Loading...
4159 Ethan Dr2005 RESIDENI'IAL BUILDING PERNIIT APPLICATION City Of Eagan 3jAO 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Constructan ReauiremeMS RemodebReoair Reauiranents Oifice Use Onlv 3 regi5te2d slte surveys showing sq. R. of lol, sq. ft. oi fwuse; and all mofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20%mauimum lot caverage allowed) 1 setof Energy Calalations for healed addiGons T2e Pres Plan Real '_Y _N, 2 copies af plan showing beam & wiMOw sizes; poured found design, efc. 1 sfle survey for additlons 8 decks T2e Pres Requfred _ Y_ N lsetofEnergyCalculafwns Adddion-indicafei(ort-s8e&epGcsystem On_sReSeptkSyatein _Y _N 3 copies oi 7ree P2servatlon Plan if lol pWlled aRer 711193 Rim Joist Detail Optans selectbn shcet (buildings wilh 3 or less unlts) Date _? / d-31 as Construction Cost Site Address ??J,S9 ?yHy/Ouj L)V- UoiUSte # ek Description of Work . Mu1H-FamilyBldg _ YLON Fireplace(s) ?0 _ 1 _ 2 Property Owner ?Dh Telephone#( ?!) 8-7<oS?2- ? Contractor t -- Address City State /? Zip 5} ne #(65/) -7 ? z ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catecorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Cafegory 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/water Contractor Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the 5tate of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work h-rec}u' approval of plans. ?,ci? li ? ? ? i J U N 23 2005 Applicant's Printed Name Applic,yAt's Signature OFFICE USE ONLY Sub Types ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace A 21 Porch (3-sea.) ? 31 Ext.:Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding )1 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolitlon (Entire Bldg) - Glve PCA handout to applicant Valuation /C? mG0 Occupancy 9'3 MCES System - Census Code Zoning A- 1 City Water - SAC Units - Stories ? Booster Pump - # of Units Sq. Ft. ? PRV - # of Bldgs ? Length 4; Fire Sprinklered Type of Const ? Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. Footings (deck) ? Final/No C.O. ? Footings (additiun) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof $ Ice & Water ? Final _ Pool _ Ftgs AidGas Tests Final ? Framing _ Siding _ Stucco _ Stone Brick _ Fireplace _ R.1. _ Air _ Test _ Final _ Windows _ Insulation Retaining Wall _ Approved By: --- , Building Inspector --- ------------- - -- - -- ------- Base Fee -----------?-_---------------------------------°----------------------- 3 5',C,1.fPZ. 9 30 ??r ---- ------ -- ------- Surcharge ? Pian Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 4o> ?vbu X4rj ?'r„S = .?,,0 7 Aad ?N rm? ? i tm i c.? irm?t- CPu rC V rm T FOR: Mcr.ley 6r.thers Construction ? ? ? ??o 'o ? aC ? .. -,- : '???i0 2? :? / ? ? / ?t'• •?` 5 <-,ocl, t!o r v ` \ ?y?7•o? Y?` X ?•? 34.t39 2 ? \A A ? t\0 r C w ? yk, F?"''n'q?- ? •;$< -s--• •a ? _ ? ? I f f ._ ;. pRoPnse-D FVASIONS: GARAGE FLdOR = 915.Z TCP CF WALL = 'i: y LOWES i FLOGR a 90(,.8 TOP F0071NG = 906.5 ylO.D CIAG. = 3Y.3 X 95'.0 I hereby certify that this survey, plan, or repOrt wos preparsd by ma r. G. vwuw a , or under my direct supervision and thai f am a duly Reyistered Lar.d L? ? Surveyor„yndsr the Ic?;s o`.t?he ?tote oi Mirnesota. 9f8m LfEXlI?Cs?J E1vG.I?tC 3.z. 7s ?e ? A ? • I C.1 4 ? I+p I?O ? Lot= 14,025 sq. 'ft. House= 2324 sq. ft. 2 DEf?0TE5 WOOD HUB A- 11 FT. OFFSET. xx. DENOTES PROPOSFJ EL°_VATtOV. ? DENO7cS DIREC-ION OF DRAINAGE. L4T 4, BLOCK Z. OAK BLUFFS, ORKOTA CCUti7", MINNESOTA. Scale 7'=30' Drown By. RAJH Disk: Job No.: 99443hs ? Demtas Iron Monument ? Becr'mgs srorin are on an assumed datum. ?$ ?r? Dote 6 No. \ \ ? ? ? / 5p, ss.3 w z.o_ 1 i N ? $2 g 3.0 4 Ar , ? e 0 6 f42.67 6a i ?? t?? ?\n \ \ f ?? o t .OT .4? San !nv= A ? 902.C :ft ,o proP°'? ? orw??. ? t c ? FJhre ? pad a ? GIRGA R;Tra6, MINNR60TA °r5mid-3b:5 -LL. 784-5556 TOTf+L P.01 , RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PIIOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConaWetlon Requiremants • 3 registered site surveys showing sq, ft. of lol sq. R of house; aM all roofed areas (20°k maximum bt coverage allawed) • 2 copies of plan showirg beam & window s¢es; poured found design, elc.) . 1 set of Energy Caiculations • 3 eopies of Tree Preservatian Plan H lot plaHed after 711193 . Rim Joist Delail Optlons selection sheet (hldgs with 3 or less uniLs) DATE I • ?--b2 SITE ADC TYPE OF APPLICANT Cedar Exteriors, Inc. ULTI-FAMILY BLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS Coon Rapids. MN 55433 CITY TELEPHONE #?In???'a?? I CELL PHONE # PROPERTY STATE ZIP Fax # 1Ia--755 -53RQ TELEPHONE#(Oi ll'lQffi-licSD, ----------------------------- ----------------------------°-------°------°------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULF.S 7670 CA'CEGORY 1 MINNI:SO'1'A RUl.LS 7672 (J submission [ype) • Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calwlations Submitted Plumbing Contractor: ___ Plumbing systcm includes: Mechanlcal Contractor: Mcclianical systcm includes: Sewer/Water Contractor: Air Condiuoning _ Hcat Recovery System Phone Phone Fce: $90.00 ? n --------------------°----------------°------------°°----------------- ------------------------------------------------ I hereby acknowledge that I have read this application, state that t information i rrect, and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan r inances. Slgnature of Applicanf ??c Q I 'd?' OFFICE USE ONLY _ Water Softener Water Heater No. oF Baths RemodeUReoair ReauiremeMs . 2 copies of plan • 1 sel of Energy Calculations for healed addi6ons • 1 site survey for e#erior additions 8 decks . Indcate if home served 6y septic syslem for additions _ Phone # Iawn Sprinklcr No. of R.I. Baths VALUATION q l !?a ?j Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updaled 4102 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? ? CITY OF EAGAN ? 3830 PII.OT KMOB RD - 55122 (661) 681-4675 Naw Construchon Reauirements RemodeVReoair Reaulrements ? 3 registered sde surveys ? 2 wpies of plan ? 2 wpies of plans (include beam 8 window sizes; poured fid. design; etc.) ? 1 site survays (erterior additions & decks) ? 1 energy calculations ? 1 energy wlculations for healed addkions ? 3 copies of tree preservation plan if lot platted efter 7/7193 required: Yes No DATE: gLq (GG CONSTRUCTION COST: DESCRIPTION OF WORK: _ ?Q(j ffil'1,-)`?'/\u-bt?0?) nTMrrT w?MMrnn. 4-I G, C1 LOT: q BLOCK: ? SUBD./P.I.D. #: OaK. 616CLL . PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER . Name: Last City Phone #: Street Address: Zip: Company _'1 1+o/) r64,6rOthel"5 ?J)l731 Phone #: Cy'a?- Street Address: !?/V 7-YI / SC(Y) (J? JaCi, License #of UX "bc / Exp- J? G(? City J4-C.{ " State: ///A) Zip: 55D /( Company: '4)I 0-n co Phone ?5L? ' (7 Name: Registration #: Street . U ? y City ?QaCU'1 State: n / "(P Zip: ,? ? kJlZ Sewer 8 water licensed plumber (new construction oniy): /? . Penalty applies when address change and lot change is requested once permit is issued. (?, I -?, - I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey ReCeived Z Yes Tree Preservation Plan Received _ Yes State: No _ No ? Not Required ? }I-- s-in LIV r a1 pUG 2 0 1??--A- OFFICE USE ONLY BUILDING PERMIT TYPE . • i ? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish ,0 , 02 SF Dwelling p 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ??'03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 5F Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ?31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) rN gasement sq. ft. Census Code vz (Allowable) Main level sq. ft. SAC Code 0 UBC Occupancy sq. ft. 7?t/r.I? -?'??? Census Units Zoning sq. ft.Census Bldg # of Stories ? sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. ::?,2L? Booster Pump PRV Fire Sprinklered APPROVALS Planning Building S4 Engineering Variance Permit Fee Surcharge Plan Review License McrES sa,c City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 9aI L4 .82) Valuation: $.2 .2 A:,5,? iy z ?1 '/70 )y 32 X sy> 7,7 32 ? >3.S?X ;7.5'I/( ??IxIG" 1317 SZ . , °/a SAC SAC Units ENERGY CODE WORKSHEET FOR 1& 2 FAMILY DWELLINGS SYTB ADDRESS VAKV I ' CITY ? DATE COHPLSTED 8Y: ? P1?ON6 p,? 9IIILDING CLASSIFICATION: ? cat egoiy 1(etandard) or category 2(muet includo vantilation) pZNIMUM CRITBRIA Foundation Insulation-R10 Yialle & Windowo Roof Attic Ineulation: (See Lable on reverse eide S14bon de Inculation-R10 Eor allowable pe zczntage s) R44-With AGtic No {Ieel unheated spaces-R24 R38-With Attic Raised Heel L Windowe 1/2" R38 & RS-Solid Raftezs lasc. nyl Frame STSP 1 Wiodow & Door Area STHP 2 Calculate area au a percent of wall A. ToGal Window & Door flrea in Sq. EeeC I WLNDOWS (Including Foundati on Windowe): HINDOW MAN[JFACTURE NAMe: C. From S:ep 1 divide box A(47indooi 8 Duoi- [ Area) by box B(toCal wall ai'ea) Limes 100 WINDOW MAtNFACTURE 1'YPH:T), y equaly the window an3 door area as a pei-ce,ic oE wall arza (box C) . WItiOOW MA14UFACT[7RB f7 FACTOR: R. O. Quantity cq.CL.Are. POX A 100 = C O ? I Dimensions ?0 U 14,f„U? 1 g STEP 3 Ozeign Peaturco JJLJ-u1_ -- IZ'-o" x 3'-p~ ? FSSCIIELY u ? ?11y1) ? ,?j ?3 PRAHI[!G_T'lP2. «L q L STA1tDARL FRAMING _ X ecuds 16" o.c. ? Il?W ' cl ( f ?In ADVANCEC FRNIING r,tuds 24" o.c. X -lJ +?--- x ?q CAVITY It75ULATION R 7 +r X ; U - ? 7 7 SH&ATHIt73 TYPS: - x LE55 THAN < R-5 x x R-5 > Ok hIORE X U-FACTOR Q DOOR? From the cable, (reveree side) determine the maximum percent windcw 6 door area £or the t value t th ] d d i one se er e ecte an en deeign opt p g e) in Box D below baced on the window mEg. ti- b ? factor: v - D X -'td II(e /OI 1'utal-Area oE a:25uq.ft. - Windows & Doors Y? B. Total F]all Area in Sq. Ft. The : value Erom the ca61z in Box D shall be cqual eo or greater ttw n Che k in Box C Wall Total Height Area Perimeter F ? F 061 I ft = ? -7 Z- - T t ll f ft ?? dq o s al Area o Wa _ _ ____ ? . ? • ' o ONE- & TWO•PAMILY RES?DEN'('IAL pUJLD(NG PRFSCRIf''TiVE (CUOK-IIOdK) API'ROA4i MAXlMUM WINDOW AND DOOR A2EA AS A PERCENT OF OVEftALL WALL AREA From Mlnn??Fart7670 0;75 aGbPA?F Cavlk Exterlor Wlndow U•Factor Framitt [neulalion Sheathin 0.49 0.36 0,31 0,27 STANDARD STANDARD R-13 R-13 Z R• 7 R- 5 13.4% 12.4% ]9,Sqe 16.4% 21.39'0 19.7% 24.3°/, 22.5% S7'ANDARD R-15 > R- 5 12.9°h 17.1°Ie 20.1% 23,¢'/c STANDARD R-18_19 < R- 5 12.19'0 16.0% 18.8% 1210% STANDARp ADVP.NCED R•18_19 R-18-19 R- 5 < R- 5 14.096 12.4% 18.63', 17.1% 21,8% 20.1% 25.3% 23.4% ADVANCED R-18 -19 > R- 5 i4.5qo 19.29'0 22.59'0 26.1°/, STANDARD R•21 < R• 5 12.6% 11.0% 19.9% 23.1% STANDARD R•21 >R- 5 14.5% 19.396 22.5% 26.1% ADVANCED R-21 < R- 5 13.6°h 18.1°a 21.2°/a 24.6°1, ADVANCED R-21 R- 5 lS.OYe 19.9°/a 2319'0 26.9% A"itlonal qalctlatr values STANDARD STANDARD R•17 R-17 < R -5 > R• 5 11.9% 13.8% 15.79', 18.4ye 18.4% 21.5% 21.5% 25.09'0 ADVANCGD R•17 < R• 5 12.6% 16,8% 19.69'o 22.9% ADVANCED R•17 > R- 5 14.3% 19.0% 22.2% 25.7% Notea: Wlndow area equals rough opening minus Inatallation clearances, Window U-factor must be determined by either the National Fenestration Rating Council etandard 100-41, or ASHRAE 1943 Handbook of Fundamentals, Chapler 27, T'able 5. 'LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL. L d Y- 4 S! J/'I'Z DATE OF SURVEY -?3-' LATEST REVISION: ?-?- DOCUMENTSTANDARDS ? • Registered Land Surveyor signature and company ? ? ? • Building Permd Appiicant ? ? ? • Legaldescnpbon ? ? • Address ? ? ? • North arrow and scale ?? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) m/ c o • Directional drainage arrows with slape/gradient % ?? • Praposed/existing sewer and water sernces & invert eleva4on ? ? ? • Street name ? ? ? • Driveway v? ? • Lot Square Footage u-- o ? • Lot Coverage ELEVATIONS Ebstina 2/1o ? • Sewer service (or Proposed) ? ? ? • Property corners ?? • Top of curb at the driveway v ? • Elevations of any existing adjacent homes ? Adequate foofing depth of structures due to adjacent utiliry trenches Prooosed m/ ? ? • Garage Boor ? ? • Firstfloor ? ? ? • Lowest exposed elevation (walkout/window) m? ? ? • Property corners ?V ? • Front and rear of home at the foundation ? . PONDING AREA (if applicaWe) ? Easement line ? • NWL ? • HWL ? ? • Pond # designation la/ ? ? • Emergency Ovefiow Elevation DIMENSIONS /o ? • Lot lineslBearings & dimensions 13 o • Right-of-way and street width (to back of curb) ?? • Proposed home dimensions including any proposed decks, averhangs greater than 2', porches, etc (i.e. all structures requiring permanent footings) Y? o : Show all easements of record and any City utiliBes within those ease nts ?? Setbacks of proposed structure and side ard setback of adjace xisting sVudures ??? • Retaining wall requirements, if any Reviewed/?? March tM9 CRAIOIBLDGPRMT FM ,OR: Monley Brothers Construction RE? y0 k \ \ i }- __--?Ty--p 308.4 q 2 ry ?\ G DEPT ? . ` ' i ? . : , _ 16 r ?+ ?? 1 e ? \ '13 1p 5V NN? ? ???/ \ C? ? p ? ? ?? N 28.3 0 ?\0 \ W 2. , I i ? ? r? ° ° ? ° c,, 06 0 s ??,P P ; o. o; y 2,0 ? N ?t? q RP San v= a rn In O CT ? c 3 90 .0 ?o : ? ,o? N77"0 o v 5.01 0? S ? " a ProPp$Bd O? CT O 34.89y ` af'veway? I 10 ?. Cv) a Q.Y " W 1? D?'9?> ?,•\ o$ „o ;aco ?u, 2.0 '..:0.? ? W.? .,wFqSFNqcE n o ??o Ch rt ? o I a ? 9o,s: s 323 45.89 Omverfiowcy907.5 N890 46"E 9?5'Y a''t9 32.74 ? Ir n?a• ? ? ? 9` tv 142.67 I ? ? I-}Dbl7L?SS: ? i ' ft. future ^ LOt= 14,025 SQ. PROP05ED ELEVATIONS: O POd O House= 2324 sq. ft. GARAGE FLOOR = 9is 2 SEP 0 9 1999 TOP OF WALL = 915-?, LOWEST FLOOR = 90c8 0 OENOTES WOOD HUB AT 11 FT. OFFSET. TOP FOOTING = 9o6,S DENOTES PROPOSED ELEVATION. DIAG. = 3Y.3 x q$,o =/p/,o? E--- DENOTES DIRECTION OF DRAINAGE. LOT 4, BLOCK 2, OAK BLUFFS, DAKOTA COUNTY, MINNESOTA. Scale 1"=30' Drawn By: MJH Disk: Job No.: 99443hs • Denotes Iron Monument Bearings shown are on an assumed dotum. I hereby certify that this survey, plan, or report was prepared by me E. G. RLID 4 30NS, (N(: or under my direct supervision and that I a m a duly Registered Land LAND BUiZYEYORS Surveyor under the lay!s of tate of Min ? nesota. 9i$m 68XINGTON AYE. NE ?.-.,r.?-? _? ? -- • - CIRGL•E PINE6, MIMVE80Tb Date Registration No. ???8 5bmld-3b25 TEL.'f8b-5556 1-1vn Nkl3T/NG ,7'ZgV.# Tlaas 1-4-62 *********i****************************4 CITY OF EAGAN CASHIER: JS TERMINAL NO: 708 DATE: 04/14/00 TIME: 12:00:12 ID: NAME: JON OR JEAN GARVIN 3210 9001 4159 ETHAN DR 60.00 2155 9001 4159 ETHAN DR 0.50 Total Receipt Amount: 60.50I CR126380 USER ID: JAN ??+++******x***t**,t*?+*********?****???? : , . . . . ` - .:: i. , o'7h!R.. i.u" 70 'Y,__ M:.O.i° 1 11 NAr-}i= .• ' *1?1PJ! F...Y iJk?J'1 ?'?1*",'S CGh 43 `"illf'?: I?:"! „ . :zr..t: _ ,.r y,,. . i.? (, 4109 F.iV,f+. i 'Jf; „ U4.00 370 992O 4I."{9 ETHrl`d t!': 50.l'}i.) A5i05 ?;.?,:?ri . . -. ??i.:7i „ ''_i?..,'i ?... ?i.: ? ?,,,,ilC 4:•t..? cc'.?.`r2 ..g:20 4111 .'..(F'!lr•! ilfi Ji..',f,.i:J +219 ..oI.I{ Mi I':iI'IN I Io A, ... ?.ICOniJ 30;S5 037q M`.-?1 I"7I=f-iN PG U1ri,0?7 :Fc2 ''Jil:i 'iui K I-'W! tR ^-.ES3, 1.0 2275 902r. 40si rt; :,039..5n Af:. 90CI 051 ' -"r-r?: ?':F: 10,59 ?_:.':ih 910' Q'"l Fi151°-^' Q tli.5':, c;: i I "r,= ,q .y . `., ,4..i'T`lUl= :JOT? Qg .1C1N ?;E t:tJNTThll_G.. V ? ;?i'','?,.,,%'F$. ".,?;YrP;;'Y:?;?e CITY USE ONLY L BL Su BO. k?S RECEIPT#: ` 12 ?5 I RECEIPT DATE: I04'1 1999 PLUM$IN6 PEiiMIT (RESIDEN1ZAL) Ctl'YOf P?RfiAN 3$30 PILOT KNOB RD Ews", MN 55122 (651) 6$1-4678 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backFlow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ ' Floor drain 3.00 x = $ ' Gas i in outlet ' minimum -1 3.00 x = $ ' Hot tub/s a 3.00 x = $ ' Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alterations to existin 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 instaliation/re air 30.00 x = $ Rou h o enin 1.50 x = $ G Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ta . W Water heater 3.00 x $ . OD Water SOftener if dwellin under construcuon 5.00 x = $ Water sokener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- State Surchar e .50 --> ----> ----> $ .50 TOtal --> --> ----> ----> $ . UO Reminder: Call 6814675 for inspections of water heaters, water softeners, alterations, etc. ----------------------------•---------------------------------------------- --------- - - - - - - - - - - - - - ,- state- - that the in-fo-rtnation is conect, and agree to comply with all applidble City of Eagan ordinances. - that- I hereby-- - ac-lc-nowled9e- - I have read this applicahon- It is the applipnPS responsibiliry to noby the property owner that fhe City of Eagan assumes no liabdity for any damages pused by the Ciry dunng its nortnal opera6onal and maintenance activitles to the faGlities constructed under this permit within City propertylrighbof-wayleasement. SITE ADDRESS: qlSq OWNERNAME: mQnyaI INSTALLERNAME: S&er(Lr P?umbi(?C?` TELEPHONE#: toa-141AQ' 693y STREETADDRESS: qsw CITY: Nl Qc LQV\sL STATE: MN ZIP: S S 37Z TURE OF PE!RMITTEE ??%0 CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1999 CITY USE O\ZY BL Z xECEIPT a: 11 q'a-o S SUBD. RECEIPT DATE: 1 \ - MECHANICAL PERMIT # 3 ? (p J 6 1999 MECHANICAL PEiM1T (RES1D£NTIAIa CfI'Y OP £ihfi!!N 3830 Puor Kxoa xn EkfiAN MN 55122 Date: 11-3-29 (651) 6$1-4675 Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occunied. • HVAC: 0-100 M B T U ADDITIONAL SO M BTU • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge Total $ 30.00 6.00 • DO .50 $ y Complete this section onlv if you aze remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alterarion, or repair. _ New Alteration Repair _ Other Reminder.• Ca11681-4675 for inspections. Furnace _ Air conditioning _ Air exchanger _ Other $ 30.00 State Surchazge .50 Minimum Total Due $ 30.50 SITE ADDRESS: ? I ?,? ?/LQ JYl & • OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: - ? ??- 'y STATE: Ma ZIP:_ti5.&Qr?2 ?/ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN Q, 3830 PILOT KNOB RD - 55122 H U 651-881-4875 1 ¢???J ?-(-?y ? c_ U New CoruhueHan ReaNrements Re lReoalr ReaWremanM > 3 reylttered 3Ite wrveys showing eq. H. ol lot, aq. B. of harse and,gU roofed areaa (1096 mmclmum bt covemae albwacD > 2 coples of plana (ahow becm & wlndow s{zes: poured Ind. design; efc.) > i set W eneryy calculations > 3 coples of hee preservaHOn plan Il iot platted mter 7/1/93 DATE: DESCRIPTION OP 1 STREET ADDRESS: LOT: --?- Name: C?+?rlrN ? Phone41: 6?51- laat Pirsr PROPERiY OWNER street 2 copies W plan 1 tef of energy cplcWOHons for heated addiHOns 1 sife survey for exterbr additbns & tfecks CONSTRUCTION COST: br ciri fx%d?n store: N)Ilf CONTRACTOR Sheet zip: S SI Z3 Phone A: d251- lm (area code) ucense # Enp. v Ciry state: ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Zip: Sheef Address: Regishation #: City Stote: LP: Sewer/water licensed plumber (ff Installina sewerlwaterl: Phone #: (? 1 hereby acknowledge ihat 1 have read thts aPAlicalbn, date thaF 1he infortnatbn is cortecf. and agree?iply wNh aa apP?le StatE of Mlnnesota Statufes and City of Eagan Ordinances Signature of AppRcanh OFPICE USE ONLY Certificates of Survey Received _ Yes No J ? 2 Tree Preservation Pian Received _ Yes _ No Not Required BLOCK: Z SUBD./P.I.D. C 06-k -&,'f7? OFFICE USE ONLY BUILDING PERMIT SUBTYPES p 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dweliing ? 08 06-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 79 Lower Level ? 24 Storm Damage , ? 05 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg. WORK TYPE 131?--31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to appl icant for demolition pertnit GENERAL INFORMATION SAC Code a+ No. of Units ei No. of Buildings 1 Const. (Actual) (Ailowable) UBC Occupancy Zoning " # of Stories Length Width Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building g G Engineering sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance ? 31 Exc. nu - Muni p 33 Fxt. Alt - SF ? 36 Mutti 4/3 q Permit Fee U6 0.S 0 Surcharge Plan Review License MC/ES SAC Ciry SAC Water Conn. Water Meter Acct. Deposit S!W Permit S!W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: -t 6 a - S a Valuation: SAC Units % SAC ? L` ? G.r?1'? I Ir I Gi? I? G/'r 760'C Y= T •,.^ " F"OR: Mcr,ley Brothers Construcfion ? ? ???a •°s - ? Qo .: i3y.n / ? ? ? \ g0 s,?h\ ? t \ \ \ \ \ ? N ? ? ? R n : ? 74Z.67 ?. .. , .. p4oPna?p e?EVn?iotis: GARAGE FLOOR = 9rs Z TCP CF WALL = 915+ LOWEST FLOGF -90(,,8 TOP FOOTING m 9o6.S'wry,rp?v ,•,?, ?/O.D 00 CIAG. = 3Y.3 X 95,10 = i011 Lct= 14,025 sq. 'ft. Nouse= 2324 sg. ft. 3 DENO?E5 WOOD NUB A- 11 FT. OFFSET, )(x. DENOTES PROPpSE? ELEVt+n0N. ?-- DENOTES DIREC?ON OF DRkINA;E. lOT 4, BLOCK 2, OAK BLUFFS, DAKOTA CCUti7", MINNESOTA. I Scale 7'=30' f Drawn Bv MJH I D'.sk: I Job No.: 99443hs LoDmotes iron Monument I Becrinqs shown ara on an assumed datum. I Pereby certify that this survey, picn, or repOrt wOS prepa^ad by me ?. C1. RuQ 4t SOWg, fNri or under my direct =_upervisfan and that I am a dLly Reyistered Land 11wf.= "Myrroft Surveyor ndx the la s o° ?e otc of ?Airnesota 8i" ?,IXr-Cµ Ayg, NG ' ._. - . . - CIRGL-M p.NE6, MINNi80TA Oate -;''9 Reqiatration No. 9.OeE 5W;•31VA$ MML ITSb-5586 AJtLfE I m1 pod l ? TOTRI. P.01 Use BLUE or BLACK Ink � r-----�-�-�---------� I For Office Use � C' � Permit#: ��� ���� ��d O� ��6�� � Permit Fee: 1 v��' � 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 I I Fax: (651)675-5694 i Staff: i 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �« 1—�G Site Address: -1 I �.� �'C"�,��. C%������'-- Unit#: Name: �O� ��<a1 11 �`6'� Phone: Resident/ �j��. � ��� Owner ' Address i City/Zip: ��-r.-. ��..�,.�v.� ' Applicant is: Owner �/ Contractor Type of Work Description of work: " p�� 2.— �~ ' �.— � �(I�, L's �G2� <r� � ,,� Construction Cost: ��� Multi-Family Building: (Yes /No� Company: ���`tR.('��,,..E',t�� �',.OV��I'��E�Contact: W i�� � Contractor ` Address: ���.,� Ct�,�� �_c;ta� , city: S4�cR-.t:L��f?� State:�Zip: �,,r"G �v Phone: �,�a,`,��'"5��-t�'nail: License#:_�2���� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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:P/ans and supporting documents fhat you submit are considered to be public information. Portions of the information may'be classified as non-public if you provide specific reasons thatwou/d 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.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuan . x . E � x ApplicanYs Printed Name ApplicanYs Signature �„ Page 1 of 3 ���� 5\�t�.�,,�.1�-�"�1, PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA131202 Date Issued:06/08/2015 Permit Category:ePermit Site Address: 4159 Ethan Dr Lot:4 Block: 2 Addition: Oak Bluffs PID:10-53400-02-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Jean M Garvin 4159 Ethan Dr Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156964 Date Issued:07/26/2019 Permit Category:ePermit Site Address: 4159 Ethan Dr Lot:4 Block: 2 Addition: Oak Bluffs PID:10-53400-02-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Jean M Garvin 4159 Ethan Dr Eagan MN 55123 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168766 Date Issued:05/03/2021 Permit Category:ePermit Site Address: 4159 Ethan Dr Lot:4 Block: 2 Addition: Oak Bluffs PID:10-53400-02-040 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 - Jon L & Jean M Garvin 4159 Ethan Dr Eagan MN 55123--490 (651) 283-0861 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature