878 Lakewood Hills Rd NCASH RECEIPT
CITY OF EAGAN ?
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
r L
DATE19(,-_
R6C61VCO " .
FROM
AMOUNT . $
& DOLLARS
'oo
? CASH .[?CkLE6if°
FOR .. . . .. . . , .
'
. FUNp COOE AMOUNT
?
Thank??u--?-?
9Y j.
w??
White-Payers Copy
Yellow-Posting Copy
Pink-File CoPY
CITY OF EAGAN Remarks
Addition Lakewood Hills Lot 16 eik 1 Parcel 10 44350 160 00 jqk.,.
:.?? rr ?' No. LBkeWOOd H111s Rd.
Owner t? street , state Eagan. MN 55123
,
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWERLATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 280.00 #49396 2-6-85
WATER CONN.
BUILDING PER. #9878 it
SAC 525.00
PARK
Rsceipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Pee.
fi!l in numbered spaces S/C
Type oi Print legiblY Tot
1. Date 2. Inatallation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ?
9. Work Description: New ?
Commercial ? Institutional ?
Add ? Alter ? Repair ?
10. Desaibe Fuel Type
11.
No. Equipment BTU - M. Ea.
Forad Air No. Equiament CfM
Air Handlin
:
Mfg. g
_ Boilers
Mfg.
Unit Heater Mech. Exhaust
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and oorrect, and 1 agree to '
comply with all ordinances and cades goveming this type of work. ?i
Sign°d ' for
Rough Final -
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Psrmit No. '
CITY OF EAGAN
Fae
fill in numbered spaces S/C
Type or Print legiblY Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. _
4. Owner
Tract
5. Contractor
Phone
I r
6. Address
7. City State Zip
8. Building Type: Residential ?
9. Work Description: New ?
1 10. Describe
I 11•
Commercial ? Institutional ?
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
_ Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
+ Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6700
Raceipt ' PLUMBING PERMIT
CITY OF EAGAN
Y
-- , Fil1 in numbeied spaces
Type or Print/egibly
Permit No.
Fes
S/C
Tot. '
1. Date 2. Installation Cost ? r? • d'A
3. Job Address it, r'r 1- Lot Blk. Tract
4. Owner i v t[ 7
5. Contractor - ( ? ; 4.• ? .. : Phone ?6. Address
7. CitY State Zip
S. BuildingType: Residential Q. ' Commercial ?
9. Work Description: New ? Add ? Alter ?
I 10. Describe
I 11.
Institutional O
Repair ?
No, Fixtures
Water Closet No. Fixtures
""Eeysppa?/Drainfield
Bath tubs / Septic Tank
_ Lavatory $oftner
Shower Wel I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the a6ove information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: f...n for
flough final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
CITY OF EAGAN 9$1
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
4UILDING PERMIT Receipr #
r. L. ....a I. SLF DkrvlAR c? v..i.,. s139_nnn n,.ta rcvMtsnv c 19_a.
Site Addrea 878 WSWOOD HILLS RH R Erect I
Lot 16
Parcel No.
Block?Sec/Sub. L•ARFidAAp N Remodel
TT_i_fR
Repair Q
?
Enlarge ?
of
Name DSVELOPERS CONST
h
D
i
?
W
Z
t
Addres
Cttv
s 1101 CLIFF RD
$URNSVILLFQnone 890-6191
emol
s
Grede
mscall
11
?
s ; ., .
occupancy ?
2oning
Type of Const.
No. Stories
Length 7?
Depth
sa. Ft. 44
Feea
Address Assessment
City Phone Woter 8 Sew.
Polite
Name Firt
Address Enq.
City Phone Plonner
Permit
Plan Review s03.f3
SAC 525.00
Water Corm. 500,.40
Woter Meter 63, 0
Counal Road Unit Z80 _ OQ
I hereby acknowledye that 1 hova read fhis applicction and state that Bldg. Off. 1 ZZ g'P. F+132.00
the inlormation is correct and agree to comply with all applic?le APC Total *?
Stote of Minnesota Stotutes and City of Eagan Ordinanus. ?
Ver. Oate
Sipnmum of Pertnittee
A Buildiny Permit is iuued to: T on tM exprcss Conditlon that
, 8
oll work sholi be done in accordonce with all opplicabla State of Minnesota Statutes and Ciy of Eopon Ordinances.
? Buildinq Officiol
?
szpfi'L "t 'd ra4'n?dA-5aa q_ 4,-13 85-_ 4JrirRk?Tr{„
Pxmh No. Permit Holder Dale TsleDhone ?t
Plumbinq ' U ,? g
H. V A.C. ? `I (
ENetrie ? '? ?
Soksnor
IrWsetiOn Date Insp. OthM
Footin¢ b
Foundatbn
Fnminp
Roofing .G
Rough Plbp.
Rou¢i HVAC .
Inwlation
Final Plbp.
Final HVAC
FinN ?
Cat/Occ.
vwa, o.wie. Loc,tian: i
wsu ?oa
1
s.ws.
? ?.
Pr, Diap. ,?'
REQUEST FOR ELEC71tlCAL INSPECTION Es-oooo?Aa
a. , See imtructions far canpbting [hisfarm m 6ack of Yellar capY- ?• ?.//?
? 17440 -"X"' Be/ow Work Coveried by Thjs Requesi
dd Reo. TvPe ot BuiWin9 Applianep lind EauiPaient WirvtJ
Home Range Temporary Service
Dupiez Wahv Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumaae Silo Unloader
Industrial Bldg. Air Corxditioner Bulk Milk Tank
Farm othet ce?R oche, tsueciri!
tMr Specity 01hCr Other
Fee Be%w
tl Fee Servic MranceSize P? Fee Feeders/Sobfeede?s N Fee Circuits
? U t 200 m s 0 16 30 0 to 30 Am
Above 200 Amps 31 to 100 Amp6 Q? 31 to 100 Amps
Swimming Pool Above 100_ Above 100-Amps
Transtomiers Irrigation Boon's Partial.'01her Fee
Sigis Specia0 Irspec[ion f
,?.? $ 4?/ ?7 orn F? ? 1,
Ir-) ? / r ? J7.0L) 1
tnee?ectn
1 I?npectpr, herehy
r?j -6rtify that the a6pve
'rirel I/-) // •? n?r ?1 D? iinsPat:tion has been
' o¢de_
This requesl wid ? 9 ? 6 a
/A .......?M 1?.....
. ?- IUL
1f /?' ? ?O ? tiJv? ?l ? 1 • • V V
Requast te Fire No.
?
"? RovBMlmpeclion ??atlY Now?Yill NolifV. InsDec'
[
Wh
R
?
. y? ?No or
en
eadY
icensed Electrical Coniractor I here6q fepu05[ iRSpBCtion af abovB
? Ow
ner electrical vark insfalled a[:
Sireet Address, Box or floute No.
F 78 I
?
/ il
4 Ciry
F
0a c
- aa
s 4 4 n.
4
Section .
1
1 Township Name or No.
Range No.
County .41
pa /.o Aa.
Occupant (PRINT) Phone No.
9a-? i9?
D d
PowerSuPPli
Da?a ?a. Address
Hect - I Contrador ICo n Name) ?
G?dz•, ?e ?'r<? Contractor s Liceose No_
Mailing Address lContractor or Owner Makina Itisia:laiionl
?a y? 7 s 5
L ed Signa re (Con ctor r GRaking InsYalBationl ?wne Numd?er
- 3.555
YIMNESOTA STA'FE BOARD OF ELECTRICTI
Griggs-MidwaY Bldg- - Room N-191
1821 Univarsiri Ave., St. Paul. NN 55106
%nne I672I 297.2117
THIS INSPECTIOH REQUEST WILL NOT
BE ACCEFTED BY'IHE STATE BOARD
UNLESS PROPEN INSPECTION FEE IS
ENCLOSE0.
To Be Used For:
Site. Address: 4vowr?
MUST E LICENSED WITH THE CITY OF EAGAN- '
I
OK
Val
'Lot:? B1ock:?Sect/Sub:
Parcel #:
Owner:
P,ddressz L/D/
Code: '
City/'Zi p
Phbne. #
Contractor :
?
Address:
?:City/Zip Code:
Pfi?oiie #
Arch./En
Address
City/Zip
: P.hone#.:
._....... .i?a"??"??n.rd?iC•F?6+??:??W]?,???:???ort? ' i?`??3??4a+tjs.?z' ??r
ALL CONTRACTORS
F41
INCLUDE 19 SETS'OF PLANS,'
P CERTIFICATES OF SURVEY
? SET OF ENERGY CALCULATIONS
. ?
uation: ZZ2f pj??,
T Date:
vo
?? ? l 3°(, Of?O .
• • k?
Erect- Occupancy:
Remodel: Zoning:
_
Repair: Type•Of Const: _
Ifr-Y
Enlarge: # Stories:
Move: Length:
Demolish: Depth:
Grade: Sq. Ft:: '. .
W-3120 .0
'
Assessments: '
Permit:. Cj3Q:-
Water/Sewer: Surcharge:
Police: Plan Rev.:
Fire: SAC: 2? ,m
Engr.: Water Conn-:
Planner: Water Meter (a3`?
Council: Road,6nit: -TZ-0777
Bldg. Of f. r zI ? ??r-: `rPG I 32°-
APC:
variance:
4c3 = lo q? x S?}- = 5(o i??
2g-- ? 32 ? ? (? 6 Y,- f ? ? 944-8
?
?
? ?????
CITY OF EAGAN (vo g $ ] $
. 3830 Pilot Knob Road, P.D. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
i
t
R
#
ece
p
UILDING PERMIT
B
SF Dfn1G/GAR
To M wad For Est.Volue $139, 000 pate F'
F:RRTiARV 6 , iq-JI5
878 LAKEWOOD HILLS RD S Erect I?
SiteAddress Occupancy R3
?
Lot 16 Block 1 Sec/Sub. LAKEWOOD HILLS Remodel
? __
Zoning 1{ j
f C
T
Repair ype,o
onst. ?
Parcel No.
Enlerge ' ? No. Stories
DEVELOPERS CONST Move ? Lensth 72
?
Z Name Demolish ?
1101 CLIFF RD
Add
? Depth
44
ress
Grade Sq. Ft.
? Citv BURNSVILLFphone 890-6194 Install ?
o Name SAME
Address
City Phone
?i ?
?u,W„ Name
?? Addresa
a W City Phone
I hereby nckrrowledge that I ha s d application qnd stote that
the information is torrect an o emply with?ll applicable
Stofe of Minnewta Stotutes rt Eagon Ordi nces.
Approvoh Faes
Assessment
Wnter 8 Sew.
Police
Fire
Enp.
Planner
Council
81dg. Off. 1/3-2/8
5
APC
Var. Date
Permit $ 530.50
Surcharya 69.50
Plan Review 2 6 5. 2 5
S,s,C 525.00
Woter Conn. 500, 0
Water Meter 63-Q 0
Rood Unit 2R0 - f10
T.R 132.00
iotal $2, 365.25
Sipnature of Pertnittee ' 1
A Building Pe?mit Is issued • E LOPERS ONST on the express conditlon thai
oll work sholl be done in ecmrdonce liki, oll opplica e e f Minnesota Statutes ond City of Eapon Ordinances.
Buildinp Official ? "
lIEQUEST FOR ELECTf11CAl INSPECTION
, See instructions fw couc+4e?+pg thir? form on beck of vellow copv.
017403 "X*' 8elow Work Covered by This Request
Add NeP. ' TVPe oi BuilUinp Appliaoeen Wirad E9uipmgnl Wired ..
Home Hange emporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer ElecVic Heatin
Coiimiercial Bldg. Fumace • Sito Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
FaRil Other ceuty Other (SDecify)
t r Specify Othe, Other
ompute lnspection Fee Below
!t Fee ServiceE(rtrameSize ft Fee Feedars/Su6feeders k Fee Circufts
0 to 200 Amps 0 to 30 Am s 0 to 30 Am s
Above 200 qmpy 37 to 100 Amps 37 to 100 Am
Swimming Pool Above 100__Amps Above 100_AmFxi
Transformer5 Irrigation Hooirws PartiaL'O
Signs Special Inspection g/O TOT
Remarks ??
nougn-?n ' Ht"?3 the E ncal
gpect rlity tt the 6ve
Final spection has been
aa.
This reQUas[ wid q `3
I-oN---8 S
01-074-03 ?? ?Oc??IJ ?WcJ 4 ?N-f / 6, v-d
flequest U te -
/
/ Fire No. Roueh-in Inspection
Required?
?Ready Now Q Will Nolity. Inspec-
Wh
t
R
? ?Yes No ar
en
eady
ticeosed Elec[rical Contractor I hereby request inspection ot above
?J Owner . electrical work installed at
SUeet Address, Box q Route No.
d ?;ir
7 7 1
4
d
? Citv
?
s ,
oa
wd o
-,q A-
ecuon o. Towrtsh)ip Name or No_
Z U Ha/gge No.
/ J Coun
R-
Occu nt (PRIN ) Phone No.
Power Supplier
Da)?o -'?
a 457/e Gf Address
Elect! Contractor (C?wnv Name) ? Contract??s Lice No.
Mailing Addre/ss (Contra r or Owner Making Instailatfonl
Authored S?g?at e(Con[ra od r Making Installation) Phu N?,e3 y55
lEINNESOTA STp BOAIiD OF ELECTRICITY
Griggs-Midway d9- - Room N-197
1821 University Ave.. St. Paul. MN 55104
Phom 1612) 2972177
THIS INSPECTION HEQUEST WILL NOT
BE AGCEP7E0 BY THE STq7E BOAflD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
? /
! exrenioii BvELoPE nvennGe "u'' e )rWuT
( nT ioN ,
. OIJPIE R :
, :
. SITE ADC aC- ?L1S /?q? .
.
CONTRACTO R:
'
DA1
E: PNONE
. . . ?.; ?,
DETERMIPIE. WORYiPlG SO
U/iRE FOOTAGE OF EACH
,
TOTAL
. EXPOSED 41Al4L,.AREA, x
. , ??
??5?
2. 70TAL ROOF/CEILING AREA;.
'
,
...,.
s q F t x. i i Un
?
t?2
?;
3.' 1'OTAL 'EXPOSED IJALL AREA CALCULATIQNS: ,.
.
_
7ota1 exposcd wall
area above floor '
• ... . . . . . . ?411
f : , ,?,a ,? 1? ? ,• , : ,
j Sq. t
a)
, Total wall.window area,
, . . ,
.
'
.
'
1 ?.. li t 1 1??{
%
.
.
.' ' . .. . . . .
' •
i
i ./?} ?'..
?r 4lazed,..,., sq
`-- x
fh ilu.11
? ?
, --_--
ql azed, ... sq ft x liuii . . .
p •
b) Total door area ' pd ....
sq
rr.... ? ft x i'U" f?•,
. O 2 'k • n ?,C
_
c) 7ota1 sl iding'?, Zra-r ?area
q
?G.
lazed t,1:?
., .. • _ S
9 ft x fluff a ?? ? ?o;
_ _
Sq
ql azed.,. . , .
ft x.. ... ,.. ,
.?????
t
.. ?
d) Total flreplace wall area sq ft x '"U'?
A
• e) Total wall framing area ;
"
•
:
' . (Average 109;)....... .,:- sq Ft x D
?.
, ` ;
.lluli ,
'f) Total net wall area above "
floor (Insulated).... ¢ 'f
ll
I ... sq t x u
9) Total rim Joist.area, ... , .
1?? ? sq ft x "U"
_ .
Total foundat.ion
area (Exposed)........ s f
q .
t
h) Total foundat(on ' •
! wlndow area;.......,.. .. . sq ft x ????
i
1)
Total net foundaCion '
- •
area above.9r'adeti ..... sq ft x
.?
"11" •. ?
70
3
TO7AL a} thru 1) R 3
I If'Ite
S.B.C. m P3 is the same as, or iess than,Item P, you heve met the lntent of .
Sectfon bOQ(
(
)
i
c
2.
, • K;. _i
' ?
•,
.
• ,
!a. TOTAI.EXPDSED ftQQF/CEILING CALCULATIONS; ' ' ' "; ' ; ',
\
? c
. ? .:
: 'Tota1 exposed - • ' :^ `` '
9'
roof/ceiling area.,,';,??? . ? sq ft
ft x IIUI I
J) Total skyll.oht area
1 r .? :1 A
1 .'
' '• ? ? ??. Y ? 1
1
?
, .
.
.
I.) Total;roof/ceillnq framinq
f ,
,
?lUu
t x
(Average 1 O9;) Sq
area
,
? . ,. , , ' •i.?
^
/
'
??
, ' ? ??? ?I 1 1 ? "V ?x, ? ?'
1
. . . ' .. 1
?
?
.•
•
• '
1)' Totalnet insulated 4 ?.. ? f. 1 .
: 1 . 1 •
roof/cei l l nq fr X
area,.;,,..' q u,l
h`
?
. ru
ToTAL r
.
. t?
"less yau have
e same as
or
F "h IS th
IF
l
met the intdnt'of'?
,
.
,
o
Cota
Section 6606 (c)
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1 P!G ENVELOPE DE
ATE;•.QU I LQ
ALTERPI
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ues
To utilize the total envelope system methodthe val esta6lished by the sum
_
• of i tems #3 and shal l not, be ,'9reater than the sum of i tems lll and #2;
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I hereby certify that l have calculated the facCors and "R" `.
values herein and [hat the.buildinct here descrihed meets or exceecis the State '
of Minnesota Enerqy Conservation Act,
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MECHANICAL PIItMIT (RESIDENZ7AL)
CTTY OF EAGAN 3830 PIIAT KNOB RD
EAGAN MN SS122
(6I2) 681-4675
? hwIaRSKdiA%.iY.'3 +.?Gv:H?C>AV'S h'> H + .
PLEASE COMPLETE FOR SINGLE FAMII,Y DWEELI,INGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEIV PERMTTS ARE REQUIRED FOR EACH UNTT.. .
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE. x(cnv2 rsi cnub p?o ? n9 ? nCt.t-u ro9 GO-Z)
DATE li- fb-q 3 FEES
HVAC: 0-100 M BT[J $ 24,00
,A ADDTI'IONAL 50 M BTU 6,00
` _.?5 OriJ iLETS (MINIMUM 1@ 53.00 EACH) •
ADD-ON/REMODEL (EXIsrIIVC CoNSTttUCrtoN) $ 15.00
STATE SURCHARGE ;50 ; .
TOTAL i 5.50
SITE ADDRESS: 87 B LCtkQLL`cc)J PicaGU
OWNER NAME: 6Ct) .{?nuo_) ' -. ... "T FpHONE #:
INSTALLER: GENZ-RYAN PL[JMBING & HEATING C0.
ADDRESS: 14745 South Robert Trail
CITY• Rosemount STATE• m " ZIP CODE• 55068
TELEPHONE #: (612) 423-1144 '
?
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2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits aze required for each unit ` --_- _?
Date
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a CO it #
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Site Address n
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Property Owner C?64 Telephone # L
Contractar STANDARO HEATING & AIR CONDITIONING
? ?554D8
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Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner ?Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional -?CReplacement
air exchanger
IX airconditioner _New XReplacement
other
State Surcharge $ .50
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; understand this is not a
perm t, but only an app or a permit, and work is not to start without a pe it; hat the wor e i accordance with the
appred pjanpn the c of wor which requires a review and approval of pla n '
Applicant's Printe4 Name ' Applicant's
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I hereby certify that this is a true
and correct representation of a
survey of the boundaries of:
Lat 16, Block 1, LAKEWOOD HILLS,
according to the recorded plat thereof,
Dakota County, Minnesota.
It daes nat purpart ta show impravements
or encroachments, if any. As surveyed
by me this Ipl day of
1983.
4" A.PZ4
A vin R. Reh er, Registered Land 5urveyor
Minnesota Registration Number 13295
29I.01
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RESIDENTIAL BUILDING
Permit Application
City Of Eagan
?? 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
(4- % a°
?-.t?' rvvo 9pIo?v
New Construction Reauiremenfs RemodeUReoair Reauiremenfs Offce Use Onlv
3 registered site surveys showing sq. ft of lot, sq. ft. oi house; and all roofed areas 2 cropies of plan Cert o( Survey Recd Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N
2 copies of plan showing beam & window sizes; poured tound design, etc. 1 site survey for additions & decks Tree Pres Reqd Y_ N
1 set of Energy Calculations Additlon - indicate if on-site septic system On-sile Septic System _Y _ N
3 copies o( Tree Presenation Plan if lot platted after 7/1193
Rim Joist Detail Options seleclion sheet (bldgs with 3 or less units
QDC)
Date Z? onstruction Cost y
SiteAddress ?N i
UniUSte #
Description of Work
Multi-Family Bldg _ YN Fireplace(s) _ 0 _ 1 _ 2
Property Owner l 0,?/L Telephone # ( )
Contractor
Address 1-]0c) City C'Fk'r'-'
State Zip Telephone#(/?) zCO'212-!f
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate?l Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
?+
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
I
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
n the case of work which requires a review and
permit; that the work will be in accordance with the Ut'sSignature
approval of plans.
Applicant's Printed Name
OFFICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
,..
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex p,- 18 Deck
? 11 10-plex 0 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
0 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Repl8cem2nt 'Demolition (Entire Bldg) - Give PCA handout to applicant
OV
Valuation Q Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs
- Length Fire Sprinklered
?
Type of Const Width
Footings (new bldg)
.? Foorings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insularion
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Remining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
-. ? . .. ? - .. ' . .. ... ?: ? . ? - f . .. , . ? '. . . ? ., . ' .
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auttotpG sttaacK LINE I hereby certify that this is a true
? PER RES(RICiIVE COYENANT and correct representation of a
w M survey of the boundaries of:
Lot 16, B1oCk 1, LAKEWOOD HILLS,
8. ?
3,rt,r N=:' t ..., ???ey -., ;•. ?, ( 1RA _ according to the recorded plat thereof,
Dakota County, Minnesota.
YYt.
Sy O Ho•2S 7?"!r , _ - ?;
,-? * " ?? Q It does not purport to show improvements
So.[L ? or encroachments, if any. As sur,?veyed.
u
?[ by me this day of ,???,
1986 ?0
, .. .. ,
v A vin .~IReh er, egistere Lan Surveyor
Minnesota Registration Number 13295 '
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o Denofes Iron Monu ent Sct
6eeri?9e Shown ore umed. ?
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