4174 Ethan Dr1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IUIOB RD - 55122 rs -1:) S
651-681-4675 s
NewCOnshueHon ReouiremeMs ? ?
D 3 regWered slle suneys showing sq. H. of lof, sq. ft. of house
and gp rooled arem [20% maximum bt coveraae albwed)
D 2 copies ol plans (show beam 6 window shes; poured fnd. design; etc.)
D 1 set of energy caiculaNoro
D 3 copies of hee preservallon ptan 6 bT pialted atler 7/7 /93
DATE: I O ( 2.1
.n ? .
2 coples of plan
7 set of enargy calculaHons for healed addiHons
1 sHe suney tor exTerlor addlNons i decks
CONSTRUCflON COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: ? I BLOCK: I SUBD./P.I.D. #:
Name: &Vl.r, ln-g liV Ydro'?f Phone #•
PROPERTY ? Lon Pirst
OW N ER
Street Address:
City State: Zip:
Company:? Phone#:
(prea code)
CONTRACTOR Sheet Address: C 1?? 1 1?,?? I\1?• ?• License #Ub%?V ExP• akO
City . iy?Q .tlflI,Ls State: Iip: 5Fg
ARCHITECT/ I? 1,t?•?' ?y
ENGINEER Company: `c ??l?n Name:
Telephone #: area code ( (.0-a ) 7 ' mA
Street Address:?4 6C; ??fA?V?l11? h)-W ],A. Regishation #: _
CHy C" Q1RJ _ State.'A'4"
Sewer 3 water Iicensed plum6er freaulred for new construcNon onlvY. r? f?`? AA k C'?-+
PenalFy applies when address change and lof change is requesfed once permff is issued. 0-??
1 hereby acknowledge that I have read ihis appltcafion, state ihat the
State of Minnesota StaTUtes and CMy of Eagan Ordinances.
is correct, and agree to comply wifh all applicobl
Slgnature of
OFFICE USE
Certificates of Survey Received ? Yes _ No ?,?°?
Tree PreservaNon Plan Received _ Yes _ No ?NOt Required
z?P: 55?22
OCT 2 5
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
001 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
,? 02 SF Dwelling ? 07 5-plex ? 12 72-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex O 18 Deck O 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? OS 3-plex ? 10 8-piex ? 15 Lodging ? 20 Pool ? 25 Miscetlaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffts/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration O 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 )d
(Allowable) Main level sq. ft. SAC Code 2UBC Occupancy --/ -/ sq. ft. No. of Units
Zoning ? sq. ft.jur ,67 No. of Bidgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width `. Footprint sq. ft. ' i Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Z4 Engineering Variance
n? ?
Permit Fee Valuation: $ i
surcnarge ?I?
Plan Review 23 7
?c??' 7
License ?
MC/ES SAC
city sac
Water Conn. 7?? X J? cc? ? `Water Meter -
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: t ? I q
5AC Units
% SAC
SITA AllOR
COMPL6TED
ENERGY CODE' WORKSEiEET I'OR 1& 2 FAMILY DWELLIi1 ss7
OAK BLUFFS MODEL_L C=TY
DATB
?
NINIMfM CRITBRIA
Foundation IneulaCion-R10
81a6 on Grade I'sulation-R10
Floor over unheated epacee-R24
Foundation Windowe 1/2^
ineulated Glase,
-Wood or Vinyl Frame
(ntandard)or 0 ca
Walle 4 Windawu
(See ta61e on reveree eide
Eor allowable percentagee)
RooE Attia lneulation,
R44-With Attic No Heel
R3e-With Attic Raieed Ilael
R30 & RS-Solid RaEtere
BTBp 1 Wiadow G Door Area
A., Total Window 4 paor Area in 8q. Peet
WINDOWS (Including Foundation Windowe): STEF 2 Calculate erea aa $ percettt o£
• wall
WINDOW MANUFACTURE NAMHt
WINDOW MAPIUpACTORg Typg:
WINDOW MANUFACTf]R6 O FACTOR:_,
J(,? C. From Step 1 divide box A(yindow & poor
Area) by box 8(COtal Wall area) timeo 100
egvale tlie window and door area ae a
percent oE Wall area (boX C) ,
R. O. Quantity
Dimensione sq,EC.A"rea AOX AU74-_
_
Box 13 q.2 97
X 100 = C
`oN X
?± &Y X 4"toN
STBp 3
Deeign peaturen
.
z! X j! &k
32 N
`O X&1 '`D
I! °M X4?H
x >>
/.?/
"•/ /? ??'^^^]]]
?
? ASSG1•IBLY
PRAMING TYPE:
STANDARD FRAMIN(3
ADVANC6D fRNtING
CAVITY INSULATION •
X
ntude 16l,
etude 24"
R?
o.c.
o,c.
X
SHBATHINa TYPHi
-
X LESS TIIAN < R-5 )<
X
R-5 > OR FIORE
X
U-FACTOR p
DOOf?S ? Fr
m th
t
b
C(a
?
j? o
a
a
le,
(reverse side) determine the
- maximum percent window 4 door area for the
X
30 68
•
'? ' deeign optione eQlected and enter Cha k value
in Box D helow ba
d
! se
on the window mEg. U-
? factor: _
X 0
1'
t
l A ? o
u
a
rea of T_ nq.ft
Wlndowa & Doore .
• .
B. Total Wall Aroa in Sq. Ft.
The t value from tho L'able in Box D ehall be
equal to or greater ttiun the t in Dox C
Wall Total 1{aigtit nroa
Perimeter
L3
g.-N
- I-7l ---I ?•83 (SPl
7'otal Area of Walls 13-jZ4 ??.E[
0
ONE- &'t'WO-AAMII,Y RESfDEIV'f1pL p(J/I,pING PRESCItlp77yE (CppK-800K)
nrPROn0i
MAXIMUM WINDOW qND DOOR AREA AS A PERCENT OF OVERALG WALL
AREA
Notee:
Wlndow arcs equals rough opening minus InetallaNon clearances.
Window U-factor must be determined by eilher the National Fenestration Rating
Councii etandard 100•91, or ASt1RAE 1993 Handbook oE Fundamertlals, Chapter 27,
Table 5.
Fod•M• FaK Nois 767t
,
77 7
NbRULLICMJ
A"'1114ntLCalculat--- ed--?
LOT SURVEY CHECKLIST FOR RESIDENTtAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL
DATE OF SURVEY.
LATEST REVISION:
ra' g ?
6/0
?
?
? ?
? ?
?? 11
?
? 0
tr' ? ?
?o 0
[u?? ?
• Registered Land Surveyor signature and company
• 8widing Permit Applicant
• Legaldescription
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, aplit enVy, lookout, etc.)
• Directonal drainage arrows with slope/gradient °k
• Proposed/exdsting sewer and water services & invert elevation
• SVeetname
. omeway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
? . Existina
g- ? Sewer service (or Proposed)
m/a ? • Property comers
r?p ? • Tnp of curb atthe driveway
m/ ? ? • Elevations of any e?sting adjacent homes
? r? ? Adequate footing depth of slruclures due to adjacent utiiiry Venches
Prooosed
/? ? • Garagefloor
d/? ? • First floor
a a • Lowest exposed elevation (walkouW+indow)
e' ? ? • Properly corners
r? ? a • Front and rear of home at the foundation
/ PONDING AREA (if aodicable)
? t? ? • Easement line
? W ? . NWL
? CV ?
v • HWL
?
? ? • Pond # designation
o d' o • Emergency OveAlow Elevation
DIMENSIONS
? • Lot lineslBearings 8 dimensions
y? a • Rightof-way and street width (to back of curb)
¢a/ o? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
/ (i e. all sVuctures requiring permanent footings)
Zo? • Show all easements of record and any Cily utiGtles within those easements
vo p • Setbacks oi proposed structure and sideyard setback of adjacent epsting strudures
'
?? a rf any
• Retaining wall requirements,
R eviewed:
!
March t999
canwreLocvaMr FM
I
? ? .*.
* PIONEER
* Bfl- 9r9BP1
4t * * *
UMD RMlI1ER5. LMlD4GPE
Certificate of Survey f r:
26.78 ?
R=75.0
j8t20'27'
P • 2v. I
V.=905
974.9 /
/ 915.3 .
o ?
BENCH MARK
TOP OF PIPE --'
ELEV.=916.99
LOT AREA = 34,605 SF
HOUSE AREA = 2,201 SF
COVERAGE =6%
HOUSE TYPE=2 STORY W.O.
12
(VACANT)
?
'yY+?
3
?
2422 Enterprise Drive
Mendalo Heiqhts, MN 55720
(881) 681-1914 FAX:681-9488
E-moil: PIONEEROPRESSENTER.COM
MANLEY
4174 ETHAN ORIVE
625 Highway 10 N.E.
Blaine, MN 55434
(812) 783-1860 FAX:783-1883
E-moil: PIONEER26flRES5ENTER.COM
BROTHERS CONSTRUCTION
BENCH MARK
-- TOP OF PIPE
e q\a?l S¢'??', ELEV.=915.76
L.P.
* 91 ?.4 osF 10
? H
'? h0 SE Oh
J0/,\N 60
? ?y 0 ti rn
1
49
9,60}, \ *9 90 9 19
O
0?'?6'? S `?[b y(?,O 1 \ 903.2
?
90 2 ?
?
LPC'F' x
•w,? • ?? ?`TL?- ? ?
.?'S• .' 0` 907.1
TREE LWE
r
\
909.1
3.2
\
\
\
\
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\
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\
•?lS \
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E D?
r,
NOTE: PROPOSED GRADES SMOWH PER GRADING PLAN BY: E.C. RUD k SONS. INC.
NOTE: O ? S??N ES ONLV. SEEN?CNITECNA PLANS FOR BUILDRNGAAND CAiION
FWNUA110N DIMENSIONS. LOT N07E: IC THE f SUITABLITY OF O SOILS S TO E SUPPORTL TE D SPECIFIC NOl15EY 7HE
SURVEYOR
VROPOSED IS NOT THE RESPON4BII.ITY OF THE SURVEYOR.
N01E: 7N15 CERTIf7CATE UOES NOT PUR70Ri TO SHOW EASEMENTS OTHER THAN
THOSE SMOWN ON THE RECORDED PLnT.
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN.
NOTE. BEARINGS SNOWN ARE BASEO ON AN ASSUMED OATUM
WE HEREBY CERTIFY TO MANLEY BROTHERS CONSTUCTION THAT THIS IS A
SURVEY OF THE BOUNDARIES OF:
LOT 11, BLOCK 1, OAK BLUFFS
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, E
UNDER MY DIRECT Sl1PERVISION THIS 22 DAY OF SEPTEMBER, 1999.
SCALE : 1 INCH = 40 FEET
i61 99419 07 JMM
(SS 7? ?
11
?
170
?
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t: JI
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F
+?a
W?
aZ
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QNI
O I10
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aJ
1
1Ib1'v
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t0
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3
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17
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S82'33'45"E
18 ss.q.8 I
PROPOSED HOUSE FLFVATION
LOWEST FLOOR ELEVATION: °JO c CO,
TOP OF BLOCK ELEVATION: ON '
GARAGE SLAB ELEVATION: 9112
TOB 0 LOOKOUT ELEVATION:
X 000.00 OENOTES E%ISTING ELEVA710N
( 000.00 ) DENOTES PROPOSEO ELEVATION
DENOTES DRAINAGE ANO UrIJTY EASEAIENT
? DENOTES DRnINAGE FLOW DIFECTION
? DENOTES MONUMENT
-E3 DENOTES OFFSET MUB
TRUE AND CORRECT REPRESENTATION OF A
AS SURVEYED•6Y"M OR
JEER ENGIrlEERING P.A.
Lorson,
a
1--)-??I-
I
L BL CITY USE ONLY RECEIPT #: l a 1 1,-sS
?? ?
SUBD. C)Cn_?. RECEIPTDATE: 39
1999 PLUM$INFi PEiMTi' (WiSIDEN17AL)
ccrY oF EAsAnr
S$SO f'ILOT KNOS RD
SAfiAN, MP 551 E8
(651)681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
----------------------------------------------- - - - - __
FIXTURES __--------------
EACH ---- --- ----- - - r
#
TOTAL
Shower 3.00 x L-o
Water Cioset 3.00 x = 12- CO
BathTub 3.00 x a- = b- ec>
Lavatory 3.00 x ? _ /3 • co
Kitchen Sink 3.00 x ? = 3• eo
Laundry Tray 3.00 x / = 3• ?
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x 31bv
Gas Piping Outlet ' minimum - 1 3.00 x a- = C, •4'4P
Rough Openings 1.50 x 3?o
Water Softener ? for dwellings under construction 5.00 X =
Water Softener ' for existing dwelling 30.00 x =
U.G. Sprinklef ' for dwelling under const. 3.00 =
U.G. Sprinkl2f ' for existing dwelling 30.00 =
Alterations * to existing residence 30.00 =
Water Turn Around 30.00
=
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems * nnandonment 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE .50
Reminder: Call 681-4675 for inspections af water heaters,
water softeners, alteretions, etc.
TeraL
,S7SD
---s..
----------------------------------------------------------------nformaUon is cort'ect, a--------------------ntl ag-----ree to comp------------lywith -----all---------ble-- -City- of
-- - ---- - - --ordinance --- -
t hereby acknowledge thal I have read this application, sfate that the i applip Eagan
It is the applipnYS responsibiliry to noUty the propeAy owner that the City of Eagan assumes no liability for any damages caused by the City during its nortnal
opere6onal and maintenance activilies to the facilities mnsWcted under this pertnit within City propertylright-of-way/easement.
SITE ADDRESS: :kIzzz/
OWNER NAME: /nQn lGLS Bro 5V--4?-S
INSTALLERNAME: TELEPHONE#:
STREETADDRESS: AM* ? A?'Slr U/G7Dri? Lurvc -s?
CITY: Ga-? STATE: /t?c.-L ZIP: SS37?
SIGNATURE OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
CITY USE OnLY
LOT l 1 BL RECEIPT #:
SUBD. ? Oi RECEIPT DATE:
v
MECHANICAL PERMIT #
1999 M£CHANICAL PEftM1T (MIDEN17Al)
crrYoF Ewsnx
3930 Pu.or xxos sn
gns,tx Mx ssi QY
Date: /-I - c;t 7- 9,?? (651) 6$1-4675
Complete dus section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
• hVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
30.00
6.00
.50
$ y?..s0
Complete this secrion 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 Repa'v _ Other
Reminder: Call 681-4675 for inspections.
Furnace _ Air condirioning
_ Air exchanger _ Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS: ?e??? n. ?rv r?
OWNER NAME: /?rv PxorE a:
(AREA CODE)
INSTALLER NAME: rxorrE #: A,i-::7-
?r (AREA CODE)
STREETADDRESS:
CITY: ?/DY La x-? STATE: A- ZIP: SS3 ??
/la?ua?
SIGNATURE OF PERMITTEE
L J 1 I BL I CITY USE ONLY RECEIPT #: ? 13/,3/)
SUBD. RECEIPT DATE: O O
PERMIT # "I
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, bud 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
FIXTIIRES
EACH # TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet " minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newirefur6isned ' requires MPC Iic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installation/repaidrebuild 30.00 x = $
Rou h opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under conswction 3.00 x = $ -27•C0
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under eonswcGon 5.00 x = $
Water softener if existing dwelling 30.00 X = $
Water turnaround 30.00 x -- _ $
State Surcharge 50 -> --> ----> $ .50
rotal _> S •? ?,; '3V
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--------------------------------------------------------------------ti--- i-----------------------------------------------------------------
I hereby acknowledge that I have read this applica6on, state that the infortnaon s corred, and agree to comply with all applicable Ciry of Eagan ordinances.
It is the appllcanPs responsibility to notify the property owner that the Ctty of Eagan assumes no liability for any damages caused by the City dunng its
nortnal operational and maintenance activitias to tha facilRies construded under this permit within City propertyJrightof-way/easement.
SITE ADDRESS: 'Q (7Q' ?N L-t? -
OWNER NAME: : DA U c Ljd"N 1l. TELEPHONE #:
(nRen cooej
INSTALLER NAME: P4TFzf> TELEPHONE #: 95a- LAy5-5 kOd
(AREA CODE)
STREET ADDRESS: JA°-7 MA%25c-1!^Al\ Rdl
CITY: SPrN?C9Pficf- STATE: I?e-% A1t? zIP:
LftwN . cv ??._`_ 1MCLv??t.c
??.? ??,? ??,?????s? SIGNATUREOFPERMITTEE
y 4S -G;j3 L
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cin oF E?caN
3830 PILOT KNOB RD - 55122 ?(o U.?
851-681-4875
?j-2.v-OC?
menh
New Contlnrellon ReaWremenh RemodeUReoair Reaufre
D 3 replsleretl qte surveys dwwiny aq. /L Of 101, W. R. d hatte 2 eoPies d Pkin
antl 90 roofed areas (W'S mmdmum bt coveraae Wbwedf 1 tef d enerpY cdCuBOBOu for heafetl ptltllMOru
D 2 coPlea of Pkms (ahow 6eam & wlndow aizes; Pcured Ind. deaipn: eTC.) 1 fBa wrvey for exledw additlona & deeke
? i tet of Ynerpy oWCWaXOnt
!^?
s s eopies a free prennanan pa, n M pkned aner 7/l/93
DATE: ? ? l D? , CONSfRUCTION COST: S1?, 00? , 0v
DESCRIPTION OF WORK: I"OWcy
SfREET ADDRESS: ?a1' °ri1 V?- I?Y \ 1.1e?
LOT: l` BLOCK: ` SUBD./P.I.D. N:
Name•?w Ll S l? Vl?'r (?l ( iTUr Phone C
PROPERTY Wfl Flrst
OWNER
Street Address:
CHy
State:
nP:
. Company: Al W&BrQS W dLJW A.Phone Y: ?0? 2a^ ` 6U
(area code) I
corrtw?croa c`I ?I `??/'KNJyIe?'r?,3? ?l"eIVU1.?-? ?e -? uca? r 2ao3Z? 0
JI
a,,, a,? .e?21 i s state: zip: D?
ARCHITECT/ n , n? I Y\- I(' m, ?V l ?./
ENGINEER Company: G Name:
Telephone Y: ((D'C5?
' Slreef Address: 3/43E; lM???,), }?. ? D V• ReglshaHon Y: -
J
cny ? OJZO,IN StGt6:
WLN
LP: 5Sti Zz
. ,t1,,t? , -g al
Sewerfwater Iicensed plumber (H irmfallina sewer/water): ?^ ' ` ??IPhone #: (,?,
I hereby ucknowledpe Ihat I have read this applkaMon. slatethathe ?if _irtrCia?llon Ie oorteccl4 and agree b' c2omVly O p ppllcUle Stft
ot Mlnnesola Stalutes and Clfy ol Eapan Ordlrwnces.
Siflnalure of ApPllcant
OFFICE USE ONLY
Certificates of Survey Received _ Yes ? No '
MAR 16'
Tree Preservation Plan Received _ Yes _ No v` Not Required
? )
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation ? 07 05-plex
O 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
0 05 03-plex O 11 10-plex
0 06 04-pleX O 12 12-plex
WORK TYPE
O 31 New
? 32 Addition
33 Alteration
? 34 Repair
? 13 16-plex O 21 Porch (3-sea.)
? 17 Garage O 22 Porch/Addn. (4-sea.)
O 18 Deck ? 23 Poroh (screened)
? 19 Lower Level ? 24 Storm Damage
Plbg _Y or_ N O 25 Miscellaneous
? 20 Pool ? 30 Accessory Bldg.
? 36 Move Bidg. O 43 Reroof
? 37 Demolish (Bldg)' ? 44 Siding
13 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolltion permit
GENERAL INFORMATIQN
SAC Code ?L
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
O StuccolStone
APPROVALS
Planning _
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:
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
O 31 Ext Alt - Multi
? 33 Ext. Aft - SF
0 36 Muw
V3T
Building -TArlfjW Engineering Variance
Valuation: $ ,+? ?
11
SAC Units
% SAC
5t} a-I !d
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3834 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New CansWetion Reauirementa
• 7 regis[ered sAe surveys sirowirig sq. ft of lot, sq ft of hou5e; and all roofed areas
f20% maximum bl coverege allowed)
• 2 copies of plan showing beam 8 windew sizes; poured found desgn, etc )
• 1 set oF E(reryy Calculauons
• 3 copies of Tree Preservahon Plan d lot platted aRer 711193
. Rim Joot Detail OD6ons sNecfion sheet (hldgs wilh 3 or less unifs)
DATE S-SlG2
51TE ADO
[ULTI-FAMILYBLDG _Y _N
TYPE OF FIREPLACE(S) _ 0_ 1_ 2
V
APPLICANT
STREET ADDRESS 9920 Zille Street CITY STATE ZIP
TELEPHONE # CELL PHONE # FAX #
PROPERTYOWNER CA r TELEPHONE#IlFJI'9q q -qf6-7;)
COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Enerqy Code Category
_ MINNti50Tr1 RCLES 7670 C:ITEGORt' I MINNESOT:1 RU11:S 7-tL
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted • er?Q?e?`Jb'tl?si
• Energy Envelope Calcutations Submitted D I S IJ U
o AUG 1 2 20?2
Piumbing Contractor:
Plumbing systcm includes:
Mechanical Confractor:
NIcchaiiical svstem includes:
Sewer/Water Gontractor.
Phone #
Phone #
Fec: S7U.00
--------------------------°--------------------...---°°------......------'-°---°-----°--------------°---•------•---
I hereby acknowledge that I have read this application, state that t informati n i orrect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan inances.
Signature ot Applicanf
-° ----------- ---
---"------____?____°------------------------- - -°---'----_..__--°-----------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservahon Plan Recerved _ Not Reqwred _
Uptlated 4102
Phone #i
_ Water Softener
_ Water Heater
No. oF Baths
RemodellReuair Renuirements
• 2 copies of plan
• 7 set of Energy Calculatwns for nealed addibons
• 1 site survey (arextenar addifions 8 decks
. Indicate if home served 6y sephc system for addi6ons
VALUATION I, I 0Zt 83
-- Iatini Sprinkler
No. of R.I. Baths
Air Condiuoning
Heat Recover}' System
n ? p
?(??? 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION 4?'?
City Of Eagan
3830 Pilot Knoh Road, Eagan MN 55122
Telep6one # 651-675-5675
Please complete foc single family dwellings &[ownhomes/condos when pennils are required for each unit
Date . 3 / 2 $ / 06
SiteAddress 4174 Ethan Drive Unit#
PropertyOwner Dave Goihl Telephone#( 651 ) 503-1428
Contractor Ron's Mechanical, Inc.
StreetAddress 12010 Old Brick Yard Rd City Shakopee
State Mn Zip 55379 Telephone# (952 ) 445-8585
9 5' tJ'O(p
Bond Ji: Expires:
The Applicant is _ Owner X Conuactor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
air conditioner New Replacement
7 other c6kn U.1AR
State Surcharge $ .50
Tatal $ 3D.5v
T hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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.
& AOn Ur.tl AQ,002nr- _Livido
Applicant's Pri d Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120386
Date Issued:02/06/2014
Permit Category:ePermit
Site Address: 4174 Ethan Dr
Lot:11 Block: 1 Addition: Oak Bluffs
PID:10-53400-01-110
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 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 -
David J Goihl
4174 Ethan Dr
Eagan MN 55123
(651) 503-1428
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:EA126763
Date Issued:09/09/2014
Permit Category:ePermit
Site Address: 4174 Ethan Dr
Lot:11 Block: 1 Addition: Oak Bluffs
PID:10-53400-01-110
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 .
Karla Kent
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 -
David J Goihl
4174 Ethan Dr
Eagan MN 55123
(651) 503-1428
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature
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