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4720 Hittner Pt ÿÿ þýýüûúÿú ÿ ùüüýýø ÷ þý ÿþýüû ú ùýüûø÷ ûú öÿûõôÿõóÿþò ûñðï ý îî íî ì íðó ø ò õëñêûõïé è í èî íí öù ÿó ëçé è ð èð õôóô òñ ûû âóú òòó÷ íðó øîã äòø òø ñãáïãî ððî óþü÷ó óæóûûóóåõõûü÷óûûþ åò ÿúüåäè ûûà õ ÿ ÿü ÿ RESlDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN $70OO ????? ? 3830 PILOT KNOB RD - 55122 651-681-4675 Callt _t 5'?I0I New Construction Renuirements RemodellRepair Requirements " • 3 registered site surveys showirg sq. ft. of lot, sq. ft of house; and all roofed areas • 2 copies of plan (20°k maximum lot coverage allowed) . i set ot Energy Calculahons for heated additions ? 2 copies of plan showing beam 8 windaw sizes; poured found design, etc.) . i site survey for extenoraddNons & decks • 1setMEnergyCalculations • 3 copies of Tree Preservation Plan if lot platted after 7/1193 • Rim Joist Defail Options seleGion sheet (61dgs wAh 3 or less units) DATE V??14 VALUATION (EXCLUDING LAND) JOB SITE ADDRESS y?20 NkTnV EYZ-. 'P01 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER TYPE OF WORK `(;7eLV-. i ['?N?,Yt„?ctfc VV,%uL- FIREPLACE(S) _0 _1 _2 _3 APPLICANT GITY V-1o0,A-eS, PHONE# a52•41,1Dq' IAC7D ADDRESS ?20 La?.ev???? RLVb ZIPCODE SSU'\-lLA PAGER # CELL PHONE # FAX# QS2,•\A1Oq• (OQIO NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) _ MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULFS 7672 New Energy Cade Worksheet Submitted Plumbing Contractor: _ Plumbing Systetn Includes: Mechanical Contractor. Mechanical System Includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System All above information must 6e su6mitted prior to processing of application. ree: $90.00 Fee: $70.00 Ma11) 113 I hereby acknowledge that I have read this application, state that the information is correct, an agree to c9_4q&'Wi all applicable State of Minnesota Statutes and City of Eagan inan s. Signature of Applf ant _ W Certificates of Survey Received _ Tree Preservation Plan ecei d _ Not Required _ Phone #: Water SoFtener I.awn Sprinkler Water Heater No. of R.I. Baths No. of Baths Phone # Phone # Updated 1l01 OFFICE USE ONLY ? 01 Foundation O 07 OSplex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 04 02-plex ? 10 08-plex p 18 Deck ? 23 Porch (screened) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous p 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 30 Accessory Bldg ? 31 Ext. Alt- Multi ? 33 6R. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish(Bldg)* ? 43 Reroof ? 46 'WindowslDoors' *Demolition (Entire Bldg only) = Give PCA handout to applicant Valuation ?O(JO o `-U? ,p Occupancy Census Code #34 Zoning SAC Units , OL Stories Nbr. of Units _L Sq. Ft. Nbr. of Bldgs Length Type of Const ? W idth Footings (new bldg) ? Footings(deck) _ Footings (addition) Foundation Dram Tile Roof Ice & Wa[er Final _ Framing _ Fireplace _ R.I. _ Au Test _ Final Insulation MC/ES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbmg HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL BUILDING PERMIT APPLICATION CITY OP EACAN U . ? ? 3830 PILOT 55122 L ? 651 C C°???s? l ?'? 2 C? New Construction Reouiremants RemodeVReoairReauirements • 3 registered site surveys showing sq. ft. of loi, sq. ft. o( house, anc911 roofed areas • 2 copies of plan (20%maximum lot coverage albwed) • 1 setof Energy Calculations for heated addiGons • 2 copies ot plan showing 6eam & wmdow sizes; poured found design, etc.) • 1 site survey for extenor addNons & decks • 1 set of Energy Calculations • lnftate rf home served by septvc system tor adddions • 3 wpies of Tree Preservallon Plan A Iot platted after 711193 . Rim Joist Debil Options selecUOn sheet (bldgs with 3 or less units) DATE 16 / 7-11 Q J VALUE[J? S? U U JOB SITE ADDRESS 4.716 N I-lrN.fR PurwTr IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER TYPE OF WORK I3A6Et'ngN7 Fl-lvtlly FIREPLACE(S) _ 0?5, 1_ 2 APPLICANT GoIIei e. Cr7Y HoMCs PHONE# 95Z-96?-6960 ADDRESS PAGER # CELL PHONE # ZIP CODE FAX # NEW RES{DEtVTIAI BUILDING ONLY- F{LL OUT COMPLETELY Ener9y Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Caiculations Submitted MINNESOTA RULF,S 7672 - New Energy Code Worksheet Suhmitted PlumbingContractor. /< t"AN Phone#: G!?I 4z-3 1144"' Plumbing System Includes: Wa[er Soflener Lawn Sprinkler Fee: $90.00 Water Heater No. oF R.I. Baths _L No. of Baths Mechanical Contractor. ?s c V. z- r, i A hf Phone # G S I- LI 2-3 ? I Mcchanuril System Includes: _ Air Conditioning Fec: $70.00 _ Hcat Rccovery Systcm - nV? nf?[l?J Sewer/Water Contractor: All above information must be submitted prior to processing of application. I hereby acknowiedge that I have read ihis appiiCaiion, siate that the?(nf rrr with all applicable State of Minnesota Statutes and City of Eagan Ordin c Signature of Applicanf ? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ to comply Updated 1/01 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pooi ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) Q 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex X 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbg)(Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation ?800 a? Occupancy MClES System Census Code N3 ?f Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered TypeofConst V -N Width ? ? Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water Final Franuug- Fireplace X R.I. )( Air Test e* Final Insulation Other _ Pool Ftgs A'ulGas Testr _ Final _ Sidmg Stucca _ Stone _ Windows (new/replacement) r Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total REQUIRED INSPECTIONS FinallC.O. ? FinaVNo C.O. Plumbing HVAC f-vlrSi? ? 70. °?= T? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 1 1 3830 PILOT KNOB RD - 55122 651-681-4675 New Conslruction Reouirements . 3 registered site surveys showing sq fl. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.} . 1 set of Energy Calculahons • 3 copies of Tree Preservation Plan if lot platted after 717193 . Rim Joist Detail Optons seledion sheet (bkigs with 3 or less units) DATE II_ I Ot JOB SITE ADDRESS /_ IF MULTI-PAMILY BUILC PROPERTY OWNER-j TYPE OF WORK I04 HOW MANY UN PAGER # 470.oa RemodellReoair Reauirements • 2 copes of plan • i sel o( Energy Calculations for heated addihons • t site survey for extenor addi6ons & decks / VALUAT ON (exCwol G ? ?DDO• ? WS /FIREPLACE(S) ` YES _ NO PHONE # 1i2 S?fJ' 0-74* [ Yr e s5337FAX # NEW RESIDENTIAL BUI ING ONLY - FILL MPLETELY Energy Code Category ? /-Energy ESOTA RiJLES 7670 C GORY 1 (check one) sidential Ventilatlon Categ ry Worksheet Submitted Envelope Cal lati n ubmitted ESOTA RU 672 w Energy Code sheet Submitted Plumbing Contractor: Phone #: PluinLing Sys[cm Includes: NVater Soften Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. oF Baths ? "! " ?' ??QV v? -? Mechanical Contractor: Phone # [ J ? M cchuiical Systctu Inclu s: Air Conditioning P'ee: $70.00 Heat Rccovery System +r1 -?' -rj r' ?? Sewer/Water Contractor: Phone # 1 _ i. In All above information must be submitted prior to processing of application. I hereby acknowledge thaT I have read this application, all applicable StaTe of Minnesota Statutes and City of E SignaTure of Certificates ot Survey Received _ Tree Preservation Plan Received _ ANo\1 t?, with Not Required _ Updated 'V01 OFFICE USE ONLY ? 01 Foundahon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multl ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF D 04 02-piex ? 10 OS•plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuatian Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr, of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addihon) _ Plumbing _ Foundation HVAC Drain Tile Roof _ Ice & Water _ F inal Other _ Frammg _ Pool Ftgs Air/Gas Tests Final _ Fireplace _ R I. _ Air Test _ Final _ _ Siding Stucco Stone _ Insularion _ _ _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspectar Address Zip 5512_L LAt 2 $jk 1 Sub Hittner Addition THESE ITEMS WERE / WERE NOT COMPLEfE AT THE TIME OF THE FINAL INSPECI'ION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Perntanent gas Sod/Seeded gass TraiUcurb damage Porc6 Basement finish Deck Please verify with the builder the removal of coof est caps from the plumbing system and the shutroff of water supply to the outside lawn faucet before freeze poteqtial exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy Cities Digital itv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. PERNIIT # 4 l ? ? RECEIPT DATE. I ? ' I. ' ? I RE.SIDENTULL PLU14I$INfi PERMTT APPLICATIOPt CiTY OF FAfiAN 3$30 PILOT IfNOB RD Ef4fiAN, MN 55122 651-681-4675 Please complete for: SITE ADDRESS: ? single family dwellings > townhomes and condos when permits are required for each unit `r 6ackflow preventer for irrigation system i ?- OWNER NAME: : TELE?HONE (AREA CODE) I INSTALLER NAME: TELEPHONE #: (AREACODE) STREET ADDRESS: L' ,:, CITY: STATE. 1? /?, Pl??o a rhn,4 m>?4 nnv++n ihc narmi} ?unr4 #vnc \" ZIP. ' ' .e- New residential dwelling unit under construction and not owner/occupied $ 90.00 ? Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • waterturnaround Nature ot work: .4 v=`: Septic System, new/refurbished - $ 225.00 • inciudes County & Consulting Inspector fees • requires MPC license State Surcharge 50 - - .- - , i _, ._.?; Tota I Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water sotteners, etc. I hereby acknowledge tna[ I have read this applicahon, stale [hatthe information is correct, and agree to co`mplywdh all appiicableCiryofEagan ordinances. It is the applicant's responsbility to notify the property owner that the City of Ea9an assumes no liability for any damages caused by the City during its normal ,?rationai and maintenance activities to [he facili[ies constructed under this permit withm City property/right-of-way/easement. SIGNATURE OF PERMITTEE Updated 1101 Surveyor's Certificate SURVEY FOR : COLLEGE CITY DESCRIBED AS ; lot z, elock ,, HITTNER aDDITION, G1ty of Eogon, Dakota County, Minnasota, cnd reserving eosemants oi record. ? 0 50? ti ? J?. *? O p ?? ? tx5 I,,qe a ? Q n ? i Exist. Homa ? T09 . 920 0 ? r i i i i I / ?J -G--- N co?ov" o.. o?,p I Of oP3 i 1 24.00 y, { t2cm. s i \ NI. gt 81 ? I Q18,SG1 ??y.a N89°02'; 4S fJ„? ? .. .. , ' a?'4 0"OAK ? ---------r---- ?a ? :G2?90AK p.R o ? ?ossd ? ??.?i I 3wly RiMiM0°?`0? l 15cs. an 1 .? ? .? r???F yl9 1 QB?q??? ? '?------- ----L-----J L0T SQ. FODTAGE HSE. SQ. FDOTAGE LOT COVERAGE - PROPOSED ELEVATIONS Top of Foundation = 4?• 7 Goroge Floor = 410,2 Basement Floor = qi;l.'j Aprox. Sewer Service =Aoq, i Proposed Elev, Existing Elev. _ prainage Oirections = Oenotes Offset Stoke = • SCA?E: 1 Inch . 30 leel - 157 -.1 = 95,596 = 2,3 72 N v+ r 4lp`.T3 J?J BENCHMARK, "J MIN. SETBACK REQUIREMENTS Front - .3o House Side - 15 Rear - 3o Goroge Side- 15 JBNb ??????? I HEREBY CER7IFY THAT THIS IS A TRUE AND CORRECf REPRESENTATION ?OR-163 OF TME BOUNDARIES OF THE nBOVE DESCRIBEO PROPERTY AS SURVEYED BY ME OR UNDER MY OIRECT SUPERVi510N AND DOES NOT PURPOR7 TO BOON; PAG PLANN/N6 6NClN66RINC SURV6YlNO SHOW I?1PROVEMENTS OR ENCROACHMENTS, EXCEPT AS?HOWN, 2005 Pin Oak Drive /_Q Eagon, MN 55122 OATE __/J/M Phane: (651) 405-6600 Fox; (651) 405-6606 w? l 'd 66E6'oN LICENSE NuMB?,W 4379 I Hktner 9NIa330N3 W103H WdLM OOOl 'E 'AeW # f QC-7 7 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) 15I86. q 5 CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-8$1-4675 Naw ConshucNion ReaWremeMa Remotlel/Reoalr Reaufremenb D S repisfered dh wwey$ slwwlnp sq. R ol lot, sQ. fl. ol howe 2 coPies o1 plan atd 9H roofetl Creaa (IIOXe mmdmum lol covemae allowedl 1 aet o1 eneryy edeulaHOn3lot heWetl tWdBloro > 2 coples ot daro (ahow beam 8 wintlow tlxes; Pa+red (nd. desipni etc.) 1 pte wrvey lor axlador addltloru R tlaeka D 1!91 Of eneryy calculalions a S coples o1 hea preservaMOn plan M bf pWMeO aRer 7/1/93 oA,E: ??V 1 000 DESCRIPIION OF WORK: State: STREET ADDRESS: 4-+ 2'Q -T 1 i Zt v t CiV- Pow)("-e.r, lJ LOT: ol BLOCK: SUBD./P.I.D. i: "?111 Y1f?? '?/??/?'?\r?' PROPERTY OWNER Name: Phone Y: l,asl Flrat Sheet citY Zip: #: b12 VIA- ?0197") (area caae) CONiRACTOR IJcense# 1 2DGI Exp. CIty?Q ? ?( f. State: t' 1 n Zip: 5U '-C ARCHRECT/ ENGINEER Compony: U? I ? ?? ? 0 S Name: Telephone?: lprQn - Sheet Address: RegishaHon #: ? Sewedwater licensed plumber (If Insfallfna sewer/waterl: ? -Y\, I herrebY acknowledpe fhat 1 have read Ihis appticolion, s4ate ttwl fhe in Mon is of Minnesola Statutes and CNy of Eaqan Ordinoncea. Clty State: Zip: Phone #: (bli-i 695l ' 43 J , )1 q ? Signalure of OFFIGE U5E QNLY Certificates of Survey Received -Y Yes _ No Tree Preservadon Plan Received - Yes - No COST: ??? 10w ? and agree to comply wdh a9 appdeable State - Not Required L ?x ? OFFICE USE ONLY BUILDING PERMIT SUBTYPES O 01 Foundation O 07 OS-piex j( 02 SF Dwelling ? 08 O6-plex O 03 01 of _ plec ? 09 07-piex O 04 02-piex ? 10 08-plex ? os 03-PleX a 11 1 aPleX ? 06 04-Plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex O 21 Poroh(3-sea.) [f 31 ,ExtAlc - Multi ? 17 Garage 0 22 Poroh/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 18 Deck 0 23 Porch (screened) ? 36 Multi ? 19 Lower Level ? 24 Storm Damage Pfbg _Yor_N ? 25 Mlscellaneous O 20 Pool O 30 Accessory Bldg. ? 36 Move Bldg. O 43 Reroof O 37 Demolish (Bidg)' ? 44 Siding ? 38 Demoiish (Interior) ? 45 Fire Repair O 42 Demolish (Foundation) 0 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code ? No. of Units No. of Buildings ? Const. (Actual) (Allowable) UBC Occupancy Z Zoning # of Stories ? sq. ft. Length sq, ft. Width Footprint sq. ft. Basement sq. ft. I n r, Census Code Main level sq, ft. MC/ES System 0- ix - sq. ft. so OL City Water (xda&4 sq. ft. ? Booster Pump PRV Fire Sprinklered MISCEUS INSPECTIONS ? 1S/,?ff L APPROVALS Planning _ Permit Fee Surcharge Plan Review License MC/ES 5AC city s,ac Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Building 14W Engineering Variance Valuation: $ dog X /?hAPr> "9? ,Jn l/ Gv4X qy?X 72 P u 090 s y ? s'o, /? = 1177( 73? ?r?oZ , SAC Units % SAC Surveyor's Certificate SURVEY FOR : coLLECE cirr DESCRIBED AS ; Lot 2, Block 1, HITTNER ADDITION, City of Eogon, Dokoto County, Minnesota, and reserving eosements of record. r , , ? RE , : i E.ist. Home / TOB = 920.0 ? ? ' Dg? 7 ?ry ?q ?qypp i ? Y i ?J Z?,yo ? r N N W• 'x o Fy *yy-? 4 411 "_, , O p ?r 4 Lo ? NQ0 10AK ? ? • _ _ _ - , ______ N 7- 5"E 168.70 0 0 I? °r' 91b.T4 ° 33 6? fO I i Ui I I V ? ro9e o 3850 ' I 2 pr°P3ca ?Zcs. ? N y /p ° I U? I'?•1` i\ Q W ?2400 mZ°gasad ? GvnD ? a - 3 '? Yja??,vY ? o °2.6713?5? dIk 1 TI?LF q18.¢ O ?+ II \ N1 01 D 2? ?3 Q I w i ? '01 0{ 'o? IS•4 I ? 1 1 SGI !^ I ? ------L -----? L__1_?_ _- h qi5.?3 q?y o N89'0235"E 142.26 9a•m LOT SQ. FOOTAGE = 15,596 HSE. SQ. FOOTAGE = 2,372 LOT COVERAGE = 151'o PROPOSED ELEVATIONS Top of foundation = 920• 7 Garoge Floor = qi9,2 Bosement Floor = 41,1 1 Aprox. Sewer Service =qnq, I Proposed Elev. _ ? Existing Elev. _ Drainage Directions = Denotes Offset Stake = • r sw (1 0 ° o?]o rn??: BENCHMARK, SCALE: 1 inch = 30 feat MIN. SETBACK REQUIREMENTS Front - so House Side - is Reor - 3o Gorage 5ide- is JOB NO: HEDL(/ND I HEREBY CERTIFY TMAT THIS IS A TRUE AND CORRELT REPRESENTATION OOR-163 OF THE BOUNDARIES OF THE ABOVE DESCRiBED PROPERTY AS SURVEI'ED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PACE: PLANN/NC 6NC/NB6R1NG SURVEY/NC SMOW IMPROVEMENTS OR ENCROACHMENTS, E%CEPT AS SMOWN. 2005 Pin OOk Drive Ca0 FILE !T_ //_/? Eagon, MN 55122 DnTE Z JQ. : Phone: (657) 405-6600 1 E LINDGR , LANO 5 RVEYOR Hittner Fox: (651) 405-6606 OE A LICENSE NUMB 14376 R?r?1v?? ?4?F? J a ???? CITY OF EAGAN 0 (? CASHIER: JS TERMINAL NO: 728 DATE: 04/28/0CI TIME: 14:23:12 ID: NAME: COLLEGE CITY HOMES 2252 9220 4720 HITTNER PT ' ' 30.00 3210 9001 4720 HITTNER P I '' 00 1 100 3966 9379 4720 HITTNER P '' . g15 30 3422 9001 4720 HITTNER P ' . 1 089.00 2275 9220 4720 HITTNER P r , 00 11 3446 9001 4720 HITTNER PT . 50 0 2155 9001 4720 HITTNER PT . OC SO 3743 9220 4720 HITTNER PT . g? OC 2155 9001 4720 HITTNER PT , 0C 492 3868 9220 4720 HITTNER PT . ** CONTINZ CR128595 CONTINT ** USER ID: JZ-1N *t*+****a****?*************t*?* CONTINLTEll CITY OF EAGAN CASHIER: JS TERMINAL N0: 728 DATE: 04/28/00 TIME: 14:23:13 ID: NAME 3716 9220 3713 9220 3865 9220 COLLEGE CITY HOMES 4720 HITTNER PT 4720 HITTNER PT 4720 HITTNER PT Total Receipt Amount: CR128595 USER ID: JAN 114.00 50.00 840.00 5,186.95 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ? n H ? W ? C 0 O O- n .n a :1 '?'a ? 0 lo: ? ? ? ? ?.a ? ? ? ? ? ? PROPERTY LEGAI.: DA7E OF SURVEY: LATEST REVISION: DOCUMENTSTANDARDS ? • Registered Land Surveyor signature and company • BuildingPermitApplicant • Legaldescnptian • Address • North arrow and scale • House lype (rambler, walkout, split wlo, split entry, lookout, etc.) • Directianal drainage arrows with slope/gradient % • Proposed/ebsOng sewer and water services 8 inveR elevaUOn • Sheetname • Driveway • Lot Square Footage • Lot Coverege ELEVATIONS Euistin ? o o • Sewer service (or Proposed) ?? ? • Property comers o? ?` • Top of curb at the driveway 't? • Elevations of any existing adjacent homes s?o ? Adequate footing depth of structures due ta adjacent utifity trenches Prooased v? ? • Garege floor q? ? ? • First floor r? ? ? • Lowest exposed elevauon (waikouVwindow) c? ? ? • Property corners q/ c? • Front and rear af hcme at the foundation / PONDING AREA (if apDlicable) ? C/ o • Easement line ? ? • NWL o [/ o • FiWL ? ry? ? • Pond # designaUOn 0 4?0 • Emergency Overflow Elevation M/ ? ? ? ? y? ? ? ? ? ? 0 ,? ? ?a DIMENSIONS • Lot IinesBearings 8 dimensions • Right-of-way and street width (to back af cur6) • Proposed home dimensions induding arry ProPo•`+ed decks• overhangs greater than 21, porches, etc. (i.e. atl structures requiring permanent footings) • Show all easements of record and any Giry uUlitles within thase easements • Setbacks of proposed sVucture and sideyard setback of adjacent epsting structures • Retainin9 Wep requiremenis,'rf any Reviewed: March 1999 CpAIGrBLpGPRMf FM L BL I CITY USE ONLY SUBO, tTl+1 YIey- RECEIPT #: /D 7053 $Iflb5o RECEIPT DATE: PERMIT# qO`I 70 8000 PL[JM$IN6 PUM1T (USIDEN17AL) CII'Y Oi' £mkN 3$30 PII.OT KROB t{D i:kHtk1V, bfA 55122 651-e81-4675 Please complete for: ? single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinklersystem FIXTURES f3Tl3C1 # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ "E' Floor drain 3.00 x = $ 31b- Gas i in ouUet ' minimum - t 3.00 x = $ ?-' Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x $ 3°= Laund Va 3.00 x 1 = $ 6°- Lavato 3.00 x = $ 2d= Se tic 5 stem newlrefurhished • re uires MPC Ifc. 75.00 X = $ Se tiC 5 Stem abandonment 30.00 X = $ RPZ new insWllatlon/repairlrebuild 30.00 X = $ Rou h o enin 1.50 x 49 14 = $ e-° Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler irexisun awenin 30.00 x = $ ? Water cioset 3.00 x 3 = $ °D I Waterheater 3.00 x = $ °e- Water softener 1} dwelling undercansVuMlon 5.00 x = $ Watersoftener ifexisun dwamng 30.00 x = $ Waterturnaround 30.00 x $ State Surchar e .50 -? --> ---? $ .50 Totai --> -' -__? ....> y 921-iD Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------ ............... .. ...................•--------------------------••-•-------------------------------------.....-----------••--------- I hereby acknowiedge that I have read tliis appliption, state that the information is correcl, and agree to comply witli all appGcahle City of Eagan ordinances. It is ttie applicanPS responsiDility W natity the property owner that the City of Eagan assumes no liability for any darnages qused by the City dunng its normal operaUonal and maintenance adivities to ihe facilities consVUCted under Nis permd within City property/right-of-way/essement. SITEADDRESS: ?\'TTt?\Q 12 a?G1tiTf? OWNER NAME: : Cjn0P& l 1"C'-1 &2a5 TELEPHONE #: (nn) M (AREA CODE) INSTALLER NAME: STREET ADDRESS: 1IN-A"0d ? Y? Q!) kV-1e-T I 2At1 CITY: A-nT ? 4q STAT SIGNATU OF PER ITTEE CITY USE ONLY LOT ? BL susD. Hi4helr -tl y?,50 PERMIT #: qOH 73 RECEIPT #: ? a 7 US $ RECEIPT DATE: l ' d0 'O (I 2000 MECHANICAL PERMIT (RESIDENTIAL) nate: w isn f n b Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occuoied. • HVAC: 0-]00MBTU ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) State Surcharge Total $ 30.00 6.00 .50 $ LFZ s° Complete this section onlv if you aze remodeline, addine to, or re airin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repau. New _ Alteration _ Repair Fumace Air exchanger Other Air conditioning Other Fee $ 30.00 State Surcharge .50 Totai $ 30.50 Reminder: Call for inspections SITE ADDRESS: WI 7-0 4h T'rllJ&L &n/ T OWNERNAME: C Uk?Lc C1 ry b6? PHONE#: (0?2 logCC) (AREA COUE) INSTALLER NAME: F?y?1?1Z - 2.9d0,J(1 PHONE #: 5( n 1 - LE Z 3- I l U U (AREA CADE) STREET ADDRE55: CIT'Y: CITY OF EAGAN 3830 PILOT HIi08 RD EAGAN 141 55122 651-681-6675 _ STATE: ?Il.l N ZIP: SIGNA OF P ITTEE 1 o 352:50 ULo 0 1 L BL SUBD. APPROVED BY: CITY USE ONLY INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECHANICAL PERMIT (COhMRCIAL) CITY OF EAGAN 3630 PILOT IQdOB RD EAGAN, bIIT 55122 651-681-4675 Please complete for: all commerciaUndustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK T'YYE: _ New constrvction Install U.G. Taok _ tnteriar Improvement _ Remove U.G. Tauk _ Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by Jire marshal and plumbtng inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground-tank removaVinstallation = minimum fee Contract price: $ x 1% _$ (Base Fee) State surchazge calculate at $.50 for eacL $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNERNAME: PHONE #: (AREA CODE) TENANT NAME (IlKPROVEMENTS ONLl): WAS TFIERE A PREVIOUS TENANT IN THIS SPACE7 Y N. NAME: INSTALLER: ADDRESS: PHONE #: ' (AREA CODE) STATE: ZIP: V SIGNATURE OF PERMITTEE PERMIT # 44 3 " ` RECEIPT DATE: RES1DENTIAL PLUMBLNH PERMIT APPL[CATICIN crrY oF EAsaN S$SO P1LOT KNOB RD E/kfit4N, MA 55122 681-6$1-4675 ' Please complete for: ? single family dwellings ? ? townhomes and wndos when permits are required for each unit ? backflow preventer for irrigation system SITEADDRESS: 14120 4( 771Z/k?;9, 2T7 OWNERNAME:: ftRite(5 /YJ/09"/f0_'0S TELEPHONE#: ?PS/-?OS-?8aq (AREA CODE) INSTALLER NAME: P • O r c50.O0UNi /!YG TELEPHONE #: l?/a _ 7?2/-4LolD STREET/iDDRESS: &(n(a (AREACODE) CITY: MI/Y/j?Fa?I-?O(JLlS STATE: //"W ZIP: 6-677467 Place a check mark next to the permit work rice New residentiaPdwelling unit under constructian and not owner/occupied - $ ' 90:00 "- dd-o modification or alteration to existin dwelling unit, including:.. _ $ -- 50.00 • abandonment of septic system • new installation/repairirebuild of RPZ • lawn irrigation system • waterturnaround < u/? V/Zeti /Q.?c? F?7?1 p?6kG /OQ- Natureofwork: ?C1QU,- ?3"Ir`te,WI&4 eA•- /¢at- jWorAwo Septic System, newirefurbished - $ 225.00 • includes Counfy & i.onsuiting inspector Tees • requires MPC license Water tumaround - existing dwelVing unit, inciuding: $ 50.00 • 518" meter 115.00 $ 165.00 State Surcharge $ .50 Total 90 Reminder. Schedule inspections of alteratlons, i.e. water heaters, water softeners, water turnaround, etc. Iherebyacknowledgethatlhavereadthisapplication,sWtethattheinformationiscortect,and e mpl withalla ipbleCity ofEaganordinances.lt is the applicant's responsibility to notily fhe property owner that the City of Eagan assumes n' r a amage used by the City during its normal operadonal and maintenance activities to the 6dliUes constructed under this pertnit wthin rty/' of-wa SIGNATURE OF PERMITTEE updated 9101 Use BLUE or BLACK ink 4 j For Office Use j Permit I City of Ea Permit Fee: ~ 3830 Pilot Knob Road Eagan MN 55122 i [date Received: _ i Phone: (651) 675-5675 l 1 Fax: (651) 675-5694 1 staff: l l 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Datw to Site Address:. f4 ~44, P4 t- Emit Name: lN~u r r 5 lV~a id1~-w~ Phone: Residentt n _ Address I City l Zip OWE@t Applicant is: Owner 7` contractor Description of work: P_ Q o k Terra of Work Construction Cost: Mufti-Family Building: {Yes F No avds,adr Company. A Contact; Address. r CityContractor State: M t-~ Zip: 0 H 4 Phone: L 2_ d & 7 '7 i4 2 License Lead Certificate s if the project is exempt from lead certification, please explain why: (see Page 3 for additional informations COMPLETE THIS AREA. ONLY IF CONSTRUCTING A NM BUILDING In the last 12 months, has the City of Eagan lasted 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. Sealer & Water Contractor: Phone: _ 1Y©T'E: Ptans 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 w., conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-O O2 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. fLr zF taw ai#. I hereby acknowledge that this information is complete and accurate; that the work viii 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 Mimmsota State Building Code must be completed within 180 days of permit issuance. ~ Applicant"s Printed Name Applicant's Signature Page 1 of 3