4086 Johnny Cake Ridge RdAddress 4086 Johnnv CAke Ridge Rd Zip 5512 2
IAt 7 Blk 5 Sub Oakbrooke
THESE 1TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: \ J s oo Yes No Inspector: ?
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry) x
Permanentdriveway X
Permanent gas
x
Sod/Seeded grass
Trail/curb damage
X
ro«n X.
Basement finish
Deck ?
,,. ?d ? w e K
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.
Contac[ engineering division at 681-4645 befote wo[king in rightof-way or installing underground sprinkler system. ?
Whice - Ciry Copy Yellow - Resident Copy Pink - Contrecror Copy
p1.LF' l'w Vf:;tnA.
^?a,.?. _ ' f_I^1!r?f;`e=
?
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' 5 WOr 4086 Ia..iN,iy (::ii ',tl').50
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3830 PILOT KNOB RDN 55122
'
651-681•4675
New Consfrucflon Reauirements Remodel/Reoair Reauirements
? 3 registered sNe surveys showing sq. N. of lof, aq. tt. ot house 2 copies of plon
and all roofed areas (207, maximum lof coveraae allowed) 1 set of energy calculatlons for heated addXfons
> 2 copies of plans (show beam 8 window sizes; poured fnd, desfgn; etc.) 1 38e survey for exferior addiBons S decks
> 1 se1 of energy caicutaNons > 3 copies of tree presenatlon plan H lot plaMedaHer 7/7/93
DATE: e^`\- -\C? CONSTRUCTION COST: `z:? i ZZ c?
DESCRIPTION OF WORK: N?-?? S1 v.c'A c_ -'*. c,,..„',
STREET ADDRESS: OO.&
LOT: ? BLOCK: SUBD./P.I.D. #: C?N'C. 7r U
Name: Phone
PROPERTY Last First
OWNER
Street Address:
City State: Zip:
Compony4v.?? \???S:s Phone #: ??\ n (
(area code)
CONTRACTOR \3?? `Me?ncA o ?
Street Address: N`Ae ?S.S License # 13? ? Exp.?J 3\ Z?
ty State: ?h Zip: SSl Z?
?
ARCHITECT/
ENGINEER Company: Name:
' Telephone #: area code ( )
,
, Street Address: Registration
City State: Zip:
Sewer 8 water licensed piumber (reauired for new conshuction onlv): 3ZZ)\V.VV&Z
Penalfy applies when address change and lot change is requested once permM Is is ued. a-`4
I hereby acknowledge fhat I have read this appllcatfon, state that the information Is coneF and ree to comply wHh all applicable
Sfate of Minnesota Sfatufes and Cffy of Ecgon Ordinances. J
?
Signature of ApplicanY. -
c,OFFICE USE ONLY
Certificates of Survey Received Yes _ No
AUG 61999
`I ? i
Tree Preservation Plan Received _ Yes _ No 1? Not Required L' ?- --- ;
T -_----- ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
. ,
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
JK 02 SF Dwelling ? 07 5-plex ? 12 12-piex ? 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
? OS 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 - 0 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 demolition permit
GENERAL INFORMATION
Const. (Actual)
Ali
bl ?N Basement sq. ft.
M / O?'y 2 Census Coda / u L
(
owa
e)
UBC Occupancy
Zoning ? ain level sq. ft. /6 97 SAC Code Q/
sq. ft.1,A/q' No. of Units ?
sq
ft
±
of Bldgs
L
. ?c? No
.
. G
u?,
.
_
# of Stories
Length " sq. ft.
sq
ft MC/ES System
Water
Cit
.
. y
Width Footprint sq. ft. ,l s? G Booster Pump
PRV
Fire Sprinkleted
APPROVALS ?
Planning Bu ilding ? • •Engineering ,Variance
Permit Fee Valuation: $
? Surcharge
Review
Plan / d c) Z X J? = l?j ?'(?
Licen
MC/ES S,4C
City SAC
Water Conn. I? G? 7 X
`
Water Meter
Acct. Deposit
S/W Permit
J"
S/W Surcharge f
Treatment PI. % " •
Park Ded. ` ' .
Trails Ded.
Other
Copies
Total: ({- ?
SAC Units
% SAC , .
/?} L X
. , ?
.
. EXTERIOft EliYELOPE AVERAGE "U',' COMPUTA71014
owrIcR; o?-'
N
SITE AD[1RESS:
OATE: .o ?tA? PHONE:=/TZ-szoo
CQHTRACTOR:
DETERHiNE WORKING SQUARE FOOTAGE Of EACHs
"U"
f t?? : ZqaSJ
TOTAL EXPOSED ttALL AREA,,,,,,,, 2
1 6 t x
sq
,
2, TOTAL ROOFJCEtLiNG AREA,,,,,,,, / q 411-/ sq ft x"Ii" t"
3. TOTAL EXPOSED WALL AEtEA CALCLILATIONS:
Total exposed wall
area above floor,,,,,,,, G' 3d/ sq ft
a) Total wall wlndow area:
DOU6LE glazed,..... 3 0z- sq ft xIOU'I •/4/7 96
gtazed,,,,, sq ft x"U"
6) Total door area ,.. ?..... ? sq ft x I'U" . {22L-
c) Total siidliig glass doar area:
pQUL?LE g 1 azed. . . . . . .
yd
sq
_
f c ???,?
x
A:LLE glazed ......
??--?
sq f t
uUii ? -- " .
x
d) .Total firepiace wall area
sq ft x "U" °
e) ToCal waii framing area „„ ?,16
(Averaga 104),....,.... Z 3 O _sq ft x U IZ
f) Totaf net waii area abave
floor (Insuteted)....... /(v?Z sq ft x."U" •C44 z; 7t'o-,
/b•Z/
g) Total rim Joist area...... Z? 4 _sq ft x"U"
Total foundatlon
erea (Exposed).......... sq fL
h) 7ota1 foundatlon ? ??• ?"??
windoN area............. sq ft x"U" ?-
1) Tatal net faunda[fon ? `1._d
/OO s4 ft x"U"
area above grade........ _
3. TOTAL a) thru 1) y zq?' 99
IF ttem N3 ts the same as, or less than item Ri, you have met the intent of
2 PtCAR 1.16008 A and 0. •
Page 1
!F. TOTAL EXPOSED ROOF/CEtLRif CALCIlLATIO!!5:
Total exposed
roof/eelling area.....,.. /41 L!sq ft
J} Totai skyliaht area....... sq ft x"U" °
k) Tota1 roof/ceiltnq framtng '
area (Average iW ...... / NN sq ft x"U" .?? m 3• ?N
1) Total net Insuleted
roof/eetlinq area....... 1300 sq fE x"U" OZZ ° Z 8 6
q, TOTAL ]) thru 1)
If total of #4 is the same as, or less than.92, you have me[ the intent of
z ricAR 1.16008 a and o.
i
?;..
ALFERtIATE BUIiDIMG ENVELOPE DESIGN
To utillze the tota) envelope system method, the values eSYablished hy the sum
of items P3 and W4 shail.not oe greater chan the sum oc icems H3 and #2.
? 1. Zq o, s? + z. 3'7.sy ? 3ZB. os
3. 29 15)'..:99 +b. 32.3y
C 5 R T t F i L A T I 0 N
I herehy certify that I have ealculated ehe "ll" factors and "R"
values hereEn and that ehe hulldtnq here.described inests or exceeds the State
of Minnesota Enerny ConservatPon Act.
_ 17/??
(Slqnature
i ?
(Da[e)
i'age 2
' !32
•
. , ??? cor,sTROCtroN a vaLuE
HALL FRAHtNG SELTION:_
-?1
A
NALL SECTiON (iNSULATED)
--( t
A
3
?
R!M S01St SECTIffN:
----(1 Interfor
?
A
a a':'•a
A • i •
"•A . ? •.
?'?, a -. % :'
.. ,. _.A,
?.? d?..A.?
FOUNDATIQN INSULATTON REQUIRED: '
Min. R-5 on entire wali OR u•?/a
Min. R-TO dawn to frost.depth
FDUNDATION SECTION:
---?T Interior air fiim n,SA
--{2 //??^`, TL-11 R,?Tt r?lkY_ t ?1?'
--cs t?Y - r,zA
--{4 Exterior a r fiI m- n. 7
i5
7OTAL R = ?
u - »a - ,Pr)b
SLAA ON GRADE
12-
,-?,4,,•L, •,.; ?
, ,.
' ` ? •; a a? `. ? ,;,,'
;4 _ •?. .? . a•?a? r ? ? /? •
Heated Slahs:
Minimum R = 8.5
,• a ? ? . .r ,
Unneated Slabs:
Minimum R - 6.2
?a'??•?a'd'?n 4''`'?`• 4.A
?". • . '
tiVi - ?. ?`•,? 4.
4
.
+.rQ?,?'. ?. ? ,',.o', ?;?•.°,?.
.4. • •e?? •'t, ??ti `
'? ., • : ?
4L Q 4 . C1 , '
Page 3
U - I/R ° 4?251-
u- 1/RaQQ!5!4-
?
?
?
VEUTED
CONSTRUCTION R VALUC•
. -.-?...
CEILINR SECTIQN
I Interior
Z 5/ u
3
4 Exterlo?
( f t75ULATED) :
air f11m
•'?fi'C± _K ._Ca
L`UL4?rDj.! 44. O
a3r Pllm (sti11)n,I,t
TOTAL R
u - t/R = .0
ZT_
CEIItNG FitAMING SECTION:
1
2
3
4
5
C£IL1ftG SECTtON (INSULATEB):
1' Interlor air film n.bl
2
3
4 Exterior air itm stili 571
TO7AL R =
U? 1/A=
CEiLfNr, FRAhtIMr SECTION:
Y Interior air fTTm 0.61
3
4 Exterior air im st II n.
S inches so t waod
TOTAL R =
Ua 1/R=
1 ,Instde air film n•Fj
2
3 •
4
S Outside air i1m n•17
7aTAL R
U= 1/R°^
Page 4
.. (ja I/R
; . . CHANGE ORDER CONTRACT
Pulte Homes of
Minnesota Corporation
7355 MENDQ7A HEtGNTS ROAO, SUITE 300
MENOOTA HEIGHTS, MN 55120-1172
PHONE: (651) 452-5200 FAX (651) 452-5727
JOB NO. ? / O
G^.MMUNITY:
BUILDING TODRE55: ' /?t
MODEL NPME: r I'? ( Y 1??
BUVEFtS NAME(S): _S
CURREM ADORE55:
HCME PHONE: 0/-
SALES REPRESENTATNE_
BUSINESS PHONE: BUSINESS PHONE:
, CIilWGEORDERFEE: YES OR L9
PREVIOU J.1. . OR CHANGE OROER P.RLCH.
# 00 TOTAL:
, QTY.. i:OPTlON`.iF ^-,a. " . ?ESCRIPT[ON OFGHANGE -+< < , .: : «? 46
I 6d4L(:cc7- Ylo;? Cs(" 75
? or-7 20 0
Cc-?41zo o
?
? CbzS 7 C-c cv? L) , GCi/L I u Z20 .00
? I 00 ( -s , c- - ?? ? U L z 0 24
?
'''-z i
ZJ!x
?-
I
JE
7z,?ct; s c?' =,c?rLe,? I 5C?
?.S(Cf .f I ?
TOTAL? Z?5??10
APPROVED BY 9UYER:
APPROVED BY SUP°_RINTE`1CEN i : ?
?VlcLSterBuilder•
. APPP,OVED BY SP.LES ^..?^?••.
euk'.ers Ucense #ce01 371 Tnis consiitutes a contraci bebNe°n ;he Seiler and the Purchaser(s) for the above items.
CONTRACTOR/SUPPLIER:
r L' ?
LEGAL DESG71P710N: LOT ? BLCCH UNIT
AOOITlON:
C1TY: b-? STATE: iaL/ ZIP:SSIa2-'
?
eER: ELE1/ATON: ?(! GARAGE: LEFf RIGH7
-?"
?.L / l?/kC. • /? DATE OF OROER: ?I $r
% CT': LLLLJ'? STATE: Mli ZIP: > rLZ
m. 4- Z,
CHANGE ORDER CONTRACT
Pulte Homes of
Minnesota Corporation
7355 MENDOTA HEIGHTS ROAD. SUITE 300
MENDOTA HEIGHTS, MN 55120-1112
PHONE: (651) 452-5200 FAX (651) 452-5727
d08 NO. 0 3 Z lJ
'? /? (!-O0
CAMMUNITY: /ylt_I 1t LJ??CL7
MOOELNPME:
BUYERS NAME(S): IL-2;
CURREM ADORESS:
HCMEPHONE: Lf5r-?
SALESREPRESENTATNE:
CONTRACTORlSUPPLIER: . k\\ CfAG?
LEGALCESCWPTON: LOT BLCCi( UNIT
-? ? ADOfiION:
T?- ?j1?(?? ?S
??J /?C! ?..".Q / C:TY: ?.'4/lf STATE:9P: U
-- Z
J ?
. MODEL NUMBER: '/ XG'S z ELEVATON: ? GARAGE: I.EtT RIGHT
DATE OF ORDER: ?
,CJG<-7 ?/?.,._Q CfTY: C G?t STATE: LP: ??/I/ZZ
_ BUSINE55 PNONE /O1Z "?07/ q5l? BUSWE55 PF10NE:alZ "f?Z ' -? "?y?
CH/WGE OftDE32 FEE: YES OR/NO )
L?
PREVIOUS J.I.O. OR EL ?A ORDER ? Pf2LCE ;.+
TOTAL: ZGS 3 (}
QTY.i: flPTION:# -<DESCRtPT.fOIVOFCHANGE: -:s .
. .,
cu -1 d n 3Z5
? o7. l
300
l ? I .3 fon CC -
? a?s I , ecz.0 zDDO
? i Z I Ti/ a c-&e ?t
a I ?? I
l 3zC23 I :5 C
S
/
V
L;
! /
l,Y
^ ?^
G??./
I
I
I I
I ,
,c??le -
' m
i J .
I I I
a73
PLT?.TE
tVlasterButlder
201Cers ucanse 4OCO 1371
APPROVED BY 9UYER:
.
AP°ROVED BY SLIFERINTcNCEN i : ?
APFROVED BY SAL_S: ?••a.....
This constitutes a contract Cetween the Seller and the Purcnaser(s) for the above items.
? Jr? S iN1TlAi°lON O?? .ER
Pulte Homes of
Minnesota Corporation CONTRACTOR/SUPPLIEA:
1355 Mendota Heights Road, Suite 300
Mendota Heights, MN 55120-1112
Phone: (651) 452-5200 Fax; (657) 452•5727
CONMUNITY:
BUILDING
LEGPLDESCRIPTION; LOTBLOCK U.r _ UNR
ADDITION:
an:
5TATEMFtl
h'pDEL NM7E: . ?/'rLrv ?/? v MODEL NUMBER: ELEVATION: ONtAGE: LEFT RI
F
BWEtYSNPME: ?,,/L,/?,{F L K DATEOFORDER: ?+?
CIJRREMADDR /V
E55:_I K.? Lu-l,y\/ ? (C+IIY: ?CLCC(Ol STA/TE; ?o4(`?P: -c-?-S,.«,.?Z
FIOME PMONE: gUSINE3S PNONE: Y/ I Z' Cn ???I- 7S?f° BUSINE9S AHONE: _ ?p I Z-07 z• GV T?°
SALES REPRESENTATIVE V/?? /?r{ b C7
t1'CY." ,.OP'fION s;RE3CRIP71Qh[?"?s??r?????E,?'r?"??s 9 :w+A'RRICE! , -:
1 0000 BASE PRICE 01-:Z G
--- LOTPREMIUM ?A COLj
fD;23 ELEVATION # c? SQC)
(2-CA- n 7.50
z
S
?,-
?f {r? ?J
ater
T?
Builder
Buiider's License 40001371
TOTAL 042-j7
APPROVED BY BUYEA (S):
APPROVED BY SALES:
RELEASED TO START CONST.: ? eouaL i10usinc
OPPOFiU!lli'!
This constitutes a coniract between the Seller and the Purchaser(s) for the above items.
y
I
,. LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL LOT 7 9'weM ?q
DATE OF SURVEY:
LATEST REVISION: ti_ 17 _ ff
DOCUMENT STANDARDS
y0 ? • Registered Land Surveyor signature and company
?? ? • BuildingPermRApplicant
? 'J ? • Legal description
? ?
G? ? ?
a • Address
• North arrow and scale
d c ? • House rype (rambler, walkaut, split w/o, splR entry, lookout, etc.)
2( c ? • Directional drainage arrows with slope/gradient °k
r? ? ? • Proposed/exdstlng sewer and water senAces 8 inveR elevation
R/ ? ? • Street name
d o ? • Driveway
p/ ? ? • Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
Ewstina
? ? ? • Sewer service (or Propased)
? ? ? • Properry corners
?? • Top of curb at the driveway
? m-'? • Elevations of any ebsting adjacent homes
0 x/c Adequate footing depth of structures due to adjacent utiliry trenches
Prooosed
ga? o ? • . Garage floor
? ? ? • Firstfloor
m' ? a • Lowest exposed elevation (walkouUwindow)
V c e • Property corners
;/? a • Front and rear of home at the faundation
PONDING AREA (if aoolicade)
? d o • Easement line
? ? o • NWL
? r? ? • HWL
? ? ? • Pond # designation
c et/ ? • Emergency Ovefiow Elevation
?? o
m? ? o
?? ?
?o ?
?? ?
? c9?o
DIMENSIONS
Lot lineslBearings 8 dimensions
Right-af-way and street width (to back of curb)
Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
Show all easements of record and any Ciry utllities within those easements
Setbacks of proposed structure and sideyard setback of adjacent ebsting structures
Retaining wall requirements, "
Reviewed:
Marth 1999
CRAKa/BLDGVRMf.FM
Surveyar's Certificate
SURVEY FOR :PULrE
DESCRIBED AS : Lot 7, Block 5, OAKBROOKE, City of Eoqon, Dakolo County, Minnsota ond
reserving eosements of record.
?
v
6
/
C
o?
?o .
?
A!
7 "
1•.:
R?.
?
\ \ ?8F
1
?
?
\
?
?
?
?
?
?
?
.-?cCEIVED
?.C SEP 2 01999
rJ^g
? \\
T LT _ ???+??^??"
;S.1.??
?
\ f .
c3a ? ,°o0
?? ? ? 92
932.5 ?? ,,o o?a
/ o? 4:3 1?'Qcw
i
?
?\ lo.
\
3.
?'M
?
*? .__ ...
.2. _?;z=RL1T?'r DFPT.
LOT SQ. FOOTAGE
HSE. SQ. FDOTAGE
LOT COVERAGE _
= 12,565
= 1,819
14%
q23.o
-K
Plan y 18052
PROPOSED ELEVATIONS.
BENCHMARK, control Pomt
Top of Foundation = a39.5 eieu=q52.50
Goroge Floor = 939, 1
Bosement Floor =925.5
Aprox. Sewer Service 920.5?? ? i-?IS ELEV. _Ts
Proposed Elev. ? o-r FRoM Cny MIN. SETBACK REQUIREMENTS
Existinq Elev. - ''LANS. NEO.j..uNp
Droinoge Directions - LrEr-r-) SA=p TNxS Front -25 House Side -25
Denotes Offset 5toke =. SS w,lnr -rNEv srAKFa zr AT, Reor -. Gorage Side-
SCAIE: 1 inch - 30 lee[
JOB N0:
HEDL?lHD IHEREBY CERTIFY THAT THI$ IS A TRUE AND CDRRECT REPRESENTATIDN 99R-432
OF THE BOUNOARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY A1E OR UNDER A1Y DIREC7 SUPERVISION AND DOES NOT PURPORT TO BOOK: PACE:
PUNN/NC 6NC(N6BRlNC SURV6Y/NC SHOW IMPROVEMENTS OR ENCRDACHMENTS. EXCgznm? 2005 0,n ook o.,vg 9 17 49
Eagan, MN 55122 DA7E _ /___/___ ff CAD FILE:
Phone: (651) 405-6600 UNDGREN, L D.SURVEYOR
Fax: (651) 405-6606 LICENSE NUMBEft 14376 OAKBROOKE
G°?o?•° o
? ?oo
cPW
1?-' /.??'13 w
REi;Elb'tL3 :ici' 2 0 fjfi
L BL CITY USE ONLY
Sl;BD. 016 O
RECEIPT#: J ` qq
RECEIPT DATE: ' I -
PERMIT # /
1999 PLUM$INfi PERMIT (RESIDENTIAL)
Ct'fY OE EAfiAN
S$SO PILOT KNO$ RD
FaceAlv, Mrr 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 #
TO7AL
Bath tub $ 3.00 x = $ J
Floor drain 3.00 x = $
Gas i in Outlet ' minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $ 60
Laund tra 3.00 x = $ )
Lavato 3.00 x G = $
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 = $ G/
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 = $ ex)
Water heater 3.00 x = $
Water Softenef if dwelling underconstruction 5.00 x = $
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-Ihis applicaGOn, state that ihe infortnation is correcl, and agree to comply with all applicable Cily of Eagan ordinances.
Il is the applicant's responsibilily to notify lhe property owner [hat the City of Eagan assumes no liability for any damages caused by the Ci[y during its
normal operational and maintenance activities to the facilities consWCted under this permit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
TEIEPHONE #:
(AREA CODE)
TELEPHONE #:
(AREA CODE)
9-/
STREET ADDRESS: O(l•t"'J C il//',[///S/] (f/,e-
CITY: STATE: ///7F' - ZIP:
SIGNATURE OF PERMITTEE
CITY USE ONLY
I BL ? RECEIPT #: y i H 0
SUBD. 0t'&\,J`QkZ' RECEIPT DATE: I0-a--1 I
MECHANICAL PERMIT # J 3551
1999 MECfiANICAL PERMTf (Ru1D£1VTIRIa
Cl1'Y OF fr4fiAN
3$30 PILOT KN09 RD
EP1fiAN biN 55122
Date• -- (651) 6$1-4675
Complete this section onlu if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
• FNAC: 0-100 M B: U
n??DrTrnp.eT cnhi _n.ni
? • Gas outlets (minimum of one required @$3.00 ea.)
$ 30:00
6.00
c3 eo
State Surcharge .50
Total $
Complete this section orilv if you aze remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alterarion, or repair.
New
_ Fumace
Air exchanger
_ Air canditioning
_ Other
$
SITE ADDRE55
OWNER NAME
INSTALLER NAR
STREET ADDRES;
CITY: r'zt
Alteration Repair _ Other
Reminder: Ca11 681-4 6 75forinspections.
t
State Surchazge
Minimum Total Due $
30.00
.50
30.50
PHONE #: r?0- yU ????0
(AREA ODE)
_ rxorrE a: Yra- - ?S?roo /`-
STA ? ? ZIP:
?
SIGNATURE OF PERMI EE
! 5 lS fPo/
Ii-
CITY USE ONLY
L r-7 BL RECEIPT#: o ?
SUBD. l/A 070 OKQ? RECEIPT DATE:
PERMIT# J?F)I ?
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IINOS RD
EACAN, D4i 55122
651-681-4675
---?
Please complete for. n s
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
EACH #
TOTAL
Alteretions to existin dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floordrain 3.00 x = $
Gas piping outlet ' minimum - i 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laund Vay 3.00 x = $
Lavatory 3.00 x = $
Septic System newnefuroished • requires MPC lic. 75.00 x = $
Septic S stem abandonment 30.00 x = $
RPZ new installationlrepaidrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Under round sprinkler If dwelling is under construction 3.00 x = $
Underground sprinkier if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under wnstruetlon 5.00 x = $
Water softener if existing dwelling 30.00 x = $ p, p p
Waterturnaround 30.00 x $
State Surchar e .50 -> -> -> $ 50
TOtal ,
FIXTURES
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----------------------------
I - hereby acknow----------•-l edge tha •-------t - I have re----- ad -----•-• -------------------- information ------------------------ g ree ---
this appliption, state that the is coned, and a to oompty with all applicable City of Eagan ordinances.
It is the applieanPs responsi6ility to notity the property owner that the City of Eagan assumes na lia6ility for any damages caused by the Ciry during its
nortnal operational and maintenance activRias to the facilities constructed urnler this pertnit within City propertylright-o6wey/easement.
SITE ADDRESS:
OWNER NAME: : TELEPHONE #: 43S/ +4 -lo773g
(A EA CODE)
INSTALLERNAME:.?/y/LOAFI isIXW,C? V . 1It1C, TELEPHONE#: 61 z -75'-3-9ZW
STREETADDRESS: '73/9 A-j?- /U.LJ . (AREA CODE)
CITY: -1 Ffy STATE: YYIaU ZIP
?°??r,
SIGNATURE OF PERMITTEE
5 CITY USE ONLY
L ? BL
sueo. Qq ktt00 vtJ
RECEIPT#: / 3 c) d i'I &
RECEIPT DATE: 6 ? OC/
PERMIT# 4 13VL1
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGFfN
3830 PILOT IINOB RD
EAGAN, 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
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet " minimum -1 3.00 X = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tra 3.00 x = $
Lavatory 3.00 x = $
SeptiC System newlrefurbished • requfres MPC Ilc. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installationlrepaidrebuild 30.00 X = $
Rou h opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Under round sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under eonstruction 5.00 x = $
Water softener if exisdng dwelling 30.00 x = $
Water turnaround 30.00 x --- = $
State Surcharge 50 -> --> --> $ .50
TOtal -> -> ---' --> O
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--•------------------ -------------------------------------------------------------°---------------------------------------------......_
I here6y acknowledge that I have read this application, state that the information is corred, and agree to comply with all applicabla City of Eagan oMinances.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenanca adivities to the facilities constructed under this permk within City propertylrighbof-way/easement.
SITE ADDRESS:
/d ?x rl?i?J Ccx
OWNER NAME: : Grti F,.r C4 TELEPHONE #: ?Y-7O ?r ?
h 1- (AREA COOE)
INSTALLER NAME:
STREETADDRESS o?ClO -/7'?
TELEPHONE
(AREA CODE)
CITY: ?-0 STATE: ' ZIP:
SIG ATURE OF PERMITTEE
LL Clty of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
-- -------------
? EorOfficeUse ?
j Permit #:
i Pennit Fee:
1 Date Received: ?
I ?
I Staff: . ? I
I ----?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
-Date: , q Site Address:
Tenant:
Suite #:
RESIDENT / OWNER Name: Phone:6 S1 3S 3'6-7 3
Address ! City / Zip:
k
Contractor
Applicant is: _ Owner )
TYPE OF WORK Description of work:
- - ?iy
Construction Cost: Multi-Family Building: (Yes _ I No ?
CONTRACTOR Name License #:
r •
nddresjResidential MN Lic.#20249488
2478 Hillwood Drive. St. Paul. MN 55119
? _ State: Zip:
Ci
Phobb3Vid JOhnSOn - Ce?I: 851-274-Q%4&ct Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
En81'gy COdO . Residential Ventilation Galegory 1 Worksheet • New Energy Code Worksheef
Category Submitted Submitled
(4 Submission type) • Energy Envelope Calculations'Submitted
In the last 72 months, has the City of Eagan issued a permit for a similar plan hased on a master plan7
_Yes _No If yes, date and address ot master plan:
Licensed Plumber: Phone:
Mechanical ContrecTor: Phone:
Sewer & Wafer Contractor: Phone:
NOTE: Plans and supporting documenls,that yo,u submit are considered.to be public information. Portions of
the information may be classified as non-public if you provide specific ieasons that would,perm/i the City to
conclude thaf the , are tratle secrets'
I hereby acknowledge that this information is complete and accurate; that the work will be in contormance with the ordinances and codes ol the City of
Eagan; thal I understand this is not a permit, but only an application for a permit, and work is not to statl without ?ercnR; that ihe work will be in
accordance wi[h the approved plan in ihe case of work which requires a review and appro f plans ?
X 7•.?o?+nSOtl x
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
iO 9(o .S 6 k ,n E.
.?,
Use BLUE or BLACK Ink
For Office Use 1
I I 1
I Permit
ryry ~i I
City of Eajan
Permit Fee:
3830 Pilot Knob Road 1 I
Eagan MN 55122 X011 1 Date Received: _ 3- )Z
Phone: (651) 675-5675 1
Fax: (651) 675-5694 M Staff_ -
20^12 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: -Q-1528:162- Site Address: -qa8 ? -Jobe Z Ke_ K a _,R
Tenant: Suite
RESIDENT/ OWNER - 1° 7-M
Name: ire- &8&JCh1?f7V bI j Phone:
i /l
Address / City/ Zip: 09 k)d -Kd ,E_#_ axU _H&) 55/c2~
1G~ ~~--~7- License °7o[a 7 P/-/
Name: l J~
Address: C _ /3_ Do 11 0 C I rC'~ 5l I k
CONTRACTOR City:
State:
NP-Zip:- 55379--- Phone: R5a-445-u8' 3
i
Contact:v_~l Email:
-
TYPE OF WORK New ) Replacement --Repair Rebuild Modify Space Work in R.O.W.
Description of work:
Water Heater
' Lawn Irrigation ~ -Water Softener
PERMIT TYPE RPZ / PVB)
Septic System Add Plumbing Fixtures Main / Lower Level)
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
'`Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES 00•
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.
hjm I ej nn. M le X--- ~ - _L I
-
Applicant's Printed NarAel Ap cant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test _ Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113638
Date Issued:09/05/2013
Permit Category:ePermit
Site Address: 4086 Johnny Cake Ridge Rd
Lot:7 Block: 5 Addition: Oakbrooke
PID:10-53760-05-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Michael Edgell
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Shinpravin J Malli
4086 Johnny Cake Ridge Rd
Eagan MN 55122
Edgell Construction, Michael T
14141 15th St S
Afton MN 55001
(612) 490-2851
Applicant/Permitee: Signature Issued By: Signature