829 Great Oaks Tr11?
4
•CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
I „ t . I i?F
PERMiT SUBTYPE:
If
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
? ?, I . 1 ?:',?. •?41. I
TYPE OF 1NORK:
INSPECTION .. . ..
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Permit No. PermR Holder Dats Teiephone N
S/VII
PLUMBING g9-:?
HVAC
ELECTRIC IIIA00
ELECTRIC
inspection Date Insp. Commerns
Footings I ?
Foundation
Framing 1- '.s ld}Jo- mNs
/r,l' "4 r, C1.4?
Roofing Ju+s?,e ?or. f q. v r f ?. ? un.:
2 ??yqC¢, s'T e?r?s OiST
Roughi ?tbg. - ?J
Rough Htg.
Isul.
F«eplece f?7?9s ?
Final Htg.
Orsat Test
Final Pibg.
n! Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Fnal
Declc Ftg.
Deck Final
Well
Pr. Disp.
a + 3
7
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Olt
RESIDENTIAL
3830 PILIOT KNOB RDN 55122 ? 10' ?0
651-681-4675
lew Construction Reauiremenls RemodellReoair Reauiremenls ca
3 registered site surveys show(ing sq. R of lot, sq. ft. W house, and all roofed a2as • 2 copies of plan
(20°k mazimum lot coverage allowed) • 1 set of Eneigy Cakulations (or heated additions
2 copies of plan showing beam 8 window s¢es; poured found design, etc.) • 7 site survey for exterior additbns & decks
1 set of Energy CalculaGons . Indicete if home served by septic system for additions
3 copies of Tree Preservahon Plan'rf lot platled after 711193
Rim Joisl Defail Options seledion sheet (bldgs with 3 ar less units)
)ATE y ` L?- c;'/ VALUATION
IOB SITE ADDRESS kL `t
F MULTI-FAMILY BUILDING, HOW MANY UNITS?
/??3 2ff/?'/r
'ROPERTY OWNER ,0/adi0
'YPEOFWORK /,J/rC6C FIREPLACE(S) _0 _1 _2 _3
4PPLICANT%?6 .&/v l2oo & ? - /svc PHONE #
4DDRESS //" 2 f}?Xv^/ ZIPCODE,5?rD 77
-?
'AGER # CELL PHONE # FAX #?ff9Y 1-Spfl
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Ener9y Code Category _ MINNE50TA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Cade Worksheet Submitted
Plumbing Contractor.
Plumbing System Includes:
Mechanical Contractor.
Mechanical Systcm Includcs:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
Fce: $70.00
111 above information must be submitted prior to processing of application.
hereby acknowledge that I have read this application, state that the inform
311 applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnature of Applicant
;ertificates of Survey Received _ Tree Preservation Plan Received
BUILDING PERMIT APPLICATION
WaLer Softener
Waler Heater
No. of Baths
Phone
Lawn Sprinkler
No. of R.I. Baths
_ Air Condilioning
_ Heat Recovery Systcm
M9 D U ?
orrect, and agree
_ Not Required
with
Updated 1101
OFFICE USE ONLY
] 01 Foundation
7 02 SF Dwelling
7 03 Ot of _ plex
] 04 02-plex
] 05 03-plex
] 06 04-plex
?D 31 New
5 32 AddiGon
7 33 Alteration
] 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Eut. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
*Demolitlon (Entire Bldg only) - Give PCA handout to applicant
?
/aluation a e Op
Occupancy
fi'3
MC/ESSystem _
;ensus Code
? Zoning City Water _
)AC Units Stories Booster Pump _
Jbr. of Units Sq. Ft. PRV _
Jbr. of Bldgs Length Fire Sprinklered _
'ype of Const Width
REQUIRED I NSPECTIONS
Footings (new bldg) FinaUC.O.
? Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved ByZA_, Building Inspector
3ase Fee
>urcharge
'lan Review
AC/ES SAC
;ity SAC
Nater Supply & Storage
i&W Permit & Surcharge
-reatment Plant
Ilumbing Permit
Aechanical Permit
.icense Search
;opies
)ther
fotal
? 07 OS-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex 0 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
e 97r,
Qddress 829 atEnr oaxs Ta.4u., Zip 55123
Lot .ic Blk t Sub azF.nr oaxs
THESE TI'EMS WERE !WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final gtade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Pennanent gas
Sod/Seeded grass ?
TraiUcurb damage
Porch
Basement finish
Deck ?
Please verify with the builder the removal of roof test caps from the pfumbing system and the shutroff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. ?
White - Ciry Copy Yellow - Resident Copy Pink - ConUactor Copy
IIIIIIII) II I?I IIII 821 ?Uo eS sity Bearflm S -? 1BASt.'PauPl, M`N 5570a 6 07,11
1_.0_ 6 A 4 6* Phone (812) 642-0800 ome fRan plex Apt Bldg.' Otfier`. ' New Addn
Commercial usfrial Fartn Remod Re oir
Air Cond. g. Equip. Water Hir. Load Mgmt. Other:
D er e Elec. Heof Tem . Service
'X' o6ove the work covered 6y this request. Enter remarks in /his space and on ihe back of fhe white copy only
Calculafe Inspechon Fee - 7his Inspection Request wJl not be accepted witbouf ihe colrecf fee:
Olher Fee # Service Enhance Size Fee it Circuils/Feeders Fee
Mobile Home Park Stall 0 io 200 Amps O to 700 Amps
Sfreet L}g./Tro{fic Sig. Above 200 Amps Above 10 Amps
Trans(ormer/Genem}or INSPECTOR'SUSEONLY TOT
Sign/Outline Ltg. Ximr. /j ?:?LJ
?
Alarm/Remote Control ?/
Swimmmg Pool I hy26 cem that I ms aded fie eleanml in:mllahon desaibed here on Me dab::mied
Irrigation Boom Roogh-in D.I.
$pe<iallnspection
9
Investi ative Fee iV ?(P
THIS INSTALLATION MAY 8E ORUERE DISCONNECTED IF NOT COMPLETED WITHIN 78 MONTHS.
310 m 6 8 4A OFFIC U9E O LY This request void 18 monlhslrom validofion dote printed m this box.
? ?5? ?8?99
R
PLEASE PRINT OR TYPE
Reqeest Dab kough-in inzpernon reqmred2 ? Yes ??pecnan ONier Than Rough-In:.?RRidy Now 0 Will Coll
? j
/ (Yw m.ar call Me mspaaor.han readd ?ote Neadr
I,,?-1 censed conhador ? owner hereby request inspedion of }he above eleckical work at:
Jab Pd, rese (Streeox, or Roole No ?? Gry 2p Code
Section No. Township Nams or o Range N. Fire No. Counry
Occupom Plw.??-7ol V
Poner Supp mr Pddrtss
Elecmcal Convocror ?C pany Na ) Controcror Lanu No. `
O Master Lic. N. (Planl Eletl. Only)
MoiL
az IContraeor or er PeAorming In Ilqfion'
?
Aulho N/JConha r or Owner Pedorming InsMllanan)
K?_ Plron No. ^? ?
EB-OOOOlA-10 6/95 STATEBOARUCOPY-SEEINSTAUCTIONS'ON6ACKOFIELLOWCOdY
? r5? y's ??aa. n
0 2 0 9 4 7Z30
RepuesPDate Fire o
f ?- ?.
3 Roug?Rn IBspee-NOO?Requiretl
(VOU must cell Inspector hen reedy)
? Ina ectlon Other Than RuBh-ln
a ReaCy Now ?o
Will Nolity Inspedor
(? f--> Vea
No Deta Ree
I5licensed contractor ?owner hereby request inspection of above electrical work at:
Job Atltlress (Sireeq Box or Route Na )
g
7 R -
T City
4N
?ftC
KJ
ftT Vf
1 . i
Saction No Township Nema or No Range No. Cou}?
[?fJKOTJ+
Occupant PFINT) Phane No.
D?c6t: um?a ?/5(v--IOZI
Power uppllet /- AEtlress
F
fi/10LGCCTPie fJP./n?X6 ToN
Electn I Coniraclor (COmpeny Name) Contractofs Llcense No.
ia?s,? E?«?,? lti? C'? oi?iz
MaiLng ress (Con ctor or Owner MeWng Instellallon)
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aulhonz Signewre IComeadorlOwner Making Instellalion)
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12 Phone Number
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z 53 -4? y? 6
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MINNESOTA STATE BOAFD OF ELECTRICRY THIS INSPECTION REOUEST WILL NOT
Gdggs-Midway Bidg. - Paom 5448 BE ACCEPTED BY THE STATE BOARD
1821 UnlversHy Ave., St. Peul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Phona(812)602-OB00 ENCLOSED
0 0?0 9 4 7 REQUEST FOR ELECTRICAL INSPECTION
10? See inslrucbons tor completing thia form on beck ol yellow copy.
"X" Below Wcrk.Covared by This Request
EB-000019
i3?aa
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Sarvice
Duplex Water Heater Electric Heatin
A t. Building D er Load Management
Comm.llndustrial Furnace Other (Specify)
Farm Air Conditioner
Other (spsnty) Contrdclor's RemerksCompute Inspection Fee Below:
# Other Fee # Servica Entiance Size Fee # Ciroults/Feeders Fee
Swimmin Pool 0 to 200 Am s z 0 to 100 Am s
Transformers Above 200-Am s Above 100 _Am s
Si n5 Inspeaofs Use Only TOTAL ?..
Irrigation Booms `??• Cj? "'?
S acial Ins ection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Othar Fee COMPLETED WITHIN 18 MONTFIS.
I, the Electrical Inspector, here6y
cedify that the above inspection has
been made. Rough-in ?
Fnai o? /
oete ?.?
OFFICE USE ONLV
TNS raquest voitl 18 months hom
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2007 RESIDENTIAL BUILDING PERMIT APPLICATION
CiTy Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consttuchan Reamrements
3 registered site surveys showing sq ft, of IoC sq ft. W house; and all mofed areas
(20% macimum lot coverage aliowed)
1 Soils Report rf proposed building rs to he placed on distur6ed soil
2 copies of plan showing bearn & window sizes; poured found design, etc.
i set of Energy CalculaGOns
3 copies of Tree Preservanon Plan ii lot plaped after 711193
Pom Jmst Detail Ophons selecfion sheet (6u0dmgs with 3 or less uniis)
ANnnegasco mechanical venhlatlon form
RemodeVReaair Reouiremenis OKce Use OnN
2copiesofplanshowingfoafings,beams,joisis CedofSurveyRecd _Y _N
1 set o( Energy Calcula6ons for heated addi6ons Smis Repat _Y _ N
i srte survey for addi6ons 8 decks Tree Pres Plan Recd _Y _ N.
Adddion - mdicafeifon-stesephcsystem TreePresRequired _Y _N
On-site Septlc System _ Y _ N
Dlanc al'P rf]I'7S1(lPfPfl Y111hl1f: Illf(]I'ITil III7lPSS VOII St8t2 th8V 81'@ tr3d2 S@CrOt 311d tfl@ f@`dSOII.
DaYe ?_ /?/
Si[eAddress ? d?
?Q Construction Cost
UniUSte #
Descrip[ion of Worl< -reG"reEFf !\GA" F
Multi-Family Bldg _ Y? N Fireplaee(s) _ 0 2
Property Owner y R? Ko ry-?.g Telephone #(6 ?0) 3(,g
ConMactor
Address a4
State r 1 ?f 3 Cjy`Ype ? I 2 rf/ ? City Td`rri-i-;Ltg?frJj/?-
Zip Telephone # ((' f ( ) O - cdY-/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate orv 1 _ Minnesota Rules 7672
Energy Cod2 Category . Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionfype) Submitted Submitted
. Energy Ernelope Calculations Submitted ,
In the last 12 months, has the City of Eagan issued a permit for a simiiar plan based on a master plan?
_ Y _ N 1( yes, date and address of master plan:
Licensed Plumber Telephone #( )
Mechanical Contractor Telephone # ( )
Sewer/WaterContractor Telephone#( J
I herebv aoDlv for a Residential
and acknowledge that the information is complete
e;
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 wotk is not to start without a
permit; that the work will be in accordance with the approved plan in the case ofwork which requires a review and
approval of plans.
") t Ff 7 J_'?? 6IK.g
Applieant'sPrinted Name Applica' ' g re
? . CIYY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.T.N.: 10-30950-300-01
PERMIT
PERMIT TYPE: a u z Lo z Na
Permit Number: 0 2 5 0 3 8
Date Issued: 01 /20 J95
,n -o
829 GREAT OAKS TR G??-
LOT: 30 BLOCKa 1
GREAT OAKS
DESCRIPTION:
?-
B?ul ldinq,,Permit Type SF DWG
Building Wo.rk Type NEW
,'UBC OccupancY'_, R-3 M-1
,'` Constructioh Typ,e V-N
Zoning R-1
Building 4.ength .• 58
f Building Width ss
? ByrS,?:2t5.Ctg stor'ies ` 2
?• -
v5qQare' Feet' - ? 2,529
?N
?
i
-Y"
'vrJ:?
REMARKS:
5& W PLBR - STAR PLSG
FEE SUMMARY:
VALURTION
Base Fee
P1an Review
Surcharge
SAC
SAC ?
5AC Units
Subtotal
$944.00
$613.60
$99.50
$859.99
100
$2,501.10
$187,000
MISCELLANEOUS $1,892.50
COPY _$ . 50
Total Fee $4,394.10
CONTRACTOR:
HOUGE WOME5
1260 YANKEE
EAGAN
(612) 456-9021
- Applicent -
14564021
DQQOI.E RD
MN 55121
sT. Lzc. OWNER:
0005368 WQUGE HOMES
1260 YANKEE
EAGAN
(612)456-9021
DOODLE RD
MN 55124
T hereby acknowledge thet T hasra read this
infnrmation is correct and agree td camply
Statutes and City of agan prdinanaes. ,
C
, ;
APPLICANT ER EE SIGN
application and stats Cha'C th•e
with all a,ppSzcable 5tste af h4n.
-1
IS??B SIR?d 11'Ye
CITY OF EAGAN
1?BUILDING PERMIT APPLICATION
681-4675
CAorj 1-w
SINGIE & MULTI-FAMILY
2 sets of plans, 3 registered site ?%??- p-
?? ? ?U?vey?;'FopPo
energy
calcs.
COMMERCIAL 2 sets of architectural & structur 1 plans, 1 set of
specifications
1 copy of energy c ---------- "
,
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 Z? Valuation of work v7L??i??
Site Address:
STREET SUITE M
Tenant Name: (commercial only)
LOT BLOCK SIIS?.6??,4- P.I.D. #
Descri tion of work:
The appl icant is: Owner C? Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner qddress ??'//zx? 4yOL?
STREET SiE p
City 5tate Zip ?
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber s U n? Processing time for
sewer & water permits is two days once are'a has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUIL DING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. 0 17 Swim Pool
? 03 SF Addition ? OB 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
Ef 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
c ?
Const. (Actual ? Basement sq. ft. MWCC System
(A1lowable? -N lst Fi. sq. ft. /, ?3G City Water
I16C Occupancy 2nd Fl. sq. ft. PRV Required
Zoning 7-1 5q. Ft. total a Booster Pump
# of Staries z W?rm% Footprint Sq. ft. z,sz? 1 s" Fire Sprinkler
Length _IVA$ On-site well sAzgp Census Code
Depth ea d.s On-site sewage 118 SAC Code oi
Census Bldg i
APPROVALS Census Unit i
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? .3ite -E?Footing 4n--Framing `2?,Insulation
? Wallboard 12"Pinal ? Draintile ? fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
SAC 96
SAC Units
Yaluotia?e $ ? ? 7? O aO ?
? trf? •
S.SXI4v ? tlP/?«, kC IA$°K
Z x y/ = az
-Sx Sb = //7b
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27 2.f)e SL = /,/70
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LOT BURVEY CHECRLIST FOR RE8ZDENTIAL
? B?ILDING ERMIT 71PP CATION
, PROPERTY LEGALS L7
g ?
Dats of Burveys
D4CUMENT STANDARn3 /-Z'` I/.S?/9'?? }
F 0 • Registered Lnnd Surveyor signature and ?
w«a? 9r
company
0 • Suildinq Permit Applicant
0 • Leqal description
G • Address
0 • North arrow nnd ba?r?scale
0 • House type (rambler, walkout, split v/o, split entry,
I'?0
0
• iookout, etc.)
i
C D
rectional drainage arrows with slope/ qradient g.
[r0 0 • - Proposed/existinq Bever and water cervices
??-
6 0 • Btreet name
?
0' 0 0 • Drivevay
B'?? 0 • Sewer service
D? t 0 • Lot corners
2`0-J2 • Top of curb at the driveway
a II? D • Elevations of any existinq adjacent homes
Yroposed
(d-0 D - Garage floor
0?? 0 • First floor
D-?? D • Lowest exposed elevation (walkout/window)
? O 0 • Property corners
0--b 0 • Front and rear of home at the foundation
40NDING 71REA8 tif acolicabie)
0 0"?0 • Easement line
0 i' 0 • tawL
0 s' a • xwi.
D Z-' • Pond 11 desfqnation
D? O • Emergency Overflow Elevation
0'?D 0 • Lot lines
0' D 0 • Riqht-of-way and etreet width (to back of curb)
D-?D 0 • Proposed home dimensions including any proposed decks,
overhangs greater than 20, porches, etc. (i.e. all
structures requiring permanent foctings)
0`713 0 • Show nll easements of record nnd any City utilities within
Gr?-D
0 those easements
• Setbacks of proposed atructure and setback of adjacent
existing homes
93 g' 0 • Retaininq eguir ents, if any
Re?tewea: f--
October 1992
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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.
Date -4z, I Z ! C? Y
Site Street Address Unit #
PropertyOwner Ou ?u Y+^ Telephone#
Contractor Telephone # ( )
Address City SWte Zip
The Applicant is: Owner _ Contractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turna/round (add $121.00 if a 518" meter is required)
x Other: 6? fl?°P i*^ P? 4 &o? $ 50.00
Water Softener Water Heater
_ replacement _ additional $ 15.00
Lawn Irrigation System RP2_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total
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 the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will?e I?o?'dance w? ith the approved plan in
the event a plan is required to be reviewed and approved.
ApplicanYs Printed Name
2004 RESIDENTIAL BUII,DIA'G PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWCtionReouirements RemodeVReoairReouirements ?
3 registered site surveys showing sq. ft of lof, sq. R of house; and all roohd a2as 2 wpies of plan
(20%ma)imum bt wve2ge allowed) 1 set af Energy Calculafions for heated addNons
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site suney for addNOns & decks
1 set of Energy Calculatbns Addtion - irtdicate Non-site septic system
3 copies of Tree Preservation Plan if lot plaried afler 7/1/93
Rim Joist Detail Options selection sheet (bldgs vrith 3 or less units
Date Q?-l '/7 le?-l Cous[ruction Cost
Site Address eZc1 &R Fo)7- e f1 kS % R-A! ? UniUSte #
Description of Work rl N ISA 4 /p'.S'f'»1
Multi-Family Bldg _ Y !( N Fireplace(s) _ 01 _ 2
Property Owner -D&A!j1p5 S
Telephone # t9 L) jV:?Z -OOim Wk
Contractor
Address C<<Y
State Zip Telephone # ( )
-?c
'FA1
Ce?CofStiive'yRecd-;
itee Pies1zii,Rgcd ? ? 3?ry?=Y,.?'?
?resrPiesFteqliired
flt!;AOP.kW?MI=?-r? .Yt 11..;4
COMPLETf.?THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- %.Residential ta Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category I
Ventilalion Category 1 Worksheet New Energy Code Wortcsheet
(4 submission type) itted 5ubmitted
y Envelope Calculations Submitted,'
Have you previously constructed a buildi in
fee applies.
a similar pian?
N If so, 25% plan review
Licensed Plumber
Mechanical Contractor
hone
#204 Thone #(
ITt?lp
Sewer/Water Contractor
#(
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.
? C)"5'qs
pplican4' Printed Name
GY ?
Applic Ys ?inature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? OS 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 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex 1911" 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbgfY 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
6lf 33 Alteradon ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation O? v G? Occupancy ?q MCES System
Census Code ? Zoning ?- ? City Water
SAC Units ? Stories Booster Pump
# of Units ? Sq. Ft. PRV
# of Bidgs / Length Fire Sprinklered
Type of Const ? Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addiHon)
Foundation
Drain Tile
Roof' _ Ice & Water Final
? Framing
X- Fueplace _ RI. _ Air Test _ Final
? Insulation
p ??u
Approved By: `F
?1 p Z? 2 , 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
FinaUC.O.
y FinaUNo C.O.
Plumbing
HVAC
Other
_ Pool Ftgs Air/Gas Tesu Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
CITY USE ONLY
L ',_? BL ? RECEIPT
SUBD-/4ff ? ( U? DATE: `? °?
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
. 3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
_ Add-on air conditioning Fireplace conversion (to existing fireplace)
Date: ? 95,
9[
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU I3S,CXnG 24.00
Additional 50 M BTU 6.00
• Gas Outlets (minimum of 1 required @$3.00 each) 3 1? 0()
? State Surcharge .50
TOTAL '39.6o
SITE ADDRESS: 824 GREAT OAKS TRAIL
OWNER NAME: HOUGE HOMES PHONE #: 456-9021
INSTALLER NAME: GENZ-RYAN PLUMBING & HEATING C0.
STREET ADDRESS: 14745 SOUTH ROBERT TRAIL
CITY: ROSEMOUNT STATE: MN ZIP: 55068
PHONE #: ( 612 ) 423-1144
r
CITY USE ONLY 3??
L?O gL / RECEIPT #: e U
SUBD. DATE: `2 ? 9S
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681a4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x 1 = _?
Water Closet 3.00 x
Bath Tub 3.00 x ?_ = 3
Lavatory 3.00 x
Kitchen Sink 3.00 x
Laundry Tray 3.00 x -3
Hot Tub/Spa 3.00 x -3
Water Heater 3.00 x 2_
Floor Drain 3.00 x _
1 =?
Gas Piping Outlet ' minimum - 1 3.00 x dZ =
Rough Openings 1.50 x
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 20.00 _
U.G. Spfinkler' home under const. 3.00 =
Altefati0ns ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL c57 ?'v
SITE ADDRESS:
OWNER NAME:?
INSTALLER NAME:
STREET ADDRESS: A220,5- ?? ? ?---4- Zti'
CITY: Al,.?rve-7a?11rE STATE:x ?y ZIP:
PHONE #: V
,
SIGNATURE OF PERMITTEE
L 50 BL / CITY USE ONLY RECEIPT #: '685V
s?
SUBD. /.?? ( S!? OATE: 60/3 y4l
1996 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
i4rlrt_nn air r.nn?l?4in?jn? L?t{f:,C,F? ?7'T P9(L`?1Grt.?d?1_a_ \/a[1QP c4Gk?T. Qtf:
_. .
Date: (D (v
Fm
? Minimum Fee: Add-oNRemodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) 2-U, 6G
? State Surcharge .50
TOTAL Z U. Sb
SITE
OWNER
/ l4
INSTAIIER w4ME_? preferred heating & air
7643 Logan Avenue South
STREET ADDRESS:. Richfield, MN 55423
1 Bus• 866-7611 Fax• 866-0125
?
PHONE #:
anr: . . zlP:
PHONE #: { ) r _ - L??_
??
u,. "
ENVELOP$?1YERhGE, C03'SPtY:ATZON
t'.??¢.`4`?F3?: WARL FDI?''AGr
ij t4ALL A21£A 3875 426.25
'1964".`025:a -5I.06
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? , • ? ^ "?B'PERl3?6fE vALt1E ?t S71C$` R00£ .SEGNffi?NffiPPPA) .3?ALL WiI?7f'ht 'AREA ? .J.? 296
-H 1 `2f1C)R AR£A 40024,R 4 A C) 'PATirJ ilOOR 71RSA - ,. g0 ,
6c?„ „ ?`"?•)? "z„?S?5?.$ ii1 ?U21?*+'?'?17 ?1" x?. £ _ ?? D) -$SdEPLAC£ WALL lrP.BA '0 '
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YOt1 !li,VE S8T R!HE Ii!T!'ENT OF 5BC 606(C)2
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DELMAFi H. SCHWANZ
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I 14750'SOUTM ROBERT TRAIL ROSEMOUNT. MINNE9D(A 55088 .,61216?5•1 iR9
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01-13-95 02:4'7PM P001 #18
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DELMAR H. SCHWANZ ,
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? 14750'SOU7H q00ERT TRAIL HOSEMOUNT. MINNE90TA SSU89 ,,6121473-11R9
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01-13-95 02:47PM P001 StlB
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121825
Date Issued:04/15/2014
Permit Category:ePermit
Site Address: 829 Great Oaks Tr
Lot:30 Block: 1 Addition: Great Oaks
PID:10-30950-01-300
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Douglas D Rome
829 Great Oaks Tr
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136483
Date Issued:05/16/2016
Permit Category:ePermit
Site Address: 829 Great Oaks Tr
Lot:30 Block: 1 Addition: Great Oaks
PID:10-30950-01-300
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & 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 -
Junaid Siddiqui
829 Great Oaks Tr
Eagan MN 55123
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167124
Date Issued:02/24/2021
Permit Category:ePermit
Site Address: 829 Great Oaks Tr
Lot:30 Block: 1 Addition: Great Oaks
PID:10-30950-01-300
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. 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 or when weather warms up.
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 -
Junaid & Krista Siddiqui
829 Great Oaks Trl
Eagan MN 55123
(612) 212-3814
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:EA170931
Date Issued:07/23/2021
Permit Category:ePermit
Site Address: 829 Great Oaks Tr
Lot:30 Block: 1 Addition: Great Oaks
PID:10-30950-01-300
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 -
Junaid & Krista Siddiqui
829 Great Oaks Trl
Eagan MN 55123
(612) 212-3814
Rji Professionals Inc
26583 Forest Blvd
Wyoming MN 55092
(651) 674-5158
Applicant/Permitee: Signature Issued By: Signature