4151 Ethan Drv
1999 BUILDING
New Construction Reavirements
PERMTT APPLICATION (RESIDENTIAL)
CITSC OF EAGAN
3830 PII.OT I{NOB RD • 55122 C? a , ?-
(651) 681-4675
RemodelrReoair Reauirements
• 3 registered sRe surveys
? 2 copies of plans (indude beam & window sizes; poured (nd. design; etc.)
? t energy calculations
? 3 wpies of tree preservation plan H lot platted after 7H193
required: _ Yes No
DATE: lY ? I `'I
DESCRIPTION OF WORK:
Street Address:
STREET ADDRESS: 4151 Q,n -br, oe,
LOT: ? BLOCK: ;2 SUBD./P.I.D. #: (J 0?k- ?)I U4S
PROPERTY
OWNER
Name:
Last
Phone #:
CONTRACTOR
ARCHITECT!
ENGINEER
City
U J
Street Address: ' 15 LtW-14T)
City (gJI (?)Q A(,PwJ
?
? 2 Copies of plan
? 7 sRe surveys (exterior additions & dedcs)
? 7 energy calculatians for heated additions
CONSTRUCTION COST: o( - /o I 6oO
State: Zip:
?. Phone #: `1J7 -
License # o2.fu Jy32ZExp.
State: f YUV Zip: `J?'-'??
Company: ?/? h0'0 Phone #: lAI " y5r?-D wy
Street
Registration #:
? Ciry State: in N zip: c 551o)3
Sewer & water licensed plumber (new canstruction only): /r Penalty applies when address
change and lot change is requested once permit is issued.
1 hereby acknowledge that i have read this application, state that the infortnation is correct, and agree f comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant /0
OFFICE USE ONLY
Certificates of Survey Received ?Y Yes _ No SEP ?
Tree Preservation Plan Received _ Yes _ No ?Not Required
? ',
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
E'02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
0 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
0'31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
7N68
? vsu
7aa
Const. (Actual) ? Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy ui ., ir sq. ft.
Zoning - 1 sq. ft.
# of Stories a,?r?wr sq. ft.
Length ?2? sq. ft.
Width 17' '2 Footprint sq. ft.
APPROVALS
Planning
Permit Fee
5urcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
±,?-r v
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscelianeous
Census Code
5AC Code
Census Units
Census Bldg
MCIES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building IL7 Engineering Variance
Valuation: $
Qys@ ? }
3o.rN1 = 1a3G
'1-x6
i,r x il - 6
S.S r IU =ss
ISx ?? = 16S
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
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,
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= io z0
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071$ 9220 415:(. ETi!Flf`d DFi 5C.1,OC1
3S65 9`r.?Pl:l 4151 L'''rdFlN Df2 :3e.'..`:i„t]0
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320 9009. 019 FTF'6AN TrF; 1y47"i.3'.;
;3666 9379 059 E?'HAN DIt 100.00
3402 JOCI'!. 409 E:1'ii(?td lirt 955.98
220 .`3c??_O 059 4040 DI;: 17039.50
314f; 9001 Q59 G:TH4;; T7;i We:;O
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.
ENERGX CODE WORKSHEET FOR 1
SITS
ADDRE8?1A,`U,lp6? .
C021PLF.TED BY: !V V i__Q1fONB p_
? SIIII,p2NG CLASSIPZCATION: ? categoiy 1(etandard) or 7? cat
MINIlfi7M CRITERIA
Foundation Insulation-R10 trtalln & WindoNo
(See lable on reverse side
Slab on Grade Inculation-R10 Eor allowahle perczntages)
Floor over unheated spaces-R24
Foundation Windowe 1/2"
insulated Glasc.
-F7ood or Vinyl Frame _. .,.
STBP 1 Wiodow & Door Aiea
A. Total Window & poor F1rea in Sq. Feet
I W:NDOSJS (Including Found?ticr? Windowc)W2:7DOW MA2NFACTURE NF.MH: _
WINDOW MAINFACTURE TYPBf.?5l I I
WINDOYI MAt7QPACT(IRE ? FACTOR:
R 0. Quanti[1• rq.ft Ar?a
Dimensions
hMILY DWELLTNGS
CITY
DATE
"y 2 (must includn ventilationl
Roof Attic Ineulation:
R44-Y7iCh Aetic No fleel
R38-4JiCh ACtic Raiszd i{eel
R38 & RS-Solid RaEters
ST6P 2 Cc :lata area ao a percent of wall
C. From : , 1 divide box A(4iicdow & Coor
Area) t:ox B(total wall area) ti¢iee. 100
equalr windew and door araa as a
pa:ca: oF wall araa (box C).
?
P.OX A id.•' X 100 = C J_ ry./?
F.ci: Ei ?77
/7 / i
/?!/???X ^ `
_l1'
I
LII
STEP 3
Deaign Featurea
?
3'0" X 5'0't _
I ? t.S5
/L " x 1 A _
_ :,9
_
? ?
1 „
57'At1DARD
:::FMIt7G \?
cCUds 16" O.C.
X _
7 M
! N I 3O Anvnrrce? ''Artiric r,tuds 24" o. c.
X -
?t1 X
( ?
_ 1 , ? l
? C?.VITY Ii: _'??LATION R_?
_-V`, x vA I`I I ? SNEATHItIC. "fPH:
?I nX 1_ ??
._?l_ ? L655 THAN < R-5 ?
X R-S > OR
x U-cFCTOR D
DCkORS: From the :.,,tile, (rev erse side) determine the
maximum E: r:-aen[ wind ow & door area for the
l i value
h
design oj :;un5 se
ec e
ted and enter t
g x
?j i? Box D :,_iow Uaced on the window mfg. U-
2
? ? ? Eactor:
---
---
2-o D
YUtal"Area of A-??,/uq.ft.
Windowc & doora
H. Total Y7a11 Area in Sq. FC. The : va: .:,; from tlw Lablz in Box D sha11 l>a
coual Co ?,- greaecr than the i' in IIox C
Wa11Tota1 Height Area
Perimeter _
1'otal Area of Walls I
- -
0
ONE- & TWO-PA1vULY RESrDFNTIAL OUILDJNG PRESCR7P77VE (COOK-900K)
APPROACfI
MAXIMUM WINDOW AND UOQR AREA AS A PERCGNT OF OVEftALL WALL
AREA
From Mlnn lea parL7670,¢475, i6bp,A1Lj,_'item F
Cavlt Exterior Wlndow U•Factor
Fremin lnaulalion Sheathin 0.49 0.36 0.31 0.27
STANDARD R-13 Z R- 7 13.4% 77.8% _21.3% 243%
STANDARD R-13 R- 5 12.4% 16.4% 19.7% 21.5qo
$7ANDARD R-15 > R- 5 12.9% 17.1% 20.1°/v 23.4%
STANDARD R-18-19 < R- 5 12.1Yo 16.0% 18.8% 21,0%
STANDARD R•18-19 R- 5 14.096 18.6% 21.9% 25.3%
ADVANCED R•18-14 < R- 5 12,9°k 17.1% 20.1% 23.4%
ADVANCED R-18-19 > R- 5 14.59', ? 19,29'0 22.5% 26.1°/,
STANDARD R-21 < R• 5 12.8% 17.0% 19.9% 23.1%
D ? R- 5 14.5% 19.396 22.59'0 26.1%
RA < R- 5 13.6°h 18.1% 21.2% 24.6%
R- 5 iS.OYo 19.4% 23.2Y,
Additiqnal calculated valuea
STANDARD R•17 < R- 5 11.9% 1i.7`Yo 18.4% 21.5%
STANIJARD R-17 > R- 5 13.870 18.4'/0 21.5°/a 25.0°i'o
ADVANCGD R-17 < R• 5 12,6% 16,8% 19.6°/v 22.9%
ADVANCED R•17 > R- 5 14,396 19.Q°I, 22.2?0 25.79'e
Notea:
Wlndow area equals rough opening minus InatAllation clearances.
Wlndow U-factor must Fx determined by either the National Fenestration Rating
Council standard 100-91, or ASFIRAE 1993 Handbook of Fundamentals, Chapler 27,
T'able 5.
ti
,
•- LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL: L<>T .? G??k 2 •f???G/F?S
DATE OF SURVEY: _0
LATEST REVISION 9'7'
DOCUMENTSTANDARDS
? ? • BuildingPermitApplicant
0 ? • Registered Land Surveyor signature and company
?'
? ? • Legal description
? ? ? • Address
? ? • North arrow and scale
? ? • House type (rambler, walkout, spld w/o, split entry, loakout, etc.)
°
yy ? ? h
• Directional drainage arrows with slope/gradient
?? ? • Proposedlebsting sewer and water services 8 invert elevation
? ?
? ? • Street name
p
? ? • Driveway
r?? ? • Lot Square Foo4ge
rY ? ? • Lot Coverage
ELEVATIONS
Existina
? ? ? • Sewer service (or Proposed) ? ? ? • Property corners
ra? ?? • Top of curb atthe driveway
??? • Elevations of any ebs4ng adjacent homes
??' ? Adequate footing depth of structures due to adjacent udldy trenches
Proposed
?o ? • Garage floor
? ?
? ?
? • Firstfloor
? Lowest exposed elevation (walkouWvindow)
?
? ? Property corners
m? ? ? • Front and rear of home at the foundation
PONDING AREA ('rf apdicable)
? 0
/ o • Easement line
.
? [Y ? • NWL
? t' cl • HWL
? ra/ ? • Pond # designation
ro/ ? ? • Emergency Overfiow Elevation
Zo ?
v'/? ?
?7 ? ?
!1//? ?
?
? ?
DIMENSIONS
• Lot lineslBearings & dimensions
• Right-oRway and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanentfootings)
• Show all easements of record and any City utilities viithin those easemenis
• Setbacks of proposed sVudure and sideyard setback of adjacent.existin9 structures
- Retaining wall requirements, if any /
Reviewed:
March 7998
CRAIG/BI.OGPRMr FM
/ ?1
/ Date
CER Ijr0jC??? or= 51r1??5*4ro NORtN
FOR: Manley Brothers Construction m,
? ? il\\ II- \1Hi11 Ir' \1// 1\?Ifi? ?: \ ??`r AL" \ \
r;' \
i?
a
;r
?
Lot= 12,899 sq. ft.
House= 2216 sq. ft.
\
?
J \
a
q'r
onl-
? 05• y - , ?\ u
?
M r
o
VG?j
ilo \
Son Inv=
asa. o ,
sA
7 I ? ? O o ?16.
/VIR
\ aqp ? ? ? p ?o `0 ? q `oa? s
4.1`q
,, a ?
4a 1
/
/? o???z= ' •3+ \
v/s/ ErNjw
PROPOSED ELEVATIONS: ?
GARAGE FLOOR = 9lo.e \
TOP OF WALL = 9??•?
LOWEST FLOOR = go?-y??owESr o?N?tia
TOP FOOTING =
DIAG: 43.0 x 93.3 = 102.86
?t
C
`
\
r\
?o° r\
? w \
?
?
?
?
?
I RE CAVkY1 SFP 0 9 1999 ?
0 DENOTES WOOD HUB AT 11 FT. OFFSET. ?
xx. DENOTES PROPOSED ELEVATION.
f-- DENOTES DIRECTION OF DRAINAGE.
LOT 3, BLOCK 2, OAK BLUFFS, DAKOTA COUNTY, MINNESOTA.
Scale 1"=30' Drawn By: MJH Disk: Job No.: 99442hs
• Denotes iron Monument Bearings shown are on ?n assumed datum.
I hereby certify that this survey, plan, or report was prepared by me E. 0• quD 4 5ON5, INC
or under my direct supervision and that I am a duly Registered Land LAND SURY61'CRa
SurveyIs of St of Minnesota. 91W LE>GINGtON AV6. NE
1"'lINN6SOTA
Date 8?3' 99 Registration No. ??? 55m14-?Z5 TEI-. 186-555?+
79 : /foo ?xisrr?JG ec&:v'S.
?zt? ??
L3-B<`
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
cirr oF EAcAw
3830 PILOT KNOB RD - 55122
651-681-4875
New c«umueflon aeawremenra t/t 7 5- ao
> a reyMerea ure wryers a,owu,y w. n. a at, w. e. a na,.e 13 ? fi?
and ? r0ofed areas (T076 maximum lot coveraae albwem
D 2 eopies of pMna (ahow beam A wlntbw sizes; pourea ma. tleaipn: etc.)
D 1 sef ot anerpy cdcWatlaru
D S coWes ot trye prefervatlan plan tl bt plaMetl afler 7/1/93
DAIE:
DESCRIPTION OF WORK:
SiREET ADDRESS: `t ip I
LOT: 15 BLOCK:
? U° -15
z coWe: a pwn
ise+ a eneror cmcaan«,s ra nea+ea aaanam
1 d16 6UNBy f0r 6Xf6AOf IX1tlIN011E & dBCki
CONSiRUCTION COST:
Y12L&
SUBD./P.I.D. #:
Nome: SMd&'A? Is k? ? Phone t:
PROPERTY lasl Flrsf
OWNER
s+ree? aaarew:
CNy ? n State: ?A"? Zip:
'Y
comPany: Phone #:
.
(area code)
COMRACTOR Sheet Address: License #?' ? N.?7 ?p. ! 3 ?(
aN Stute: 1211d Zlp:
ARCHITECT/
ENGINEER Company: Name:
Telephone Jf: ( )
Slreet Address: Regishallon i:
CMy State: Up:
Sewer/water licenaed plumber (N Irretallina sewer/waterl: Phone #:
I hereby acknowledpe that I have read thLs applfcatbn, dafe thaf the is cortecf, and agree to comply wNh aA app8coble Staite
of Minnewta Stahutes and Cily of Eagan Ordirwncea ?
Signalure of Appltcanh
OFFICE USE ONLY
Certificates of Survey Recefved _ Yes _ No Tree Preservation Plan Raceived _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
O 05 03-plex ? 11 10-plex
? 06 04-piex O 12 12-plex
`V1?ORK TYPE
IQ 31 New
f7? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex p 27 Porch (3-sea.)
O 17 Garage ? 22 Porch/Addn. (4-sea.)
18 Deck ? 23 Porch(screened)
0 19 Lower Level ? 24 Storm Damage
Pibg _Yor_N ? 25 Miscellaneaus
0 20 Paol O 30 AccessoryBldg.
? 36 Move Bldg. 0 43 Reroof
O 37 Demolish (Bldg)• O 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
O 42 Demolish (Foundation) O 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code ?L
No. of Units
No. of Buildings ?
Const. (Actual)
(Allowable) S •nJ
UBC Occupancy R-?,
Zoning 2-/
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVALS
Planning Building
iL Engineering Variance
Permit Fee Vaiuation: $?
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies 7?0
Totai:
?
? 31 Fxt.Alt-Mulb
O 33 Ext. AII - SF
? 36 Mutti
?
SAC Units
% SAC
? :At «1c04,trm oF sURV6*100 NORTH
?
JR: Manley Brothers Construction
? R? ?
137
' ? . 9- - P°
.?..?1^ A lT T\Tr ? 1???id'
s
Lot= 12,899 sq. ft.
House= 2216 sq. ft.
. a_ 4a
OS y y? I
a ? ? ?1p t!?
,
?
Nf,aw
\
ilo
San lnv=
898.0 i
\ m
o?oa \
0m
; ?
e ? r
?• '?\
qa?? r \
?
?04 ? Y` ,?•??o s\\\ \r
???
00°Q
.S
°0
?3'cPe
? Y,1
?OUI?tS4- . ?f ? S?? o Y
r
v/5/ E7,Nr1Pv OnivE -?
PROPOSED ELEVATIONS: ?NeC_
S?? jj ? jOC^
GARAGE FLOOR IL
TOP OF WALL = 9??•? ??C "_
LOWEST FLOOR = qOZy?LOWEST ??N/N?' n DENOTES WOOD HUB AT 11 FT. OFFSET.
TOP FOOTING = xx. DENOTES PROPOSED ELEVATION.
DIAG: 43.0 x 93.3 = 102.86 E-- DENOTES DIRECTION OF DRAINAGE.
LOT 3, BLOCK 2, OAK BLUFFS, DAKOTA COUNTY, MINNESOTA.
Scale 1"=30' Drawn By: MJH Disk: Job No.: 99442hs
• Denotes Iron Monument Bearings shown are on an assumed datum.
I hereby certify that this survey, plan, or report wos prepared by me
or under my direct supervision and that I am a duly Registered Land
Survevoy-under She laws of x+re) Stat* of Minnesota.
Date Registration No.
rc. G. Ruv s soNs, iNc
l.Aho BURWYORB
918m LfiXINCsTON AVB. NS
.. CIRGLB. P1N66, MINN860T4
88014-3025 M. 186-8556
9 : IAO& ArxisnNG 4F?V'S
L3-8'.
L- 3 BL J. cmr use oNLr
?
SUBD. .
RECEIPT #. O 0
RECEIPT DATE:
PERMIT #
1999 PLtTMBINfl PERMPI' (iiESiDEP17EEI.)
crrYoF Eteniv
3830 euA1' xiNos sn
$IkBAR, idN 551 E8
(651)8$1-4675
Please complete for. D single family dwellirigs
? townhomes and condos when pertnits are requfred for each unk
? 6eckflow preventer for underground sprinkler system
FIXTURES
SCV1Q.W hMu1i
? ?IsOd Adrian CiYC e 5E
TOTAI.
VPUi? C 4?N1 y
Floor drain 3.00 x I = $
Gas i in outlet ' minimum - 1 3.00 x = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $ "
Lavato 3.00 x = $
Minimum fee alterations to ex(stin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou ho nin 1•50 X = $
Shower 3.00 x = $16,60
Under round s rinkler if dwellin is under consWction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $ D
Water heater 3.00 x = $
Water softener if dwenin under consWCtion 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water tumaround 30.00 x $
State Surchar e •? -? -' -? $ •?
TOtal -> $ /, O
Remfnder: Call for inspections of aRerations, i.e. water heaters, water softeners, etc.
I lieieby edmovNedge Ifi2i I heve read Ihis application? stste thai Uie Inforinatlai is correa? snd a?ee fo iomply wltA aA appliceble Gty of Eagan ordinances:
Il Is Vre appllpnYs respanslDilily to notlfy the property owner that the City W Eapan assumes no Ilabflity for anY ?ma9es rauaed bY the Gly during its
nomial operational and maintenance activities to the tadiities consWGed under this pemtit wilhin City piopertyhl9haofwayleasement.
SITE ADDRESS: ? 15 I Ei?"1Ctn DviV?.
0?r?+i0? TELEPHONE #
OWNER NAME: : ?n4w ?
INSTALLER NAME:
STREET ADDRESS.
FACH f
(AREA CADE)
TELEPHONE #:
(AREA CADE)
cin: P ?-i or l,akQ STATE: m N ZIP: SS 3 72-
b uo-?
SI NATURE 4 PERMITTEE
CITY USE ONLY
I -•?i ? BL ?- RECEIPT #: 4 ?
SUBD. RECEIPT DATE: I ? - 9.9 1
MECHANICAL PERMIT # 9
1999 MEcHAvicAL PEftMrr (REsinErrr[AL)
CfCY OF EAfiAN
SSSO PII.OT I{NOB !tD
E46AN MN 551 EE
/ G (651)6$1-4675
Date• / /
Complete this section on[v 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 ea.)
5tate Surcharge
Total
$ 30.00
6.00
4.?
.50
$ c 'S°
Complete this section orrl if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, altera6on, or repair.
_ New Alteration Repair _ Other
Reminder: Ca11 681-46 75 jor inspections.
_ Furnace _ Air conditioning
Air exchanger _ Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS: YI Sf CLI Y17}iJ { J R'
OWNER NAME: V-"1?1 t 17e0 •^ PHONE #:
? (naEn co/ E) _ ybo -g3l 3
INSTALLER NAME: b ? PHONE #: .e?
._ ? .., n / \ (AREA CODE)
STREET ADDRESS:
1? t
CIT1': f AL2,Vi/1
STATE: ? ZIP:
SIGNA OF PE
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
- ? ' cinr oF EAcnN
3830 PILOT 10N06 RD - 55122 -
851-881-4675
Re /RaoNrReadremenh q
D 3 roytsfaretl tlte wrveri sIwwlny W. R of M. =Q. fl. of hane 2 copies d plan
and g( roofed areCS (2076 mmdmtsn lot covemae albwea) 1 set o1 enarpy CdctdoNau lor heated addiMont
D 2 eoples of Waro (Yaw baan A vNndow tlx9s; Poured fnd. deiipn: 6tc.) 1 sile wrveY for axleAOr addFtloru a tleeks
D 1 wtofanerpycdadatlons
D 3 Coples d hee presBrvallon plan H lOf plalled aRer 7/1/93
DATE: 3 J!? I CJ O CONSTRUCTION COST:
n ?A
DESCRIPTION OF WORK:
STREET ADDRESS: z4 I S I ffj4xo,? cv\- v U
LOT: 3 BLOCK: 2- SUBDJP.I.D.O:
PROPERTY
OWNER
COMRACTOR
ARCHITECT/
ENGINEER
Name: &±?? &A-, Phone f: ?? tol"d\? s470?1
WM Rraf
Sheef
cny = G 4 _ sra?e: vMv\1 nP: ?SO 2 -7
Company. Phone A:
(area code)
Sheet Address: LtCense i Exp.
citY
State:
Company: ??109? Name:
Telephone g: (
Sheet Address: Qe9btratlon #:
CNy
State:
Sewer/water licensed plumber (H Instellina sewerMratarl: Pho^e ?
Zip:
nP:
I hereby acknowledpe ttwf I have read this appNcaFion, atate lhat ihe htortnalio s oarecl. and apree fo comPh wUh aB aPP?e Sfate
of M6meaota Stalufes and py of Eayan Ordinancea. r _ ?
- Sipnahire of ApplicaM:
n
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree PreservaUon Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation O 07 OS-plex
0 02 SF Dwelltng O OS 06-plex
O 03 01 of _ plex ? 09 07-plex
? 04 02-plex O 10 08-plex
? 05 03-plex p 11 10-plex
? OB 04-Plex O 12 12-plex
WORK TYPE
? 31 New
O 32 Addition
? 33 Alteration
O 34 Repair
? 13 16plex ? 21 Poroh (3-sea.)
? 17 Garage ? 22 Porch/Addn.(4-sea.)
O 18 Deck O 23 Porch (sCreened)
? 19 Lower Level O 24 Storm Damage
Plbg Yor_N 0 25 MISC8118f180u5
? 20 Pool O 30 Accessory BWg.
O 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)• O 44 Siding
O 38 Demolish (Interfor) O 45 Fire Repair
O 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to appticant for demolition permit
GENERAL INFORMATION
SAC Code e ?
No. of Units _L
No. of Buildings r
Const. (Actual) ?•w/
(Allowable)
UBC Occupancy LZ •3
Zoning fL•1
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinkiered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ rGd
Surcharge
Plan Review
License
MC/ES SAC
Ciry sac
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Gopies
Totai:
SAC Units
% SAC
? 31 Ext. Alt - Multi
0 33 Ext. Ait - SF
? 36 MuRi
104
I:.1 1Y L`F Mrr"J.'
CA':;-I:I:F:F:r IS IERM.I:NAL Pln:: r7R8
rF3'?'t:: 03/09/00 i:Cm'::: I.•1'£.'.;i3:10
ITr ;
I'2!1WF':I MArq.FY E'R7.1'INFf;S GONS'PRUC:i.[0?d
;Ran 9001 a.M i_iPAN zM W,,P°:,
3322 9001 41''":1 E:Ti-liaN tili I.72,.4;
205 '?Ofli 4151 1=TI-'r1N Dti: t3..[.Q
?
fotD7. I(ncF:ro* AIYIpl:iif" 405M,
rG;.i.P43W
H.:ir:ii TD: 7F1N
_ ? _ _ ?'???,,? - -- -- -- ---- -- --
-
--
? ?
- - -- --- - - -_? -- - - - - -
- - - - -- -----
-- - -- - - -
- .. _ ? Ww)_-d 2s- ?72a - - -
- .? - --
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. - - - - - -- --- - --- ----
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150203
Date Issued:06/25/2018
Permit Category:ePermit
Site Address: 4151 Ethan Dr
Lot:3 Block: 2 Addition: Oak Bluffs
PID:10-53400-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Steven L Smallidge
4151 Ethan Dr
Eagan MN 55123
(651) 470-5356
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172446
Date Issued:09/30/2021
Permit Category:ePermit
Site Address: 4151 Ethan Dr
Lot:3 Block: 2 Addition: Oak Bluffs
PID:10-53400-02-030
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Steven L Smallidge
4151 Ethan Dr
Eagan MN 55123--490
(651) 470-5356
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature