668 Leonard LaneCity of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
x Pc-4 ' L • �7e
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Applicants Printed Name
Permit Fee: * 90 : v' " " /
Date Rceived:
Permit #: _
Staff:
/ 2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -5/ �O / I t Site Address: Co (o3 Leart t r c L-A Unit #:
Use BLUE or BLACK Ink
Name: rvi ce, Goo -NrZr-
RESIDENT /
OWNER Address / City / Zip: 60'67,gS (,n E MA;
Applicant is: Owner ✓ Contractor
Phone: cos-i Lisa 7709
TYPE OF WORK
CONTRACTOR
Description of work: — le - oP /i2Q - r c>at
Construction Cost: Multi- Family Building: (Yes / No / )
Company: C.r;d-tkc'vA teContact: M r
Address: 1 aC C) Ceni-re_ Pr,, r - Ccdry , 'City:
State: /h ir\ Zip: SS`l aQ
License #: ?CS 9 - Ia CpC Lead Certificate #: 'FIAT "' a 7 93 — 1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Phone: Cp5 O 1 3 13 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 & Water Contractor:
Phone:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecafl.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 approval of plans.
Page 1 of 3
°7 -?
-?S `I?ESIDENTIAL
ti ?YY?? ??"?Bl71LDING PERMIT APPLICATION
CITY OF EAGAN
fie n? 0 b ? ? qa..sL?
P 9. ?kgo?
mP 4-9ko r '70•.5?-
3830 PILOT KNOB RD - 55122 $573 3 97
651-681•4675 ?
New Construction Reauirements RemadellReoair Reouirements ?
• 1 registe(ed site surveys showirg sq. fL ot lot, sq. ft. of house; and all mofetl areas 2 copies of plan
(20% maximum lot coverage aliowed) .. n?. 1 set of Energy GalculaGons for heated atldifions
• 2 copies of plan showing beam & window sizes; poured found design, etc) 1 site survey forexterwr additions & decks
. i set of Energy Calculanons
• 3 copies of Tree Preservation Plan d lot pla@ed after 711193 ? p
• Rim Joist Detail Options selec6on sheet (bldgs with 3 or less units) , l
DATE I -? I' DA VALUATION (EXCLUDING LAND)
JOB SITE ADD
IF MULTI-FAMILY BUILDING, HOW MA
NY UNITS?
PROPERTY OWNER n
L"
TYPE OF WORK NP IAJ a`?(?7-?"1rlA C?l ?
APPLICANT ff5 ,b
ADDRESS `-Y17? 'br f ?
PAGER # CELL PHONE #
FIREPLACE(S) _0 \41 _2 _3
PHONE # D"JI - 14G{ -U933
(C)l,r) - a_7 5- g'Zag
ZIP CODE t:XD1-;t-3
FAX# j0?5I-qSq° (73 7/
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMP ?.'?'
Ener9y Code Category _ MINNESOTA RULES 7670 CATEGORY 1 lpt,1 2 4 20?2 ?
(check one) - Residential Ventilation Category 1 Worksheet Submi
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Cade Worksheet Submitted
Plumbing Contractor. ? )N-)e1'Qr ?! mblp'4+ Phone #: ?Z? ' YV 7- 6, 7.3`1
Plucnbing System Includes: Water Softener Larvn Sprinkler Fee: $90.00
? Water Heater ? No. oF R.I. Baths
? No. of I3alhs
Mechanical Contractor. ?? Phone # 1??` 7'F"?' ???_3
Vlecli.uiic>il Syslciu Includes: Air Condi[ioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of MinnesoTa Statutes and City of Eagan Ordinances.
Signature of Applicant f l?ll? /?' l??' "`" ??%/ ?
Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required _
?? Updated 1l01
OFFICE USE ONLY
? Ot Foundation
x` 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
K 31 New
? 32 Addition
? 33 Aiteration
? 34 Replacement
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Pibg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
r .
.
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windaws/Doors
*Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation ? po
?
?
Occupancy
f,
MC/ES System
Census Code P-L_ Zoning - City Water
SAC Units 61 Stories ? Booster Pump
Nbr. of Units ? Sq. Ft. 2
21? PRV
Nbr. of Bldgs Length `
C? '- ?
0
Fire Sprinklered
Type of Const V-N Width J"- s?
x Footings(new bidg)
_ Footings (deck)
Footings (addi[ion)
? Founda[ion
Dram Tlle
? Roof )(Ice & Water X Final
Framing
? Fireplace X RL )(Air Test X Final
? Insulation
REQUIRE4 INSPECTIONS
Z FinaUC.O.
Final/No C.O.
_ Plumbmg
HVAC
Other
Poo( Ftgs Air/Gas Tests Final
X Siding ? Stucco _ Stone
_ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
ciry sac
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
M-s,r MS4Jr-
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Address 6E8 Leonard Lane ZlP 5512 3
IAt ='
Blk
Sub
Perron Acres
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date:
Yes
No
Inspector:
,?e
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas
Sod/Seeded grass
TraiUcarb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof rest caps from the plumbing sysrem and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Con[act engineering division at 6814645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy w
,i
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
Naw Cansnuction Reauiremants
• J r=gistereG sne surveys stwwing sq. tt. cf IcC sq R ot house. and all roofed areas
(20°b maximum tot coverage allowed)
•? eopies of plan showing beam 3 wmaow vzes; poured found desgn, etc.)
• 1 set of Energy CakulaUOns
• J copies of Tree Preservation Plan if lot platled aRer 711j53
• Rim Joist Detail Options selecBon sheet (hldgs mth 3 or less units)
DATE 7 I11 lu Z_
_ Water SoFCcncr
Water Heater
No. of Baths
SITE ADDRESS G(Pi6 LeoAbA Lav, MULTI-FAMILY BLDG ?I
TYPE OF WORK
APPLICANT
? ?oc+e
w c," CP'!tf
fIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS 6(o0 Ltovtw?l Lc?w__ CITY F0.t1-,, STATE 01)' ZIP SSI Z 3
TELEPHONE # GS\-4S'J- CELL PHONE # 45l- 33t?'87-? S FAX #
(vSl- 62}-slslo (we.u)
PROPERTYOWNER I?wu G?? TELEPHONE#
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MI V V E501':1 RULLS 7670 G\"CH:GOItY t MI\NLSO"1':\ RI TLPti 7672
(v submission [ype) . Residential VenUlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitted ?
p?r?
Plumbing Contractor: ___
Plumbing systcm includes:
Mechanical Conhactor:
N[cch:uiic>il systctn includes:
Sewer/Water Contractor:
Air Condiuoning
_ F(eat Rccovcy Syslcixi
Phone #
Phone #
['cc: 570.00
-------------------------------------°.._...-----------------...--°--°-----.....__..._....--------°--°----•----°-°-
I hereby acknowledge thaf I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Orces. C
Signature of Appiicant ?
--------------- --------------- ---------- ------------ - -°--------°-------°"----------•
Y OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
??d ?
Ramode1lReoair Reauirements
• 2 wpies of plan
• 1 ut of Emryy CalculaGons for heated addNOns
. t sde survey for exterroraddiUOns & decks
• IrMicate if home serve0 by sepGc system for additions
VALUATION
[a 5(?rinkle`r 1 y ?Q01
-- No. ?t.I. Baths
y90.00
%
OFFICE USE ONLY .'"
r'z
,
• s.
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Owelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - htulti
? 03 Ot of _ plex p 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 EzL Alt - SF
? 04 02-plex ? 10 OB-plex ^18 Deck ? 23 Parch (screened) ? 36 Multi
? 05 03-plez ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. af Units
Nbr. of Bldgs
Type of Const
?_Z?
?
f
----1--?
? 35 Int Impravement ? 38 Demolish (Interior) ? 44
? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45
? 37 Demolish (Bldg)' ? 43 Reroof ? 46
'Demolition (Entire Bldg only) - Give PCA handout to applicant
Z
Occupancy 3 4(.? MC/ES System
I
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
Siding
Fire Repair
W indowslDoors
REQUIRED INSPECTIONS
Footings(new bldg) FinaUC.O.
?[ Footings (deck)
? X Fina?No C.O.
(?
Footings (addition) _ Plumbing
_ Foundation [TVqC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool
F[gs
Air,Gas Tzsts
Final
_ Framing _
_
_
_ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (nzw/replacement)
_ Insulation _ Retaining Wall
Approved By 1-2,
Base Fee
Surcharge
Plan Review
MC/ES SAC
ciry sac
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
pK61k, 2D??
7 ? ?-
Building Inspector
Total
?
,
MN[heCk COMPLIANCE REPORT
Minnesota Energy Code
MNCheck Software Version 3.0
0
Permit #
checked by/Date
CouNTY: oakota
STATE: Minnesota
ZONE: 2
CONSTRURION TYPE: 5'Ing12 Famlly
DATE: 10-30-2001
TITLE: 01-455
PRO)ECT INFORMATION:
BRUCE & PATTY GORTER
COMPANY INFORMATION:
MANLEY BROS. CONST.
COMPLIANCE: PASSES
ttequired ua = 645
Your Home = 501
22.3% eetter Than Code
Area or Cavity Cont. Glazing/DOO?'
Perimeter R-Vd1UE R-Vdlu2 U-V81U8 UA
-------------------------------------------------------------------------------
CEILINGS: Rd150d rruss 1391 44.0 0.0 31
waLLS: wood Frame, 16" O.C. 3428 19.0 2.0 192
aSntT: Conc. 3.5' ht/2.9' bg/3.5' insul 56 11.0 0.0 4
sSMT: Conc. 8.8' ht/8.2' bg/8.8' insul 783 11.0 0.0 45
GLAZING: Windows or poors, Above Grade 613 0.320 196
DOOrtS 40 0.350 14
DOORS 40 0.330 13
oooRS 17 0.230 4
FLo0R5: Over unconditioned space 84 38.0 0.0 z
HVAC EQUIPMENT: Furnace, 90.0 AFUE
-------------------------------------------------------------------------------
COMPLIANCE STATEMENT: ThE prop052d buildiFlg d05'Ign dESCrib2d h2r2 15
consistent with the building plans, specifications, and other calculatians
submitted with the permit application. The proposed building has been
designed to meet t e equirements of the Minnesota energy code.
suilder/oesigner ' oate?????
LOT SURVEY CHECKLIST FOR RESIDENTIAL
• BUILDING PERMIT APPLICATION
? PROPERTYLEGAL: Lufi ? L'lec, I'- I
DATE OF SURVEY:
LATEST REVISION: 2-?? 0 2
m
rn
c
a
c=i DOCUMENT STANDARDS
O z <
6d// ?
' ? • Registered Land Surveyor signature and company
r?
? ? • Building PermitApplicant
? ? • Legal description
[a, ? ? • Address
[a/ ? ? . North arrow and scale
[a/ 0 ? . House type (rambler, walkout, splR w/o, split entry, bokout, etc.)
9/ ? ? • Directional drainage arrows with sbpe/gradient %
ra/?
/ ? • Proposedlexisting sewer and water services 8 invert elevation
[+)
? ? • SVeet name
Gl/? ? • Oriveway
d ? ? • Lot Square Footage
[5? ? ? • Lot Coverage
? ? ? • Benchmark
ELEVATIONS
ExlsGna
M/ ? ? • Sewer service (or Proposed)
fd? ? ? • PropeRy comers
[a? O? • Top of curb at the driveway and property tine extensions
? W/ ? • Elevations of any existing adjacent homes
? GY/ ? • Adequate footing depth of sVuctures due to adjacent utlliry Venches
? d ? • Waterways (pond, stream, etc.)
Prooosed
e/
? 1-1 • Garage floor
1
? ? • First floor
? ? ? • Lowest exposed elevation (waAcauVwindow)
fid" ? ? • Property comers
ra/ ?? . Front and rear ot home at the foundation
PONDING AREA (if aoolicable)
? p/ ? • Easement Gne
? f? ? • NWL
? G? ? • HWL
? [d? p • Pond # designation
? 0? ? • Emergency Overflow Elevation
DIMENSIONS
?? • Lot Iines/Bearings 8 dimensions
[3' ?? • Rightof-way and sVeet width (to badc of curb)
[a/ ?? • Proposed home dimensians including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. aN sUuctures requiring pertnanent footings)
[a? ?? • Show all easements of record and any Cily utlities within those easements
[a? ?? • Setbacks of proposed sWcture and sideyard setback of adjacent exisdng structures
?? o • Retaining wall requirements, if any
Reviewed:
Job Address
Heating Contractor
Name of Tester
Date
Percent OZ
Percent CO
Stack Temp.
??
1 6/
• 3 •?
?•+ti !?'9
?
Percent COZ iw
Wednesday, June 26, 2002 1,44 PM Lofgren Htg & A!C 651-4601208
Sileaddress: b ('P6 Lr lJ'ANG ?I'Lot 3 Block L
p.03
Subd,
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
? This slructure: is conslructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This structure: will be conslructed to meet more restriclive requirements of Chapters 7672 or 7674
?,ooo gr0
t
APPLIANCE GAS ELEC MANUFAC7URER MOUEL BTU' VENTINGTYAE
Water Heater
Furnace '' G
Dryer 35,-00b Y "CrA! ,
EXHAUST SVSTEM
LOCA710N
TYPE
MODEL
CFM's VENTED
YE6 NO
Ktchen kilchen
Bathroom 1
ArJ
Bathroom 2 a '??o tz'emp%P s-O >e
Balhroom 3 st oDR p. `, D
Balhroom4 ?, g?? A 50 y
FIREPLACE S
LOCATION
GAS
WOOD
MANUFAC7URER
MODEL I
8TU'S VENTING
DIRECT AirnoS
1 r?\ I? R ?Csl?u3 O<'? 35
Other I
the above informafion is correct and agree to comply with the Minnesota Energy Code and City of Eagan
Date
" This form Is the responsibilily oi the General Contractor.
I hereby acknowledge
reauiremenls.
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
-"`? '-? O . 0 o
NewConsWCtionReaui2menis RemodellReoairReaui2ments Offce UseOnN
3 registeied site surveys showing sq, ft. of lot, sq. % of house; and all roofed aress 2 copies o( plan Cert of Survey Recd
(20% maximum bt mve2ge allowed) 1 set of Eneyy Calailations for heated additions Tree Pres Plan Recd
2 mpies of plan showing beam 8 windax sizes; poured found design, etc. 1 site survey for addiUons 8 decks Tree Pres Not Reqd
1 set oi Eneqy Cakulations Add'Non - indrcate 'rf onsife sepOc system _ On-site Septic Syslem
3 mpies of Tree PreservaUon Plan if lot platled after 711I93
Rim Joist Detail Options seleciion sheet (bldgs with 3 or less units
Date /lo / 0 J p
Site Address 1,;bR Leo rca.rd Lq V1 -e
E4 a?. ? Construction Cost ? 3U vC) U
UniUSte #
Description of Work ?,rl sevr, P Nf ?? 1A?'?''? I V1 l? Yl
Property Owner Br()C2+-
C t-tA nV`tt'
r_ Telephone#(6S/) gSZ-770g
Contractor ? SUT-
Address Sq yp2-
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy CAde Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitled
. Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
r, , . - .,
L ,
Telephone #(
,..I ? , ^--
?
I hereby apply for a Residential Building Permit and acknowledge that the information isEcomplete:and-accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
?? ?b' ? D?'7?'
Applic ' Pnnted Name
-7?a 4 6-f, j
Applicant' i iature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo)
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbgkY or _ N ? 25 Miscellaneous
Work Types
? 31 New X 35 Int Improvement ? 38 Demolish (Interior) ? 44
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46
? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
??
Valuation oC
Occupancy
MC/ES System _
Census Code 41 3y Zoning City Water _
SAC Units Stories Booster Pump _
Nbr. of Units ? Sq. Ft. ? PRV
Nbr. of Bldgs ?-' - Length Fire Sprinklered
Type of Const _ LU Width
_ Footings (newbldg)
_ Footings (deck)
_ Footings (addirion)
_ Foundation
Drain Tile
? Roof _ Ice & Water _ Final
Framiog
Fireplace R.I. Air Test Final
? Insulation
---------------
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
FinaUC.O.
? FinaUNo C.O.
Plumbing
? HVAC
Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Smcco Srone
_ Windows (new/replacement)
_ Retaining Wall
Approved By
?O -
Building Inspector
5'1h37
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
SIsa.so
Date f / / ?- / 0, 3
SiteAddress U vO ?aoUd Ianp- Unit#
Property Owner 13 f f/GC 6O /' te? Ir Telephone #(6Jr1) 770Y
Contractor (10 t? PlUMS,4
I S 11 ?' 6y ?`` ,rT u city 1'7-N1 wqr-9,-
Address
State Zip ? Telephone #(??9 v3 v- foo?
11
The Applicant is _ Owner 4
7 Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes Counry fee. Additional consulWnt fees may apply.
Altera ons To Existing Dwelling Uniy Including
? $ 50.00
Adding fiMUres to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system ?
n n
'1 72003
_ Water softener _ Water heater
J J$ 15.00
81
y
_ replacement _ additional
$ 50
State Surcharge
Total $ J d ' 3 d
I hereby apply for a Residenrial Plumbing Pemut and acknowledge that the information is complete and accurate; that the worx wui
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand tkris is not a
pemut, but only an application for a pernut, and work is not to start without a permit; tLat the work vrill be in accordance with the
approved plan in the case of work wluch requires a review and approval of plans. /
oau•d fl' Ka 1rT?
ApplicanYs Printed Name Applicant's Signature
2422 Enterprise Drive
c* Mendota Heights, MN 55120
!`?' ` Lµ0 SLFVEV(WS • Om ENpNEERS 1(651) 681-1914 FAX:681-9488
gineering ii.'w wwNCes• iurosc,we nAartccrs 625 Highwoy 10 N E
Bloine, MN 55434
* * * i ?.-;: 1(612) 783-1880 FAX:783-1883
ertificate of Survey for: MANLEY BROTHERS CONSTRUCTION
(0(08 LEONARD LANE EAGAN, MINNESOTA
l104 1e74.5 ? LEONAI
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BENCH MARK
TOP DF PIPE ` nj
ELEV.=872.99 U)
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(VACANT)
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0 2176 0a10.67y3.f?1
8 7 . 73 17 oi? n+/ .4- ;f
I, M// /i GARAGE N
r? `? PROPOSED
HOUSE °oil 19,00 \I
U71
?00 z.oo' , aezai ?i
? 20.00 0 0 ?(?a ? .
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65.5 ? o
' 8loSto,
?ec? ia.oo 6s.n-, - -?--?-
?4.00 865.1 I ??j(p?^.fp? 1.3.
? CJ•? .? • ?
I X ' X864.5 I
? 3 ?
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?5! L y' FYi(l GE ?
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I I
SL ----------?--j
a DRAINAGE & UTILITY
-EASEMENT PER PLAT
BENCH MARK
TNH S.W.Q. OF DODD ROAD & WESCOTT
ELEV.= 888.53
S89'S7'39"W
NOTE: PROPOSEO GRADES SHOYM PER GRADING PLAN BY. PIONEER
NOTE: BUILDINC DIMENSIONS SHONT! ARE FOR HORIZONTAL ANO VERi1CAL LOCATION
OF SiftUCfURES ONLY. SEE ARCHITECNAL PLANS FOR BUILOINC ANO
F011NDATION DIMENSIONS.
NOiE: NO SPECtFIC SOILS INbESTIGATION HAS BEEN COMPLEiED ON iH15 LOT BY iHE
SUR4EYOR. TME SUITABILIiY OF SOILS TO SUPPORT THE SPEqFIC HOUSE
PROPOSED IS NOi iHE RESPON5161UTY OF TNE SUR4EYOR.
NOTE: THIS CERTIFICATE OOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN
?i05E SHOWN ON THE RECORDEO PUT.
NOTE: CONTRACIOR MUST OERIFY DPIVEWAY OESIGN.
NOTE. BEARMGS SHONN ARE BASEO O'! AN ASSUMED OATUM
4
BENCH MARK
?o•?? _,_--- TOP OF PIPE
ELEV.=868.64
M
C?
N
LO
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859.6
91•00 LOT AREA = 13,889 sq. ft.
HOUSE AREA = 2,277 sq. ft
COVERAGE =1597
HOUSE TYPE - 2 STORY WALKOUT
SERVICE INVERT = 867.5
WE HEREBY CERTIFY TO MANLEY BROTHERS CONSTRUCTION THAT iN15 IS A
TRUE AND CORRECT REPRESENTATION Of A SURVEY OF THE BOUNDARIES OF:
LOT 3, BLOCK 1, PERRON ACRES
PROPOSED HOUSE ELEVhTION
LOWEST FLOOR ELEVATION: t"LOA)
TOP OF BLOCK ELEVATION:
GARAGE SLAB ELEVATION: g1?'S
TOB @ LOOKOUT ELEVATION:
% 000.00 DENOTES EXISTINC ELEVATION
( 000.00 ) DENOTES PROPOSEO EIEVAt10N
--- DENOTES DRAINAGE AND Ui1LITY EASEMENT
DENOTES DRAINAGE FLOW OIRECTION
t DENOTES MONUMENT
B DENOTES OfFSET Ml1B
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEP7 AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THVS 10i}1 DAY OF JANUARY, 2002.
??15? `, ?p? I02 SIG ED: PIONEER EN? InEE?RI
SCALE : 1 INCH = 30 FEET 1, A
L?-?tc?r?s cr??orfUZ,BY. n x
101222.07 NJL (Di
•'t PI ONEER
* eng?
* * * *
2422 Enterprise Drive
Mendo[o Heights, MN 55120
(651) 681-1914 FAX:681-9488
If1C) LANOPLANNERS• LANOSCAPEMCryIIEClS 625 Highwoy 10 N.E.
Blaine, MN 55434
FEB 0 1 REG'D (812) 783-1880 FAX:783-1883
Certificate of Survey for: 1MAN Y BROTH R CONSTR )(`TION
(.0(08 LEONARD LANE EAGAN, MINNESOTA
044.1 -
X 874.5
G.- 8
(,,an975-.0
---
0 5r
o ?
0
xen s Xaie.
BENCH MARK
TOP OF PIPE ?
ELEV.=872.99 U')
'
(VACANT)
cQla.5> X870.9
N
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M ?
M I
x871.ON tInn
I
(ilA I
866.1 ,-,
xase.a w
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0
0
0
0
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857.5
i GARAGE
N
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?,z.oo' g??'
O
_? ----- ...
0 865.1 13-
1
? P?•?+-(.O• I
x • X864,5 I
3 ?
SI L'' N G? I
?
I
DRAINAGE & UTIUTY _ -? o
EASEMENT PER PLAT
S89'57'39"W 91.00
BENCH MARK
TNH S.W.Q. OF DODD ROAD & WESCOTT
ELEV.= 888.53
NOTE: PROPOSEO GRAOES SHOVM PER GRAOING PLAN BY: PIONEER
NOiE: 9UILDMG OIMENSIONS SHOWN ARE FOR MORIZONUL ANO VER7ICAL LOCA?ON
OF STRUCTURES ONLY. SEE ARCHITECNAL PLANS FOR B111L01NG ANO
FOIINOATION DIMENSIONS.
NOiE; NO SPECIFIC SOILS INbESTIGAPON HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR. ME SUIiA01L17Y OF SOILS TO SUPPORT THE SPECIFlC HOUSE
PROPOSED IS NOT 1HE RESPONSIBILITV OF THE SVRVEYOR.
NOiE: THIS CERTIFICAIE DOES NDi PURPORT TO SHOW EASEMENTS OTHER THAN
R705E SH04N1 ON THE RECORDEO PLAT.
NOIE: CONTRACTOR MUST VERIFY ORIYEWAY OESIGN.
NOTE: 6EARINCS SHOYM ARE 9ASED ON AN ASSUMEO OATUM
WE HEREBY CERTIFY TO MANLEY BROTHERS CONSTRUCTION THAT THIS IS A
TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT 3, BLOCK 1, PERRON ACRES
DAKOTA COUNTY, MINNESOTA
4
BENCH MARK
TOP OF PIPE
- ELEV.=868.64
M
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86g.?
W
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859.6
( VACAN T)
..
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?
'
LOT AREA = 13,889 sq. ft.
HOUSE AREA,=. 21217 sq: ft: ?COVERAGE =15.9%
HOUSE TYPE - 2 STORY WALKOUT
SERVICE INVERT = 861.5
PROPOSEO HOUSE ELEV TI
LOWEST FLOOR ELEVATION: •k
TOP OF BLOCK ELEVATION: f3-1 be R
GARAGE SLAB ELEVATION:
T08 @ LOOKOl17 ELEVATION:
X 000.00 DENOTES EXIS77NG ELEVATION
( 000.00 ) OENOTES PROPOSED ELEVAl10N
--- OENOTES ORAINAGE ANO 4TILITY EASEMENT
OENOTES ORAINAGE FLOW OIRECTION
? DENOTES MONUMENT
--E3- OENOTES OFFSEi HuB
IT DOES NOT PURPORT 70 SHOW IMPROVEMENTS OR ENCHROACNMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 10TH DAY OF JANUARY, 2002.
SIG ED: PK?O^EER ENGINEERIIZ?
C7
SCALE : 1 INCH = 30 FEET
101222.07 NJL
CDI
o.
LAN? x867.9
--o i
0
M i 1Rr; SEu I
_J, DRIVEWAY o,?a
Cit' . r
(ala Gt KA) doe cEr , .,:J For Office Use "
�„� � 0 „,,1" 0 Permit#:
%, ,,,,, E AGA N
.`.. .' Permit Fee: —72.6 . /V
Date Received: 6-,1,..,---/g/
9`',1�`[ g
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535( FAX: (651)675-5694 Staff:
buildindinspections a(�.citvofeaaan.com L i'd ,
�jj 2018 RESIDENTIAL L ppBUILDING PERMITIAPPLICATION
Date:vqu,L Gs, r8' Site Address: 100 ��d`� `� Unit#:
Name: A-CA ie- /lQc C' L 5 Phone: o$/' 2 ' — 1 .7
Resident/
Owner � Address/City/Zip: Q_C8. (gyprd L
Applicant is: Owner ki Contractor
ll
Description of work: i i Ai- 2� 3 S''� rcrC '' dr
Type of Work l1
- Construction Cost: 300 Multi-Family Building: (Yes /No!r)
..........
g,Company: 04A4 t't'"">y12_ ,f'Li 4.bl''1'^ ontact: s)
Contractor Address: ?`t" IA ircl/t4;1I Q4- City: 9
' State:641J Zip: 551 Z3 Phone: 0051 4)53`05 Err ail 1)ud yG hoAaer�rt @ ailaD<<d�
i Y
License#:13C-67Z - 0 Lead Certificate#: kg+- i
If the project is exempt from lead certification, please explain why:
`9sV t 78 -,s4--tc1- -, , �/i, i /4/ D I
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:
3
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-.ubfic if ou •rovide •ecific reasons that would •ermit the Ci 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.citvofeacian.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.qopherstateonecall.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, an. •. . '.t 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 -..roval of plans.
x ea�
5 Vc , x
Applicant's Printed Nam Applican • - •
1 netivj
J L
DO OT WRITE BELOW THIS LINE /' -'07
SUB TYPES
_ Foundation _ Fireplace Porch (3-Season) _ Exterior Alteration(Single Family)
_ 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 vv
Valuation ✓ 6 ‘eOccupancy :TAC- / MCES System
Plan Review / Code Edition .'!� '7 SAC Units
(25% 100%_/) Zoning i City Water
Census Code 4.1 4 Stories 1 Booster Pump --
#
#of Units 1 Square Feet G("i2.. PRV
#of Buildings 1 Length 41 Fire Suppression Required
Type of Construction Width /;
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required ,
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
u Roof: yt-ice& ater _Final Pool: Footings Air/Gas Tests _Final
Framing 1 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick_EFIS
1- 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:
IlelP , Building 3.2. Inspector
tie
/tf, qqRESIDENTIAL FEES 4 � 0 � SiZ��aP'�
�9 '
Base Fee lii
Surcharge ;1094 „cam. 6 /j ``i/� /
Plan Review ---c:` — o�
MCES SAC 'r
City SACi U,
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
,(�`�
�, /1/1 14, (� / 2422 Enterprise Drive
* ?f. Mendota Heights, MN 55120
►*PIONEER (651) 681—1 91 4 FAX:681-9488
y LAND SURVEYORS • CPAL ENGINEERS
engineering LAND PLANNERS• LANDSCAPE ARCHITECTS 625 Highway 10 N.E.
�} * Blaine, MN 55434
4( * ** 01 REC'a (612) 783-1880 FAX:783-1883
Certificate of Survey for: u 6,1 : L • ■ : I L. : TION
C0(08 LEONARD LANE EAGAN, MINNESOTA
—94
X1874,5 L_EONA_ RD LAN E X867.9
F ( OAD NOT BUIL�f)
Gt
C.
N ® CURB NnT Btji I1It, ›.) A L:: c`r'v
04 ( s ) . • •"W 9 .00 011 •`
875.0 869.4
�&►S.Q�) o a
I
815 r- — — — — — 7 — — — — — 7 i 2
'15 ,...,1 r g
irlelle. 1 r., ,
I (RDPOSE I BENCH MARK
DRIVEWAY 8709 >9?0't) ---` TOP OF PIPE
x677 6 x876.7 _ �Z �_ � ELEV.=868,64
1 0 , k (g/,,21.16 01o.6 .Q
rM 61';:l X872.0 c ,dr IID
BENCH MARK „ t� 7- 33.17/ /
TOP OF PIPE- f tV I GARAGE ``� CV
ELEV.-872.99 /'� I 18. . 1,1y
PROPOSED
M
- n HOUSE 19.00 > n
1141,URBLri4 X871.0 1 Q0
0�12. 0' 86731 (61lc) •
(VACANT) 20.00 (13(eG•5'
• , 0 dCS-11'0 X870.9
3 -544 csi iii
68 �1 J I) "' d 4 el, :61.2 /_ _
-� '0-'9'?8 8
1 4' �.N >aSCos;to i3.+�., i
LL.I r, Li... i , , ,A:
Ne N . ., ___.: ;
t 1 WeWI# • N r •_ 1�.
N Ill X864.5 N ,;, .
P 0 C.-
o 3 0 P. ` C:.
U, S/Lfi le'i- G�' G.l 'yN f
EAGAN _ 0......
:;.:"..7
•' (`I1
REV EWE .5 L / J 5 %., • ..
1,:t.''.....! glit. i .:-:
BY: A ' - ., 1 - DRAINAGE & UTIUTY - o rem'0 • ,„ �1 .
/ / $' - EASEMENT PER PLAT l k,
1 851.5 859.6
DATE:_____7/°"9/ ✓ 589'5739"W 91.00
:s,� -PONS DS A, LOT AREA = 13,889 sq. ft.
HOUSE AREA,_. 2;217 sq: ft: 'FBENCH MARK COVERAGE =15,9%
TNH S.W.Q. OF DODD ROAD & WESCOTT HOUSE TYPE - 2 STORY WALKOUT
ELEV.= 888.53 SERVICE INVERT = 861.5
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: PIONEER
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION PROPOS 0 HOU V'o1IN
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND LOWEST FLOOR ELEVATION: •' r.L.
FOUNDATION O1M£NSIONS-
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE TOP OF BLOCK ELEVATION: 'r'14
Pt
SURVEYOR. THE SUITADIUTY OF SOILS TO SUPPORT THE SPECIFIC HOUSE �S
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. GARAGE SLAB ELEVATION:
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN TOB @ LOOKOUT ELEVATION:
THOSE SHOWN ON THE RECORDEO PLAT.
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. X 000.00 DENOTES EXISTING ELEVATION
( 000.00 ) DENOTES PROPOSED ELEVATION
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM — _.. ...- DENOTES DRAINAGE AND UTIUTY EASEMENT
—y- DENOTES DRAINAGE FLOW DIRECTION
WE HEREBY CERTIFY TO MANLEY BROTHERS CONSTRUCTION THAT THIS IS A —et— DENOTES MONUMENT
TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: 0 DENOTES OFFSET HUB
LOT 3, BLOCK 1 , PERRON ACRES
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 10TH DAY OF JANUARY, 2002,
jt<r7 0110- SIG ED: PIONEER ENGINEERIN P.A
SCALE 1 INCH = 30 FEET 4.44 rc3SS ) A
or(bZ_ BY: k f ! v� d _
3054 101222.07 NJL C)I1Cit.t C' Don - . Westergren Reg, No. 19790