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4062 Johnny Cake Ridge Rd41110 City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 For Office Use Permit #: 12/ICM Permit Fee: Date Received: Staff: 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 41')"I ) Site Address: �Jc,^.C=' t t oks -e. Rc Suite#: Tenant: Name: S 1`t `l CA. vin Address/City/Zip: 1-40 U1J b n Name: F V134r) Pi Address:110*3(-i C.k I ppel4 State: let Zip: 50 i0 1 Civ Phone: 0_c Ke- RI e, R, a License #: 011.05Ai A 62. v €. t �, City: Far WIl✓IGj"0r,1— Phone: L2:9(- (fP) Contact: j✓"� Email: �Ttf` Yv1 pi �J it jjU\ `) i e %/i e4, n4 New _ Replacement _ Repair _ Rebuild ) Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / L Lower Level) Water Turnaround v` vS cockle,r p_ p RESIDENTIAL FEES: LL ✓' S til K $60.00`Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $40.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ /aO,Ob CALL BEFORE YOU DIG. Call Gopher State One CaII 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. x:tpixv "e1 L— t Applicants Printed Name x coV '" Applicants Signature FOR OFFICE USE Reviewed By: D Required Inspections: ; Under Ground Rough -In Meter Related Items: Meter Size Radio Read ` Staff: Air Test Gas Test Final Address 4062 Johnny CAke Ridge Way ZIp 55122 L.ot 13 Blk 5 Sub Oakbrooke THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON. Date: -0 Q Yes No Inspector: ?., , Fina] gtade (6" ftom siding) X Permanent steps (gazage) k Permanent steps (main entry) X' Permanent driveway xl- Permanent gas X' Sod/Seeded grass X TraiUcurb damage ? Porch ? Basement Snish Deck Please verify with lhe builder the removal of roof test caps from the plumbing system and tAe shutoff of watet supply to the outside lawn faucet before freeze potential exists. Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy RESIDENTIAL BUILDING • ' Permit Application City Of Eagau 3830 Pilot I{nob Road, Eagan MN 55122 TelepNoue # 651-675-5675 FAX # 651-675-5694 ?10 ao wJ New ConstrucEon Reauirerrients RemodeVReoair Reaui2menLs OKCe Use Onlv 3 registered site surveys showing sq, k of lot, sq. h. of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N (20 % mazimum lot coverage allaxed) 7 set of Energy Calwlalions for heated addNOns Tree Pres Plan Recd _ Y_ N 2 copies of plan showing beam 8 window sizes; poured tound design, etc. 7 site sarvey for additions 8 decks Tree Pres Not Reqd _ Y_ N lsetofEnergyCalculations Adddion-indicate'rfon-sitesep6bsystem On-siteSep6cSystem _Y _N 3 copies of Tree PresenaUOn Plan rf bt platted afler 7/1193 Rim Joist Defail Opfions selection sheet (bldgs with 3 or less untts Date 0'7 / -2- q-! ??? _ Construction Cost 7,0 On / Site Address yA tS 2. -T'oY/l -I/K C-414:?? UniUSte # Description of Work Multi-Family Bldg _ Y??N Fireptace(s) _ 0_ 1 _ 2 Property Owner ??f? ? F• 1??lM?D ? S'ADiA Telephane #(dS/ ) t/OS- 972Z Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet (Jsuhmissiontype) Submitted Submitted • • Energy Envelope Calculafions Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ fee applies. Licensed Plumber FF@P iJ .?? Tele hone #( MechanicalContractor 'I i•??? -, ? ?TePeph I e#( Sewer/Water Contractor N If so, 25% plan review ? 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 State 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 which requires a review and approval of plans. Applicant's Printed Name Ap ip cant's Signature OFFICE USE ONLY Sub Types , ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex IK 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage 0 06 04-plex ? 12 12-plex P16g_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ?32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bidg) - Give PCA handout to applicant Valuation oz5p ? Occupancy -1/r qF- MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const v GV Width REQUIRED INSPECTION5 Fooungs(new bldg) FinaUC.O. Footings (deck) ? FinaUNo C.O. ? Footings (addition) p]umying _ Foundation HypC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests Final _ Franun8 _ Siding Stucco Stone _ Fireplace _ R.I. A'u Test _ Final _ Windows (newJreplacement) _ Insulation _ Retaining Wall Approved By z- , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total OL 70 ? Y Surveyor's Certificate I SURVEY FOR :ruLTc DESCRIBED AS :Lat +s, Blotk 5, OANBROOKE. City of Eopen. Oek010 CoWly. Ninnula.ond rteaving moaemenla el racwd., ,.?----~-- ?\ ? `. LOT SQ. FOOTAGE = 14,928 NSE. SQ. FOOTAGE = 1,819 LOT _COVERAGE _ 129 V ) PROPOSED DECK LOCATION Pim f ieosz PROPOSED ELEVATIUNS Top o( Fovndolion e 4137.a Coroge Floor - q3s.4 Bosement Flner - 4zY•0 Aprox, Sewer Sarvlce m va.r:l'y PrOpoaetl El*v. Eaisting Elev. Oroinoq! 01•sGliDne Denotee Ofteel Stoke = • N 4'09'3 'E 131.28 _, _ -- , _- __a - - - - - - - ' ? ? iy? r 8 ? Er q SCM.El % ?cA . 30 Iwt 6ENCHMARK, _lA1N. SETBACK REOUIREl1ENT5 Fronl-25 Houas Side -25 I Reor - Goroge Side- ? ,mpnr rtaun mAr iws Ka tq/[ µp CpIP[Cl NORCS[N11Ad HEDLL/JI / w nrt wuHO.nn or me Aewc xsu-em neaun .s sux.crFn D er uc w wDG ur ux[el Sw[Mn51010 /mo o0p uoi rWrWt ,o rfJMHlNC !NC/NLtRINC i w wao.owcHn. nc[rr .s ?ow 3005 Din Oak Ddw MM 55122 E .y ? ? ? WX JZ T/s4 apm, Inenn (631) 105-6600 _( c ? ULU 0. lM0@IM, l?10 KVOR I?I: I6l1) b3?{60i ig ->_'rY ?'S ( W SOT? UCWq NIMB(II ly74 A/z/. 99R-q7 OAIf9ROWKE RESIDENTIAL BUILDINC PERMIT APPLICATION g7v_ Ud CITY OF EAGAN 3830 PILOT KNOB RD - 55122 J? 651-681-4675 NewConstructionReauirements RemodellReoairReaWrements ?y- • 3 regislered sile surveys showing sq. R. of IM, sq. ft. of iwuse; and £II roofed areas • 2 coples of plen (20% mazimum lot coverage allowed) . 1 set of Eneyy Calculatbns for heated additbns • 2 copies of plan showing beam & window saes; poured found design, etc.) . 1 sfle aurvey for exlenor additions & decks • 1 set of Eneigy Calculaations . IiMipte'rf home sened by sepUC system for additio • 3 mpies of T2e Preservation Plan i( lot platted aRer7/7/93 • RimJoistDetailOptiansselecGonsheet(bldgswith3arlessunits) ? DATE 2- 2S- - O 2 JOB SITE N IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY VALUATION TYPE OF WORK 4oZ.1E,p GZSYZG oC-1^11SH z? FIREPLA5;4? 1= APPUCANT S"Y?? Aiti,/JF [? PHd1l\NE#6667, ADDRESS 'eJb62_ ZIPCODE PAGER # CELL PHONE # FAX # % NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMP Y m0T[ p FEB 2 8 2002 Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet SuE - Energy Envelope Calculatlons Submitted MINNFSOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plumbing Syslem Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor. _ Mechanical System Includes: Sewer/Water Contractor: Phone # Phone # Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Signafure of Appllcant Air Conditioning _ Heat Recovery System Certfficates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 05 03-plex ? 11 10-plex X 19 Lower Level ? 24 Storm Damage O 06 04-plex 0 12 12-plex PIbgXY or _ N ? 25 Miscellaneous ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi X 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg only) - Give PCA handout to applicant ac Valuation .9-OG6 ? Occupancy ?- 3 MC/ES System _ Census Code ? Zoning City Water _ SAC Units - Stories Booster Pump _ Nbr. of Units Sq. Ft. PRV _ Nbr. of Bldgs - Length Fire Sprinklered _ Type of Const ?-AJ Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ? Final/No C.O. _ Footings (addiHon) Plumbing _ Foundation ? HVAC _ Drain Tile pther Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final X FIamivg _ Siding Stucco Stone Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) ? Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector r- V-11 # / ?,J Z?U oo V41L f.i/M fi?V .? LOT BL ? SUBD. O 0.?? 1? O oV?; RECEIPT #: I I Oa 6 I RECEIPT DATE: ? 0' I D'qj MECHANICAL PERMIT # ) n'T V 1999 M£cHAviCAL PERMrr (REsinErrr[Aw crrYoF Easittv saso Paor KNos an SAfiAN MN 55122 Date: #1 _ (651) 6$1-4675 Complete this section oulv if you aze installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occunied. / • F?VAC: 0-1 Cq Tq B T i7 ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) t ?e.00 6.00 .-? 0 C) State Surcharge .50 Total $ 39sv Complete this secrion ot:lv if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. ?-New / _X Fumace 4 Air exchanger SITE ADDRESS: O WNER NAME: INSTALLER Alteration Repair Reminder: Call 681-4675 for inspections. -7k Other Air condirioning Other = JTw?i ,q?l'7 ??- r, STREET ADDRESS: (AlitA l;V VC) CITY: STATE:,***? ''l ZIP: SSS?3 79 CITY USE ONLY SIGNATURE OF PERMITTEE cr'?i • S-6a7 $ 30.00 State Surcharge .50 Minimum Total Due $ 30.50 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? _ . CITY OF EAGAN ? L' ?S? 3830 PILOT KNOB RD - 55122 -? 651-681-4675 New Construdion Reavirements Remodel/Reoair Reauirements D 3 regfs}ered sNe surveys showing sq, k. of lot, sq. H. ot house 2 copies of plan and all rooled areas (20%< maxfmum lot coveraae ollowed) 1 set ot energy calculations For healed addNfons : 2 coples ot plans (show beam 8 wlndow sizes; poured tnd. design; etc.) 1 sile survey for exferlor addHions 8 decks . > 1 sei of energy calculations > 3 coples W free preservation plan R lot platted affer 711 /93 DATE: 2- S- `C1 CONSTRUCTION COST: DESCRIPTION OF WORK: 1\4w S:v?o??2. _???^%?•??a STREET ADDRESS: -4kOkoZ. lz? C;1V 4\ Y?%A Q!- a\"- R= LOT: \1-4 BLOCK: 'S SUBD./P.I.D. #: ??- Name: Phone #: PROPERTY Lar Firsf OWNER Street Address: City State: Zip: Company: Phone #: VE5\ CAy- kA 8 l (area code) CONTRACTOR StreetAddress:?3????"'????• License # ?3?? Exp?'3?' 2? City State: ?AA Zip: SS \Z0 ARCHITECT/ S N ENGINEER Comoanv: Name: Telephone #: area code ( ) Street Address: Registration #: . City State: Zip: Sewer 8 water Iicensed plumber (reauired far new construction onlv): Penalty applies when address change and lot chcnge is requested once permit is issued. I hereby acknowledge that I have read this application, state tha} the Inf mation is c=agree comply with all applicable State of Mfnnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received No ? Tree Preservation Plan Received t7 Yes _ No AUG 5 iI ? Not Required 1J l1L_? _-- ! i I _, OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) M 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage O 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handou t to appiicant for demolition permit GENERAL INFORMATION Const. (Actual) ? Basement sq. ft. ?v9 a- Census Code %d ! (Allowable) i Main level sq. ft. !u 9?. SAC Code UBC Occupancy Zoning ? a?sq. s ft. ft 7 No. of Units N f Bld q. ?-T . p o. o gs # of Stories sq. ft. MC/ES System Length ? sq. ft. City Water Width Footprint sq. ft. ? Booster Pump ?7g41 PRV Fire Sprinklered APPROVALS w Planning Building i Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review ?V?/ License MC/ES SAC City SAC W C ater onn. Water Meter Acct. Deposit ick?a. 3-? ?a !i 3 F.5 kv?'-l= ?/???'.3 : S/W Permit s/W surcharge l3a qerwe?v`7? = • Treatment PI. Park Ded. 14?1 38'U Trails Ded. Other ? a, r 3 ? Copies Total; ?C/? SAC units % SAC ? . . J,('B INITIATION OR7.ER Pulte Homes of ?? Minnesota Corporation CONTRACTOR/SUPPUEA: 1355 Mendota Heights Roatl, Suite 300 Mendota Heights, MN 55120-1712 Phone: (657)452-5200 Fax: (657)452-5727 JOBNOnb 20 / ED/_,?__?_. !?? LEGALOESCRIP710N: LAT _. 1.? BL UNfT CONMI1NfTY: V?//? ??? 4pDITION: t BUILDING ADORESS: 11.1l1?? ? ?C?Cp?.? ? 1l Y&I IL Q PA,?Q._? CITY: STATE? ZIp: MODEL NAME: MODEL NUM9ER: ,tUOCJa+? ELEVATION: ? OARAGE: LEp7 RIGFIT BWER'S NPME: CURREiJ7ADDRE55: ` 3 HOME PMONE: &rJ / -? 5 a - _7So1"?j BUSWESS PHONE: SALESREPRESENTATIVE DU6L /lTn/ DATE OF ORDE?R,/:?? )O CfiY:I` G?- STATE:/`"?? LP: BUSINESS PF10NE: Q'LY.:: f OP.TION# : 0000 '? ?s ,.?+:'? ?+?;?w,?rR.i x,=„`?.a,,a trDE3CRIP,TIOf?.w"? ?"o-rern????,?&?tK?§?u?`xa"?,??3 ,''q?,?`,;Fl?;??"? BASE PRICE "',?dRRICE•:'; ?ao9q0 ? - - - - LOT PftEMIUM 7SO0 ELEVATION # ,33-rj0 ?aol? ca.? - n o b rc c z. ?Doo I r 1 p 1?- w2,2_6wfi 6t 3 I A p TOTAL CW0,3&!;- a Builder APPROVED BY BUYE9 ( APPROVED BY SALES: RELEASED TO START C f2? eauuL rious[ic oaPOnrunir Builder's License pa001371 This constitutes a contract between the Seller and the Purchaser(s) for the above items. ? f=19 Lk.n. ?- EX7ERIOR ENVElOPE AVERAGE "U',l GOMPUTAT(DN OWtI[R: SITE ApDRESS: "? ,v DAEE: o/?s?47 _-PHUNE:IS<-szc,o CQtj7R11CTOR: DETERHINE YIORKltlG SO,UARE FOOTAGE OP EACN: I 1. T67At EX?OSED WALL AttEA........ i- d sq f t x"U" ??? a Z 40 S/ -. -- Uolb ? a 7 . S`/ 2, TOTAL RQOF/C£ELING AREA,,,,,,,, Sq ft x"U" 3. TOTAL EXPOSED WALL AREA CALCULATSONS: Total ex.posed wa11 area abova floor,,,..... Z30f sq ft a) Total wali wlndow area: DOl)E3LE 9lazed.... ,. sq ft x?lv'l glaxed .,.... 5q ft x 'i11,0 b} Total daof area ...,.,..: gR ft x ?'?" c? Total sliding glass daor area: UBLE 9fazed...... ?^jc7 sq ft x "U" qlazed...... 5q ft x "U" d} Total f;replaca wall area sqftx"t1'° a --- ? 12 a '?? ? ? e} Total wail freming area f „?„ ,p?Z e 4 (Average 10R)......,?... Z 3 D sq t x - f) Totai nei wall araa a6ove /'b82 sq ed) f l (t ft x."U" •?1"I ° 7?'?? ....... toor nsu lt Jb•Zl ) 'L hd? sq l i l ft x"U" •o?I ° g st area...... m Jo Tota r . Total foundation erea (Expcsed)......... sq ft h} i Total Foundatinn ? ?a window area...... ..... ?t x? U,? " 1) Total net fo<:ndation 7•6 - area above grade.,..e..._ /o n sq ft x"U" - ------ ' TOTA" a) thru (? s ' ?0.99 3• If ftem 93 is the same as, ar less t'ian iCern ,AS, you have met the intent oF 2 btCAR 1.1r;403 A and 6. PaRe 1 y TOTAL EXPOSED ROOFlCEILi41G CALCJLATlOFlS: Fatal exposed rooficell tn9 area....•••. /4/W1 g4 f t tt. j) Toeal skyllght area....... ? g4 gi x"U" ' k} Total roof/cef i lnq Pramtng sQ ?? ll n? 6 3, ry yl ft x U ..?? ^?. araa {Averaae !0%:) ........ 3) Total net )nsulated z g.6 roof/cetlin9 area....... /a___r o? sq ft x"Ui' • o? ° 7OTA1. 1) thru 1) qf rotal of gii fs ths same as, or less than.N2, y+au have mat the intent of 2?;CAlt 1.16008 A attd 0. .. ? ' F :.. •. ALTERl7ATE SUILQiti(; ENVELaPE DESIGN To utfltze tt+e tatal envelope system meLhad, the uaiues established by tha sum of items l+3 and 94 shail,noc oe gceater chan the sum ot items N1 and ?#2. t. Z90• `? * ?. 3. ? 2 9 ?+ 4. 37.5? m 3Z5. oS 32.3y ' d '?23,33 _ E R T I F t= A T I 0 tJ I here6y cert}fy that ! have ealculated the "U" factors and "R" values hera6n and tErat the buildinn here descrthed meets or excaeds the State of Hirtnesota Enercty Cnrtservation AcC. /r G6' f, 5iqnature ,j?, // 7 /? -7 (Oate) fnge 2 coNStaucz rori-,:r..? a vatuE ' WALL FRAHING SECTION: A.?R t interior air fllm ? 2 +i z ? Q ' ? /? incht? -.4 1 SZJI L • --? C.f-? JR EY?t r tor at r f m_ "• ?!- a o WALL SECTION (INSULATEd) ---{1 Interlor air Pi ? U+3I Rm12? Rtt! .1QlST SECTION: ---{1 Ititertar FpUN6A7I0N INSUI.ATgOt7 REQUIREg: U - I/R a Min. R-5 on entire wa13 OR ?,.. 4 Min. Rw10 dcwn to frost-depth ? .•.R . FOUNDATION SEC714N: a; •'. •. i Interior atr fiim ?•h? '•a.?• • 2 fL?41 BAT7' - •; 6 ., : :• -?3 t3? ` '?6,L?. I .•,.-_•,s. 4 Exter(or a t fiTm ?• 7 q??t c6 T07AL R° 1? r 13 U ? t!R = i!`?b ? SLAA Oti QRRDE '" . . ,,?.•a •- .? :4. ,a q • . . ,. 1 • i,' `' ,?; . ° ?`?l.'?.d ?,' ? • .t ? `? . , 4 . .' • ? ? ? ? - ' ` ? Uirh;eated S1ab5: Minimum R = 5.2 , - F CONSTRl1CT I ON A VALllC• CEILINC SEtTIAN (lNSULATED): 1 lnter(or air ftlm • n.bl z 51AN gt.rFSIMr.iG .10 3 ??.. i N:`uu7,,1aQ ?a,eo 4 fxterior air ftlm sti111 n,f+l TDTAL R u- I/Rn?,7 _ CEIl.1NG FRAHfNG SECTlffN: 1 Interior alr fllm 0,61 2 -°-`(- 3 1. ?I ? L'..'SUI_?'?7CShC 31?C m'still 0, i 4 nter or air 5 S/Z inthes so t wood Q 35 TtITAi. R . X'!r . 0- 1/Rm4?2v ? C£lL1NG SEG7EON (ItlSULATEB): 1' Interior air film n.61 2 3 4 Exterior air ilm stili 0.61 TOTRt R U r i/R - VENTED CE1LItlt; fRAHIMR 5£CTIaN: 1• interlor air film 0•61 2 3 4 Exterior air ilm still n• 1 S inches soPt waod ?OTAL R U= 1/R= ? ! 2 3 b S ,Instde air film n•Al Outside air ilm n,17 T6TAL R = ue Page 4 , LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: DATE OF SURVEY: 7- 27 -?r? LATEST REVISION: 9 -17 - q e3 DOCUMENTSTANDARDS / 0 1 ? • Registered Land Surveyor signature and company ? ? ? • Building Permit Applicant p? 0 ? • Legal description ? ? ? ? ? ? • Address • North arrow and scale p? ? o . House rype (rambler, walkout, split wlo, split entry, lookout etc.) ? ? • Directional drainage arrows wiM slopeJgradient °h ewer and water services & invert elevation d/ w ti r,? a ? ng s s e • Propose ? ? c • Street name ra/ ? . ? ? ? • Driveway • Lot Square Footage ? ? ? - Lot Coverage ELEVATIONS Ecistina dr/ ? ? • Sewer service (or Proposed) ? ? ? • Property corners ?? p ? Top of curb at the driveway ??? Elevations of any ensting adjacent homes 'w,,? ? Adequffie foating depth of structures due to adjacent utility trenches Prooosed p/ ? ? • Garage floor q?p ? • Firstfloor ? ? ? Lowest exposed elevatlon (walkouUwindow) / rp- ? : Propetty comers ?? • Front and rear of home at the foundation PONDING AREA (if aoolicaWel ? a / ? • Easement line ? V ? • NWL ? V o . HWL ? e?/ ? • Pond # designation ? 0' o • Emergency Overflow ElevaUon / DIMENSIONS ¢d ? ? • Lot IinesBearings & dimensions ;//? ? • Right-of-way and street width (to back of curb) ?f ? o • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc. (i.e, all structures requiring permanent footings) ?? ? • Show all easements af record and any Ciry utili6es within those easements ?? p • Setbacks of proposed structure and sideyar setback of adjacent exiating sVUCtures o?? • Retaining wall requirements,'rf any ?.? / Reviewed: - ?ii- March 19BB CRAIGIgL06PRMT.FM ? Surveyor's Certificate SURVEY FOR :PULTE DESCRIBED AS ; Lot 13, Block 5, OAK6ROOKE, City of Eogon, Dakota County, Minnsota ond reserving easements of record. N 5 ? i-v i j ? ? ??G`? i ??? rz,= _ SfP 2 p y999 6,0 .VPCPKT" s, 932928.2 ? 3 "E 131.28 N 409 ------? aao,o rt? ? O? 930.4 93D. f _ _ m _ ? . ? :S=LT t4.0 _ - - - -?o ?n \ Np SnN,? U-) IM ?6.pp I 933.? ? 430. I o 924. ? co 22. N 24\ ? 'O \ ?\ v ? ? S 0D 7p,'O osed [? 0? ,??1930?J a / 933. 0 9PCw /o ?° cor°9e p ? 0tJ ? q.3?0 ??4 N \\ OS 30. 26.00 429, \ `? zZ' ? ° q2Q.b \ FES \ 931.1 V..\ i$ ? NO S9• ??? ? \ 2g S . ? . , ?6089 ?`\ // ' ?o`L . ? ,4?0.0 9io.o LOT SQ. FDOTAGE = 14,928 HSE. SQ. FOO TAGE = 1,819 ?-? LOT COVERAGE = 1C2.1'o Po P4n `R /g052 n PROPOSED ELEVATIONS Ya BENCHMARK, Top of Foundotion = 933,7 eie?= qsz.so Garage Floor =q33,g Basement Floor =q2a.1 Aprox. Sewer Service =azi o'- Proposed Elev. _C=:D MIN. SETBACK REQUIREMENTS Existing Elev. _ Droinoge Directions = Front - House Side - Denotes Offset Stake =. Reor - Goroge Side- SCALE: 1 inch = 30 feet JOB N0: HEADLvNQ PLANN/NG BNClN6E'RlNC SURV6Y/NC 2005 Pin Ook Drive Eogon, MN 55122 Phone: (651) 405-6600 Fax: (651) 405-6606 RrrG I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF TNE BOUNOARIES OF TNE ABOVE DESCRIBED PROPERTY AS SURVEYEO BY uE OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT-AS SI1pWN. 99R•43? DA7E 9_/_I-I/9g %!_rn ccp ? n tnqq LICENSE NUA10fR 14376 Oak6rooke L 1 r.? gL '51 CITY l1SE ONLY ./ p ?--- SUdD. ? "?-?U?Upv.)C./ , RECEIPT #: 5 N1 RECEIPT DATE: 1 DA PERMIT # a 5 1999 PLUMBINC PEfiMIT (RESII)ENTIAL) crrY oFgwsAx S$SO f'[LOT KNO$ RD F-kfiAN, MN 55122 (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 # TOTAL Bath tub $ 3.00 x = $ _ d Floor drain 3.00 x = $ U Ges i in OUtlet * minimum - 1 3.00 x = $ Hot tubls a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x G = $ / Minimum fee aitecations 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 installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ 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 = $ _ G U Water heater 3.00 x $ _ O Water softener If dwelling under construction 5.00 X = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ State Surchar e 50 --> ----> ----> Lio Totat --> --> ----> ....> Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. -------------- -------------------- ----------- --_.--------- ------------ - ---- ------------------ --- ------- I hereby acknowledge that I have read this application, state that the information is wrrec[, and agree to compiy with all applicable City of Eagan orclinances. It i5 the applicanPs responsibiliry to notify the property owner lhat the City of Eagan assumes no liability for any damages caused by the City during its normal operetional and maintenance activities to the facilities constructed under this permit within Ci[y propertylright-of-wayleasement. SITE ADDRESS: OWNER NAME: : INSTALLER NAME: TELEPHONE #: (AREA CODE TELEPHONE #: _G/-1?- (AREA CODE) STREETADDRES5:(=J CITY:STATE: ZIP: R;7, ,?q% SIGNATURE OF PERMITTEE PERMIT tl 14 l I U o RECEIPT DATE: 200E WISIDEPTIAL PLUM$IN6 PERMIT APPLICATiON crrY oF KAsM 3830 Paor xivos gn SABAP. MN 581EE 651-681-4675 D FEB 2 8 2002 Please complete for: single family dwallings, townhomes and condos when permits are required for h unit, backflow preventer for irrigation system SITEADDRESS: OWNERNAME:: SY?? ?- SA7?/A f4 f//???TELEPHONE#: 4e65-972? (A'Ft CODE) INSTALLER NAME: SYf' ?7 l;1TELEPHONE #: f -10 40-;-- STREET ADDRESS: CITY: 419- .4's,STATE: 1k511V ZIP: 6-67-i22 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 incfudes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. -$118) _ Watertumaround - existing dwelling unit (+ 518" meter if needed h _ Other. P?O?A-EVV?x?J ?-t ?L? _ RPZ: new installation(repairlrebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge $ 50 rotal $ I here6yacknowledge that I have read this application, state thatthe information is cortect, and agree to complywith all applicable Cityof Eagan ordinances. It is the applicanYs responsibility to notiTy the property owner that fhe City of Eagan assumes no IiabillTy for any damages caused by the Ciry during its normal operetional and maintenance activitles to the facilities constructed under this permit within City prope right-of-way/e ent. ?? SIGNATURE OF PERMITTEE 1102 Use BLUE or BLACK Ink r I For Office Use Permit (r~ 7V7 ; 4b~ / City of Ea Rd~ l l Permit Fee: 105. 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: ; Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: i Unit Name: \ AS) h Phone: RESIDENT i OWNER Address / City / Zip: HcJ tr7j14 I-L 60f:r, Applicant is: Owner / Contractor TYPE OF WORK Description of work: Roo c) ) Construction Cost:® Multi-Family "Building: (Yes /No Company: 1), x )o &Q mn2~&, Contact: L% )F t1 V '<iE F58 K CONTRACTOR Address: ~ el ~--O i ()pj Ay, City: 4A4'0&<, State:V Zip:p Phone: License 4:11510,` H 47*7)7 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: 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to 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. x,DamA.)25 L\)t x Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink r I For Office Use I I Permit City of Ea Rd~ Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11 Site Address: D(p,' `.J O iLOUL) PJ)kE 11 t nit Name: I 1-f D f~ ~ mc-,o Phone: Resident/ Owner Address / City / Zip: i~ Applicant is: Ownerw Contractor Description of work: ) Di 1J 5 ` i,4), w w~ Type of Work Z50 yJ Construction Cost: Multi-Family Building: (Yes / No _X Company--1-),a Contact:D15-AS o y Contractor Address: A,) Ad/ I'--. City: ~AA6 J R~ r„S r _ 23 StateA 41 Zip:Phone: / c7 / Lead Certificate License 1 461 1 77 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: i Mechanical Contractor: Phone: p4 i '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 i 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.gopherstateonecall.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. 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. x_I~1UIt7,~ t'1`"JL x + J Applicant's Printed Name Applicant's Signature Page 1 of 3 443 Lafayette Road N. MIIVh��t3T.A D�PA�TM�',NT` C,��' (651)284-5005 St. Paul, Minnesota 55155 � �� i�� 1-800-342-5354 www.dli.mn.gov �� l�� ► '. 6/24/2015 REMOVAL COMPLETE Lori Barnes 4062 Johnny Cake Ridge Rd EAGAN, MN 55122 RE: PERMIT# V1504-00238 Project: Lori Barnes Removal - ELV-10246 Location: EAGAN, MN 55122 Address: 4062 Johnny Cake Ridge Rd Dear Sir/Madam: �`,---�....�_ Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry, Construction Codes & Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts)before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSUASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, CONSTRUCTION CODES & LICENSING , ,�r��.�.��Q �' Brad Underdahl State Elevator Inspector cc:City of Eagan Building Official, BO, City of Eagan ABILITY SOLUTIONS AND TWINCITY STAIRLIFT E1FormCE2R This information can be provided to you in alternative formats(Braille,large print or audio). An Equal Opportunity Employer 443 Lafayette Road N. 1�l[IlVI"�IESOTA DE,�AF�T�EN"�` C3F' (651)284-5005 St. Paul, Minnesota 55155 � 1-800-DIAL-DLI www.dli.mn.gov �,�� I��„��i�� TTY: (651)297-4198 �.�ns:. CERTIFICATE OF APPROVAL PERMIT TYPE; ELV REMOVAL SITE: Address: 4062 Johnny Cake Ridge Rd City: EAGAN, MN Approval is based upon the requirements set forth in the Minnesota Statutes, Chapter 326B.184 and Minnesota Rule 1307.0035. This approval is for permit work performed by ABILITY SOLUTIONS AND TWINCITY under permit number ELV1504-00238. If you have questions related to the issuance of this permit call: (651) 284 5071 Department of Labor and Industry Construction Codes and Licensing Div. Elevator Safety Section 443 Lafayette Road N. St. Paul, MN 55155 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA138175 Date Issued:08/15/2016 Permit Category:ePermit Site Address: 4062 Johnny Cake Ridge Rd Lot:14 Block: 4 Addition: Oakbrooke 5th PID:10-53764-04-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & 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 - Steven W Barnes 4062 Johnny Cake Ridge Rd Eagan MN 55122 (703) 232-6901 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature