852 Great Oaks Trr
tfTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
!i PERMIT SUBTYPE:
;coRD
PERMIT TYPE:
Permit Number:
Date Issued:
tl .-t, .? i 4>
41;12 Afu4.
I to 1 tIuWt '.. . i: A
TYPE OF WORK:
INSPECTION D, . ..
f 1-11 aA t<r•?;" , x, a.i ri i
?
L
6-
oN
MA I 7 fif !J r,nra rf'i ?. J-i f:I
-?
Permit No. Pertnit Holder Date Telephono 1
ELECTRIC oO(p ? C? d dL0^
? 3 '/v
PLUM ?
HVAC ' .,-t?
Inspection Date Inap. CommeMa
FOOTINGS (3 3/95 ?? T
FOUNO
FRAMING A
ROOFING
ROUGH
P UMBING
PLBG
AIR TEST
ROUGH
HEATINa
/
C3ES SVC `??'??a?„
/
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIF TEST
FINAL PLBG
FINAL HTG _ `
ORSAT
TEST r ?
rJ
BLDG FINAL %?s S
BSMT R.I.
B5MT FINAL
DECK FfG
OECK FlNAL
L L
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE: "
I 3830 Pilot Knob Road Permit Number. -''i J"
? Eagan, Minnesota 55122-1897 Date Issued:
j (612) 681-4675
' SITE ADDRESS: ' ' r? I " ?' 0 " 1 ' `'' `' + APPLICANT'
•
? fii I. i`l f;i
A1 Ilnf fFr 4<N1 i: 1 141
1
61RkAt tlAt'. (r.,l.') b33 - 10 4.' ?d
I PERMIT SUBTYPE: TYPE OF WORK: I
INSPECTION DA • D•
I
I
i
?
I
I - *?
Pertnit No. Permft 14o1dK Qate T•lephone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Data irmp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST ROUGH
HEATING
GAS SVC
TEST
INSUI
GYP80ARD
FIREPLACE //`-"r''v / 5--
FIREPLACE
AIR TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTO
DECK FINAL
? IN5PECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: `(612) 681-4675
10
SITE ADDRESS: , „, . ? ? •, ,; i ,,, ?, _ , APPLICANT:
tl ( illiri, l5
? :,kFAi uAk"; PERMIT SUBTYPE:
. . +? : . I ,.1 , 'Al
TYPE OF WORK:
i ft R n 1 I rI N
INSPECTION .. • DA
, E
f f MA1'? '. :
F
L
.?
SFPARRTV I'FF2Ni1'i F?F:QUiR1=U f0 R P IUMEtIFlri (IFt F 1I-l:l'f'fC'A1 41ilFill"
?
_J
Permk No. Pertnk Holdar Dete Telephone t
ELECTRIC O F. 9 /'g 419
'
?
PLUMBING
HVAC
inapactlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBINO
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FINAL PLBO
FINAL HTG
OFiSAT
TEST
BIDG FINAL
BSMT R.I.
BSMT FINAL
DECK Ff(3
DECK FINAL
g J( REQUEST FOR ELECTRICAL INSPECTION
?7 ??.I ? See instmctions for compleling ihls form on back at yelloov copY.
?t? 1\
o 1 979 "X" Below Work Covered by This Request ?<??•
Nev AaJ Rep: Type of Building A pliances Wired Equipmenf Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
? Comm./Indusirial Fwnace Other(Specity)
Farm Air Conditioner
Olner (specity) Contratlor's Aemarks'
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200_Amps Above 100 -Am s
SignS inspecmr s Use Oniy: TOTAL
?.
Irrigation Booms '? ?00 /l
J0
Special Inspection
Alarm/Communication THIS INSTALLATtON MAY BE OR ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rou9n-m oare
certify that the above inspection has
been made. Finai oaie
OFFIGE USE ONLY
This request void 18 months twm
3,c?s/yS
0 061 979 1
S?c?O
Requasl Oale Flre N. ough-In Inspecllon Required Inspeqion Other Than Rough-In
(VOU must call inspectar when raetly)
] E) Reatly Now [-] Will Notify Inspector
L
Yag ? No pate Read
IXlicensed contractor ?owner hereby request inspection of above electrical work at:
Job Atltlress (Streel, Box /or?RoWe No.)
p
` Clry
?.z l?eE/I-i- ?/frcS O.
0 /3r, i3N
Section No. Touvnsmp Name or No. Ranqe No. Coun
/JKv
Occ n?l RINTI Phone No.
c ??or omrS
Powar ppller Atltlress
?x o 779, /y2in /.,y c? rD,v
Eleclncal Conlractor (Company Name) ConVaclors License No.
PiiASE ELECTRIC INC. CA 01432
Mailing Adtlress (Cnnvamne or Owner Meking Installetlon)
Aulhori etl / ner Making Instzllalion)
j ,QiJZR'o.0 ne Num
9634MHB
MINNESOTA STATE BOARD OF ELECTRIdTY II nn II THIS INSPECTION REQUEST WILL NOT
Gdggs-Mitlway Bldg. - Room 5428 I G III I II I I I YI I II BE ACCEPTED BV THE STATE BOARD
1821 University Ave.. SL Paul, MN SStpO UNLESS PROPER INSPECTION FEE IS
PhoneJ612)642-0800 ENCLOSED.
5??/d5 .EDUIEST'FOR E PEC9 RICALanWSPECTdION ?? ee-ooooi-os
c?
0 Q ?,7 ?.._.3 4 7 "X" Below Work Cc•refied by This Request
Nem AGb Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Dupiex Water Heater Electric Heating
ApL Builtling Dryer Load Managemenf
Comm.Andustrial Furnace Other (Speci )
Farm Air Contlitioner
Olher (specity) Confrecror's Remarks'.
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps " 0 to 100 Amps pei',
Transiormers Above 200 Amps Above 100 -Amps
SIgOS Inspemor's Use Only: TOTAL
Irrigation Booms ?
Special Inspection Q '
Alarm/Communication THIS INSTALLATION MAV 0 D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical inspector, hereby
cetlif
th
t th
b
i
i Ro??qn ?o , oaro ?.? _?,
y
a
e a
ove
nspect
on has
been made. F?nai
I OFFICE USE ONIV ', This request voitl 1a monihs hom 'I ,
5111105 ,,p , ,?/O ffG
0 o 6 2 :? 47 0,C19. /3/ J?.?.#? 1Oa.L (1ho °v
Fequest Da e
C
?y Fire No. RoL yh- n Insper.tion Require Inspection Other Than Rougn-in
(Vou must call inspector when reatly) ? Reatly Now ? Will Nolify Inspeclor
d?2 /
J ? Yes ? No Date Ready
IDC licensed contractor ?owner hereby request inspection of above electrical work aC I
Job Address (SVae? x or Route No.)
S 5 ? ?
T
? City '
?
,i r ,qKs / N
Sectlon No. Township Name or Na Ranqe No. Counry?
I
Ocmp t(P INT)
!?
k' Phone No.
-7-1513 ?
?, ,-
•
Power Supplier qddre
s
s
. ?K tl !?4 ?L?-C•.T?= / C /
-
"/
Elntraztm (COmpany Nnme) ConUactor's License No.
M= -cre.? 1N -4A3Z I
Mailing dtlress (CjOJ acror or Ownar fdaking Irelallation7
;
'
•?: /?cqx .2YU6lo/ ? ll'r
i?la l//3ctdy 5.
F
Aulhodz Ignature (CpnVactodOwner Meking Insuallallon) Phone Number
I-53 6y??
MINNESOTA STATE BOAPD OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT
GrIggs-Midway Bltlg. - Room 5428 1111111111111111111111111 BE ACCEPTED BV THE STATE BOPRO
1821 Ilniversiry Ave., SL Paul, MN 55109 UNLE55 PFOPEfl INSPECTION FEE IS
Phone (612) 662-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ?'yer?'4 eg???i-og
01f,' ScE inslmctions for completing this brm on back oi yellow copy.
lJ 064 074 "X" BelowitWork Covered by This Request
Ne% Add Rep. Type of Building Applianoes Wired Equipment Wired
Home ange Temporary Service
? Duplex ater Neater Electric Heating
Apt. Building l ryer Load Management
Comm./Industrial urnace x Other (Specif )
Farm Conditioner
Air
Omer(specityJ Coniractor'sPamxrkcE'»?j-?ygf FLL///,Q/s'SCL?T L,/!c/fT/nFi /I/
.?oeur?e LE?c? Y .eoo.?r Tv Re- C-IsS.
Compute Mspection Fee Below: ?is%r<y /iv 1.v,2? f-o? F,.P6 P?Cc
?# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100-Amps
Signs insPectors use onry: -? OTAL
Irrigation Booms
%f 50
?D
Special Inspeciion '
Alarm/Communication THIS INSTALLATION MAY 8E OR SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elechical Inspector, hereby
certify that the above inspection has
been made. Ro.gi,;n
F'"ai //- r ,; / ,
/ J? Date
5a. • •7?,f? ."
?c
OFPICE USE ONIV
TM1is reqvest vaiC i8 monihs trnm /-
9/rs/r5 0 064 074 8 LIq ler AOn'? li
Requesl Dale
p Flre No_ ou -In Inspeotion Requiretl Ins aCtlon OtherThan Rough-In
(VOO must call Inspedor when ready) qaedy Now 0 WIII NOtHy InepB0t0Y
/?? Q S ves - ? No oate Feaay
I?licensed contractor ?owner hereby request inspection of above electrical work at:
Job Atltlrass (Slreet Box or Route No.)
? -?' Ciry
.PE./ts N
Section No. Township Name or No. Fange No. Count
TlJ
Occu/p,as+ I?INIHJ/
K?»• ?LG? ?Yia?fS- Phone No.
??????1?
Power Supplier Atltlrasa
k'UTW -L'eCT,E'iG :Pd//>roGe7N
EIecK Conrrador(COmpany Name) Contrector's License No.
.*?/??< ??C'???S? ?/?C ? ??1c7 ?
Ma?ilin Address ( ttaclor or Owner Making Ingtslletlon) .
// G L??? %Yr1eU??
AWho"i Slynamre fCOntractor/Owner Meking Installation) Phona Number
Ge 99u Mve s?y Bldg. 8t ?Pau ?MNB 5104 1CITY T
II II?II ? II IIII, gN ESS PROP EP NSPECTIONBOERD
11
vnnne 16121 eaa-nnnn - N ??
Address 852 cRF-nr oaxs rnnn. Zip 5512 3
I.ot ' ' ' 19 Blk 1
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 7 S y'S Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas ?
Sod/Seeded gass
TraiUcurb damage
Porch ?
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the ouiside tawn faucet before freeze potential exists.
Contaci engineering division at 6814645 before working in rightof-way or installing undergroundsprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ?
Sub GTAT OAKS
PERMIT
` CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
esz
LOT:
GREAT
P.I.N.: 10-30950-190-01
PERMIT TYPE:
Permit Number:
Date Issued:
GREAT OAKS 7R
19 BLOCK: 1
OAKS
DESCRIPTION:
Buildiriq-,PermIt Type
@'ui;lding:, Wb,rk Type
t
.. - ? _ . p:$....
BASEMENT FINISH
AL7ERATION
; ...n .., .. ?
R p ?
1} t t
REM" r?SRATE PERhIITS REQUIRED FOR PLUMBING OR ELECTRICAI WORK
!i
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR:
KOT HOMES, R A
7901 UPPER
ApPLE VALLEY
(612) 657-9519
- Applicant - S7. LIC
16879513 0001506
HAMLET CT
MN 55124
OWNER:
R A KOT HOMES
7901 UPPER
APPLE VALLEY
(612)687-9513
Mp y7s39
BUILDING
026251
09/07/95
HAMLET CT
MN 55124
I hereby ecltnowledqe that T' have read this
information is correct dnd agree to comply
Statutes and CiCy of Eagan Ord3nances.
L
r 4A- "-5
APP ICANT/PERMITEE SIGNATURE
app2ication and state that the
with all applicable State of Mn.
?
?
ISSUE BY: SI NATURE
J
CITY OF EAGAN
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
B
681-4675
? 3 repistercd site surveys ? 2 copies of plan
? 2 copias of plsna (include 6eam & wlndow saea; poured fid. design; etc.) ? 2 sBe eurveys (exterlor add'Rions & dedcs)
? 1 energy calwlaGons ? 1 energy calculetions tor heated additions
? 3 copiss of tree pieservation plan 'rf lot platted eRer 7/1/93
required: _ Yes _ No DATE: gIIA-/qS CONSTRUCTION COST: 4;wo
DESCRIPTION OF WORK:
STREETADDRESS: ' 0 JS2 ??E?"T nb--? ?A1 L-
?
LOT ? BLOCK ? SUBD./P.I.D.
PROPERTY Name: ?•?• ? ? 1 N ?. Phone #: ?g 1- 9 S 13
OWNER rweT
StreetAddress• --Ma' !4E? +4A'+"? GaJie?r
City: ?Or(,t,j?:4 State: VKtJ Zip• SS? 24-
CONTRACTOR Company: 5krly= A-----> ket??C-- Phone #:
Street Address: License #-
Ciry: State: Zip•
ARCHITECTI Company: C24?6IC-;aIJ Phone M LU- '?S21
ENGINEER r
Name: 1?¢dGt.t, L6-0Registration #•
Street Address•
City: ELCfAd State: Zip:
Sewer & water licensed piumber: 1M eh1 ? t7AN I9?LS Penalty applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the inMis nd ree t o comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY RECED'VE@
Certificates of Survey Received _ Yes _ No AUG 13 1995
----------
-----
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging c::aG 16 Basement Finish
0 02 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 _-plex o 15 Deck
WORK TYPE
0 31 New cz- ?43 Akerations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATIQN
Const. (Actual) Basement sq. ft. MC/WS System
(Allowabie) _ Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. v7 y
Depth Footprint sq. ft. SAC Code
Census Bldg ?
Census Unit o
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ /SBfl
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNU Permit
S/W Surcharge
Treatment Pi.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
? CITY OF EAGAN
3830 Pilot Knob Foad
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Date Issued:
852 GREAT OAKS TR
LOT: 19 BLOCK: 1
6REAT OAKS
P.I.N.: 10-30950-190-01
DESCRIPTION:
FTREPLACE
NEW
coOO
BUILDING
026240
08/15/95
l 9 ti E ? r j l { I
(GAS)
Buildinj!,,,Permit 7ype
6uilding Wor,k Type
r
?
`,.
, ..,
t?<..;.. , .w....s?
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge .50
Total Fee $25.50
CONTRACTOR: -
FIRESIDE CORNER INC
2700 N FAIRVIEW
ROSEVILLE MN
(612) 633-1042
aPPiicant - sT. Lzc. OWNER:
16331042 0001068 R A KOT HOMES
AVE 7901 UPPER HAMLET CT
55113 APPLE VALLEY MN 55124
(612)687-9513
?
I hereby acknawledge that I have read this application and state that the
information is correcC and agree to comply' with a7.} applicabl# SCate nf Mn.
Statutes and Ci`ty of Eagan Ordinanctis.
APPLICAN7/PERMITEE SIGNATURE
PERMIT
ISSUED BY: IG 7URE .
I
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
IL140 1995 FIREPLACE PERMIT APPLICA
681-4675
DATE: V/1/z
V
OTHER:
DESCRIPTION OF WORK: - INSTALL NEW FIREPLACE: WOO BURNING
- ini E.rrsr?1v?,??n?
INSTALL GAS LOG ONLY IN EXISTING IREPLACE
_ INSTALL GA5 LINE ONLY IN EXISTING
AREA TO BE INSTALLED IN:
JTIZCCT AVURCSJ. v ?
LOT IQ BLOCK SUBD./P.I.D.
APPLICANT: (circle one only) OWNER
I hereby acknowledge that I have read this application and state that
comply with all applicable State of Minnesota Statutes and City of E
PROPERTY Name:
OWNER
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
;0?
/T /s X' A?toT?s
ZGAS
information is correct and agree to
1 Ordinances.
Signature:
iIReT
??I-0
Phone #: ???-
StreetAddress:
? 1-ij0)q5;C
City:
Company: !t-
a)E State: ?vl?ci
eo?/v&-?P, Zip:
63b'-33o/
Phone#: 63?-aslo/
Signature:
Street Address: ?'70 d/(/O FA/,,Vl//E4//4'License #• 1191a P
City:I S??/?//? State: ? ZipSS/{?
Company:
Name:
Signature:
Phone #'
Street Address,
City: State: Zip:
.,
C_ITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
852 GREAT OAKS TR
LOT: 19 BLOCK: 1
GREAT OAKS
P.I.N.: 10-30950-190-01
BUILDTNG
025270
03/24/95
DESCRIPTION:
Building`P_ermit Type SF DWG
,Building Wo•r-k Type NEW
UBC tlccwpancy ;__ R-3 M-1
Construction 7ype V-N
Zoning R-1
Building Larngth . 76
Building Width 60
Building stories 2
-S'qiFare Feet x .? 2,708
i b?
? t.
t . " -';'... . _ .
REMARKS:
S& W PLBR - MATTHEW DANIELS PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
5AC Units
Subtotal
$1.028.00
$668.20
$105.Sfd
$850.00
10@
1
$2,651.70
$211,000
MISCELLflNEOUS $1,892.50
Total Fee $4,544.20
CONTRACTOR: - qpplicant - ST. LIC. OWNER:
KOT HOMES, R A 16879513 0001506 R A KOT HOMES
7901 UPPER HAMLET CT 7901 UPPER HAMLET CT
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 687-9513 (612)687-9513
I hereby acknawledge that I have read this app7.ication and state that the
infiormation is correct and agree to cgmply with all applicable Stete of Mn.
? Statutes and City af Eagarl Ordinances. J
APPLICANT/PEFMITEE SIGNATURE
R.o1? .? rn?f
'ISSUED I51 UTURE
CITY OF EAGAN ?
3830 PILOT KNOB RD - 55122
BUILDING PERMIT APPLICATION (RESIDENTIAL)
1611995
681-4675
New ConsNuction Reauirements RemodeVReoair ReouiremeMs
? 3 registered site surveys ? 2 eopies of plan
? 2 copies of plans (inGude beam 8 window saes; poured fid. design; etc.) ? 2 ake surveys (euteHor addkions 8 dedcs)
? 7 energy celculetions ? 7 energy calculations for heated additions
? 3 copies of tree preservation plan iF IM platted after 7/7193
required: _ Yes _ No
DATE: I`I c- CONSTRUCTION COST: I 8?
DESCRIPTION OF WORK: -1W o
STREET ADDRESS: ' '?= ? •
LOT I i BLOCK I
SUBD./P.I.D. #:
Ar--S
PROPERTY Name: ?T ? • b, • ?? 40AZS?,, i,-),Phone #: tc, E)l
OWNER ""°'
Street Address---M V?EZ R-P-^LE?: G EZ •
City: State: Wl?" Zip: ?S 12 4
CONTRACTOR Company: AS A.6o\1E Phone #:
Street Address: License #•
City: State: Zip•
ARCHITECT! Company: Phone #- -?SI 3
ENGINEER
Name: C,)AP-00-j- Registration #•
5treet Address- ?
Ciry: State: Zip:
t)w.[3 i ri6(
Sewer & water licensed plumber. Qpfm 1e'-s- ? penatty applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that
applicable State of Minnesota Statutes and City of Ea9an Ordinances. ,
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Signature of Appiic
YYes No
_ Yes -,/-No
and agree to wmply with all
MAR 17 1995
OFFICE USE ONLY '` t
., ,.?na?.
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
k?-02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 5F Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
n 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
?31 New
0 32 Addition
0 33 Alterations ? 36 Move
? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ??-^/ Basement sq. ft. -7& MC/WS System ?
(Allowable) 0-/,J Main level sq. ft. City Water
UBC Occupancy 12 3 -l z u? sq. ft. G y?/ Fire Sprinklered
Zoning 2-/ sq. ft. PRV
# of Stories Z?B:MT sq. ft. Booster Pump
Length sq. ft. Census Code. vi
Depth bo. zt Footprint sq. ft. Z, 7o,0 SAC Code ei
w? ?R e Census Bldg i
Census Unit ?
APPROVALS G
112-
Planning Build ing Engineering Variance
PermitFee Valuation: $ 7il?ioo0 v
Surcharge i 5= s...
Plan Review z.ZS x 1.7r
License 73/ .
MC/WS SAC
Clhl $AC ?! x 53 =
y"y' = ?3L
Jby
/, ?iti Kts =
Water Conn. ` `l? - H??r 2?` 7x s
Water Meter '
Acct. Deposit e,
SMI PermR
S/VI/ Surcharge
3•Lrx o,r =
ZH 2?i r«
' Z g$
Treatment PI. sb7 X?b.s =
> 2- 3a
RoedUnit G X,s.s bi
y.17.
13 >
Park Ded.
Treils Ded. zx 17- xsy
Other
Copies zN= F?.?
---
-
/J
2. 2f,? ?1.75 ° Z Z ?%/ aB0
TotaL• z x,s
+v h zY ' z v
- 2 `/o
' S/L
% SAC ! m x 3 E 5-3t ,
Zy
SAC Units
- s? S3
69
ryppK Y - ?
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P.92
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,k * * *
Certificate of Survey for:
2422 Enterprise Drive
Mendoto Heights, MN 55120
(612) 881"1914 FAX:681-9489
5• p'SL EN4111EFRS
wiDSr.arc AnGbrecrs 625 Highwoy 10 N.E.
Blolne, mN 55434
1
(612) 783-1880 FAX:783--1W3
R. A. KOT HOMES
652 GREAT OAKSTRAIL
14
? ? 13
18
C" j ivC, S. c-f
rt-liL
5 ?`*
?
BENCH MARK
70P OF PIPE
ELEV.=803. 2N
a
?
?
2 y/ (
\
?
ti`' • ?
7
0?s6m
?-s. . ?oo
200?
SE4qGE'
??• ? pnRq? NW =860.0 ?NT ?R p??TY /
MNL=8640 ?AT
872.1
x87z.1
19
'vc874A J`
875. ??
? Q
$? ry -?Jx87a.3
J q? 4 X 876.0
/
6 , x 878.9
?'
?
.?
c? ??'i•yf ?
,
'V -,>,' ?O
O/?C A F9? ? ?? ?
U?PA? i
r 87t?6??'?? /
? /
87117
?
i
/
/ ?0 ? ?`ylE
R0*874.
v
" o
ahv. ? No 5?
CP
8795 ELEC.
?7fl4 . PEO. \
C.B. '---BENCH MARK
7oP OF PIPE
ELEV.= 879.98
PROPOSED GRRDES SHOWN FFR GRAUING PLAFI 8'f:---$Y!
NOTE: BUI! bING DIMENCiDNS SHOW ARE POR NOP¢ONTAL ANO VERTICAL
LOCATION OF SYRUCILIRES ONLY. SEE 0.FiCHITECTl1Al PLA.NS POR 9WLOiNG
AND FOUNDA110N OIMENSIUNS.
NO7E: CONTRACTOR MUST VERIFY DRIVEWAY OESIGN,
N07E; MO SPEGfIC SOILS INVESTIGATION HAS BEEN COMPLEIED ON iHIS
LOi BY THE SURVEYOR. 1HE SUIYARI4IN pF SOIIS i0 SUPFORT iNE
$PECIFIC HWSE PROPOSED i5 N07 TNE RESFONSIOfLITr OF THE Sl1RbEYOR.
x oaa.oo Denoles Existing Elevation
( aoa.oo ) Denotes Proposed Elevation
Dennles brninoge & Ulllity Eas?ment
DEnotes Orainage Flew Direction
---q- Denotes MonUment
---i}- Denote3 Offset Hub
BY.
?lk
?y9
.`.55 LAGdtN
REVIEbbEp
491-E
??
16-WE D
EAi=AN l;:i`dCU?1i;E:1i?G DEpf.
THIS CERIIFICAIE DOES NOT PURPtlRt TO SHOW EASEA1ENi5
OiHER YMAN 7HOSE SHO"vVN ON niE RECORDEO PLAT.
SCAIE : 1 INCH = 40 F'EET
BEARINGS SHOW ARE ASS1N.ED
PROPOSE HOU E FLEMAIION
Lowest Floor Elevation:
Top oi Blnck Etevation: ???•?
Gorqge Slob Elevation: 363¢
WE HEREBY CERTiFY TO R. A. I<OT HOMES THn7 THIS IS A?RUE AND CORRECT
REPRESENTAT10N OF A SURVEY OF TNE BOUNDARIES oF:
LOT 19 , BLOCK 1, GREAT OAKS
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROAChIMENTS, EXCEPT AS SHOWN, AS
SURVEYED BY ME OR UNDER MY DIRECF Sl.1FERVISION THIS?97k1. QAY OF PdARCH, 1995?.
? ? P.A.
IGNED?? PIUNEER E ??E?R1M',
e
.
?
? LOT BIIRVEY CHECICLIST FOR RESIDENTIAL
Lu SIIZLDING BERMIT IIPPLSCATIOP7
PROP£RTY LEGAL:
9 4
<
Data of Survep:
?
? _.
DOCIIMENT BTANDA ns
?n 0 • Registered Lnnd Surveyor signature and company
? D 0 • Building Permit Applicant
?p
3 0 • Leqal description
0 0 • 1?8dress
Y 0 0_ • North arrow and bar-ccale
Li?D G • cplit v/o, split entry,
House type (tambler
walkout
,
,
lookout, ete.)
V D D • Directional drainage arrows with slope/qradient t.
• Proposed/existing sewez and water services
0 • Street name
J' D D • Driveway
LLEVATIONS
?D
0
- Laistina
Sewer service
f? D 0 • Lot corners
?
? 0 • Top of curb at the driveway
?
3' II 0 • Elevations of any existing adjacent homes
F?D
D
• proflosed
Garage floor
? C) 0 • First floor
?YLI 0 • Lowest exposed elevation (walkout/window)
3? D 0 • Property corners
2,'?D 13 • Front anfl rear of hcme at the foundaticn
PONDIN6 AREAS (if apolieable)
2"? W,'? n • Easement Iine
. ?
Y? ? • awi.
'J? 0
,E1 • Pond ?f designation
_?
? Q D • Emergency Overflow Elevation
-?' D D • Lot lines
? 0 • Riqht-of-way and street width (to back of curb)
?
?J D 0 • Proposed home dimeasions includinq any proposed decks,
overhangs qreater thari 21, porches, eto. (i.e. all
? stzucLures requiring permanent foot3ngs)
D 0 • Show all easements of record nnd any City utilities within
? thoBe easements
a D • Setbacks of proposed structure and setback af adjacent
existing homes
n D?0 • Retafning w 1 requirements, if any
Reviewed:_ 1 // 7 /9 t?
=?:.tober 1992
4 MH
16
HYDRANT ($$g-?. )
887,15
i + 6 5
878.6
?
36.8' ? o
A MH ?
-? 15
ss•
T ?I 65
,
?.20
? 175'W INT. OF
& TRAILS END RD.
I 60.5`- ".7Z
PI C.0 . i 6,. _ 1?
'. ? 19+33
879.0
65.8
JTO' '.
18+16
B,?ND C.O. 879.5
V? 19+00
39.5, 878.8
?
? G R EAT 0*
SERVICE NCTES
1. EXTEIvD SERVICES 15' INTO. PROPERTY
2. SEWER SERVICES TO BE 4" PVC 5DR' 26
3. WATER SERVICES TO BE 1" TYPE K COPPER
B. M. 881. 15
?oP 0F HYDRANT AT THE irl CITY QF EAGAN DOES riO"r (?UFSRA?J p"E^
OF THE CUL-DE-SAC pF '? EURACY OF UTILITX LCCATIO?'Ja
R AtSiAff'?'?S. THIS D(:ii? 10
INFORNIATiON PURPOSES
,.-
PpE?R?Sy,ONAS y U(?SING IT 9M0?'JlF; ? ?- -?,.-
I IEF II ?'1i'':l P4I 1tJ Pd 0?d TNi JI q I L. ? .
\ !.
7',.C'
? .?
.\ ?
7(i54
0
1 `
\ \ ?^
50.3"
?
?
37 . ? i O.il,? ,,.
?
r T 1 \15 9'
x \
18.
? 54.6' 50.8' ?
\
\
\ \
\\
\
53.3' 17+1
883.4
\N6651-3'
\
B
---?
?
16"x
16" TEE \
16"x6" REDUCER
10' B.V. & BOX
6' G.V. & 60X
10"-1132 BEND
5 7. 3'
? 52.9' ?.
??/
. ? SE4VICE IVCTES
1 EXTEND SE,4ViCES ', 5' IN i 0 PROPLR-ly
2. SEW=.R SERVICES TC BE 4" PVC 5DR 26
3• WATER SERV!CES TO BE T`!PE K COPPER
8 ;v'. 881.15
T?° OF HYDRANT ,4T THE ctiD
OF TNr ?UL-DE-SAC 0c:- G4EAT OAKS T,RA!L
pHE eirv oF F
_ THE ACCUI?AGY 0 DOES 14'?7'GUARAPdTFc
AAlD I'?f? FLE?A7C61VS. ?rrLITY LOCATIO(VS
ff?=???„a ,"ATrUfa PURf' Tlilg p:,ir? ?3 FOR
0
r?,ho G ir ` v
o'11
MH- i&
? 7+60, 56',Ri. MH-15
878.6617+28, DrSiGN ?
-8?878. 99
1.20?
? ?--
5- gcp 220'-5" D!P CL 52
___--
?
, 45'
SOR 35 236'
' 0.40?P
)9; ? SCR 35 ?$48%
,
!?V5'AL! WATER S7RV',,,
? I "? BE?OW SAN!TARY SEYVtR
T
^ 1 ;NSTA'
N ? B ?'? tNATER ,MAI?'
I -- • ? ? - - ,
. i ? ? lObY SE'NcR ??rcVt?`?
?
- . I I ?'`/
MH-13
MH-; 4 14+25, ?
14+95, q i?&?
885.33 $e8?06,
i 5'R
? ?
?,
i M
? A?
69'-g" P.,1C, ,
SDR 35 40.407
SOR 20 ?g
,. ?
+i ? C r-
cDi?
?? ?;
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
• OWNER R.A. KOT HOMES, INC. PLAN NO.
SITE ADDRESS GREAT OAKS MODEL 4, LOT 19
CONTRACTOR_R.A. KOT HOMES, INC. DATE 9-0315-5 PHONE
(over unheated enclosed areas)
4. Total floor cant. area 61 sq.ft. x 0.025 1.525
(over unheated exposed areas)
DETERMIME WORKING SQUARE FOOTAGE
4967.27
1. Total exposed wall area 5031.59 sq.ft. x.11 553.4749
2. Total ioof/ceiling area 2102 sq.ft x.025 54.652
3. Total floor cant. area 264 sq.ft. x 0.05 13.2
5. Total exposed wall area above the floor.
4583.27
a. Total wall window area .................... 598.92
b. Total door area ........................... 55.6278
c. Total sliding glass door area ............. 53.36
d. Total fireplace area ...................... 0
e. Total wall framing area (ave. 10%)........ 458.327
f. Total net wall area above the floor....... 3417.035
g. Total rim joist area ...................... 384
TOTAL EXPOSED FOUNDATION AREA ................ 64.32
.
h. Total foundation window area .............. 0
i. Total net foundation area ................. 64.32
9-0302-5
687-9513
Determine "U" value of each wall segment.
a. 598.92 x "U" 0.5 =
b. 55.6278 x "U" 0.06 =
c. 53.36 x "U" 0.5 =
d. 0 x "U" a =
e. 458.327 x "U" 0.090334 =
f. 3417.035 x "Ull 0.043215 =
g. 384 x "U" 0.040683 =
h. 0 x "U" 0.5 =
i. 64.32 x "U" 0.076161 =
299.46
3.337668
26.68
0
41.40262
147.6679
15.62246
0
4.898705
6 . ......... .........................Total 539.0693
If item #6 is the same as or less than item #1 you have met the current
energy codes. 2 MCAR 1.16008 A AND 0.
TOTAL EXPOSED ROOF/CEILING AREA
j. Total skylight area .......................
•
k. Total flat roof/ceiling framing area......
1. Total net flat roof/ceiling area..........
Determine ItU'l value for each roof/clg
j. 0 x "U" 0 =
k. 210.2 x "U" 0.025549 =
1. 1891.8 x "U" 0.021801 =
2102
0
210.2
1891.8
segment
0
5.370465
41.24264
7 ...................................Tota1 46.61311
• If item #7 is the same as or less than item #2 you have met the
energy code. 2 MCAR 1.16008 A AND O.
TOTAL FLOOR CANT. AREA (enclosed). 264
o. Total floor cant. framing area (ave. 10%). 26.4
p. Total net insulated floor/cant. area...... 237.6
Determine "U" value for each floor/cant. segment.
0. 26.4 x"U" 0.043879 = 1.158403
p• 237.6 x"U" 0.024254 = 5.762794
8 ...................................Tota1 6.921197
If item #8 is the same as or less than item #3 you have met the
energy code. 2 MCAR 1.16008 A AND O.
TOTAL FLOOR/CANT. AREA (exposed) 61
q. Total floor/cant. framing area (ave. 10%). 6.1
r. Total net insulated floor/cant. area...... 54.9
Determine "U" value for each floor/cant. segment.
q• 6.1 x"U" 0.044346 = 0.27051
r. 54.9 x"U" 0.024396 = 1.339351
• 9 ...................................Total 1.609861
If item #9 is the same as or less than item #4 you have met the
energy code. 2 MCAR 1.16008 A AND O.
I HEREBY CERTIFY THAT I HAVE CALCULATED THE "U" FACTORS AND "R"
VALUES HEREIN AND THAT THE BUILDING HERE DESCRIBED MEETS OR EXCEEDS
THE STATE OF MINNESOTA ENERGY CONSERVAT ACT.
(signatur )
3
(datb)
?
DETERMINE "U" VALUES"
THRU STUD WITH SIDING & S.R.
Interior Air...... 68
0
•
Sheet Rock........ .
0.45
Thermo-Break...... 0
Stud.............. 6.93
Sheathing......... 2.06
Siding............ 0.78
Exterior Air...... 0.17
Total "R" Value..... ....... 11.07
1/R = "U" Value..... ....... 0.090334
THRU INSULATION WITH SIDING & S.R.
Interior Air...... 0.68
Sheet Rock........ 0.45
Thermo-Break...... 0
Insulation........ 19
Sheathing......... 2.06
Siding............ 0.78
Exterior Air...... 0.17
Total "R" Value............ 23.14
1/R = "U" Value............ 0.043215
THRU CEILING MEMBER
• Interior Air......
Sheet Rock........
Ceiling Member....
Insulation........
Still Air.........
4.68
0.58
4.35
32.92
0.61
Total "R" Value............ 39.14
1/R = "U" Value............ 0.025549
THRU CEILING INSULATION
Interior Air...... 0.68
Sheet Rock........ 0.58
Insulation........ 44
Still Air......... 0.61
Total "R" Value............ 45.87
1/R = "U'l Value............ 0.021801
0
?
THRU CONCRETE BLOCK
Interior Air...... 0.68
conc. Blk......... 1.28
Insulation........ 11
Sheet Rk. (opt.). 0
Exterior Air...... 0.17
Total "R" Value............ 13.13
1/R = "U" ..................0.076161
THRU RIM JOIST
Interior Air...... 0.68
Insulation........ 19
Rim Joist......... 1.89
Sheathing......... 2.06
Siding............ 0.78
Exterior Air...... 0.17
Total "R" Value............ 24.58
• 1/R = "U" ................ 0.040683
U'l value for window........
U" value for doors.........
U" value for Patio Drs.....
THRU CANT. @ MEMBER (enclosed)
Interior air...... 0.68
Finish Flooring... 1.23
Sheathing......... 7.2
Plywood........... 0.93
Joist............. 11.56
Sheet Rock........ 0.58
Still Air......... 0.61
0.5
0.06
0.5
Total "R" Value............ 22.79
l/g - 'lUll ..................0.043879
0
0
THRU CANT. @ INSULATION (enclosed)
Interior Air...... 0.68
Finish Flooring... 1.23
Sheathing......... 7.2
Plywood........... 0.43
Insulation........ 30
Sheet Rock........ 0.58
Still Air......... 0.61
Total "R" Value............ 41.23
l/g = "U.................... 0.024254
THRU CANT. @ MEMBER (exposed)
? Interior Air...... 0.68
Finish Flooring... 1.23
Underlayment...... 0
Plywood........... 0.93
Joist............. 11.56
Sheathing......... 7.2
Soffit............ 0.78
Exterior Air...... 0.17
Total "R" Value..... ....... 22.55
l/g = nUn ........... .......0.044346
THRU CANT. @ INSULATION (exposed)
Interior Air...... 0.68
Finish Flooring... 1.23
Underlayment...... 0
Plywood........... 0.93
Insulation........ 30
Sheathing......... 7.2
Soffit............ 0.78
Exterior Air...... 0.17
Total "R" Value............ 40.99
l/R - 'rUll ..................0.024396
?
CITY USE ONLY
L ?2 BL ? ___RECEIPT #:
SUBD. Le,,? (Qm-I`Ll? I ` DATE: 4??5
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dweilings
? townhomes and condos when permits are required for each unit
? New construction Add-on fumace
_ Add-on air conditioning Fireplace conversion (to existing fireplace)
Date: lb '021-C't '?)
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00 \
Additional 50 M BTU 6.00 \
? Gas Outlets (mirnmum of 1 required @$3A0 each) ?-bCI\ ?
? State Surcharge .50
TOTAL bl?)
SITE ADDRESS: R?& 126bKx??__ \
OWNER NAME; P, P' - ? PHONE #: g?Cj\ '?
INSTALLI
STREET
CITY: STATE: ZIP:
PHONE #: ( ??? - ?
SIGNATURE-01' P1_;IiM(71F_E-`
LOT BLOCK -L SUBD.? J,
RECEIPT # d&
90 DATE 8/?5/?S
1995 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATION3: FORM MUST BE COMPLETED BY UCENSED PLUMBER
Date: y -/s
Commerciat
Residential (boulevards)
? Existing residential
GPM
GPM
Area/address to be irrigated- ?s'z- DqAs T/_
Installer: y" Welw PJd_9=. _ pwner ? Plumber -0?-
Street addres?? ? 69ros S° ?hd
City, state & zip code: jf,1n Phone #:
ssi?/V'72
n ° s.+?
Owner Name- ?'¢ • ? ''?" s'
Street address
City, state 8 zip code:
Irrigation contractor, if different than installer:
Phone #:
-7-evr., -77r.-n_
Telephone #: -7s z- -1 yo -,
1 hereby acknowledge that 1 have read this application, state that the information is correct, and agree
to comply with all applicable City of Eagan ordinances. It is the appiicanYs responsibility to notify
the property owner that the Ctty of Eagan assumes no Iiability for any damages caused by the City
during its normal operational and maintenance activities to the facttities constructed under this
permit within CIty property/right-of-way/easement.
ApplicanY gnature
Approved by:
Date:
PRV ? Yes ? No New service ? Yes 13 No
Meter Size 8 Cost
l
Fees due: ? Calculated
Title ?
P. 9 A
PROCEDURE FOR IRRIGATION SYSTEMS - 1895
An irrigation permit is required - please contact Protective inspections at 681-4676.
Fees
Commerclal project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee onlv if new service is instailed.
$300.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee if new service is installed.
$750.00 per connection - WAC.
$372.00 per connection - water treatment facility.
Existing residence: $20.50 ircigation permit to cover installation of backflow preventer -(not
required 'rf backflow preventer previously instailed).
Meter charge: If gailons per minute are less than 25, a 1" meter will be required at a cost of
$170.00. If gallons per minute are more than 25, a 2" turbo with strainer will
be required at a cost of $800.00. This information is to be supplied by the
designer of the system.
No meter wiil be soid before all sewer and water inspections are complete on a new service. If new
service lines are not reauired, 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.
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 681-4300 for water tum-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.
R.A. Kot Homes ?-<S52 Great Oaks Tra il
?
;
-- . --
t .
. ?
Twin Town Irrigation Inc. 757--0405
?
i
cinr use oNLY 3asL
L /? BL RECEIPT #: ?o
SUBD. ? (YU? DATE: ?
5 ??95
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
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 = 300
Water Closet 3.00 x 3 = q DO
Bath Tub 3.00 x 61. 00
Lavatory 3.00 x ? _ /5 Gt5
Kitchen Sink 3.00 x ? -
Laundry Tray 3.00 x 3. U
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x _L = -300
Floor Drain 3.00 x 307
Gas Piping Outlet 4 minimum -1 3.00 x 2 = 6.00
Rough Openings 1.50 x 3 =?S?
Water Softener 5.00 x =
Private Disposal " Dakota Cty. license 20.00 =
U.G. Sprlnkler * home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00 _
STATE SURCHARGE .50
TOTAL '!Iw
SITE ADDRESS: ?952 CI°-,EM" pA(LS "f2a f L-
OWNER NAME: IZ 44 .(Ck)r}WAtES
INSTALLER NAME: 011A-(r?W "DA lu i 6l5 EIJG
STREET ADDRESS: 15230 0%eroL4S?:(-- tt.)Ay
CITY: {2ps6uo"-F- STATE: 61 K) ZIP: 6?0bg
PHONE #: (&I Z) K2-3- f3fl
j?k ?SIGNATURF- - 11TE
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
__p 7p -o 0
New Consiruction Reauiremen45 RemodeVReoair Reauirements Ofice Use OnN
3 2gistered site surveys showirg sq. 8 of lot sq. ft. of house; and all roofed a2as 2 oapies of plan Cert of Survey Recd _ Y_ N
(20%maximumlolcoverageallowed) isetofEnergyCalculationsforheatedadditions TreePresPlanRecd _Y _N_
2 copies of plan showing beam & window sizes; pou2d found desgn, etc. 7 site survey tor additions 8 dedcs Tree Pres Required _Y _ N
lsetofEneyyCalculations Addition - indicatei(onsitesepticsystem On-siteSepGcSystem _Y _N
3 copies of Tree Preservation Plan'rf bt pWtted after 7/1193
Rim Joist Detail Options selection sheet (bldgs wNh 3 or less unifs
Date 3 DLc\__ Construction Cost )IS
SiteAddress '0 Sa CQtH--?- DAw-g T2 UniUSte #
Description of Work f-C - SI DE
Multi-Family Bldg _ Y k N N}replace(s) _ 0 _ 1 _ 2
Property Owner _ FNOQ£ U CoF? CV-- Telephone #(`j S J. )`a1 b- 314 ?j
Contractor V(Z-Ecv, F?cT6JVO?S
Address l3WCv-sNrR5- rft7\?
State Zip 51'o -l N, City
?- 6-H
Telephone # (1, S\ )- ? v°i- b 3 b`v'
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Cateeorv 1
• Residential Vendlation Category 1 Worksheet
(4 submission type) Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Y_ N If so, 25% plan review
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and aclnowledge that the inforn
that the work wil] be in conformance with the ordinances and codes of the City
is complete and
M1V
Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of wark which requires a review and
approval of plans.
?E \?rj P\ vatf-
ApplicanYs nted Name Applic ' ignature
n`, ..... .. _ . ..
7/47a4
2006 RESIDENTIAL MECHANICAL rERMiT arrLicaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomeslcondos when permits are required for each unit
30 -5-6
Date '? / v / ?
1' e
35ar? Unit #
Site Address
CM
V I
Pro
er[
Owne
arew l by rna hone#((y I d ) ? ?- -7
Tele
L{c
p
y
r p
?
Contractor CI U nL`
v'
Add
S
D CI
PULJ Y
treet
ress Ty
St
t
M N Zi
? hone # (l r -US) 70- WV
Tele
a
e p p
Bond#: 06qq2,q 8ga_? Expires: I 07?
The Applicant is _ Owner V\Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement _ New
air exchanger
air conditioner
heat pump q
?j other ? Y?1 /'}
0-bY U eOSOY
Sta[e Surcharge ?
Q V ? $ .50
To[al IU)
AUG 1 1 ?nnF
? v .
$
I hereby apply for a Residential Mechanical Permit and acknowledge tha[ the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and wi[h the Mechanical Codes; that I understand this is not a
permit, but only an application for a permi[, and work is not to start withou[ a permit; that th work will b m accordance with the
approved pla in,the case of wo which requires a review and approval of plans.
ApplicanYs Printed Name Np-plicant's Signfftur'e
r {?l ?
2007 RESIDENTIAL MECHANICAL rERMiT arrLicaTCOrr
? v City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete Cor. single family dwellings & townhomes/condos when permits are required (or cach unit
Date0-7 .
Site Address eyC"IPC4'F 0!o V G Unit #
Property Owncr (a-) Teleplione # (/;,q
Contractor
?
Street Address 1L{-vrp C.n(1 c-¢ ?Lu_?
7 ?-6 14 ? City rJ ?•
State Zip Telephone #
Bond #: Expires:
'Clie Applicant is _ Owner X
-*r Contractor _ Other
Firc repair (replace Uurned out appliances, duchvork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwclling uni[ . $ 50.00
furnace _Additional ?Replacement _ New
air exchanger
? air conditioner
heat pump
other
Statc Surcharge D $ 50
$
Total
I hereby apply for a Residen[ial Mcchanical Permit and acAnowledge diat the informa[ion is comple[e and accucate; that the work will
be in conformance with tlie ordinances and codes of the City of Eagan and with tlie Mechanical Codes; [hat I understand tUis is noi a
pernut, but only an application £or a permit, and work is not to start without aiatthe work will be in accordance with the
approved plan in the case of wmk wliich requires a review and approval of pla
g.??i.? ?? -
Applicant's Pnnted Name App cant's Sign ire
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105512
Date Issued: 07/18/2012
Permit Category: ePermit
Site Address: 852 Great Oaks Tr
Lot: 19 Block: 1 Addition: Great Oaks
PID: 10-30950-01-190
Use:
Description:
Sub Type: e-Reroof
Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Able Restoration Group Inc. Constantin N Starchook
17316 Kenyon Avenue, Suite 103 852 Great Oaks Tr
Lakeville MN 55044 Eagan MN 55123--243
(952) 378-5000
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.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For ONi I
City of Ea p ; Permit : J a d S-
I a .S
3830 Pilot Knob Road Permit Fee.
Eagan MN 55122 i Date Received:
Phone: (651) 676-6676
Fax: (661) 676,6694 I Stan;- - - - - ^ ~ -
2/011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 W-~ H T Site Address: p5-4 eAr Unit 0:
Name:C1riLM477/10a HAI (C, Phone,6)Z` 6-C).6 °
RESIDENT /
OWNER Address / City l ZIp: O~AEW-eh'tt T/Z.
Applicant is: .Owner
..Contractor ~
TYPE OF WORK Description of work: 0-moq-&C~- f't ~CsCe
Construction Cost: Multi-Family 8 ilding: (Yes - i No
Company:'-7-L-'6 A (f--GAeA~ ~ K GE, \ tleo
~ Contact: .1e S7z~
CONTRACTOR Address: -1k9>1 ~t/ RUC , City: /)?p Le,
State: t~A)._ Zip: Phone:..
ucenae ~--~a 35- Lead Certificate 4447--_7 3 7.3
- l
If the project is exempt from lead certification, please explaln"why: (see Page 3 for additional information)
/V6
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit fora similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
t,.lcensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that yo.u submit are. considered to be public Information. Portions of
the information may be classJfled as 90 7 pcibllcaf you pm..Yh16 spiq l06 reasons that would permit the City to
'conclua'A~thW4he ;arov 0.secrets:
CALL BEFORE YOU DIG, Call Gopher State One Call of (¢dt) 4, . 002 for protection against underground utility damage. Call 48 hours
before you IN" to dig to receive locates of undo round utilities, mwwm Qheretateonecall ora..,
I hereby acknowledge that this Information Is complete and accurate;4that the work will be in conformance with the ordinances and cones of the C+;v D!
Eagan; that I understand this is not a'permll, Wt only an appilcallon for a permit, and Kirk is,not to start without a permil; that the wont Y.Q Oc; in
accordance with the approved plan In tha'case of work which requlres a review and approval of.plana.
Exterior work authorized by a building permit Issued In accordance with the Minnesota $tate Building Code must be completed within 180
days of permit Issuance.
Applicant's Printed Name Y - - J -
Ap 2an s Signature
Page I of 3
bc�� � �� � 1� � � ��.�
� �b�-
� Use BLUE or BLACK Ink
� r�� ---------,
,--------
uc. I For Office Use �
Cit �ij� � !�2 8�.ad ;
iby O�1i���ll � Permit#: �
' .bo . � �
3830 Pilot Knob Road QCT Z g 2Q��{ � Permit Fee: �
Eaaan MN�5122 f > � �J ���
Phone:(651)675-5675 � Date Received: � G
Fax:(651)675-5694 _ _ i �
� Staff: �
�����������������J
. ..... ... . .... ...... . ....... ....... ... .. . .
... . . . .. .... . .. ... ... .. .... . .. .. . .... . . . _ . ._ ... . ...... . ._.... .... . . .
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: Site Address: ��a G��O�� ��
Tenant: Suite#:
ReSIdellt/OvV�12�.�a. Name:����\��� � ��,��' "'v� Phone:_ �(!I�^5�0 ��V��
�� �� � ��� � � ��
�� � ,,;� � Address/City I Zip: � _
� �
� ��, � , � Name: � � d- License#: � � � � `�'���
,r� - � Address: i r ��� ���.,I��� 1 l l � � S�
���� � City: t�7..t�C'�"�Y1Gi�
�: �����aetor �y
� � ,���ff �_ p: �Q � ' � ��'� ��� 1
��� State: �� Zi �����Phone: �
�� a�� ,.�.° Contact: ifi Email: /l Cl � f1�kYC•I.PY C(�`�
�,� ��
� ` ��z' ` � a.
' °` � ~� � _New �Replacement _Additional _Alteration Demolition
.,,���
T e of YV� Description of work:
� YP x �'�
" '` � � ������ ,�°�.�:��.� ���� :
� I�OTE,�."R�„oof mo��Poed an figround�,ou�„n ed�chan,�cal e�qui�me��t��rec�u��r���s�creene�b �ity.
�
Coc�e P, ease co tac he`'ec.a caT Ins ecf�or�or nfio a ion on ermi e sc enmg ine ods
f �
�
�,w.�,�.,_ .��.�<�,..�..�_ �..��.�.
p �t �f
�t .-;��.-....�,L.�....m_ .�,-,,.:�,"=w3.�as>-.-.,.��+T'�r+,va�.���x� ��.:�Y�.a=z,..P-...--
„��,:v ;^�:�;.-..� :�»
���'� '�'�`" � �` ' RESIDENTIAL COMMERCIAL
� f ��� �� ��: �Fumace New Construction interior Improvement �
���«����w���-,� ` — —
Air Condi6oner Install Pi in Processed
P��m t Type �� — p g —
_Air Exchanger Gas Exterior HVAC Unit
�:.� — —
_Heat Pump Under/Above ground Tank (_Install/_Remove)
�� ,_Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) GU
$100.00 Residential New(includes$5.00 State Surcharge) _$ �� � i'OTAL FEE �
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee �
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge"`
**If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 _
*"*If the project valuation is over$1 million, please call for Surcharge =� �" TOTAL.FEE
I hereby acknowledge that this information is complete and accurate;that the work will be in conforrnance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x X
Applicanf's Printed Name Applicant's Signature
FOROFFICE SE � �,� ,� "� �� � � �� ��� ,�� � ���� ��,��'� '
[�eqwred�nspections <:����� �� � ,.� �.� .,. � � ��.;� e
� ��Rewewe By„� .�>; � ���;. ��T.a Date.� •�� ��,
�„`.� �.�� � .� ��—� _ _._ �s��.� �
_lJn�c er rounc� ""Rou �i`n `Vir �es � �" Gas ervice es �N$.fi.� = oor ea x nai 'w .. V�Cr�c e in •"�
9,� — .�...9,. �.k �9,�.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161801
Date Issued:06/12/2020
Permit Category:ePermit
Site Address: 852 Great Oaks Tr
Lot:19 Block: 1 Addition: Great Oaks
PID:10-30950-01-190
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 -
Constantin Nicolaevi Starchook
852 Great Oaks Tr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170419
Date Issued:07/01/2021
Permit Category:ePermit
Site Address: 852 Great Oaks Tr
Lot:19 Block: 1 Addition: Great Oaks
PID:10-30950-01-190
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Constantin Nicolaevich Starchook
852 Great Oaks Trl
Eagan MN 55123
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171325
Date Issued:08/11/2021
Permit Category:ePermit
Site Address: 852 Great Oaks Tr
Lot:19 Block: 1 Addition: Great Oaks
PID:10-30950-01-190
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Constantin Nicolaevich Starchook
852 Great Oaks Trl
Eagan MN 55123
(612) 508-7014
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature