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700 McFaddens Trb+a 81ocL ? MUnlP,y )W1'Waq :S7+- w--j4-?1 gP? y?sss 5 309. 9? RESIDENTIAL ? BUILDING PERMIT APPLICATION pp?M?4--_,yJ?S? '70.50 CITY OF EAGAN TJ M ?r;'i 3830 PILOT KNOB RD • 55122 651-681-4675 / - 7 - a U171 New Constructfon Reauirements • 3 regislered sde surveys showing sq ft. oi lot, sq. tl. W house, and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) f # a(i{,3V • 1 set of Energy Calculations • 3 copies of Tree Preserva4on Plan d lot platted after 711193 • Rim Joist Detail Ophons selection shee[ (61dgs witA 3 or less units) DATE JOB SITE ADDRESS 9C1,b IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWN TYPE OF WORK APPLICANT ADDRESS __q I PAGER # PHONE #?951- '45?I - ?l 3 3 e'_ r\ 11? r, ZIPCODEs5 n.-,2 3 CELL PHON E# FAX #6 S IRg-11 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Enerqy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor. -5 r-" ASZ n Phone #: l Sc? - 7°q/- `L' ?ay Plumbing SysLem Includes: Water Softener I.awn Sprinkler Fee: $90.00 Wa[er Heater N0. of R.I. 13aths 3 No. of Balhs Mechanical Contractor. a_? g_'_? Phone #r`26j- N[ecti.uiirtl System Includes: ?I_ "Afd Conditioning Fee: $70.00 Heat Recovery Systecn Sewer/Water Contractor. J CJ??Phone # gsa qyl -- c ? 3C/ All above information must be submitted prior to processing of application. I hereby acknowledge that i have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant ? An }'' 'C_)? ? Certificates of Survey Received .y" Tree Preservation Plan Received Not RequiredC?-? RemodellRaoair Reauirement9u • 2 copies of plan I?„ • 1 set of Energy Calcula6onE'Por heatedadddVans =•-_?? .9q • 15itesurveyforexterwraddNons&decks CL'C."f ??: dq r-L? :l ;1? VALUATION (EXCLUDING LAND) Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg x 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3•sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07•plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS•plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous X 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof D 46 Windows/Doors ? 34 Replacement 'Demolition (Entire 81dg only) - Give PCA handout to applicant 1/0 6co V l ti g? a ua on Occupancy MC/ES System Census Code 1C) I zoning City water y? S SAC Units Stories ? Booster Pump Nbr. of Units Sq. Ft. <v 77 PRV y?S Nbr. of Bldgs ? Length '70 ',6 Fire Sprinklered Type of Const Width y,f i Q X REQUIRE ? INSPECTIONS Footings (new bldg) FinaUC.O. _ Footings (deck) FinallNo C.O. Footmgs (addition) Ptumbing ? Foundation HVAC Drain Tile _ Roof X Ice & Water X Final Other X F i ram ng Fireplace A R.I. X Air Test x Final ? Pool Ftgs Siding Stucw Au/Gas Tests _ Stone Final f? Insulation _ Windows new/replace ment) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Piant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector F-&fl- ,2o3Ya 13S 6 ? X I S? Gr?G2 Go -'!3 76 y x ?y -? Z,ln r ?cx,2 I I?? e? Y, S 3°& ? ?( 3 G ° ° = 1 / Y? U,? ?. `6 a6 _ j 13 7? ?1r?1X r ? -- I C9 Zle? d Address 700 McPaddens Trail Lot 3 Blk 2 Sub Manle Zip 5512_ THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: G -ZFi• 02- Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Peananent steps (main entry) Permanent driveway Permanent gas . Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. ConpM engineering division at 681-4645 before working in righ[of•way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contrector Copy Wednesday, June 26, 2002 1:44 PM Lofgren Htg & A!C 651-4601208 Site address: 70b v?dvpc?aro?j' tQ Lot ? Block ? p 02 Subd. On April 15, 2000 ihe Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a resuit, the City of Eagan is requiring that the following information be submilted prior to issuance of a Cerfificate of Occupancy. ? This struclure: is consiructed to meet minimum requiremenls of the Mn Energy Code, Chapfer 7670 OR _ This structure: will be conslructed to meet more reslrictive requiremenls of Chapters 7672 or 7674 APPLIANCE GAS EIFX MANUFAC7URER MODEL BTU'S VENTING TYPE Water Hea(er 000 Furnace Dryer g ? er EXNAUST SYSTEM LOCATION 7YPE MODEL CFM`s VENTED YF5 NO Kilchen kitchen Bathroom 1 ? Bathroom 2 w? Q Bathroom 3 Look- Bathroom 4 Other FIREPLACE 5 LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING DIRECT ATMDS I MANE-UP AIR I MODEL i TYPE I CFM's I I hereby acknot/+ledge ihat Ihe above information is correct and agree to comply wilh the Minnesola Energy Code and City of Eagan requirements. J v L?( Sig lu ? A / - 5 ompanyName ['4) Date ' This form is !he responsibility of the General Conhactor. MRY-05-20a0 11101 °LRNCO, INC. 1 5514523659 P.02.i04 'NNcheck CONPLIANCE REPOR7 ;Minnesota EnBrgy Gode ; IMlcheck SoftMa,re Yersion 3.0 COUNTY: Dakota 5TATE: Minnesota ZONE: 2 CONSTRIlCTION TYPE: Single Fanily UATE: 5-5-2000 TITLE: 099-120 PROJECT INFORI4ATI0li: 1NOR7H YOOD OAKS MdDEL 'LOMPANY INFORlNTION: i WUILEY BROS. i GOMPLYNICE: PASSES !Required UA - 595 Your Hou2 - 454 23.7% Better Tban Code Per9it Checked by/date Area or Cavity Cant. 6lazing/Daor Periaeter R-Yalae R-Yalue - U-Yalue ------------ UA ----- ---------- ----------------------------------------- CEILIN65 3384 94.0 --------- 0.0 37 YALLS: Mood Frapie, 16• O.L. 2976 19.0 2_0 167 WILLS: Streas-Skin Panels 321 8•4 38 BSlfT: Conc. 3.0` ht/3.0' 6g/3.0' insul 54 11.0 0.0 4 BSK(: Conc. 8.3` htf7.6' bg/8.3' insul 675 11.0 8.0 38 6LAZIN6: Yindows or Doars, Above 6rade 407 0.310 126 pOdtS 18 0.230 4 pOMS 40 0.350 14 p00R5 80 0.330 26 FLOORS: Ovar Uncondlt9aned SpaCe 9 40.0 0.0 0 FLOORS: Dver Outside Air 11 38.6 0.0 4 HYAG EQUIPIENT: Furnace, 90.0 AFUE - ------ ------- ----- ---------------------------------------------------- COFWLIANLE STATEMENT: The proposed building design -------- described here is Consfstent wlth tha building plans, specifitations, a?td other Calculations submitted with the perait applioation. The proposed huilding has baen designed to met ?h requiraments of the Minnesota Energ,y Code. euilder/Des9gner Date4LQ/ a` O LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: L o f-3 5'1C c- K .2 ? DATE OF SURUEY: m rn c W L ? Y ¢ a O Z v ¢ ? / ? ? C3 0 ? ?j ? ? L3" A ? lv//o 0 ? ? ? 'v /? ? / ? ? Q/ ? ? [3 0 ? iii/ ? o LA7EST REVISION: DOCUMENTSTANDAROS • Registered Land Sunreyor signature and company • BuildingPertridApplicant • Legal description • Address • North arrow and scale • House type (rambler, walkout, spiit wlo, splK entry, bokout, etc.) • Directional drainage arrows wHh slope/gradient % • Proposed/exisbng sewer and water services & invert elevation • Street name • Drivew8y • Lot Square Footage • Lot Coverage • Benchmark ELEVATIONS ? Existinq /o ? • Sewer service (or Proposed) P]/ ? ? • Propertycomers H?/ ? • Top of cur6 at the dmveway aad pcoperty Gne extensions ? ? • Elevations of any existing adjacent homes ? ? • Adequate footing depth of sWctures due to adjacent utllity trenches ? d ? • Watenvays (pond, stream, etc.) 2/0 ? • Prooosed Garage tloor 9/ ? ? • First floor @/ ? ? • Lowest exposed elevation (walkouUwindow) P"/ ? ? . Property comers ?" D ? + Front and rear of home at the foundation PONDING AREA (if applicable) ? 2 ' ? • Easement line ? EK / ? • NWL ? [Y/ ? . HWL ? d/ ? . Pond # designation ? [X ? • Emergency OveiflOw Elevation / OIMENSIONS d/?? • Lat lineslBearings 8 dimensions d?? • Right-of-way and sVeet width (to back of curb) ?o ? • 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 utilfties wdhin those easements v ?? • Setbacks of proposed structure and sideyard sefback of adJacent existung sWctures 0? • Retaining wall requirements, if any Reviewed: (Z? -? ' Name ?/ Date * * * * PIONEER L, * eng naer ng UND * 4 ** JAN 0 8 REC'D Certificate of Survey for: LOT AREA = 12,095 sq. ft HOUSE AREA = 2,116 sq. ft. sinArons . awL 2422 Enterprise Drive Mendota Heights, MN 55120 (651) 681-1914 FAX:881-9488 625 Highwoy 10 N.E. Blaine, MN 55434 (612) 783-1880 FAX:783-1883 MANI EY BROS. CONST._ 700 MCFAODENS TRAII EAGAN, MINNESOTA DRIVEWAY AREA = 879 sq.ft. COVERAGE =24.87 SERV. INV.=928.3 ? .:. ........ -_ _ ?p? ?A .w? ?-_- N MC? DDENS TRAIL 937.3 9 7 9 8.9 939.7 c? ? 4' ? 937.8 939.7 ???? ? ? o?e o ? aaQ? ? o r--- -? - `'-- o BENCH MARK Om-(O) 70P OF PIPE ? ELEV =938.59--___- ---- a 4 ? (VACANT) a \; m ?U?.s) R355F LO N ? sp bT '00 N 0 cn - )) i (6?i5 ib M C'o ? PROPOSED I DR WA_l( _00 642c,? ypps? 940.???9?4i Tsao.a 2.67 0 21.00 °0 71.E ?i !40.172.67 0 '\ 12. 683 ? i M\oN?N 11.00i GARAGE ? ,s.ao oz.aa ?c.i 7 5.00 185* 934.0 ? P? A-'o I 1 933.6 \ ? 10.00 I I 1.00 A3q'?D g33.g I 93¢.1 934.0 933.53 X x X 973.2 933.f ?.$•44. D , Ig STORM SEWER LINE - Nss•31'3s"w G?oG?oNlo R EC?U 9??0 NOTE: PROPOSEO GRADES SHOKN PER GRADING PLAN BY: PIONEER NOiE: BWLDING DIMENSIONS SHOVM ARE FOR HORIZONTAL AND VERTICAL LOCATION OF STRUCTURES ONLY. SEE ARCHITECNAL PLANS FOR BUILDING ANO FOl1NDAilON DIMENSIONS. NOIE: NO SPECIFlC SOILS IN4ESTIGATION HAS BEEN COMPLEiED ON 1Ht5 LOT BY THE SURVEYOR. TME SUITABILITY OF SOILS TO SVPPORT THE SPECIFIC HOUSE PftOPOSED IS NOT 7NE RESPONSIBIIITY OF THE SURYEYOR. 94.00 POND t N.W.L.=924.0 H.W.L.=927.8 E.O.F.=929.0 PROPOSEO HOUSE EL 10 LOWEST FLOOR ELEVATION: 1 S TOP OF BLOCK ELEVA?ION: GARAGE SLAB ELEVATION: Z 2 TOB 0 LOOKOUT ELEVATION: NOTE: THIS CERTIFlCATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING 0.EVATON TNOSE SHO`ATl OF! ME RECORDED PLAT. ( 000.00 ) DENOTES PROPOSEO ELEVATION DENOTES DRAINAGE ANO UTILITY EASEIAENT NOTE: CONTRACTOR MUSL 4ERIFY ORIVEWAY DESIGN. DENOTES DRAINAGE FLOW OIRECTION NOTE: BEARINGS SHONN ARE BASEU ON AN ASSUMED DANM 9- DENOTES MONUMENT $ DENOTES OFFSET HUB WE HEREBY CERTIFY TO MANLEY Bft05. CONST. 7HAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF 7HE BOUNDARIES OF: LOT 3, BIOCK 2, MANLEY ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 13 OAY OF DECEMBER, 2001. REVISEO 12-18-01 RES7AKE PER SIG ED: PIONEER ENGIN ERING, P.A. CLIENT REOUEST ? SCALE : 1 INCH = 30 FEET RREMSED ENSED 1?4?02?RESTAKESE BY: BENCH MARK ? TOP OF PIPE I ____-ELEV.=941.00 ? ? C*4C?, s? N 00 N 0 0 cn (VACANT) (IQ4.S? EIEc. tq V'?'zq " TELE. ? CATV. / ?L) f? 2 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-6755675 FAX # 651-675-5694 ,??°???-o.s2q ??y ? "? , Yh0l? New ConsWdion Requirements 3 registered site surveys shovnng sq. fl. of IM, sq. fl. of house, and all roofed areas RemodeVRewir Requirements 2 ccipiies of plen Office use ce!? ?SurveY-Road?'r:? ' (20%mazimum lot coversge allowed) 1 set of Energy Calculalbns for healed addi4ons k & d sAen Fte?ui. Treg ?ie @ Pre R;99airEd ir 2 copies of plan showing beam 8 window sizes, poured found design, etc s ec 1 site suNey for addifions Addfion - indicafe R on-sRe sepfic sysfem s e Skrsile'SepticSystem ;:- ';? Y: _; N i sel of Energy Calculalwns 3 copies of Tree Preserva6on Plan if lot platled aBer 7/1/93 Rim Joisf Detail Oplions selec6on sheet (buildings wifh 3w less units) Date CC /_? SiteAddress "?60 V ? Construction Cost vG ? kn E:?'MrJAS UnidSte # N Ss?2-3 Description of Work /?nlvlil lx4en ? Multi-Family Bldg _ Y? N Fireplace(s) _ 0 1 _ 2 PropertyOwner Telephone#((,' Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Enefgy Code Category . Residential Venfilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, s the City of Eagan issued a permit for a similar plan based on a master plan? _ Y N if yes, daTe and address of master plan: 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 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. ??tnu 00( (I?vS Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 78-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch(screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types O 31 New 35 Int Improvement O 38 Demolish Interior ? 44 Siding ? 32 Adddion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolkion (Entire Bidg) - Give PCA handout to applieant Valuation Zio °a I ^ Occupancy MCES System Plan Review 100°k or 25°k Census Code y3 ? Zoning ? - ) City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUII2ED INSPECTIONS _ Foo6ngs(new bldg) FinaUC.O. _ Foo6ngs(deck) ?o Final/No C.O. _ Footings (addition) Plumbing _ Foundation ? HVAC _ Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ? FmmnB _ Siding Stucco Stone Brick Fireplace ? RI. _&Air Test A Final Windows ? Insulation _ = Retaining Waff i? Approved By: 164, , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total ,c /AT Te e- oo?? q252 () zoos RESIDENTIAL PLUMBING PeRnmr aPPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55722 651-675-5675 Please complete for modifications to existing residential dwellings. $So.so Date I V I 0 (10 ? ? , ? L ?`?^^ ?' ?C ? S ?r ? - • Unit # ?-c Ul ? Site Street Address lvV ? hone #66? (D& Tele P O t p roper y wner Contractor Telephone # ( ) Address City State Zip The Applicant is: ,xOwner _ Contractor _Other Septic System New Refurbished Submit 2 sets of plans and MPC license InGudes County fee $ 100.00 Per as-built $ 10.00 Alteretlons to existing dwelling 50 ?9 ? Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing on a wafer sokener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. - -; -?_ _Septic System Abandonment _Water Tumaround (add $130.00 if a 518" meter is required) Other. _ ?. Water Softener Water Heater I $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 5 Total 1 hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that tne work will be in conformance witti 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 requir d to be? rje and a?proved. '_ll3lml? C???'?'S rr•'?V` ECpplicanYs Pri ed Name Ap i° ys Sign e ?, , I ?cnh U-ilrnj PERMIT City of Eagan Permit Type:Building Permit Number:EA119911 Date Issued:01/02/2014 Permit Category:ePermit Site Address: 700 Mcfaddens Tr Lot:3 Block: 2 Addition: Manley PID:10-47260-02-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - James P Collins 700 Mcfaddens Tr Eagan MN 55123 Estate Claim Services Llc 934 Cromwell Avenue, Suite 2 St Paul MN 55114 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature `� �'�`�� Use BLUE or BLACK Ink � r———————————————— , I For Office Use �� + � � Permit#: l J�� .�4��=C� Clty of �a�a� I Perrnit Fee: �� a� � I 3830 Pilot Knob Road j . ��'�lS�� Eagan MN 55122 � Date Receive . Phone:(651)675-5675 � � Fax: (651)675-5694 I Staff: � I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2'��S Site Address:��D �C�A QQ EN� �r Ai� Unit#: �� , -�� Co l l i s �5"�--/86-`�S`�b � � �� Name: �.J��1�� n� � Phone: � ��.< ��`s � � � � �� 7bo rmc-�Aoo�l�`�A ��I �� , m� ��' �'�g Address/City/Zip: �� y � f'� ` Applicant is: Owner � Contractor � hx � ; � � �Y � �� ,�,�� Description of work: �` �' � Construction Cost: '� ��o Multi-Family Building: (Yes /No� r ,�� •, � �„�' �—^ � � � � �� ,S p�.�� V�1�0-�e(1�� Contact: �� Company: y ' �2.�0� 6�K�AN� Av��'I�� \/�I� Address: City: , Pl� �_ ��'��k#` � � �� ' �> State:m"� Zip: �Z I Phone:��2��''�3�� Email: Z��ZZ�kt�l @l'�Y1 f91�,�(l� �v �8�05� ; �,. �; License#:� Lead Certificate#: ��.. .� �.. , . . � If the project is exempt from lead certification, please explain why: Y�5"" N�� K'`� �D �� 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 8�Water Contractor: Phone: Fire Suppression Contractor: Phone: �t�D� 1��stl'�o►��r�e►at� ,'�Y+�s�i��+��►�d��i�� P��€��f z t�re�'or�at��►;r��e�fa�r�'r��n��t'��r�,�i��s�+��t�s�t�s��`w�a�!�1�a�r��C:��; ,. " �>..� � �'��t�'.� ��..�e�t`� ` �� 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.ora 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. �o �r��r h X � . ApplicanYs rinted Name A lic s Signature Page' � .�� "'�G eit��r+ T-�.? e= DO NOT WRI�E BELO�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 f' ,. Valuation -��,--� � Occupancy �'�,.�� MCES System Plan Review Code Edition ��'E�i� SAC Units (25%_100% Zoning ��W-'�- 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 Footings (Addition) �f� Final/No C.O. Required Foundation � HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings _AiNGas Tests _Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Walf:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control �;;� Other. Reviewed B �'�+ Y� � , Building Inspector RESIDENTIAL FEES Base Fee � �` Surcharge �.F`�� # � Plan Review � �� r�.. ��"f`� MCES SAC ' � City SAC ..'� ✓'`� �-��„ � Utility Connection Charge � � � � S8�W Permit�Surcharge �'' � Treatment Plant Copies TOTAL Page 2 of 3 � � � 3�U�c=� * '� *� MendototHeights,DMM 55120 * PI�NEI�R �o s�,��es•a�E„a,�Rs (651j 881-191� FAX:681-9#8$ *eng naer ng �""o�^"►�• LAN05�""E"'�r+'t�crs 625 Mighway tp N.E. Blaine, MN 55434 * (s�a) �s�-�sso FAx:��-tsa� * � � JAN � � R�C`� Certificote of Survey for: �yLANL��Fi'C�S. C;C�NST.- - 700 AICFADDENS TRAII LOT AREA = 12,095 sq. ft �AGAN MINNES4TA � HOUSE AREA = 2,116 sq. (t. � ORIVEWAY AREA = 879 s ft. :"'"'� :""� � l�' /� �'�' 4j"� ` CQV�RAGE =24.8� � �ir,�'^'' ��^ �l`�� r t1 �`,4�'� SERV_ 1h1V.=928.3 a" �� t '� .. _ �� ..�..�. � � �---r.�y4�' ' � ' ( ._..��'•;s:,`E ,�`_•i+T"�a'�.�.��''��'��L7r,��a�'� �'�' � � _ - � " � _ - N --�--- MC�� DDE�lS TR�41L --�--- �, 937.3 9 1 9 8.9 939.7 c� � �• r 937.8 /� srtv 939.7 � ��.c� o � p� n a�,o o ,- - - - - o -- ��.- - $ � `° M ��a�o��o " I � BENCH MARK �� 2�,00 �42�co� 9aog � 940R��4a 12� ��jr'�j" �ENCH MARK TOP OF PIPE ,r_ --�--- -- _ TOP dF PIPE ELEV=938.59--____� � i g4D.72 7 2.67 � 0 21.Q0 0 71 67 �.----�-ELEV,�941.OU � � `� ao. � � N � t 12.1 � N \""$• � �j e�i\ou��i'�uQa �. � GARAG N r � ^ i ` N ��4 � � 5 I . N 'v - �18.00 � "7 (VACANT) � � 2.d� �PROPOSED o 937.2i I � VA�NT I o`` \HOUSE \$ N�ct�S,o� � { / ) � "�R� �o2,OD � g� e`14.00�' � � f��i.S� I ni 15.Ofl v �10.b0 � � 1..��: _ _ 11. ___�„�13�_O�933_9 �^ I 7 \ � '� � t 85 �0 CU`'�,5� �35 N ,_ . 34,1 s3+.o 12� rn��',S,J N - �.a� CV �,� �� I g Y X� x 5w x ., c�o Cy 933,2 937.t (V ��ll p�� p 5 3'r.�•1r�4, i�� _ (5 O �� O RAS AGE O ; � � / �- - - - 4 - -�- ��`,. �� , V1 , r��I�}� � �� '�, » » 7> �/ �`�» � �L�i 'J r • N sro SEWER I.INE - • �� E�c. � .....r ,E,.£. , � ��1� � ��" � _ � CAN. / _ 9 1.5 932.9 �� ,.R POND t ��r'�� N89'31'38"w 94.00 � I N.w,L,a924.0 ^�'; H,W,L.=927.8 �'��, .' E.O.F,�9 Z9.0 �F7�0�0 ��+�6�� Si�� Q NOTE: PftQPO5E0 CRADES SHOYiRI PER GRAD{NG PLAN 8Y: PIONEER ,�% LOWEST FLODR ELEVATION: S NO1E: 8UII.DING DIAIENSIOHS SHON'N ARE FOR HORIZ�ITAL ANO VERTICAL LflCATION TOP OF BLOCK E�EVA110N: ��' Qf STRUCTURES 4NLY. SEE ARCHITECTUAL PIAN$ FOR BUIIOR�G AND Fouw�Anor+ o�ENsioNs. GARAGE SLAB ELEVATION: Z�� NO1E: NO SPEpFlC SOlLS INVESTIGATION HAS BEEN GOMPI£TEU ON 1}{lS LOi BY 7HE SURVEYOR. THE SUITABILIM Of SbN.5 Tp StJPPORT THE SPECIFIC MOUSE TOB � 1.00K0UT ELEVATION: PROPOSED IS NOT 7t1E RESPONSIBIUIY 4F iHE SURVEYOR. NOTE: THIS CERTIFiCATE DOES NOT PURPORt �U SHOW EASEMEN7S OTHER 1H+4M X OOO.OQ QENOfES EXISnNG EZ.EVAfldN �ltp5E S.�tOWtd OF1 ?{-1E REGOIiO£D PLAT. ( OOO.U4 ) DENOTES PRQPOSEU ELEVATION .... .� - DENO'I'ES DRNNAGE ANa UTILITY EASEF�NT NOTE: CONTRACTOR AIUST VERIFY QftiVEWAY DESIGN. _� pEryp�S DRAINAGE FLOW OIRECTION NOTE: BEARINGS SF10NN ARE 8AS£0 ON AN A5SUMED OATUM -�---^ DINO?ES MONUMENT -e--- oa+ot�es �sEr �a WE NEREBY CERTIFY TO MANLEY 6R�S. CONST. THAT THfS IS A TRUE ANQ CORRECT REPRESEN7ATIC?N OF A SURVEY dF FHE BOUNDARIES OF: LOT 3, BI.00K 2, MAN�EY ADDITION �AKptA COUNTY, �niw��sa�a IT QOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SUR1lEYEO 8Y i�,lE �R UNDER MY DIRECT SUPERVISII�N THIS 13 DAY OF DECEMBER, 2001. aE�ns�o t2-�e-ot R staKE PER SIG ED. PIONEEit ENGIN ERING, P.A. SCA�E : 1 INCH = 30 FEET �ENT REqU�sr f) REVISED 12-28-Oi fUP HSE �F�^t REVISED 1-4-02 RESIAK£ �Y� 3d42 101223.11 JMM ,�� (��pZ Dan R. Westerqren Reg. No. 1 79Q