3755 Linden Lane
Use BLUE or BLACK Ink
r
For Office Us I
Permit O`'
City of EaPermit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675"; - I I
Fax: (651) 675-5694 i Staff:
UIZ -
2012 RESIDENTIAL ` 1~,i~
BUILDING PERMIT APPLICATION ~ Of Date: /2 Site Address: .5 75 Unit
Name: LAJA-XMe• Cr' Phone: 4 !S 237
RESIDENT /
OWNER Address/ City/ Zip: j 75S c~,~ ZeA- V'_'_.
Applicant is: Owner Contractor
Description of work: )-r ~a re 5i'cQc - -/U ~f ra Some 4 e-~s Q- r° 4,4A d A10 °^"u
TYPE OF WORK
7~ a /VLC~ %S 'Ls -L Y✓~d t o S Z r,,~ 4e
Construction Cost: T, 0 Multi-Family Building: (Yes / No ,>G_)
Company: Contact: ~J0.5A jam`` ~ 11
J /O I f-~W SS 5~c /fl
y
CONTRACTOR Address: City:
r~
State: ~j ~A) Zip: Phone: 6/•2 -j Q3 r C'ra 71- 3 -5y~"lI00
License #:,6C3-7666 Lead Certificate -T -?523 _/v 03 6 7.5
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 7
9
I~ I j
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 m t be completed within 180
days of permit issuance. J ~j
x7 - x
plican ' Printed Name f cants S' ture
Page 1of3
DO NOT WRITE BELOW THIS LINE
SUB TYPES -31 ^haXC_-,
Foundation Fireplace _ Porch (3-Season) Storm Damage
Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of _ Plex Lower Level Pool _ Miscellaneous
_ Accessory Building
WORK TYPES e.
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Aa= Code Edition SAC Units
(25%100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
For Office Use
1 _ 1
I Q
City of EaEdn OP I Permit 1
I 1
I Permit Fee: ~ I
3830 Pilot Knob Road
Eagan MN 55122 It' F IVh 0
I Date Received: I
Phone: (651) 675-5675 I 1
1
Fax: (651) 675-5694 ~IAY ? 7 2011 1 Staff: 1
2011 MECHANICAL PERMIT APPLICATION
Date: ~a-1 1 Site Address: 5155 ~I ndt1) L.0- tf~'
Tenant: Y V 1 e &4e, Suite
RESIDENT / OWNER Name: Phone: (0 i I qqq®
Address ~//City / Zip:
i i
CONTRACTOR Name: VwA+ IT~~~ n , ,4-'e1umlo. LI-l-License#:
Address: ~JV 1"I ka l°~ie y)L"e, City: St. Lou v a
!1
State: Zip:J t Phone: j
Contact: Email: Vwffivacov f ea,b),) - com
TYPE OF WORK New ✓ Replacement Additional Alteration Demolition
Description of work: LAI
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE Furnace _ New Construction Interior Improvement
- AiFEonditioner-- Install-Piping Processe
Air Exchanger Gas Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) ~j
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ J + 0 TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orcr
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 {ttheapproved plan in the case of work which requires a review and approval of plans.
x ~ W WV• t 4
Applicant's Printed Name App ' ant's Si ature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground - Rough In Air Test -Gas Service Test -In-floor Heat -Final
Exterior HVAC Screening Inspection
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
( 3830 Pilot Knob Road Permit Number: -' •' `' ?° ??
I Eagan, Minnesota 55122-1897 Date Issued:
i (612) 681-4675
SITE ADDRESS: APPLfCANT:
? ?30tfUi.Ftt?l1??\ IHlt:il - ef•1_') +iA '•il1.
PERMIT SUBTYPE: TYPE OF WORK;
;, t
, ! Nt, FritlNDA t i uN
INSPECTION iA . .A
P eanHr'? : S ;b ia 11 111 M r+Er: - E:IF'NiF1 14 rrs1 natrni
r
I ` 3
Permit No. - ertnit Holder Date Telephone #
ELECTRIC ?
PLUMBING
HVAC ? a7 w_ e/,)/
Inepection ogie In . Cominents
FOOTINGS
? h kl^:"(
FOUND
?
FRAMING
?J
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING ?t? ^^B
GAS SVC
TEST
?1?JlQ y
INSUL
GYPBOARD
FlFEPLACE ? ? J?7
' ! / ? • /, . s ?, , / Il
?n.?U
FIREPLACE
AIR TEST
FINAL PLBG
'.-!r r
/D
Arb
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
I
CfRrttfICRte 0f cCCltvR1iC?
(Fiti) of Cf agan
meoartmcat of 8uitbing aaocction
This Certiftcate issued pursuant to the requirements of the Uniform Building Cade
certifyirsg tieat at the time ojissuartce this structure was in comp[iance with the various
ardinances af the Ciry regulating building construction or use. For the following:
ux cimirwmkw SF DWG aiag. rmnit N. 29918
Oo--r„rcr 7Yve R3/U 1 Z„ing nvtric, R I rya consi. VN
o?oreuaains VALLEY INVESTMENTS namM52401 IER AVE S, MNEfA ATS
ewwtngAaenms OW "? IAE Lmcal;,,. L21, BI, II$ 4AODLPMS THM
euiking official /rO
?
POST IN A CONSPICUOUS PLACE
UEST ECT IIIIII Ilu? ?IIII IIII ?III IIIII I III IIIII I I III ME n?esota S atOe e aLd of EReCAL yNSPECTION / T?,A
1821 University Ave., Rm. S- 2 St. Paul, MN 55104
* 0 3 5 7 7 5 6 6'? Phone (612) 642-0800 ?(?9?'f ?=?•-
Home Duplex Apt. Bldg. Other: ' New Addn
Commercial Industrial Farm Remod Repair
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
Dryer Range Elec. Heat emp. Service
"X" above the work cove3 is request. emarks in this space and on the k ot the white copy onty.
m- luM'' Gt:Jjj0x0%I
Calculate lnspection Fee - This Inspectiar Request will not be accepied without the covecf fee:
Other Fee u Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 AnI 0 to 100 Amps
Street Ltg./Traffic Sig. Above 200_Amps Above 100_Amps
Transformer/Generator INSPECTOR'S USE ONLY TOT
Sign/Outline Ltg. Xfmr.
??
? ? ?`??
Alarm/Remote Control p?
? /?/1
(
'
?
Swimming Pool -
',?
y _
`-? '?°i"??'?"aYe? ?
I here6y certi that i inspect the lectrical installation Aes° 16€tl herein on the dates s[ated
Irrigation Boom Rough-In Date
S
ecial Ins
ecti
n ?
p
p
o D
t
Investigative Fee Final - a
e l . (J
•?
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 WdNTHS.
OFFICE USE ONLV This request wid 18 monihs hom validation date printed in [his boz.
357.756 06
a ?
r (X
PLEASE PRINT OR TYPE,?p?? ?
D
Request Da[c Rouyh-in inspection required? Yes ? No Inspedion Othcr Than Rough-Ii ReaAy Now Wdl Call
(You must call Ihe inspector w n ready) D Ready i
I, p? licensed contractor ? owner hereby request inspection C, ov Fe ec al wo
J? -,
Job Address (Slrcet, eo ??ute o.)
?
L
N Glty
? L-
.
Sec[ion No. Township Name or No. Range No. Fire No. Vi- County
OccupantVivi / /', v ? I ? d!'1 /
V N?IF Phone No.
Power SUp?lier.
b?
Address
Electrical Coni (Company Narcie)
?yy ' . .
?1 Contractor LAnse No. Master Lic. Na (Plant Elect. Only)
Mailinq Add ess (Contractor or Owner PcAorminy Instal tion) ?
l? 30 -kS?- N ss0 33
ANhorized Si ne (Conlractor or O. er Performinp Installation) Pho?oy
V J CJ
EB-00001A-17 8/95 STATE BOARD COPV - SEE INSTAUCTIONS ON BACN OF VELLOW COPY
Addtesg 3755 LINDIN LAM Zip 5512 3
I.ot 21 Blk I Sub ? WOODlRD5 mim
THESE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: f??F7 Yes No Inspector: `
Final grade (6" from siding) ?
Permanent steps (garage) I/
Permanent steps (main entry) ?
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass ?
TraiUcurb damage
Porch
Basement finish VI"
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contracror Copy s
L?yyq -7
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675 t 7
NewConstruction Reauirements RemodellReoair Reauirementa
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all rooted areas • 2 copies of plan
(20qo maximum lot coverage allowed) . t set of Energy Calculations for heated additions
• Z copies of plan showing beam & window sizes; poured found design, etc.j . 1 site survey for exterior additions & decks
• 1 set of Energy Calculations . Indicate if home served by septic system for additions
• 3 copies of Tree Preservalion Plan if lot platted after 7l1193
• Rim Joisl Detail Options selection sheet (bldgs with 3 or less units)
DATE o -2- VALUATION ? ?yv o
JOB SIiE ADDRESS T] 5 S &(. Ul ?en e
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? _
PROPERTY OWNER C'?;k l ai e /Z
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT PHONE# "l?f 2- ^Y3?
ADDRESS 6-9'- ZIPCODE 5"?127 ?7
PAGER # CELL PHONE # O ?? -?/L- T FAX #
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
, MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechenical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
Phone #
P'ee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of appiication.
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 City of Eagan Ordi , rrce . -..
Signature of Applicant
RESIDENTIAL
Water Softener
Water Heater
No. of Baths
_ Phone #:
Lawn Sprinkler
No. of R.I. Baths
Air Condiliorlirig
Heat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
czrv Or EAr;aN
t:A4i-l:1:EF:e 9 Th.ftMTNAI._ NQ: 84
DA'Tru 05/07J97 T.T.M(:^ 1044:38
m:
NAMF: VAL.LF:Y r.NVESrnENTS coNST cO
2256 9001 3755 i_InD.r:.N LAN 4,764.71.
"t'_ryi;gil ({E?C.:P..7.pi; AIYiouT5t : 4,764.71
CR!J i ;:3,`33. 9.
l.lSI=R l:tis NANl;Y
CITY?DF EAGAN PERIlRI
" x'A'?-'?
3830 Pilot Knob Road PERMIT TYPE: g u z Lo z NG
Eagan, MinneSOta 55122-1897 Permit Number: 0 2 9 918
(612) 681-4675 Date Issued: 05/07 f g 7
SITE ADDRESS:
3755 I-INpEN LANE
LOTe 21 BLOCK: 1
THc WOODLANDS THIRD
P.I.N.: 10-75878-210-01
DESCRIPTION:
eNa. FauNoA-rrnN
Type SF DWG
Type NEW
?0'Un 'tfccupi??rrcy'? h2-3
/ :` Gqn?4=C1r^t.tct?brt,°`ty,pe VN
."
' P;Bvil4 a.ng.?Longth91
58
`° 10
E.. C0riy?Aat??Go.d,o" „€ 102 1- FAM. ATTflCH
s0 C
WF ? W >
?N
v
t-
?
REMARKS:
S&W PLUMBER •- WEIVZEL MECHflNTCAL
FEE SUMMARY:
Base Fee
Plan Review
5ureharge
SAC
SAC o
SflC Units
Subtotal
VALUA7TON
$1,322.25
$859.46
$93.5P1
$950.00
1@4
1
$3,225.21
?i
Q
$187,900
MISC FEES $1,539.50,
fotal Fee $4,764.71
CANTRACTOR: - Applicant - ST. I.TC.OWNER:
VRLLEY INVESTMENTS CONST 14545151 0004241 VALLEY INVESTMENTS
?401 LEXTNG70N AUE S 2401 LEXSNGTQN AVE S
MENDOTA NTS MN 55120 MENDOTA HET6HT5 MN 55120
(612) 454-5191 (612)454-5191 .
1997 BUILDING PERMIT APPLICATION (RESIDENTIALO
CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122
681 -"75
New Construction Reoui2ments Remodel/Reoair Reauirements f ?
0 3 registered ske surveys ? 2 copies of plan
? 2 copies ot plans (fndude beam 8 window aaes; poured fid. design; etc.) ? 2 sRe surveys (exterior addkions & decks)
? 1 energy eelculations ? 1 energy calculations for heated additions
? 3 copies of tree preaervation plan if lot platted efter 711193
required: _ Yes X No - ?
DATE: 97 CONSTRUCTION COST: ?ZZO 0 00 c^
DESCRIPTION OF WORK: ??? ?O vYY1? /JSTJ?.c? C?7aN
STREET ADDRESS:
LOT tP/ BLOCK SUBD./P.I.D. &0 WIPZ fib 17-10,J
PROPERTY Name: aGAA- Phone #:
OWNER m„
Street Address:
City: State: Zip:
CONTRACTOR Company: V? 2? UES7f6lefi) t-5 I?n)sTP hone #:
Street Address: A ES. License #:
City:l ItIM197W ?S State: ! "N Zip:
ARCHITECT! Company: 'TJC.
ENGINEER Phone #: 95?? Name: 4n?'D ftZA-??6A? Registration #:
Street Address:
City: State: Zip:
Sewer 8 water licensed Qiumber (new construction only): NLe?nIZFL 2hmj?CA-,GPenalty applies when address change
and lot change are requested once permit is issued.
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. - ?
Signature of Applicant: 9-
OFFICE U5E ONLY RECEIVED
Certificates af Survey Received V Yes _ No 1WR 28 1997
Tree Preservation Plan Received Yes _ No (/ Not Required El
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
h ,
a 01 Foundation o 06 Duplex o 11 Apt./LocJging o 16 Basement Finish
X 02 SF Dwelling ? 07 4-piex o 12 Multi RepaidRem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex n 13 Garage/Accessory o 20 Public Facility
n 04 SF Porch D 09 92-plex ? 14 Fireplace D 21 Miscellaneous
? 05 SF Misc. ? 10 = plex a 15 Deck
WORK TYPE ?4Rr15 7n /1 G'GPY
DG ?w s? ZW9A!? ?'vlv TW /N, SP.
( 31 New ? 33 Alterations a 36 Move
?o` 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuaq tiN1 Basement sq. ft. nM, S. MC/WS System
(Allowable) VtA Main level sq. ft. ?331 ' Cfty Water
UBC Occupancy sq. ft. ? Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump ---"
Length sq. ft. Census Code. /6109
Depth Footprint sq. ft. ?f SAC Code /
Census Bldg
Census Unit
APPROVALS
Planning Building oq'i Engineering Variance
Permit Fee Valuation: $Doo. Do
Surcharge
Plan Review
license
MCNVS SAC
city sAC
Water Conn.
/
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. (I tAftc- 41 ?519
Road Unit
Park Ded. Trails Ded.
Other
Copies
Tctal:
% SAC
SAC Units
r •
?
? a
? m
a z ?
C-?? O
m' ? ?
Cr ? ?
12-` ? ?
C3---? ?
C? ? ?
O?' ? ?
lr'O ?
[a°o ?
LOT SURVEY CHECKUST FOR RESIDENTIAL
PROPERTY LEGAL:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit ApplicaM
• Legaldescription
• Address
• North arrow and scale
• House type (rambler, walkout, sptit w/o, split entry, lookout, etc.)
• Directionai drainage arrows with slope/gradient %
• Proposed/exassting sewer and water services & imert elevation
• Street name
• Driveway
E1.EVATIONS
EbsUna
o er' ? • Sewer service (or Proposed)
??o ? • Property comers
??
?? ?
? • Top of curb at the driveway
• Elevations of any exdsting adjacent homes
Propmed
0 E3 • Garage floor
O?- 0
d"'?o 0
? • First floor
• Lowest exposed elevation (walkoutNvindow)
0 ? • Property comers
? ? ? • Front and rear of home at the foundation
PONDiNG AREA fif applicable)
0 4'? 0 • Easement line
E3 M?- O • NWL
O El' / ? • HWL
0 ?/ ? • Pond # designation
0 0 ? • Emergency Overflow Elevation
DIMENSIONS
? 0
[1--- [3 13
0 • Lot lines/Bearings & dimensions
"? • Right-of-way and street width (to back of curb)
fl
? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porohes, etc. (.e. all sVuctures requiring permanent footings)
??n ? • Show all easemenis of record and any Cily utllities within those easements
E3 13 ? • Setbacks of proposed structure and sideyard setback of adjacent exissting structures
0 0 • Retaining wall requirements„if-apy , .
Reviewed:
?
January 7996
CRAIG19B81BlppPRMT.FM
DATE OF SURVEY: t" 4'4/97
LATEST REl/ISION: -7 S^??z
?
,
RESiDE1V"['(AL "COOKBOOK" WORK6IiR$T
pHcant Ad-Tess'
,
s7 ,
S,
, The ploposed bulidina design «prcyenteA Ip IAae
dowmmb if cortsistent wNA ft 6uIldEng ylans,
SS -1,tlp speeiAestluw. and olha cslculetipna mbmllted
wiih ibe pcrtnlt apylieation. the DropomA
?"Y?I Png haa bxn dssigneR ro mat tUe
/. ertb ofthe Mpynmoe Qjugy GWF,
? ----? ?
MINI1bfUM REQU11tEMENTS for "Cookbook"
EntrY Doors 1-3/4'' solid wood wl storm
do0rbreouivalent
.............v?? .? unavwa' LottiYIanQ VIB.49 w/l/L - g0P
woodor vinyl freme
"inolude square footege in eetcutation of Windowfiw p
m detwmiaa abova grede Window U-Ya1ue.
Ig wIth energy truss
7'.4" lop plale to sheA
g with low heel truss
."310ea11on renormanr,e a[ Wiati
Windaw snd Ooor Am
, Ipp :?+ - T 9'f 9- /
ot Et eed Wall Anw ?
M yli P° 11?+'e Caode Wledow aed Grose Wdl Area WFndow/iloor A?ei
FailsdaNonWfodowlBaor Arer
?
rn
!%F wALr.?rYrR n?rAxrn?o
2x4 Remi, A-13 insulation, sLeall?ieg R.7 or grea0?r. A
2?4 framin , R-IS iosulation. sheathinA R-5 areree?er_ n t) n e
w
or
r loor over
uncond'uioned
-------- Ma-a-VrA) Lo Cf.) F
WMOW U-VALUE : .937
Soora: NFpC or ASHRAB 1997 Hsndbook
MAX[MUiN WINDOW U-VALUEg
1 WINDUW ANp UOOR AREA O/s OF BXYOSL+]! VyAI
11!6%> 1186A: 24SC'. 32% 24'/i': 26% !$'h Jfl?k I
•••? ?a.,.? w.nwns mW-9poU1ry0p8 of [pt Ve1UGt t111hE EitGgy COdC, PaA 7670.04J5, Subp. 2.
This is a surnmary only. OMer ?equimn? may epDly. Sa Ihe Minnqote Eoagy Code.
Q?wliana? C`ell Oepertmpn of PuDlie Servia Inimmation C?ta et 612/296St73 or 1•600J657•3710. 215196
?
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GITY USE ONLY
?L I ? RECEIPT#:
SUBD.-',1/? a f RECEIPTDATE: 97
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3630 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for un derground sprinkler system
FIXTURES EACH IO TOTAL
Shower 3.00 x I_ =
oa
S.
Water Cioset 3.00 x .5 = 9_00
Bath Tub 3.00 x I_ = 3. o0
Lavatory 3.00 x _4 = 42.Da
Kitchen Sink 3.00 x 1 = 3•bo
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x
Water Heater 3.00 x
Floor Drain 3.00 x
Gas Piping Outlet * minimum -1 • 3.00 x 2._ = 6100
Rough Openings 1.50 x 1,St?
Water Softener * for dwellinga under constructioa 5.00 x =
Water Softener ' for existing dweiling 20.00 x =
U.G. Sprinkler ' for dweliing under const. 3.00 =
U.G. Sprinkler " for existing dwelling 20.00
Alteratl0n5 ` to existing reaidence 20.00 -
Water Tum Around 20.00 =
Private Disposal System ' Dak Cty lic. 75.00
(new and refurbished systems)
Private Disposal Systems ` A6andonment 20.00 =
STATE SURCHARGE
TOTAL
.50
53..ao
I hereby adcnowledge that I have read this application, state that the information is correct, and agree to comply with ail applicable City
of Eagan ordinances. k ia the applicarrt's responsibility to notiy the property owner that the City of Eagan assumes no Iiability for any
demages caused by the City during its nortnal operational and meintenance activfties to the faGlkies constructed under this permit wRhin
Ciry property/right-of-wayleasement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
TY??1 ?TS
.4C. TELEPHONE #:
__ h _
STREET ADDRESS: 117? % ?
CITY: GLE?/-?-N
STATE: h4/V ZIP: t5?577-Z
om
SIGNATURE OF PERMITTEE
?
Cmr use eNLv
RECEIPT#: 7?o -/ly
DATE: &/a21/97
L 41 BL _L
SUBD.,'./0'
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ? singie family dwellings
? townhomes and condos when permits are required for each unit
? New construction Add-on fumace
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date: ??9"5-19/
j?1
? Minimum Fee: Add-oNRemodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 1) L R nno X
Additional 50 M BTU
? Gas Outlets (minimum of 1 required @$3.00 each) ?3.00
l w.,n,a6,,_ 11Aftr-?--c Rcg1la-1.,a 3 ya Tvn' ?C-
? State Surcharge ( )5V2;tQ&ta /' CIEU Mer'1 .50
TOTAL
33.5_ 0
OWNER NAME: (?1 ('j P r J W) 1 V01fe, ! Z??vJ PHONE #:
INSTALLER NAME• V4Gr HEanwc a aIR CONDMOMIIG
ST LOUIS PARK, MN 55426
STREET ADDRESS:
CIIY: STATE: ZI P:
PHONE #: ( ) C??? ?D?l
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemadeVReoair Requirements Office Use Onlv
3 registered site surveys showing sq, fL of lot, sq. ft. of house; and all roofed areas 2 copies ot plan CeA of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated addi6ons _ Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd
1 set of Energy Calculations Adddion - indicate i/on-sde septic system _ On-site Septic System
3 copies of Tree P2serva6on Plan if lot platted after 711193
Rim Joist Defail Options selection sheet (bldgs with 3 or less units
Date / /? / 0,3
Site Address 3`7 SS L-f NDjEj Construction Cost
Z-47'l)? UnitlSte #
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner f it/A /l?? cl?,(?o e? Telephone #( )
Contractor I)f}'L?
Address n ?S cf F-r- ?
5tate f1r?/--' City JQt?A-7J
Zip Telephone #(?irl
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv i Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitted Submilted
• Energy Envelope Calculations Submitted
Licensed Plumber
- - ?- . -
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. ?
r (
Applicant's Printed Name Ap i cant s Signature
Sub Types
35 Int Improvement ? 38
36 Move Bldg. ? 42
37 Demolish (Bldg)` ? 43
•Demolition (Entire Bidg) - Give PC
Occupancy 12`3
Zoning fZ - r
? 01 Foundation ? 07 05-plex ? 13 16-plex
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace
? 03 01 of _ plex ? 09 07-plex ? 17 Garage
? 04 02-plex ? 10 OS-piex x 18 Deck
? 05 03-plex ? 11 10-plex ? 19 Lower Level
? 06 04-plex ? 12 12-plex Plbg_Y or_ N
Work Types
? 31 New ?
? 32 Addition ?
? 33 Altetation ?
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units `
Nbr. of Bldgs
Type of Const ?
Footings (new bldg)
? Footings (deck)
_ Footings (addirion) .
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Base Fee
Surcharge
Plan Review MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
OFFICE USE ONLY
? 20 Pool
0 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
Demolish (Interior) ? 44
Demolish (Foundation) ? 45
Reroof ? 46
A handout to applicant
MC/ES System _
City Water _
Stories Booster Pump
Sq. Ft. ? PRV
Length ? Fire Sprinklered
Width ?
,. ?
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
REQUIRED INSPECTIONS
FinaUC.O. •
? FinallNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By
- as
Building Inspector
,
, 's . ? RESIDENTIAL BUILDING
Permit Application
City Of Eagan
? 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsUUCtion Reauirements RemodeVReoair Reauiremenis
3 registered site surveys showing sq. R of lot, sq. ft of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations tor heated addi6ons
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addiUons & decks
1 set o( Energy Calculatlons AddiG'on - indlcate 'rf on-site sepfic system
3 copies oi Tree Preservation Plan if lot platted a(ter 711193 '&/ -t Sv-e_? ..\-6
Rim Joist DeFail OpGons selection sheet (bldgs with 3 or less units
1? 3
Office Use OnN
Cert of Survey Recd
Tree Pres Plan Recd
Tree Pres Not Reqd
_ On-site Septic System
Date 9:49- / 2 S / 63 Construction Cost l 5 v J`?
/
SiteAddress Unit/Ste #
Description of Work Qp?/
Multi-Fatnily Bldg _ Y _ON Fireplace(s) _ 0 _ 1 _ 2
Property Owner ZL)&,y,?,;?
? Telephone # ( )
Contractor
Address Ar/ City
State m rt Zip :33 -3-4V Telephone # ( ?`o ) 5;?f1-%R'SD "VYD'_/?Z
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
(J submission type) • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
? r?pt o ?1 I I,I
UG 0 4 2003 1111
I hereby apply for a Residential Building Pernut and ackn?wledge that t?ie"in`formition is complete and accurate;
that the wark will be in. conformance with the ardinances &Y'. '?""-e--? f Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
?? ? -,./ -
Applic 's Printe Name
? ,??-??
Applicant's ignature
i
OFFICE USE ONLY f
!,?..
?
Sub Types
r -,
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
p 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 (Bidg)" ? 43 Reroof ? 46 Windows/Doors
? 34 ReplBCement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation l? Ov(D
Occupancy
MClES System
Census Code Z q Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Lo Pool ?0 Ftgs X Air/Gas Tests W Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air _
Test _ Final _ Windows (new/replacement)
_ Insulation _ Retanvng Wall
Approved By Building Inspector
--------------------- ------------- --------- --------------------------------------------------- ------- -----------?------------------- ------------ -------------- -
Base Fee S
Surcharge -l - ?
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total ?? • ?-?
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
v
?
?
GENERAL INFORMATION
o d
z ¢
? D ? Applicant - name, address, phone & fax numbers, signature
JR ? ? Property owner name
0 ? O Legal description and address of property
21 ? ? North arrow, scale (1" = 30' or 40') and date
1SI ? ? Location and name of all streets adjacent to property
0 ? ? Site Plan drawn to scale showing location of house, pool and other existing or proposed
structures
?21 0 ? Directional drainage arrows (existing and proposed)
ELEVATIONS
Existinq
9) ? ? House corners
? 2 ? Property corners (vis?! c.l,e?epQ?
00 ? On property lines at point of ineasured dimension to pooi (see below)
?Ot ? If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Proaosed
A ? ? Finished pool deck corners
U 0 0 Top of retaining walls (if any) and at each different elevation (if it changes)
13 ? ? Poot bottom (or max. depth)
DiMENSIONS
Existin
18( ? ? All property/lot lines
Pronosed
?k ? ? Pool
CR ? O Pool plus integrated deck/patio
0 ? ? Shortest distance from outside edge of pool deck to lot lines and house
?
? G
Reviewed: a?-GName
G:lT JR 2002/Pool Pcrmit Chxklist
f- Z- O_?-
Date
Certificate of llouse L,ocat.ion Cor:
Valley Investment Construction Co. 183/50
2401 South Lexi_nqton ., •
°Mendota heights, NIIV 55120 119703 '.
DELMAR H. SCHWANZ
UNb SURVEYOqS. INC, MphNrM IMAw Lern Of TM l1Ne *f YlnnNOl,
14750 SOUTH RCBER7 TRAII pOSEMOUNT. MINNESOTA 550Ee e12/1231)C9
SURVEYOR'S CERTIFICATE ?
Property Address: 3755 Linden Iane ? v
•Scale: 1 inch = 30 feet
/V 89° 13 '5-¢"E
702. 53 Found spike
?-- Drainage and Utility Fasements
I LoT 21
?? ?LOck ( I
:3 I . .?o
?a .
SP JAK . . . ? I
Q ? I 'H
s o.4s • I
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q21? ?b ' sxi.
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I .'?u5E ?rr
9?,3. 30 +
TRI B OAK 927.29 TN f(' i'4H 10 I( I
-F' TM 8 OAK + p \
I ry r 926.49 9z5.4 -1' / 8 iJ0.N 27.92 916 73 97.p ?
(?9 9.33 ?,
\ I ? bB9 JAK ?,'f?1e. 0 J0.K
A 1? 9Id.GLTN E AK q?S J Oq I 6 J 9-'ib ?f2P
r?v? ic 929.89 9?7.28
9?09 939.
/0 •?? ?
d IZ.? R? 9?Z I 6 OAK ? l6 OAK ? 9?YJ . ?•
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928.77 -{-
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\ \ 6
9?.9.97
TN + 10 OAK A= Iron pipe mornmient unless
\ S?S1St ? I
otherwise shoHm. iveway 97.9. 93
'
x 120 - ExiSti-ng spot elevation \ ? I
O = Proposed elevation
?= Proposed direction of drainage
\
uL
Description: \ +
I 9 J.?.4
Lot 21, Block 1, TIIE Wt7pplANps TyIRp \.`
ADDITI(xi, aecordinq }o }}e recorded plat ? \ o
thereof. Dakota Coun ? tY. Minnesota: No !J ? I
111so shawinq the locatiott of a proposed
house staked thereon.
Q r
o2y hZ \
Proposed garage floor elev.
Proposed top of block elev. ?GNIA\/ 5 909.1A
? ?i1 0 ? ?2????, qc5• ? ?
Proposed lawest level elev.
Ody qn?• 9o9,?.t
\ $? 901a6 gr70
??A?l
? ° ?b ? f7? qoz.z9 i
EDD C7-?
Probable cutb s 1 ? n».?s\
ocation '. 73.75 \
L= 89p.si???
O
G ?177E.1,
5'
Curb Stop Not Visible
-F
/ D P59.17
P ..72 D
1 hsrsby csNily thal tAis suns ?0 '?'
Y. Plan, Or rePort was t.,puqinn,rc; , P99. J?
propand Sy me or undsr Y
my dlrset supsrvitlon anA ,.? - . ?Grr?; ? P
Ih?t I Im I duly Rspitlond Land Surveyo? undar ?g ?S ?'• '
the laws ol lhs Slale ol Minnetota. G?,q?`';
.. ?
'?,r. .'•.?=J ?,//'/ ?,( /,ir
O1-29-97 04-19-97 05-01-97 i
: C?ELh?A?? Vi D?t?d :-. fft (J, r' i' l?? y
_ SCHWANZ ? Odmer H. Sehwen:
? ?'; ^ 8625 •- -, Minnesoh pyhtntlon No. E625
/
nurpmm?u?um??a<
a
4
A1
BLOCK ?Y ONE ?
•^ ` Sii
25 26 27 ?
5? 03 ` +?W-4?07
( I? siw-s+oz ?? 8?? 5 aez.o
1 24 BBL2 ,
? -1 ? 5/W-1+22
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887.4 I 1 , `l W.l6'
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S/W-7+50 5•39, 1 \16618'?TEE?
89 6'-2z1/2'BENO ? p,qg
?
5.76' ? . • EE ? w5?
23 1 ?IW•67,3J 6 S834 -. ?
6'-45'BENU LI.I? q7?o W?Zse.?
/ ? `?o \ 5•BS' ? ? ? ` %? l ? I p.5 ? ? ?
' °03\ W.60,
5.63'
w•oz'
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S/W-7t69 g?? /
892.9
i ? ? ? . 4'f1ElNOU ?'t'•
71 80 S•BO'
w•90'? ? MM_7
v
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S/W-6t89
886.1
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905
900
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890
eio \
-ii.s;' Ly' MIN.
COYE R
889.87 -/
865 888.68
I I I'-8' 'P`VC-2,89 %
880 "`12' RCP
206'-B'PVC•2.70X
875
STING G GRADE
BID.
12A3' -- ?---
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4' i?, _.p -e.eo'
2 ?'
pCP
IB'MIN.
VCIB'MIN.8 B I .09 880.21 /
I27'-B'PVC-0.46%
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892.50
MX-q
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na cm's mwtrwr ron ui vqwosm
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LEGEND
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905
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eso ,.: ,:?";TIOf?a, THIS DA'i+?? i, %;,1
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SEE SHEET 276211
A • TELEPONE PEDESTAL
• STREET IiGHT POLE
37
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/ 6"-22 V2•BEND
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i ? TOP PM M(DR4M BE7WEEN LOT9 22 B 23
BLOCN I
LINDEN ,
LANE ELEY.•902.08
FINISNEO £ GRAUE
RECORD PLAN 6-91
CONTRACTOR - J.P. NOREX, MC.
r7-iC' lunnnr ,. a,nlr
l: UL 11uU;it2 UJCill.lUf 1 L'U[ :
Valley Investment Construetion Co.
2401 South Lexinqton 183/50
' Mendota hei9hts, P4d 55120 119703
DELMAR H. SCHWANZ
.. IAMU EVAVEYORS. INC.
' Mp1sMOd UnMr Lo" d Tly SIM. o1 YlnnwpN
14730 SOUTH RQBERT TpAll qOSEMOUN7. MINNE30TA 65Na e12M23-17L9
St1RVEYOR'S CERTIFICATE
Property Address: 3755 Lisx3en I,wne
Scale: 1 inch = 30 feet
N 89° 13'54''E
Found spike
?Z o a P?g
Drainaqe and Utility Easements
aJ? ?
I LOT ?I
? ,.. ? . ?
0
sP-} ? qH 9'??5 ?? , I
I 9 46 • ? ? ,
f0 RK 220 . JAK I , .
\b i '
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._ -- _ __. _ . •c 929.97
"TX 10 OqK
IrOn PiPe mornment unless \ Etist'
OtheIW1S@ Sh(7WI1. 979.93 I lveway
" 147 0 = bcisting spot elevation
\ , I
O= proposed elevation
= Proposed direction of drainage
Description: ? • I + t'.
IAt 21 t BIOCk 1 \ 9 J. 2A
. '141?' WOODfANID6 THIRD ? \ I
ADDITIQd, aooOrdinq t,O the recorded plat
thereof. Dakota C3ountY. Mlituiesota: ?„ . .
No ? ,? I
Also showing the location of a proposed \
house staked thereon. kS ?
? p o y'S2 `
Proposed garage floor elev.
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e
Proposed top of block elev.
Proposed lowest leviel elev. ? \ ???; roi•S f
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ED B/ y, 3•s,co . ? 900, ?
Bq Probable curb s locati? q0? 75
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:?AGAN NG .? E G DEPT
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a1 .72 1 hsrsDy ceAlty Ihtl thls suney. Plan. or npprt was -f? ??;
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rtrydlreettuporvlolonand
thol l un ReplstN ed Llnd a
?b Swwyor under ..
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SGtiWANZ : = a?m•r H. gohN,.ni ?
- i = inn..o?a n.olenaion No. ?ts I '
. = ?`•; .- 8625 1w
if 111 m
?A , t i1 i.i(- .iii: i)4 uvu:,?t I.&n..., A k ii. t ,.,I _ 18 JU
valley Investment Consl-ructiori Co. v?
2401 South Lexington 119703
' Mendota,beights, NHJ 55120
`- DELMAR H. SCHWANZ ?:
iokrm aunvcrons.INC.
n.pinmM {MAn l? d TM 6tN" al YUnMOIO .. ,..r' `,..
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14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 550E9 612/12J-17:Y `? 5,
SURVEYOR'S CERTIFICATE r -'
. ;'". !,Property ]lddress: 3755 Linden Iane Scale: 1 inch = 30:":feet
,
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otheLwi.se shown. ? Y
t 7Zo = Existing spot elevation \ . ?' 9 by?A? I „ ? ?'
= Proposed elevati.on `??
Q ,
? - Proposed direction of drainage
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uL
. I 9 J.74
Description:
\ +
Lot 21, Black l. THE WOODfAND6 THIRD
MDITID[d, aocvrding to the reoorded plat
thereof, Dakota County. Minnesota: w I :`
,-
Also shvwing the location of a proposed
house staked thereon. V'• • \ ??? I ?; Y= ..r ?p °2y y2 X ` '} ,
Proposed garage floor elev. 23.? p ?e ? s 1
# ? ,? ? 909. r: Y
Pro p osed t o p of block elev.
Propos e d lowes t level e lev. 969.1'z
fil!a
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13, 3:1 NBeximum Slopea \ ??$ ? _i
s o ?.
or Re4alning Wall WiU
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86 R9QUIf8d ? B Probable curb s locati ?.?` ? L= ?eso?s-_,,.?e ?
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y ? \
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5? h o, 5 0 ,
EAGAN I.,NG DlC:1!"P. la Curb Stop Not Visi.ble,
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1 MroDy certliy Ihtl Ihis surwy. pIM. M fepplt 11Ym/ •IU:UlIIIII!!!//! ?- P??•? r?
pnportd bp me ot under Iny dlnet IupSfvlNon Md '•9 E:i
` 1ho11 Im 6 duh Ropislend Und Sulwyor under %.?: ................
Ihs Iows o11M Sltll ol Alinns?ol?. =, •, •`9 ? Y' i?
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01-29-97 ; C)FIMAfi H. • ^: r , . ? ,.
04-19-97 05-01-97
oated ? i SCHWANZ i DNmn H. BeAwens
MInnNMs qpithallon No. teTS
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'?. .. .p •??h/tlq?fry,ry II?t1????? _. .. . . ti i r a } r ,}dt? ,?.?{j?.u i ?f??' ; s`y4" .
Use BLUE or BLACK Ink
_ r
For Office Use
j~ i
' Permit U6 D t
City of Ea
Ed~
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: _ p 2
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 I Staff: I
I I
~i 2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 7 L/.10~'~'~ ZA,, - Unit
(,y CJ~/, rte' ~o j j_ 7V
y
Name: At- Phone:
RESIDENT I /
OWNER i; Address/ City /zip: 37-5-5 4;4 L
Applicant is: Owner Contractor
Description of work: ;ro"415 "c r
TYPE OF WORK I s% ° ,y
00
Construction Cost: Cob Multi-Family Building: (Yes / No
.
Company: 5LO .5~-+ (~M 5`~ Contact: US -
CONTRACTOR Address: S/ o y ~ywy SS S~-~ 5yoo city: ~'Yt~r'll~G.yJ~/ JS
s
State: MA) Zip: V-22 Phone:
1 License #:6a375-069 Lead Certificate V J 3 -/0 03 75~
If the project is exempt from lead certific tion, please explain why: (see Page 3 for additional information)
WA,5 t r /n /9F7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.oro
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x~bs~ Lumu-,2✓i ~(Ln~¢i ~/~15° ~s9u x
Applicant's Printed Name plicant' ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type: Mechanical
Permit Number: EA107691
Date Issued: 10/22/2012
of 3 a R Permit Category: ePermit
Site Address: 3755 Linden Lane
Lot: 21 Block: 1 Addition: The Woodlands 3rd
PID: 10-75878-01-210
Use:
Description:
Sub Type: e - Gas Line
Work Type: New
Description: Stove
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Craig Christiansen
3755 Linden Lane
Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088
Valuation: 150.00 Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: Owner: - Applicant -
Wayne R Criger Tste
3755 Linden Lane
Eagan MN 55123
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164170
Date Issued:09/21/2020
Permit Category:ePermit
Site Address: 3755 Linden Lane
Lot:21 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-210
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 -
Sandra J Christiansen
3755 Linden Lane
Eagan MN 55123
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature