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912 Lakewood Hills RdINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesotai55123 Date Issued: (612) 681-4675 SITE ADDRESS: i rii I PERMIT SUBTYPE: I . v1 ` APPLICANT: ? TYPE OF WORK: t+u t i u i N (, 0 .1 1 Eit, 4 dt) /Wsoiya i ? ? PermR No. PermR Holdar Date Telsphone 8 S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Date Insp. Comments Footings I Foundation Framing Roofing Rough. Ping. Rough Htg. IbUI. Fireplace Final Htg. Orsat Test Fnal Plbg. Plbg. Inspector-Notiy Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final I A - - /? Well Pr. Disp. ? I N SPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 DateJssued: 1 i ' ta9,?°i't (612) 681-4675 • SITE ADDRESS: APPLICANT: y Jf I I , , ?? , : ?:, „ '. „???,, ? ?•?, > Y ' - PERMIT SUBTYPE: 1 „ . TYPE OF WORK: .c: )_ , r INSPECTION ., . ., ? ?tltl f'?.si, . ra ! I r! I'1 CtP i .. 4I f Itt hiAlrA;S' ON 'iT fF Wt 1 I 7. i IJiVt,t +; µ:?$ h , . .. . . . . . ?, ? i •'. I I Permit No. I Permit Holder I Date I Telephone # I I S/W -PLUMBING HVAC InspecUnn Date 1nsp. CommeMs Footings I 1 1 0z Foundation ' bo Framing floofing Rough Plbg. Rough Htg. rf-- l5ul. ? Aw _ NaT Fireplace iLO Pv d 0,13 Qd o/o' ,a6 Final Htg. ac `.7._ OrsatTest Final Plbg. ??/% 7 y F! Plbg. Inspector - Nofrfy Plumber Const. Meter Engr./Plan 81dg. Final Deck Ftg. Deck Final Wel I a -/d ??/ ) 00 el-a-z Request Date ? Fire No. Rough-in Inspection Require ? NOTICE: You Must Gall Eleclrical Inspecior If A Rough-In Inspection es ? No Is Required. licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, eox or Rou o.) / City ??- Section No. Township ame or No. fiange No. Cou ?MW Oce nt (PRINT) Phone f•Jo. Power lier Atldress 1 E ecVical C racior (Company Nam ? Contractor' icense No, Mailing Adtlress (Con racbr or Owner Makin Inslallation Amhorized Signat e(COntractor/Owner Maki Instal/la?[ion) - Phone Nu MINNESOTA S7ATE BOARD OF ELECTRICITY / THIS INSPECTION REQUEST WILL NOT GNggs-Mldway Bldg. - Room 5-173 BE ACCEPTEO BV THE STATE BOARD 1021 University Ave., St. Paul, MN 55104 UNLESS PFtOPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSEO. ?REQUEST FOR ELECTRICAL INSPECTION ? See instructions br completing Ihis form on back ot yellow copy. .. 1411 "X" Below Work Covered 6y This Request E11-00001-08 ?-? Ne,yj Add Rep. 7ypeofBUilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Speciry) Farm Air Conditioner Other (specity) CAn[ractor's Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps 1015 Transformers Above 200 Amps 0_ Amps f15 SI Inspector§ Use Only: P ? TAL ?-^ 9 Irri ation 8ooms ?? . g_ ?? r Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT S. F I, the Electrical Inspector, hereby h Rough-in Date certify t at the above inspection has been made. Final ? oaie ? OFFICE USE ONLV This request void 18 monihs irom REQUEST FOR ELECTRICAL INSPECTION ? See insiructions?or completing this form on 6ack of yellow capy. M 43120 ' `X" Below Work Covered by This Request :a?•c'• EB-00001-OB ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Fange Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (speciy) Contractork Pemarks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ? 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Sigf1S Inspectar's Use Only: TOTAL <0 Irrigation Booms f / Speciallnspection ? ' Alarm/Communication THIS INSTALLATION MAY BE ORD D DISCONNECTED IF NOT Other Fee ? COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby if Rough-in Date cert y that the above inspection has been made. Final oace //?? OFFICE USE ONLY This requesl voitl 18 months irom 111160 y';?- 312 0 ./ ?` e) ??o1? ?/? Request Date ire o. Rough-in Inspection Required? - BS ? No NOTICE: Vou Must Call Electrical Inspector If A Rough-In Inspecfion Is fieqUifetl. I icensed contractor ? owner hereby request inspection of above electrical work at: Job ess (Sireet, Box or N City Seclion No. Township Name or No. Range No. Cou Occu ant (P INT) Phone No. Powe u plier Adtlress - ` ? ElecMCal geMractor (Company Name) I Co ractor5 Li n No. ? Mailing Address (CO racror or Owner Making Insiallation) i Autho ? ed ignature (COnVac[or/Own Making Ins allalio ) Phone Number MINNESOTA S7ATE BOARD OF ELECTRICITY ? THIS INSPECTION REOUEST WILL NOT, Griggs-Midwey Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BDARD 1821 llniversiTy Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phona (612) 842-0800 ENCLOSED. Address 912 LAxEwooD EnLs RoAD Zip 5512 3 L.oe' ' 1 Blk 1 Sub LqmKon rinLs 2rID THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TI11E OF THE FINAL INSPEGTION. Date: ?.5 J Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish n Deck SPwOR,k - Please verify with the buiider the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering divisioa at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy e MECHANICAL (RESIDENTIAL) Permit Application ? gCity 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 are rcquired for each unit Date 06 / 1 ( / G-3 Sit Add 91Z L ??* lu ? U it # e ress - f n _ Property Owner Telephone # 2 - -4_C'1.3 v Contractor ?e.` StreetAddress ??p5 ??'rJ? 'S?-?•. 'C,Q •? C ?J? City ?C1???'?O?n? State Zip 0G8-0Y_2F Telephone #(4-5j) 322 5? Z`P \4 The Applicant is _ Owner ontractor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 furnace replacement air exchanger . air conditioner ? 11? ? 1 other - '?1;?,. „ ?• ,? State Surcharge It" $ .50 T t l $ 6S? a o I hereby apply for a Residenrial Mechanical Pernut 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 with the Mechanical Codes; that I understand this is not a pernut, but only an application for a pernut, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. P, ` l Applicant's Printed Name Applicant's Signature RESIDENTIAL BUILDING PERMIT APPLICATION /?J CITY OF EAGAN 7 ?J 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewCanetructlon ReauiremeMe RemodeVReoair Requirements • 3 registered sile surveys showing sq. k. oi bt, sq. tt. oi house; and all roofed areas • 2 copies oi plan (20°k maximum bt coverage allowed) . 1 set of Energy Calculations for heated atlditbns • 2 copies of plan showing beam & window sizes; poured fourM design, etc.) • 1 site survey ior exterior addftions & decks • i set oi Energy Calculations . Indicate il home served by septic system tor addflions • 3 copies of Tree Preservatbn Plen A lot platted afler 7!1193 • Rim Joist Detail Options selection sheet (bldgs wiih 3 or less units) DATE ' -36^0_2__ VALUATION 94 SITE ADDRESS ?I `Z ? o?rJo tkA- I`5 QL MULTI-FAMILY BLDG _ Y 6&,^F V-,2?bL FIREPLACE(S) b4_0__ 1_ 2 TYPE OF WORKft5na=?- APPLICANT STREET ADDRESS ZAW?} 2=1 ?cst CIN QL)SZM STATE`m?IPe? TELEPHONE # lSk239-9±_6?S CELL PHONE # FAX # IL:l& I - `4 123?,162f) PROPERNOWNER TELEPHONE# ----------------------------------------------------------------------------------------- COMPLETE THIS SECI'ION FOR °'NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RUI.ES 7672 N submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbfng Contractor: Plumbing system includes: Mechanical Contractor. _ Mechanical system includes: Sewer/Water Contractor: Phone # Phone # Fee: $90.00 Fee: $70.00 ----------- ------ -------------------- ----------------------------------- --°--°------------ ------------- ------------°-- I hereby acknowledge that I have read this appiication, state that the information is corrept?to comply with all applicable State of Minnesota Statutes and City of Ea LQn OrdingAcw. Signaiure of OFFICE USE ONLY Water Softener ? Water Heater No. of Baths Phone # ? Iawn Sprinkler No. of R.I. Baths ? Air Conditioning _ Heat Recovery System Certificates of Survey Received ? Tree Preservation Plan Received _ I"t Required ,_ °° ndated 4102 PERMIT ??-7q5q CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: L -/° suzLnzrvG 023854 06/09/94 TE ADDRESS: P.T.N.: 14-44351-010-01 912 LAKEWOOD HILI.S RD LOT: 1 BLOCK: 1 LAKEWOOD HILLS 2Np DESCRIPTION: 1Buiitl3n§.;T„ermit Type DECK ?E3uildincj 4io.r-k Type NEW ., .? ` $ . . . -.'?? ? .J"i t{ ?! ?W. 1 4\ {? .Y' t -.... t? REMARKS: y„?? i?^" ? ? Li FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: - Applicant - sT. l.IC. OWNER: WAGNER HOMES INC 19532211 0062106 WR6NER HOMES ZN 7570 W 147TH ST 14420 GLENDA DR APPLE VALLEY Mhl 55129 APPLE VALLEY MN 55124 (612) 431-7557 (612)953-2211 I hereby acknowledge Ghat T Mave, roa-s} this `appl,a.ca°t-l,on an4 s'Ca-tla t}tat tht: infiormation is carre-ot and agree to. ettmp?y wi th* a:11 ap?licable State fr'?..Pt.r?. Statutes and C3:ty of Eag tlyd%nanoes. ? -__ ... . .....,,.. . ..._.. .. . . ._ .. . d. ? • .?.- ? ?. ? APPLICANTIPERMITEE S ATURE ISSUED BY: SIG URE CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION ?O 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registe e W4Ve+dsPl copy of energy cal cs . J U N q 6 199y COMMERCIAL 2 sets of architectural & tructural plans, 1 set of specifications, 1 copy of - ----- 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 June / 3 ? 1994 Valuation of work $3,250 Site Address: Al 2 T.akPWood xilis Road STREET SUITE # Tenant Name: (commercial only) LOT 1 BLOCK 1 SUBD.Lakewood Hills 2nd Add .P I D. # Descri tion of work: Construct deck & ste s. The appl i cant i s: ? Owner 10 Contractor ? Other (Describe) Name Phillios. Dave & Rubv Phone 452-4935 Property LaST FIRST Owner 972 Lakewood Hills Road Address STREET STE # Clty Eagan State Mn ZI p 55123 COmpolly Wagner Homes, Inc. Phone 953-2211 C ontraetor Address 14420 Glenda Drive L1C@I1S8 # 0002106 EXp, 3/31/95 Clty Apple Vallev Stdt@ MN Zlp 55124 Company Phone Architect/ Engineer Name Reg i strat i on # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the inf rmation is correct and agree to comply with all applicable State of Minnesota Sta tes d City of Eagan Ordinances. Signature of Applicant: 44 v v W o? 0 In ? ? fn (Y1 0 ? z .. . (844.r) N89°5Z'2-7"E C89yr ?28.89 -- 58r°47'o?,.E 0 0 /0 4. 59 ?899: ------- ----- ? 99.5 --- - ???_ 10 1-0-?DRAINFAGE AND ? UTILITY EASEMENT HU8-848.? ?? I (941,5o m ; ? ) No8 = 902.11 ? (sqq.3), 1 (947.33 ? LOT 1 A4 I 11) 'z,Z?!' BLOCK 1 I ti J , ? Q. o . a ? L+ nana 9ob.8 ,.._'1r%a5.5,) 3ry-c5 ID r?4_v? / ., T I I p /; c» ?i {po3$ ?D ; ?. ?9 I / ? ?? C9oc,.8) ? ? ? ? 90?0.41 I I ? I I ? GR?vE qy -f- ? i ? -- ? ? ?qoG o) I 5 N 86°40' 36"E (9a5.?) 3o.oDt,?\? ? la ; a ?0 i J il 10 l O Y Q ? \°7 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOVS?NHOIvIES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET ' minimum - 1 3.00 ROUGH OPENINGS 1.50 WATER SOF'?'ENER 5.00 ? PRIVATE DISP. • nax.cry. rc. 20.00 U.G. SPRINKI.ER • nome uneer const. 3.00 ALTERATIONS • to existing 20:00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTaL,: ?D. 50 SITE ADDRESS: 9/02 ? /'e OWNER NAME: ta? I?7 i.%/ J`rs INSTALLER:? ADDRESS: /?'c s'c lti' f?tg_ CITY: S-XG /STATE: /* /!? ZIP CODE: `~ 2P.. PH'ONE #: ( G/2) ?/"Yf?- Z/ 5'09 ?- SIGNAT RE OF PERMITTEE 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 ' a ?CITI( OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-44351-010-01 DESCRIPTION: PERMIT PERMITTYPE: BuzLoxNG Permit Number: 0 2 2 5 6 6 Date Issued: 11/ 3 0/ 9 3 912 LAKEWOOD HILLS RO 5,15- LOT: 1 BLQCKs 1 LAKEWOOD HILLS 2ND I Bu3lding,,Permit Type Bruilding'Work Typs U8C Occupan?cy?., canstructi rrn `i??l Zoning Building i.ength Buildina Width ,::.. e SF DWG NEW R-3 M-1 V-N R-1 68 4$ c? ?-_? ?.! ?? ,.? LJ I.1LI (1 a REMARKS: ON-SI7E WELL & SEWAGE FEE SUMMARY: Base Fee Plen Review Surcharge 5ubtotal vALuaTZOrv $972.00 $631.8@ $97.50 $1,701.30 $195,000 ROAD UNIT $_390.00 ToCal Fes $2,091.30 ?± ?TR??±Tnp?? ? i . L.i.1... n ?JQGNeR'190Tf?5 I N C 19532211 0002106 W??RHOMES INC 7570 W 147TH ST 14420 GLENl7A pR APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 431-7557 (612)953--2211 ? I hereby acknowladge that I have read this appiicatinn and state that the I informata,an is carrect and agree to camply with all applica6le State af Mn. Statutes and Cit,y af Eagan Ordinances, s ?: S?R ??R I rn?d APPLICANT/PERMITEE SIGNATURE REACTtI6'ATE _ .PE? 5'?V E D I`MIT ?; 0 0 9 1993_ CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION ss1-as7s SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & 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 11 / 09 / 93 Valuation of work Site Address• 912 Lakewood xiiis -Frrri-v-efi STREET SUITE * Tenant Name: (commercial only) 1 1 Lakewood Hills 2nd Addi _P IAT SIACK SUBD I D ? Dof work: The appl i cant i s: ? Owner Cl Contractor 0 Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE * City State Zip Company Wa gner Homes znc. Phone 953-2211 Contractor Address 14420 Glenda llrive L1C2nS@ #0002106 E4/31/93 Clty Apple `lalley. StdteMN Zip55124 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Jeche ExcavatinQ . 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. ? / r . g dTwes Signature of Applicant: ?1ex ? OFFICE USE ONLY BUILDING PERMIT TYP E . . ., ,- , . ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 BasemenA,,,Finish . )a 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. £ ? 17 .,?. . Sw.im Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Comn./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. O OS SF Misc. ? 10 Multi. Add'1. D 15 Deck ? 20 Public Facility ? 21 Miscellaneous woRK rrPE ? 31 New ? 33 Alterations ? 35 Tenant Firrish ? 37 Demolish 32 Addition ? 34 Repair ? 36 Move GENERAL INF ORMATION Const. (Actual) Y-nj Basement sq. ft. MWCC System (Allowable) v-h? lst F1. sq. ft. City Water ..? UBC Occupancy -3 M. 2nd F1. sq. ft. PRV Required Zoning R- t Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length (02-1 On-site well vEs Census Code ioi Depth g0 On-site sewage -7e-s SAC Code ?- APPROVALS ? ? Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS O Site ? Wallboard ? Footing 0 Final ? Framing ? Draintile O Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: 972.oo vatuaci«n: S JcfS?oc» r 9 7• so GARql,?E : 11, G7 X?i? u ?j33 )( 14 = ?30 - 05D X/ 6= 12, o00 ? _'= ?"15Zr? 16+5'?1? = ?yy?s-az- . SAC 9G SAC Units o , ,. ?o?W , P Y r 14750 Galaxie Ave. Su te 104 Apple. Valley, Minnesota 55124 (612) 432-2044 I , 77oN EXTERIOR ENVELOPE AVERAGE "U" CONff'UTATION ? :. NLME 1jj 5I-0 A? l-kr,viApn?; PL.?T n? 'q - 2.1-I q:S Determine worki.rg square footage of each 1. Total exposed wall area...... '3 zl C6 sq. ft. X .11 2? ? Z , ?? "•? . ,: 2. Total roof/ceiling area...... 2g?? sq.ft. X. .02? `j5,; ZZ . Total exposed wall area above floor. Z a. Total wallwiridow area.................. 3L1-1 b. TotaT door area. . . . . . . . . 10 `? : . . . . . . . . . . . . . . . ; c. Total slidt ng glass door area........... - d. Total fireplace wall area - ............... e, Total wall' framing area (average 10%) ... ? LI 1, Z F. Total net wa1.1 area above floor........... ? i Ll. C? . g. Total rim Joist area......... .......... 3 3Co Total exposed foundation area = 9 `6 h. Total faundation window area...........y? : i. Total net foundation area<above grade,..? Deterniine "U" value of each wa]:1 segment a' X ,tUft .52 U« _ b, .1 7 39 5 ? C. -g ,lUit 52 d. ,-:x liUll .68 = .. e, g liUli .096 = 3 2,7 L. f. g !'Ulr ,043 g, , X «rrl .041 = r 3, ? ? : h, g `«Un' 52, i. ;. g'nUu ,082 - :. ... 3. TorrAL .............................. 3t? Z, 5 ,. . If iten .#3 is the same as, or less . item #1, you ha.ve •: met the intent.of SBC 6006 (c) 2. _1_ =??t, '. ? LLLLLLLLLLLLLLLLL Y 1• n? BLocK I sun».o`_ak-L? nECE[rr ?b C/f03aG5,?& iuA-r? /o Y 7? 1994 C17'X OF rAGAN 1RRIGA'I'IUN TERI141'I' (F()R BACKFI,UW I'RI;VEN7'TR) C011I111EItCIAL lNS'CALLAI'IbNS - FURA1 AIUS'1, Br comri.E'['RU 13Y LICENSEU rLU111BER Uate: Conunercial GFA'I -' Residential (boulevards) GPM ? F_,xisting residential Area/address to be irrigated: 1 Iostaller: TTr?? Owner O Plumber C? Street address: 91( L)M/i L/ City, state & zip code: S+ Ta v I WvLI ST/G y Phone lI: c:?) ? (-l- y 77 ,-' Owner Narne: Street address: c'// 7 L R.ke- wao d,A ' I I s R 1) City, state & zip cvde: _(fq tic.?..? 141 v,--- Phone N: .- lrrigation contractor, iC diffeient than insialler: Telephone N: L15- 2 I hereby ficknowledge that 1 have re:+d this application, state that the informatiot? is correct, and agree lo comply with all arplicable City of Eagan ordinances. gi ure 'I'itle If constnietion activity occurs iti public easement ot City right-of-way, signeture of prciCerty owner is required. 7'he prnperty owner agrees to hold harmless (1?e City of Eagan for any damTges caused hy lhe City during its notmal operational and ttiaintenance activities tc) llte facilities constructed under this rermit williin City property l r ighl-of-way /easement. Froperty Uwner Approved by: PRV ? Yes O No New secvice ? Yes "1&0 llate bate- Meter Size Rc Cost ?- Fees due: Calculated oeK, F '1659 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTI7RES EACH TOTAL ?-- SHOWER 3.00 600 WA,TER CT C1SET 3.00 Z-0 a BA'T'H 'IRJB 3.00 LAVATORY 3.00 ? KITCHEN SINK 3.00 , LAUNDRY TRAY 3.00 ?s D CJ HOT TUB/SPA 3.00 WATER HEATER 3.00 ? FLOOR DRAIN 3.00 GAS PIPING OLTTLET • m;nim,w, . i 3.00 u u ROUGH OPENINGS 1.50 WATER SOFI'ENER 5.00 PRNATE DISP. • Dak.Cty. lic 15.00 U.G. SPRINHI.ER • home unacr aonst 3.00 ALTERATIONS • te adstioe 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE STTE OWIs INST ADD CITY: ? STATE: PHONE #: ( ) ?s -l .50 ZIP CODE: 5 ? PLUMBING PEItMIT (ItESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 T(1TAT • ? 7S C? PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT. X NEW CONSTRUCTION _ ADD-ON A/C AllU-Cilv r'URNACE FIREPLACE INSERT DATE 1-6-94 FEES HVAC: 0-100 M BTU LENNOX G20Q3/4E100 $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1@ $3.00 EACH) (5) 1 Ei QnP 2 gas fireplaces, gas dryer & range ADD-ON/REMODEL (EXiSTING CONSTRUCrioN) $ 20.00 STATE SURCHARGE TOTAL .50 $39.50 SITE ADDRESS:__ _ 912 Lakewood Hills Dr. OWNER NAME: wACtaEa HorEs TELEPHONE #: 953-2211 INSTAL,LER: FREDRICKSON HEATING & AIR CONDITIONINGf INC. ADDRESS: 3650 Kennebec Dr., #101 CITY: Eagan STATE: rua ZIP CODE: 55i22-ioos TELEPHONE #: 452-2775 SIGNATUlkE OF PERMITTEE 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 / / /2 ho.,?wf / 00_ uwsrs DAKOTACOUNIYPUBLICHEALTH•DEPARTMENT.uNiFOwwaECOROOFiNOnnounL sewn. GeTaeanwErrrsYsrEn,+ wm +-A P€RMtTtdO. DA=E: MUPdtClPALlTr: PIDNO. z 0 ? O1NNER VGV; TELEPHONE( LL SITEADDRES$ 7I.2 LaIS? wuDcf #,II,f ?tl CITY G G c, R d --- __ -Z1P Z SUBDMSION ADDITION BLOCK LOT AREA sq.n.lacras o PLSCOORDINATES: OF OF OF OP SECTION? TOWNSHIP T. N. RANGE R W. NEW j/rRECONSTRUCTION (CNECKAPPLICABL.E): SEWER[ ] TANK[ ] DISTRIBUTION [ITREATMENT [] OTHER p SOILBORlIdGS/TESTPITS:NO.2 atAx.DEPTii?tt. soiL'rvPF PERCOLATIONTESTS:NO._ AVG.PERCRATEMPI Q SOILSUITABlL1TY SLOPE: avG_% av?x_% SOILTMT.AREA ACCEPTANCERATE sy.ruspd. ? BIAIN. DEPTH TO RESTRICTlON in. TYPE: MOTTUNG [] BEDROCK [] WATERTABLE [ J NOTE ? RECOMMENDATIONS W F SRE EVALUATOR G R r t. .? TG ? e Y LICENSE NO. DATE y SEWAGE FLOW: SINGLE FAMILY [ J NO. BEDROOM$_ NO.BATHROOMS_ (TYPE____j SUBTOTAL gpd; ADD'L BRSPACE [] AAULTIPLE FAMILY [ j N0. OF UN[TS QQ SEWAGE FLOW PER UNR gpd @SUBTOTAL_ppd. NONRESIDENTIAL gpd DESIGN: TOTALFLOW dno 8pd TMT.AREA sq.ft WASTEWATER:SOFTENER[ ] GEOTHERMALPUMP( J GARBAGEDISPOSAL[ J z 0 OT?iEFl WATERSAVING DEVICES (ust) W SEWER: COMMON (I SEPARATED (rtitS S?rSr?,t):9LACKWATER (] GREYWATER [ J WELL: TYPE D? tt. ° SHORELAND/FLOODPUIINZONING [ ] SETBACKS SUPPORTAREARESERVED sg.tc. w RECOMMENDED DESlGN: TANK DISfRIHUTION TREATMENT I.- COMMENTS ? DESIGNER CS G r v STa Ll Pr LICENSENO. DATE ci: WATER METER [ ? DATE/aEnoiNG _ EVENT COUNTER [ ); DarEtPEwiNG "j DISCNARGETO BLDG SEWER: GRAViTY [] PUMPED [ ]PUMP: TYPE SI2E H.P. FL.OW gpm y BLDG SEWER: Ct.EwOUrS [ ? COMMENTS: Nn TVPF 6•r.en.enn 1daTE?sCJIPACT' /asl] 3WI?[iE ?EPfFiOnJ 1. M/P G6 -rT f" A?? C L GYt?P ?fJCO N ? ? /(I U U r 4 I. ?G/J /u rz--r. /(C < F t u.' coNSrRUCren oNSITE roESCwBE): - 3 MULT. TANKS: SEFUES (NC.) 2_ PARALLFI. (N0.)TOTAL TANK CAPQCITY 2 ?o o aai. tiuwHOLE SPECTION PiPE [ y PUMPINGMOLDINGTANK CnPacrnr_-gaLFlESeave__qaL auwMS/WCanau PuMPEwCLMEaCOHraacr[ l COMMENTS DlSTRlBUTION: GRAVITY PlIGRAVtTY OOSWC3 [] PRESSURE DOSING I J DOSING 8aUCOe CYCLES per day DOSENG PUMP SIZE H.P. SIPNON [] FLOW ppm Z O SPEdFlG1T10NS • CONTROLS: TYPEILOCATION ? DUALDRAINFlELD[) vALVEeOxNNe DISTRIBUl10NBOX eAFFLID() ¢ DROP BOX (NO. 3, CONTBNUOUS-LOOP: GRAViTY I J PFtESSURe I I INSPECTION PIPES ar, CAMMENTS .?. i3 C: ? ^-, +?. TOT.TMTAREA_L-1? 7 sq.ft. LATERALS:NOlLENGTH J " Y ?r 6 in. ON-CTRSPACING I ft. TOT.LATERALLENGTH'2g2ft.WIDTH " Z _ _ CONFl?'?:UREG.SERU\L[ ] PARALLEL[ ] CONTINUOUSLOOP[ ] NOTE b••,? ?? •::; }r;t(• ? PIPE:TYPE /i?a., ?.r DU4AA. ?' in. I..EVEL[?SIOPED 9G o y ,? ? Q PERFORATIONS: DIMA. Lin.; SPACING_JjIn. NO.OF ROWS 3 INSPECTION PIPES uJ ROCK: DEPTH UNDER PtPE12.2m. AT/ABOVE PIPE 2 in. AMT__2.Q_cub.yd.ftons ? o ROCKCOVER: GEOTEXTILEpgr? REDROSIWKRAFf PAPER [] HAYlSTRAW(47in.)[ ] e W OTHER BACKFILL: Trae DEPTH /2_in. NOTE Z TRENCH LINER: TYPe DEPTH in. NOTE ? \ 3G ¢ PROBLEM DRAINAGE ( ) aesoLveo sr ° COMMENTS INSTALLER UCENSE NO. COMPLETION DATE • o No S? u /P W o . ? y NORTH > y y W ? F N ' ? . ? Q • 4 Q Q N 10 C ? W 3 • 3 9' N Y U ¢ m ? w P ? co ui a /p o e c y 2 S F 0 P" 4" Z W ~ 0 ? U ? Z ? , r ? O > a , J Z 6 J a TTT =E oo"l m No DATE NON COMPLUWCEITEM ORDERSISSUED INSPECTOR FOLLOW-UPINS P INSPECTOR o (TIME) AND DESCRIPTION O OPEAATOR CERT. NO. COMPLIANCE CK DATE CERT. N0. O z ?• O Z w 3. ¢ ¢ . 4. . O 0 5 • y INSPECTOR: MPCACERT. NO. OTHER INSPECTOR (CERT. NO) ,< SIGNATURE: SYSTEM : APPROVED [ j NOTAPPROVED [ J; Gary Staber November 7, 1993 STATEMENT To; Wagner Homes 14420 Glenda Drive Apple Vailey, Minn., 55124 f;ax # 953-2228 Detach and return upper portion with your remittance $ SITE LOCATION: LOT 1 BLQCK l LAKEW00D HILLS SECOND Percolatiou Test $250,00 Septic System Dcsign $150. UU Total $400.00 TAANI{ YOU? t1]t uccounts arc payabic 30 days aftcr rcccipt of this statcment. 25275 Verg,is Ave., New Prugue, Minn., 56071 20d WdZO:tiI £661 LB'^oN 9S£2 ti9b Zi9.: 'ON EINOHd 82HtilS J.21Cg : woa-? PERC TEST AND SEPTIC DESIGN Prepared for; Wagner Homcs Prepared by; Gaty Staber Date; Noveinber 7, 1993 £0d Wd20:Tti E66Z 40'?oN 95C2 ti9t ZT9 :'oN 3NOHd JEHd1S AadS : woa2 PERCOLA,7"ION TEST pATA SHEET ?1 /-?9 1 starting at / a? Percolaeian icst readings made b}? 'm„I 7est hole locetionZ.'? t }31I LI Z,pl1r,,.k....1I4! 1 ?,2«A.iole number 2 , Dale hole was prepared/ Depth of hOle bonorn__?inches, Diameter of hole 6P +nebts Soi1 data from iesa hote: Depth,inches Soiltexture I4 C1r..4w,V ? o 2,.?i? ? Mcthod of scratching sidewall -..a A.A' Depth of gravei in bottem of hole_ _? '?nchas • Date and haur of initial water fillin ?' Z? 19 2 epth of initial water fillin nches above ho3e 6onom Me[hod used to maintain at least 12 inches of u•atcr depth in hole for ai least 4 haurs , A4aximum water depth above hole bonom during tas+ ? inc$') Time Time 1ntCi'v0l, minutcs Measurement, inchcs L3rop in water level,inchos Pcrcolation roie, minutes per inch Remark3 2 o ! > s ?3 A, H ,, s Co, tJ. . ?,. Pcrcolatiun rate ? Z? ?+lnuies per ineh. ;4-a ? b0d Wd£e:Zti Z66T 40'e?ON 9SEZ ti9b Zti9 :'oN 3NOHd ?lEHd15 Abb'o : woaA PERCOLAx10h' TEST DATA SHEET f "). PercoJacion iest readings made by. ai e Tcas hole Jocaiionz-f rraj 14-1 / tlos.? l•41 1„2.43o1e number Date boie vvas ptepared/ Depth of hole bonom._?inches, Diamclet of holo ?O inchts SoiJ data from test holc: Depth, inthes Soil texrurs 1.4,. / (:???^'4?. /?i''-- ??'' /??•?-- '?? ?-,,,c-?--. Meihod of acratching sidewall 2 ^,4 z ? T+ ? ` Aeplh of gravel in bonom of hol, -1- "snchea - CrIuw?+s-- ,, 1? Aate and hour of initia] w?ater fllia l~< , Lvepth of initial a?ater filling?_inches above hole bortom Meihod used io rnainiain at Ieasi ) 2 inches otu-aier depth in hale for at Ieast 4 hpurs A%-' -% b , Maximvm walier dspth abova hole bottom during iest ? +nch.,_,., / 7ime Timc intervol, MinvSe3 Mcasurement, inohes Drop irs waier 1eve1, inchcs pcrcalation ; atc, minutes per irlCh Rtmarka '1 ` ?, 7 r _ , ?, . ,. . . , . „ . . ?,,..4Z. ,. P0t01ation raie 0_. ?'h ?*inule5 per ineh, :4d 50d Wd£O;SL £66Z Le'^ON 9S£F- l9b ZL9 :'ON 3NOHd Z?Md1S l2ld9 : woa3 PERCOLAxION TEST )DA7'.A, SHEET n? r- a.rri. Pacolation test rcadsngs made by staning ai Tost hole iocakionZ- L '? IL Z,-A 4L-'mS 1'4121Z041oJe number ?? , Daie hoJe was prepazed/ Depth of hole bonorn.____GA-incbes, Diameier of hole 6.0 ?nc»es Sail data from test hole, Depth, inches Soil iexmre ?A-m 14 ?r?.?,a L o P-?- •??"- ?t?' /t'?e?•+r-- (--?a?..?! ?w7?? Method of serstohing sidewall z x Z-_ A-_ L, r.r A..; ? Depilh of gravel in bonom of ho7? ?._._,:..+nches • Daie and hour of initial water fi2ling-IL(ex....? , cpth of initis) wsur fl)in° inches above hoJe bonom Metbod used to mainsain at least 12 inches oi w•ater depth in hole for as )east 4 bours A~' ^ b ------ M , A9zximum water depth above hole bonom durin2 lest ? +ncL, ? 1'ims Time interva)l minvtes ?.4casurement, inches Drop in water 1eveJ,inches Perco)ation rate, minvtes per inch Ramarks r "? " ' ? ? ? " ` I r? ,?.•e i , !' 3+ 2o,r.,?a 7,7 ? i?ka C'c z? ?? t .? ? • 1 MJ ?, ? 3r -4 Q ? ? ? • . , .. M1. ? Pcrcolaiion rau - ZZ L minutes pet ineh. ;4d ? 90d WdbO:tit £b6T 40'^oN 9S2Z ti9b 2ti9 :'oN 3NOHd 63Htil5 Abdo : wc)a_? ? '+ JX . •? . • L013 of So?i l sor?A-nitd B-31 Sorin89 Tr-ade hy Dasa ? Liassif3caiion 5ystem: A.ASflO DSDA-SCS Uxaif:ed ; othai Augar used (check two): ,aad or Pm:ex Z4; Plight I,, ot' Sucket other _ ? Depih, Sozing numbez ,14, aZ ?d Depzh, Boring number In SusfaSe elevaLioa in Susface elevgtiots • faet , ?eet 0 , Q 1 -- . 3 '-`- ' t v ' °- -1,..b ?, S„q_,. e?i ? C"4z 4- 5- 6 7 -- 8 - &ad of basiag ae ? Seee. Stsn8lng vatar table; Prasent at feet of dapeb, ^ tsours after borial. Not pxeaeat i* bcrlAg hole :iottled soi1: , Obnervcd at ? feet of deptb. Not preseat in bor1r,F holn ?4-,. Oba.trvaCions aad cc=eata: • 1 "^ 2 - 3 4 - , S ?- i 6 - I 7 - --- Fod of bosiug st -S?- leet. SL8Ad3S1$ 4'Ate= CabZt: 1'saseat at la?t o? deptl+, bours after bor3ag. Not pxeseat ?.a bo:irg k?ote ?-^ . Moesltd eoil: CDaarvad at feeC of depth. tivt praeoaC ia boriaR l+ela Obsarvationa aad commertei, Z0d WdbO:TT £66ti LB'noN 9S£z L9b z19 :'CN ENOHd J3HJ1S .l2ltiE) : woaa SEPTIC SYSTEM DESIGN DESIGN CRITERIA; 4 bedroom type 1 single family home, No garbage disposa3, WATER USAGE; 600 gallons per day maximum. PERCOLATION RATE; Between 16 and 30 minutes per inch. SEPTIC TANK; InstaJl a 1,540 gallon precast daubte compartaient tank. DRAINFIELD; 667 square feet required, 667 ac{uaro foat proposed. Each trench is 36 inches wide with 18 inches of rock betow the pipe. 2221ineAl feet of drainfield propoycd. Plcasc scc detail. GENERAI. CONSTRIJCTION PRAC'Z'xCES; Aivert all surfaca water away from the drnin£eld orea. Do not disturb thc drainf'icld prca during construction. Fcncc off the drainficld area if necessary. Tf there are nny questions regurding this desige please eontuct Gary 8tabcr at 441-2356. 80d Wd50:iI €66Z z0'()ON 9S2Z Z9b 279 :'ON 3NOHd bsHtilS 1,8ti@ : woai ? !r , S7 ? ?\ . S. oRZ.S) ??":••? 1'??.`?..? .?7? I?1? L = 3A 1/7? • "?OV?i? Li. w-rL.\ \ . 60d WdSO:Ti £66L 20'noN 9SEZ T9b zL9 :'oN EINOHd aMd1S A?JCo : woaJ JNDPVIDUAT. SESN'AGE 7REA'TIN4Etir SYSTEM WORKSHEET FL 01?` ( ? v A, ? ?}ad ° $stimdlCd me3sured x ].5 = gpd SEPTIC TANK VQLUME B, i ? a ?cy _ ?llons ?.?y? SOILS (5ite e??alua'iion data) C. Dcpth to restncting la}+er = S tect D. Maximum depth of system C- 3 ft fect E. Percalation rate MPl F. Soil Sizing Faclor I,c4hsq ft/gpd (5ce tablc 1) TRENCI-I bOT?OM AREA H. For lrenthes wiih b inches of rock below the pipe: A x F= x -_,_, sq ft of boaom area 1. Fpr ttenches iad ih 72 inches of rak belpw the pipe: AxFxO.$=.^x.- x0.8=- sqfiolbotlomarea J. For trenches with ]S inches of rock below the pipe; A x F x0.66=loC4 x !+ls/7x0.66=f?L s9fto(bnttomarea K. Por trenches with 24 inches of rock below the pipe: A x P x0.6= x x0.6a?sqftof bottniii arca BED BOTTOM AREA L. For seepage beds with 6 pr 12 inche5 of rock below the pipe; ].SxAxFo 7.5x`x____-,^sqltOfbettomarea ROCK VpL1;7vIE IN CU FT M. Rock depth below distribution pipe pius 0.5 taot timcs 6ottom area: M =Rock depth (ft) + 6 inches x Area (H, l, ), L or K) ft+0.5f1)XG?=/,?}?''CUIt ROCK VQLUME IN CU YDS N. Volume in Cu ft divided by 27 ? M+27 = cu yds/?5*+ 27 = 5% cu yds . nbCX WEIGHT 0. Cubic yards times 1.4 = tons N x].9 - lons 5(?s x 1.9 n?7 Q tons DiS7riIBU710N (Check one based on slope) Bed (less than 6% slope) 7renches --iL- Drop boxes (any slope) DiStributinn knx (Ievpl Ip slightly Fiqphis) TRL•NCFi LENCTI3 P. Setect rrench width = 3 fr Q. Divide battom area by trenrh width: (N, 1, J, or K) + P. tineal feet ?.Lh+ 3 .??71?jr?p) fCCt LAWN AREA , R. Selecf Irench spacing, center to cenicr -fcar S. Multiply trcnth spacinsby lineal fect R x Q. sq ft o! Iawn area 0tid LAYOU7 (Use othe?r side) 1. Select ari sppropriete scele; one raqo,rre = 3,? lect, 2. 5how pertinen? property bovndarirs, righlrof-woy, cascmcr+is, 3. Shaw locaeion of housc, garase, drivcv+•ny, and all other imprOvcmcnis, existing ni N;ofwxd 4. Show location and layout of ,cK-asc trc??imrr•, t svstcm. 5. Show locaiiori vf watcr supply wcU. + r n:,...... ,? ? . ? . . Wd90:tit 266T L0'^cN 95Z2 ti9b zT9 :'oN ENOHd Esiimaied Sewagc F{ow•? in CaUons pcr dap (6pd) um er of Typc 1 Typc D Typc lll Tapc I?edroom< <?? z 300 =:s 180 3 aso 300 218 om a 600 375 256 °r"c $ 750 430 194 ";A 6 900 525 332 ?>M ? 7 1050 600 370 j?j' $ ) 200 675 408 coi?nwSCptic Tan4 Cyparitics, in gxllons Numhet of Minimum Liquid Liqvid apaeiiy rith IIedroems Gpoeity ;arbsge d»posrl Z or lett 150 1135 3 or ? I 0w 15D0 4 of 6 ISpp 2230 7, 8 or 9 20U0 3IX10 ovei 9 ...... So0 Chawrtcrla'Uss •rn4 Rcquirvd Areut Cw Smogc 9'nulmcni Peroeln;enRauin Sqwm Wl;cni Mu+ulmya i inch $nu 'reRmrc 10c+ pu pit M; pa (MP11 `a Ilanpri lqwro foa I d' Foeia than 4.l ' Cwne Sand l •••-• •••• 0.: ta S Smd I 043 1.20 0.: 105 !'im mE •• 7.67 0.40 4?olS S¢ndyLa+mi 1.27 0.79 16 iv 30 Loam 1,67 0.60 31 1045 Sili Lo+m ?? 0.50 46 ie 64 Ghy Lu+m 2.20 0.45 Slowez lhA n 60••• Cliy ..... ..... r ; inch Cavcr I e incA Pipc 6•2a inen ock Uelow iNc 1'ipt I bGH J1S J,2lCs : woaJ C fc) s S 10 ? (-pc.k oUk)r roc.k mum -?'-4tt, c.h o-? . „ ? -2-L,ti nCh.QS roc-k aw ,Q rbc?\ ? ??f.?r,ck, w?dk1? k??.low d?s?•,ri?u..?+ov, P?- LId Wd90:TZ £66Z L0'^oN 9SZZ Z9b ZZ9 :'ON ?INOHd boHt11S 1,6JD : woa-? Ordinance No. 114: WELL AND WATER SUPPLY MANAGEMENT I'ercait No. WELL PERIVIIT DAKOTACOUNTYENVIRONMEN'FALMANAGEMENTDEPAI2i:MGiVT 93.-0196 WATER AND LAND MANAGEMENT SECTION ??. •14955 Galaxie Avmue, Applc Vallcy, M19N 55124 . q? Tdep6one (612) 891-7011 WHEREAS, the NON-TRANSFERABLE PERMITTEE/DBA: Bohn Well Drilling ISSUED TO: 70350 ADDRESS: 16550 Baseline REVIEWED BY: Luehrs Shakopee, MN 55379 has submitted a permit application, has paid the sum of $232.00 dollars to the County of Dakota as required by Ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary for obtaining this permit to construct the Well described herein: A private water supply well will be constructed with a finished casing diameter of 4 inches, drilled to a depth of approximately 160 feet, and terminating in an unconsolidated formation aquifer. The well shall be properly cased, grouted with bentonite slurry (at least 10% bentonite) to seal off.overlying unconsolidated formations, and completed with aleast a four foot screen in the aquifer provided the water quality is acceptable. THE WELL IS LOCATED IN THE MUNICIPALITY OF EAGAN AS FOLLOWS: WELL LOCATION PROPERTY OWNER & ADDRESS WELL OWNER & ADDRESS 912 Lakewood Hills Dave Philips Dave Philips 4065 Mrea Trail 4065 Mrea Trail Eagan, MN 55122 Eagan, MN 55122 NOW, THEREFORE, Bohn Well Drilling is hereby permitted and authorized to construct the well described and located above for a period of one year from the date of this permit. Construction of this well is subject to all provisions of Dakota County ordinance 114, the Minnesota Water Well Construction Code and any conditions attached on the reverse side of this permit. Given under my hand Thursday, December 23, 1993 ATTEST fiVIRONMENTAL SUPERVISOR ? MANAGEMENT DIRECTOR 12i30 '93 16:13 ID:DAKOTA CO-WSC FA7{ :612891'?031 PAGE 1 G_ 1 - vl'?LOU.? ?? MUNICTPAL NOTICB OF WELL P$R13IT APPLICATION DAKpTA CQUNTY ENVIRONMENTAL NlANAGffidENfi DSPARTMENT WATffit AND I,,AND MANAC,$MBNT $ECTION 14955 Galaxie Averiue Weot, Appls Valiey, MN 55124 Tel (612) 891-7011 FaX (612) 891-7031 DATE: pecember 30, 93 TO: Tom eolbart/Wayrfe S*hwana FROM: Water and Land Managdment RE: Well $ermit 0: 93-0196 Municipality : Eagan Pax 0: (612) 6e1-4612 wel]. Type: Domestic Reviswer : Luahrs NOTICE : The Water and Land Management Sectien oP the Dekota County Environmental Manngemeat Department has received the following permit application for tha well described. If you require Puthar review of the application or if yau have aYl? questions or concarns about it, oontact the Snvironmentai Speciallst lisad above or our ofPfce at (612) 891-7011. If there is no response from your pfffce within 24 HoURS (excluding weekenda and h the ol3.aay@), we will assume that you have no objeetians to the issuance of he pa Please and oP ucom?liance with aalliapplicable laws and codea. A copy of the well Permit wiil be forprarsled to your office when oompleted. WSLL CQH'1`ItACTOR INFORMATION: Bohn Well Drilling App lfaation Received: 12J08/93 Anticipated Arilling/Sealing pate if knoWp; Time; : LOCATTON pF W$LL; PLS Coordinates h, k, ;40 gec 26, Town 27 , ttange 23 wall Lbcation 912 Lakewood Hills+ Drive Froperty owner Dava Philips Well Owner Dave Philips pID Nuyqber - ? .. W$LL IIdFORMA' Diameter Casing depth R'otal depth SWL Aquifer PION: 4 155 160 iao Unconsolidat@d Sedifient6 COMMENTS: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA117844 Date Issued:10/23/2013 Permit Category:ePermit Site Address: 912 Lakewood Hills Rd Lot:1 Block: 1 Addition: Lakewood Hills 2nd PID:10-44351-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Kathy Will 2609 Hwy 13 W Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Robert Mickelson Jr 912 Lakewood Hills Rd Eagan MN 55123 Airic's Heating Llc 2609 Highway 13 W Burnsville MN 55337 (952) 345-0032 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119653 Date Issued:12/11/2013 Permit Category:ePermit Site Address: 912 Lakewood Hills Rd Lot:1 Block: 1 Addition: Lakewood Hills 2nd PID:10-44351-01-010 Use: Description: Sub Type:Reroof & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Windows/Doors: If altering the opening size, a framing inspection is required. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Robert Mickelson Jr 912 Lakewood Hills Rd Eagan MN 55123 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA126300 Date Issued:08/20/2014 Permit Category:ePermit Site Address: 912 Lakewood Hills Rd Lot:1 Block: 1 Addition: Lakewood Hills 2nd PID:10-44351-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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 by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Robert Mickelson Jr 912 Lakewood Hills Rd Eagan MN 55123 (651) 558-6115 Window World Aka Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA128283 Date Issued:11/03/2014 Permit Category:ePermit Site Address: 912 Lakewood Hills Rd Lot:1 Block: 1 Addition: Lakewood Hills 2nd PID:10-44351-01-010 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 by law in ALL single family homes . 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 - Robert Mickelson Jr 912 Lakewood Hills Rd Eagan MN 55123 (651) 558-6115 Window World Aka Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature � Use BLUE or BLACK Ink �-------- --------� I For Office Use � , � I ' � Permit#: / � C�tV of �� �� � d � I Permit Fee:����� _ � 3830 Pilot Knob Road � Ea an MN 55122 � Date Received: � g RECEIVED � � Phone: (657)675-5675 � � Fax: (651)675-5694 O�r 7 � 1��5 � Staff: i _��______.���__-__J 015 RESIDENTIAL BUILDING PERMIT APPLICATION �' ��d�� � � (� �� �1 Date: � � �� Site Address: "1�2 ��.�. �'. ����� �� ��� ��� Unit#: Name: �'��t� ��ll.���' v \= ) Phone: tl��./! +L��r ��)L—�� Resident/ �/,, i 1 QWngr Address/City/Zip: [.� (� �C r �; Applicant is: Owner Contractor " � � �l,!lL�• Type t)f Wo1'k Description of work: ���lCtl � � (�I I I�VI �-lJ�� ,C��� l,I rL�.i��n��rr��� =� /�, ` Construction Cost: �l(��� �•���) Multi-Family Building: (Yes /No�) Company: �,I��C^,L S � l ���1 ' �.�C� l Contact: �UJ 1 �� 1�I�� � COII�PaC OI' Address: `�a� �/��' �� City: Il��tit�V�i` � � .�L .-G�� '► � 7 'J� � � t State� Zip• Phone: EmaiL�(.���ti I ����.��� License#: �1��t1�`-'1 � ° Lead Certificate#:����—( � ( � If the project is exempt from lead certification, please explain why: ��.,�t � . i�G�� - 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 8�Water Contractor: Phone: Fire Suppression Contractor: ' Phone: NOTE;Plans and supporting documents that yaet submit are considered�o be publfc information. Port�'ons af the informativn may be classified as non'-public if yau provide specific reasons that would permit the C�iy'to conclude that the ar�trade s�re#�. ' CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours beforeyou intend to dig to receive locates of underground utilities. www.qoqherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days o#permit issuance. X �1�Sslc�c� ��.�(� �.�- " ApplicanYs Printed Name ��Ap icant's Signatu Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUBTYPES I� l._.� �w�a� �'�� I �S l�' . _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) _ Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Muiti � 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 ���'" Occupancy /Z G -/ MCES System --- Plan Review ' Code Edition O/ SAC Units — (25%_ 100%� Zoning �-1 City Water � Census Code y3h Stories Booster Pump �"' #of Units / Square Feet l�3G PRV ` #of Buildings / Length /y Fire Suppression Required ` Type of Construction � Width �,Z. 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 � Ls�jt'd � Base Fee /y� � �3G I�' 9n G/�G (� /,� Surcharge Plan Review 9jr--�-� MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL � �',f Page 2 of 3 �f'PV°i., �,(�ct�✓J S t�'.�� ip �� l� ,Q�E'Y- �'n c�r,�S �h S�. ' ��.��j^� �-'� � �� :.r � � 1 _1 ;°`�f�5 �� . � - �a q � �"�lj1l ��JZ3 _ . r� (894.r) N89"�2'2�"E Ce9y��; �Zs. 89 5 8��q,,.�•��,,E .� _ _ � ° ��4'•�9 (8�i.9 . �o � — — — — — — — — — — -_ _ _ "'''•--�•. 99: 30. -- -- — I DRAIt�tAGE AND °` '' -- � � yu8=g98.T1 �j '-- � UTIU'TY €ASEMENT � ,a � C�4�,5o O "' '1 � Nn8=9ar.il � � I J '�'�� 8�!'��; (947'.33 I � � �� �a 33�3 I I r„ ` ,h 9a(o.8)� � �G1?'� OT 1 6� �.� � 0 2,� �,r�2,�� �',� � � . ���� 3 � �; —- i �° i BLp � �► g ��° � � - � � �K� 1� � � , � � � h4 2 / 1 ( ( ` �+� � 9m.3/ " o L n t7 � �3) ;z;a, o s ,�/ � � � � �4 � � � � \ I � �' �. '�12� 9 � � ` � $2.¢$' e �►- r�� S '� �' � 90�, N'' ,� , ; 's`� .�.-�� N o� � 8� 9 � !� �a�;� i -.�� 905.5, � ,h �'��` �°� ,�.�, i8 � � (9at�.8) � N O I � Q�' �', yvII=9ai,cp �� C��� � c� a. � � O I � _ �/�O•Q� � �'06•$� 30'33 � , t�l �t : `�Q�p; �(p.i� �' ' � � � o.,; �o�.$) { �n 0 � �►',��o�� � � r� � _ � o N ( N.�---___� � I 0 N D��v-...��_.. 2 I � `�y � �._ � ' _...._ I � ,� ...,... — --�- _" J " I � � �s �— g4, 15 �905:%� �,, p' ._ ,( ,,. �- (9G�'% N 8(0"4O�3G"E (9os,�) � , (50�� � � 1 ' � � l � � -� 2 � � -� � �(o��1 3���� �o � � �1� � � s N (a10 y�' � �a���) I � LOT 2 EAGAN � RE���L E� 4 BY: //���// '+ DATE: �_ _ . __.�`-3��______.�_ � ` � ��11Lt���3f� ���� ���_':� .�,itr� f .�3� � � � . .. ... . . ... : . II ..:. , • ' . I MEIIE�Y CERTIFY TNAT TNI$ P4AN WA! Q� Q CQNSrQ�.TIN� E�IN��AS � �RBPARfp` !Y MF OR UNpER MY plRlCT tt: ' ' �1��/E PIANNER�` oed IAND �t�#I�t�Y.pA�i . , :u.cRv�a�oa ANO T AT 1 A A���_�1�Y . � ltE815TE11E0+.f�� r����,�'"� . ����������� . _ � UNOER TME 4AM/8' qF TN£ OTATE' („'34 Of MIN �MRTA. � . CaM�►�N�r, iN�. � . . , ' OA ` REY.NO./�'� M0. TF ' Y ;p NAJfKS PERMIT City of Eagan Permit Type:Building Permit Number:EA138063 Date Issued:08/08/2016 Permit Category:ePermit Site Address: 912 Lakewood Hills Rd Lot:1 Block: 1 Addition: Lakewood Hills 2nd PID:10-44351-01-010 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 - Robert Mickelson Jr 912 Lakewood Hills Rd Eagan MN 55123 (651) 558-6115 Window World Twin Cities 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature .jahLr ' AA C.IAt ct.,— r Use BLUE or BLACK Ink it/jil. For Office Use 1 et' )1r.- City of Eapfin REC EIVED Permit#: RP g0/1/67_ / I / Permit Fee: , 3830 Pilot Knob Road APR 0 3 2018 Eagan MN 55122 Date Received: `7 3` Phone:(651)675-5675 Fax:(651)675-5694 Staff: soja -7 J 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4-2-2018site Address: 912 Lakewood Hills Road S, Eagan, MN 55123 Unit#: Name: Robert Mickelson Phone: 651-681-2028 Resident/ 912 Lakewood Hills Road S, Eagan, MN 55123 Owner Address/City/zip: Applicant is: Owner X Contractor l Type of Work Description of work: Bath Rm Addition/Bed Rm remodeling/Relocate Laundry Rm Construction Cost: $81,000.00 Multi-Family Building: (Yes /No X ) Company: Alpha Design Build Group, Inc. Contact: Jim Contractor Address: 14171 Cobbler Ave. City: Rosemount State: MN Zip: 55068 Phone: 612-290-5230 License#: BC683868 Lead Certificate#: NAT-116137-1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) The renovation will not disrupt 6 square feet or more of painted surface per room for interior activities,or 20 square feet or more of painted surface for exterior activities,and does not involve windows. 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 maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this informati• 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 ••rmit, 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 - case of work which requires a review and approval of plans. Exterior work authorized •y a bu' mg permit issued in accordance with the Minnesota State Building Code must be completed within 180 days o iss ' x /. x •plicant's 'Tnted Name Applicant's Signature Page 1 of 3 9/, Lxietoodd A 7/51(c/ s (�� DO NOT WRITE BELOW THIS LINED SUB TYPES Foundation — Fireplace _ Porch(3-Season) — Storm Damage Single Family — Garage x, Porch(4-Season) _ Exterior Alteration(Single Family) — Multi — Deck _ Porch(ScreenlGazebolPergola) _ Exterior Alteration(Multi) _ 01 of Plex — Lower Level _ Pool Miscellaneous — Accessory Building WORK TYPES New 0 Interior Improvement ii Siding _ Demolish Building* IQAddition _ Move Building 911••••• 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 ti ` OccupancyP\,(4- MCES System Plan ReviewCode Edition YH r<v o ' f 1 SAC Units (25%_100% X) Zoning A-\ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction -V6 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O.Required 1( Footings(Addition) 2, Final I No C.O. Required Foundation yj HVAC_Gas Service Test Gas Line Air Test Drain Tile I Other: Roof: Ice&Water Final Pool:_Footings Air/Gas Tests _Final Framing Siding:_Stucco Lath _Stone Lath _Brick Fireplace: Rough In Air Test _Final Windows i\ Insulation Retaining Wall:_Footings_Backfill_Final Sheathing Radon Control /(, Sheetrock Erosion Control Reviewed By: in. , Building Inspector RESIDENTIAL FEES fl Base Fee Kik' .17,4) Surcharge 16 ino,,,,T0--) go ,?0,0 r-70-, Plan Review / MCES SAC r City SAC t �."' j p Utility Connection Charge290x,X2. f S&W Permit&SurchargeWrt a Treatment Plant ` ` ` 1 t Copies "` TOTAL 14-114 fir 10J (G t, 0° C9 PrIAP44111 (rtfUri fstitl Page 2 of 3 • For Office Use 7 i °�° Permit it /4/ G� jcp E AGA N Permit Fee' 1) eik 3830 POT KNOB ROAD EAGAN, MN 55122-1810 Date Received: 30_7 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694Staff: buildinginspections APR � ®cityofeagan.com 201P L ' 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4/27/2018 Site Address: 912 Lakewood Hi 11 s ,lir-Eagan, MN 55123 Unit#: _.% Name: Robert Mickel son Phone: (651) 681-2028 Resident/ Owner Address/City/Zip: 912 Lakewood Hills Dr Eagan, MN 55123 Applicant is: Owner X Contractor Type of Work Description of work: Install of a roof-mounted solar PV system. Construction Cost: $12,810.00 Multi-Family Building: (Yes /No X ) Company: ALL ENERGY SOLAR Contact: Marilea Griggs Contractor Address: 1642 CARROLL AVE city. ST. PAUL State: MN Zip: 55104 Phone: 651-888-4173 Email: marilea.griggs@allenergysolar.com G51-313-8045 License#: BC665819 Lead Certificate#: If the project is exempt from lead certification, please explain why: LESS THAN 6 SQFT DISTURBED. 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: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non- ublic if ou provides ific reasons that would • rmit the Cl to conclude 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.cityofeagan.comisubscribe. 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.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 ap isto oanuy, Mari 1ea Griggs tiM,Av,i,Q,ea, ,u,c o Applicant's Printed Name Applicant's-Signature Qi., Z/1-0�00/// % j o DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) }D 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 $ /21 5 f D. Occupancy :Da G-1 MCES System Plan Review Code Edition KW Zo I c SAC Units (25% 100%X) Zoning 12-, -( City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \.' Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) X Final/No C.O. Required Foundation Foundation Before Backfill 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: f-70 ill illi Air/a' , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 For Office Use *.k E AGA N Permit#: / C l CO Permit Fee: (i.2 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinqinspectionscityofeaqan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1 Site Address: //1,) . o&1 K v ' LKS Tenant: Suite#: Resident/Owner Name: — � Phone: Address/City/Zip: – 11 \ 1Rp I, I Name: NO Q h-cr . l U Y1"b h5 License#: Address: l�i O F)e 2 17 Q4f -�� 1/1 C City: /lid ' �l, . Contractor { r r State: .9 Zip: ✓ .e5' Phone: 5 7 7I 9 Contact: �i Email: / 7 1 eizj i' S —Replacement —Repair —Rebuild y Modify Space Work in R.O.W. Type Of Work —New Description of work: rC! i //1 / fvL4106? RESIDENTIAL Water Heater Lawn Irrigation ( RPZ/_PVB) Water Softener Permit Type Add Plumbing Fixtures O Main/—Lower Level) Septic System New Water Turnaround Abandonment �...m� .m.`. .... .:- .µm.....w..,,w ,.....�.......,....µ. ..ms. 3 RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 6 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 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.citvofeagan.com/subscribe. 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. 55 t2, X 9, Applicant's Printed Name Appl s Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: ��li- ' • L RECEIVED ARC DESIGN AUG 162018 409 N. MAIN STREET EL ER, NJ *831: (Z56) 712-2166 FAX: (856) 35Z-1511 Construction Code Office Date: August 10,2018 Re: Roof Certification Letter /2p Subj: Robert Mickelson Residence,912 Lakewood Hills D Eagan,MN 55123 We have provided a review of the house roof construction of the above named property in regards to verifying the capacity of the existing roof for installation of a new Solar Panel Array. We have found the structure to be of wood frame construction. The roof is of 2x4 @ 24" o.c. truss framed roof sheathed with '/z"ext.ply decking and a single layer of composite shingle roofing. The wood framed roof structure bears directly upon the framed exterior wall system. The existing members as installed meet the required IRC-2012 design span ratings with sufficient capacity to carry the 4#/sf additional load imposed by the proposed solar array per the details below. Installation of solar rack systems shall be as follows: Each panel row shall be supported upon 2 mounting rails. Rails shall be screw anchored through roof and directly to rafters below. Rail attachment points to rafters shall be staggered each row with exception to the first fastener row from the gable end which is attached to two adjacent rafters. A roofing compatible sealant or shingle flashing kit shall be utilized at each mtg. foot location. Solar panel mounting systems installed parallel to the plane of a roof shall be no more than 12" above the roof when measured perpendicular to the roof surface. When installed per the above specifications the system shall meet the required 115 MPH wind load and 50 PSF ground snow load requirements. Should you have any further question or comment please feel free to contact our office. Respectfully, 1 badly Ibibbitaft.spot- item artypo**it preparbd by .. pr'=r asp4oVision pi ji` t ai a ii taeoeea PIR'r ())\ f I RI's[ M i dm d►ataw i —. It. . James A. lancy Professional Engineer _ MN License#45968 . '°fix x:.'. RECEIVED ARC DHSIGN AUG172018 409 N. MAT STREET EL\ EIR, NJ 0831: (856) 712-2166 FAX: 456) 35:-1511 Construction Code Office Date: August 10, 2018 (Rev. 08-17-2018) Re: Roof Certification Letter i)//1 !4'4v,L3 ROO Subj: Robert Mickelson Residence, 912 Lakewood Hills tit,Eagan,MN 55123 We have provided a review of the house roof construction of the above named property in iegards to verifying the capacity of the existing roof for installation of a new Solar Panel Array. We have found the structure to be of wood frame construction. The roof is of 2x4 @ 24" o.c. truss framed roof sheathed with 1/2"ext. decking and a single layer of composite shingle roofing. The wood framed roof structure bears directly upon the framed exterior wall system. Th- existing members as installed meet the required IRC-2012 design span ratings with sufficient capacit, to carry the 4#/sf additional dead load and wind uplift restraint imposed by the proposed solar arr.y per the details below. Installation of solar rack systems shall be as follows: Each panel row shall be supported upon 2 mounting rails. Rails shall be screw anchored through roof and directly to rafters below with the Snap-N-Rack Series 100 mounting .ystem. Rail attachment points to rafters are aligned each row attached directly to rafters. Each array segment shall be anchored by 4 mounting points each leading&trailing e. e. A roofing compatible sealant or shingle flashing kit shall be utilized at each mtg. foot ocation. Solar panel mounting systems installed perpendicular to the plane of a roof shall b: no more than 30" above the roof when measured perpendicular to the roof surface. When installed per the above specifications the system shall meet the required 115 MPH ind load Exp. C, and 50 PSF groupi snow load requirements. Should you have any furtLer question or comment please feel free to contact our office. Respectfully, - - rIFy: this plan,spee!. fiotdlcrr, or , \ mprepared by • �j{ dbect supervision � i a 4I; 1t:yLice nsed� V - on I . _.runder tMGlas the-w,.of i esata. Ja es A. Clancy Professional Eng' ,-A. , MN License#459 8 11.11 REG.NO.459613