt
of Ivjpowta Statufes ond City ot Eogan Ordinonces.
CITY OF EAGAN
9745 Pllof Kneb Raod Eagan,
PHON[s 454-0100
BUILDING PERMIT
MN SS122 Np 7661
Receipt #
Te ba wad Mr 1 of 4 PLEX Volue $55,000
Est pote Novembet 18 _ 19 82
.
Stee Adareu 1292 Deercliff Lane erecr M occuponcy R-3
i.or 7 eiock 3 Sec/Sub. Windcreat lst Alter ? zonioy (PD ) R-3
10 84460 070 03 Repair ? Fire Zona NA
porml #
E
l f Const
T v
n
orpe ? .
ype o
W Na? Dit216r-TEnold Move ? # Stories
z Address 2001 Cape COd P1HCe perrrolish ? Length 44
ci Mtka. 55343 phpne 546-6723 Grade ? Depth 24 Sq. Ft.-
o Nome Ow1e1 AvVrorals Fees
r
Addreu
1- "...
Nama
I hereby ockrawledge thot 1 have read this aDClicotion ond stafe that
fhe informotion is correcf ond ogree to tomply with all applicoble
Stote ot Minnesota Stotutes and Ciy of Eugan Ordinonces.
Sfpnature of Permittee
A Building Permif Is issued to: DitZ1ET-TBIIOl.d
ail work shali be done in ocmrdance with ail app?
Buildiifp Official ?
Assessment _
Water & Sew.
Police
-
Fire Eng.
Plonner -
Council _
BId9. Otf. _
APC
Permit cyo.vv
$urchorge 27•50
Plan check 149.00
SnC 525.00
Water Conn.420 .00
_
Water Meter 05Il..0.0
Road Unit '240.00
Total $1719-sn
_ On the lxpress conditlon Ihnt
Ciry of Eapan Ordinantes.
CITY OF EAGAN
. 3795 Pilet Knob Raod Ggan, MN SSI'!!' . NO 7 6 6?
. PHONEs 434-6100 /
BUILDING PERMIT Receivt #?o
To 6s used (or 1 of 4 PLEX Est. Volue $65,000 Date November 18 _, I 9$2
sire nddreu 1296 Deercliff Lane
I.or 6 Bl«k 3 Sec/Sub.Windcreat lst
P„ui # 10 84460 060 03
W Nam Ditzler-Tenold
z Address, 2001^Cape Cod Place
. _ . . ?.. ?-.....
p Name _
i?
AddreSS
Nnme _
Address
I hereby ockrawledge ihot I have read this appiication andstare that
the intormation is mrrect ord ogree to comply with all applicable
Stofe of Minnesoto Statutes and Ciry of Eogan Ordinances.
Sipnnture of PermiMee
A Building Permit Is issued to: Dit:
oll work shail be done in acrnrdonce with all
Buiidinp Official
Erect ? Occupancy 1'
Alter ? Zoning (PD ) R-3
Repair ? Fire Zom NA
Enlorge ? Type of Const. V
Move ? # Stories
Demolish ? Length
Grade ? Depth 24 Sq. Ft.-
Aoororal: Feas
Assessment pertnit [7o.Vv
WoterBSew. SurcFwrge 27•50
Police Plnn check 149.00
Fire SAC 525.00
Enp. Water Conn.420.00
Plonner Water Meter 60.00
Council Road Unif 240.00
Off
Bldg
.
.
APC
.
TMOI S1719.50
_ on the expreu cordition thnt
Ciry of Eegon Ordirronces.
CITY OF EAGAN
7793 Pi1M Knob Reed Ea9an, MN 53122 Np 7662
1
- PHONE: 454-8100 BUILDING PERMIT Receiut
Te be w.e fer 1 of 4 PLEX Esr. veiue $55,000 Date Novembes 18 19 82
Sire Address tcyv ueerciur i.ane
Lot 5 ei«k 3 Sec/5ab. Windcreat lst
Pa.ui # 10 84460 050 03
W I N,,,,e Ditzler-Tenold
z Addreu' ZflOlwCane Cod Place` „^^
p Nome ?lei
? Address
E?
n..,
Nama _
Address
I here6y acknowledge tFwt I hove read this applicutionnnd state tFwt
the inlormotion is wrrect ond agree to wmply with all aODlicuble
State of Minnesoto Statutes ond City of Eogon Ordinances.
Signoture of Permittee
A Building Permit is issued to: D1tzlE
oll work shali be dorw in ccrArdante with oll
Buildirp Offldal
Eract E OccuponcY R-3
Alter p Zoniny (PD) R-3
Repoir ? Flre Zone NA
Enlarpe ? Type of Const. 0
Move ? # Stories
Demolish ? Length 44
Grode ? Depth 24 Sq. Ft.-
ADwwals Faes
Assessment
Water & Sew.
Polfce ?
Fire
Eno.
Plonner
Council
Bldg. Off.
APC
Permit L7o.w
Surcharge 27•50
Plan check 149.00
SAC 525.00
Water Conn 420. 00
WoterMeter 60.00
Rood Unit 240.00
Totol $1719.50
_ on ffie expreu condiNon Ihm
City of Eagon Ordirwnces.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: P•I•N.: 1e-e4 4 6e-e8 e-e3
LOT: 8 BLOCK:
1290 DEERCLIFF LANE
WINOCREST
PERMIT SUBTYPE:
MULTI. (MISC.)
BUTIDING
025904
06/23/95
APPLICANT:
3
A B CONST INC. DAVES
(612) 323-3196
TYPE OF WORK:
REPAIR
DESCRIPTION (ROOFING)
f- .
; _ .. _ .. , .....,,.?
.. . . ,
(gertif irate uf Mrr??aur?
? titp of (Eagan
ioPm#2attf Af gltailtg imwPtttDtt
Tf[rs Certifrcate issued pursuant to the requiremertts of Section 306 of the Uniforns BuiJding
Code certifying that at the time of issuance this structure xqrs in corrcpliance with the various
ordinances of the City regulating building constructton or use For the following.•
uft cuuairx.aoa I CF 4 F'L-. emg. ftrmit rlo.
O-UP-Y TPPe R3 Zaoing Disuicc 7}'pe Coaa ?
Ownet d Bwldieg Add,, i Cr 1 i U?,. i 1?? ` . I?? •-.. ? j'?t` ,
Building Addrm ^?ry? j??•' _ I.ocality T-i• B3e
D1,: 3?s ar r8S'
eWiamg ore?,?
POST IN A CONSPICUOUS PLACE
BUIL
To 6e 3795 Pilef Knob Road Eeyen, MN 55122 '' p,
. PHONt:IS4-A100 ' -
DING PERMIT Receipt #
wftd fw Est. Volue Dote , 19
Site Add ress
Ercct
?
Occupnnty
Lot 81ock Sec/Sub. Alter p Zoniny
parcel # Repoir 0 Fire Zone
Enlorfle ? Type oE Const.
W N ome Move p # Stories
Z Ad
? dress Demoliah ? Length
Ci Phone Grode ? Depth Sq. Ft.
? N ome Approvuls Fees
?o
Ad
dress
^ssessment
Permit
8?
~ Ci P Woter & Sew. Surcharpe
G? hone PoNce Plnn check
FZ N O^1Q Firo SAC
?? /ld dress Enp. Woter Conn.
<W Ci phpb Planner Water Meter
Countll Road Unit
I hereby acknowledge that I heve reod this applicafion and stote that gldp. Off.
the infor mation is correct end ogree to comply with oll applicable ^PC t
l
T
Stote of Minnesota Statutes and City of Engon Ordimnces. o
o
Sipnature of PeRnittee
A 8uflding Pennit is Issued to: on the exprese conditlon thai
oll work s hall be done in occardonce wlth all opplicable State of Mlnnesota Statuces ond City of Eayon Ordinonces.
Buildinq O fficial
(?W.'o 14-1? )
Pormit No. Psrmit Holder Misc. Permit No. Holder
Plumbing 35ZL?, &-(743
H.V.A.C.
Water Well
Disp.
Sewar
Electrie
Inspection Date Inap. Other
Footings T??Y3
Foundation ?.
Framinp 'ys
Rou9h Plbp. SA
Rouyh HVAC
Insulation
Final PIlq. - ?
Final HVAC i5 z; .
Final
Water Describe Location: r--
r! k7?
wen
Sevwr
Pr. Disp.
cirr oF EAcAN
3795 PIlo! Knob Raed Eayen, MN SSIu
PHON113 4544100
MIT Receipt ?t
11 bf
Site Addreu
Lot Block 5ec/Sub.
Parcel #
?
W
Z9
1 hereby acknowledge that I have read this al
the inlormotion is correct ond ogree fo con
Stote of Minnesoto Statutes ond City of Eo
Sfynature of Permittee
A Bullding Permif is issued to:
olI work sholl be done in atcordorxe with all
Buildin4 Officiol
and state thot
oll opplicoble
State
Permit
Surcho?ye
Plon check
SAC
Water Conn.
Woter Meter
Road Unit
Totol
_ an the expreu condition thnt
Ciry of Eagan Ordinances.
7f,
Dat e , 19
Erect p Occupancy
/11ter ? Zoning
Repoir [J Firo Zone
Enlorys p Type of Const.
Move 0 # Stories
DemoUsh ? Length
Grada p Depth Sq. Ft.
Aooro vals Foes
Assessment
Woter & Sew.
Pol ice
Fire
Enq.
Plonner
Council
81dg. Off.
APC
Psrmit No. Psrmit Holder Misc. Permit No. Holder
Plumbing
r
D..7
H.V.A.C.
w.??
Water
Disp.
Sewer
E kctrio ? R(I 7J ??'+ 2 o r1 ) f$
? ?.J ; r ? Sa . a ??- ?:?
Inspection Dats Insp. Other
Footinps
Foundstion
Framiny
Rouph Plbq.
Rouph HVAC 2, -
Inwlation 3 / ? s' y j7?P?
Finsl Plb¢
Final HVAC r?o j C;?• /? ?
Final ,r ? t?-. A
Wator DKeribe Location:
W.ll 2g lr ed
Sower G?%? /?•? L . h' ? .
Pr. Dbp.
F EAGAN
• 3795 'ilof Kno? R?od Eaqen, MN S5122 +
• PHONE: 454-e100 -
BUILDING PERMIT Receipt #
?
To bo waed for Esf. Volue Dote „ 19
Site Add?ess Erect 0 Occupancy
Lot Block Sec/Sub. Alter p Zoning
Parcel # Repoir p Firc Zone
T
Enlorpe ype of Const.
?
W Na^'e ? 3 I J a ? p Move p # Stories
; /lddress Demolish p Length
['trw Grade CI Depth Sa. Ft.
°C Name _
io
?? Address
?- r,..,
Assessment _
Woter 8 Sew.
Police
Fire
E?W
Plonner
Council
I hereby acknowledge thot 1 have read this opplicarion ond stote that Bldg. Off.
the informotion is corred and ogree to comply with oll applicabla ^?
Stota of Minnesota Statutes and City of Eagon Ordinonces.
Sfpnoture of Pertnittee
? 8uilding Perr»if is Issued to:
II work sholl be done in occordnnce with all oppliaable State of Mii
Permit
Surcharge
Plon check
SAC
Water Conn.
Water Meter
Rood Unit
Totol
_ on ths exprcss cwdition that
Gy o4 Eayon Ordinances.
Officiol
Pormit No. Permit Holder Misc. Parmit No. Holder
Plumbiny 3c? 0 sp/` ?D-t'7'.'?
H.V.A.C.
Wdl
Wete?.
Qisp.
Sawer
Ebctrie O U
U ??? ?fl
Infpaction Date Insp. Other
Footingt ?- 400-
Foundatfon
Framinp
Rouyh Plbp. y . . Ir
Rouph HVA
Inwlation ?
Final Plbp. ? 723F
f,QWV - s'/y f 7
Final HVAC
Finsl
Waftr Deseribe Loeetion:
weu IlerL C'GrkRG?or'
5evwr
Pr. Disp.
BUIL
To be 3795 PiW Knob RooA Eogon, MN '66122
' ?HONE: 454-8100
DING PERMIT Receipt #
wed for • Est. Vafue Date , 19
Site Ad dress Erett ? Occuponcy
Lot Block Sec/Sub. Nlter p Zoning
Parcel # Repair ? Fire Zone
Enlurfle ? Type of Const.
c
c N ome Move ? # Stories
W
x
A
?
ddress
Demolish ?
Length
C i phone Grode p Depth Sq. Ft.
? N ome Approvalr •Fees
u? h
~ ddress Assessment
Woter & Sew. Permit
Surcho?ge
C it Phone Police Plon check
WW N ame Firo SAC
F Z
A ddr
ess
Enp.
Water Conn.
C
L i phom Plar+net Wncer Meter
CounNl Road Unif
t hereby ecknowledge that I have reod this applicotion ond state thof Bldg. Off.
the inlo
5tate of rmotion is correct and agree to compty with oll applicobie
Minnesota Stotutes and City of Eugan Ordinances. APC Totol
Siqnotu re of Permittee
/1 Buildin g Permit is issued to: on tle express tondition that
all work sholl be done in occordante with oll epplicoble State of Minnesota Siatutes ond City of Eayan Ordinonces.
Buildinp Official
Permit No. Permit Holcler Misc. Permit IVa. Holder
umbing
[
,,.?. ?.
H.
?,?B?,
er
Disp.
Sewer
Electrie 2g? (? -7, }-fpY i 2. CY, la"1(Q q 5o• O U
tnspection Date Insp. Other
Footin{p
Foundation
Freminy
Rough Plbp. l• ' O• ?
Rouyh HVAC ?
Inwlstion
Final Pibg. _ V
Finai HVAC
Final
Water Deserihe Loeatian:
VYell
Sewsr
Pr. Disp.
I I - ?-?'I Fillin
?
1. Date 2. Installation Cost
3. Job Address Lot t!% Blk. ?
4. Owner
5. Contractor
6. Address
7. City 5tate _
Zip I
8. Building Type: Residential D Commercial ? Institutional O
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Eauinment STU - M. Ea.
Forced Air No. Eguioment CFM
Air Handling:
Mfg.
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Qutlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Tot. I
Phone
I f - i( . l ,-(
Fill in
1. Date I 1? 5-?^ 2. Instal
1294 Deercliff
3. Job Address
4. Owner fi0r!1eS 3ecllltlfUl
Denenr1,;:,1-,1e Heatinc,
5. Contractor
2619 Coori Rapids 81vd
6. Address
Coon rapHs N1 i n n 1; 51, 33
7. City 5ta* Zip
8. Building Type: Residential yO Commercial O Institutional ?
9. Work Description: New tY Add ? Aiter ? Repair ?
10. Describe Fuel Type 0 aS
11.
No.
-
X X Equioment 7? T?Iri NI..Ea.
u
Forced Air ("')1416r No, Equipment CFM
Air Handling:
Mfg.
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
X X Gas, Piping Ou?lets
I':i1?"t?r' to T unaC?
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Ftnal
Inspections: Date Insp. Qate Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAM 454•8100
PERMIT Permit No.
GAN r-ee ??.0?? '
rd spaces S/C _ SIl.
legibly Tot. 2 ?. 5 ?
Cost I i 00.00 . ?
I `) RIk J Trar.t
757-5nn.
Phone
?
Receipt MECHANICAL PERMIT Permit No. 5 U?o. I ,
CITY OF EAGAN Fee 20.0 0
I I-?-?lI Fi/l in numbered spaces -S/C
Type or Print legib/y Tot. ? n. iO ?
?
1. Date 1 1- 5- 84 2. Installation Cost 1400.0()
1 ? M
12?9A DePr Cliff '") ?- ;
3. Job ress Lot Blk. i Traci
'n???s Beaut6ul i
4. dwn '?`
5 ??A&Vahle Heating Phone 757-5040
6. Address 2619 IC86b "goddS f31 VC1. ?
7. City r00;1 P,a.O1dS Stater'n. Zip 55433
8. Building Type: ResidentialXfE Commercial ? Institutional O
9. Work DescriptioK: )New ? Add ? Alter O Repair ?
10. Describe Fuel Type
11.
No,
1 C Efluioment 8TU - M. Ea.
Forced Air 75000 No. Equipment CFM
Air Handling:
Mfg. C81"T,ier
Boilers E
Mfg. Mech.
xhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
X X X Gas, Piping Outlets
neter to furnace• 12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
ReceiPt L?
I l - U 4 ??
1. Date 11- 5-84 2. Installi
1?_9? Deer• C1 iff
3. Job ddress L
4 Owner Homes 8eautiful
Permit No.
Fee 20 00
legraly Tot. 20.50
Cost WO. i)11
Blk. ,-)_ Tract ?
Dependalbe Heatinc
5. Contractor Phone 7 5 7- 8 0 n??
2619 Coon PAopc±s ? 1 vc±.
6. Address
7. City Coon rApi ds State 11n a Zip 55433
8. Building Type: Residential MX Commercial ? tnstitutional ?
9. Work Description: New CR X Add 13 Alter ? Repair ?
10. Describe Fuel Type qa'
11.
No,
1 Eauioment 8TU - M. Ea.
Forced Air 75001) No. EQUiament CFM
Air Handling:
Mfy. Carrier
Boilers M
E
h
Mfg, ech.
x
aust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
X X Gas, Piping Outlets
r-iet-Ir to furnace
12. I hereby certify that the above information is true and correct, and I agree to
Comply with all ordinances and codes governing this type of work.
Signed: far
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No. ,. -'• ~
CITY OF EAGAN '
-, Fee .
Fill in numbered spaces S/C +
Typa or Print legib/y .?
Tot. - ?
1. Date 2. Installation Cost
3. Job Address ?" Lot ? Blk. 1 Trac(
4. Owner
5. Contractor ? t f Phone
6. Address
7. City State Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New ?l Add ? Alter ? Repair D
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
? Lavatory Softne
.-"2
S,ower r
Well
Kitchen Sink
T
! Urinal/Bidet
Laundry Tray Other
.
7 Floor Drains
,
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
Receipt •''' ?? PLUMBING PERMIT Permit No.
CITY dF EAGAN
--Fee_
--- - -; - --
?=' Fill rn numbered spaces S/C '
Type orPrint /egibly Tot. -~
1. Date r'> > 2. Installation Cost
3. Job Addresg ;r Lot?Blk. - Tracit :
?
4. Owner ?
?
-- r
5. Contractor - _? • - ` Phone
6. Address
7. City ? State 2ip
8. Building Type: Residential Cl Commercial O Institutional O
9. Work Description: New f?7 Add ? Alter ? Repair ?
10. Describe
11.
No.
? 7 Fixtures
Water Closet No. Fixtures
l/Drainfield
Cess
I Bath tu6s poo
Septic Tank
? Lavatory Softner
Shower Well
I Kitchen Sink
? Urinal/Bidet
Laundry Tray Q#her
_ , ?'
Floor Drains ;
(
_
.
Drinking Ftn.
Slop Sink
Gas Piping Outtets
12. I hereby certify that the ahove information is true and correct, and t agree to
comply with all ordinances and codes governing this tVPe of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
-,
Raceipt PLUMBING PERMIT
Permit No. .?: .?
CITY OF EAGAN
_
Fee
Fill in numbered spaces
Type or Prini legib/y S/C .+ ?
Tot. .; ,
L Date (y"' '-?• ? 2. lnstaliation Cost
Job Address,
3
-? f?
Lot ? Blk --
i T
t '
.
,
-
, rac
ir
4. Owner
5. Contractor Phone j . -
' -
6. Address - - ?
7
Cit
S
t
? I
Zi
'
.
y
ta
e - p
8. 6uilding Type: Residential Cl Commercial ? Institutional O
9. Work Description: New Add ? Alter O Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cess
oolJDrainfield
Bath tubs p
Septic Tank '
? Lavatory Softner
Shower
Well
Kitchen Sink
? Urinal/Bidet
Laundry Tray Other
Floor Drains -
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
Inspections: Date
for
Rough Final
_ Insp. Date _
Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt ?r 1`1'+? PLUMBING PERMIT Permit Na `% -
, CITY OF EAGAN
Fes
Fill in numbered spaces S/C '
Type or Prin[ legibly
Tot. =; -
1. Date J 2, Installation Cost •
?
3. Job Address Lot Blk. -.-? TractiY
, ,- -
4. Owner
! -
5. Contractor ? ? ? `• Phone
6. Address
7. City ? State 2ip ? -
$. Building Type: Residential Cammercial O Institutional ?
9. Wvrk Description: New b Add CI Atter ? Repair D
10. Describe
1 11.
No.
, 4" Fixtures
Water Closet No. Fixtures
Cess
ool/D
fi
i
ld
? Bath tubs p
ra
n
e
Se
ti
T
k
Lavatory ¢
c
an
Softner
? Shower Well
? Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
f Ftoor Drains
?
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY UF EAGAN 454-8100
? PERMIT # d
PLUMBING PERMIT RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? -
CONTRACT PRICE: PHONE: 454-8100 -?
Site Adoress -2
Lot ?.' Blo?fk Sec/Sub
? l':??? .• k;.?-i??
m Name ? cl r'rl ? LU'cc T r f--
?c Address 70 ?d-le C E?S?
c Clity "Lla?61t-ZIVS Phone '/ BF ,;
Name
3 Address ? L -'' -
O elh' Phon?s?' -S31%l
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PEfiMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
i
F
I
FOFi: CITY OF EAGAN
BIDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaliBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
?Softener - $5.00 'J; C 0
Well - S10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL: ? ?'^ ??
CITY OF EAGAN Remarks
Addition WINPCREST ADDN. Lot 8 pfk 3 Parcel 10 84460 080 03
Owner ' Street 1290 Deer Cliff Lane stete Eaaan. MN 55123
Improvement Date Amount Annuai Years Payment Receipt Date
STREETSURF. 130 1983 944.59 188.92 5
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
* San Sew Lateral 1982 1675.29 335.06 5
WATERMAIN
• WAT6R LATERAL 1952 S
WATER AREA S 1982 84.29 16.88 $
* Services 1982 5
STORM SEW TRK (pS' ? 19$2 zi$. $2 43.76 5
• STORM SEW LAT 19$2 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
Ro it 244.00 33085 11-1 -82
WATER CONN. 420.00 it n
BUILOING PER. (6
SAC n tt
PARK
CITY Of EAGAN Remarks
AdditionWIn[j1CRE$'j' AjJjaN, Lot-7 Qlk 3 Parcel 10 84460 070 03
Owner 5treet 1292 Deer Cliff Lane stete Eagan, MW 55123
imprpvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1983 944.59 188.92 5
STREET RESTOR.
GRADING
SAN SEW TRUNK k
SEWER LATERAL
* 1982 1675.29 335.06 5
WATERMAIN
-OVATER IATERAL 1982 rj
WATER AREA 1982 84.29 16.88 5
* Services 19 82 5
STORMSEWTRK 1982 21$.$2 43.76 5
46TORM SEW LAT 19$2 S
Ct1RB & GUTTER
SIDEWALK
STREET IIGHT
240.00 33085 11-1 -82
WATER CONN. 420.00
8UILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition W7NDCREST ADnN Lot 5 eik 3 Parcel 10 84460 050 03
Owner ' Street 1294 Deer Cliff Lane State Eagan, NA1 55123
Improvement ate Amount Annual Years Payment Receipt Date
STREETSURF. 1983 944.59 188.92 5
STREET RESTOR.
GRADING
SAN SEW TRUNK r 1973 107.62 5.38 20
SEWER LA7ERAl
* San Sew Lateral ? 1982 1675.29 335.06 5
WATERMAIN
*WATER LATERAL 19$2
WATER AREA 1982 $4.29 16.88 5
* Services 1982 S
STORM SEW TRK cJ 19$2 218.82 43.76 5
*S70RM SE1N LAT 19$2
CURB & GUTTER
SIDEWALK
STREET I.IGHT
24 0 8 - -8
WATER COM1IN. 20.00
BUILDING PER.
SAC 525.00
?r
n
PARK
CITY OF EAGAN Remarks
Addition WINDCREST ADDN. Lot 6 eik 3 Parcel 10 $4460 060 03
owRer ' sereec 1296 Deer Cliff Lane statB Eagan, MN 55123
Improvement Date Amount Annual Years 5 Payment Receipt Date
STREETSURF. 19$3 944.59 188.92 5 -47zstp 6A --
STREET RESTOR.
, GRADING
SAN SEW TRUNK Q/ y- -?S
SEWER LATERAL Q' / pA v
r 5w 1982 1675.29 335.Ob 5 oF f- 0/
1- 0r6,
WATERMAIN
*WATER LATERAL 1982 5
WATER AREA 1$2 84.29 16.88 S 1,6-171 ? d/ -
q-
Services 5
STORM SEW TRK S 19$2 218.82 43.76 5 0/6 e3f& -'f5
9tSTORM SEW LAT 1982 S
CURB & GUTTER
SIDEWALK
' STREET LIG,HT
o a n 240. oo 3308 ii_ i 82
WATER CONIN. 420.00
BUILDING PER.
SAC u n
P RK
INSPECTIDN RECORD
CiTY OF EAGAN PERMIT TYPE: ? N 3830 Pilot Knob Road Permit Number. ?? ,' !•? ct n
Eagan, A1linnesota 55122-1697 Date Issued: N? t: ::/f+?.
(612) 681-4675
SITE ADDRES
PERMIT SUBI
('. 1 N 10 Fiq4 6 0 0>i0 - f0 c
I 11 (: F; (:l t?cb.
Il? f 1?I I L f I 1 I1Nt
APPLICANT:
;, i: : 11 H , 1
t6t..') 71:1.t
Ijnvt '
I r•1 I I I iI, li M1 l`. l 1
TYPE OF WORK:
flf '.I R 111 f I4114
fi !:. P A i Ir
( kli[i1 1
z
?
Mw 4
S'ir-'i_?ro
.. . .. .. . ? . .. . .. . . . . ., .. . - J
Pertnk No. Permk Holder Dats Telephon* #
ELECTRIC
PLUMBINO
HVAC
Inspectlon Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING ? f
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTIUN RECORD
CITY 4F EAGAN PERIIAIT TYPE:
3830 Pilot Knob Road Permit Number:
I Eagan, Minnesota 55122-1897 Date Issued:
(612) 68 -4fi75
I SITE ADDR SS: APPLICANT:
f E I; i I r r I I A raI ,t I i,?, •..
tsi): 1.: ! i, I ?, i ,"• j-?i r.£+
i PERMIT
I I ; I ;4 A 1.
TYPE OF WORK:
$.. i : i 1 0•1:
?
? tNPKa, IN['i.IIDI`, 1:,?- :' {IUT Ii 1 ,"?d (1I?i f , ) l:'9b ( l(11 h) f1FFFct`:1I F'F' IN
t 1 0 a NF6
Gb'•t 0 3 :i 9
06 l6 lHI
KFI'Aire
'?ft)f'#IEi/S OFFIT/FS,:f., IA
Permit No. Permit Holder Date Telephone i
ELECTRIC
PLUMBING
HVAC
Inspection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOAAD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
.
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
/
v
v W1
,. •- eAaaN
3795 Pllot Knob Rood
_
lugan, MN 65122
zonln9: -
Owrter:
Addrpjs: =-T-o -?
Site Address: ?$
Piumber•
WATER SERVICE PFRMIT
PERMIT NO.:
DA7E: -
- No. of Units:
•
Meter No.: ?-
I ?
q?nrtg?on Charge: ?_- - • '
r???
Size: ,5??-°`?-.??•3 ? I?` :?- courrt Deposit:
Reader?No.: ..(a Pem+it Fee:
I d9m }e comply with No City# Eagan 5urcfiorge:
Misc. Charges: eZ
i eanaa.
, ?7otol:
ry
e of Insp.:
S Date Poid:
i
Insp.:
Ci1 Y OF 1EAGAN
8795 PNot Knob Roed
Eoypn, MN 55122
Zoniny:
4wner: T1i t z ? ?r ; c r; -
/lddre!W
Site Address: } ' ' ? ?s • ' i 1 '
Plumber:
1 egree to comply with t6a Gry of Eugan
Ordinencet.
By
Dnte of Insp.:
I nsp..
SEWER SERVICE PERMIT
PERMIT NO.:
DATE: , _ 1+
. No. of Units:
Connection Chorge:
Accounr Deposir: _
Permit Fee:
Surcharge:
Misc. Char9es: _
Total:
Qote Potd:
cre8t
V0•
n, MN 55122 DATE:
''T''T No. of UNts:
7{,'
esa:
Address:
No.: ?C`pnp , ion Charge:
YA ? I & t rd "?cCOUt1t DepOSit:
No.: r,_ .3 rf-m_sJ a a 6 Permit Fee: --? oci d
to comply wih fhe Cihr oF n Surchorge: •%'? ='
? ..,,-t
?? Misc. Chorpes: -
Total:
Date Paid:
Address:
fo comply wiN? tha Cify of Eagon
Connection Charye: ' -? F ' ' ?"• r.
Account Deposit:
Pem?it Fee: - -
Surcharge:
Misc. Charyes:
Totcl:
Dote Peid:
of Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Ptiot Knob Road PERMIT NO.:
Fagon. MN 35122 DATE:
Zanina: No. of Units.
CITY OF FA6AN WATER SERVICE PERMI7
3793 Plfat Kr.ab Rood PERMIT NO.:
Eagoe, MN 55122 DATE: _ --U- ?;
Zoniny: No. of Units: __ ? 3, n r r G__ ?; .
?Nwner: r, , fi
J?Address:
I,Site Address:
:iAlumber:
Meter No.: H-7N,3 07 Gonnection Charge: '
Si2e: -ACOOUnt DepOSit:
Reader No,: 6 q 4- ;Z O.p 32 Pemtit Fee:
1 agroe to w?nplr wif
190gan
rcharge:
0'dinon?es. lsc. Charges:
W tal:
?? t
P
id
e
a
:
of Insp.: ?
.:
CI*Y OF J?GAM SEWER SER
3795 Piiot Kwab Road PERMIT NO.:
Eo9en. MN 55122 DA7E:
. -?
Zoaing: No. of Units:
Ow??er: . r '; e. na l (`
Address;
Site Address: ' i f f I.rt I E'' ' ? j
Plumber: -
, > > I ) r " 3 6
1 aprae M eomptp with t6e Ciey of Eagan
Oedinanea,
By
Date of Insp.:
'• ConnetHon Chorge: - /+ ')`;
Account Deppslt:
Permit Fee; _
Surchorpe:
Misc. Chorges:
Total:
Date Poid:
Road
Address:
PERMIT NO.:
DATE:
No. of Units:
NO.: n qn?g? s11011 C10?QE: 420.00 Tl C?
tlobPub Deposif:
No.: Permit Fee:
bcomPti wfth the City of gan Surcharge:
Misc. Charges:
T---?-
of
CITY OF EAGAN
8795 Pilot Knob Roed
Easati, MN 55122
Zoninp: Owner:
Address:
Site Address:
Plumber:
dote Paid:
SEWER SERVICE PERMIT
PERMIT NQ.:
DATE:
No. of Units:
' ' ; l ; /c;? ", '?", -
? agroe !o aomply with fhe Ciyr of Eagan
Ordtnaness,
By
Date of Insp.:
Connedfon Chorge;
Account Qeppsit;
Permtr Fee:
5urchorpe:
Misc. Charges:
Total:
i
tUN ^cG '00 10:13
? cl
T...12 ^( , • ,)0
'
FROM GGSSEN 'r'c?028E
GASSEN COMPANIES
FHGE.LU2
Yctcrsur. U: • & BUiId
I (jS4r .i;terla? i Caurt
I_.akeN'illa, N•fN 55049
Attn: Brad Peterson
I7ear Brad,
The Board oi Clirectors of the Windcrest Homeow7zers Associatioxx has autbozized
Yeterson Desip & Build to repiace the decks ai 1290, 1292, 1294, and 1296 Deerclifi'
Lane. A sigtied pruposal for this work was mailed to yuu under scparate cover letter.
1 appreciate yotu cooperation in this matter and if you have any questions, please do not
tiesitate ro call me at (1952) 922-5575.
Siticerel}, ',•ourc
FOR THF., 80.0.Rb UF DIftECTORS
? T
V".i &•?
Richard «"einizweig,
Property Maciager,
Ciassen Compaives
'14501 MINNETONKA BOULEVARD ., MlNNEAPOLiS. MINNE507A 554113 i`"••. (952) 822-5575
L T0o6o
2005 RESIDENTIAL BUILDING PERMPP APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telep6one # 651-675-5675 FAX 4 651-675-5694
0 ?-o.oo
C,A4 V2 e?
New ConslrucUon Reauiremenls Remadel7Reoair Reauiremenfs Ofice Use Onlv
3 registered site surveys showing sq. fl. of l04 sq, h. of house; and all roofed areas 2 copies of plan Ced of Survey Reat - _ Y _ N
(20%manimum lot coverage allowed) 7 set of Energy Calculations Wr heated addAions Tree P25 Plan Recd : _Y
- _ N,
2 copies of plan sMwing beam & window sizes; pou2d found design, etc. 1 site survey for additions & decks Tree Pres Requlred .? _ Y` _N
1 setofEnergyCalcula6ons Add'dion-indkateNOnsifesep6csystem Oo-siteSepticSystem _Y _N
3 copies of Tree Preservatbn Plan'rf lot platted after 711193
Rim Jaist Detail Opdons selecOon sheet (buddings wilh 3 or less unils)
Date Construction Cost 2fAe `-
Site Address 12ci L. Unit/Ste #
Description of Work ?«rcc„n4,TY` Qvr ,,.ri- c?T,
(,tb K]
ea, e
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner VJ i n»n C'resZ-c -lZ cnG a-Fr` Telephone #(61;( ) qSZ
P
Contractor
Address q LD City F-KI ig &W
State cV v Sn'fA Zip ?Tj23 Telephone #((p 5j) (F l-2 '-0y/ Z
611 z1 (: , G 1, y
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Cafegory 1 Worksheet ? • New Energy Code Worksheet
(Jsubmissionype) Submitted `?\ Submitted
• Enargy Envelope Calculations Submitted ? C, ?????
? Vv
, p? ICin`???_'\Y) t, N If so, 25% plan review
Have you previously constructed a building in Eagan wrf 1a similar{
fee applies. ?\?\
\ /
Licensed Plumber \? one #( )
Mechanical Contractor ?y Telephone #( )
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
lapproval of plans.
`UOVG?-?ts 6'?2?ppe,r?a.v
+'h-SSc, C% s3-los 4 RL ??.._4-.=.
ApplicanYs Printed Name
Applicant's ignature
OFFICE USE ONLY
Smb Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.)
? 03 01 of _ plex O 08 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex 1?1 18 Deck ? 23 Poroh (screenfgazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 72 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
O 31 New
? 32 Addition
? 33 AReration
/1'r 34 Replacement
Valuation Oep L
Census Code ?
SAC Units
# of Units
# of Bldgs
Type of Const
Faotings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation .
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
l ?
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 30 Accessory Bldg
? 31 6ct. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
•Demolition (Entlre Bldg) - Give PCA handout to applicant
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
FinaVC.O.
? FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tesu Final
_ Siding _ Stucco _ 5tone _ Brick
_ Windows
Retaining Wall
Building Inspector
??? ?
. ibP
64
N
o?
Q?"
$, I
f- I
VEERCLIFF
6g? s
LaN?
N 89° 34 43"W 4Iz°f8'O8? ? R° 741.76
25.20 0 29? :. S --
i 5 I
C85.: ? i , k .. I
5 ? g
21 .3 Z33 ?i .
0 .7
J
N
.? N 1 N ' I
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2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
TelepLone # 651-675-5675 FAX # 651-675-5694
7U a ?
Naw ConsWd'wn ReauiremenLS RemadeVReosir ReauiremeMs
3 regiriered Sile Surveys showing sq. ft of bt, sq. R of twuse; and gU roofed areas 2 copes of plan
(20% maximum lot coverege aibvre7) 1 ut of Energy Calulations for haated additions
2 copies of plan showNg beam & wlndow sizes; poured found desgn, etc. 1 site survey for additions & decks
1 set of Eneigy Cak,ulations Addltlon - indieafe d arsfte septic system . . .
3 oopies of Tree Preservation Pmn if Wt plalted after 711193
Rim Joist Detail Opfions selection sheet (bidgs wiTh 3 a less unils
Date ?! I `i / ()4-
Site Addrese ?onst uction Cost
UniUSte # 1;??' CI C?
??"l
Description of Work ? ? • ? ?'?C ? ?'?v-s
??°c?'C y
?
Multi-Family Bldg ? Y _ N ?
Fireplace(s) ? 0_
Property Owner Tetephone # ( )
Contractor 15--4 C(? Y?
Address 7r7-,S'-F ?3?'-?
State 0'l l?l ?q
pT1'e J. City
Zip Telephone #(?})- I?CC? - S?tc?S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Tvlinnesota Rules 7670 Categorv 1 Minnesob Rules 7672
Energy Code Category , Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submined suhmined
• Energy Envelope Calculafions Submitted
Have you previously constructed a building in Eagan with a similar plan2
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
N If so. 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the informat? is com?fete an d acc}urate;
that the work will be in conformance with the ordinances and codes of the City o agan an e tate of MN
Statutes; I understand this is nok a pemut, 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 `the case of work which requires a review and
approval of plans. ?
?
?CL-)arj
ApplicanYs Printed Name ApplicanYs 3ignature ? '?
OFFICE USE ONLY
Sub Types
O 07 Foundation
? 02 SF Dwelling
? 03 Ot of_plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex )lr- 18 Deck
? 11 10-plex O 19 Lower Level
? 12 12-plex Plhg_Y or _ N
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation _Zoe-70
Census Code
SAC Units
# of Units
# of Bidgs
Type of Const
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Aft - Multi
? 33 Ext. Alt - SF
? 38 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building O 42 Demolish Foundation ? 45 Fire Repair
0 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
REQUIRED INSPECTIONS
FinaVC.O.
Y FinaUNo C.O.
Plumbing
HVAC
Other
_ Pool Ftgs _ Air/Gas Tests
_ Siding _ Stucco _ Stone _ Brick
Windows
Retaining Wall
Approved By: -f ` , Building Inspecfor
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
""k ;?, C,>?-?
lyl
V,70-_
-a?'?'
lz?
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-
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,• gg3
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I
- EO?4?11r]L BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Foundation Onl New Buildin Interior Im rovement
• Struc[ural Plans (2) sefs • Architedural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) • Structurel Plans (2) • Code Malysis (1)
• Certificate of Survey (1) • Civil Plans (2) • Project Specs (1)
• Code Analysis (1) '• • Landscaping Plans (2) • Key Plan (1)
• Project Specs (1) • Code Anatysis (1) • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule " • Certifiqte of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) • Spec. Insp. &'Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always"
. Meter size must be esta6lished . Meter size must be estahlished • Meter size must be established-4f applicable
1 . ProjectSpecs (1)
d . EnergyCalculations (1) " y
d • Elechic Powsr & Lighling Form (1) " 1
1 . Master Exit Plan (1) y
1 • Emergency Response Site Plan (1) •" 1
y . SoilsReport (1) 1
• SAC determination - call 651•602-1000 • SAC determinatioo - call 651-602-1000 SAC determination - call 651-602-1000
Call MN Dept of Health at 651-215-0700 for details regazding food & beverage or lodging facilities.
** Contact Building Inspecfions for sample and if required when it states "not always".
Permit for new building or addition will not be processed without Emergency Response Site Plan.
Date _;?(_ / 71 / 0-3 Construction Cost / C7 OPO, O(;_
SiteAddress 111 90 Llser GIi'LCC 44nB Unit/Ste #
Tenant Name C l \kj_v, J-A- pV?l -A 25, Former Tenant Name
Description of Work key'voe, 11 b K m
Property Owner 62 S S4Pi7 02&Ar- joSTelephone #(fS,'Z) 9,?,g -SS'7 C
Contractor
Address City
,
State I`?7? Zip SS oW/aZ. Telephone #(I2.
Arch/Engr
Address Registration #
City I ? ? r
'
State Zip Telephone # AUG 0 8
( ) J
6Y i
Licensed plumber instal ling new sewer/water service: Phone #:
I hereby apply for a Commercial Building Permit and aclanowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application far a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
S?'dASn. /Te.r (G Ze" o-,
Ap icanYs Printed Name ApplicanYs 5ignature
WINDCREST 1ST
PERMIT
DATE &
TYPE
9/82 DUP
4/84 DUP
4/86 DUP
5/85 4-PLEX
11/82 4-PLEX_
84460
LOT BL ADDRESS
130
140
150
160
170
180
010
020
030
040
050
060
070
080
11/82 4-PLEX 090
100
110
120
I1/82 4-PLEX 130
140
150
160
9/82 4-PLEX I70
180
190
200
02 3831/ DENMARK AVE
02 3829
02 3819/ DENMARK AVE
02 3817
02 3807/ DENMARK AVE
02 3805
03 1304 / DEERCLIFF LN
03 1306/
03 1302/
03 1300
03 1294/ DEERCLIFF LN
03 1296/
03 1292/
03 1290
03 1284/ DEERCLIFF LN
03 1286/
03 1282/
03 1280
03 1274/ DEERCLIFF LN
03 1276/
03 1272/
03 1270
03 1264 DEERCLIFF LN
03 3855 DENMARK AVE
03 3857 DENMARK AVE
03 1266 DEERCLIFF LN
32
APPROVED 10/80
PAGE 2 OF 2
r
COMMERCIAL
' 2002 BUILDING PERMIT APPLICATION
' CITY OF EAGAN
? ? O r] 651-681-4675
J
a H u . -)-5
Foundation Onl New Construction Interior Im rovement
• SWCWraI Plans (2) sets • Architedural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) . SWCtural Plans (2) • Code Malysis (1) "
• Certificate of Survey (1) • Civil Plans (2) . Project Specs (1)
• CodeMalysis (1) " • LandscapingPlans (2) • KeyPlan (1)
• ProjectSpecs (1) . CodeMalysis (1) • MasterExftPlan (t)
• Spec. Insp. & Testing Schedute " • Certifipte of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always"
• Meter size must be established . Meter size must be established • Meter size must be established - if applipble
• ProjedSpecs (i)
? 1 . EnergyCalculations (1)'• 1
1 • Electric Power 8 LighGng Form (1)
1 . Masler Exit Plan (1)
L
1 • Emergency Response Site Plan (1)
1 . SoilsReport (t) d
• MGES SAC determination letter • MGES SAC determination lelter • MGES SAC determinaGon letter
call 657-602-7000 call 651-602-1000 call 651-602-1000
Food & beveraue or lodoinn facilities - su6mit olan to MN DeoaRment of Health. Call 651-215-0700 for details.
" Contact Building Inspections for sample.
Pertnit for new buildings or additlons will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
DATE: WORK TYPE: NEW ? REMODEL CONSTRUCTION COST: 7S/?
SITEADDRESS: Z2??
TENANT NAME: SUITE #:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK
Name: Phone#:(gV
PROPERTY Last Fust
OWNER / /?
Street Address: 7? 7 ? (i$!? /,(? ?
City: F5?' C, dState: Zip:
r--
Company: Phone #:
CONTRACTOR / I'
StreetAddress: / 9,6-1
City: ?p State: Zip:
ARCHITECT'/
ENGINEER Company:
Name:
Street Address:
City:
Licensed plumher installing new sewerlwater
Phone #: (_
Registrarion #:
State:
Phone #: (
- li
{?? LN S ?002 i ?1?
ZiP? ,
I hereby acknowledge that I have read this application, state that the informatio rrec nd a e to mply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applican
Updated 7/02
?:'
I
WINDCREST 1ST 84460 APPROVED 10/80
PAGE 2 OF 2
PERMIT
DATE &
TvrF i.flT JII. annuFSs
9i82 DUr 130 02 3831/ DENMARK AVE
140 02 3829
aisa nuP 150 02 3819/ DENMARK AVE
160 02 3817
aiar> Dur 170 02 3807/ DENMARK AVE
180 02 3805
siss 4-PLEX O10 03 1304 / DEERCLIF'F LN
020 03 1306/
030 03 1302/
040
- 03 1300
i vx2 ?--
!a- z _
050
03 -
1294/ DEERCLIFF LN
060 03 1296/
070 03 1292/
` 080 03 1290
i tisz a-Pr.ex 090 03 1284/ DEERCLIFF LN
100 03 1286/
110 03 1282/
120 03 1280
uisz 4-PLEX 130 03 1274/ DEERCLIFF LN
140 03 1276/
150 03 1272/
160 03 1270
9i82 a-PLex 170 03 1264 DEERCLIFF LN
180 03 3855 DENMARK AVE
190 03 3857 DENMARK AVE
200 03 1266 DEERCLIFF LN
32
.
CITY,OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: B U IL osrd<<
Permit Number: 030339
Date Issued: 06/ 2 G/ 9 7
SITE ADDRESS:
F,2.fd.: 1fA-8446@-Q£t0-?3
DESCRIPTION:
1290 DEE.RCLIFF LRNE
LOT: S BLOCK: 3
LJIiVGCREST 1ST
SIpINGJSOFFTT/FASCIR
PermiT. Type SF (P1TSC.)
hr!• 7;%pe REPAIR
Ct'+! .... 434 ALT. R,ESTi"rcNTZ9L
,t=.
Sm c
..REMARKS:
z.NCLwOEs
FEE SUMMARY:
Base Fee
Sijrcharge
Total fae
VF•,LU1A 1TOi•,I -T 9 ,'r7vi G.
?,149,J5
, 154.',?Fi
CONTRACTOR: - Appi.icant - 57. I_zC, OWNER:
NORTH CEMTRAL 6LDRS 153367.68 04703763 GREGOHY JEFF
A21NL7 AVE N 1274 i7EEftCLTFF LN
It*cW HOP£ p9N - 55427 EFIGAN MN 56123
(fe12) 533-6168 (6?.'2)68°6--7579
?
I ???tby. ackVL007 ??
5tat?r??s 1r??! C?C}?
? . ? . . X ? .- .
APPLICANT/PERMITEE SIGNATURE
? G ??
n ?'' u ea ?fr` :? ? a ?
lzsz (Lor ?) 1z915 (Lnr -1) 1.29C (!0-r6) 01_eRcL'tFF GN
?
s ???tC lPh41t-? Che.
?f mta.='
ISSUE : SIGNATURE
- ,
!'fi'V t71= 1:::4G;rd.!
Ci?;iFCfFR; '.i TI'r.7''11ih].NAf... M1!D:
3
`:i
:?;a.'i'Ei::: [lf>;i:'.i'/i37 1';:Nt{ii:H .
35:59:23
Ii:iu
t-!AP'rF.',: t,lnF'r.TII c::rMRPi.. F{l...Di;5
f?^.ip c:??if]:!.
c , :I.c?£i(J ?1c.E.lif.;l.1.,F`I= ;
4?
`i3
?r
?i'
7. ca..?
I.,.? 9001
I.i:`.`3(i
SIG,!i:Ri;l..:[r:;. .
.
.
„
=t,.`_IO
.l"r.:it;.) l F;;):cE31.prt f`iRn::;i,M ..'>4„c..,
_?c
OI,;;C',., .;'t..?..,
.i ? i.:... c: r
USEP .I.i:!;I Ni1Nf_4'
'lr:$;Y,t?f,? N:::'X:On%FW;'?F:"nYf.'?kll ?t. ?)Y. ?,':k'?: n:?: N•:::::4::n?:?Jr.j'?:d??'':%'FyF'h(?k?n'k'
s ?
i
1997 BUILDING PERMIT APPLICATfON (RESIDENTIAL) / S?a S
CITY OF EAGAN
i 5830 PILOT KNOB RD - 55122
8814675
Naw Construetion ReauiremerMs
RemodeVReoelr Reeuiremenls
? 3 registered atte surveys ? 2 wpiea of plen
• 2 copiea of plans (indutle beam 8 wlndow sizea; poured fid. dosign; etc.) ? 2 stte aurveys (extehor additiona 8 Eecks)
? 1 energy plculations ? 7 eneigy ealalations for heatetl adOitions
• 3 copies of tree preaervatfon plan f/ IM platted efter 7/1l93
required: _ Yes _ No -
DATE: JUN E ZLI, Iqq-I CONSTRUCTION COST: ?.=o,, ?? •?
DESCRIPTIDN OF WORK: T?I "IJ , 5 Ug-U a--)
STREETADDRESS: IL`1U _A
/a 9?? _
LOT ? BLOCK
1lv fJF Ei2c
7/!_i3 ia
SUBD./P.I.D. #: .
i/S?3 / /?96- Llorg3
PROPERTY Name: Gi2?Cs0?'Y JE?F Phone#: _7C
OWNER Street Address:
Citv: ??'PCN state: ?I zip:5S1213
CONTRACTOR Company: IvOl2Tlj CEjQri2RL J?UILDEIZS IK(. Phone #:
Street Address: -440 ( q'ayJg P?U F , N. License #:
City:_NPII) 1ft)k2C, State: Zip:
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #:
S•.sest Adaress:
City: State: Zip:
Sewer 8 water licensed plumber (new construction only): . Penally applies when address change
and lot change are requested once pertnft is issued.
I hereby acknowledge that I have read fhis application and state that the informa6on is correct and agree to compty with ali applicable
Sfate of Minnesota Statutes and Ciry of Eagan Ordinances.
? . Signature of Applicant: , ? J t5Jluul,? _
OFFICE USE ONLY
Certificates af Survey Received
Tree PreservaGon Plan Received
RECEIVED
_ Yes _ No JUN 2 6 1997
_ Yes _ No _ Not Requirec BY:
-4-
C30 Y ?bF EAGAN
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-84460-080-03
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number.
Date Issued:
1290 DEERCLIFF LANE
LOT: 8 BLOCK: 3
WINOCRE57
(ROOFING)
Building'Permit Type MULTZ. (MZSC.)
Building Wor.,k, Type REPAIR
f
'
--
md. r7 ,
C 2L?q
BUILDING
025904
06/23/95
a
?, . .. . ..-. . ,
? '?-•
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$99.75
$2.50
$102.25
$5,000
CONTRACTOR: - Applicant - sT. I.IC. OWNER:
A B CONST TNC, DAVES 13233196 20035275 ADVANCED CO INC
1120 101ST LN NW 1290 DEERCLIFF LN
COON RAPIpS MN 55433 EAGAN MN
(612) 323-3196
I hereby acknowledge that I have read this
rnfo-rmation is c4rrect and agree to comply
Statutes and City of Eagan Ordinafices.
?
-,1--??- ai?
I APPLICANT/PERMITEE IGNATURE
application and state thaC the
with all appl9,cable S,tate afi Mn.
J
l P, R.o1A I MA
ISSU D 91 SIG URE r
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
M904 995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registeied site surveys ? 2 copbs of plen
? 2 copies of plans (indude beam & window saes; poured fid. Eesign; etc.) ? 2 sfte surveys (szterior aEditions & dedcs)
? 1 energy qlalationa ? 1 enorgy celculetions Mr heated addRions
? 3 copies W tree preservation plan if lot platled after 71/93
roquired: _ Ves _ No
DATE: ez,- - -7.?- 9 5? CONSTRUCTION COST: S004- `DESCRIPTION OF WORK: -? P ?-ag Pco ?
STREET ADDRESS:
LOT jj.? BLOCK SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
Name: ".a,ce-ol ?f3, ??. Phone
u.. Fa.,
Street Address•
City:
State: Zip:
Company: Azr Phone #: F2-7-215V
Street Address: //20 /oi -??. ti c--- License 5-
City: 5Z?o? ?.??,?r State: Zip• 'a?5'?"
ARCHITECT! Company:
ENGINEER
Name:
Phone #- T? -?X?'?
Registration #•
Street Address-
City:
State:
Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the ip?prtnation is correct and agree to comply with all
applicsble State of Minnesota Scatutes and Ciry of Eagan Ordinances.
Signature of Applipnt: L a,
OFFICE USE ONLY
Certificates of 5urvey Received _ Yes _ No
Tree Preservation Plan Received Yes No
'T I4 b-? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
`3830 PILOT KNOB RD - 55122
I 651-681-4875
/?.0? / 5 a Remodel/Reoalr ReauiremanlE
c/n
r
$b0.50
Ca(led ?IZblo
D 3 regbferetl Yfe wneya ahowing sq. N. of lot, aq. fl. of houte ?? 2 coptes of plan
and g?( rooletl areas (?.m4sli mum bt covemae allowea) $"o? 1 ael of aneryy caleulaHons for heated addlflona
? 2 coples o1 ptans (ahow beam 6 wlntbw alzea; parred hW. deaign: ofc.) t site survey lor exteAOr addllions 8 decka
? 1 sef of anerpy calcuiWiom
> 3 coplas G free preservallon pton If Id platled aHer 7/1/93
DATE: C:L1- Ii-ao Co?UCTIoN CoST: a1o o. 0c,
DESCRIPTION OP WORK: LR-l-?IC-GC tk^ 5 hnG I/Ct,Ir-- Wtt;. Aft ,? JA4J4 ?C??E_
sraEErnuDRESS: 12 lo Dctrcl, 6? -.40-
LOT: _W BLOCK: 3 SUBD./P.I.D. #: W?-?.?.?r?CJ?IA ?
?r
s, Ze-
Name: C.Y L V\ S?U aLJ? Phone q:
PROPERT( Lasl First
owNea ; C.,?n? F
Sfreet Address:
Cly State: Zip:
company: eACt'sIm. 1Jes ia n CL &,1L Pnone s: 19 430-01s`!
(area coae) COMRACTOR Sheet Adctress:1, D d4& lnAeflc.cl? Cr. ucensa #-023?S Ew. OW
cnY l_6.6v, Ilc srata: /rnA..r z?p: S'SaY?(
ARCHITECT/
ENGINEER Company: Name:
Telephone #: (
Sheet
CMy
RegishaHon p:
State:
LP:
Sewerlwater licensed plumber pf insfallina sewerlwaterl: Phona #:
I hereby acknowledge Itwt I have read this appllcatfon, state thaf Me info cortect, a a ree to comply wHh all applicable Sfale
of Minnesofa Slalufea and City of Eagan Ordtnancea
Signafure of Applicant:
OFFICE USE ONLY
Certiflcates of Survey Received _ Yes _ No ' , 0; '? 1
Tree Preservation plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundatlon ? 07 05-pleac
? 02 SF Dwelling ? OB 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex 0 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-piex ? 12 12-plex
WORK TYPE
I$ 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex
? 17 Garage
* 18 Deck
O 19 Lower Level
Plbg _Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Poroh/Addn. (4-sea.)
? 23 PorCh(screened)
? 24 Storm Damage
? 25 Miscellaneous
0 30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bidg)" ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 0/
No. of Units ?
No. of Buildings 7-
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
MISCELlANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building ?
sq.ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
? 31 ExL Alt - Muiti
? 33 Ext. Att - SF
? 36 MuRi
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
Valuation: $ ?i??-Q 0
SAC Units
% SAC
.-
Cert+_f'icatr: of :;cr:C;
T,:!::o1d
Eir!ck *io?
li[aFJtii '_.ou::t%. ?•l
??0tFi
(.0
VEERCL I F F
88g."1 O
Lati?
,
?
eBO 6 N 890 34 43"1n! 'pw 2'18'08@ R°70.1.-1.6
o SS.OO '25'.20 0 29181 s
'I S I -----? -- -- ?
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PiaPe?ed Ye? sf Fiun/?he? ? 865.5
7 ' ...
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I util?}7 Easen.ent?s - SL L--
sz - ssoo - T,SOO a
N 89' s4 47'
I:iere?; ca°ti:y 7?h:; this is 1 :Ir.d .:orr?ct ?
.-;resontatier: o°
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y .> >p +nGS, "b_crd -1, „
: dC2'c'S t i+e]'i.1C.^.; '.iiv ':C.^.t--, 1. .liiy, Y.n-L! 16rI1.p
?uildint: : t r:l. 7 ? 1?.?:^ n _: ? S • / ??y /
UliliU)11 •u• ^?.?. L.. ..1.?? 1... •
^ I_o.. .,.r?.? ....r.„t ... ?.. _,. :'. `._. ...._..
eez.a - ?;c ? ?1:., _ ....,. .... ..._ . . _:.9
:: .U... , _ .. ?.... :u:n ..,..,.._
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
L I Iq" I 3830 PIL'OT KN B RD - 55122 $"mO
• ' 8?5y1,-681-4875
New ComhucMan Reaulremanri l/4?- 13?? v? Rertwdel/Raoalr Reaulremenh
GD
n 3 reglstered flte wneys ghowlnp eq. fl. of bt, aq. H. of houce 2 coplea of plan
antl gj rooled areaa (2D96 rtaxlmum bf covamae Wlowedl 1 set ol anergy cdcWaHOns br heafed addlHOns
D 2 coplea ol plans (show beam & window alzes; poured tnd. deslgn; etc.) 1 slte wrvey fa exfedor adtlittons 8 decks
> I aet a aneryy calcNan«,s
> 3 coples of hee pre[ervallon plan If lot platletl alter 7/1/93
DATE: _C D- L'i '00 CONSTRUCiION COST:
DESCRIPTION OP WORK:
S
STREET ADDRESS: 199.9 • cr&cC --? 1--C'? v\--k-
LOT: n BLOCK: -'?) SUBD./P.I.D. Y: uA " C-k-'"s )-
Name: 1 S uVl U S e,- V\, 0"L Phone ff:
PROPERTY lost First
OWNER
Sheet Addresa:
Cliy State: Zip:
Company:?,15???sn Phone t: 160_ ??a'O l?l F
(area code)
COMRACTOR
Sheei Address: ?AS?:{A rA6cLe,?C? ClLicense i?ExP.
ci+y _L-C'c,4,4 lk- S,ate: &.s) zip: ?? 'ry
ARCHIiECT/
ENGINEER Company: Name:
Telephone #: ( )
Sheef
CNy
State:
Zip:
Sewer/water licensed plumber (If InsWllino sewedwaterl: Phone #: L
I hereby acknowledge Ilwl I have rood thb applicalion, stafe that Ihe IMorp a-n, and agr to ompy wiih atl appAcable Sfate
of Minnesota Statutes and City of Ea n Ordinances. ?
Signature of
OFFICE
Certiflcates of Survey Received _ Yes _ No 2 1
Regishatlon 9:
Tree Preservation Ptan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-plex 0 13 16-plex 0 21 Porch(3-sea.)
? 02 SF Dwelling ? OS 06-plex 17 Garage ? 22 Poroh/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck O 23 Poroh (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous
? 06 04-piex ? 12 12-plex ? 20 Pool 0 30 Accessory Bldg.
mo :Kf1w?
9 31 New O 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding
? 33 Alteration 0 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair O 42 Demolish (Foundation) ? 46 WindowslDoors
" Give PCA handout to a pplicant for demolition permit
GENERAL INFORMATION
SAC Code ?
No. of Units ?
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies
Total:
sq.ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building /P-&? Engineering Variance
Valuation: $ / aio o
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 MuRi
?.
SAC Units
% SAC
Certi4icati: c;'
f'or M.a4;r.or i 2r.old
a; l,r.ts >-F, Fi^ck ', l._,.ir.x•.,;t :,?..;ticr.
1'x,fotri ^oW:t,, ;::!n't:zsot_.
60
N
P?apaseo! Go.eyr S/a{ E/ee=.B85.0.: I T?
i
P epereQ 7ip
I I
I '
VEERCLIFF
8g3, .?9
LA tiE?
i
?
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?yke 6ti
ass-0o 1 zs.za o z9.?81 s
?
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g2 55.00 ?5:00 3 -
N 89' 34 4'S' W
I.'1BI'1:b7 C@I'tiFy LFia: t}115 15 i 1;:.._ tfl.C: cOl"t`.'^t .' 3C.:'.dt1U:1 O:
Of tf.8 bo;uldaries C:? ?Otti ?%, 'IlC `.-' ,'?iCCd 3'ni: ,.:GC2'c'EL iiC::i.1C.^.
f
LOC:atiCil Oii1_ °:C_Sr.l:l6 ii?ul_.1i:1g8, i° R:-ff
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buil9ink :ind lrive,?j:.
`v?_t2LCiii ... Ci::::.. ?C., ?....
;:c?il•.:. i" = 4C.1? ?
eez.z .. :c t 1...
J:'n-.:
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
'. ' 3830 PILOT KNOB RD - 55122
651-681-4875
New ConshucBOn Reaulremenh cllf? C'd S-0a Remoclel/Reoalr Reaulremenis
? J reglatered siN wrveys ahowlnp tq. fl, ol bl, aq. fl. oi house?T3gO1 2 coples of plan
antl Qo rooted areaa (20X mmdmum bf covemae allowe? 1 fet of eneryy cdculaNOns for heafad addidons
D 2 coplea of plam (ahow beam d window slxea; pouretl 1nd. deslgn: etc.) 1 site wney for axteAor addiflonf &decka
? 1 set ol energy cdcuMMOna
> 3 coplea W hee preservaHon plan H bt plaMed tNter 7/11/93
DATE: t% ' 12 -06 CONSTRUCTION COST: 010 V-oU
DESCRIPTION OF WORK:
st Le
STREET ADDRESS: Dcr ?a re,
LOT: 4--?_ BLOCK: ? SUBDJP.I.D. 71: \ ) -kn ril C/L f Aji?
Name: ?Pi 1\A.c A PhoneC
pRppER'T( laef Flnl
OWNER ?1 ,,
Sheet Address: ?.?-? I/] ? _
City
Stafe:
Zip:
Company: ?iG? PhoneA: 6fa
(area code)
COMRACTOR
street Aaaress:JASry.6 •?AAQ4c.cl,e,. G: ucanse r 2.?s-Exr,. ,?XO r
G+r 1 c.-?E e,?.l, ll? sfpte: M,J zip: ,?Kq
ARCHITECT/
ENGINEER Company: Name:
Telephone q: ( )
Sfreet
Clty
RegishaNon Y:
State: Zip:
Sewer/water licensed plumber (if insfalitna sawerMraterl: Phone #: (
I hereby acknowledge lhaf I have read this applicaHon, sfate thaf the infortnati?? cortect, an e to compty with aA applicable Sfafe
of Minnesota Statutea and Cify of Eagan Ordlnances.
Signalure of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ' i
2 1
Tree Preservation Plan Received _ Yes _ No _ Not Required ? => /-,%
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex 'N 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex 0 19 Lower Level ? 24 Stortn Damage
? 05 03-plex ? 11 10-plex Plbg _Y or _ N ? 25 Miscellaneous
? 06 04-piex ? 12 12-plex ? 20 Pool O 30 Accessory Bk)g.
WORK TYPE
9 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)` ? 44 Siding `
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair O 42 Demolish (Foundation) 0 46 Windows/Doors
' Give PCA handout to applicant for demolitlon permit
GENERAL INFORMATION
SAC Code 0/_
No. of Units O
No. of Buildings
Const. (Actual)
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Buiiding /IL6? Engineering
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
. °
? 31 Ext. Alt - Mufti
? 33 Ext. Att - SF
O 36 MuRi
?
Permit Fee
Surcharge
Pian Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Suroharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
7otal:
Valuation: $ /a 00
SAC Units
% SAC
• ^ . '
' c2:'Li4iCett: .f
' fOP NiFie".c^ i°::oZd
x?.I;ti r,C
. Ltr:Otfl ;''Ju::t.%
i I
(oQ ?---
VEERCLIFF
? BL? BBg."i O ,
L A ?; ?
;
?
850N 89034 43 W'p-2"t808 m R 70.i.76
q a 55 Oo i 25.Z0 0 29?81 j'? -
- -, ;?, - - - ?; r --- - - ,:-7, r -
?e85 _ -10
'
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34 43
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I ?? ?ORlJEMp ` ti h'9 ? ORNEWy) Iti
_LO
i ?e 0.7 N ? 61 O D7 ••? ?N
I 1? I ? ? M1 1O . .
23. w 21.3 .? i?
P opeseo! Gnro9r S.i fiee? 8B5.0..•; i W r./ o r 4? i
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? ? IO ? ...
- uti??}r Ease?an}? ?
9z SS.oO ?SOO 3
N 89° 34 4'i W
I nereb;,; ca^tify Lha: '.,:'115 15 1 t,:... 2s:.C " ' ?
corre^t ?_.)rese:;.aticr. -.:..?f
of t'r.e boun?aries n_° i,ots ;, 60 7, :;nc S, 31ecnc ;, n7.::CCP25t
LOCt1+i0? Oi i1: °X1w?61.^.o Gl:l-ii:lgSp i' ..^.j? L:;e_.tG'?
'.::E.^.t5 , ii ..;:>> . ? ,i.. Oi J:: S:-1Q La :" _...? ':(i-? :.... _pC_ .i ... . _ _ 1: =•GGSdC
t'L1' Lu1CE_ :iRd
G?t2IXii; ... ?G.". :.. ... ? ., . .
oc? le . i ° = 4L` '
I."pi: 1LI.^i-' ,T•,..i• ' .{-???? +
982.3 S ..r, G L?:.. - . Jr ......., .?.._ . .,?, _ .. 7:(:
. ... 0 ?U:.l y .. e • .c0'..
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i•• 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? I ?J ?? CITY OF EAGAN
"? 3830 PILOT KNOB RD - 55122
651•6814875
dew ConshucNon Reaufremenh aa iRoair aecgfiren,.nts
n 9 replatered tHe wrveYS showing fq. H. of bt, sQ. B. of house wG'7
and ga roofed areaa (20% maximum bf covemae allowedl
? 2 coples of plans (show bearn & wlndow slzes; poured Md. design; etcJ
> 1 fet d enargy cdculatlona
D 3 toplea of hee preaenaflon plan tl lof plaltetl afler 7/I/93
DATE: a -4 5 --GU
DESCRIPTION OF I
STREET ADDRESS:
Nome: ? k-Q_4 Q O J? v 0. Y?e Phone #:
lasf Flral
LOT: ?p BLOCIC ? SUBD./P.I.D. #: CLa i-L
PROPERTY
OWNER
Sheef Address: ?
CNy
$b0.5p
2 copiea of plan
1 sel of energy calcWaMOns for heated addlNOns
t alfe wrvey fw exteda adCiHons a dee W
CONSiRUCiION COST:
State:
2 l OO, csc,
Zip:
Company: AJCC,%d2a Gf 1616 cL-ZQi Phone M: &;i- `1?O IXFr(
.41 (area code)
CONTRACTOR r,
sn?t aaaress: l'?rClG ..lnAcrf .,. C ucense a ?.S Exa. 4-401,
ciN t6.?c'•cr, stare: M?V ztp: v''SoVcl
ARCHITECT/
ENGINEER Company: Name:
Telephone M: (
Sheef
CRY
ReglshaHon q:
State: ZiP:
SeweNwater licensed plumber (If Installinu sewerlwatar): Phone #: (
I hereby acknowledge Mw1 I have read this applicalion, state thaf ihe tnfortnaNon ortect, an r e fo comply wHh atl applicable Sfate
of Minnesota Sfatutes and CHy of Eagan Ordinancea
Signalure of AppticanT:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
?
-? ?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex 0 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-plex O 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-piex IX 78 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex O 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10.plex Pibg Y or_ N ? 25 Miscellaneous
? 06 04-plex 0 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
jffi 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
13 33 Alteration ? 38 Demolish (Interfor) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
` Give PCA handout to appl lcant for demolition permit
GENERAL INFORMATION
SAC Code _0`
No. of Units
No. of Buildings Z
Const. (Actual)
(Ailowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building 11-A, Engineering
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
? 31 Ext. Alt - Muld
? 33 Ext. Aft - SF
? 36 Multi
?
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ /aqd
SAC Units
% SAC
?-
•
tor N;a,;-.cr D=31d
- .,:4t3 J-?? ?iDCk --, .._n:rT•':?. ? :f_-=tiOri
oi1:Ut1i •'.?r7i::lt:-? n'ZSOt.ft
VEERCL I F F
0
»
/y^
g.? O
w
'
? 68
;
gea y ?
N 89° 34 43' W'p• z"ts OS e R• 70.1.76
?? a SSAO 2520 o Z9.81 s
3 - - ?
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,
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85. -
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? 34 43 W ?-
~ 55 ? 2 5500.'
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1100
'
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I
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Ba ?5.00 -SSOO 3
N 89° 34 4S'W
r'19T't.'br C8I'L:fjr Lhat thl.' 1.5 u t=:::: 3r.d corrs^t r?•:>.ese:::.ation O;
'
of tce b011I1,'.8^1°5 ;.° _.oL9 .
.°i:Gr_6 3
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. LOC:ati:iTl 92 li1_ 3 ?":561:ig '.i ?
?
i.l:..i:lV'.:t? ?? :i:_?f G::C'.JG`? 11?. ._.._,.._„ .:C_...?':r .
?.-:^?t.^.? .: ..t.. J: '):?:n..,dC
-
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.,
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l
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cs
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- .. .?.,,, _.... _._ ?
_rd ?L,..r:er
: r
CITY USE ONLY
PERMIT #: 4q 119 RECEIPT DATE:
WKSIDENTIAL MECHAbTICAI. PEiMIT APPLICATION
crrYoggnsm
S$SO PILOT KAOB !iD
gra16AA MN 681 EE
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 8 ?K.. G ?
SITEADDRESS: ? a??O Jec?Gl;
OWNERNAME: GarY W kGelock- TELEPHONE#: CrOS?
(AREP
y05 r?')7
INSTALLER NAME: La?e", vP- TELEPHONE #: CqS)' qqo_Y 3,2b'
(AREA CODE)
STREET ADDRESS: 7 0Y(a
?
CITY: 01,er L-, 6
Plate a check mark next to the oermit work tvoe
ZIP: 55 3 ??.)
_ New residential dwelling unit under constructionand not owner/occupied $ 70.00
Add-on, modification or alteration° existina dwelling unit
J .00
. furnace replacement ?
AA! 2001 ?
• air exchanger
• air conditioner 8Y
• other
Nature of work: l1-e??ucp ek?f15,.01 vo(uj air
?
FlrWp,.c,z .
State Surchar e $ 50
Total $
Reminder: Ca11 for inspections.
E4 S'(_
STATE: MAI
C A--? _..
SIGNATURE O lPERMIT EE
1
Updated 1/O1
CITY USE ONLY ? r fl. ?
LOT ? BL ? RECEIPT 7 7 ?
SUBD. 6(-?? RECEIPT DATE: II I a C/ J
1998 M£CHANICAL P£itMIT (ft£SIDEN'flAla
crn' oF EAsnx
s$so PuoT Uoe ftn
SP?fiAN b1A 55122
(612) 6$1-4675
Date•
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied '
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surchazge: .50
• TOTAL:
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alterarion/add-on to ductwork in
existing residential units; but is required for the following:
L/ Install fiunaceaoa,,,,e) _ Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minnnum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surchazge 0
Total: - 20.50
SITE ADDRESS: I??/ `i YJ C.G? C, ?? L_ ?n.k
OWNERNAME: ?c3•-v? Srt,.Shof ?Z- ?X?b?1 90g? PHONE#: 962 ` tS a:Z
INSTALLER NAME: kuj2r'S ) PHONE #: Vq-7 S/ K
STREETADDRESS:Lkv'SI (m?
CIT'Y:
STATE:
?? 1??i
1SffORMS BLD/MECH PERMIT (RES) - 1998
OF
A
2006 RESIDENTIAL BUILDING rExnuT .arpLicaTioN --7 pd
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsVUdion Reauirements RemodeUReoair Reouirements Dffice?Use:OnN
3 regisfered site?surveys showing sq. tl of lot, sq. ft of house; and all roofed areas 2 copies of plan showing footings, beams, jolsts Cert oI S?tpC'y?,Reoi _ Y_ N
(209h mazimum lot coverage allaxed) 1 set oi Energy Cakulalions tor heated addNOns Tree Pres Plan ReW ^?_'Y Tl2 2 copies of plan;showinq beam 8 window sizes; poured found design, etc.
1 site survey for addiUons & decks Tree pfzs J'Fegued? ?LY N
lsetofEnergyCalcuiations Add'rfion - indicafei(on-sifesepficsystem Oo-site5epqcSystem ,_1l"_N
3 copies of Tree Preservatlon Plan if lot platted atter 711193
Rim Joist DehaOOptions selection shcet (buildiigs wiN 3 or less uniLS)
Minnegasco mechanical venfila6on form
Date Q?_ l L? Construction Cost 4270 ?
Site Address ( ZQ O V P,re 4Ar? (AnjP UnitlSte #
Description of Work P(-?, 0 L49c1? Pav n.rfi ?S''b» (1
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner (,(JI iU C1 Cvo,? ? -T?) 6,., jISSrC ?i ?tc 53 Telephone # ((o?f) 14 ;) 7 ^ Z7 VD
Contractor ? ?? u + ::? t ??p
Address ? 7_0
- L City J,-- -64h-)
?
State 1m k4 Zip Y I 2 3 Telephone t# (lD /z) 2,l U-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Mumesota Rules 7672
Energy Code Category , Residential Ventilation Category t Worksheet • New Energy Code Workshee!
(J submission type) Submitted Submifled
• Energy Envelope Calculations Submitted
In ihe last 12 mon}hs, has the City of Eagan issued a permit for a similar plan based on a masier plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Teiephone # (
I hereby apply for a Residential Building Pertnit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work wili be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
Applicant's Printed Na e
Apphca t( ( 1 ? ?
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex /X 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscallaneous
Work Tvaes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
??.???
[[[
7,1
/ ? 34 Replacement •Demolition (Entire Bldg) - Giva PCA handout to appliwnt
D@SCfiptlOtl: WaterDamage_Yes
Valuation _
i hslj_A-9_V Occupancy
i - MCES System
Plan Review l
_ 100% or _ 25%
Census Code ?Z Li Zoning
? City Water
SAC Units Stories Boostee Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
Footings (new bldg)
? Footings (deck)
_ Footings(addition)
_ Foundation
_ Dnin Tile
Roof Ice & Water Final
_ Framing -
_ Fueplace _ R.I. _ Air Test _ Fival
Insulation
REQUIRED INSPECTIONS
_ Sheehock
FinallC.O.
Y FinaUNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatrnent Plant
License Search
Copies
Other
ToWI
0a C/"41-
0
??
------
o ?y3? n;1? q
?iaa (0,? .a
L It\.ti -
'eao a N 89' 34 43" W'o. Z'IS?DB ?? R='r k?_'6
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I ? --- - - _ -?--?,a : - - ?- -
i ?,,? I OQN£WAY c`l y' 9 N ORNEWAY I I I"
N O _
? -
J? Y o ' a
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13.3
O r
n_opos<d Ga?4yc So6E/?._ g85.0 , a? - .
P?oposcd To/ of Foun? f.?rt = 885,5 ? ? '?
IN
I I
,o r
? ? ? ?1??? v Laverr.¢nt?
z 3
M1f 89° b4 ?3'? N/
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wj?
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,
i 3
"??-???jGJ ' 2006 RESIDENTIAL BUILDING rExMrT arrLicnTioN CO
I City Of Eagan
' 3830 Pilot Knob Road, Eagan MN 55122
. Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reavirements RemodeVRePair Reouirements ON"ice Use On
3 registered sfle surveys shaxing sq. h of lot, sq. ft of house; and all roofed areas 2 copies of plan showing footirgs, beams, joisfs CEA GF-S?rvey?Recd - Y ?N
(ZO°h maximum lot coverage auowed) 1 set of Eneryy Calculations for heated addNOns Tree Pres PW'n Re.?af i 4?Y, - N,
2 copies of plan shaxing beam 5 window sizes; poured founC design, etc. 1 stle survey Wr additions 8 decks Tree Pres Regui2d ?' ?=Y „N
lsetofEnergyCalculations Addifion - indkefeNoo-sttesepficsysfem O rt=siteSeptlc.5ystem ,,.,=Y=1?
3 copies of Tree PreservaGon Plan'rf lot platted aRer 7/1 f93
Rim Joisf Detail ODtions selection sheet (buOdings with 3 or less uni4s)
Minnegasco mechanicalvenWationform
Date p( ?
Construction Cost
Site Address f Z, ?? l7Pe v[` Lt ?? ?}I`4? UniUSte # -
DescriptionofWork
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
y(- c rhR-rlrw Prt
Property Owner 1,0 1 yv C-\/'pS'?^ t "oti? N??yr?.p ASS?'AAdx e e hone #((p? 2- 2-2 ? O
Contractor A b
Address 92.0 ??uyV ? 'j '2 L( City ?4)-N
State ? N Zip Telephone #((?JZ IC?- I
651 45z- 0(41z
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In ihe last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Telephone # {
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # ( ?
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
1710 <59 l)PV,!feta-tJ ?k.t ? -- `_
Applicant's Printed Name Applicaat's i
DO NOT WRITE BELOW THIS LINE
Sub Tvqes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ?q 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 17 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
L] 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
I
0
33 Alteration
? 37
Demolish Building" ?
43 Reroof
? 46
Windows/Doors
`{? 34 Replacement •Demolition (Entire Bidg) - Give PCA handout to applicant
r
D@SCrIptlOfl: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code __t2 3-q Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width _
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
Sheetrock
FinallC.O.
?C FinallNo C.O.
HVAC
Other
_ Pool Ftgs Au/Gas Tesu Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
/
Approved By: ? ILI- , Building Inspector
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Utility Connection Charge
58W Permit & Surcharge
Treatrnent Piant
License Search
Copies
Other
Total
/? CvLIG
????
?
LJLtRCLIFF
LAti'?
eac ? N 89° 34 43"W?4=Z'18'08 r R="7A?1,7C?
0 55 uo '; 25.20 ? 29j81 s?
? s
I ? o_ g r
(^ 2i.? a33 ? t
a 1? ft f
I IO .
0.7 ?
2 N N {
LJ 89°`.3443W
Do ? - .-?_
- m 0 I o
1i11 'I DRNCWAY N y'9 ? f1R/YEWAYI rP'
i
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N O 61 ? O.l ?- ? N
0.7,
O
i 1S
R-opos?„( Ga?oye So6E/?.= 885.0
P aPOrcd Tp of Feuna?+`•?a = 885.5
IN
BSS 7
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? /?C D--
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Revuirements
3 registered sile surveys shawing sq. ft. of bt, sq. ft. of house: and all mofed areas
(20Y maximum lot coverage allowed)
1 Soils RepoA if proposed building is to 6e placed on disWNed soil
2 copies of plan showing beam 8 window sizes; poured found tlesign, etc.
1 set of Energy Calculations
3 copies of Tree Preservafion Plan if lot p!xtted after 711193
Rim Joist DeUil Optians selecfion sheet (buildings with 3 ar less units)
NGnnegasco mechanical ventilafion form
/' 7?
RemodellReoair Reauiremenk 6ffice Use Onlv
2 copies of plan showing footings, 6eams, joisis CeR of Sun!ey Recd
- Y _ N
1 setof Energy Calculafions for heated additions --
Soils Repon ., _Y. _N
1 sire survey for additions & decks Tree PresPlan Reid Y _ N.
Addi(ron-indicatei(on-sifesep6'csystem Tree Pres Required _Y _N
On-site SePtic System' _Y _ N
ol,.,, 'I ro nnhlir infnrrriafiinn ii.,ipcq vr,ii state thev are trade secret and the reason.
. ....,.. ,.... .,.,...,.....
Date a-i ..... __.._ . ..._....__._.. _..._ -- - , .?l n
Construction Cost
SiteAddress e ekL?I L AYt E Unit/Ste #
?C
Description of Work
Multi-Family Bldg \/'Y _ N Fireplace(s) _ 0
Property Owner Telephone # ( )
Contractor o10 0""?`Q-55 ?f
Address ?1k? Zlo? ;1
YkGCSt iJGv*N City ?"Q•l?K b?rOJ?
State Zip i Telephone #(6l2) ge"31 -Sa Cq
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel
(Jsubmissioniype) Submitted Submitted
• Energy Envelope Calalations Submitted
In the lost 12 months, has ihe City of Eagan issued a permiT for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masier plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
T herehv annlv for a Residential Buildine Permit and
Telephone #(
Telephone #(
Telephone #(
that the information is complete and accurat
e;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 1 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 o work which requires a review and
approval of plans. ?S??
Ik\tZ.XA+>?.J ?
Applicant's Printed Name Applicant's Signature
Apr 28 08 03:42p Marque Plumbing, Ine.
ClN/LO/CYX.O !L•CJ CJ41T CIYIT\.I.p'1 l1CV I J?
C?t? Of Eagll
3"0 Pild Knob Road
Eagan MN 5S7Z2
Phona: (651) 6755876
Faz: (651) 6753694
651*998-0996 p.2
?..,. ?-.? ?....
? .
- ?
i ?M,DAIOO,V?.9 / ?
,
? Pamt F..: U ;
? Uatn keoawoe: ;
I SoR„ ?
?-----------------?
2008 RESIDEhI'f'iAL PLUMBING PERMIT APPLICA7fON
Date? 6??qn?vC? _ Slle AAdrass: ?:R9 1`I ???f FL C`L7 f??
? ?
RESfDENTIOWNER Mama? phwna
neereesrcaiza: ir>`? lI'r.?C'c7%?iG ?.N iaiii,
a.s?%?/?
T?L?? Liwnser
(L
?i?
LiA
•"1(
I?1???21t??'%
CONTRACTOR .
.
?,
?
,
, t
Name?
nda?9:=?1`17 ?hl1?G.-????=rU,?Cr,/V
, ?? --->
rL suto: /?/L Zlp;
Ciy: ?) 77; f?Li? l?}'7 ?
y
e 1-) ?"J? C'L•/?l.?c J? ?
> ?) !?s?? C
"J r
! P
n
'`l ? y
t
rs
L
.
c
:
ar
e
o
on
Ahone:
:
TVPE OF WQRK _New _ ReVacsmeni _ Rovair _ ReWeb _ Moday SpeoP -wax in R.D.W.
peycri Iqn qf work:
PERAAIT TYPE RESIOENT/AL
-ZWafer Heate0 _ Wster SoRener
Lewn Ircgation Add Plumbinp Fi#ures
L_RDZf_PW i Main_LowsrLevaq
scpcie Syctem -Water 7vrnaroun0
nsw
Kbandonment
RES/DENTJAL FEES:
;b0.60 MinMwm Wator Hcatcr, Water SoROnnr, Of VJaEef Medter and SO1tbrlBr (inGUaes S.tiO 5taao Surchuw)
$30.50 Lawn ITigation (inchMcs 5.50 State Sureh"e)
S5q.5p Add Ptum6ing Fixture6, Saptic System AbantlOnrrlent, Watar 7umaround' (inciudos S.50 State Suaeuwpe)
Welor Twh9r0un0 (300 $135.00 if a 618' metar is requirod) .
i100.'SQ Sep[fc Syslem New (f10.90 per ec built) (uxluoos Cwn1y iw an0 5.50 51a1e Surebarge)
$90.50 FHe Repau (reptart humea out appiiances, auctwak, etc.) (mduoes b50 State Surdwge)
% s
TOTAL FEES S
1 ne,aeu xknarYans !hx mla Infemuden h cmMoMn ane ararate: thal ms wark wW bs in wJanwnm Mm Ihe o'ainarrss arN toCex m Me C4Y ol
EAQen. tlNl I WlddilGnO This i5 rol 9 Pn?M1 bo " ? aPO{OlIiOn O1f w pNfqll. iM MOA 4f POl ID SiMI MIUIOYI d Cer-k INil thC W"k FM 0! M
dCLdC?k0 WO lIM 7PPraveE plfn i^rt IM fsx M YaAc wINe111e7wilEa a IsYIEW iM aPMmal 0} 9pM.
7C: rt'ti r/?'. :?-`??lti.-Ciu.: . ' C•Qn..?--c.,?.v_.L???
ApplfeanCe PelnEad Name APMMant's S400M1fe
FQR OFFICE USE Raviewed By: Datc:
ftoquired Inayections: _Undcr Ground _ROUgh-In _.Aa Test _Oas 7est ___Fenai
Use or BLACK ink
I
I For Office Use -
a its,
I I?ermil u C
ut of Eap ix"
:
t Permit Fee (s~ J
3830 Pilot Knob Road ?
Eagan MN 55122 Date Receved:
Phone: (651) 675.5675 q'7 ;
Fax: (651) 675-5684 staff: (
i
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 ~j Site Address:. x.90 -q Z 94-96 Z'Pfh4c-WZAQ e unit
Name: 1 Y Ta:~tJ AZG,j ,Phone: ~~t ! f-z
Resident/
Owner Address i City I Zip:. Q . Q2n~ at - -`Z 177 M.& j
Applicant is: Owner Contractor
Type of Work Description of work: ~~c? --P"a n
Construction Cost: f t ti Multi-Family Building: (Yes ~ f Na
Company: A bn ty'o Ao U!& k Contact: ! u c, n on)
Contractor Address; 9 2_0 CU e r1d 7rgy~ t ~ City: 0AG A.NL
State: - zip. 52. ~3 Phone: I~ 1 ?I -2-i G ) { (6 y
License Lead Certificate #:-A ) R 1
If the project is exempt from lead certification, please explain `,vhy: (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 R Water Contractor: Phone:
NOTE: Plants 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 they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-4002 for protection against underground utility damage. Call 48 hours
before you =nterid to dig to receive locates of underground utilities
I hereby ack mvledge that this inforrnat>on is complete and accurate, that the work will be in conformance with the ordinances and codes of the City of
f-.agan. ttvil I understand this is nol a pofmit, :rst only an appl!cation for a permit; and work is not to start wilhoul a permit. tnat the work twi; 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 184
days of permit Issuance.
Applicant's P ' ted Name Applicant's ignature
0n' MORS OF FOUR OR MORE RISERS,
'ABLE HANDRAIL EQUIVALENT TO
To 2" DIAMETER AND MOUNTED
34" TO 38" ABOVE TREAD
3 IS REQUIRED ON AT LEAST ONE
SiuE OF THE STAIRS.
WALKING SURFACES GREATER THAN
30" ABOVE AREA BELOW REQUIRE
GUARDRAILS MINIMUM 36" IN
HEIGHT AND DESIGNED SUCH THAT
A 4" DIAMETER SPHERE MAY NOT
PASS THROUGH
DECKS SHALL NOT BE SUPPORTED BY
C UILEVERED I -J ST HOUSE FRAMING
WITHOUT SPECIFIC ENGINEERING.
LEDGER MUST BE ATTACHED WITH
MINIMUM (2) 3/8" X 4" LAG SCREWS
WITH WASHERS EVERY 16""
STAIRS SHALL F3E PROV r ED WITH ILLUMINATION IN
THE IMMEDIATE VICINITY CF THE TOP LANDING.
TREATED WOOD MAY REQUIRE SPECIAL
F,,r_.. IE\:7S, HANGE3,AND
`fCUR LUV:37:a
SUPFLIER FOR MORE INFORMATION.
pp
BY:
EAGAN
REVJEW ED
D=ATE: CP/ul a
BUILDING INSPECTIONS DIVISION
J;/ Y
Toe Spacing = 3 3/4"
Railing Height = 36"
•
•
•
•
•
•
1
•
•
•
•
■
•
r
■
•
1031
7' 2"
w
7'
11
6' 6"
3'
0
Deck 1
N
Joist Spacing = 16 in.'i o.c.
Baluster Spacing = 3 3:/4"
Toe Spacing = 3 3/4"
Railing Height = 36"
6' 6"
' 6"
Construction Specifications
deck 1:
Construction Method = Beam on Top of Post
Footing Type = Pier In -Ground
Live Load = 60
Dead Load = 10
Decking Spacing = 0 1/8"
Joist Spacing = 16"
Beam Spacing = 62"
Post Spac' •j 8"
Decking - • ACQ Premium Southern Pine No. 2
Beams = ACQ Prime Southern Pine No. 2
Joists = -.• 8 ACQ Prime Southern Pine No. 2
Posts = _may ACQ Southern Pine No. 2
Deck Heig t = 48"
Diagonal Bracing = No
Deck Skirt = No
Joist Overhang = 12"
Beam Overhang = 12"
Decking Deflection Factor = 360
Joist Deflection Factor = 360
Beam Deflection Factor = 360
Pref Decking Size =
Pref Joist Size = 2x8
Pref Beam Size = 2x8
Pref Post Size = 4x4
Stair 1:
Step Width = 48"
Step Height = 48"
Step Rise = 6 21/32"
Step Run = 11"
Stringers = 2X12 ACQ Southern Pine No. 2
Risers = 5/4X6 ACQ Premium Southern Pine No. 2
Treads = 5/4X6 ACQ Premium Southern Pine No. 2
Railing 5:
Railing Height = 36"
Baluster Spacing = 3 3/4"
Railing 6:
Railing Height = 36"
Baluster Spacing = 3 3/4"
Railing 2:
Railing Height = 36"
Baluster Spacing = 3 3/4"
Railing 1:
Railing Height = 36"
Baluster Spacing = 3 3/4"
Railing 3:
Railing Height = 36" L4057
Baluster Spacing = 3 3/4"
Railing 4:
Railing Height = 36"
Baluster Spacing = 3 3/4"
r
•
9(-) DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Porch (3 -Season)
Single Family
Multi
01 of _ Plex
WORK TYPES
Y New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%1,)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
_ Garage
.1. Deck
Lower Level
_ Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
_ Interior Improvement
Move Building
Fire Repair
Repair
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
_ Siding
Reroof
Windows
Egress Window
/07/2/
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
_ Miscellaneous
_ Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining WaII: Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Reviewed By: 1 V , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
(9°
Page 2 of 3
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