860 Great Oaks Tr
Use BLUE or BLACK Ink
I _
Fwof~iceu _______i
I I
Cif of Eajan C Permit y I
Permit Fee: 1
3830 Pilot Knob Road
Eagan MN 55122 O i F D Cate Received:
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 JUN L i. 2011 1 Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
~'1 1 ^
Date: Site Address: (DV lei WA( toot Unit
Name: u Vl,~. ? Me Si 1~'1 )r%v100 Gk Phone: GSI ~ 24(0 ^ *Z67
41
RESIDENT
OWNER Address / City / Zip: (OQ (3Y~1 + Cat ~S ~r
Applicant is: Owner Contractor r
TYPE OF WORK Description of work: ew Sec 1~-Yth K-o~'i 1y[
Construction Cost: Multi-Family Building: (Yes / No )
Company: t \yl edvk's)rY c+, (M Pay-0-14►'I)OContact:
CONTRACTOR Address: Qt Z9,9 2 I Vu S}w City:
State: y n 1 V Zip: 5S Uq4 Phone: - t SZ ^Zol Z-3-9-76
License 106 40 S Z 3 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 S 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 speck reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.org
f hereby acknowledge that this information is complete and accurate; that the work will bAconfo with the ordinances and code s of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and t ut a permit; that the work will be in
accordancee wiith thee approved plan in the casse of worts which requires a review and approAppl cant's Printed Name Ap ure
Page 1 of 3
r - /~j 'jam
0V ~ ~LI I /
DO~lOT WRITE BELOW THIS LIN l / ?
SUB TYPES
undation _ Fireplace Porch (3-Season) _ Storm Damage
_ Single Family arage Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi _/Deck Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi)
01 of Plex Lower Level Pool Miscellaneous
Accessory Building -
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
- Addition - Move Building Reroof - Demolish Interior
Alteration - Fire Repair _ Windows _ Demolish Foundation
_ Replace Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 0 Occupancy MCES System
Plan Review Code Edition / ~G 4 7 SAC Units
(25%_ 100%_) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction 5-8 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition)_ Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: Footings -Air/Gas Tests -Final
I'I Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock / Erosion Control
Reviewed By: l~ (p t l B p , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge -
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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Z o PLANNERS 1 ENGINEERS "1` SURVEYORS
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2600 W. CTY. RD. 42 ~ BURNSVILLE, MN. 55337 ! 612-890-6044
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
l t 1/1h
+il.i rS i ',=i PERMIT SUBTYPE:
i » i fSr r
TYPE OF WORK:
N f 0
rtiI + I ro f Nn
N.'Hr:4w
w4/I ',J9 .i
INSPECTION .• . .,
i ra!.??t n F I
I h ?: .`; ? lJ 1'l(;R ? MA1 T1i41.1 1?AN!'T.L`? I•ti??;
oN RECORn
PERMIT TYPE:
Permit Number:
Date Issued:
? APPLICANT:
{ i, t .' ) b F i / _ ? , • , l i
-1
Pemdt No. Permit Holder Date Tilsphons #
S/4V
PLUMBING P07
?
HVAC
ELECTRIC o j/9, rf 9? ??
ELECTFiIC X41sq'i
Inspectbn Dats Insp. CommMts
woc" ' `/. p3 L,S
Fw,naation '
Framing
Roofing
Rough Plb9'
Rough Htg-
l8ul.
FlmpWm s"-
Final M9. 9 F?y3 ?r/
Orsat Test
Flnal Plbg. Pibg. Inspector - Notify Plumtar
Const. Meter
Engr./Plan
Bldg. Final 9?((( 9 3 ?S
Deck Ftg.
Deck Fnal
Well
Pr. Disp.
G l b •93 ,G?/?- ? z
Qht I
d 2
7
191
,cai ai
Reqoest Date Fire No. Rough-in In6paction
ReQUired? ' .
? RBady Now C WiII NOiity InSpedor
? Vas -No When Reatly?
I?:] licensed contractor ? owner hereby request inspection of above electrical work at:
Job AOOress (Sireet Bot or Roote NoJ
' City
E?
S(?? ?r iJ7 k 'A
Seclion No. Township Name or Na. Fange No. Co
OccupanidPRMT) f Phone No.
j
R. /'t , K?r OMG7c, II I
Pawer AGtlress rr?
LOT
Electn onlracror (Company Name)
Conhactor's Lioense No.
Mailing Atltlress ICanlractor Dr Owner Making Insialletion)
Aulhorrz
naWre IGonlraclor:Own aking Inslallationj Phone Number
? b'?3 --o33:z
MINNESOTA STATE BOAPD OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT
Grigqs-Mitlway BIOg. - Raam 5-173 BE ACCEPTED BY THE STATE BOARO
18I1 Unlver6ity Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phane(612)642-OB00 ENGLOSED.
•fn??9 ?'3?
II
21917 REQUEST FOR ELEC7RICAL INSPECTION
? See insimcliore for completing ipis lorm on Oack oi yellow copy.
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EB" 15
?S X
Below Work Covered hv Thic ?:... ,. V
e Atltl RE Type of Buiiding AppliancesWiretl Equipm@ntWireq
Home Range Temporary Service
Duplez Watar Heater Electric Heating
Apt. Building Dryer Other_(Specity)
CommJlndustrial Furnace
Farm Air Conditioner
Other(specily) Convactor's Remarks:
Compute Inspection Fee Below:
# Other
Swimming Pool Fee p ServiceEntrenceSize Fee # Circuits/Feeders Fee
0 to 200 Amps 0 ta 100 Amps
Transformers Above 200 _ qmps Above t00 qmps
_
SignS Inspe cmrk Use Only:
Irri
ation B TOTAL
g
ooms
?
Special Inspection 5
niarm/Communication TMIS INSTALLATION MAY BE OR
Oth
F DERED DISCONNECTED IF NOT
ar
ee COMPLETED WITHIN 78 MONTHS. -
I, the Electrical Inspector, hereby Rou9n-m oeta
' certify that the above inspection has
--
F??ai
been made. oeie
OFFICE USE .NIY
Thls request voi0 1B monIDS from
d 218 9 5%g?" Y` A%<-5 IDa 11?1
ReQUest Oate _ .- Pire No. Rough-in Inspection
Requiretl?
? Reatly Now KNill Notlly Inspeclor
93
Yes [ No'
When Reatly?
I'?licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress ($heeL Bae or Roule No.l Cily '
?10. EACyAn
Seclion No. Township Name or No. Range No. Coun?,? ? l/?S rA
Occupant(PRINT) Phone No.
R - 1
Power$upi Adtlress
Elecv ConVactar ICompany Namel ConVaclor5 License No.
nC CA cU
Mailinq Aearess IGo ctor or Owner MaMmg Insta!lalion .
1
. ?.
?I
AuthOnzed nalure IContractoripwner Making Inslallali0n PhOne umber
/ 0
'A
MINNESOTA STATE BOARD OF ELECTRICITY ?- THIS INSPEQION REQUEST WILL NOT
Grlgge-MlEway Bltlg. - Room 5473 BE ACCEPTED BV THE STHTE 90APD
1621 Univergity Ave., SL Paul, MN SSIOd UNLESS PROPER INSPECTION FEE IS
Phone(612) 642-0800 ENGLOSED
,
?40?? ///9J REQUEST FOR ELECTRICAL INSPECTION Es-ooao,.oe
? See insimcuons for completing ihis lorm on Oack oi yellow copy O0 ?
2i895 .. "X" Below Work Covered by This Request
ew ?.tlii' Rep: ?ypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heatinq
Apt.Building Dryer Other-(Specify)
Comm./Industriai Furnace
Farm Air Conditionar
Other (syecify) ConVaetor's Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swfmming Pool 0 to 200 Amps i 0 to 100 Amps
Trensformers Above 200 _ Amps Above 100 _ Amps
I Signs msoectors use ony: TO7AL
IrrigationBOOms /?
Special inspection ? P
Alarm/Communication THIS IN5TALLATION MAV BE OR DISCONNECTED IF NOT
Other Fee ..? COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in ? oa?e
OFFICE USE DNLY - '
This request voitl 18 months hom
860 GREAT OAKS TR Zip 5512 -?t_
L.ot 21 - Blk 1 Sub
GREAT OAKS
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: S
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas
Sod/Seeded grass
TraiUcurb damage ?
Porch ?
Basement finish ?
Deck
Please verify wit6 the buildet ihe removal of toof test caps from the plumbing system and the shut-oH of water supply to
the outside lawn faucet before freeze potential ezists. ContaM engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - Ciry Copy Yellow • Resident Copy Pink - Contracror Copy
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
S U1?3830 PILOT KNOB RD, EAGAN MN 55122
? 651-887-4875
New Conanuction ReaukemeMe
• 3 repisteretl sfte surreys showing sq. h. of bt, aq. R. ol house; and ?I roofed areas
(200% maxinum bt coverage albwed)
• 2 mpies of plen shawing beem & window s¢es; poured found design, etc.)
• tsetofEnergyCatulatbns
• 3 copies oi Tree Preservefron Plan it bt platlatl afler 7/7193
• Rim Joist petall Optbns selectbn shaet (bldgs wMh 3 or less unAS)
DATE ?'.3v'O2--
30 0?'3
BemodeUNeoah Heauiremams
. 2 copies of plan
• 1 set ot Energy Calculafbns tor heffied eOtlAions
• 1 sfle survey far ezterior addAbns & decks
• Indicate H home se(ved Cy septk system for aatlNbns
VALUATION
SITE ADDRESS b
NPE OF
APPLICANT
C rr -t-'P.r7 o v^5
STREET ADDRESS /7'0 l? WQ S" fpi.
TELEPHONE # 75Z4kI 'fZSZ CELL PHONE #
??z s
,gY?7 cF5
MULTI-FAMILY BLDG _ Y xN
_ FIREPLACE(S) , 0 _ 1 _ 2
FAX #
PROPERTY OWNER L??t F lf-t? 5,7 /C"D ?i c-A- TELEPHONE a
?'I?ZIP?535?
9 s z Zo z-?3 36
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RliLES 7670 CAT'EGORY 1 MINIVESOTA RULES 7672
(d su6mission type) . Rasidentlal Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submifted
Plumbing Contracfor. __
Plumbing system includes:
Mechanical Confractor:
Mechanical system includes:
Sewer/Water Gonhactor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
M AYrIQ??
I hereby acknowledge ThaT I have read this application, state that The information is c rrect, and 4
wlth all applicable State of MinneSOta StatUtes and City of Eagan Or ' nce
Signafure of Appllcant
......... -----°....................... ...»............---___........_._°-°-----°- -------.r..r ......._
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
if rooF
_ Water Softener
Water Heater
_ No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
Updatad 4102
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
?I ,
INSPECTION RECORD
PERMIT TYPE:
Permit Number: ! Date Issued: . .
APPLICANT:
, ..
TYPE OF WORK:
„ .
INSPECTION
o?; ? ?.r? .. .
,!, .,
Plsu?;?, ul?l J
?
?
PERMIT y,?e,
? CITY OF SAGAN pERMiT rvPe:
3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number: .
(612) 687-4675 Date Issued:
SITE ADDRESS:
, . r? _ .. ??;.. ..
DESCRIPTION:
]ti}'I+',f= . I`.
. Rt{kJtf.?PTCj 1,`dflc,?C.i"; .,
iJ L7I? Wtt7:.}7
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REMARKS:
FEE SUMMARY:
V ?? i.uf;r, urj ,. ,?" 0 (A
?
° hs?C;?b•? ,3c6.:,a3,? ?,r#ryt .;2a? i h..:.:. .':k€i f.Pioy,p I?C6 $.ic??
/ ? ?!c,a R?d.l11?t1
APPLICANT/PERMITEE IGNATURE I SUED B: SIGNATUFfE
J
REACTIVA.E _ ?Et'VEQj CIIY OF EAGAN g,?? ??
PtRM'I7 N , 1993 BUlLDlNG PERMIT APPLICATION M
"t 1993- 681-4675
SINGLE & MULTI-FMiILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, l set of
specifications, 1 copy of energy calcs.
Penalty applies: ij when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date _g)_ / r'Z- Yaluation of work 060,000
Site Address: R'LO Ci vecN? dG'KS
STREET . SUITE M
Tenant Name: (commercial only)
IAT 'aI BIACK ? SII$D. C?v2.wf' ???s P.I.D. 0
Descri tion of work:
The applicant is: Owner EY"C"ontractor O Other (Deeeribe)
Name ICo-T` ?•?. VIO-7- 4v%-,4 c, Phone
Property LRST FiRST
Owner qddress '1gek u??'???- G?
STREET STE # .
City lR a State AAK) Zi p???
Company ?ww-t o s u?.Vf Phone
Contractor Address License A Gioo i 5aro Exp. 9 S
City State Zip
Company 1? ?• L• ?5 ?c ?.. Phone
Architect/
Engineer Name DC?4`1 Registration #
Address So?-t NP
City State Zip
Sewer & water licensed plumber lvlc 1 ?w»41 . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with a11 ap licable State of Minnesota Statutes and City of
Eagan Ordinances. ?
Signature of Applicant: `
OFFICE USE ONLY
BUILDING PERMIT TYPE `
? Oi Foundation ? 06 Duplex ? 11 Apt./Lodging 0 1 a? t,r;?s
(V 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 1#Swl''0mo,
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Corren./Ind.
? 04 SF Porch O 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
0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V-N Basement sq. ft. MWCC System yEs
(Allowable) v- N lst F1. sq. ft. City Water YES
UBC Occupancy R-3 M-? 2nd F1. sq. ft. PRY Required
Zoning PD R.1 Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length 70, On-site well Census Code
Depth 43, On-site sewage SpC Code or
'Co?rsNs 61??+ ?_,
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Lonn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total: .
SAC %
SAC Units ?
vaiuac;p,: g 235, pOa
25 x22 = 638 fsT Fi-,_?oa-,
2 xl2= 2 ?_
a
)izx? = l2? ?3X2=
A ?( 3-- 6) 7xJ,67- ?1 -
?,r T, `e9s n3y
? iixi2? ???I 78y x iG = 2 S?! .
2x23r 4G
6 X6x'/2 = 18
??x48 = ?2?
36?X?i= ly3
3s ,? ?= ? 88
7- r?? _ (! S3)
/oz,3.s0
l3,?1y,67 = I`i?
37?'r3,7S - C !y)
3,Gbx 3.6?% S= (TO
I-JQxS'f 91?0
??51 yJS= 'ieS? r?X2r,v7t z3S ?-
33 ?3,7'? = 1 Z 3?S
4,bx rv?4= bs'
QA 5%L= C67 -
SURVEYOR'S CERTIFICATE R.A. KOT HOMES
mam gN&1"N19RIA3G DEPT
NOTE: BULDING OIMENSIONS SHOWN ARE FUR HOHIZONTAL
6 VERTICAI LOCATION OF S7HUC7URE ONLY. SEE
AR6117ECTUAI. pIANS FOR BUILDING 8 FOUNpqT10N
DIMENSqkS,
NOTE: NO SPECFIC SOILS INVE57GATION HAS BEEN COMPLETED
ON 7HI5 L0T BY THE SUNVEYOR. THE SUITABILITY OF
SOILS TO SUPPoRT THE SPECIFIC NWSE PROPOSEO IS
NOT THE RESPONSIBILITY OF THE SURVEYOR + DENpTES PROPOSED SURFACE ORAINAGE
O OENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - g$3.3 FEEf
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - g74.9 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK m 43Y3,7 FEET
WE HEREBY CERTIFY TO R.A. KOT HpMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE ROUNDARIES OF:
Lot ZI, 81ock I, GREAT OAKS, occordinq to therecorded plot thereof,
Dakoto Counfy, Minaesotn.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS qR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 30TH DAY OF MARCH ., 1993.
SIGNED: MES R. HILL, INC.
PROPOSED ORADES SF1DdM WERE TAKEH
FNOM THE GRA01N0 0 DEVELOPMAlNr ?.
PLAN PNDVIOED 8Y BRW, INC. BY:
JOHN C. LARSON, LANb SURVEYOR
MINNESOTA LtCENSE NUMBER 18828
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PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 0 BURNSVILLE, MN. 55337 0 672-890•8044
WRVEYOR'S CERTIFICATE R.A KOT HOMES
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PLANNERS I ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 • BURNSVILLE, MN. 65337 0 612-890-6044
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• Reqistered Sand aurveyoz •iqrutuse and oempany
• Buildinq permiL Jlpplicani
• iAqal descsiption '
• 1lddress
• Horth arroa and bar saal• .
• !louse type (rambler, valkeut, split w/o, split antry,
lookout, otc.)
• Directional dzainaqe artorrs witA slepe/qraQisnt !.
• pzoposed/exiitinq sever ana vatez servioes
• Street nama
• Dzivevay
strvarzoxe
i
D 0? D • tY
?t;na
bever service -
8' D
0? D D •
D • Lot corners
e0
0 • Top of eurb at the dzivevey
Elevetions of any axi:tinq adjaeent Aomos
?0
0 • P:ecesee
Cezege iloor
• First floor
D? D
V0 0 •
0 • Lowcst exposed •levation (valkout/window)
VD
D property eorners
• Fzont and zaaz ot bome at the loundatien
P9h'DING AR£a6 tif ae4lieabl?l
0 •
Easement lin*
Q? O • t?t: L .
? p . . IrWL .
? D • pond f desiqnation
D 0 • Tmerqeaey Ovezflov Elevation
air.rxsioxa •
? 0 • Lot lines
0 0 • Riqht-of-vay and stroat widtA (to baek oi euzb)
fD 0 • Proposed bome Qimensions ineluainq any pzopesed dtcks,
ovezhnnga qrestez than 210 porches, ete. (i.e. all
stsnetures tequirinq permanent iootinqs)
0 0 • ShoW all •asements oi sooozd anC any City utillties vithin
those sasements
D 0 • 8eibacka of pzoposed struetuze and setback of adjacsnt
n ? O ? exicting Aomes
Retaining ? isements, if any
- Revi:ve3: /'?
Nnme / Date
s
oarwr-a3
EXTERIOR ENVELOPE AVERAGE"U'VALUE CAMPUTATION
Owner. Scolt 8 CabdN Shaller
SHe Address: p(!0 V/GCJA T- h?R!N
ConUactor. R A Kot Homes
PFwne: 687-9513
Date: April9.1993
Determine warldrq square tootage of the lotal exposed wall and ceilirp area.
Oescription Square Faet U-Value SF x U
t, TOTAL EXPOSED WALL AREA 4533.00 0.11 498.63
2. TOTAL ROOF/CEILING AREA 2745.00 0.026 55.77
FJ(P0.SE0 WALL AREA ABOVE THE FLOOR
3. Area wlculatbns for aegmeMs of total,
3a.Total Wall Window area:
Glazirg lype 7: Triple 0.00
Glazirq type 2: Double 498.00
3b. Tdal Door area:
Man Daora 124.00
Front Doors 22.00
3c.Total Sldlrp GWsa Door area:
Glazinp type i: Triple .
Glaziny typa 2: DouWa
3d.Tdal Freplace area: (when at exlerla walp
0.00
3e.Total wall iraminp area:
(10%wall area above floor)
Wood Sidinp 0.00
Slucco 281.50
Brick 0.00
Gypwm Board 41.40
3f.Total net watl area
(insulated above Ihe floor)
wooa sWirw 0.00
5tucco 2?.50
Brick 0.00
Gypsum Board 372.60
0.33 0.00
0.31 155.00
0.08 9.92
0.18 3.94
0.33 0.00
0.31 0.00
0.19 0.0O
0.09 0.00
0.09 26.31
0.08 0.00
0.11 4.65
0.04 0.00
0.04 111.28
0.04 0.00
0.05 77.77
3q.Total Rim JolstArea
Wood Sidinp 0.00
Stucm 305.00
Brick 45.00
Gvosum Board 47.00
TOTAL EXPOSED WALL AREA/"U' 4288.00
(a6ova tlia floor)
FOUNDATION WALL AREAS
3h.FourWation window area 0.00
3I.Net loundation area
(above yrade)
Wood Sidiny 0.00
Stucw 225.00
Brick 40
TOTAL FOUNOATION AREA 265.00
(exposed)
'TOTAI EXPOSED WALL AREA SF x U
(total wall + foundation)
'TOTAL EXPOSED WALL AREA AI.LOWED BY CODE
R-Values and U-Values tw Wall and Ceiling Segments
R-Value
3a.Windowa:
0.02 0.00
0.02 7.43
0.04 1.85
0.03 1.41
339.54
0.35 0.00
0.09 0.00
0.10 21.57
0.09 3.626
25.20
PaA of windows numher
384.74
498.63
U-Value
Page: ,
oaayrat
EXTERIOR ENVELOPE AVERAGE"U"VALUE CAMPUTATION
I Owner. Swtt 8 Cabrini Shaller ?
Type 1: TApk Glazed 3.08 0.33
Typa 2: Doubb Glazed 320 0.37
Hlph Perlormanoe Low E
3b.Doois:
M¢tallrwulated 12.50 0108
Maln Doorwith Slorm 5.59 0.18
3c.SlWlny Glau Doors
Type 7: Tripb Giazed 3.06 0.33
Type 2: Double Glazed 320 0.31
Hiph perfamanca Low E
3d.FlrepWce Wall
E#erior Alr Fllm 0.17
Briclc 4.50
IMerior Alr Fllm 0_88
Total R-Wlue 5.35 0.19
3e. Wall FFamirp Areas
A.Wood Sidirp
E#erbr Air Film 0.17
Plyvwod SINrq 0.62
Sheathiny 25/37 2.16
5 1fY Wood Stud 8.93
5J8' GYMwm Board 0.58
Inlerbr Air Film 0_88
11.12 0.09
B.Stucco
E#eria Air FAm 0.17
3tuao 020
Shmthirp 25l32- 2.18
5 12' Wood Stud 6.93
5/8" Gypwm Board 0.58
tnterbr Air Film 0_68
70.70 0.09
C.Brlck
Ederbr Alr Film 0.17
Bridc 0.80
Air SPacei 11' 0.94
sneau,ino 25132" 2.16
5 7/2Waod Slud 6.93
5I8' Gypeum Baerd 0.58
Interbr Air Film 0_68
12.24 0.08
D.Gypwm 8oard
E#erbr Air Film 0.17
5/8' Gypsum BoaM 0.56
512 Waod Stud 6.93
5/8' Gypsum 8oard 0.56
Inlerbr Air Film 0_68
8.90 0.11
3f.Nel Wall Freminp Area
A.Wood Sidirq
ExRarbr Alr Film 0.17
Ply.vood SWinp 0.62
Sheafhhq 25137 2.16
8' BaU IrauWtion 19.00
5!8' Gypwm Board 0.56
Interlor Air Film 0_68
23.19 0.04
rage: z
B.Stuxo
6derior Alr Fllm 0.17
Stucco 0.20
09-Apr-93
EXTERIOR ENVELOPE AVERAGE'U` VALUE COMPUTATION
? Owner: Scott 8 Cabrini Shaller ?
Sheatlilnp 25f32" 2.16
B' BaH Insulation 19.00
5/8' Gypsum Board 0.56
Interior Alr Fllm 0.68
22.77 0.04
C.&kk
Edarbr Alr Film 0.17
&kk 0.80
!w Spaca 1" 0.94
Shealhlrg 25/32' 2.16
6' BaC Inwlatbn 19.00
5!8' Gypsum Board 0.56
Interbr Alr Film 0.66
24.31 0.04
D.Gypsum Board
EAerior Alr Fllm 0.17
518' Gypeum Board 0.56
6" Batt InsuWlion 19.00
5I8' Gypsum Board 0.56
Inledor Afr Film 0_68
20.97 0.05
3p.Rim Jdd
A.Wood Sfdirp
E)Rerla Alr Film 0.17
Plyo.ood SMinp 0.62
1 1l2' Ripid InsulaUon 8.70
1 12' Joist 1.89
10' Ball Insulalion 30.00
IMerbr Air Film 0_68
41.48 0.02
B.Stuxo
bAerbr Air Film 0.17
Stucco 020
1 1f2' Rfyid Insulatbn 8.10
1 1l2' Joiet 1.89
10' Batt truulatlon 30.00
Interbr Air Film 0.68
41.04 0.02
C.Brick
Edarior Air Film 0.17
&kk 0.80
1' Air Space 0.94
1 112' RipW IrwuWtion 8.10
1 12' Joiet 1.89
10" Bap IncuWtion 30.00
IMerbr Air Film 0_68
42.58 0.02
D.Gypcum Board
EMerior Alr Film 0.17
5l8" Gypsum Board 0.56
7 1/2' Jdsl 1.89
10" Batt InsuWtion 30.00
IMerior Air Film 0_68
33.30 0.03
3h. Foundatbn Windowa
Type 1: Triple Glazed 3.06 0.33
Typa 2: Dou61e Glazed 2.84 0.35
Paye: 3
03Apr-93
EXTERIOR ENVELOPE AVERAGE'U" VALUE COMPUTATION
I Ownec Scott 8 Cabrlnl Shallet ?
3h. Fwrdatbn Wall types
A.Wood Sidirp
Exterior Alr Film 0.17
wooa saare 0.62
1 1I1' Ripld Imulatlon 8.10
1 Y Concrale Bloek 1.28
Interbr AIr Fllm 0_68
10.85 0.09
B.Sluceo
Exterior Air Film 0.17
Stutto 0.20
1 1R' Rlpid Inaulatbn 8.70
12"comete ewuk 1.2e
Irdeiior Air Film 0.68
10.43 0.10
C. &kk
Exterior Alr Flm 0.17
BrkJt 0.&1
7 1fY Rlpid Inaulation 8.10
12" Concrete Block 128
Inlerbr Alr Film 0.68
11.03 0.09
3k.Roo1 /CeiAnp Fnminy
Exterior Alr Film 0.81
3 1/2' Jdet 4.35
14' Blov+n Inaulation 38.00 Average
5J8' Gypsum Board 0.58
Inleriw Alr Fllm 0¢1
44.73 0.02
31.Ne1 Roof Ceilinp Area
Exterior Alr Flm 0.81
i T Blovm Insulatlon 48.00 Averaye
518" Vypcum Board 0.56
Interia Air FAm Qm
49.78 0.02
0. CEILING AREA
Gross Cellfrq Area 2145.00
Mea Ce11Irq (Fremirp) 214.50 0.02 6.86
Net Area (Freminp) 1930.50 0.02 38_78
Tdal RooflCelllnp Area 2745.00 43.84
Tdal RootM.ellirg Area Allwred by Code 55.77
Pape: 4
09-wu-93 . . . .
EXTERIOR ENVELOPE AVERAGE "U" VALUE COMPUTATION
Owner: Scott 8 Cabrini Shaller
Waq Sepmante Nath Elev. Ea& Elev. South Elev. Weet Elev. Totals
Baslc Wail Area (Sidlnp) 0.00 0.00 0.00 0.00 0.00
Bask Wa0 Area (Stuoco) 505.00 940.00 837.00 539.00 2815.00
Basic Wall Area (&ick) 0.00 0.00 0.00 0.00 0.00
Bask Wall /4ea (Gypsum Board) 162.00 252.00 414.00
wooa swhV at swa. 0.00 0.00 0.00 0.00 0.00
stucco at stw. 50.50 94.00 83.10 53.eo 281.50
erick m swds 0.00 0.00 0.00 0.00 o.oo
Gypsum ffi Studa 18.20 0.00 0.00 25.20 41.40
Net v`all at Wood Sfdlnp 0.00 0.00 0.00 0.00 0.00
Nel wall al Stucw 454.50 846.00 747.90 485.10 2533.50
Net vraU at Brick 0.00 0.00 0.00 0.00 0.00
NM wall at Gypeum 145.80 0.00 0.00 226.80 372.60
Flreplaca Wall 0.00
WindaNa (Triple) 0.00
Windows(DouMe) 49.00 289.00 68.00 90.00 496.00
FroM Door 0.00 22.00 22.00
Doon 17.00 107.00 0.00 124.00
Rim Jolets (Wood Sidiny) 0.00 0.00 0.00 0.00 0.00
Rim Jdsts (Stuceo) 67.00 105.00 93.00 40.00 305.00
Rim Jdets (Brkk) 0.00 0.00 0.00 45.00 45.00
Rim Jds/s (C,ypsum) 20.00 27.00 0.00 47.00
Foundatlon (Sidlnp) 0.00 0-00
Foundatbn (Slucco) 37 108.00 80.00 225.00
Foundation (&Ick) 0.00 0.00 0.00 40.00 40.00
Foundatbn (Gypsum) o?? 0.00
Fouridation Windowe 0.00 0.00 0.00
TOTALS 857.00 1576.00 1072.00 1028.00 4533.00
Ceillnn Area Square Footape ALTERNATIVE BUILDING ENVELOPE METHOD
Groea Nea (Celliny) 2145.00 SF Actual Code
Mea Celllnp (Freminy) 214.50 SF Walls 364-74 498.63
Net Ceilirw Nea 1930.50 SF Ceilinp 43.64 55.77
ToWlCellinp 2145.00 SF Tolal .408.3 554.40
We have met the intent of 2 MCAR 1.16008 A and O.
Pape: 5
? e 7
1993 MECHANICAL PERMIT (RESIDIIV77AL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIItED FOR EACH UNTf.
j:::?'NEW CONSTRUCfION
ADD-ON A/C
ADB-ON FURNACE
DATE _ lo Za3 Z??
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1@ 53.00 EACH)
ADD-ON/REMODEL (ExISTiNG CoNmUCrtox)
STATE SURCHARGE
TOTAL
FEES
$ 24.00
6.00
-1p0
$ 15.00
SITE ADDRE3S: (f6 D Gree D?s Tra
OWNER NAME: -R. A'• ?4t ?t?mes TELEPHONE #:
INST.
ADDRFSS: 12481 Rhode Is{and Ava. So.
avage,
CITy_ 894-0005 STATE: ZIP CODE:
TELEPHONE #:
SIFATU OF PERMITTEE
LOT -,"/ BLOCK / SUBD. 'Ll (,L
RECEIPT # & DATE
CITY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PERMIT
1993
Application Date:
?-
_ Commercial project
Gallons per minute/rnmmercial only
_ Residential project (sprinkler systems for development projects)
? Existing residence
Area/address to be sprinklered: 7,eea? l
Installer:
Street address: Na.
City, state & :
Telephone #:
Owner name:
ke ?` f?d don.-f
Street address: 1?60 Ge?( 60ks
City, state & zip: =a a
Phone #: `
Irrigation rnntractor, if different:
Phone #: `l `l ( - ('i
lL
?
I hereby acknowledge that I have read this application and state that the information is conect and agree
to comply with all applicable City of Eagan ordinances.
7-/3- '--3
,
`
7za-/3
New service requir' ed°-
?.
Signature of Permittee
Fee due: $ i Calculated
/S. 5 0
CTTY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PROCEDURE
1993
1. A plan must be submitted to the City's Engineering Department for approval before
installing a lawn sprinkler system. If digging in the boulevard, a right-of-way pemvt
may be required.
2. Once plan is approved, it will be presented to the City's Plumbing Inspector for sizing
of the meter.
3. Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercial proiect: $ 25.50 underground sprinkler permit.
$ 50.50 water permit fee only if new service is installed.
$100.00 per tap if installed by City. Please consult with
Engineering Department regarding feasibility of City
installation (City will only install taps up to 1").
b. Residential proiect: $ 15.50 underground sprinkler permit.
$ 50.50 water permit fee if new service u uutaiied.
$695.00 ner connection - WAC.
$324.00 per wnnection - water treatment plant.
c. Existing residence: $15.50 underground sprinkler permit -(fee not required
if backflow preventor previously installed); however, plan
must still be presented for approval and an application
must be Slled oUt.
4. Once meter size is determined, Protective Inspections Clerk Typist will contact Utility
Billing Clerk for cost and notify installer of all costs associated with project. If new
service ]ines are not required, one check may be written for meter and permit costs.
No metcr will be sold before all sewer and water inspections are completc on a new
service-(Engineering Department will advise Utility Billing Clerk when meter can be
sold). 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 preventor. The Public Works Department may be
reached at 681-4300 for water tum-on and set and seal of ineter. Inspection hours are
8:30 AM to 3:30 PM, Monday through Friday. Requesu for AM inspections should
be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon that day.
PLEASB COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTT.
i0. FIXTURES EACH TOTAL
t SHOWER 3.00
'-A WATER CLOSET 3•00
3 BATH TUB 3•00
S LAVATORY 3•00
1 KITCHEN SINK 3•00
l LAUNDRY TRAY 3,00 3_ a o
HOT TUB/SPA 3•00
ZI WATER HEATER 3•00
3 FLOOR DRAIN 3.00 y•°°
5 GAS PIPING OUTLET • mtaimum -1 3.00 JsJ°
o ROUGH OPENINGS 1.50
WATER 50FTENER 5.00
PRIVATE DISP. • Dak.Cry. lic. 15.00
U.G. SPRIiv'KI.ER • 6ome under const. 3•00
ALTERATIONS ' to a6sting 15.00
WATER TURN AROUND 15.00
` RJwr 5,?tL
STATE SURCHARGE .50
? ? • S 6
TOTAL:
SITE ADDRESS: a6o ??"-Tr°` \ _
OWNER NAME: R•A• `LT
INSTALLER: 1--\?7wva? ??\,35
IS1x
CITY: ?st?`_ .? STATE: U''?•.? ZIP CODE:
PHONE #: ((.0-) 4 L3 - 3? 3 v
..,
SIGNATURE PERMITTEE
1993 PLUMBING PERMIT (RESIDEIVT7AL)
CTfY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
CITY OF EAGAN Page 1 of 5
YEBMIT
TO WOR& iTITKIN__CITY PROPEBTY/8IGliT-OF-YAY/EASEMENTS
l.
2. Nature of Work UNDERGROUND LAWN SPRINKLER SYSTEM
3. Indicate below items to be affected and include a sketch or plan of work to be done.
Curb & Gutter Street Surface
Tzail/Sidewalk Trees:
Pond/Wetlands Public
Traffic Control Devices/Signs Private
Drainage Utilities
Structures/Buildings Othex
4. Method of Installation or Construction PULL IN POLY LINES
5. Work•to start on or after: 9-10 8nd shall be compiecsa by: 9-10-93 unless an
extension granted to: by:
DATE STAFF/DATE
6. Will detouring of traffic be necessaxy? NO . If necessary to detour traffic,
describe suggested route:
DETOURS: The Director of Public Works shall be notified in writing at least 72
ours in advance of any detour being established, changed or diacontinued.
NAME OF APPLICANT AQUA ENGINEERING, INC. PHONE 941-1138
PLEASE PRINT
ADDRESS 6575 CITY WEST PARKWAY EDEN PftAIRIE MN 55344
STREET CITY STATE ZIP
NAME OF PARTY OR ORGANIZATION PERFORMING WORK A9UA ENGINEERING
CONTACT PERSON: DEAN HOLASEK EMERGENCY (24 HR.) PHONE #:
ADDRESS 6475 ROWLAND ROAD EDEN PRAIRIE, MN 55344 DAYS
The undersigned herewith accepta the terms and conditions of this permit by the City of Eagan
as herein contained and agree to fully comply therewith to the satisfaction of the City of
Eagan.
Signed: 4?Title: PRESIDENT DATE: SEPT. 10, 1993
-------------------------------------------------'--'----------------------------------------
FOR CITY USE ONLY
FINANCIAL SECURITY:
Fae: $ /.?-
AUTHORIZATION OF PERMIT
AMOUNT: TYPE:
(Cash bond IAC etc )
Receipt No
Permit No.
In consideration of agreement to comply in all respects with the regulations of the City of
Eagan covering auch operations, and pursuant to authorization duly given by said City of
Eagan; permission is hereby granted for the work to ba dona as descrihed in the above
application, said work to be done in accordance vith special provisions as hereby stated:
APPR . DE . OF PUBLIC WORKS
f-SPECM / A E
ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON PROVISIONS" TO BE COMPLIED
WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER.
a
. Permit No. Page 2 of 5 ?I
PERTINENT
Safety
1. T•raffic shall be allowed to pass and to be protected at all times. If it is not
possible to allow traffic to pass, a suitable detour must be provided and plans
submitted to the Director of Public Works 72 hours in advance.
2. Barricades shall be erected in a manner which will provide suitable visibility in all
directions. All barricades shall be in good condition, and all signs shall be of such
size and legibility to provide adequate warning to oncoming traffic. At least two 7"
flashing amber lights shall be mounted on each end barricade with one on an advance
warning sign. '
3. Excavations must be shored or sheeted when necessary to prevent under-mining of
roadway, trailways, utilities, or for safety reasons.
4. Guys or stays shall not be attached to tiees on right-of-way or private property
without written permission.
5. Flagmen shall be furnished by the party or organization performing the work whenever
the work being done creates a hazard aither to the traffic using said road or the
personnel engaged in the construction, or when directed to do so by .the City.
OPERATIONS
1. Permit on Job--Permits or copies shall be kept on the site of the work while it is in
progress in the custody of the individual in charge, and shall be exhibited upon
request made by any City official.
2. Provisions and Specifications--These general provisions, specifications and Std. Plate
P-1 shall be considerad as forming an integral part of each and every pexmit issued for
operations within Eagan. The work authorized by this permit shall be done at such time
and in such manner as shall be consistent vith the safety of the public and shall
conform to all requiraments and standarda of the City. If at any time it shall be
found by the City that the wrk is not being or has not been properly performed, the
permittee, upon being notified by the City, shall immediately take the necessary steps,
at his own expense, to place the work in condition to conEorm to said-requirements or
standards.
3. Execution--The permittee shall usa diligance in the execution of the vork authorized
under this permit in order not to endanger or unciecessarily obstruct travel along any
road or trailway. Operations shall be so conducted at all times as to permit safe and
reasonable free travel over the roads and txailways within the limits pf the vork
herein prescribed. All safety measures for the free movement of'traffic shall be
provided by the permittee at his ovn cost.
4. Conformity to Iaws-•The installation shall be made ia conformity with all applicable
laws, regulations and codes covering said installations. All installations shall be
made in con£ormitq with zegulatione of govarnmental agencies for the protection of the
public.
a. The applicant shall furnish a bond or financial guarantee in the amount to be
determined by the City which is required to ensure adequate & timely completion
of repair. This bond or financial guarantee shall remain in effect for 2 years
subsequent to completion of street repalr to protact the City f;om defects in
material, worlmanship or non-compliance vith City Standards or specifications.
Permit No. Page 4 of 5
?
12. Vehicles or equipment traversing roads or trailway aurfaces shall not utilize studded
or chained tires, caterpillar traction, or any other form of traction which will result
in damage to the surfaee. `
13. Clean-Up--Street, trailways and affected right-of-way shall be scraped clean at the end
of each work day and swept clean after construction is completed and left in a neat and
presentable condition.
14. Trees and Vegetation-Burning or disking operations and/or the use of chemicals to
control or destroy trees, brush and other vegetation is prohibited without prior
approval £rom the City.
15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and
maintained satisfacCOrily until the turf is established.
The undersigned hereby declares he/she has read and will comply with all the PERTINENT
REGULATIONS as stated above and relevant City Ordinances.
DATE: SIGNED:
Revised 5/93
LTS#1-PERMIT.F2S
L
PAGE 5 OF 5
PROPERTY LiNE ?
SAME AS REMOVED
(3" A1INIMU/A)
SAM1E AS FiEMOVED
(6' MINIMUM)
1. Curb and Gutter shall be removed only after saw cutting at joints and replaced
according to specifications or Standard Plate.
2. Bituminous pavement area removed shall be saw cut priot to patching.
3. Boulevard sod removed shall be replaced with minimum 4" of topsoil and cultured sod.
4. 2341 bituminous wear course sha11 be paved between May lst and November 15th for
permanent patch. Temporary cold mix patch should be used November 16th to April 20th
(or as permitted by weather).
5. Class 5, 100% crushed aggregate base.
6. Roadway closures in accordance with Appendix B- Traffic Control for street or highway
work zones - MnDOT/Ml]TCD.
7. Bituminous trailway closure requirements same as roadway in #6 above.
8. Backfill shall be thoroughly compacted by the "Specified Density Method" of compaction.
All suitable backfill material placed below a depth of five (5) feet below the final
pavement surface shall be placed in maximum lifts of twelve (12) to eighteen (16)
inches and compacted to a minimum ninety-five (95X) percent of ASTM Specification D698-
64T (Standard Proctor Density), method "A". All suitable backfill material placed
within five (5) feet below the final pavement surface shall be placed in lifts not to
exceed twelve (12) inches and compacted to a minimum of one-hundred (100X) percent of
the above ASTM Speciffcation.
city of eagan
PUBLIC
WORKS
? DEPARTME
?
STREET AND BITUMINOUS TRAIIWAY
EXCAVATION/PATCM DETAIL
TRAFfIC CANTROL REQUIREMENTS
approved ; standard
plate
5l93
P-1
TRAILWAY I
s. N07E: BUI.DINC, DIMENSIONS SHOWN-ARE -faq Fi0?iIZONTAL ; .
- VEFtTICAL LOCATIOH'OF,.S7RUCTURH.,•OHLY.SEE::. ..:.,C. .."
AFWI7EC1'UALPlANS FOR BUII.DING B fOUNOATICN '
. ' OIMENSpNS. .
,- NOTE: NO SPECFIC SUIIS INVESTGATION HAS BEEN COAIPLETED •
. ON THIS LOT-.BY THE SURVEYOR. TFE SUITABILITYOF -
SOiLS TO SUPIOR7 THE SPEqFIC HOUSE PNOPOSEp IS
, HOT THE RESPONS191111'Y OF THE SUqVEYOR. '
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMEN7 SET SCALE: i INCH -;,30 FEET
& DENOTES IRON MCINUMENT FOUND PROpOSED GARAGE PLOOR 985_3 FEEf
XOOOA DENOTES EXISTING ELEVATION PflOPOSED 1Q411ESF FLOOR , a74•9 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF 9LOCK = Hd3,7 FEET
WE HEREBYCERTIFYTO RA. KOT HOMES THAT THIS IS A TRUE AND COFiAECT
REPfiESEN7ATION OF A SURVEY OF THE BOUNDARtES Of:
Lot 21, Block I, GREAT OAKS, according to ihe fecorded plat ihereof, :
Dokoto Cwrdy, Minresota.
IT DOES NOT PURPORT TO ShIOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT A$ SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERViStON 7HI5 30TH DAY OF MARCH 1993.
SIGNED: MES R. HILL, INC.
PROPOSED OHADE4FIOMMI WFNE TAKEN j" ?
F110M ?HE t?l1ADIH0 0°oN[lDM1gNT ?-
PLAN. PNOVIpED !Y BRW , Wc. g1':
JOHN C. YLARSON, LAND SURVEYDR
MINNESOTA LICENSE NUMBER 19828 :
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PI:ANNERS / ENGINEERS l SURVEYORS
2600 W. CTY. RD. 42 ? BURN$VtLLE, MN' 56337 ! 612-690•8044
For Office Use
j Permit
City of EPermit Fee: col
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: ;
Phone: (651) 675-5675 i staff:
Fax: (651) 675-5694 1
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Y 7 / Site Address: 916 (0 61qa OCt Tr- ~G( Ct•i lqN S' 2 3
Tenant: I V B~G Suite
RESIDENT / OWNER Name: Phone45-( 206-,S2 67
Address/ City /Zip: P6 o 1re..e,+ K q°`
Applicant is: Owner -f`- Contractor
TYPE OF WORK Description of work: S`~'JC o u~a ✓u ( aA a p ~a c,z ,
Construction Cost: I~ C Multi-Family Building: (Yes. /No
CONTRACTOR Name:A Akeloi-c s_R}cc c, t k'\A-\ C, License -Lo 2 'clo (0 q
Address: 1 Z`{ 3 &S-~ ~2p fkA s4vee~_
City: State: M N Zip: ET65-7
Phone: 67~-( 5-4z Contact Person: 3) a`
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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 the are trade secrets.
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 )Ct.4 Q ~ /G ~Ye x 'el
Applicants Printed Name Applicant' ign re
Page 1 of 3
r - - - - - - - - - - - - - - - -
For Office Use
I Permit I
I
City of Ea a~
i ~y (f~
I Permit Fee:
3830 Pilot Knob Road AV& +w ,,.,9
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 j sta I
Fax: (651) 675-5694 I _ I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION edt6dJ ~
~ ~fi ors ~ ~ (
Date: CC I n Site Address: V C r
Tenant: G 4 P1 ~ Slfq!q A✓I Cp Suite
RESIDENT/ OWNER Name: Kqe ri C_ S 1 W,K-L o V tC k Phone: , 12 ' zo 2 L• 33L
Address / City / Zip: ~V a*-
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
tto
Construction Cost: 3 ~o 6 Multi-Family Building: (Yes / No
CONTRACTOR Name: A, )1 t'd'H"? J License f'
Address: 71A W I ~O t S T*
City: U'44 / State: A4 k Zip:
Phone: 9SZ:2 - ~ Contact Person:- K.~r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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.
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 understanq this is not a permit, but only an application for a permit, and work is not to wi out a er that the work will be in
accordance with the approv d plan in the case of work which requires a review and approval of ns.
x x
Applicant's Printed Name Appli nt`s Signature
Page 1 of 3 -
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Stonn Damage
Single Family _ Garage _ Porch (460ason) _ Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of - Plex _ Lower Level _ Poor - Miscellaneous
_ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding Demolish SuildIW
_ Addition _ Move Building Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows Demolish Foundation
Replace _ Repair _ Egress Window Water Damage
_ Retaining Wall *Demolition of entire buNding - give PCA handout to applicant
DESCRIPTION
Valuation qtav-0 Occupancy MCES System
Plan Review Code Edition SAC Units
(25%- 100% Zoning city water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction V41? Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) 4 Final / No C.O. Required
Foundation HVAC
Drain Tile Other
Roof: -Ice & Water ,,-Final Pool: Footings TAir/Gas Tests _Final
Framing Siding: -Stucco Lath _Stone Lath -Brick
-T° Fireplace: -Rough In Air Test Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By:~--~ , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC D C~
City SAC
Utility Connection Charge 57 LO
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
LL 44? 29x,.1
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R.A. Kot
HOMES • INC.
FACSIMILE TRANSMISSION SHEET
TO: al Est t
FROM Ct C C-
DATE : 6
FAX PHONE
# OF PAGES (INCLUDING THIS COVER)
MESS AGES : a +1 H l ~ C~ J
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FAX 952-447--2814
OFFICE 952 447-2806
08/27/2009 20:41 952-447-2814 R A KOT PAGE 02
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