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1517 Covington LaneRESIDENTIAL '1?1 o BUILDING PER? IT???PPLICATION?-, r, CITY 4 3830 PILOT KNOB RD - 55122 651-681-4675 ? NewConstrucdonReauirements RemodeUReaairReauiremenls lj? • 3 registered site surveys showing sq. k. at lot, sq. k. of house, and all mofed areas • 2 copies of plan (20°h maxunum lot coverage allowed) . 1 set W Energy Calculations for heated additions • 2 copies of plan showing 6eam & window saes; poured found design, etc.) . 7 site survey for exterior addihons & decks • 1 set of Energy Calculations • Indicale'rf home served by septic syslem for additions ? • 3 copies of Tree Preservation Plan if lot plaHed after 111193 . Rim Joisl Detail Opllons selectian sheet (bldgs wAh 3 or less umts) DATE h Vo/ VALUATION JOB SITE ADDRESS /S /?7 CC v, 7 C,d-t? r1 L- a? ? IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER V/a Gf? ^l ;+" I7e f i u I? TYPE OF WORK r% n? S 1? : n? b q se r cn 4 FIREPLACE(S) _ 0 X 1_ 2 ? APPLICANT V I G d% t,l: r Pe d" ru I< PHONE# ADDRESS PAGER # l? i7 L'r? Ecl?,6,ZIPCODE Ss ?a 2 I L/19- 0ti 6'S'_FAX# Sa„e NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor: Phone # Phone # Fce: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SignatureofAppllcant V• ?/L',*dti'L ° •1ofl Ln . CELL PHONE # Water Softener _ Water Heater _ No. of Baths Phone #: Lawn Sprinkler No. of R.I. Baths _ Air Conditioning _ Heat Recovery System Certifcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 OFFICE USE ONLY ? 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.) ? 37 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ex[. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex A 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbgXY or _ N ? 25 Miscellaneous ? 31 New X 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy ? MC/ES System Census Code Zoning City Water SAC Units - Stories Booster Pump Nbr. of Units '-' Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinklered Type of Const v- l1 Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Footings (deck) FuiaUNo C.O. _ Footings (addirion) Plumbing _ Foundarion HVAC Drain Tile Roof Ice & Water Final Other Framing Pool Ftgs Au/Gas Tests Final ZN Fireplace X R.I. X Au Test x Final _ Siding SNcco Stone X Insulation _ Windows (newheplacement) Approved By 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 FinaUC.O. ? ? C)Up °.".. ?(/- ts// U4 C C-? o-? CITY USE ONLY ?? - B? I RECEIPT#: SUBO. Pinekee Pa6s RECEIPT DATE: ll-t-oo PERMIT # 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF, EACAN _ 3830 PIIAT IINOB RD EAGAN, MN 55122 651-681-4675 Please complete for: D single family dwellings ? townhames and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAI ARerations to existing dwelling - minimum fee Describe: $ 30.00 Bath :ub $ 3.00 x Z = $ vo Floor drain 3.00 x = g 3 oa Gas piping outlet ' minimum - t 3.00 x = $ C?e Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x $ 32-- Laund tray 3.00 x = $ Lavatory 3.00 x = $ / Z = Septic System new+returbosned ' requires MPC lic. 75.00 x $ Septic System abandonment 30.00 x $ RPZ new installatioNrepairlrebulld 30.00 % _ $ Rough opening 1.50 x = $ 3"a Shower 3.00 x = $ 3 °° Unde found Sprinklef rf dwelling is under wnstruction 3.00 x $ Underground sprinkler if existing dwelling 30.00 x ?-- _ $ Water closet 3.00 x = $ °D Water heater 3.00 x = $ Water softener if dwelling under conswcdon 5.00 x $ Water softener If exfsting dwelling 30.00 x = $ Water turnaround 30.00 x - _ $ State Surcharge .50 -> -> -> $ .50 TDtal -> Reminder. Call for inspections of alteretions, i.e. water heaters, water softeners, etc. -•---•--.....-•---------------------•---•----------------------------------------•------------------------........------....-•-•----• •-• •--- f hereby adcnowledge that I have read this application, state thffi the information is corr ect, and agree to comply with all applicable City of Eagan ordinanees. tt is the applicaM's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its nortnal operational and maintenance adivities to the facilities construc0ed,under fhis permit wifhin City property/right•of-way/easement. SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: CITY: STAT ZIP,SS^.? / ? SIGNATURE OF PERMITTEE Lr" K-Gf ?@ .1 COi?5TELEPHONE#: ? , (AREA CODE) . , -* Addiess 1517 COVINGTON LANE Z1p 5512 Z I.Ot z Blk ' $Ub pINETBEE PASS 6TH THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: ? Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanentgas I Sod/Seeded grass I TraiUcurb damage Porch Basement finish Deck Please verify with the builder the removal of roo test caps froro the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contad engineering division at 681-4645 before working in rtght-of-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy CITY USE ONLY L?OT 22 BL I PERMIT#: 1J?I"I SUBD. 1 11'PTf t L f QSS ?_ RECEIPT #: I I-!-oo RECEIPT DATE: 2000 Date: CCAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 651-681-4675 Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occuoied. • HVAC: 0-1D0 M B T U $ 30.00 ADDITIONAL 50 M STU 6.00 • Gas outlets (minimum of one required Q$3.00 ea.) y State Surcharge Torat ? .50 $ ??s? Complete this section onlv if you aze remodeline, addine to, or repairing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, a(teration, or repair. _ New _ Alteration _ Repair _ Other _ Furnace _ Air conditioning _ Airexchanger _ Other ' Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder.• Call for dnspections SITE ADDRESS: f?! ;? LO (// A? 'P- OWNERNAME: (1?n/ 57'. PHONE#: f/ INSTALLER NAME: fZ? ` GL Q-? (AREA CODE) C G a v? ??' C PHONE #: 9 S a- - // ) ?yS ' 7?fo? / (AREA CODE) STREET ADDRESS: Oat C[TY: JtL STATE: /VIIf ZIP: SIGNATURE OF PERMITT'EE 2000 BUILDIN?PERMIT APPLICATION (RESIDENTIAL) . , CITY OF EACAN ? f? O^ 3830 PILCT KNOB RD - 55722 5204•$7 651-881-4875 NewConttiucHonReaulremenh •- Remodel/RaoalrReauiremenb cR(Q qlo,oo > 3 reglafered SIte wrvaya ahowlnfl sq, fl. cf lot, tq. H, cl hcuse cntl gfl rooled areas l10'Y. mmdmum lof covemae allowedl > 2 coplas ol plau (show beam & wlrMow slzes; poureC Md deslgn; etc.) > 1 fef W energy calculallona > 3 coplea ol hee preservaHOn plan fl Id platted otter 7/1/93 DATE: d 'ow 'OD DESCRIPTION OF WORK: STREET ADDRESS: 2 ccpies ct plan 1 sef ol energy calculaHons lor heatetl adclXOna t site wrvey Tor exfedor additlons 3 decks CONSiRUCTION COST: g?- ??? LOT: ? BLOCK: SUBD./P.I.D. N: $'%-? &T&-j AA.6 Name: Phone #: PROPERTY lat Flrst OWNER Sheet Address: CBy State: Zip: . Compan??i? ? ?•n L_Y?,s? ?? Phone #: ? 473 '??3 L (area code) COIVIRACTOR Sheet Address: ?A J G p?, Lkense Y ODI W.J--Exp.O$ ? Cfty ? State: ZiP? -55 ?5!t-! O •? ARCHITECTi ENGiNEER Company: Name: Telephone M: ( Sheetv4ddreas: RegistraNOn Y: CHy Sfate: Zlp: Sewerlwater licensed plumber lif installina sewer/waterl: • Phone #: (02. ) S"OM I herebY acknowledge 1Fwt 1 have read thia applkaNon, state ttxrt Ihe infomwlion b cortect, and agree lo comply wMh aq apptlcable Sfate of MlnnesoM Sfalutes and Cily of Eagan Ordlnancea 14 n -' Signalure of ApplicanY. OFFICE USE ON4Y AUG ? 2000 Certificates of Survey Received Yes _ No BY, Tree Preservatfon Plan Receivfld _ Yes ?No ? Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-piex ? 13 16-plex ? 21 Porch (3-sea.) 0 02 'SF Dwelling ? 08 OB-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex O 09 07-plex ? 18 Deck 0 23 Porch (sCreened) ? 04 02-plex ? 10 OB-plex ? 19 lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-piex Pibg _V or_ N? 25 Miscellaneous ? 06 04-plex ? 12 72-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE 0 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)" 0 44 Siding ? 33 Alteration ? 38 Demolish (Interior) [3 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolitlon permit GENERAL lNFORMATION SAC Code 0 J # of Stories ? s9• ft• No. of Units 7 Length ? sq• ft• No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) . Mair) level sq. ft. MC/E5 System • UBC Occupancy - °? sq. ft. i? 46'a_ City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOU5INSPECTIONS ? Stucco/Stone APPROVALS • Pianning Building ? Engineering Variance ? 31 Ext Att - Murd ? 33 Ext. Alt - SF ? 36 Mutti Permit Fee ?- Valuation: $ !?G O ? Surcharge Plan Review License MC/ES SAC City SAC water Conn. ? W ater Meter $ / S o Acct. Deposit S/W Permit a?Q 11 S!W Surchar e TreatmenlPl9 ?(j??s`? ? ? ?? ??0?"? Park Ded. Trails Ded. Oth f1/ . . _ . er Copies lp ed' ,?{_,?J . X o?. Z? p o Total: Ye2 S, m c SAC Units % SAC r MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 DATE OF PLANS: 8-22-00 TITLE: Denby "D" Laokout "Oversized window wells" COUNTY: Hennepin STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 8-22-2000 PROJECT INFORMATION: Petruk Residence 157 Covington Lane Nottingham Crossings COMPANY INFORMATION: Lundgren Bros. Construction NOTES: Oversized Window Wells at lower level COMPLIANCE: PASSES Required UA = 671 Your Home = 493 26.5o Better Than Code Permit # Checked by/Date Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value --------------- - CEILINGS 1823 44.0 0.0 WALLS: Wood Frame, 16" O.C. 504 19.0 2.0 WALLS: Wood Frame, 16" O.C. 1692 19.0 2.0 WALLS: Wood Frame, 16" O.C. 1632 19.0 2.0 SSMT: Conc. 8.0' ht/7.5' bg/8.0' insul 131 10.0 0.0 GLAZING: Windows or poors, Above Grade 81 0.350 GLAZING: Windows or poors, Above Grade 266 0.350 GLAZING: Windows or poors, Above Grade 178 0.350 DOORS 38 0.350 FLOORS: Over Unconditioned Space 800 30.0 0.0 HVAC EQUIPMENT: Furnace, 90.0 AFUE ---- --------------------------------------- COMPLIANCE STATEMENT: The proposed bui ----- lding ------- design ---------- described ---------- here is consistent with the building plans, spe cific ations, and other calculations submitted with the permit application. The propose d building has been designed to meet the requirem ts of th e Min nesota Energy Code. Builder/Designer ??„? ` Date /8.,ZZ' 0O . ? **?************************?*********** CITY OF EAGAN CASHIER: JS TERMINAL NO: 763 DATE: 09/11j00 TIME: 14:09:33 ID: NAME: LLJNDGREN BROS CONSTRUCTION INC 2252 9220 1517 COVNGTN LN 30.00 3210 9001 1517 COVNGTN LN 1,452.95 3866 9379 1517 COVNGTN LN 100.00 3422 9001 1517 COVNGTN LN 944.42 2275 9220 1517 COVNGTN LN 1,089.00 3446 9001 1517 COVNGTN LN 11.00 2155 9001 1517 COVNGTN LN 0.50 3743 9220 1517 COVNGTN LN 50.00 2155 9001 1517 COVNGTN LN 91.00 3868 9220 1517 COVNGTN LN 492.00 CR137217 ** CONTINiJ] USER ID: JAN ** CONTINU] xxx,?,::?:?KFxxxxx.. ...........:................ ?,,..___.-_ CITY OF EAGAN CASHIER: JS TERMINAL NO: 763 DATE: 09/11/00 TIME: 14:09:36 ID NAME: LUNDGREN BROS CONSTRUCTION INC 3716 9220 1517 COVNGTN LN 114.00 3713 9220 1517 COVNGTN LN 50.00 3865 9220 1517 COVNGTN LN 840.00 Total Receipt Amount: 5,264.87 CR137217 USER ID: JAN MNCheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 COUNTY: Hennepin STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 8-22-2000 DATE OF PLANS: 8-22-00 TSTLE: Denby "D" Lookout "Oversized window wells" PROJECT INFORMATION: Petruk Residence 157 Covington Lane Nottingham Crossings COMPANY INFORMATION: Lundgren Bros. Construction NOTES: Oversized Window Wells at lower level COMPLIANCE: PASSES Required UA = 671 Your Home = 493 26.5°s Better Than Code Permit # Checked by/Date Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value --------------------------------------- CEILINGS ----- 1823 ------- 44.0 ----------- 0.0 ------------- WALLS: Wood Frame, 16" O.C. 504 19.0 2.0 WALLS: Wood Frame, 16" O.C. 1692 19.0 2.0 WALLS: Wood Frame, 16" O.C. 1632 19.0 2.0 BSMT: Conc. 8.0' ht/7.5' bg/8.0' insul 131 10.0 0.0 GLAZING: Windows or poors, Above Grade 81 0.350 GLAZING: Windows or poors, Above Grade 266 0.350 GLAZING: Windows or poore, Above Grade 178 0.350 DOORS 38 0.350 FLOORS: Over Unconditioned Space 800 30.0 0.0 HVAC EQUIPMENT: Furnace, 90.0 AFUE -- ------------------------------------ COMPLIANCE STATEMENT: The proposed building ------ design -- described here is consistent with the building plans, specific ations, and other calculations submitted with the permit application. The propose d building has been designed to meet the requirem of the Min ts nesota Energy Code. L Z Builder/Designer ??? ? Date Site address: S Lot o2 1310cJ- Su6d. P4ih,ej(hli. g.44 1i?1 On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. _ This sUUCture. is constructed to meet minimum requirements ot the Mn Energy Code, Chapter 7670 OR X This structure: will be constructed to meet more restrictive requiremenis o( Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE waterHeater X F 5 ?1 5 0 40000 PVC.. Furnace X X . I?VOloOI 2..0 120 000 PV C, Dryer X A1iE NCY , VENTED EXHAUST SYSTEM LOCATION TYPE MODEL CFM's ves No Kitchen kitchen Bathroom 1 -POLA)l en "0 M 5U ?J U X Bathroom 2 , µ v x Baihroom 3 h6shIL sv v ? Bathroom 4 Other FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING owecr arMOS ' m?l R oo -7ooo MAKE-UP AIR MODEL TYPE CFM's UElJ Afc s u TO 2• ? NC.ED E{ I hereby acknowledge that the above information is wrrect and agree Io comply with the Minnesota Energy Code and City of Eagan requirements. , &444Al14 Sign re cntwr &d-S Company i,la?na 00 Date This form is the responsibility oi the General Cen[ractor. LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION L / .L's'Gct",f / ?,???'RFF ?5? ? 'l7.z-a/v PROPERTYLEGAL: `-ZI/ z?' fy h DATE OF SURVEY: ? w LATES7REVISION: ?/24?00 ? N 0 DOCUMENTSTANDARDS 0 og Q ? r?/?? - Registered Land Surveyor signature and company o ? • BuildingPermitApplicant ? ? • legal description m' ? ? - Address /? ? • North artow and scale Y o? ? • House rype (rambler, walkout, spfrt wla, spld entry, lookout, etc.) /o ? • Direc6onal drainage arrows with slope/gradient % ?? • Proposed/ewsting sewer and water services & invert elevation ? ? • Street name q? ? ? o : Driveway Lot Square Footage v? • Lot Coverage ELEVATIONS Ews4na 0/0 ? • Sewer service (or Proposed) q? o ? • Property comers ? o ? • Tap of curb at the driveway ? 4Y ? ?/ • Elevations of any ebsting adjacent homes tilit d h ? ? jacent u es ytrenc Adequate footing depth of structures due W a Prooosed V/ ? o • Garage floor ? ? ? • Firstfloor V ? ? • Lowest exposed elevation (walkouVwindow) g'/? ? • Property corners d a o • Front and rear of home at the foundation PONDING AREA (iF aodicaWe) ? Et/ o • Easement line o 2/? / • NWL HWL ? 6 ? ? o?,o • • Pond # designa6on ? ? ? • Emergency Overflaw Eleva6on / DIMENSIONS 4'/ ? ? • Lot IineslBearin? & dimensions uY ?? ? o • Right-of-way and sVeet width (to back of curb) porches etc overhangs greater than 2' an ro osed decks di P d h di i i l ? r . , . , y p p , ome u ng ropose mens ons nc ? (i.e. all structures requiring permanent footings) ? ? • Show all easements of record and any CAy utilibes within those easements ?? y? • Setbacks of proposed structure and sideyard selback ot adjacent existing structures ? ? ? • Retaining wall requirements, if any "-? /, ? Reviewed: March 19BB CMIG/BLOGPRMT FM PERMIT # I,'^I -I C) '-( c) RECEIPT DATE: t b ? ??-- - C) ') USIDENTIi4L PLUM$INfi i'ERMTT ?PPLICihh710N CITY OF £,+kfiAN 3$30 PII.OT HNOS fiD r.ACiax, auv ssisz 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: ?5L>1 1 l??I \ So e5i? (J l? OWNERNAME:A) b-oa..Vl°1\YZ? Ui,AQ,ViR PCTIQ4ILTELEPt10NE#: (OSI (4OS- IUq U (AREA CODE) INSTALLER NAME: TELEPHONE #: CPSI uI'L -A?.' ( ILI L-1 (AREA CODE) STREET ADDRESS: { y-1?-k S ? VL_F__> VOL J1'L-7- _Tn?Cl CITY: a ?FtQ '??LI-L_l/-7' STATE: ZIP: 5 50(oR Place a check mark next to the uermit work tvae New residential dwelling unit under construction and not owner/occupied $ 90.00 ? Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system • on/repair/rebuild of RPZ 4?irngation sys • vi3t9F4tit' Nature of work: Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ 50 Total ? $_? Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby aGcnowiedge tnat I have read this application, state Nat the information is correct, and agree to comply wfth all applicable City of Eagari ordinances. I[ is the applicanCS responsibdity to nohiy the praperty owner that the City of Ea9an assumes no liability for any damages raused by the City dunng its normal -erational and mamtenance actimfies to the facilities constructed under this permd within City rope ight-of-wayfeasement. SIGNATURE PERMITTE Updated 1/01 Ill PERMIT# 0 53 Y RECEIPTDATE: RESIDEIVTIFtL PLUI4IBINra PEitM1T ?PPLICATIOft cirY og EteAv 3$30 P1LOT KNOB RD K4HAA, EuY 551 E8 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: I S1 7 (??JI/;'7 v" ') 4 Q?? ?Ij OWNER NAME: j//Gl I''9 ? f Pp4C u << TELEPHONE #: !?S I 9 D (AREA DE) INSTALLER NAME: III4 Gt?? ri ? r TELEPHONE #: C S l 9 o s- ? y s y STREET ADDRESS: lS ?? Co v: n, c4-c' n L ? n e (AREA ooE) CITY: STATE: MN zIP: s S? a 2 Place a check mark nexf fo fhe oermit work tvoe ? Modifications that alter living areas, such as adding new fixtures to lower level $ 50.00 areas or additions Modification/alteration to existinp dwelling unit, including: $ 30.00 • new installation/repair/rebuild of RPZ • lawn irrigation system • water softener, water heater, air conditioner Nature of work: Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires two sets of plans • requires MPC license Abandonment of septic system $ 50.00 Water tumaround - existing dwelling unit $ 50.00 • 5/8" meter (if required) 118.00 State Surcharge $ .50 Total $ 50• 50 I hereby acknowledge that I have read this application, state fhatthe information is cortect, and agree to complywith all applicahle Cityof Eagan ordinances It is the appliranPs responsibility to nodfy the property owner that the Cityof Eagan assumes no Ilability for any damages raused by the Ciry during its normal operatlonal and maintenance activities to the faciliUes wnstructed under this permit within Cily propertylright-of-way/easement. Pe-? L4-, ? SIGNATURE OF PERMITTEE 1102 ? [?E E . ? ? ,,. BY - Datie ? FNGINE ERING DEP''• V ?o??Qut ?? e? po?° ?VTVf'lL nvVITIVIV ? ? - N 86019'13" W - 7.,2 t ? a ? k a'ro.u' s ^ s? / I5 ? ? ? I AGE & UTILI ? EASEMENT? ? ENMARK " CH 965.07 2 ? E BE? ? (961.5) y ? 965.g X CANT. 966.0 EGRESS x ? 964.8 m i6 ? J 19 73 ? PROPOSED F'ULL gqSEMEN7 1577 COhNGTON LqNE ? $9.3 N M ,7 ? X 943.g -- (943.5) =? z t_-r FzFnVCt15 O lf') cV n ? I0.0.9 w $ ? O M 0 ? o O O cn 0) OD N 9g7 LEGENfl Q DENOTES SANITARY MANHOLE :;C DENOTES ITYDRANT iM DENOTES CATCH BASIN S DENOTES SANITARY SEWER W DENOTES WATERMAIN 5T DENOTES STORM SEVVER ? DENOTES STORM MANHOLE ? DENO7ES STORM APRON ? DENOTES MAILBOX SETBACKS MIN. FRONT YARD SE'(PACK = 30' MIN. SIDE YARD SETBACK = 5, 15' BOTH SIDES MIN. REAR YARO SETBACK = 15' LOT AREA - 15.140 S.F. ROOF AREA - 2,231 S.F. LOT AREA X = 14.737C A title op(nion was not fumished to the surveyor nor wae o spec?c titte search for the existence or no?-exiatence of recorded or unrecorded eosements conducted by the surveyor ? aa pcrt of this survey. v Propoaed Top of Foundatton Elevationa 982.0 Propoaed Garage Fbor Elevationm 961.0 Propoaed Loweet Floor Qevationa 954.0 ? o Denotea Iron Monument ? + 000.0 Denotes Existing Elevation 91 ? ssa.a +(000.0) Denotea Proposed Elevation W Denotes Direction of Surface 1r S - Drainage 1? ? LANE--?? Denotes Sanitary Sewer Service p 10 S 0 7 Elevation I hereby certtfy that this te a true and correct repreaentation of a survey of the boundaries of: `C LOT 2, BLOCK 1, PINETREE PASS 61H ADDITION DAKOTA COUNTY, MINNESOTA I ~`? Md the locotion of all buildinge, if any, thereon, and all visible encrroachments, ff any, from or on said land. As surveyed by me thi 11th day of Jul , 2000. I I \ /?//fw. i 6 Gary R. Germond RECEIVEO AUG 3 0 2000 Licensed Land Surveyoq Minn. Uc. No. 24764 ? ix 0 ? ?Opqz ? ,L. k'?w E-4? F?z?a ? a ORRSWN CHC?,?G? 07?1?f 00 SCALE 10-30' JOB N0. 5402-824 Use BLUE rar LACK Ink I For Office Use I Permit /C7 City of Ea I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: 5 75 Fax: (651) 675-5694 I Staff: j I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: l:r. 6 °d19- Site Address: 7 a V' 1 4 n L n - ,2 Unit Name: Wa ; M; r 1 D_ --I- ra ~ Phone: RESIDENT / OWNER Address / City / Zip: IS-17 L n , C4 4,1 Applicant is: Owner Contractor TYPE OF WORK Description of work: R004 PQ 5p i,q Ce ^,e sL Construction Cost: Multi-Family Building: (Yes /No ) Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x 'V l oo/ $ M' T Pe' r4{ K x N Gam` Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK fnk ---------� j For Office Use � ' � Permit#.� �U � �� i -_ �� I ��'��E��,� � Permit Fee: 1 3830 Pilot Knob Road'' i � Eagan MM 55122 �� K � Date Received: ' Phone: (S51 j 675-5675 � Sfaff: � Fax: (651)675-5694 _________________� , / 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: vl � Site Address: /�� C��U'� �'�'�r�, �O ( Cf[� Tenant: Suite#: Name: V `�%�'��M-�i ,� /� '` Resident/Qwner � Phone: (f S l��S^-G��p� ' Address/City!Zip: � L;.�%�� . lG . ' Name: 1 1'l 9 � � . �� --� ,-- �; License#:_ll ��__��C�'�"r�� / C011#t'�CtQrr' Address:l p J'�� Ciry: � � C� ' � State: �� Zip: � � �� Phone: �� ` �-" ��CZ�� "� Contact: /� C��-� Emai(: ��'i �/�O ��.l� � - i�--� Tj�p�Qf V1/OPk —�ew _Replacement i Repair _Rebuild _Modify Space ,Work in R.O.W. Description of work: RE�E'N71AL Water Heater Water Softener 'perm�t 7 e Lavim Irrigation(�RPZ/_PVB) yp Add Plumbing Fixtures�Main/_Lower Level) Septic System I New Water Tumaraund Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(inciudes$5.00 State Surcharge) $60.00 Lawn Irrigatlon(includes�5.00 minimum State Surcharge} $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Tumaround*(includes$5.00 State Surcharge) *Water Tumaround(add$2b0.00 if a 5!8"meter is required} $115.00 Septic Svstem New($10.00 per as built)(includes County fee and$5.d0 State Surcharge} , TOTAL FEES$� CALL BEFORE YOU DIG. Gall Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you inte�d ta dig to receive locates of underground utilitiss. www.qopherstateonecall.orq 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 approv plan in th�case of work which requires a review anc3 approval of plans. �y P/ � J r I c X l.J� � � G� �'l a� l !, .,�;� � a �,, A pp l�can t's Prin t e d Name ApplicanYs Signature FOR OFFICE USE Reviewed By: Date: Required lnspec#ions: �Under Grountl Rough-In Air Test Gas Test Final ' Meter Related{terns: Meter Size ' RadiQ Read Manometer Sta�f: