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633 Hillside DrF ?? -w /? i? r Q? ? ?'M/?! ?.i i+IMR+IAiD Gl[IM. 432-7601 Cxwtiocate uf CeCUPaitC4 This Certijicate issued pursuanl to tlie nequirements of the Uniform Building Code certifying that at thc tipm of issuance this structure was in compliance with the various orrlinunces of the City rrgylating building coRSiruetian or use. For the following: o? SF DC Bwg. Pennit No. 20652 OccupancrT5pe R3 1 7smingagFiCt RI Type CDDS- V13 owner or awwim MMONAID CONbT IM Addim 1212 RU]EBIIL BAX IRD, B;VIIZE Bui . 633- IME ,.T£,} B3, Bt1ft QAK HII.LS 2rID j' ' Bamn okmad POST IN A CONSPICUOUS PLACE INSPECTION RECORD ? -- ? ,C1T-i OF EAGAN MAr-T?VAM FOR DE-,X-07/2cI93 PERMIT TYPE: '' . , j 3830 Pilot Knob Road ?D `?T• 432-7601 Permit Number: V Eagan, Minnesota 55123 Date Issued: ? (612) 681-4675 SITE ADDRESS: APPLIGANT: MI {iuNA 1 li .,N•:. I 1 1-4 1 i k,, i. ) I,t<:t f oh t q PERMIT SUBTYPE: TYPE OF WORK: r?i II INSPECTION .A • .• I F- f. W P1, rRF. f 1 uF ..Ll'Ar< Pi,'11i IIR% ? Parmft No. Permk Nolder Dets Telspham N SNV PLUMBING HVAC ELECTRIC '33?? • , ? ? ELECTRIC Inspectloo Date insp. Comments Footings I Foundatiat ; Framfn9 Roofing Rough Pbg' Rou9h Ht9• lsul. Fireplace S -??? 3 S -//-93 4/1 ?G Fnal Fftg. a ? Orsat Too Fnal Pibg. r- i(y u ` Corist. Meter EngrJPlen BId9- Final Z ? J Deck Ftg. DedcF{nal Well Pr. Disp. U ° CITY OF EAGAN j 3830 Pilot Knab Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: . i; t I!', y fil t?F; s,?ai. ?+?i'r 111 I i `. .'Nil PERMIT SUBTYPE: .+? 1.' ff { irl: K a PERMIT TYPE: Permit Number: Date Issued: `.?A4.,I1I0 Fi `o F 1 IIN'I i 7 Ni i1 I .? 1 1i3 1? TYPE OF WORK: INSPECTION .. . .. .. ? ,. ? illll??l ? N I IrtiVF : A.,11''Ak A1F 1•I RMI ( i'? 10 (illlRl h 1 fifi A?ylY 1'1 111111 INi1 hi! I t lI I1;1 1.A1 1-IM.1 Permit No. PertnR Hoider Dete Telephone M ELECTRIC $e PLUMBING HVAC Inapectlon Date Insp. Comments FOOTiNGS FOUND FRAMING f ROOFING ROUGH PLUMBING PLBG AIRTEST ? 6305 /f,teslAt JaQ. /r? RDUGH HEATING GAS SVC TEST INSUL k,(cnt Rtv GYP BOARD S! FIREPLACE ?,cL C 41N rw Awworm• FIREPLACE AIR TEST ? ? FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL ?Irs? IVIT- DECK FTG UECK FINAL Address 633 tinzSmE DtuvE Zip 5512 1 I.ot, ' 72 Blk s Sub i3im oarc Emas 2rm THESE MS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Da : 9 y Yes No Inspector: Final rade from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway ? Permanent gas ? Sod/Seeded grass TraiUcurb damage Porch Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to the outside lawn faucet before freeze potential exists. ContaM engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy I III I I II IIII REQUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Electricity M 1621 UMve? ifyAve., R??-?8„Paul, MN 55104 ? s 0 2 0 7 4 2 5 0 * Phone 612 642-0800 ff `?- y ome Duplez Apf. Bldg. Olher -- N Addn Commercial Indushial Form Remod Re air Air Cond. Htg. Equip. Wafer Hic Load Mgmt. Other: D er Ran e Elec. Heat Tem $ervite 'X' above the work covered by this request. Enter remarks in this space and on the ba<k of the white copy only. Calculate Inspection Fee - This Inspedion Request will nof be accepfed without the correct iee: Olher Fee 3R Service EMrance Size Fee # Circuils/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./TmHic Sig. Above 200 Amps Above 100 Amps Tronsfortnef/Genemtor INSPECTON'SUSEONIY .` TOTAL ^ Sign/Outline Ltg. Xfmr. O Alarm/Remo}e Confrol $Wimming Pool I hereb ce6 that I im eckd Me elecmml t al n desmbed heran on fie dabs smkd Irrigalion Boom Rough-In ?k S ecial Ins edion p p Invesfigative Fee / Final ? De 11 THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF OT COMPLETED WITH 7B MONTHS. 2 0 1 - 425[a f???LY This requut.oid 18 monlhx fmm vaLdonon dah primed in Ihis bga.??? PLEASE PRINT OR 7YPE Reqoest Roo9h-in mspectian requiredY Yes ? N. Inspe iion OlherThan Rough.ln ? Reody Now?ill Call 1071719r (Yw musl wll tha inspedor wh n ready) Oafe Ready: I, ?ensed conimcior ? owner here6y request inspeclion of the a6ove eleciriml work at Job Address (Stmer, Box, or Ro No Gry Zip Code ? F .! d ?.4 Seeion No To+m? ip Name or No. Range No Firt N. Coun ps.ror pccuP Phone N. Power upplier Mdrese Elednml Contmdor ICompony Namel Commdon ccense No. Maskn c, No. (Plant Hed Onlyl .t! /Zzr ?Ef LC ?• CH Mailiig Pddmse (Con aor or O.mer Pedo ing Insbllaeon) ? f SS/67 / r. il .r/e , AWhanzed Signawre onlmd wner Pedornl o-4rSL- Phone rNo. y l06 ?m - J EB-00001 A10 6/95 STATEB SEEINSTRUCTIONSONBACKOFYELLOWCOW 2005 RESIDENTIAL BUILDING PERMTI' APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ??,5a New ConstrucGon Reauiremenis RemodeltReoair Reauirements Ofiux Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. fL of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y _ N (20°h maximum lot coverage allowed) 1 sef of Energy Calculalions for heated additions Tree Pres Plan Recd _ Y _ N. 2 copies of plan showing beam 8 window sizes; poured fourid design, etc. i sde survey for addNOns & decks Tree Pres Required _Y _ N iseto(EneqyCalculefions Addifion - indicateff on-sitesepflcsysfem On-sHeSepllcSystem _Y _N 3 copias of Tree Preservation Plan i( lol plaried after 711193 Rim Joist Detail Opfbns selection sheet (buildings with 3 orless unils) Date / ?T_? ? ? '? Canstructioo Cost ?d??•? 7? /?i Site Address ` "'P UniUSte # N Description of Work Multi-Famity Bldg _ YN Fireplace(s) x 0 _ 1 _ 2 PropertyOwner ?lltlT? SG/// ?? Telephone # ( ) Contractor !LY/ /???N c ' ClI?/'/ /?1CvL -?-fJC 0K? • y? I Address f?2Gf7 dv? C.U `l-P / v-'e S City ;(*vS o G 10 State ?N Zip !??37 7 Telephone #?j ) 7G7 -??? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Su6mitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( 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 i e case of work which requires a review and approval of plans. ? ApplicanCs Printed Name Ap icant's ignature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 AccessoryBidg ? 02 SF Dwelling ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel 0 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement `Demolition (Entire Bldg) • Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV , # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) Final/C.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final Windows _ Insulation _ _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector PERMIT Crz049 l07 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: s u z Lo r. N G Eagan, MinneSOta 55122-1897 Permit Number: 026503 (612) 681-4675 Date Issued: 10 / 13 / 9 5 SITE ADDRESS: 633 HILI_SIDE DR LOT; 12 BLOCK: 3 BUR OAK HILLS 2ND P.l.N.: 10-15501-120-03 DESCRIPTION: ? 8uildi?J;Permit Type Buiiding'Wo,rk Type ? r? BASEMEN7 FINISH ALl°ERA7IUN b ( (",- <}?^•,?>__ •.??; ..? ? •r._ ,:,_.t,,l';-s? b ?. REMARKS: F1 SEPFlRFlTF PERMST 75 REQIJIRED FOR ANY PLUMBIN(; OR EIECTR7:CAl. WORK FEE SUMMARY: 8ase Fee $35.00 Surcharge $.50 Total Fee $35.50 I CONTRACTOR: - applicant - sT. LZC. OWNER: ' SAWHORSE CONST INC 15330352 0002382 CLARKE RICHARD 4740 42Nti AVE N 633 HILLSSDE DR ROBBSNSDALE MN 55433 EFlGAN MN 55123 (612) 533-0352 (612)666-6593 Z hereby_acknawledge xhat I have read this applieation and etate that the inYorination i.s correct and agree Cb comply wiCh all applicable State nf Mn. Statutes and City of Fagan Ordirtances. - ? - AP LI ANT/PERMITEE SIGNATURE -?1S ED SI TURE1 3830 PILIOT KNOB RDN 55122 JLL603 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) C?I1 681 -4675 New Conshuction ReouiremeMS RemodeVReoeir Reauiremants ? 3 repbMmd site surveys ? 2 copies of pian ? 2 eopies of plarro (MduOe beam 8 window a¢es; pourad fid. design; etc.) ? 2 ake surveys (exterior addRions 8 dedcs) ? t energy calalatlons ? 1 enerpy ealalations for hoated additions ? 3 cropies of hee preaervstion pian H lot platted eRer 711193 required: _ Yes _ No i DATE: 4?Lg 5 CONSTRUCTION COST: DESCRIPTION OF WORK: 16l-1 Lfl, STREET ACaDRESS: 03 3 IJIIt`5 /pL`` O,/t JYc5- ? LOT ?? BLOCK L SUBD./P.I.D. #: ,L' 4? ??ni PROPERTY OWNER CONTRACTOR ARCHITECTI ENGINEER Name: 12-4&Ake-'i) G?Fl-f?K E Phone #: 160A O 5Y3 Street Address• (a 3 3 /?? ?rsidG ??/ U6 City: ?'A-4 X-o-J State: #011 p7 Zip: -z 3 Company: SA"C-'??4 K-6?' Phone#: 5 7 3-a3Z?? Street Address: '/YrfO q1 14-06 fl • License #• City: IL CPiP?"?'L- State: OaE' Zip. ?5Y a;?-' Company: Phone #- Name: 121G?? ?1('&y Registration #• Street Address• City: Sewer & water iicensed plumber. change are requested once permit is issued. State: Zip: Penalry applies when address change and lot I hereby acknowledge that I have read this application and state that the informatlon is cortect and agree to comply with ali applicable State of Minnesota Stawtes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No SC"r 2 6 1995 Tree Preservation Plan Received _ Yes _ No ----------'-`-` OFFICE USE ONLY ,.,, . BUILDING PERMIT TYPE -- • `' `'? A 0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwel{ing o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool a 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility a 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE 0 31 New 694' 33 Alterations o 36 Move n 32 Addition a 34 Repair o 37 Demolition GENERAL fNFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main ievel sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of 5tories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permft SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ 152D ? % 5AC SAC Units Cities Diizi itv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. l - - PERMIT CItY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: (612) 681-4675 Date Issued: ? ', ; ? "• ; % SITE ADDRESS: , • , ? I i , ?a , , ? , ???,i,' .;? r) , DESCRIPTION: y . ,i .•? i i..n ? .?I ?n REMARKS: FEE SUMMARY: i 1?I iill i I V --- ,-? ----- ?-- i. ' .. CONTRACTOR: k vvv?mr-rs: 1ir, "OPd'tl i I I i .? r 1 -. , t? 'f , ' _ ,? . ' . ,- r d . . ? ` . , ; i ';. ? ? ? I I ,- } ? . I j f i ' i • - ' i?y o" n. n 0 1, d` ISSU D BY ?APPLICANT/PE MITEE SIG ATURE ? ATURE REACTIVATE PLRMIT -i CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPLICAT ----c.?.xj 9:-Ff 661 R0 SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 ????wu calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set af specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month 9n which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date / Valuation of work ?c) 3 Site Address: ae STREET SU1TE # Tenant Name: (commercial only) LOT 1 a BIACK_.,,3- SIIBD.auR,ftjOb P.I.D. M Descri tion of work: (? Ew o?e The appl i cant i s: ? Owner 1!?Contractor ? Other (Deseribe) Name Phone Property LAST FIRST Owner pddress SiREET STE M . City State ZiP Company fAC k co Phone Contractor Address lP la alo FL:f1 B q.. License #uoo237c. Exp.? City QvRnsU-CState Wl., Zip 553'3? Company Phone ArchitecU Engtneer Name Registration # Address City State Zip Sewer & water licensed plumber Fi?e 5?A,z Processing time far . sewer & water permits is two days once area has been approve(J 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. _ Signature of Applicant: ???' ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ?02 Sf Dwg. 03 5F Addition ? 04 SF Porch 0 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. WORK TYPE ? 31 New 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION ? ? 11 Apt./Lodging ?S,,.,?1? ,a'?,e?ryFinish " ? 12 Multi. Misc. D 1T Swim Pool ? 13 6arage/Accessory ? 18 Comm./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolish ? 36 Move Lonst. (Actual) -n1 Basement sq. ft. MWCC System (Allowable) V-N lst F1. sq. ft. City Water UBC Occupancy R? M_f 2nd F1. sq. ft. PRV Required ? Zoning 2_I Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ? On-site well Census Code Depth On-site sewage SAC Code 6;; 51 APPROVALS * 1s , Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: sac % L SAC Units O Footing ? Final ? Framing ? Draintile Vet,at;o,: s 13 q, 00o °' GAr?q?e 1 30 ? Z2 i?f 0 2 n II r (z z) gsmT t 63 = 12 ??1 = ?32 ??y `I? ??i _ ?3c?•? ------- ? Insulation ? Fireplace lbZ?? i Zfsr.TL,?DK, /od? ??s- I?,zyo E6MT-% I q ! L . l??L?9 : Iy ??..-..- 1l?WA'1C Tq i 5C16 O' ZNa?.?o? 4 ??rx??%2 = 93y X15m Go ? y sy= ?33. i ` ? PIONEER * eng?neerinc ** ** LANO SURVEYORS - GV1L EN4INEEHS LAND PLANNERS • LANOSCr1PE ARCHITECTS 2422 EnYerprise Drive Mendota Heights, MN 55120 612) 681-1914•Fax 681-9488 625 Highway 10 Northeast Blaine, MN 55434 612) 783-1880•Fax 783-1883 Certificate of survey for: McDONALD CONSTRUCTION CQ. House Address: 633 Hillside Drive, Eagan, MN Model Name: S 86'2p'50" E 100.21 13 z ? ow N ? J ? a :E 9491v _- _ (89s_? ? ? r-------------- ? - - 1s I 12 I ? i i i i i ? 83? 4 I' i 9a7.2- I 51 ? yQ43•as t4i.9 g38, g4o.'? 1 1 ? 13400 T-- ? 4500 22.96 ? PROPOSED HOUSE m ? e I 19.00 FUNALkEOl3'j ?'' o? a I ° I ? GARAGC 33.67 /$[} I•1 II I V 13100 11.00 0 19.33 22.96 ?Q??P Y. 846.5 gQ?a•4" ? I ? DRIVEWAY I M1 V L _-1 _----_-_ _Ja .A4S? I ° iY? _-,-7 ° I 1 845.4 1 944),O0.00 S 88'52'02" E HILL SIDE DRIVE izAGAn DEPT NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS po ?o?o rmod rc' a U) . soo.o Denotes Existing Elevation PROPOSED HOUSE ELEVATION . 900.o Denotes Proposed Elevation Lowest Floor Elevation: 939,41- - Denotes Drainage & Utility Easement Denotes Drainage Flow Direction Top of Block Elevation:84B.L3 ---o- Denotes Monument Garage Slab Elevation: 847. Io E3 Denotes Offset Hub Bearings shown are assumed LOT 12 , BLOCK 3 BUR OAKS HILLS 2ND AD[ OAKOTA COLINTY, MINNESOTA 1 here6Vi certify that this survey, plan or report was prepared by me or untler my direct supervision end f m duly Registered Lan S,urveyor under the laws of the Stete oi Minnesota. Dated ihis1?J day of A.D. 199-3_ Scale: 1 InCf1=3Ofee: OB B.SIKICHLS.REG.N0.14891 ? t,+ °o ? N 0 'P J rri ? g3q.-tS 944.?5 403 9113.30 > ? ? " a @''0 0 6-D 0 8-0 0 9-n o " D 8?0 0 D 6"' 0 ?0 0 LOT B41t7ZY CffiC=OT !OR 3LiiSDlnIAL f9II ZRDPZRTY -PO+*.t • Reqistered IenQ 8urveyor siqnsture and eompany • Suilding parmit 11Dplieant • Leqal deseziption ' • 1lddzess • North •tron, and bar saal• • House type (zambier, vtikout, split tr/o, split lookout, ete.) ' • Dizectional draiaaqe arrows vith siope/qraGianL i. • Proposed/axistinq sever and vater servieas • Street name • Driveuay tLrvaT2ors D 8' 0 • tYistine Sewer serviee H' D 0 • Lot eoznezs D? 0 D? 0 D D • Top of eurb at the drivevay • Elevations of any txisting tQjaeent homes ?D D • 4:one?ee Gezage tloor 0 0 ? Fizst ilooz ? 0 0 • Lovest •xposed elovation (valkont/windov) D D • Pzoperty eorners ?D D • Fzont and raar of bome at th: toundaLion ? POr'DING lR£A6 tii •ipplieable1 emer,t line 0 L? o d r 0 o ? _ ?i 1r.L ' ? t?l 0 • Pond f desiqr,ation D ?7 D • L'mazqeaey ovszflov Slevation D D sntry, D • Lot iiaes ?D D • Rfqht-oi-vay and street vidth (to back of Cuzb) 0 0 • Proposed bome diaensions lacluQinq aay pzopesed Qtcks, overhanqs qreater thaa Z', porehes, ete. (i.e. all structures sequizinq pezmanent footinqc) D D • shov all easements of record and any City utilitiss rStAin those aasements D p • Setbacks of psoposed structure and aetback of adjaeent •xisting ho • D? D • Retaini,qui •r,ts, it aay • Revieve3: : b.to e: .ur..,rs HIMF.40TA ST?,TE ENERGY COp$ CB CUL,ATIONa BaSED ON CIlAPTER 5 OF Tf1E MODEL EN$RGY CORB - 1483 EQTTIOU Adoption Effective site contre ? IV I? Type A2 (Residential, 3 storiee or less) (over 3 stories) (Other) Ho'r8t Comrtlete aeaea 3 and 4 firet. GENERAL INFORHaTION G, e 11 1. Building Perimater ? oqlft. 2. Well height (ground to eave) ft. 3. 1. X 2. (above) gross wall area sq.ft. 4. Building dimenaione (L) I X(W) sq.ft.roof & floor area. 5. 9q, foot area oP rim joist - Floor joiet size (2 X a 1O X 22LIJPerimeter) = sq.ft. ? 6. Qoors - area 12 4+41 Thickne!s in U. Pactor Type oE Conetruction ' Perimeter ft. . , Manufacturer 7. Total door's perimeter ft. 8. Windows: Manufact?er `N`?UL• L?7 ?4 ? State approved _ U factor '?j TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL Z-76C//t ?? I A 1 ?L A??r EACIl UNITS SQ FEET J/ \ 7 9. Total sq.ft. Glass 10, Fireplace area: Width X Ileight ? X = sq.ft. 11. Exposed foundationf Ileiqht X Perimetar-4jlX-?-A!,Asq.ft. COMPLETION OF TIiI9 FORM IS REQUIREp FOR ALL NEW CoNSTRUCTION, }fAJOR REMODELING AND HUILDING9 BEING HOVED WEIERE EtiERGY, OTIIER TfiAN TIIE MINTMAL CODE ?LLOWANCEt IS USEp. -1- 9uilding ClaesiPicationi Type A1 (Single Family 6 Duplex) ? 12. Framing area = lOt of grose wall area. 13. (3rose wall area . eq.ft. Window area a , . sq. ft. U windows = UxA = I D-/ Rim joist area a lhi sq.Pt., u rim joist=IUxA =q4? Door area 1? ? sq,ft. U door area= UxA =? Other doors area A!*?Aaq.lt. U other doors=? uxA 41 S Exposed fndn l? sq. it. U Poundation= 7b? ? UxA = 1? Framing area A 1 vi eq. Pt, U framing area- v' / UxA Net . wall area A??%.ft. U well= iIfTZI uxA = = (13B) TOTAL . . . . . . . . . U Yox 14. Gross wall area x 0.11 (A-1 einqle Pamily & duplex) = allowable UxA/COde (13. abnve) x 0.23 (11-2 other reeidential) • x .23 (other buildinge) x .28 (over 3 stories) - 1 2 BTUi1 must be larger than or same A ?/ ?/ 1 x U Code °F. as 13B above 15. Ceiling fraiuinq area (Af) equale lot oP ceiling area 15a. Groes ceilinq area = (L) / x (W) sq.ft. 15B. Joiet area (A g) - 10% ce111ng area ?jV4!3, 2 sq. ft. 15C. Net ceiling area (Ac) (15A - 15H) ? 91?7_6_b -sq.ft. U ceilinq XAC ° qJ17A X 1 01? a vO? ll framing x a f =1pTlA*0 x? Z = 15D. TOTAL U x A ........................... . 16. ceilinq area (15l.) x 0.026 (A-1 eingle family & duplex) = allowable UxA/Code x 0.033 (A-2 other residential) • x 0.06 (other) (?j -j HTUH must be larger than or same A(15A)L?! U COde 1? ? l/? °F. HS 15D abOVe NOTBS Use U anii A values obtained from paqes 1, 3 and 4. C$ATIFICATiOUt I hereby certiEy that I have celculated the "ull factors and "A'O values herein and that the huildinq hera desoriUed meets or exceeda the State oE Minnesota Energy Conservation Act. Date gnature la2 p n ----- --- o???? -- --------- --- -- --- --- - -?D _r"_?-- --- - --- ----- ---- - -- - 1-41 ?-L g - ------ -- ------ ------ -1-?-(_2?-?---- ------- --- Z? 29 ?-4-------------------_ --- ---? --- S ?--- ?-K-d?o_ = 11?? = (12??f---------- --------------- - ??? --_Z_dK.??(o= ?-x-?'- ==? _ - --- - --- -- - - --- ?-t?+1-2???v = IZ??_k_l? ? ? - - - - J?-- -- ------ - -- - -- -- --- - Zql? ?- -- ------ - ---- _ ?bo? --- ------- - - ---- - --- - - _ ------ -----? ------ _ -- -- -- -- =- -- - - --.__ . _ ---- - ---- - ?- -- -- -------- ----------- - -- - - REACTIVATE CITY OF EAGAN _PERMsI # LEM`V ED 1993 BUILDING PERMIT APPUCATION "9 J! I l. 2 8 1993 681-4675 SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ? 9 Z Valuation of work I?LfZ Site Address: (?33 4% I?side 4-?r STREET SUITE 0 Tenant Name: (commercial only) IAT - BIAC& ? SOBD. 17 ? OA1? 11??'C P.I.D. # Descri tion of work: eC)(- 1 ' S ?r' The applicant is: 0 Owner Contractor 0 Other (oeaortbe) Name Phone Property LA:T FIRST Owner Address STREET STE / City State ZiP _ Company Phone L432--7(p0) Contractor Address 1217 &pbk Ik?wh ?. License # DGO_ 2 Exp. _ Ci•ty 'R,4;rwSState MN Zip :5S3% Company Phone Architect/ Engineer Name Registration N Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ) Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwg. ? 07 4-Plex ? 03 SF Addition ? OS 8-Plex ? 04 Sf Porch O 09 12-Plex O 05 SF Misc. ? 10 Multi. Add'1 WORK TYPE ? 31 New ? 33 Alterations 32 Addition ? 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging ? ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace `0`15 Deck ? 35 Tenant Finisb ? 36 Move ? 16 Basement F'rhish `. O 17 Swim Pool ? 18 Comn./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility [3 21 Miscellaneous ? 37 Demolish Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 7" 2nd F1. sq. ft: PRY Required Zoning Sq. Ft. total Booster Pump N of Stories Footprint Sq. ft. Fire Sprinkler Length jr? On-site well Census Code ? Depth 4r- On-site sewage SAC Code / APPROVALS i Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? S;te ? Wallboard IPL Footing id Final ? Framing 0 Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchar9e Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Yaluetim: $ SAC % SAC Units * + * PIONEER ? eng?eerl *,K * * UND SURVEYORS • LANO PLANNEflS • LAN 2422 Enterprise Drive Mendota Heights, MN 55120 612) 681-1914•Fax 681-9488 625 Highway 10 Northeost Blaine, MN 55434 612) 783-1880•Fox 763-1883 Certificate of survey for: McDONALD CONSTRUCTION C0. House Address: 6-33Hillside Drive Eagan, MN Model Name: S 86'20'50" E 100.21 13 z ? °o c,a N ? 4: ? J ::E 84? 'ry' D _ (B4s.? ?t i Y• ??' ° h I a44100.00 S 88'52'02" E ? an1.. -------------x- I-IILLSIDE DRIVE EAGaN ?oREVI£W£A O 4? .? m ? $39 .75' 844.tn-6- gAGAN DEPT 0 P,R It- RE ( I Lg 0 NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS . 900.0 Denotes x 900.o Denotes _-- Denotes - Denotes --o- Denotes -e- Denotes r---------------15 I i 12 i i i i i ? fl3 ,.z ?{-?ti e??•4 I 51 ? I ?Qb3•h' gq? •q i _ q,?°'w _L 14W T - - 45.00 22.9fi I 1 PROPOSEO HOEUSE q I ? 19.00 ? FUNALk EOU7 ° I ° CARAGC I I , I u 33.67 ? Bt? 7•? I I ? 1400 11.00 0 19.73 v ? 2T.961 046.5 QC??O•u' W ? ? I \IVEWAY I' v?---- , ---------? i ? .aAS•? Existing Elevation Proposed Elevation Drainage & Utility Easement Drainage Flow Direction Monument Offset Hub Bearings shown are LOT 12, BLOCK 3 PROPOSED HOUSE ELEVATION Lowest Floor Elevation: g3y,41- Top of Block Elevation:84B.i3 Garage Slab Elevotion: $4i.Io assumed OAKS HILLS 2ND DAKOTA COLINTY, M1NNESOTA 1 hereby certify that this survey, plan or report was prepared 6y me or unJer my direct supqervision end ha m duty Repistered La urveyor .1_ under ihe laws of ihe Stata of Mtnnesota. Oaled this?dey ol ?'PRI?-- A.D. 19J- 3 Crrtlp• 1inch=-mteet 06 6.SIKICHL.S.REG.NO.1<89! 403 9113.30 PLITMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits aze required for each unit Datc / / -- Site Address Unit # 7 1) VIP5f0?3 ? Pro ert Owner Tele hone # _ p y p ( Contractor L a Address 1 { City '- ? State Zip Telephone #? ? S t0 ? The Applicant is _ Ownez ? Contractoi _ Othar Septic System New _ Refurbished Submit 2 seis of plans and MPC license $ 100.00 InGudes Counry fee. Additional consultant fees may apply. Alterations To Eaisting Dwelliag Unit, Including $ 50.00 _ Adding fxtures to lower levels or room additions, excluding water softener and water heater _ Ahandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair ` reb ' $ 30.00 _ Lawn irrigation system ? ? ? ? Water softeuer Water heater 2003 4) - U $ 15.00 replacement _ additional 8Y T State Surcharge $ .50 Total $ ? I hereby apply for a Residential Plumbing Permit and aclmowledge that the information is complete and accurate; that the work will be in confoiuiance with the ordinances and codes of the City of Eagan and with ffie Plumbing Codes; that I understand this is not a pernut, but only an application for a pernut, and work is not to start without a perxnit; that the work will be in accordance with the approved plan in the case of work wluch requires a review and approval of pl ns. ApplicanYs Printed Name -- Ap licant's Signature ForOffice Use ~j I Permit / I City of Eala1 . ~6 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff; L---------------- i 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION 44- Date: Site Address: `~\t 5~ ~~i Tenant: Suite RESIDENT ! OWNER Name: _ CI( ~eS`t k nk- Q+ Phone: Address / City / Zip: q h, CONTRACTOR Name: License ~5 \ R t"\ Address: " State: Zip: ¶5 l2~ City: _ ~_-7 Phone: (3s 2-,p C-) Contact Person: -6 TYPE OF WORK New _Replacement - Repair _Rebuild - Modify Space _Work in R.O.W. Description of work: b f~ PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / X PVB) Main - Lower Level) Septic System Water Turnaround -New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8° meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 306 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. Applicant's Pri ed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In __Air Test _Gas Test Final Use BLUE or BLACK Ink , �i nn RECEIVED rq For Office Use City ofEa�a11 RECEI Y ED ::::ee /3830 Pilot Knob Road g 2016 : `� Eagan MN 55122 DECu L . Lu w 1 Phone:(651)675-5675 Date Received: /°�- 7,jw Fax: (651)675-5694 Staff: L ----, 7 2016 MECHANICAL PERMIT APPLICATION ❑ Please submitmitwo(2)sets of plans with all commercial applications. Date: 1'2 2.3 i(V Site Address: W7� I\\1\ \dv pr• V Tenant: �r `/� 1 o1 i 1 a\i( a Suite#: I Name: G-tkivrot' Noti 4td-lPhone: 2'20 "29 .8" ResidentlOvvnerAddress/City/Zip: llSdp1 1)Y• ( 16111 M Y 5 l24 _ii Name: qtylfie/s ,\e"t�11e1 License#: C1 , C ' Address: COV11 1 City: st• Tout( t Contractor , State: Mil : 51voi1 1 '� Phone: �51' U V'. 'Q ,,[� Contact: 1 Ema • il: :� $ 1 % 1 r t Il o I r. I 'i f ( i j N New I Replacement Additional AlterationDemolition I 1 v ' 10YY► Type of,Work Description ofwork �� ace, F-urnv1Jce NOTE::Roof mounted and ground mounted mechanical equipment is'required to be screened by City Code. Please contact the Mechanical:Inspector for inform tion onvormitted screening methods RESIDENTIAL COMMERCIAL 11, Furnace New Construction Interior Improvement Per )�t�.yPie _Air Conditioner Install Piping Processed Air Exchanger 9 I Gas _Exterior HVAC Unit Heat Pump t _Under/Above ground Tank ( Install/_Remove) Other TIAL FEES t $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge Or)$100.00 Residential New, includes State Surcharge =$ LOD ------ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee k I Surcharge=Contract Value x$0.0005 =$ Surcharge If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE 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 Pck C1oy x a 1'014 Applicant's Printed Name Applicant's Signature FOR OFFICE USS - .._ -- Required Inspections: Reviewed Date: Underground Rough In Air Test: Vis-Service Test In-floor Heat Final ' HVAC StrOening Feb 151710:12a Krinkie Heating&A/C 651-488-4022 p.1 1, (� _ 1-• �j irNT()F.SAFETY AND IN SI'ACTr(3c2 / o 0 ' ~' �r !l S��r'] Cerrun(rr.1)ireunr LA .' ii 1 *4 l'".1 CITY OF SAIl T PAUL .375•hu•ksen Sn-rrr.Sulu-'20 l u1-2M.,.N'i'y Christophe,B. Coleman.Mayor Sr Pala.ilinnesovu 55/01-18(ur Frrc..imile: 651-26u-9124 441; Welt: it for slirmsl.gni/tt AAIAI TEST RECORD FOR FUEL BURNING EQUIPMENT fti (1. Use separate form for each appliance) Address: L?33 Slut- If/ f Date of Test: / 2123/11447 Owner: e tA,raai i i✓'` •:, „........ TYPE O --i Gas _Oil Other Make f Furn Boiler r l -�,� - I(Y)Model # i> 61(PVJO 0 5� Serial # ILP LI 207,4-fli Max BTU Input: ft)v, asc Equipment venting type: Atmospheric Induced Fan Vent Connector Type: Total BTU input of all vented gas appliances into common chimney: tool 0c4 Type of Chimney: Masonry Class B Other pVC Type of Liner: None Metal Clay Tile Combustion Air Supply Required? Yes - No Safety & Operating Control Tests: Yes No Fuel Analysis/Flue Gas Analysis: Yes No Pilot/Flame Safeguard Operating Properly — Vents Properly Without Spillage r _ Limit(s) Operating Properly Flame Stays Inside/Doesn't Roll Out Operator(s) Operating Properly )G _ Burner Lights Smoothly k' Low Water Cut-Off Operating Properly Al t 0- All Controls Operating Properly Initial Final Visual Inspection Yes Pio Stack Temperature '36 °F/Net I F/Net Fuel Piping System - OK? _ Oxygen t5. 1 % 'j,irt % Vent Systems - Drafthood? ?C Carbon Dioxide _•_ % _ /a Connector, Vent Chimney-OK? )C ____ Carbon Monoxide f '71 %/aom Ii %/nnm Haa_tine I !nit Cafe? �G�/ �_ -_..0 _.... ... T - Look At Total Heating System Before You Leave: Does system operate safely and properly? Yes >r Mid Will I t COMMENTS: IS IS OY kete - 1i.t�Ci_. o &o I,uner r ill t�1_it SCYie.dLt.r ez )010 ink l✓(,filon" y •, ) Name of Licensed Contractor:`\'.•,,---(' • '..i `r ( rri,�; ! E f: �- r_=- , i i ) '(:i (( Pj}hone #/ r✓�''"' ' .�� 7-1 Address:, f ,` ,:1:.,! ,:;,-tit -.. iLG G'' C) --, . r—; - it -I -7'.*:.._: -• - Person Conducting Test:--.. _%1.1./li ,2. D,,,: ,. am; i-1'L _ _ i ;Print Name) (Signature) City of Saint Paul Certificate of Competency card number far appropriate fuel: `' f '1°'�- L'% -. (. Revised:8+16)12 PERMIT City of Eagan Permit Type:Building Permit Number:EA141294 Date Issued:03/06/2017 Permit Category:ePermit Site Address: 633 Hillside Dr Lot:12 Block: 3 Addition: Bur Oak Hills 2nd PID:10-15501-03-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Gururaj A Nayak 633 Hillside Dr Eagan MN 55121--235 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink , (� For Office Use�/ l/� Cityof Ea all *_ t,,'77 ) Permit#: / 2' 3830 Pilot Knob Road Permit Fee: d Eagan MN 55122 I' ` ^ 1 Y016 Phone:(651)675-5675 Date Received: of 'I Fax:(651)675-5694 Staff: L V _1 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: i 1 1 Site Address: lX ✓-5 I A 3i , Tenant: Suite#: Name: LI ()CI 1\10(i(-- i \ Phone: tp(Z— Zb(Pr 2-10- Resident/Owner Address/City/Zip: y� 5ifir, 11 lei • • 1 i ]1v License#: Name: (�/F!! ff �j (�( � Address: S1 �E'/ CO1� . / i} City: /�Si. VG W Contractor State: ^ I I 1 J '' 15 '' 4g ll` B C)5 Zip: Phone: Contact: �v (�I V I I Email: IL . '° iI(1 °(-` ............New .......__._ RelacementAdditional�.__._.. Alteration _,..__._._. _....... . ........_.... Replacement ration Demolition p � � -vl.Cit-h Un�.+� Type of Work Description of work: (� �Q,�_ � � NOTE:Roof mounted and ground Mounted mechanical equipment is reqUired to be screened by City I Code. Please contact the:Mechanical Inspector forInfori�on on,permitted screening.methods. RESIDENTIAL 1 COMMERCIAL Furnace New Construction Interior Improvement I Permit Type Air Conditioner Install Piping _Processed _Air Exchanger Gas Exterior HVAC Unit IHeat Pump _Under/Above ground Tank (_Install/_Remove) I Other RESIDENTIAL FEES a 1 1 $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge t $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEESContract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee $ Surcharge I Surcharge=Contract Value x$0.0005 I If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE 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 i of to start without- o- .1;that the work will be in accordance with approved plan �in the case of work which requires a review and approval of plans. x ( X� " 1\10 x ( .i 4 Applicant's Printed Name App Si. -ature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test° ,; Gas Service Test In-floor Heat ' Final HVAC Screening . . Use BLUE or BLACK Ink t,1111.' -- k-1 For Office Use --—------------- Iry Permit t , U ...4. o' .. z / ,--,/ CXPermit Fee: 62 7/• /i ,t,'' 44`t is ns9' Date Received; 3830 Pilot Knob Road ( Eagan MN 55122 Staff: Phone:(651)675-5675 I Fax:(651)675-5694 ,_ , buildineinspectione@pitvofeaoantcorn 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11/06/17 Site Address: 633 Hillside Dr Unit it: 7Name: .. • • 1,------__----; __—_,-----. — . . • • - — 1 I Simi George & Gururaj Nayak Phone: 651-271-9693 I 1 • ' .1 Resident/ t owner Address/City/Zip: 633 Hillside Dr, Eagan, MN 55121 . t Applicant is: owner Contractor i ht.„...... —, : Mti....M.R.1.1.....WPAMI.S...W...d. Urn } Z ' Description of workDeck addition/Re-deck Re-rail existing deck De : '-. Type of Work Construction Cost: $9,338.63, Multi-Familyy3uilding: (Yes /No X t , Contact Company: Outdoor Spaces Design & Build Co. Jayme Quinnell tI Add5378 193rd St W Farmington Contractor ress: City: i ',. State: MN Zip: 55024 Phone: 651-235-1100 Email: iayme@osdab.com i cense*: BCd Certificate It: 689582 NAT-F168253-1Li * . If the project is exempt from lead certification, please explain why: f i\ I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i / 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 plant: i it ILicensed Plumber: Phone: — Mechanical Contractor: Phone: _ l I , 0 Sewer&Water; Contractor: Phone: I Fire Suppression Contractor: Phone: ; _ I NOTE:Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be .,,,,classified as noa?ubile if ou..rovide .-rifle reasons that would,' mit theEVALonclurie that the are trade secrets, You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www,citvofeaoantcornisubscribe. 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, 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.ctopherstateonecalLom 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 " .... - .e- ,-that the work will be in accordance with the approved plan in the case of work which requires a review and approval of.ans. ) ,,.,111k_ X Z.6`-"t14,--"" \..,‘...-,,..--S-v--.. \—k Applicant's Printed Name x 1 -4, - _..,...__: „_ec...__,_' plicant's S't attire-a Page 1 of 3 _. . . -c-:-_. D.4 - e <-_ .... . DO NOT WRITE BELOW THIS LINE ; ll_scie /v6 SUB TYPES — _ Foundation Fireplace Porch (3-Season) Exterior Alteration(Single Family) _ Single Family Garage Porch(4-Season) Exterior Alteration(Multi) Multi 4 Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool _ Accessory Building --- WORK TYPES New Interior Improvement Siding _ Demolish Building* y,.. Addition Move Building Reroof Demolish Interior _ I' 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 '7 (e 00 Occupancy ....N,IL MCES System Plan Review Code Edition ki\AN..01451 SAC Units (25% 100%1 ) Zoning —4 — City Water Census Code Stories Booster Pump #of Units Square Feet PRY #of Buildings Length Fire Suppression Required Type of Construction VI) Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: )( Footings(Deck) Final I CO. Required Footings(Addition) -)L Final/No C.O. Required Foundation Foundation Before Backfill i HVAC Gas Service Test Gas Line Air Test Roof: Ice &Water Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test __Final Siding: Stucco Lath Stone Lath Brick EFIS Insulation Windows ____ Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression:_ Rough In Final Braced Walls Erosion Control _ Shower Pan Other: Reviewed By; _ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge 0 Plan Review (1.1131C/ -.(grol/ r MCES SAC 9 4.. City SAC J Utility Connection Charge S&W Permit& Surcharge Treatment Plant )( ,-0--, 7 & 0 D Copies TOTAL Page 2 of 3 -1-• ; 1 4.- 4.. 4 - . 2422 Enterprise Drive Mendota Heights, MN 55120 * PIC3NEE012) 681-1914-Fox 681-9488 LAND SURVEYORS • CIVIL ENGINEERS _ __ _......... engineering LAND PLANNERS• LANDSCAPE ARCHITECTS 625 Highway 10 Northeast Ar * Blaine, MN 55434 -0( 4 4. 12) 783-1880.FOX 783-1883 Certificate of Survey for: McDONALD CONSTL, CTION CO. House Address: 6733 Hillside Drive, Eagan, MN Model Name: S 8670150" E 100.21 ..........._.. ____ in Pr 81A- 1 — 5 4, 1 13 1 12 11 1 EAGAN REVIEWED .n,e 1 51 - / 4,7 74, „V-2,•+5 r) j / . (AC vt.)A 17 .;c34-0.1r,- _0 5.-1. .............. ...................... ........„.14‘. I ---.1 °- 1--- -r- — 1.31ao -45.00 '6' 22. i. 79z 1 i ...p., ..-- I t ''.' . rt,,-4 '4 PROPOSED HOUSE ti . .._.,DATE I 19.00 1 FULL,il\DLAJZE::„1,erT i.,.., I(f,2 IT1 . 8 15,3a 339.75" GARAGE 1 33.67 /$4'I.\ 1 :-, ., . :131.ot) 11.00 1,-; 19.33 2 22.96 i " ,. , 94• 1' 1- _ --y-c3-4 .4.- I s‘K., 4. cs,1416,A) . ... ...... I DRIVEWAY I r.: •......___----. ist —4,-7n 941100.00 S45-4- riirwici '.; S 88'52'02" E 16.4ix• . -` - " ' . • r ri#1.9r W 7/ 7S. ,/- H1 _LS1D: DIV:--- EAGAN INGIREtRING DEPT ,..-, — — — — — — — — — —R-R•Vw-RECIURED • . I NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162857 Date Issued:07/31/2020 Permit Category:ePermit Site Address: 633 Hillside Dr Lot:12 Block: 3 Addition: Bur Oak Hills 2nd PID:10-15501-03-120 Use: Description: Sub Type:Residential Work Type:Rebuild Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee $59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Gururaj A Nayak 633 Hillside Dr Eagan MN 55121--235 (612) 206-2968 Noah Acquisitions Llc 5718 International Pkwy Brooklyn Park MN 55428 (612) 822-5292 Applicant/Permitee: Signature Issued By: Signature