4166 Ethan DrRESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
U?_t= 3830 PILOT KNOB RD, EACAN MN 55122
651-6$1-4675
New Construction Reauiremants
• 3 regatered site surveys shovnng sq. f(. of lot, sq. R of house; and atl rookb areas
(20% manimum lot coverage allowed)
. 2 copies of plan showirg 6eam & wiMOw s¢es; poured lound design, etc.)
• 1 set ol Energy CalcWation
• 3 copies of Tree Presarvation Plan if lot platled aNer 7/1193
. Rim Joist Oetatl Optwns selection sheet (bldgs with 3 or less unAs)
DATE / ? /D ` l/?
SITE ADC
TYPE OP
APPLICANT / , 71?6
ULTI-FAMILY BLDG Y N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS 17 7/.?7 /c??7-7 A ?e /) CITY?STATE
TELEPHONE# CELLPHONE# FAX#
PROPERTYOWNER TELEPHONE#
----------------------------------------------°--°-------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO"PA RULF.S 7670 CATL'GORY I MINYCSOTA RULES 767`l
(J submission t?pe) • Residential Ventilation Category 7 Worksheet Submittad • New Energy Code Worksheet Su6mrtted
• Energy Envelope Calculations Submitted
Plum6ing Contractor: _
Plumbing sysLem indudes:
Mechanical Contractor:
Mccltanical system includes:
Sewer/Water Contractor:
Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $70.00
-----°---°----------------°--° °----..... °.---------------°-------°----°----------------°--------°---°°---°--
I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan OAtnances. ?------"`"'-?
Signature of Applicant
0 U ?
Ill 10 2002
orrici: usr.
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ Water Softener
_ Water Heater
No. oF Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
RemodeUReoair Reauiremenh
. 2 copies of plan
• 1 selof Erergy Cakulalbre forheated addNons
. 7 sBe survey for exlerior addiUons & decks
. Indlcate it home served by septic system for additions
VALUATION 5-600
ZIP
Fcc: $90.00
Updated 4/02
CITY USE ONLY J
L ? BL RECEIPTp: 7
SVBD. RECEIPT DATE: 'OC?
PERMIT # ?
8000 PLUM$INfi MJiMTP (iiES1DEN1'Il4L)
CITY OF £kfiAN
S$SO P1LOT KNOB RD
gA&RP, M1V 551 YE
' e51-681-4e75
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backFlow preventer for underground sprinkler system
CiYTI IDFC
EOCH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.00 x lo- _ $ G•
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 $ 3• ?
Laund tra 3.00 x = $ 3• pa
Lavato 3.00 x = $ - o a
Se tic S stem newlreTur6ished • re uires MPC lit. 75.00 x = $
Se tiC S Stem abandonment 30.00 x = $
RPZ new installationlrepaidrebuild 30.00 x = $ ?
Rou h o enin 1.50 x = $ 1?56
Shower 3.00 x 02- _ $ . o0
UndBrqrOUndS rinklBf ifdwellin isunderconsWCtion
Under round s rinkler if exisfin dweuin
W ater closet 3.00
30.00
3.00 x
x
x =
=
= $
$
$ 9• o0
Waterheater 3.00 x = $ 3. co
VNater softener if dwellini_u nder eonstruction_
Watersoftener ifexisun awelun 5.00
30.OU x
x =
= $
$
Water turnaround
State Surchar e
7ocai 30.00 x
.50 --> ----
---> _
--> $
$ .50
.1,
Reminder: Call for tnspections of alterations, i.e. water heaters, water softeners, etc.
-
---------•------•---------•-•--------------.-------•--------------•-
--•----•--------------------- -- ------ ---------
- fo comply with all applinble Ciry of Eagan ordinances.
-
-
•cortect and-agree-
-I•have-read -this ap•plication,- sWte- that. u`?.e infortnation- is-
- lhat-
I hereby acknowledge-
It is the applicanPS responsibility to notity the property owner that the Ciry of Eagan assumes rw liabiliry for any damages pused by the Ciry during its nortnal
operational and maintenance actlvities ta Ne facilities consWCted under this permit within City properly/right-ot-wayleasement.
SITE ADDRESS: yz> b zf_ld?n- 1?k_e
OWNER NAME: : &11171e_?s A/1'?.Cei-f f?"-rt • TELEPHONE #:
(a,Rea, cooe)
INSTALLER NAME: TELEPHONE #: ?
STREET ADDRESS: (A EA CODE)
CITY: ST TE:` ZIP:
,
SIGNATURE OF PERMITTEE
CITY USE ONLY
L07' ( BL PERMIT #:
SUBD. RECEIPT #: ?316 7
RECEIPT DATE: -7 ` S OC)
.i
2000 MECHANICAI, PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOH RD
EAGAN AIIi 55122
-y/.c ? ?? ?? 651-681-4675
Date• , 1 c..c
Complete this section onlv if you are installing HVAC in a singie family dwelling, townhome or condo under
construction snd noi cwner/accuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas out?ets (minimum of one required @$3.00 ea.)
State Surcharge
Totat
$ 30.00
6.00
.50
Complete this section onlv if you are remodeline, adding to, or reairin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New _ Alteration _ Repair _ Other
Furnace _ Air conditioning
_ Air exchanger _ atl1zC
Fee $ 30.00
State Surchazge .50
Total $ 30.50
Reminder: Call for inspections
SITEADDRESS:
OWNERNAME: PHONE#: -
INSTALLER NAME: PHONE #: ?a' - y9a
(A[tEA CODE)
STREETADDRESS: 4-R-`7
CITY: TYd? ? STATE:
SIGNATURE OF PE 1T7'EE
?4 161?
2000 BUILDING RMIT APPLICATI (RESI6ENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122 ? ?4 -D- -? ?
851•681-4875 ?
New CaruhucXOn ReaWremenh Re /Raoalr Reaulremenh
> 3 reyldered q1e wrveYS ahowiny sq. fl. of lot, W. R. ol lwuae 2 coWes of plan
antl gl roofed areac (20°if+ rtwodmum bt ooveraae albweOf 1 set d aiergy cdculaHOns fw heateC addHlons
D 2 copiea of plane (ahow beam b wlndpw sixea: pouretl Intl. design: etc.) I tite wrvey far extedor addiHOna & decks
D 1 tet d eneffly calcWOtlons
D S coples o/ hae Dreservaflon Plan M bt platted afFer 7/1/93 DATE: S14I00 CONSTRUCTIONCOST: 522r),, biU'bo
DESCRIPTION OF WORK: N6 "5t 15;i, LO 'fi?aM L 1 ??
SiREET ADDRESS: "1 1 l1J llJ U, t>>4 3 1 "
LOT: 01 BLOCK: I SUBD./P.I.D. M:
Name: ??mic? r, JrxwV= g??" Phone #:
PROPERTY lait Flrsi
OWNER
meet
CMy
sta?e:
Zip:
Company.? Pf?,3 UILJ 59 C)S - Ct V""?r• _ Phone S: 1o L? ??? ?l fo
(area code)
CONtRACTOR Sheef Address:.'SJ'? )?i • ?(J • _ lleense # ?ExP• 3'2?
? l
CnY State: ? riAV Lp: 65-ttJa
R Company: [ rl ,? 1'? ?? Uv?'f'?l J I N V• Name: 7 V I 11 V 1" t5
EWGINEE/
Telephone M: ( "Iir5Z ) 4 Z- 2- =J-- -
Sfreet Address: I7il 5 4 f_w (M v1 •?1Z0 Reglshation i:
ci+r sw?a: ? N Ep: 55 35
NN"",ep
Sewerlwater licensed plumber (H instatlinn sewerlwater):M Phone #:
?-
i herebY acknowledye that I have read this appltcation, date ttwf Ihe
ot Minnesota Stalufes and Cily ot Eagan Ordinances.
Signalure of
CeRificates of Survey Recefved V Yes
Tree Preservation Plan Received - Yes
wE
44 K 8
cortect, and agree to comph with a0 aPP6cable Stah
OFFICE USE ONLY
_ No ?
_ No V_ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 1 Foundation O 07 OSplex
02 SF Dwelling ? 08 06-plex
O 03 Ot of _ plex ? 09 07-plex
0 04 02-plex ? 10 08-plex
O 05 03plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
wo K nrPe
31 New
? 32 Addition
O 33 Alteration
O 34 Repair
? 13 16-plex p 21 Poroh (3-sea.)
O 17 Garage O 22 Poroh/Addn. (4-sea.)
? 18 Deck p 23 Porch (screened)
0 19 Lower Level ? 24 Stortn Damage
Plbg _Y a_ N O 25 Miscellaneous
O 20 Pool p 30 Accessory Bldg.
O 36 Move Bldg. O 43 Reroof
O 37 Demolish (Bldg)' ? 44 Siding
O 38 Demolish (Interior) ? 45 Fire Repair
O 42 Demolish (Foundation) O 46 Windows/Doors
' Give PCA handout to applicant for demoliUon permit
GENERAL INFORMATION
SAC Code r) i
No. of Units I
No. of Buildings
Const. (Actual) ',TAI
(Alfowable)
UBC Occupancy
Zoning ?
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
2.d It-cl sq.ft.
" c sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building JLG-
? 31 Ext Alt - Multi
? 33 Ext. Alt - SF
0 36 Multi
2 sq.ft.
6 ti sq. ft.
yy Footprint sq. ft. a? ti
! eoa Census Code i o I
J 6 12- MC/ES System
1 -4-5 ti
? City Water
Booster Pump
PRV
Fire Sprinklered
Engineering
Variance
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.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ l 9014U(L
?/l,e..wl ?..F:,. 157? 7r1S ?a?6$S
?....:.. 161z xsy A7
•),.-d 1-?wl ]1SCI gsq 67) ysr6
SAC Units
°k SAC
NOTES
1, MAXIMUM WALL LENGTH WITH A
CONTROL JOINT 50'-0".
2. PRI12R TO BACKFILLING, FND WALLS
MUST HE LATERALLY SUPPaRTED BY
FLOOR CONSTRUCTION AT BOTH TOP &
BOTTOM OR BY ADEQUATE TEMP, BRACING.
3, SPECIAL REVIEW REfiUIRED FOR
WALLS HIGHER THAN 9 FT.
4, WALLS WITH EQUAL BACK FILL ON
BOTH SIDES REQUIRE NO REINFORCING
EXCEPT DOWELS. FOR WALLS LENGTHS
LESS THAN 30' LONG AND HORIZ,
REINFORCING & DOWELS ONLY FOR
WALLS LONGER THAN 30'.
5. A MIN OF C2> i/2" 0 x 8"A.B.W/Cl) NUT
& WASHER OR SIMPSON MA6 ANCHEIR
EACH PLATE. ONE WITHIN 12"EA. END,
6,FND DRAIN TILE MUST COMPLY W/ UBC
APPENDIX 1824.3 &1824.4 OR APP'D EQUAL
7.INSTALL A SIMPSON A34 BETWEEN SILL
& RIM JOIST 8 ALL A.B. LOCATIONS.
(req)=35 PCF
6 1
SIMPSON A34 ?
ANCHOR W/4
Bd NAILS EA.
LEG N.S. OR
F.S. OF JOIST
2 16" O.C.
(Ceq)=45 PCF
d 1
SIMPSON A34 ?
ANCHOR W/4
8d NAILS EA,
LEG N.S. &
F.S. OF JOIST
2 16" D.C.
SLOPE -? 8.',
GRADE AWAY
FROM FDN, ?
CONCRETE: 3000 PSI Q 28 DAYS
AGGREGATE! FTG - 1 Vg" MAX
WALLS - 3/4" MAX
REINFORCING: ASTM A615 GRADE 40
: ASTM A615 GRADE 60
BACK 100 % GRANULAR - GROUP I
FILL: EQUIVALENT FLUID PRESSURE
(Yeq)=65 PCF
e
SIMPSON A34
ANCHOR W/4
8d NAILS EA,
LEG N.S. 6
F.S. OF JOIST
2 16" O.C.
<4) #4
HORIZ, BARS
ON TIES
GRANULAR & LIGHTCLAY - GROUP II
EQUIVALENT FLUID PRESSURE
(Yeq ) = 45 PCF
HEAVYCLAY - GROUP III
EQUIVALENT FLUID PRESSURE
(Yeq) = 65 PCF
GROUPS BASED ON CaDE, SEE SHT. S-5
V
°4 x 2'-0" DOWEL
@ 6'-0" O,C. -1
MATERIALS
(7Bq) = 35 PCF
..
TYP, PCF
65 PCF
ONLY
H = 9'-0" HIGH WALL
N 8 8 8 10 10 10
?
)
(PI 35 45 65 35 45 65
352 452 652 352 452 652
(PLF)
GR 40 NONE NONE *t„@ NONE NONE NONE
V, STL
T
V R NONE OOPS #
2"@ NONE NONE OO
S
L,
S O 1 O
P
1/2".A,B.
40
32
24
40
32
24
SPAC.(IN)
6 40 32 24 40 32 24
SPAC
IN)
DRAIN /O
TILE J
8" x 16" FTG (MIN) -
FTG SIZE HASED ON
SOII. CONDITIONS 2
EA, SITE BY OTHERS.
'.?m „
STEEL
< SEE
SCHEDULE)
H
?
+ rn
.2" CLR
FLOOR
SLAB \
WALL SECTI_ON
?- NOTE
CONC
HIGHER STRENGTH
REO'D FOR NO REINF.
POURED FOUNDATI?NS,
IRCLE S INC, fAMY9e1ooI?IQY M0.
°"?" ? J. H. Dahlmeier
Engineering Inc 9' HIGH
8836 UPPER 89th C J . S_ 2
MN 55016
C?TTAGE GROVE HD
, ?CKED aY 2494 Commerce Boulevard 612-472-4748 11/30/98
Phone : (612) 458-3927 JHD Mouad, MN 55364 Fax 612-473-4761
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software version 3.0
COUNTYt Dakota
STATE: Minnesota
ZaNEt 2
CONSTRUCTION TYPE: Single Pamily
DATE: 4-26-2000
TITLE: PLAN #00-47Y2
PROJECT INFORMATION:
PROCHELL RESIDENCE
COMPANY INFORMATIONt
MANLEY CONST.
COMPLIANCE: PASSES
Required UA = 448
Your Home = 440
1.7% Better Than Code
PermiL #
Checked by/Dete
Area or Cavity ConC. Glazing/Door
Perimeter R-Value R-Value U-Value
--- - - - - UA
----
-------------------------------------------
CEILINGS 1589 ---------
44.0 ---------
0.0 --- 43
WALLS: Wood Franie, 16" O.C. 3431 19.0 2.0 192
BSMT: Conc. 9.0' ht/8.5' bg/9.0' insul 103 5.0 0.0 9
BSMT: Conc. 3.5' ht/3.0' bg/3.5' insul 32 5.0 0.0 4
GLAZING: Windows or poors, Above Grade 510 0.350 178
DOORS 40
------
------ 0.350
------------- 14
----
----------------- ----------------------- -
COMPLIP.NCE STATEMENT: The p=oposed building --
design described here is
consistent with the buildin9 plans, specific ations, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the reguirements of the Min nesota Energy Code.
Builder/Desiqner Date
I: intersections of interior partition walls and exterior rialls are framed :
that insulation can be installed between the partition and exterior
sheathing efter exterior sheathing is installed
- gaps between framin9 less than one-half inch are eliminated by securing
framing together or are insulated at the time of assembly
- all penetrations between conditioned and unconditioned spaces made
prior to framing inspection are sealed
INTERIOR AIR BARRIER
- all fire stops are air sealed
- pipes, ducts, wires, equipment and flues and chimneys through the interic
air barrier are sealed
- a sealed continuous interior air barrier is installed on the warm side of
the building envelope at ceilings, walls, and floor rim joist areas*
- air barrier behind tub and shower is sealed and protected
- recessed light fixtures are sealed
ENVELOPE INSULATION
- basement insulation R-5 minimum
- wind wash barrier on wall separating house and garage is sealed
- loose fill insulation is prevented from entering the eaves
- insulation on skylight shafts and uialls exposed in attics is supported
on the unconditioned side
ATTIC ZNSULATION
- attic access panel insulated to R-38 for ceiling panel and R-19 for
aiall panel
- attic card attached to framing near access opening
- notification of attic R-value and date of installation posted near bui
permit inspection card
This is a summary only. other requirements may apply. See the Minnesota
Energy Code. Questions? Call the Department of Public Service Information
Center at 651-296-5175 or 1-800-657-3710.
• LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL: L"T ? ??? / 4VX-a110&A5-
h DATE OF SURVEY:
y LATEST REVISION:
(Y
C
0
DOCUMENTSTANDARDS
Y
4? 0
n
O
?
? • Registered Land Surveyor signaNre and company
El ? • BuildingPermitApplicant
0 Legal descnption
? ?
Address
m/? o • North arrow and scale
?a ? • House type (rambler, walkout, split w/o, splR entry, lookout, etc.)
?,o ? Directional dreinage artows with alope/gradient °?
6/p o :
Proposedlebsting sewer and water sernces 8 invert elevation
?p ? •
Street name
??p o •
Drivevay
a?,? ? .
Lot Square Footage
¢? ? ? • Lot Coverege
ELEVATIONS
/ Existina
p ? • Sewer service (or Proposed)
: a ? • Property comers
k'?? ? • Top of curb at the driveway
Z' ? o • Elevations of any ebstlng adjacent homes
? v? Adequate footing depth of shuctures due ta adjacent utility trenches
/ Prooosed
Y' o ? • Garage Boor
/? ? • Fiistfloor
M/ ? ? • Lowest exposed elevation (walkoutlwindow)
?f ? ? • Property corners
?? ? • Front and rear of home at the foundation
PONDING AREA (if apdicaWe)
? E/ ? • Easementline
? d/ o • NWL
? ; a • HWL
? IF/ / ? • Pond # designafion
? r?Y ? • Emergency Overflaw Elevation
/ OIMENSIONS
? • Lot fineslBearings 8 dimensians
v? • Right-of-way and sVeet width (to back of curb)
e/ ? ? • Proposed home dimensions induding arry proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
e? o? • Show all easements of record and any Cily utiliBes within those easemenis
? V6 Setbacks of proposed structure and sideyard setback of adjacent absdng structures
0
? • Retaining wall requiremenLa, if any
Reviewed:
March 1999
canGeLocvnnrt FM
y
* * * *
* PION6ER
* eng near
* **
*
lINO ? •
Certificate of Survey for:
MANLEY BROS.
2422 Enterprise Drive
Mendota Heights, AIN 55120
(651) 681-1914 FAX:681-9488
E-mail: PIONEEROPRESSEN TER. COM
625 Highwoy 10 N.E.
Bloine, MN 55434
(612) 783-1880 FAX:783-1883
E-mail: PIONEER2@PRESSENTER.COM
CONST.
4166 ETHEN DRIVE
LOT AREA =13,351 SQ.FT.
COVERAGEEA -7 .02, ?0 SQ. FT.
HOUSE TYPE- 2 STORY W.O. (VACANi)
BENCH MARK O
70P OF PIPE U
ELEV.=914.56
\
?
Y17_00 3_0? \?? I
N89'5646E 157.07 I
EXISTING
? HOUSE
? X 912.8 9?z 914.8 905.9
912.9 ??g•0?
913.3 30.00 ` ' . ` 98.8 ? ?lo i -? ------1
10 r--' ?`?22.33 914.0-- --? 6.6 899 5 I 10
i ?
O I r i/W °o ? h, O
W ? I aW ?- 2.OOi?/N 907.3 x i? ??? ? iA
? a> 'i ^/ Vi 00
913.? ? ao o` o/c? 17.500 907.9 i^ x 9.6 ?
N ? 14.00 i? ('? ?rQ
0 ? 12.00 ?`? °o i n .7 I ?a
Z m - 130.00 -- ?914.5 Lo //? 'v ?? 3
W
s.ooo ag .+ 1
NW 9133 I i? - r?s?a? 9/00'`r 907.1 ?'TREE LINE
W m?a??o i ? ZW O
M00 aN O
0
Z ^ I 9it 4.9 ? a 34.33 90?.3 X 900.5 ? 10 Z
900.6 J
------?,
? ?--- o - ------- o sas.s
5
4. 905.8 9 0.8 (88Y•O
I 913.8 914.1 30.00 p EL
`RETAINING WA
9?2 5 / 917.t 912.5
I ?O?USE
3 ?
?? ILT
??t 6.0 9 ; ? .y I
S89'56'46"W 157.07 ?EWCA=
?
,
?
?
? BENCH MARK
TOP OF PIPE 10
ELEV.=916.53 (VACANT)
NOTE: PROPOSEO GRAOES SHONN PER GRAOING PLAN BY. E.G. RUO IZONTAL
AND NOiE: OBUILDING F STRUCN SSIONLYSSEE ARCHITECNAIRPLANS FOR 6UILDINGAANO CAT10N
FOUNDAi10N OIMENSIONS.
rypTE: NO SPECIFIC SOIlS INVESTIGATION HAS BEEN COMPLElEO ON 7H15 LOT BY TME
SURVEYOR. THE SUITABILITY OF SOILS i0 SUPPORT THE SPECIFlC HOUSE
PROPOSEO IS NOT iHE ftESPON5181LITY OF THE SVRV£YOR.
NOiE' THIS CERT1FlCAlE DOES NOT PURPORT TO SHOW EASEMENTS OTMER THAN
THOSE SMONN ON 1ME RECORDEO PLAT.
NOIE: CONTRACTOR MUST VERIFY ORIVEWAY OESIGN.
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUAIED OATUM
PROPOSED HOUSE EIEVATION
LOWEST FLO4R ELEVA710N: 908 ?
TOP OF BLOCK ELEVATION:
GARAGE SLAB ELEVATION: 9??y
TOB @ LOOKOUT ELEVATION:
X 000.00 DENOTES EXISTINC ELEVAl10N
( 000.00 ) DENOTES PROPOSED ELEVATION
DENOTES DRAINAGE AND UTILITY EASEMENT
DENOTES DRAINAGE FLOW OIREC110N
T= DENOTES MONUMENT
B -- 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 9, BLOCK 1, OAK BLUFFS
DAKOTA COUNTY, MINNESOTA TMIS LEGAL NALL BECOME VALID UPON FILING THE PLAT
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 2 DAY OF AUGUST, 1999.
REVISED 10-20-99 NEW HSE SIGN D: PIONEER E INE ING, P.A.
SCALE : 1 INCH = 30 FEET ?
B Y:
John C. Larson, L.S. Reg. Na. 19828
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117205
Date Issued:10/16/2013
Permit Category:ePermit
Site Address: 4166 Ethan Dr
Lot:9 Block: 1 Addition: Oak Bluffs
PID:10-53400-01-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jarrod Stenzel
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Kalyan R Kidambi
4166 Ethan Dr
Eagan MN 55123--498
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117410
Date Issued:10/18/2013
Permit Category:ePermit
Site Address: 4166 Ethan Dr
Lot:9 Block: 1 Addition: Oak Bluffs
PID:10-53400-01-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jarrod Stenzel
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kalyan R Kidambi
4166 Ethan Dr
Eagan MN 55123--498
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature
,
� Use BLUE or BLACK Ink
�----------------
� For Office Use � �I
� ' j Permit#: ��c��J 1fi �('��
Clt� Of E���Il �1 y
������� � Permit Fee: �� ���� �
3830 Pilot Knob Road ��
Eagan MN 55122 2��5 j Date Received: '� ' �� I
Phone:(651)675-5675 '��l,� � 3 I Staff: �� I
Fax:(651)675-5694 � I
�����������������J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7-10-2015 Site Address: 4166 Ethan Dr. Unit#:
__ ___
_ _ _
Name: Kalyan Kidambi Phone:
, R���d��t�
, (�j�y��;p ' Address/Ciry/zip: 4166 Ethan Dr.
Applicant is: Owner �Contractor
` Description of work: replaceing footings
Ty{���`Wc�k
' Construction Cost: 2000 Multi-Family Building: (Yes /No X)
Company: Deck and Basement Co Contact: Pat Noonan
������,��� ' Address: 6907 Logan Ave. S Clty: Richfiald
State: nir� Zip: 55423 Phone: a���a�_��$a Email: Pat@DECKANDBASEMENT.COM
' License#: BC449287 Lead Certificate#: NAT-F107987-1
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:
NQ��:Ptarns��d��pp�r��g�[cacc����f��3r�r�r��i�f�r+���r�i�'������f���f�r�#ic�. .����� ;
#he a�f���I'��n�r°��cl��ea�a��t�rr-��i����p��r[d�sp��'f������.�v���������#�� �.
�t�r��[�de t�a�tl� �r+����s�r�
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.ora
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 o ermit issuance.
X ,ti�`� X �(�'/t �"."`L 7 f.�-�-`.
Ap icant's Printed Name Applicant's Signature
Page 1 of 3
.
� I tl"J� ��/t/�l�t 4,�� ` / ���1 �
1 DO NOT WRITE BELOW THIS LINE •
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 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
Valuation ��'`� Occupancy �_ MCES System
Plan Review Code Edition y���;�� 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) 1( Final/No C.O. Required
Foundation �' HVAC Gas Service Test Gas Line Air Test
Roof: _Ice&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:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: � , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge � ,�'
Plan Review ��
✓'�.,� ��f�
MCES SAC � "�'�
City SAC ��� �
�
Utility Connection Charge .�
S�W Permit 8�Surcharge
��
Treatment Plant � �
Copies r "� � �
TOTAL ���� � '�
Page 2 of 3
' III
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'w!►or�dw:d� t�-act�r _._ Phone : 63�-28C1-1�30�
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156449
Date Issued:07/01/2019
Permit Category:ePermit
Site Address: 4166 Ethan Dr
Lot:9 Block: 1 Addition: Oak Bluffs
PID:10-53400-01-090
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 -
Kalyan R Kidambi
4166 Ethan Dr
Eagan MN 55123--498
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157047
Date Issued:08/01/2019
Permit Category:ePermit
Site Address: 4166 Ethan Dr
Lot:9 Block: 1 Addition: Oak Bluffs
PID:10-53400-01-090
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
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 (miscellaneous)$59.00 0801.4087
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 -
Kalyan R Kidambi
4166 Ethan Dr
Eagan MN 55123--498
Sieben Plumbing
18605 Fischer Ave
Hastings MN 55033
(651) 343-6298
Applicant/Permitee: Signature Issued By: Signature
r ,,
For Office Useiq
o
• • Permit* (1/0'
E AGA N
Permit Fee: yy.
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ECEIVEI) /
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5 Staff:
buildinginspections(c�cityofeagan.com JUL 2 9 2019 T
2019 RESIDENTIAL Bl - IT APPLICATION
Date: Site Address: Unit#:
Name: Kalyan and Jenny Kidambi Phone: 651-405-0780
Resident/ 4166 Ethan Drive
Owner Address/City/Zip:
Applicant is: Owner ✓ Contractor ~ rrc/
Type of Work
Description of work:
Lower Level Finish
Construction Cost: 74'808'0 Multi-Family Building: (Yes /No ✓ )
Company: College City Design Build Contact: Dale Pavek
Contractor
Address: 7910 Lakeville Blvd city: Lakeville
Phone: 612-685-3213 Email: dalep@collegecitydesignbuild.com
State: MN Zip: 55044
License#: bC431713 Lead Certificate#: NAT-30297-2
If the project is exempt from lead certification, please explain why:
built early 2000's
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 may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
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.citvofeaqan.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.aopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordi nces 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 start withou ermit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval o ans.
Dale Pavek X
Applicant's Printed Name Appli ant's Signature
DO NOT WRITE BELOW THIS LINE Ll/6 Co C-1-hgvtie-_ , / 7/ -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) Miscel aneous
01 of_Plex _Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement _ Siding Demol sh Building*
Addition Move Building _ Reroof Demol sh Interior
Alteration Fire Repair _ Windows Demol sh Foundation
Replace Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 30 Q Occupancyfki " `
l MCES System
Plan Review Code Edition 2 0{ s SAC Units
(25% 100% ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction —775— Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) 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_430 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
IInsulation 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: / ��]/ , Building Inspector
RESIDENTIAL FEES
Base Fee fpX-J14/
Surcharge1,..1/
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
(51)
20t9 Y
Treatment Plant2(3/
Radio Meter Read
Copies
TOTAL
Page 2 of 3