3537 Great Oaks Pl
Use BLUE or BLACK Ink
r
For Office Use
Permit 6
1 (!J I
City of Ea a~ I o.
I Permit Fee. I
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
2010 RESIDENTIAL BUILDING PERM IT APPLICATION
Date: Site Address: _Tr,~T? 6 `LSIN7 P L
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address/ City/ Zip: J ~f U~C~
Applicant is: Owner _X__ Contractor
TYPE OF WORK Description of work: r` s<`'~CF
Construction Cost: q6GD•O7 Multi-Family Building: (Yes / No )
CONTRACTOR Name: License M 00(a I4 7
Address: 7&-Ty i t-IQ 11 C7 City: POLE J;I~LLQ
State: -M L)_ Zip: I~ Phone: 1 2 - q? 77
111L .C,pr~
Contact M L Y L~J PM Email: 1) R-00 Q1?- IkTp A
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 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.
Applicant's Printed Name Applicant's _kkqnatu~
Page 1 of 3
? INSPECTION RECORD
. i .. _ •
• CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ??? 4 C
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
,
, ? ,?, t t . . . :? i ,,?,?:,; . i• ., ?
FifGh' A 1 iJll14S
PERMIT SUBTYPE:
(612) 6R7- (.161
TYPE OF WORK:
INSPECTION D. . D.
• . I ? . ? ? , . . ' ' . . . . . ? ? -
F
L
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permlt No. Permit Holder Date Tstsphone N
ELECTRIC
PLUMBIN
HVAC
Inepaction Date Insp. Commenb
FOOTINGS 7"7 `G 4
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
'?7 ) •-
S
ROUGH
HEATING
?
GAS SVC
TEST ?
INSUL nl e?' (' ?,•pf i.+s? l a f c, A,?..? C' el ?l
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Address 3537 GREAT OAKS PL Zip 5512_
: T,ot 7 Blk 1 Sub
GREAT OAKS
THESE ITEMS WERE / WERE NOT WMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: l??' ?'J Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) 11---
Permanent steps (main entry)
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 Ihe shut-off of water supply to
the outside lawn fauce[ before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Ye]Iow - Resident Copy Pink - Contractor Copy
1-f 0`-1 1 ?? L 1
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.
?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conetruction RaauUamame
• 3 regislered sfte suneys showhg sq. n. of bt, sq. ft o1 house; and ?II roofed areas
(20% mazhnum lot coverage albwed)
• 2 copies ot Dlan shown9 beem 8 window sizes; poured found de5ign, etc.)
• 1 set ol Energy Calculetbns
• 3 coples of Tree PreservaNOn Plen tl bt pletled atter 7/1/93
• Rim,bistDelailOptbnsselectlonsheet(bWgswAh 3 or less units)
DATE _SAA4 1 fa a OG ?
? ??l 4.??("
RemoAeVHeoslrHeauirements '7_0
. 2 copies of Plan V?. 7 set W Eneyy CeLulatbns for heated add'NOns
• 1s0esurveyforexterbradd'AionsBdecks
• InAicete'rfhomeservedbysepticsystamforadditbns
VALUATION y 5? 30 i?
SITE ADDRESS ?'f ?? Oalc?_s PC.teQP-ll L;-w MULTI-FAMILY BLDG _ Y -KN
NPE OF WORK_?RP ltitrYUSP l FIREPLACE(S) )C 0_ 1_ 2
APPLICANT ' PjLk
STREET ADDRESS 31E3'7 (°sr.eic.f- ACLleS CIN_1,2. ?-STATE Mi?-1ZIp
TELEPHONE#((oS/ qSJ -..?YOYCELLPHONE#(bS1)a3S `clog(oFAX#
PROPERNbWNER /?ic LC sjzlt? ? DK-'' TELEPHONE
COMPLETE THIS SECTION FOR %•NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA
N submission type) . Residentlal VeMilation Category 1 Worksheet SuDmitted • N D rof 4y?rl?e?
IS l'n u
• Energy Envelopa Calculations Submitted
- ? ,???_ 1 1 2002
Plumbing
AUG 2 3 ?00?
Water Softener
Water Heater
No. of Baths
Phone #
Lawn Sprinkler
6 No. of R.I. Baths
Mechani??act?I'^-1U-- Phon q I" `rf? ?? i, ? ?'
Mechanical system mclud_?r Air Conditioning ? Fee: $70:00
? Heat Recovery System A U G
Sewer/WaterConhactor. w CA- Phcn gY
---------------------------------°--------------------°-------------------------
I hereby acknowledge That I have read this applicaTion, state That the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and Cliy of Eagan Ordinances.
_ . ?
Signalure of Applfcanf
OFFICE USE ONLY
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
O 02 SF Dwelling
? 03 01 of _ plex
O 04 02-plex
? OS 03-plex
? 06 04plex
,?< 31 New
0 32 Addilion
? 33 Alteration
? 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4sea.)
? 23 Porch(screened)
0 24 Storm Damage
0 25 Miscellaneous
r
r
? 30 Accessory Bldg
? 31 Ext. Alt - Muttl
? 33 Ext. Alt - SF
? 36 MuRi
O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
0 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 37 Demolish (Bldg)" 0 43 Reroof ? 46 Windows/Doors
'Demolkion (Entire Bldg only) - Give PCA handout to applicaM
ValuaNon 1.3 z a_2D Occupancy ? MC/ES System _
Census Code Zoning City Water _
SAC Units Stories ?L Booster Pump _
Nbr. of Units Sq. Ft. PRV _
Nbr. of Bldgs ? Length ?KT Fire Sprinklered _
Type of Const V N W idth
REQUIRED INSPECTIONS
? Footings(new bldg) FinaUC.O.
_ Footings (deck) Y
? FinaVNo C.O.
Footings (addition) 7 Plumbing
Foundation _ HVAC
_ Drain Tile Other
Roof Ice & Water Final Pool Ftgs AidGas Tests Final
? Framing _ Siding Stucco Stone
Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
1C Insulation ? Retaining Wall
Approved By Z , Building Inspector
Base Fee
Suroharge
Plan Review
MC/ES SAC
city sac
W ater Supply & Storage
S&W Permit & Suroharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 OS-plex ? 13 16plex
O 08 06-plex 0 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex O 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
POp L
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fj" "
1- F.?
duv
/?? C2 ?D
. TC 26. An Easement Agreement for Project 751R (Dodd Road, Cliff Road to Butwin
Road - Street, Utility and Trail Improvements) with the owners of Pazcel 10-
03600-028-25 (4615 Dodd Road) was approved and the Mayor and City Clerk
were authorized to execute all related documents.
Gene 27. A Resolution to issue and sell $3,550,000 General Obligation Improvement
Bonds, 3eries 2002A was approved.
Gene 28. A Resolution to issue and sell $1,290,000 General Obligarion Improvement
Refunding Bonds, Series 2002B was approved.
Gene/Mana29. The list of absentee election judges for the September 10, 2002 Primary Election
was approved.
Ken 30. Change Order No. 2 Eagan Central Park - Bandshell in the amount of $45,729
was approved.
PUBLIC HEARINGS
Mike 31. A 1.7 percent variance from the maacimum 20 percent building coverage standard
in residential zoning districts for the construction of a 216 square foot addition on
property ]ocated at 1042 Savannah Road (Lot 5, Block 1, Lexington Square 3Ta
Addition) in the NW Y4 of Section 23 was approved.
Mike 32. A 7-foot variance to the maacimum 10-foot accessory structure wall height for a
pool house on property ]ocated at 3537 Great Oaks Place, legally described as Lot
7, Block 1, Crreat Oaks in the NE'/< of Section 14 was approved.
OLD BUSINESS
TC/Mike 33. A Final Subdivision to create 3-lots on 6.68 acres located at Northwood Parkway
and Denmazk Avenue in S'/o of Section 10 (the Final Subdivision includes the
vacation of a portion of the Denmark Avenue right-of-way which is incorporated
into the final plat) was approved.
A Final Planned Development for Lot 1, Block 2, Olson-Burger Addition for
construction of a 12,833 sq. ft. retail store was approved.
TC 34. Contract 02-17 (Cedar Grove and Central Parkway - Streetscaping) to the low
bidder, Jay Brothers, Inc., for the base bid amount only was approved and the
Mayor and City Clerk were authorized to execute all related documents.
Mike 35. A Rezoning of approximately 5-acres from A(Agriculture) to PD (Planned
Development) and a Preliminary Subdivision (Greyhawk 15` Addition) consisting
of 15 lots and three outlots located in the SE 1/4 of Section 20, subject to the
conditions in the 7une 25, 2002 APC meeting minutes were approved.
TC 36. Action was taken to perform a traffic signal justification report on Blackhawk
Road at Silver Bell after the Cedaz Grove reconstruction improvements are
substantially completed in the spring of 2003.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122
651-681-4675
NewConstrudion Reauirements
• 3 iegislered sile surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas
(20% maximum lot coverage albwed)
• 2 copies of plan showing beam & window s¢es; poured found design, etc.)
. 1 set of Energy Calculations
• 3 copies of Tree P25ervalion Plan if lot pla@ed afler 711193
• Rim Joist Detatl Options selection sheet (Mdgs with 3 or less uniLs)
DATE
JOB SITE ADDRESS-?s _?;?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? _
PROPERTY OWNER 2 ? ?C -t,SC--?9 ?e2 n Q2
RemodellRaoalrReauirements? yN`?1
. 2 capies of plan
• 7 set of Energy Calculations kr heated additiore
• 1 site survey for extenor additions & decks
• Indicate'rfhomeserved6yseplicsystemforaddilions
VALUATION ?2,
V-4C P_ ??. .
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
z
APPLICANT CjALLCy /???.? PHONE# ?- wSd c- w7= 133
ADDRESS 3(W 26 RCP V ?`-/ IIP CODE `-? 37
PAGER # CELL PHONE # e?r. 133 fAX # 63?94` 92Il
NIE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGO ? 1
(check one) - Residential Ventilation Category 1 Work?T$ufidiif@d? LI flfi I?
- Energy Envelope Calculations Submitte ? L5 U LS LS
MINNESOTA RULES 7672 I?l JUN 0 7 2002
- New Energy Code Worksheet Submitted Im zz
Plumbing Contractor: _
PlumUing 5ystem Includes:
Mechanical Conhactor:
Mechanical SysYem Includes:
Sewer/Water Contraetor:
_ WaLer Softcner _
_ Water Hcatcr _
No. of Baths
Air Condilioning
Heal Recovery System
Lawn Sprinkler
No. of R.I. Baths
_ Phone #
Phone #
Fee: $90.00
rec: $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
with all applicable State of Minnesota Statutes and City of Eagan Ory
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan
and agree to comply
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accossory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
r,y, 31 New
- ? 35 Int Improvement ? 38 Demolish (Interior) ?' 44 Siding
? 32 Addition - ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation /0 axv O 1?
-? MC/ES S
t
ccupancy -
ys
em
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. af Bidgs Length Fire Sprinklered
Type of Const _V62 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings(deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof Ice & Water Final ? Pool )[ Ftgs / Air/Gas Tests Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
---- -------------- ---------------------
--------- -
----------------------------- Approved By , Building Inspector
------------------- -----
------------------ ---------------------
Base Fee
Surcharge fov
?
Plan Review ,
MC/ESSAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total l ? - ? -j
?
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
?
m
C
? GENERAL INFORMATION
a
o z ?¢
IYJ ?? Applicant - name, address, phone & fax numbers, signature
? ? Property owner name
LJ/ ?? Legal description and address of pmperty
?? North arrow, scale (1" = 30' or 40') and date
Gd'/ ?? Location and name of all streets adjacent to property
??? Site Plan drawn to scale showing location of house, pool and other existing or proposed
structures
?? Directional drainage arrows (existing and proposed)
ELEVATIONS
Exitina
12/ ? ? House corners
Q/ ? ? Property comers
?? On properry lines at point of ineasured dimension to pool (see below)
43 ?? If applicable, ground elevaiion at each end of retaining walls and at wall's greatest height
Pronosed
? ? ? Finished pool deck corners
C?/ ?? Top of retaining walls (if any) and at each different elevation (if it changes)
G'! ?? Pooi bottom (or maac. depth)
DIMENSIONS
Existina
?? ? All pmperty/lot lines
Proqosed
Cd/ ? ? Pool
Cs?/ ?? Pool plus integrated deck/patio
C? ?? Shortest distance from outside edge of pool deck to lot lines and house
Reviewed:
Name
Date
G:(CEC W1R 2002/Pool Pcrtnit Chaklirt
..,
1
pp iiance
11"'Fi9NAT/ONAL APPi9pY,qL SERI/.ICES
CERTIFICATE NO.: C0051001
APPLLANCE TYPE: Gas-Fired Pool Heatcrs
STANDARD(S): ANSI Z21.56
MODEL(S): SR Series
ISSUED T0: Sta-RiCe Industr:es, Inc.
This certili_s lo the manulacturer that the Cesign o( iha
appliance(s) listed above has (have) been Ipund to
comply wiih applicable seclions ollhe abova standards.
7he manu}acWrer may display on all appliances Ihal are
equivalenl to Ihe cenilied model(s) Ih= American Gas
Assouai,on Certl(icalion Seal fpr Appliances, which has
been re;;siered in Ihe U.S. Fa;ent Oflice by the
Associaiwn. This Certincale is not assignabie nor
(ssued al Cleveland, Ohio
Gffcciive this Ist day oClune, 1597
AMERICAN GAS ASSOCIATION
8Y_ V?
- __.__
PENCER P,GRIEC
'?'ce PF?s,deni and G_neral ti1_.nager riS !? S,
Au:hcn=od qoFroseniativ=elth=Ame,I:anGasassociaGen
IAS U. S.
transferable wilhout written cons=n: and is revocable.
Tha manulaclvrer oi other par!y Io whom th,s certiflcai=
is issued has signed eilher an qpplicalicn for
Cer;ificalion, Applicahon for Certifiwlion untler IAS
"estabfished R=GUirements, or ihe Dls'rbutcr's Listir,g
Fgr=>ment and !he c=rliliczticn cr revocahon th?recl is
suCject lo all!srms and:onCi;!ons specdied therein.
Authorized
Si'Si EM:3n
F I L T R A T I O N
MODULAR MEDIA
FILTER
SM SERIES - Sta-Ai;- ?a oroud to eKpand on Its prov=n
Pasl•Flo' certrldga deslgn, ana bring you the prcduct 4he;
mekee Ultro Cepaclty Fi!Iratlcn'l,, a reality. No long>r
" simply
Cel1r(dge9," $!aRllde a".anced technoiogy has hrought an
Bntlrely new Claes ol IIIL 9!!on to lhe Intlustry. SIa-Rlts s motlw
ler medle ccnceol Inccrporelge !he le;eal In metlla scienca,
psrlecqy ba)anced Bow, ar,d an In!egral manlfold design:
namely, Ultra Cepaclty flltra;lor, Thlt flltrallon cancept pute
Iclally ceredre= opereHcn wlthln reach o( today's peol owners.
CER7IFICATIONS - The fll!er shall be teated and certlfled by e ? XSE
netionelly re:0gnlz9d tesling laboretory to coNOrm to NSF Sld. 50.
I ? Cat, No, A B C D E
5'M120 285" 42" 7 36" c0'
3 3Pd 1 50 32 5" 4225" B 40. 50,.
I
?? ? ???1???,?s? A : wltllh (
?? i< <II ? ?????i?,??G?
? nvaber ol clamps
- p---. ---• ..1 i C a area (wlCth) needed !o iake ;N c'amps
E= e(ea (helghi) neaaed to remove ioo naJ! ol iank
4J ?,-e?srons encwn in incns:
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1' S1A Rlii UNiON COrINECt10?6
now e.re x a.iuv? q. nr,vrt
I
Flller Opllmal' Flow Reled^ Tumov?r Rate (Gallvne) Tank APpro:
Calalo9 Aiea Perlormance GPM11 (Ciow aete x 50 x Noure) Port Shlp. V/!,qnl
Numoer _{sy, N.)? !1 Ihlf C9M per fq R. 4( 5 Nr9. AI A Hr9. AI 10 HrS. jl2e (Ib3 I
57hf i 20 7C0 50 BO 50 100 18 3E ^0^ 24 48 000 30 - 60 ^00 2" i^0
S°?.+i `C a5; SO t IC 50 - 124 18 - 45 ^^0 24 • 60 ?00 30 - 74 :00 2" i a'
'Oaeniin? a? inu 0P1.1 11l7c•i0e Ine lonqefr 9rye, cyGef complne0 'IIh Ine be51 erC prfeual y;rt ioeClnq tepaoy,
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Oa5la oi, N5? 'dbtl [icw rangR:l 7?,7 OPM 0!r SOUdra tool br lhe 5'1,1120 3n0 2'5 0P41 f0/ IM 58l."50
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NoiE Oc+?a,n p ?nm?s ?
m?iinym:c?nnvai oyoai?^g c'assWe o? 5^. P51 Poolleca ;123'q90 aCOlitanons, I^anmum apeienn; Haie, iemoe,alwe
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Catalog •? Approx.5hlp.
Numnei Deecripnon Welqhl (Ibs )
? Uroon x 2" 3110 Adeoie, - Pkg oI p
PK? 189 UNCn x 2' r?7 4dypl•r _ p',I3 . CI z
i,-01 U?00 _ i„'n•pn ? 7-1r2 " rp', Ad3piBi - P'r^ 01 Z
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%'"OYO?Oi Unlonx i- 1i2' Slicadacter - Pkg 0l2 t
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25?;diU2705 inCsG n inn>,Re:iacemeniP.toCuiefor5''A12^ ;
25C22^20?S 200 sa It Oule? a=piyCamsnl!,lotlul_ Ior 5".!1^<0 21
2" i 0202c _ 191 sq P Inrvs: Reclacamqni I,+;?We loi ^".'1'? ,g
rO'JI>r FiB013CBm9l': ?
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(*' R P 2100 ......As Smart As It Looks
EXCLUSIVE FEATURES:
• Guaranteed to Operate in the Wind with Integrated Stackless Top
No More Heat Sinks, Thanks to an Alumina Silica Fi6re Combustion
Chamberand Re-design of Heat Exchanger & Burners
• internal Serv(ce Diagnostics Lights
o C??
• Easy Off and On Door
I??J
• Contemporary Forest Green and ?
Charcoai Grey Colors
• Field Repairabie, User
Friendly Cabinet
• Unitherm Governor Eliminates
Condensat(on, Sooting and Scale ? O
ADDITIONAL FEATURES:
• 81 Percent Efficiency
• 125 GPM Water Flow with Lowest Pressure
• Cast Iron or Bronze Headers
• External Home Owners Service lndicator
Longest Lasting Polytuf Powder Coating
• 5 Year Smart Warranty
? ?faeeerd ?aoEe, ?rre.
_ r ?s? ci?u ?u?n
euanswu_e, r.vi 553??
(eiz?sea-taeo
ANTI•VOR'I'EX MAIN DRAINS
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MODEL
JUMBER PIPE
SIZE
OESCRIPTION
)-7048AV I Heavy dulV bodV, frame and
ffuah ant,vortez plate (white)
Cemple.te with yaskets and screws.
7049AV 2" 1:z" Bottom ConneC[ion and pluq.
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fl 11?fi'
I1?9 ?.ml -
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tlASNEI
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MODELNO.
PIPESIZE,..: ?i.:?.?: .??, ., . , . ? ? :'•:s.'?-'-":?:e:?
:?' DESCRIPTION;?"-.":,{-:?.?',-- .
a-
SP-l0U5-1 A6S Dody, aJjustable cover colWr. Tamper?prool cnvcr,
basket, weir, Flu-ConVOI Pldte. 12'/." lonq [liroa[ ond 15%2'
wide skimmer openfng. Face nm, 9askets and cr.rrws.
Relr,r to StanVvd flutv-Skirn pages for up11o1131 dccessories and schematir, nf operation de(uds.
H"111/ARU POQL PR4DUCTS, INC.
900 FAIRMOUN'T AVENUE, ELI7_AFIFTH, NEW JGRSEY 07207 / Phnne (20 1) 351-5400
l) ` (J l) , l) ()
ISIH' G
I le) mm1-
SII/16
nl? P?5mm1 o
l) .-• O
-k Snan-In Weir Adiusts Autnmatir.ally to 4Ys"
Variation in Water Levcl
-?r Inte9ral Flo-Control Slide Plate
-F Optional Skimmer-Main Drain Valve Assembly
{ Optional'Spring-Loaded By-Pass/Equalizer Valve
•(1JVSITOICI:UIUfl ?
^?. i,a roive
W OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
3537 GREAT OAKS PL
LOT: 07) BLOCK: 1
GREAT OAKS
P.I.N.: 10-30950-071-01 RemA ttrrt tb i_:h1i 6166`10) ?irwk(
DESCRIPTION:
Buildin'y--Permit Type
Ibuilding Wo.r_k Type
,;`UBC Oecupanay;r'Con•struction T4?e
Zoning -?,
? Building tength
" Building Width ?
B:tai1d4nb tti?rles
C eri,s`lis f,Ey,a?eT"
t` ',i (,i ?:'w:..+ 7 l ? } ? ?_ ? `,?...'"'.? .,; i•?'..'.. i.] d?'; (.t?
PERMIT ''
PERMITTYPE: BuzLosNG
Permit Number: 0 3 0 4 4 6
Date Issued: 0 7/ 2 9( 9 7
SF DWG
NEW
R-3 U-1
VN
R-1
76
48
2
2,435
101 1 - FAM. DETACH
REMARKS:
FEE SUMMARY:
VALUATION
$211,000
Base Fee
plan Review
Surcharge
SAC
SAC %
SAC Units
ti Subtotal
?
$1e442.25
$937.46
$105.50
$950.00
100
3,435.21
MISC FEES $1.539.50
Total Fee $4,974.71
CONTRACTOR: - Applicant - 5T. LIC OWNER:
KOT HOMES, R A 16879513 0001506 R A KtlT HOMES TNC
7694 128TH ST W 7694 128TH ST W
APPLE VAI.LEY MN 55124 APPLE VALLEY MN 55124
(612) 687-9513 (612)687-9513
I herehy-sekrrow3edge °thats 1, hAvie 4,ead Cbls.°app11?daticvn zn?d sta'Ce "that'°tbe` -
infor,mataon is carrea.t an-A;agrse to aQrrtp1y alk &Pp-3kpab.l.e,State ofi'Mn.
Statutes,and Cityy of Eagap ,Qrdi;nar+ess-,
.-
?
APPLICANT/PERMIT SIGNA RE ? ISSUE : SIGNATUFE
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3850 PILOT KNOB RD - 55122
661 -4675
4-5 7y? ?l
? 3 regiatered ske surveys ? 2 oopies of plan
? 2 copies of plens (Indude beam 8 window sizes; poumtl fitl. design; etc.) ? 2 sito surveys (exbrior additfons S decks)
? 7 energy calalations ? 1 energy ealwletions for heated additions
? 3 copies of uee p2servation plan'rf lot plalted after 7/153
required: _ Yes No
DATE: ?I8197 CONSTRUCTION COST: .? ??OO d
DESCRIPTION OF WORK:
STREETADDRESS: 60Z& I f-tce
T ? BLOCK SUBD./P.I.D. #: OA K"S
PROPERTY
OWNER
Name: ? ?• RT Phone #: G?7`gS/3
Street Address: 760? )C LJ
City: AV?"? State: ? Zip: S?('t i y
CONTRACTOR
Company: Sa-u-L Gs a? o L-e- Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT/ Company: Phone #: ? 87"9.SJ3
ENGINEER ? ..i?.
Name: .L1 Registration #:
Street Address:
City: State: Zip:
Sewer 8 water Iicer.5ed plumber (new construcGon only): WCnZe' m< <k-^'e^-C . Penalty applies when address change
and lot change arc , equested once permit is issued.
I hereby acknowledge that f have read this application and state that the infortnation is corte and agree to compiy with all appiicable
State of Minnesota Statutes and City of Eagan Ordinances.
5ignature of Applicant:
LZ2
OFFICE USE ONLY RECEIVED
Certificates of Survey Received ? Yes _ No J U L 0 9 1997
Tree Preservation Plan Received - Yes _ No Not Required HY:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ?
,ef 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. o
0 03 SF Addition a 08 8-plex o 13 Garage/Accessory o
a 04 SF Porch n 09 12-plex ? 14 Fireplace n
0 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
,er'31 New
0 32 Addition
0 33 Alterations
a 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth ,
APPROVALS
Ig0 36 Move
_L^A/
v N
-3 J-I
a
0 37 Demolition
?. .
.?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft. i?3k MC1WS System ?
Main level sq. ft. t3 City Water ?
? sq. ft. 155,2- Fire Sprinklered
sq. ft. 12 q c. PRV
?
sq. ft. Booster Pump
sq. ft. Census Code. i c-?i
Footprint sq. ft. aN 3S SAC Code ? i
Census Bidg ?
Census Unit i
Planning
Building M'g Engineering Variance
Permit Fee Valuation:
Surcharge
Plan Review 2K i
License z? z2. 3/
?$
s
•
MCNVS SAC .
,c?o
ig x aff. s
City SAC ?,,.
WaterConn. 3.9,25,?
Water Meter 2X,y
ACCt. DepOSit z uz
S/W Permit 2. 314 w7
S/W Surcharge
Treatment PI.
Road Unit
Park Ded. 2^?
Traits Ded. ! u4
Other 3zu 3t/
Copies 30' f,'u Z
t2x z
?Lv
TotaL• 'ZK
2u ?
°k SAC ?
SAC Units
33.?7X 22. 3t/
z,C2f- L7
Lr?cfc-
? Z 1 1 , U JO , -
2-1
Ya.'!
?ss
S? 3
zs7
s0a.4
2s
pJ
i?38.S m'-i is ? z&l, s7-?.s
iS--8.s rt? A SY = 88/4/7R. -
(-,q
I 088
2J
iR2
? ssz Ch 4d s?(=
'752. z
-7r1 S S
-? 3, go S. -
1 2OU.? ??
U
?
? a
fJ?O
?a
t3?O
l3 0
??
G3? ?
?
?
m
?
?
?
?
?
?
?
?
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
PROPERTY LEGAL:
DATE OF SURVEY: ??1 a L
LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyor sgnature and company
• Building Pertnit Applicant
• Legal descriptlon
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split aMry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/ebsting sewer and water services & invert elevation
• Streetname
• Driveway
ELEVATIONS
Edstlna
wfl--?o ?
' • Sewer service (or Propased)
I-Npr
] ? • Property comers
0 • Top of curb at the driveway
0 0 • Elevations of any existing adjacent homes
Pronosed
? ? o • Garage floor
R? 0 0 • First floor
z'? ? ? • Lowest exposed elevation (walkouUwindow)
? ? • Property corners
? • Front and rear of home at the foundation
PONDING AREA Cf aaalicablel
? e, O • Easement line
? 12' o • NWL
? El-- 0 • HWL
? Lr- o • Pond#designation
? D'-? ? • Emergency Overtiow Elevation
DIMENSIONS
? ? o • Lot IineslBearings & dimensions
0f ? o • Right-of-way and street wkJth (to back of curb)
cr' ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
IT' O ? • Show all easements of record and any City utilities wiThin those easements
[5- ? o • Setbacks of proposed structure and sideyard setback of adjacent existing structures
? ? o • Retaining wall requirements, ff ny
?
_ ?
Reviewed:
Na e / Dat i
January 1996
CqAIGipBBIBL?PRMI' FM
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER Bill & Jenifer Orr PLAN NO. 9-0318-7
SITE ADDRESS
CONTRACTOR: R.A. KOT HOMES, INC. DATE 07 07 97 PHONE 687-9513
DETERMIME WORKING SQUARE EOOTAGE
4768.866
1. Total exposed wall area4850.606 sq.ft. x.11 533.5666
2. Total roof/ceiling area 2018 sq.ft x.025 52.468
3. Total floor cant. area 302.68 sq.ft. x 0.05 15.134
(over unheated enclosed areas)
4. Total floor cant, area 77 sq.ft. x 0.025 1.925
(over unheated exposed areas)
5. Total exposed wall area above the floor. 4378.526
a. Total wall window area .................... 486.08
b. Total door area ........................... 73.4367
c. Total sliding glass door area ............. 80.04
d. Total fireplace area ...................... 0
e. Total wall framing area (ave. 10%)........ 437.8526
f. Total net wall area above the floor....... 3301.116
g. Total rim joist area ...................... 390.34
TOTAL EXPOSED FOUNDATION AREA ................ 81.74
h. Total foundation window area .............. 0
i. Total net foundation area ................. 81.74
Determine "U" value of each wall seqment.
a. 486.08 x "U" 0.41 = 199.2928
b. 73.4367 x "U" 0.06 = 4.406202
c. 80.04 x "U" 0.36 = 28.8144
d. 0 x "U" 0= 0
e. 437.8526 x "U" 0.097752 = 42.80084
f. 3301.116 x "U" 0.044893 = 148.0321
9. 390.34 x "U" 0.042123 = 16.44229
h. 0 x "U" 0.41 = 0
i. 81.74 x "U" 0.076161 = 6.225438
6 ..................................... TOtal 446.0141
If item #6 is the same as or less than item #1 you have met the current
energy codes. 2 MCAR 1.16008 A AND O.
TOTAL EXPOSED ROOF/CEILING AREA
j. Total skylight area .......................
k. Total flat roof/ceiling framing area......
1. Total net flat roof/ceiling area..........
Determine "U" value for each roof/clg
j. 0 x "U" 0 =
k. 201.8 x "U" 0.025549 =
1. 1816.2 x "U" 0.021801 =
2018
0
201.8
1816.2
segment
0
5.155851
39.59451
N
7 ................................... TOtal
44.75036
If item #7 is the same as or less than item #Z you have met the
energy code. 2 MCAR 1.16008 A AND 0.
TOTAL FLOOR CANT. AREA (enclosed).
302.68
o. Total floor cant. framing area (ave. 10%). 30.268
p. Total net insulated floor/cant. area...... 272.412
Determine "U" value for each floor/cant. segment.
0. 30.268 x"U" 0.047192 = 1.42841
p. 272.412 x"U" 0.021622 = 5_889989
8 ................................... Total 7.318399
If item #8 is the same as or less than item #3 you have met the
energy code. 2 MCAR 1.16008 A AND O.
TOTAL FLOOR/CANT. AREA (exposed) 77
q. Total floor/cant. framing area (ave. 10$). 7.7
r. Total net insulated floor/cant. area...... 69.3
Determine "U" value for each floor/cant. segment.
q. 7.7 x"U" 0.039793 = 0.306407
r. 69.3 x"U" 0.019924 = 1.380753
9................................... Total
If item #9 is the same as or less than item #4 you have met the
energy code. 2 MCAR 1.16008 A AND 0.
I HEREBY CERTIFY THAT I HAVE CRLCULATED THti"U" FACTORS AND "R"
VAL
THEUSTATEROFNMINNESOTA ENERQYICONSE HATIO AATIBED MEET?OR
S
?
1.68716
e
?
DETERMINE "U" VALUES"
THRU STUD WITH SIDING & S.R.
Interior Air...... 0.68
Sheet Rock........ 0.45
Thermo-Break...... 0
Stud .............. 6.93
Shthng(Bracerite). 1.22
Siding............ 0.78
Exterior Air...... 0.17
Total "R" Value..... ....... 10.23
1/R = "U" Value..... ....... 0.097752
THRU INSULATION WITH SIDING & S.R.
Interior Air...... 0.68
Sheet Rock........ 0.45
Thermo-Break...... 0
Insulation........ 19
Shthng(Bracerite). 1.22
Siding............ 0.78
Exterior Air...... 0.17
Total "R" Value............ 22.3
1/R = "U" Value............ 0.044843
THRU CEILING MEMBER
Interior Air...... 0.68
Sheet Rock........ 0.58
Ceiling Member.... 4.35
Insulation........ 32.92
Still Air......... 0.61
Total "R" Value............ 39.14
1/R = "U" Value............ 0.025549
THRLT CEILING INSULATION
Interior Air...... 0.68
Sheet Rock........ 0.58
Insulation........ 44
Still Air......... 0,61
Total "R" Value............ 45.87
1/R = "U" Value............ 0.021801
.
THRU CONCRETE BLOCK
Interior Air......
conc. Blk.........
Insulation........
Sheet Rk. (opt.).
Exterior Air......
0.68
1.28
11
0 (Add 0.45
0.17
Total "R" Value............ 13.13
1/R = "U" ..................0.076161
THRU RIM JOIST
Interior Air......
Insulation........
Rim Joist.........
Shthng(Bracerite).
Siding............
Exterior Air......
0.68
19
1.89
1.22
0.78
0.17
Total "R" Value............ 23.74
1/R = "U" ................ 0.042123
U" value for window........
U" value for doors.........
U" value for Patio Drs.AVG_
THRU CANT. @ MEMBER (enclosed)
Interior air...... 0.68
Finish Flooring... 1.23
Shthng(Bracerite). 1.22
Plywood........... 0.93
Joist(W/2x4 Furr). 15.94
Sheet Rock........ 0.58
Still Air......... 0.61
0.41
0.06
0.36
Total "R" Value............ 21.19
1/R - "U" ..................0.047192
r, 4
THRU CANT. @ INSULATION (enclosed)
Interior Air...... 0.68
Finish Flooring... 1.23
Shthng(Bracerite). 1.22
Plywood........... 0.93
Insulation........ 41
Sheet Rock........ 0.58
Still Air......... 0.61
Total "R" Value............ 46.25
1/R _ ??U ...................0.021622
THRU CANT. @ MEMBER (exposed)
(ASSUmes 2x10 Joists)
Interior Air...... 0.68
Finish Flooring... 1.23
Underlayment...... 0
Plywood........... 0.93
Joist(W/2x4 Furr). 15.94
Shthng(3/4" RMAX). 5.4
Soffit............ 0.78
Exterior Air...... 0.17
Total "R" Value.... ........ 25.13
1/R - "U........... ........ 0.039793
THRU CANT. @ INSULATION (exposed)
(ASSUmes 2x10 Joists)
Interior Air...... 0.68
Finish Flooring... 1.23
Underlayment...... 0
Plywood........... 0.93
Insulation........ 41
Shthng(3/4" RMAX). 5.4
Soffit............ 0.78
Exterior Air...... 0.17
Total "R" Value............ 50.19
1/R - "U.••••••••••••......0.019924
CTI'P USE ONLY /23?8
LOT '7 BL RECEIPT #:
SUBD.y,,tfL2.Cj RECEIPT DA 11 71,?7
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
/ n (612)681-4675
Date• r
Complete this section only if vou are installing HVAC in single familv, townhome, or condos that are
under construction and are not owner /occunied.
• HVAC: 0-100 M B T U $ 24.00 ?
ADDITIONAL 50 M BTU 6.00
• Gas outlets ( minimum of one required @$3.00 ea.)
• State Surcharge: .50
. TOTAL: ff•5 D
Complete this section onlv if you are remodelinLy addine to, or repairine eaistine single familv
dwellin¢s, townhomes, or condos.
Add-on fiunace _ Add on air conditioning
_ Add-on air exchanger, i.e. Vanee system, etc. _ Other
Minimutn fee applies to all remodel or add-ons of exis6ng residences $ 20.00
State Surcharge .50
Total: $ 20.50
SiT'E ADDRESS:
OWNERNAME: !1 w /CB_? PHONE#:
INSTALLERNAME: e561J6I°v ////ZO h/ ?/6 PHONE#: XYY-DO??
STREET ADDRESS:
CIT'Y:
STATE: ZIP: sS.n?
CCINATURE OF PERNII7"fEE
/ L I BL CITY USE ONLY RECEIPT#: O Q O //'D 9
? ??
SUBD. ?iCJA(X.Gvf (?? L RECEIPT DATE: 9 T 0
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for: . single family dwellings
. townhomes and condos when permits are required for each unit
. backflow preventer for underground sprinkler system
FIXTURES EACH IO. TOTAL
Shower 3.00 x / = 10
Water Closet 3.00 x .3 = .00
Bath Tub 3.00 x a. = G-oo
Lavatory 3.00 x 16:60
Kitchen Sink 3.00 x 3,00
Laundry Tray 3.00 x ! = 3.00
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x 3.60
Gas Piping Outlet 'minimum-1 3.00 x 3,40
Rough Openings 1.50 x 3
Water Softener ' for dwellings under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G.Sprinkler "fordwellingunderconst. 3.00 =
U.G. Sprinkler 'forexistingdwelling 20.00 =
Alterations * to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System " Dak Cty lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' ntandonment 20.00 =
STATE SURCHARGE .50
TOTAL S3•od
I hereby adcnowledge Mat I hava reed this application, stete that the intortnadon is carred, and agree to comply with all applicable City
of Eagan ordinances. It is the applicaM's responsibility to notify Me property owner that the Ciry of Eagan assumes no liabiliry for any
damages caused by the City during its nortnal operetional and maiMenance activities to the Tadlities constructed under this permit within
City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: s
INSTALLER NAME: IN&, TELEPHONE #: 1?23-3'730
STREETADDRESS:? ?''??•?!? /'o /. ? ?'a?
CITY: f?ii5em?i?nZ? STATE: //1/I/ ZIP: 53-5,53
r
SIGNA URE OF PERMITTEE
i r L' R1V1I1
?CITY OF EAGAN '
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 030392
(612) 681-4675 Date Issued: 0 7/ 0 8/ 9 7
SITE ADDRESS:
828 GREA7 OAKS TR
LOT: 13 BLOCK: 1
GREAT OAKS
P.I.N.: 10-30950-130-01 ,
DESCRIPTION:
UNDERGROUND
Building,-Permit Type SWIM POOL
BuilBing Wb,rk Type NEW
! Censtks, Cod-s 434 NLT. RESIDENTIAL
?
?
r`.
4 a. %
rs
k.
.y i
"Zf?`*.n??'=?E ,..
REMARKS:
SEPARATE PERMIT REQUIRED FOR kNY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $17,000
Base Fee $249•75
Surcharge $8.50
Total Fee $258.25
CONTRACTOR: - Applzcant - OWNER:
ATLANTIS 15600103 FAFINSKI TOM
),21 687N AVE N 828 GREAT OAKS TR
BROOKLYN CENTER MN 55429 EAGAN MN
(612) 560-0103 (612)905-9681
•
I hereb acknowled9e that I have read this application and state that the
infiorm ion is cvrre,ct ac+d agi^ee -to cc?rttpl?-,wit?i •aJ.l appl.icalsle 'S'Gato,C of Mn
Statut ,aty of Eagan Ordinances.
PPI I(1ANT/PFRAAITFF CI(;NATI IRF ISSWfZ BV: SIGNATURE
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 56122
681-4675
New Construction Reauirements RemodellReoair Reauiremenls
? 3 regislered aite surveys ? 2 oopbs M plan
? 2 copies of plans (inGude beam & window s¢es; poured fid. design; etc.) ? 2 aRe surveys (e)terior additions 8 decka)
? t energy calculationa ? 1 errergy eelwletiona for heated addkions
? 3 eopies Mhee presenation plan R lot platteE after 7/1/93
required: _ Yes _ No
DATE: CONSTRUCTION COST:
DESCRiPT10N OF WORK:
STREET ADDRESS: g a$ ? Q A- LJG (? S 12-- 4( L
LOT f 3 BLOCK
SUBD./P.I.D. #:
lS71t¢-?"`- `?70 ?'?7GSl??
? PROPERTY Name: ? Phone #:
OWNER
StreetAddress: ??? ? 2`e1rT Q? s ?2
5 7-
Ciry: state: ? zip:
? CONTRACTOR
Company: ? f ?'?` S
Street Address: 6f/V,
??/f /1?l ?
City: /? o " '"'?- `?',' "'? State:
ARCHITECTI Company:
ENGINEER
Name:
Phone #:
Registration #:
Street Address:
City:
Phone #: J 60-0103
License #:
Zip: -5/-J-9°±
State:
Zip:
Sewer 8 water licer•sed piumber (new construciion only): . Penalty applies when address change
and lot change arc , equested once pertnit is issued. A /_
I hereby acknowledge that 1 have read this application and shate that the iniortn????ry?ct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. ?(
? Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
ECEIVED
JuL n 1997
[B:=i
_ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
: ?
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. cK 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace n 21 Miscellaneous
0 05 SF Misc. a 10 _-piex ? 15 Deck
WORK TYPE
?31 New o 33 ARerations o 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. MC/WS System
(Aliowable) Main level sq. ft. City Water -
UBC Occupancy sq. ft. Fire 5prinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq, ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg ?
Census Unit
APPROVALS
Planning Buiiding ;7Z Engineering Variance
Permit Fee Valuation: $? C"g 6
S
urcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
?? ?,WS,tczn
% SAC
SAC Units
Date: July 7, 1997
To: Tom Fafinski and Amy Kadow Fafinski
828 Great Oaks Txail
Eagan, MN 55123
From: Great Oaks Homeowners Association
Landscape and Architectural Committees
Re: Underground pool proposal
Piease consider this letter as the Great Oaks Homeowners Association Landscape and
Architectural Committee's ("Committee") written approval for your request to
construct an underground pool, adjacent fendng, landscaping (retaining walls, plants
and fire pit) and gazebo substantially in accordance with the plans and specifications
submitted to the Committee. The Committee has approved the £oregoing in its
entirety.
July 7, 1997
Lee Bennett
.
v?
" ? '?Nf
?°a'n9 U?G3°???
• Ne
,2713 ., .- 70,26
ezs.z
1 o i o
IS
BFIJCk MARK O 5 ppOPOSED 1
TOP OF?IPE
7 M bRIVEWAY ?
B.6U--._?
ELEV.. ?y B7T.0 _ ?15.4
'• arr. 8713 ?
_
0 2 1.av
H93 tv
yY 39 ?I
BB?
B x ? e"n/GARAGE 87Z61
I4A q
, 33 I
a
N
a
90'a,1e.33
18.5
C?N ry!y? n 8Y7.9 M ?
? PROf'OSED ?
HOUSE rv
N?
M ?, nJ
N I ?rj
o 15.67
/
- M 15.16 ?
I ? -
LL+i
974.3 DECK
;.-`M ers.s
?
01
:
?
?
N
i ^y
,.rFLAFiEO END SEC.
N EIEV.= 880.1
L
--? -,..,?-? -?
,. t
SCALE: I INCH - 30 FEET
\
?
C,
James R. Hill,inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W CTY. RD. 42 e BUHNSVIILE, MN. 55337 a 812-900•6044 ?
n
N
?75.6
? \(Cy5,6)
?
3Q 7T
N15°1s'3s"E
?gENCH MARK
7pP OF PIPE
EIEV= 8 7135
?TSeLl? I87l.9
I 17
I I
f,? I ?---
i
I ? I
I \DfiAINAGE EASEMENT `
D pF OND
? ELEY=95T.9 LcEASCM 0 ?y
'pI
INqGE d ??, ,7y
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2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CtTY OF EACAN
3830 PILOT KNOB RD • 55122 s (o ()
\e 651-681-4875 Ca-LU-?
New Conatnictlan Reauiremenh Rertwdal/Reoair ReaulremeMa
? S regisfereq slfe wrveya ahowing 8q,11. of lot, aq. ft. of house
and 9U rooled areas (20% mcndmum lot cavemae olbwetn
> 2 caples ot plane (ahow beam 8 wlntlow slxea; pouretl tntl. deslgn; etcJ
> 1 set of energy calculpMons
> 3 coplea of hae preservcHOn plan H IW plaMatl aRer 7/1193
DATE: (p'Z31C? O
DESCR{PTfON OF WORK: i C'? IS
STREET ADDRESS: _ _353
? U
--7 - 0- -0 0
Zcop,asOf pbn J? Ib-DO
i set of energy calcWaflons for heate0 addlilons
t site wrvey for extedor addtHons a decks
CONSIRUCTION COST:
ce
? .ffb06C?
?--
LOT: 0?1 ( BLOCK: ? 5UBD./P.I.D. #: Qv ? OatS
Name: orr f3ri ( Pr?oneu: Gsl-yS2-- a-`j?`f
PROPERTY Lost flrst
OWNER `°
Sheet Addresa: 3?3 ? C7 r ce?' '?q ks / C
City State: Zip=
. Company: P=?A-?o Phone #: 612 g9 2' `"? S3 ?
(area code)
coNrw?croa street nddress: '16 q? j ZW sl ucense # D061106 E. z on /
city ?IL? Srare: ,?? ZiP: Esf 2 u
ARCHITECT/
ENGINEER
Company:
Telephone #: (
Name:
Sfreet Address: Regishatlon q:
citY
State:
Sewerhvater licessed plumber (N tnstallina sewer/waterl: Phone #:
Zip:
I hereby acknowledge tha111wve read this (IpplICatbn, sfate that ihe InfomwNon is 77S t, comp?y with aN oAPl?e Stale
of Minnesota Stalutea and CNy of Eagon Ordinances. Slgnature of Applicanh
OFFICE USE ONLY
Certiflcates of Survey Received _ Yes -12) No '
Tree Preservation Plan Recelved _ Yes _ No ? Not Required
M)
BUILDING PERMIT SUBTYPES
? 01 Foundatfon 0 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ piex ? 09 07-plex
? 04 02-plex ? 10 OS-plex
? 05 03-plex ? 11 10-plex
? 06 04-piex ? 12 12-plex
WORK TYPE
? 31 New
? 32 Addition
?33 Alteration
? 34 Repair
OFFICE USE ONLY
? 13 16-plex ? 21 Poroh (3-sea.)
? 17 Garage ? 22 Poroh/Addn. (4-sea.)
? 18 Deck ? 23 Porch (scrsened)
A--19 Lower Level ? 24 Storm Damage
aie9'-10Yor_ N ? 25 Miscelianeous
? 20 Pool ? 30 Aocessory Bldg.
? 36 Move Bldg. O 43 Reroof
? 37 Demolish (Bidg)' ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units C)
No. of Buildings J_
Const. (Actual)
(Altowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. R.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building
Permit Fee ? G 0, 5 0
Surcharge
Plan Review
License
MC/ES SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: At 60.5 0
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
,C?)(7 Engineering Variance
valuation: $ 1.7
?GD
? 31 Ect. Ait - Multi
? 33 Ext. Alt - SF
? 36 MuIU
1fSLl
SAC Units
% SAC
?
* * * *
* p10N1
?4E
Certificate of 5urvey for:
- ,
2422,Enterprise, Dfive',
,
Mendotd Heighls, MN ?55126
(812) g81-191?1 FAX881-1489
?
625 Nlgliwoy.10 N.S.
8loinb, MN 55434
(612) rsa-,eeo Fax:7e3-4e3
.A. KOT
.517 nnFnr f1AKS Di aCE
FCD)??
oAT BuIL??Sp?CTI0N5 DEPT•
?
FAGA.
L,
?_
?--,-?-_
i r?E
^IOTE, PROfO5E0 CRADES $HCWN PER CRAD'.NG MIqN BY- BqW pROPOSEb HOUSE ELE%TJION ;
MOTF. BUI60m DWfNSONS SHOwN ARE POR HORIZONTAI ANO vER?GPl LOCptION LOVJEST FLOOR ELEVATION:
0( Si4UGiUNES ONLY, SEE ARCHIifC*UAL hnNS POR BNIDINC RNb . . p?? 5
vnuuo+nrn+ oiMCnsiens. TOp (.? BLOCK ELEVATIO*!: r1_CJ+_ ?.
. . :...,.??.j. C?.{?:: .
401f: NO SPECIfIC S00_S INVCSTIC4i?ON M? BEEN CONPLETED ON iH15 LOT BY 1HE •-
TuR0EY0R. 1MF SUIfABIUn' OF 90ILS 10 SbPPORT THE 9PEpFIC HOUSE GARaGE SLAB EGc'J,ApT?OI
PROFGSCD iS HOT THE fiESPON51BlLiTY OF THE SJR\EYOR. ,f r
j{ 000.00 GEN07ES EMISTINu'lU;iti,IqN, , .-
NOTE: TMOSE SN?wN CNDT C R CORC DPPRA7r0 SHOW EASEIAENTS 4TNER inAN ( p0000 ) PENOiES PRwOSED,CL} ,-,A?!?"?
.J 6ENOfES DaA!NAGE AV6'uT1':In' fASEHfvI7•
ryp?E; qrutqM_T0R 4.U51 MERIfT DRflEWAY OESIGII pENOT?S-ORAINACEGfIdYt?IRECTION ' +.
NOrf.: SEARINGS SYOYN PFE 8ASEO ON nN ASSiIMfO OANM , OENOTES?A?YJMF,Nty, : F y"
oENOTES'6FiSE1 no8 . . d < a • -, n +; : -.
wE HEREBY CERt?.f'r TO R.A. KOT Tr+aT fHIS IS A TRUE PNO CORRECT F{EPRESENTATION,OF'A'. ?SURYEV OF THE BOUNDARIFS Ok
J.
LOT 7, BI.OCK 1, GREAT OAK5, ACCCRDING 10 THE RECORDED PLA7 THEREOF;
DAKOTA COUIJTY, M;tiNFSOTA. ,
tOGFTNER WrH:
THAT PART 0% OU1'LOi G. GReAT OAKS, ACCORDING 10 THE RECORDEO PLAi
iHEREOF, OFKOTA COUNTY, MINNESOTA. LYiNC EAS7ERLY OF THE EAST LiNE
Cf THE WOODLAhOS FOURTW ADDITION, ACCORDING TO THE RECOROEO PLA7
THEREOF, DhKOTA COUNTY, MIt.WE50TA; SniO PART OF OUiLOt C IS
CESCRIBED AS FOllCWS:
?
,
i
8EG!NNING AT THE n;ORTHwESi L'ORNER Of SAfD OUTGOT C; THENCE
SOU'H 69 OEGR6ES 36 MrvLJTES"14 SECONDS EAS7 ON AN ASSUMED
OEAR!NC AIONC THE NCf2?HEASTERLY UNE Ds' SAID, OUTLOT C, A , i
OISTANCE Of 148.62 6EET; TiI SOUTH 21 DECREES 51,ldINUTE5,47
SECONDS 14EST, A GIS(ANCE OF 21000 FEET TO A POINT ON TtiE EAST L?hlF
Fs
M:UTES 40 SECONGS WESR7 ALONG SAC EAST LINE? A n DiSTANCE GF
54
254.15 FEET f0 7NE POINT OF BEGINNIPIC. '
IT DOES ?UT PURFCRI TO SHOw IMPROVEMtNTS OR ENG9RDACHMENTS, EXCEP7 AS SHOVM, AS Sl1RvE
uNDER Mv DIRECT Sl!PERViSION iHIS 3R0 DAY OF OCi., 1996,
SCALE : 1 INCH = 40 FEET
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K.A. KV 1
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R.A. KV I
3537 GREAT OAKS PIACE
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iYPICAL STRAIGHT WALL PANELS
1YPICAL CURVEO PANEI SIMIUR C%CEP1 UMITEO
TO e'-0' 4AX. PANELS
All PANELS 70 BE U GAUGE 57EEL IWICAL.
UNERAL NOTES
1. GROUND ALL MEIAL N11HIH 10'-0' OF POOI IF
UNDERWATCR UGN7 IS IN57AllED AND PPOVIOC
GROUND (AULI PROTEC710N DENCE AT PANEL.
1 1M15 DPAMINC PRC°AREO fRqJ MFIX1YA71Cf1
$UPPl1ED BY POOL MANl1fAL7UREk
3. HUW LOADS $NALL NOT 8E PLACED N17MW
70 (EET OF POOt EDGC.
4. ENSURi 7HAT POOL EXCAVATION I$ MAOE IN
NA7URAL UNDISTURBEO SqL AND iHAT 7HE
ExCAVA710N TO 7ME REWIRED DEPTM AND
PROFItE IS SAfE nHD S1nBLE.
5. DO NOl DRAIN POOL N17MOUT CONSULTINC
CONTRACIOR. 17 IS IMPORTANI iHAT THERE IS
NO WAIER PRESSURE BEHIND WAlLS M1EN
POOL 4 DRNNCD.
6. ENSURE 7HAi BACIfFILL Of $' CRUSHED STONE
OR SAND IS WCII COMPACTED AGAINST BACN
O( PANELS BCFOflE POOL IS (IILED. PANELS
RELY ON PA59bE PRESSIJRE OF BACKFILL TO
RE5157 ACTIVE PRESSURE OF WATER IN POOI.
bdATERIALS AND DESIGN DATA
SEE i0P
DETAIL
A
IG1
iy'/ ANCHOR?
RW
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iYPIGAL GONGRETE FOOTING PLAN
FOR FRAM?'?JHOUT DEGK SLPPORT
scu.e: h•-? -o
LOCAIE f0011NC ^T ALl JOIN15 BETN£EN PANELS
AND ADDED BRACES.
(OR FRAMES 1NTH DECK SUPPORT USE A
fANIINUWS CONCREIE COLLAR
bo(i
ic
e
IG1
t
' l PLAiE +
N
V. WASIiER +
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%^. w Bar +
coem[c1 n+noucn
BOiH PANELS. 2'-
L2404 CA -s
A' fRA11E SIRUi
A7 PANEL ,qINTS
PWR AGAINS7
UNOISTVRBEO
SOIL
10%-PqNT JOINING-
SYSTEM 70P k 807.
(iYPICAI)
PROVIDE REIURN OF NEI
2'IAEMBER TOP k BOi.
COPE AS REOUIRED
(7YPICAL) ?
?
?
SEE OE11JL 'A'
iYPICAL RAII
REMFORCING ,
ELEV- ? f 1- ?D 0
SCALE: QED 2- R16S
FOR CURVED PANELS
7. PORYED U GAUGE 2600 GaLVANRED S7EEL
7. RIYE75: /7 (AS-NERS NiTH 675 Iha
CMAq7Y AS SWMIED BY A.N.H. INC. '
]. BOLTS: AIACHINE BOLTS A-307 GALVANIZED.
4. CONCREiE: IS A1PO (1000 PSI) A7 28 DAYS.
5. REINFORCING: Iye400 YPO (58 k.al.)
6. 70%-POINT JOINING SYStE4 SHALI fULIY COYPLY
VA7H '1NSTALLATIq1 GUIDELMES' BY '10%
CORPOFiA710N '.
MINIAIUM RCWIRED $HEAR k PULL SiRENCTH SHAI,L
BE 899 ICe. & 671 16e RESPEC71VElY PER TOIf,
YINIMUY TOX PRIS$ FORCE SHµL BE 15.736 IDs.
GRECIAN MARTINIWE 11 BAHAAIA BANA4A (ULl-l
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iLORIDA AIUSKONA BAHMIA BCRYUpA fllll-L
Aauen eN+aAoos n ovN DiAMOND tl
REC7ANGLE HIDNEY MONiECA
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SCAIE: 1'-1'-0'
ISOMETRIG VIEW OF STRAI HT PANFI
YAAWUM IENCiH 10'-0'
TYPICAL INGROUND POOL PANELS
FOR 6 " & 3" TOP RAILS
E.A. I J.MclA.
KAFKO-PQNDEX POOLS UMITED `°"`( No. 93x450C -
ROBERT HALSALL & ASSOCIATE5 LTD. "`in° No
188 ECLMTON AVE.: I(N20NT0 ONi, CANAOA MIP 2X7 (416)487-5256 WWj? IGt
Y'
IGt sc^iE: . -i
\ZZ FOR CUR4ED PANElS
LSOMETRIC VIEW OF CURVED PANEL
YAXIMUAI UNBRACED LENG7N IS
8'-0- (ADD 7YPICAL BRACE AND TYPICAI
FOOTING AT INIERAIEUTATE 'Z' RIB AS REOb
75 TO MAINTAIN 6'-0' YA%. UNBRACED
ieNCm. stc s[cnON a•)
i0%-PqNT JOIMNG-
SYSTEA/ TOP & BOi
(irvIcAt)
PRONDE RETURN OF WEi
2' uEYBER 70P 8 BOT.
COPE AS REWIRED
.(TYPICAL) /
'r Ao.ustuENT eat
QCRUSMID STON?
OFt SAND
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' 2•_0- ERELiION 57ANE
AS REWIRED
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SCALE: SS'•1'-p' n
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@UTT SPLICE DETAIL CORNER DETAIL GORNER ?ETAIL ?.°
AT CURVEO WALL ALIERNME fI ALi[pNA/E 1 ??' t>
SCALE: SCALE: ly'-1'-O' SCALE: 14'-1'-0' NCE OF Oa
,\/�\ \� � Use BLUE or BLACK Ink
� � \' r ------------�
� \� I For Office Use �
� � I � � I �
� �\ � Permit#: .�J\ j
Clt� of ����r� ���_ . � �- � . . �
Permit Fee:
3830 Pilot Knob Road ��� � ��, �,;;'3 �
Eagan MN 55122 '� F" � Date Received: '��' �� �
Phone: (651)675-5675 I I
Fax: (651)675-5694 � Staff: �I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
l - I 3- 1 35 �� � ,�.� C�� �I�� ��., .M.w ��z3
Date: � Site Address: '�'� �' r Unit#:
m
� �-56�6
, �--
Name: (3�\1 > ��e�h�.��.. (�fi.., Phone: � � " L`16
ReS�{��n'�/ 3 5 3 7 � C�kS ��;r t
.`����� Address/City/Zip: �'�="�
,
��,,, Applicant is: Owner Contractor
:
� Description of work: 5t: i �� ���'r'� - �rd"�'
T���L���lQ?"� .
� � Construction Cost: Multi-Family Building: (Yes /No
'� Company 5 ��v,-b�-� �..,�'^�scr�e ���'�� Contact: �drs(�Gir��c�...
d � ��' `� Address: �`{�� �c� �c� City: �-c+Cc�
�CI'1�1'+"��t��#' �
� , � State: �'1�✓Zip: ��(`Z p�t�'�. - ��! -`/5'Y"3 a I: j��_ �..515 �PSir�.. ►�.,rn p
, �`"1
aei� �- 6�-7s�-Yz�3
" License#: cate#:
If the project is exempt from lead certification, please explain why:
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 8�Water Contractor: Phone:
Fire Suppression Contractor: Phone:
11��'?T;�.�'�s anat s��c�r�.�r�►cur���r��t�t#,� �t�r��r�'�1���,���t�►���� `��`'
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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.popherstateonecall.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 witl 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.
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Applicant's Printed Name Applicant's i natur
Page 1 of 3
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DO NOT WRITE BELOW THIS LINE
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SUB TYPES I �jdlO � ' '
_ Foundation _ Fireplace _ Porch(3Season) _ Exterior Alteration(Single Family)
� Single Family " _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(ScreeniGazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES �,- �� ��"t�-�`�' ������fF;�'�`•�;
_ New � Interior Improvement Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration Fire Repair _ Windows _ Demolish Foundation
�Replace _ Repair _ Egress Window _ Water Damage
RetBining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION %'"�; .
Valuation � ; , � �.�°� Occupancy � MCES System
Plan Review � �Code Edition ��;`�.���"��� SAC Units
(25%_ 100%�) Zoning �� City Water
Census Code ' Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction , Width
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REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
� Footings (Addition) �.." ���F � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
. ..�
Other:
Reviewed By: , c.�� , Building Inspector
RESIDENTIAL FEES �
Base Fee � � � ���"�� #�x�� �, �{'r ;
Surcharge � ' +� ��"
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P an eview w . �
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MCES SAC
City SAC
Utility Connection Charge
S&W Permit 8�Surcharge ; £. ` �,.,� �.;�7 ��`� � �;���
Treatment Plant � Y ���^ '� '�
Co ies
p
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147660
Date Issued:01/24/2018
Permit Category:ePermit
Site Address: 3537 Great Oaks Pl
Lot:071 Block: 1 Addition: Great Oaks
PID:10-30950-01-071
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
William B Orr
3537 Great Oaks Pl
Eagan MN 55123
(651) 246-9686
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164757
Date Issued:10/07/2020
Permit Category:ePermit
Site Address: 3537 Great Oaks Pl
Lot:071 Block: 1 Addition: Great Oaks
PID:10-30950-01-071
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
William B & Jenifer Orr
3537 Great Oaks Pl
Eagan MN 55123--243
Platinum Builders Llp
20830 Holt Avenue
Lakeville MN 55044
(612) 919-3220
Applicant/Permitee: Signature Issued By: Signature