684 Leonard Lane- 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtbn Reciui2ments RemodeVReoalr Reauirements
3 registered sile surveys showing sq. R of bt, sq. R of house; and a0 roofed ereas 2 wpies of plan
(20% maximum bt coverege aBaxed) 7 sel of Energy Calculations for heafed addifbns ?
2 copies of plan slwwmg beam & wirdow stres; poured fouM design, etc. 1 site wrvey far additions 8 dedks ,
1 set of Eneyy Cakulattons Additlon - indicefe if on-sife septic system
3 copies of Tree Preservation PWn H bt platted after 711193
Rim Joisl Delali Op6ons seiection shcet (bldgs wtlh 3 or less unXs
(-Z;l
'bti c
Date -:7- J
CoustrucHon Cost
Site Address 160AJA'J'
-O L-
&) ??GLI? 6n ? UniUSte #
Description ot Work AUILD
Multl-Family Bldg _ Y H Fireplace(s) _ 0 2
Property Owner Telephone # ( )
Contractor Mi.cl/ I/!?? r"-i? S/ ?--
Address l?
State 7
iA
/t y7x?' /YI/TJ City
7.ip Telephone # (? -2--
_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Tviinnesob Rules 7670 Cateeoro 1 _ Minnesota Rules 7672
Energy Code Category . Residen8al Ventilatlon Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submiked
. Energy Envelope Calculations Submilted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N'If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Pemut and aclrnowledge that the informa ! ate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
5tatutes; 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 appmved plan in the case of work which requires a review and
approval ofplans.
773-
Applicant's Printed Name Appl' an' ignature
OFFICE USE ONLY
Sub Types
O 01 Foundation ? 07
05-plex
? 13 18-plex
? 20 Pool ..-% A
? 30 Accessory Bldg
? 02 SF Dwe lling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. APt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex `?C 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 64-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
?p 31 New ? 35 lnt Impravement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof O 46 Windows/Doors
? 34 ReplaCement •DemoliGon (Entire Bldg) • Give PCA handout to applicant
Valuation ZJ aO0 Occupancy JZ '3 MCES System
Census Code 3? Zoning ?2 - t City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
Footings (new bldg)
?D Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Piant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Final/C.O.
? FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs _ Air/Gas Tesu Final
_ Siding _ SNcco _ Stone _ Btick
_ Windows
_ Retaining Wall
I' ??7 Fee
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SIDEWALK AND TRAILWAY EASEMENT
AND TEMPORARY SLOPE EASEMENT 1878049
D
' This easement, made this ? day of 2002, between MANLEY LAND
? DEVELOPMENT, INC., a Mnnesota corporation (herein er referred to as "Landowner"), and the
CITY OF EAGAN, a Minnesota municipal corporatioq organized under the laws of the State of
? NTumesota (hereinafter referred to as "City").
WITNESSETH:
That the Landowner, in consideration of the sum of One Dollar ($1.00) and other good and
vatuable consideration, the receipt and sufficiency of which is hereby aclrnowledged, does hereby grant
and convey unto the City, its successors and assigns, forever, a 10.00 foot wide easement for sidewalk
and trailway purposes over, under and across the following described property, to wit:
All that part ofLou 9 and 10, Block 1, PERRON ACRES, according to the recorded
<. plat thereof, Dakota County, Minnesota, the centerline of said easement is described as
follows:
Beginning at the intersection of the northeasterly line of L.ot 9, Block 1,
said PERRON ACRES and the southeasterly right of way line of Dodd
Road as delineated and dedicated on said PERROiv ACRES; thence
on an assumed bearing of South 56 degrees 56 minutes 21 seconds
East, along said northeasterly line, a distance of 46.67 feet, to the
westerly right of way line of Leonazd Lane as delineated and dedicated
on said PERRON ACRES and there terrninating.
The sidelines of said easement shall be prolonged or shortened to ternunate on said
southeasterly right of way line of Dodd Road and said westerly right of way line of
Leonard Lane.
RErE!`JFt7
DAKO':A G:UNTY
THFASUFl6R-AUDITOR
Tranaler
daydz
? ?
Together with:
A temporary easement for slope purposes lying over, under and across the
northwesterly 20.00 feet of Lots 8, 9, 10 and 12, Block ], PERRON ACRES,
according to the recorded plat thereof, Dakota County, Minnesota, adjoining the
southeasterly right of way line of Dodd Road as delineated and dedicated on said
PERRON ACRES.
Said temporary easement shall expire upon the completion ofthe proposed Dodd Road
improvements, and said easement shall remain in effect until released by the City.
5ee also Exhibit "A" attached hereto and incorporated herein.
The gant of the foregoing permanent easement for sidewalk and trailway purposes includes
the right of the City, its contractors, agents and servants to conswct, reconstruct, inspect, repair and
maintain a sidewalk and/or trail and erect and maintain signs in conjunction with the public's use of said
sidewalk and/or trail and any signs erected in conjunction with the use of the sidewalk and/or trail.
The grant of the foregoing temporary easement shall be restricted to slope purposes, but
includes the right of the City, its contractors, agents and servants to enter upon the Easement Premises
at all reasonable times to construct, reconstruct, inspect and repair slopes and the further right to
remove trees, brush, undergrowth and other obstructions within the Easement Area. ARer completion
of such construction, maintenance, repair or removal, the City at its sole cost shall restore the
Easement Premises to the condition in which it is found prior to the commencement of such actions,
save only for the necessary removal of trees, brush, undergowth and other natural obsuuctions.
And the Landowner, for itself, and its successors and assigns, does covenant with the City, its
successors and assigns, that it is the fee owner of the lands and premises aforesaid and has good right
to jrant and convey the easements herein to the City.
IN TESTIMONI' WfEREOF, the Landowner has caused this easement to be executed as of
the day and yeaz first above written.
MANLEY LAND DEVELOPMENT, INC.,
a Minnesota corporation
By:
Its: ?
STAT'E OF NIINNESOTA)
)ss.
COUNTY OF DAKOTA )
?
The foregoing was acknowledged before01 ?e thi? 7- day of ?4??uo.rC 2009, by
the Ce Zrest?{'Prr?- of MANLEY LAND
DE VELOPMENT, INC., aNfi nesota corporation, on behalf of the corporation.
i
Notary Public
APPROVED AS TO FORM:
2, "e, • le'
City Attomey's Office
DaTed: ilI zI
APPROVED AS TO CONTENT:
i
046lic Works Department
Dated / - 9 - o%2-
THIS INSTRUMENT WAS DRAFTED BY:
SEVERSON, SHELDON, DOUGHERTY &
MOLENDA, P.A.
7300 West 147th Street, Suite 600
Apple Valley MN 55124
(952) 432-3136
(RBB: 4206-18290Basement #863)
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•0$ 7 (p RESIDENTIAL BUILDING
Permit Application
lp ? ?D 6 E_)e7 City Of Eagan
b3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
-W
New Conshuction Reauiraments RemodellReoair Reauiremen4s
3 registered site surveys shaxing sq. R of IoL sq. R. of house; and all roofed areas 2 oapies of plan ?
(20% mazimum bt coverage allowed) 1 set of Energy Calalations for heated additions
2 copies of plan showing beam 8 window sizes; poured found design, atc. 1 site survey for additions & decks
1 set of Energy Cakulations Add'rtion - indicefe if onaife septic system
3 capies of Tree P2servaUon Plan if lot platted aher 7l1193
Rim Joist Detail Options selection shcet (bkigs with 3 or less units ? ,S3 (
Ss a il 6s
90,s-0
R b ,S?
I!b
g? u5e
_C? erlofSurveyRecd ?-?
Tree Pres Plan Recd
Ps.Tree Pres NotReqd
_ Onsile Septb System
Date U l// l 03 Construction Cos[ §900 ,r0 O 0 ,0 0
Site Address L Unit/Ste #
C/L"
Description of Work
Multi-Family Bldg _ Y'_ N Fireplace(s) _ 0 V 1 _ 2
PropertyOwner ah(-P aBn2t:?P/`,5 Telephone #((c5l )??-`"t" 1?J 3
Contractor /J(ofi/)er?)
Address 0113 lhAr QQ , City 6*IZT/ J7j
State ECt G Lf _/'? Zip /?}7!I
i Telephone # I(?) ) U)G?J- 'I'J /9
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeo
• Residentlal Ventilation Catego
(Jsubmissiontype) Submitted
• Energy Envelope Calculations
Licensed Plumber
Mechanical Contractor
Sewer/Water
NEW BUILDING
? Minnesota Rules 7672
N New Energy Code Worksheet
q ? ZO03 Submitted
}
052y. b!?'7-Eo73t,1
Telephone #V'j 1) -g-3) 3
Telephone #9,-D) L/4t-?'&734
I hereby apply for a Residential Building Permit and aclrnowledge 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
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. i / /V_*?
IWh?u247
Applicant's Printed Name Applicant's Signature
OFFICE IISE ONLY
Sub Types , •
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Levet ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
X 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement 'Demolitlon (Entire Bldg) • Give PCA handout to applicant
Valuation L2?o? 0 Occupancy 3- 14? MClES System
Census Code Zoning rM City Water
SAC Units Stories _c2tt_ Booster Pump
Nbr. of Units Sq. Ft.
?
PRV
` Nbr. of Bidgs / -
?
Length Fire Sprinklered
Type of Const ?N Width
Y REQUIRW INSPECTIONS
X Footings (new bldg) FinallC.O.
_ Footings (deck) FinaUNo C.O.
Footings (addirion) _ Plumbing
? Foundadon HVAC
Drain Tile Other
Roof Ice & Water Final Pool t s Air/Gas Tes[s Final
Framing
Fueplacey R.I. XAir Test ?
? Siding Stucco Stone
Final Windows (n acement)
Insulation
y' Retaining Wall
7?'
----- ------------------- ----------------------- ---- Approved By , Building Inspector
------- ------- ------------------- ----------------------------------------------------------------------
BaseFee
S
h ??? ? p?J G90
urc
arge
Plan Review ?...?
N
???? x 6 ?j ? ?Y
?
MC/ES SAC w M?
?y? ?
City SAC l y sT x S"y cd,
Utility Connection Charge
S&W Permit & Surcharge x?? .-, 12t
.qo
Treatment Plant
License Search
? VcvaJ /
?
J
Copies
Other
Tatal
3 J l?
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I
Permit Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
REScheck5oftware Version 3.5 Release lb
Data filename: C:\Program FileslCheck\REScheck\rribc0069.rck
COUNTY: Hennepin
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 07/31/03
DATE OF PLANS: 7l25/03
PR07ECT INFORMATION:
Perron Arces Spec #3
Lot 9 Block 1 Perron Arces
684 Leonard Lane
COMPANY INFORMATION:
Manley Bros Construction
COMPLIANCE: Passes
Maxunum UA = 572
Your Home UA = 506
11.5% Better Than Code (UA)
Gross Glazing
Area or Caviry Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Raised or Energy Truss 1715 44.0 0.0 38
Wall 1: W ood Frame, ] 6" o.c. 384 19.0 0.0 17
Window l: Above-Grade:Vinyl Frame:Double Pane with Low-E 96 0350 34
Wa112: Wood Frame, 16" o.c. 1503 19.0 0.0 67
Window 2: A6ove-Grade:Vinyl Frame:Double Pane with Low-E 333 0350 117
Door L Solid 41 0350 14
Wall 3. Wood Frame, 16" o.c. 1416 19.0 0.0 72
Window 3: Above-Grade:Vinyl Frame:Double Pane with Low-E 204 0350 71
Basement Wall 1: Solid Conclte or Masonry 1091 11.0 0.0 61
Wall height: 8.8'
Depth below grade: 82'
Insulation depth: 8.8'
Floor 1: All-Wood JoisUTruss:Over Unconditioned Space 469 30.0 0.0 15
Furnace 1: Forced Hot Air, 90 AFUE
Proposed and Maximum U-Factor Averages
Proposed
Average U-Factor
Maximum
Allowed U-Factor
Above-Grade Windows and Glass Doors 0350 0.370
Includes FoundaCion Windows > 5.6 ft2
Floors Over Unconditioned Space 0.033 0.033
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,
and other calculations submitted wi[h the permit application. The proposed building has been designed to meet the 2000 Minnesota
Energy Code requirements in REScheckVersion 3.5 Release lb (formerly MECchec)4 and to comply with the mandatory
requirements listed in the RES c ecklnspectio ecklist.
Builder/Designer ?'"??d4===Z__ Date ? ?Q?
REScheck Inspection Checklist
2000 Minnesota Energy Code
REScheckSoftwaze Version 3.5 Release ]b
DATE: 07/31 /03
PLAN REVIEW AND INSPECTION ISSUES
This list of items may be helpful for Plan Reviewers and Building Inspectors to use as a guide for enforcing the
Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, one- and two-family residential
dwellings. The items marked with * apply only to detached one- and two-family
residential dwellings.
PLAN REVIEW ISSUES
FOUNDATION INSPECTION
[] foundation wall insulation R-5 minimum
[] foundation insulation extends from top of wall down to top of the footing
exterior foundation insulation is covered by a protective coating finish
CONCRETE SLAB OR UNDER-SLAB INSPECTION
[] slab on grade perimeter insulation R-5 minimum
[ J slab insulation extends from top of slab to design frost line or top of footing
[] floors over unheated space R-30 minimum
WIlVDOWS / DOORS / SKYLIGHTS
[] average U-value is 0.37 maximum for windows and glass doors (excludes foundation windows)
[] window U-values consistent with building plan and REScheck Certificate
[] window and door areas consistent with building plan and RES check Certificate
MECFIANICAL VENTILATION ISSUES
[] residential mechanical ventilation system provides adequate ventilation per code requirements*
[] furnace efficiency is consistent with RES check Certificate or building plan
[] protection against excessive depressurization is installed per code requirements*
ENVELOPE INSULATION FOR PLAN REVIEW
[] interior basement insulation R-5 minimum (if no exterior insulation)
[) ceilings with attics R-38 minimum or consistent with building plan and RES check Certificate
O wall framing and insulation level is consistent with building design and RES check Certificate
INSPECTION ISSUES
CONCEALED INSULATION
Framing and Sheathing
[] wind wash barrier installed at attic edge
f 1 exterior wall comers framed so that insulation can be installed after exterior sheathing is installed
[] intersections of interior partition walls and exterior walls framed so that insulation can be installed between the
partition and exterior sheathing after exterior sheathing is installed
[] gaps between framing less than one-half inch are eliminated by securing framing together or are insulated at the
time of assembly *
[] all penetrations between conditioned and unconditioned spaces made prior to framing inspection are sealed *
Interinr Air Barrier
'[ ] all fire stops are air sealed
[ J pipes, ducts, wires, equipment and flues and chimneys through the interior air barrier are sealed
[] a sealed continuous interior air barrier is installed on the wazm side of the building envelope at ceilings, walls,
and floor rim joist areas *
[] air barrier behind tub and shower is sealed and protected
[] recessed light fixtures are sealed
Envelope Insulation
[ ] basement insulation R-5 minimum
[] wind wash barcier on wall separating house and garage is sealed
[] loose fiJl insulation is prevented from entering the eaves
[] insulation on skylight shafts and walls exposed in attics is supported on the unconditioned side
Attic Insulation
[] attic access panel insulated to R-38 for ceilino, panel and R-19 for wall panel
[] attic card attached to framing near access opening
[] notification of attic R-value and date of installation posted near building permit inspection card
This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the
Department of Public Service Information Center at 651-296-5175 or 1-800-657-3710.
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: Lof q? .v.? I, Pc/lon /fc?.s
DATE OF SURVEY: o u 3
LATESTREVISION: A?yus? 1
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DOCUMENTSTANDARDS
? ? • Registered Land Surveyor signature and company
0 ? • Building Permit Applicant
?? 0 • Legal description
p'/ p ? . Address
? ? • North arrow and scale
?p ? . House rype (rambler, walkout, split w/o, split entry, bokout, etc.)
? • Directlonal drainage arrows with slope/gradient %
? • Proposedlexisting sewer and water services 8 invert elevation
? ? • Street name
? ? • Driveway
? ? • Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
/ Existin
?o ? • Sewer service (or Proposed)
? • Property comers
? ? • Top of curb at the driveway and properly line extensions
V/t ? • Elevations of any existing adjacent homes
[3' ? /o • Adequate footing depth of structures due to adjacant utility trenches
? rr?" ? • Waterways (pond, sVeam, etc.)
Prooosed
? ? ? • Garage floor
? ? ? • Basementfloor
??7 ? • Lowest exposed elevatlon (walkoutlwindow)
0/ ? ? • Praperty comers
??? • Front and rear of home at the foundation
PONDING AREA (ff applicable)
? R/ ? • Easement line
? ?i ? . NWL
? ? • HWL
0 ? • Pond # designation
? ? • Emergency Overtlow Elevation
? ? • Pond/Wetland buffer delineation
/ DIMENSIONS
?/p ? • Lot IineslBearings & dimensions
C?/ ?? . Right-of-way and street width (to back of curb)
f? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2, porches, etc.
/ (i.e. all structures requiring pertnanent footings)
/0 ? • Show all easements of record and any City utilides within those easements
e? ?? • Setbacks of proposed structure and sideyard seffiack of adjacent existing structures
? B? ? • Retaining wall requiremenfs,'rf any
Reviewed: ])? a-c ?S -ao-?2
Name Date
G:/FORMS/Bullding Permit Applicatlon
(0q9(D?,,
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
'50.sa
Date ? l?1 -0-<Z ,./'
Site Street Address D?7 Unit#
Property Owner A /),1 i--.? Telephone # ( )
n / C,.ia-7s?7- 3cd' 35
Contrector' ySGh-e/? ? / ' lh' Telephone # ( )
Zip ?5?,7a-
Address ?hOlJd ?? ? City StateA
The Applicant is: _ Owner `! Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
(add $121.00 if a 5/8" meter is required)
_ Water Turnaround
?
?Other: // > /A- k 9h e-el- f- 1-3
Water Softener Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $J . S
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of ity of
Eagan and the plumbing codes; that I understand this is not a permit, p i1 t for a
permit, work is not to start without a permit and work will be in accordan h a?ove lan in
the event a plan is required to be reviewed and approved. ?UN 2 2 2004
3-?? ? 9c
ApplicanYs Printed Name A ica s Signature gy??
?004 RESIDENTIAL BUII,D GINEP RMIT APPLICATION`
City Of Eagan
(,?' 3830 Pilot Knob Road, Eagan MN 55122
? (1 ?h/ Telephone # 651-675-5675 FAX # 651-675-5694
NewConstrucUon?nfs? N'O-^?-? RemodeVReoairReaul2men4s Offid'e'U
.?.-. ? H_-_----?--
3 2gistered site surveys showing sq. ft of bt sq. ft of house; and all r areas 2 copies of plan C'%Abf Sur'vey Reai! .>.-,?: Y _ N
(20%maximumlotmverageallowed) lsetofEnergyCalwlationsforheatedadditions Tiee;RresPfayRedi":=A-=y^'_w
2 copies of plan showing heam & window sizes; poured found design, etc. 1 sita survey (or addidons & decks
7 set of Enertgy Cakulalions Addifion -indmate lt on-slTe septic system K1n-6? Se?tG?Sy,Stgip,? r',''"'a• ? Y.?; "?:?
3 mpies of Tree Preservation Plan if lot plaHed afler 711/93
Rim Jois[ Detail OpUons selection sheet (bldgs wifh 3 or less uniLs
Date
Site Address ?? v'-I ConstrucHon Cost'r ? 000 60
? ? ?r?ard ??? Unit/Ste #
Description of Work h?ii? rnen`?f 1l S? -
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 X 1 _ 2
Property Owner " 'GLPI Lf,'Aj T7?bJ?Y`5 Telephone # (?>? ) j Uq- `1-7 1U
Contractor
Address
State
Zip ?a--, City a'
Telephone #((jD)) ?
COMPLETE THIS AREA
A NEW BUILDING
- Minnesota Rule o _ Minnesota Rules 7672
Energy Code Category , Residenti? N e a n Cat?rY sheet • New Energy Code Worksheet
(d submis4ion type) Submift?d Submitted
Have you previously constructed
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
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
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.
(V1lCwfl?- KAS?4-
ApplicanYs Printed Name
in Eagan a similar plan2 _ Y _ N If so, 25% plan review
( Teleohon 1
ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ?0 19 Lower Level ? 24 Storm Damage
? 06 04-ptex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types rN f 1 e'p e- e-, r;1ze p 16e Q-
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
e?W 33 Alterafion ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundarion
Drain Tile
Roof Ice & Water Final
? Framing
?g F'veplace _?q R.I. & Air Test >Q Final
,4 Insularion
Approved By:
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
ToWI
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
L o .?-r era I ?evc (
2004 RESIDENTIAI, BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
1
NewConshuctionReauirements RemodeUReoairReouirements
3 regkte2d site surveys showing sq. ft of lot, sq. f[ of house; and pil mo(ed areas 2 mpias of plan ?,"?" ,
°?`? s; r;?Y,r
8,
(20% maximum lot coverege allave? 7 se[ of Energy Calala8ons for healed addfions ,? ?e?P,.[??
2 coples of pian showng beam & window s¢es; poured found design, etc. 1 she survey for additlons & dedcs rT.%e Pre?R6p?ed;
1 set M Energy Celculations Addl6on - tndkete Aonatte septic system "'X;..? N
3 copies of Tree Preservation Plan'rf Wt platled after 711/93
Rim Jast DefalOpUons selection sheet (bidgs with 3 or less units
t
C
i
v / ctv -
Date (
on
os
Construct
Site Address f n_? Unit/Ste #
Description o[ R'ork bci?1??{? ?
Mulri-Family Bldg _ Y?N Ftireplace(s) _ 0 X1, 1 _ 2
TelePhone
Property Owner
Contractor Mo-n ?
Address
State I V l d`-? CitY
Zi? Telephone #?)
COMPLETE TNIS AREA ONLY IF
Energy Code egory -M?esota Rules 7670 Category 1
• Residential Ventilation Category 1 Worksheet
(J su6mission SubmiHed
. Enerw.Envelooe Calculations Submitted
Have you previously constructed a building in Ea erfwith a
fee applies.
Licensed Plumber 9 N`0
Contractor
r Contractor ?-?`-
A NEW BUILDING
. New
_ Y
?'Llelephone ?
N If so, 25% plan review
C9A` &01",
Te hone #(
`VT-e)ephone # (
T l'_7 T ?
I hereby apply for a Residential Building Pemvt and acioa3Tedge that the informat' n is complete and acc ate;
that the work will be in conformance with the ordinances and codes of the City o 4-the-9tat" MN
Statutes; I understand this is not a pernut, but only an application for a pemvt, 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.
ApplicanYs Printed Name
LUU,Uli 6ay?
Applicant's Signature
OFFICE USE ONLY
Sub Types
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweliing ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. AR - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitlon (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy C-L-3 MCESSystem
Census Code q3q Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const V ? Width
REQUIRED INSPECTIONS
_ Footings (new bldg) ?p,gm; FinaUC.O.
_ Footings (deck) 61D a7s .?( FinallNo C.O.
_ Footings (addition) r? y^?,?Sp eL}I oRg - Pl?bing
_ Foundation HVAC
_ Drain Tile LeIJ p? Other
Roof Ice & Water Final Pool Ftgs AidGas Tests
?
F
i Final
ram
ng
a Siding _ Stucco
Stone
Brick
ll. Fireplace )(, R.I. ?CAirTest x _
_
Final Windows
Insulation _ Retaining 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
Address: 684 Leonard Lane
Lot: 9 Block: 1 5ubdivision: Perron Acres
Zip: 55123
THE FOLLOWIKG ITEMS WF.RF,/WERE NOT COMPLETE AT FINAL INSPECTIO\ ON "?3a
Yes No Comments
Final grade - 6" from sidin X
Permanent ste s- garage jC
Permanent ste s- main entry K
Permanentdrivewa
Permanent gas
Sod/Seeded lawn x
Trail/curb damage X
Porch X
Lower level finish X
Deck 1C
Fireplace /n9? ? ' loo Z
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Turn off water supply to the outside lawn faucets before freeze po[ential exisu.
• Call the City's Engineering Department at 651-675-5646 prior ro working in right-of-way or installing
urigation system.
? BUICDING INSPECTOR:
CONTRACTOR:
Manley Brothers Construction
2113 Cliff Drive
Ea¢an MN 55122
? * lf 2422 Enterprise Drive
?c Mendota Heights, MN 55120
* PIONEER ,-A,0 SUFOEY0F5 • CINI ENCINEERS (851) 881-1914 FAK681-9488
* ang?nBer ng LANO PUNNERS- LANOSCAPE ARCHI7ECT5 625 Highway 10 N.E.
* * * Blaine, MN 55434
* (753) 783-1880 FAX:783-1883
Certificate of Survey for: _MANLEY BROTHERS CONST
684 LEONARD IANE BUYER- SPEC EAGAN, MN
EV ?
IEVW ?'?,. ? _
a,`.1`et,"11 N'')t7i , i3;•;7>i?
LOT AREA = 13.865 SQ. FT.
HOUSE AREA = 1,249 SQ. FT.
GARAGE AREA = 805 SQ. FT.
PORCH/ PATIO = 32 SQ. FT.
DRIVEWAY COVERAGE = 1,307 sq. ft.
COVERAGE = 24.5%
SERV. INVT. ELEV. = 872.5 PER PLAN
??i2 1,1 Pe' ? `?u t ? QJRSc.+1e..-f
WacK - o,,+
/
i
i /
i a .
/
. ?
?.+ r •
3. 1 Afan
e equi1179
re? WS ? ?
<qN?
875.9
NOTE: PROPOSED GRFDES SHOYM PER Gftp01NG PLAN BY: PIONEER
NOTE: BUIIDINC DIMENSIONS SHOYM AftE FOR HORIZONiAL AND VERi1CAl lOCA710N
OF STRUC1llRE5 ONLY. SEE ARCHItECTUAL PLANS FOR BUILUING AND
FOUNDATION DIMENSIONS.
NOTE: NO SPECIFIC SOILS INVESTIGA710N HAS BEEN COMPLEiED ON 1F115 LOT BY TI1E
SURVEYOR. THE SUITABIIJTY OF SOILS TO SUPPOR7 1HE SPECIFIC HOUSE
PROPOSED IS NOT TNE RESPONSIBILITY OF 7HE SURVEYOR.
NOTE: 1H15 CERTIFICATE UOES NOT PURPORt t0 SHOW EASEMEN7S OTHER iHAN
iHOSE SHOwN ON THE RECORDED PLAt.
NOTE: CONiRACTOR MUST VERIFY ORIVEWAY DESIGN.
?•
(Z"i x
;7 \
LOWEST FLOOR EIEVATIDN:
70P OF BIOCK ELEVATION:
GARAGE SLAB ELEVATION:
, \\
NOTE: HEARINGS SHOWN ARE BASED ON AN ASSUMED OATl1M 102011.0 X D00.00 DENOTES E%ISIING ELEVATION
WE FIEREBY CERTIFY TO MANLEY BROTHERS CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A ( 000.00 ) OENOTES PR0705E0 ELEVAPON
SURVEY OF,THE BOUNDARIES OF: OENOTES DRAINAGE AND ViIUTY EASEMENt
DEN07E5 DRAINAGE FIOW DIRECTION
LOT 9, BLOCK 1, PERRON ACRES -A- OENOIES SPIKE
DAKOTA COUNTY, MINNESOTA B- DENOTES OFFSET HUB
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION 1F115 22 DAY OF JULY, 2003.
I
REVISED 5-7-03 STAKE HSE SI NE PIONEER E INE ING, P.A.
SCALE : 1 INCH = 30 FEET BY ? ???
54 101222.024 Pos E?ton 1o ? S?" TZ. Prqrer).M?.V_.r.l.b iqhqo
? BENCH MARK
-`--TOP OF SPIKE
ELEV.= 883.09
?
. aea.z
. ?
? * * 7472 Enterprise Drive
* Mendola Heights, MN 55120
* PION6ER IAND SURVEYdtS • CINL ENCMEERS (851) 881-1914 FAX:881-e4e8
4( BA A Br? UND MNNERS• LANDSCRPE nHd11TECT5
*. 8 625 Flighway 10 N.E.
Blaine, MN 55434
* (783) 783-t880 FAX:7B3-1883
Certificate of Survey for: MANLEY BROTH R_ CONST
684 lEONARD LANE BUYER- SPEC EAGAN, MN
?t i._ ....i
I3s I
i' Fe__8 - av- v 3
LOT AREA = 13,865 SQ. FT.
HOUSE AREA = 1,249 SQ. FT.
GARAGE AREA = 805 SQ. FT.
PORCH/ PAT10 = 32 S0. FT.
DRIVEWAY COVERAGE = 1,307 sq. ft.
COVERAGE = 24.57.
SFRV. INVT. ELEV. = 872.5 PER PLAN
:'4?:u (1 ?3ascw,e..4
Wa(K-aU+
975.9
/
/yx
3•y Aor p?? ?a? Sk
? ??9ui? ?all
/ ?, ? 872.6
G9 'Sx, .
J??r
-, ?
?
NOTE: PROPOSED GRADES SHONM PER GRADING PLAN BY: PIONEER
NOTE: 9UILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCAiION
OF STRUCNRES ONLY. SEE ARCHITECTl1AL PLANS FOR BUILDING ANO
FOUNDAlION DIMENSIONS.
NOTE: NO SPECIF7C SOILS INVES71GA710N HAS BEEN COMPLE7E0 ON 7MI5 l07 BY 1HE ROP V N
SURVEYOR, tHE SUITABILITY OF SDILS 70 SUPPORT 7HE'SPECIFIC HWSE
PROPOSEO IS NOT iHE RESPONSIBILITY pF 7HE SURVEYIXt. LOWEST FLOOR ELEVATION: ?
?NOIE: THIS CER7IFICA7E DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN
1HOSE SHONN ON THE RECORDF_U PLAL TOP OP BLOCK ELEVATION: s
? Q GARAGE SLAB ELEVATION: 885?
N07E: CONTRACTOR MUST VERIFY ORIVEWAY DESIGN.
NOTE: AEARINGS SHOYM ARE BASEO ON AN ASSUMED DATUM ?
% 000.00 UENOTES E%ISTING ELEVATION
WE HEREBY CERTIFY TO MANLEY BROTHERS CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A ? 000.00 ) DENOTES PROPOSED ELEVAl10N
SURVEY OF,THE BOUNDARIES OF:
' --- DENOlES DRAINAGE AND UIIIIN EASEMENT
-a DENOIES DRAINAGE FLOW DIRECTION
LOT 9, BLOCK 1, PERRON ACRES -A- OENOTES SPIKE
DAKOTA COUNTY, MINNESOTA B DENO7ES OFFSEi HI78
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION 1FiIS 22 DAY OF JULY, 2003.
REVISED 8-1-03 STAKE HSE SI NE . PION?EERr E?INE?R ING, P.A.
SCALE : 1 INCH = 30 FEFT „ I!
101222.024 DS
ID
? .a n.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109103
Date Issued:02/08/2013
Permit Category:ePermit
Site Address: 684 Leonard Lane
Lot:9 Block: 1 Addition: Perron Acres
PID:10-56975-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
952-435-2442
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Taunisha L Mcshan
684 Leonard Lane
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114991
Date Issued:09/20/2013
Permit Category:ePermit
Site Address: 684 Leonard Lane
Lot:9 Block: 1 Addition: Perron Acres
PID:10-56975-01-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Viktar Skirukha
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 -
Taunisha L Mcshan
684 Leonard Lane
Eagan MN 55123
Smart Builders Inc
7001 Garland Ln N
Maple Grove MN 55311
(763) 691-5021
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155645
Date Issued:05/28/2019
Permit Category:ePermit
Site Address: 684 Leonard Lane
Lot:9 Block: 1 Addition: Perron Acres
PID:10-56975-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Taunisha L Mcshan
684 Leonard Lane
Eagan MN 55123
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165829
Date Issued:11/23/2020
Permit Category:ePermit
Site Address: 684 Leonard Lane
Lot:9 Block: 1 Addition: Perron Acres
PID:10-56975-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Taunisha L Mcshan
684 Leonard Ln
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166242
Date Issued:12/22/2020
Permit Category:ePermit
Site Address: 684 Leonard Lane
Lot:9 Block: 1 Addition: Perron Acres
PID:10-56975-01-090
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Taunisha L Mcshan
684 Leonard Ln
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature