868 Great Oaks Tr, CITY OF EAGAN
3830 Fflot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: , „ i
? ?;? t;,???i?? ;?,t•?i? ,.? i ii
PERMIT SUBTYPE:
,1 ,
TYPE OF WORK:
W :" N " 1 i'f
?"/e:, /9q
INSPECTION .• . ..
I ;,n I ,4 1,
I I ;1 MAF+t '•.> , n us•i 14 14 M ni itiI I i I I r,Nit a'. ?' 4 E41
?
J i
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
t, i f . ; APPLICANT:
Permtt No. .
Parmtt Holder ?
Date
Telephom #
? SM!
PLUMBING
a
HVAC .
EWMV
ELECTRIC lO D 00
ELECTRIC XWO w
Inapection Date Insp. Comments
Footings 1
Foundation
Framing ? s
Rooflng
Rough Plbg.
Rough Htg.
Isui.
Rreplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notity Plum6er
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
peck Finai
weli
Pr. Disp.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
657-681•4675
NswConatruction Reauirements
• 3 registered sile surveys showing sq. ft ot bt, sq, fl W house; anLU moled areas
(20% maximum bt covere9e albwed)
• 2 mpies of plan showing beam 8 window shes; poured Tourid design, etc.)
• 7 set of Energy Cakulations
• 3 apies of Tree Preseiwatlon Plan H lot platted efter 711193
• Rim Joist Detail Options selection sheet (blCgs with 3 or less unBs)
DATE E-oV-OI
JOB SITE ADD
IF MULTI-FAMILY
PROPERTY
TYPE Of
APPUCA
ADDRES:
PAGER A
_0Y1 _2
t 6s/-?87-098`7
CODE ss ia3
65/-686 -
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category MINNFSOTA RULES 7670 CATEGOR ??????7
(check one) - Residential Ventllation Category 1 Worksheet ? mitted ?
- Energy Envelope Calculatians Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanieal Contractor. _
Mechanical System Includes:
Sewer/Water Confractor.
MANY UNITS?
/?,i16 ge-
_ Water Softener _
_ Water Heater _
No. of Baths
Air Condiuoning
Heat Recovery System
Phone #
Fee: $90.00
Fee: $70.00
All above infortnation must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is cortect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi ces.
Signalure of Applicanf ?'.z X f-a
`Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
' . _ ' ? Updated 7/01
RemodeVRaoairRwuirem
4]v,oa
el Z??v I
. 2 copies of plen I L,?, ^
. 7 set of Erieqy Calwlatiore fa heated addifbns ?? ???
. isnesurveyrorextedoradaroons aaeas
. lidirate R home served by septic system lor additions
VALU/[ION '#70000
/ gin". MAI
Phone Ik:
Lawn Sprinkler
No. of R.I. Baths
Phone #
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of _ piex
? 04 02•plex
? 05 D3-plex
O 06 04-ptex
? 07 05-plex O 13 76-plex
? OS 06-plex ? 18 Fireplace
? 09 07-plex ? 17 Garege
? 10 08-plex ? 18 Deck
? 11 10-piex 019 Lower Level
O 12 12-plex Pibg_Y or_ N
0 20 Paol
0 21 Porch (3-sea.)
? 22 Porch/Addn.(4•sea.)
? 23 Porch (screened)
? 24 Stortn Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
p 31 New ? 35 Int Improvement ? 38 Demollsh (Interior) O 44 Siding
O 32 Addition O 36 , Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
0 33 Alteration O 37 Demolish (Bldg)" O 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Uemolitlon (En4Ire Bldg onty) • Give PCA handout to applicant
Valuation Occupancy if? 3 MClES System
Census Code Zoning ?L City Water
SAC Units ? Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ? Width
REQUIRED INSPECTIONS
_ Footings (new bldg)
_ Footings (deck) ? FinaUNo .O.
_ Footings (addition) Plumbing
Foundarion
Drain Tile
Roof Ice & Water Fina] Other .
? Framing -
Fireplace R.I. Air Test Final
?J Insulation
Approved By !,( , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Pertnit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
` Other
Totai
<.
FinaVC
C.O.
IiVAC
_ Pool Ftgs Air/Gas Tesu _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
/?aZ?'/IS REQUEST FOR EIECTRICAL INSPECTION
0020920 10, See instrvclions for compleling this lorm on Cack of yellow copy.
-?-• "X" Below Work Couered by This Request
•
cf?/9
..?...
e Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater Electric Heatin
Apt. Building Dryer Load Mana ement
Comm.llndustrial Fumace Other S eci )
Fartn Air Conditioner
Other (specHy) Contrectoia Ramarks:
Compute Inspaction Fee Below:
# Other Fee # Service Entrance Size Fee
6 # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 76 ` 0 to 100 Am s G?
TransTOrmers Above 200_Am s j AbweizaLQ -Am s
Si fiS Inspectors Usa Onry: TOTAL
Irrigation Booms ?
5 ecial Ins ectlon
Alarm/Communicatlon THIS INSTALLATION MAY BE O CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M. S. /a (
I, the Electrical Inspector, hereby Rough-in
[
certiry [hat the above inspection has
been made. Finei ?e
OFFICE USE ONLV
Thia requesl voM 19 months Irom
9 PY
Raq est Oete Pireo. Rough-In InsOacllon Required
(YOU must call inspector when reatly) Inspectlan OtherThan Roughdn
0 Reetly Now ? Will Notity Inspector
Z S ? Yas ? No Dete ReaO
IN licensed contractor ? owner hereby request inspection of above electrical work at:
JoC Atltlras
9 (Street, Bax or Rauts No.) Ciry
p
-TR 69 QGAT 69KS It?/7'v
Sectlon No. Township Name or No. Range No. Coun
KU?
Occ?p nt?PRINT)
a
K Phone No.
7- 9?! 3
.
c r
aawa upplier
? nearess
i4rCo;A
<cc;nd /32.n?,v6 iV.j
Elecvi Contraclor (Campany Name) Cont2ctor's License No.
M o9_ e ? E-c ,-;e lc =L n- c L'f? /?/?32
Meilin Adtlreas (C Vactor or Owner Meking Instelletion)
.a. 111 5 1,2
Aulhor' e Signeture (ConiraqorlOwner Making Instellalion) Phone NumCer
_ 95 -5 =L f66
MINNESOTA STpTE BOAND OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT
Grlgga-Mltlwey Bltlp. • Hoam 5-748 BE ACCEPTED BY THE STATE 80AFD
1827 Unlvaralty Ave., SI. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phem (812) 802-0800 ENCLOSED.
Zo'?' o?- y REQUEST FOR ELECTRICAL INSPECTION
O O 1 O10, See insiruMions for completing Ihis lorm on back ot yelbw mpy.
V „X" Below Work Covered by This Requesf
EB-00C001-09
?:rW g1
Ne Add Rep. Type of Bullding Appllances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
A t. Builtling Dryer Load Mana ement
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Olher(specify) ConVectofs Remarks:
Compule Inspection Fee eelow:
# Other Fee # Service Entrance Size Fee # Cirouits/Feeders Fee
Swimming Pool 0 to 200 Am s 0 to 100 Am s
Transformers - Above 200_Am s Above 100 -Am s
51 Jf15 Inspe<[or's Use Onty: ?-, 7QTAL
5?
Irrigation Booms ?=, ? ?D
Special Ins ection ? ? {'?
Alarm/Communication THIS INSTALLATION MAV BE ORDE{1rB?DISCONNECTED IF NOT
Other Fee COMPLETEO WITHIN 18 MONTHS.
I, the Elactdcal Inspector, hereby Rough,in oate
certify that the above inspection has
been made. Finai oa U
OFFICE USE ONLV
This request voitl 18 monihs irom
l(O?Z0?10
Request Oate Fir No. Rough-In Inspection aqulretl
(YOU must cell Inspecbr en rsetly) Inspeclion Olher Then RougRln
? Reetly Now ? WIII Nofity Inspector
n
? ?• ? ? Ves ?NO Date Read
I;Nlicensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlross (Sireet, Box or Route No.) City
< <e E//T Kf IkAi? ?/ICi4nJ
Sectlon No. Township Nama or No. Renge No. Couf?
U/? K c9 i?Pl
Occ nt RINT)
lC Phone No.
7-9sl3
o ? ,m?
,
Power
pplier
?
1 Adtlreas
e
-
Fi+
;R,c
Korn
4'ec m Na ,
o,v
,
Elecin Comredor (COmpany Name)
N/1SE CLG CTk'iC ?NC C?ontrnaaor's license No.
c,/7 OI,?22
Maill?g Atltlress nvactor or Owner Making Installation) ,/
U
?
2
/?
. .
?a/ /?Lt ll?t<e-y
y
Aulho ' Signelure (ConV torlOwner Making Inatalletion) Pnone Number
z 9-5 a
MINNESOTA STATE BOARD OF ELECTRICITV / Sv? ? THIS INSPECTION REUUEST WILL NOT
Gtlggs-Mltlwey Bldg. - Noom 5-128 /p?lP• BE ACCEPTED BV THE STATE BOARO
1821 Univarelry Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(81Y) 662-0800 ENCLOSED.
Address 868 GttEar oaxs TRuL Zip 55123_
I,ot 2 Blk I Sub nW Wnrnanms enu
THtSE T'I`EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding) P-1-
Permanent steps (garage) ?
Permanent steps (main entry) ?
Permanent driveway
Permanent gas
Sod/Seeded gtass
TraiUcurb damage ?
Porch V?
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 outside lawn faucet before freeze potential ezists.
Contad engineering division at 6814645 before working in right-0f-way or installing underground sprinkler system, ?
Whire - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
68572
2005 RESIDENTIAL BUILDING PERNII'C APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion ReauiremenLS RemodeVReoalr Reouiremenls Otfice Use Onlv
3 regislered srte surveys showing sq. ft. of lol, sq. ft of house; and all roofed areas 2 copie,s of plan Cert of Survey Recd _ Y _ N
(20% maximum lof coverage allowed) 1 set of Enertgy Calculations for heafed addNOns Tree Pres Plan Recd
` _ Y _ N.
2 copies of plan showing 6eam 8 windaw saes; poured tound design, etc. 1 si[e survey for additbns 8 decks Tree Pres Required _ Y _ N
1 5et of Energy Calalalions Add'dion - indicafe ff on-site sepUc system Onsite Septk Sjstem _ Y _ N
3 capies of Tree Preservation Plan If lat plaHed aker 711193
Rim Joist Detail Options selecl'mn sheet (buildirgs wifh 3 ar less unGs)
Date Construction Cost
Site Address l,eA,-L UniGSte #
Description of Work f-Ku « &Rov.41 v
Multi-Family Bldg _ Y)? N Fireplace(s) _ 0_ 1 _ 2
Property Owner dG ys R ? U ne #( )
Contractor
Aadress By
State Zip 65`0-/? Telephone #((? /) 6?'? 65'.ER
?
?
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
(J submission type) • Residential Ventilation Category t Worksheel
Submitted
• Energy Envelope Calculations Submiqed
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheel
Submitted
Y_ N If so, 25% plan review
Telephone # (
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
appro al of plans.
G,?.? //?/ EGiEG.i?J
Applicant's Prmted Name Applicant's Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsVUCtion Reauirements
• 3 registered site surveys strowing sq. R. oi lot. sq. ft, of house; and all mofed areas
(20% maximum bt coverage allowed)
• 2 copies 6t plan showing beam & window sizes; poured found design, etc.)
• 1 set ol Energy Calculations
• 3 wpies of Tree Preservation Plan if lot platted after 711193
. Rim Joist Detail Options selection sheel (hldgs with 3 or less units)
DATE & ? IV- o-z--
S
RemodellReoair Reouirements
. 2 copies o( plan
• 1 set of Ener9y Calculations for heated additions
• 1 site survey for eztenor additlons 8 decks
. Indicate if home served 6y seplic system for additions
VALUATION ?? q,?13 7
SITE ADDRESS U`e ? ?i?Pec4 Ot k- S Tr MULTI-FAMILY BLDG _ Y N
TYPE OF WORK R'e- rU U?-' FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ?5u-Jklr6Q'fl- DkT'2[ri OrS
STREET ADDRESS "/ `tO (v r??
TELEPHONE # '7 rZ-??(?Z3ZCELL PHONE #
?"-a-?LIP ?S 337
FAX #
PROPERTYOWNER f?00h0nC(. LL?-_ TELEPHONE# 651-?d 7-o/0 7
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNLSC)"l':\ RULL'S 7670 C.,VFEGORY 1 MINNCSO'1':1 RUI.ES 7672
(d submission type) . Residential Ventilation Category 7 Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
PlumUing system includes:
Mechanical Coniractor:
3'Icch.wical svstcm includcs:
Sewer/Water Contractor:
Watcr Soltcncr _
Watcr Hcatcr
-- No. of Badis -
Air Conditioning
Hcal Recovcry S}_stcm
Phone #
Fcc: $90.00
Pcr. $70.00
-------------------------------- °----° ----°-------------- • °-------------------------------------°-
I hereby acknowledge ihat I have read this application, state that the informo ' orrect, or)e
with all applicable State of Minnesota Statutes and City of Eogan in s.
Slgna}ure of Applicanf
`t
OFFICE USF.
_ Phone #
Iawn Sprinkler
No. oE R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Reqvired -`_ '
Updated 4/02
?•
q'
?
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
•? ?; ? 17. ??
SINGLE & MUL`iI-FAMILY 2 sets of plans, 3 registered site surve ,FQ?????-
calcs.
?du?`?, y. 1994
COMMERCIAL 2 sets of architectural & structural pla s, 1 set of
specifications, 1 copy of energy calcs. ---------------
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date H /I 8 /Valuation of work 000
Site Address: _ 0(08 pqk5 'TP=b,ti.-
STREET !TE #
Tenant Name: (commercial only)
IAT Z
BIACK ?
D. ?pti
/?vfr/i??
P.I.D. Vk
Descri tion of work: ? e-p'51 I A?-
The appl i cant i s: R Owner Contractor ? Other (Deseribe)
Name IL±T 10- A. .?rrr I?o,n?E,S i? Phone "87 -951z
Property LAST FIRST
Owner Address ?9o t v
?P2'- 14AW;z-- !f-?
SE
STE # ??' .L A
-r
1
City ,?2pE UQL-L.State MN Zip ?
Company sA-yy.e: A S 4'Bc>J Phone
Contractor Address License #Gr>o ISa,6 Exp.
City State Zip
Company . . L. Phone ?8?1 -951 ?
Architect/
Engineer Name OA402El-1. LA%.1 =rJ Registration #
Address '
City r??C-RA.N State Zip
Sewer & water licensed plumber 4 evJ r11 Processing time for
sewer & water permits is'?two days nc area has been appro ed.
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.
Signature of Applicant:
'
?,
OFFICE USE ONLY
BUILDING PERMIT TYP E
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc. 0 17.Swim Pool
0 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
A(31 New ? 33 Alterations ? 35 Tenant Finish 0 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INF ORMATION
Const. (Actual) V.-N Basement sq. ft. i,bs9 MWCC System ?
(Allowable) IZ-14 lst F1. sq. ft. bsra d
? City Water
UBC Occupancy /2-3 2nd Fl. sq. ft. ?? z WJP?' PRV Required
Zoning Sq. Ft. total P% ? Booster Pump
# of Stories zW r,,,. Footprint Sq. ft. z,o A ?(5i" ,Fire Sprinkler
LePgth 70.33 On-site well ode
?N
o
i
1' ?'
S
De th sa On-site sewag
e i
r? /SAC
Code
40/
" Census Bldg
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
?.Site
? Wallboard
EYFooting
& Final
B=Framing
0 Draintile
fFInsulation
? Fireplace
Permi t Fee v.w.eim: $ Z2 ?, Ooo "
Surcharge S,
Plan Review l-???• z"° f«- ???^at
License zx?Z = z? zx /_ • Lv yf.G7t 3 z° 6$3
MWCC $AC ZX?y ° z8 ? eR ?y c lb$ „r <Lx 9.?7> = C l9 ?
City SAC q 2F s
Water Conn. vXyz = lGa vx Ho = i(00 ,?? n ?v.s3 = s
Water Meter yz y? -?sL yKv? `/Hy //•G7X 3•3j ' 3S
Acct. Deposit lJx 56 ib. ssFSZ = evs z X 2-1.67 = v??
S/W Permit S•GY6 = tfo( 76,1 x i6=
Z z ?1b = 9!c 4X yo = Irno
S/W Surcharge 2. zo,s7= yi
r6 7 x y5 = r9e
Treatment P1. vx?l ° ye
N F 2s- '/°° = yo SrtFtK ??ecN
Road Unit /9.83x2 - -
P2Pk D2d. Yx IZ ' yr' ??y:s:?zr) =<NZ) ?o z i- Z= ?z.?
Trail s Ded. zx /•73 ° 3 o•rr y0 `<?s? s z xz ' Z
Copies ?1.c7
vu a - L
Other i,ra?z x S!= i??z.-sv= iF/X 440
(a? ??o
Total : osM.. 90, zas 90erza _
sac %
SAC Units
i,?sy xis= ZH, fIf's
zar 737
-----
*?
* ?
? sn'1'"p n
?
* 4 1+. *
2422 Enterprise Drlvo
ldendata Heiqhts, MN 55120
(612) 681-1914 FAX881-9488
625 Highwoy 10 N.E.
Rlain?, MN 55434
(612) 783-1880 FAX:783-1883
Certificate of Survey for: R.A. KOT H4ME5 _
660 OREAT OAKS RAIL
,
SY
PltorDSFif dtA?lB ?IWNi1 PER ptADMC PuH er B R w
GtilF.i
WIK WNF't Wi14L59AY bEM.
?
7H15 CER71RCAlE Dtl[S NO7 MIkp01t7 TO SHOW EA9P31FNT8
oTKR 1MAN 7HDSE BHOMM ON iHE R[CqiDFD PIAT,
nv f wn.a nonnal ?s eMir wetPl.Ehn oti tHis
f.fl?, -tA81lJ1Y OF eqlS t0 gJpipti iHE IO NoUeC la NoT 7HE RESPCNSBrtItv or nrt 9l"Yat.
k oeU.tid bbno4?4 lExfating Elevation
-1OOli.?o ? bbhot64 Propb§ed Elevatlon
:_ banb}ae bralndge !k UNfity Easement.
'? ^ DliinctAe Oibfndge Flow Dlrectton '
i? bendtea Monumen!
-91 -- b6noldi ONeet Hub
SCALE : 1 INCH = rEET
BEAaa+as aHOxn Ap[ AsWpdEe
PROP04En H` O 1cr?l FYA?ON
Lawes! Floor Elevatlon: ?•?
7op of 81ock Elevation:
Garpge Slub Elevutlon: ;a °?•2-
" k - MtIftgY fthTIiY TO ii. A, KOT FIOME3 1HAT 7HIS IS A TRUE AND CORRECT
fFO1iM, N1'ATION UP A SURVEY 0P THE 13OUNDARIES OF:
- Ln1' e:, bLOCK i, rHE woooLaNns FOURTH ADQITION
'' .'bbkUl`A' . CbUNTY; MINNE50TA
I? 60?8 N07 pURPORt TO SHOW IMPRtlVEMENTS OR LNCHRQACHMEN?S, EXCEPT AS SHOIMJ, AS
SUoVEYEb 6Y Mt tiR UNDtR MY DIREC? SUPERVIS40N THIS 14TN pAY OF NON. ; 1994 .
fzs?is.
?(G. ED; : FIONEER ENGINE IN.A, .
7 , • ?. ?,.. _.. .
....
n C. Lareon. L. . ea. b. 2
. V * *
* ptoA
* tl
****
2422 Enlerprise brlve
Mendoto Nelghls, MN 55120
. dvn wa?+s (012) 001-1914 FA)f: E81-9489
JASUVE A CM1[tT6 625 Highwoy to N.E.
Blntne, MN 55434
(812) 783-188D FAX:783--1883
Certificate of Survey for: R.A. KOT HOMES
i
? PONDJP-14
T9^ HWIV=8g
.94.0
s °sB s\
L ?
BEIVCFI. hiAhk
ToP OF WpE
E LE Vp d6d.D•S-:??
?
dq s j2
O4 oq?
rELE: H tv pEb?t?;.???:
wareq
saN, s?wt? LiN? ??
(y1s,s1
e7 5.6 1
e?z5t ?
'
M `? gE
M `?/Ya
,
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i
I
I
`DRpiNAGE PONDMG d
U71LITY ?ASE-
MENT PER PLlif\
3
2
p a
?m
?T
x s ts.a
-? /
??, K J(87t?E/ ?g6RL)
II.B QO :`°• ` c
O?•- 4,d0 4?0 8 , `-''/I cn.l C.t
878.27
?Q 887.6
? A v!
? ?g 5.
. ? +_'TOPCOFPIPE
` ''`TRANS. ELEV! 886.98
h'ger.s "
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? s
4n
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?PkIVA7E bRIVE EqSEMENT
\
I
fe1et
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECOnL
PERMIT TYPE:
Permit Number:
Datelssued:
0, .
12/02/'v-.
SITEADDRESS: Lor: z BIOCK:
868 GREAT OAKS 7R
THE WpODLANpS 4TH
PERMIT SUBTYPE:
SP DWG
1 APPLICANT:
KOT HOMES, R A
(612) 687-9513
TYPE OF WORK:
NEW
INSPECTION
FOOTINGS .. .
FOUNDATION .A
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: S& W PLBR - MATTHEW DANIELS PLBG
- - _.. _ . . _ _ . _ _ .. . _. .
? _ . . . _, _,. . ._ .. . ?
.
? ?
-CITY OF EAGAN
3830 Pilot Kno6 Road
- Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.S.N.: 10-75879-020-01
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
868 GREAT OAKS TR
LOT: 2 BLOCK: 1
TWE WOODLANOS 4TH
?l2?YY`jy
BUILDING
024918
12J02/94
DESCRIPTION:
,--
Buildi'g?,Permit Type SF DWG
Bluilding WoKrk 7ype NEW
,-UBC Occupenpy'-R-3 M-1
/,Construction Typ,?e V-N
Zoning R-1
? 8uilding Length ? 70
` Building Width 58
Building stories ,--? Z
e Feet ? 2,701
?
?-
?r?
REMARKS:
S& W PLBR - MATTHEW DANIELS PLBG
FEE SUMMARY:
VALUA7ION
Base Fee
Plan Review
Surcharge
SAC
3AC %
SAC Units
Subtotal
$1,080.50
$702.33
$113_00
$800.00
100
$2,695.83
CONTRACTOR:
KQT HOMES, R A
7901 UPPER
APPLE VALLEY
(612) 687-9513
$226,000
MISCEILANEOUS $1.628.50
Total Fee $4,524.33
- Applicant - ST. LIC.
16879513 0001506
HAMLET CT
MN 55124
OWNER:
R A KOT NOMES
7991 UPPER
APPLE VALLEY
(612)687-9513
HAMLET CT
MN 55124
I hereby acknowledge that I have read this
infiormaYion is correct and agree tn comply
5 es and ' y of Eagan prdinances.
APPLI N /PER EE SIGNA7URE
L
application and stete that the
with all applicable State of Mn.
J
BV: SIGNATURE
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
X NEW CONSTRUCTION
ADD-ON A/C
E1DD-Oiv FUIYNAC.?
FIREPLACE INSERT
DATE k -I(n - G!F--)
FEES
HVAC: 0-100 M BT'LJ $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH) 3. bc)
ADD-ON/REMODEL (ExlsTnNG CoNSTRUCTION) $ 20.00
STATE SURCHARGE .50
TOTAL ?M, 66
5IT'E ADDRESS: 8L)P) C,q' .A -\cr,
OWNER NAME: 12_ R.\?c* TELEPHONE #: COP51 -g 5
SIGNATURE OF P M E
1994 MECHANICAL PERMTT (RESIDENTTAI,)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
CI'I'I': STATE: ?1 - ZIP CODE: FY??&
TELEPHONE
CITY USE ONLY L ?Z BL ? RECEIPT
SUBD..i1?Kt_ I?DU?dS? DATE: ?? 5
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
ui1CWEi 3.(}0 X a-- c (o . bb
Water Closet 3.00 x y = ??-CS0
Bath Tub 3.00 x I = 3 bo
Lavatory 3.00 x od
Kitchen Sink 3.00 x ? _ ?• ot=
Laundry Tray 3.00 x 3o0
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x
Gas Piping Outlet " minimum - 7 3.00 x (-Z-- dO
Rough Openings 1.50 x
Water Softener 5.00 x =
Private Disposal i Dakota Cty. license 20.00 =
U.G. Sprinkler " home under const. 3.00 =
Akerations * to existing 20.00 -
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
'7 1. c7o
SITE ADDRESS:
OWNER NAME: P%1^11
INSTALIER NAME:
STREET ADDRESS:
CIN: `?'?-->-?--?- STATE: ZIP:
PHONE #: ( (-(-L
?Q?__?
LOT Z BLOCK L 5UBD.`?'? LUMOG? 10?
RECEIPT # DATE fl?
1?S
1995 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS: FORM MUST 8E COMPLETED BY LICENSED:PLUMBER
Date: ?-! 3 -45
Area/address to be
Installer. -/tlpl `?T
Street address, 146
Commercial GPM
? Residential (boulevards) GPM
Existing residential
. Sb e - Gre4.f- Daks
0?p_
Owner ? Plumber*
City, state & zip code: ? 1?4 .??VVPhone #:
Owner Nam
?O_V-
555-311!? a?ll
Street addresq- Z75a.?.ll?-1
City, state & zip code: Phone #:
irrigation contractor, if different than installer:
Telephone #: -,j 415 " ?(o <-(( i
I hereby acknowledge that I have read this application, state that the information is correct, and agree
to comply with all applicable City of Eagan ordinances. It is the aaplicanYs responsibility to notify
the property owner that the City of Eagan assumes no liability for any damages caused by the City
during its normal operational and maintenance activities to the facilities constructed under this
permit within City propertylright-of-way/easement.
ApplicanYs signature Titi?-
Approved by:
Oate:
PRV ? Yes ? No New service ? Yes ? No
Meter Size & Cost
Fees due: n9o, 5o Calculated by:
SS B' 91S /l-c ,c3lv
PROCEDURE FOR IRRIGATION SYSTEMS - 1995
An irrigation permit is required - please contact Protective Inspections at 681-4675.
Fees
Commercial project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee only if new service is installed.
$300.00 per tap if installed by City.
12esidential praject: $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.
-"72.00 ^Pr Cpt?.^.2C+lo!] - wBtP!' treafinent far,ility
Exist7ng residence: $20.50 irrigation permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed).
Meter charge: If gallons 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 will be sold 6efare 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 Pubiic Works Department may be reached at 681-4300 for water turn-on and sei
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A M. insoections should be made on the oreceding work day. Reauests for PM inspPCtions will be acceoted
until 12:00 noon.
LOT BURVEY CHECRLIST FOR RESIDENTIAL
? BIIILDING ERMIT J?PPL ATIO
-
pROPERTY L GALS ?
?
aa . ot survy= J141 q `f
z
-
DOCVMENT BTAMA 8
I (l Z/l /
?
t
D? D 0 ? Registered Land Surveyor signature aad company
LY ? 0
0 • Building Permit Applicant
• Leqal description
LY 0 0 • Address
C? D
0 D
13 •
a North arrow and -ber ccale
Iiouse type (rambler, waikout, cp13t v/o, split entry,
fr'?0
13
• iookout, etc.)
Directional drainage arrows with slope/qradient t.
E'D 0 • • Proposed/existing Qewez and water services
P D • Street name
D • Drivevay
LLERATSONB
6' D
0
• Lxietinc
sewer service
0' I7 0 • Lot corners
8'0 0 • Top of curb at the driveway
D E'D • Elevations of any existing adjacent homes
CI?O
0
• 4renosed
Garaqe iloor
VoD
D?0 0
0 • First floor
• Lowest axposed elevation (walkout/wiadow)
L?'0 D • property corners
fl/t 0 • Front and rear of bome nt the Poundation
D?G
?
D
• PONDSPi6 I1RtAS (if anolicable)
Easement 2ine
9
?0 D • Nwi.
V D • HwL
• PonB # designation
D 13 • Eloergency Overflow Elevation
D • Lot lines
9:?0 0 • Aiqht-of-way and street width (to back of curb)
D,'D D • Propoaed home dimensions including ar?y propoaed decks,
overhangs qzeater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
?G D • Show all easements of secord and any City utilities within
those easements
t3' D 0 • Setbacks of proposed atructure and setback of adjacent
existinq homes
?D • Retaiaing wall equirements, iF any
:
Rev3ewea: _ _-Xi- /// 9%L' -
October 1992
-
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20' - 6" DIP
HYDRANT
I:VIJIVtI.I IU tXlJlfh
6" RSV
6" - 11 1 /4° BEND
6" x 6" TEE '
24' - 6" DIP CL 52
HYDRANT (USE SALVAGED
,
CL 52
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EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER STEVE & TANYA LYON PLAN NO. 9-0926-4
SITE ADDR ESS
CONTRACTO R_R.A. KOT HOMES, INC. DATE 11/17/94 PHONE 687-9513
DETERMIME WORKING SQUARE FOOTAGE
4711.5
1. Total exposed wall area 4781.18 sq.ft. x .11 525.9298
2. Total roof/ceiling area 1854 sq.ft x .025 48.204
3. Total floor cant. area 154 sq.ft. x 0.05 7.7
(over unheated enclosed areas)
4. Total floor cant. area 79 sq.ft. x 0.025 1.975
(over unheated exposed areas)
5. Total exposed wall area above the floor. 4319.5
a. Total wall window area .................... 490.42
b. Total door area ........................... 55.6278
c. Total sliding glass door area .............142.2044
d. Total fireplace area ...................... 0
e. Total wall framing area (ave. 10%)........ 431.95
f. Total net wall area above the floor....... 3199.298
g. Total rim joist area ...................... 392
TOTAL EXPOSED FOUNDATION AREA ................ 69.68
h. Total foundation window area .............. 0
i. Total net foundation area ................. 69.68
Determine "U" value of each wall segment.
a. 490.42 x "U" 0.5 = 245.21
b. 55.6278 x "U" 0.06 = 3.337668
c. 142.2044 x "U" 0.49 = 69.68016
d. 0 x "U" 0 _ 0
e. 431.95 x "U" 0.090334 = 39.01987
f. 3199.298 x "U" 0.043215 = 138.2583
9. 392 x "U" 0.040683 = 15.94793
h. 0 x "U" 0.5 = a
i. 69.68 x "U" 0.076161 = 5.306931
6 ... .... ............................Total 516.7609
If item 46 is the same as or less than item #1 you have met the current
energy codes. 2 MCAR 1.16008 A AND O.
TOTAL EXPOSED ROOF/CEILING AREA
j. Total skylight area .......................
k. Total flat roof/ceiling framing area......
1. Total net flat roof/ceiling area..........
Determine °U° value for each roof/clg.
j. 0 x "U" 0 =
k. 185.4 X "U" 0.025549 =
1. 1668.6 x "U" 0.021801 =
1854
0
185.4
1668.6
segment
0
4.736842
36.37672
7 ...................................Tota1 41.11356
If item #7 is the same as or less than item 12 you have met the
energy code. 2 MCAR 1.16008 A AND 0.
TOTAL FLOOR CANT. AREA (enclosed). 154
o. Total floor cant. framing area (ave. 100). 15.4
p. Total net insulated floor/cant. area...... 138.6
Determine "Ulf value for each floor/cant. segment.
0• 15.4 x"U" 0.043879 = 0.675735
p. 138.6 x"U" 0.024254 = 3.36163
8 ...................................Tota1 4.037365
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) 79
q. Total floor/cant. framing area (ave. 100). 7.9
r. Total net insulated floor/cant. area...... 71.1
Determine "Ull value for each floor/cant. segment.
q• 7.9 x"U" 0.044346 = 0.350333
r. 71.1 x"U" 0.024396 = 1.734569
9 ...................................TOta1
If item #9 is the same as or less than item #4 you have met the
2.084902
energy code. 2 MCAR 1.16008 A AND O.
I HEREBY CERTIFY THAT I HAVE CALCULATED E"U" FACTORS AND "R"
VALUES HEREIN AND THAT THE BUILD ERE DESCR?F MEETS OR EXCEEDS
THE STATE OF MINNESOTA ENERGY C NSER TION Acfi /
PERh11T x
RECEIPT DATE:
U-SIDENTIAL PLUMSINfi P£RMiT APPLICATION
crrY oF EasArr
3$30 PILOT K.Y09 RD
EA6AN, M.Y 55122
651-681-9675
Please complete for:
single family dwellings , `
? townhomes and condos yvhen permits are required for each unit
? backflow preventer for irriga[ion system
?
SITEADDRESS: 8(c? q6at .sbri?
OWNER NAME: : ???iCdGrN.i1 e? TELEPHONE #: (aT/ (off'Y - OQ$11
. (AREA CODE)
INSTALLER NAME: MnbLhe[.e? ?ani8l5. INC • TELEPHONE #: 651 '123 -3'I30
`I (AREA CODE)
STREET ADDRESS: 1s236 o rro - J YV d
CITY: ew521Y16 t1 rrf STATE: Mt? ZIP S15-06g
Place a check mark next to the nermit work tvue
New residential dwelling unit under construction and not owner/occupied S 90.00
i
'? ?
Add-on, modification or alteration to existinq dwelling unit, including:
S 50.00
I • abandonment of septic system I
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround !
? Nature of work:
Septic System, new/refurbished - s 225:00 !
• fncludes Ceunty L'. Cons:;,ting Inspector fees i
• requires MPC license
?
State Surcharge $ 50
Total $ 5a.cd
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this applicaGon, state that the information is correct, and agree to comply wlth all applicabie City of Eagan ordinances.
It is the applicanYS responsibiliry to notify the property owner tha[ the City of Eagan assumes no liability for any damages caused by the Ciry during its
normal operatlonal and maintenance acGvities to the faciiities constructed under this pertnit within City prope ty/righFe -way/easement.
SIGNAT E OF PERMI EE
Updated 1lOt
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P"ag�i tsfi 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA143030
Date Issued:05/30/2017
Permit Category:ePermit
Site Address: 868 Great Oaks Tr
Lot:2 Block: 1 Addition: The Woodlands 4th
PID:10-75879-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
George S Gill
868 Great Oaks Tr
Eagan MN 55123--243
(651) 338-5300
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144334
Date Issued:07/20/2017
Permit Category:ePermit
Site Address: 868 Great Oaks Tr
Lot:2 Block: 1 Addition: The Woodlands 4th
PID:10-75879-01-020
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
George S Gill
868 Great Oaks Tr
Eagan MN 55123--243
Garlock French Roofing
2301 E 25th St
Minneapolis MN 55406
(612) 722-7129
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office >Use
44!111`' Permit* / 116 Li/g (2
Citi of Eapli Permit Fee: O j"-
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
buildinoinspectionsOcitvofeaoan.com Staff:
1.._ J
2017 RESIDENTIAL BUILDING� PERMIT APPLICATION
Date: Zp`z- Site Address: 8 b , 'f2 PtT Z . r�S I Q-A- L Unit#:
Name: _,:.„„.e3 0 S. 1,-L.-- Phone: t'5/. a,EY. 11944
Resident/ C--- r 22-3
Owner Address/City/Zip: S 6 S +Pel- S 1 (2441 t.-- Aa.l 551
Applicant is: Owner )..Contractor
Type of Work t escription of work: 51 l.)t;UO I-P- Ar Q�1-.4S 5
i
Construction Cost: ,.3, )
Cornpany: ,T / 646 3vedo T ci_Contact:P^Pet2i/23.e C-S % .JOPJ
Contrac or Address.,_.,39/h(c, t tai iQ-�E City: ILtf�cliki&4 `-1s
' / �/� 6/4-11'1.‘7... ::i
612• X04• -State:tl /Zip:,...c3461:, Phone: go Email: ,, �' D ' ; 1 &44
License#; 3,J Lead Certificate#: �'/ A54 70 / ! I
If the proj ct is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the la 12 months,has the City of Eagan issue a permit for a similar plan based on a master plan—
Ye No If yes,date and add of master plan:
Licens d Plumber: ° one:
Mechanical Contra r: Phone:
Sewer&Water Contractor: Phone:
Fire -uppression Contractor: Phone:
NO E:Plans and supporting documents that you submit are considered to be public information. Portions of the
inf. ation maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
Yo may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the ity's website at www.citvofeagan.com/subscribe.
Ext dor work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
da of permit issuance.
CA L BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before
you ntend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I he -by acknowledge that this information is complete and accurate;that the work will be i onformance wit t - ordinancr.. and codes of the City of
Eag. ; that I understand this ' not a permit, but only an application for a permit, and ork is not to start "out a per t; .t the work will be in
acco .ance with the approved p n in the case
of C---
which requires a review and appr.val of plans.
�
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Appli •nt's Printed Name Applic. gna ,re
Page 1 of 3
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