4146 Ethan Dr
Use BLUE or BLACK Ink
I
For 0ifjce Us/ery--------
~ Permit
N of La an
Permit Fee:
3830 Pilot Knob Road l I
Eagan MN 55122 RECEIVED I Date Received: 1
I
Phone: (651) 675-5675
Fax: (651) 675-5694 IU! I i 2011 I Staff: ~
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Y/
Site Address:
Y I ~l ~77T`" ~~t
Tenant: t Suite
RESIDENT / OWNER Name: Pyah. `t' 1'7/ Phone:
Address / City / Zip: rh
CONTRACTOR Name: License N
Address: 1C~-.,!S-,rc/ 9"+ r rl ✓ City: JLod& v
State: _ Zip: ~ Phone: `
Contact: aVP. i~h Email:
TYPE OF WORK _ New _ Replacement - Repair - Rebuild Modify Space Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation RPZ / - PVB) Z Add Plumbing Fixtures L_ Main / Lower Level)
Septic System Water Turnaround
New
- Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities, www.gopherstateonecall.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 i 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 nsr
x aii (i. ~~k11 ! k x
Applicant's Printed Name App6ca is Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
l a
Use BLUE or BLACK Ink
For office A
City 9
j Permit of Eap I 1 Permit Fe3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
I I
Phone: (651) 675-5675 JU N 2 4 2,011 I Staff: I
Fax: (651) 675-5694 I I
- - - - - - - - - - - - - - - - - J
VVI
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: b-Jz-11 Site Address: Y1 q& Gr j4prN VR%V E, Unit
Name: ,RYIkw! $ ~ENs11 I R.Wt 11c. Phone: (osl - q46- l03l
RESIDENT / ~ ~ -I 2
OWNER Address / City / Zip: 141410 GT! FIM 'bit. EAt-`'~1~ n4 ssaxi
Applicant is: Owner _X Contractor
TYPE OF WORK Description of work: Lbwa um- mppe.,
Construction Cost: 0-6 Multi-Family Building: (Yes No
Company: Mt bbAf.D 3 vim, Contact: C#045 wqu
CONTRACTOR Address: (06149 0.01}1u- 1wra E City: /1A*)?_ ~iR.o~E taT'S
State: M4 Zip: Q~65W LO Phone: 1,61" .554-IZZ4
License 2~2 SM Lead Certificate AIAT" 21585-1
Does this project require Lead Remediation? ❑ Yes No (see Page 3 for additional information)
If no, please explain: %Olcr 1 m
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 ' co orma a 'th the ordina s and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and ork i not s rt without rmit; that the work will be in
accord with the approved plan in the case of work which requires a review andxappr al of ns
x (,abs Wvwe-
• Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
/ _
For Office U-----------
P
rmit 1
C e
of
I 3830 P
ilot Knob Road Permit FeO
Eagan MN 55122 I 1
Phone: (65'11) 675-5675 " N 3 U 21", '9~` I Date Received: I
Fax: (651) 675-5694 1 I
Staff:
2011 MECHANICAL PERMIT APPLICATION
Date: fr,2 Site Address:
Tenant:
Suite
RESIDENT/ OWNI_R Name: on d,
Y110 E >I n Phone: (e5l-y$5~- /~3 t,~
Address /City /Zip: O SSQ'T
CONTRACTOR Name: e e License #
Address: ei,r~ c~ re y 1 S City: QSL kA cam . t,` ~wLL
State: 0~ Zip: ~p -l Phone: ez I - '4 6 `7-- a -1 X 1
Contact: cs~a.r a Email: xx w t r~4e r- hem
TYPE OF WORK New _Replacement _Additional Alteration Demolition
Description of work: C o cl Mete
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.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction i Interior Improvement
Air Conditioner Install Piping - Processed
_ Air Exchanger Gas _ Exterior HVAC Unit
_ Heat Pump Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
of _ Othe,-Gm nk 1:. Gw` Y~ ~c~lr Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ .55.00 TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground lank installation/removal OR Contract Value $ x 1%
$55.00 Minimum (includes State Surcharge)
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 _ $ Permit Fee
- 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.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 and stand this is not a permit, but only an apqcation for a permit, and work is not to start without a permit; that the work will be in accordance
with the appr lara in th ase 9f whi equires a r view and approval of plans.
X
r
x ~nt A pplicant's Printed Name Applicas Signature
FOR OFFICE USE Reviewed By_ Date:
Required Instpection& _~Under Ground Rough In Air Test _ _Gas Servhc,e Test -In-floor Meat Final
Exterior HVAC Screening Inspection
DO NOT WRITE BELOW THIS LINE Mls
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex Lower Level _ Pool _ Miscellaneous
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
Valuations 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
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: Rough In Air Test Final Windows
Insulation Retaining Wall: _ Footings r Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: 4 Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge 1"L~
Plan Review
MCES SAC
City SAC n f
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
man dfilju 7~VM
BINDER
Air
ioning, Inc.
222 Hardman AVE nue North
South St Paul, MN 55075
Phone 651-457-8781
Email. service@bmderheating.com
www.binderheatin,g.com
Attached To Made Fart Of
2011 MECHANICAL PERMIT APPLICATION
City of Eagan,
For: 4146 Ethan Drive
Scope of Work
WE WILL'r,,:MOVE EXISl!N }=L..i F:: ,IUD REPLACE WITH NEW LENNOX
08% EFFICIENT' 1=JRN,' .-"SLI-:;ciUH110R603. WE WILL INSTALL
NEW FU f Jt;EL IN NE1N LOCATK)N1 `TO OPEN UP SPACE.
WE WILL REMOVE. EXISTING AIR CONDITIONED AND REPLACE WITH NEW
LENNOX '13 SEER, 4-TON UNIT, MODEL #13ACX-048-230
FURNISH & INSTALL 60,000 BTU GARAGE UNIT HEATER, INCLUDING
GAS PIPING & VENTING;.
SEPARATE 'I'RUNK LINE- FOR LOWER LEVEL
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 Fj C) ?
851-681-4675
I-`ayd(7
New ConshucHon Reaulrements Remodel/Reoalr ReauhemeMs
? 3 registered sife surveys showing sq. H. of lof, sq. N. of house 2 copief oF plan
and all roofed areas (207, maximum lot coveraae allowed) 1 set of energy calculations for heated addNlons
? 2 eopies ol plans (show beam 3 window:izes; poured (nd. design; etc.) 1 sfle suney for exTerlor addRlons 3 decks
D i sef ol energy calculaNons
D 3 copies of hee preservaHon plan II lot plaNed afler 7/1/93
DATE: CONSTRUCflON COST: -M?"`-f(JJ"
DESCRIPTION OF WORK: ?Dw ( t)I1?AiU???
STREET ADDRESS: `"fI `tl0 c4G1-1'1 "bI"I i}-u
LOT: `T BLOCK: I SUBD./P.I.D. #: DCLk fiLI'1't S,
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: ? Phone #:
Lasf FUst
Sheet
City
State:
Zip:
Company: &OS. C,3nSf • Phone#:
(area code)
Sfreet Address:I wau ucense #07W5q3) I Exp33 Ig
Cfly ,1^ ,tr C-1rm ke fokb V State: Iq IU Zip: 55 77
Streel Address: ?<?lI1G\?1`l =n" • _ Regishation #:
City 15(9 ? ? State:
Company: -PldnOv Name:--rom
Telephone #: area code ( (? 01A
zrp: 55125
Sewer 8 water Iicensed plumber (reauired for new conshucfion onlv): 30k1 et / l
Penuly applles when address change and lot change Is requested once permR is issued. ??I -7 3 y
! heectby acknowledge that I have read lhis application, sfate that the information is correct and agree fo comply wNh all appllcabl
State of Minnesota Statutes and Cffy of Eagan Ordinances. /? /
SlgnafureotApplicant: 0 ' "/?'"AA-V
OPFICE USE ONLY
Certificates of Survey Received =Y?Yes _ No
Tree Preservation Plan Received - Yes - No -4&?ot Required ?
??,5
„ t
OFFICE USE ONLY
BUILDING PERMIT TYPE
F .?
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-piex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 S-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
X 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition,permit
GENERAL INFORMATION -
Const. (Actual) Basement sq. ft. 70 Census Code !
(Allowable) ? Main level sq. ft. SAC Code
UBC Occupancy ?. sq. ft. _???? No. of Units
Zening sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width ? Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered APPROVALS
Planning Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MClES SAC .
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment Pi:
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $,)- /7Jt?
y?1-5-?7s
? -??a r • ?`. ?'? ? ?fI f?' ????
S4_) 4:?
?-Or>
t .
:
SAC Units
%SAC ?? (-0jl.? ''
#X??kYdNc?7kXc?C?C??Y7KXcXcYF??$?'M%s? k??'F?rk7k>$?k?k?w:?A<##W.k?
C.T.TY I)F F'i4GF1N
r:ASH7:F_r+: JS 7EhMINAL No: 990
UATEI ? Oi./31/00 T'IPfEg 14:54:30
ID:
NAMEt 14hNLF'Y RRO'1"HF_fi5 CUNF.>'IRUCTTIJN
2252 2220 3830 I''7:L.QT KNOB 30.00
320 9001 3830 PzLnr KNOB 1y620.95
3666 9379 3830 F'II_(1i' Y.NOEs 10C1,1]D
3422 9009 23$30 F':f.L.OT KtlC1F 1yI153.fi,?
2275 9220 3830 F'IL.O'f KNOB i7(lSJ.00
3446 900! 3830 I'T.LO'T 4:M08 0.00
205 3001 3E330 P:ft.OT KNOB 0.50
3743 9220 3820 PSI..OT h:iJOP SIJ„OCl
205 9001 3830 PLI_rT KNOB 106.00
3868 9220 3830 F'IL07 t.NL)It 492.00
L'.F'9.22951 X??C L"ON'T]:NUE
1151:'F: IDa ;IAN CON7I:NUC.
,s+ w 39 s-.)-?s?
CONT]:NUC
C;ITY OF L=.AGAN
rASH:I'.E:Fi: tS TF.RMINAI. NUa 990
DPiTE : 01l3 i. /QO l" ]. ML : 14 c 54: 31
ID:
NAMF: MANLEY HRO'il-IEF:S CUN5TRlIC7I0N
yW (a ?`?a? UP
924.0 114.00
M3 9220 ^9n9 rR.nr.i4iPG 50.00
3865 9220 3?-'n...F.idOR 84(].00
. f
t
To'tnl Receipk AIrirJult '. `.iy;lSi .O7
Ckj. aMi
uscr: zn? JAr,
DEC-14-1999 08:27 PLr"iNCG, INr, 1 6514523655 P.02/03
.• ENERGY CODE WORELSIiEET F'OR 1&;& r'aria.tsz uwr;LLINGS 7 7- /;
.
CITY
11 9IIYIID114C CLASSIFICATION: {3 OaCeqarY 1.(etnnderd) oC ? aatagory 7 SA!ue{; inCluqe vesiCilationy
1SYNYiMRf CRITBRZA
Pouridation Ineulatian-R1o
Sla6 cn Grade _*aculaeian-R10
e'leor ove: untea[ed spacee-R24
Faundatian W1Rd6WG 1/1•
inaulaCad Glae¢.
-Wood ar Yinyl F=emc
9TH$ 1'rlipdorl L DOOY Asoa ,
A. ?TOtal Hindo. 4 oear Trea ir. Sq. Feet
°
' !,WZNDOWS {Including FouridnCioii Wind°w°)
MND05i MA1iC7PACTSIR2 NA21H: --
YTLHQON tl71NFACTQR6 TYPB:J??
i
MNEOi1 MA1dVPACRVRH ? PAC'COA: 1
'R. G. Quenlit}, C:j CI.Ar.:d
D1me?s:oi;s
X
X
K„
I J11 X
x
X
WaLlc 4 tiindawa
(See cablv on rcverse sidc
for nLlowabla parcen[apeE)
Ronf Att1c InaulsGiani
R99-With ReCic No E[eel
R7e-HL[h Actic Ra:eed 4ee1
R38 & RS-SOlid Ra°_tcrc
STSP P Cnlculate aroa ao a percent of wall
C. Ft'eM S=ep i divida bax A(Window G Oo.r
Rren) by hoH B(COCel r+all arca) Clnta: 300
eyual:, che windc?, an3 door arza ae a
prn-ce.^.c ci wall ax-ce (C.x G) .
Exz X100- ?=i3???a
ecx ?{
SYE? 3 Ileaign Po>k'ren
Fsscw6LY
PRAifIVG TYPE:
STANi)ARG FRAMTCSG --y-stuu'S 16" o.C,
qDVNJCBG r'RAMII7G nCUdG 24" O.C.
CA.VTTY I145ULA':ICH 114-
(A x(O - I t,1L ni
T? oeal -Area of
NSr?ovc & Doora
B. : Tocal wall Area ir. 9q. Fc.
pall Tota1 Height loe.rimneer
9HSATftzIrG 7YPE:
4ESS .HAN < R-5
R-5 ? OR MURE
U-FACTOR 0?=v
Fcom ehe cable, (reverae eida) daeezminA [ha
msximum peectne window & dcor e:ea foe Che
dee190 opGione eelccted anri ar.lot the t valuc
in Bax D halow based on the wiodow nifg. U-
fxccor, ?-RB 0
ILANOT
Tna L' val-e from chc cahle in 8ox ? oh%11 b.+
cqiial Co o[ g:ea[er tfian t}e t in 3ox C
0= nq.ft
Arew oE Nalle I
DEC-14-1999 08:28 PtAh;CO, iNC. L 6514523659 P.0a/73
• ? 0
: ONE- k'iw0-PAHIIt,Y RLSIDENT1qL o[,7LnirvG PRFSC7tIpME (C4pK-13OOK)
API'RDACH
MAXf MUM W1NDOW AND DOOR AREA AS A PERCENT QF OVERALi WALL
AREA
, Fmm Mlnn, Autes FdLS y670,Q47s ;art 29em F
?
i
CavJt Extarl0! Window U•Factor I
Fr4min lneulalion Sneathin 0.49 0.36 0.31 0.27
STANDARD #t-13 Z R• 7 13.4Y. 77.8`Y, 23.3°/v 24.3°k
STANDARD R•13 R- 5 12.4% 16.4% 19.7^0 ?.2.SYa
STANdARD R-15 > R- 5 1219°h 17.1% 20.IYv 23,4yo
STANbA£ZD (t-I8 .19 C R- 5 123K 16.096 78.8% 12,0%
STANDARtJ R-I9-19 R- S 16.0% 18.656 21.8°r, 25.3Yo
ADVANCEi7 R-18-19 < R- 5 1219'14 1.lYo 20.1Yo 23,4%
ADVq7VCEf3 R•18-lg z 2- 5 14.5% 19.2% 22.5No 26.1%
STANDARD R-21 <]t - 5 12.6y. 17.00/0 19.9°/, 23.:%
STaNDARD it•21 R- 5 Ia.SY. 19,396 22.59'a 26,7 %
ADVANCED R-:1 < R- S 73.6% 18,1% 21.2Yo 24.6%
AOVANCED R 2i R• S 15e 19.9°./0 23.2Yo 26.9•Ie
; Addit nal e ?vla Fed valtCB
i STANDARQ R-1'
TANDARL? < R• 5 11_9% 1$.79'0 18.4°k 21.5°!e
R•17 R- 5 13.8Y? 18.4'• 21.5Ya 25.04'e
ADVANCCb R-I7 [ R• S I2.6'k 16.8°a 19.5°/0 21.9%
ADVANCED R-17 a ft- S I1.39S, 19.0%? 22.2Y. 25.?y.
i Notea;
' Windaw aree rquais rough opening m3nue inatitllation ciaaranres.
Wlndow U•faclor must be dettr.nined by either the National Feiteetration Rating
Couneil standard 100-91, or ASf-IRAE 1993 Handbook at Fundamentais, Chapter 27,
7+ble 5.
TOTqL P.03
• LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPUCATION
' G07
Y
G
%W PR OPERT
LE
AI
n DATE OF SURVEY:
w LATEST REVISION:
?X
C
0
DOCUMENTS7ANDARDS
O
W
a • Registered Land Surveyor signature and company
? ? : Building Permit Applicant
? Legaldescriptlon
? • Address
? ? • North arrow and scale
? • Housetype (ramWer, walkout, spiitw/o, split entry, lookout, etc.)
'
t( p o ient %
• Directional drainage artowa wilh slopplgrad
? . Proposed/ebsting sewer and water services 8 invert elevation
r3'/o ? SVeet name
p 0 :
Drrveway
? " o •
Lat Square Footage
? • Lot Coverage
ELEVATIONS
/
m?
d ? • ?_?
Sewer service (or Proposed)
,
y? ? •
Properly comers
9 Top of curb at the driveway
m/ o • Elevations of any eAssting adjacent homes
? ?/o Adequate footing depth oi structures due to adJacent u4Tiry trenches
Prooosed
?
? : Garegefloor
?
p First floor
? a •
Lowest exposed elevatlon (walkoWwindow)
y
? .
Property comers
e?o a • Front and rear oT home at the foundation
PONDING AREA Lif_a cade
? m' o • EasementAne
? m/ ? • NWL
? ?a • HWL
? m?? • Pond # designation
? m? ? • Emergency Werflow Elevatlon
DIMENSIONS
? • Lot IinesfBearings & dimenaions
vo • Right-0t-way and street width (ta back oi cur6)
?o ? • Proposed home dimensions indu?ng any proposed decks, overhangs 9reater than 7, porches, etc.
(i.e. a0 structures requiring permaneM tootlngs)
m/p ? • Show aA easements ot record and any Cily uGlifies wilhin those easements
ra? ? p' • Setbacks of proposed structure and sideyard setback of adjacent epsUng structures
? ? ? • Retaining wall requiremenb, A any I "-'?
Reviewed:
Mareh 19BB
CRAbOALppppMfFM
f ?* **
* PIONEEA L.
* Bflg fla9P flQ LArvo
* ***
Certificate of Survey for:
LOT AREA =27,331 SQ FT
HOUSE AREA =2,571 SQ. FT.
COVERAGE =9.4q
HOUSE TYPE- WALKOUT
BENCH MARK
TOP OF PIPE
ELE V, =905.24
,
//.
(o <
p
s, h
??,i ??J g9h
?D.
? `+-
VS \
c•
05.5?
L ?
?
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kt J
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.4 ?
UNDSCAPE
MANLEY
4146 ETHAN DRIVE
2422 Enterprise Drive
Mendoto Heights, MN 55120
(651) 681-1914 FAX:681-9488
PIONEEROPRESSENTER.COM
625 Highwoy 10 N.E.
Bloine, MN 55434
(812) 783-1880 FAX:783-1683
E-moil: PIONEER20PRESSENTER.COM
BROS. CONST.
S ?
?10
/
?l r
?
3
/ +y' I
(VACANT)
•Y. / ?a?
/ ?w I
/ wr I
/ OZ
/
Z21
aNj to
/ o j
? 4 '
6
/
? TREE LINE ?
i. ?
/
,k
7
/ F
9023
X, ?
896.3 , /
?TL T"
!
5
, a5E ? ppppppppp pppppp ,
? 908.3
.
.
, . }.
? ? •:
n,?-?'gt>>PT'?IvGZiQEE}LINGI3LPT. ,a
BENCy.MARK ?
` TOP OF PIPE
ELEV.=908.64
NOTE: PROPOSED GRADE$ SHOwN PER GRADtNG PLAN BY: E.G. RUD
NOTE: BViLDiNG DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCA710N
OF SrRUCTUFES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDINC AND
FOUNDA710N DIMENSIDNS.
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR. THE SUITABILITY OF SOILS TOFSU?P'EO?RVEYOR EQFIC HOUSE
PROPOSED HOUSE ELFVATION
LOWEST FLOOR ELEVATION: 96011
TOP OF BLOCK ELEVATION: 9o8'g
GARAGE SLAB ELEVATION: 1O8•y
?
O
?
?
?
Z
PROPOSFA IS NOT THE RESPONSIBILITY O
% 000.00 DENOTES EXISTING ELEVATON
NOTE: n95 CERTIFICATE DOES NOT PURPORT TD SHOW EASEMENTS OTHER THAN ? ppp_00 ) DENOTES PftOPOSED EIEVATION
THOSE SHOWN ON TME flECORUEO PLAT. DENOTES DRAINAGE AND V7ILITY EASEMENT
- DENOTES URAINAGE FLOW DIRECTON
NOTE: LONTRACTOR MUST VERIFY DRIVEWAY DESIGN. DENOTES MONUMENT
NOTE: BEARINGS SHOwN ARE BASED ON AN ASSUMED DATUM _? DENOTES OFFSET HUB
WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 4, BLOCK 1, OAK BLUFFS
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN. AS SURVEYEO BY ME 0
UNOER MY DIRECT SUPERVISION THIS 72TH DAY OF MAY, 1999.
REVISED 70-20-99 SERV. ELEV. SIG ED: IONEER ENGINE ING, A.
REVISED 1-17-00 NEW HSE ?
SCALE : 1 INCH = 40 FEET REVISED 7-93-00 RESTAKED BY.
f2ECE111ED JAN 2 0 2000 ohn C. Larson, L.S. Reg. No. 19828
1 oaet9.09 JMM .
r CITY USE ONLY
LOT ? BL PERMIT #:
SUBD. ?01 I?(,? 1- ? S RECEIPT #:
RECEIPTDATE: ? - 1 `OO
2000 MECHANICAI. PERMIT (RESIDENTIAL)
Date: 3-n -oo
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 eaJ
CITY OF EA6AN
3830 PIIAT RNOB RD
EAGAN IMt 55122
651-681-4675
$ 30.00
6.00
lo • OC?
State Surcharge .50
Total $ ?
Ya.s0
Complete this section onlv if you are remodeline, addine to, ot repairing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New Alteration
_ Fumace
_ Air exchanger
_ Repair _ Other
_ Air conditioning
Other
Fee
State Surcha:ge
Total
Reminder: Call for inspections
SITE ADDRESS:
$ 30.00
.50
$ 30.50
OWNERNAME: nC1?/11)yl/`? PHONE#: -
(AREA CODE)
INSTALLER NAME: PHONE #:
STREET ADDRESS: LOFGREN _ (AREA CoDe)
CITY:
OS
460-8313
CITY USE ONLY l RECEIPTA SUBD. Bfnl? ? n RECEIPTDATEp3'9 GD
'?
PERMIT# `
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IQZOB RD
EAGAN, tM7 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTlJRES
EACH 1t
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $ 3.
Floordrain 3.00 x $ 3 .Q
Gas piping outlet ' minimum -1 3.00 x $ 3.
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
laundry Vay 3.00 x = $ .U
Lavato 3.00 x = $
Septic System new/returbished • reqWres MPC Ilc. 75.00 x = $
Septic System atandonment 30.00 x = $
RPZ naw installatioNrepairirebuild 30.00 X = $
Rough openin 1.50 x = $ ?
Shower 3.00 x $ _p
Undef f0und Sprinklef ff dwelling is under construction 3.00 X = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x $ °? _
p
lg
Water heater 3.00 x 1 = $
o
_
Water softener If dwelling under consVUedon 5.00 x = $
Water softener n exisnn9 dwenin9 30.00 x = $
Water tumaround 30.00 x $
State Surcharge .50 -> -> -> $ .50
Total __,
Reminder: Call for inspections of alterations, i.e, water heaters, water softeners, etc.
---•-•••-•••--------------------------•-------•------------------------- - ----------------•---------------.....-------------------------
I herehy acknowledge that 1 have 2ad this application, state that the informatlon is corred and agree to comply with aA applicahle City of Eagan ordinances.
It is the applicanCs responsibility to notify the property owner that the Cily of Eagan assumes no liability for any damagas caused by the City during its
normal operetional and maintenance activities to the facihties constructed under this pertnit within City propertylright-of-way/easemeM.
SITE ADDRESS: V/ (AP ( _ /Jl •?Vj r
OWNER NAME: : ?f 0 Ya-S TELEPHONE #: ? S?? ?` Sy 7??3
(ARFA CODE)
?
INSTALLER NAME: TELEPHONE &! 2' VY 7- (a 7 ?
,r (AREA CODE)
STREET ADDRESS: 4 fCXD ??-? ?'w'' C?_
cirr: Pf kof o1v/-?iZ?
STATE: zlP: SS 37 a
SIG TU F ERMI EE
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA100197
Date Issued: 07/20/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 4146 Ethan Dr
Lot: 4 Block: I Addition: Oak Bluffs
PID: 10-53400-01-040
Use:
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Fireplace (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:
Fireside Heath & Home Bra an R Lervick
20802 Kensington Blvd 4146 Ethan Dr
Lakeville NIN 55044 Eagan NIN 55123
(952)985-667
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125033
Date Issued:07/16/2014
Permit Category:ePermit
Site Address: 4146 Ethan Dr
Lot:4 Block: 1 Addition: Oak Bluffs
PID:10-53400-01-040
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 -
Bryan R Lervick
4146 Ethan Dr
Eagan MN 55123
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r-----------------
I For Office Use �
I / �/
� � Permit#: ( �`7 �� / I�
Clty of ���a� �
� ��. � � �
� Permit Fee: �
3830 Pilot Knob Road � i
Eagan MN 55122 i Date Received: �
Phone: (651) 675-5675 � �
Fau: (651) 675-5694 L Staff:______________�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /Z —�� ls Site Address:��176 �( �G< L�� -G
Tenant: �y r�� ��YL�r��G Suite#:
ReSid�i7#10wl1e1' ` Name: �Y r� � ��r��irL�c Phone:
Address/City/Zip: �l�G �r�L� �� L �
Name: ���5� /��C�Lr- f''1G���--, ,���,^� License#: ���f l��t'�''
Contractor
Address 2032 7 I7�� � G�.r� ��-` City: ���G,//t.
State:�G�_Zip: �.�� �f�i Phone: �� Z ��� ��7 �
Contacfi Email: ��K?� ��'C�t� �c��-.�� h,�, .c
Tj/�3e O��IV�Dt'k —New _Replacement _Repair _Rebuild .�Modify Space _Work in R.O.W.
Description ofwork: �G.-, l c: �e�- �-v�.r4 Gc:. �!�
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation(_RPZ/_PVB)
Per�ni#Type Add Plumbing Fixtures�Main/_Lower Level)
Septic System
New Water Tumaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State,Surcharge)
*Water Tumaround(add$210.00 if a 5/8"meter is required)
$115.00 Septic SVstem New(includes County fee and State Surcharge)
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
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 apptication for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X CC�4- /��-- ��,�.s x C����
Applicant's Printed Name ApplicanYs Signature
�OR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground ' Rough-ln Air Tes# Gas Test Final
Meter Related ltems: Meter Size Radio Read IVlanotneter Staff:
. ;
Use BLUE or BLACK Ink �
--------------, �
� For df�ice Use I
� .� �->9 � 1�
' � Permit#: /��..��t� �� ,;�
Clty of �a�aIl � �� � �a � ��
jPermit Fee: `'�
3830 Pilot Knob Road � ��.,.�5 �
I Eagan MN 55122 ��('���►�(� � Date Received: �
Phone:(651)675-5675 � j I
Fax:(651)675-5694 DEC 0 8 201� LS�--------------!
���b
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � Site Address: `7/ `�� ��^� "�`'� ��`'�� Unit#:
Name: 1 Pi!/N/ �- ¢— g r��•� Gc�rN�C Phone:
Resident/ `� ,.L
Owner address i city i zip: '7��� �/�� ���� ��;� �`1� �`�Z 3
Appiicant is: Owner �ontractor �`
� Type Of WO�k Description ofwork: �`1 kf�s� �S� � ��w"""y �s"'� r��IA��'�
Construction Cost: � )/ OU� Multi-Family Building:(Yes /No �
Company: a'l(�/ti4(� �C�l�"�p�� Contact: ,�"�='` /'�'Q���"�'
� A r . � V' �l�1%�� �/G Ci : M/2�' (ro �
Contractor dd eSS� 6 /T' ri �
State:� Zip: 7 6 Phone: ���`(�3 7 Email:�Cd�`� �tG�o'�t�/��tacFe�i,�q. !p�
License#: �L �! �j L- Lead Certificate#: /�/I�'��2 2 S�'2
If the project is ex pt from lead certification, please explain why: C�C� " J� �
��t ti��l� ��- /5�� ��/- �l�- �17y�
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 ff yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public informatian. Portians of
the informatio�may be c/ass�ed as non pub�ic if you provide speGi�ic reasons that would permit the�ity to
conclude that fhe are trade secrets.`
CALL BEFORE YOU DIG. Call Gopher State One Call at(651j 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. w���w���h�r�t;,teonec�ll.�
I hereby acknowledge that this information is complete and accurate;that the work will be in confonnance 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.
E�ctericr work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 18b
days of permit issuance.
x '�C�" l�`�``'�c,i� x
Applicant's Printed Name Applica s ture
Page 1 of 3
. s �t/!� /
�C�(„fi �- �'L��1 DO NOT WRITE BELOW THIS LINE � �j'/ ��%'�
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/Pergolaj _ Miscellaneous
� 07 of_Plex � Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New T Interior Improvement _ Siding _ Demolish Building*
Addition Move Building Reroof Demolish Interior
` � Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair � Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation �"� Occupancy SQG-� MCES System '"'
Plan Review � Code Edition s��� SAC Units -�
(25%_100% ✓ ) Zoning �—l City Water �-
Census Code �j/3�_ Stories -' Booster Pump '"
#of Units / Square Feet �' PRV ""
#of Buildings � Length f Fire Suppression Required �
Type of Construction � Width --
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Finai I C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation HVAC_Gas Service Test Gas Line Air Test
Roof:ilce&Water �,Final Pool:_Footings Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath ,_Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall:T Footings�Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In iFinal
Braced Walls Erosion Control
Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES ������a-,� � �pr '�'� ,�..3� �`
Base Fee �) � g' � «�,
Surcharge �U� � L������4��f�' �� �
Plan Review "'7(;.-�'" � � �
MCES SAC �
C ity SAC
Utility Connection Charge
S&W Permi#�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Gity of Eaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
R CE N C+
juN B '6"
r
Use BLUE or BLACK 1Z.:
For Office Use
Permit #: / 11 /
Permit Fee: � -
Date Received: 4-t -16
Staff: 1
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name:Phone: C -c . f . ®---
Address / City / Zip: i [ a T t5V 646AAJ SJ (�-3
Resident!
Owner
IType of Work
J
Applicant is: Owner X Contractor
Description of work: iC t-
Construction Cost: 1 q Fes.? Mufti-Famity Building: (Yes / No )
015
Company: 1m , Da 1-\ - baa_ Contact: lout ci til i I
Address: 17 i O O - O' /\/! (± A)) IJ i City:L.441 o
State: I tt k Zip: Phone: _/J2)- S JI ! V?Email: 4"' 6 lay rt tie) / 1 b Q y O G* cool
License #: T�v✓ % q S Lead Certificate #: NMT- 1 lcc
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan.
Licensed Plumber: Phone:
Mechanical Contractor. Phone:
1 Sewer & Water Contractor. Phone:
Fire Suppression Contractor. Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions o
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 Cali at (651) 454-0002 for protection against underground utility damage. Cat 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecafl.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 1 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 %WR.4..4a14/1 la ratf,i l
Applicant's Printed Name
Wl �� O NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
�( Replace
/ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%,()
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
_ Garage
Deck
Lower Level
_ Porch (3 -Season)
Porch (4 -Season)
_ Porch (Screen/Gazebo/Pergola)
Pool
_ Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
_ Footings (New Building)
Footings (Deck)
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
7� HVAC Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
2", Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
0664
itt
e5 ?(ff-
o
Page 2 of 3
,.' *
* PIONEER
arcing neer ng
2422 Enterprise Drive
Mendota Heights. MN 55120
(651) 681-1914 FAX: 681-9488
E—mail: PIONEEROPRESSENTER.COM
625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX: 783-1883
E—mail: PIONEER243PRESSENTER.COM
LAND SURVEYORS • am ENGINEERS
LANG PLANNERS. L*NDSCAPE ARCHIEC
Certificate of Survey for:
LOT AREA =27,331 SQ FT
HOUSE AREA =2 571 SQ. FT.
COVERAGE =9.4%
HOUSE TYPE— WALKOUT
MANLEY BROS. CONST.
4146 ETHAN DRIVE
$46 e ri Pg- E 6cm)
BENCH MARK
TOP OF PIPE
ELEV. =905.24
3
(VACANT)
Loc
4
5
T�$ GAN ENGINEERING DEPT
\\ BENCH.. MARK
TOP OF PIPE
ELEV.=908.64
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: E.G. RUD
NOTE: OFF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUIZONTAL AND ILDINGAAND
L CATION
FOUNDATION DIMENSIONS.
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR.RESPONSIBILITYTPROPOSED 15 NOT THE OF THE SUPPORTO SURVEYOR. HOUSE
NOTE: THOSE SHOWN CERTIFICATE
DOES NOT PURPORT
RECORDED PLAT.O SHOW EASEMENTS OTHER THAN
SI
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN.
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM
WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF
SURVEY OF THE BOUNDARIES OF:
PROPOSED HOUSE ELEVATION
LOWEST FLOOR ELEVATION: 100, 1
TOP OF BLOCK ELEVATION: 10916
GARAGE SLAB ELEVATION: _ 108.41
X 000.00 DENOTES EXISTING ELEVATION
( 000.00) DENOTES PROPOSED ELEVATION
DENOTES DRAINAGE AND UTILITY EASEMENT
—� DENOTES DRAINAGE FLOW DIRECTION
---e---- DENOTES MONUMENT
p DENOTES OFFSET HUB
A
LOT 4, BLOCK 1, OAK BLUFFS
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BYE R
UNDER MY DIRECT SUPERVISION THIS 12TH DAY OF MAY. 1999.
REVISED 10-20-99 SERV. ELEV.
REVISED 1-11-00 NEW HSE
REVISED 1-43-00 RESTAKED
RECEIVED JAN 2 0 2000
SCALE : 1 INCH = 40 FEET
19681 99419.09 JMM
SIG
BY
IONEER ENGINE
hn C. Larson, L.S. Reg. No. 19828
For Office Use
Permit#: 161 (Q43
Permit Fee: I cS• p(�
Date Received: / I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: ShfP
buildinginspectionscityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
t
Name: mJe,�l.,;ti- Lef v:e.k Phone:
i ent!
max. , � £
,
" 1�
Owner `" Address/City/Zip: 1411-1(0 E"t►'�Ow► lir- e
Applicant is: Owner X Contractor
a-
TypeWork p S•' =iv r rc :.
p
Description of work:
Construction Cost: 1 C^,din.) "— Multi-Family Building:(Yes /No /C )
Company: Viice-Vk Contact:
Address: 543 bt 4IL,..1.c 5i. PA get
{, Tti City: T a,se•s i'r-t`ei„�
Con#rad#or .S
Ir.- State: 110 Zip: 5 O 7y. Phone: loP-fc te-5t,k7 Email: kc.r �tc, e crcelr.e e-o
414 . License#: 6C 59 3 '7/ Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
r.
NOTE:Plans and up sorting documents that you submit are t dto be publi fo oration /'ort s ofth rnformatio e...
classified as non-p�blic if you provide peci#c reasons ..., Bold permit the a �' ...dude that t . ect f
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.qopherstateonecall.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.
X e*.1 �a t"`'" ✓a
Applicant's Printdd Name Ap cant's Signat7e
Krech ExteriorsInver Grove Heights MN 55076
Main: 651-688-6368 Fax: 651-994-1388
Siding Poofinci Windows Gutters www.krechexteriors.com
info@krechexteriors.com
"We've got you covered" MN LIC#20583274
PLEASE SET UP—MARCH 2018
WHITE FOLDER
JENNIFER&BRIAN LERVICK
4146 ETHAN DRIVE
EAGAN, MN 55124
651-295-6009//JDLERVICK@COMCAST.NET
PAGE 2/11 OF CMT REPORT
• Remove manufactured stone from around the main level window to the left of the entry door.Area includes
around the window and below the window to expose window nailing flange and water damage below the
window.Does not include around the arch window but we will caulk around this unit.
• Properly dispose of cladding.
• Perform sheathing,framing and wall insulation repairs.(Billed separately as allocated repair)
• Remove 1 3-lite window in repair area to the outside.Pan flash rough opening to code and reinstall window
incorporating the window flashings with the new felt paper at wall.
• Install new manufactured stone in repair area per all applicable codes and manufactures specifications.
• MIKE ECKERT—OR T&T IF HE CAN MATCH ECKERTS PRICING FOR THIS JOB.
PAGE 7/11 OF CMT REPORT.
• At the garage gable,remove the stucco and stucco trim bands above the main garage door and extend
upwards to the frieze bands at the garage gable.Remove trim bands around the gable window unit and all
stucco in the gable up to the frieze bands at soffit line.
• Properly dispose of cladding.
• Remove 1 window in repair area to the outside.Pan flash rough opening to code and reinstall window
incorporating the window flashings with the new felt paper at wall.
• Perform sheathing,framing and wall insulation repairs.(Billed Separately as allocated repair)
• Install new stucco in repair area above the garage door at the gable and new trim bands around window and
above garage door in repair area per all applicable codes.
• T&T STUCCO–AND FRAMER
CAULK
• Caulk all penetrations,windows and doors on front elevation.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171702
Date Issued:08/27/2021
Permit Category:ePermit
Site Address: 4146 Ethan Dr
Lot:4 Block: 1 Addition: Oak Bluffs
PID:10-53400-01-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Jennifer D Lervick
4146 Ethan Dr
Eagan MN 55123
(651) 295-6009
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature