1175 Duckwood TrSITE ADDRESS // / ? ,? ???• Unit # I Permit # ???640
L ?? B
SITE ADDRESS Z Unit # fe- Permit # `r
B Sect./Sub. 4.
INSPECTION INSPECTOR DATE COMMENTS
fr ? 8r-9
?`? ? ?/?/O•-!'
?i ? f lr
Ir....
41
%?-?1 * 5 -g'Y
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SITE ADDRESS 1/2 ..G?[J?t/?l9? ?n• Unit # Permit #aIII
L ll B
' # 3 • ii?? y A av
INSPECTION INSPECTOR DATE COMMENTS
SITE ADDRESS Unit # Permit # awIG ?
. / ?
L ?r B Sect./Sub,,
00 d V941 • ???o -"' ?
INSPECTION INSPECTOR DATE COMMENTS
Cl??, ?? Q
ua
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e/1? .-? ?.
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INSPECTIOM INSPECTOR DATE COMMENTS
-'C- ln,
? ? oJ?/UG ? /? 02 ??
? • ?
G v r C.?' ? i
SITE ADDRESS 117AVJA0VVW _? unit # Permd # (.0
B Oll Sect./Sub. /A,?? ??
,?193 ?? ??o19il t?'1 /j' °u
INSPECTION IHSPECTOR DATE COMMENTS
y 7-?
e. ? 9-18` 9
.
? ?Y ??y
r D
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?
SITE ADDRESS ???? 4Unit # PeRnit # aV16 G
L B
INSPECTION INS ECTOR DATE COMMENTS
14 l 4
. o-
,?
? ?
4
11r,at.l
v
.?
°- •`,?'-
Wertificate vf cccuvaj?c* WU4 of Wagon
zkosrbaext of $ttilbing ?n?rcctuan
This Certijcate issued pursuant to the requirements of the Uniform Building Code
certifyrrrg that at the time of issuance this structure was in compliance with the various
ordinances of rhe City ngulating buildirtg construction or use. For the following:
Use Classificatian: 141T.TT"5mR$3C Bldg. Pcrmit No. 24 166
o«,p-y rype R 1/141 zorLimg niuicc V 1/EtR Type Const. R3
o.= of swiaing 9IIM ----S cam ! nadnss 9f,E37 63ALAVF--N,-YARE?
suiwing naanss I Locaiicy T 1 I FO, CT FRebrIc arrrlc 41u
Dac: ??? 3h?
POST IN A CONSPICUOUS PLACE
._.?..
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
i,i?k.?..??ti?
r.,iW t , iitil111 4111
? PERMIT SUBTYPE:
RECORD
PERMiT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
j III '..I.1= l H I 1$IN
t:lll t UIN?l
0 " a l f. Ey
01, 10 1 194
Ni u
( 1, Pi r x 1
INSPECTION rA • rA
( I._ilf1 f P1?? t?i;?l ? PI?
t tJ'.III (1 1 f 1iiJ i I 1 I f'1 ??? i
! I ?Illl I 1 i??i i 1 r?fl)
t MAkkSt `: b W P 1 IIk
Permk No. PermR Holder Date Tslephone k
S/W
PLUMBING 533'?
HVAC
LAI-
ELECTRIC
ELECTRIC
Inspectlon Dete lasp. Commenta
Footings I /
Foundatlon
Framing
RaoFlng
Rough Plbg.
•Rough Htg.
-lsul.
Fireplace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector- Nolify Plumber
Const. Meter
Engr./Plan
Bldg. Final ? [/•v/T C'
Deck Ftg.
Deck Flnal
Well
Pr. Disp.
Address 1175 vUUaM Tanti. Zip 5512 3
Lot 11 Blk 2 Sub sT F-Rat?'is [,Oon 41x
THESE ITEMS WERE / WERE NOT COMPLETE AT TIiE TIME OF THE FINAL INSPECI70N.
Date: /a0 AS Yes No Inspecror:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (fiain entry) ?
Permanent driveway
Permanent gas ?
Sod/Seeded grass /
TraiUcurb damage
Porch ?
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut•off of water supply to
the outside lawn faucet before freeze potential exists.
Contad engineering division at 6814645 before working in rightof-way oc installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
/?1/0/11 339 ?
N 6 9 9 2//
ReQu t ate
_ ? Fire No. Roughln Inpsection Repuiretl
Qlou m s? ' Oector when
ready) Inspection Other Tnan Rougn-ln
? qeady Now ? Will No1Hy Inspector
Yes ? No Dete Feetl
1? icensed contractor ? owner hereby request inspection of above elecirical work at:
Job Atlares
el. o out )
^ City
C/ k
7 /?e-_ / ? t
Sechon No. Townsnip Name o, No. Range No. Co n
?2- zs
Occepant(PRINT Phone No.
n
Power Su Atldress
Elecuic Conva 1 ompan ame) Con tl'S - o.) /
rf:Vle
Mailln tl s iCO do Owner a' g Installelion)
Amhorizec 9gnaW IC V or:Owner Makmg stalla , PVm Z JZ^
? /1
MINNESOTA STAT BE OAFD OF ELECTRIQTY THIS INSPECTION REOUEST WILL NOT?
Griggc-MlOway B10g. - Room S173 BE ACCEPTED BV THE STATE 80/+RD
1621 Universiry Ave.. St. Faul. MN 55104 ' UNLESS PROPER INSPEGTION FEE IS
Pnone(612)6df-0800 . ENCLOSEO.
C? 6.3
-92
C?
REQUEST FOR ELECTRICAL INSPECTION
? Se5 instmctions lor completing thls form on back o1 yellow cvpy.
61 Below Work Covered by This Request
?EB -ive
ew Atld Rep. Type of Building AppliancesWired EquipmentWired
Home Range . TBmporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer load Management
Comm./Indusirial F ace Other (SpeCify)
Farm Air Conditioner
Other (specrly) ConVector's RemeMS.
Compufe Inspecfion Fee 8elow:
# Other Fee # ServiceEmranceSize F Circuits/Feeders
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trensformers Above 200 _ Amps Above 100 Amps
$19f15 Inspeoor5 Use Only: ^
t i "Gv TOTAL
Irrigation Booms
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY D ISFONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 H
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. RO°9n"" ?
F;?ai
° iue ;??
e .
f -
OFFlCE USE ONLV
Thi3 raquest void 18 monihs Irom
*'/0/? ?339?
C? 6 9 3 3 .- - ,r,?.,v '- ? 9?'
ReQU ate Fira No. Fough?ln Inpsetli tquire0 Ins ction OI
arTh
an Rough-In
'
? ?VOU T 5? SOetto? when raetly) qB6tly Npw ? Will NOlily In50ect0f
n
Vea ? No Date ReaOy
IA censed contractor ? owner hereby reque i spectio of above ele rical work at:
Job Atltlre Ir 1. te No.) ? Ciry
? .?=L
Sectior. No. Townsbip Name or No. Range No. Coun
OccuOantIPRINT Phone No.
Power Sup er Atldress
Elemriwl Conv ICOmpa Namei r Comract 5 Lryicense
/?j
Mailing ACOres ICOnbac o wner M i Inslallatmn) -
?
Ao1non 9gnalu nt c[or?0 er Making I tallal Pho N
?
MINNESOTA STATE BOpRD OF ELECTPICITV " THIS INSPECTION REDUEST WILL NOT
Grlggs-MlOway BIAg. - Raom 5-173 BE ACCEPTED BV THE STATE BOARD
1821 Univeralty Ave., St. Peul. MN 55100 UNLESS PROPER INSPECTION FEE i5
Vhone (612) 602-0WO ENCLOSED.
3 391o
M 6 9 3 6,/i/
Repu ?e / ? Fire No. Roughln Inpse ' n Repuire0
(YOUm stc nspeciwwhenreaEy) I6e, c[ion O,M1er T1an Rough?ln
atlyNOw ? WIIINOtilylnspector
Yge ? Na Daleiieaay
Icensed conhactor ? owner hereby request inspection of above electrical work aC
Job Aotlre s rael. o te N. Ciry
$ecuon o. Township Name o o. Ranqe No. Cou
? ?
OccupanllP ? Phone No.
Power Su ? /+tltlress
Elecmcal Conlra ompa Name) Contracroi5 Lyi?cense //
Mailm aress i o? Owne ning Installatio?
? 4 •? ? ?
Auth i ed Slgnet i nVec?oc ? er Mawn stall Pnon
H
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION FEOUEST WILL NOT
GAggs-MlEwey &Eg. - Room S173 6E ACCEPTED BV THE STATE BOARD
1821 Universlly Ave., SL Paul. MN 551U4 UNLE55 PROPEF INSPECTION FEE IS
Phono (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
/ i See mstmctions br campleting Ihis form on back of yellow wpy.
069396 - "X" Belaw Work Covered by This Request
?
'';
? ? E8-00001-08
33 9l ?
ew Add ept -= Type ol Building AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplez LA%ter Heater ElectriC Heating
Apt Building r load Management
Comm.llndustrial F inace Other (Specity)
Farm Air Condilioner
Other(syecily) Contraclor's Remarks',
Compute lnspecfion Fee Below:
# Other Fee a ServiceEmrance5ize CircuitslFeeder F
Swimming Paol 0 l0 200 Amps to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspecvor§ Use Onty: TOTAL
Irr
igationBooms L?
'i
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY 8E ORDERED;
ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M NfMS / _./)'1
7d
I, the Electrical Inspector, hereby Rooqi r??je ?-• r?! ?: ? e-. ???_G?
certifY that the above insPection has
been made.
',/`/? G y?"-`Y
Final
?a? ?
p
OFFICE USE ONLY
Tpis request voitl 18 montM1S Irom
1?410?lq 33 91 o
N 6 9 3 5 17'°gp
Repu 1 le Fire No. FougM1ln Inpse Repviree Ins?eMmn Other Than PougRln
pou must pecror when reatly) ?J qeatly Naw ? Will Notity Inspeclar
Yes ? No Date Reetly
I 1 ensed coniractor ? owner here request inspection ot above electrical work aC
Job Ad re e ar ou iry
Seqion No. Townshi ame or o. Fange No. Coun
I
Occupant(PRI Phone No.
Power Sv00f ? Adtlress
Elechical omra ompan amel . Con ct s- ns . q
%
L
Maili ss or or Ow r aking Insiallati ) d
J
Aulnonzea ignevr c Vecl n woer Makin nstalla? Pno Nu'
?v?
MINNESOTA STATE BOARD OF ELECTRICITV THIS MSPECTION REOUEST WILL NOT
Grigga-Mitlwey BIEg. - floom 5473 BE ACGEPTED BV TNE STATE BOARD
1621 Univeniry Ave.. 51. Paul. MN 55109 UNLESS PROPER INSPECTION FEE IS
Phone(6t2) 662-0800 ENCLOSED.
1?11o/9r4 REQIIEST FOR ELECTRICAL INSPECTION
?q / ? See insVUClions for completing Ihis lorm on back ol yellow copy.
uV 69.3 9.5 ' "X" Below Work Covered by This Request
ee.ooom.oe
4a" 33 910
ew Add Rep. TypeolBUilding AppliancesWired EquipmentWired
Home ange Temporary Service
Duplez ter Heater Eleciric Heating
Apt. Building yer load ManagemeM
Commlindustrial F ce Other (SpeciTy)
Farm Air Conditioner
OtnerlsVecily) Conttactor§ Pemarks.
Compute Inspection Fee Below:
# Other Fee # ServiceEnirenceSize Circuiis/Feetlers
Swimming Pool 0 to 200 Amps ? to 700 Amps
Transiormers Above 200 _ Amps bove 100 _ Amps
Sigf15 . inspector5 Use Only. 7?
' Irrigetion Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY B O DER CQNNECTED IF NOT
Other Fee COMPLETED WITHIN 18 *ONWS.
I, the Electrical Inspector, hereby Rough-in / e E?
certify that the above inspection has
been made. F;nai oate
-q
OFi1CE USE ONLY
This reQuest vaitl 18 monlns iram
//?io/g 339/0
0 6 9 3 4 o,w 401
Reaues e FiM Nv. - ougn-In Inpseetio eqvireG
?1'ou must peMr when ready) Ins ection Other Than Rougndn
?
I qeatly Now ? Will No1Hy Inspactor
-1 Ves ? No Dete Ready
I^ Ised contrector D ow er hereby request inspection of above elecirical work at:
ou?e N)
Job Aatlress (SVee
?
Sacti n o.
ownsnip Nam or No.
Range No. A
P
?
Otcupant (PqI '
PowerSup AOOress
a
ElacVical o Com ny Namel Conlra o? Ic se .?
r
Mailing Atltlress Gonva • ro ner Ma nstallation)
AuNOrized Ignemre eclor/Ownar aking Installati PM1??Z)
MINNESOTA STATF 60ARD OF ELECTNICITY THIS INSPEGTION REQUEST WILL NOT
Griggn-Mitlway Bldg. - Poom 5-113 6E ACCEPTED 6V THE STATE BOARD
1821 Unlversiry Ave., SL Veul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Pbone (612) 642-0800 ENCLOSED.
IIX? ?? RE?UEST FOR ELECTRICAL INSPECTION
/? ? See Inslructions (or complaling [his lorm on back ol yellow copy.
G? 6r?
? ? "Jj" Belom Work Covered by This Request
ew Adtl Rep. 7ypeofBuiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex - W ter Heater Electric He9ting
Apt. Building To yer Load Menagement
Comm.nndustriai _jZ u ce Other (Specify)
Farm ir Conditioner
Olher Iryecifyl Gonllactor's Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntrence5ize # Circuits/Feeders -
Swimming Pool 0[0 200 Amps to 100 Amps
Transformers Above 200 _ Amps Above 100_'; Amps
Sigl15 Inspector's U. Onry: ? J 7p7 ?
' Irrigation Booms
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN48:11II01filTHS.i,
I, the Electrical Inspector, hereby
certifthat the above ins ection has
`1 P
been made. poU9h-in
Final • -„ p
,- U)? ?f,y?-'?Jd..??.J oace
oate
r
OPFICE USE ONLY
This request voitl 18 mombs Irom
REQUEST FOR ELECTRICAL INSPECTION
lp See instmctions for completing iM1is form on back of yellow [opy.
C? 6 g 3 9 3 -'Jl" Below Work Covered by This Request
EB-00001-08
e AQtl 9ep: _. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex atar Heater ElectriC Heeting
Apt Building ryer Load Manegement
Comm.llndustrial F ace Other (SpeCify)
Farm Air Conditioner
OtM1er (syecilyj ConVadOr's Remarks'.
Compute Inspectian Fee Below:
# 01her Fee # ServiceEnlrance5ize # Circuits/Feeders
Swimming Poal 0 to 200 Amps o-106Amps
hansformers AbOVe 200 _ Amps Above 100 _ Amps
Signs , m:Paoro.s usa oriy. ?TOT ?
Irrigation Booms ? 7 G?C i
Special Inspection
Alarm/Communication THIS WSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 ONTHS.
I, the EleCtriCal InSpeCtor, hereby Rough-in Date ?
certiy that the above inspection has
been made. F;nai
OFFICE USE DNLY ?
This repuesl voitl 18 months fmm
----- -
? Fnr??ce'slis"'e
?
? Pertnit#: Zjv D
I Permit Fee:
I
? Date Received:
I
I
I SWff:
L ----------------'
2008 RESIDENTIAL PLUMBING PERMITAPPLICATION
Date: q'1q'VU SiteAddress: OuGH'V 00d IV-66 I
Tenant: - Suite #: ?
RESIDENT/OWNER Name: \ }%kYl ? rlC,C7-P.! Phone:
5;a
F4
Address/CitylZip:
ryw
-
CONTRACTOR Name: License#:
Champion
Address: 651-365-134n
3670 Dodd Rd. #100
City: Fa9anAaN55123 13S9 State: Zip:
Phone: Contact Person: K-Y i Soi e h
V
TYPE OF WORK _ New
Replacement _ Repair _ Rebuild _ Mod'rfy Space _ Work in R.O.W.
Descripfion of work:
PERMIT TYPE RDENT/AL
T
W9ter Heater Water Softener
Lawn Ir(gation Add Plumbing Fixtures
? RPZ! _ PVB) ? Main _ Lower Level)
Septic 5ystem _ Water Turnaround
New
Abandonment
RESlDENTlAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge) i
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge)
'WaterTurnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ?•
?- Jv
TOTAL FEES $
3 1vo ? P
I hereby acknowledge that this information is complete and accurete; fhat the vrork will be in confortnance with the ordinances and codes of the City of
Eagart; 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 ffie work will 6e in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X X
ApplicanYs Printed Name ApplicanYs gnature
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55723 Date Issued:
(612) 681-4675
SITE ADDRESS: Lo r: 11 B L 0 C K: 2 APPLICANT:
1175 DUCKWOOD TR SUNSET HOMES CORP
3T FRANCIS WOOD 4TH (612) 531-0714
PERMIT SUBTYPE:
MULTI. (ADD'L.)
TYPE OF WORK:
pESCRIPTION
BUILDING
024166
09/01/94
NEW
(5-PLEX)
INSPECTION
FOOTINGS .. .
FOUNDATION .A
FRAMING ROOFIN6
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
IFINAL PLBG FINNL
REMARKS: S & W PLBR -
?
?
7
J
? CIT,Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681=4675
SITE ADDRESS:
P.I.N.: 10-65909-611-02
DESCRIPTION:
PERMIT TYPE:
Permit Number:
Date Issued:
MULTI. (ADD'L.)
NEW
R-1 M-1
V-1 HR
R-3
164 ,
72
2
BUSLDING
024166
09/91/94
E?;
PERMIT
1175 DUCKWOOD TR
LOT: 11 BLOCK: 2
ST FRANCIS WOptl 4TH
(5-PLEX)?
Building'-Permit Type
Building Wo\rk Type
?.UBC Occupancy~' '
? Construction Type
Zon3.ng -.)
? Building Length ?
? Building Width ?
?. Building stories
.J', ? ,.
?
REMARKS:
S & W PLBR -
FEE SUMMARY:
VALUATION $342,000
Base Fee
Plan Review
Surcharge
SAC
SAC $
SAC Units
Subtotal
$1,486.50 CITY SAC
$966.23 WA7ER CONNECTION
$171.00 S & W PERMIT
$4,000.00 S & W SURCHRRGE
100 TREAT MENT PLAN7
5 ROAD UNIT
$6,623.73 Total Fee
$14,639.23
CONTRACTOR: - Applicent - ST. LIC. OWNER:
SUNSET HOMES CORP 15310714 0002176 3UNSET HOMES CORP
9667 63RD AVE N 9687 63RD AVE N
MAPLE 6ROVE MN 55369 MAPLE GROVE MM 55369
(612) 531-0714 (612)531-0714
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable 5tate of Mn.
5tatutes and City of Eagan Ordinances.
" (? q?-??? '?nua ',(_ I m?f
APPIICANT/PE MITEE SIGNATURE ? ISSUED BY SICa ATU E
$500.00
$3,625.00
$100.00
$.50
$1,740.00
$2.050.00
I
REACTIVATE _
PERMIT M
idi'LL
CITY OF EAGAN
1M BUILDING PERMIT
' W 681-4675
APPLICATION ??j
-o 14, L.94. 2-5
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered s survey , of energy
calcs. J U L 0 6 1994
COMMERCIAL 2 sets of architectural & stru a1_klans_ 1 set of
specifications, 1 copy of energy,
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 6 / 30 / 94 Valuation of work
}bl)r
ka
"," •.,'., Il•j? A
°
"
_
ur
i
t
°
"
Site Address:
STREET SUITE /
Tenant Name: (commercial only)
IAT 'D1 BLOCK 2 SIIBD. St. Francis Woods P.I.D. M
IV
0@SCY1 tion Of wOrk: New construction-5 unit.buildin
The applicant is: ? Owner 0 Cantractor ? Other (Deserlbe)
Name Sunset Homes Corporation PhOne 531-0714
Property «5T FIRST
Owner Addt'eSS 9687 63rd Avenue North
STREET STE / '
City Maple Grove State MN Zlp 55369
Company same Phone
Contractor Address License # 0002176 Exp. 3/95
City State ZiP
Company xenrv stencruist Phone 871-3413
Architect!
Name Registration # 8119
Engineer
AddYeSS 215 Franklin Avenue West •
Ctty Minneapolis State MN Zip 55404
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
f
d Cit
y o
correct and agree to comply with all a plicable Sta 1of Minnesota Statutes an
Ea9an Ordinances. ?
Signature af Applicant:
vA i i v... u.J L_ ua a" .
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg. ,
0 03.SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
,B 31 New
? 32 Addition
O 06 Duplex
? 07 4-Plex
p 08 8-Plex
? 09 12-Plex
? 10 Multi: Add'1
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
O 11 Apt./Lodging
? 12 Multi. Misc.
O 13 Garage/Accessory
? 14 Fireplace
? 15 Ueck
? 35 Tenant Finish
? 36 Move
0 16 Ba;emen_tFiritisrh
'l?`l?`S'wiii? op1.•??
0 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System
(A1lowable) V l X? lst F1. sq. ft. City Water
UBC Occupancy ??-i 2nd F1. sq. ft. PRV Required
Zoning (;-3 Sq. Ft. total Booster PumP
# of Stories 2 Footprint Sq. ft. Fire Sprinkler
Length //TN On-site well Census Code
Depth ?2- On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering _ Variance
REGIUIRED INSPECTIONS
O Site
? Wallboard
P Footing
,119- Final
a framing
? Draintile
?
?
?
ei3
S"
-M-Insulation
? fireplace
Permit Fee
Surcharge
Plan Review
license
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % !?F
SAC Units
wlu.c;on: S ?LZ ?od) F
?vo.3 ,4-sy = 3Y?S76,z X z :. ?9!$z
_ ?----
g ;so z-,i- .?y c
el?oo .4- ;-Y -
/9dj P a` i6 _
A ,
z-CGZco y ?Y =
sg? a-,Sy ?
27lloA
32?`/00
3./d D
339oy,?- z =
3 ?6 vykZ ?
-3? DLl
?"?) G 08
"?6/6
Established in 1962
LOT SURVEYS C0MPANY INC NO
F
?
, e 592
75
B.
LAND SURVEYOItS SCALE 1" = 20'
o Denotes iron Monumeni
REGI$TERED UNDER LAWS OF STATE OF MINNESOTA p Denofes Wood Hub Set
7601- 73rd Avenue North 660-5093 For Ezeavotion Only
Minneapolis, Mlnnesota 65428 x000.0 Denotes Existlnq Elevation
ED Denotes Proposed Etevation
????? ?fdft& E? Denotes Surface Draindqe
9D I• 1 Proposed Top of Biock
SUNSET HOMES Property Address: St_ Francis Nay
1
2
36008 90
1
- proposed Garaqe Floor
E A G p N 3600C Proposed Lowest Floor
EV4 E p 3600D
R E ?? 3600E TyDe of Buildinp -
nV Du?Kwoor? . D??v? sl zd on g ?? ?-
Z44
AN
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TM oNy wwwb sIwwn ars from plata of rscad a Infortnation provlded by
Gfsnt
1Me hxsby cMify that thla Is a trus and cortncl repreaentatlon of s euhrey of the
boundrisi of tM abow deecAbed IarW and the Iocatlon of dl buildinps arM vle-
Ib{s oncrowhmenb, If arry, from or on said IarW.
gurvrMby us mis 6th day of June 19 94
Lot 1, BlockA , ST. FRANCIS NOODS 4TH
3igned
A. Prasch Minn. Reg. No. 6743
aw
Proposed building (nformotion must be checked with opproved building
plan before excovotion and eonstruction.
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LOT BIIRVEY CHECRLIST FOR RE6IDENTIAL
BIIII
PROPERTY LEGAL:
DOCIIMENT BTANDARDS
B'?b 0 • Registered Land Surveyor signature and company
0--17 0 • Building Permit Applicant
? • Legal description
9?0 0 • Address
?' 0 • North arrow and bar?scale
? 0 • House type (rambler, walkout, split a/o, split
'-'
0
• lookout, etc.)
dient $
Di
ti
I3
0 .
rec
oaal drainage arrows with slope/qra
p?
? 0 • Proposed/existing sewer and water services
0 • Street name
B?0 D • Driveway
ELEVATIONS
Existi
?
• na
Sewer service
0 0 • Lot corners
L•Y ? 1]- •. Top of curb at the driveway
D 0' 0 • Elevations of any existing adjacent homes
• 4roposea
Garage floor
C?? ? • First floor
0 Q" 0 • Lowest exposed elevation (walkout/window)
01? 0 0 • Property corners
0'?0 13 • Front and rear of home at the foundation
PONDING AREAS (if appli.Cablv1
0 [i D • Easement line
0 ? 0 • NwL
o r? o • xwL
0 _?/? • Pond # designation
0 0 0 • Emergency overflow Elevation
entry,
DIMENBIONB
H'0 0 • Lot lines
Yti
1 0 • Right-of-way and ctreet width (to back of curb)
0
2- 0 • Pzoposed home dimensions includinq any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
' structures requiring permanent footings)
0
0 0 • Show all easements of record and any City utilities within
' those easements
Er
13 13 • Setbacks oP propose8 structure and setback of adjacent
Q
?Y L
October 19
Date of 8urvey:
?-
814 ZOOd %dZD:ZT 66-£T-LO t090t£5Zi9 %96=x
'. page 1 of d
. ?. . X?T?atOR ?yE?.OPE. :Rnr,r CanvnTn'frpn • .
. pNnER: .--
' SITE ADDRE55:? IC PN[1NE:_
CONTRACT9R,
Deternine working square (aotage of eaeh
1. Tatal. exposed wa11 area.,... )?1? 1,.?2,.r$4• .,ft. x.11
2. Total roof/ceillny area..... 'QcM. '-sq, ft, x T.026
Total exposed wall Area abave fioor=..__- I Ja,?_Q
.....•?
a. Total wa11 windoN area..........,..........: ...........
b. Total door area............. ..................... .............. p
c. Takal.sliding glass dourarea ................................
....
d. Total flreplace wall area .......................................
•
e. Total wa17 framtng area (everage 10:) ............................
f. Total rim jo1st area ....... ................ , .....................
g. net wall area above floor ................. .............. .h. wall aPea above flaor .......................................
,
wai7 area a6ave fioor................... ....................
J. frame wa11 nrea et fwtxtat3on .......... ............. ..••••••..•"
Totdl exposed foundaCion arean-_ ,
k. Total Pwundation window area .......................
1. Total net foundation area above 9rade ..............
Determine °u" value oP each wall sagment
(e.g. window, door, each sepnrata wa11 sectian)
x No?N? ! ,Z"'
x "u" •? °?c..?
c. 7 X hlul) ,??
'?]? ?
d. % nUu I '
X "U" IfS
f. ' ZI r? xPu° ,rPCv -, IZ ,SS
i?.t '_ K oU??°??._.._
fi, x uuu..?..._.._.._.«- ?
- ?
i. g Itu«
i
% nUn ?
. `"""_.
If 1Cem 03 is thB
as, or less than 1
01, yau have net.t
tntent of SBC BOp#
k. X "u" ----
1. % "U" --
3* ..r.......ToCQl
' , .
ZOd 600 S3WOH 135Nf15 [090IESZ[9 b0:1[ E[-LO-t66I
er# eooa Yqazo:zt cs-ei-eo rosoteezts
..•:8x£'ri4x Ernqlopo AverAgO °U° Camputaelon • .. Page 2 of 4
?? • , . , . ??
' To6aA exposed zooF/Ceiling araa p .
ta. Tbra], akylight ereA ........................... ?
n, Total xaoP/asil3ng fZSming aroa (nvorago lo%)'.. •
p, TOC83 net iosulated rooY/ceilinq rtxea•••.•••.•••
. patermiae "u" valuu Ror saah xoof/aailing se9ment
. R nqn
111. ,-.-..,?...,._
II• ?„? ( •? X "l1M .,,.?...[.J? ° ,? . •
x "Ulf
9 ............. ............. 7?tal - Z.4.n,Q
IR total of #4 ia the sama aa# ax lase t:han 02, you have met tihe+ inrenC oP
HifO 60U6 (n) 1. A].ternate Eu11d n Bnva].o Desi n
Tq utllisa the t+otal anvalope'eyaCaro mothod, the valuea eatablishe4 by the Ssurt af
items 43 and 04 shall not be grealex than tha aum a1' ?tema #1 and B2.
1. `f a• L.?S I s ' /47I ?
3, + a. _???'..,,e? °' 4 5? •
, . .
p`.._?..-. .
£Od 600
' , r..
w ?
S3WOH 13SNf15 L090[£Sd[9
SO:I[ Et-LO-666L
i.
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Windowt id Uoon-Ctacknpe at d Alee 1Vind??+v??
-3tv1?11h INrybl I?o. rt Lln?ii i? n?+? b IAII?
No. af p?n? ol pan? Il?hb ol c rck W. (t. ilo. ol C?n•
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cori.
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Inrduelion
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FI.I ??'pvtn " Koom I Lsnpl6 Width /V I jciplit
nd I1.„,.-CTockene nn?? l??cn
Il/o. ol rp???• 0[ Ou?• 110111? of [IICk
IuGhr a?ion ! .J ? 10-a0
l;lni$ BSZQ---
?pTwnll
f•?ct exp. ,r?ll
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Ceilina
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lueidntim?
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? riEnT LOSs cni.cuLn111010 A.?r:r`I'11C1PlIPtlY ?!F llUll.Ulf'lace
"??Wce?6enlrip? l1.S.?IVL• _=-`-`---Coiuliuc?iou IJo.^------
Guidc --
Uovn Refcccncc Uul. Nell hil. \VnllI Ccilinp livu( Fluor
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kuwh
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w,ii -ro
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(Floor
l"1'owl Utu.
' RequireJ iq. It. E.D.R. or sq. im. W.A. Lrndcr nten _
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? \Vindaws and Uooir(;inckage nnd Aicn
? ol v.n. al pan• 11/htl af ctock 2Q. I6
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7
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Itenuiud iq. 11. E.D.R. or sq. im. W.A. L.ender men 7
nnd Doms.-Cucluve uid Aren
No. NIAIg-
ot Dons 11??i1?1
o[ pan• lo. nf
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a/ craclt Aie?
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Plaor
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Ilcquiicd tq
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i
InGllrnlion
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1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE' COMPLETE FOFi SINGLE FAMILI' DWELLINGS. ALSO, FOR TOWNHOMES :AND
CONDOS WHEN PERMTTS ARE REQUIRED'FOR EAGH UNIT.
- - - --------------------------------------- - --- ;
----- - --
NO., FIX1'URES EACH T.OTAL
SHOWER 3.00
10 WATER CLOSET 3.00 30 . 06
_5 BATH TUB 3.00 t s. oo "
ID_ LAVATORY 3.00 30 00_
5 KTTCHEN SINK 3.00 dS• ncz.:=?,.
s LAUNDRY TRAY 3.00
HOT TUB/5PA 3.00 •-
? WATER HEATER 3.00 -I s- oa
5 FLOOR DRAIN 3.00 t S?:
GAS PIPING' OUTL,ET + minimum - 1 3.00` 1 S• oG?
ROUGH OPENINGS 1.50
WATER SOFTEN$R 5:00
:
: PRIVATE DISP. • nek,cry. uc 20.00
.
U.G. SPRINKL$R + home wieee consr. 3.00
ALTERATIONS • ta exisung 20.00
"
WATER TURN AROUND 20:00
STATE SURCHARGE .50,.
TOTAL: t S p. SD.
' SITE ADDRESS: U. 11 t
OWNER NAME: ?i? ?oryY?-d -
INSTALLER:
ADDRESS: lo`t O`l
CITY; --QA? Pcf:n?- STATE: Pt-Lo ZIP CODE:
PHONE #: ( ) S Z5 ? ?} 1
?71::ic.,-.d, _
SIGNATUBE OF PERMITTEE `
. ? . ..: ..k. . . .
PLEASE COMPLETE FOR ALL. COMIlvIERCIAL/INDUS'TRIAL BUILDINGS. ALSO FOR 1vfL1LTL-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
_ NER'CONSTRUCTION
ADD ON
_ REPAIR
WORK DESCRIPTIONt
CONTRACT PRICE: $
FEE: 1% OF' CONTRACT FEE.
STATE SURCHARGE; $.50 FOR EACH $1,000 OF :FEE.
MINIMITM FEE:. $ 25.00 '"`". „
C011iTRAC1` PRICE JC 1% $
STATESURGHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAMEr STE: #
OWNER NAMEd
INSTALLER:
ADDRESS•
CI1'Y:
P,HONE #c
STATE: ZIP CODE:
FOR:
CITY UF EAGAN APPI,ICANT
1994 PLUMBING PERMIT (COMMERCIAL)
:
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
V NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSE T
DATE
FEES
HVAC: 0-100 M BTU S? $ 24.00 1?0,c
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MtNiMUas i@T.s.ao Eacx) 3-0D
ADD-ON/REMODEL (EXISTING CoNSTxUCTION) $ 20.00
STATE SURCHARGE ? s .50
TOTAL
/l75 ?dv?4?
SITE ADDRESS: .? C,
OWNER NAME: l.[N/9-CJ TELEPHONE #:
INSTALLER:
HEATING & COdIING TWO, INC.
ADDRESS: 929D zACHaav I,qNE N
MAPLE GROVE, MN 55359 CITY: 7 STATE: ZIP CODE:
TELEPHONE
?
SIGNA URE OF PERMITTEE
1994 MECHANICAL PERNIIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
1994 MECHANICAL PERMIT (COMMERCLAI.)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDING5 WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
CONTRACT PRICE:
I% OF ??#.... ...???' FEE $
..... ..:...<::?,.:..,;
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TOTAL $
S?TE ALDRESg.
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONL7)
INSTALLER: MEATING & COOLING TWO, INC.
ADDRESS: MAPLE GROVE, MN 55369
CITY:
"FELEPHONE #:
STA
ZIP CODE:
SIGNATLTRE OF PERMITTEE CITY INSPECTOR
G.S r1?-? a/y- zs ?
PLEASE COMPLETE FOR SINGLE EAMILY DWELL GS. .4LS0, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EA H UNTT.
--- --------------------------- --------- --------- ---------- ---- -?- -------- --------- ---------------
NO. r iXTY7RES _ ? ?' ?H TUTAL
SHOWER ??? !??( " 3.00
WATER CLOSET ? 3.00
SATH TUB f 3.00
LAVATORY ? 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
NOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00 ?:
GAS PIPING OUTLET • min?mum • t 3.00
ROUGH OPENINGS 1.50
_? WATER SQFTENER 5.00 ??-? :-
PRTVATE DISP. • nax:cry. r?. 20:00 ' `
U.G. SPRINKLER • nome unaer const 3.QQ ,?;?- ?
ALTERATIONS • io exining 20.00
WATER TURN AROUND 20.00 ,
STATE SURGHARGE .50
TOTAL: .... ? ?
ADDRESS; '7P3--= ?, ?°rc??iohs ?vP .
GITY: ???,?D STATE: YVI ?. ZIP CQDE: SS ?4?' .?
PHONE #: ( ?p IZ. ) 938'- /?S'U
???
1994 PI,UMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(b12) 681-4675
S?ITt: HliUKt';Jj: ??./? ?l??g????LL?C?C.l? o???'. ?1J.LLT ? . ?ibn_pr? . .._. _. .
1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB -RD
EAGAN MIV 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL
FAMILY BUILDINGS WHEN
?)wFr 1 INr: UNIT_ .
X NEW GONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
COMMERCIAL/INDUSTRI:AL BUI'LDTNGS, ALSO FOR IYIULTI-
SEPARATE PERMTI'S ARE NQT REQUIRED FOR EACH
CONTRACT PRICEt $
Fliis: 1% OF CONTRAC7' FEE.
STATG SURCHARGEd, $.SO FOR EACH $1,000 OF PM? FEE.
NtINI111Uhi FEE: $ 25.00
coNTxncr riucE x i%
STATESURCHARGE
TOTAL
$'
$
SiTi ADL`RESS:
TENANT
OWNER NAME:
INSTALLER:
AD,DRESS:
'., .
CI11': STATEp . DIyR??CQ??"s
PHONE #: ,
FOR:
CITY OF EAGAN APPLICANT' > a=`
*dtV oF engan
THOMASEGAN
Mayoi
PATRICIA AWADA
CHANGE OF ADDRESS SHAWN HUPJTER
SANDRA A. MASIN
THEODORE WACHTER
Council Membeis
THOMf(S'HEDGES
City Administrabi
OLD ADDRESS: 3603 Abbey Way
E. J. VAN OVERBEKE
Cily Clerk
NEW ADDRESS: 1175 Duckwood Trail
LOT 1 BLOCK 2
PLAT NAM E ST. FxaNCZS WOOD 4TH ADDITION
REASON FOR CHANGE: Mistake in oriqinal address
(SIGNATU
? ?
?-/3 -J
(DATE)
MUNICIPAL CENTER
3830 PILOi KNOB ROAD
EAGAN, MINNESOiA 551221891
PHONE (612) 681-0600
FAX: (612) 681-0612
iDD: (612) 459-8535
THE LONE OAK TREE
THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
Equal OpporluNtylAtflrmatlve Actlon Employer
MAINTENANCE FAdLITY
3501 COACHMAN POINT
EAGAN, MINNESOiA 55122
PHONE (612) 681-4300
FAX: (612) 681-4360
TDO: (612) 454-8535
? F
yy ,1k o.•. ,.
..:?riUN...
?
_ ciiy of eagan
TO: MIKE RIDLEY, PROJECT PLANNER
FROM: MIKE FOERTSCH, ASSISTANT CITY ENGINEER
DATE: AUGUST 11, 1993
SUBJECT: AUGUST 17, CITY COUNCIL ITEMS
MEMO
Var(ance, Sunset Homes Corporation. A VarfanCe of 20' to the sideyard
setback to the dwelling unit for Lots 5-7-, Block 1; Lot 1, Block 2 and Lots 2-
6, Btock 3, St. Francis Wood 4th Addition, located In the SEk oi Section 15.
- Sanitary sewer and watermain exist along the common lot line between Lots
5& 6, Block 3, within a 25 foot wide utility easement. The existing sanitary
sewer along this alignment is 15-20 feet deep. Without a proposed grading
plan and building elevations, a Variance to the 30 foot building setback cannot
be supported.
- Proposed Conditions:
• Provide a Certificate of Survey showing the as-constructed location of the
existing watermain and sanftary sewer in relation to the 25 foot utility
easement along the common lot line between Lots 5& 6, Block 3.
• A 7, foot minimum and 10 foot maximum ground cover is required along
the existing watermain along the common lot line between Lots 5& 6, Btock
3.
• The existing drainage and utility easement along the common lot line
between Lots 5& 6, Block 1, requires vacaUon by the City prior to buiiding
permit issuance.
• The bottom of the footings for the proposed buildings on Lots 5& 6, Biock
3, cannot encroach within a 1:1 backslope as measured from the invert
.
from the existing sanitary sewer or the watermain, whichever distance•is
greater from the common lot line.
- The other proposed setback requests do not impact existing public utilities
which are owned and mairrtained by the City.
Special Use Permit, Steintnger Construction Company. A Speclal Use Permit
renewal to ailow continued concrete recycling, processing and stockplling
on PID #10-01300-012-26 located in the NW%, Sectfon 13.
- Engineering staff is not aware of any concerns relating to the renewal of this
permit.
If yb)j have any questions, please advise.
/ 14, ??/
As istan City Engineer
MPFIJI
seriai # h/8el 56 / Q 6
cnip # 1J 4sy g /R_5-3
Permit # ,;t 0
Addtess: 7 5"
1 AGREE TO COMPLY WITH CITY OF EAGAN
ORDINANCES
1 .... ? . .. .d '? ?
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RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILDT KNOB RD, EAGAN MN 55122
651-681-4675
New Constnniion Reauirements
• 3 2gistered sAe surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas
(20% mazimum lot coverege allowed)
. 2 copies ot plan showing beam 8 window s¢es; poured found dwign, etc.)
. 1 set of Energy Cakulations ?
• 3 wpies of 7ree Preservation Plan if IM platted after 711/93
. Rim Joist DetaA Options selection sheet (61dgs wifh 3 or less unhs)
DATE ?S b
SITE ADDRESS
TYPE OF WORK
RemodellReaair Reouirements
• 2 copies of plen
• 1 setof Eneqy Calculations for heated addttions
• 1 site survey for extenor additiore & decks
• Indicate rf Irome served by seDtic system tor addNons
VALUATION
MULTI-FAMILYBLDG ?/ _N
FIREPLACE(S) i! 0_ 1_ 2
APPLICANTfv114J E`4,A?? ( Q!?
STREET ADDRESS,=?k,?0??.lApWc4abtrVLe--?_ CITY wL? ?L STATE h'11,J ZIP5%-Z?>?
TELEPHONE #(6T??1? b lifl CELL PHONE #(012. a,a \ O?() ---R fAX #&E-) q?5' Sib ?S
PROPERTY
TELEPHONE #
------------------------------------ ----------- `v - ---------------------------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ MINNESOTA RULES 7670 CA'I'EGORY I ?tU?S ?72
(J submission type) • Residential Ventilation Category 1 Worksheet Submit[ed ?levi Energode Vdo rlsryeet Submitted
• Energy Envelope Calculations Submitted ? hlp UG 0 6 200?
?
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mectuvnical system includes:
Sewer/Water Confractor:
Air Conditioning
Heat Recovery System
--------------- - ---- --- ---------- ° ---- ° - - • ------- ° - - ° ------° --- °
I hereby acknowledge thpt I have read this application, state tha
with ail appiicable State of Minnesota Statutes and City of Eagai
Signature of Applicant
OFFICE USE ONLY
Phone #
ree: $70.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Phone #
Water SoFtener _ Lawn Sprinkqei '
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Updated 4102
OFFICE USE ONLY
? Ot Foundation ? 07 05-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 ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demalition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ A'u/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
^ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
, Insularion _ Retainin° Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
Oct 2 2014 12: 04PM Crest Exter ors 651-463-8095 P• 1
Use BLUE or BLACK ink
� For Offica Usa^ � �
I
f a��f9 �
Clt of �a a� j Permit#: I
� � � Permll Fae� ��J�v� �� �
3830 Pllot Knob Road � � �/� �
Eagan MN 55122 � oale Recelved: �
Phone: (651)676•b675 �
Fax:(651 676-6694 1 Slaff: �_ �
� !_-�___-__-J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION �� �;�
Date:l� Site Address: Unit#:
. . Name, l� Phon��� /���` (1,���
=Resiclent�-� � 1 �-
`?Q��� Address I Ciry I zip: " �
���'��` `� �' �� ` Applicant is: Owner Conlractor
.:.c�::l�SS:'a_�.�.h:�:�a:_
_ :.,s�'.�: _ ;-�;- _���
.. �,:`ro.�• . _ .
' Oestriptlon of work;
-tt�e Of���,:
,�;;. .�.,�... . C� p
- � � -� ConstrucUon Cost ��J � � b Multi-Family euilding:(Ye /No�)
. ( Ll� ���
- Company:\�l Y�j� I"'"�,I � ��� � _Contacf' —
. 1
,��OI'1EfdC�Ot` � Address:7��fl� �� � r\�'I( Ciry: �
.:..,�.. , `r r ✓ , {.
• ' State: V Zip��„� Phone: (�mall:l.,�Q,��.���r� o�l rn�r�l
Licens�#:�)C� Y� �� r Lead Certtficats#:
IF the project is eXempt from lead certiFicatlOn, please explain why: (see Page 3 for additional inFormation)
� �� �� �� IX� � � ) /� 1 " h � �
COMPL�TE TH15 A A ONLY IF corvSTRUCTING a NEW BUILDING
In the last 12 months,has the Clty of Eagan issued a pertrllt fOr a similar plan based on a master plan?
_Yes _No If yes,date and address of masfer plan:
Llcensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewar&Water ConEractor: Phone:
NOTE:Plans and support/n�,q,J�dQ u�``e"fs;fhaf .�u.S ' �e corisi e` .Q�be pu6lic lnforntat�on. Porf�ons of
,�. � �,s s,-,-:. z°-��
ffie iritorrh�i�td)i may 6e classifi� ,a • e �•t at would perinit the G'ity to
. . :.3�0�� � � .�. .
CALL BEFORE YOU DIG. Call Gopher Stste One Call at(651)464-0002(or protecllon againsl underground Wliiy damage, Call 48 hours
6etore you inlend lo O�g lo recelve locales of underground ulilides. www. a hersl all.or
I hereby eCknowledga that Lhls informal�on Is complele and accurale;Ihat lhe work wlll be in conforrnance�+rilh lhe ordiaances antl codes of lhe Cily of I
Eagan; lhat I undersland Ihls ls nol a permit, bul only an eppllcaUon for a permil, end work Is not to slart vrilhout a permil; fhal the work w�ll be in
accurdance wlth the approved plan in lhe case of work whlch reQui�es a review and approval of plens.
Exterlor work authoraed by a bullding perm(t issuad in aceorclance wlth the Minnasel.a ate Building Code must he completed�•�iEhln 180
days ol permlt Issuance.
x.�-p� Q I V �1� J X
Appllcant's Printed Name Applic ts Signature
Page 1 0(3
r For Office Use
14 :::::
ee: /40
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsa_cityofeagan.com
J 2020 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: if` 9 `4 Cr Site Address: ti 70- Ptie.,k fe,G7o4 rn Z.
Tenant: Suite#:
Resident/OwnerName: OPIVE Phone: V.06-.5-09- 09'
9 6
Address/City/Zip: I L 75'401.1'4,k 14-P0 a d ilk A..
Name: ,1A4 /7" P7 //E/r/ 7"'T 41 License#: ?VG 6 1 1 . .
Contractor Address: ?6 1$i'i AY Ai City:
State: /y,{/ Zip:1":5;0 7' Phone: 65/ yfl nz ' i
Contact: t tf e
��71p5PAW
Email:
Type of Work —New Replacement —Repair —Rebuild —Modify Space —Work in R.O.W.
Description of work:
Tankless Water Heater
Lawn Irrigation ( RPZ/—PVB)
Standard Water Heater
Add Plumbing Fixtures( Main/ Lower Level)
Description Water Softener
Description:
Septic System
New Abandonment Connection to City Water from Well
RESIDENTIAL FEES
60.01 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well`+ $290 for Meter and $200 for Radio Read = $550
*Sewer&Water Permit also required for connection charges
TOTAL FEES $ /86;e0
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeauan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of
plans.
MirJ P (ew 5rd
Applicant's Printed Name Applicant's Signature
Page 1 of 2