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4090 Johnny Cake Ridge Rd Use BLUE or BLACK Ink For Office Use 1 I Permit G City of (Ion I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received:' Phone: (651) 675-5675 1 I 1 Staff: I Fax: (651) 675-5694 1 I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION j i~, Date: - 6 Site Address: D y~ l 6Z_ Unit Name: !'tdi`I / Phone: RESIDENT / OWNER Address / City / Zip: 6 2, Applicant is: Owner / `Contractor Description of work:v TYPE OF WORK - ( _ Construction Cost: Multi-Family Building: (Yes / No (X ) Company: 'i~~'' Contact: z CONTRACTOR Address:/ 37 ~ City: State: 01, Al Zip: Phone: CB~~ - l7 7 y -i License Lead Certificate Does this project require Lead Remediation? ❑ Yes VIINO (see Page 3 for additional information) If no, please explain: 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.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances 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 per at the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applic nt's Printed Name Applicant's Signature Page 1 of 3 Address 4090 Johnnv Cake RidQe Rd ZIp 5512 2 Lot 6 Blk 5 Sub Oakbrooke THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: L2,o Qo Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/wrb damage Porch Basement finish Deck Please verify with the builder the rcmoval of roof rest caps from the plurobing system and the shut-off of water supply to lhe outside Iawn faucet before freeze potential euisu. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - Ciry Copy Yellow - Resident Copy Pink - Contracror Copy C.l'TY UF EAGFlN CASHSER: ,]S TFRMINAt_ N0: 769 llATE: 12/31/33 1'IMC: 150.2:0 ID: NAM't: F'ULTE MASTEF IiUILDEfi 22`.12 9220 4030 JOHNNY CK 30.00 3r^..10 3009. 4030 J01-0NNY CY. 1.?469.75 3866 3379 4030 JUHNNY Ct, 100.00 3422 9001 4090 JOHNNY Ct: 355•34 2275 `.3^2Q 4030 JQHi'!NY CY 1. y 039.50 3446 9001 4030 JOHNNY CI: 10.50 2155 91701 4090 JOHNNY CF. 0.50 3743 9220 4030 JOHNAlY CK 50.00 21.55 9001 4090 JOHNNY Ct: 92.50 3868 32211 4090 JDhIhiNY CY. 468.00 CFi:L27.835 CCiNTINUE USER IU: JAN CONTINUE CONTSNUE CITY OF EAGAN CASHIE:R: J5 TFRHINAL N0: 769 DATE: 12/3i./39 7ZME: 15:12:11 IDa NAME: F'UITE MASTE:fi IiUILUF-R 3716 3220 4050 JOHNNY CY 114.00 W13 9220 4030 JOHNNY CK 50.00 38E,5 9220 4090 JOHNNY GK 825.00 Ta#a1 kereip+. Amoun+,? 5y?05.03 CF 1E:1.S95 IJSEFi IDe JAN C? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)?aC) ? ' CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681•4675 L Naw Conatructlon Reauimmenla RamodellReoair ReaulremeMa D 3 raplstared slte survays ehowing sq. R oi bt, sq. R M house and all rootod veas (20% maximum bt eovenae allowed) D 2 wpies of plans (show beam 8 window shas; poured fid. desipn; atc.) D 1 set of enargy ukulelWns ? 3 copias of tree precenation plan H bt p1eGeA after 71193 DA7E: Q/ 1 ? _ DESCRIPTION OF WORK; STREET ADDRESS: 7_?- LOT: BLOCK: e 2 apies of plan 1 set of energy cakulaUone Por heffied addMions 1 ake survey for exterior addPoons b decks CONSTRUCTION COST: ???? ? )F,) SUBD.IP.I.D.#: o Name: PROPERTY Last First OWNER Street City State: Zip: Company:/U?' /r61C ? Phone#: ?SI ?-;°Z'SaDb (area code) CONTRACTOR Street Address: ??'?F Jo?G &91? PUcd Lieense I?? Sj ? Exp.&?.??J 6 cky iG1c,,,A?4 A_ staee: 41, zip: Z?0h C) ARCHITECTI NG NEER Company: Name: Telephone #: ( ) Street City State: Zip: Sewer 8 vster Ikensed plumher Inew sonstruetion onlvY. PI/, Y`L- Z, v !j A /(" Telephone t: ell-I ) -2 1? / Penalty applies when eddress change and lot change h requesEad once permk is lasued. . I hereby aclmowledge tliat I have read this appUcadon, sfate that the infonnatlon is cortect, and apree W comply wiM all appifcable State of Minneaota StaWtes and Cit of Eagan Ordinances. Signature of AppllcanL• OFFICE USE ONLY Certificates of Survey Received ?Yes _ No Phone #: Registretion #: Tree Preservation Plan Received _ Yes _ No :0JNot Required ? OFFICE USE ONLY BUILDING PERMIT TYPE ??? Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ?OZ 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 ? 05 3-plex ? 10 S-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ltr31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43. Siding/Soffits/Fascia 0 32 Addition ? 36 Move Bldg. 0 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove 0 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demol ition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. I i Srs? Census Code lG I (Allowable) Main level sq. ft. ! ? ti I SAC Code o i UBC Occupancy 2 0 -I 2..a I<"i sq. ft. /yqy No. of Units ? Zoning P O H,R ? sq. ft. 6ci 3 No. of Bldgs ? # of Stories ? sq. ft. MC/ES System Length 56 sq. ft. City Water Width Footprint sq. ft. i SrSrN Booster Pump PRV ? Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review Co?« ;yU x/S YZ,lGo License Cow« MC/ES SAC rok IO ??uu p CitySAC q6,r,21) ? ti2a .jDYs- x2S = 26,a-UO WaterConn. WaterMeter M°?•'^ ?zo Acct. Deposit y b X 1 ? .4 zs ,- i u= zq s, 115 l x S?f aN .? ??`i • S/W Permit . 2 X , 5NV Surcharge Treatment PI. ParkDed. ?ix21.s -?? L(,?s?? ??pf676 Trails Ded. ZX i3•5? =2$ 5 Other ?/6 x 30 = 13?W Copies ? 6?I 1 USr? N (??,•5? 22 x 31 ,S = 66 3 ) Totai: SAC Units % SAC ? ' LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: L-o 7" 65,?S'GOC/( S !%A?'R•PGY??? n DATE OF SURVEY: I?ff' H ? w LATEST REVISION: ? p DOCUMENTSTANDARDS O ¢ O ? o • Registered Land Surveyor signature and company ? ? El e . Building Permit Applicant q ? ? • Legal descnptian ? ? ? • Address ? ? ? • North arrow and scale ? ? • House type (rambler, walkout, split w/o, split enVy, lookout, etc.) ry ? ? • Directional dreinage arrows with slopeJgradient % ? ? o • Proposed/ebsting sewer and water services 8 irnert elevaUOn q ? ? • Streetname ?j ? ? : Driveway ? Lot Square Footage v ? • Lot Coverage ELEVATIONS Existina Er/? ? . Sewer service (or Proposed) . ? ? ? • Property corners ?? ? • Top of curb at the dtiveway 3? ?/? • Elevations of any exdsting adjacent homes c y? Adequate footing depth ot structures due to adjacent utility trenches Prooased M/ ? ? • Garage floor e? ? o • First floor ? ? ? . Lowest exposed elevalion (walkouWrindow) ; cy ? ? • Property corners o ? . Front and rear of home at the foundation ? PONDING AREA (A aodicade) ? /o • Easement line ? m'/ ? . NWL e p ? . HWL c ?/? • Pond # designadon ? 4' ? • Emergency OverAow ElevaUOn ? e B" c ? ?a ? ? o ? DIMENSIONS • Lot Iinesl8earings 8 dimensions • Right-of-way and street vndth (to back of curb) • Proposed home dimensions induding any proposed decks, overhangs greatet than 2', porches, etc. (i.e. all strudures requinng permanentiootings) • Show all easements of record and any City utititles within those easemenis • Setbacks of proposed structure and sideyard setback of adjacent epsting structures • Retaining wall requirements, 'rf any Reviewed: O- March 7998 cwucMLocrnnrt.FM DEC-16-1999 14 29 P.02i05 • • EXT6RIOR EHVElOPH'AVERAGE "U';? COMPU1'ATIOH ' ' or= /1?.?r " • - . ONNCR: .P?. d ry. •?• ,. .. 51TE ADDRESS: C CaHTMCTOR: 'DATE s ?-?PHONE: -[TZ-rzeo _ pETERl1lNE WORKIttG S(kUARE FOOTAG$ OF EAC}ie ]. 2. 3. 3 TOTAI EXPOSED NALL AttEA,..,.... aq ft x"U" +?I 'r TOTAL ROOF/CERIHC AREA,,,,.... I? . sq !t x"U" C5 _. _.. ., , , .. _.,_ .... T07AL EXPOSEO WAII AREA CALCULATitlNS: Total exposad wa11 area above floor,,;,,... Z? ?q ft a) Total wa11 Nthdow areaa • _ DOLIBLE 910ted,..... ?--sq ft x"v' , tJ0 ._r 107¢- T`-E glazed...... `- s4 gt x1.1IJ" ...r.__? ?-- sq ft x 1.Iju. •Irf¢, ., 5 61 -Total docr area ... ? ..... . -.:s?.,..---_..- .?.-- c) Total ¦ITdiMg qisss doar area: a,fj 'uuu... ef?'J Jlazed..:... eb rC X llVii y ?yi .. i" ?! X glazed...... !q d) .Total f(replaca wall araa .g9 Ft x"U" e) Total walt framing area (AoaraAe loX}.....:..:.. Z 7 -S4 ft x"Uo f) Total nnt xall area aiwve floor (Inaula!!d)....... 20tt . I4 tt x "U" g) Total rin jotst aree......Zbos4 ft x"U" Total foundatton araa (Exposed) -•:•••••••? e4 ft h) Total foundatlan ''r_ ? t ' ' • ??u?l • ? w ?? windov area ............. 6C ft X ?,?_ •' - i) Total nat feundation ? area ebave grade........ sQ ft x"U" TOTAL a) thru 1) IF iten $3 15 ehe same as, ar lsss than item,;i, You have mes ehe Intent of 2 rtCAR 1.1600e e sad a. paAe 1 DEC-16-1999 14:2? P.03i05 . . . .. . :p`rM: ' . . . . ' . . .. ', .. .• t . - IF. tOTAL E7fPDSEp AOOF/CElLIN6 CALCULA7IONS: Totel exvQaed raoE/wTlln4 area........ r?f95 $q ft . . J) Taesi skyTiaht eroe....... sq.ft x"U" k) Tob) roof/calltnq freming ' A02'7 araa (Averaae tAi,)...... sq ft x "U" 1) Yotai net insulatad R roof/eslting area....... ? oq ft x"U" TOTAE .1 r i h ru .J ) -? If total of S4 Is the samr as, or less phan.12, you have met the intent of 2 tSCAR I.16008 A and 0. ? i ?•'- ALTEICIA'I'E BUfI.DlNft ENVELOPE DFSIGN To ut(Tlxe the Cotel envatopc system Msthod, the valua9 estab}ished by the sum of items I; and y4 shall,not be greacar thaa the sum of items BI and 02. 1. + 2. n 3. + cExr?F?tAriaH ! hareby cetLify that ! have caleulated efie "f!" faetora and "A" vaiues heretn and that cha bulldinq here.desorlbed meets or exceeds tha Stata of ilinnesota EnergY Conservaelon Aet. Slqnature (DatO} Pagc 2 DEC-16-1933 14:30 A CONSTRUGf10H ''.. ' YALL FRAH- - ---•--- wnLi sstTraN (u+suurIn) --{ I .? i ' ? ?. k1M JOLST SECTION: f6"f- FOONDATIaN INSUlATIOH B UTREa: OR e u I/R A M1n. R-5 an antira ral a... e Min. R•10 dabn tn frast.'depth • - , s• - , ? FOt1NOATION SECTtON: fi -A.6R ? l tet or ¦ r film -f w ? ? ? T L R - Q? IIR - .IVlV SLAd DN GAADE .--- . _ ?d. ^y'??.r ?•;..-..???• •4•? • • i : ? ,45' 0 ? . ;,4.: ? A : 9 , f ? ',. . _ q • ?' ? • . • • n•' . •. . d ,. . .. ' 'i . 'r 4•?,4 4 a 'ti w .. 4 o i ? . ( 'i . . ¢ ?.,d... , • . . q. • ? ? . Q? ? ? . , a ' • , , , , , ? ? " 4, ' ?• . _ . • ? , , , Neated Siabs: 5 MinimumR=8 . ..a. , ' a • d '•• : ? ,a U'nheated, Slabs: . : q4• ' ? a . ' ., • Minim? R = 6.2 d: • q? ' ' Q•? ?_ ?,:a . ?a ?'i: : 4:' , Page 3 •,, ? o ' .?.. = : ' + ? q P. 74; 05 K VALUh . . ? ?,q:•,•s; u-t/a U+1/R??? DEC-16-1999 14!30 ? P.05i05 CONSTRUC7IQM B VALM CEII.ING SHCTiO14 (INSIJLA'iE0): ' i 1n?er(or alr fl1?n ' A 6 • 2 ? • +St1E CK .;yc 3 a.? i i Exsorior air ffln atili I1, 1 . , TdTAL R = . U + 1/R - ? GEiLING FltAMIN6 SECTiON: 1 lnlerior af r F.11m 1 19* • 3 r7. ?r ? 5; ,? -ro? ?t nn 4 ncer or a r lm jstlll? 11,51? • 5 /z hclfea m t++uad d TU'FAL R'- . CEt1ltIG 58C710N (illSUI.ATEp): 1' •Interiar atr f11m 4.61 2 4 :tar ar a r 7 n eC a 0.61 . T AL R A U p t/R a VEN7ED CEiIM FRAMiqN SECTION: T• Inter(or air film 0.61 2 7 6 ter or a r f Im SC 1 4.61 5 nches aafC wood TWrAL p - Ua 1JR ? 1 ,Inside alr ftlm n.hl z 3 • 4 $ 6ut ida air fiim •?? TOTAL R pr 1/Ra? TOTRL P.05 12/14/99 RECAP ADDRESS 4090 Johnny Cake Ridge Road COMM: OAKBROOKE SF JOB #: 0320 006 05 LEGAL: Lot 6, Block 5 OWNERS: Naiyer & 5eema Usmani PHONE #: 612/435-3629 QUANTITY Option Description 1 18261 Base House 1 LOT PREMIUM 1 18039 ELEVATION #4 1 22019 3 CAR GAR4GE W/BRICK 1 19000 UPGRADE EXTERIOR DOOR 1 21008 GAS FIREPLACE - BRIQUETTE 1 26011 VAULT CEILING- MASTER B.R. 1 26043 WOOD RAILING - 2ND FLOOR 1 26047 WOOD RAIL VS 1/2 WALL REAR STAIR P.F. 1 14007 1ST CARPET PAD UPGRADE 1 14084 1 ST CARPET UPGRADE 1 40038 OAK FLOOR FOYER 1 40040 OAK FLOOR BATH #3 1 40049 OAK FLOOR KITCH. & DINETTE 1 10055 SPACEMKR MICROWAVE 1 28046 UPGR4DE CABN'TS R'SD P'NL 1 28057 42 UPPERS - SQ RAISED PANEL 1 36019 WATER LINE FUTURE ICEMAKER 1 13021 BRASS TRIM BATH 1 23008 3 1/2 TON AIR CONDITIONER 1 23015 MECHANICAL VENTILATOR 1 32012 T.V. JACK-CABLE READY 1 32021 PHONE JACK ON SEP. LINE 1 15026 Vinyl Upgrade Baths #1 & 2 1 22017 Insulate & Sheetrock 3 Car Garage 1 99000 NSO - Add 2 Lookout windows & 1 Egress in bsmt 1 99000 NSO - vent microwave to outside 1 99000 NSO-Finish basment-see attached 1 99000 N50-move wall btwn owners suite and bed #4:over 1 ft. into bed #4 1 25020 6 PANEL CRAFTMASTER DOOR 2 32020 ADD'L PHONE JACK 5 17024 CEILING ELECTRIC OPENING 1 99000 Add manningto Wood Floors in Dining Room in lieu of Carpet 1 99000 Buyer is finishing F.R. originally priced out with laminate floors in rec area-would like berber carpet instead NALKOUT FOUNDATION PLAN CPI.E I/4'= I•_0• 11lx,Wd,tqvUS CaS Sh,?.?.?u??, W'? ; ?O ?r ?? 2 LO wll^d? NOTE: SEE ELEV. FOR FRONT FACING CONSTRUCTION @ GAR., STOOP & HOUSE LOOKOUT FOUNDATION PLAN C,NE 1/4'= Y'U' . • - f -? OPCL ? ;:I ? i ?'n/ 1X4 NRPorv4 ?f 14' O.C? SfiG6- .H. 6'-0' SS OR. O1 I/2 %66") _(72X 2 1/2") :71 ?/x x nEiE%1EN0 H' iOwnRU 1.01 ME - t? - ? IGRONi UF HWCE VN -/? ? ifi AB f,pNf, . FiG. ICP OF M1NOU -?/ - - - - - - - - - - - ? ? ? ft.0. 22 1? 2k6 WALL' ON I I I I 8' PIXIRED waLL (42' HICH) - MM 4"Xfi SlAB EDCE I Ifi'X8 C0.4C. fiG. 7? 1 y_pq - • ? 6 \ - ? ? '..01 C aPYL 1 \? pI? I.DI , 1242 1 SIOR. _ ,?2 42) _ _ 1-1XIOHpR - - - - _ _ o iM . I IFIrl Stl 2-2X10 HDR. 2-IXID HDR. ? T? ?? ?p,?. rp!/\ COC* 2%6 SNO wnLL ON ft.0. B2" A.LF. j ?r- 8' GOURfp Y,L 42' Mlqi ?/ W/ 2%4 NRMNC k 1NL I I r r-- OPi'L ANfIL YER ON I6'%8' GONQ GTQ •? P o ? I ?n/ i? i1REPP ACE 3 ? Z'. `°RR'"° Z`' °` ?--FUTURE FUTURE ? I W/ R=11 BATi. INA. "°` R`T"R°`"T °°`r RECREATION ROOM? BEDROOM #5 ? } 112- C-C. u\s?., /I I ? 8' _? - -10' CEJLING NL . I I 3 i/z- ae: sn riac co?. w sa'xso'xiz' Si PE? CONL. fiC. f?1KC) T - I ? ? I n/E 9i q NRN. OPTL u wnrER I HeniTa I ? B PWREO/fONC. HI W }d CH TOM ORAIN . UTURE - I STO GEL o? '` o 6C17 II I I n N r ? 0 cnc 12 ? ?O / A)?1 r??ishedl OCLEANIfNIT I _?.. Y e" OYf"L ' flflI1:K Lf01' fAEE'?C 10' O.L. 4RW 0 HWSE ? BEAM lC_A• ?a- aOwi+eo cnNr,. M. I I I I I Ja H0.lH ON r xa' ;Xwc ru,. i(w/a eaick) ia' acw_ I I I I 3• wr,H w/ i xa.. M,« LEoGE iM 10%8` CUNG lil;. (w/ BRICK) E' NOIIRED rplr, µti? Ifi"%8 C1N10. fP:. ? SiEAL BEau ?F7 ROUGH-IN F TURE ` 3/4 B A?*I ET I W:I_LOS I ? / ? ? I , POUREDI I (N,C K l (? r - ? ?, I I . i _ ? . w/ GAR E% iEN9QV5 .. - I _ - - - - T I _ _ ? T Ta Aure?o ?xui ?H/ ? . 1 ' HIGH W. I l I li ? ? _%4 FURRING 9?1 UC. I =', fEG R-,I L5. =AR INSL II I i? I ? 4' . I FLAME REi 20.Y W/ , I 2%8 LEDGE :GnR. JpE) ' , I II I i-ppr'L 3 yf ? G,VtACE D SfnLL I - IONC FiG. : IG %8 I I ,? i II, ?CUkfe M., i UNEXCAVATED ;,? ;'?:,: ?? D ? Y.AD °L? II Y?FC °`R ? I i XI? :E?if?Ei L ' I I M1 CONC. 1Td I!'E8 (.?MC. i,l;., ' I I ? - i I II I yi I ? I -4 IA S) I ' ' ? T I I ?y P?P _ 'W CENieR ? ? II I= II ?;? ? ? I q : °JF GM}Xti[ ? ? ? ? ^` ? ?ULK I I I EA? o . 1aPrL ARA? :Si I ? ? a' anuRE: r,r,u?.. ?n.. ? r ? II I I I I HIQI ?B II I I I - - l6'%12' C?t. RC. I I I ? I :w/0 9ftlCK) ' I mni ?e ? ? 5.D3 I "? xlP' r,rWC. ffi:. I L - 1-- I i.. ? 7-17N nrc ...i.. ? ? a?'S ? uR - - ?. . ?? -- - - 'N/ 3Np fhR ARA A e , oo,?r<<i.,r. l ., n • .. . r_m- I.-n I ? . : ?, . I - n'.ri• ? . ? .F Surveyor's Cert2ficate SURVEY FOR : PuLTE DESCRIBED AS ; Lot 6, Block 5, OAKBROOKE, City of Eagan, Dakota County, Minnesota ond reserving eosements of record. A. ? ? roe R= 93yP Ex;st Home , . , . , . ? ? _ '?i=7 L bCL) oFe 2 1999 . Slj ? 30.00 ? -427.5 . ?? f? "? ? Proposed +'r"" T ` 2'Story M I B'Pcw? 1 (V i ? I I i I ? 3/. ? ?'In I? 4090 JOHNNY ? AK ?o.? , Z.ao RI o ; s??, 43 - I II <O I 0.3 `O. Gorage 7q0lL lJ /?? IJ--?? , 2.00 oJ "' / f ? _.... / ?? M 22.00 v?`i?'S ? .•V o ? ??, , ? ? . ? Plon # 18261 PROPOSED ELEVATIONS Top of Foundotion = q3`1,7 Goroge Fioor = q3Y,3 Basement Floor = '?/ZSo Aprox. Sewer Service = 919.2± Proposed Elev. _ C=> Existing Elev. Drainage Directions = - Denotes Offset Stoke = . HEDLU/VD PLANNlNC E'NC/NBER/NC SURVEY/NC 2005 Pin Oak Drive Eagon, MN 55122 Phone: (657) 405-6600 Fox : (651) 405-6606 L O T SQ. FOO TA GE HSE. SQ. FOOTAGE LOT COVERAGE _ SCALE: 1 inch - 30 feet BENCHMARK, E443/ MIN. SETBACK REQUIREMENTS Front - 25 House Side - 25 Reor - Garage Side - I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF THE BOUNDARIES Of THE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT A SHOWN, DnTE • & Re? ??•?g.qq F EY . LINOGREN, LAND URVEYOR MIIJNES TA LICENSE NUhABER 74376 JOB N0: 99R-606 BOOK: PAGE: CAD FILE: OAKBROOKE = I?, go3 = i, aa7 II% r? t°; ?? • ? ,?G _ ? "e. G .f i'tP S. . QPr.FivED nEC 2 8 9 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?? ? 3 N I ?ITY oF EAGAN 3830 PILOT KNOB RD - 55122 651-881-4675 New ConsMiclion Reaulremenh i > 3 reglstered slte wrveya ahowing aq. ft ol lot, aq. fl. of house and gU roolad areas (20% maxlmum lot eovemae allowecb > 2 coplea ol plarxi (show bepm & window sizes; poured Ind. tleslgn; etc.) a 1 aet ol enargy calculanan ? S Coples ol hee preaervatlon plan Il loT platted dter 7/t/93 DATE: DESCRIPTION OP WORK' Remotlel/Reoalr Reautremenls ?b0.50 c411fd bi I aloo ,11I1 2 copies of plan 1 aer a energy cala,lanons ror nealea aaNnona l.sife wrvey tor axteAor addiHons 8 decks coNSrRUCnoN cosr: STREET ADDRESS: LOT: ?e BLOCK: ? _ SUBDJPJ.D. #: 3 0 -? Vl?SC?'ICJ? A/L? S{Y! A. h1 Name: Phone #: PROPERTY wsI Flnt OWNER D; h h 'e- C?4 Sheet Address: ?4 e. Clty L-? State: Zip: . Company Q p t C?C ? rlR.v"'v 0?NiITklhoneri: V12-•S1?an1- (area code) COMRACTOR Sheet Address: rJ Z D?' ?? e ? C /- A?e- ?o tlcense # J( 3 0 Exp ` 3)6? ciri ( e-' k -P, e l:? Srote: Al tJ ZIp: ARCHITECT/ ENGINEER Company: Name: Telephone q: ( ) Skee1 Address: Ref}ishation u: CNy Sfate: Zip: Sewer/water licensed plumber (if installina sewer/waterl: Phone #: I hereby acknowledge Mqt I Fwve read Ihis applicaiion, state thaf Ihe intomnaHon Is cortect, and agree b comply wHh all appacable Stat of Minnesofa Stalutes and City of Eagon Ordinances. Signafure of Applicant OFFICE USE ONLY Certificates of Survey Received ? Yes _ No ' Tree Preservation Plan Received _ Yes _ No Not Required ? L C? BL S CITY USE ONLY p? ? SUBD. Q C'?.S_-?1.JL "Jk?a? RECEIPT #: ? ?a`? faYJ RECEIPT DATE: PERMIT# j6m fLIJM$IN6 PERMl1' (ft£5ID£N11AI.) ,Z)Jt)v L`ITYOFEAB" 3830 Pu ur Kxos Ro $AflkN, MN 55122 (651) 691-4675 Please complete for. ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinklersystem FIXTURES EACH # TOTAL F?fh t:lb ? 3.00 X - ? Floor drain 3.00 x = $ Ga5 i in outlet ` minimum -1 3.00 x = $ Hot tub/s a 3.00 x - $ Kitchen sink 3.00 x - $ Laund tra 3.00 x - $ 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 30.00 x - $ Water closet 3.00 x - $ Water heater 3.00 x - $ Water softener if dwellin under construdion 5.00 x - $ Water softener if existin dweliin 30.00 x - $ Water turnaround 30.00 x $ State Surchar e .50 --> ---> ----> $ .50 Total --> --> ---> ----> $ Reminder: Call for inspeclions of aVterations, i.e. water heaters, water softeners, etc. --------------------------•----------------------...-----------------------------------ree to compl-----------y -with a-----ll ---------------------- ? ------ •--- I hereby acknowladge that I have read this applipUOn, state that Ne infortnation is mrrect, and ag applicaDie City of Eagan ordinances. It is ihe appliranPS responsibiliry to noGty the property owner fhat the City of Eagan assumes no liabiliry for any damages caused by the Ciry during its normal operatlonal and maintenance activities to the faciliGes constructed under this permit wifhjq City property/nght-of-v?y/easement. ? SITE ADDRESS: OWNER NAME: : INSTALLER NAME: TELEPHONE #: (AREA CODE) TELEPHONE #: (AREA CODE) STREETADDRESS: aKXJ _7" T.4//f',dl'/// / CITY: --Z???'??C Z/'2 STATE: ZIP: ? /l?/%" SlGNATURE OF PERMITTEE CI1'1' USE ONLY LOT BL -CJ PERMIT #: 59 55 lSJ SUBD. (%A RECEIPT #: fd?J I?? RECEIPT DATE: D - % - 0a 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOH RD EAGAN tM! 55122 651-681-4675 Date• o< Complete this section onlv if you are insffiIling HVAC in a single family dwelling, townhome or condo under construction and not ownedoccunied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 54 M B'Pj 5.40 00 • Gas outlets (minimum of one required @ $3.00 ea.) State Surcharge .50 ? Total $ _?59 57 Complete this section onlv if you aze remodeline, addin?to,. or reosirine an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, aiteration, or repau. _ New _ Alteration _ Repair _ Other _ Fumace _ Air conditioning _ Airexchanger pther Fee $ 30.00 Sta#e Surcharge .50 Total $ 30.50 Reminder: Call for inspectians SIT'E ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CIT'Y: oa / 1?57 _ _ 5?S 3 S?oo ( CODE) - ?S? 04os` 5537? STATE: ZIP: -? SIGNATURE OF PERMITTEE PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA112942 Date Issued:08/27/2013 Permit Category:ePermit Site Address: 4090 Johnny Cake Ridge Rd Lot:6 Block: 5 Addition: Oakbrooke PID:10-53760-05-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Stephanie Vought 3451 W Burnsville Parkway Suite 120 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Naiyer A Usmani 4090 Johnny Cake Ridge Rd Eagan MN 55122 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use I I Permit City of Ea~36 I Permit Fee: _ I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: I } 2013 RESIDENTIAL /BUILDING PERMIT APPLICATION Date: Site Address: D dK&;y l_,4 )C-L 7-a Unit Name: 1 V A ]'J 4_9~ M a yL I) Phone:&/Q Resident/ y ~J p Owner Address/ City/ Zip: 1I ~ Z~I1y# CA X IZ t -L.sL~. Q_D ~ Applicant is: Owner Contractor Type of Work Description of work: 9L= ,y~ Construction Co`t; Multi-Family Building: (Yes / No I Company: Contact:_D6,QA)Y Address: 4-,:n>P2>r j Aj,)L- __5 city: Contractor # ) State: Zip: 3 Phone: License W Iq &7 / Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) f S B COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? i _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: i i Mechanical Contractor: Phone: i 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.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:) 2of perm-.it1issuance. p Applicant's Printed Name Applicant's Signature Page 1 of 3