805 Great Oaks Lane
Use BLUE or BLACK Ink
I I
1 Permit
City of Eap Permit Fee;
3830 Pilot Knob Road I i
Eagan MN 55122 Date Reoeiv d: _ 1
I
Phone: (651) 675-5675 7 I staff: j
Fax: (651) 675-5694 ! -
2011 RESIDENTIAL PLUMBING PERMIT APPLICATI
Date: S 3LID 1I Site Address:
Tenant:' Suite
RESIDENT / OWNER Name: SA)N.'& Phone:
Address /`City / Zip:
CONTRACTOR Name: License #:1-(;W_5()!'78
Address: City:
~(rJ~ Phone: l 5
State: ZZip:
Contact A 1A Email
TYPE OF WORK _ New - Replacement _ Repair __ik Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
-Water Softener
Water Heater
Lawn Irrigation ( RPZ / PVB) -Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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 cooherstateonecall 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 ans.
I A,
x~2rxN.~ Liz~~ {te, x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In _Air.Test -Gas Test -Final
? ' C1T`f O F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
1,1, i ;1 1
I
? PERMIT SUBTYPE:
l, f ,,, , APPLICANT:
N
TYPE OF WORK:
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PERMIT TYPE:
Permit Number:
Date Issued:
?
Permit No. Permk Holder Date Telephone #
SNV
PLUMBING
HvAC 8 93 q - ,7 /
ELECTRIC
ELECTRIC I
Inspection Date Insp. Comments
Footings I /f 3 t4,
Foundation 7// 7 3 '
Framing 8? l's-S
Rooting
Rough Plbg.
Rough Htg. '?'•IZ"<? /Y ? ?i
lsul.
.25-?3
? S +@
- ? - ? 3
(1J
FirePlace a ?.?
Fnal Htg. ?
C-
orsat 7est 3
Fnal Pibg. lD 2Z-V Plbg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bidg. Final
C
Deck Ftg.
Deck Final
Well
Pr. Disp.
?, 7Z?5T- 'r ? 8? y3 -
Address 805 cxFar onxs LANF Zip 5512 3
I.ot 7 ' Blk 2 Sub IHE WOODi.ArIDS NOR1A
THESE TIBMS WERE / WERE NOT COMPLETE AT TI-IE TIME OF THE FINAL INSPECITON.
Date: Yes No Inspeaor:
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas ? *4,
Sod/Seeded grass
TraiUcurb damage ?
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from ihe piumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contac[ engineering division at 681-4645 before working in rightrof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
Requ st D e- ? /? Fire No .
ri? (?
••' Roug?an InspecLOn
ReqyVBtl7
Ln'es ? Na ',.?
? tlY Now ill Nobty lnspe?r-
? When ?
IVicensed contrector ? owner hereby request mspection of abov€electrical r ?
'
Jo0 A r ss Sva Box or qo No 1 Clty
/
Secl-on o Township Name or No Range No Co n ?
Oc ant(PRINT) ? Pbo N
Power Suppber
b.. c AtlOress
Ele n I Conhador ICompany Name)
•
? Co tror' Icen N
Maihn A tlr ss IG nh t o wner king nslailation)
Nuthonz a gnawre (COmractor0 ner aking Inslallafion) ? Pha er
MINNESOTATtAfEJBOAPU OF ELECTRICITV I THIS INSPECTION FEQUEST WILL NOT
Griggn-Mldwey BIEg. - Faom 5-113 8E ACCEPTED 6Y THE STATE BOARD
1821 Univer¢Ity Av¢, Sf. Vaul. MN 55104 ' UNLES$ PROPER INSPECTION FEE IS
Phone(613)86]-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
fiis torm on beck of yellaw copy
letin
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See insttuc0ons k • com ?;??
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ooooaoe
p
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p
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"X" 8elow Work Covered by This Request } 6? .
??+?
r W
e dd A4 TypeofBmlding ApphancesWVed EquipmemWiretl
If/ Home Ran9e Temporary Service
Duplex Water Heater Elecrric Heatmg
Apt Bwlding D er Other_(Specify)
Comm./IndusVial Fumace
Farm Air Conditioner
Omer(spemty) Conlract
q rsPemOsrki' +
I
Campute Inspection
Fee Be(ow: V
J
'
# O?her Fee # SerwceEntranceStze Fee # CvcudslFeeders Fee
Swimming Pool 0 to 200 Amps D to too Amps
Transformers Above 200 _ Amps Above 700 _ Amps
SIgnS Inepectar's Use Only TO L
Irrigation Booms -f- /?
?
?
Spedal Inspecnon ?
`Q?'
?
??
Alarm/Communication -
p
THIS INSTALLATION MAY 8E ORD ISCO ECTED IFNOT
Other Fee COMPLETED WITHIN 18 MONT P
I, the Electrical Inspector, hereby RO09n"°
certify that the above inspection has
bsen made. --?
? 7
OFFlCE USE pNLY
TM1is repuest void 1B months from
048853
REQUEST FOR ELECTRICAL INSPECTION
Lie See mstmc[ions Por cample[rng this form on beck ol yellow copy
,i Be/ow Work Covered by rhis Request
a#08-
??
NP!p Adr.. p, TypeofBwlding AppliancesWiratl EquipmentWrred
Home Range Temporery Service
Duplea Water Heater EleCtric Heeting
Apt Buildmg Dryer Load Manegement
Comm./Industnal urnace Other (SpeCity)
Farm Art Conddioner
Dlher (syepty) COnlratlor'S Femalks
Compute Inspechon Fee Below:
# Other Fee # ServiceEntranceSize Fee 8 Cvcuits/Feaders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Sig05. Inspector's Use Ony 7p7AL
Irngation Booms t l?z
Speciallnspection G
AlarmlCommunication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT
Other Fee COMPLETED WITHI MO f
t, the Electrical Inspector, hereby
tif
th
l th
i
b Rough-in oare
7
y
cer
a
e a
ove
nspection has
been made.
? oate
l
OFFICE USE ONLY
This requesl void 18 monlhs Irom ?
f
C?48
?53
Repuest Oale "
f -
ikI
1 Fire No
1 Haugh-In Inpsecnan ReqwreG Inspeciwn Olner Than Rough-In
(YOU musl call inspecror when 2ady) [:) Reatly Now ? Will Notily Inspectar
- Yas ? No Oate Rea
I? icensed contractor O owner hereby request inspection of above electrical work ar.
Jo AtlCress(SVeet Box me No) Qty
E ? ,
Sac?ion No Township Name w No flange No. County
l?
Oc nt?PRINTI Phone No
Power SupOiier Atltlress
Elecinc ConvactorCOmOany Namei Convactor5 4cense No
G f? C? o P?
,
Maiinp ptlaress ICO
nrcacro?ner Meki Insla?)
R
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A orrzetl S?gnamre iCOnvacton wner Making Installalion)
?
0 C Phona Number
(
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-Aik .551a o
32, o.
MINNESOTA STqTE BOAPp OF ElE HICITY 0.G THIS INSPECTION REIXIEST WILL NOT
Grigge-MlEwey Bltlg - Poom S413 r 8E ACCEPTEO BY THE STATE BOARD
1821 Unlversiry Rve., SL Paul, MN 55100 ? UNLESS PROPER INSPECTION FEE IS
Phone (613) 6424B00 ENCLOSED.
PERMIT# 15 ('0 y a'?
RECEIPT DATE.
8002 RUI)ERTL1kL PLUM$IR6? PERM1T APPLICATIOR
crrY oFFAsM
8$30 ?Q.OT KNOB iZD
EAfiAR, b!A 551EE
651-8$t-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS:
OWNER NAME: :?11 YNa11k1? TELEPHONE #: G,SY /08(0 -!o/5t3
-?? (AREA CODE)
INSTALLER NAME: n TELEPHONE #: 65/ .43 • 3'13Q _
(AREA C6Dc)
STREET ADDRESS: /S,'?t3n nil.b uivul? _ ?i 1-
U
CITY: STATE: ZIP: 45'0btl
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118) r_-
_ Other: fi (? ? u T R l
? RPZ: new installatioNrepair/rebuild 30.00
?
_ ;awn irigatior system e .
? _-
ReplacemenUadditional: _ watersoftener _ waterheater $ 15.00
State Surcharge $ 50
Total
3
I here6y acknowledge that I have read this application, state thatthe information is correct, and agree to rqmplywikh all applica6le Cityof Eagan ordinances. It
is the applicant's responsibility to notify the pmperty owner that the CiTy of Eagan assumes no 6ability for any damages causetl 6y the City during its normal
operational and maintenance activihes to the facilihes constructed untler this pertnit wifhin City pro[pe??fY!ri?9? of-way/easement.
ABa, r, , Y7?` °K., b .
SIGNATURE OF PERMITTEE U 1102
LOT `I BLOCK o2 SUBD. .Z
?
RECEIPT # vTG 7.3.?J & DATE ?12 6
1994 y
i' ? sGr ?"IItR GATIONPERMTT (FOR BACK OWPREVENTER)
COMMERCIAL INSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: Commercial GPM
Residential (boulevards) GPM
Existing residential .
Area/address to be irrigated: O vv ?
Installer: G?°?'? Owner ?
Sueet address: ?? ?? ? 6i2 J C7 7A
Plumber C?--?
-f'
City, state & zip code??'?r'l'f.?? `k-/ Phone #:
Owner Name:
Street address: '7j4A-•`L,
Ciry, state & zip code: ?1?? a(4' Phone !i: 't'
Irrigation contractor, if different than installer: e LGV)a?p 6e-rg"' ?-4 no( Sca s er
Teiepnunc
I hereby acknowledge that I have read
comply with all applicable City of Eagan
?
Signature
this application, state that the infoimation is wrrect, and agree to
ordinances.
T e
If construction aciivity occurs in public easement or City right-of-way, signature of properry owner is required.
The property owner agrees to hold hartnless the Ciry of Eagan for any damages caused by the City during iu
noimal operational and maintenance activities to the facilities constructed under this permit within Ciry
prope /right-of-way/easement.
?
Pmperty Owner Date
Approved by: '?w" ? ??R ? ? ?? Date: ?Uh ? 3 P ? ?
PRV 0 Yes ?& No
New service ? Yes 51 No Meter Size & Cost
Fees due: Calculated by:
PROCEDURE FOR IRRIGATION SYSTEMS
1. A site plan must be submitted ro the Engineering Department for review before installing an inigation
system. A permit to work within Ciry property/public easemenUright-of-way may be required.
2. Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercial proiect: $ 25.50 irrigation system permit to cover installation of backflow preventer.
$ 50.50 water permit fee onlv if new service is'installed.
$100.00 per tap if installed by City.
b. Residential proiect: $ 20:50 irrigation system sprinkler permit to cover installation of backflow
preventer.
$ 50.50 water permit fee if new service is installed.
$725.00 per connecti on - WAC.
$348.00 ner connection - water treatment faciliry.
c. Existing residence: $ 20.50 inigation system permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed), however, plan and
application must still be presented for approval.
d. Meter char¢e: If gallons per mimite are less than 25, a 1" meter will be required at a cost of
$165.00. If gallons per minute are more than 25, a 2" turbo with strainer will be
required at a cost of $775.00. This information is to be supptied by the designer
of the system.
4. No meter will be sold before all sewer and water inspecHons are complete on a new service. If new
service lines are not required, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk.
5. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 6814340 for water nun-on and set
and seal of the meter. Inspection hours are 8:30 a.m.to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Canatructbn Heaulremente
• 3 registeretl sae surveys showing aq. It. of bt, sq. tt. of house; and II roofed areas
(20% maxlmum rot coverege alrowed)
• 2 coples of plan showing beam & window sizes; poured found design, etc.)
• 15etofEnargyCakulatlons
• 9 copias of Tree Preservatlon Plen H bt plattetl atler 7/1l93
• Rim Jolat Defail Optbns salacllon Sheet (bldgs wAh 3 or 19ss untts)
DATE q- -i- 02
-*LfS-42
$?3?-0:T5
HamotleVHeoair Neaulramems
• 2 copies of plan
• 7 set M Energy Calculations for heated additiais
• 7sResurveyforMerioradtlilions8doeM
• Inakete it home served by sep1ic system for additbns
VALUATION
SITE ADDRESS Pf)6 Gn;Z h S I F?'1e? MULTi-FAMILY BLDG _, Y?N
NPE OF WORK 2PX0Y3F, FIREPLACE(S) _ 0_ 1_ 2
APPLICANT LS U,bu !'Io&YI EX{Cr lC'Y?2
STREET ADDRESS 61,-Fo"IIYIC i"--AV °t,. CITY Qth hiric, STATE iLl?J ZIP j53 4
TELEPHONE
PROPERTY
Fnx # (q521 ?U l - @S i 1
TELEPHONE # IG] 1 ?f?
?_
-------------------------------- ---------- ----------------°-----------------------------------
COMPLETE THIS SECTION FOR -NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submktad • New Energy Code Worksheat Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: Phone # r _ .,
Plumbing system includes: _ Water Softener _ Lawn Sprinkl? ?', ! r I ?'? IF n. Lcs' 0
= Water Heater _ No. of R.I. Ba??s• AUG 0$?QQZ
No. of Baths L
Mechanlcal Confracror: Phone ??
Mechanical system includes: _ Air Conditioning ee: $70.00
` Heat Recovery System
Sewer/Wafer Conhactor: Phone #
I hereby acknowledge that I have read this application, state thot me Information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinan?ces. n
Signafure of Applicant 75?1! ",'C:? ?
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
Updated 4/02
PHONE #
A ?+r;
1993
+IBING PERMIT (RESIDIIVT7AL)
CITY OF FAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH LJNIT.
10. FIXTURES EACH
l SHOWER 3•00 ?
-T WA'I'ER CL05ET 3•?
BATH TUB 3.00 0 C)
? LAVATORY 3•00
?
KITCHEN SINK 3•?
? LAUNDRY TRAY 3.00 ,? ?
HOT TUB/SPA
R 3•00
00
3
v Q
WATER HEATE .
-? FLOOR DRAIN 3•00 ?
-?- GAS PIPING OLTI'LET • minimum • ? 3.00
7- ROUGH OPENINGS 1.50 ? 5 J
WATER SOFTENER 5•00
PRIVATE DISP. • D.ray. i+c. 15.00
?
U.G. SPRINKLER • eome under consi. 3.00
ALTERATIONS • to custing 15.00
TU?t? AROUND
? A
TER 15.00
?
S
/U 3G v
STATE SURCHARGE .50
TOTAL:
PHONE #: ( -// LI7" _
?E D 66
CITY: STATE://r0// ? ZIP CODE?r
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... .. . . . .., i`.: .4...::<...?...,?...:::...£ :...i.?.. ...,.?::..:y.`<..<g.yu::r.... ?
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.,w:i: .ry? .. . . .. ??' _,y..:...?_ ., c.. ?..,.?,c.xA.?.«.:?p+??e,..s:iY33...o%C?:'.:?S ,e.'y....1?.x '? ?°M:. :?u':??'iAx°:?1iv;•?i( ;
< ??., . Y?: ?'? "?.?F'?..- ?.. .[:? E. }.:°''e'•:.'. ` ?'c t e.y, , ????.. S . .
:Ya:, e•..<?.;'?'Ee F i ,k:ux £..v.'; 'S
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTf.
x NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DA'TE
August 3, 1993
FEES
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
150,000 BTU Lennox $ 24.00 X
6.00 x
GAS OLTTLETS (MINIMUM 1@ 53.00 EACH) 4as to furnace
ADD-ON/REMODEL (ExlsTtNG CoNSTxUCrtoN)
STATESURCHARGE
TOTAL
SITE ADDRESS: eos Great oaks Lane
3.00
$ 15.04
.50
$33.50
OWNER NAME: George rtaurer Construction 'j"$LEpHONE #: 894-8904
INSTALI.ER: Kleve xeating & Air Conditioning, znc.
ADDFjE$$: 13075 Pioneer Trail
CTTY: Eden Prairie STAT'E: MN ZIP CODE: 55347
TELEPHONE #: 941-4211
1993 MECHANICAL PIItMIT (RESIDFNIYAL)
CiTY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 6814675
CIT.Y.,OF EAGAN
3"830•Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT cK ?vj5
PERMIT TYPE:
Permii Number:
Date Issued:
& -,?- k 5'3
BuxLazNG
021185
06/28(93
SITE ADDRESS:
805 GREAT OAKS IANE
LOTz 7 BLOCK: 2
THE WOODLANDS NORTH
P.I.N.: 10-75890-070-02
DESCRIPTION:
B?ruYl,din`g. Permit Type SF DWG
,?ui7diR9 !WRrk Type NEW
?tiBC 1?caupa?c?l.., R-3 M-1
C0n•struttion Type VN
Zbfti rag R-1
Buildirtg F.engt6 ' 36
8uilding A+tidt#t 52
. .,t /i
(i
n
-,•- ,,?-, ?
h??a
REMARKS:
5&W CONTRACTOR - GENZ-RYAN
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAG
3AC %
SAC Units
5ubtotal
VALUATION
$958.00
$622.70
$95.50
$'750.00
10B
1
;2,426.29
$191,000
MISC FEES
Total Fee
$1a744.50
$4,170.70
CONTRACTOR: - Applicant - sT. I.IC. OWNER:
MAURER CONST INC, GEORGE 19948964 0001315 MAURER CONST GEORGE C
201 W TRAVELERS TR 201 W TRAVELERS TR
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 894-8904 (612)894-8904
Z hsreby eoknar,wledge Chst I have read this aRPlloat3.nn and stAC4 ttxat tho
infvrmation Is ¢arreat and agree Co aomply auith a11 applioahke State of i4n.
Statutes, and Gitp wf Pagan Ortlinences.
?.
J
?U
II
,1111111E IT SIGNATURE
-'9SUEDlB 'SICINATU?E
-j
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: aUxLozNG
3830 Pilot Knob Road Permit Number: 021185
Eagan, Minnesota 55123 Date Issued: 06/28 j93
(612) 681-4675
SITE ADDRESS: Lor : 7 B L 0 C K: 2 APPLICANT:
B85 GREAT OAKS IANE MAURER CONST INC, GEORGE
7HE WOOOLAIVDS NORTH (612) 894-8904
PERMIT SUBTYPE: TYPE OF WORK:
5F pWG
?) N
INSPECTION
FOOTING ., .
FRAMING .,
IMSUlATION FINAL
FIREPLACE
REMARK3: S&W CONTRACTOR - GENZ-RYAN
F .. .
?
L.ni j(I I ud rl'•tl;I
1'>ri; TqI
`jU?illl.l
.i?gc 0i- cnb?wc h
1?1?] ]r?1LIr{ ljo 4.F fA `u ?
L,-,.-4i - -. 0-`?:113 ')N? 0 `:1•,
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:!'j, Mt)00 4t0'S1 II .
I(lf? ! RtOf.:V? „
(7!S' 'd ? nV F;:' i UTAE
NEW
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"49 q '; 1 7 `3 r
L' f Y I i I? C ?:1?
REACTIVATE _ RECEE?ED CITY OF EAGAN
PEP,MIt:,? , 993 BUILDING PERMIT
''-, , =?,? •-? J U N 0 2 1993 681-4675 ?e?i
? /I?b? - ---- ---- --- ?
APPLICATION
70 , 70
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 Valuation of work -
5ite Address:
?
STREET SUITE N
Tenant Name: (commercial only)
LOT SIACK ? SIIBD P
M
I
D
.. .
.
.
Descri tion of work: S% IrA/?`1?
The applicant is: OOwner 0,Contractor ? OLII@M (Describe)
Name Phone
Property ??s1 FIRST
Owner
qddress
STREET STE N
City State Zip
Compan Phone
Contractor Address yg License #CM315 Exp.63? ?v
City f?.f?2A2SV/ F State /riN Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . 6iftZ27AR Processing time for
sewer & water permits is two days oncearea has been approved.
I hereby acknowledge at ave read this application and state that the information is
correct and agree to c ply w th all icable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY • ,.
BUILDING PERMIT TYPE
., . . ,,,
? 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ?
? 03 5F Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Coaun./Ind. Misc.
? 05 5F Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
W31 New 0 33 Aiterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System y?5
-
(Allowable) Y- N lst F1. sq. ft. City Water YZT
UBC Occupancy -3 M-1 2nd F1, sq. ft. PRY Required
Zaning R-I Sq. Ft, total Booster Pump
# of Stories Footprint Sq. ft. ` fire Sprinkler
Length oJ On-site well. , Census Code vl
Depth On-site sewage SAC Code ?
I
APPROVALS j'
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? Site ? Footing
? Wallboard, ? Fina1
? Framing
O Draintile
, ;.
? Insulation
? Fireplace
Permit Fee veiuocion: $?? I? D'00' "_
Surcharge
Plan Review GhY21??,.? ;9/(,'? x 16 =/Nb56
License ,
MWCC SAC
City SAC }louSz', Ztfpq x?? y J6?6 0 0
Water Conn. ?
Water Meter ---
Acct. Deposit
S/W Permit
1?6 xsy. /0,5 g,-/
S/W Surcharge
Treatment P1.
Road Unit
0
Park Ded. . ,
Trails Ded.
Copies
Other
Total:
SAC % 10)
SAC Units ?_
0
, u ,
?• o .11
LL#? LLi
J U) m z
Q
m J ?
a a w
a < m
w ?
U ?
as2
LOT SURVEY CHECRLIST FOR RESIDENTIAL
DOCUMENT STANDARDS
0
? • Registered Land Surveyor signature and company
C? ? • Building Permit Applicant
C?0 0 • Legal description
? 00' D • Address
?0 ? • North arrow and bar scale
fd? ? ? • House type (rambler, walkout, split w/o, split
lookout, etc.)
B? ? ? • Directional drainage arrows with slope/qradient &.
? 0?? • Proposed/existing sewer and water services
21? ? ? • Street name
? ? ? • Driveway
ELEVATZONS
Existina
? C7? ? • Sewer service
?' 0 ? • Lot corners
? ? • Top of curb at the driveway
B'? c • Elevations of any existing adjacent homes
Pronosed
Q? ? ? • Garaqe floor
$' ? ? • First floor
9- 0 ? • Lowest exposed elevation (walkout/window)
D ? ? • Property corners
[Y ? ? • Front and rear of home at the foundation
PONDING AREAS (if avvlicable
11 • Easement line
? ? • NWL
? ir- ? • HWL
entry,
? M?' ? • Pond # designation
Q G}'? ? • Emergency Overflow Elevation
DIMENSIONS
C'10? ? ? • Lot lines
0 • Right-of-way and street width (to back of curb)
B? ? ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
8? ? 0 • Show all easements of record and any City utilities within
those easements
6- ? ? - Setbacks of proposed stru ure and setback of adjacent
existing homes
91? ? ? • Retaininq?rd ?ir ts, if any
,
October 1992
Date of survey:
i .op? •
` .. w. .
EXTERIOR ENVFLOPE AVERA!:E "U" COHPUTATION
. ?
Legal Desccip[lon of Cropercy: Lot__7_Block Z AddicionigiE
Sice Address
lo - I - 9.2
AVEIL4CE LINEAL FEET Or
EYPOSER HALL AREA A80VE
ru..PS /
h/
l 6RAUE
%)
h PEicHLT N0.
JC?
a ?c.?.
YS ?c.? a? 68. 89
:tain lcvel V5 S x 3'C /?G, 50
Lineal E[. of framed wall above gradet2'v$,z5 x heiRh[ of wall ?/-O - Z387 25
Rim joisC area
Lineal ft, of rim J? S,as x heigh[ of rim
Lower level
Lineal f[. of Eramed va11 above Rrade x heighC of wall ON
Lineal f[. of masonry wall a6ove grade ? x heighc above grade p?lyqpC_fL 15 qI IF10
TOTAL wall area above grade including vindovs and doors 0&0 K25
l7INDONS: Area r. "L"' value
Nake S [ype
DOORS: Area x -u vatue
Make 6 rype VA¢, 5, E2-Vie-E sq
•? °i/O F-V--OA/7 s9
, Z?R G.QE7JGN s9
OPAQl1E NALL CON57RUC2ION; Area x"U" value
cc. q, 33 : °u° (c) (n)
f[. Z[>. CJ x "U.. (U) (A)
fc. Ly- =?. `I=x "Vl•
a (1') (A)
f L. x ..U?. ?w (L) (n)
ft.. 4G,CZ x ??u?•.LOw = (U)(a)
ct.• ao.c2 x %„ Low? a (u) cn>
fG. (t., n x "U" (Ii) (A)
fc. I O, O x "U•, (L) (A)
ft.'IZ IS,Z:a x •U?? LowF_° _ (l+)(a)
fc. A'A,CoaJ (t:)(n)
fc.V7, /,,-(,C:Z x ..u??1, (U) (A)
t[.
Ill. Co0 x "U" (U)(A)
.....
f t.. q4 y, U??. LAuJ '-c ? (L') (A)
ft.? ZZ., x IV..117W E ° (U)(A)
x
f[.
, 6 C
1 R I'?.. (ti) (A)
.
_
_
fc. Gc%•.?I x .?u" ' (c)(A)
ft. ((pO.N?iS x "U"?= (L')(A)
fc.. 31,?9 x "U" UW E-- . , (l')(A)
- ? 7. 2s .4i 200.0y
s3.89Y
zsCo.(oU .2f
e?. ?S , CcZ x "v" , eq = 3 z0(?(u) (n)
fc. 2010/ x ••II" . cq ?(U) (A)
f[. 17, !,z l x °ull ;?5 ° •O/ (U)(A)
fc. x "U" - (U) (A)
u?-1 ? I 3, O ZZ
FRAlfED 4ALL (rotal area less
opening, fzaming eembers in
De[ai1 refec- yall, rim jois[ area 6 masonry)
ence a[tathedm sq. fc. zS?S.lc33 x"U" (C)(A)
shee[s Framing members in wall Sq. f[. 7'.'7 x"Il" (1'.) (A)
Rim ioisc area sq. tc. %S' x"L"' .Cj// - 10•Y75- (11)(A)
Masonry r a a6ov zaA sq. fc. 'S7. ?'D x"U" /C ??i?vZ-O (li)(.1)
TOTAL I1a11 Area IncludinR
57indo.s S Doors TOTAL (O)(A) 4 2+/•U"Ti(
4?,?d6 . ?GC??
TOTAL (LI)(A) VALUES - AVG• 11311 ?
DIVIDED HY 'fOiAL VALL ARFJ.
AVERACE "U" t[inimum .11 or less for 1 S? Earoily dvellings
Yinimum .23 or less for all o[her buildings
NOTE: If average "0" values as <alculaced above do not meec [he Hnergv Code rBquiremencs, che
"Alerna[e Envelvpe Des1Rn" as indica[ed on PaRe 5may be used.
NpLL SECIIOVS ' 'MO'CE:• IIse lOX of opaque vall area
• . for framing membet5 FRAHINC HIIIBERS IN M'ALLS
Top Vlev
Ex[erior air fSlm
?- Siding
Shea[hing ??j7 g7(L(?YL) IE
,*r' sofc wed
r;ry vall
In[erior air film
Page 2
[t-V a 1 ue
77
2,0(?
.45
68
TOiAL R? 1 I' ???
U = 1/R U _
FAAi4ED WALL -
Exteriar air film
Siding
Sheaching
?,/ ??-
,?py' ba[[ insulation
?" drv vall
In[erior air film
T(1TAi R - Z3, 'S
u a i1x u a • b? ?
RTH .70IST ARFA
Ex[eriar air film
Sid3ng ? e7
, b G?
Z
Sh ching -
1.88
"?" soEC 1700d
Insul-ci -
-
IL
-
.68
Int ior air HL -
U - I/R
TC:'AL R
U? -041
HASONRY YALL
.17
Exterior air filn
12" contTe[e black
Insulacion
In[erior air film '68
TOT
L
A
A
PaRe 3
P.QO^ CF.ILING
oucside aiz film .61
Insula[ion 41
is" Dry-all
.45
Incerior alr film .61
TOTAL R-
U a 3/R U - `OAL
- - --- - - " 9ucside air film .61
Insula[ion
_ .. -_ - 15?• Dryvall .45
Znxerior air Film _61
TOTAL R =
L' = 1/R U -
Oucside air film '17
? 9uilr upsnof3na .33
Insulaiion
?
? Wood decking
Interior aiz film .61
/
, .?. TOTAL A -
i \
ll ' 1/A U '
ROOF/CLILLNG: q
?
TOTAL AFEA: q
sq. f[.
G(sZ?
f[
"
"
^ ? S'], 3/
????A?
?ecail reference ..
.
ZZ-- x sq.
, v
U
ZCoOs
/C19
fc
°
" ° -a 7S ?C)(A)
from above. .
?OZ,S x sq.
U
)??j ??
?
Oescribe openings .U" x sq. f[. ?i
^
)? )
in rooE ••Ux sq. fc. ?)?A)
x sq. fr.
(U)(A)
?.. x sq. ft_ (U)(A)
oU, z sq. Fc.
TALS sa . fc. (U)(A)
TOTAL (U) (A) VAL
L
O UES ?? n G? /' LZ AVG. °???
AOOF
DIVIDED eY T
TA
CESLTNf: AREA ?,/
0(/{
AVERAGE "U" -02 Eor vencilnted roafs
.037 for all o[her construc[ion
e "J" vaLues as caiculaced a6ove do no[ mee[ the EnyergY
a
Sf
E Code requicemen[s, the
aver
g
;IOT
:
"Alternate Envelope Uesign" as iadicaeed on Page 5 may be used.
Page 4
Exterior air film .92
?." nlyvood parcicle Coard .66
? Insula[ion
InCerior air film ,92
TOTAL R
u - i/tt u
v
:fin. A ).5
Slat on grade
Insvl,tion shall have a ninimun R-Value of 7.5 and mus[
extend honzoneally (as Slluscra[ed) or vercically a
dis[ance equivalen[ [o the design Frost l1ne; [ha[ Is:
Zone 2=3 fee[ 6 inches
Insulacion shall have a mLolmum R-Value of 7.5 arovnd-the ?
perime[er of slat on grade floors.
. raEc ?
THE TOTAL ENVELOPE CALCULkTION M£.THOD
The reguLacions scate [hac alccrna[ive overall "U" values for buildlng sections xre permissable
Lf ic is sho.m chat che rocal building envelope heat loss/p,ain does noc exceed chnc of a
stmilar 6uilding eha[ meecs the regulacion "U" value maximuas. In chis case, we will consider
only the valls and roof/ceillnF crlterie, assuminp thac che remalnder oF the buildLng neets
regula[ion requitemen[s.
A. Tocal heac loss as desiRned (valls nnd roof/ceilinf.) BN/hr. dep,ree F.
1.'alls - Ue a- AveraRe "U" of ,
wall assembly x average wall area sq. fc. -
Roof/CeL1SnR - UoAo - AveraR.e "U"
of ceiling x averaqe ceiling area sq, fc. ?
SOTAL
H. Tocal heac loss if designed [o mee[ the reRul,acion minimum (valls and roof/ceiling)
Nalls - oAO = Minimum required
"ll" value of wall x average wall area sn. ft. °
t
Roof/Ceiling - VaAa = yinimum reauired
"U" value of
ceiling x average [eiling area sq. fc. -
TOTAL
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA145063
Date Issued:08/22/2017
Permit Category:ePermit
Site Address: 805 Great Oaks Lane
Lot:7 Block: 2 Addition: The Woodlands North
PID:10-75890-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Thomas G Splinter
805 Great Oaks Lane
Eagan MN 55123
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
73is/
2006 RESIDENTIAL pLUMBING PERMIT APPLICATIQN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
; Please complete for modifications to existing residential dwellings
I
3 p _ .6v
Date?l?l
;
f
Site Street Address O
2?) Unit #
l
Property Owner Telephone #
Contrector Telephone #
Address S/- t;L O ` ity ? State/r?? Zip`CS ?-?
I
The Applicant is: ` Owner ontractor _Other
I Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license? Includes County fee I
l
Per as-buill? $ 100 00
? 10 00
Alterations to existing dwelling S 50 00
_ Add plumbing fixtures. This fee includes installation of a water softener andlor water I
heater at the same time. If you are installrng onlV a water softener and/or water Ii
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment (
_ Water Turnaround (add $130 00 if a 5/8" meter is requued) ?
_ Other: I
_ Water Softener _ Water Heater i $ 15 00
_ new _ replacement i
-
-_
-- -- - - - ---- ?
q
-
-
,
Lawn Irrigation RPZ _PV8 _new _repair -rebuild $ 30.00
State Surcharge $ 50
Total g 3(?i, S? ?
I hereby apply for a Residential Piumbing 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 fhe plumbing codes, that I
understand this is not a permit, but oniy an application for a permit, work is not to start wilhout
accordance with the approved plan in the event a plan is reqwred to be reviewed and approved?
eat-{??/
Applicant's Prtnted Name ApplicanPs ignature
?%
,? ?
r 20
68° ??' ?° NORT
? ???' IZ //? 1? SCALE : 1" = 30'
/ 1 ?
?°'- ? ' \ ?
DRAINAGE AND UTILITY EASENiENT --? r?oi??% ?// ` ?
? ,, ?"
?
NT ?UiLDiNG SET?ACK LINE
?80
8, ? ?
p9?
`s?. <,.
?9 ` ?
6?
?
,0
. ?? n??/
?
??6 ?
a? ?
? ,? .?
a?
C??9+
'? ? ?o?
0
? ? ??
c
?-? J' D
z?
0
?? ??
IN? ?
` ?c?
; ??'
?Q?? 6
o?
?
?
c?
(O
`?
J
_
I
? ---- `?
i - -
? ?
- -?-a
Q o
/
?
\
?
? ??
'`,o
.?
? \??/'?.
,: ?
?, T
?.,: . . -?
1 HEREBY CERTIFY THAT THIS PLAN WAS
???????W? . PBEVARE? BY ME OR UNDER MY OiRELT
AAd ?ARD SUIIVEYORS ? SUPERVISION AN? TMAT I MJ??D yLY
., AEGISTERED ??un .SU?U?rOK
UNOER TME IAWS Oi THE STATE
OF ?NE? ? /???r?
l!2/
DATE ?1.?2RE6. M0.?3?D'? 4
_?E. MINPdE50TA 55337 PH 432-30
, ?y? '6???? ?\ ?? ??QL t 9 , ?` {NDICATES DIRE?TiO? OF SURFAC!
?p cQ, ?!` ? 6,
\\ ?R ? i???'? ? ?a
` °`9''?J? ? 89?? 00 = FINlSHED GARAGE FLOOR E?EYAT9
? ? `; sz F?,? ? ?„ '? ? ?
\
,\ ?
? ,% A9 'o ?^?? ? 1?
?? ?o? ?o ? ? , o
?° Z?°? ? _ ??•s ? ---
b? ? 6? '?p ? ao ,\ , 6,? ?
3 s S ? ?a •_
2?? s? '':? ?p PORLy,? ,
` ,? /o
\? 'o ?? o >\
, 9' ?' y?? ?' ??? ? ?' ?
? ?
i?? o ° (?p ?? ? ? e %
?tP ?, •oJ' p ?`
? ?.; 5° x ??? ??? R? ,; ?? / ?a?y$ y63
?``?c?`?39,g3 ,°0?6?' " ?,??J? ?B;J °o \??/ C?? p ?Rp1
? p?1 ?
?? ?ky' r??'9\ ?? ,?0{• , 3Dt
'Jsr?j??\ R;o? / ' o ?a
9 ? ?fi? / /
?;,R?`? ? ? ?iP?6 ? o ?
? ? ? ? ????i ? bj ? .
. i c'? Rp? ???? ??j? \
- ? p WA?' , ' / d ? ??
_ ,? 6. y3
:876,0?' --?_61,So ??.// 1 ° ? 00 ??'
- Z? 5B a / !
? d = 43° ` ?$°
g TIU?Y EASEMENT , ?o ! ?
U / ?? ':?l
? m pRAINAGE AND / ' ?;?gti;' ?
±?-- _'_ ? ?j$ \
? ? ? . A?3a ?2 ?? n
I?g2 ?'
35 ??"? V?
Or?1? 31' r??2,
??
A??
8g5??? = BASEt?ENT FLOOR E?EVATION
89`???0 = TOP OF BLOCK ELEYATION
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139730
Date Issued:11/07/2016
Permit Category:ePermit
Site Address: 805 Great Oaks Lane
Lot:7 Block: 2 Addition: The Woodlands North
PID:10-75890-02-070
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Thomas G Splinter
805 Great Oaks Lane
Eagan MN 55123
(651) 319-1971
Ryan Johnson Construction
20376 Boone Ave S
Prior Lake MN 55372
(612) 290-6749
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139730
Date Issued:11/07/2016
Permit Category:ePermit
Site Address: 805 Great Oaks Lane
Lot:7 Block: 2 Addition: The Woodlands North
PID:10-75890-02-070
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Thomas G Splinter
805 Great Oaks Lane
Eagan MN 55123
(651) 319-1971
Ryan Johnson Construction
20376 Boone Ave S
Prior Lake MN 55372
(612) 290-6749
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140721
Date Issued:01/17/2017
Permit Category:ePermit
Site Address: 805 Great Oaks Lane
Lot:7 Block: 2 Addition: The Woodlands North
PID:10-75890-02-070
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Thomas G Splinter
805 Great Oaks Lane
Eagan MN 55123
(952) 270-8052
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature