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4616 Kingsbury Dr Use BLUE or BLACK Ink r For Office Use~j Permit City of Ea a~ R I Permit Fee: ' 3830 Pilot Knob Road I Eagan MN 55122 Date Received: - j Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address:L` Tenant: Suite RESIDENT/ OWNER Name: l,~i~(^ Phone: r , Address /City /Zip: Yt- r Applicant is: Owner Contractor TYPE OF WORK Description of work: ij i Construction Cost: Multi-Family Building: (Yes / No ) CONTRACTOR Name: So U+k ✓Yt, e_- y7) Ex+4'-r~~ACS License 0 1 T2 Z) Address: to 6 7X S©t fii&( n o -Ks D ea city: LA9_aU 1 l1-State: A l/ Zip: J Phone: ( I Z 29,0 -7 q (4,( Contact: At L .v). _(4 ce-0.441) Email: 5OV+k v►n -°E~c~ ETC' " ye 8D 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: 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. 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.cioi)herstateonecall.org 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 in 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 accordance with the approved plan in the case of work which requires a review and approval of plans. x A(l rl_n W P_e3l x 4 &ZIA-', Applicant's Printed Name Appl'icant's Signature Page 1 of 2 CITY OF EAGAN Addition ?4E ACON HILL {4DDITION Lot z Bik 4 Parcei 10 13500 020 04 . Owner - Street 4676 Kingsbury Drive srace F.agan, WW 55122 Improvement Date Amount Annual Years PaYment Receipt Date STqEETSURF. ?g 1982 1806.92' 200.77 9 1806.93 C007574 10-1-81 STREET RESTOR, GRADING 1982 526.46 58.50 9 526.46 C007574 10-1-81 SAN SEW TRUNK D 90.67 A008956 3 1$ 80 * SEWERLATERAL V? 7) 1982 3116.46 346.27 9 3116.46 C007574 10-1-81 WATERMAIN * WATERLATERAL 19$2 9 WATEfl AREA 1982 198. 01 22.00 J LJH * Stubs 1982 9 STORMSEW TRK &5, 1? 1982 359.82 . 39.98 9 359.82 C007574 10-1-81 * STORM SEW LAT 19$2 9 CURB & GUTTER SIDEWALK STREET LIGHT 250.00 35568 -2-8 WATER CONN. 450.00 n n 6UILDING PER. SAC p n PARK Receipt MECHANICAL PERMIT Permit No. -- CITY OF EAGAN Fee ' ? Fill in numbered spaces S/C Type or Prini legibty - Tot. 1. Date J ` 2. Installation Cost '? l?d!-- 1 3. Job dress C'. !Lot ?- Blk. Tract ' 4. Owner 5. Contractor Phone ? 6. Address I 7. City State ' Zip 8. Building Type: Residential ID Commercial ? Institutional ? I 9. Work Description: New Add ? Alter ? Repair ? 10. Describe Fuel Type ! ' I 11. No. Eouioment 8TU - M. Ea. Forced Air No. Equipment CFM Ai H ' Mfg. r andling: _ Boilers Mfg. _ Mech. Exhaust Unit Heater Mfg. Othe _ Air Cond. r Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? BUILDING PERMIT CITY OF EAGAN 3795 PileF Knob Rood Eagan, MN Sl122 PHONEs 454-8100 Sire Addrcss 4616 KinASbury Drive Lor 2 Block 4 See/sub, Beacon Hill Porcel # 1.0 13500 020 04 ac Name Joseph M. Miller Const., Inc. w z 18133 Cedar Ave. So. Address ,,,__Farminqton 454-4753 I._ o Z °uu ? F Name Owler Address Nome _ Address 1 hereby acknowledge tlwt I hove reod this applicotion and state that the inlormotion is corcect ond ogree to comply with all applicoble State of Minnesota Stotutes and Ciy of Eagon Ordinances. Sipnoture of Pertnittee Joseph. A Building Pertnit Is issued to: all work shall be done in accordance with all Buildinq Officiol NU; 7972 Receipt Erect jj$ Occupancy `?-? Alter p Zonirq R-1 Repoir ? Fire Zone iNA Enlarpe ? Type of Const. V Move ? # Stories Demolish ? Length 65 Grade ? Depth 26 Sq. Ft.- Assessment Water & Sew. Police Fire Enq. Planner Courxil Bldg. Off. APC .. Inc. Permit J40.vv Surclwrge 32.50 Plon check164.00 5AG 525.00 Water Conr6 $0 .00 Water Meter _ ' • Rood Unit _ Tao1 $1809.50 on the express conditlon thnt Statutes and City of Eaflan Ordinances. Permit No. Permit Holder Misc Permit No. Holdar Plumbing 37-$? Ate &-µ ? P- S _(O `63 H.V.A.C. sq? Con?TOl Y- 5 13 -$3 w.n wstar • Disp. Sewer ENetric ?D?ID`/?L. /?'tiJ?Qn(?tlfl $'??1" Inapection Dete Insp. Othar Footings • ?$3 D? Foundation Framin9 -/q.a'j w Y Rough Plbp. - 42 dU sJ$- !J? Rough HVAC ,I9-JT uJ ¢ Inwlation ?gd7 w Final Plbp. Pinal HVAC Final Water Muribe Location: Well Sewer .??. Pr. Disp. - Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN _ ? Fee ; . ' Fill in numbered spaces S/C . j Type or Prinf /egibly Tot. 1. Date 2. Installation Cost 3. Job Address?? !" - Lot ` Blk. Tract ?I+ 4. Owner 5. Contractor Phone ?' i?.• •.'' 6. Address 2()R30 lidLl' A 7. City ic:.:, -d: i.L' State i. ? ZiP r, ;i •. :J: 8. Building Type: Residential -Q Commercial 0 Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs ? $eptic Tank - ? Lavatory - Softner Shower Well ? Kitchen Sink - - Urinal/Bidet qcFier _ - Laundry Tray ,` Floor Drains ! Drinking Ftn. Slop Sink Gas Piping Outlets „ 12. I hereby certify that the above infprmation is true and correct, and I agree to comply with all ordinancec andOoes governing this type of work. , ? Signed: i ' ' ? , r?. , for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ?• i ++a . : . .,-. _ r . - .. _ _. y .. . CITY OF EAGAN • 19351 9 ' 3830 Pibt Knob Road, P.O. Box 21-199, Ea an MN 55121 ? PHONE: 454-8100 BUILDING PERMIT Receipt # ' • `"? •?' ? ! To be used for YOOL Est. Value ;100000 f Date .i11L i _ , 1991 Site Address 4616 KIl1(iSDURY DR L t 2 4 AXACON HI1" OFFICE USE ONLY o Block Sec/Sub. PdfCEI N0. Occupancy ' - FE ES Zoning _ W Name ??T A KA?Y !En RSCM (AC1uap Consl - Bldg. Permit 1170 o Address 4616 lCIIiGSDURY DII (Albwable) - 5 City ??'1 Phone 4S2-Obl x oi scories Surcharge .00 Len th W1 Plan Feview ' =F Name p?'L`IGE POOL i YA?IO Depth SAC, City 0¢ Address 243 $RML1JN AVE S.F.Total - ? City .RT PAUL Phone 488-6726 S.F. Footprints - SAC,MCWCC . F On Site Sewage _ Water Conn - i Fw Name On Site Well - Waler Meter 1,30 AddrBSS MWCC System _ ; M7. , aW Ciry Phone citywater _ Acct. Deposit ; ` I hereby acknowlege that 1 have read this applibation and state that the PRV Required Booster Pump - - SM/ Permit g/yy Surcbarge information is wrcect and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eag n Ordip2nces. Treatment PI Signature ot Permilee ?' APPROVA? Road Unit A Building Permit is issued to: P"-fiTI pAtIQ Planner - park Ded. on the express condilion that all work shall be don n accordance with all Council _ applicable Slate of Minnesola Statutes and City ol Eagan Ordinances. gldg, pry, _ Capies BuildingOfficial . "? - Variance - TOTAL 122•? Permit No. PermM Holder Date Telephone • WATER SEWER PLUM8ING H.VA.C. F ELECTRIC c?? 7'?? ?l? •? ?S?/ci o0 In"eetion Date Inap. Comments Footings I Foundation . Framing Roofing Rough Pibg. Rough Htg. Isul. FirepWce Final Htg. Or51at Test Final Plbg. Const. Meter EngrlPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVEO • FROM AMOUNT $ I & DOLLAR$ foo [:1 CASH F? CHECK rOR ? White-Payers Copy ?Yellow-Posting CoF Pink-File Copy CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-6100 BUILDING PERMIT Receipt # To he used for Est. Value Date J/+ SiteAddress 4616 ;:111435BURt BR Lot 2 Block Sec/Sub. n?COF 1 16-6 Parcel No. occuPancy ' ' Zoning a :,_'W1fY PE Iir:.?,'ii' x Name ` (ACtual) Const 3 Address ) (Allowable) 0 "City `''kid'W Phone # or scories o Name ?'t:1t'f aN SC?ItTi'iti^!? Length Depth , ?a Address 1`v' 351 MY4.`QGli ux S.F. Tolal ? City fDp ?` FRAIRIF Phone y34-e193ll S.F. Foolprints On Sde Sewage ? W w Name On Site Well w ? ?? Addf2SS MWCCSystem aw City Phone cnywater PRV Required I hereby acknowlege that I have read this application and state that the Booster Pump information is correct and agree to compiy wi[h all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee APPROVALS 71?',q?,,•ptj_3 A Building Permit is issued to: Planner on the express condition thal all work shall be done in accordance with all Council applicable State ol Minnesota Statutes and City of Eagan Ordinances. eldg. Ofl. Building Official Variance ?; i : 16074 OFFICE USE ONLY 3t? .12! 14' FEES Bldg. Permit Surcharge Plan Review SAQ Ciry SAC.MCWCC Water Conn Water Meter AccL Deposil S'W Permit S-^N Suroharge Treatmenl PI Road Unit Park Ded. Copies TOTAL 1.50 IOS. Sr) Permk No. Permit Holder Date TNaphone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC J Inspsetlon Date Insp. Commenta Footirgs I FouMatio? Framin9 T? ?'Y P Roofing - ? ! - 2VIU f-o rL- Rough Plbg. GD tis^/1. - RoughHtg. - p-,y ?i Isui. Freplace Fnal Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notify Plumber Ergr./Plan Bldg. Final Dack Ftg. Detk Final y" Wall Pr. Disp. /U8 ?X/6- ? CITY OF EAGAN SEVNER SERVICE PERMIT 37" Pilof Knob Reod PERMIT NO.: Eagan, MN 55122 pqTE: ZO^'^0' No. of Units: Owrar: Address: , Site Addreu: -' - ''1C•,;' • -- ,i ' . . ' Plumber. -,..f - _, ' 1 egrae fo eomPb with tbe Ciry of Eagon Connectton Charpe: Ordinanees. Acwunt De posit: Permlt Fee: Surcharge: By Misc. Charges: Dute of Insp.: Total: Insp.: Dats Paid: OF EA6 Pilat Knob 0.oad PERMIT NO.: , MN 55122 DATE: _ X No. of Units: lumber: leter No.: Connedion Charge: ` ize: Account Deposit: eader No.: Pertnit Fee: agree M eanplr wMM !6e Cifr of Eagon $urcharge: dl Charpes: Misc naneat. t . Total: y Date Paid: AN WATER SERVICE PERMIT ?ate of Insp.: REQUEST FOR ELECTRICAL INSPECTION ,r-„ ee-ooaai-oa ;.- ? ? .4 , See instructions for completing this form on 6ack oT yellow copy. °70 7?2 ?? ""1f"" Be/ow Work overed by This Request Nev, Ad Rep. Typa oi Building Appliances Wired Equipment Wjred Hume Range Temporary Service Duplex Water Heater i htin,y Fixtures Apt. Building Dryer ?Electnc Heatin Commercial Bldg. Furnace Silo Unloader Industrial 81dy. Air Conditioner Bulk Milk Tank Farm omer aeci v ocner fsvec,fv) t .r Specify Uther Other ComUUle lnspecUOn hee Kelow q Fee Service Entrance Size # Fee Feeders/Su6feeders # fee Circuits 0 to 200 Am s 0 to 30 Amps JW040 0 to 30 Am s Above 200 qmpy 31 to 100 Amps L 31 to 100 Am s Swimming Pool Above 100-Anips Abova 100-AmPs Transiormers Irrigation Booms ?ffp Partial-'Other Fee Signs Special Inspection TOT Remarks FEE ./w.AA y v Rough-in ?a n th ' S ?? ?' ee ical Spector, herBby - f certit th t th b Final y e a aye a -nspection hes been p made. This reauest roid 18 months from This request voiA L2 L (? ? t f>`Qt-d l\ 4-L I( 18 rtnnths from ?VV&7Q782 qo,(no Requ?e+s?t Date ? ? ? y?? Fire No. Requ ied?Inspertion ?Ready Nuw QNCfll Notify Inspec- tor Wh R d ` • es ?Nu en ea y P'CScensed Elec.trical CaiVactor I here6y request insDection of above ? Owner - electrical work installed at: Street Address, ox or Route No. l( 4 l?, b b %V-L City o c a : v+-q Pt ecuon o. I Towns ip Name cf'NO. Range No. County^ ?f /.? 6 ?Ce4cL Occupa.,n?t(PRINT) /? 41 e? de l?Ms'?i? v e.an Pho?ne/ No. Power Supplier .Ao?e? Address FQMo-aI.r(W Elec[rical C/9ntractor ICompany N/umel ? Contractor's License No. ?C.nC ' 0 Mailinp Address (Contractor or Ovuier Making Instailation) 5"?803 00 Q ? s 0 3 & / ?.4 r ,d 90 - Authorized SignaWre (Contrac odOwner Making Instaflation) Phone Nurnber 7s3-/301 MINNESOTA STpTE BOARD O ELECTBICITY 7HIS INSPEC710N REQUEST WILI NOT Griggs-MidwaV Bldg. - Room N-191 . BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Peul, MN 55104 UNLESS PROPEN INSPECTION FEE IS o1 ___ 1c11, 1n,, o,,, ENCLOSED. 10.'aV?O J?OlO W?IY VI CltlliUll4ll?' Griggs Midway Bldg. - Hoom N191 1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 ,jWWPUEST FQR ELECTRICAL INSPECTION LOW WOAK COVERED BY THIS REQUEST ^ Q EB-00001-02 T 36086 ype of Building New Add. Rep.. Ch¢ck Appliances Wired For Check Equipment Wired For Home ? ? ? Range ? Temporary Wuing Duplex ? ? ? Watez Heater ? Lighting Fixtuxes Apt. Bldg. ? ? ? Dryer ? Electxic Heating ? Commexcia! Bldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. ? ? ? Air Conditionec ? 8ulk Milk Tank ? Fazm ? ? ? ? List List Other ? Rthers? ere Others? Here COMPUTE INSPECTION FEE BELOW Secvice Entrance Size: # Fee FeedersdSubfeeders: # Fee Cucuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 10 1 to 200 Amps. 31 to 100 Ampe:es 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee ° Signs Special Ins ction Minimum fee $5.00 Re?i'g?3? . R 5??,?J 1C73 v? 70TAL F c (Final) 1'his request void 18 months from has been nilade!" - .,yuest void ] 8 months frayn L. Date of this Request Fire No. T 36086 I, as O-I.icensed Electrical Contractor O Owner, do hereby request inspection of the above electri- cal wtnng installed at: Street Address or Route No Section Township Which is occupied by l4p Range County 1?1alW? ? Is a roughin inspection required on this job? N? Yes ? Ready NoD< Will Call ? Power Supplier Address ? ??L Electrical.Contractor Pf? `""/? ? Contractor's License NArK5 Z (Company Name) MailingAddress ???j ? • t ? ". (EI rical ontrac or or Owner Making This Installation) Authorized Signature Phone No. gy? (Electric Contractor or Owner Making This Installatlon) This inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. , CITY OF EAGAN No -7972 , r 3795 Pilot Knob Road Eayan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # Te be wed fer SF DWG/GAR Est. Value $65,000 Dote May 2 _, 19-u-_ Site Address 4616 Kingsbury Drive Erect $X Occupancy R-3 Lot 2 Block 4 Sec/Sub. BeaCOn Hlll Alter ? Zoning R 10 13500 020 04 oir Re ? Fire Zone NA Pcrcel # p V Enlarge p Type of Const. ? Na? Joseph M. Miller Const., Inc. Move p # Srories i 18133 Cedar Ave. Address 50. Demolish ? 65 Length ? ci Farmington Phone 454-4753 Gmde ? Depth 26 Sq. Ft.- p Name OWrieY ppprovalf Foes Zr- ou Address Assessment u? Water & Sew. r Cit Phone Police ? W W Nome Fire f _? Address Eng. i'?" Ci Phone Plonner Council 1 hereby acknowledge that I have read this application and state that gldg. Off. the inlormotion is correct and agree to tomply with oll appiicnble State of Minnewto Statutes and City of Eagon Ordinances. ? APC Sipnoture of Permittee oseph M. Miller Const., Inc. A Building Permit Is issued to: 921 oll work sholl be done in accordante with oll appljbole Stoteiof innesota StotL Permit jLO • v" Surchnrge 32.50 Plan check 164.00 5AG 525.00 Woter Conn.450 ,_.00 Woter Meter 60. 00 Road Unit 250.00 rorol $1809.50 on the express condition that ond City of Eagon Ordinancea. Building Officiol CITY OF EAGAN N° 16074 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Q BUILDING PERMIT Receipt # To be used for DECK & Est. Value $8, 000 3-SEASON PORCH Date JAN 24 , 1989 Site Address 461 Fi KTN(:SR11RY nR Lot Z Block 4 SeclSub. BEACON HT .. OFFICE USE ONLY ParC21 N0. Occupancy B-? FEES Zoning - w Name KANDY PETERSON (Actual) Const Bldg. Permit 100.00 a Address 4616 KINGSBURY DR (Allowable) - - 4 00 Surcharge . City EAGAN Phone # of Stories - 19, Plan Review Length o Name Mt1RTIN SCHUTROP Depth 1!+? SAC City = g¢ Address 16361 BAYWOOD LN S.F. Tolal , - ? City EDEN PRAIRIE Phone 934-8933 S.F. Footprints _ SAC, MCWCC Water Conn On Sile Sewage _ Name On Site Well - W M t t ]!9 Addf2SS MWCCSystem er a er e City Phone cirywatBr Acct. Deposit -. W P i S PRV Required erm t / _ I hereby acknowlege that I have read this application and state that the Booster Pump - SiW Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature o( Permitee APPROVALS Road Unit A Building Permit is issued to MARTIN SCHUT OP Planner - park Ded. on the express condition that all work shall be done in accordance with all Council -- 1 50 applicable State of Minnesota Stalutes and City of E agan Ordinances. Bldg. Ofi. Copies . y ? Building Official h ??i R.Q?,- ?y?` Variance - TOTAL 105.50 BUILDING PERMIT To be used for POOL CITY OF EAGAN No 19351 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # c-I 42?5-7 Est. Value $10,000 Date JUL 1 , 199 L_ Site Address 4616 KINGSBURY DR lot 2 Block 4 Sec/SubBEACON HILLS . OFFICE USE ONLY Parcel No. occupancy ?=Z FEES Zoning - W Name RADIDY & KATHY PETERSON (ACtual) Const 0 Permit 117.0 Bldg 3 Address 4616 KINGSBURY DR (Allowable) - - . 5 00 ? Cit EAGAN y Phone _ 452-0801 # ol stories _ . Surcharge , Plan Review Length 36_ o Name PRESTIGE POOL & PATIO Depth 18' sAC cic Z U Address 245 E ROSELAWN AVE S.F.7otal , y m City ST PAUL PhOne 488-6726 S.F. Footprints _ SAC, MCwCC On Site Sewage Water Conn on site wen L It-=30 LAft MWCCSyslem Waler Meter 26 Ph0112 Ciry Wa ter _ Aat. Deposit ' PRV Required - SM Permit I here6y acknowlege that I have read this ap tion and state that the Booster Pump - S/W Surcharge intormation is correc to comply ith all applicable State of Minnesota Statute nd City of n Or ' nces. 7reatment PI Signature of Permi APPROVALS Road Unit A euilding Permit is issued to: PRESTIGE & PATIO Pianner - park Oed. on the express condition that all work shall be do n accordance with all Council applicable Slate of Minnesota Statutes and Ci ty) of Eagan Ordinances. Bldg. OM. _ Copies ? Building Oflicial b? ?,Qtl? ! I I11 Variance - TOTAL 122.00 REQUEST FOR ELECTRICAL INSPECTION ? See instmctions for completing ihis form on back ol yellow copy. ?? ea- 00001 ?? ?// G SD/?-?(c,y"X" Below Work Covered by This Request ?.?/ !? e / Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other(specify) Con. tract,?'s?R,?arks: ??r??? -? ( ?C./ G? 7 Compute lnspection Fee Below.• 01 d? r?j,?C,?j l # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps • Transformers Above 200 Amps Abov 100 -Amps SIJnS Inspectors Use Only: TOTAL r Irri ation Booms ? ' Special lns ection ? Alarm/Communication SCONNECTED IF NOT THIS INSTALLATION MAY BE OR Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rouyn-in Date certify that the above inspection has been made. F'nal ? o&te ? -? -' ,E USE ONLY , request void 18 monMS irom ?????2t=o68 a voz ? Requesl ate ? Fire N. ough-In Inspection Requiretl (YOU must call inspector when ready) Inspection Olher T n R gh-In ? Reatly Now Nill Noli?eoror ? Y e s No Date Read ? ?o (tw -UYL I icensed contractor ?owner hereby request inspection ot a ve electrical J66 Address (Sbeet, Box Route No.) t ? u City i <. Section No. Township Name r No. Range No. Cou Oc t(PRINT)? ? Phone No. r? Powe ipplier Address EI riral Contrador (C mpany Name) ' Contrac/ro?r's /L?icense No. aili d ress o Iractor or Owner Making In tallaSion) uthori ?gnatur (COnlractodOw Ma ' Installation) .r'" Pho e Number J Bldg. ve, StR. Pe S?N 651 M8299Uoivtl siTy A OPEfi NSPECT ONFOEE IST Phone (612) 6C2-O800 0 04 Y 111111111111111111111I?I I?II 11111111111 ?NIGLOSED. d° 004 43 ? ? - ?- ? 0??o Request Date Fire o. Rough-ln Inspeclion Requiretl (You must call inspector wh ready) I p ion Other Than Rough-In eatly Now ? Will Notity Inspeclor ? Yes No ate Read I licensed contractor ? owner hereby request inspection of above electrical work at: J Addr s eet, Boz or Route No. / Ciry Seclion o. Township Name or No. R No. C Occupant(P ) r Ph e No. Power Su plier Address Electrical Contractor (Co pany Name) _ Contr lor's License No, ? Mailin rass (CoNrac or or r Making Installali IUG? ? ? Autho ?ietl ? nat e(Contra wner Ma ing Installation P one Nu er UW MINNESOIIA STATE BOARD OF ELECTRICITY TH1S INSPECTION FEOUES75NILL NOT Griggs-Midway Bldg. - Room S-128 BE ACCEPTED BV THE STATE 80ARD 1821 Unlversity Ave., SI. Paul, MN 55104 UNLESS PROPER INSPECTION FEE I5 Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ea-oo I-ryo?j See instru ons for compleling t?s form on badc ol yeliow topy. 00,0444 ?'X" Below Work Covered by This Request Ne Add Rep. ype of B ding Appliances Wired Equipment Wired me Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Mana ement Comm./Industrial Fumace Other (Specify) Farm ir Conditioner Other (speciry) Coniractor's Remarks; Compute lnspection Fee Below: # Other Fee # Service Entrance Size Fee # CircuitslFseders Fee Swimming Pool 0 to 200 Amps 0 to 100 Am s Transformers Above 200 Am s Above 100 - mp Slgns Inspector's Use Only: TO ? Irrigation 8ooms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE CONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Eledrical Inspedor, hereby certify that the above inspection has been made. Rou9n-in ? Final ? Date t9 OFFICE USE ONLY This request voitl 18 monlhs from -? Cl?/C;? 7/ 'yy M ??74 64 Request Date 'l rr? Fire No. RougFrin InspecUon Required? ?leady Now ? WIII Notily Inspector R d 9 '` Wh / l / ves o Na en ea y IXlicensed contractor ? owner hereby request inspection of above electrical work at: Job Address ?Street, Boxpr RoN) ? %( 4 Ciry 97 ? 4 4- AJ ; . :- ? ? , z - - Section No. I 1 Township Name or No. R e No. GounTy p OccupaM (P N ) 14)-? sl?f y? / Ga 6?0 Phone No. Power Supplier D ?v ?* Addre?ss ? -?/ J`l-. ?d Ny Electncal ConVaclor (Company Narne) Contraclor5 License Na. Mailing Adtlress (Contractor w Owner Making Installation) ? - z - ? S r Authonzed Slgnature (Contredor Owner aking Installation) , Phone Number i & Y R-- i?-,4-17 MINNESOTh'S?TATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT GHggs-Midway Bltlg. - ppom 5.173 BE ACCEPTED BY THE STATE BOARD 1821 UnWersNy Ave., St. Poul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. Mo-„__- .. ^ ry? REQUEST FOR ELECTRICAL INSPECTION r'• (? ?? See insVUabns for completing this form on hack of yellow copy. ? l ? ??P? .'r-.,' 464 "X" Below Work Covered by This Request ew tld Rep. TypeofBuilding AppliancesWired Equipmen[Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (SpeciTy) Comm./Industrial Furnace Farm ' Air Conditioner Other (specity) Contrectors Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps A ve 100 _ Amps SIgnS Inspedor's Use Onry: TOTAL ? IrrigationBooms Special Inspection Alarm/Communication Oiher Fee -J I, the Electrical Inspector, hereby Rough•in ? Date ' certify that the a6ove inspection has been made. Final Date ? OFFICE USE ONLY This request wid 18 months from 2 5 8 b , ? o 1 ? /,2 4 6 Request Date Rre No. Rough-in Inspection Required? I D Ready Now ]<Iill Notify Inspector When ReaC ? ? Yes 7NO S y I' licensed contracior ED owner hereby request inspection of above electrical work at: Job Atltlress (Sireet B r Route No.) City 44316 i Section No. Township Name or No. Range No. ounty O u nifPRINTI Phone No. iAC2 `"O^VO Power Supplier Address . EI ical Goniractor IC i a y Namel Conlrector's License No. , , .. a ailfn Aress ir t o v O Wn er Making Installation) ? ` ' ? ? "i?' / Aulhorize ?/ oniracton0 r M ing In Ilat n7 IA/? ? P ne Number `/ { I V VV M NNESOTA STATE OA ECT TV THIS INSPECTION REQUEST WIIL NOT Griggs-Midway Bldg. - oom -173 ' eE ACCEPTED BY THE STATE BOARD 1821 University Ave., St Faul. MN 55104 . UNLESS PROPER INSPECTION FEE IS PhonB (612) 802-0800 ENCLOSED . REQUEST FOR ELECTRICAL lNSPECTION ? 5ee instrur,tipns for complating this form on back o'r yellow copy. Q? Q? Cj R? "X" Below Work Covered by This Request EB-00001-OB i ? s !v;8ie.a?fl Rep. TypeofBUilding AppliancesWired EquipmentWired Home ge Temporary Service Duplex er Heater Electric Heating Apt. Building er l Other (Specity) Comm./lndustrial ace Farm Conditioner Air Ot her (specily) Contrector's RemaBs Compute lnspection Fee Below. # Other Fee # ServiceEMranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspector's Use Only: ? 0T41e - Irrigation Booms ? ? ? a y r Speciallnspection Alarm/Communication TNIS INSTALLATION MAY BE OR SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rou9n-in ? Date certify that the above inspection has been made. . ? d OFFICE USE DNLV This request void 18 monlh5 frOm : •. _? i.? <. elb Be tined For ?. Sita Addrees : Y U* ? s1odk Parcai t: l? owr,er: Citg/ZiF coft°. ;,'; • ?' _ ?,,.. crrr ar PMN'. ? Y?umTol` Pi./ 't> 1? ? L Z-?,S00 0;-Z?? c) l?aie t: i i+ ? ?S3 U oontarac.6o?= ; Ad?+eas• ' • (YtY/ZiP c ode: : Pfrane t: : Addresss i -. ; ; CitY/ZiP t'+hais t s s?.e ! of ?? wa.. 1 aib p?n ?lae?7tk?ioer ? ..e of «mor . ;. k oomvency ueOt, ?,. ? ? ; RMIM99 q? , ± __?teel?s n ? ? L4151v++..8 a OEM t va ter/BWW &'L Q Polfae n 83n1 : P'i =+e ? _ ?ih On cam. . mm"r Planrrer ?a lbd ?it 0ous?cii - ? , .; ?. .. ,,. City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?----------------- ? For=Office-Use I ? --7 ?J n I // I j Permit #: `/ I`? ? ? Permit Fee: t ? ? Date Received: j i ? I Staff: ? I '-----------------' 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: /1 1 il Tenant: Suite #: ??'- ?g? ?vZo?eZ ? J? S St J Ph RESIDENT/OWNER one: ? {n Name: l?e- Address / City / Zip: y??? ??v( U S?r'? A? ? Applicant is: ? Owner _ Contractor TYPE OF WORK Description of work: ?e,rtr ?JIN Construction Cost: Multi-Family Building: (Yes No CONTRACTOR Name: License #: Address: City: State: Zip Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Fesidential Ventilalion Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 Submi3SiOn typ¢) • Energy Envelope Calculations Submitled In the last 12 months, has ihe 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: NOTEc-Plansand supportingdocuments that you.su6mit are considered to be public information. Portions of the inlormation may be classlfled as non-public if you provide specific. reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that ihis information is complete and accurate; ihat the work will 6e in conformance with Ihe ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application lor a permit, and work is not to s[art without a permit; thal the work will be in accordance with the approved plan in the case of work which requires a ieview and approval ot plans. xelU S4els-G-1 x ? Applicant's Printed Name Ap icanYs Sign ture Page 1 of 3 CITY USE ONLY PERMIT #: RECEIPT DATE: l l-?- ?- v I RESIDENTIAL MECHMlCAl. PERJMTf APPLICATIOft crtY oF EAe?x S$SO PILOT KNOS iiD F.1kfiAA MA 55188 651-6$1-4675 Please complete for: ? single family dweilings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: ??pJ (n N1"7_)s.V_-k1-rU ?Dr • J c OWNER NAME: 1'`lc , i-Nh TELEPHONE #: C SI (o?-?3Ra- (AREA CODE) INSTALLER NAME: Wohlers Southside Htg. & Air., Inc. 6950 W. 146`h St., #106 STREET ADDRESS: Apple Valley, MN 55124 (952) 431-7099 CITY: Pla?a a rharlr mar4 ncYt fn fhu narmi# wnrlr fvno :PHONE #: (AREA CODE) ZIP: New residential dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on, modification or alteration to existin dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: Fe-PLQCe -C..li'1'1QCG W i--1 Qm ?L?? --r----?--- v CXx-) 4)11 U mQJe ' State Surchar e $ .50 Total s ? .? Reniinder: Call for inspections. S GNATURE OF PERMITTEE Updated 1 )DI & _s 1989 BIIILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ' T O el. 4 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, t SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MQST DESIGNATE WfiICH 6DDRF5S IS DFSIRED. NO CHANGFS WILL BE ALLOWED ONCE BIIILDING PEAMIT IS ISSOED. MIILTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONIMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: 3?c,swJ ?0-1?n Valuation: IWU Date: Site Address 1-16 L6v,a?S bJVL-} OFFICE tJSE ONLY Lot .2, Bloek y Parcel/Sub LF-ACO N N )UL.S Owner k +?-rv IQ,4 t-? e ? s "v ?1 . Address L-f 6 i City/Zip Code Phone Contractor ?'? ar/'?-, ? ? v1-, s-hr?7? Address b I WOodQ ?. v.? City/Zip Code ??C-c-..? '3"?? ??,.-. I Phone 9 3 Areh./Engr. Address City/Zip Code Phone # Oecupaney R'3 2oning Actual Const Allowable # of stories Length 2? !_ Depth Fb)?"Tl ? 14' S.F. Total Footprint S.F. On site sewage - On site vell MWCC System _ City water _ PRV required _ Booster Pump _ APPROVAIS Planner Council Bldg. Off. Varianee Couneil UA-ZAJ Bldg. Permit 100 1 00 Surcharge 100 Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acet. Deposit 5/W Permit S/W Sureharge Treatment P1. Road Unit Park Ded. Copies?? a?s> I. TOT9L i0S. 5o NOTE: SeWer & Water Permit fees and account deposit fees xill be ineluded in the building permit fee. Processing time for sewer and rrater permits is two days onee a licensed plumber has applied for a permit at City Hall. VA L UA-(' t oQ I2.`???(?. I6S Xko- 6"1Z?• ,? ? a- , • •L o `r Z- ?5 L o ?i-- L^1 /i H i L C.- ? 1 0D 3c? ; ? ? ? ? ro ? ? z ? I • I? ? O , I ( ?\ i ? i Z?I, 83 I 0 --- ?. ??, i 3 . ? ?.. : yCiiftiftCate for: C- Centex Hoae$ Ml.dwest Inc. 8601 Darnell Road Pden Prairie, Mn. 55344 ' Joe Miller ('onst . 18133 Cedar Ave. so. DELMAR H. SCHWANZ Farmi ngton , Mri. -nNO suRveror+s nc . . ?-)7,)24 qNiSt«ee una« uws ot Tn. suta or M?enOwu 7/70 - 4OTM tT11iET W. -DOX M IIOGEMOUNT, MINNElOTA OOq iURVEVOR'S CERTIFICATE t,,, /n i o0 I ? } I ? ? ? ? ?i i 0 z o. ap - ? T -k.-- I i? o a hd_ uo 3o.a? ? •o 914.0 Proposec' gar•ii;e flc,or '1?4•4 Propo4e(i tup .)f f01111adtlc4n Proposeci t,asemwnt f'ioor a,153 1 F?+J 8b0p4 NoU. MIONi 612 423-1799 Ob LoT E,cock 4 e; ( ? ? Ir I J q L,PR INAcE IF u rL/TY CAejMFNTS I 4?D ? ?7p ?U ? •.l ?. ? u li !I ; ? I i ? ; 1. , ? , i, ?1 1 1? =30 ?e} j?,Q?Q ? ;}f"lOteB p^o,,;lseU firisi:ed ?.T'a(iP Der,utes pro,-,qe6 :r•xi?;,?.k`? t,hei"eby eertify tha* this is 3 t.I'11P 3nd carrect representation of Lot 2, $lbck 4, BEACGN HILI., accordir?g t.r, th?recorded pla' .inereof, Da,kota County, Minnesota. Dated: June ld, 2979 Revised Mareh :'I , i 9.P.3 t(; ahow *,-,e 1,,??ation of a pr?)posec hc; jse '„het°e:,n. ! ; . ,. r ?.!.; M{NNESOTA REGISTRATION N0.8B ? .?3c? `t?`1 o f /Cn ?h 2c/ a- CITY OF EAGAN L a2 B'7 , MECHAIVICAL PERMIT RECEIPT # SUBD. (612) 6814675 DATE - ?- RESIDENTIAL ? PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLEfE FOR TOR'NHOMFS/CONDOS R'HEN SEPARATE PERMITS ARE REQUIRED FUR EACH DWELLING UNTT. OWNERc ADD-ON A/C ADD-ON FUBNACE ? SITE ADDRFSS: ADD ON/REMODEL (EXIS1'ING CONSTRUC!'ION ONLI) $ 15.00 INSTALLER: ' Y IIVAC: 0.100 M BT[T 24.00 FHOPiE #: -? ADDIITONAL SO M BTU 6.00 ADDRFSS: fO 1- ?g( V ' GAS OUTLET'S - bIINIMUM 1@ $3 EA. CITY: LLO 12 j ZIF: SURCHARGE: $ .50 SIGNATURE: TOTAL: NO PERMIT REQUIBED FOk DUCTWORK ONLY! COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. AL50 COMPLETE FOR APARTMENT BUILDINGS OR OTHER MUL7T-FAMILY BUILDINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. WORK DESCRIPTION: OWNER STI'E ADDRFSS: TENANP: SUITE #: INSTALLER: ADDRFSS: CITY: PHONE #: SIGNATURE: ZIP: CONTRACT PRICE: ly04 *1 196 OF CONTRACI' FEE. I STATE SURCHARGE IS $.50 FOR EACH I$ $1,000 OF PERMTI' FEE. P?OCEsSED °3'PIN1G - $25.!?0 $ MINIMLTM FEE - $25.00 TOTAL: $ CITY SIGNAT[JRE: LOT L- BLOCV, ? SUBD. &ff-60 A-) RECEIPT CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PERMIT 1993 Date: S:-7 -,q3 Commercial project Residential project 7 Existing residence Area/addl Installer: Street a& City, state & zip: _ 71? • /1Zr,.._ , S-TY2 Telephone #: Owner name: Street addres: City, state & ; Phone #• : ?1.r2» -" 0 rQ / Irrigation contractor, if diRerent: Phone #: I hereby acknowledge that I have read this application and state that the info tion is conect and agree to comply with all applicable City of Eagan ordinances. 7? 3"7 3 ? ?/1 I\ru? 720-4 New service required 4d Fee due: 50,, Calculated by: CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PROCIDURE 1993 1. Plans 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 plumbing permit. $ 50.50 water permit fee onlXif 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 plumbing permit. $ 5n.50 wa,iI i •i _ ?,. nv?m?} roo 1. F+o sE:'! .:no i5 .i i3.; ?i.. oll- =,,.. . C. $695.00 per connection - WAC. $324.00 per connection - water treatment plant. c. Existing residence: $15.50 plumbing permit -(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 deterrnined, building insnections cle*k t;pisr ?x;it io._,ra?t ?„?;*f 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 sll sewer and water inspections are complete on a new service--(engineering department wil] advise utility billing clerk when meter can be sold). Receipt wil] be coded to 20-3716 (meter portion only) with pink copy forwarded to utility billing clerk. 5. The installer is to contact building inspections division at 681-4675 for inspection of the inside water line and backflow preventor. The public works department may be rear:hed at 681-4300 for water turn-on and set and seal of ineter. 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. SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS %r 105 ? COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: 00 Date: 1.1s Yl- 54; P? ' Site Address 0,Y7SRQ eu??'. Lot Z Block y Parcel/Sub NP-AcOfA 1 I( l'-s ,4'DD't'j Owner ?R?9Au?rl/?Tffr/ YE?EQSD? Address City/Zip Code Phone 4 6-2 O$p/ Contractor Address City/Zip Code o[s ?//U• .?u`// 7 Phone wrseSl 4, 7 ?? 4;; Arch./Engr. Address City/Zip Code Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. OFFICE USE ONLY M-z ? On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL I ,vo .pJ APPROVALS Planner Council Bldg. Off. Variance Phone # agrees that all work shall be done in accordance with (Signature of C n ractor) ? 1991 BUILD?? ING PERMI 3VICATION CITY OF EAGAN all applicable State of Minnesota Statutes and City of Eagan Ordinances. 1 Copy: Office 2 Ccp,: Crew Chief 3 Copy. Municipality 1 Copy: Customer St. Paul Business Center 245 E. Roselawn Ave. • Suite 29 St. Paul, Minnesota 55117 CREW CHIEF Equipment Needed ACC,OUJNT NUMBEF PooL size onTe ~ Back hoe ? Bob Cat K~4NAU NAME HOMEPMOME ? Cat (Q Truck ? Snow Fence ? yG// K ~~v~; rlii /~2 • STREET / WORK PHONE InspeCtions ConiraCt CITY sr•re ZIPCODE O Walls ~ _ . - DIHECTIONS ? Plumbing A16 x~ -.-if~e-17'i4. ? Footing C7 Befae Backfill ' D Other Diagrem pool site in relation to house, garage, property line, and wires. (Allow 3" variarn ~ ~ A, ~ T41i ~ I I J.'IJ'1 LA 13, S~a 7 ! ~ L: 9H/?/J Ott- ~+Q/1!) , /~J1e l, ~ I ~ - I - , - - ~ ' • ' OF GIVE PRESTIGE POOL & PATIO AND APPLICABLE SUB-CONTRACTORS PERMISSION TO ENTER ABOVE PROPERTY THROUGH NEIGHBORING PROPERTY LOCATED AT NOTICE CUSTOMER ACKNOWLEDGES THEY UNDERSTAND POOL LOCATION AND GRADE RELATIVE TO HOUSE AND PROPERTY LINES. ANY CHANGES FROM THE START OF EXCAVATION SHALL BE AT THE CUSTOMERS OWN EXPENSE. X DATE C424iflaate Por: Centex Homea Ml,r3wes t Inc. 8601 Darnell Road ? Eden Prairie, Ainn. 55344 Joe Miller (:onst.. 1e133 Cedar Ave, so. DELMAR. H. SCNW/4NZ Farmington, MTt. LqNDSVNVEYORS I NC • ' ',)51124 RpfftNW UnASC L&ws of The Slat@ of M[nnNOtS , 79M - IIdTl1 tTRgBT W. - 06l( M ROGEAtOUNT, MINNESOTA 6e06Y SUAVEYOW'S C£RTIFICATE ?r - 41 (A ? o ? z V'k ?7 . . Z ' 411I h ?• N ±? ) ? i_n - I ? NP ?4 M ? Z?•. ?. UO-0 _ Z ?- ? 1 •Q Froposec' gara'c;e F] oor '04-4 Propose(i top :)f' f'ouilcidt.ion 9-1•1- PrqpoBed basement ?? l oor {a'? /:(). -F-L&*7 860A Cr.lUV ?ul??_r.•?,,?`,, Rop, PHONE 612 423-1789 ..?. L D T - ? -- ? c? 6tack 4 i ? pkA t?N,46E Q ?? •, I c!'TY tA°fMFNTSI ?. -- ?ya ?' 3 D Do I ?I i , ? 4. r 1 M1 ? I 1+ ? ?; , ? , aIe A- ??, ?qJ 1"?enc>tes prop(!s:.-tj t ipic,l:ed ?e, ,eo_.__ Denotea pro,:c?sen tjr:iir:age 'C,hereby eertify that this is 3 t:t91P and correct repreaentation of Lpt 20 BlOCk 4, BEACUN IiILL,, according to the recorded p13t- tnereof, Dakota County, Minnesota. Dated: June 18, 10?79 Revised March 21, 1483 Lo sliow ri°le 1?Wation ()f a prrPc,sef; IYu?.IsC C:hereon. -?//;,!'? •;.,?.' r?? ( r;, .?i-? ?:. MINNESOTA REG19TpaTION N0.88 ? K??rt;. , ,.• .... . ? .. . . . . ,:;. ?.. . ?......_.._,._.?...._.. , . ? . , , . ?- yts i _ rv r 1: f'?, ?M1 .. . ? '. . • . ?j! EXTERIOR ENVELOPE 11YERAGE COMPUTIITION ;... ; - ONNfiR ' SITE ADDRESS conTaacroa OATE ` k Deterniine working squere footage of each. ? 1. Totai expvsed Ma11 area ...... /?l4? sq. ft. x .17 2. Total root/celling area ..... . ? ...? sq• f.t. x_05 Total exp4sed wall area above ftoor =1,7'M9_?- . ? . ? a. Total wall Windaw area ........................... =S? b. Tota1 door area .......... ••••.••••••.••• ......••••• _.?..-. c. Total stiding glass door araa ........ - d. Total fireplace wall area........................ ' e. Total wall framing area (average 10%)............ 17 f. total net wall area above floor ................. g. Total rim'joist area ........••••••••••••• ••••' Total exposed foundatlon area • ?`??? h. Total foundation window area ................... •• 1. Toal net foundation area above grade .....•';,•••••. Determine "U" value of each wa11 segment. X n U u X ? b. °Un p a x ??-.--?--.- ,.u„ _?? ° ---z?-- _ X d . -^- /11' 11 ? ^ R - X ti u ° .. 2O.'Z 4p X ?.u„ g. .-- h X . isuli $ ------ z i. G ?. „u„ . .... .Tolal 3. ... ... ... ........... ... ... ... ' JC'S 5 than item.Al, you have met the intent If item N3 is the same as. Qr ; of S9C 6006(c)2. • • . ?:?.. , . .._.. „ , . .. . ...,. :... :.? _ ..,... .. ..?. . ... .. . ? . ! ?' .. ' . . ' . • ? . ? . . Total exposeA roof/ceiltng area iVT? Totat gross roof/ceiling area , .r----- , _ ?. Total skylight area ........................ k. Total roof/ceiling framing area .. ...... : 1. Total net insulated roof/ceiling area....... Determine?"U" value fnr each roof/ceiling segmenr.. ?..r--- z t, W„ . J, ? k . ?SL--i-?--- % x „U„ z4 . 4 r. r 4.... ................ ........Total ° L.? T•..? ..... It total oE #A is the same as, or less than 02, you have met the intent of ? 5BC G006(01. To utilizedhe3 total grea?edr,than theusaoafaltenseYlba?d i2. sum of tt? 1 1. + 2. 'S''? 3. ???± + ? r?ww?w y?. .. W. v 5LOGK- :`{Z f Z S"-f•4Z-f 24-f z- ?4Z+ Z s-+ z.-t- zo ya `*= s? . s- . . . !go . .. r; ; ;:VLL I + 4z+-Za + 4z + 4+Z6 = /?Q FvI.L 2. ' tz. ? r-t : ? ? 4d ? S$Z. ;:?-r, Sx.PosEa W'A L.L AR-EA ' 3Loc.K.', ? ? 3 sk , S = G ? . ?' (CN EE 2 I !? ?C g = 1 ?2 f:uLL I ', 1 ga x' a = I 'Z° x S = ? o K? I = / 4t? 14 To7A L = 1 447 , , W DxrS ?1 D oo+z.s r? z4/3 Cm. Z_0 '/&/3c ?ATi o DR.S ? J 9/ 9 9 t ri? `-? o G°-1 r= 4? Z * Jl I ! '?j -4-? U IJ I 4-?' o . DlALL SECTiON5 • i ? WTE: Use 15? •of opaque wall aren Ior R^Valuo -f:amc conslruction Consl:r.uc.tion -- - : _,_._,_._...? 1 ?' I t.?t?e?? ?m ?S?? k 2, - E i nctzes ? 3. ? .. 2.oL . ,i, ? .. 4 ?.i??,.? ? 5. 5 ? D 1 N 0.17 BASIC 6. sxtur?.or air film 6, 33 Total WnLL , ? . .U•.12 .? ,-???1IC2T yj, 1. 2. 3. 4. 5. 6. i. ?RuAz. 3. . 6. T. 2. • 3. h. 5. 6. rior air fil.m 0.68 -------•---------"?": r L ____-----?=, F.xtcrior Ai: r?10 r___To tal ?? Us . 07 InL-crior Air film 0.60 Cxterior afr film 0•17 i. ?«,i 0.68 Interi.or air. _film , FxL-crior air film 0.17 Total • ? --_._ str+e . ori 'cxnoe Fl'C. 03 d'. ? . . ?? ? .' '. - ?. • - --.------ . • -- „ . ol???F ?? yc ° . ? ?? ' ?? •?? ' •' i ? / ? 111-r , , ' , ? ? • , f ? ?. . rti • '. . . . •- ' ?ll . ._ , . ? ? FIG. #4 !ft ?' . ? , ? X //! y : X _ f : r ?? ? Jl f = !lr ? . NOTE: Indicate.type, "R'• value. BepCh end. _ ? placenent of insulation. STAN D:AR•D 4. Venced R-V<?Tub Co?truc_ tiOn 0.61 1. ' 7 nteT io Guir £ilm 2. O , 3. l..o N_Im=-----'`- o.?,. 4. film T••xt-c---ri.or a?.r fSTotal 31 .00 - . .. VRULT li . , F. kA 1 N G ? 0.61 I?ztcrior air f il?m ? iZ.F 'N •? 3. 2X • t 1 SuL q, ilm STota1 22. i5 , •. , . . F • , . _.,-- - . . p.61 Zi.r fi.ltrt _ ? I? ueat f7-oW up Fzc. 95 ' . vented HeLC f loV up ?. • . , ` . IG 96' 6 ?a1.•?=`'R'? S. . .? ,. ' ? ..?e1 ?•S?y _?? • A . • 0.11 °"•'?'?'`"' S, Uutside air filln ---^'?- . + • ' Total ? ? . ? 2 . • ?paco ? Not•c: Usa additionil sheets if moYe ? . hp;t-VLh~TED .• '-- necdcd for details und calculations. .,.' • , , . . "' . Hcnt Rp01'/CEILINC ? CITY OF EAGAN Page 1 of 4 YERMIT . TO WORK AITHIN CITY YROPERTY/RIGHT-OF-iTAY/EASEMENT5 ---- 1. Location -- - ? ? 2. Hature of Vork Y.f">?0W-- 3. Indicate below items to be affected and include a sketcti or plan of vork to be done. Curb & Gutter Street Surface Trail/Sidewalk Trees: Pond/Wetlands Public Traffic Control Devices/Signs Private Drainage IItilities Structures/Buildings Other SL//?.? 4. Method of Installation or Construction 5. Nork to start on or after: S-s and shall be completed by: unless an extension granted to: by: DATE STAFF/DATE 6. Will detouring of traffic be necessary? ? O . If necessary to detour traffic, describe suggested route: DETOIIRS: The Director of Public Works shall be notified in vritinQ at least 72 hours in advance of any detour being established, changed or discontinued. IaAME OF APPLICANT ?Z? Y??? PFIONE PLEASE P?INT ,.._ ADDRESS %6/,6 f? l !?/S'is'Q !//`1 ?? ??'? !???c/ TfOoc2 STREET' CI/T)Y STATE ZIP 1QAME OF PARTY OR ORGANIZATIO ERFORMZNG WORK X CONTACT PERSON: ?yL ?EMERGENCY (24 FiR.) HONE #: ADDRESS 6/(? ? v?y ,pt.••? iaiv Jtt"744- DAY PHONE STREET CITY STATE ZIP The undersigned herewith epts the terms and conditions of this permit by the City of Eagan as herein on ained and a ee to fully complq therevith to the satisfaction of the Citq of Eagan. Signedf Title: 153'? a:?-02vNf/Z, DATE: ---- r ------------------------------------------------------------------------------- ----- FOR CITY IISE ONLY AUTHORIZATION OF YERMIT FINANCIAL SECUAITY: AMOUNT:. TYPE: (Cash,bond,IAC,etc.) Fee: $ Receipt No. Permit No. In consideration of agreement to comply in all respects rith the regulations of the City of Eagan covering such operations, and pursuant to authorization dulq ginen by said City of Eagan; permission is hereby granted for the vork to be done as described in the above application, said work to be done in accordance with special provisions as hereby atated: ALL LEGAL REQUIREMENTS SAOWN ON REVERSE SIDE AND ON J iTITH! THE DATE WHEN iTORK IS COMPLETED ?SUST SE REPOR OF PUBLIC WORKS %-/' \7 J j/ /DATE PECIAL PROVISIONS" TO BE COMPLIED TO THE EAGAN CITY ENGINEER, Permit No. Page 2 of 4 PERTINENT REGULATIONS Safety 1 Traffic shall be allowed to pass aad 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 sdvance 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 whenevar the work being done creates a hazard either to the traffic using said road or the personnel engaged in the construction, oz 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 5td. 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 shail 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, shali 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 suthorized under this permit in order not to endanger or unnecessarily obstYUCt travel along any road or Lrailway. Operations shall be so conducted at all times as to permit safe and reasonable free travel over the roads and trailways within the limits of the work herein prescribed. All safety measures for the free movement of traffic shall be provided by the permittee at his own cost. 4. Conformity to Laws--The installation shall be msde in conformity with all applicable laws, regulations and codes covering said installaLions. All installations shall be made in conformity vith regulations of governmental agencies for the protection of the public. a. The applicant ehall furnish a bond or £inancial 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 foz 2 years subsequent to completion of stYeet repair to protect the City from defects in material, workmanship or non-compliance wfth City Standards or specifications. Permit No. Page 3 of 4 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 Hinnesota 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, mainta3ning, 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. Pzivate 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 uvon comnletion 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 operatlve. 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 shali 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 4 12. Vehicles or equipment traversing roads or trailway surfaces shall not ut3lize 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 s neat and presentable condition. 14. Trees and Vegetation-Surning 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 declazes hejshe has read and will comply with all the PERTINENT REGULATIONS as stated above and relevant City Ordinances. DATE: ? ?'?`.9? SIGNED: Revised 4/93 LTS#1-PERMIT.FM PROPER7Y L'NE ? ? SAME AS REMOYED (3' MItiIMUM) •.,'.? .' ?:.',: SAME AS f?EMOVED ':.;':•...: (6" MINIMUM) 1. Curb and Gutter shall be removed only sfter 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 lst and November 15th for permanent patch. Temporary cold mix patch ahould be used November 16th to April 20th (or as permitted by weather). 5. Class S, 100% crushed aggregate base. 6. Barricades and warning flashers are to be provided as per MnDOT standards, 7. Bituminous trailway closure requires Type II MnDOT barricades with flashers. 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 (95X) percent of ASTH 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 Specification. Cit Of 88 8n atandard y g STREET AND 81TUMINOUS TRAILWAY approved: plate PUBLIC 411 WORKS EXCAVATION /PATCH DETAIL 'j/gZ p_i DEPAATMEN TRAILWAY I _, . - - ?.. , ,17.??y(CER?1? iR(?GATCON; CO:F;Cu?;tome?, :C'u`storr?eri_- ?- -; - PJ1?S?Z?241-? CfC1E2?.??1SE I??Cd:_'?_:-1+-L :- •-{-{ i ?.i, i'.i' --? .t i ? * ??T -F' _'. -+ (?` . sNiimber?? _ ? ? 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'_ 10/11/2011 10:41 9527070334 ACE GARAGE DOOR PAGE 01/01 MAY/18/2011/WED 11:21 AM City of Eagan PAX No, 651-975-5694 P.001/001 V Use BLUE or BLACK Ink MuTS~------•-- My of Eap I Parmlt l 1 I I PorntQ Foa; , 3830 Pilot Knob Road 1 / I Eagan MN $5122 I Date Race ad: Phone: (651) 675-5675 t Fax; (651) 675.5694 Staff: I 2011 (RESIDENTIAL BUILDING PERMIT APPLICATION Data: I Site Address; lOl7 Unit 0, Name:_ rev r+r Phone: I- RESIDENT l - r q lo " OWNER Address / City R Addre Zip; 6 C of Applicant is: Owner'` Contractor TYPE OF WORK Description of work:_ (~t~-Cccp f ~1 raw le, pg, Construction Cost: 14 J Dl~p Multi-Family 6ullding; (Yes No . Company: y.-,L C9~v- 1~effe -Co Contact: e., 0Q CONTRACTOR Addresw . 3 f~ City; State! Zip: sL5 ~ Phone: ~ 4rG~PQCP~ 0~ license, Load Certificate Does this project require Lead Retnediation? 0 Yes ❑ No (see Page 3 for additional Information) If no, please explain: 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 boxed on a master plan? _Yes _No If yes, date and address or 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 lnformatlon.. Portions of, the lnformatlon'mdy'be c/esslfled as non,-public if you provide sflecl6c*re6sons tbaf would permit the tIty'to conclude that the are trpde secrets:'• CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-OOD2 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locales of underground utllides. WWw.oopherstateonecall,ora I hereby acknowlodge that this Information Is complete and accurate; that lne work will bo in eon(ormonee with the ordinances end codes of the City of Eagan; that) understand this Is not a permit. but only an opplicdOon for a permit, and work w not to start without a parmlk; that the work will be In accordance vAth the/approved plan In the Casa of work which requires a review and approval of lens. x &Lr. Applicants Printed Name Applicant's Signs ure Page 1 of 3 Use BLUE or BLACK Ink I For Office Use I ~ Permit#: O non City of Ea a Permit Fee:( 3830 Pilot Knob Road (P- Eagan MN 55122 Date Received. ~ ~ 3 I I Phone: (651) 675-5675 JUN 2 4 2013 I ~ I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: [*e R ' kE.(S 474 Phone: Resident] Owner Address / City / Zip: ~"n S b 0 r Applicant is: Owner contractor Type of Description of work: I°r1 Ila-!~AR ~Cex, Ypa Construction Cost: 5®p Multi-Family Building: (Yes / No Company: Contact: Contractor Address: City: i State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) l~ 1~s3 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: 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. 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.gopherstateonecall.org 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. 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. x 1' f = J'~►~Os_ /r / x, Applicant's Printed Name App icl ant's Signature Page 1 of 3 01 ~ Ki S 6tA (8r . DO NOT WRHE BEL! THIS LINE SUB TYPES - Foundation _ Fireplace - Porch (3-Season) - Exterior Alteration (Single Family) - Single Family - Garage - Porch (4-Season) - Exterior Alteration (Multi) Multi Deck _ Porch (Screen/Gazebo/Pergola) - Miscellaneous - 01 of - Plex _ Lower Level _ Pool - 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 l7 Occu anc p y t, ` MCES System Plan Review Code Edition ) SAC Units (250/,,_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) _NA Final / No CO. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final 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: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant V Copies TOTAL Page 2 of 3 80,00 FS 0 c) 21 20W IO ~ lot ~t to' E10 f p/ e 0673 l 1 Use BLUE or BLACK Ink 4111/I For Office Use Cc.--Permit Fee:Permit#: /zi 5-'721 City of Ea�aa a ‘611 3,9 3830 Pilot Knob Road 4/ '� Eagan MN 55122 Date Received: Phone:(651)675-5675 buildinoinspections(aacitvofeagan.com Staff: J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Z Date: 11 SEP 2017 Site Address: 4616 Kingsbury Dr. unit#: Name: Keith Shelstad Phone: 651-592-2221 Resident/°a; 4616 Kingsbury Dr. Eagan, 55122 Owner Address/City/Zip: Applicant is: X Owner Contractor G Tine of Work Description of work. addition Construction Cost: $30,000 Multi-Family Building: (Yes /No X ) Company: Contact: Address: City: Contractor State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans airifttIpportina documents# submit nf'.consichtind to bo"1 + � ' ,tiior. of Information o non-pry if sp provide ecl `�� ld to kre � E You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not o start without a permit; that the wo k will be in accordance with the approved plan in the case of work which requires a review and approval of p Keith J. Shelstad x x Applicants Printed Name Applicants Signa Page 1 of 3 (I 1 -(‘q.ts bvr-J 1)" �/ DO NOT WRITE BELOW THI$ Lj LINE NCI?) 5 ?) SUB TYPES — Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family �(Garage _ Porch(4-Season) Exterior Alteration(Multi) — Multi �_`" Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool _ 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 Valuation4/3.'1Occupancy {,r( MCES System Plan Review Code Edition V'fNI3' SAC Units (25%_100%y) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required lok Footings(Addition) lc Final 1 No C.O. Required Foundation C Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice&Water _Final Pool:_Footings _Air/Gas Tests Final Framing ',30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows `/ Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: ' , Building Inspector RESIDENTIAL FEES Base Fee Surcharge IOC Plan Review .01.91N) MCES SAC D City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant fOp/k teu, y ?30, (0 ,..- f , Copies TOTAL Page 2 of 3 II-11-1)-i< City Council Meeting Minutes September 5, 2017 4 page PUBLIC HEARINGS Variance—4616 Kingsbury Drive—Sheer I a City Administrator Osberg introduced the item noting the applicant is proposing to build an 18.5'x 34' addition to the rear of his garage. A Variance to the maximum building coverage is before the Council for consideration. City Planner Ridley noted the applicant provided some additional information today that confirms the county records were inaccurate and didn't count building coverage of a 3-season porch that was added to the property in 1989.The new numbers result in an existing lot coverage of 18.3%(rather than 17.6%) and a 4.3%Variance (rather than 3.6%). Ridley also noted a letter of support was received. Mayor Maguire opened the public hearing.There being no public comment, he turned the discussion back to the Council. The Council discussed the variance request. Councilmember Fields moved, Councilmember Hansen seconded to close the public hearing and approve a 4.3%Variance to the allowed 20%maximum building lot coverage for property located at 4616 Kingsbury Drive, subject to the following conditions as amended: Aye: 5 Nay:0 1. If within one year after approval,the variance shall not have been completed or utilized, it shall become null and void unless a petition for extension has been granted by the Council. Such extension shall be requested in writing at least 30 days before expiration and shall state facts showing a good faith attempt to complete or utilize the use permitted in the variance. 2. The applicant shall obtain an approved Building Permit. 3. The garage shall meet R-1 setback requirements. 4. The garage addition shall comply with all applicable Zoning Ordinance and Building Code requirements. 5. The addition shall match the existing architecture and exterior materials. Lot 1, Block 3 Oa view Center&Lot 1, Block 1, Oakview Center 2"d Addition Easement Vacation City Administrator Osberg introduced the item noting the action to be considered is to close the public hearing and continue consideration of the vacation of public drainage and utility easements on Lot 1, Block 3 Overview Center, and Lot 1, Block 1, Overview Center 2nd Addition. Osberg noted Council action on the vacation should be continued to the consideration of the Oakview 3rd Addition Final Plat at a future Council meeting. Director of Public Works Matthys gave a staff report. Mayor Maguire opened the public hearing.There being no public comment, he turned the discussion back to the Council. ,. d'if/ Taco", , , il:Lad 6,0 0111 LO l, w I .. . iiiIMM11111111 ...... mmommor..., ?-1 . • -.., .......... V I . juIS 0 0 2 1 ,, . 5 ( .., ,, . , I-fey ) 5-firt/i> i ip:Vil''047.1().1 ri ' ...t, W 01\ ) C\ • wof 1 1 ,... 0 11111 , 04 i 41 1 ft. 0 . 111111 ilii1 I' • qi. _ gi 113 0 : fill, • G.L-ccksyel ')(;s--1--;o 5 10s€. le a .. rr) 0 ad—. ' SO 1 )111°0 cr) \( \)4it II 1°11k Dr; i c(‘ I . ' - ---- M. 04------r-orm i- • 6 Ke 4.-.‘•\ q- •f<'o soi +a- '-'71(c 161 ikl'octs;:0 ty br. I ,,-2-(.: ; Use BLUE or BLACK Ink 1 For Office Use Permit#:ctty of Eapli �Permit Fee: 0 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Staff: buildinqinspectionsCaacitvofeagan.com 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 10/18/2017Site Address: 4616 Kingsbury Dr Tenant: Suite#: Name. Shelstad 651-592-2221 : Phone: Refit eintit A r W Address/City/Zip: 4616 Kingsbury Dr. Eagan, MN. 55122 Name: License#: '41 Contractor Address: City: State: Zip: Phone: Contact: Email: ' T s _New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: Install PEX tubing in new concrete slab. See attachment. RESIDENTIAL Water Heater Lawn Irrigation(_RPZ/_PVB) Water Softener PermitTom' Add Plumbing Fixtures Main/_Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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.qopherstateonecall.orq 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.citvofeagan.com/subscribe. 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 Keith Shelstad X � Applicant's Printed Name Applicant's Si gnature FOR OFFICE USEReviewed Re quired inspections °% Under Ground, ,: Rt h-In 6 Test -Gas Tom, Meter Related Items: Meter Size F 6,'. mead OTait $ For Office Use ! ,� Permit#: V gEAGAN ,„„.. Permit Fee: / " 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: (651)675-5675 i TDD: (651)454-8535 i FAX: (651)675-5694 Email: buildinginspectionsi cityofeanan.com Staff: Commercial Plan Submittal: eplans(o),cityofeagan.com L 2018 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: 20180705 Site Address: 4616 Kingsbury Dr. Tenant: Suite#: Name: Keith ShelstadPhone: 651-592-2221 Resident/Owner Address/city/zip: 4616 Kingsbury Dr. Eagan, 55122 Name: License#: Contractor Address: City: State: Zip: Phone: Contact: Email: RESIDENTIAL Furnace I Air Conditioner Permit Type Air Exchanger • Heat Pump Micro boiler wfintegrator panel i Other ✓ New Replacement Additional Alteration Demolition Type of Work'' Install micro-boiler w/integrator panel as part of radiant heat in garage addition Description of work: RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE 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.citvofeagan.com/subscribe. 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 Keith Shelstad Applicant's Printed Name Applicant's Signature FOR OFFICEUSE ‘Required Insp Inspections:f� Reviewed By: • Date: Underground Rough In - -..Air Test -, Gas Service Test s�`:.. In-floor Heat ,. Fina