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3985 Fawn Way Use BLUE or BLACK Ink r I For Office Usi Permit a I City of Ea I Permit Fee: 91 3830 Pilot Knob Road Eagan MN 55122 Date Rece' d: - Phone: (651) 675-5675 Fax: 651 675-5694 I Staff: j V _ I I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone: RESIDENT / OWNER Address / City / Zip: 3 g 2 Z Applicant is: Owner k contractor 3 Description of work: QE 920-c- TYPE OF WORK Construction Cost: 1.2_,_606 Multi-Family Building: (Yes X_ / No ) Company: AASC>=7C~ C F~ 6f_ &(z:)f A tI& J Contact: "OE Ro ^ME-s CONTRACTOR Address: City: (<c9 `J State: Meg.) Zip: ~ -7 Phone: 7 Ll> " g2_6 3 10 -2 License #::201,26 17 _ Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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, 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 proval of p x Dk OE x Applicant's Printed Name Applica 's Si ture Page 1 of 3 r-----.------------ • I Fermit#~ Use City of Eapn ~l I / l rj6 lermit Fee: UV 3830 Pilot Knob Road ( 1 i I Eagan MN 55122 ; I 1 Date Receiv d: I Phone: (651) 675-5675 I I Fax: (651) 675-5694. I Staff: I L------ ---------I 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 5 ~rL ~-~1 < I Site Address: Herbert Abrahamson Tenant: 3985 Fawn Way _ Suite Eagan, MN 55122 RESIDENT / OWNER Name: 6514542378 Address / City / Zip: CONTRACTOR Name: NORI BI 0M PLUMBING r.0 License O(P r Address: 612) 827-4033 City: 2905 GARFIELD AVE. SO. State: Zip: MINNEAPOLIS, MN 55408 Phone: Contact Person: TYPE OF WORK _ New Replacement _Repair -Rebuild _Modify Space -Work in R.O.W. Description of work: rmtak& wafer heaw PERMIT TYPE RESIDENTIAL I Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures L_ RPZ / _ PVB) Main , Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ L• 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. xIV©rig rorv x . Applicant's Printe Name A icant's Signa ure FOR OFFICE' USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final 7 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ?i:'. i R61N l!A'i r?t 1.4?t?lt??i(? T???1N?i?+Plt ?, ' PERMIT SUBTYPE: .. j'coRD PERMIT TYPE: Permit Number: Date Issued_ .. fit APPUCANT: , .? •, ' a, a . + TYPE OF WORK 1 i,! I I ! : i !,6j F{t11 1 1t t Nii N6i/:'A/ilb n r. w (Iftto IUl ! iNF') INSPECTION ; ?• , a ?::. . .A • , ,,.,:, , i „?, D• I kNM I rdi.3 IN ,111 F%t c iirJ i I I;t i t t?? f ;. I 1 Nll I !' 1 1t+, r? rl << 1 ` fr! Pf1tt*ti r l)ltp i p X 6-I I 4 11 3 OfiT C AIJN LJAY f 1 I1 I i ? , ? u ?•+ r+k vnI tEx P1.130 ? Permit No. Permit Holder Date Telephone # ELECTRIC ? 9 q O PLUMBING HVAC s33- Inepection ats Insp. Comments FOOTINGS FOUNO FRAMING ROOFING ROUGH P UMBING PLBG AIR TEST ROUGH HEATING ?7 6 ?j?0 7??^!lp ,a -G GAS SVC TEST ?l Ir INSUL GYP BOARD FIREPLACE FIREPIACE AIR TEST p l i(,j?Q FINAL PLBG 71a 'l(C?y FINAL HTG ORSAT TEST BLDG FINAL l0 Z ? BSMT R.I. - ? , BSMT FINAL DECK FTG DFCK FlNAL ?I r INSPECTION RECORD , ''--C1TY OF EAGAN PERIUIIT TYPE: 3830 Pilot Knob Road Permit Number: 0339 ?7 O Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 ? SITE ADDRESS:' APPLICANT: , 'Zj1g? I Shl 1 lii'r ? PERMIT SUBTYPE: TYPE QF WORK: I, INSPECTION DA • .• I ? V I i • i i IV' 1 lllli ? ? ? ?? 11\6V° ? Permit Holder Date 7elephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST FOUGH HEATING GAS SVC TEST INSUI GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCriviTv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CITY bF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-i 897 (612) 681-4675 SITE ADDRESS: . ; ,1 Or1 i..?,} Y ?. I?t t I;L1c1t,?, ? ?,?1NHt?M? ?, PERMIT SUBTYPE: , , ji. TION RECORD PERMIT TYPE: Permit Number: Date Issued: APPLIGANT: TYPE OF WORK: ttt "'c 8 t t1 t- 1 ow 1.1) 1 MIa a?f?el?b N t t.J ( it-Rc? tOr E t"F r INSPECTION ,. . ,. (+?N 1 1 Ylr?t I' I 1si? Y I?lt?! Ftf.MAFtKS: C1IIF'I.k-\ 411111 '3rOt+. I Ablhl 6dAY (! 1+1 2,') '; t. 1,1 Pif.tk • Vhtl.FY NI.0Cy ?? ? Permit No. Permit Holder Date Telephane M ELECTRIC 1oo7y?y f 9 ? PLUMBING hv,ac Inspectfon iffate Insp. Comments FOOTINGS ? FOUND FRAMING ROOFING PLOUMBING PLBG AIR TES7 ? ROUGH HEATING 1 -7- GAS SVC TEST r( l? INSUL GYP BOARD FIREPLACE FlREPLACE AIR TES7 ? FINAL PLBG a(/ --- FINAL NTG C. ORSAT TEST BLOG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAI - - - - ? REQUEST FOR ELECTHICAL INSPECTION 64a I II I II I I II I II I II I II II II ? I ? 821 Uni e sity AveerRm. S-1BICSt. Paul, MN 55104 ??R' * 0 2 6 0 7 9 6 8 * phone (612) 6a2-08oo g17?q6, ome Duplex Apf.6ldg. Other: ew Addn Commercial strial Form Remod Re air Air Cond. . Equip. [R Water Hh. Laad Mgmt. Other Dryer ange Elec. Heot Tem . Service "X above the work covered by fhis request Enier remarks in this space ond on the back of the w6ite copy only. '' 3o ?-to Wij ?'- L(O 1 b ls ? Colculate Inspecfion Fee - 7his )nspection Reques} will nof be accepfed wifhout the coirect fee: Olher Fee # $ervice Enhnnce Sae Fee # Circuils/Feeders Fee Mo6ile Home Pork Sfoll 0 to 200 Amps to 100 Amps $free} L}g./TraHic $ig. Abave 200 Above 1 Amps TransfortnedGenerator INSPEC USEONLY TOTAL ry-? Sign/OuNine LTg. Xfmr. Qd Alarm/Remofe Control Swimming Pool descnbed hercin on the dotes e1 xd Irci9a}ion BOOm Rough-In Dale $ eciallns ecfion p p Investigative Fe e ? Final Date Ri D Y• THIS INSTALLATION MAY BE ORDERED DISCONNE I NOT COMPLETED WITHIN 18 MONTHS. ???j[J C ? `VV .7 OFFlC I13E ONIV Thia reqoest void 18 monlhs Lom .olidotion dore pnn?ed in Mis box. ??y /9Co, fo.2`72a- , ?„rq•, 10 9„ ? PLEASE PRINT OR TYPE Raquest Dab Rovgh-in inspeclion requiredY ?z 0 No Inspectian OlherThon Ravgbin: Q Ready Now Q.Vbill Cvll 5-' 3-ab ?YOU must mll Ihe inspecror when rmdyJ Dare Ready: ? I, 93nicensed coniractor Q owner hereby request inspection o e obove dr'ical w O° Job /ddmss ISbeel, Box, or Rovh No.) Ciry ip Sectian No. Township Name or No. Ronge Na. Fira Na. Caonry a L-Tin Owpanr Phane No. Povrer upplier Pddreu DaK?to. EkcMCal Connoaar (Compony Name) Canrcacror License No. Maskr lic No. (Plam Elect On)y) rtso. El?c-hi tA o1'l50 AYi'10 r q Maili, Addrasz (Connmcbr ar Onn<r PeAorming Insiallafion) J 40 ,, r r o r 554 3 lwPoorizad SignaNro (Conhador ar Owriar Pedoimirg Immllafian) Phon< No. EBOOOOIA-10 6/95 STATEBOAROCOW-SEEINSTRUCTIONSON9ACKOFYELLOWCOPV ? I II I(I I I?II Ili II I I I IIIII III 827OUE erery ?a Rmo SRc8A5'??55104 * 0 2 6 Q 7 9 4 3* Ph`one (672642-0800 Home Duplea Apt. Bldg. OtF . New Addn\ Commercial Industrial Farm Remod Re oir Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: D er Ran e Elet. Heat Tem . Service "k above the work covered by this request. Enter remarks in this spoca and on the back o/ fhe whife copy only. 7 ro ,?--?- Calculate Inspection Fee - This InspecFion Request will not be occepfed without the mrred feW Olher Fee N Service Enirance Sae Fee # Circuils/Feeders Fce Mobile Home Park $tall 0 ro 200 Amps ( 1,31 0 to 100 Amps s S}reef Lig./rraNic Sig. Above 200 Am s A6ove 100 Amps TronsformedGenemtor INSPECTO EONLY TOTAL ? Sign/Outline Lfg. Xfmr. ? Alarm/Remote Control Swimming Pool here ani ln, escnbed hemin on Ihe daros s Irti9afiOn Boom Raug -In ?re ? ecial lns ecfion p p Invesfigative Fee Final ? Dafe THIS INSTALLATION MAY BE ORDER D ONNE EO IF NOtt COMPLETED WITHIN 78 MON H5. 260- 7 9 4 0 OF?1C? USE NLY This reqoest void 18 monihs 4om wlidoAon dare pnmed in I?is?bos. ?/ ` / ?? ? v 70 ! // 3i0/97 _ . aA Xn/ a?7 ? D PLEASE PRINT OR 7YPE V Requeat Dale Rough-in Insp Mon requlred2 ?es ? N. Inspecrion Olher Than Roogh-Ire Q Ready Now ?tlill Call (YoumuatmlllheinspecloivMnrcody) Ready: ? I, ?jcensed conhodor ? owner hereby requesf inspedion o 9 e above ele cal work al: Job lddress (Skeet, 8ox, or Roine No.) Ciry 3985 ? n ? &L on Seclion Na. Township Name or No. Ronge No. Fbe No. Caunry J atz+G Oaupam Phone No. r CF LYJL Pawer Sopplier Address C)OLDI-a E -hi C Eledncal Conkornr (Company Name) Comraaor license No. Mamr Lic Na (Plont Eled. Onlr) i Aff),c)( a Mailing Addrev (Commcror or Owner Performine Insmllonon) 40a r Ru) k 5544 3 xed SlgrwNro (Conhocmr ar Owner Pedorming Imtollanon) AvM on Phone No. +y ^ EB-00001A-10 6195 t STATEBOABDCOPY-SEEINSiNUCT10NSONBRCKOFYELLOWCOPY CITY OF EAGAN 3830 Pilot Knob Road Eagan, hMnnesota 55122-1897 (651) 681-4675 SITE ADDRESS: PERMIT 3985 FAWN WAY L07: 22 [tLOCK? 1 DEERWO(JD TOWNNUMES P.I.N.: 10-20208-228-01 DESCRIPTION: PERMITTYPE: BuILozNG Permit Number: 0 3 3 9 7 m Date Issued: 1. 1. ! 0 3( 9 8 T.O. & ftEft00F Building?l?ermit Type SF (MISC.) Buil.dina Wo?rk T"ype HEPAIft ?Census Code 434 ALT. RESIDENTIAL REMARKS: INCLUDESa FEE SUMMARY: `. i' ,. 3987 , ?_ - - . .... ?- . ? . _ . . . _.,_ ., VALUATION Base Fee Surcharge l"otal Fee $162.25 $167.26 $10,009 CONTRACTOR: - Applicant - s7. LIC. OWNER: , SUBURBAN EXTER.IOftS 18518232 4289 DEERWOOD HOMES ASSOC. 9701 PENN AVENUE 5 3985 FAWN WAY BLy00MING70N hIN 55431. FAGflN MN 55123 (651) 881-8232 I hereby acknowledge that I have read this application and staLe that the inPormation is correct and aqree to comply with all applicable State of Mn. ? Statutes and City aP Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ,c? ti-XJ" -,<) IS D BV: SIGNATU E I 1998 BUILDINQ PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN 681-4675 Submit followina to obtain necessarv permit Foundation Onl New Construction Interior Improvement structurel plans (2 sets) erchiteaurel plans (2 sets) architectural plans (2 sets) civil plans (2 sets) strudurel pWns (2 aets) code anatysis (1) "' eode anaysis (1) " civil plans (2 sets) projeG spea (1 aet) soila report (1) lendacaping plans (2 sels) Key Plen prqeGapecs (7) eodeanatysis (1)" enmrgycalculatians (1)rrotaMays" Special Inspections & Teating Schedule " soils report (1) Electric Power 8 Lighting Fortn (7) not aNrays " SAC detertnination letter from MCANS - SAC tletertnination letter from MC/WS - SAC determination letter from MCANS - call 602-1000 cell 602-1000 call 802•1000 Spetlal Inapettions & Testing Sehedule (1) " . projectspece (1) energycalwlations (7) " Electric Power & Li htin Fortn 1 " " Contact Building Inspections for sample Food 8 Beverage or Lodging fecilities: Plan must be submitted to Minnesota Department af Health. Call 215-0700 for details. DATE: WORK TYPE: _ NEW _ REMODEL DESCRIPTION OF WORK: YQynJ-I _ CONSTRUCTIONCOST: ODU TENANTNAME: .?U-kz)OC'M Cy-*r0hd\`? SITE ADDRESS: LOT ;)?? BLOCK PROPERTY OWNER Street Company: ?? Phone #: SUITE #: SUBD. 1-.1 ? A A. . ti ctrs rQ -J-V-{' P.I.D. # bzaf Cf-?Ocd T? ca-r!1 rld`M2,hone #: Last F'vst 11 ?-m.,-?mS City ? Q1I(1 State: M (el, Zip: CONTRACTOR Street Address: / q,7G\l -Q?-??Y) At3E- S? 1- 4?i'?32 A License # Z?g Ciry (? 'C7vNq StaYe:JIA ?) Zip: e3s?-51 ARCHITECT/ ENGINEER Company: Phone #: Registration #: Street City State: Sewer 8 water licensed plumber (only if installing sewer 8 water): Zip: I hereby acknowledge that I have read this application and state that the infortnation ' rtect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of ApplicaM: PERMIT e120 571?4? CITY OF EAGAN ' 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 027607 (612) 681-4675 Date Issued: 0 5/ 2 0/ 9 6 SITE ADDRESS: 3985 FAWN WAY LQT: 22 BLOCK: 1 DEERWOOD TOWNHOMES P.I.N.: 10-20200-220-01 DESCRIPTION: (ZERO LOT LINE) guildinjwPermit Type SF DWG ?/Buiiding Wo?,,? Type ? NEW UBC Accupane?; R-3 U-1 Construetion Ty;pe V-N Zoni;ng ? R-3 Building Length 2$ BuieldingrW3dth 66 Buildirl'g°'staries 2 F ? ?`6e'r?sus Ct?de_ N__=f` 102 1- FAM. ATTACH r REMARKS: DUPLEX WITH 3987 FAWN WAY (LOT 21) 5& W PLBR - VALLEY PLBG FEE SUMMARY: . VALUATION $105,000 Base Fee Plan Review Surcharge 3AC SAC % SAC Units Subtotal $912.25 $456.13 $52.50 $900.00 100 1 $2.320.88 MISCELLANEOUS $1,923.50 Total Fee $4,244.38 CONTRACTOR: - p,pplicant - sT. LIC.OWNER: GOOD VALUE HOMES 17559793 2005498 GOOp VALUE HOMES INC 9445 E RIVER RD 9445 E RIVER RD COON RAPIDS MN 55433 COON RAPTDS MN 55433 (612) 755-9793 (612)255-9793 I hereby•ac-knowledge that I have read this application and state that the ; information s¢ore'eot and agre?e to'c6mply wiCh ail appli?cetsle State trf Mrr. Statu s City of Eagan Ordinances. Is? oa?s?R? m-? - CITY OF EAGAN IqLoq 3830 PILOT KNOB RD - 55122 7996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 RemodelRepair Reauirements Name: f/u lu F f?r??n rs Phone #: 7-rE " 72 - wT smn Street Address• `LLI-I City: ?n'? State: 171 A?'l Zip: ? 3regbtered s8e surveys ? 2 copies of plan ? 2 copies of plans (inGude 6eam E window sizes; poured tnd, dealgn; etc.) ? 2 ske eurveys (ezterior addHions 8 decks) ? 1 energy calculations ? 1 mergy wleulaNone for heated additions ? 3 topiea of tree preservatlon plan if IW plaHed after 711/93 requlred: _ Ves No DATE: CONSTRUCTION COST: ? DESCRIPTION OF WORK: STREET ADDRESS: '3 cj g E wgy-tjj? Fi4 lL? ? l4Y LOT ? a BLOCK ?- SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR Company: 5 4 h9r•' Phone #: Street Address: City: License #: N c i / 4 ?, i44A S,?rr1e tL <?ds K12 b on. .ir?/? Zip: ARCHITECT! Company: ENGINEER Name: Phone #: Registration Street Address• City: State: State: Zip: Sewer 8 water licensed piumber: I/ a /lF.i P/u.n?? %ht Penalry applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. /7 , j 1 .,; Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ X Tree Preservation Plan Received - Yes v - No I????' n 9 1996 No I_ ?------- OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 ,9(- 02 0 03 0 04 0 05 WORP Foundation o 06 SF Dwelling o 07 SF Addition o 08 SF Porch o 09 SF Misc. 0 1 ?TYPE ?c Duplex 4-plex 8-piex 12-plex ?'PteR" ?/zo ,V- 31 New 0 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Pertnit S!W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: 0 11 Apt./Lodging o 0 12 Multi RepaiNRem. ? ? 73 Garage/Accessory o 0 14 Fireolace o - LoT - 4AvE ? 36 Move 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous -VI-ly Basement sq. ft. ? MC/WS System oL Main levet sq. ft. ? City Water ? 3 G!-/ Z, "= sq. ft. 53-Iff Fire Sprinklered 12- 3 sq. ft. PRV sq. ft. Booster Pump Zg•O? sq. ft. Census Code. (OL 10?0 Footprint sq. ft. SAC Code ai Census Bldg ? Census Unit / Valuation: $ 0sl? d0 r-1 ?L S. °k SAC SAC Units CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-20200-210-01 DESCRIPTION: PERMIT 3987 FAWN WRY LOT: 21 BLOCK: 1 DEERWOOD TOWNHOMES PERMIT TYPE: Permit Number: Date Issued: (ZERO LOT LINE) j`Gildin?,, Permit Type SF DW6 jBuilding Wprk Type NEW ( U-BC Occupa=ncy', ' R-3 U-1 ' r. ' Gonstr'uction T'ypa V-N Zoning?--,. R-3 8uildzng I?ength ? 4 28 Building Width' ? 66 BuiLding .stories 2 SUa. Cbd?_... 102 1- PAM. ATTACH C/LO5735?Co BUILDING 027606 05(20/96 , d tti??if?,'1 r,.-=' - - ..... REMARKS: DUPLEX WITH 3985 FAWN WAY (LOT 22) FEE SUMMARY: VALUA7ION Base Fee Plan Review Surcharge 5AC SAC % SAC Units Subtotal $912.25 $956.13 $52.50 $900.00 100 1 $2,320.88 S S W PLBR - VALLEY PLBG $a.QrJ v 000 MISCELLANEOU5 $1,923.50 Total Fee $4,244.38 CONTRACTOR: - Applicant - sT. LTC.OWNER: GOOD VALUE HOMES 17559793 2005498 6000 VALUE WOMES INC 9445 E RTVER RD 9445 E RTVER RD COON RAPIDS MN 55433 COON RAPIDS MN 55433 (612) 755-9793 (612)255-9793 I hsreby ackaiowlestge thaC-T have read th.is apPlication atitl stata tPrat the infarm is correct and agree to comply with all applicable State of Mn. Stat 7e?City of £agan Ordinances. I °(loM Ldf o- ISSUED B : SI ATU ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) iltot 6814675 ? 3 registered afte surveys ? 2 copias o( plans (indude beam & wfndow sizes; poured fnd. design; etc.) ? 7 energy pleulations ? 3 copies of tree preservatlon plan if lot platted aRer 7/1/93 required: _ Yes No Remodei/Reoair Reauirements s ?, ?`tt.31 S?'r1e ? <o /.fi r• /6 ? [oc k .? _<z>ab on G,z,,a9t ? 2 copies ot plan ? 2 ske surveys (exterior additions & decks) ? 1 energy wlculations tor heated additions hi DATE: CONSTRUCTION COST: n Po0o'o o DESCRIPTION OF WORK: STREETADDRESS: 7?7 LOT a! BLOCK -1- SUBD./P.I.D. ?u,vcLx' cr14a> - Z2 PROPERTY Name: 1/WuF Phone #: OWNER ' Uz ria:r Street Address: P`,,er R?l' City: C. '4A`Ws State: A A) Zip: CoNTw?C'roR Company: Phone #: Street Address: License #: a60-S 4/90/ City: State: Zip: ARCHITECT! Company: Phone #: ENGINEER Name: Registration #: Street Address• City: State: Zip: Sewer & water licensed plumber. I/a !le.i P/umPenatty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all applicable SWte of Minnesota Statutes and City of Eagan Ordinances. Z /) ?,., /) Signature of Applicant: OFFICE USE ONLY ZYes J CertiBcates of Survey Recefved _ No ?rjqY (j e 5??? Y Tree Preservation Plan Received _ Yes _ No ?------- { I A OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? ,jzf-' 02 SF Dweiling ? 07 4-plex ? 12 Multi Repair/Rem. ? 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 1_4 F_ ireplace ? ? 05 5F Misc. ? 1 _-p1ex--o-15--Beek_ -/(?? WORK TYPE ;Fcr-?o - ?r R(-31 New _--e 3-3-Alterat ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories length Depth APPROVALS Pianning _V'W Basement sq. ft. i( Main level sq. ft. sq. ft. !2- 3 sq. ft. z- sq. ft. Zs.ou sq. ft. Footprint sq. ft Permit Fee Surcharge Plan Review License MCNVS 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: 36 Move ? ssfs .. ? R 16 ^Y Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System C;?L City Water °- Fire Sprinklered PRV Booster Pump Census Code. !o L SAC Code 6/ Census Bldg i Census Unit ? Building Engineering Variance Valuation: $ GL % SAC SAC Units .. LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPUCATION ' PROPERTY LEGAL: ,/ 2 112-2J:1L? ?. I ? ?DTE OF SURVEY: ? LATEST REVISION: ? o z ? DOCUMENT STANDARDS ?-?b ? • Registered Land Surveyor signature and company S--b o • Buiiding Permit Applicant a-'cl 13 • Legaldescription 1??a ? • Address o • North arrow and scale ?g ? • House type (rambler, walkout, split w/o, spiit entry, lookout, etc.) o?O ? ? • Directional drainage aROws with slape/gradient % m"- O ? • Proposed/exissting sewer and water services & invert elevation o • Street name ?O ? • Driveway ELEVATIONS 6dsllna 0-- Cl ? • Sewer service (or Proposed) 2-? 13 ? • Properiy comers cl-?o El • Top of curb at the driveway o o-10 • Elevations of any exassting adjaceat homes r Prooosed 121"? 13 0 • Garage floor cr' ? ? • First floor c2l? 13 ? 0 Lowestexposed elevation (walkout/window) m' a ? • Properly comers ?? ? • Front and rear of home at the faundation PONDING AREA Cif aoolicablel ? 13, ? • Easement line ? or, ? . NWL ? d' ? • HWL cl fT ? • Pand # designation ? C31 ? • Emergency Overflow Eieuation DIMENSIONS ? 0 13 • Lot IinesBearings & dimensions ?? ? • Right-of-way and street width (So back of curb) ?? ? • Proposed home dimensions including any proposed decks, ovefiangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) A!r, ? ? • Show all easements of record and any City utilfies within those easemenis ? 0?7 • Setbacks of proposed structure and sideyard setback of adjacant eristing structures ? ? ? • Retaining wali requiremenis ' y Reviewed: -5--1161 January 1996 CRA1G199618L0C PRMT. FM ' EAc"nu"Y COIiS=RI'i,TION SUPPI-_!<=hT TO 51-Tit piry•G pERM.: j„Pat IZZn7IDM1 .his supplement is provided to assist the applican: in compu:ing E2:TEfiIOR ErIM:.OPE APERACE "L"' FAC!'OR IhFOR*SATIOT. iGis informa- . tion is required so the BUILDING OFFICIAL can deteraine Lhat submizted plans comply vith tne ENERGY CDNSEAVATION DESIGN CRITERIA of the SThTE BUI:,DING CODE (Section 6000). ?: is the A..pPLICAt:T'S responsibi2i:y to accurately compute tne data; reilect the prcper DaIGh CFiTE_i,IA in the plans; submit produc; r.neci:ica:ions, i: iieeded to support the "F," and "li" ;aciors usec; and tu assure cor.s:=uc=ion is per app:oved plans. JOB LOCAT10N p '(?.` C 1..1 N ? r DWNER(5) 6 l7 1/Ql..US 40Ms r7 PHDNc _ -7SS" 9193 COtITRACTOR _ Ss]E?IT PHDWE A. Uetermine th= 7ota1 -Exposed 4;a11 krea as TolloK?s: 1 2 J• 4. ? b. i. 8 g_ To?al wall window area ?gQ-.Q? Total door area S_7 ,g Total siiding 91ass door area [? i\. 7ota1 rireplare wall area ?zg Total wall framing area (averag? iDA) Z11. Z. Total net wall area a6ove f7oor lQ O b,? iotai rim joist area: IZ .? SUbTOTAL: Total expos=d wal7 ar=a abov= `loor Total roundation window area ?A I 1\_ Total net roundation area above grade NA SU&TOiAL: Total expesed fiounda.ion area 7, i?-7 6RfiPtD T07AL 7"XPOScD WALL AP,EA .,. Nultiply -n=_ GRAfdD TGikL EXDOSED WALL AR=A XJti = item I C. .D=:ermine tne Total -Exocsed P.oof/Lei7ing Arez as follovas: 10. Total sf:ylight area 11. Total roor/ceiling frarring area - , 124.,6 12. Total net insulated roof/ceiling area II'Z 3,"Z „ uRAND T07A! =_X?05ED ROOF C=ILINu AREA ? D. Muitip7y the GRAND TOTF,L EY.PDScD RODF/C7?LING AP,cA x-,>z•ir it=m ii 232.Z Z ?-S ? _. L=t=rmine the "U" valu_ of each segnwnt (1-9) and rtwl:iply by the area as fio]lows: X "U" . ??1 l. ? J V X 11 UM ??-3 7I 5- ` 3. X .,U., a. tz8 x ??U?? .oS = 6?? 5. 2, I ? ._2_ X 11 U„ . a9 1 = 1 c1.Z 6. 1?1:JC. X ?. us. 6 43 = ro ?O , . 7. 1 `21 . ?o z PUll s. x„?„ 9. z „U„ ADD 1- 9 FOR TOTAL WALL SE6MiNTS = Item III ? F. Determine the "U" value of each segment (10-I2) and mul tiply by the area as follows: io. N j?_\ zPu„ 'K4 ? 4? = N1. A ii. x„U,l .0 3 a = 'T-j. -7 iz. i?zX „U„ ozz = z4.-1 ADD 10 - 12 FDR TOTAL RDOr/CEILING SEoNZNTS = Ttem IV 'Zcr?„ -1 G. Ir Item No. III is the same as, or less than Item No. 1, you have met the irtent of Staia Building Code 6000(c)2. H. If It_m No. IV is the sam_ as, or 1_ss than Item No. II , you have n_t the iritent or StnT.° Building Cofe 60D6(c)1. I. Add It_m No. I +?:_m No. II `1 J. Add Item Nc. ?II ??9 •? + Item No. IV z ?.'T = -2 ?7.'"- K. Ir- the,.sum or It_ms IZI and IV are iess than It=ms I and II, you have met the irtent --- ofi_the-code-TOr tota7 en4=10pe syst_m (5tat= Bailding C od? 6000 and MP5 607-3.5 - pv=rall S±ructure Perr'ormanc=_ A]ternativ=). Th= undersign_d, es applicant for a Bui7ding Permit, hereby afrirms the above information has be=n prenared and submitted by himself or und=_r his direction, hereby acknowledges the inrormation to be correc; and accurate; and 'nereby presents the infiormation with required plans in support of the 8uilding _Permit Anplication. L'nT,? t'°eT'tT?t G.i?i C'0.mmft Na C+'m&Nt D.en Refcrma O?t P?aII (iat Pr.j Csn? 1? ? 19._ MF Fl.I 7TE Reom lrnttb 114 7xi6 I? J-kicbt R> E wuoe.?r .nd Doon-Crae?a=e aad Axa WYH M?uat }I?. •? N?? ?? MM h?.?[ ?..?Ik IIIA?I 1? ?!? ?r.? R. z 3 1 z -I 4g z(D 124-1 I t I I I I?r.l &o Iahluasioo 20 ? 50 c???? I z? a?•?i :3p. wall Z?Z? I Nei ex-a. w•u I ZS.41 4.7. I 9 n. ]aL wall t I fl•" 1 224,91 -a I 24 G Q, ?tiL i i 7ota1 L'rs:. I ?'!) (]-1 ' necuircd sa. o- =c. uL C`'.A lucet arca ? MF F.4G LcI5 BAnISFioon ILcn,tn ZO Wic'nh I 3 W'a:owz and Doorr--Gzc6;? and Arai '.r?ite }?uYn1 Hs xl n . I e: n.n• zw lve? a[ L?W 2L, arr ? IIIhu I el cteY. I,c. i ' I I I I ? 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HciFhtj C? ?ndoxK snd inanl.sactinge rad Aru MICL\ )vu[Ll 1 hdOl IldnullL I P?? [L a' naru f bs?? ot c.•et .c. Ne. I a1 ?.? I h / n ? ? '? V I 0 I U ? I3? ?. I I ?o I?? 3ol ? I I Iq. I?S 3 I µ L?lL-acizs ?`=ACJ ?'> ? ? ?? I?`i I j Gass ? q 7_ ? ??7 •? ?di.'T`;,.. Ne czP, well Iat ..a11 • ( ? ? Fwm IAS I Z. I_='?yu c?,. 1 ia 51 Z IZS90 i oW $ta. U 15 DL Rcnui_d aq. T:. E-D.^n. o: :;. Irader nrce ? 1i.in6ew ?d Doarsl-rac?agc aad Area 9(Wtn Nr I?t r...I h??ie[ a[au• I H?? { Ysw1iL Ai?l t?rnw I ct mcs s. iL 1 I 36 1 8o I I+?.3 I Zo t I? z. l 3 co l I 1 3 ? l I I I I I I' ' I I I C=f-I E I:Sskntioa ? Z-].3 ? ? SO ? 1?> = G?tau ?Z'? :,?...•?v ile? I I 1:ct cxp. wall Int .vaU Fo? I I fo t 2, I Zq Z c?. _ I I I l alal fi:¢. 12648 _gj l otal flta . I 'J'Jl8 RCQz-?8 =,-r :t. =D-R or r.;,. inz W. Irieer crn ? _ I' Rcqc:ired sc fi ' D.R.or r.4. ini WA Lriccr nru ? ? - --- - ?-- --- - _ AJS-? r?n?.?. G ads.? I •Daor? fl ficf- ere Oie. - Wa?D 16L. .aj Csnmw ?t ? FW LOt?''f --- Room Len=t61 Fiei6t 5z, A wmoe+? and Doen--Cr.ckase asd Aeea rwu 1.•??u H. ?? 1?M ?I MN w..•1 a..rw I'1hi. .?.. -2- 1 4B 1 1 IB IZ0 I I I I I I ? I I tc?t.1 ?_ ]nfiluatien I (3 Sd G( DO ClaO I zo h1.ul 4:?k5f;, =sv. WII Z I h<< erp. Wafl r z I ?+.zl 80!? .ti Int wall F1°x I I I Cu1. 1-7ZSI Z 1 '°`''?"? 13oo?t 4 Rem:ircd sq. ft. =D.?. a: :a. iaa. G'.A lr.scer erea ? >E F7.I 13-[7t Z, Ro= ) Len:th 15- wa3ch .l w:-dowz sad Doars-Gacka;? an2 Asea w???a l?.uni TI< I?1 e .? e: w.n. ns el u.w t? I l?rnu I ct ccCE . ar.. ? Ic. C_ ?? ? d I I zo z I I I i i ! i I I l c..:.i a-ru I-S?yaticn ? 2 ? SD ? IOOo °z::s I ?4 I ?. I l?4-g . _?- "'v I 224 I I he r=p-wd 1?1 q21 ?d o IUL wan I I I ?'°°? I I I r?,a I I9 S I 39 O aor..t:,v:. . I 331a.?a I Aeqn:red sr, f: '.DR o: :q. inL n:ea I ? fl-I airru ST. R.,os IL.caeth I S v',ctb I-?, rir_?.."ht 4? wmeows aad Dcors.?ss':' ?e md,qrrj ivwu M??cnc n?. ai }16 CS IrM' O? WM I 11[?1t? L?W ii (?ti \I v?C! S. iL I 1 I I ! I I I I I I I I I I I I I I?:.I °.b Fsf.aatmn ? I I I G!sa ' I I ?r WtU f?b V I I hu?.Wd 1R;. MT,D ?w?i I I ?z? I ?izs ? i'leer I ? c`i I i?t S 2. I 3q0 _`." 11 515-.lo Recaucd s3. ft =D.F or s,q, iaz WA Ira6=r cns ? -? Iamlatioa lie. Apeii.d I w'dc6 Fieiiht Wmdon and Doer?-CrackaR ¦sd Aru Ma MN?\ MMI-I ?Y LWIIL ?f MM M 1?? I?I\Y ?1 ???? ??? M. fL ' I I I ? ? ? ? ? Coef. ? B Iafilvatiee CUlL I ? F-%,. M.u I I I Net C= ..n I ? Iat WaD ? Fl.ar ' I - 7w.1 &a • Rovuiycd .a. fL F_.I)F_ or s0. mL R'A l.eader arca 711 A...,., t Lrnrtb 1Tiidth Licicht R?nn?nxK xnd inara-r._rackege and /vri MICt\ Ne?T6l Ms OI lde??l IL AAa « I I I I I I I I I I I I I I ?::.? E: ?:r?.0 I I I I c:? I I I waIl Ne C.XP.wa I I I IM_ .zn • I I I ?,o? I I I Ca 1 I I ToL1 Hcc. I Rmuz:d sq. f? ?s2 a: :C. ii. W?_ 12ucer aree ? ?iciF!?t ?G ? ZSG?t?t _3 Cl .t 5 1 33 °? ° = ? .? 38a?a .5 ToT4 L 13TO 5 1C-c:.1 n nce =mp. w=u Fnt .rsIl c?. J oxal Hta Rctraized se f:. : D.R..or sa inL W.A. Lrseer aru I CiTY USE ONLY L BL SUBD. 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 RECEIPT #: ^:m? DATE: Please complete for: ? single family dwellings ? townhomes and condos whon permits are required for each unit FIXTURES EACH TOTAL Shower 3.00 x 3 VJater Closet 3.00 x Bath Tub 3.00 x 7- = 3 Lavatory 3.00 x Kitchen Sink 3.00 ;c = Laundry Tray 3.00 :c ?_ = 3 Hot Tub/Spa 3.00 :c = Water Heater 3.00 ;c 1 = 3 Floor Drain 3.00 x Gas Piping Outlet ? minimum - 1 3.00 x Rough Openings 1.50 :< _ Water Softener 5.00 x = Private Disposal' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler " home under const. 3.00 = Alterations ' to ekisting 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: gW -? ?•? - OWNER NAME: INSTALLER NAME: v ?-/-e'•? STREET DRESS:-&10fJ?? CITY: 1'c?v9 /1 STATE: A41il-t ZIP: ?S 3S PHONE#:( ) ?(C1a-c?la / 'SIGNAT CITY USE ONLY L BL ? RECEIPT #: `57 SUBD. DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55123 (612) 681-4675 Please complete for: ? singie family dweliings ? townhomes and condos when permits are required for each unit New construction Add-on fumace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: 5 -1 `1 -c1 lo FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU V4.... Additional 50 M BTU ? G as Outlets (minimum of 1 required @$3.00 each) ?I ? State Surcharge .50 TOTAL SITE OWNER NAME: U ?I V6I X/ Ib1"YYl?__-p PHONE #:1?2? 7?3 INSTALLER STREET ADDRESS:b`'IU`-l 11-11000+ka 1-W 1 1 CITY: 7b_(7}?140 1'301^L STATE: rr,n ZIP: SSti;B PHONE #: (b1a, ) z??'" " .."t Yi- Ft)KIViITT ?' ? - CITY USE ONLY L ?? BL RECEIPT #: SUBD. ? DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 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 FIXTURES EACH NJQL TOTAL Shower 3.00 x -_ _ --3 Water Closet 3.00 x a Bath Tub 3.00 x 1 = 3 Lavatory 3.00 x Kitchen Sink 3.00 ;( = Laundry Tray 3.00 x ?_ = 7 Hot Tub/Spa 3.00 :c = Water Heater 3.00 x Floor Drain 3.00 :c Gas Piping Outlet • minimum -1 3.00 x Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakote Ciy. Ilcense 65.00 = (new and refurbished systems) U.G. Spflnkler ' home under const. 3.00 = Alterations ' m exiseng 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 5a TOTAL SITE ADDRESS: ?) 1111 ?OWNER NAME: Aoc)'/ INSTALLER NAME• ???? C? Sn G STREET CITY: _,?'o r? g r1 STATE:pw ZIp; SS-3S ?- PHONE #: ( (? f Z ) 1-42 ?? ? -?/`-o ? ?yJ ?? ?? ' y" ? "? ? ? CITY USE ONLY L o2? BL RECEIPT SUBD. 160-1ruso-brX ?a4ss?l??2.o DATE: 15115_0 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 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 X New construction Add-on furnace Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: TI q (, FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 2' '0 Additional 50 M BTU ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL ,?• ?C? SITE OWNER NAMEg-,,Y1 V?1tr, t-00027 PFiONE #: 155- 9 93 INSTALLER ?I n u STREET ADDRESS:?v"? AnnP+Y'a PvE n CITY: I,rcy-1S I? ln ??rt) STATE: mr1 ZIP: ??yaa PHONE#: Qpla ) 53?LI'JS-I >vso ?i13/ /?n? ? Esr xaCszpr r Pa 9// ECEIpT DATE & /0 9 7 _ Tb JQB OWNBA '. ?ATE ? PLZ13S Hfi ADV73ED THJ?T T7fETtE IS A f'F.E SHORTACE ON TFIg ABOVE ELECTRZCAL I2STALLAYTON IN = AMOUHT OF $ SHOATA(M MtlST BE PAID i7}iIT1iZN 14 DA]5. flEMAR16 0 to 100 amp sorvice= f T01'AL Fx'E DU£+ PERMII/ ORIC. RECEIYTi RSCHIPT _ BErSTRN A COPY OF TBIS F4RM iJ2TH REMITTANCE. _.,.... . .. .,t..,a.?.? . - ...c UBD =W RECEIPI' f :CEIPT DATE 3//0/9 7 TC) JQB OftNl DATi PL£J13E HE ADVIS^eD THAT TME yg A F'f.T SHGATAGB pg ifE ABOYE II.ECTRIC.IL I2STALL+ITIQH IN riM A![OUNT OF $ Q? SHORTAGa !{T15F BE PAID YHITHIH 14 n?Y5. REtlARt6 PERMIIB aRIG. RECEIPTb RECEIPT DATE , AETURN A COPY OF IHIS FORH WITH REMITIANCE. ? ? .... ..r - 'm'TAt. rrr evn?.r?,r .. ! ^ -- WAIVER OF HFaRnvG #515 Special Assessment Authorization UWe hereby request and authorize the City of Eagan, Minnesota (Dakota County) to assess the following desaibed property owned by melus: Lots.1 duough 30, Block.-1, Deeiwood Townhomes ($2,895.35/Lot) ($86,860.47 divided by 30) for the benefit ieceived from the following improvements: TTEM QUANTITY RATE AMOUNT 5anitazy Sewer Trunk 6 Lots $800.00/Lot $ 4,800.00 Water Trunk 37 Lots $835.00/Lot $30,895.00 Storm Sewer Trunk 358,712 sq. R .02/sq. ft $ 7,174.24 Stonn Sewer Trunk 195,128 sq. ft. .076/sq. ft $14, 829.73 Lateral Benefit Water 899.51 £f. 25.50/f.f. $22,937.50 Lateral Benefit Storm C K Sewer 1 Lump Sum 6,224/L.S. 6 22 . 0 TOTAL $86,860.47 to be spread over five (5) years at an annual interest rate of 70/o against any remainuig unpaid balances. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the levy of these assessments, and fiudler, hereby waive notice of anY and all bearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made pursuant to this agreement DEVELOPERAND OWNER GOOD VALUE HOMES,INC., a Minnesota Corporarion By: Betty R. Hazdle Date Its Chief Executive Officer / 0 Q)/ By: R. Peterson Da Its: sident 4aA ).?l.ULxpAI YJ RFr.Fivrn AUG 2 1 1995 " e..ccr a vr v m¢rTs RECEtvEO aus 2 t lssy STATE OF MIIVNESOTA ) ) ss. COUNTY OF DAKOTA ) 1995, before me a Notary Public pn tius ?? daY of JOHN R. within and for said County, Asoly appeared pETERSON to me personailY 0 being each by me duly swom, each did say that they are respectively the Chief Executive Officer andde?ten said insootrument aHs°?ge? ed n on the corporation named in the foregoing instrument rity of its Board of Directors and said Chief Executive behalf of said coiporarion by autho to be the free Officer and President aclmowledged said insuun?ent ac^ and deed of the corporation. APPROVED AS TO FORM: ?- ? Oated om e s : APPROVED AS TO CONTENT: ZI A? Public Works eparmient Datea: se r t 7-2 is9L- 'I'HIS INSTRUIvfENT WAS DRAFTED BY: SEVERSON, WII-COX & SHELDON, P.A. 600 Midway National Bank Bldg. 7300 West 147th Street Apple Valley, MN 55124 (612) 432-3136 MGD/wkt 206-12870 `. WAIVER OF HEARIlVG #515 Special Assessment AuthorizaGon UWe hereby request and authorize the City of Eagan, Minnesota (Dakota Counry) to assess the following described property owned by me/us: Lots 1 through 30, Block,l„ Deeiwood Townhomes ($2,895.35/Lot) ($86,860.47 divided by 30) for the benefit received from the following improvements: TTEM QUANTITY RATE AMOUNT Sanitary Sewer Tiunk 6 Lots $800.00/Lot $ 4,800.00 Water Tnmk 37 Lots $835.00/Lot $30,895.00 Storm Sewer Tnmk 358,712 sq. R .02/sq. ft $ 7,174.24 3torm Sewer Trunk 195,128 sq. ft. .076/sq. ft. $14,829.73 Lateral Benefit Water 899.51 f.f. 25.50/f.f. $22,937.50 Lateral Benefit Storm Sewer 1 Lump Sum 6,224/L.S. ? K $ 6 22 . 0 TOTAL $86,860.47 to be spread over five (5) years at an annuai interest rate of 70/o against any remaining unpaid balances. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns> hereby consent to the levy of these assessments, and fiuther, hereby waive notice of any and all hearings necessary, and vvaive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made pursuant tA this agreemenx DEVELOPER AND OWNER: GOOD VALLJE HOMES, INC., a Minnesota Corporation By: Betty R. Hardle Date Itst Chief Executive Officer / 0 Q)/ By: R. Peterson Dat Its: sident L,<ax Ax.ux ,j .ij RECEivEO auG 2 1 1995 RFr.Fivrn Al1G 2 1 1995 s? 1 of ! sIRm „ STATE OF NIINNESOTA ) ) ss. COUNTY OF DAKOTA ) pn ?? day of ,,L?t1995, before me a Notary Public .?v ? iT A TT1LF.' ? JOHN R within and for said Counry, sonally appeared az r i 1 ??-? pE'I'ERSON to me personallY lmow4 who being each by me duly swom, each did say that Inc they are respectively the Chief Executive Officer an????n?a 00 t w?°??ed on the coiporation named in the foregoing insmnmenX cut behalf of said corporation by audiority of its Board Lf? be e free actand deedeof the Officer and President aclmowledged said instrumen coiporatioa ? Notary Pu 'c NANCY L SEVER50N APPROVED AS TO FORM: ? uy?? = Oated m s ?: `? ' APPROVED AS TO CONTENT: ?,P Pubh• liepartment Dated: SQ THIS INSTRLJMENT WAS DRAFTED BY: SEVERSON, WII-COX & SHELDON, P.A. 600 Midway National Bank Bldg• 7300 West 147th Street Apple Valley, MN 55124 (612) 432-3136 MGD/wkt 206-12870 .`. ,. . CERTIFICATE OF SURVEY for GOOD VALUE HOMES -Sc,nb or G4p06 PROPOSED BUILDING ELEVATIONS Top of foundation 90(1,-!5-Front of house g05•8 _ Garage floor 0?.? O____ Rear of house q d?•? Lowest floor _ /»Walkout Ng ,A-r- arrow denotes drainage direction per development plan. 890E denotes existing spot elevation 890P denotes proposed spot elevation BENCHMARK USED: Tc)P Nor kq 00Q*,-` qF 607g 10 a 11 Detail (typical) ?? 1q Not to 5cal% or Im E AGAA\. ko RfVfE 4?tQlb O\? p o/s p EnMape ? ?ao o ? ? Z?:Qo ? 1? so? ? . ?o F?• S'' ??'? yo? ? 21 *6 3 0NO, ? 22 ? e?am?u c„K?podc?oV'? ? v, y . 2? OO ?t'o ' ?l. yO c99??0 , .0 O ? A ?p tio y?p?FO 0 4 u'?9? ? P3 e?? $ ? 15' 0/5 ko Buldlnp Envalopa NOTE: ALL DIMENSIQNS ARE FOUNDAiION DISTANCES ( ) m RECORD INFORMATION . . O DENOlES 1/2" IRON PIPE dc CAP SET LS. # 23945 N 0 DEN0IES IRON PIPE 5ET FOR BUILDING OFFSET El DENOTES W000 IAlH 5ET FOR EXCAVATION ONLY PA88E ENQINEERINa, INC. RE419TERED P?OFE99IONALiLAND 90?VEYORB 9446 EABT RIVER ROAD, BUIT$ 808 COON RAPIDB,. MN 66488 Tet. (812) 766-8240 Fax. (6181 766-1888 /• ? ??oQO ? i o0 .y0 ?ao?E 0''?• ?? -?/ r ? ?• ? 1 > C?R?op is• o/s eo BuIIdFq Emalope EAG 9TU ENG EE12ING DEpZ; LEGAL DESCRIPTION Lots 21 and 22, Block 1, DEERWOOD TOWNHOMES, according to the plat of record thereof Dakota County, Mlnnesota. I hereby certify that this survey was prepared by me or under my direct ' supervision, and that I*am a duly Licensed Land Surveyor under the laws of th tate af Minnesota. C. • Donald E. Sigety, MN Li N 23945 bate: 5 110-61qtv Rzvn5o S1 ia?9u 'JOB N0: 93-34 ISCALE:1 INCH =__20__FEETIFIELD BOOK:(04 PAGE: (f IDRAWN BY: G50' DEERCRTt.DWG Use BLUE or BLACK Ink r----------------- I For Office Use I r Permit#:~ ing City of Ea Edii Permit Fee: ll 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 1 I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C ~~31 blZ Site Address: 3 / e -,5-13 ~ 3 7 c-, A""`r Unit Name: T0ff 1? ASS 0i.1-lg'1 av Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: 11-00(7 f~,- c ~j✓7- Construction Cost: Multi-Family Building: (Yes / No ) Company: ~ Contact: C01JL.IA-L Address: 7 City: LJf 7~ Q ~i ~C Contractor State: Zip:/ Phone: License C ~69 Gqy Lead Certificate s ~ ~ Gam If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 autho ized b a building permit issued in accordance with the Minnesota State Buildin de must be completed within 180 days of per s i~nce L~ x/ x Applican ' nted Name Applicant' ignature Page 1 of 3 Use BLUE or BLACK Ink � r-----------------+ I For Office Use � ' � Permit#: /����� j Clty of ����� � Permit Fee: � �� � 3830 Pilot Knob Road � / �l ✓�,f Eagan MN 55122 � Date Received:� '�- Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: � 1 �7�5.►. I ----------------� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: �� /�R�-n �a Unit#: ' Name: � OJ�ti �I�rn sOn Phone: Residentl (ayy�gr Address/City/Zip: ��.5� �H. �a ' Applicant is: Owner � Contractor Descriptionofwork: �t S�d! P Q �Oi'n�"-�S T�°��,af W�rk � ;, x �- � ���r` Construction Cost: �!� F'i f� "� Multi-Family Building: (Yes�/No� � :�< � ��� Company: �i�e�,'fa� �u✓e Contact:� �� �e ���« � 1 �� 3� �� y !�"�i�� /.k�r G�c GOn�r�C�OC , Address: Cit : ': State:�Zip: ssr�o� Phone: l��o�' �flU`��`3 Email: License#: �� (�b �� ��/ Lead Certificate#: � If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) � II COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 72 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: IVf3TE Pla�{�an�t scr�pQrtr °�lv � ��r: curn�r�ts that�rvu subrnit are c�n��d�real��be pciblfc ir��+�rm�fian. �rt�fc�ns s�t �h�rn��`rina�fc�n m�ay .b,e�a�slf�e�t��r�rtn�-;p�bl��if y�u�rv�ide�peci�c r`e�s�a�s tha�wc►ir#d��rmi#th�Cl#y��;tv ` ` ��c�rr��u e�ha#`#h� a,re traafe��cref�:': . r , 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.qopherstateonecall.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 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 �tG�� �`"�2 � X � � Applicant's r ted Name ApplicanYs ature Page 1 of 3