2990 Egan Ave
Use BLUE or BLACK Ink
For Office Use
My Permit #:(``y_`~ 4f 1Jalan
I Permit Fee: 1
3830 Pilot Knob Road i 1
Eagan MN 55122 E C I E D j Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 MA 1 2011 L-Staff:
l
2011 MECHANICAL PERMIT APPLICATION
Date: _ Site Address:
Tenant: kou Suite
Phone:
RESIDENT /OWNER Name:
Address / City Zip:
CONTRACTOR Name: "°t~:'1(^l~ (JY t~~y 1 License ry
Address: City:
State: Phone: J - 1`"1 C
Contact:A Email
TYPE OF WORK New _ Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE Furnace New Construction Interior Ir+iprovement
-
_ Air Conditioner Install' Piping T Processed
Air Exchanger _ Gas --Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank C_ Install / _ Remove)
" When installing/removing tank(s), call for inspection by Fire
Other 4k Marshal and Plumbing Inspector
RESIDENTIAL FEES: C ~C 2 e C- `Lam. k (LW\\1y\CnkCN~ Ye kG1Gk t„)
$55.00 Minimum Add-on or teration to an ~ng istiun' includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned r , etc.) {includes $5.00 State Surcharge) $ 5 TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ X1%
$55.00 Minimum (includes State Surcharge)
_ $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
= $ TOTAL FEE
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.4opherstateoneca11.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 nod st with F perm' that the /work will be in accordance
with t pproved plan in the case of work which requires a review and approval of plans.
x_~I~~(R x
Applicant's Printed Name App cant's Slgnature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground Rough In _Air Test Gas Service Test -In-floor Heat -Final
Exterior HVAC Screening Inspection
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA093685
Date Issued: 04/28/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 2990 Egan Ave
Lot: 081 Block: 3 Addition: Country Home Heights
PID:10-18300-081-03
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Renewal Andersen Anne Perron Page
1920 County Road C West 2990 Egan Ave
Roseville NIN 55113 Eagan NIN 55121
(61)264-4777
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 Citv of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
CITY OF EAGAN Remarks- -" - ``'?? a„• ? - ? " --?
Addition Country Home Heights Lot 081 . Blk 03 Parcel 10 18300 f18r C13
Owner,?,i-i ? .
- Street 5tate /Q Ta,tZ_?% ? ? ? • ?'S??-f
Improvement
Date
Amount
Annual
Years' 2.
Payment
Receipt
Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 19
WATERMAIN
* WATER LATERAL 1979
WATER AREA
STORM SEW TRK 1984 495.00 33.00 15 ,am O/ /o si ?s'
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SA C
PARK
Raceipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print /egib/y T
ot.
1. Date 2. Installation Cost
ess I
3
J
b Add
ot
- L Blk T
t
.
.
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r
,
. rac
r
4. Owner
5. Contractor Phone t ? -
6. Address - - ' 1 '
7. City y ? State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New 1:1 Add ? Alter ? Repair ?
10. Describe
11.
Fuel Type
No.
` Epuipment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
- Gas, Piping Outlets
12. I hereby certify ihat 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
Receipt PLUMBING PERMIT Permit No.
- „ ? CITY OF EAGAN
Fee
FiII in numbered spaces S/C
Type or Print /egib/y
Tot. I
.- ?
1. Date 2. Installation Cost
?i
3. Job Address 6' y6 i1 Blk. ! Tractr ;
?
4. Owner r
C ? r, i? ?C•; " ' c.,C ` `! yI ?
5. Contractor Phone cl
6. Address 1 i
r -C
7. City . ' rj-r
8. Building Type: Residential C?
9. Work Description: New ?
10. Describe
State Zip
Commercial ? Institutional ?
Add ? Alter ? Repair ?
I 11.
No.
-
- Fixtures
Water Closet No.
- Fixtures
Cess
ool/Dr
infield
? Bath tubs p
a
Se
tic Tank
?- Lavatory p
Softner
? Shower Well
? Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
r? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I 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
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121
PHONE: 454-8100
SUILDING PERMIT
t. L. u..e ss. . ' : . _
EGAN AVE
Lot
Percel No.
Receiw #
?
10037
? J .,, -)
Erect L.I Occupancy
Block ` Sec/Sub. r
? I Name
Addrass
n:... o?.......
? .. ,-
?0 Name
? Address
F f:itv Phnna
Name
Addresa
?Ramodel ? 2oning =' l
Repair ? Type of Const. "
Enlarge ? No. Stories
Move ? Length ?
Demolish ? Depth •
Grade ? Sq, Ft.
Install D
Apnroreh Fees
Assessment
Water 3 $ew.
Police
Fin
ErW
Ptonner
Council ,?rT
Permit ?
Surchorge ' Plan Review - i
5/1C I
Woter Conn. ?I
Woter AAeter
aoad unit ' ` • D G
I hereby ocknowiedgs thof I hove road this oppliwtion ond stote thaf Bidg. Off.
tha Informotion Is correct ond ogree to comply with oll opplicable APC Total
State of Minnesota Stotutes and City of Ee9on Ordinonces. -
Var. Date
5iqnoture of Permiftee _
A Buildin9 Perr»if Is isswd to: on the exprea condffion Ihar
oll work shall be done in oocordente with all oppliooble Stoft,;¢f. MMnesoto Stotutes and Gty of Eopan Ordinanoes.
Buildinp Official
PKmit No. PKmit HoNMr Date Tal? hons #
Plumbfnp ` Z
H.VA.C.
ElicMc
Softensr
Irupeetion Dste Insp. Othe?
Footinyt
Foundation
Frsminy ?3
Roofing
Rouqh Pibp. 2 ?
Rouph HVA 71
Inyutation 71
Finsl Vlb¢ Q.. ? f
Finsl NVAC
Final ?
c..voa.
wn.r w?ibe Loc.tia :
cM.u
Seror
Pr. Disp.
. -
aw
PERMIT #
MECHANICAL PERMIT
C
'7 ZZ`i" ?
RE
EIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
ITRACT PRICE: PHONE: 454-8100
Adx
ess BLDG
TYPE
? .
WORK DESCRIPTION
Blqck Sec/Syb
Res. "'? New
Mult Add-on
Name '
Comm. Repair
Address
Other
City Phone
Name ' ?
= ?' t ?
- FEES
RES
HVAC 0-100 M BTU - $24
00
Address ??? n r? ' t. !" • .
.
ADDITIONAL 50 M BTU - 6.00
City Phone'' (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
1 PER PERMI'n - 1
50 EI
GAS OUTLETS
MINIMUM
.
(
-
E OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
ed Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
)r M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Heater M BTU REMODELS - 12.00
:ond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
. CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Piping Outlets # BEYOND $1,000)
r
FEE: ?.,
, r
S/C: SIGNAT E E MITTEE
?
TOTAL•
i
FOR: CITY OF EAGAN
a?
?
?
c
a?
c
3
O
This request void 'PS/ ??3 d d
18 rcronths 1mm
AQ 9f 916
Requ t Date
? !
Q?
1 Fire No.
. Roughi
Aequi Inspeclion
?
?Feady.Now
?II Notify InsPec-
r r?
os
?NO
mr When Ready
p [-censed Elecvical Contractor I herehv renuesl inspaction oi ebava
? Owner . electrical wmk installad et
Street Address, Box ar Route No.
J CitV -
d
A C? ` 6464
ecvon Township Name or No. Range No. County
?
Occ ent(PplNT) Pho e No..
?S'
Po er Supplier . ' Address- .
' J. ?. ,/? \ a
Elecuical Contratcm/r (Company Name) Coynh?acto?? s` License No
P?E ?/
a?ling AdJress (Contractor
r Owner
Makine Instai ationl
De
,
P?
,J ssiz
l
athori d Si9namre lCOnnactor O er Making Installation) Phone Number
3 -7370
MINNESOTq STATE 90AZ OF ELECTRICITY THIS INSPECTION REQVEST WIIL NOT
Griggs-Midwey Blde. - Room N-181 gE ACCEPTEO BV THE STATE BOApD
1821 Univensity Ave., St. Paul. MN 55104 UNLESS PROPEN INSPECTION FEE IS
nk,,,,e (pt21 7S7_9111 ENClOSED.
S- 3-d'f REQUEST FOR ELECTRICAL INSPECTION
See instruc[ions far comoletifg tnis twm on back of yellow copy.
/4 6 "X" Below Work Covered by Thrs Request
EB-00001-0-0
Sl3?d?
Ad Heo. Tyoe af 9uiltling Apoliances Wired Equipme-t Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heaiin
Commercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Oiher peci y ihar ISUOCityl
t er SpeciFy ther Oth.r
Compute lnspectian Fee Belaw # Fee ServiceEntranca5ize k iea fexCers/Subfeedars # Pee • Circvits
Above ZUU Amps 31 to 1 VU qmp5 O. ?I to l UU A
Swimminq Pool A6ove 100_Amps Above 100_Amps.
-'>? TOTAL
4s. st?
Pough-in Date
(( I, the Ela vi
`
2 ,
?
/y
J I
h
b
/7 j
? nspec?oq
y
we
rtity that tha above
Final - D?e inapection hea Eeen
mada. -
Thle repuest roiC 18 months from
CITY OF EAGAN N! 10 0 3 7
3830 Pilot Krrob Road, P.O. Box 21•199, Eageq MN 55121
PHONE: 4548100 D
BUILDING PERMIT RKelw !f
Te M mrd f. SF DWG/GAR Est, Value $ 6 6, 000 pate A RTL S , I 9--B5_
Site Addren 2290
? EGAN AVE erece [? ocw?ncy R3
Lot $ Block
3 COUNTRY
Sec/Sub HOME H7Eymodel ? Zoninq Rl
. Repair ? 7ype of conn. V
Percel No
.
. •
Enlarge
?
No.Staries
VAN LA Move ? Lergcn 56
Name ECKEN CONST
Addra$ 3234 VALLEY RIDGE DR
Citv EAGAN Phone 454-414$
SAME
?o Name
$? Addrets
? City Phone
W
?
6
Name
F
z- Address
City Phone
Assessmenf Permif a 331 . V V
wnrer a sew. su.cnorpa 0
Polfce Plan Review 1 FS 50
Fire SAC S-)5 n p
Enp. WoterConn. qjU4-_0 0
Planner Water Meter ??? . ? Q
Courxil Rond Unit 299.00
I hereby ackrowledge tiwt I hove reod Ihis opplicotion and stote fMt gid9, pry. Q 2$ 5 T. P. l Z 7 n n
the inlormction is correct and a9ree to comply with oll opplicoble
Tn?
Srote of Minrowto Stotutes and Ciry f Ea nn rdinances. yaDate Total c29
Slpnofuro of PenniMee
A Buiiding vermit Is issued ro: MAN LAECKEN CONST m the exprem emWit? lbot
all work sholl be done in aocordance with all oDBUqpbla Stote pFAljnnesoro Stotutes and City of Eapon Ordironcet.
Demolish ? Depth 39
Grade ? Sp. Ft.
Install ?
Appmah Faet
Buildinp Officlal
'7?a-77
2007RESIDENTIAL BUILDING rExMIT nrrLrcnTioN
City Of Eagan 4/UN j ?2007
3830 Pitot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construc6on Reauirements
3 registered sRe surveys showing sq. ft. of lot, sq. R of house; and all roofed areas
(20%maximum Id coverage albwed)
7 Sdis RepnA if proposed building is to be pWced on OisNr6ed sdl
2 copies of plan showing beam & window sizes; poured tountl tlesign, etc.
-.1 set W Energy Calalations .
'3 capies of Tree Preservabon Plan'rf lot platted after 711193
Rim Joist Dettil Options selection sheet (butldings vuth 3 or less uniLs)
Minnegasco mechanical venGlaUon form
RemodeilReoair Reouiremenis Otfice UseOniv
2copiesNplanshovnngfaofings,6eams,joisl5 CertofSuryey.Recd :. _Y-
- _N
1 set of Energy Calculations for heated addNOns Soil; Report : Y _ N
1 site survey for atlditions 8 decks Tree Pres Plan Recd _ Y, _ N,
Addifion-ind'rafeiloo-sifBSepL'csysfem TreePtesRequired: _Y _N
Oo-sileSeptic-System _Y': ._N
.Q.9}r.?!- 7reo 9&.80
0.0)
Date /67 Construction Cost
Site Address /? KqQ t) UnitlSte #
Description of Work 4'
?
Muiti-Family Bldg _ Y_ N Fireplace(s) _ 0 2
t
O
P Telephone#(
roper
y
wner
` ?
Contractor
II
' Address `G-t
Cih'
?
-
State Zip S5JO (? .7
/
Telephone #(G?n d 47
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Su6mitled
In the last 12 months, has ihe CiTy of Eagan issued a permii for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masier plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contracfor
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.
36v-- ??OWs OYt)
Applicant's Printeli Name
?
L
Applicant's Si a e
t ?
<
? r
?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACrORS MUST BE LICENSED BITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
. b(o,DOO •°p
To Be Used For: Valuation: Date: ?-? -??
Site Address: OFFZCE USE ONLY
Lot: ?j Block ,3 Sect/Sub?? Erect X OccupancY R-3
Remodel Zoning 2-?
Parcel IF?-- Repair Type of Const y
Enlarge # of Stories
Owner pc 41?r,t Move Length ?y
?Demolish Depth
Address 3.2 3//? Grade Sq Ft
City/Zip Code I ----------
Phone h!s t/ - y//? APPROVALS ,
Contractor 1/Q 424 c Cp,., c4. Assessments Permit
Water/Sewer Surcharge 33, =
Address lez_c d r• Police Plan Review 1 L .SO
Fire SAC 525 °°
City/2ip Code Jy/? CS'ctl.2 / Engr Water Conn 5co=
° Planner Water Meter ?3.=
Phone Council Road Unit 7.80.
Bldg Off Parks
Arch./Engr. APC Treatment P1 13 Z.=
Variance
Address TOTAL P n?.?• j (?
City/Zip Code
Phone ll ??-
?q Q .Sou ?,/t a fa ,s4 33 0
St,v s ec?vy..
3 ? l c.?? , ? ? ? ??e -2.3? A Cv1,r C'?, ? /17.ran ,
f?Q /-' G f. ? !J ? Lo'f e? ?lOt C-? - C6v I?177L? /D?? N?-?-? _
acca?ae?%y ?e.eco•???:0 ?/ ? /?-?.?.e ot"
?-x ce?v ..? ,? G, No X-L 4? 7-!? e.e o---Oe
Zd- x zl-o -9c,0
b? 20 = I2o x 4 r - 9?1 Zc
_ ?2 K sq- ? 3808 '? g
? 3 Z4 i
ZZxZ2
(05 9 I 'i,
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWClionReouiremenfs RemodeVReoairReauiremenfs OfficeUseOnlv
3 registered site surveys showing sq. ft. of lot, sq. fL oF house; and II roofad areas 2 copies of plan Cert of Survey Reod
(20°/a macimum lot coverage albwed) t set of Energy Calculations for heated addifions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 7 s"M1e survey tor addNons & decks Tree Pres Not Reqd
1 set of Energy Cakailations Add'rtion - indicafe if on-sife septic system _ On-site SepGc System
3 copies oF Trce Preservalion Plan fl lot platted aRer 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less uni5
Date iL_ l?l W
Site Address o? 9 y'o Er,O,r Construction Cost
/' ?j f1)-e . Unit/Ste #
Description of Work
Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 _ 2
Property Owner e ? Telephone # ( )
Contractor rv ? S/ -u?
Address
State /"7rt) City 4/4 S j
Zip Telephone # (G? q,>7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submittetl Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractar v.
' no3
SewedWaterContractor N(1V 1-
Telephone #(
Telephone # (
Telephone #( )
I hereby apply for a Residential Building 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 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 ovp/ 7` in the case of work which requires a review and
approval ofplans. ?
?
,
?Drh __D /c [GMe
Applicant's Printed Name
P E R M I T A P P L I C A T I O N
?
(Subrait in Triplicate)
STNTE OF MINNESOTA)
as.
CODNTY OF 'RJ- vT
I- We, the undersigned, being first duly sworn, hereby make the following
application to the Board of Supervisors and/or Advisory Planning Committee of
Eagan Toumship, Dakota Couaty, Minnesota:
1. Flzll name, preseat address aad phone number of applicant:
4 4?ui2ei?ckF p<.perr_?, Yqy /?A-wD,,LPrr--
2. Application is herebq made for: (Check appropriate item(s))
? Dumping permit under Ordinance No, I.
[D Trailer Coach Park pexmit under Ordinance No. II.
C7 Building permit under Ordinance No. III.
d Kennel permit under Ordinance No. V.
Re-zoning under Ordinance No. VI.
J? Sgecial IIse permit timder Ordinance No. VI.
[_(Ciranel Pit permit uader Ordinance No. VIII.
I,a(Other) -'-> i?i a?cN of L, T
3. Legal deacription of land to be affected by application includi.ng acre-
age or square footage of laxid i.nvolved, and street addressl if any:
Lc - .4' 131o,_h 3 ?c..'/•rk•v ?«c- !t•???.s.?
? --?
. The present zoni.ng of the above described property is: -t
5• The name and /gddress of the preaent owner of the above described land is
/ /? 13J Y t ?
6. Estimated coat of improvements to be made within one year after issuance
oY permit applied for, if granted, ie 8 The nature of improvements
iss
7. If proposed improvements consist oP buildinga or Btructures, specify in
detail: Dimensions: Number of stories:
Type of Construction:
8. All real estate taxes on the above deacribed laad have been pai.d through
the year 19-LL except:
9. The method of financing the above improvements will be:
10. Persons, firms, corporationa, or other than applicant and present owner
who may or will be iaterested in the above described land or proposed improvements
wi.thin otte year after iasuance of permit applied for, if granted, are:
11. Attached to this application and made a part hereof are:
M Plot plan
ED Sketch of improvement layout
M Plane and specificationa
b Photographs
(Other)
Dated: 19k?L.
f-I'
, ppplicafit
Subscribed and ewo to before me this
. aLdaY of
not write below this
Q Approved IYisapproved: p,DVISORY PL4NNING CONKITTEE (Date)
13 Approved ? Disapproved: BOARD OF SUPMUISORS (Date)
?
"q--b " ? ??&& j "j) A Pc
CITY USE ONLY
L ? SI BL RECEIPT
SUBD. ??'N?-e. DATE:
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -46T5
Please complete for: ? singie family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES ? EACH NO. TOTAL
Shower 3.00 x =
Water Cioset 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen 5ink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
(ias Piping Uutiet " minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal * Dakota Cty. iicense 20.00 =
U.G. Sprinkler' home under const. 3.00 =
- Aiterations * to existing 20.00 = o. 0 0
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL .3a -S?D
SITE ADDRESS: 2991?4an ?? c-:'
OWNER NAME: --5??e?o? 'e ldn°& //
INSTALLER NAME- S?
STREET ADDRESS: Z 99u aa., ,5?? 'f
CITY: STATE: Ri? ZIP:
PHONE #: (Gi2 ) 64 -A 93
f 12 -2 ? -%5- z 4?9?
164
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APPLICATI0N EOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRIHT)
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S) INDIG'1TE iy'HICH PERh1IT IS BEING REQLTEST"..D:
,?, /CO?"SNECPSON 'IL? CITY SETr7ER
L7 CON:v'ECfION 'ID CZTY S4ATER
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WATER TAP (INCLUDE CORPORATION STOP)
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TOTAL
A,tilOU:?T PAID/RECEIPT # ?-?S?) _
DOES UTILZTY CON:IECTION REQUZRE EXCAVATZON IN PUBLZC RIGHT OF WAY?
YES ZF YES, THEN ;y "PERMIT FOR 'r70RK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGINEERING DIVISZO[V. LIST AS A CONDI-
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SUBJECT TO TF3E FOLL06JIyG CONDITIONS:
APPROVED BY;
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41
DATE:
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CITY OF GAGAPT
-?9jv I - 0
SUB.TECT: PRELIMINARY PLAT - A. J. ADDITION
APPLICANT: TRI-LAND CO., INC., BRADLEY J. SWENSON
LOCATION: PART OF THE SWa OF THE SWa OF SECTION 3
LYING NORTH OF C.R. 26 AND EAST OF EGAN AVENUE
EXISTING ZONING: R-1 (RESIDENTIAL SINGLE DISTRICT)
DATE OF PUSLIC.HEARING: DECEMBER 15, 1983
DATE OF REPORT: DECEMBER 12, 1983
REPORTED BY: DALE C. RUNKLE, CITY PLANNER
APPLICATION SUBMITTED: An application has been submitted requesting
preliminary plat approval, A. J. Addition, which would consist of ap-
proximately one acre and contain 2 single family lots located in part
of the SW; of the SW; of Section 3 lying north of County Road 26 (Lone,
Oak Road) and east of Egan Avenue.
ZONING AND LAND USE:
The one-acre parcel is presently zoned R-1 (Residential Single Dis-
trict) with a minimum lot size of 12,000 square feet. The Compre-
hensive Guide also desiqnates this area as R-I (Residential Single
District) with a density of 0-3 dwelling units per acre.
COMMENTS
As you may recall, the Advisory Planning Commission held a public hear-
ing regarding A. J. Addition in August, 1983. At this public hearing,
the applicant was requesting to subdivide the one-acre parcel into 3
single family lots, all exceeding the 12,000 square foot requirement.
The Advisory Planning Commission and City Council denied the prelimi-
nary plat based on many health and safety reasons.
Since the August submittal, the applicant is now submitting a new ap-
plication, A. J. Addition, which would consist of 2 single family lots
for the same area. Lot 1 would contain 24,700 square feet and Lot 2
would contain 18,200; the proposed plat meets or exceeds all of the
R-1 zoning standards for area and width.
One of the main issues brought up at the August meeting was regarding
access onto County Road 26. It is my understandinq that the applicant
is still proposing direct access. However, the access has already been
granted from Dakota County to provide access for Lot 2. When Lone Oak
Road was under construction, it was brought out that there was a median
in front of this property. In the final review, there is no median in
front of the property where access iaould be provided to this property.
. e,
CITY OF EAGAN
PRELIMINARY PLAT - A. J. ADDITION
DECEMBER 15, 1983
PAGE TWO •
The other item staff would like to bring up is presently the City is
assessing this property for two lots on this one-acre tract.
The applicant is proposing to meet with the neighborhood and go over
this revised plan prior to the Advisory Planning Commission. Hope-
fully, many issues will be discussed and resolved prior to the Decem-
ber 15th meeting.
If the preliminary plat is approved, it should be subject to the fol-
lowing conditions:
1) The plat should be subject to the Park Commission's review and
comment for the newly created lot.
2) A development agreement shall be entered into and signed by the
applicant prior to final plat approval.
3) The plat shall be subject to Dakota County Plat Commission's
review and comment because the plat abuts County Road 26 (LOne
Oak Road).
4) All other City ordinances shall be complied with.
DCR/jach
r
CITY OF EACAN
SUI3JGCT: PRFr-Ib1IPT_ARY PLAT - A. J. ADDITION
APPLICANT: TRI-LAND CO., INC., BRADLEY J. SWENSON
LOCATZON: PART OF THE SV--., OF THE SW, OF SECTION 3
LYZNG NORTH OF COL`NTY ROAD 26
E%ISTING ZONINC: R-1 (RESIDENTIAL SINGLE DISTRICT)
DATE 0F PUBLIC HEARING: AUGUST 23, 1983
DATE OF REPORT: AUGUST 17, 1983
REPORTED By: JUDY HEALD
APPLICATION SUBMITTED: An application from Tri-Land Co., Inc. has
been received by the City for a preliminary plat, A. J. Addition,
consisting of approximately 1 acre and containing 3_single family
lots located in part of the SL4; of the SS4; of S2ction 3 lying north
of County Road 26 (Lone Oak Road) and east of Egan Aver.ue.
7.ONING AND LAVD USE
The 1-acre parcel proposed for 3 single family lots is presently zon-
ed R-1 (Residential Sing'_e District) situated in the southeasternmost
portion of the Country Home Heights plat area and currently is unde-
veloped.
The Land Use Guide map designates this area as R-1 (0-3 units per
acre).
COMMENTS
The proposed 3 single family lots are bounded on the soutn by County
P.oad 26 (Lone Oak Road), Eqan Avenue on the west and Country Home
Heights plat on the north with an RD (Research and Development Dis-
trict) to the east. Country Home Heights, to the north and west of
this proposed plat, is an established area of Eagan with a neighbor-
hood of single family lots with a square footage of 19,000 and larg-
er. The applicant is proposing 3 single famil:• lots with the larg-
est lot being 16,900 square feet and an average lot size of 14,300
square feet. All 3 proposed single family lots meet the R-1 zor,ing
district requirement of 12,000 square feet and an 85' lot width.
The applicant has stated that due to the location of these three pro-
posed lots abutting commercial zoning to the east and facing a major
County road which generates approximately 10,000 vehicles per day
along with present m,srket trer.ds of smaller single family lots, these
lots should balance we11 with the surrounding neighborhood.
Pro?osed access for Lot 1 will be onto Egan Avenue with Lots 2 a.^.d
3 sharir.g a nort?-south access between lot lines onto County Road 20
(Lone Oak Road) subject to the Dakota Couaty Plat Commission's review
cImY oF eacAN
PRELLMI;IARY PLaT - A. J. ADDITION
AtiGUST 23, 1983
PAGE TS10
and apnroval. Consequently, only one access wi11 service two lots
fronting Lone Oak Road.
If the preliminary plat is approved, it should be subject to the
following:
1) The plat should be subject to the Park Commission's review and
comment.
2) A developmQnt agreement shall be entered into and signed by the
applicant prior to final plat approval.
3) The plat shall be subject to the Dakota County Plat Commission's
review and comment as the plat fronts County Road 26 (Lone Oak
Road).
4) Cross easements be established for the common entrance for Lot
2 and 3, Block 1, and only one access be allowed for the easter-
ly two lots.
jach
ENGI?vEERING RECO^EMENDATIONS
1) A detailed grading and erosion control plan sha11 be submitted
for approval by the Engineering Department.
Z) If installed privately, the plans and specifications for utili-
ty service connections shall be prepared by a registered enqi-
neer and submitted to the Engineering Department for approval.
3) A 50' half right-of-way shall be dedicated for Lone Oak Road
(County Rcad 26) for public right-of-way.
4) Easements shall be dedicated as recommended by City staff.
5) Water area, sanitary sewer area, and lateral benefit from trunk
water main (to the extent it applies) shall be the responsibili-
ty of this development.
6) All costs for utility installation, grading, etc. shall be the
sole responsibility of this proposed development.
s
RKH/jach
MEMO T0: TIiE ADVISORY PLANNING COb1i4ISSIODI, C/0 DALE C. RUNKL°, CIT'l
PLANNER
FROy:: RICHARD M. HEFTI, ASSISTANT CITY ENGINEER
DATE: AUGUST 18, 1983
SUBJECT: A. J. ADDITION PRELIidINARY PI.AT
The Engineering Division of the Department of Public Works has the
following comments regarding this proposed develooment for consid-
...eration by the Advisory Planning Commission and the City Council.
GRADING/TOPOGR.APHY
This parcel is located between Eagandale Boulevard and Egan Avenue,
north of Lone Oak Road. The topography is cuite flat with the drain-
age being towards the ditch of Lone Oak Road (County T_?oad 26), thence
to the west. Vegetation over this area consists of weeds and grass-
es. This area was previously a low area which was filled by the
Opus Corporation for the owner several years ago.
The proposed grading of this development will be minimal due to the
existing topography. Consequently, drainage will be maintained in
its current direction and capacity and will pose no problems.
U2'ZLITIES
Utilities of sufficient size, depth and capacity exist within Lone
Oak Road and Egan Avenue to properly service this proposed develop-
ment. Water main consists of a 16" trunk line alona the southside
of Lone Oak Road and a 6" line along Egan Avenue. Sanitary sewer
consists of an 8" line also along the southside of Lone Oak Road
and within Egan Avenue. No storm sewer exists in this proximity,
however, none will be reguired with this development.
Proposed services for Lots 2 and 3 are to be extended across Lone
Oak Road from existing utilities. It is being proposed to extend
one oversized sanitary and water service across Lone Oak Road and
then branching off to service both.lots. Service for Lot 1 can be
obtained off of either Egan Avenue or Lone Cak Road utilities. None-
theless, a utility permit caill be required frcm Dakota County High-
way Department for this proposed construction. In addition, plans
and specifications shall be nrepared by a registered engineer and
submitted to the Engineering Department for approval if this work
is to be done privately.
STREETS
Access to this development is nresently off of a Lone Oak Road. Cur-
rently, Lone Oak Road is under County jurisdiction and a rural two-
lane paved highway.
Dakota County has indicated one access will be granted to this par-
cel. The deveioper is proposing to center this access between Lots
2 and 3.
ESGIyEERI`JG RE?O:.T
A. J. ADDITION
AUGUST 23, 1983
PAGE TWO
RI G HT-OF-S^IAY /EA S EMENT S
A 50' half right-o`-way
way easement deed. As
sight-of-way should be
currently exists for Lone Oak Road as a hich-
a condition of this final plat, this 50' half
dedicated as public right-of-way.
A 10' utility easement shall be dedicated along all public right-of-
way with a 10' drainage and utility easement centered over all in-
terior 1ot lines. In this case, a 10' drainage and utility easement
shall be required along the north prooerty line adjacent to Country
Ho:.ie Heights Addition and a 5' drainage and utility easement dedica-
ted along the east line of this proposed development.
ASSESSb?ENTS
Researching the assessment records indicates this parcel will be re-
quired to pick up its trunk area water and sewer assessments and al-
so a lateral benefit from tzunk water main assessment for lots beinq
serviced from the trunk water main on the southside of Lone Oak Road.
Hocaever, since the trunk is located across the road from this prooos-
ed developnent, credit should be given for the extra ler.,th and addi-
tional cost incurred to bore underneath Lone Oak Road. These assess-
ments sha11 be levied at the rate in effect at the time of final olat
approval. At the current rates, these assessments would be as fol-
lows:
Water area = .98 acres X $1,070/acre = $1,050.00
Sanitary sewer area =.98 acres X$1,070/acre =$1,050.00
Lateral Benefit from Trunk Water Main = 200' X$16.10/ft=$3,220*
(*TO be reduced by actual costs of extending water under Lone
Oak Road to within 30' of the property line)
All costs for installinq water and sewer services to this develop-
ment and grading shall be the sole responsibility of this proposed
development.
I wi11 be available to discuss any aspect of this report in detail
with the Advisory Planning Commission at their August 23, 1983 meet-
ing.
Respectfully submitted,
??y??
P.ichard M. Hefti, P.E.
Assistant City Engineer
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CC?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conetructlon Reoufrements
• 3 registered s'de surveys showing sq. R of lot, sq. tt. of house; and all roofed areas
(20% muimum lot coverage allowed)
• 2 cnpies of plan sfwwing beam & window sizes; pou2d found design, etc.)
• 1 sel of Energy Calculations
• 3 copies of Tree Preservation Plan'rf lot plaltetl aRer 711193
. Rim Joist Detail Options selection sheet (Wdgs with 3 or less unils)
Water 5oftener _
_ Water Heater _
No. of Baths
DATE 5 ?Y cl.? VAWATION
y/ /cc
SITE ADDRESS MULTI-FAMILY BLDG _ Y _ N
TYPE OP WORK ITS 12:1 «/?iri?? FIREPLACE(S) _ 0_ 2
APPLICANT r-, drr/ l
STREFf ADDRESS 7=0 /Y'le* CITY 001V6*wTA STATE s?
TELEPHONE CELL PHONE # FAX #
PROPERTYOWNER !5C ?ff f 6?'W P"? TELEPHONE#
?s?? ysa-asai
------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'['A RUI.ES 7670 CATEGORY 1 MINNESOTA RUI,ES 7672
(J submission type) • Residential Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Heat Recovery 5ystem
Phone #
Phone #
Fce: $90.00
Tee: $70.00
------------------------------------------------------------°------------°-----°-°------------------------------------
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.
Slgnnture of Applicant
???_------------------°-'°°"--'--- -------°--__'-_
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
RemodallReoair Reauireme
• 2 copies of plan 45- - Ik--f
• 7 set of Energy Calculetions for heated additions
. 1 site survey for exlenor additions 8 decks
. Indicate R home servetl by septlc system for additions
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
?o?_R I
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
,s?:70, n
New Corelrudion Rewirements RemodeVReoair Reauiremenis dffics UseL7w
3 registered sile surveys showing sq. fl. of bt, sq. fl. of house; and all roofed areas 2 copies ot plan S!.Racd
(20% maximum bt coverage allywed) 1 set af Energy Calwlalions for heated add'NOre TrpE PtAS Pl?ti ReCd _ Y N-
2 copies of plan shaving beem & window sizes; poured found design, etc. 1 site survey for addiiions & decks TrBe i?res3[eq4itCd .?
?
?
lselofEnergyCakulalions Addition - indkateifonsitesepticsysfem 6trsde3eRt?eSysiem _i4
_N
3 copies of Tree Preserva6on Plan if bt platted afler 71153
Rim Joist Detail Options selection sheet (buildirgs with 3 or less uniis)
Date 2(v /
0.)' W
Construction Cost C) C)
Site Address a l / pG?i7 ?, p UniUSte #
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2
Property Owner Telephone #(?1)
Contractor
Address CitY
State ? ? - ?' ?'. ' '.1 '`•, Zip .S ? Telep6one# 05?) 7JT ' G ?32
COMPLETE THIS AREA-ONLY IF CONSTRUCTING A NEW BUILDING
- Mmnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , ResidenUal VenGlation Category 7 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Cakulations Submitted
In the last 12 months, has 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 # (
w.?
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 ap?rov_d plan in the case of work which requires a review and
approval of plans. .
1?e_m _'D lti?/'^ e 4?2
Applicant's Printed Name
?) 9?r) ?-
November 15, 1984
Dale Runkle
Eagan City Planner
Eagan City Hall
3830 Pilot Knob Road
P.O. Box 21199
Eagan, Mn. 55121
FeE?:E??ED ld?°? r6 ? li?J?'a
RE: A.J. Addition (preliminary plat)
It is the purpose of this letter to inform the City of my intentions re-
garding the above noted plat. I have recently sold the parce] of land that
comprises A.J. Addition as an unplatted property containing one building
site. It is hereby my request to officially withdraw my application per-
taining to the above noted preliminary plat.
Please note that it is the intention of the buyer of the above noted pro-
perty to immediately start construction on his single family residency.
It is my understanding as City records indicate, that this parcel of land
has been assessed and a sanitary sewer and water service stubbed to the
property line adjoining Egan Ave. and subsequently a building permit may
be pulled for the construction of one house.
Your anticipated cooperation on the above matter is greatly appreciated.
Sincerely,
Laura Marks
03/31/2009 15:26 FAR 6514510531 BEISSEL WINDOW
:ar-31-2009 11:57 AM Weyerhaeuaer 5036237122
?h a-pt iT"# 70 7w ? 990 fgflN dd li
¦? 1leader
• :?•• .- •? 2 Pcs of 7.75" x 9" 1.9E Mtcro{lamO LVL
TJ15eavA9.35 6aral MY~.
um?3 "a100 'RODUGT MEEi'S OR EXCEEDS THE SET DESIGN CONTROLS FpR THE
PeOa 1 !?'n Vsn
APPLICATION AND LOADS LISTED
? 2R
6 s9 ? ProdaCt Dlagram ft CaRCePli
LOADS:
Analysfs is far a HB5d9r (flu5h Beam) Membef. lHWtdry Lodd Wldth: 6' 6"
p11RIgry Laad G(oUp- Re51d0rWel - Llving.4reas (p8P): 40A Llve at 100 96 tAlydtlon. 12.D De9tl
Vertlcal Loads:
Typs Ciass LHO Dead Locatlo0 Appltptbn Cvmmens .
Unrform(plf) Fiooqi.oo) 0.0 60.0 0 ros'9"AdtlsTO wamoad .
SiIPPORTS•
. 1nAUt Ve?ti[mi Reactlore pbai Detalf Otl+er
Wldlh Lenglh livefDostflUpilftfTotal
1 Slud watl 1.50" 1.56' 126816131012080 A1: BloCking Custom BIOCkFng (SBB Oprstor Notac Below)
2 Stud WeU 1.50" 1.66' 1288 J 613I O 12080 AL• Blocking Custam Blocking (See Operalor Noms Babw)
-See iLevelO spaclRefsfBuAders Cwida for detaB(s): At: Bbddng
DESIGN CDNTROLS:
AMaximwn
Sheer(16s) 2080
Moment(Ft-Lps) 5070 '
Uve Load Defl (in)
Tetal Load Defl (in)
Oeslgn Ccntrol Resuk
-1707 5985 Passed (29%)
5070 l0846 Passed(4B%)
0.143 0244 Passed (1-I820)
0234 0.488 Passad (1.499)
Lop9en
Rt. ond Spen i undar Floor badlug
MIO Span 1 urMer Floor loeding
MID Span 1 undar Floor loading
MiD 3pa1'I under Floor loading
lib 002
d/G
-pefledlon CHterla: ST'ANDARp(ll'U480,TL:U240).
-9racing(Lu): All comp'eseion adges (top and boucm) must bB bfac9d at 9' 9' olc unleae datallod othetWise. Froper ataahmam and posiNoMng oF
lateral braaing Is requ6ed io achieve member stabift.
ADOITIONAL NOTE3:
-IMPORTAN71 7he analysfe presenbd Is outpuS Trom aothroare davelop0d Ey [LeveiO. Alloweble praduct velUes ShDwn ste lit aeeordance w1M current
ILevelO meteAals eM code ecceptad daelgn values. Tha epeeNlc product appliratlon, Input daelgn bads and s18teQ d6lmnstuns ha+re been provided
6y othera ( Jadc ? BCISSBI VIMdOws have rroi baen chedcad for Contomisoce w9h the dealgn drawkige of iF» 6u0dinp. end have
notbeen revieWBd py ILSVa* Englneer{ng.
-THIS ANALYSIS FOR ILeveM PROPUGTS aJLYI PROPUCT SUBST{TUTION VOIDS THI3 ANALYSIS.
NIOW9ble Stress Oeslgn mefhoddogy wes used for Building Code I9C analy7Jrtg tha iLoveNE Digtrlhution productllBted abme.
-NOta: $ae ILeveW SpedB6ral9uilderk Gulda for mulUple ply connedton.
Cus4om Blacktrig hWkstas Fleader neods to be Laterally Supponad.
Thls oan be atxatnplfekled bYOannecting the Headar to thE King 9tu
Jack 6 6alssal WUMavs
Stheru Brotlie`s Lumbar Co. • ArcJm Hils
Teth CeII #75638
Ann Paga Resldence
2990 Fs98n Ava
Fagan. MN
nalls ortce
a PERATOR INFORMATION:
KuUe Errtield
iLeval by Weymhseuser
4570 W. 77th Sti'eet. Sulte YBB
Edins. MN 55435
Phpna:(952)SB6-7115
pau : (952) 898-1917
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Scale: 1"=50' '
y 841.6 Denotes Existing
Spot Elev.
Denotes Drainage m
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Hub Set N
PROPOSED GARAG FLOOR 1
EL .=900.0 '
PROPOSED TOP o OCK
ELEV.=900.3
PROPOSED BASEMENT
FLOOR ELEV.=896,3 A
NOTE: ?
Verify all floor
Heights with Fina
House Plans
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DENNY ?/anL AECKEN
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tih+AYNE ?.•
- PROPERTY DESCRIPTION- I
Parcel A- The South 132 iEeet of the East 330
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Dakota County, Minn. ..
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Parcel B- Zot 8, Block 3, COONTRY HOME HEIGHTS, "`"di??1t°1lit1+P"
according to the tecorded plat thereof, I hereby certi{y tMcrt thia survey,
Except the North 107 feet thereof r Plan or report wcrs prepcFred by rtte
or under my 3irect supervision cmd
that I am a duly FieqSstered I,?d
Surveyor under the lrnvs of the
State of Minn2sota.
\ ?a -"• l+U? Date: 1i /83
S
URVEYOiVC
SEF?VICES
3908 Si61ey Memorial Highway
Eagan, Minnesota 55122
Phone: (612) 452-3077
Wayna D. Ccrdea Reyistration No. 1?
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SITE DATA
LOl'! . BLOCK 3 ueopt 14.- N011TM 107 IfoH. COUNTRY MOME
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EAGAN,MN.
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LOT 8, BLK 3 EXHIBIT
COUNTRY HOME HEIGf-ffS
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PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA103344
Date Issued: 03/19/2012
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 2990 Egan Ave
Lot: 081 Block: 3 Addition: Country Home Heights
PID: 10-18300-03-081
Use:
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Free-standing Stove (new)
Description:
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to
concealin,.
Carbon monoxide detectors are required bn law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Twin City Fireplace Anne Perron Page
6916 Washburn Ave S 2990 Egan Ave
Richfield NIN 55423 Eagan NIN 55121
(612) 282-2684
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 Citv of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
CITY OF EAGAN WATER SERVICE PERMIT
3830-Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner: - -
Address:
Site Address:
Plumber: -
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
I agree to comply with the City of Eagan Surcharge: -
Ordinanaea.~ Misc. Charges:
Total:
By Date Paid:
Dote of Insp.: Insp.:
CIT41 OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning:
No. of Units:
'3wner:
Address:
Site Address:
Plumber:
agree to Comply with the City of Eagan Connection Charge:
s anee. Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
p" - Total:
Date Paid:
Use BLUE or BLACK Ink
r -+
For Office Use
� � 111
City of Eaaall Permit:e.
rmie t
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
IL/
Date: /7 Site Address: (/`77a �'A til AV Unit#:
( I Name: A. 1 14 itl e r e Phone: 6✓T- `sa ^ v `e(
Resident/ i ] 7 7(� rt /41/t. �
s Owner Address/City/Zip: t/'' //l ,c N
Applicant is: Owner )(Contractor
I Description of work"��'tJ�r-
3I Type of Work i
? (�-
Construction Cost: `w Multi-Family Building: (Yes /No A )
I Company: Oa r .vt 14ero frGl'f� Cpy1/-`'hCCo n a t:t� C ve
q
5 I Address: /7573 FOX 6°.ell Cf City: Fat ► ,` .0
Contractor J
State: Zip: 55 aci Phone: l `t-8 aiL
I
€ I License#: tic (70-o 6.C' Lead Certificate#: 1\I 4 'T /0 8 3 7i6 —1
IIf the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
1 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:
I Licensed Plumber: Phone:
Mechanical Contractor: Phone:
e Sewer&Water Contractor: Phone:
r
r Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to¢be public information. Portions of
1 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.ciopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a 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 permitmijissuance.is
x �W �� l v►'Iq 411 x
Applicant's Printed Name App icant's Signatur
dc,-,,,„4,
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