812 Great Oaks Tr'CITYOF EAGAN
3830 Pifot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: 1141
(11 r,nt:
, : . ;
PERMIT SUBTYPE:
TYPE OF WORK:
%f
INSPECTION .. . ..
i . , r•, . r i ? . ? ,J??„?,r,y) Cou•,C.,y?,erf'? .?d...•? . , , I . ,
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MFikl;'.s Eif< - I.11: W,'i l 1•I Fctil ' ?..
INSPECTION
liCORD
PERMIT TYPE:
Permit IVumber:
Date Issued:
di APPLICANT:
<
?
Permit No. Permit Holder pate Telephone #
SNV
PLUMBING • f /6 7"??" '1"Ooj
HVAC
ELECTRIC
ELECTRIC
Inspectlon Data Msp. Comments
Foatings 1 ?
Foundation ?5-
Framing 26
Roofing
Rough Plbg. 5-0-95 W
Rough Htg.
Isul.
Fireplace XV (M /?
l
Final Htg.
tv
Orsat Test
Final Plbg. Plbg. 4nspector - Nolify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg. ?"y'? "`? •
B
Deck Finai
weu
Pr. Disp.
? l7 ? n
.,i
Address 812 G[tFAr onxs r_u, Zip 5512 3
Lot 4. Blk 1 Su6
THESE ITEMS WERE / WERE NOT COMPLETE AT THG TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" ftom siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUwrb damage
Porch
Basement finish
Deck
Please verify wi[h the builder the removal of roof test caps from the plumbing system and Ihe shutoff of water supply to
the oufside lawp faucet befoce freeze potenlial exists.
Contact engineering division a[ 681-4645 before working in rightrof-way or installing underground sprinkler system. ?
While - City Copy Yellow - Resident Copy Pink - Contractor Copy
0 °??7 ? ??7?O5Y
°?
?
s
c
? ? , O
-
J
Request Date Fve N. ough-0n Inspection Repwrea Insoeciwn 01herThan Rovgh-In
A1
l
re
(Vou musl call mspecror when atly) ? Reatly Now ? Will No6fy Inspeclor
l y
fT Yes ? No Date Read
150 licensed contractor ? owner hereby request inspection of above electncal work at:
Jab AOtlress (Shee6 Box or Raute No.) . Cdy
G?tiqr 09h5 i? ?-?
Sechon No. Township Name or No Range No County
Occupant(PRMT) Phone No
F-37
Powar Suppher Atltlress
4ft-4T? ??Et7a?c F/1,clwllw_^'
Electncal Coniractor (Compeny Name) B E S T E R t L E C T R I C Cmttactor's LmenSe No
Meiling Atltlress (Conhac[or or Owner M kin Instellalion)
?A?tMINGTOP! MA 55024
Aulhorrzed Signatvra (ConlrectorlOwnar Making s fl tlo Phone Number
0?( ez?
MINNESOTA STATE BOARO OF ELECTHICITV
I
I II
I THIS INSPECTION FEOUEST WILL NOT
Griqgs-Mltlway Bltlg. - Room 5428 I I? III I III ? I I ? I ) I I 6E ACCEPTED BV THE STATE BOARD
1827 Unlveralty Ave., St. Peul, MN 55100
? l1NLES5 PPOPER INSPECTION FEE IS
Phnnn fR1T fW4.ONM1 ? ? O FNCLOSFO
%'kEQUEST FOR ELECTRICAL INSPECTiON `?'"``?., ??ooi
? .?
See m?uc0ons lor completing Ihis form an back of yellow copy 3 ?? 5
"X" Be/ow Work Covered by This Request
Ne Acf Rep Type of Builtling Apphances Wired Eqmpment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building
] Oryer Load Management
Comm./Industnal Furnace Other (S ecify)
Farm Air Condihoner
Other (specity) Gonhaclor's Remarks
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # CircwtslFeeders Fee
Swimmin Pool 1 0 t 200 mps J, 49 17 0 to 100 Amps $,!"
Transformers Above 200_Amps 1
Above 100-Am s
SI nS Inspecb(s Use Only TOTAL
Irrigation Booms /0S DO /Os.sa
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE O SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
rtif
th
t ih
6
i
i Rougn-in
6"
y
ce
a
e a
ove
nspect
on has
been made. Finai ? Dat;.j
OPFICE USE ONLV !/?0
This reQuest witl 18 montlts from ?
? ?33 '? ?
y?
?O?, , `?x'?
??
? 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION -
City Of Eagan -
? - 3830 Pilot Knob Road, Eagan MN 55122 -
. Telephone # 651-675-5675 FAX 4 651-675-5694 -
-t 1frd?ty ,
17r. -7 s
New Cons4uction Reouhemems
of lot sq. R of house; and all roofed areas
islered site surveys shaving sq
N
3 re RemedeVReoair Reaui2ments
2 copies o( plan NW'9-6fli
?',-?`p„
?u.; , .{_.
.
.
g
e allowei)
20% maximum lot covera t set of Ener9y Calculatlons fw heated additiom
g
(
2 copies of plan showing beam 8 window siz2s; poured found desi9n, etc. 1 site survay for additiona & decks
1setWEneigyCalculadon5 AddiUon-indkafeilon-s'rtesepficsystem
3 copies oi Tree Preservation PHn N bt platted after 711/93
Rim Joist Detail Op6ons selectbn sheat (bWgs with 3 w less unHs
Date zs I d
SiteAddress ?'? Z C???'! ?I?I4 ? Construcntion Cost
,5 UnidSte #
Description of Work iT??jE STtacC.C7 On C eO/j 5Z ?P /? ??IUj? Sf.? 'Y? /?,M
Multi-Family Bldg
_ Y IN Fireplace(s) _ 0 V1 _ 2
vt ?e s t?u
Re p 1
Property Owner 7n?V ?M&C.V2 Z.Z, Telephone #(65)
)
Contractor s-J l w
Address
State LAMl tr: /?NTj?
r_ • Zip CitY
Telephone#(7?a c/
8yz- 7Z?/
?I
2io z - 0008
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential VenUlaUon Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Su6mitted Submitted
. Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/water Confractor
Telephone #(
Telephone #(
Telephone # (
MAR 0 :
7
4IU
I hereby apply for a Residenrial Building Permit and aclmowledge 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 applica6on for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of wark which requires a review and
appro? of plans.
pi? +Ii
ApplicanYs rinted Name Appli ant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
?{, 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
??
? 03 01 of _ plex ? 09
07-plex
? 17 Garage
? 22 Porch/Addn. (4-sea.)
? 33 Exi. Nt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 17 10-plex ? 19 Lower Level ? 24 Stortn Damage
0 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
O 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 Reraof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuatlon 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 1/,4j_ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings(deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
Fonndarion HVAC
Drain Tile Other
Roof Ice & Water Final Pool -F-191- Air/Gas Tests Final
? Framing _ Siding cco _ Srone _ Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation Rehitring Wall
Approved By: '2- Bu ilding Inspector
Base Fee
Surcharge ??? ??..? ?????? ?` /N" ' fL" l.
Plan Review
MGESSAC
City SAC /
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
PERMIT
? `CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: s u xLo I NG
Eagan, Minnesota 55123 Permit Number: 0 2 5 0 9 2
(612) 681-4675 Date Issued: 0 2 J 0 6/ 9 5
51TE ADDRESS:
812 GREAT OAKS TR
LOT: 4 BLOCK: 1
GREAT OAKS
P.I.N.: 10-30959-040-01
DESCRIPTION:
t,-3.
B
et"Y1dir?gLPermit Type SF DWG
,
?uilding lJa,rk 7ype NEW
jrMBC OQeuRane?`?r R-3 M-1
?
I Construction Ty'p,e v-Iv
?
? 2an3ng ?- -? R-1
/ Buiibing LengC'h 66
? Bui3,ding WidtFr 47
Byild2rtg staries ; ' 2
`--"?_94uaro Feet` 2,235
\
?'? C7 ?+ [ r•s / ''"?
Ql" J:J
REMARKS:
S& W PLBR - WENZEL PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
5AC %
SAC Units
5ubtotal
$930.00
$604.50
$91.50
$850.00
109
1
$2,476.00
$183,000
MISCEL4ANEOUS $1,892.50
Tntal Fee $4,368.50
CONTRACTOR:
JOWNSON CONST, M W
14251 CEqAR AVE
APPLE VALLEY MN
(612) 492-6838
- Applicant - ST. LIC
14326838 0062207
55124
OWNER:
M W JOHNSON CONST
14251 CEDAR flVE
APPLE VALLEY MN 55124
(612)432-6838
I hersby acknowledge thet I have read this app7,ication and state that the
informatibn is correcC arld agree ta comply with all applicable State af Mn.
Statutes and City af Eagan Ordinancas:
I
tt J& I 1 0 ?ED SI ??UREI
APPLICANT/PERMITE 1 ATURo ? 1(tl I
CITY OF EAGAN
3830 Piiot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
BuxLoINe
025092
02/06/95
SITEADDRESS: Lor: n BLDCK:
812 GREAT ORKS TR
GREAT OAKS
PERMIT SUBTYPE:
sF owG
1 APPLICANT:
,70HNSON CONST, M W
(612) 432-6838
TYPE OF WORK:
New
INSPECTION
'OOTINGS .. .
FOUNDA7IQN ,.
RAMING RpOFING
NSULATION FIREPLflCE
OUGH IN PL6G ROUGH IN HTG
-INflL pLBG FINAL
EMARKSa S& W PLBR - WENZEL PlBG
?
?
i
e
M0942
Q)? CITY OF EAGAN
19" BUILDING PERMIT APPLICATION
681-4675
?4,? L1 "0
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surv ?rrjVeGr y
calcs.
" i ' (! 1 193'>
COMMERCIAL 2 sets of architectural & structural pl s, 1 set of
specifications, 1 copy of energy calcs. .,....____________
Penalty applies: 1) when permit is typed, but nat 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 42S `7 q?'/0
Site Address: ?2Pe'z()?
STREEi SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD. #
Descri tion of work:
The applicant is: fZ Owner Contractor O Other (Describe)
Name TG? Phone (-167 30
Property LAST fIRST
Owner 4
A
o,R-
Address 1 ?351 CQ-
Vq-
STREET
City u-e State ? STE #
Zip ?
Company +-j_ ?- hone I)IQ3V
Contractor Address /la'261 CA,<iU2_ h-U-.e- Licens #? Exp.
City State ftWJ Zip ?L
Company ?- ?ItolLzr 90-6- ?--- Pho ne
Architect/ r?
Engineer Name ?'? k Registr ation #
Address 4
City ) <-- G--u State Zip
Sewer & water licensed plumber ti7,_Rj_ Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowled9e 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. ?
Signature of Applicant: ?
?
OFFICE USE ONLY
BUILDING PE RMIT TYPE • ?
? 4
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
J2?,02 Sf Dwg. 0 01 4-Plex ? 12 Multi. Misc. ? 17 5wim Pool
? 03 5F Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
GEt31 New ? 33 Alterations ? 35 Tenant finis h ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) ? Basement sq. ft . 149 z MWCC System
(Allowable) N lst F1, sq. ft. ?ysG City Water
UBC Occupancy ?y 2nd F1. sq. ft. 1,336, PRV Required
Zoning ?-i Sq. Ft. total ?' Booster Pump
# of Stories Footprint Sq. ft. z,zss- G.47'f Fire Sprinkler
Length On-site well ,; ? Census Code eoi
Depth y 7 On-site sewage Y SAC Code oi
Census Bldg i
APPROVALS Census, Unit ?
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTION S
0 Site ? Fo oting ? Framing ? Insulation
? Wallboard ? Fi nal ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Oed.
7rails Ded.
Copies
Other
Total:
SAC %
SAC Units
??tuat;o,: s lP 3-6 ooo
??vr 2 K 9
zzx y6 ° /,??z.
? n sv = z ?z
G..r 2 % & > !(o
/ yz 6' x S5' = 77 D0I/
Z
----
Z, s
/o. n A Y6 = 79Y
2.3 1 s7.S= 17
3.t3 xzss= 99
Iz t J/.s = 3??'
? it.r > SI
l,336 xs'v = ?Z, ?yy
fn?f•
<Zx?,> ° ev
/,g9aXis:
Zax 3Z = ]b(6
IK zo = zo
•3Jr? = 7
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1
uni ?/i,i?ii?i-A'vL L• _? _ .
? 5• ?',,?? ?J ,
? `, 16"-1/16 BEND
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879.1 ? ,•
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J
CTS PIPELI
G CONTAC
INATOR
NISION
E COM A?
ROAD
551 1?3
3-1555
-1997
¢ ?O
MH
3
L-j- MN\
.l-. '?^• ,? !- , ?. "'? , . ,
48.0'
52.5'
16,-1/8 BEND
3+90
881.0
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fi" G.`?. 2f % C?SC
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882.0 I APJU h" F'VC FOR"AF-UiURr
SPRItJKI_FR S'r"STEM. .
---_-- --- i? 'c3i'-------- ; - -? - -
"RVICE OTES ! o o;
EXTEND SERVICr-S 15' INTO PROPERT'f rr ?
, SEWER SERVICEt TO BE PVC SDII 26 l``j
. WATE? SERVICE? TO BE 1" T`(PE K(OPPFR
' i J O
r I
}-c??:,G?,PJ DOcS ??O"i GU?,,,:a; a.M4 ?3?34.20
?'.'.CJ,-,tICY OF UTILITY LCCATiONS '- --"-
.:' EIfaTIdNS. THIS DATA I-0 FOR TOP HYD. 160'Wf.ST QF T. 'C
PURPOSES QNLY qNp F!_REPJE= RD. &_ GRFAR OAvS rRqll
{ . -. . ' NG IT SNO?!i D . -,3 THy
C; t TWE Ci fE
j_,DESIGN -- GR?UF
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8L uRCA"; i
?EE
F EAGAN DOES t?0 iGUARAN
' ?N?
?V C1
ThE CI
ACGURACY OF UTIUTY LOCATIONS
' -_ 4
THE
q?v?!?7?t ELEVATIONS. TlilS QPTA -IS FOF?
4?.?;.??,,.,r;AjjOy PURPOSES Qi1LY AND
„ ; `?'? ?
USI(VG IT SHOIlLC' -
oNTriEsiTE -T! ? ?
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113 VC, S?PARHTlON-- --
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142'-8° PVG SDR 35 C??C-44%
----
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7 ? ?-? --- W.ATER MAIN AND
r ,
T.?g ?GAS MAWS.
? 0.47 ?-
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entry,
pROPERTY LEGALi
O • Reqistered Lnnd Survayor signature and company
0 • Building Permit Applicant
0?/ I.egal desesiption
[?7' - ]?ddrass
0, • North arrow and 4Der acale
0 • House type (rambler, walkout, split w/o, split
lookout, etc.)
0 • Directionel drainage arrows with slope/qredient t.
p •. Yzoposed/exieting sewer and water services
0 • Straet'name
0 • Drivavay
ELEVATIONB
1Existina
E1--13 D • Sawer service
? 0 • Lot cornera
0 • Top of curb et the driveway
El 0 • Elevations of eny existinq adjacent homes
0? D 0 0 • First floor
0K0 0 • Lowest exposed elevation (walkout/window)
0? 0 0 • Property cornera
C? D 0 • Front and rear of home at the foundation
pONDING ]1REA8 tif applicablel
0 ? 0 • Easement line NWL
.
O D? ? • xwL
0 ??/D • Pond N desiqnation
D B O • Emerqency Overflow Elevation
DIMEB8I011B
-
.
?0 0
0 D
e1a 0 •
D ff? D •
Lot lines
Riqht-of-way end street width (tb back of curb)
Propoaed home dimensions inclvdinq any propoee8 decks,
overhenqs greater than 20y, Jlorches, etc. (i.a. all
structures requiring permanerit footinqs)
Show all easements of record ;and!dkny City ntilities within
those e8sements
Setbecks of proposed struct6rd?hnd aetback of adjecent
axisting homes :
Retaining wi?7. requirJemyents, ff eny
z
8" 0 • Garaqe floor
Octobei 1992
Dat• ef Surveys
'r
,
nwNER
I
EXTERIOR ENVELOPE AYERAGE
" COMPUTATION
SITE ADDRESS llo--4-S J
CDNTRACTOR V 4w Q---3 ?hs ?s-?r , DATE
_i
PHONE `8d '6 Y.F
Determine working square footage of each.
1. Total exposed wall area ...... 37 L9.Ili sq. ft. x
2, Total roof/ceiling area ...... ? Sy 9 sq. ft.'x .ai?,? I•
Total exposed wa11 area abave floor = 37, S o
a. Tota1 wall window area ..................:........ . 1
b. Total door area ................................. 3 5
c. Total sliding glass door area .................... . y K
'.d: Total fireplace wall area....` ... ... . :........
e. Total wall framing area (average 10%)............ ,
f. Total net wall area above floor ............. .. Z O ?. •
g. Total rim joist area ............................
Total exposed foundation area = 1 7 Z•1 b
. . .
h. Total foundation window area...... ............. ^-
1. Toal net foundation area abpve grade ............ 1 7 t.11. '
Determine "U" value of each wall segment. •
a. 38? t Xaiuii , 32 = 1 Z 3. SL?
n. 38 x "u" ,139 = 5.z9
c. ?14 x Btu,,
a. - x „u„ ? _ -
e._ 298.1a X flu,, , O = (..?1
f. 2503.6Z X °u°
9. 3oh.oo x ?lull .OYi = ?z.55
n. - x i.u„
;. 11z.110 zituti ? o8Z = ly. 11 _
a ........:............3!J 241 I.V....-rotai = 3.l.a_ 31
?
If item 13 is the same as, or less than item #1, you have met the intent
of $BC 6006(c)2. .
Total exposed roof/ceiling area
Total gross roof/ceiling area 599 .
r? '.. j. Tota1 skylight area ........................ ?
' . k. Tota1 roof/ceiling framing area ............
1. Total net insulated roof/ceiling area....... IV 34.1 ,
.. Determine "U" value for each roof/ceiling segment.
... . ,...._ • _ - x „UI, k. IS?i,9 x ^u° •OtW = ?0,71
1. x 11u 1111 101 ? a •3i,?b
?
a........_......,..159`?:oR.... -rota, =L? ...
If total of Wis the same as, or less than #2, you have met the intent_of
SBC G006(01.
To utiiized the total envelope system method, the values.established by the
sum of items 03 and #4 sha11 not be greater thart the sum of itens $1 and #2.
? ? . '. ...
3
MkTERIALS
Ezterior AIT
Siding ?iat erial
Sheathing
Insulation
Sheetrock
Interior Air
Studs
Rim
Conc. Blks.
+ 2. °
+ 4. - - -
Therm. Eesistance "R"
R I,'T
.yS
Z.Ob
.4S
1, L1?
. , . •
• . :',. :
,
L // BL CITY USE ONLY
?
SUBD. ?)JnrA/f
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
RECEIPT
DATE: ??S 95
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x I
Water Closet 3.00 x 3
Bath Tub 3.00 x 31 _ (o
Lavatory 3.00 x _ t-
Kitchen Sink 3.00 x i
Laundry Tray 3.00 x i = 3
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x _3
Floor Drain 3.00 x 3
Gas Piping Outlet * minimum - 7 3.00 x I =-3
Rough Openings 1.50 x 3 = , 5
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
ARerations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
50,00
SITE ADDRESS: ? a G r euA dm k S -?' r ?
OWNERNAME:?M (i) CI6hnS0+-, C0 v-1 S+
INSTALLER NAM
STREET ADDRESS: 21152Y C MI'ff e " I Q P, v??
CITY: STATE: Wl,° v, vi ZIP: ?SOZ.U
PHONE #: ( ) 4W - ?? A4 _ ?
,Q- (YA
CITY USE ONLY
L ? BL ? RECEIPT #: ?
SUBD, /?? (Qa.L DATE: , ??'/?5
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date:
? Minimum Fee: Add-on/Remodel (existing residence only)
? HVAC: 0-100 M BTU
?a5) ODO Additional 50 M BTU
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge
TOTAL
FEES
$ 20.00
24.00
6.00
,vo
.50
.?s
SITE ADDRESS: 912, h ona-4 0a{cS +r l
OWNER NAME: YYl W jolihso" (p"s I` PHONE #:'A?
INSTALLER
STREETADDRESS: 11ULI Gh;oPeladc le- N U 2?
CITY: ?O,t?-v? lnr? odl STATE:?N) v4 ziP: ? SD a
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PHONE #: ( ) 4?03'7??? ??5? 600 b'}q STv L CkAAtl?
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DEPT.
Z hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the laws of the State of Minnesota.
Date:?m?,./,?S' ?- H• ? -
L'eRoy . Bohlen
Registered Land Surveyor No. 10795
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Use BLUE or BLACK Ink
r---------'--------
I For Office Use
1
' Permit 160 City of Ealian
41101~
I Permit Fee:
3830 Pilot Knob Road ~l/ I I
Eagan MN 55122% j Date Received:
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 I Staff:
I
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
r '
/
L t '~i Phone: ~5~^ g~
Name: 7
RESIDENT /
OWNER Address / City / Zip: ye S y-
Applicant is: Owner Contractor
TYPE OF WORK Description of work: PVV~ F
Construction Cost: q, , Multi-Family Building: (Yes / No X)
Company: n~c~" rt b"Intact: hILMn-
CONTRACTOR Address: 1~3 6MIC - - r"GU' City: 'i~l LA", Y\ S Q .1,
i to~o,
State: _Y v Zip: Phone: ~0 J (6 1 - nac:~
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
M~
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x x
App icant's Printed Name Applicant's Signa re
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164809
Date Issued:10/08/2020
Permit Category:ePermit
Site Address: 812 Great Oaks Tr
Lot:4 Block: 1 Addition: Great Oaks
PID:10-30950-01-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Kristian G Thonvold
812 Great Oaks Trl
Eagan MN 55123
(612) 619-3505
Rji Professionals Inc
6063 Main St Suite F
North Branch MN 55056
(651) 674-5158
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166309
Date Issued:12/29/2020
Permit Category:ePermit
Site Address: 812 Great Oaks Tr
Lot:4 Block: 1 Addition: Great Oaks
PID:10-30950-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Kristian G Thonvold
812 Great Oaks Trl
Eagan MN 55123
(612) 619-3505
Rji Professionals Inc
6063 Main St Suite F
North Branch MN 55056
(651) 674-5158
Applicant/Permitee: Signature Issued By: Signature