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819 Hidden Meadow Tr Use BLUE or BLACK Ink F----------------- I For Office Use ~~J- V I j Permit ` j City o EaRan I Permit Fee: ~ ~ I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: I I Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: cJ 1 I t t Site Address:1 L^rk&k-y~ HkOl~ Unit Name: ~c~~ e I~ Phone: RESIDENT OWNER Address/ City/ Zip: _l~^~ Coln Q~ T( Applicant is: - Owner Contractor Description of work: (Jim 1 l C) Cam' TYPE OF WORK Construction Cost: Multi-Family Building: (Yes No Company: CA VCf,,+-N' Contact: Address: City:Yr CONTRACTOR State: Zip: Phone: License Lead Certificate Does this project require Lead Remediation? ❑ Yes l~ 0 (see Page 3 for additional information) If no, please explain: 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 the 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.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 approved plan in the case of work which requires a review and approval of plans. x- Ay~ N,< I~ 1 e. Y-) Q „tip x Applicant's Printed Name Applicant's Signature Page 1 of 3 CITY°OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 4 i . i. SITE ADDRESS: i I, i itf N i+ll k1:1(]14 Ilf i!ltl tlr- k I i k .'Mft PERMIT SUBTYPE: PERMIT TYPE: Permit Number: Date Issued: , ? •i. , I , . '± TYPE OF WORK: iM I i ra i r414 c.Y/N 1 N /: /0 ?<rF. INSPECTION .. . , D. JJi. f,i l'I 61 f . ,, t I t.?, ?:i??„!t c i.t ,. I i ,.. ? t i s?? r i?•?;; ? i 1!t"MAPKS-i .r, bi: NJ III tiR+ L? ? Permk No. POnnlt Holde? DeM Telephone M ELECTRIC (Velpo" PLUMBING HVAC ?GD-?OO Inapsctlon Date Insp. Comments FOOTINGS '? 1, 141 446 U1lJ'1 ? r FOUND FRAMING P7, & 4,/ o'f ROOFING ROUGH PLUMBING iz- Z?'7Z , ? l ? ? ?• `T S / J A1A TEST ROUGH HEATING ( GAS SVC TEST .?G /4F S -?? • l, ?t;,y? INSUL GYPBOARD FlREPLACE FlREPLACE AIR TEST f' l yJ LGf? FlNAL PLBG -eI/ w FINAL HTG ORSAT TEST BLOG FINAL t 1 BSMT R.I. BSMT FINAL DECK FfCa /xy DECK FlNAL w "`Z! I ,V % 4z,4 C??#cate af cccuvanc? Critv of Z"Wbacat 44 tonai" Tkis Certificate issucd pursuant to the nequirrments of the Uniform Building Code certi,fyireg that ut the time ojissuance this struclurr was in co?npfiance with the various orrlinances of the City regulatireg 6uiJding constructron or use. Far the following: ux ciminewioo: ASF I7WG sw$. PeriMt No. 266M Oocupa,cy iype R3/U I Zoniaa Diatrict Ri Type Conu. VN Avmr af Building Tiff FrYY1lST I?dd+esa Q636 207M ST, I F eummg Aaa,eas 819 HIEIlQ I'.ADW 7RATT. t.oday T 5 R I n1R (leitc re Ru7rrDaeM 2m ? • ? ? ?'??7/ j T, Datt: '?? ' ? Building Oflicnl 7 POST IN A CONSPICUOUS PLACE REQUEST FOR ELECTRICAL WSPECTION i ll c l th l b k ? S ? ... ? ?x?' ea-ooooi-os ? Q _f ? ya ruMions lor completmg is orm on ac o ow opy- ee ms "X" Below WorMCovered by This Request ?a ?? O y Ne Add Rep. Type of Bwltling Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Bwlding Dryer Load Management Comm./Intlusirial Fumace Other (Specify) Farm Air Conditioner OtM1er (spemy) Conhaclor's Remarks Compufe Inspection Fee Below # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee 5wimmin Pool 0 to 200 Amps 0 to 100 Amps ' Transformers Above 200 Amps Above 700 _Am s Slgns Inspecbr's use only QT Irrigation Booms ?,? ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD NNECTED IF NOT Other Fee COMPLETED WITHIN 16 5. ' I, the Electrical Inspector, hereby Rouyn-in oai ( certify that the above inspection has been matle. F;nai oa OFFICE USE ONLY This request voitl 18 months trom 0?1 7=289 ??0? 9 ? i/r 5 , r R uest D te ?w ///???,,,r y ?_( A Vl Fre N ough?in InSpecM1On Re etl (You mus? call inspector hen reatly) InspecVOn OIherThan Rough-In ? Featly Now ?fhll NoLly Inspedor ?N - 1 J Yes ? No Date Reatly I Iqlicensed contrector ? owner hereby request inspection ot a6ove electrical work at: . Job Ptltlress (SlreaL Box or Roule No ) 91q i M?do v? Tr ? Cny ?a gqr) Sechon No Township Name or No Range No. Coun\ry l? ?Of Occupanl(PRINT) Fossum Ct?ns-?uc.-kor-1 Phone No Power Supplier t"l,D? El ec?-r- Atldress , ElefJa?al ConVador (Company Name) ' ConVacror's Llcense No ! ?.?i'^ 14- i VQ. I 1 Mailmg Address (COntractor or Owner MaWng InstallaVOn) ? 2-7 I 1V 55372 Fi 66 Ct r Authonzed SignaWre (C cbtl I alla[ion) Phone Number ? V c/?7_8(050 O ,CITY I T Blg. e r99 B p? u? B II I I I I I I ) ? ( I I I I I I O D III O B Unl verery A ve. MN StOa I ROP EE I S ER INSPECTON F S Phone (612) 6C2-08W 7 OSE EN Address 819 HIDnIN MEAD(Ta TRAII. Zip 5512 3 L.ot ''S ' Blk 1 Sub M onxs oF sxIDGMrEx zrm THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: Yes No Inspector: Final grade (6" from siding) ? Permanent steps (garage) Permanent steps (main entry) Permanentdriveway V/ Permanent gas v- Sod/Seeded grass ? Trail/curb 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 potenpal exisu. ConaM engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ? White - City Copy Ycllow - Resident Copy Pink - Contracror Copy ? ''f0 New Construcdon Reauirements 3 registeied site surveys showing sq. ft. of lat, sq. ft. of house; and all mofed areas (20%maximum lot coverage allowed) 2 coples of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculafions 3 wpies of Tree Preseivafion Plan'rf lol plaGed after 7/1193 Rim Joist Deteil Opfions selection sheet (buildings wifh 3 orless unBs) 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ? ?oL13.2-2. ?? ? wig, - RemodeURe air Re ir m n Ofilce Use Onlv 2copiesWplan ? CertofSurveyRecd _Y _N i set M Energy Calculations for heated adddions ? Tree Pres Plan Recd _ Y_ N, 7 site survey for addtlions & decks - 51i { I have, Tree P2s Required Y N Addition - indicate i(on-sde septic sysfem Oo-sde Sepdc System _ Y_ N Date --2_ b 6? ? Construction Cost Site Address Cf UpiUSte # 4 /h?iJ a ??? Description of Work /n 4 tc, JT "N _ Multi-Family Bldg _ Y? Fireplace(s) 1 _ 2 Property Owner /C eN Ive-Q6 Telephone #i (IvSI ) .2 ot G C-20 Contractor ? L/? ? Address ( '? /?ts4du w CiTy F4j' State ? F {h ?? Zip Telephane # (olS7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota ftules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Su6mitted Have you previously constructed a building in Eagan fee applies. n?? Licensed Plumber ?"? - Mechanical Contractor )? 11 2 Sewer/Water Contractor a similar plan? 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. ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types t1 ? 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.) O 31 Ext. Alt- Multi ? 03 01 of _ plex ? 08 07-plex ? 17 Garage X 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF ? 04 02-plex p 10 08-plex ? 18 Deck ? 23 Parch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 17 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior O 44 Siding X 32 Addition ? 36 Move Building ? 42 Demolish FoundaGon ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windowsf6oors ? 34 Replacement •Demol"ition (Entire Bldg) - Give PCA handout to applicant Valuation 21 7ev6 Occupancy /3-3 MCES System - Census Code zoning A-1 City Water - SAC Units - Stories ;21 Booster Pump r' # of Units - Sq. Ft. /7/1_ PRV ? # of Bldgs -'- Length /7_ Fire Sprinklered ? Type of Const ? Width ? REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. Footings (deck) ? Final/No C.O. ? Footings (addition) Plumbing Foundation HVAC Drain Tile Other Roof 4 Ice & Water ? Final Pooi Ftgs Air/Gas Tests Final 2? Framing _ Siding _ Stucco _ Stone _ Br ick Fireplace _ R.I. Air Test Final Windows _ .,V Insulation _ _ _ Retaining Wall Approved By: , Building Inspector ------------------ ----- ------- ase Fee --- -- ------?- ---// ------ --------- - ? y/?--iLil--1-W ----- ,2----43-¢'1 ------- ? /G -- --- -- - -------° Surcharge c/Zqw- r,vft A,2/>db r, (oe / 3-9-U Plan Review 3ol 0 ?674(!' MC/ESSAC 0-4,4, City SAC Utilit Connection Ch ?----? y arge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please compiete for modifications to existing residential dwellings. Date?l?_! 05 w Site Street Address (? ?dZ t-? /Ytea1. Unit# I? ea /V -, fa- Property Owner Telephone #( ) Contractor Telephone # ( ) Address City State Zip The Applicant is: ? Owner _ Contractor _ Other Alterations to existing dwelling $ 50.00 ?A dd plumbing fxtures. This fee includes putting in a water softener and/or water eater at the same time. !f vou are installina onl a water softener and/or water heafer, do not complete this section. Move to the neut section and check the appllance(s) you are installing. _Septic System Abandonment , Water Turnaround (add $125.00 if a 5!8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair ,rebuiid $ 30.00 State Surcharge $ .50 Total $?A-a . ?o I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved "? fL ?/eN fU X ? ?'d? Ap icp anYs Printed Name ApplicanYs Signature ? CITY USE ONLY L ? BL RECEIPT #: ? ?/ n ? , SUBD. ?,1?11? (?} YaG,a DATE: 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x 1 = -? Water Closet 3.00 x ?_ = 9 Bath Tub 3.00 x Lavatory 3.00 x 13, Kitchen Sink 3.00 x 3 Laundry Tray 3.00 x I = 3 Hot TublSpa 3.00 x = Water Heater 3.00 x Q_ Floor Drain 3.00 x f = 3 Gas Piping Outlet ' minimum -1 3.00 x a Rough Openings 1.50 x _3 = -q. 5z Water Softener 5.00 x = Private Disposai * Dakota Cty. license 20.00 = U.G. Sprinkler' home under const. 3.00 = Alterations * ca exisUng 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL Sb . 00 SITE ADDRESS: MQ9:j2:&LT ?9Wf4MNAME: &)7'l,IM INSTALLER NAME: OU6 L+CO STREETADDRESS: Ma ? A-CD cin: _ fr?-? 61-6_ sTaTE: ziP: 65373, PHaNE#:((Ql?) q?n-37 77 ? ?---? L BL SUBD. OFFICE USE ONLY RECEIPT #: i' DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)687-4675 Please complete for: ? all commerciaUndustrial buildings. ? multi-family buildings when separate permits are ngS required for each dwelling unit. DATE: CONTRACT PRICE:-_ - WUh2K TYPE: NEW CONSTRUCTION ADD ON DESCRIPTION OF WORK: REPAIR IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pgLtnd fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE ?OTAI . SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: - ADDRESS: - CITY: PHONE #: STE. # METER SIZE: " DATE: SIGNATURE: OFFICE USE ONLY STATE: ZIP: APPLICANT INSPECTOR: ' - cirv use oNLY L ? BL ? RECEIPT#: 40 5// SUBD. ? (J? DATE: 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace AMlrl-Cw 3Ir vnndItioninn f1ds.'1 3:r°X....la.....?.?y..cr, l.$. v ?? ? a ..y .?.a v ? V&f.. Sy$.ciii,cM. Date: FFFC ? Minimum Fee: Add-on/Remodel (existing residence only) ?_20:60_? ? HVAC: 0-100 M BTU Additional 50 M BTU 24.00 6.00 -? ? Gas Outlets (minimum of 1 required @$3.00 each) 3 o ? State Surcharge TOTAL SITE ADDRESS: OWNER INSTALLER .50 ?s s0 f355UM 677I15-7-. DLc. ?, /f1R PHONE #: STREET ADDRESS: t 2 /Z/D "ftIg CITY: ,C*ffl1WC7041 STATE: AV ZIP: ?5 D?y PHONE #: ( b /-Z ?fGl CITY USE ONLY L _ BL _ SUBD. RECEIPT #: DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercialfindustrial buildings. ? multi-family buildings when separate permits are = required for each dwelling unit. 11/qTF; C f][JTRA(_:T PR1C.F; WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: o $25.00 minimum fee pl 1% of wntract price, whichever is greater. & Processed piping - $25.00 • State surcharge of $.50 per $7,000 of oermit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL uiTc nuuric33. OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: _ CIIY: PHONE #: TELEPHONE #: SIGNATURE: SIGNATURE OF PERMITTEE STATE: ZIP• CITY INSPECTOR CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: u.030 surLozNc 026600 i0/zu/95 SITE ADDRESS: P.I.N.: 10-75836-050--01 819 HIDD[N MEAOOW 7R LOT: 5 BLOCY:: 1 TNE OAKS OF BftYU6EWATER 2ND DESCRIPTION: Byiilditi§?, Permit Type aF DWG Ouilding t?ork Type NEW 11 IJBG CYcoupancyR-3 U-1 ` Cqnstw4ntit+n 1"yf!?,e V-N Zoning ? R-1 ' Bualding I.ength 86 ` R fj'L 1 Ci i. t"1 g 4diti t f`1 43 ` Building etories 2 -_?qUSYe Feqt 2,306 a `? . ,. ? F REMARKS: S & W PLBR - ALTA FEE SUMMARY: vpLupTIoN Base Fee Plan Review Surcharge SAC sar, % SAC Uriite Subtotal $1,372.25 qri0<29 $98.5p $850.00 100 $2,84]1.04 $197 ,?00 MISCELlHNE0U5 _1,1,892.50 7ot;a] Fre $4g693.54 CONTRACTOR: - APPlir..ant - sr. Lzc. OWNER: B L F CpNST 14693614 0004877 8 L F CONwT 9635 2021VD ST 9635 202ND S7 LAKEVILLE MN 5SB44 LAKEUILI.E MN 55044 (612) 469-3514 (612)469-3614 Z hereby ocknow7.edgg that '[ Iiave read Chie applicaCf_dn and state t,hat Che informal'ion is correct and agree to r.omply with all applica6le State of Mn. Statutes and Cit f Eagan Ordinances. APPLICANT/PERMITEESIGNATURE ISSUEDe SIG TURE( t 1NSYl:I;'1'lUN ill:(:UKll CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: P'T•N.: 1e-7s8s6-es0-e?. APPLICANT: L??r: s eLocK: i 819 HIDDEN MEADOW TR B L F COIVST THL OAKS OF BFiIDGEWATER 2N0 (612) 469-3614 PERMIT SUBTYPE: sF owc TYPE OF WORK: NEW 8 ulL nzN s 026600 16/24/95 INSPECTION FOOTINGS D. . FOUNDHT.T.ON .. FRAMING ROOFIN6 TNSULATTON FTREPt.AC[ ROUGH IN PLBG RQU6W IN H7G F:CNAL PLBG F71NNL REMAftKS: S& W PLBR - Rl.l'A I 7 ? _, ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Zip: Phone #: License #: ?•?T?d.F j?? ? 3 ieghMied aite surveys ? 2 copies o/ plan ? 2 aopies of plsns (indude beam 6 window saes; poured fid. design; etc.) ? 2 stte surveys (exterior edditions 8 dedcs) ? t snergy ealalationa ? 1 errergy ealwlatlons for heated aOdRions ? 3 copiea o} tree presarvation plan IF bt platted after 711193 roqulred: _ Yes _ No DATE: 1?47`` 1..-4 CON RUCTION COST: DESCRIPTION OF WORK: ??--!??? , ` STREET ADDRESS: LOT J7- BLOCK SUBD./P.I.D. #: PROPERTY Name: ?? ?^tool- Phone #: OWNER Street Address• City: ? .?.zt//.?',u?-?State: CONTRACTOR Company: Street Address: City: State: ARCHITECT/ Company: f?//.??G17 ENGINEER Name: ?/n- Street City: -(? ; Zip• Phone #• Registration #• State: Zip: Sewer 8 water licensed plumber: AeW . Penalty applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the infortn ti is correct and gree to comply wfth all appiicable State of Minnesota Statutes and City of Eagan Ordinances. " Signature of Applicant OFFICE USE ONLY JiJ { Certificates of Survey Received ves _ N p C T 12 1995 ? Tree Preservation Plan Received _ Yes _ _ _ . OFFICE USE ONLY BUILDING PERMIT TYPE . _ .. „?.,. 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish ,,A"- 02 SF Dweliing ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition a 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch ? 09 12-plex o 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ,a` 31 New ? 33 Alterations ? 36 Move 0 32 Addftion o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy ? Cc i Zoning # of Stories Length ys ,, B?o ?' Depth G, a k y3 t ? s lb APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft, sq. ft. sq. ft. Footprint sq. ft. Building Valuation: Permit Fee Surcharge Plan Review License MCNVS SAC CIty $ACi Water Conn. Water Meter Acd. DeposR S/W Pertnit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other . Copies Total: % SAC SAC Units ? lr x // = lv ? 3? K ?? _ /,zoo z.rX i0.67 ° 3z SK ?.S = /$ Zl x /o.d7 ' /yY I3 z MC/WS System c? /,sz? City Water ? Fire Sprinklered PRV Booster Pump Census Code. Io / Z,?o? SAC Code oi Census Bidg Census Unit ! Engineering Variance $ l77, OO° 71sw•r- ? S z- Y r 1r'- ZEtg:6o) se : G ?--- .SK 3.srT•r ., /,szyx??' = zZ?ss.b7 _ '7y1 GZ Z/`lc ?. sK 3 r3? '?? l (ox? .33x? ? ? ?- ?o Z.rx l=.6? = 3L ?L S/ y sn ir,? Y= 3 0 ? Zi irxa.c? ; i3o ?, ydsFsr - 7y 3z6 . W . LOT SURVEY CHECICLIST FCR RESIDENTWL •? o BUILD NG PERMITAPPLIC TION W -+ J ? W N W PROPERTY LEGAL; • ? d a ? m DATE OF SURVEY: z ?- ? 4.1 ? y LATEST REYISION: _ /v f/ 7? ! i Z DOCUMENT-^3TANDAROS m 0 R' 13 a ? • Registered Land Surveyar signature and company M-' o • Buiiding PertnitApplicant Cl/ 0 ? • Legal descriptlon ? • Address 0 ?Q a O • Narth amow and scale ar' O • House rypa (rambler, waikouf, splft w/o, splR eM% lookout, eteJ G? ? 13 • Directional dralnape artawa with siope/qradient % ? . ProPosedle?dstlng sewar and water seMces 3 InveR alevatio /0 a • . n Street name - ?#' O I] • ' Drivewey ELEVATIONS `°/ ? O • $eEwe seNiCe ?? /0 ? • PropeAy camers 0 • Top af curb at the driveway ?0 • Elevatlons of any existlnp adjacent homes proposw 2' 13 0 e • Garage flaor 0 0 ? • Frst floor 0 0 • Lawest exposed elevatlon (walkoutlwindow) ?0 0 • Property comers ?13 0 • Front and rear af home at the foundatlon PONDING A?Eo Bf aoolicablel ? Or"' D 0 • Easement qne • 0 t NWL O m' O • NWL 0 ? • Pond # designatlon ? a • Emergency Overflow Elevatlon -'? DIMENSIONS tar ' 0 • Lot Iines/Beadngs & dimensions O 0 0 • Rightwf-way and street width (tn back of curb) • Proposed home dimensiona including any proposed dacks, overfianps preatef than 7, porches, etc. p.e. a1i structures requirinq pertnanent tooBnps) 0 0 • Show all easements of record and any Ciry u0litles wifhl th ? 0 • n ose easamenhs Setbacks of proposed structure and tideyatd setback of adJacent e)dsHng sVudures D • Retaining wall requiremenfs,Aanv .,/ Reviewed: ,/ C • %( 16 July 1995 _ 3rd ADD1110N 33 O 32 LO - - - - ? - ?-,n?r?--_ ? ? nni'7C n!(i"? f? ? .? •- .--- --- ?6ii?l??;=,?????r'.aa?.??e...-:..- ?.?I?r f.:j?? ? , , ,,/, -?%?j ?CcuRAcv oF uTiui'`f f? IVIIJ EVATIOf?o. q ln py ?? ?.MI ?Qltl PURPOS?S r., .-,. II?II? P,::;,v;1ioS U.?ilf?fG IT SHOLL;, . - - i )tt OC1d • ' i ? 4 g 3+61 5 5 881.9 i`O 4+4 881.4 MH 44.0' , 3J.2' 25. ? ? 74.4' 1 48T9 136.5' 6 4+72 -? ssi.2 6" -45' BEND ?? -y? -- 38.2' 76.1' -- '' i J 16.6' ?-- 2+82 5+23 882.4 _ - ' - - - - ? 12" x6" WET TAP ? W/ 6" G.V. & BOX ? i173' \ 144.0' Q BRIDGEWATER I DRNE -? REMOVE & RESTORE BITUMINOUS TRAIL AS DIRECTED -6"-45? BEND OAKS OF 2 ls? 3 ? ? ? 233?v >> SEE • R'P Lr, a . . . ¢ ? : SERVIC NQTES? SEWER SERVICES ARE PVC, SDR 26 +? 2.? PLACE C?EANOUTS AT PROPERTY. : ? c? Lt NE ON SEWER SERVICES WITH RISERS : WATER SERVICES 3 ARE.1° TYPE K COPPER : . 4, ; EXTEND SERVICES 15' PA5T PROPERTY LINE : . : : ' . . MH-11 47.' L 4+43 PROFILE MH-10 : .. ' , ....... p±8Q,3'L: : .. . . : „ . 880. . 6- : . -885- . . . . . . . . . • : 889.9 ' M H -12 : . 885. 4 . ; : . . . . . . QESiGN. ? GRADE 4f75,21'R . . . . . ?8--5-= ; .. . . . : ,2 19a -2 0.70% 2.007. ? 880: . ? , . i. . . . . _-- : . . ... - - . . . . : : : : . . . . _ . . _ . : . . . . . . . . . . . . . . . . ,:.. - ,>=;v . ?, -- . . . : . . . : . . . . . . . . . . , ? . . . . . . . . . . . . . . . . ? . . . ' ' ' . . . . . . ' . . . 6O DI eL? 2: P .5 . , . , . . . . ? . . ?. • i . . . . . . . . • ', . . , : . : . . . . . . . . . . . : ....:w:. . - ? .:. ? : . . . ? ; . . . . ., _ . : . : : . : : . : :76?_;8., - .. . • : PVC, : : : ., : : : : : : : 3:y4 8. ?r7-T?•-. $-?@f : . . pVC SDR=35 , : : : SDR -3 : . . . ?6% ? 0 41 . . . . . . ? , . :.. : . . .. . . . . . . .. : . p:39. . rc? T cr ?AGA,?? ?o,::? ?v : ' .,? -- L?3LAi iU; . ::.::::.. ....... . ? ? ? . . .. .. p ?/ ( p? ?,^ r OF. fY \.? y??UTILI .•:'1^' (?`nbUtiF'i?.i1 ? ? j'?. . . . ? J . . . . . : . . . . . . . . . . ; . 71 I ?.«_.;?';? VlB6;T10MS• PIJRPOSES ,.. ;,. . ` '` • _ . . . . . .. . . . . . . . . . . . 11 ; . . . . . . . . . . . . . . . . . . . . . . . . . .. _. . ? 0 ?.: . ?l.?4 : 08a?lG 1T :SHOJLD, ? . . . . . . : : . .. . : ?a. . .. .:: .. . c. W-?..?...? i ??ITE, ; r':l tof ? ? O.R TH ;:' .... .. . . rz.. . .. . : . . ? : I : . °' ' ' . . : I?*?. . .... . . :.:.:. . . . . . : : . ..... :: : ? I ?o ..:d? . o:?:. ;:I ... ... .. . .. .. _ 49 C voi O O m (t Q Q 900 ?. . . . . . : _ ?. 890 , , . . .. ? A . . MF{-12. . : ; . ,'?? . ; : . . . . : 4+75,21.R.. 880 ; j . , 880.7 ? . . . . . __- - : : . . . . . -. . . : . . . . ' ?!?' ' ._. e . . _/ .?. •: . . . . . ?? .._,.,, " . . . . . • ?. . . . . . . ,i . . , . . ? . ' ' . '. . . ? . . . . . . . . ' . . ' , _ "•.4?!'`I'J'J?l:?-" ?',.6i'? ? i /??1V ??J ' ; a 70 . . . . . . 1 r?. _.:.. : 4,. . : .C' `' i+ . . i '. . ? . . . . ? . ?? piP. CL... ?F? . . ' .._ . ??•?'?, n"n(:`..1c?!":?1?.. Ko..J -----:.._ -. _- - .. .- .. _ : : . . . ., ,`..fv;? .?:.G.?Vf;?lOl?s•?. , . . . , , p l i0?. ? P?1T ?H?ULD 3". PVC,: ocullTH.?s1TE•. @ ' 860 . 0:41 ,... '.::::. ?.. ,. :. . .. . . , . ?.. . . .. o... , . . 850 :. .....::?t..: Z .s:? ::..:.....: . ..:. . .. - :. , ,.. m ;.... . ... .... . ? Z f ... ?, . ,. r „ . w • 3 ;...... ? .... . +m... . . ? . ... ? ? = . :. . co . • . . ?. ?. . , tn :..? •p,? ..._ N^?=. .... . . _..,. . , . :tn ? ; ? . . . , : -. . . . . . . : ' .4 ?Z:p O? E ? 0C9 a) za z Z m ? ? O WNYZ? Q ~ 0 r ENERGY CODE WORI:SFIBET I'OR 1& 2 P'ADfILY DWEI,LINGS ql-- _?77 SDDRkS3 CITY TED ?Y? Y(JSS(/ _l1D'UST PIIOtIH pAT?' Na CLA98IpICATIONi ? mtegpt 1(otnndurd) ?_'_?____ or Q catugory 2(maoL Snoludo vanL-ilaL-fon) N CRITERIA Inoulation-R10 Y iallo G Windo?ru Roof F?[tic Inoulation: (See tu61e on i'ev eiee r,ide n Grade InaulaCion-1170 for allowable per centages) R44-With Attic No ?eel Floor over unheated epaceo-1129 R30-l9iLh ACCic Raioed ?eel Foundation 1-73ndowe 1/2" R38 & Ii5-5olid Raflcrs insulated Glaso. -Hood or Vial Frame ST6P 1 Window 4 Dooc Area STIIP 2 Calculata aroa ao a pereenL' oE wall A. Total 411ndow 6 Door Arca in Gq. FeeC WIRDOIJS (Including PoundaCio n pliudowa) ; WIIiDOW MNNPACTURII NAM6: C. From SCep 1 dlvide box A (411ndow fi Door Area) by box 6(lnCal wall area) Ctmen 100 WINUDW tlAlIGPACT[IRE TYP6: eqUals Uhe wLidota and door area as a percenc oE wall area (box C). IiINDOYI hlAtiDFACT[IRII [I FACTORi- O Q R clc CC R X]00 = . . uan y rq. . rea I c Dimensione il / ? . Rox fi ?4?'j' ? N ? X?-( Z,6 I ' O -a EP 3 Denlgn FeaCUreo S1 'L i ? X 1 P.SSG11Bl.Y 3L pN XTjI (pN I? 33 PRAI9IIIG_PYPE: Z.L(pM I29 S7'ANDARD PRAMING __k-uCUds 16" o.c. Z?&N X??.-[pk '?'flr' , jD ADVAIlCGn FRA61ItlG r,CUdu 24" o.c. j?.Or X'4LOV (I ? _ (i ( CkVZ'1'Y 711SULA7'fOll It7i1 6 '' b X ? I '? N ? `? 911HATIII11G TYPIi: 51-Oh X LESS '!'lIA? < R- 5 X R-5 . OR NORG - X U-FAC'1'OR U DOOR$: From Clie Cable, (revcr.ee nide) determine t6e ' - ? maxiunun percent window 4 door urea Eor Cho T dueign op[ionn oe]ucCed and enCer Cho i value 8 0° X in 6ox D be3ow b.u:ed on the window mf.g. u- ? cy? fac[or: Z8 X ° rt 7'utal Rrea of (t, Mlindowu 6 [)oors J B. Total Ylal] Area in Sq. Ft. 7'he ! value Erom LLu Lable fn {3ox P shall 6r equal eo or greal:er Lhan Clte 1 in Ilox C Miall Tota] IteigliC Area ' Perimeter 1-79 -1-9?? . . _.- I l I II I'otal A[oa nE all c !??I _ (C_ ._ ? ? . F. Tlte building must not exceed lhe maximum window and door area as a percentage of overaU exposed wall area listed below for the combination of framing technique, R-value oE insulation within the insiilated cavitv, shealhing R-value, and window LJ-factor. OHier components must meet the requirements of this subpart. A4AXIMUM jNINDOIY AND DOOR ARF..4 AS A PGRCGN7' OF OVFRAI.I. rXPO SGp WAI.i. Cavi[y 1Nindou• L'-Faclor _Framing • (nsulation ' Sheathing_ ___049 0.36 031 0.27 ST'ANDARD R-13 kIt-7 13.4% 17.8% 21.30/u 24.300 STANpARD R-15 2R•5 12.9°0 17.1% 20.10% 33,4 °. STANDARD R-18 <lt-5 11.1% 16.0100 188°a 22.0°b STANDAItD R-18 2R-5 13.5;. 18.60% 21.800 25.3;6 ADVANCED , R-18 Qt-5 ll.l;b `17J% 20.7 23.4% ADVANCED It-18 2R-5 13.50L 19.2% 215% 26.1 STANDARD 1{-21 .R-5 11801, , 17.09L 19.90". 23.1';;, STANDARD R-31 ?k-S laA°,'. 19 3°a 22.59'. 26.1°6 ADVANCED J:-21 <R-S 11.80 L 18.1% 21.20' 21.60' ADVANCED R-21 ek-S . 19.00,L 19.99a 23.20% 26.90. Subp. 3. Perfonnance crileria. The combined tllermal transmiltance (I1o) factors for walls, roof/ceilings, anii floors over unheated spaces musl be less Uian or , equal to: A. 0.170 Titu/h ftz °P for walls; B. 0.026 Ahi/h flz °P Eor roof/ceilings; and C. 0.04 i3tu/h ftz °P for floors. STRT AlI7'Ff: MS § 2I6(7.19 flIS7: 18 SJZ 2361 7670.0480 I2epenleA, 18 SR 2361 1) Minn. Rulcs Chapricr 7670 1 26 ]kinc 19,)1 lq? 77 s.o-0 2005 RESIDENTIAL BUILDING PERMTT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 TelepLone # 651-675-5675 FAX # 651-675-5694 New Construdbn Reauiremenis RemodeVReoair ReauiremenGs Ofiice Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed arees 2 copies of plan Cert of Survey Recd _ Y_ N (20% maximum lot coverege allowed) 1 set of Eneigy Calculatbns for heated additions Tree Pres Plan Recd _ Y_ N, 2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Required _ Y_ N lutofEnergyCalcuWlions Addition-indicafeilon-stifesepBcsystem On-sile5eptic5yslem _Y _N 3 copies of Tree Preservation Plan if lot platted a8er 711/93 Rim Joist Detail Options seledlon sheel (buildingswAh 3 or less units) Date?i? / 2- 3 Site Address 9l 9 / ?,9/S / ConstructionCost 3?(9Qln ' [?./'ry? {?{'/?tiry?, cc ? ?f-G • Unit/Ste # Description of Work / / i ?((V/rra 0.LC?C 1?eD e iJ?i ClC Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ? P -s e, Iti,/ Telephone # ( ) Contractor 4LIl z C'e/p &2? ?/ "ri_J Address lYC State z4 K ?/ /26 ?r e,-a.t?c.v ? Z Zip S-9-0,3 0 C'it3' AC.vv d Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted _ • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2 _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( ) Telephone #( I hereby apply for a Residentia] 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• ' y d approval of plans. ?" Q ? ? -?,. V Appli anYs Printed Name Appli anYs Signature +,` 1 OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? OS 06-plex ? 03 01 of_plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex Work Types ? 37 New ? 35 X 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Replacement ow ? Valuation Plan Review ? 100% or _ 25% Census Code ? 34 SAC Units # of Units # of Bidgs Type of Const ? ? 13 16-plex ? 20 Pool ? 16 Fireplace ? 21 Porch (3-sea.) ? 17 Garage ? 22 PorchlAddn. (4-sea.) 9 78 Deck ? 23 Porch (screen/gazebo) ? 19 Lower Level ? 24 Storm Damage Plbg_Y or _ N ? 25 Miscellaneous Int Improvement ? 38 Demolish Interior Move Building ? 42 Demolish Foundation Demolish Building' ? 43 Reroof `Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy p _3 MCES Systerc Zoning Stories - Sq. Ft. "-' Length - Width City Water Booster Pump PRV Fire Sprinkiered Footings (new bldg) Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing ? Fireplace _ R.I. _ Air Test _ Fi Insulation ? Approved By: Base Fee ? Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search S • CTI Copies Other Total REQUIRED INSPECTIONS FinaVC.O. ? FinaVNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ AidGas Tests Final _ Siding _ Stucco _ Stone _ Brick _ W indows _ Retaining WaII Building Inspector - ------------- - - - ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 44 Siding ? 45 Fire Repair ? 46 Windows/DOOrs ?"q 3oc 2oo6 RESIDENTIAL BUILDING rERMiT arrLicaTioN • City Of Eagan 3830 Pilof T{nob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Construdion Reowremenis 3 registe2d site surveys shaxing sq. k. of lot, sq. R of house; and all roofed areas (20°/ maximum lotcoverege a0owed) 2 copies of plan showing beam & winMow sizes; poured found design, etc. t set of Energy Calalations 3 copies of Tree Preservalion Plan if IM plaifed after 711193 Rim Joist Detaii Options seledion sheet (buildings with 3 or less unRs) Minnegasco medianical ven6lation form RemodeUReoair Reauirements 2 copies of plan showing foo6ngs, beams, joists 1 set of Energy Calculations torheated addifions 1 site survey ioraddifions & decks Add'Rion - indicafe Aon-site septic system ?U-21S .z5 Caf W 4/1y . .? cxrce'bse d?tv CIm"'of`Sia'_vey'Reoi";.??? =:t 7tee?res,Plan?ecd::?? ^=Y?'._"N ?,..t._.:.?:m -z? Tc€e PiE3.Re9Ul On31te: $epUc Date O(D Izo l Dfa ConstructionCost 0-0,- Site Address ?1 rl 14%OlO6-, M eadaw UniUSte # Description of Work //) 'Gjr-oLir-a 1 7L1o/ Multi-Family Bldg _ Y_ N Ftreplace(s) _ 0 _ 1 _ 2 Property Owner 6_-? ql S u2Xl (V-P SS Telephane #((6?) 7q3- z I-7S Contractor 790l]G{ PQ"3l ? ? Cn Address i2-2?_ZEE, (0aV_P2& V__ oI Vd City ??,?10?, t f7e State YYl l Yl (I<SL71-Ch Zip ? SLi 3 Tetephone #((J51 ) Z i'3 - 10 Siq &z: GSl - s - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Mimmesota Rules 7672 Energy Code Category , Residential Ventilation Cateqory 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculalions Submifled In the lasi 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master lan: Licensed Plumber Telephone # ( ) _ Mechanical Contractor ? ?p6 Telephone #( Jul, Sewer/Water Contractor Telephone #( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work,which requires a review and approval of plans. ,. 1_/ Applicant's PrintedName `?plican?t`sSignVt}6e l/ DO NOT WRITE SELOW THIS LINE Sub Tvpes ? 01 FoundaTion ? 07 OS-plex ? 13 16-plex X 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex O 18 Deck O 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvues ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ex[. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows(Doors `Demolition (Entire Bldg) - Give PCA handout to appliwnt DCSCrIptiOfl: WaterDamage_Yes ! Valuation /.?ew Plan Review /?/? 100% o%_ Census Code Af 2q SAC Units # of Units - # of Bldgs ? Type of Const --- _ Footings (new bldg) _ Footings(deck) _ Footings(addifion) _ Foundation _ Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Au Test Final _ Insularion /7 Approved By: Base Fee (/ " Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatrnent Plant License Search Copies Other Total 25% Occupancy " 3 Zoning t -• ! Stories -? Sq. Ft. ? Length `- Width MCES System City W ater Booster Pump - PRV Fire Sprinklered J REQUIREDINSPECTIONS _ Sheekock FinaUC.O. FinaUNo C.O. HVAC Other ? Pool ? Ftgs _:t,?-Air/GasTests ,?( Final _ Siding _ Stucco Lath _ Stone Lath _Brick Windows _ Retaining Wall Building Inspector POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: B2 lldea, k oW Applicant Name: 6y\ AkSS ? ? GEIVERAL INFORMATION ? o 'z ? ? ? Applicant - name, address, phone & fax numbers, signature ? ? Property owner name ? ? ? I,egat descripdon and address of property ? ? ? North arrow, scale (1" = 30' or 40') and date ? ? Location and name of all streets adjacent to property ,0 ? ? Site Plan drawn to scale showing location of house, pool and other existing or proposed struclures ,,0 ? ? Directional drainage arrows (existing and proposed) ELEVATIONS Existin.ci ? ? ? House corners ,ef ? ? Property corners ?? On properiy lines at point of ineasured dimension to pool (see below) ?, J` ? If applicable, ground elevation at each end of retaining walls and at wa11's greatest• height Proposed ,4" ? ? Finished pool deck comers _ p,? ? Top of retaining walls (if any) and at each different elevation (if it changes) ?./?L ?? ? J? Pool bottom (or max. depth) DIMENSIONS Ew•stina A ? ? All property/lot lines Pronosed ? ? Pool ? ? Pool plus integrated deck/patio O.? Shortest distance from outside edge of pool deck to lot lines and house Reviewed: ??0? Name Date 7/z/ob G:FORMSIPooI Pelmit ChecklisU06-02-04 Jun 21 06 05:36a Aqua Pool And Spa r ? o { 3?•_ V _ ?: i? :: • r N z ?l 89 40' 4&°W 129.00 in4-• ? ? ?Re6.T? N rn ? o ?S1 4 ? 6512131089 p.3 o ? 7- r , ??' f ^~ . ( g??., s LD T 5 J?v,.c?? s, d'9 ?G .o --._-- 5 gg°S3'38"W 7 , 66 ?? . oor -7 (9os.i; . / oto? ??.? i ?o ?l 6j.7 ? „s o Z $P-zG air..b7N ?6, y u a ?,Lp e? ,? t$!R Ni? ??7m, N 22.4r?a3. ?7?`67 (88s7 sxas,s ? ? ? J ? A G R E V i `` E.{) _ _ •o .ag4- , `??, ')ATF ^ AEM E ? 14?Dt1EiU M?j ?63R?? ?! 6i D? EAGAN GII?ER?NG DEP'E I hereby ?ertify that this is a true and correct representation of a tract land as shown anc? described hereon. As prepared by me this /ZT? ?aY ?cTvR?3Z. _ _ r 19-75 L - Rswseo y0-17-95: arrrrv se.PV, i,vr n-ch ?'"j Reg,- No. A«?: w..nr?.?+v?.•? .? n.. ? /e..? , FA:-n=_I-cy Lnr G.O.vE 1°JII"e a,aYC: _ ?.?.?----- P061 E? 0??? ?OpL ? op tvv ?,r i'+Yfl??? k?6'1111p?,i4De?8 O ? 13a7'h" V Gv;S[( 0 DS S J'o9l WeSf tV/, pf h-r5,?( p p df• ' Q/ AF,' Gi;,_ ??e,?. ? CoNSUlTIHO EN6INEEIIS ? < 1"v$SU?7 CONST• ROOE Pl11NNEfIS ond L11ND fUf1YEYO1IS ' pROJEC7 No. / ENGINEE?iING BooK 231 COA?PA?NY, INC• PAdE S!,?? L 1000 EAST 1?61h STREET, BURNSVILLE, MINNESOTA 55337 PN 432-3000 CERTIFICATE 4F SURVEY Legal Description: SCALE : t' = 30' ON 0 }: mz v+. 1/Ra6.7? `V ? ti? N ? N O ?t D?? `G m e U Z6.? N. I5. aa5.?> I 16.67 ? co ro? 1 ---.1 !?05• i; (9ar. 1) Mc1t-?"ovl m pyD?? o x'h -?? ??°i? ,o ? ? tio• ? ??r? Sr9 N??nr ??ACnw?"aArL (7? 13y7 /? ? ? ??° /; . i ? n ?* l? N. Fr £ V t W F. D u \ _? 0 ? fO l.?/'r ? `gN1 )A7E_. ? MrpMN ? MEADDW EAGAN GINEERINGDEPZ: '7R<! IL I hereby certify that this is a true and correot representation of a tract of a land as shown and described hereon. As prepared by me this day of /Z'" 6cyZ I 19?. /Z UrS 0 <_E?'V. /.v? ivv+' Ejl,Srn /o- 17-9,r- A ?<„rrwA7nD?n,,, /3,,:..? "? ? ? inn. Reg, ' No. /(0085 . f-sr.n>ecy c?-r- ceN? ? DENOTES EXISTING ELEVATIDN ( PBr. z) DENOTES PROPOSED ELEVA710N -W---- INDICATES DIRECTION OF SURFACE DHAINAGE BBS, So = FINISHED GARAGE FLOOR ELEVATION 8-?8- = BASEMENT FLOOR ELEVATION 997, 17 = TOP OF FOUNDA710N ELEVATION BE>VC!l AIARK :P1 T<}dD/T?nN-`? / 7WE G?4.rf OF B22y?Ew97? Et.EV. = 904.71 I? i -^ /• /;' -?--?? yv'L_ :, :; , N 89"4o1YO°W 12.9.00 - ?c y' 89059'38"W 0 0 -7 ,? ?-- • i ? ? /io ? 1 cnt `c. . 7? 0. (7ryI( , N DK? 83.f ? ? I m ,Q IA = r, CONSUliINO EN6I14EEIIf ?vz? WN?- R00E PLqNNEAS ond LfIND iUf1VEYOflS ppOJECTNO. y /lOO, ?? [JeNGINFfERING BoaK 231 COA'1PR'NY, INC• PAOE S!,s-? ? 1000 EAST 1?61h $iREET, Bl1RNSVILLE, MINNESOTA 55337 PN 472-3000 CERTIFICATE OF SURVEY Legal Description: SCAIE : 1' = 30' ON 0 F` u? z (q D4-. q-) ?/p86.1i 1,J ? N o U1 (DQEz) DENOTES EXISTINQ ELEVATION ( 885. 2-) DENOTES PROPOSEU ELEVATION --.W-- INDICATES DIHECTION OF SURFACE URAINAGE 985,50 = FINISHED GARAGE FLOOR ELEVATION 8-7 . = BASEMENT FLOOR ELEVATION 90'7, i7 = TOP OF FOUNDATION ELEVATION ?K/ 7f+EA?f;rS O`BQ?w9/?. gE+vU! /)JA,¢K- ? T AfJD ?a8'V- EtEU- = 904.7/ ? rv ? C_ '_?? -; N 89° 40' 48"W 129.00 5 89°-69'38"W 0 r=- 5I / ]L OF ?+LOA? 26.7 ?e 85.3y Cg???4 ?" ` LO S . 0. ``gBS s ' ? ` ` y ?q 3o, 67 DF?OP-ZG Iti.67 0° o ?? ? .00 O ry ZZ.ao m 1?Z.G7^' (7 6?\ /wv 97s 0 ?8_2.-s; ??/?j e$?9 v? mN?7RAlL E p4G LDN REVt lNEn Y;TE 13 Ll) Nf IJDEN MEAiaow lEA&NG%NEERYNG MIt: ZRA14 I hereby certify that this is a true and correct representation i of a tract of of /Z774 da land as shown and described hereon. s As prepared by me th y O?rv?iz ? 1915- • /O-/7-91 ' /afJP(9J 4E4V. /NV, Porl ? nEl//$6J Minn. Reg, No. /(0085 FfY7Ff(:Ly (fiT LINi= - ? m X sk=,? COHSUlTIM6 6HOINEEIIS S ??Q 0 f PllINNEAS ond LAND iUBVEY005 PROJECT ND. DI / IOO? / ENGINEERING BooK 231 ,I COMPANY, INC• pAGE 51' SZ 1000 EASt 1161h STREET, BURNSVIILE, MINNESOTA 55337 pH 432-3000 CERTIFICATE OF SURVEY Legal Description: zaTS D9KS O? B/1/D6EGt//?TE.e ZNO ADD/T%Dr1/ D?1,C?07? COU.V7Y it/!/it/?1/ESUT?1 DENOTES EXISTING ELEVATION < Af? -? z) DENOTES PROPOSED ELEVATION ?---- fNDICATES DIRECTION OF SURFACE DRAtNAGE 885, So = FINISHED GARAGE FLOOR ELEVATION 8-78.46 = BASEMENT FLOOR ELEVATION 80-7- 17 - 70P OF FOUNDATION ELEVATION BEA14q AlARK :'71VH AY LoTB, pLQ'.dC / 7NiF GW'.eS OF B.QAV6iV*7bV- SCALE : 1' = 30' EcEU. = 904.71 ?._ 7j L kV?1_-r. z ?l 89° 40' q8"W 129.00 t ?-.-- - rv ? ;pl N ? N oU) ? ?? wo - x ? i? ?t I-l `906.%3) y' 89059,38`W 0 0 5r P J' I ? L 0 T ]L rQ,aU 1,p t Sr t +W t,_c? ? : , aF ?cosE ---?? 7 r! ? 0 6AR? ? N D?P-ZC a I N,b7 12, cb N ZZ.LY? m ?3.?- ?5,?o cR3 .-z ?Sd 5 ni ib •o •7 ? ?o n? ? igF3_? / C???' +> tio o 6\ , r? 141a.w i'?r?u?w7'aAiL ? L ??fi G \?? i'f 4 tl! eC'tl! S-. )vr ? ?Y ? .?...? ? Ft >nrF'_? , NL ?,W I ? s_ x ? N1pDEN " ?r,? i o M F.APDw EAGAN E GINEERING DEP1: rXA IL I hereby certify that this is a true and aorrect representation of a traot of land ae shown and describecl hereon. ns prepared by me this /271? day of ?c7Ul?9z , 19-75 ' /,'EV?Sev io- i7- 9S : Atvrv SF?v, i.?? r_e n,,rr wA?a?n,,., f' ? /? ? : I /?csr.? inn. Re9, o._ 16085 ?:a-Tl.=.??y cn7 uni.= ( j Ti Use BLUE or BLACK Ink r------------------� I For Office Use � ' � � Permit#:�� j Clty of �a�� /,.� � ��; � Permit Fee: / �� 3830 Pilot Knob Road � T � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I i Fax: (651)675-5694 i Staff: i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �aZ n �/`/ // L��%X�P.�1 / / �7 �'� Date: � ��7 Site Address: i �/,r___ L✓ ��Q:/ Unit#: � Name: (/C�t� ��/,'/,�� r� Phone: b!��,��/ ta � Ft��i�en#l� � � ,�r� �- ()�y�� ` Address/City/Zip: �.�v�Z �•3��1'/�2 • 1I/. � /J'f7�L1C�,Ti/-�'ld , = ' Applicant is: Owner Contractor ' � Description of work:/G�. � I zsGrze/ ��, Typ� Q�f 1NQrk � ec� w� .� �'2�a tslr� � � �..5"�_c/��•� �-' `�'��/�' , ' Construction Cost: Multi-Family Building ( es /No� � �'� �� Company: r��/��/'��CP1 -�� Contact: ��,1/� �C.tl/'� Address: ��,,f�.,"� /��i�;`,��/V%��+ City: ��G� �4?IItC�C,tfJt' ��' State�zllL—Zip:�"1�3� et�' '`' �� Phon mail: �U�� Lv/YIG�s/�N-� -C' �� License#: .+�b`;�� Lead Certificate#: - �7��7` '`// � If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: N07`� Plan�s`�r�c�scr��a��trng tic�cr�ment�t��you�crbmit ar��rr�ideretl t�b��ubli�rrrftarr�i��: Fort�+��t' � t�re irrf�rm�t�c��r r�ra,�r b��las�if��d��rron-�u�#r�,��",�o�r,pr�rt�f�!��F�,rfi�reas�c►r��that w�u1 ,permf�t�e C��to �� _ ' con�►r��at the '��t�-�d�,��c�et� ..:... . ` ` ,' � �.�. 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 Buitding Code must be completed within 180 days of permit issuance. X ��;`��c�c3/� � Applicant's Printed Name Applica Ys Signature Page 1 of 3 Use BLUE or BLACK Ink � r----------------� I For Office Use �� ' � Permit#:��`7� � � � ��,(S� City of Ea�a� � ..�. .�� ,� � Permit Fee: � -� 3830 Pilot Knob Road I -' I Eagan MN 55122 � Date Received:�� '� � Phone: (651)675-5675 �EC��v�� I I Fax:(651)675-5694 I Staff: I DEC 0 3 2015 !----------------' 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �%� /� �j/'' Date: j� °-� �� Site Address: �� /// / � L,9�+ // Unit#: �� x' Name: //a �- � �� =/Yl Phone:oi��`/�„�� Fk@slt��l �'` Address/Cit /Zi OW11�t` #��; Y P� �- � '�' ��'. Applicant is: Owner ,�ontractor �J �� / £� s�� De cription of work: � �'�� ! � �`' �v�iL /�-,5�1 ,e, �T�p��'� ��'rY/�!i��,,��`� �,,�c,t c� .�'l'q!h;� � i nsc�� /�/'•,s ' .•�j' �: ,:: Construction Cost: � t �Multi Famil Buildin Yes ✓ /No �.��, v g�( �) � ��N �/� ��`h� �� 1��---�/��' �� Contact: ,�cz�'� �t7�'7 i�'� � ° Company:� � � � � �� . �.: , ��`� Address: ��"�� S�t��1` �`�. J4� �"� City: �LJ�-�� `�C�t�1' �� • ��"�� State:�i�l,Zip��Phone:C�r9`-- �� iail: ��/h c�/'��Cl`z7, ,�� + �. . r� (/' � �. ;�� .` License#:�e°��.b�o�T� Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: ��€'�'lans� ° ��rppv� ��ocuments at yc�arfr �3t�r,e`con �red�� e��b ; '; � �h�r�s�f : t�e rn€orn�a��r�may��e �ssified as n�i��41�c� ou rov�Pde s ec��i� ` ;��t ava��f�1 �r�rr� ��F t.�:, � �:; Y P ,� � �� . ��. � ��, � t �.�w., , con��at#!te �rr�°$��ec �� x: �... .. : � -�:_.:. x�..�:; �.: �.��: CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.or4 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. ` t/✓r�_._..-� (L.�/� X �... Applica Ys Printe Name Applicant's Signature Page 1 of 3 /� �' �� CT 1 C�tC�E�I �n� ��DO�NOT WRITE BELOW THIS LINE ��=� -� �1 SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building" _ 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 Q�� Occupancy �� MCES System Plan Review Code Edition �°. � �-�` SAC Units (25%_100%�) Zoning � City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction l� 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 Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: � �./ , Building Inspector RESIDENTIAL FEES � Base Fee Surcharge ( "�� Plan Review " ` MCES SAC �r ��°��k� �,� y�� City SAC � r" Utility Connection Charge S8�W Permit 8�Surcharge '�J � (,� t� Treatment Plant f C Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA163923 Date Issued:09/15/2020 Permit Category:ePermit Site Address: 819 Hidden Meadow Tr Lot:5 Block: 1 Addition: The Oaks Of Bridgewater 2nd PID:10-75836-01-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Anne L Klein 819 Hidden Meadow Trl Eagan MN 55123 Millersberg Construction Llc P.O. Box 155 Dundas MN 55019 (507) 301-3626 Applicant/Permitee: Signature Issued By: Signature