4346 Jennifer Ct
Use BLUE or BLACK Ink
I-For Office Use ----------I
j Permit '
I
City of EaRdfl
Permit Fee:
3830 Pilot Knob Road w I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff: - - - l
- - J
2010 MECHANICAL PERMIT APPLICATION
Date: Site Address: ~
Tenant: n Suite
RESIDENT I OWNER Name: _,r' y Uh ~W 4~G~.S ( Phone:
Address / City / Zip: Q~-
l~ r v Y 1 ~-~1 C t '4
se
Vr 1 S "L 3 3
CONTRACTOR Name: f
Address: C~ b e\ l CJ ~L City: 4 pr y ^ `-Gi 11,G
State: Zip: Phone:
Contact: Email: s L~ ~1 C~. t y > L U !t'~
TYPE OF WORK New X Replacement Additional Alteration Demolition
Description of work: 0'v\ y t ~-v\-'1) ~ l c' 0
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE i RESIDENTIAL COMMERCIAL
Furnace New Construction _ Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas _ Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) Ss
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL FEE
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.org
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.
x Vv?_ x
Applicant's Pri ted Name Applicant's ignature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground - Rough In -Air Test -Gas Service Test -In-floor Heat -Final
Exterior HVAC Screening Inspection
INSPE
? CITY OF EAGAN
' 3830 Pilot Knob Road
! Eagan, Minnesata 55122-1897
? (612) 681-4675
? SITE ADDRESS: ,
N N 1.1 i.i; : t
? 'NM' 4 , T!#
I
? PERMIT SU@TYPE:
ON REC4RD
PERMIT TYPE:
Permit Number:
Date Issued:
7 Of r,, APPLICANT:
TYPE OF WORK:
A1 TFRA 1 f ON
( Mn I;t 111+oiiPls )
I -'A1tK!:, A SFNAI".AtF Pf 1iPl1 TIS Rli'Ci;1TKf'ti t f?R pMY t'I tiplR[Nd fiR F1.i CTlt 1s:AI lJ4 tttf;
Pertnit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Data, Insp. Commenta
FOOTINGS
FOUND
FRAMINCi ? I S` P'1 b ?
ROOFING
ROUGH
PLUMBINO
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIF TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLDGFINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
. .? ..
,
CiTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
I? S1TE ADDRESS:
, 144
? i f i .1t1aI . I?1Y+IIi '6I
I PERMIT SUBTYRE:
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
?
INSPECTION .. . .•
j i l t k< k.`i : 3 tv W i
?
5'?
?
R
?
Permit No. Permit Holder Date Talephone #
t SNV
PlUMBING
HVAC i ? a3 ?go
ELECTR 3
. ?
ELECTRIC
Inepection Date Insp. Comments
Footings I
Foundation
Freming WL4
Roofing
Fiough Plbg. - ?. /Z
C
Rough Htg. ?
Isul. y
/Y
Fireplace ?
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter t1 ? / ?' /17? / HA
J
17
H
Engr./Plan
Bldg. Final ?14?? •-
Gv s
Deck Ftg. ?
Cv Gr / o .
Deck Final
Well
Pr. Disp.
? , ' _ ? //? ?•?-- -- -? ? ,
r G\ ?
?
'+ . . ;.,?
• F?.._ ? . ii • .
d
. 61d
t
Werdficate nf Cccupanc4
KiM of Cfagan
z"rarbaeat vf Vaiibiag auleocetian
.
This Certificate issued pursuant to the requirenuents of the Uniform Building Code
certifying that at the tinee of issuance this stnrcture was in comptiance with the various
otifinances of the City regulating building cortstruction or use. For the following:
ux c1=&,.auon: SF Ti(,JG etdg. epnwic No. 22454
O-w-y 7ype ?UM Zanieg District Type Canst. VN
Oww of Bu;w„g SfIARONT K HQM Addn= 4351 J@HVIF?.'?2 OO[]RT, F#1C,AN
awkling naare, 4346 JMUFQt OWRT LocW;ty L7, B2. LEXIlVGDOLV PDIIW gm
?•
BW?ICg Q(1L79i POST IN A CONSPICUOUS PLACE
Requesf Dale No
January 11, 19V4 Roughnn Inspection
Requ' tl> NOTICE: Vou Must Call Electncal Inspeclor
IfARough-Inlnspection
Yas ? No Is Is Reqwretl
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Sireet, Box or Route NoJ Qty
4346 Jennifer Court Eagan
$eclron N. Township Nama or No Range No Coun
DaCOta
Occupanl(PRINT) Phane No
Sharon K. Homes 452-7850
PowerSUpplier ' Atltlress . . .
Dakota Electric Farmington,MN 55024
E#ti A?a n?{C?e yc t r i c cotaw???1!2v&
Maihn Atldre s(COmrac1or or Owner Making Inslallatwn)
2?69? Red Fox Drive Lakeville,MN 55044
Au zetl Sig Wre ? Iraclor/Owner Making Inslallation)
Phone Number
n,? r 461-1444
1
MINNESOTA STATE BOARO OF ELECTflICITI
GriggsMitlway Bltlg - Room 5493 ?./ J?? /
?N °/ ?[/.?,y ? THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BYTHE STATE BOARO
1821 University Ava., SI. Peul, MN 551(0 / UNLESS PROPER INSPECTION FEE IS
PhoneJ612)602-OBO0 ?/ / ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
?
? See ins[ruclmns for complehng this form on pack ot yellow mpy
M 3 4.3 2 3 X" Below Work Covered by This Request
1#0t ? F ??
ew Add Rep TypeofButldli% - - AppOancesWired EqwpmentWired
All Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwlding Dryer Load Management
Comm./Industrial Fumace Other (Specify)
Farm Air Conditioner
Olher (specdy) Contractor's fiemarks'
Compute /nspection Fee Below
# Other Fee # ServicaEntrance Size Fee
6 Circutls/Feeders
i Fee
Swimming Pool U to 200 Amps Wffl,06 i) to ioo Amps
TranSformers Above 200 _ Amps Above 100 Amps
Signs Inspector5 Use Only. AL
Irrigation Booms ?7 , LJ
/
? S'(}
Special Inspection ?
I -
Alarm/Communication THIS INSTALLATI AY CONNECTED IF NOT
Olher Fee COMPLETED 18
I, the Electrical Inspector, hereby Rou9n-in oate ? U
certit9 thattheaboveinsPedionhas
been made.
Flnal
?ate
OFFICE USE ONLY
This reQUest void 18 manths irom
AaaIC55 =4346 .lE[a71FER CfN1RT Zip 5512 3
Lot ' 7 Blk z Sub LMNJroN ro= 91H
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ,3-1 Yes No Inspedor: (d
Final grade (6" &om siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas
Sod/Seeded grass ?
Trail/curb damage ?
Porch V
Basement finish ?
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of wafer supply lo
thc outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing undergmund sprinkler system. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contracror Copy
. _._ - '- - - -. . _ .- .. _- - - - - - I
C
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h ?.(1C.??9h
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-- -- - ?
7J2
f?i lTc2?1(FG2
GT _
G?-?vi:i?a?U CU
erc' IUC .
G--
?/ Y/?S??
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
V NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE ?,.? l /5 %
FEES
HVAC: 0-100 M BTU $ 24.00
ADDIT'IONAL 50 M BT'U 6.00
GAS OUTL.ETS (MINIMLTM 1 @ $3.00 EACH) 61
ADD-ON/REMODEL (ExisTIIVG CoNSTRUGTioN) $ 20.00
STATE SURCHARGE .50
TOTAL ? 0..?
srrE a,DDxESS: q 3 `/ 6 ??,e e
OWNER NAME: ??l Cf aO/J I? OIY1 ?? TELEPHONE #:
INSTALLER:
ADDRESS: 3a5 5? ) ?I?T k-,
CTI'Y: k4 Sy/vi UoN-r STATE: ??'? ZIP CODE: S?l?ro ?
TELEPHONE #: ?1;1 ?S_3 ?O Z
SI R F PERMITTEE
ir4 mr:UnnriLai, rKxmrr kx?blMrrriuu.)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
1993 PLUMBING PERMIT (RESIDENTIAI.)
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 6814675
pLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIFtED FOR EACN UNTT.
NO. FIXTURES
o? SHOWER
? WA i ER Civ ET
? BATH TUB
LAVATORY
T KITCHEN SINK
/ LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
? FLOOR DRAIN
GA5 PIPING OUTLET • m??vm - i
? ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • Dek.cry, i;c.
U.G. SPRINKLER • home under const.
ALTERATIONS • to edsting
WATER TURN AROUND
SITE
OWN
EACH TOTAL
3.00(?
J./?lT
V
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
15.00
3.00
15.00
15.00
-----eyo
INSTALLER: TOM HE&SIAN FLL°iUIBING !tG
121 REDWOQD DRIVE
ADDRESS: APPLE VAL! EY, MN 55924
CTl'1': STATE: ZIP CODE:
PHONE #: ( ) ? . ?nC ?d
?
SIGNATURE OF PE M EE
STATE SURCHARGE .50
?
TOTAL: ?
? C?dTYiDF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 031285
(612) 681-4675 Date Issued: 12/17/g 7
SITE ADDRESS:
4346 JENNIFER CT
LOT: 7 BLOCK: 2
LEXIN6TON POIN7E 9TH
P.I.N.: 10-45093-070-02
DESCRIPTION:
(NO BEDROOMS)
Building'-,permit Type BA5EMEN7 FINISW
,8uild4ri'g W4j*, Type ALTERATION
' Census Code
y
?
U ?
? y. a
Jl it
434 ALT. RESIDENTIAL
`?"'? ?? 4?°•, r`>`;=_;?? ,`°?,'?=?;?;i, r ??.j`?`,
?
i
REMARKS:
A SEPARATE PERMIT I5 REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
s
CONTRACTOR: OWNER: - npplicant -
DEVILEY LILJANA
4346 JENNIFER CT
EAGAN MN 55123
(612)687-9173
I hereby acknowladge that 1, have `;read t.h.is,-;app13,c$tion .pnd state tflat tkae
infarmat3ori is cbrrect' and -g9re-er;11to ettm{a1y ;?rfth 411' aPP-lica-Er'1o Stat;e af=10n.
Statutes and City of Eagan Ordinances.
l /
APPLICANT/PERMITEE SIGNATURE ISSUE Y: SIGN RE
13''
1997 BU{LDING PERMiT APPLICATION (RESIDENTIAL)
arr oF e,acaN
43, 43269 3830 PILOT KNOB RD - 55122
681 -4675
New Construction ReauiremeMs
RemodeVReoair Reouirements
?.?e?C l z I ?1
? 3 registered site surveys ? 2 eopies of plan
? 2 copies of plans (indude beam & windaw eaes; pouced fnd. design, etc.) ? 2 site surveys (exterror adtlihons & dedcs)
? 1 energy calculations ? 1 energy Calculations for heatetl aOditions
? 3 copies of tree preservadon plan 'rf lot platted after 711/93
required: _ Yes _ No DATE: CONSTRUCTIONGOST: ?-5' ?? ?
?
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT -4 BLOCK
PROPERTY Name: _ AW19 lL-?-Z/ Phone#:
OWNER Street Address: lAn
City: F-- Jk4±2 State: M1V Zip: ,??(2 3
CoNTw?cTOR Company: se?-4: -bof k1C?-? Phone #:
5treet Address: License #:
City: 5tate: Zip:
ARCHITECT/ Company:
ENGINEER
Name:
5tate: Zip:
Street Address:
City:
Sewer 8 water licer.red plumber (new construction only):
and lot change are, equested once permit is issued.
i hereby acknowledge that I have read this appiication and state that the inforrnation is
State of Minnesota Statutes and Ciry of Eagan Ordinances. /I
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes _ No
_ Yes _ No _ Not
Phone #:
Registration
Penalty appiies when address change
rect and agree to comply with all applicable
r .
DEC . 0 m
_2 SUBD./P.I.D.#; 141MQLI ? ?k N/
RESIDENTIAL
BUILDING PERMIT APPLICATION
GTY OF EAGAN
3830 PILOT KPIO6 RD, EAGAN MN 55122
651-881-4875
New Constructbn Heaulremanta
. 3 registered site surveys showing sq. R of lot, sq. fl. af house; and all roofea areas
(20°k mawmum bt coveraga albwed)
. 2 copies of plan showing 6eam S wintlow skes; poured found design, elc.)
• 1 s9t of Enefgy Calculatlons
• 3 copies of Tree Presarvatlon Plen it lot platted afler 7/1193
. RYn Jod Detail Optbns selectlon sheet (bWgs witli 3 ar less units)
DATE '?o - - OZ_
-?--
RemodeVR 1@ r Negulremems
. 2 cnPies ol plan
• 1 set of Energy Cakulatians fOr heated addttiai3
• 1&tte survey for exlerbr eGditions 8 decks
• Indirzte @ home served by sepNC system for addttbns
VALUATION
SITE ADDRESS k4344CIr-hYI i? dt _ MULTI-FAMILY BLDG _ Y ?--N
TYPE OF WORK`?cnh',?44?°i-
APPLICANT
STREET ADDRESS 'L`I ?fl 'K? '?N _
TELEPHONE # toS1-_j3L4-94 3? CELL PHONE #
ml?') ziP????
FAX # 1aSt- L1 ?-6219
PROPERTYQWNER?`r??t--? TELEPHONE#
COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY
{?:? I i
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MIN
(d submission type) . ResideMial Ventilatlon Category 1 Worksheet Submitted • NewZ1??o?sh t 5
• Energy Envelope Calculations $ubmitted p J U N 0 4 2002
Plumbing Confracfor: __
Plumbing system includes:
Mechanical Confractor.
Mechanical system includes:
Sewer/Water Contracror:
FIREPLACE(S) LZ-0 _ 1 _ 2
Phone #
Phone q
Fee: $70.00
--------------------°----------------°-----------°-°-°°-----------------
I hereby acknowledge That I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signaiure of Applica? ?
............................................
......._..._..?_.....?.__.__.?.?..?
OFFICE USE ONLY
_ Water Softener
Water Heater
No. of Baths
_ Phone #
I,awn Sprinkler
No. of R.I. Baths
_ Air Conditioning
Heat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-45093-070-02
DESCRIPTION:
PERMITTYPE: surLozNG
PermitNumber: 022454
Date issued: 11 / 12 / 9 3
4346 JENNIFER CT
LOT: 7 BLOCK: 2
LEXINGTON POINTE 9TH
PERMIT
.10.3
\t' ??\?\
Bq?lding'?.?Permit Type SF OWG
Building Work 7ype NEW
,?'UBC Occupancy-, R-3 M-1
/ Construction 7?pe V-N
; Build3ng Length L_, 68
? Building WidCh ) 66
?-
,
V)
REMARKS:
S& W PLBR - HESSIAN PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SRC
SAC $
SAC Units
Subtotal
VALUATION
$772.50
$502.13
$69.00
$750.00
100
$2,093.63
qAAJRL7Fi-KTF?bT1E5 - APP l
4351 JENNIFER CT
EA6AN MN 55123
(612) 452-7850
$138,@00
MISCELLANEOUS $1,744.50
Total Fee $3,838.13
CdIIL - JI. L1G.
14527850 0007826 s9VMRk HOMES
4351 JENNIFER CT
EAGAN MN
(612)452-7850
I hereby acknowledge that I have read this
information is correct and agree ta comply
Stet es and City of Eagan OrdinanGes.
? .
I APPLI A A
applicetion and state that the
with all applicable State of Mn.
?
? R ? ? LI 1?,?._
SSI?DeY:51G ATURE
REACTIVA,TE _
PERMIY IF VED
9 1993
CITY OF EAGAN
1993 BUILDING PERMIT
681-0675
APPLiCATION f,5oqA[3
"r
t&a //-z
SINGLE & MULTI-FAMILY s of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 5 structural plans, l set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month•
in which request is made, 2} address is chan9ed or 3) lot change is requested once permit
is issued.
Date Yaluation of rork ?ST/ Cy) l1)
Site Address: .TPnlv 7c'"z
fTREET SUITE x
Tenant Name: (commercial only)
IAT BLOC& SUBD. LF)C ?? 9 ?4) P.I.D. N '
Descri tion of work:
The applicant is: ? Owner O?Contractor ? Other (oe.«ibe)
Name _ Phone
Property «ST FIRST -
Owner
Address
STREET fTE Y
City State ZiP
Company -E!' [slZO[a L Phone U.S,?- -7cf-SZ -
COI1treCtOf Address L4351 3PI-)Yl6k-r- License # Exp.
City FQra I'l _ State Zip
Company Phone
Architect/
Engineer Name Registration I
Address
City State Zip
Sewer 6 water licensed plumber J-"C/C?a4 p" A1..-AQ' Processing time for
--
sewer 8 water permits is two days ance area has been approved.
1 hereby acknowledge thatr-I ha,ve read this application and state that the information is
correct and agree to comdly ;ith all appli ble State of Minnesota Statutes and Lity of
Eagan Ordinances.
Signature of Applican : .
OFFICE USE ONLY
BUILDiNG PERMIT TYPE
? 01 Foundation
0 02 SF Dwg.
O 03 5F Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? OB 8-Plex
[3 09 12-Plex
O 10 Multi. Add'l.
woRK nrpe
^` ='?o .,A
? 11 Apt./Lodging C]',ftsement Finish
? 12 Multi. Misc. - O 17 Swim'"Pool"''
? 13 Garage/Accessory ? 16 Comm./Ind.
O 14 Fireplace ? 19 Coron./Ind. Nisc.
? 15 Deck ? 20 Public facility
O 21 Misceltanenus
X31 New O 33 Alterations O 35 Tenant Finish ? 31 Demolish
? 32 Addition ? 34 Repair ?_36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft'. MWCL System YC-S
(Allowable) v N lst F1. sq. ft. City Water Y636
UBC Occupancy -3 Ni-1 2nd F1, sq. ft. PRY Required
Zoning Sq. ft. total Booster Pump
t of Stories Footprint Sq. ft. Fire Sprinkler
length g g' On-site well Censiis Code 01
Depth roc,' On-site sewage SAC Code Q?
APPROVALS '
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS ? 5ite ? Footing ? Framing ? Insulation
O Wallboard ? Final ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
license
MWCC 5AC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5iW Surcharge
Treatment P1,
Road Unit
Park Ded.
Trails Ded.
cop;es
Other
Total:
SAC X 100
SAC Units 1
$ ? JoeQQQ
wcim: r?
wl
Z??j'ri.iTOPQ;
x ?4 c 8/4?
` ??'l?. ??= 12 ?•r/?
Ll y $ ; p z)
ZX12= ?2H
Nx2y= 33?
I sr11,60X 65"%^
gSr'?T ? I I Ut?
Zxg= 14
ax7a _ I 1?1,
2?
tr_
'
° ?smrt r«, a
? ya?yy?? ? ?V=
?U 3 z o
?Ki 2Gs
ci` LOT BIIRVEY CHECRLIBT FOR RESIDENTIAL
• ? BIIILDZNC3 PERMIT APPLICATION
¢ PROPERTY LEGAL: ?
?< m Date of survey:
? 2 DOCIIMENT BTANDARDB /
[3?13 ? • Registered Land Surveyor signature and company
?? 0 • Building Permit Applicant
?? ? • Legal description
l? ? • Address
0--0 0 • North arrow and bar scale
B-T ? • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
8?0 0 • Directional drainage arrows with s2ope/gradient t.
0? ? 0 • Proposed/existing sewer and water services
0-?0 d • Street name
D?-b ? • Driveway
ELEVATIONS
Lxistina
D 0-?? • Sewer service
C'1- ? ? • Lot corners
-0'0?/ 0
0 0 •
0 Top of curb at
i the driveway
L? • Elevat
ons of any existing adjacent homes
Prooosed
0 • Garage floor
L?T ? ? • First floor
?? ? • Lowest exposed elevation (walkout/window)
?'? ? • Property corne rs
1?? ? • Front and rear of home at the foundation
PONDING AREAS (if aDelicable)
? C9?? • Easement line
0 0-? ? • NwL
O 8r ? • FnaL
? 0' ? • Pond # designation
? 0?? • Emergency Overflow Elevation
DIMENSIONS
U? D ? • Lot lines
[?? ? • Right-of-way and street width (to back of curb)
0 • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
-/
? structures requiring permanent footings)
td
?? • show all easements of record and any City utiZities within
? those easements
? ? • Setbacks of proposed structure and setback of adjacent
/
0ff-0 • existing homes
Retaining way?rirWdn*ts, if any
Reviewed:
/
October 1992
r i?
r;kEF.Fn!: "i_I° ri1'G'UTrl7:(01'•I
1jjD-+:P r?f?tLR3
_' .._ . _.'"
____."' _ ".
------
--------
:t,l'LB cil?rjl"F?.r_
-----------------------------------------
, ..
1! ?O'C?li f?;;?iC?sh_?:i I.;c;;.l 21'@c? p
UZ-)
2} 1'ota7. e;;f,osed roof/cei 1 i ng
l'1a:J crlcu;atihn
Tolo3 W7(ICIL7w area
_
WwJ d0i?"
:.YE?ut
'
<<
ToY.dl qin=..? rICJr??Y rr?e:, - --?-?'`--- =?:_ft_-
- 'S_-SO•7_
_'..
l c:: t e t ,• ,
. ._ r eu 7 ace ar e<•.
l`c?ta1 o?.t. l tr arni.ny area 2S.7-
h;et insulaiec1 v:al] area
l oi a . l r i m joi. =t. a.r ea t. _'>4=°
L2_(w
Tota.l {nundE1t1C7n area _ _
0-
Tot•.al foundation windc:,w - --_rjA --- -s°={t= _'?=
?
-
'` T_,tai. --
3yI3
[f ilern - ys the s?irnc as, or lc,r?= the?i ite?m i9 yrl;
` .. £. . ?_ io E: 't:.`'qtF;F.' :t riterii: of ,_ MCttf; 1.) 6UiiP F-t and Ij
Roo+fceilanrs calculation
Tot a'i s1: Y7. inht• ??zr-ea
? MLL
JJ'--
----__
TcL.,,1 rcc,tr?_eilirkl fr-amino S
1? =.q_ft.
'f--7
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Idej i
ns;ti. ted rnai
area -
--
---
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-
--
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-
--- --_ --
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-,t c 1 1Z-
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-
If item 4 is- =Ae asq nr ][.ss ?.ttan __
y ou+.+ met the snLen€
o- 2 1"ICf-iR 1,15008 A artd i7
A7tern:?te biti70ing e=nveic;pe design tu ertii i.z,_ iht• tota] envelnPe uyntem me•thod i':l°ie suun. pt
i?.en;, 1 and _ sl,a].l ba yreater-tli.?n the sum c?{ ii_em_'
-
, nd 4
ii +?) -
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c'r e?cc>eris ;-_hc+ st;.,te ?f m; nnesc;ta, enerey cans$nN._;_i cn 1c.te
Sigrrs-t.l-.??• ---- --- --
r- r
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".' l;i 1 ir :
F"ram_ing }=rami ng secti
rni
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a•rir,r zir ?:ln;
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1. _
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.7:s
.?. l?
ir'yc'u g'JL:. .7(j. .4°J c. 5irCi° 4Vp bO. .56
_. S 1!2" of so+i bFOOCI 6.87 :. 3 1!2" wond 4.77
'+. 25r32 t71lCjY'lt@ 2,08 4. 10" 11'IS. 3_.:=1
S. Sidinq ,81 iotal F; 18.8C5
b. ertericr air rilm ,l? LI = 1%f' .u:'b
Total R
U = 1; F.
InsulatF•ci seitiun
1. Interior air film
2. 1i'2" gyp, bd.
_. J 5!1g bcl{:'t 311s.
4. 25:32 Lilcari±.e
5. =7 d? 1-iq
n., e;;t.er-ior a;r filrtt
. Tutal R
Ni.j = i i R
F;;_ni jnist ser.ti.mn
7. Interior air 'film
:._. 5 i:... hai_t inte
. 1 3 /:=° wood
%a. 5:32 6i.ldrite•
5., sir.ii ng
c,. e::i__Griur- air film
Total Fi
u = i: R
<wguda,- _ on
1e intc-rior
_.. 1" s1:yr n
Z. 1,.JO COIIC
4. exterior
mttm
air fil.m
1l15.
CI I<:.
air film
Tntal k
J = 1 I Fi
.b8
.45
19.0
2.08
.2i
.1?
_ 19
.7?
79.(.
1 . 't? °
2, O'r'?
.B1
.li
'' 4 . `r,3
---_, a,
. 6 ri
5. LS(.7
1. . 28
.17
7.33
.14
InsUlate.d svc.t.Qn
f. Inter-ior air film .0e3
2. 5i8" Uyp Gd. .56
._. 14" insulation 42.00
Toial R 4:.24
U = 1!R -. 0:'
Special condition
n/a
?
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) 9
6(?, 5O
• -? `?`' CITY OF EACAN
3830 PILOT KNOB RD - 55122
? 651-881-4875
New Conshucflon Reaulremenh
> 3 regitlered Yfe euneys ahowing sq. fl. ol M. sq. fl. of house
and 21 rooletl areas (?A% maxlmum bt coveraae atlowed)
> 2 coples ol plans (atww beam d wlndow sizes; poured fnd. deslgn; elc.)
n 1 aet of energy calculaNOna
n J coples ol hee prefenaHOn plan U lol plaHed ofter 7/1 /93
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS: -7
LOT: -4 BLOCK:
Name: Phone #: b S( - 6k? - 9l -13
WSf First
Remaiei/Rendr Reaulremenri
2 coPles of plan
1 aet of enetgy cdculaMons fa heaTed addlMOna
1 site wrvey for ex19AOr addiflont & deckE
CONSTRUCTION C05T: W??- -1 ' VVE aO
PROPERTY
OWNER
CONiRACTOR
Sheet
I
a` SUBD./P.I.D. i:
1?3?6 ?) e n,?? iI
Ciy ?QqQ? State:
Sheet
ARCHITECT/
ENGINEER
CNy State:
Telephone #: ( )
SS?23
(area code)
_ Ucerlse # Exp.
Zip:
Name:
Sheet Addreas: Regishaflon #:
Ciy
Sfate:
Sewer/water licensed plumber (H InsWllira sawer/waterl: Phone #:
Zip:
1 hereby acknowledye ihat I have read this applicatbn, state that the InfortnaNon is c ect, and agree to comply wifh ap appAcable Staf
of Minnesola Stalutes cnd CHy of Eagan Ordlnances.
SignalureotApplicdnY. ? "'" ' ?
OFFICE USE ONLY
Certiflcates of Survey Received _ Yes _ No ' I
Tree Preservation Plan Received _ Yes _ No _ Not Required I?
A) ilp:
Phone Y:
--?_ 2`?Z$
2oo6 RESIDENTIAL PLUMBING PeRMir aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dweliings.
4t So.S0
Date ? I , I C ('
r
Site Street Address 4? y?o :1 e r-4e. r CUnit #
(plR 32 S s534
{1`
Property Owner v r' G h ? cl 4 s Telephone #(f,'%T )
Contractor NQ'?S ipr V"L- 14"Telephone# ((ofl ) 2 S Z-
Address ?C) ;k R City ? Q2c? SWte /Z1.? 2ip SS /d2
The Applicant is: _ Owner ContracWr _Other
Refurbished Submit 2 sets of plans and MPC license
Septic System _ New Includes County fee
_ $ 100.00
Per as-built $ 10.00
Alt
ti
ns to existing dwelling L , L & q k C50.00
Add plumbing fxtures. This fee includes installation of a water softener and/or water
7
at the same time. ff you are installing onl a water softener and/or water
heater
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
Water Turnaround (add $130.00 if a 5/8" meter is required)
-
eJ
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irtigation _RP2 _PVB _new _repair _rebuild $ 30.00
State Suroharge $ .50
$ .L0. So
Total
I hereby appty for a Residential Plumbing Permit and acknowledge that the infortnation 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 pertnit, but only an application for a pertnit, work is not to start without a pertnit and work will be in
accordance with the approved plan in the event a plan is required to be review d and a pr ved.
?
ApplicanYs Printed Name ApplicanYs Signature
. SERVICES
SffA??N ,?. h?0?9 f=-?S
SITE PLAN FOR =
LEGAL DESCRIPTION: LoTZ, BLocK 2 ?EX+tvGTOnI ?oiNrE -4?
ACCORDING TO THE RECORDED PLAT THEREOF lI?kD7l? COUNTY, MINNESOTA
ADDRESS: N??-Ilo TF/YNIFF_l?
? ? CCJUKJ- ,
?
?
:AR
2
?
?
? (t
8
. TM
:r -L ._. ? s ea1r?,. c 1
?R j?- S
? ?.?
! ? ?
j? . • . ? s ea'as's°" w °0???
$$ .
.
?, '• '' , ?. 1c3 ?;1
f?
?? t??B? ? ? ?? ? ? `•° ? ??;
er:oo?.o? 1?? ?I a
1 ?
ry ? ?'?
N5E
7a.
411=1 ? ? ? ?
6aEe: verit9 se?rer aez. nlev?
I
I
b°,, 1 7
I?; f
%or?c a urem u? ?
iA AA
LEGEND
n TRI-LAND C0.
L? SURVEYING
?
o DENOTES IRON MONUMENT
? DENOFES-WOOD MU8 SET -
DENOTES EXISTING SPOT
ELE VATION
DENOTE5 PROPOSEO SPOT
ELEVATION
? DENOTES DRQINAGE DIRECTION
I hreq certify tAot this survey,plcn or
rsport wos prspored Dy me or undsr my
diraci supervisiai ond ihat 1 am a duly
Reqisterad Land Surveror under ihe
Lnws of the State of Minnesota.
N
?
M
?i
SCNF 1"=90'
INVERT ELEVATION AT SERVICE EXTENSION= aeYAa
PROPOSED GARAGE FLOOR ELEVATION=??
PROP05ED FIRST FLOOR ELEVATION =
PROPOSED BASEMENT FLOOR
ELEVATION
NOTE VERIFY ALL FLOOR HEIGHTS WITH
? FINAL HOUSE PLANS
Bradley J. SMIV:on, Mn. Req. No. 13235
Date 1 /() -7_9-93
EAGAN ENGIIVEERING DEPT.
. .. .
TRI-LAND C0.
SURVEYING
?
. SERVICES
SNA?vN K ffok T-s
SITE PLAN FOR :
LEGAL DESCRIPTION: LoTZ,BLOCK2- , LE1(fN6TM_106INTE ?q
ACCORDIN TO THE RECORDED PLAT -
THEREOF ???1A COUNTY, MINNESOTA
ADDRESS: ?-lS',Ilo TF/VN1FF_l? CUUKJ- ?
:AR
2
?
?
scx? r"=9a
wai-W
LEGEND
a DENOTES IRON MqNUMENT
? DENOTES-W000 HUB SET
DENOTES EXISTING SPOT
ELE VATION
DENOTES PROPOSED SPOT
ELEVATION
f DENOTES DRAINAGE DIRECTION
I Mreby certify ihof this survey,plon or
report wos prspared by ms or undsr my
Cirect supxvision and tAat I om a duly
Rspistered Land Surveyor under the
Laws o} tha State o} Minnesota.
EAGAN
INVERT ELEVl1TION AT SERVICE EXTENSION= qBY.?d
PROPOSED GARAGE FLOOR ELEVATION = ?Lt13.YSZ
PROPOSED FIRST FLOOR ELEVATION -
PROPOSED BASEMENT FLOOR
ELEVATION
NOTE' VERIFY ALL FLOOR HEIGHTS WITH
FINAL I10USE PLANS
8?adley J. Srff/(son, Mn. Rey. No. 15233
Oat! ? /(l -?9-A3
Use BLUE or BLACK Ink
j For Office Use I
I
1 Permit lU T
City of Ea
j Permit Fee: I G
3830 Pilot Knob Road 1 1
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 Staff:"
L----------------~
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ~.3 i (Cn :Kexi n i~Cr Cr Unit
I Name: S- Mwa OCLrS Phone: ULS1 ~a5 - A
Resident/
Owner Address / City / Zip: 43 4 to N en n .;es r r
Applicant is: Owner Contractor
Type of Work Description of work: air A Rf'-7-00F
Construction CosA I I I O .Q • O 0 Multi-Family Building: (Yes / No )
m i
Company: E5 e_ 0-
a jYY1 iC$$ LI.G Contact: r-IJAmi IC2dJ►hCl
Address: 3q ~,.r-O rn uj ek k -~e City:
4 Contractor
s State: _ Zip: S I I Phone: U l a. ~J j g a O
P i
License (0 31A 01 Lead Certificate
If the ~project is exempt from lead certification, please explain why: (see Page 3 for additional information)
VV►~" IY1 ~q01~
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:
I 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.
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.gooherstateonecall.oro
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 issuance. n
x r V CDCO X FOYM llm'~Vflk 1-'~Ljk'
Applicant's P ' ted N Applicant's Si ature
Page 1 of 3