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4342 Fox Ridge Ct Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - For Office Use ~ Permit City of Ea Ea~ u I Permit Fee: 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 I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: !V1311 Site Address: 131 fox CT P., sh Tenant: Suite RESIDENT / OWNER Name: C6 A. t At Phone: 61-1 7 30 3,Flr Address / City / Zip: T 3 yz ~o y„/ru C F Applicant is: Owner t/ Contractor / TYPE OF WORK Description of work: & av t c_r m' n v~ a Construction Cost: 6 S'J'g Multi-Family Building: (Yes / No CONTRACTOR Name: WY,j L'rc.C ( COA,.r & License U (a 3P Address: 133X L 7u,/(,. f City: r n 6 b State: E nn w Zip: S-S°/ Z I Phone: 6 S/~ l ~~f 0 Z r Contact: Aod 164~r ®e r Email: g r`o ~.rlr 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 maybe 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. X_&/ &6C ©,h X Applicant's Printed Name Applicant's Signature Page 1 of 2 CITY OF EAGAN Remarks Addition SUN CLIFF 2nd Lot 19 eik 6 Parcel 10 72976 190 06 Owner street 4342 F State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ! 1 $ 369.31 24-69 19 STREET RESTOR. 109li0? j 486 431 . 51 5 GRADING -q / ? 9' , -513 SANSEWTRUNK 1970 4$.64 j.g,rj 25 SEWER LATERAL 265-63 2 5 EWER LATERAL 999 1986 829.62 165.92 5 WATERMAIN WATER LATERAL 1000 1986 942.60 188.52 5 WATER AREA AO/ 1197-ff 62.34 4.16 15 WAT LAT BEN ?79 1986 57.88 11.58 5 STORM SEW TRK - 19]1 161 . 72 $.09 20 STORM SEW LAT i S/W SERVICE 1005 1986 808.77 161.75 5 CURB & GUTTER SIDEWAZK STREET LIGHT STORM SiW LAT 1006 1986 610.14 122.03 5 V WATER C NN. 500.00 n BUILDING PER. 11454 SAC PAR K CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 " PHONE: 454-8100 PERMIT , SF DWG/GAR Est Value $70000 Receipt # 25 ,? 85 Site Address 4 342 FOX R I DGE CT Erect LI Occupancy R3 SUN CLIrF Lot 19 Block 6 Sec/Sub 2ND Remodel ? Zoning R1 . Parcel No. Repair i ? ? Type of Const y i N S Gon Add tor o. es RMC DeVEF.OPMENT CORP Move ? Ler?y?, ? _AII y Z Name 3209 W 76TH ST., STE # 205 Demolish ? Depth 4.8 o Address City FDI t1A Phone 835-3773 Int. Impr. Install ? O Sq. Ft z F Name S A•'ylE APProvals Address Assessment City Phone Water & Sew. ?¢ M1I*13.T0tvIZA DESIGN Police W W Name Fire ~ _ ! ATER S^ _ 0 - Address 9. ? W ?ity C;XCI!',Lmw 4-5931 Planner I here6y acknowledge that I have read this application and state thatthe Council B?dg. Off. 11 Z/1 information is correct and agree to comply with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. APC Permit J4j.00 Surcharge 35.00 Plan RevieSO SAC 525.00 Water Conn. 500 . 00 Water Meter 63.00 Road Unit 280.00 'Tr. PI. 132.00 Signature of Perminee Var. Date Copies 2,C49. 5 a ItMC nEVELaPrEcvT COF.P Total A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances, Building OHicial - 1J. ?c" 4 I I w.mn No. I wnmn Now.. I Dm I T.Mpn- N I ? Piby. Nt4• Dlsp. Site Address 41 ;.! Lot 81ock r Name m Address C Clty ? 3 Name / I- Address u- 4? p City MECHANICAL PERMIT ?CITY OF EAGAN ' RECEIPT # 7</012 ?- ° 3830 PILOT KNOB RQAD, EAGAN, MN 55122 DATE: A 7 00 PHONE:454-8100 BLDG. TYPE WORK DESCRIPTION Sec/ ub Res. N New ? Mult Add-on 4 7 , Comm. Repair , Other Phone TYPE OF WORK Forced Air M BTU Boifer M BTU Unit Heater M BTU Air Cond. M BTU Vent. CFM Gas Pipinq Outlets # RES. HVAC 0-100 M BT -$24.00 ADOITIONAL 50 M BTU - 6.00 7-? (RES. HVAC INCLUDES A/ EW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMM - 1.50 EA. COMM/IND FEE - 1°, OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL?FEE-z4LLADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 2 STATE SURCHARGE PER PERMIT - .50 ) (ADD $.50 S/C IF PERMIT PRICE GOES J BEYOND 91.0601 . FEES U CONN R"Npt MECHANICAL PERMIT CITY OF EAGAN fill in number+ed tpsces - Typr or Prlni kpib/y Pennit No. FN 3& S/C ?V ? Tot 36. ? t. Dats ? 2. Installation Cost ? 3. Job Addrsu - - Lot• Blk. Tract ? 1 4. Owner ' 5. Conuaaor ' Phone 6. Addross . 7. City - Stste Zip 8. Building Type: Residential ? Commercial ? Institutional 0 8. Work Description: New 0 Add ? Alter ? Repair ? 10. Descxibe Fuel Type ' 11. No, Enuu12menL BTU • M. Ea. Forced Air -y ` No. Equiament CFM Ai H d i Mfg. r an l ng: Boilera Mtg. Mech. Exhaust Unit Heater ? Mfg. , Other ' Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with alf ordinances and codes governing this type of work. 5igned : for Receipt PLUMBING PERMIT Permit No CITY OF EAGAN Fse FiII in numbered spaces S/C Type or Piint legibly Tot. ? 1. Date 3. Job ) 4. Owner Installation Cost Tract 5. Contractor Phone 6. Address 7. City State , Zip 8. Building Type: Residential 0 9. Work Description: New 0 10. Describe 11. Commercial ? Institutional ? Add D Alter ? Repair 11 No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets I J 12. I herebY certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this tYpe of work. 5igned : I 'r! for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 PRICE: Site Address Lot _19, ? Name _ ? Address c City ? Name 3 Address ? ? O City Phon COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES FOR: CITY OF EAGAN /,0_7_ p'7 ? PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 PERMIT # 6 _?w ? RECEIPT # 7J5-J* / DATE: BLDG. TYPE WORK DESCRIPTION Res. k- New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPIETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Ki!chen Sink - $3.00 Urinal/Bidet - S3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpooi - $100 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 Q FEE: STATE S/C: ? B-K. GHAND TOTAL: ?? • ?- CITY OF EAGAN 3830 Pilot Kndb Road' P. O. Box 21199 Eapn, MN 55121 Zanin9: _ Owner; Addross: . ? . ns: Sih Addreas: ` Piumber. Metsr No.: Siu: Reockr No.: 1aOne to oewopllr wilb ew CMtr ef Eessa Ordimsam By Date of Insp.: CITY OF EAGAN 3830 Pilot Krwb Raad P. O. Box 21199 Eagan, MN 55121 Zonirp: 1`'"? Ownsr. , . Address: Site Addi Plumber. 1 yM te aMPlY wilh !w Cihr of Eafsn OnIlMnaa. 8y Date of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: of Units: ' ..G' . - Ca+nection Charge: - Acaourn Deposit: _ Pertnit Fee: Surchorge: hAfsc. Chorpes: 1 . _ . , Totol: ' _ Dote Paid: - Insp.: SEWER SERVICE PERAAIT PERMIT NO.: DATE: No. oi Units: Connectlan Chorpe: V5. OQgd ACCOUnt Deposif; P'nrnlt Fee: . Surclwrpe: Misc. Chorpes: Totol; Dote Paid: Y Road WATER SERVICE PERMIT , .- - PERMIT NO.: ? DATE: -- - ` - Address: Sita Addreaa: PluSboT. . _ ftf NO.: 6 ? ?.? , . stu: r c. Recder No Accou.,t oaposit: D . Permit Fee: ?som te oanpy Nm Nw Cier of Ea9sa Su?chcrge: Orlinrnps. Misc. Choraes: ??, Totol: • P me er By Dots Pcid: Dofe of Inap.: Inap.; CITY OF EAGAN 0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 56121 N_ 113 5 4 B471LDING PERMIT PHONE: 454-8100 Receipta 7obe uaedfor SF DWG/GAR Est.Value $70,000 Date NOVEMBER 25 ?y85 SiteAddress 4342 FOX RIDGE CT Erect L? Occupancy R3 Lot 19 Block 6 Sec/Sub. SUN CLIFF 2ND Remodel ? Zoning Rl Parcel No. Repair ? Type of Const. V Addition ? No. Stories ¢ Name RMC DEVELOPMENT CORP Move ? Lengtn dn 3 Address 3209 W 76TH ST., STE #205 Demolish ? Depth-48 ° EDINA 835-3773 Int.impr. ? Sq.Ft City Phone Install ? o Name SAME Approvals Fees ?¢ Address Assessment Permit • 0 C ? ciry pnone water 8 Sew. Surcharg? i Pl R ? ?d SC t Q MINNETONKA DESIGN W Name Police Fire ev w an e SAC 525.OC F F, ? Address 337 WATER ST u O Eng Water Conn. SOO.OC aw ciry EXCEL,? 474-5991 . planner waterMeter 63.OC Council Road Unit 280. DC Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.OH. 11/22 $ Tr.PI. 132.OC information is correct and agree o comply with all applicable Sfate of Minnesota Statutes and City of Ea Ordi a c s. APC Pafks \ ` Var. Date COpiOS Signature of Permittee Total $2• 049 . 50 A'BUiltling Permit is issued to: RMC DEV OPMENT C P on the express cond itfon Ihat all work shall be done in accordance with ?ll-a plic d e State o i Min s Sta utes and City of Eagan Ordinances. / , , Building Official ? ?C/ ,f!/??//,fJ7 REQUEST FOR ELECTRICAL INSPECTION ??8?? _ 0 See inatn.ctions br completi?q this form on back Ol Vellow copy. -44 3 21 ii;X'' Below Work Covered by Ihis Request AdA Nep. Type ol Building Ao0linneae Wiretl Equiument Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. BuilAing Dryer Electric HeaUn Commercial Bidg. Furnace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm om„r oec,y efne, iSnacHV? t nr 5ycufv Ner oth,ar Compute /nspection Fee Below " N Fee ServiceEntranceSiza p Fea Feeders/Subfeeders N Fee Circuits (l to 200 qm s 0 to 30 Am s 0 to 30 Ani s Above 200 Am p5 31 to 100 Amps 31 to 100 A s Swimming Pool Above 700_Am s Abave 700_Amfas Trensformers Irrigation l3ooms Pdrtiab`Other Fee Signs Special Inspection g n , j TOT Partwrks . G ? a ALRE ^ ^ .? • Nough-in Date 1, the EI mxl ' Inspector, hereby certify thnt the above Final r D:?te ins0ection hes.been y mede. Thlareauestvoi018montMirom • This reQ.es[ witl 18 munths from . ? C 4 4 3 21 Re est Uate 1 ?• - Fire RouPh- inAifsuection Required? ? ?Ready Now]?W ill Notity Inspec? h ? h 7 / r r ?No Yes or W en Ready ? L censed Elechical ConVactor I hereh y requesl insoection of abova XOwner electrical work installetl at 5[reet Address, Boz ar Raute Npo. n ? ? G C?i[-Y°- - L? CC? C(Y?- ectmn 14o. Townshi0 Name Flange No. C ou ^ Y/ - Occupanc (PqtNT/y/., ?? ? - j Pb'one No. ? K Powaer fS??uppQlier ?'?/-?U Addre s Eleclricel Convaclor IComOany Name) Contrarlor'S License No. MailingAdJress ICoMractor or Owner MakinO Insfallafionl / Au[ 5' actor Ow aking stallation? Phone N nber ? 2 6? ?i?53 MINNESOTA STqTE BOAXD OF EtECTNICITfi? THIS INSP?.CTION REQUEST WILL NOT Grigga-Midway Bldg. - Noom N•191 gE ACCEPTED BV THE STATE BOAND 1821 Universitv Ave., St. Faul, MN 55104 UNLESS PROPEH INSPECTION FEE IS Phone (812) 297.2111 ENCLOSED. i d4 a o,d 18 m n(hs (mm 51 )_ 3 ?. / r C?u? o Q ?7 Y ?P O` ' _ !1 FequcSt ate Fire No. Rouyh-i ? In,. ction e?l red? ?No DReadY Now Will Notitv InsPec- ?es ?o? When qeadv ?Lir.e.nsed Elor.vical ConVacmr ) hereb y requast insoection of ehova Owner electrical work installed at Sve t Atldress, Box or Roure Np. CTity ? / ection o. Towrehip Name or No. Winge No. County Occu ant (PNIM) Phone No. V Power Suppli r ? ? AtlAiesg y ?/ . L •, Electrical Cnnvaclg!r ICom any Name) Contractor's Licensc No. 6 Mailing Addres (Conlractor or Owner Makfnp Installation) L(/ Auffiorize ign?tureG onvactor/O r Makinp I stallationl Phnne Numhcr (333-2521 MINNESOTA STATE 90Ap0 OF ELECTRICITY , THIS INSPECTION REQUEST WILL NOT Gri99s-Midway Bldg, - poom N491 BE ACCEPTED BV THE STATE BOARD 1821 Universitv Ave., Si. Paul, MN 65104 UNLESS PHOPER INSPECTION FEE IS Phone (672) 297-2711 ENCLOSED. REQ1jEST FOR ELECTRICAL INSPECTION ee-oooot.oa See instructions for completing this torm on beck ot yellow copy. X" Selow Work Covered by This Request 'J-'?-d--- Add Hep. Type ot Builtlin9 Apoliances Wired Equipment Wired Home Range ? Temporary Service Duplex Water Heater Lighting Eixtures Apt. Building Dryer Electric Heatin Commercial 81dg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tanl< Farm o<ne, soe<:7v otne, (spP,fvi t gr SGeNfy Other Othur Compute Inspection Fee Below- ` "'-M Fea SarviceEntramceSize tl Fee Paeders/Subfaeders Fee Circuits 0 to 200 Amps- 0 to 30'Am s 0 to 30 Am s Above 200 qmps. 31 to 100 Ainps 31 to 100 qm s Swimming Pool Above 100-Amps Above 100_Amps Transiormers Irrigation Booms Partial.'Other Fee Signs Suecial Inspection S _^ TOTA Remarks ? ?i 6 ? L E%E? r ir .ci.-. . . . I 6 / ` / flouBh-in Date - I,fhe E?ec ? Inspector,f?ereby certif thaI the ab Final ? ? y ove nspeclion has baen ? , ?? ade. Thiarepuestvoi018monthsfwm V "? I? - q °Zo ?O 2006 RESIDENTIAL BUILDING PEmT arrLicnTioN 23 4 v R City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reouirements 3 reg"ste2d site surveys showiig sq. R of lot, sq. R of house; and a2 roofed areas (20% maximum lot ooverage allowed) 1 SoiS Report it proposeA building is to be placed on disWrbed soil 2 oopies of plan stwwing beam 8 window sizes; poured found design, etc. 1 utot Eneigy Cakulatlons 3 wpies of Tree Preservalion Plan N bt pWtted after 717193 Rim Joist Detail Options seledian sheet (buildings wAh 3 or less uni4s) Minnegasco mechanipl ventilation fortn RemodeUReoair Reauirements 2 coDies of pWn showing fooliigs, beams, joists 1 set of Energy Calculatlons for heated additions 1 site survey for additions & decks Addifion • indicafe ifanstte septic sysfem $qo. 00 CA,& ?C- Cer(aFSurieyRecd-,: Soils?2?pOrl; ? '1`', v`N TRePresPlanRecd `.?Y =N TreePresRgqulred ":Y =N 6 n41 te Septic Sysfem Date _?b ! ? ! 01 / Construction Cast ?)? 31 ? Site Address F6x y? K:qft bU4 UniUSte # Descriptian of Work ? f G v U -?-m ¢ vQ ?o yF Multi-Family Bldg _ Y_ Pi Fireplace(s) _ 0 _ 1 _ 2 Property Owner ?c ti( 0 ?l 4? ' 4 Telephone # ( (9 S+ ) ?3 ? ` ? $ L4 ? Contractor ZPgtCClCbG? Address h f0 -'7PZ 0-67'2Di'i'tJ /V, State /),) /y Zip UTS?O'? City, S'? ??CvCc-r?y Telep6one # ((p57) y ?i ?J- y ?J o'-O COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cate?orv 1 _ Minnesota.Rules 7672 • Residenllal Ventilatlon Category 1 Worksheet • New Energy Code Worksheet (J su6mission type) Submitted Submitted • Energy Envelope Calwlations Su6mittetl In }he last 12 monThs, has the City of Eagan issued a permit for a similar plan hased on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Pernut and aclmowledge that the inforxnation 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 NIN Statutes; I understand this is not a pemut, but only an application for a pemut, 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 ofplans. ' DOe ?a ?/•-?i Applicant's rinted Name Applicant's ignature ar 9 7985 BUILDING PERMIT APPLICATION - CI17 OF EAGAN NOTE: ALL CONYRACTORS NUST BE LICENSED HITH THE CITY OF EAG9N COlQIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCT'URAL PLANS, 1 SET OF SPECIFICATIONS AND 1'SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND Fy,,, /r ny /ic To Be Used For: si„Li/,.,,, -?...r...?f Site Address #,3Hj Coy .F SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS r: • i 7 01c700 Valuation:? Lot / 9 Block ? Erect x Remodel ? Parcel/Sub uN Repair A / Addition Owner d1l /`?l' ?.e?_._?i?p?.?.a...f LOm.P? Move ? ?p '-- Demolish Address j2p9 ?7?.d'??,,?,( F 1'?Oy? Int.Impr. ? Install City/Zip Code /,'CrQ?a{ *A? Phone S?3S---f 2= I APPROVALS Contraetor 'ra,iy,g ggs 29/wwf Address City/Zip Code Phone Arch./Engr. Address z37 Date: Occupancy Zoning Type of Const 0 of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off1- Treatment P1 APC Parks Variance Copies TOTAL SQ City/Zip Code 4fe?'4?%/ ? Phone # -?7y- -1-'q 9 / 4 l8K t2- ` Zl? ? 5? ° I2s28 ? , 2 2 x 2't.- ? Q? 4- ? 12 = s8o? Gqco oU 342 foX Ridq ¢ Gou rf C. R. WINDEN & ASSOCIATES, INC. lANO SURVEYORS Tel i46•3646 1381 EUSTIS ST.. Si. ?AUI, MINN. 6610• FOR: .4.M,C. DEVELOP.*"ENT CO.RP, F?x F21 DGE COURT. r d+?se36'9i /9/n? r.i5. I I 1 5 t ? h W k O ?} T ? i T 223 ! ? ? ?---ze.?---? .\ ? ?j .? ? 11J In m h? oLD N g? 5 _J ?? p?aposed WP V 5 C ?Wa/knot =9o9.4J I ? ? 2'Ove?hori I ? I L O ? T (9/O. 59J Scale: 1" = 30' ? Denotes Iron Monument W 0$ Qb Lnm N 0 V) hOZE: o Denotes Wooder. Stake Prnpesed Garage Floor El =9/z,5 (912•2 ) Denotea Proposed Finished Ground E1. fi-- Denotes Direction Cf Surface Drainage Ceztical Datum - N.G.V.D. 1929 69.45 5890 29'.131"YV Lot 19, Block 6, SUN CLIFF SECOND ADDITION, Dakota County, Minnesota WE MERElY CERTIFY TMAT TMIS IS A TRUf AND COaRECT RE?iESENTATION Of A SURVEY Of TME SOUNDARIES OF TME IAND AlOVE DESCNI6ED AND OF TME IOCATION Of All lUIIDINGS, If ANY, TNEREON, AND All YISI6lE ENCROACMMENTS. If ANY, fROM Olt ON SAID lANO. Dsrad eAis sl:`? dor oi Ocfobet A.D. 1VB5 C R. WiNDEN 6 ASSOCIAIES, INC. _ `Revieed -11-tf-05 ----- ., cww? rdl 49.x? _ SurreyOr, MieMs0l0 199inrelion No77;'fQ EX7G(?IUi`? E:NU!'1_ilf'i I,?.QPini ?rA TIOP! 1 ?. ` _ , _ ? ..•.6 ? ' ? OsINER t i?? ? Dn.TE ; _ S- P) 5I7c ;R6b?ESS {'tt r HoRE '_51?54' : b N7RAC70R,: ? ?,.? - ML_? ReCerntirie svurkinq squrirc fooL,iqe of each 1. Tota]r.exposed wall area....._-_sq. : -- --- -- +'t. r. .1? = ?? ---- - -- . 2. , 11 7ota1 roof/celling area.....--I?L?--?-_ ir. x.02fi TT ? Total exposed wall area above floor-?_?(?J wall,window area .......................... ................. b. Total door.area .................. ......... ...... ................. c. Total siiding g1855 door area................... ................. d. , ,FYrtat: firepTace wa11 area ........ ........ --- ................. ' e. 7ota1?-wa13 framing area (average 10%) ........... ................. ?k S_ f. Total rim;,jo9st area ........................... ................. g. net 'wali area above Plcar ................... __ ................. : ?? h. ' 7_7wa31 area aF,ove f1oor ................... - .................. i. ???'- ara11 at^ea a6nve floor ................... .................. J. r?'ame wall area r3t founaatier............ ...... .................. Total exposed fcundatiun arra=_?Z_?? , k, Total 'foundation window area ................... .... ? 1. .Total.,nat fat:ndaLion area above gradf........... .... '. ? DeterminP "u" value uf each :vall ? seyment (e,g. window, door, Flach ,pparate wal? seci.ion) X L,??---????---- , -- -4:? c!:I--? -7 :Z, .. b, x ? ---?-- ---- _ - _ ._. , C . , Gr? ? %n d, X "li" e. x "ul -- F. X 19z _ s- ???? ? < <P x U„ _(.0? C)o h. X "u?? _ ,?• x "U" _ k. X °u^ _ ------------ ? f X „U,, --- ----- --- _? _-- - ---- 3. ..... ... ..... ............i::tal If item N3 is the sart as, or less than itea N1, ,you have met the intent uf $gC 6006 (.c ' 4Y M4 AF?i?iF` . +ra i? r ? ? xrr ? Paqo 2 Of. 4 ??-- :,, r q w„?' , r`? x 1; ,„ o xr 4 r4 ? a ^---'- , ,? f? ?N'e? . . . . . . . . . . , . . . . . . ` ? 1y I ?li'?Yt1? - fYdSV73.±i1u] f7's(rilllcj AI._ , ?1 ? "LI 1 ?°4"4k?? _ ? ..... .. . . r-_-?_?1._I °,. atik " U" valuc for .:;,iah rn,?>S/c:uil.i.nq tegmcritiL ?p x _- ? ? it ty ( .' ,?'r.....?,?.?.?....... .?+...._ Y ??. p? n / }: ??U ' a.,,i1q4YY w? f ro.w 1 ? (1 ?1 i: ?.?ty459 1 .. ? .....__....._ __ ...? . . . ... .?. ? -17 1<::' PJ } ? . ...?.. _... .. f34 if3 ttie sume as, or 1ese; th,ni I{?, you have met thc intent of A].ternatc Btailci_,q_ t rvc- r.r. ;;,?__ " ? n; ? --- - n 7,'OrilY_,{ ?, „?,FR"A,:t11k1 totAY e!rve.l.Cipc- ,}'sti?tn r?.,t r''. ?c?. t.Lt. !:,}? C11C' s;7N Uf . ? .? ktemst03`arid 04 tahaJ..l r.uC Lt: ,rr,;ter r.':l,:11 .._?_ !n 'F icums .?l "nd i:'2. ? t y ? ? ' 1. ?r' , V 1 ? L.- i - 0-7 Z.4z +., - --- - - - -?-- „?; I.1 ,,. ; ?Y I '?.!1`?L1•1[?•??, ? •t? `? ? r'. I .,1 ?t. ..?? . ?i . ;. ? •:?s?r?»:' ?r'' , ? ? ? i. . . ? ? ?. ? i ri:i;?.M."•,.fi '.. .SIj '?,• ;? .. ? ' ,1 . ,•F?_r ?? , . ? u 1 +J . _m l. ?. >.. .?. '......aa•... .?...:.......•.?..uw?MGM awxw..._._..,.... . __... . . . . ;,`'• ??Lo ? ? .. ??.? . r11 i '.' . Liua-AL. PLAt..I ? q,?ozg FT, EXposF-0 WALL jc?l.iF,s !,? I (.o 4 7-Co + '=+ 4 (v f ?? ?? -?-- I t, = ? zp I F,k i?)oSED WA Lt_. X , S = k S = CvU o ?C $ = X 6 r ' AZEA I1:II . -T-o i A L, ?:ULL.. II','? l5? ? -- tZ ? FUL?: Ful.l'?Z; - F, P, I ZA2 ;.? ?-? -eq??6 cfU, d(? ?jp ,. .,e ?? 6 .t?;,q. •e=:?::r.':.:_.... .t. .j-.?. . i ' •?; ?'' .'??'d'+=,'E',?S+ZDit". , ' . : ? ?. e . ..-•_-- ? q r , A°Va1??Q . ?. ? 4, k a?J41 5?`?,3+? ?'" C:?ei?i_r ii,. ? f_•:??? . .+ , . v ?- +> ? .5R T?7".._ s, 1-C, ---?' 4'.._L'xtcr.?oc aic filia (e?t11..U 2 0.61 ? ,?? ?? ?''?'(ii????,'?I?il:??? --- ---? -- Tot? 4s8o =?- ?• ?? . : . . . 02 U" . ? .. ..'. . ; . " 1. Intrric?r xlr fil?n 0.61 uc f 1o?r ----- ' rn?cd, , . ea , »p :1 -Z.:f _47` _ I t41?uL ' ??,?'• . ' ? 4. l ? ' , . ?'ota 2. V = . o Z4 :. 0.61 ?. -------'- s.. ??. ....._. _. 4. _..__---------- - --- 0. 17 . • . ..._-._._._....---`_..... _?--?-" -"--" Total F: +l" ? ?"t ca: ? g.Cat ?ilao np • .. .. . . .?-.s..---^' • ` a3 r-( ? ?•vaar.od * g. Insi<'.c_air °i.lm 0.61 3. a. S, ?.. Outside air Eilia TOtal Znqid? ai.r f{lm 0.17 Q,?1 2. -.. _-- - !. . _._._. Qut:r.ida aix filln Total 0.17 • ?•,ri?„ -- ? : - '`:, ,. - °• •? • , ? additlonal sheets SE morc spaco, pecdeQ for uctails and ealculatians. .?'.? ' • ? . scet 8, • , ? . ' • ? ?Le+a ??p • ' • :` . . ? . .. :. ,?.i?xC3. Q'? . .. ?• . .. . • _.....?.,.;;;.:. x.' ?:?usar,:.•?w,..,,,,.;..,.:w?..?,.w.,,.,...:_,:. .. . . __..ti,..._.,... . , ...,,,., ? . . s t? xx?e, u? „ ? -.F?n?•xa??`???????:??n? s ?, ? ?; ? ; ?,.?, i, ?, ????:. ? • „ M Q '? y 11 c, M. _ .. . .. . 4 ? - w rJ Go ..to?. ? • ?? ??_..._.?? Uq. .O°l PX?:.. M1 '"mi'VIfTd OF , ;.. •Btu+M Wnt.r, ,, .. ---L_1, Q. ? ? • , ' '+. -s'+/3z .a411:v. .....71 :04 l._. ? .,. . ?, . _... .._' .. . ..,.._.._.__... Q FIG. 112' ? L . , . ? ,.- ;i .?_?? _ ,(A•: _ .1 N.,St? 4 _ . ._ , . . . (°.l.?Q ._..???......._ ?- - l. ,..._ - . ._..._.._.__._ ?3 _ . __.._..__...____.._ S6FL! F.nl,•ri or nir i2s.l?• ;T<,-,:--.--U-'Zdq 9 ^?•.l^ ??"{?J ? Z. ? ?\•y? ,?`..? , ??? ? } r• • Pe?i ?' ?•.?" p . " ??' . ? ' O9 . C-- ? ' • _^.r- 4 ? • 4.'... ........._....._...? - O?k. _. __ .... _.._.. ... . _. _? . • . ••?? , ?. , . 1 i?, ??, ?•.,. .,! ? r; ? c,.c,n ;t; .,o?, • __.._ ' • . • .._..._JJ2 b t;•. . i ...,? ?.. NVtcta L • 'i1 •o. ..____......._._CT? n. ?+rcrbec?'wa.?ao?+.v',t.ti'.. .... ?n-"-?-- ?. ? u • -..!L+ndC ? S. ? ?ry ??, . r? '?•. .. ?.....? G. .1'.:it??ri_i?i ?.,'_ :_'.?.??..._----- ---?- -?._l?l _?, :?•i:? -- ?ro?.iC (t s -r.13 -- -- - -- , . a. ? ( ? • r /,r ;. 13 . , + rP ,? . ? ? ? ?..y d M a ?. `- . _ .' ' ' ,1 ? / ` ?, 1 •. 'k l y / I,;1'I; Inllcnr ?; c, tlur, Jl,ntl1 An[i ? ?.laccn?nt o! in?;uLilion. ?/a?g? .•?re9.n+mrw - - - ? -xtS .,? w -2• ? •aa -?? • • ?• • ?? • ? ?? ? • ?; CITY OF EAGAN APPLICATION FY)R PERMZT SEYdER ADID/OR WATEft CONNECTION 1) PROPII2TY ADDRFSS: ? ?. T'FY;Ai• DESQtIPTION: (i.ot/131ocK/SUbdlvlslon or Tax Parcel I.D. Nu IF EXISTING STRL'CT9'RE, DATE OF ORIGINAL BLILDIM PERNIIT ISSL'PSICE: PRESENT ZONING/PROPOSE;D USE: R-1 SINGLE FAMILY R-2 DLPLEX (Two L'nits) R-3 Tl7WNHOL'SE (Three + Llnits) R-4 APARTMENT/CODIDOMINIL'M COMMEf2CIAL/RETAIL/OFFICE IAIDLSTRIAL INSTITC'TIONAL/GOVERP?IENT ( L'nits ) ( L?nits) 2 ) " '?.' e NANE: /a F? f ,n ADDRESS: ? ?' Cf cJ ? "7 T ? CIT'Y, STATE, ZIP: PJy? • PHONE: 3) • ?: ?• // 6 City Ose NAME. a r 5-LicensE AnouESS: (Q 1 D G y? e ? (r a r'i -P P Act'e CITY, STATE, ZIP: 'So 'd ? /") AyJ Z , ired PHONE: MASTII2 LICENSE # ??or; Sta Irutial 4) NAME: ADDRFSS: CITY, STATE, 2IP: PHONE: 5) ?? ' a?- • a? a?? 0C0i,HS.TION TO CITY SEFVER 15) CONNECPION 'Ib CITY WATER p OTiiER (Please Describe) 6) ?? • • i ff PLEASE HOLD APPROVID PERMIT FOR PICK-C'P BY ONE OF ABpVE ?C7 PLEASE MAIL APPRO ERMIT 1, 2, 3, 4, ABOVE (Circle one) 7> /.r1 ? f b'S? (Nbnth Year) F 0 R C I T Y U S E O U L Y PE4:hIT '-` I5SUED F°ES : $ 10-5-?? $ / O. rU $ 6 3. o ?i $ S $- 25- o $ _ /s"ov $ LcXl. u c, $ $ S $ $ $ $ SEi:c.R nj-:a?trm (2`ICLS= SURCH?RGc) WATER nE:a^t?- (ZNCi,JDE SIIRCHARGH) WATER ,11ETER/COPPERHORN/OUTSIDE READER WATER TAp (INCLUDE CORPORATIOV STOP) ACCOliNT DEPOSIT - WATER Sd.`.,C SP.C TRu?iR WATER ASSLSS:lE:dT TRii:Q{ SEi.= ?.SSESS;iE?iT Lr„E:?AL BENEFIT/TRU`IK SE:?i?Y Lti;c.^ti.aL BEVEFIT/TRU2:K WATER WATER TREAT:fENT PLANT SURCHARGE OTHER: TOTAL AMOLT`:T PAID; RECEI2T ur SU ?7 DOES UTILITY CONNECTION REQUIRE EXC.aVATION IN PUBLIC RIGHT OF WAY? C? YES IF YES, THEN n"PEZDIIT FOR :JOR?C WITHIN PUBLIC ROr1DWAY" MUST BE ISSUED BY THE C] NO ENGINEERING DIVISION. LIST AS A CONDI- TION. StJBJECT TO THE FOI.LOWING CONDITIONS: APPROVED BY: TI:LE: ` DAT°: Use BLUE or BLACK Ink �----------------- � For Office Use � I I Cl� af�� �� � � � � � Permit#: � I I � Permit Fee: ��� '�� � 3830 Pilot Knob Road � q ,/ � Eagan MN 55122 � Date Received: %"���y�' � Phone:(651)675-5675 I I Fax: (651)675-5694 I Staff: �L- I I I � 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �, �� ��l Site Address: `7 ��� l"��IC �l�'1��� ��. Unit#: ,� � Name: �'VI���� � ��el1� ,��',1�+r'7�� Phone: �S~�'���'7.�(�� Address/City/Zip: ���� f`p>c �ii c��z C{. �--o�Gy/�r /vl�V � Applicant is: Owner �Contractor Description of work: i�Zi"''ed�z `� '��',(�r��� -���ny�ei art (G'p� � Construction Cost: Multi-Family Building: (Yes /No,x ) Company: ���"�, 1 j!Y!� �/�c:, Contact: /'����+ y�-�v k' � Address: ���� ��� �� �r� City: f� !'ic��' /-���- � o State: M� Zip: ,��..� 7� Phone: `���l�/7� ?�E..� EmaiL• ��dL���%rze, �r�;n'1 � e License#: �� y� ���� Lead Certificate#: ���'� � ���7=��"� 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: / 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.or4 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 �'"►����ti�/� � �-l�s.�,�� X ���,���� ,��� Applicant's Printed Name Applicant's Signature Page 1 of 3