4154 Ethan Dr533 y j
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatruction Reauiremente
. 3 registered sAe surveys showing sq. fl. of lot sq. ft. of house; and all ioofed areas
(20%maximum lol caverage allowed)
• 2 copies of plan showing beam & wiMow saes; poured found design, eic.)
• 1 set of Eneryy Calculations
• 3 copies of Tree Preservation Plan'rf lo[ platled aRer 717/93
• Rim Joist DeWil Opfions selection sheel (Wdgs vnth 3 orless uni6)
DATE -7( ?2 (62-
?3 0 ? a s
RemodeUReoair Reauirements
. 2 copies of plan
. 1 set of Energy Calculations for heated additions
• t sile survey farexterwr addNOns & decks
• Indicate if home served by seplic system for addilwns
vaLuarioN ? 1 -7 1 9-4 a •`?"I
SITEADDRESS UK;L-I E-+YIQ?i DYlV)!?? MULTI-FAMILYBLDG _Y _N
iYPEOFWORK epiqp UaeC-)D-CLA?I"J? FIREPLACE(5)_0_1 _2
qv20 Zilia Street
APPLICANT Coon Raaids MN 55498
STREET ADDRESS
TELEPNONE #L?I(o3)?SS-1"a?l CELL PHONE #
STATE ZIP
Fax #.?WO 1S5- S 3 qo
PROPERTYOWNER ll'lOYY1QS P'1G1Y120JI Q. TELEPHONE#(0 St) (081 'g10LP
---------------------------------------------- -................ ----------- --°------°--°-----
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUL.ES 7670 CATEGORY 1 MINNESO"f:1 I2liLLS 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New E eWorkeheet-Su4mitnted
• Energy Emelope Calcufations Submitted D??? I= i?,?i
? ?u? 1. 7 ?no2 I U I
Plumbing Contractor:
Plucnbing system includes:
Mechanical Confractor:
Mechanical system indudes:
Sewer/Water Confractor:
Water Softener _
Water Heater _
No. of Baths
Air CondiUoning
Heat Recovery System
Phone #
Fec: $90.00
Pcc: $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.
S(gnature of Applicant S?d^
OFFICE USE ONLY
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
cirv oF Ee?cad
3830 PILOT KNOB RD - 55122
651-681•4875 ?
ilew ConshueNon Reaulremenfs Remodel/Reoah ReauiremeMs
D 3 regisfered aRe surveyt showing sq. R. ot lot, sq. R. of house 2 coples of plan
and II rooled areas 1204S mmcimum bt eoveaaae ailowed) 1 set ol energy calculaHons for heated addHbns
D 2 coples ol plans (show beam 6 window sizes; poured fnd. design; etc.) 1 slFe survey for extedor addiHons 3 decks
D 1 se1 of energy calculaHons
D S coples W hee presenallon plan B bf platted aHer 7/11/93
DATE: ? V IZC I"I.'"I CONSTRUCTION COSi: ??2? I? U u•?
,.
DESCRIPTIQN OF WORK:
STREETADDRESS: '-T1 VJ'a UVL(IAIJI-,JJY 1'
LOT: (0 BLOCK: I SUBD./P.I.D. S:
Name: c`Wi I:CI wa..pki Phone #:
PROPERTY Last Ftrst
OWNER
Street Address:
City
State:
Zip:
?
Compan 14 ?-l" Nhone #: ? ?, L ? M
(area code)
CONTRACTOR ,T ,? I? ry D3l??
SheeTAddress: 1 Y GT\1 License# Ub J? Exp. ?
Ci1y State: Zlp: 5rqqD?
ARCHITECTJ
ENGINEER Company:
Name: a& V 'k-
Telephone #: area code
Sireet Address:, RegistraNon #:
CitY 5,ate: zip:5U122
Sewer E water Iicensed plumber (reauired lor new construcHon onlvl:
Penatly opplles when addreu ehange and lot chunge Is requested once permR is issued. (!? -4 ? ????) I
I Nereby acknowledge that I have read this appllcaNon, sTafe thaf the Infon Is correct, and agree to comply wBh all applicabl
State of Minnesota S}atutes ond Ciy of Eagan Ordlnances. ,_ -) I ? A ,
? Signature of Applicant: V eX.G
?
OFFICE USE OWZ1
Certificates of Survey Received ? Yes _ No
Tree Preservation Plan Received _ Yes _ No le (?ot Required OCT 2 5
_?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 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. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
J? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 5iding/5offits/Fascia
O 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. Census Code
(Allowable) Main level sq. ft. SAC Code /7/_
UBC Occupancy ,-/ sq. ft. No. of Units
Zoning - sq. ft. c7r No. of Bldgs /
# of Stories ? sq. ft. MC/E5 System T
Length sq. ft. City Water
Width Footprint sq. ft. 7: S,
Booster Pump
PRV
APPROVALS Fire Sprinklered
Pianning Building ? Engineering Variance
Permit Fee Valuation: $?
Surcharge ?.G 7-?
Plan Review Z,3? 72S
License
Ciy'sACAC
Water Conn. S?lo X W6
Water Meter /
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded. ,
Other .
Copies
,
Total: I - 9 ?
SAC Units
% SAC
11
. II S=T'
DATE
$UZLDINC CLABSIFICATION: ? category 1(etandard) or 0 category 2(muet iacluda vontllation)
tlINIlfUM CRIT6RSA
Foundation Insulation-R10 Walle & Windown Roo£ Attic Ineulation:
(See table on reverse side
Slab on Grade Sneulation-R10 for allowable percentages) R44-With Attic No Heel
Floor over unheated epaces-R24 R38-With Attic Raiaed 11ee1
Foundation Windowa 1/2" R38 & RS-Solid RaEters
insulated Glass.
-Wood ot Vinyl Frame
STBP 1 Wiadow & Door Area
A. To[al Window & Door Alea in Sq. Feet
WINDOWS (Including Foundatioii Windowc):
WINDOW HANUPACT[7RE NAM6:
WINDOW MAN[IPACTCTRE TYP&: `/\
WZNDOH MASiQFACTURH U FACTOR: ? l CC?
R. O. Quantity cq [L.ACea
D1RIEn510?6 N
Z' "X?_o" t? Z5
X ?!'.?' 11(I 3?
Z.LC/w Xr7!tfN
CO'AK X .6a
X,4 1"ou l ?
41?" x/_Ce"
ZIAN Xsqk N -
l ?/
0! u" XS'-m"
3?-0" x5L1o" 1 l/n
N,
II DQO$ . 4C98 11?? m III
STSP 2 Calculata area ao a percent of wall
C. From Step 1 divide box A(Yiindow 6 Duor
Area) by box B(total wall area) Cimec l00
equals the window and door area as a
percene of wall area (box C).
enx n??__ x io° c/?? I
Bx B ?505 ?
STHP 1 Oaeign Peatuieo
Fsserie[.Y
PRAMIIJC TYPE:
51'At]DARD FRAMING ?.ctuds 16" o.c.
ADVANCED FRNtING r,tude 24" o.c.
CA.VITY INSULATION R1 14
SHBATHI[IG TYP6:
LESS THAN < R-5 X
R-5 > OR P10RE
U-FACTOH II
From the cable, (reverce side) determine the
maximum percent window & door area for the
design op[ions aelected and enlez tho t value
in Box D below Uased on the window mfg. U-
factor:
? I/ v 1 D
L?_{L,J
wtndows 6 Doors
TO"rP. L.- i
H. Total Wall Area in Sq. Ft.
Wall Total Height
Perimeter
D
1'otal Area of Nalls
• 4914+1
ENERGY Clliu WORKSIiEET FOR 1. & 2 FArSILY DWELLINGS
OAK BWFFS SPEC cirr
--
Area
ft
The t value from thc cable in Box D shall ba
eqijal to or greaGCr thun the t in Dox C
_? . ? ? •
A
ONE- & TWO-PAMFLY KESfDLN1`iAL DLJIIAlNG PFtESCRlP'INE (COOK-BOOK)
nPrROncx
MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL WALL
AREA
FC4mMinn. Rulee part 7670 047?, eubFatt 2. item F
Framin Cavit
Inau{alion Exterior
Sheathin
0.49 Window
0.36 U-Faetor
0,31
0,27
STANDARD R-13 Z R- 7 13.44'0 17.8% 21.3% 24
3%
STANDARD R-13 R- 5 12.4% 16:4% 19.7% .
22
5%
STANDARD R-1 5 > R- 5 12.9% 17.176 20.1% .
23
q'/c
STANDARD R-I8 -19 < R- 5 12.19'0 16.0% 78.8% ,
22
0%
9TANDARD R-18_19 R- 5 14.0% 18.65', 21,8% .
25
34'
ADVANCED
R-18-19
< R- 5
]2.9°/6
17.1%
20.IYo .
,
23
4%
ADVANCED R-18-19 > R- 5 14.5% 19.29'0 22.5% .
26
1%
STA?VDARD R-21 < R• 5 12.8% 17.0°/0 19.90% .
23
1%
STANDARD R•21 > R- 5 14.5% 19.396 22.5°Jv .
26
1%
ADVANCED 1Z-21 < R- 5 13.6% 18.1°/0 21.2% .
24
6°1,
ADVANCED R-21 R- 5 15.09'e 19.9% 23.2Yo .
26.9%
v
STANDARD R•17 < R- 5 11.9% 15.7% 18.4°k 59'e
21
STANDARD R-17 > R- 5 13.8°/a 18.47e 21.5°k .
25
09'0
ADVANCED R-17 < R- 5 12.6°/0 16.8% 19.6% .
22
9%
ADVANCED R-17 R- 5 14.36 19.0°/, 22.29'D .
25.79%
Notes:
Window area equals rough opening minue inatallatlon clearances.
Window U-Eactor mas! !x determined by either the National Fenestration Rating
Counei( atandard 100•91, or ASNRAE 1993 Nandbook of Fundamcntals, Chapter 27,
Table 5.
.
PodMt' FaM Note 7671
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
? PROPERTY LEGAL OFJk 2Gde'FFS
h DATE OF SURVEY
w LATESTREVISION:
?
N
0 DOCUMENTSTANDARDS
Y g n
O? a
? • Registered Land Surveyor signature and company
0 ? • Building Permit Applicant
?? ? • Legal description
? ? ? • Address
? ? • North arrow and scale
v' ?
? ? • House type (rembler, walkout, split w/o, spld entry, lookout, etc.)
? ? • Directional drainage artows with slope/gradient %
it(/? ? • Proposed/ebsCng sewer and water services 8 invert elevation
d
? ? • Street name
/
r?/ ? ? ? Driveway
?/? ? Lot Square Footage
? ? ? • Lot Coverage
ELEVATIONS
Ew'stina
?? a • Sewer service (or Proposed)
? ?
? ? • Properly comers
o ?
/ • 7op of curb at the driveway
?
?;
: • Elevations of any ebsting adjacent homes
?
' ? Adequate footing depth of shuctures due to adjacent utility Venches
Prooosed
?o ? • Garege floor
?? ? • Firstfloor
? ? ? • Lowest exposed elevation (walkouMvindow)
e? ? ? • Properly corners
?? ? • Front and rear of home at the foundation
PONDING AREA (if aodicaWe)
? / ? • Easement line
? Q' ? • NWL
? ? o • HWL -
? e??n • Pond # designation
o ?' ? • Emergency Overflow Elevation
DIMENSIONS
/
' & di
i
ri
b
? ?
/ mens
ons
• Lot tinesBea
ngs
f
b
k
/??
A cur
)
o
• Right-of-way and sVeet width (to bac
?? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all sVUCtures requiring permanent footings)
ithin those easements
Ci
tili0
f
d
d
? es w
recor
any
ry u
an
• Show all easements o
q? ??
? • Setbacks of proposed structure and sideyard setba of adjacent e?dsting shuctures
i(
?
? r?
? ?
• Retaining wall requirements,
Reviewed:
Name
Mereh 1998
CRAIGIBLD(:PRAR.FM
IF
. *•* **
* PION@EFI
* * *
*
Certificate of Survey for
LOT AREA =20,618 SQ FT
HOUSE AREA =2,547
COVERAGE =12.4%
HOUSE TYPE-2 STORY W.O.
I
t ? E\
BT'E
C-, t
?
? I
i
" ry'S6?O z ao
O
?
7 ,? ? O?PSF-? I
888.5 /
BENCH MARK
E?EV? 910 33
896.5 W
1.4 ?
0 ?
?\.s O
?O° O
o
TREE LINE I N
pG? ?
ti ? s
909. ? ? ?O 9y ?C'
'S A
oq
I 10
309.0 q ?\ ?/LC^g/??o
G
O ?PO? I 899.0
9?Fpa I
9 6 p0
Op/ FFO x 904.
909.6 O ? ? ? g?3•??
?j ??• ?0? ????
\•???? i ELEotl•G ? 911.5 .? ? 895.1
? 1' X ? ?66
,
? ??t ' 05.5 904.4
Mo^ io.?, sii •a3853aw 7
A , 41'
?00 N 911.2 3Q?8 VACANT
912.0 m m ??
970.9
?
?
I 3 I BENCH MARK
TOP OF PIPE
ELEV.=911.90
PROPOSFD HOUSE ELEVATION
LOWEST iLOOR ELEVATION: f05, /
NOTE: PROPOSED GRADES SMOWN PER GRADINC PLAN BY: E.G. RUD TOP OF BIOCK ELEVATION: g13' ?
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND `?ERTICAL LOCATION ?,1 S
OF STRUCNRES ONIY. SEE ARCHITECNAL PlANS FOR BWLOING AND GARAGE SLAB ELEVATION: ?
FOUNDRTION DIMENSIONS. TOB 0 LOOKOUT ELEVATION:
NOTENO SPECiFIC SOiLS INVEST7CATION HAS BEEN COMPLETEU ON THIS LOT 6Y THE
SURVE?'OR, hIE SUITA84iTY 0F SOILS TO SUPPORT TNE SPECIFIC HOUSE
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. X 000.00 DENOTES EXISTING ELEVATION
NOiE: THIS CERTIFICATE DOES NDT PURPORT TO SHOW EASEMENTS OTHER THAN ( 000.00 ) DENOTES PROPOSEO ELEVATION
THOSE SHOWN ON THE RECORDED PLAT. --- DENOTES DRAINAGE AND UTILITY EASEMENT
-DENOTES DRAINnCE FIOW DIRECTION
NOTE' CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. ---p- OENOTES MONUAIENT
NOTE: BEARINGS SMO?'?1 ARE BASED ON AN ASSUMED DATUM -o-- OENOTES OPFSE7 HUB
WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 6, BLOCK 1, OAK BLUFFS
DAKOTA COUNTY, MINNESOTA
S SURVEYED OR
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT A Z.Lors
G, P.A.
UNDER MY DIRECT SUPERVISION THIS 2 DAY OF AUGUST, 1999. SIGNE ER ENGINE? N
SCALE 1 INCH = 30 FEET REVISED 10-20-99 NEW HSE r
VQb5-99 RESTAKED BY: 9•
???Q
? r PJOV 9 Q 9? J on. L.S. Re No. 19826
2422 Enterprise Drive
Mendota Heights, MN 55120
(651) 881-1914 FAX:681-9488
E-mail: PIONEEROPRESSENTER.COM
xxcrss. uuosc.c[ u+wirzcis 625 Highwoy 10 N.E.
Bloine, MN 55434
(612) 783-1880 FAX:783-1883
E-mail: PIONEER20PRESSENTER.COM
MANLEY BROS. CONST. I
4154 ETHAN DRIVE
<$?'' )
? I ?o
f
CTl'Y USE ONLY
LOT G BL I PERMIT #: ?9 -7 -Z3 1
SUBD. RECEIPT #:
RECEIPTDATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
cixY oF 8acr+x
3830 PZIAT IINOB RD
EAGAN I,A7 55122
02 651-681-6675
Date•
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occuoied.
• HVAC: 0-]00MBTU
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
z/0 , oD
.50
$?.so
Complete this section onlv if you are remodeline, adding to, or repairing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteratiofy or repair.
New Alteration
Fumace
_ Air exchanger
_ Repair _ Other
Air conditioning
Other
Fee $ 30.00
5tate Surcharge .50
Total $ 30.50
Reminder: Call for inspections
S[TEADDItESS:
OWNERNAME: PHONE#:
(AREA E)
INSTALLER NAME: ?LSO ? ?'GCc-?rt ?c.%c cs -Q PHONE #: G/a -
/STREET ADDRESS: -S? (AREA CODE)
crnr: ??? oY La-/?C' STATE: '&4t zip: SS37Z
SIGNATURE OF PE TTEE
CITY USE ONLY
sueo.
REcEivru: ! a 39) I
RECEIPT DATE D- a S-
PERMIT# ? ? -Z?d
2000 PLUMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IQ708 RD
EAGAN, MIId 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinklersystem
fIXTURES
EACN p
TOTAL
ARerations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x :z _ $ . zr,)
Floor drain 3.00 x = $ 3. -V
Gas pipin outlet ` minimum -1 3.00 X = $ ?
Hot Wb/spa 3.00 x = $
Kitchen sink 3.00 x = $ 3• ?
Laund tray 3.00 x $ 3• cro
Lavato 3.00 x = $ a . A?:)
SB tic System new/refurblshed `requires MPC lic. 75.00 X = $
Septic S stem abandonment 30.00 X = $
RPZ new installatioNrepaidrebuild 30.00 X = $
Rou h opening 1.50 x = $
Shower 3.00 x .2 _ $ • ?
Under round s rinkler H dwelling is under consUuction 3.00 x = $
Undergroundsprinkler 'rfexistingdweliing 30.00 x = $
Watercloset 3.00 x = $
Water heater 3.00 x $ 3-?
Water softener If dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 X = $
Water turnaround 30.00 x - = $
State Surcharge .50 -> -> -> $ .50
Total -> -> -> --> $ 5a
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- -
I herehy acknowladge that I hsve read this application, state that the infomiation is co rreet, and egree to compy wdh all epplicable Ciry of Eagan ordinsnces.
It is the applipnPs responsibilily to notiy the property owner that the City of Eagan assumes no liabilily for any damages caused by the City during its
normal operatlonal and maintenance activities to Me facilities consWcted under this pertnit within City properryJrightof-way/easement.
SITE ADDRESS: -// 5? cTh Q" ? r/ !?`?
OWNER NAME: : TELEPHONE #:
, (AREA CODE)
fNSTALLER NAME: ( SOLc ?? ?LeGf?+cicic?CTELEPHONE #: 41W l J G.31
STREET ADDRESS: ? r c (p`REA CODE)
? v S?
CITY: STATE: 01" "- ZIP:
1!?? Q??c? ?Sc
SIGNATURE OF PERMITTEE
?12'? °I 5
D 3 replsfered Yte wneri tlwwlnp ?q. tt ot 101. W. fl. ol hane
antl ? roofetl areas /10°6 mmdmum lot coveraae allowem
a s co?ea a c?ru cr,ow eemn a vm,dow a:ea: aourea md. dad?r,; e?c.>
D 1 t61016nerpy CplCUlcliqq
a J caplat ol tree preservalbn plan H lol plalled aRer 7/1/93
DAiE: `D ? Z3 I O?
DESCRIPTION OF WORK: ?? 1SI7 1',Jv4??Y??I?.=
511tEET ADDRESS:
? b0.5?
RertaUel/ReoairReauiremerNS CQI'w "I 1 f?O
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirv oF ?r?caN
3830 PILOT KNOB RD • 35122
657-68'I-4675
2 copiec oi plan
t ser a enerpy cdculanons ?« heared aaanon.
1 siro uavev ror e?cFedor addinons a dacks
COST: ? O ?/ ' Y"-'
? \??
LOT: _? BLOCK: ? SUBD./P.I.D. ?:
Name: ?I?e aS C?? 1 r t?V? vf Phone ?:
PROPERTY wst Flnt
OWNER
Sheet A?ress:
City Sfate: Zip:
Company: ,?Q ?1,tC.U?1?-l.kJ??1 C U?.??? Pnone x: IZ ?? `Cu? 6 VJ
(area code>
COMRACTOR Sheef Addreas? ???? ?C ?' IJcense # ?"J2 Exp. ? I
cny ?, ID ? 5 state: ..? ?1 p f__ z?p: 55
ARCHITECT/
ENGINEER Company: ?? ? Name:
Telephone ?: ( )
Street Address: RegfshaHon 9: - -
City• State: ZIp:
Sewedwater licensed pl ? ber (ff inatallina sewerhvaterl:? ? P? #? ?.?
I herebY acknowledpe flwf 1 have read this applicalion, etate Mwt Me W h careet. and agree b comply wNh aA applicable State
of Minnesota SM1u1ea and CNy of Eapan Ordinances.
Siprwlure of Applica ? lA U? 4?X-e?l
OPFICE USE ONLY ?J?+ ?: r.. i' V/ ?
Certiflcates of Survey Received _ Yes _ No ' q?G 2 4 2?0?
Tree Preservation Plan Received _ Yes _ No _ Not Required gy;__?_
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation ? 07 05-plex
0 02 SF Dweliing ? 08 06-plex
O 03 01 of _ piex O 09 07-plex
O 04 02-plex O 10 OB-plex
E3 05 03-plex p 11 10-plex
O 06 04-plex ? 12 12-plex
ORK TYPE
?
31 New
32 Addition
? 33 AlteraGon
? 34 Repair
p 13 16-plex
17 Garage
? 18 Deck
O 19 Lower Level
Plbg Yor_N
O 20 Pool
O 21 Porch (3-sea.)
p 22 PoroNAddn. (4-sea.)
? 23 Porch (screened)
O 24 Stortn Damage
O 25 Miscellaneous
O 30 Accessory BWg.
O 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bidg)` ? 44 Siding
O 38 Demoiish (Interior) O 45 Fire Repair
13 42 Demolish (Foundation) [3 46 Windows/Doors
• Give PCA handout to applfcant for demolitlon permit
GENERAL INFORMATION
SAC Code 4-
No. of Units
No. of Buildings ?
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
13 Stucco/Stone
APPROVAtS Planning Building
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Perk Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
ftl?a
Engineering
Valuation:
sq.ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Weter
Booster Pump
PRV
Fire Sprinklered
Variance
050
/505h/0 c /5,os0
? 31 Ext Alt - Muld
O 33 Ext. Alt - SF
? 36 Mufti
f CITY USE ONLY
L ? gL I RECEIPT#:
SUBD LLK ?fA ?S RECEIPT DATE:
PERMI7 N L
8000 PLUM$INfi PERMTP (ftuIDENTIAL)
crrY oF EAGm
ggsoP= KNOB FLO
EA6AF, AfN 55122
651-6$1-4875
Please complete for: ? single family dwellings
D townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
V,,.1.1eoo FA('.H
jl,??
?
TOTAI
r1I?1 VIILV
Alterations to existing dwelling - minimum fee
Describe: a*- S-? Lau.K.? 4'ez 'e?'k
$ 30.00
Cr?
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
G85 i Ifl OUtlBt ' 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 = $
Se tic S stem new/refurbished • requires MPC lie. 75.00 x - $ ?
Se tiC 5 Stem abandonment 30.00 X = $
FjpZ new installation/repaidrebuild 30.00 X $
Rou h o enin
1.50
x
=
= I
$
Shower 3.00 x = $
Under raunds rinkler ifdwellin isunderconsavcuon 3.00 x = $
Under round s rinkler irexisun dwellin 30.00 x
= i
$
Watercloset 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling underwnstruction 5.00 x
W ater softener ir exiseng dweutn 30.00 x =
_ $
$
Waterturnaround 30.00 x ---- 50
$
State Surchar e •50 > ---> --? '
$ - Sp
Total -? -- °
Reminder: Call for inspections of aiterations, i.e. water heaters, water softeners, etc.
-•-------
-
-•••----•---------._...----••----• •----••--•------
-
- City - of E - a • ga -n- ordinances.
- with - all - app - li - ca6le -
- to comply -
- correc - t, and agree -
?I hereby acknowledge tha! I have read this appliption,- si ---ate?•-•thal-- -fhe- infarmaGan - is •
---- --------
It is ihe applican['s responsibility to rroti(y Me properly owner that the City of Eagan assumes no liability for any damages taused by ihe City during iL5 rrortna7
operetional anl main[enance acGvitles to the fadliGes consWCted under Nis permit within City propeRyln9ht•of-way/easement.
SITE ADDRESS:
OWNER NAME: : 17:3a TELEPHONE #:
(AREA CODE)
INSTALLEf2 NAME: C`? TELEPHONE #:
. ? _ (AREA CODE)
STREET ADDRESS: _
CITY: ? oY
STATE: ?-+- ZIP:
,_ . SIGNATURE OF PERMITTEE
(v?Ltlq
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
i2 /va,5
*_se sO
Date /o?? I 16 ! 04 -
Site Street Address
Unit #
Property Owner .L?/ ?g-??Z/r?t-L./a- Telephone # ( )
Contractor U(?! `C.lJ?/-I'4 ?t t.l tit ?• ?Gj
Address p0 /lci-76 City 1-11Hi'?'
i Telephone #
649-P6Z-iS State"r?
ZipS5'q1(
The Applicant is: _ Owner _ Contrector _Other
Alterations to existing dweliing
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
Water Turnaround (add $121.00 if a 5/8" meter is require%
?Other: i< , r sPv 5xi2.. ?A? $ 50.00
Water Softener _ Water Heater
_ replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total g SG. S??j
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed,a d app? e.??
? ----
.J 'f3 rn C r-1-k.ti #4? \
ApplicanYs Printed Name
. _ r: . --- -
Signature
'OJq
,?y -- ----_ L?/
?***?*****?**?*******?*****************
CITY OF EAGAN
CASHIER: SS TERMINAL NO: 679
DATE: 08/30/00 TIME: 14:32:25
ID:
NAME: SOUTH MECHANICAL CONTRACTORS
3212 9001 4154 ETHAN DR 30.00
2155 9001 4154 ETHAN DR 0.50
Total Receipt Amount: 30.50
CR136662
USER ID: JAN
?**********?**?**?********************?
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 699
DATE: 08/25/00 TIME: 08:58:31
ID:
NAME: MANLEY BROTHERS CONSTRUCTION
3210 9001 4146 SARROW CT 111.25
2155 9001 4146 BARROW CT 2.50
3210 9001 4154 ETHAN DR 60.00
2155 9001 4154 ETHAN DR 0.50
Total Receipt Amount: 174.25
CR136484
USER ID: JAN
r For Office Use Vfl
41
, 11 • :::"77ff
% %. E AG N
-.• :
Date Received: f-7-M
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 � ` '
(651)675-56751 TDD: (651)454-8535 I FAX: (651)675-5694: ,: Staff:
buildinoinspectionscS citvofeagan.com MAY 0 7 2011
2019 RESIDENTIAL BUI : pk APPLICATION
Date: Site Address:
Unit#:
1A W � / , Ak_ Phone: t �7
Name:
R$ssi ntJ Si /141/t l ` L �
S ���OWIeT Address/City/Zip: q( 3
Applicant is: 6-------Owner Contractor MAI/ •Z IA Pit t001
Description of work: f?- / ,f"r K t 6 U-Tyin of Work
Construction Cost: . Multi-Family Building: (Yes /No )
Company: ; ' Contact:
Address:
_S-t1City:
Contractor: •
..
State: Zip: Phone: Email:
License#: 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:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrete.
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.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 is not to tart wit a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approv I of plan
// AA.°prieti& x
Applicants Printed Name • • ' an ign ure
DO NOT WRITE BELOW THIS LINE ` -//�G/ Tn/94 Og- ' /5 y —7
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi - - Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level Pool _ Accessory Building4
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
Valuation 500 - Occupancy .:'AG -1 MCES System `--
Plan Review Code Edition 2Di0.- SAC Units —
(25%_ 100% ) Zoning ,Z ^/ City Water
Census Code X34 Stories Booster Pump
#of Units / Square Feet 3 XX PRV
#of Buildings / Length ,t4 Fire Suppression Required ----
Type
Type of Construction Width 13
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) It Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: / 'A, , Building Inspector
RESIDENT FAL DENTIAL FEES /l$ _ 3 Az R . -l/L & /J',1542 1yg20
Surcharge J"
Plan Review 7 ?O�
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
LOT AREA =20,618 SQ FT LI/3 Z--/ -c/lhon 62, J�� 7 1 r3
HOUSE AREA =2,547 �
COVERAGE =12,4% 6'1'91'°/
HOUSE TYPE-2 STORY W.O.
j %i
0 .
RE\.. 'DEVVE1E .9- ,/ 10
ii ,. .s '� r 7� r //7P JC' CO
, ;34r :ir1•u ar;pIZNu.i;y V-Ac.„Q� O
/ ,e-01,', In
888.5 / '�`,,`. Ocy
,4-_.
/
/
BENTTOPCH MARKOF PIPE •
1+489.7 /
/
ELEV.-=910.33 ���' / V S'x .7”
�k / 896.5 _ rt / dar W
• - - 6
p,0 /.' ' C 0
r .;p / „
66 o 6� •N��O• 0
„!ra- o o. '''N� \ . N.
r - . TREE LINE N
\ 909.• • \` _, 9y 1-
-
f \�- \
~J`� 1 A 4 O A g. p<<
/ /i') yoo��po �` �, x 10
r, y. \ 9LC 6 p0' G�o� ; 899.0 J
\ 9 • " pO SFO x 904.4
nor 909.6 .0P� I -- ' ' 83' J
kor (.04, 4011k, .E0. \SIV. /
) Alb
\•'trvt%* . otl•� Y.s � � 911.5 �p*� . 895.1
y r 1 x - i66.3o I
O; \ `\-.' 904.4
•05.5 -7
•
•. /
��N •10.-4.,01%, 'Q\ 911 438�3ww
/L �� U, i11.Z 3,�8 i �1 A a -!EVACANT
Q 9,2.0 " ter I
42^ Ci)
r♦i 910.9r r '� 1°:
' DATE: �L ��1
3'� BENCH MARK QUii.®!i` G lid:; IOtvS DIVISION
TOP OF PIPE
ELEV.=911.90
PROPOSED HOUSE ELEVATION
LOWEST FLOOR ELEVATION: 9D5+ I
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: E.G. RUD OF BLOCK ELEVATION: '1/3t
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION 913
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND GARAGE SLAB ELEVATION:
FOUNDATION DIMENSiON5.
NOTE. NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE
TOB ® LOOKOUT ELEVATION:
SURVEYOR, THE SUITAB0.JTY OF SOILS TO SUPPORT THE SPECIFIC HOUSE
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. X 000,00 DENOTES EXISTING ELEVATION
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN ( 000.00 ) DENOTES PROPOSED ELEVATION
THOSE SHOWN ON THE RECORDED PLAT. _ -- — DENOTES DRAINAGE AND UTILITY EASEMENT
- DENOTES DRAINAGE FLOW DIRECTION
• NOTE' CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. — DENOTES MONUMENT
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM E} 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 6, BLOCK 1 , OAK BLUFFS
nAvnTA rf I IIJTY AAINNFSOTA /> --- - - •
-
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173751
Date Issued:12/01/2021
Permit Category:ePermit
Site Address: 4154 Ethan Dr
Lot:6 Block: 1 Addition: Oak Bluffs
PID:10-53400-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Kyle Knutson
4154 Ethan Dr
Eagan MN 55123
Apollo Heating & Air
6510 Hwy 36 Blvd N
Oakdale MN 55128
(651) 770-0603
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173791
Date Issued:12/03/2021
Permit Category:ePermit
Site Address: 4154 Ethan Dr
Lot:6 Block: 1 Addition: Oak Bluffs
PID:10-53400-01-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Kyle Knutson
4154 Ethan Dr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175815
Date Issued:04/15/2022
Permit Category:ePermit
Site Address: 4154 Ethan Dr
Lot:6 Block: 1 Addition: Oak Bluffs
PID:10-53400-01-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Kyle Knutson
4154 Ethan Dr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature