4066 Johnny Cake Ridge Rd
Use BLUE or BLACK Ink
r
For Office Use
Permit
City of Eaoan
b I Permit Fee:y
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 1 Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Aly-z
Tenant: Suite
RESIDENT / OWNER Name: Phone: 1/0/1 " g 2 - -Y(/,& 5 ^
Address/ City/Zip: Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No / \ )
CONTRACTOR Name: zs•'lc ge- •~'~-nse cpV 61, oy 7
Address: /'7`2" City:'/
State: /-0 /,,/Zip: Phone: (a l~~- 7or ~k~/
Contact: _Z_~Z Email: c~ / yc v ~C SJ v/h"
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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with t inances and cod the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to st ithout`a permit; that t work will be in
accordance with the approved plan in the case of work which requires a review and approval of plan
x x
Applicant's Printed Name Applicant's Signature
Page 1 of 2
Address 4066 Sohnnv Cake Ridge Rd Zip 5512 Z
Lot 12 Blk 5 Sub Oakbrooke
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date:3 Yes No Inspector: ?
Final grade (6" from siding) X
Permanent steps (garage) >-
Permanent steps (main entry) X
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contap engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
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1.Aii' TI': IEN
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGa1N
U 3830 PILOT KNOB RD - 55122
651-681-4675 ??Qy.y? l Lj - l 5 `? cl
New Cr?isfiucfton ReaulremeMs Remodel/Reoalr ReaulremeMs
D 3 regMered sRe surveys ahowing sq. H. o(101, sq. H. ol house 2 copies of plan '
and gU roofed areas (20% maximum lof eoveraae allowed) 1 set ol energy calculaHonf lor heafed addiHOns
D Y copies of plana (show beam R wlndow shes; poured fnd. design; efc.) 1 aRe survey fw exferior addHlons a decks
D i set W energy calculafbns
D 3 copies W hee preservafton plan q IW plaMed aHer 7/1/93
DATE: 4/36 /q-r/ CONSTRUCTION COST: N) J7Q g
DESCRIPTION OF WORK:
STREETADDRESS: ?'066 JUh
LOT: ) a BLOCK: 1-5?
PROPERTY
OWNER
Last
Sheet
Cffy
Fts7
Phone #:
State:
Zip:
Company: / ? #e- &rrre s Phone #: "ls--l
(area code)
CONTRACTOR
Street Address: ?3SSi(;{'e?u/otG „/?,z?ts Ro c;c? S?1?t. ,2 10 license # Exp `?l y
City Mopld-cr ?5f ?3 State: ZIp: ?"rla 6
ARCHITECT/
ENGINEER Company: 5?'9'E As Ao?c-- Name:
Telephone #: area code (
Streel Address: RegisfraHon #:
City
State:
Zip:
Sewer 3 wafer Iicensed plumber (reauired (or new conslrucfton onN): ?14 uyy )0/U4fgZ'4?6' 6 M' 51'Q °Z/ 'Z I
Penally applies when address change and lot change is requesfed once permff Is issued.
I hereby acknowledge ihaf I have read this appiication, state fhat the information ia cortect, and agree fo comply wRh all applleabl
Sfafe of Mlnnesota Sfatutes and Ciry of Eagan Ordinances.
0-1
Signafure of AppllcaM:
OFFICE USE ONLY
Certificates of Survey Received -c-n Yes _ No
SUBD./P.I.D. #: 0/9 ei?-elf dDZC,E
r? I J
Tree Preservation Plan Received - Yes _ No ? Not Required ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
Z5 02 SF Dwelling ? 07 5-plex ? 12 12-plex O 17 Garage ? 22 Porch/Addn. (4sea.
?• 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 5torm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
A 37 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 handout to applicant for demol ition permit
GENERAL INFORMATION
Const. (Actuap jrj?L Basement sq. ft. Census Code C'
(Allowable)
UBC Occupancy n?J
t-?- LI- Main level sq.
sq. ft.
ft. ZI' SAC Code CT' /
No, of Units
Zoning
,17- I
sq.
ft. </<?;- ?
No. of Bldgs
# of Stories z_f sq. ft'? MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. ";7 Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning
Bui ? ?
lding Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC ,
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/VN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
5 c? I/3y >,
,? ?-- yL Z X J4 ?
G: j? Z 3G'
6?7,5 2
.
SAC Units
°k SAC
lir Jr'S INiTiATION OR?'oi'ER
, Pulte Homes of
Minnesota Corporation CONTAACTOP/SUPPLIER:
1355 Mendota Heiqhts Road, Suite 300
Mendota Heights, MN 55120•1112
Phone: (651) 452-5200 Fax: (651) 452-5727 ?a
I v'
JOBNO.?? LEGALDESCRIPf10N: LOT i ? BLOCK Q_ UNff ?
COIYMUNITY: ai
BUILOING ADORE55:
MOOEL NPME: 1?
BWER'S NAME: 4 YKY 410-IX
CURRENT AODRE5r,5: 191i
? I TI,VIY?.YYLYI?i'U 1( l??
MOME PHONE: lY'J I -In? /4?? I 1 y BUSINESS Pt10NE:
SALES REP(iESENTA7IVE dd'?
_ CIN: ?ICC.n STATE: ?I ZIP:.?p
ELEVATIO?y OARAGE: LEFf ?
DATEOFOROER: 104
_ cm: -?l?GY.tiV? srnTE:_ zw:
G: / Bl15MESS PHONE:
A:QTY. ?
? 'OP.T{ON'#;::
0000 s. T ,?,?r??shd??M'?'Ji?! Eu•, ?. ?' :r ? DESCRIP.I'IQN,"?,"'?.?'h'?s.p"???.tfi?M?:??,"•t++r??:f?*"??ni's?'g+.?^',?
BASE PRICE =,,b'2FRICE? :t:r;
2U5 QaQ
f ---- LOT PREMIUM 13,000
? ELEVATION # r 3-? 30 .
I ?2(?cS ? C?z1, C1 ?c?c-e ?- V?,C :?'tC? 5000
I 11012 Uj
I
I
I
I
{? l D
11
1
4
.
W...
Builder's License 90001371
APPROVErJ BY BUYEA (S): a/ " U-IK'
APPROVED BY SALES: / 1211
RELEASED TO START CONST.: eauaL riousiuc
OP°ORfU(II?'!
This constitutes a contract between the Seller and the Purchaser(s) for the above iiems.
w i- -avvv r +-
.
• . EX7ERI01! ENYELOPE AY6RAGB "t?;1 CGMPUTATtON , .
• SITE AOnRESS:
I/ 9A7E _ f??`I/ ?IPHONt : y/1'Z - f t o o _
r,ONTMCTOR: ic I ?.. A1N ------ 1? --
T-
dETERHINE NORKIIiG SO.UARC FOOTAGE CF EACH: ?
f. T07AL EXPOSED NALL AREA........ 7x(O? sq !t x"U"
,r? ` r . q f e x "U"
2. TOTAI eOOF/CEILIHG AREA ........ s
?--
j. TOTAL EXPOSEO WN-L AREA CAICULAT10N5:
Total expaied wslt area abow floor........ ?? s4 fE
t
a) Total NsIl Mihdaw area: ' .
00L115LE 9lazed...... L. sq ft z "U" , ?? • " ?
N ' F - glazed.,.... sq ft x
b) Total door area ........, ,,,,_? S4 ft xl'U"',
c) Total sllding giass door area: ' ' • ' DW" 9 sq f t'x. uU??.
lazsd......
!q fL % uUll
L}. P . glased...... _
d? .Totsl ffreplaee wall area tq ft x"U"
e) Total wa1) framing area 9q pt x"U"
f) Total nst wa11 area above • ? ?:.:
flaor (Insulatbd)....... . sQ ft x."U"
g) Total rfm Joist oha...... 9/0 iq f! k"U" _„ •o?' _-(? ,
Total foundatlon ?
area (Exaoud).......... sq ft
h) 7ota1 foundatlan ?sy fL x "U'I' 50 ° ?-
,
wtndow area.............
1) Ta[af net foundatian `y pt x"U" •.r'/? b ' ?
area above grede........? - -?-
3 TOTAL a) th ru 1)
If Item 03 Is th¦ same as, or less then item ?41, you have met the lntent oF
2 tiCSR 1.16008 A and 0. 1
PaRe 1
OCT-04-1999 14!45
P.'33.'05
4. 70TAL Q)fFOSED it00F/CElLINfi CALCULATIONS:
Tatal ex0nted '
raof/eatling area........ sq ft
J) 7ata1 skyllpht ares....... sq ft x"U" °
k) Total roof/cellinq framing '
area (Averaoe if1R) ... .• •s4 ft x "U" • QZ
I) 'Tetal nnt lnsuiaeed 1 ^ Q? .l?
roefJcslllnq arsa.......- I,? sq ft x"0" . ?
li . TOTAL J) th ru 1) 53 .T fl
IF total of db is tha same as, ar less than.l?2, yau have roet the Tntent of
2 F[CAA 1.1600$ A and 0.
{
AL7EIWATE BUILDItIG ENVELOP£ DESIGN
Ta uttlize the total anvelope ayatem method, the valuee eatabltshed by the sum
of items p3 and 14 ahail,not.ba greater shaa the sum of icems 91 and p2.
• 1. + 2.
j, + b.
e
r
C E R T 1 F I C A T I 0 N
I here6y eerlTfy that 1 have ealeutated eh• "L" faetors and "R"
valuas hereln and thae sh• bulidlnn here.deseribed meets ar exeeeds the Seate
af Hinnesate Energy Cangervaelon Act.
Iqrtetura
(Da?¦)
r?ge 2
Ul.l-tl4-17?J'J 14+4' Y,b4%Y_b
. 6WI4 1 ?,?V? IIW1 1? 1ALUC . •.
' VALL FRAHING SlCTIDN:
1 In? t?e?rlor alr fllm`q.6A
Z 5
A 3 / n as sa e woed
a . • u,
g •a
6 xtsr or s r film
• ALII?
• u - t/a • ,,?Z
, , • NALL 5LCTiON (IHSUUl7E0)
1 Interior atr ftln q 6A
-{3
5
6 Extar ar a r riim
p.
U.l/RaAQI!!?
R1M J015T SECTIOM:
?
?r 7fY1'AL fb.
FOllNDA7I0N IHSULATION REQUTRED.
Min, R-5 on entire wa11 OR u- 1/A
Mio. it-]U down to frost.T'?th -
fOUHDAT1dN SEL710Ne
Fol
(5
(F
OALit? 14111
U - I/R ¦ .?CJ7?
SLAN ON GpADE
'4 d•• •C'e{
E
Unhedted Slabs:
Minianm R - 8.2
Paga 3
U(: I -104-19V9 14 :4b
F
G Y
I 2 3 Ag
VEAl7ED
P. 05/a5
COHSTRUCTIQN R VALUC•
ClILINf; SECTIot! (INSU4ATE0):.
Z In arlor alr ftlm
.
4 +:7 ? O
? xterlor afr m stitt ?, ?
.? ' s TO?ALN?
U- 1/R-
tEiLlNG FRAF1ING SEGTION:
1 Interfer a(r g.lim n,fi1
t • ?.
3 .? i .
4 rtter or a r w' ?itill) N, 5 nc ee se L wood d
TUTAL -
' Ua I/Ra W
CSILlNG SFCTION (INSUlA1'ED):
1' lnterior a i r film n.61
2
j
4 Exter or t r Vilm sti16 0. J
TUTAL 9?
U? 1/R-
tI1LtN6 FR1WflUi 58CT10N:
h Interlor ¦fr P1Im
2
3
_
4 Exter or a r flfm (still)
S nc es to tiaod
. ?
Um 1/R.-
?
,Instde a1rfitm: _ A.hl
Z
j
4
3 Outsl e a r m ^•
TOTAL R + ?
r '
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: ?-- ?? B4JC.t" S
DATE OF SURVEY: ,-1 9- 91
LATEST REVISION:
DOCUMENT STANDARDS
m/ ?? • Registered Land Surveyor signature and company
V ? ? • Building Permft Applicant
r5/ ? ? • Legal description
ol/ ? ? • Address
m'/? ? • NoRh arrow and scale
w/? a • House type (rambler, walkout, spli[ w/o, split entry, lookout, etc.)
m-'? ? • Directional drainage arrows with slope/gredient °k
?? ? • Proposed/existing sewer and water services 8 invert elevation
m/ ? ? • Street name
O/? ? • Driveway
ra" ? o • Lot Square Footage
ra"? ? • Lot Coverege
ELEVATIONS
Existin
?o ? • Sewer service (or Proposed)
? ? ? • Property carnere
d? ? • Top of curb at the driveway
?[r/ ? • Eleva6ons of any existing adjacent homes
?ly/ ? Adequate footin9 depth of structures due to adjacent utility trenches
Prooosed
bl ? ? • Garage floor
ra/ o ? • First floor
M/ ? ? • Lowest exposed elevation (walkoutNvindow)
r?/ ? ? • Property carners
d? ? • Front and rear of home ffi the foundation
PONDING AREA (A aoolicaWe)
? u ? • Easementline
a d ? • NWL
? v a • HWL
? U'/ ? • Pond # designation
o er ? • Emergency Ovefiow Elevation
DIMENSIONS
V? ?? ? Lot IineslBearings 8. dimensions
Eg/ o? • Righ4oF-way and street width (to back of curb)
Cl/ ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all shudures requiring permanentfootings)
d/ ?? • Show all easements of record and any Ciry u61'Rles wRhin ttiose easemerris
m/ ?? • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures
?cy ? • Retaining wall requirements, if any
Reviewed:
/ Dat¢
March 1999
CRAIGIBLDGPRhR.FM
Surveyor's Certificate
. .
SURVEY FOR :PUI-TE
DESCRIBED AS : Lot 12, Block 5, OAKBROOKE, City of Eoqan, Dakota County, Minnsota ond
reserving easements of record.
,
L????L?%? I! 1?1 `v
R? d:.
q pb .•,".?`s='1:.-'a ??'.?x??+''?'•
Y" 930.8
? .,
O ? 930. ?4 930.6
'S'b ..
$ ??J • / ?? prop HSe.
TOB = 933.0
p3x,9 ir?Jfo
?
`SS9.
93 ?'?`.t 8'F FEKCF
a? oo ?oo ? 7
\ 93 9? ,y'L1 10?? 6
o,za
QkoS?064I° i 923A . : •
93z.4 0? 2, • .
J? ? ?,r o °o a23.7 ? ? ? •
p? \? Q30.1 913.2
U+?' \ /,OO 4z3.1 ?i/s 4?40
Prop Hse.
TOB = 933.0 S 1929-7
J ?
/
\\ ? i N.??o
., ? .
Q?? ?+^
L0T SQ. F00TAGE = 13,079 42?• Q?? °?
418A
HSE. SQ. FOOTAGE = 1,622
LOT COVERAGE = 92%
Plon y 18251
PROPOSED ELEVATIONS %10 BENCHMARK,
G?trol poink
Top of Foundation = 933.0
Garoge Floor =q3z,? Eie?= 9sz.7s
Basement Floor =qzq,o
Aprox. Sewer Service =921,ot
Proposed Elev. _ (Z:) MIN. SETBACK REQUIR€MENTS
Existing Elev. _
Drainage Directions = Front -25 House Side -25
Denotes Offset Stake = • SCALE: 1 inth = so ieet Reor - Goroge Side-
JOB N0:
HEDL?lND ' HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 99R-436
OF TME BOUNDARIES Of iHE ABOVE DESCRIBEO PROPERTY AS SURVEYEO
Bv rAE OR UNDER MY DiRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PACE:
PLANN/NC BNC1N6ER1NC SURV6YlNC SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS OWN.
2005 Pin Oak Orive 4
EagOn, MN 55122 DATE _j_/??/?9 • ? cAO FILE:
Phone: (651) 405-6600 Y UNDGREN, LAND URVEYOR
Fox: (651) 405-6606 ?ES A LICENSE NUMB R 14576 OAKBROOKE
RECEIVEQ pCT 0 5 1999
RESIDEiNTIAL BUILDING
Permit Applicatioo
City OfEagan
, 3830 Pilot I{nob Road, Eagan Mn 55122
. Telephone # 651-675-5675 FAX # 651-675-5694
J?-7 O- o-b
-7 Iz1IU?
New Construction ReauiremenLS RemodeVReoair Reaui2menls Office Use OnN
3 registered site surveys showing sq. R of lol, sq. fl. of house; and all roofed areas 2 copMS of plan Ced oF Survey Recd
(20% mauimum lot mverage allowed) 1 set of Eneqy Calalations for heated additions Tree Pres Plan Recd
2 mpies of plan showing beam & window Sizes; poured found design, etc. 1 sile survey for additions 8 decks Tree Pres Not Reqd
isetofEnergyCalculatlons Addition-indicafeiton-sdesepticsystem _On-siteSepticSyslem
3 copies of Tree Preservafion Plan i( lot platted aker 717/93
Rim Joist Detail Options selection sheet (bldgs wiN 3 or less unib
?
Date -1 /1-?_ / 03 q i 00o
Construction Cost
Site Address 4 nI n(9 LtShln nq CQ,L e eL (d/F,i Qd UniUSte #
Description of Work N-CW IJ?1?C L w 1 TIVh bt v'rLl'.k d CCk- l
Multi-Family Bldg _ Y_ N Fireplace(s) 0_ 1 _ 2
Property Owner t ? Telephone # ( (05 I) (o $ i ' _1 'b I 9
Cantractor t'YpN'Eit v C 6V1? ?'l 6vl
Address I 446U ' gU,vVN&V111? P1LwV City A1,1_1-?lSv)1(Y?
State P'1tJ Zip SS30L.r Telephone#(qS-L) 44-b -"l-1Sd
COMPLETE THIS AREA ONLY iF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateizory l _ Minnesota Rules 7672
Energy COde Category . Residential Ventilatlon Category t Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the 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.
??VG? C?'tVl???tt?
Applicant's Printed Name Applicant's Signa re
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
?
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multl
? 03 01 of _ plex ? 49 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_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
? 33 AlteraGOn ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entlre Bldg) - Give PCA handout to applicant
D
Valuation 0 ?
? Occupancy MC/ES System
Census Code _
T T Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED I NSPECTIONS
Footings (new bldg) FinaUC.O.
? Foorings(deck) ?L FinaUNo C.O.
_ Footings (addition) plunibing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insularion _
_ Retaining Wall
Approved By Y , Buiiding 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
D;? 1?r 6) L9 "-)
? ??"
Surveyor's Certificate
?
Y FOR : PULTE
IBED AS : Lot 12, Block 5, OAKBROOKE, City of Eagon, Dakoto County, Minnsota ond
reserving eosements of record.
IN
... ..,? . ?.. ; y ) ?. ..
Nzq D•b ?` ? . . , ; . . ? . .. . . . . _,.
vrop Hse.
TOB = 933.0
?°O 430.8
• / ? ? PraO Hse?'
T00 = 9 0
r09
?lb$' 9?9• S.?U'f?
4
? 0
ryry ca ?.N? 9
\ 932!0 Q?oP??oc9?,l°/ / i 923.9 ? ll? `oq?
?
CP
a0 \? `930.
4 is
\
ry ? i
92a,'1
/
\\ /// ??61
"J
. 5V?
L07 SQ. FODTAGE
HSE. SQ. FOOTAGE
LOT COVERAGE _
Plan a 18251
PROPOSED ELEVATIONS
Top of Foundation = 933.o
Goroge FIOOf =932.(.
Bosement Floor =9zq,o
Aprox. Sewer Service = 921.0:
Proposed Elev.
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = •
929. ?y, ?'?3?
= 13,079 -??U°
9f8A *?, i
= 1, 622
12%
' BENCHMARK,
Gnirol Poink
Eleu ° 4sz.75
MIN. SETBACK REQUIREMENTS
Front -25 'House Side -25
SCALE: 1i,,on - ao ieei Rear - Goroge Side-
H?????? 1 HEREBY CERT1i'Y THAT THIS IS A TRUE ANO CORRECT REPRESENTATION
OF TnE BDUNDARiES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORi TO
PLANN/NC ENC/N86RlNC SURV6YlNG SHOW IMPROVEMENTS OR ENCROACMAIENTS, E%CEPT AS OwN.
2005 Pin Ook Drive 4 Q pQ ? ??
Eagon, MN 55122 DATE _.(_/?_C/1_C .
Phone: (651) 405-6600 Y LiNDGREN, LAND URVEYOF
Foz: (657) 405-6606 ES A LICENSE NUMB R 14376
N0:
99R-436
fILE:
OAKBROOKE
PLUMBING (RESIDENTIAL)
J v ? ? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for. Single Family Dwellings
Townhomes and Condos when peimits aze requued for each unit
5z
?
DateS-_/ I7i /0,?
Site Address y v lVlp ::5-dk{1n,j QUO- Ri [{,Q Unit #
bO ss
Property Owner L;iylida M. &Qie( Telephone # ( (pS-J) t06 )- ?2I D
Contractor T
Address CiTy
State Zip Telephone # ( )
The Applicant is 2-( Owner _ Contractor _ Other
S¢ptiC Systenl NeW RefurbiShed Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including
? Adding fi?ctures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter if needed -$121.00)
Other.
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water sottener _ Water heater $ 15.00
_ replacement _ additional
State Surcharge $ .50
Total $ SD• SO
I hereby apply for a Residential Plumbing Permit and aclmowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing 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 plm/1 1„_ nzp ? .
'rhomas G. Ge; ?.? "
Applicant's Printed Name A plicant's Signature
513 REp mrit plicUII, nING
?i? City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
I0?O.oo
Lez-LCu(
s/z1/o:5
NewConsWctlonReauiremenLS RemodeVReoairReauirements O(ficeUseOnlv
3 registered site surveys showiig sq. ft. of IoL sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey Recd
(20% mazimum lot coverage allowed) ' 1 set of Energy Calcula6ons for heated additions Tree Pres Plan Recd
2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd
isetofEnergyCalculations Addition-IrMicateNonsdesep5csystem _On-siteSeptlcSystem
3 copies of Tree Preservatlon Plan'rf lot platted after 711193
Rim Joist Depil Options selectlon sheet (hldgs with 3 or less uniLs
Date Construction Cost
Site Address '?Yl
?
C414
UniUSte #
f?aqayi. M SS -4'e-
Description of Work -Fo;sh keeSeme?*
Multi-Family Bldg _ YX N Fireplace(s) _ 0%_ 1 _ 245)
Property Owner &Q I ex- Telephone # ( (pS? ) ?OB I ^ ?g I8
Contractor 1 Y(DDPf?I! QIki (IC!'
-?-r
Address
City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
• Residenfial Ventilatlon Category t Worksheet • New Energy Code Worksheet
(Jsubmissiontype) ? Submitted Submitted
. Energy Envelope Calculations Submitted ?
???(?M15r
Licensed Plumber no- Telephone #(
Mechanical Contractor 0 MA' 1 52002 Telephone #(
Sewer/WaterContracto? la„ eCllL I Telephone#(
I hereby apply for a Residential Building Permit and aclnowledge that the inforxnation 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 tkus is not a permit, but only an application for a permit, and work is not to start without a
pernvt; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
-T$ftas Le (-se-,er
AppiicanYs Printed Na_me Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-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 ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex x 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Yor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
`,
?
? 33 Alteradon ? 37
Demolish (Bldg)' ? 43 Reroof ? 46
WindowslDoors
? 34 ReplaCement •Demolition (Entire 81dg) - Give PCA handout to applicant
Valuation Occupancy - l? MC/ES System
Census Code ?! 3 y Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const yri Width
REQUIRED INSPECTIONS
_ Footings (new bidg) ? FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) plumbing
_ Foundation HVAC
_ Drain Tile O[her
Roof _ Ice & Water _ Fi nal _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing Siding Stucco
Stone
?
Fireplace ?( R.I. 4/Air Test ?/ =
_
Final Windows (new/replacement)
Iasularion 7° Retaining Wall
Approved By r-2- , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
cry sa,c
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
fcp,.?Ow 21 jg e,:) 0
? ?? ?
CITY USE 01LY
.
LOT ? a-- BL ? RECEIPT #:
SUBD._ RECEIPT DATE: ._--
MECHANICAL PERMIT #
Date: // - / )-- 9 `I
1999 M£CHANICi4L PEiMIT (RESIDENTiAi)
CYfYOF £AfiAIY
3$30 PILOT KPOS RD
EPtfiAP MN 56122
(ssi) 681-4675
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
consri-uction 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
Tota]
$ 30.00
6.00
3 °o
.?u
$
Complete this section on/v 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 Alteration Repair _ Other
Reminder: Call 681-4675 for inspections.
Furnace _ Air conditioning
_ Air exchanger _ Other
$ 30.00
' State Surchazge .50
SITE ADDRESS: Minimum Total Due $ 30.50
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
C?K l PHONE #: ?J7
(AREA CODE)
??f? PHONE #:
(AREA CODE)
CITY:
_u STATF,r' /J `77 ZIP: .S J Z79
S ERMITTEE
??/S?7`/y
L CITY USE ONLY
? BL
SUBD. I ' df/L/
EACH N
1999 PLUMBINfi PEtMIT (RE.SIDERTIAIa
crrYoF Easm
3650 PILOT KNO$ RD
SRfiAN, MN 55122
(851) 6$7-4675
Please complete for. ? single family dwellings
1 townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
TOTAL
Bath tub S 3.00 x = $
Floor drain 3.00 x = $ ?l
Ges i in Outlet ' minimum - 7 3.00 x = $ ?J
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $ .(JU
Laund tra 3.00 x = $ OO
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new 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 36.00 x = $
Water closet 3.00 x = 3
Water heater 3.00 x $
Water Softener if dwelling under construction 5.00 x = R
Water softener if existin dwellin _
30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ 50
Total --> --> ----> ----> $
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 infortnation is cortect, and agree to comply with all applicable Ciry of Eagan ordinances.
It is ihe applicanYs responsibility to noGfy Ne property owner that the City ot Eagan assumes no liability tor any damages caused by the City during its
normal operalional and maintenance activities to the facilities constructed ypder this percnit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREETADDRESS: lI(/.YJ
cin: ,
REC'tiPlJt: ? 5 515
RECEIPT DATE:
PERMIT #
(AREA CODE)
#: e?lz- Lie-l
(AREA CODE)
STATE: ZiP:
SIGNATURE OF PERMITTEE
y S IS-
BhUEFor Office Use
1 lity of Eapo I Permit I
I
3830 Pilot Knob Road Permit Fee: 66.
Eagan MN 55122 I I
Phone: (651) 675-5675 I Date Received:
Fax: (651) 675-5694 ' ' . n n.~ I I
~ Staff: I
2012 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 1/h~ V -2- Site Address: V V1 Cl 94 (A
. I d
Tenant: °q
Suite
Name: (=f AlC rS( -Phone: 3~GL l!/
RESIDENT / OWNER t
Address / City Zip: (C2 o" V1 i la P10(od 1-1
j ,
Name: pr I f H ( ue License D ~-Zo r~ 1
CONTRACTOR i Address I Qom( ~~d ~ ~I ~Y1 City:
State: Zip: 633 Phone: t!t S -a 2 2
Contact: Email 6 C C3 it 1
- - New-- Replacement - -Additional Alteration -Demolition
TYPE OF WORK Description of work:
NOTES 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.
RESIDENTIAL COMMERCIAL
Furnace 3 New Construction Interior Improvement
PERMIT TYPE Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
i
Heat Pump _ Under / Above ground Tank Install Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) . o6
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) V TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1%
t
$60.00 Minimum (includes State Surcharge) Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge
If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010411,010 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.gopherstateonecall.oro
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.
-W , PIA~~j
x f y I htIvs~ 1^ x
Applicant's Pr" ted Name Applicant's Signa e
FOR OFFICE USE
Required Inspections: Reviewed By: Dater
underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117729
Date Issued:10/22/2013
Permit Category:ePermit
Site Address: 4066 Johnny Cake Ridge Rd
Lot:12 Block: 5 Addition: Oakbrooke
PID:10-53760-05-120
Use:
Description:
Sub Type:Reroof & Siding
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.
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: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Joshua J Anderson
4066 Johnny Cake Ridge Rd
Eagan MN 55122--420
Northern Exteriors Minnesota Inc
6677 Timber Ridge Lane South
Cottage Grove MN 55016
(651) 230-5103
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA124846
Date Issued:07/11/2014
Permit Category:ePermit
Site Address: 4066 Johnny Cake Ridge Rd
Lot:12 Block: 5 Addition: Oakbrooke
PID:10-53760-05-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Jennie Wood
1424 3rd St N
Minneapolis, MN 55411
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Joshua J Anderson
4066 Johnny Cake Ridge Rd
Eagan MN 55122--420
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature