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1649 Covington Lane cirir oF EAGAN ? -' 3795 PiloF Knob Road Eagan, MN 59122 PHONE: 454-8100 BUILDING PERMIT Site Address '? v • ? ? ` ? Loi Block ? Sec/Sub. ?l' ' • Porcel # oc Name ? 3 Address t ?_. I ) ?. ,• I 1 r17 "r J 0? Name 6 ? Address r:.., oL..__ Name _ Address I hereby acknowledge thot I have read this opplicotion and state that the information is correct ond ogree to comply with all applicable Stote of Minnesotn Stotutes and City of Eagon Ordinances. Receipt .# N2 6114 Erect Q- Occupancy ' Alter ? Zoning Repair ? Fire Zone Enlarge 0 Type of Const. Move ? # Stories Demolish 0 Front ft. Grode p Depth ft. Apvrovoh Fees Water & Sew. Pol ice Fi ro Eng. Planner Council Bldg. Off. _ APC -- Permit ' Surcharge Plan check SAC Water Conn. Water Meter ? Road Unit Total ?? • Signature of Permittee ? A Building Permit is issued to: on the express condition that oll work shall be done in occordance with oll appliwble State of Minnesota Statutes and City of Eagon Ordinances. Building Official PennM # poM Iwo?d PennNtM Plumbing M choniwl INSPECTIONS DATE INSP. Roupf-ln Flnal Footings --q5:-9C Ooce Insa. Dote Inap. Foundation Plumbing 4 ? Fmme/ins. Mechanical ?t1 Final . Z `•' b Remorks; . cinr oF EA"N 3795 Pilot Knob Road Easaw, Minnesole 55122 INSPECTOR NQTIFICATION No. -1 -'- Phona: 454-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: Receipt No.: Single I 5ite /kldreu: Residential Lot , Block " 5ub/Sec. Cske Multi Res., Comm./Ind. I ? n i riorrp: r; Name New/Alter./Repatr ? Address 1•.. -. ; ,?. ,1?n^ ? ? . . Cost of Instollotion Cit Phone• .' i . _. Y • Permit Fee Nome R8Y VlE'lte:^ .ai.1.'. Surcharge ' r Address ve . e 0 V . • . _ _. City ' Phone: Total This Permit is issued on the express condition that oll work sholl be done in cccordance with all applitoble State of Minnesota Stotutes and City of Eogon Ordinonces. Buildinp Official ??.? S qy 3 ? s. No. 113 i 'lumb CITY OP EAGAN 3795 Pilot Knob Road Eayaw, Minnasofa 35122 Phone: 454-8100 PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Date: Receipt No.: Single oV?'rigt01: Residential Site /lddreu: Lot Biock 5ub/Sec. Nome Oi'rin Tr'°-peon HOAeB New/Alter./Repair r eti7 g Address 1712 L°OPkins C'•rsrd. Cost of Installation O { C•_ K 1 City tOll?CB , Phone: :1,?*-7333 Permit Fee ` Nome '``e? 2?2nI ???.,,j;bll?CF31 Surtharge ? Address 3600 fen.T•Bt?P.C DT'. City Phone: Totol This Permit is issued on the express condition thot oll work shall be done in accordunce with oll appliaable Stote of Minnesoto Stotutes ond City of Eogan Ordinonces. X Building Officiol CITY OF EAGAN Remarks Addition ON-_Lot i,s Blk 2 Parcel 10 39800 15f1 02 Owner?f'Xl` Streec 1649 CovinQton L. ne State EA$_.SII. MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RE5TOR. GRADING SAN SEW TRUNK * SEWERLATERAL 6-45- 1981 4126.45 825.29 5 WATERMAIN * WATER LATERAL jgHj WA7ER AREA -t, ?? 19$1 300.00 60.00 5 30 -00 10115/80 - STORM SEW TRK Sa 1981 670.68 134.14 5 * STOFIM SEW LAT 1981 CURB & GUTTER ' SIDEWALK STREET IIGHT R. UNI 185.00 20605 2 0 , WATER CONN. 305 . 00 20605 g 25 80 BUILDING PER. 6114 SAC 525-00 20605 2 80 PARK IV CITY dF EAdAN 3795 Pilot Knob Ropd Eogan, MN 55122 Zoning: Owner: Address: Site Address: Plumber. Meter No.: 5ize: Reader No.: I agree to eomply wit6 the City of Eagan Crdinenees. By Dote of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: . No. of Units: Cannection Charge; Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: I nsp.: CITY OF EAGAN SEWER SERVICE PERMIT 3793 Pilot Knob Road PERMIT NO.: Fngan, MN 55122 . dATE: Zoning; No, of Units: Owner: Address: Site Address: Plumtter: 1 agree M eomplY with the City of Ecgon Ordinonees. 8y Date of Insp.: I nso.: Connection Charge: Account Deposit: _ Perm;r Fee. Surchorge: Misc. Chorges: - Total: Date Paid: m 4 0 5 ? O?' USE O LY Thia raquest void 18 months irom validation date pnnted i 3 03- ? /?j? ??-9 ? 1?- °? ' / ? J ( ; ? ? ? "O ? -- S INT OR TYPE / Rough-in inspectio ? requ 2 ? Yes o 4 Inspeclion 01h r an Rough-In: y Now ? Will Call V (You must wll the inspecFor when rendy) Oo1e Ready: I d contractor ? owner r hereby request inspection of the above electrical work at: Job Address (Streel, Bo or Route No.) /" Dl?/?2 ?D/1) [.ftll e City f? Tip Code ? ?fa Section No. Township Name or o. Ra?ge No. Fiie No. Counly ?uPant ' Phone No. 4 Power Supplier Address Elechical Conkactor (Compnny Nam ) Conhactor License No. Masler Lic. No. (Planf Eled. Only) Mailing Address (Con or Ovmer erfopning Mstalafion) d U ; horized re( onlracrorr, erformirg in lafi Phone No. - ?9?/-110D5 -OQ001 A-10 6/95 BOARD CO - SEE INBTRUCTIOMSON BACK OF YELLOW COP`1 l REQUEST FOR ELECTRICAL I I II III II III I IIII Minnesota Univer ??A QarRm. SI 128,cSt kL I IIII II III * o? a 3 4 s*_ Q?--ne t612, 642.0800 '?C' above the work covered by this request. Enter remarks in this space and on the bacK ar rne Calculate Inspection Fee - This (nspecfion Request wiJl not be occepted without the correct fee: ?ier Fee # Service Enlrance Sue Fee ? Grcuits I# Mle Home Pork 5tall 0 to 200 Amps 0 to 100 A 4-bit trLtg./Traffc Sig. Above 200 AmAbove 100 .......f.,....n?/C?anPrntor INSPECTOR'SUSEONLY - ?/a coay ,Q Daro Investigative fee '` ` THIS INSTALLATION MAY BE ORD ED DISCON C OT COMPLETED WtTHIN 18 ,. /D p351 ` CITY USE ONLY ?? L BL ? RECEIPT #: ???L SUBD. ? DATE:J?T+ l9 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILaT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please comp(efe for: • single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace ? vl'? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State 5urcharge .50 TOTAL ' O?A50 SITE OWNER NAME: JplPPN' &k'„07 2 %6 PHONE #: S?-5 Y/ INSTALLER t STREET CITY: 5,41117 Q f- STATE:AV_ ZIP: J?5378 PHONE #: ?.GtJ L?/4%Grirr.o? 6F PERMITT ? ?7- /9/P AW 1649 ?P ' ' ? o? u?? FOr: U. S. HOME CORPORATZON C. R. WINDEN & ASSOCIATfS, iNC. IAND SURVEYORS T*L 645-3848 1381 EUSTIS SL, 8L PAULP MINN. $8108 ??- 0 O / ? r? r / / <<?T,: ? ? 1 ? h ! ?o 1 ? ? j ? ? Q t ? s N Scale: 1" = 30' O Denotes Iron C'OIijN07 ?N ?r ¢2 S3 : Lq,vE- E Lot 15, Block 2, Johnny Cake Ridge Addition, Dakota County Minnesota wE MEREBY CERTIFY TNAT TMIS IS A iRUE AND CORRECT REYRESENTATION OF A SURVEY Of THE 60UNDARIES OF THE LAND ABOVE DFSCRIBED AND OF THE IOCATION Of ALl 6UIlDINGS, IF ANY, TNEREON, AND ALL VISIBLE ENCROACHMENTS, li ANY, fROM OR ON SAID tANp. Dorod r6is 3f dar ef A?Q„SA.D. 19490 C. R. WINDEN & ASSOCIATES, INC. :- £ 71 br Survayor, Minn??elo Rayislrotion No.2T2G 2004 RESIDENTIAL BUIILDING PERNIIT APPLICATION City Of Eagan 3836 Pilot Knob Road, Eagan NIN 55122 Telephoue # 651-675-5675 FAX # 651-675-5694 New Conslruction Requirements RemodeVReoair Reauiremenls 3 registared site surveys shaaing sq. ft of lot, sq. ft. of house; and p_II raofed areas 2 mpies of plan (20% mazimum lot owerage albwed) 1 set of Energy Caiculations for heated addiflons - - 2 copies oF plan showing beam & wiMow s¢e.a; poured found design, etc. t sffe survey for addifbns & decks 1 set of Energy Calculations Addftion -indicafe If wrsite septic system 3 copies of Tree Presenation Pian if lot plaried efter7l1193 Rim Joist Detail Options selectlon sheet (61dgs with 3 or less unid Date o 75 6 ?a r6- ConstrucNon Cost ? y Q SiteA dress ?? I c?a7!'? ^?s'?C, ???1+• UniUSte # Description of Work Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ? 4?_, /1 Tefephone # ( ?St ) Contractor Address ?? 6 y W City ,vtti!? State 2d.'?L Zip ?y Tetephone # (??1 g ?'? Z5 T; COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEYY BUILD(NG - Iviinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy COde Cetegory , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted 5ubmitted • Energy Envelope Calalatlons Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Confractor N If so, 25% plan review Telephone # ( Telephone # ( Telephone # ( 11 " Il JUL 1 I hereby apply For a Residential Building Pemut and acknowledge that the informatio??y complM~ accur te; that the work will be in conformance with the ordinances and codes of the City of E Statutes; I understand this is not 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 in the case of work which requires a review and approval ofplans. eg pi 4:? ; 15, ApplicanYs Printed Name ? .o Applicant's Signature CITY OF EAGAN 3795 Pilot Kno6 Road Eagen, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION ro be uaed For SF DWG t Site Address 104y UOV1rigTOri Lri. ?}/ ) Lor 15 Block 2 Sec/Sub. Jhrv• Cake Rd? Parcel # 10 39800 150 02 w Name Orrin Thomroson Homes _ Z Address 1712 Hoplcijns Crsrd. Mntka, Mn. ?, ' ryn,,, Nome _ ? ?p ? Address Name _ Address I hereby acknowledge that I have read this application ond state that the information is Correct and agree to comply with all opplicable State of Minnesota $tatutes and City of Eagon Ordinances. Receipt # 000 Date N? 6114 ?w-5,- Erect f? Occupancy R'3 _ Alter ? Zonin9 PD Repair ? Fire Zone 3 Enlarge p Type of Const. V Move ? # Stories Demolish ? Front 50 3$ Grade ? Depth fr. Approvols Feea Water & $ew. Police Fire Eng. Planner - Council - Bldg. Off. - APC Permit 1>U. UU Surcharge 23.00 Plan check 65.00 snc 525.00 Woter Conn. 05.00 WaterMeter 60.00 Road Unit 185.00 Totai l, 293.00 Signature ot Permittee I A Building Pertnit is i:wed to: Orrin Thcv=son HomPF on the express condifion that all work shall be done in acWdance withAll apylicabie State of Minnesota Statutes and City of Eagan Ordinames. 8uilding Official (J CIT? pg EAGAN Include 2 sets of plans, /'? ?,? ?j ? 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of enen3Y calculations. ? -jk 'lb Be Used For Rts% oE,ac_e Valuation c>Date P`I R- 8 3 Site Pddress : 1 (.4ci C O v ir'3r.-n ni 1-N "-7) OFFICE USE OrII,Y Lot t5 Block ? Sec./Sub. SoruNy CRKe Erect ? occupancy 5A c Alter Zoning P? - Parcel #: ?rai /? ??'?-- g,epair Fire Zone ? Owner: Pddress: City/Zip Code: Phone #: Contractor: (1RRIN THnMP4fIN N(1MRc AddrESS: a Division of U. S. Home Corporation },42 1 1^u,n8 -sttsss+zeAE)-- C1ty/Zlp COde: MINNETONKA, MINN. 55343 Phone #: Syy1333 Arch./Eng.. Address: City/Zip Code: Enlazc3e _ Type of Const. Move # Stories pemlish Front 60 ft. Grade Depth 3g ft. APPROUALS FEES Assessments . • "?8q Pernut Water/Sewer Surcharge Police Plan Check 1/1S ? Fire ? 6-11?1!5- ? gxq_ Water Conn. °-°- 306- Planner Water Meter ?'J °a Council Rnad Unit Bldg. Off. APC ? Pnorie # : TOrAL /093'- This request void L15, 3 Z 1 )?`•? 1 ?? ?p Y 18 months from ` Date of this Request Fire No. 3 (" ILicensed Electrical Contiacroc ?Owner, do hereby request inspection of the above electri- c wmng installed at: :et Address or Route No. 101 (UVtrIf City (\M?i? ? Section Township Range CoUnty Which is occupied by ?l Is a rougiun inspection required on this jo6? No ? Yes 'eady Now ? Will Call Power Supplier ? Address T-PIt-h#V KQ^' Electrical Contractor Contractor's License NoklgF (COmpany Name) ,,? Mailing Address ?? (p?= (El?etri a Co actor Owner Making This Installatlon) Authorized Signature Phone No. (Elec rical Contr ttor or Owner Making ThiS Insiallatlon) ?('O?? Thisinspectionrequestwilinot6eacceptedbyffie m. ? I? EUY ? \5 tl State Board unless praper inspection fee is enclosed. Minnesota State Board of Electricity Eg00001-02 Griggs Midway Bldg. - Room N191 ? 1821 University Ave.. St. Paul, Minn. 55704 - Phone 297-2111 REQUEST FOR ELECTRICAI INSPECTION CC p2 « S ? 9 9 315 CHECK BELOW WOAK COVERED BY THIS REQUEST Type of Buiiding New Add. Rep. Check Appliances Wved Fo: Check Equipment W¢ed For -Nome ? LJ Range ? Temporary Wiiing Fixtures L hU ??„ p5l plex ? ? Water Heater ng ig ..pt, dldg. D ? ? Drye? ? Elecuic Heating El Cl Commercial Bldg. ? ? ? Fumace Silo Unloader ? Industrial Bidg. ?? ? Aic Conditioner ? 8ulk MIlk Tank ist L ist L Fazm ? ? ? ? ? p Hehers? _ 9 +?eheis? l, Vlvlr V 1? i1ma I Semice En[rance Size: a a- # .,.... ... Fee ..... •• Feeders&Subfceders: # Fee Cucuits: # Fee D to 100 Am s. ? 0 to 30 Am [es 0 to 30 Am eres 101 to 200 Am s. 31 to 100 Amperes 31 to 100 Am eres Above 200_Amps. Above ]00 Amps. Above 100 Amps. Tcansforme Signs Remaiks - , emote Conttol Circ. ecial Inspection Partial or othei fee Minimum fee E5.00_ TOTALFEE?..?C? [ ?Q I, the Electrical Inspector, hereby certify that the above (Final) Thi$ request void 18 months from has been ma e „_._ 9- ai''kU e 3'ox 7-AY Use BLUE or BLACK Ink r For Office Use City of Ea an V~ Igo I Permit f~0c -7 o °l'J R I Permit Fee: q7. 3830 Pilot Knob Road2011 j Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION CA V_ I Date: Site Address: Unit M Name: _~Kv6 S <'Y1 c-V_"q_~ 12, Phone: (09 l " N S2 -S'3$ RESIDENT i OWNER Address / City / Zip: Ito O Lovi r19-lDrl LA n.Q, Applicant is: -)L Owner Contractor TYPE OF WORK Description of work: ,&V- Construction Cost:3~uo~d Multi-Family Building: (Yes / No k ) Company:L T Contact: CONTRACTOR Address: City: Stater 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: Mecf anic,~l 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 speoific 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.aopherstateonecall.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 a ans. Applicant's Printed Name Applicant's Signature Page 1 of 3 1 lt.2q,~ -DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of - Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES - New _ Interior Improvement Siding _ Demolish Building* It Addition Move Building _ Reroof ` Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy G - MCES System Plan Review Code Edition ou"? SAC Units (25%_ 100% t/) Zoning City Water Census Code 1213 ti Stories - Booster Pump # of Units Square Feet 3AQ PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector q RESIDENTIAL FE ~Q ,I7 /f'G l~ G~ Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 C. R. WIN©EN & ASSOCIATES, INC. LAND SURVEYORS TOL 648-3646 For*.* ~ 1381 EUSTIS ST, ST. PAULy MINN. $5108 U. S. HOME CORPORATION Ll I C ICO J~ Fj ..S~~ R V D y: . 13.64, ,C)INS DIVI`'IOt' b6 S Scale: 1" = 30' ; O Denotes Iron X_,t .31 ~p m c'4 ' > 0 GT~,V Lot 15, Block 2, Johnny Cake Ridge Addition, Dakota County Minnesota WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY Of THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Doted thi: 3 day of US_~ _A.D. 1480 C. R. WINDEN 8 ASSOCIATES, INC. f I L raT { J ; by k Svrvoyor, Minntseto 496istretion No. ?72