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 $3,250
Site Address: Al 2 T.akPWood xilis Road
STREET SUITE #
Tenant Name: (commercial only)
LOT 1 BLOCK 1 SUBD.Lakewood Hills 2nd Add .P I D. #
Descri tion of work: Construct deck & ste s.
The appl i cant i s: ? Owner 10 Contractor ? Other (Describe)
Name Phillios. Dave & Rubv Phone 452-4935
Property LaST FIRST
Owner 972 Lakewood Hills Road
Address
STREET STE #
Clty Eagan State Mn ZI p 55123
COmpolly Wagner Homes, Inc. Phone 953-2211
C ontraetor Address 14420 Glenda Drive L1C@I1S8 # 0002106 EXp, 3/31/95
Clty Apple Vallev Stdt@ MN Zlp 55124
Company Phone
Architect/
Engineer Name Reg i strat i on #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the inf rmation is
correct and agree to comply with all applicable State of Minnesota Sta tes d City of
Eagan Ordinances.
Signature of Applicant: 44
v v
W
o? 0
In ?
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(Y1
0 ?
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..
.
(844.r) N89°5Z'2-7"E
C89yr ?28.89 -- 58r°47'o?,.E
0 0 /0 4. 59 ?899:
------- ----- ? 99.5
--- - ???_
10
1-0-?DRAINFAGE AND
? UTILITY EASEMENT HU8-848.? ??
I (941,5o m ;
? ) No8 = 902.11 ?
(sqq.3), 1 (947.33
? LOT 1 A4 I 11) 'z,Z?!'
BLOCK 1
I ti J , ?
Q. o .
a ?
L+ nana 9ob.8 ,.._'1r%a5.5,)
3ry-c5 ID r?4_v? / ., T I
I p
/;
c» ?i {po3$ ?D ; ?.
?9
I / ? ?? C9oc,.8) ? ?
? ? 90?0.41 I
I ? I
I ? GR?vE qy -f-
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i
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I 5
N 86°40' 36"E (9a5.?)
3o.oDt,?\?
? la
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i
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il
10
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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
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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
>
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W
? F
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?
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•
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4"
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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
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¢
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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
?
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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
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90d WdbO:tit £b6T 40'^oN 9S2Z ti9b 2ti9 :'oN 3NOHd 63Htil5 Abdo : wc)a_?
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. •? .
• 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
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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
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roc-k aw
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k??.low d?s?•,ri?u..?+ov,
P?-
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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
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• ' . 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����,�'"� .
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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
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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
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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