1341 Ches Mar Lane, #i?t=rtttr
titp of eagan `
\ \" ?epxrfmpni n# +?uil?ing ,?ns;rrrtim? % ` ;, ??';
?:TbCtiti fitate issaeJ purtnant to tbt +equirt+ntxiu of Settion 306 of thc Unr form Birilding?-
? Code radJyrng tbat ut tlx time of 'ir.sugnce ibir,itiuitu'+r war in compdianre witb the v_arioru
ord„inaruerofthrCityregulatingbiiilrling,ionitrbitionorura ForthcfollowinK: ?`-
.. .
? SF DWG/GAR' ' 8191 ., u,s cww'k,nm eiae. ee?l No.
o..,wnxy?Yw>R3?- ,1YncMwC? V Flm z? NA zm, o;.o.?
o,,,,uamd;,e JiinLaechelt
ini;i?3 M?;-',;;t?„o _ ... Lot 4:B1ockJ :Ches Mar;,2rid?;
?? .
sr
";Noveinber',.23,-198
? ,.,ewamso?.: , ?,e o,. e.,,, . .
BUILDER: -'?Laiiient;;?;Builders', Inc.
?. :
BUILDING PERMIT
cirY oF EAGAN
371! Pllef KMeb Rosd Eogan, MN 55122
PHONEs 454•e100
ReceiPt #
Assessmenf
Water 8 Sew.
Polite
Fire
Erq.
Plannar
Council
Bldg. Off.
NPC
Sjte Addross 13 41 Ches M8Y Lane Erect JE) pccuponcy R-3
Lot ? Block 1 Sec/Sub. Ches M3r 2ud Alter
Q 1
Zoninfl R--
Parcel # 1':? 17 101 040 01 Repoir ? Fire Zone NA
Enlarys ? Type of Const.
Name Jim & I)ebbie LaeChelt Mo i
S
W ve es
tor
; Address Qemolish ? Length_60_
b
tih,
phom
Grode
p
Depth 36 Sq. Ft.
? p Nome _
r
uu /lddress
? r,.,, Sc1
Nome _
Address
S. Puller St
j I hereby acknowled9e thot I have read this opplicotion and stote that
the informotion is correct ond agree to comply with all opplicable
Stote of Minnesoto Stotutes and Ciry of Eogan Ordinonces.
5ipnature of Permittee
auren E511
cer?, n?.
A Buflding Pertnit Is issued to:
oll work sholl be done in occordance with ell appliwble State of Min
Building Ofiflciol ?
Permit ? J .7 . t1U
Surcharge 40.00
Pien check 186.50
SAC 525.00
Water Conn.
bU.
Water Meter
Road Unit - t =
Totol 'v ' '
on ths express tondition thnt
ond Ciry of Eogan Ordinonces.
?.
Psrmit No. Permit Holder Misc. Psrmit No. Holder
Plumbing ? ( l?s -7 -
H.V.A.C. C e i ?
We11
Water
Disp.
S?wer
Electric {,v0'NT06 (.t,tC.4'> 8(fG U mg,
wo7?T61 R --7-lr3
Inspeetion Date Insp. Othar
Footingt sJ
Foundation
Freminp
?
Rouyh Plbg.
Rough HVAC
Inwlation ?
Final Plbq.
Final HVAC ?.l
Final
Water Dsscribe Location:
?/p3 3?s ?°? ?'
4 /
S
s.ws? .
Pr. Disp.
?
CITY OF EAGAN Remarks
Addition Ches Mar 2nd Addn. Lot 4 Rik 1 Parcel 10 17101 040 01
Owner street 1341 Ches Mar Lane State Eagan, MN 55123
?l d. ? - ,
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
? 1973 152.76 7.64 20 ?.83 A012112 -1 3
,r SEWER LATERAL 1 S.$Q
WATERMAIN
• WATER LATERAL 1978
WATER AREA I 1977 152.76 10.18 iS 81.50 A0123-12 -1B-S3
* STpRM SEW TRK 1978
* STORM SEW LAT 1978
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250.00 36672 6-24-83
WATER CONN. 450.00 of to
BUILDING PER. 8196
5AC
525,00
PARK
Receipt PLUMBING PERMIT Parmit No. ?^
CITY OF EAGAN
Fee ?i Fill in numbered spaces S/C • ?
,
Type or Prini /egibty - i
Tot
1. Date 2. Installation Cost
3. Job Address;`-, Lot Bik. ? Tract T. `?l
4. Owner ! n, 4 r5G .l I'7 Ii _ lj o.e '-
5. Contractor `-) TO c Z A?C. Phone
6. Address
7. City - _ f ;? ?''r.? State -j!jol '4? d Zip
8. Building Type: Residential
r
9. Work Description: New'IA
10. Describe
11
Commercial O Institutional ?
Add ? Alter ? Repair O
No.
..: Fixtures
Water Closet No. Fixtures t
ool/Drainfield
Cess
..%- Bath tubs p
Septic Tank
? Lavatory Softner
Shower Well
4- Kitchen Sink
4- Urinal/Bidet
Laundry Tray 9ther -']>1-wP.I
;
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 Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-5100
??
P. O. Box 21199 ..? PERMIT NO.: 4867
Eagan, MN 55121 pATE; 7 13, 4 3
Zanirg: 1 No, of Units:
Owner: Ls.urent. i:l e-r:3
Addross:
Site Address: 13 1 Ches ,dsr Leene I.k Fsl. C;nc-! Mar ?nd
Plumber. teln s : ;c
Mater No.: Connection Chorpe: 50.01",
Siu: AaCOunt peposit:
Reader No.. Pennit Fee:
1 pfw h esmPbr wuh Iw Gep ef Eep• Surcwrpe: • 50 j}d
OrNeener. Mtsc. Chorpes: 00 p meter
Total:
BY Dote Paid:
CITY OF EAGAN SEWER SERVICE, PERNUT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 p,,TE; I 1'• ;'
ZO^i^o: No. of tJnlts:
Owntr. i,rBnt iilr._:~s Z°:C
Address:
S;ts /ddrou: 1341 Chee Maa• Lzne 31 Che? ?iax 2nd
Plumbee SteiTls inc
1-1-[:4 -C)? j-1 100 •QO ?(:
? agfM t0 OOI-th Ma !M vRy of saww C01M1lCtiG1 Cf01ge: - 4 2 ') - '7:) j r..`?
OI'diMIICN. ^fO0Uf1? Dlpwf.
PefRlit FN:
Surthnrpe: -? c
BY M(zc. Charqes;
Dote of Inap.: Totol:
I^p.: Date Poid:
This re4uest void qLy I t Ck?5 AA&r-Z^d- 3 OLi I 1
18 months from
.nwviN bIq1E tlUARD OF ELECTRICITY Ihi5 IrvSPECTION REQUEST WILL NOT
Gripgs-Midway Blde. - Room N-191 BE ACCEPTED BY THE STATE BOARD
?821 Univarsity Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION fEE IS PAone (812) 297-2111 ENCLOSED.
This request void -7- Z(a
18 manths from
w 07480E
L`f r 8 I r c?E ---> /tna r Z Kd
s
3-7y3I
io.od
;
a .
Request Date Fir e No. Rouph-in I nspec[ion
A7?
3
?, ? Renuired7 Rea dy Now Q Will Notify Inspec-
V ? Yes ? No lor When Ready
I icensed Electrical Contractor I hereby request inspection of above
Wner electricel work installed at:
Street Address, Box or Route No.
? OhI-5 r Citv
ection o. Township N2me or Na. ange a, Coun ty AID
1c ?(1?.i? ?Q-
Occupant (PRINT) Phon e No.
1.._4vLYe +
Power Supplier Address
22b ? ?•
Y1'?1
11?1O?f1?1
Ele trical Contractor ICompany Namel
G
C. Con
N rector'
Mailinq Address IContractor or Owner M aking Instailationl
K-
Author ignat ( ontr r Owner ? taliationl PhonQ 'Number
REQUEST FOR ELECTRICAL INSPECTION
? • ' See instructions (or completing this form on bsck of yellow copy.
w
Y??? P015' Be ow or ered by This ReQUest 3`7 Pftw AAd Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercia! Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other Deci y ther {Sner.ify)
t er peci y ther Other
01 Fee Service Entrance Size a Fee Feeders/Su6feeders tt Fee Circuita
Uto200 Am s 0 to30Am s Oio 30Am
Above 200 _Am ps 31 to 100 Amps 31 to 100 A s
Swinvnin Pool Above 100_.4mp Above 100_Amps
Transformers Irrigation Boorr?s ?5 Partial Other Fee
Si gns Spec ia l Inspection rs
Remarks ID
• w
?h_Vn
Cate
REQUEST FOR ELECTRICAL INSPECTION EB-00601-04
, Sae instructions for completirg ihis torm on beck o1 Vellow copv.
'?X ' ee0w?4Yor poared by This Request 3 $ `i `l `
Now AAt! Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Liqhtin,y Fixtures
Apt. Building Dryer Etectric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm tner peci y ther ISUec:ty)
...
.._...
_ ?__ t er U0C1 Y
' _ "_ _._ ? .. . t Or Other
a Fee Service EntranceSize # Fee Feeders/Su6feeders tt Fae Circuita
0 to 200 Am s 0 to 30 Am s 0 to 30 Am
Above 200 Am ps 31 to 100 Amps 31 to 100 A s
Swimmin Pool Above 100_Am s Above 100_Amps
Transiormers Irrigation Booms Partial Other Fee
Signs Sueciallnspection
$
0
emarks "f T EA
(
i
Rough-in pqq???
? ? ? , the
? r' Inspeclor, hereby
Final certify that the above
r ? ?' j?? spection hes been
i ? ? made.
Thls requeat vold 18 montha from
• ?.? ? J?(? ? CITY OF E11GAN Include 2 sets of plans,
p VV 1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
'Ib Be tJsed For P[Ga (- ?'
.g??. Valuation ?'O, n dc) Date 6/6/83
Site Address: _13q 1 ?pgtnar ftkLO, A-e, OFFICE USE ONLY
Lot 4_ Block 1_ Sec./Sub. ChesMar 2nd
Parcei #: l6 1`i l01 OUD b I
Owoer: ,m ? ?66;? 1aP??Eif
Pddress: ^
City/Zip Code:
Phone #:
Contractor: Laurent Builders. Inc,
Address: 11$ S. Fuller St.
City/zip cocle: Shakopee, NIlV, 55379
Phone #: 445-6745 _
Arch./Fng.: _
Address•
City/Zip Code:
Phone #:
Erect ?? Occupancy
Alter Zoning
Repair Fire Zone
Enlarge Type of Const.
Nbve # Stories
Dermlish Front 40 ft.
Grade Depth 36 ft.
APPROVALS FEES
Assessments ?
Pesmit 373
water/Sewer Surcharge h/b
Police Plan Check /gG -?'
Fire SAC ,y ?
EnJ •
Water Conn. S O ?
Planner Water Meter (oD
Council Etoad Unit
Bldg. Off. ?wq .
APC
TOTAL ? Cg k SO
CITY OF EACAN
7793 Pibt Kne6 Road Eegan, MN 55122
" PHONt: 454•8100
BUILDING PERMIT
Receipt #
N° 8191
-?G.G 7',
Te 6a wad he SF DWG/GAR En,yalm $80,000 pote June 24 _ 1983
Sim Address 1341 Ches Ma.r Lane Erect ? Occupancy R-3
Lot 4 elxk 1 See/Sub. Ches Mar 2nd qlter ? Zoning R-1
parcel # 10 17101 040 Ol Repoir ? Fire Zone NA
V
Enlcrpe ? Type of Const.
rc Name Jim & Debbie Laechelt
Mova 0
# Stories
Z
? Address Demolieh ? Length 60
c; pF,o„e Grode ? Depth 36 Sq. Ft.-
? N Laurent Builders Inc Appro.ola Faes
ame •
?? Addrau 118 S. Fuller St.
1- ,-:... Shakoaee 55379„,___ 445-6745
Name _
Address
I hereby acknowlndge thot I heve read this opplication and stote thot
the informafion is wrrect ond ogree to comply with oll opplicoble
$taTe of Minrxwfo Statutes ond City of Eagan Ordinonces.
Siprwturc of Permittee
aurent ui ers, nc.
A Building Permit Is issued to:
all work sholl be done in acmrdance wlth oll qpylicable Stpo of Mini
Asseument _
Water & Sew.
Police -
Fire Enp.
Planner _
Council -
Bldg. Off. _
APC
Permit 31 3.UV
Surcharpe 40.00
Plan check 186.50
5nC 525.00
Water Gonn.450?00
Water Meter bTsu-. To-
Rood Unit
Totol 1 . SO
on the expreaa condiHOn thnt
Stotutes ord Ciry of Eagan Ordinonces.
Buildinp Offkial
, /
,..,.r"!iit, L) u L lucrs
l16 South Fuller ?
ih&kopee, MN 55379
r
pELMAR H. SCHWANZ
LANDSUNVfY011S, IUG,
qNippN UnMr Wwt of TM ftad W Mlnnewq
/? .
0
? j
? I
/ .
/
a?zh /
? Drainage and
? /utility aaswisnt
Lotca.n+.,+? / .
< < -• / L
? i ?? ? I
? ?'f .,??' ? '\
7p7l -1M{TN IiTNiET W. - YOX M NOifMOUNT, MINMUOTA ff0it MIONE 612 423-77p
Lpf COhnQr
SURVEVOR'SCERTIf/
? p' -7i' , I
.IfN
O ?
}f?
,-
f
fkOP.
c -a„er
?
N
? I
L 0+ (O r w
q?? ??i •.,
.,00 a? 30 '
I `
I
?
.S
?
.
N
0
?
C
I
i?z
?i
N,
SQ} To? o(
G?i.Y?N?jL SIN9
y y ,o)
' ;
se} ra1 oF
Fovhdµ?i,n f4/QcK
? -
,
.
5ewE.- / '= 30
??';'e\I I ? l?}A9AAr ,
.. ?
/ So P ° 99,
c•'h ? ?
?ot
I hereby certify that this is a true
d t re reaentation o£ Lot 4
rpt of _,)e b
pf C?
LCOrnlf _ G
" . .
? DO ??
pan correc p I
?o
,D?? Block 1, CHE3 MAR 3ECOND ADDITION, as
000(, on file and of record in the offlce of thE
Countq Recorder, Dakota County, Minnesota.
NOTE: No property,corners set or relocated for the purposQ
o£ thia cert?if icate.
7r + }
Juae 7, 1983 ? ?e Cen er
Genfer o Flot
• MINNESOTA REGI TION N0.6826
` . I Ex7ERlOR ENYELOPE THERMAL TRqNSMITTANLE PAGE 1
1
ti STANDARO kORKSHEET
S1te AJ&e;s ..._,_ Qvner laec?
CancracWrl F" ?L Phone Date
&+i1uto9 lrpe tcheck m,Ny LK-1 One and Tw Familv Dwellin9 ( 1 Other
Assembly (Dascribe typc fram Table 3 ar
show calculations on Pa e 2 Area (A)
5 Ft U-Yalue U x A
Insulated Area
w
Frantn A?ea
? Sk 11 hts Trce
a
?
OtAer (descriDe
18 Oth r des:,riAe
1 Totals ),5ay ?***** a?, ?o
Averayc U-:'alue, (U)kA A from Line 1 ****** , ?'l?i ******
3 Reauii,pd U-Yalue fran text ****** '?''?''****
1 s tatc4 Rree
Fraatn Area U
Windara T e
Doors r e a. (o.-
Rim Juist Area D. S3 103 Z{,
Ftre lace Hall - ` ^
? fou ati on 1ia11 above ra0e 9(o -z- Z
E
g
Foundatirm Mindaws, Type
-
-
? Other fdescribe PFl :o U? 7'
Uther describ
Other eescrtbe
Total s
5 Avera e U-Yalue UxA A frda L1ne 4 ****** • 69a? i"t**'?
6 u1RCl U-Value fro? text ****** '?'?"?*'t
i/ L1ne Y ts greater than Line 3, or Ltne 5 greater than Ltne 6, caplala Lha
followtn detemi atternattv U-Yalue for total exterior envelope.
? 7 Artr (Ltr,e 1) + J1rea (Line 4), + ?
? B UxA (lina 1) + uzA(Llne 4). + frt*t*t
9 Ares (L1ne 1) x U-Yalue (Line 3) _ x ******
? 10 Ana (Ltne 4) ¦ U-Yalue (Line 6) _ x **?***
S 11 "&dyst". line 9+ Line 10 ******
12 12 Altenuttre U-Yalue, Line lULina 7 **+?***
If Line 8 ts greater than L1ne il, slier assaolies as required so Line B
does rot ucaM ltne 11.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4675
NewConstruction ReauiremeMs
• 3 registered site surveys showing sq. 8. of lot, sq. fl, of house; and all roofed areas
(20% maxunum lat coverage allaxed)
• 2 copies of plan showing beam & wiiMow s¢es, poured found design, etc.)
• 1 set of Emrgy Calculations
• 3 copies of Tree Preservation Plan'rf lol platted aRer 7/1193
• RimJoistOetailOptbnsselectionsheat(bldgswith3orlessunils)
`(300.06
DATE 2 -S^ D), VALUATION
Cn's1 _ ?V\?
SITE ADDRESS f J"A? (kCS Ma.r L. ? MULTI-PAMILY BLDG
TYPE OF WORK rZ '" ?0 F FIREPLACE(S) _
APPLICANT
s-
_Y _N
I_1 _2
STREETADDRESS ?_)O Lo'.« WA?ffp C-?- CITY S'k('11rtJ''Ew STATE I`/VZIP
TELEPHONE#6SI- YB& $O($ CELLPHONE# ?0_-36j-(a12, FAX# C) S7S
71 q y
PROPERTYOWNER 'r \ TELEPHONE#?
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY I MINNI:SOTA RULES 7672
(4 submission type) • Residential Ventilation Calegory 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope CalCUlations Su6mitted
Plumbing Contractor: ___
P1umUing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery 5ystcm
I hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eagan
Signature of Applicant
OFFICE USE ONLY
_ Water SofLener
Water Heater
No. of Baths
RemodeVRenair Reauiremenh
• 2 wpies of plan
• 7 setof Energy Calculatbns Por heated additions
• 1 site survey Por exterior additions & decks
• Indipte'rfhomeservedbyseplicsystemforadditions
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Fce: $90.00
ree;w$,70.00
Ph @#QI ? ? ? ;"u I
I 'J
comply
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
, . RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY GF EAGAN ? v
3830 PILOT KNOB RD, EAGAN MN 55122 r?" ?
651-681-4675
New Construction Reauirements
• 3 registereA sda surveys showirg sq. ft. of lot, sq ft of house; and all roofed areas
(20°k maximum lol covarage allowed)
• 2 copies of plan showing 6eam & xvndax s¢es; poured found design, etc.)
. 1 sef of Energy Calculation.a
. 3 copies of Tree Preservatbn Pian if lot platted afler 111193
• Rim Joist Detail Options selection sheet (bidgs wiU 3 or less unils)
DATE _7
MZAQ
RemodeUReoairReaulrements
• 2 copies of plan
• lsetofEnergyCalculationsforheatedadditions
. 1 site survey for exlerior additions 8 decks
. 7nUicate ii home served by sep6c syslem for additions
VALUATION
SITE ADDRESS a:1j r-Z, _ MULTI-PAMILY BLDG _ Y ? N
TYPE OF WORK FIREPLACE(S) t- 0_ 1_ 2
APPLICANT ,51P_Ve- Po % `r
STREETADDRESS I3Vl L4 '",--
TELEPHONE#alZ<? (;J 2°" CELLPHONE#it
PROPERTY
TELEPHONE # ?l2
--------------------- -------------------------------------- -------------°----------------°---
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MIVtiESOTA
(J submission type) • Residential Ventilation Catagory 1 Worksheet Submitted ?r(t?aqo? yY??
• Energy Envelope Calculations Submitted ? ?
juL 17 zoaz
Plumbing Conhactor: Phone #
Plumbing system includes: _ Water Softener Lawn Sprinkler By___j
Water Heater No. of R.I. Baths
No. oF Baths
Mechanical Contractor:
Mechanical sys[em includes:
Sewer/Woter Contractor.
Air Condirioning
_ Hea[ Recovcry System
Phone #
Phone #
Fec: $70.00
---... °----°------° •------°---------°---------------° °----------°-------------°----°-----°----•--------°----°
I hereby qcknowledge that t have read this applicat'ron, state that the information is correct, pnd agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinan ?
Signature of Applicant
OFFICE USE ONLY
CITY 5_45-'- STATE?`!/VZIP
2'F,F4 7YS '-' FAX #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Uptlated M02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-ptex
? 31 New
x 32 Additlon
O 33 Alteration
? 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. Ait - Multi
? 33 Eut. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Doors
'Demalition (Entire Bldg only) - Give pCA handout to applicant
Valuation ( V(7 Occupancy /2 3-?? MC/ES System _
Census Code ?q Zoning City Water _
SAC Units Stories Booster Pump _
Nbr. of Units Sq. Ft. PRV _
Nbr. of Btdgs Length Fire Sprinklered
Type of Const VlV
Width _
REQUIRED IN SPECTIONS
Footings (new bldg) FinaUC.O.
? Foohngs (deck)
? FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests J Final
_ Franiin& _ Sidiag Stucco Stone
_ Fireplace _ R.I. -Au Test _ Final _ Windows (newlreplacement)
_ Insularion _ Retaining Wall
Approved By?Z Building inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 DS-plex ? 13 16-plex
? 08 08-plex ? 18 Fireplace
? 09 07-plex ? 17 Garege
? 10 OS-plex )"Q 8 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or_ N
Aj Ut'e-z'
?? ? o ?
We - 149TM iTNFET W - W% M ROiEMOIMIT. MIMMpOTA NO/t ?IIONE I12 4lit7N
i
Lof co?Aer
WRVEYOR'BCERTIf r) p' ?„ I
01b ?? ?
.. Lotca,M.!
5,i' S1,
?
?
h1
o ?
O?
?
t
?I 1
? I
I oo IO.i'1C1'S
La+ Lorrtr (
q,7,
ror of b
pt
L o} [orna?
` Puller ?
, 1+b 55379
pELMAR H. SCHWANZ
6ANOSURV[VOR S, IUG.
RNidMW UMM Lw1, a TM fUte 01 MinnpoU
?4 Drainage and
i /ut111ty eaa*00at ?
?
i r ??? , ,
?.
. zz'
.Ah. 10' ?r I ?U?i /
r
?
? ?• ..?
100, ?r
NOZ
G ?A\'
C?9' n"
?
S
?
.
N •
0
O
? SCALE..
\
.Set Too a(
Gc.nuyQ S1w d
y F ioa'
se4 rot of
FovmJ4kn 9/4k
A+ Io ?' v"
,
30 ,
?
F Vb
/ to? t f qq,
I hereby certify that thla is a true
and correct repreaentation o£ Lot 49
?Block 19 CHE3 MAR SECOND ADDITION, aa
o? on f11e and ot record in the oPfice o£ th;
-? ? County Recorder, Dakota County, Minnesota
Q- NOTE: No property\corners set or relocated £or the'purpose
G . o£ this cert?ificate.
,STree} Cen}er ' d?/I
JunO 71 1983 G¢hfer Q f iOt
MINNE60TA RECI ATION NO.BB26
' A ss?„e,d lao' o"
(,q 33r
2005 RESIDENTIAL BiJII,DING PERiVII1' APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
?
? ?? ?
New Construction Reauirements RemodeVReoair ReauiremenGa Ofl'u%Use ONv
3 registered site suneys showing sq. ft. of lot, sq. R of house; and all roafed areas 2 copies of plan CeR of Suney Recd _ Y_ N
(20%maximumlotwverageallowed) lsetofEnergyCalculalionsforheatedadditions TreePresPlanRecd _Y _N,
2 copies of plan shmving beam & window sizes; poured found des'gn, efc i stte survey for addi6ons & decks Tree Pres Raquired , _Y _ N
1 set of Energy Cakulafions Adddfon - indrcffie N on-site sepNc sysfem Oo-site Septic Syslem _ Y_ N
3 copies of Tree Preservation Plan'rf lot platted efler 711193
Rim Joist DetaB Opfians setedion sheef (buifd'mgs with 3 oriess units)
Date l? l 7i° aS Construction Cost ? °
SiteAddress 1.3y/ ??YS ?lGl? G /
GnN Unit/Ste #
Description of Work ?
Ce
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _X 1 _ 2
Property Owner Telephone # Z/Z)
Contractor
Address CitY
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _
• Residential Ventilation Category 1 Worksheet
(4 submissiontype) Submitted
• Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
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 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.
f??
ApplicanYs Printed Name ApplicanYs Signatyr
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheel
Submitted
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
/
? 02 SF Dwelling ? 08 06-plex L9' 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4•sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
Cf 1 N
ew
3
? 32 Addition
? 33 Alteration
6 34 Replacement
Valuation S, 6Da
Census Code
SAC Units
# of Units
# ot Btdgs
Type of Const
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
v Fireplace ? R.I. ?Air Test _ Final
Insulation
? 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
'Demolifion (Entlre Bidg) - Give PCA handout to applicant
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
_ FinaUC.O.
_ Final/No C.O.
_ Plumbing
HV AC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ S[one _ Brick
_ Windows
_ Retaining Wall
Approved By: AV Ll 162- ?-- , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
O
-?U r