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Address (0 9? PAC_ t?-e- V\ SZip 5512a
I,ot 2" Blk ? Sub MO.Y\,
TEIESE ITEMS WERE ! WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECfION.
Date: 3- ,7-(, ..-0 3 Yes No Inspector:
Final grade (6" from siding) JC
Permanent steps (gazage) ?
Pennanent steps (main entry) ?
Petmanent driveway
Permanent gas ,x
Sod/Seeded grass x
TraiUcurb damage x
Porc6
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuhoff of water supply W
the outside lawn faucet before frecze potential exists.
Contad engineering division at 681-4645 beforo working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contraclor Copy
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consimction Reqmrements RemodellReoair ReamremeNS _ ?.'"'c'?e"f'"
CerloiSunteyRecd
Y -N
3 registered site surveys showing sq ft, of lot, sq H of house, and all roofed areas 2 copies of plan
1 sel o( Energy Calculations for heated additions Tree Pr25Plan ReEtl _
_?
N
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window s¢es, poured found design, etc 1 sde survey for addihons & decks
t
i iree Prs5Rei7uired ;
ort-sdeSeRtiCsystem ?
N
Y-
1 setofEnergyCalcula6ons em
csys
Addihon - indicafeifon-sdesept - -...
-
3 copies of Tree PreservaUOn Plan If Iot platled after 711193
Rim Joist Detail Ophons selection sheef (buildmgs with 3 or less units)
'/
Date 07 I/V l
Zoos ?
Construction Cost IL-1 000
Site Address ?, 9S Nlc i-ao?cs?2xS T eA, l L- UniUSte #
Description of Work [V ew
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Pmper[yOwner ?055 ? S?Z?„UU2 ?ek5eti Telephone#((oSt ) 3357" 6,01I
actor
t
C
on
r
Address City
State Zip Telephane # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catesorv 1 _ Minnesota Rules 7672
Energy COde Category , Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Suhmitted 5ubmitted
. Energy Envelope Calculations Suhmitted
-Y,9 ?-v.ZS
cQ(?i Llios/?s
'70'a
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Conhactor
Sewer/Water Contractor
Telephone #(
Telephone #[
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
and
permit; that the work will be in accordance with the approved plan in the case of work D
approval Ii? Tq?r? lJ?re?iD
? L5 of plans.
.-) ? APR 19 2005
Kass ? ev?5e?n
Applicant's Printed Name Ap icant's Signature
Rv
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea ) ? 33 Ext. Alt - SF
? 04 02-plex ? '10 DS-plex 18 Deck
C ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex D 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plhg_v or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement . `Demolition (Entire Bldg ) - Give PCA handout to applicant
Valuation Occupancy MCESSystem
Census Code ? Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
?c Footings (deck) ZC FinaUNo C.O.
_ Footings (addi[ion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final
>C Framisig _ Siding _ Stucco _ Stone _ Erick
T Fireplace _ R.I. _ AirTest _ Final _ Windows
Insulation _ Retainuig Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Perrnit & Surcharge
Treatment Piant
License Search
Copies
Other
Total
'44 ;20?
,
I ? * ** .422 Enterprise Drive
^ * Mendota Heights, MN 55120
* PIONEEFI ?µp SIIHVEY0R5 CIVIL ENqNEERS (651) 681-1914 FAX:681-9488
* ang neer ng LANO PLAryryEqS• LANUSCME A{lCHIiECT3 625 Highway 10 N.E.
*?** AUG 0 1 REC°D 8loine, MN 55434
(763) 783-1880 fAX:783-1883
Certificate of Survey for: MANLEY BROTHFR ()NST
LOT AREA = 12,114 sq. ft. 695 MCFADDENS TRAIL EAGAN, MINNESOTA
HOUSE AREA = 1,189 sq. ft. , °g i
GARAGE AREA = 843 sq, ft. t;, BENCH MARK
PORCH/ PA110 = 126 sq. TNH LOT 75 BLK 2
DRIVEWAY AREA = 758 sq. fti ELEV.=9?2.80
CDVERAGE =24.17
4
jz'
S62'ltc-?: I ' _:.°----? c?''"a?-02, ?
F??xiE ?189' 12°'Hf'rLEP''.
93.99
..g i,Eiz- _ `- l?i',n',? .
QAW?
...... 978A 0 0 936.2
EASEMENT PER PLAT _.? `?-
F'--- ? --? ?
s:i aeeuamum ? i 5 ?..
5I ? i?
or Rete,ining Wall Wil o ? v/ I
? F{eQuired o I ^2 ?
x M I x937.5/ Pc?S I 37. C V
9402
? ? t?l? I /Sl L?r
(STAKED) 9?Q? 1000 ----- iC7.3 ? 20.99I Gi3b,s ?rGI"iC
Xsai. 15.00 -y -- 936J
io1. 5 0 ?
?? ?93).6 w
?
r 21.00 ?" /°
--, PROPOSED o ? n O
HOUSE N
o I "?
6 GARAGE i /?? a p
? 1 30.67 sh
9ao.z;t ? o eaza
x ? 12•00 ? 20 33m ? (i7.o
BENCH MARK O ?
TOP OF SPIKE N' OIOD 938 0??^ S? i 9?? T 1 20.9 Z i,L _ BENCH MARK
ELEV -
15 3 - TOP OF SPIKE
o I PROPOSE o n ELEV.=935.38
a DRIVEWAY o
o
q33n?-
(a?a,a \934.1 b
_ 9 7.9 976.3 .0 93 .2? ` . \ _
? O
9368 933
ri E 9'40- ?= 1 'QS??
- - R=232. ??P
BY 4
? 2•
- 4-5.9?5
0,??.svr>?r.sr? MCFADDENS TRAIL s A,
?
3 ^ -?
P. i p ' ? r ?7 ! ' ? r?- ;: r
? 14 e? . t:
B ? ? ?a ?v4,.r r?
PROPOSED HOIE LE 10
?I9TE: PROPOSED GRAOES SHOKTJ PER GRAOING PLAN BY: PIONEER A LOWEST FLOOR ELEVATION: Z?Z
NOTE: OFBUILDING ES IONLY SEE ARCHITECTUqL RpL?ANS FOR VERTICAL CAiIOfS? TOP OF BLOCK ELEVATION:
fOL1NDATION OIMENSIONS.
NOTE: NO SPECIFIC SOILS INOESiIGAl10N HAS BEEN COAIPLEiED ON iHIS LOT BY h{E GARAGE SLAB ELEVATION: Cl ?S
SURVEYOR. ME SUIiABILITY OF SOILS 70 SUPPOR7 THE SPECIFIC MOUSE TOB (9D LOOKOUT ELEVA710N:
PROPOSED IS NOT THE RESPONSIBIL1iY OF THE SURVEYOR.
NOiE: TF{IS CERTIfICATE OOES NOT PURPORi TO SHOW EASEMENis OTHER THAH % OGOOa DENOTES E%IS71NC ELEVAnON
iF105E SMOYM ON iHE RECORUEO PLAi. ( 000.00 ) DENOTES PROPOSED ELEVATION
NOTECONTRACiOR MUST 4ERIFY ORIVEWAY OESIGN. --- DENOTES DRAINAGE AryD UPLITY EASEMENT
NOTE: BEARINCS SHOl4N ARE 8ASE0 ON AN ASSUMED OANM DENOTES DRAINAGE FLOW DIRECiION
-A-- DENOTES SPIKE
B DENOTES OFFSET Hl1B
WE HEREBY CERTIFY TO MANLEY BROTHERS CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 2, BLOCK 1, MANLEY ADDITION
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SH4W IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIREC7 SUPERVISION THIS 23 DAY OF JULY, 2002.
SIG ED: PIONEER ENGINEERING, P.A.
SCALE : 1 INCH = 30 FEET ? a. n_ -
B Y:
STqKED 7-24-02 -7IZ-(p(p-2_
?5'R-? L? ?
PLLJMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when pernuts are required for each unit
f-so.so
Date ? l l/ l 03
Site Address Unit #
Property Owner Telephone # ( )
Contractor
Address City
State Zip Telephone #(763) Y/ 3-/ SS g?
The Applicant is _ Owner t?Contractor _ Other
Septic System New _ Refurbished Submit 2 sefs of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5!8" meter if needed -$1 21.00)
Other:
I/ RPZ 4"'new installaUon
repair rebuild '
_ _ $ 30.00
? Lawn irrigation system ?
Water softener Water heater (((` ??` 1 g 15.00
_ replacement _ additional
State Surcharge
ey.
.50
Total s
I hereby apply for a Residential Plumbing Pemut and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pemut, but only an application for a pertnit, 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. .
S?e va y r rL '•O1/" Y
plicanYs Printed N e Applicant's Signature
ities DiQital Oualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
Tuesday, March 25, 2003 2:31 PM Lofgren Htg & A/C 651-4601208 p 02
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j."o4- -), 6 I o cL '
V " `c""?y BUILDI
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-68'i-4675
?BL 543?1 o
New ConstrueUon Reauirementa
. 3 registered srte surveys showirg sq. ft of lot, sq. R. of house; and all roofeA areas
(20°k maximum lot wverape allowed)
• 2 copies of plan showiig beam & window sizes; poured found desgn, etc.)
• t set of Enert?y Calculations
• 3 wpies of Tree Preserva6on Plan rf lot platted after 711193
• Rim Joist DetaJ Options sNectbn sheel (bidgs wilh 3 or less unils
DATE T?Aca
EQPWMRI
f+nE 5'N3`l 1
Q? 5y3'i ? o??.S?
?-
RemodellReaair Reauirements
. 2 copies of plan
. i set ol Energy Caiculations tor heated additions
1 sile survey for extenor additions & deckt ?
3 Indicate if home served 6y uptic system for additions
VALUATION ?SO, 000 • 02?
SITE ADDRESS MULTI-FAMILY BLDG
TYPE OF WORK_ ?°(.i) ?'?r7r_? JS?IIC?ZQY1 _ fIREPLACE(S) _
? ?33 CELL PHONE #
?Y _N
?k l - 2
FAX # ?/??SL?y?I /??I
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ?fINNESOT:\ RliI.I:S 7670 G\TEGORY I MIV?lESOTA RULES 7(i7Z
(4 submission type) • Residential Ventilation Calegory 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculatlons Submitted
? 3?
Plumbing Contraetor: Phone # ?/1 &
Plumbing system includes: Water Softener ? I.awn Sprinkler Fee: $90.00
_ Water Hcater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor: ? ?? ?'
l?lcchanical systcm includcs: _ Air Condilioning
Heat Re very Systcm
Sewer/Water Contractor: G
Phone # - 13
ec: ?670.00
Phone # ?J . / 44(-2J `P``3?7
--------°--° -------------------------------------------------------°--- °---°------------- ° ° ---°-----°-----°-----
I hereby acknowledge that I have read this application, state that the inform ion' correct, nd agree to comply
with all,qp,plic r2 nesota Statutes and City of Eagan di an s.
,
??`' Slgnature of Appllcant LG^'N ?--?
----------- -------- ----•-------° _-- .. _---- _..___.._---- __ -- -------------------...-°-----__..?_r.
tur?eW ? OFFICE USE ONLY
Certificatesi of vReceived 5? Tree Preservation Plan Received _ Not Required
RESIDENTIAL
NG PERMIT APPLICATION
$q
Updated 4102
PROPERTYOWNER TELEPHONE#(??'
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
1)2( 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation 160" Occupancy /??L MC/ES System -
Census Code /O/ Zoning R) '/ City Water ?4'-S'
SAC Units ? Stories ? Booster Pump --!
Nbr. of Units o? Sq. Ft. PRV ?
Nbr. of Bldgs Length .4y?, Fire Sprinklered '-
Type of Const Width 63
REQUIRED INSPECTIONS
Footings (new bldg) ? FinallC.O.
_ Footings(deck) FinaUNo C.O.
Footings (addirion) plumbing
Foundation _ HVAC
? Drain Tile Other
Roof _4)6t_ Ice & Water ? Final Pool Ftgs Air/Gas Tesu Final
? Framing Siding Stucco Stone
? Fireplace At R.I. ?VAir Test Y Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
? 07 OS-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
O 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg only) - Give PCA handout to applicant
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt • SF
? 36 Multi
Building Inspector
cetiel¢ Frx Cw /G `?
/ 7 /a'i '
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?G o9G'
6 3C
Total
•
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
-
Permit #
Checked hy/Date
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 6-18-2002
DATE OF PLANS: 4/25/02
PROJECT INFORMATION:
Spec #1
Lot 3 Blk 1 Thomas Woods
COMPANY INFORMATION:
Manley Bros. Construction
COMPLIANCE: PASSES
Required UA = 396
Your Home = 393
0.7% Better Than Code
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value
----- ----------------------------
CEILINGS: Raised Truss ------
1224 44.0
0.0
WALLS: Wood Frame, 16" O.C. 1112 19.0 2.0
WALLS: Wood Frame, 16" O.C. 995 19.0 2.0
BSMT: Conc. 8.8' ht/8.2' bg/8.8' insul 1357 11.0 0.0
GLAZING: Windows, Foundation, > 5.6 ft2 21 0.350
GLAZING: Windows or poors, Above Grade 214 0.350
GLAZING: Windows or poors, Above Grade 205 0.350
DOORS 42 0.350
FLOORS: Over Outside Air 50 30.0 0.0
-----------
-------------
---------------------------------------
COMPLIANCE STATEMENT: The proposed bui ------------
lding design described here is
consistent with the building plans, spe cifications, and other calculations
submitted with the permit a plication. The propose d building has been
designed to meet e re ui ent f th e Minnesota Energy Code .
Suilder/Designer Da te?
. ,
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL: ?6T a Rl /UIGtqIGw
DATE OF SURVEY:
?
LATEST REVISION
Y a
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DOCUMENTSTANDARDS
`v
a
¢
_ • Registered Land Surveyor signature and company
_ • Building Permit Applicant
. Legaldescripdon
_ • Address
• North arrow and scale
? • House type (rambler, walkout, split wlo, split entry, lookout, etcJ
- . Directional drainage arrows with slope/gradient %
_ . Proposedlexisting sewer and water services & invert elevation
_ • Street name
- • Driveway
.-. • Lot Square Footage
_ . Lot Coverage
ELEVATIONS
Existin
!;,?°? - • Sewer service (or Proposed)
Property corners
Top of curb at the driveway and properry line eMensions
Elevations of any existing adjacent homes
u?J - • Adequate footing depth of structures due to adjacent utility trenches
G ? - • Waterways (pond, stream, etc.)
Proposed
V/^ - • Garage floor
Y/ ? "- • Basementfloor
Z 7- • Lowest exposed elevation (walkout/window)
tv/ ? _
? • Property corners
u - • Front and rear of home at the foundation
PONDING AREA (if aoolicable)
? v / C • Easement line
? ? _ . NWL
? = . HWL
? • Pond # designation
iJ • Emergency Overflow Elevation
/ DIMENSIONS
d/ , _ • Lot lines/Bearings & dimensions
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
? • Show all easements of record and any City utilities within those easements
?- • Setbacks of proposed structure and sideyard setback of adjacent existing structures
;? r _ • Retaining wall requirements, if any
Reviewed: /
9-4z
Name / Date
OK
r? . . .
? * ? • 422 Enterprise Drive
* Mendota Heights, MN 55120
* PIONB6A ?,Wp SppyEyppS • GNL ENqNEERS (851) 881-1914 FAX:881-9488
* eng neer ng LANU PUNNEFS. UNOSCAPE Mp111ECTS 625 Highwoy 10 N.E.
* ? ? * AUG 0 ? REC'D (iesj'?sa-ieeo Fnx:?es-?aes
Certificate of Survey for: _MANLEY BROTHFR? CON T
LOT AREA = 12,114 sq, ft. 695 MCFADDENS TRAIL EAGAN, MINNESOTA
HOUSE AREA = 1,189 sq. ft..;? `
GARAGE_ AREA = 843 sq. ft. ,? -y'? ?f ' ?. ? ? E? ?? ;? ? ?._, ?
PORCH/ PAi10 = 126 sq. ft. ? ?r< <r?? ? ^ ?
DRIVEwAY AREA = 758 sq. ft? ll ?a tL, ??'? ??'
^COVERAGE =24.1? j ?
"7??• I??I.: .. ?V?..,-?r??
S'f??(tc?: ?2?',?1 I ___::. ?''???"? _
? '' ? t?A^pP ?TT?*?^. ?t,.TI?7EEF.37.dGDEPT.
I??E -r?P? , /'' N89 3? 12 W 93.99
P,A+??Pt.teR- _ I l`T'?'I?Q) =s_ ?aiS'
• O.ig ?
C? AT> ?-- 938.4 p f
ls?$?
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9402 ?
•; ??i39
(STAKED) 937.5
X941.
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?
?/h?1?.Sj ?4Q
940.2 ?
X Q
BENCH MARK ?
TOP OF SPIKE /'? '
E LE V. = 9 38.36 ---('L?'2,Q, f
EASEMENT PER PLAT
- - - - - - - -
-- ? ?
5?
I ?
I 2
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P OPOS D H SE E V 10
NOTE : PROPOSE? GRADES SHOWN PER GRAUING PLAN BY. PIONEER ? LOWEST fL00R ELEVATION: Z?z'
N?iE: BUILDING OIMENSIONS SItOVM ARE FOR HORIZONTAL AND VERi1CAL LOCATIOA
OF STRUCTURES ONLY. SEE ARCHITECiUAL PLANS FOR BUILOING AN?
TOP OF BLOCK ELEVATION: ???
f0UN0AT10N OIMENSIONS. GARAGE SLAB ELEVATION: ? ?s
NOiE: NO SPECIFlC SOILS IN?ESTIGA770N HAS BEEN COMPLEiED ON THIS LOi BV THE
SURVEYOR. TNE SUITABILITY OF SOILS LO SUPPORT THE SPECIFlC HOUSE TOB @ LOOKOUT ELEVATION:
PROPOSED IS NOi ME RESPONSIBIIITY OF THE SUR?EYOR,
NOiE; THIS CERTIFlCAIE OOES NOT PURPORi TO SHOw EASEMENTS OTHER 'HAt! % OOOAO UEIJOiES E%IS?NG ELEVAPON
1HOSE SHOYM ON iHE RECOROED PLAi. ( 000.00 ) DENOlES PROPOSEO ELEVAiION
NOTE: CONTRACTOR MUST bERIFV ORIbEWAY OESIGN. --- OENOlES URAINACE AND V7ILITY EASEMENT
DENOTES DRAINAGE FLOW DIRECPON
NOiE: BEARINGS SHOWN ARE BASEO ON AN ASSUMED OATUM -?- DENOiES SPIKE
B DENOlES OFFSET HUB
WE HEREBY CERTIFY TO MANLEY BROTHERS CONST. THAT THIS IS A TRUE AND CORRECT REPRESEN7ATION OF A
SUR VEY OF THE BOUNDARIES OF:
LOT 2, BLOCK 1, MANLEY ADDITION
OAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SIJRVEYED BY ME OR
UNDER MY DIRECT SUPERVISION iHIS 23 DAY OF JULY, 2002.
SCALE : 1 INCH = 30 FEET
B Y:
STAKED 7-24-02 ??2-(p?p2
ENGINEERING, P.A.
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937.6 ? M
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
s`Io .6? New ConsWCtion Reauiremenis RemodeVReoair Reauirements O(fice lse Onlv
??. q( $uiva ;$ecd; ?'.?'Y, ._ M
3 registered sile wrveys showing sq. fL of lot, sq. @. of house; and all mofed arees 2 mpies of plan Ce
--_--?^
(20%mazimumlolcoverageallowed) lseto(EnergyCalculaGonsforheatededditions
2 copies of plan showing beam & window sizes; poured found design, etc. 1 stte survey for addNons & decks 3?Jee Presd??6ire?', Y -_ N
^W
1 set ot Energy Calculations Addifion - indicafe i(on-sife sepfic system 6?site Septic_SYsfein,;y ?T,Y. _ N
3 mpes of Tree P2servation Plan'rf bt plaHed aRer 717193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units .
Date 3 / 5
Site Address GJG
?Gl / ?
S
S ?22 Construction Cost ?cco
UniUSte #
Description of Work I OV\/ey- ley )
'?1 ?? ? S?
Multi-Family Bldg _ YX N Fireplace(s) x 0 2
PropertyOwner R os,-s SuZ(::Ar,ne, f?P1?1Se? Telephone#(GSI)y'CJ4? 9999
Contractor ._?----
Address
Sta[e C<<Y
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy Code Category . Residential Ventilatlon Category t Waksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar pian2 _ Y _ N if so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pemut, 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.
R??? Bensen _ ??? ?
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-piex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gaze6o)
? 05 03-plex ? 11 10.plex ?yl 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
(?? J
V
l
ti O
' U??°
3
MCES S
stem
on
a
ua ccupancy
y
Census Code
Zoning =
City Water
SAC Units Stories Booster Pump _
# of Units Sq. Ft. PRV _
# of Bldgs Length Fire Sprinklered _
Type of Const W idth
Footings (new bldg)
Footings(deck)
Footings (addirion)
Foundation
Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
? 30 Accessory Bidg
? 31 Ext. Alt- Multi
? 33 Ext. Alt - SF
0 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
REQUIREDINSPECTIONS
FinallC.O.
_?c Final/No C.O.
Plumbing
K HVAC
Other
_ Poo] _ Ftgs _ Air/Gas Tests
_ Siding _ Stucco _ Stone _ Brick
W indows
_ Retaining Wa]]
?
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
? 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?t s0-?
Date _--? I 5 I 0417
Site Street Address GC35 Mcr-mddev,c E2Locv-, MN 55123 Unit#
?
Property Owner ROq?; * SUZqr1r1P ?SPr2, Telephone #(&y1) 4-S4F-BqaG
Contractor -`-? Telephone # ( }
Address City State Zip
The Applicant is: x Owner _ Contractor _Qther
Alterations to existing dwelling $ 50.00
)( Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigatfon System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge
?,illl--, l9 ? $ .50
i?
Total $-5O, 50
Ir
PI hereby apply for a Residential PlumbirtgyFerr?Pt an ac nowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
?ZoSS ger1Sen
ApplicanYs Printed Name Ap IicanYs Signature
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
I For Office Use I
Permit <®Cp
City of Faun C .
Permit Fee:
3830 Pilot Knob Road i 5-~ yJ
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff: MCA
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ~9 5 1W C_-a 5 l Unit
Name: Phone: 6'5 l -_~33 - 52307
RESIDENT /
OWNER Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: °r v P
Construction Cost: ('066 , Multi-Family Building: (Yes / No
Company: _W r`5-,14} a,+ (6, L sat-Zi -S 1-,G . Contact: ~~t rc
Address: 16L57-& 114v,4.4LJlo L-r n/ City: _M641 6,4 v;e
CONTRACTOR
State: Y2-7t%) Zip: Phone:
obi
License b5b S y S Lead Certificate L
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & 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 x
Applicant's Printed-Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use
City of EaRd~ j Permit I I ~ iC S S j
I '
I Permit Fee: n5~ a
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 1 j3
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 Site Address: 6~ C s /17 G F. fVe--, Unit M
1 Name: s -0 -n one:
i Resident/
j Owner Address / City / Zip: `may CZ~
Applicant is: Owner Contractor
Description of work: /"P -
Type of Work
i Construction Cost: ! ~a0. Multi-Family Building: (Yes / No )
...M........~ . r _
Company: t~ r g It Cc /t•Dr►,~ V1 ctS Contact: /V i /
Address: City: a [L (~'j^.nJ
Contractor
State: Zip: Phone: ~tD 3 - 02
I
- /
j License M 57~v S Lead Certificate A,44-T ' 50S 39
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.oro
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.
Exteriorwork 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` '~E_ - x
Appli ant's Printed Name Applicant's Signature
Page 1 of 3
' � Use BWE or BLACK Ink
�-----------------
� For Office Use �
� j Permit#: �� �t j
Clty of �a��� �E������ � -�z�,�3� ;
� Permit Fee:
3830 Pilot Knob Road ���. � � z�'j� � �
Eagan MN 55122 j Date Received: j
Phone:(651)675-5675 I I
Fau:(651)675-5694 I Staff; I �
I I �---------------�
2014 RESIDENTIAL BUILDING PERMIT APPLIGATION �� �ti'��.
7/i7 zo� r-. �' �
Date: Site Address: 9S ���e.�� l r'a. � Unit#:
Name:�$.,+�'��P Ks�Q.^ Phone: �etS� - Z 3•,�Q'c)
Resident/ ,_.
Owner Address/City/Zip: (�!5� N��Fn o��t..� I ra: � C'e«��t�l'�1 ��L3
Applicant is: _�Owner Cantractor
Type of Work Description of work: �,R�s �o �,.. ' 4�e� /s�er ��e�e �
Construction Cost: ��C7c�� Multi-Family Building: (Yes /No�)
Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
v��,/,� ��'+�r /�� �0��- �-- �
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 p4an 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�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. Catl Gopher State One CaII 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
1 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 ot 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.
2 �--...
x os's t�e�ISQ✓, x � .� — —
Applicant's Printed Name Applicant's Signature
Page 1 of 3
� � C�� � ,�� r�,��,�..,-��
DO NOT WRITE BELOW THIS LINE � � lo t'I �
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
� Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi Deck Porch(ScreeNGazebo/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
_ Repiace _ Repair . _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION �
Valuation �2�../ Occupancy �� MCES System
Plan Review Code Edition SAC Units
(25%_ 100%�) Zoning ��- City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction -�� Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
4
Footings(Addition) � Final/No C.O. Required
Foundation � HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings _AirlGas Tests _Final
� Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced WaUs Other.
Reviewed By:�� , Building Inspector
RESIDENTIAL FEES r
Base Fee � / � `� �� � Z��
Surcharge � �`
Plan Review ��� � � �` � ���
MCES SAC
City SAC �'1 � �( � '� ��
( ��
Utility Connection Charge ` j r7 ,.� .---
� x l,-�J �
S&W Permit�Surcharge �� _
Treatment Plant .i-
Copies � �-2� .
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143804
Date Issued:06/27/2017
Permit Category:ePermit
Site Address: 695 Mcfaddens Tr
Lot:2 Block: 1 Addition: Manley
PID:10-47260-01-020
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ross T Bensen
695 Mcfaddens Tr
Eagan MN 55122
Nmc Exteriors & Remodeling
14276 23rd Ave N
Plymouth MN 55447
(763) 684-1662
Applicant/Permitee: Signature Issued By: Signature