4468 Fawn Ridge TrPERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA128827
Date Issued:12/09/2014
Permit Category:ePermit
Site Address: 4468 Fawn Ridge Tr
Lot:2 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Stephanie Vought
3451 W Burnsville Parkway Suite 120
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Jonathan Hamernik
4468 Fawn Ridge Tr
Eagan MN 55123
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
4 j.CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
No
12339
PHONE: 454-8100
BUILDING PERMIT Receipt #i
%-? ; ) %C
K
To be used for SF DWG/GAR Est. Value $60,000 Date JULY 23 198 6
Site Address 4468 FWM RI= TR Erect Occupancy R3
Lot 2 Block 2 Sec/Sub, FAWN RIDGE Remodel ? Zoning PD
Parcel No Repair ? Type of Const. X112
. Addition ? No. Stories
SONS CONSTRUCTION CO
N Move ? Length 40
i` ame
4370 RAHN RD Demolish ? Depth 44
3 Address I
I
? F
S
°
PA
AN
4
4
2
1 nt.
mpr. q.
t
G
5
-
72
city
Phone Instal ?
I Name SA-ME;
i I.-
0 ¢ Address
City Phone
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 Permittee
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. 7/18/86
APC
Var. Date
Permit :F 313 0
Surcharge U
Plan Review
SAC _00 Water Conn. ? 0
? 0
Water Meter y-.0 0
Road Unit?00
Tr. PI.
Copies 1
Total ' 00 i
A Building Permit is issued to: SONS CONSTRUCTION CO on the express condition that
all work shall be done in accordance with all applicabltate of Minnesota Statutes and City of Eagan Ordinances.
Building Official ?_
I Permit No. I Permit Nader I Date I Telephone k
Date
Plbg.
M9•
Nt9.
Plb9.
Dlap.
It
m
c
L
3
a
PERMIT # _
MECHANICAL PERMIT x; RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
?CT PRICE: tin 5? PHONE: 454-8100
dtlres? -,- ? --, ? .•--,., ;?: , z_ BLDG. TYPE
Block IQ Sec/Sub
F N< "Z Name M ult
Address ??? $or ac-?
City Phone Comm.
Other
Name
City
TYPE OF WORK
Forced Air f M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets # /
Other
FEE-
-S/C:
TOTAL
Qs II
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
_ETS - 1.50 EA
D FEE --1% OF CONTRACT FEE
- RESIDENTIAL FEE - 10.00
- COMM/IND FEE - 20.00
RCHARGE PER PERMIT - .50
S/C IF PERMIT PRICE GOES
v
?I!
SIGNATURE OF PERMIT TEE
FOR: CITY OF EAGAN
PERMIT # CITY OF EAGAN FEE
PLUMBING PERMIT
RECEIPT # 454-8100 S/C
MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL
DATE (F - o) k MINIMUM COMMERCIAL FEE - $20.00 + $.50
1. Bldg. Type: Res X Comm Inst 2. New X Add Alter Repair
3. Total Bid Price 4. Job Address 4468 Fawn Ridge
Lot Block sec Fawn Ridge 5. Owner Sons Construction
R. C. Plumbing Rt 3 Box 99 Northfield 55057
6. Contractor
(Name) 461-2096 (stbeeo (City) (ZIP)
7. Contractor Phone #
NO. FIXTURES
1 Water Closet - $3.00
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
-Urinal/Bidet - $3.00
NO. FIXTURES
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
-Gas Piping Outlets - $1.50
Softener - $5.00
NO. FIXTURES
-Well - $10.00
Private Disp Syst - $10.00
Rough Openings w/o
Fixtures - $1.50
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: for 11&1 111
J ?
Approved Inspections: Date Rough Insp. Date Final Insp.
INSPECTION RECORD Control No. 0627
CITY OF EAGAN PERMIT TYPE: Dill I. "ING
3830 Pilot Knob Road Permit Number: 864781
Eagan, Minnesota 55123 Date Issued: 06/12/92
(612) 681-4675
SITE ADDRESS: ? OT S ` BLOCKS ? APPLICANT:
4466 FAWN! RIDGE TR SUTHERLAND TERRY
FAWN RIDGE (612) 683-01.19
PERMIT SUBTYPE:
t.'t C 1s K
TYPE OF WORK:
MFW
,. s A
RFMARKSs RECEIPT # IF MASONRY FIREPLACE. MAINTAIN Z' CL.EARANCr
Permit No. Permit Holder Date Telephone tt
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Nottty Plumber
Const. Meter
EngrMan
Bldg. Final
Deck Ftg.
Deck Final Llz
v? 1??
v
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition FAWN RIDGE ADDITION Lot 2 Bik 2 Parcel 11 90800 0?0 n?
Owner Street 4468 Fawn Rich Trail State Eagari, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1981 229.35- 11.47 20
STREET RESTOR. 1984 499.46- 49.95 10
GRADING - 1981 61.26- 4.08 15
SAN SEW TRUNK "7,s 1981 205,44- 10.27 20
SEWER LATERAL 1 33.07- 1.65
Sewer Lateral y 7q 1 23.57- 1.18 20
WATERMAIN
WATER LATERAL 1981 43.67- 2.18 20
WATER AREA ?- 1981 205.44' 10.27 20
Water Lateral 1981 27,68- 1.38
STORM SEW TRK 1985 557.79- 37.19 15
STORM SEW L - 1984 222.51 22.25 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, N
BUILDING PERMIT ' PHONE: 454-8100 Receipt#
To be used for SF DWG/GAR Est Value $60,000 Date
Site Address 4468 FAWN RIDGE TR Erect M
Lot 2 Block 2 Sec/Sub. FAWN RIDGE Remodel ?
Parcel No.
W Name SONS CONSTRUCTION CO
3 Address 4370 RAHN RD
o City EAGAN Phone 452-4721
o Name SAME
oa , Address
City Phone
W Name ED MEL.ICH
?a Address 8557 LAKE ST., MPLS
aw Ciry 866-3501Q,one
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 gganOrdinanc_ Ordinances.
Signature of Permittee C6-9 /JXi7•?
A Building Permit is issued to: SUDIJ t-Utv511Wk:1-J
all work shall be done in accordance with all applicabl tale of
Building Official -.1
IN 5512, Ne 12339
JULY 23 1986
Occupancy R3
Zoning Pn
Repair ? Type of Const. V ft
Addition ? No. Stories
Move ? Length 40 .
Demolish ? Depth 44
Int. Impr. ? Sq. Ft.
Install ?
Approvals Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. 7/18/86
Var.
Y
Permit .7 -'ice. VV
Surcharge 30.00
Plan Review 156. 0
SAC 575.00
Water Conn. 500.00
Water Meter . 63.50
Road Unit 290.00
Tr. Pl. 156.00
Parks
Copies
Total $2.084.00
on the express condition that
and City of Eagan Ordinances.
40 &AP-1400
•
CITY OF EAGAN
APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
(Lot/Block/Subdivision or Tax Parcel T.D. Number)
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSED USE:
(Mon ear)
R-1 SINGLE FAMILY
R-2 DUPLEX (Two Units)
R-3 TOWNHOUSE (Three + Units)
R-4 APARTMENT/CONDOMINIUM
COMMERCIAL/RETAIL/OFFICE
INDUSTRIAL
INSTITUTIONAL/GOVERNMENT
(-Units)
( Units)
2)
NAME: 50^,S CiDKS?fdIGQ!%dM
??
ADDRESS:
CITY, STATE, ZIP:
G?-h ,
PHONE:
3)
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
[vOr ?tie?? ?vr/V f` /,
7G? o2Qq MASTER LICENSE # a,K 417
For City Use
Plumbers License
C= Active
C7 Expired
CO Not Recor(
Staff Initial
NAME: SOH-S ?OH.?/rUC?jcrv?
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) u a •a• a• a•
CONNECTION TO CITY SEWER ? CONNECTION TO CITY WATER
Q OTHER (Please Describe)
6) u •
PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
PLEASE MAIL APPROVED P T TO 1, 2,0 4, ABOVE
J /? (Circle one)
F O R C I T Y U S E O N L Y
PERMIT °- ISSUED
7?o H
FEES: $
$
$
S
SE7.ER PERMIT (INCLUDE SURCHARGE)
WATER PERZlIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP -
$ 15 'o ,fD
$ /.?i , 0 C-)
$ jC7C)•oC>
$ S7S'0c?
$
$
$
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SE::-R
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
$ 2 c! Lr S-D AMOUNT PAID/RECEIPT ? Sd 7-Z
5-4 00 ? S-,96 .r
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A "PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOILOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: / I14' llld?? 0
LOT .Z BLOCK SUBD.
RECEIPT # f l & DATE
CITY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PERMIT
1993
Application Date:
Commercial project Gallons per minute/commercial only
- Residential project (sprinkler systems for development projects)
Existing residence
Areafaddress to be sprinklered: z
a
Installer:
Street a&
City, state &
Telephone #:
Owner name:
Street address
City, state &
Phone #:
Irrigation contractor, if different:
Phone #:
I hereby acknowledge that I have read this application and state that the information is correct and agree
to comply with all applicable City of Eagan ordinances.
Signature of rmittee
New service required A )d
5a
Fee due: $_/ 5 i Calculated
CITY 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 permit
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 project: $ 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 project: $ 15.50 underground sprinkler permit.
$ 50.50 water permit fee if new service is installed.
$695.00 per connection - WAG
$324.00 per connection - 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 filled 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 lines are not required, one check may be written for meter and permit costs.
No meter will be sold before all sewer and water inspections are complete 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.
5. 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 turn-on and set and seal of meter. Inspection hours are
8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should
be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon that day.
W
EXTERIOR EIMT O°E AVERAGE `U ' COI:?'JTATIO:J
.
OWNER ? C vA 5 T ? ?-. 12 SITE ADDRESS 4468 Fawn Ridge Tr?il, Eagan, Minn 55123
CONTRACTOR 4 ; C'oti:rA.:r i DATE. F OtdE`'1 - /71/
Determine working square footage of each.
1. Total exposed wall area ....1iJ sq. ft. x .11 =
2. Total roof/ceiling area C ,1 ,1 sq. ft. x .026 = ') >, r•
Total exposed wall area above floor = -?
a. Total wall window area ................
b. Total door area 7.
e. Total sliding glass area .............. 'L
d. Total fireplace wall area •••
e. Total wall framing area (average 10%)...
f. Total net wall area above floor /_
g: Total r1c Joist area .................. 1 '.r u
Total exposed foundation area 7J
h. Total foundation window area .........
1. Total net foundation area above grade 7?.
Determine "U': value of each wall segmant.
a. i16-6; x 11U1:
b. 3'7.6:1 X nU"
D: X 11V
-41 X f.un ell
. ?..?.
f X ItUI:
"U er
r---
X ;-Ul' =
.. i. X I: U 1, r ?1 5 1" S
3 ................. .. • ............Total - gah.
If item #3 is the same as,or less than item 01, you intent of SIBC 6006(c)2.
Total exposed roof/ceiling area
Total skylight area ... ..... ...
k.. Total roof/ceiling framing area (average 1017)
1. Total net insulated rcof/ceiling area ....... 7
Determine "U; value for each roof/ceiling segment.
- X ,.U11,1 =
k. j x U" ,n J 7G ffi 7'?
4 .............................,...........Total -
If total of P4 is the same as, or fuss than E2, you have. met the
intent of 5BC 6n06(c)l.
.. .r.>rnate Building Envelope Design
To utilize :..1 total envelope system method, the value; stablished
by the sum of itery. #3 and #4 shall not be greater th&;. the sum of
items Nl ar' "2.
1. + 2. _
?. + 4. o
n F 5 H v J 1986 RtHY1.Dilt0 PER U APPI ICATII N- 3?rf OF RAG"
°I
3
NOTEe ALL COtYMCTORS MST W LICENSED WITH THE CITY OF KLM
COMMERCIAL SINGLE FAMILY WELLIM15 ----
1NCLUDE 2 SETS OF ARCHITECTURAL INC UDE 2 SETS OF PLANS
& STRUC2".s°RAL PLANS, 1 SET OF CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 F•ET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND l
To Be Used For: HOME Valuations 46, 060 Date I
Site AddrE.as 7??? Fa la/? PIAC TIL m ?A LK#t 5 ONL"1 - -
Lot Z Bieck Erect Occupancy
Remodel Zoning PC)
Pareel/sub LAmiuiv Repair _ Type of Const
Addition # of Stories
Owner SONS CONSTRUCTION CO, Move Length 2
Dewoll'ah _ Depth
A;.'dro. 4370 Ratan Road, ' Eagan, ? Irit.3 upr. ? Sq kt
clc'y".ip Voris _._.,Pr.zy3r Mn S51.22 -..__-_------_-.._-.__ ..
Phone 512-452-4121 APPR?aVa`?3` F1 S
4rjntractor• ',oNS CONSTRUCTTON CO. Asseeamgnts Permit
Hater/Sewer Su.-04arg6
A ireaa 4 S Ci Rahn koad Polioe Plan Review
-
C .tY ? iLi^ Code Eagan, Mn 55122 Fire SAC
Enyr Hater Conn
Planner Water Meter
"Lane 612-452-4721 council - Road Unit
Bldg Off
reatment PI
T-B-
T
Arcl.I.iunxr. Ed Melich APC Parka
ddrTass 8554 bake 5t., Varianae Conies
TOTAL
Caty/Zip Code Minceeapolis, M-?n.._w,._.r
?'i:o_t:? a? f>i2-8Et6-3`aC?Cs
ttYtE ADDRESSES FOR CO ED LOTS - AL'Y0NlES@1` N ?a?3> 8 liD?$zTd A E WHICU
AiFLlRESS IS D RIRF 1n . C Y+A. BE art 1NCf BeTIO YY£1<a ,NdF?e.If
9
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT
PERMIT TYPE:....
Permit Number:
Date Issued:
4468 FAWN RIDGE TR
LOT: 2 BLOCK. 2
FAWN RIDGE
lluilding Permit Type DECK
/-BuVidirvg':Work Type NEW.
? Ens, ,-
(i i ?4 L1 d ±t fJ
Control No. 0627
BUILDING 9. ..
000787
06/12/92.
y^++
REMARKS:
RECEIPT 0 ?bjq,37& IF MASONRY FIREPLACE-, MAINTAIN:2- <C,L.EARANCE -, .
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR:
OWNER: - Applicant -
SUTHERLAND TERRY
4468 FAWN RIDGE TR
EAGAN MN
(612)683-0199
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 Mn.
Statutes and City of Eagan Ordinances.
L-
/PERMSIG
ISSUE BY: SIGNATURE
PERMIT # ? 8' CITY OF EAGAN a S ' 0
REACTIVATE _• 1992 BUILDING PERMIT APPLICATION
681-4675 1118 10 RECD
7A-4o G , z
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
talcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working.day
of month in which re uest is made or lot change is requested once permit is issued.
Date G a / /d / _Z_2- Valuation of work '-"'---
Site Address:_ /64a/('V /"/,
STREET SUITE #
Tenant Name: (commercial only)
LOT 2 BLOCK SUBD. P.I.D. #
Description of work: ! c
The applicant is: ,Owner ? Contractor ? Other (Describe)
Name ?G c?C o Ziir? Phone 65 3 `019
Property EAST r1RST 1"04 VE mrS:gg f
Owner Address yy?? war ?io/yc T,i/ *4
- STREET STE N
city ?.sgn State ro Zip
.Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect(
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area as been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
v
Page
CITY OF EAGAN QLOLjG 'L 1 of 5
PERMIT FAW14 JoZiDGE ADD f i-loef
TO WORK WITHIN CITY PROPERTY/RIGHT-OF-WAY/EASEMENTS
1. Location r/6? A1?. ? relic-
r/sti?d J??/?'/?/?G/ f??filJl
2. Nature of Work
3. Indicate below items to be affected and include a sketch or plan of work to be done.
Curb & Gutter Street Surface
Trail/Sidewalk Trees:
Pond/Wetlands Public
Traffic Control Devices/Signs Private
Drainage Utilities
Structures/Buildings Other juIe y ar
4.. Method of Installation or Construction
5. Work to start on or after: (T l p? and shall be completed by: O D unless an
extension granted to: by:
DATE STAFF/DATE
6. Will detouring of traffic be necessary? 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 /discontinued.
NAME OF APPLICANT !% ? 56tldlo-Z 10 PHONE
PLEASE PRINT e*
ADDRESS /??''al?t ?`}?? ?ifFf /?'V ?J/?3
STREET CI STATE ZIP
NAME OF PARTY OR ORGANIZATION PERFORMING WORK ??? Jrz( , fL,firo
CONTACT PERSON: SEMERGENCY (24 HR.) PHONE #: c
ADDRESS S4yn? DAY P ONE 87r-"2?//
STREET CITY STATE ZIP
The undersigned herewith accepts 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: Title: /0yne e?lwo?-A DATE: 6?1
FOR CITY USE ONLY
FINANCIAL SECURITY:
Fee: $ ?vae
AUTHORIZATION OF PERMIT
AMOUNT:
Receipt No. Iq /A
_ TYPE:
(Cash,bond,LOC,etc.)
Permit No.
In consideration of agreement to comply in all respects with the regulations of the City of
Eagan covering such operations, and pursuant to authorization duly given by said City of
Eagan; permission is hereby granted for the work to be done as described in the above
application, said work to be done in accordance with special provisions as hereby stated:
APPROVED BY: DEPT. OF PUBLIC WORKS
BY: ?Qi f, a?vQ?r?f u? Ov f fi /q/ y
DATE
ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON ALL "SPECIAL PROVISIONS" TO BE COMPLIED
WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER.
Permit No. Page 2 of 5
PERTINENT REGULATIONS
Safety
1. Traffic 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 trees 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 either 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 considered as forming an integral part of each and every permit 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 with the safety of the public and shall
conform to all requirements and standards of the City. If at any time it shall be
found by the City that the work 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 conform to said requirements or
standards.
3. Execution--The permittee shall use diligence in the execution of the work authorized
under this permit in order not to endanger or unnecessarily obstruct travel along any
road or trailway. Operations shall be so conducted at all times as to permit safe and
reasonable free tray-21 over the roads and trailways within the limits of the work
herein prescribed. A;1 safety measures for the free movement of traffic shall be
provided by the permi?.:ee at his own cost.
4. Conformity to laws--Thc installation shall be made in conformity with all applicable
laws, regulations and cosies covering said installations. All installations shall be
made in conformity with regulations of governmental 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 6 timely completion
of repair. This bond or financial guarantee shall remain in effect for 2 years
subsequent to completion of street repair to protect the City from defects in
material, workmanship or non-compliance with City Standards or specifications.
Permit No. - Page 3 of 5
b. The applicant shall furnish evidence of public liability insurance of not less
than $100,000/300,000 and property damage of not less than $25,000 issued by an
insurance company authorized to do business in the State of Minnesota on which
the City is named as an additional insured party.
C. Except for the negligent acts of the City, its agents and its employees, the
permittee shall assume all liability for, and save the City, its agents and its
employees, harmless and defend same at its sole cost and expense from any and all
claims for damages, actions or causes of action arising out of the work to be
done herein and the continuing uses by the permittee, including but not limited
to the placing, constructing, and reconstructing, maintaining, protecting and use
of said facility under this application and permit for construction.
5. Existing Facilities--The utility facility and installations shall not interfere with
any existing utility facility on the City's right-of-way or easements. It is the
responsibility of the applicant to call for necessary locations of existing utilities.
(Gopher One 454-0002)
6. Private Property--The work permit or permit for construction as issued does not in any
way imply an easement on private property.
7. Quality of Work--Finished surface, base and sub-base of road or trailway upon
completion of work shall be at least equal to or better than specifications of
originally provided road or trailway in accordance with City Standard Specifications.
Surface shall be finished within 48 hours upon completion of backfill.
8. Cutting Trees--The permission herein granted does not confer upon the permittee the
right to cut, remove or destroy trees or shrubbery within the legal limits of the
right-of-way, easements that are not specifically identified on the plan attached to
this permit or relieve permittee from obtaining any consent otherwise required from the
owner of the property adjacent thereto.
9. Drainage--All waterways and lines of drainage shall remain operative.
10. Pole Anchors--Pole anchors,.anchors, braces or other construction will be permitted
within right-of-way or easements and will be approved on a case by case basis.
11. Driving Limitations.
a. Driving or parking on City trails or sidewalks shall only be permitted for those
operations requiring direct access to the boulevard area.
b. Vehicles operating or parked within the right-of-way area shall utilize their
warning flashers at all times.
C. Vehicles driving on trails or sidewalks shall not operate in excess of 5 miles
per hour. Vehicles shall operate at slower speeds when weather conditions, trail
conditions, poor visibility, obstructed sightlines or other conditions require
special precautions to ensure the safety of trail users and the general public.
d. Driving shall not be permitted within those boulevard areas where damage to turf
trailways or other infrastructure may.occur.
e. Vehicles shall not be parked on trails or sidewalks in such a manner as to
unnecessarily impede the safe and efficient use of trailways by the general
public.
Permit No. Page 4 of 5
12. Vehicles or equipment traversing roads or trailway surfaces shall not utilize studded
or chained tires, caterpillar traction, or any other form of traction which will result ,
in damage to the surface.
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 from the City.
15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and
maintained satisfactorily 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: 14 //-3 SIGNED: a r'
Revised 5/93
LTS#1-PERMIT.PM
PAGE 5 OF 5
PROPERTY LINE
I
SAME AS REMOVED.
(3" MINIMUM)
SAME AS REMOVED
(6" MINIMUM)
TRAILWAY
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 prior to patching.
3. Boulevard sod removed shall be replaced with minimum 4" of topsoil and cultured sod.
4. 2341 bituminous wear course shall be paved between May 1st 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/MUTCD.
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 (18)
inches and compacted to a minimum ninety-five (95%) percent of ASTM Specification D698-
64T (Standard Proctor Density), method "A". All suitable backfill material placed
within five (5) fee;: helow the final pavement surface shall be placed in lifts not to
exceed twelve (12) inches and compacted to a minimum of one-hundred (100%) percent of
the above ASTM Specification.
city of eagan STREET AND BITUMINOUSTRAI_WAY approved: standard
plate
PUBLIC EXCAVATION/PATCH DETAIL
s/ss
P-1
WORKS
DE PARTMEN TRAFFIC CONTROL REQUIREMENTS
I;;/_ 1 n
TRI-LAND CO.
SURVEYING SITE PLAN FOR:
SERVICES SONS CONSTRUCTION
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
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PROPERTY DESCRIPTION
LOT,-, BLOCK,
FAWNRIDGE
according to the recorded plat thereof
DAKOTA County, Minnesota
LEGEND
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o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION2 /03-0o
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ELEVATION ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
DENOTES DRAINAGE DIRECTION NOTE' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I hereby certify that this survey,plan or
report was prepared by me or under my
direct supervision and that I am a duly
Registered Land Surveyor under the
Laws of the State of Minnesota.
Bradley Jenson, Mn. Reg. No.15235
Date :7l1 DA?6
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CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21 199 PERMIT NO.•
Eagf. i, MN 55121 DATE:
Zoning: _ No. of Units:
Owner: — —
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
B 2aiv ( /3P) Dote Paid:
Date of 1 nsp.: �� fP -- 7‘; Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: —
No, of Units:
Owner:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
B Surcharge:
Y Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
For Office Use t,
% t Permit#:
E AG A N
Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 AUG 0 $ 2018
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:_
buildinginspections(a7cityofeagan.com
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ' g` (, 7Site Address: 1414 QFAWN kI D l�� ,A L Unit#:
Name: SNA- +ASI {-IA{NIEQUk Phone:
Resident/
Owner Address/City/Zip: 41-1,6g FAl iN 121.D('-,F, `T`AI L FA AN SS I&3
• Applicant is: Owner Contractor
Type of Work ,, Description of work: I.erGtGI 1n)r>ndQ1nJS ) fit c 000{, I D191) �l J Jv 011'a tea p e
Construction Cost: Multi-Family Building: (Yes /No
Company: Contact:
IContractor ; Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression 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->ublic if au rovrde .ec►tic reasons that would ®ermit the Cit to conclude that the are trade secrets'..
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeadan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq
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 perm 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 oNAThANI -4AV MJ1K x
App!cant's Printed Name Appl' art's Signature