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2887 Highridge TerAddress 2887 HiQhridQe Terrace Zip 5512 I Lot I Blk Z Sub Delosh Addition THESE I1'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: _ 1 _0 Yes No Inspector: - Final grade (6" from siding) Petmanent steps (garage) Permanent steps (main entry) Permanentdriveway Permanent gas ? Sod/Seeded grass Trail/curb damage Porch V Basement finish v Deck V Please ver' with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside awn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contracror Copy EXTFAfOR ENVEIAPE 1& 2 FAMII.Y RESmENCtAI. "COOKBOOK" WIHOD S17'E ADDRESS? $g ?l b?' nl ? CITY: ?, ? 0- BUIIDER, DATE: Criteria: Rnof: R-38 with energy tiusses or R-44 with slandard Wssess. Rim Joist: R-19 insulation Foundafion Windows: Insulated glass, 1R" air spaa, wood or vinyl fiamc. wood with storm or better STEP 1 Window & Doar Ara STEP 3 Daip Featurea Total Window 8c Door Area In Sq. Feet OPTION WWDOWS (including foundation windows): ASSEMffiLY Dimcasions Qaty. Arra FRAME WAI.L: -b X Ls'-o L.. ? x STANDARD FRAMWG 7{ L ' ? n x L1-b 49 ADVANCIDFRA1vIING X I " I O Z i- 11 X $1- " Iz- 20 L-D" X 31-0' Z, t " q CAVfIY WSULATION R I 1 L-01?X 1 u L DppRS; SHEA1'FIING: D X -O LESS TfL4T1 R-S ? Z` g 17)-0 ` R-S OR MORE l?J ,r i1X 442 2LPn 2 . - 7t WWDOWS (exccpt foundation aindows): Total Arca of -:?ttjj, s A Window & Doors U-FACfOR Total Wall Area in Sq. FL Wall Tota! Perimeter Hcight Area From the table, deteimine the maximum PeTant window dt d°°r ' arta for the design optlons selated and entu the value in bux D I • D bclow. °I - 3 ?p q I ? D B Tota, Area q 1 Z 3 of wall Step 2 Calculate area u a percent of wall Bax A(window dL door acw) divided 6y Box B(total pall area) times 100 aniais the window and door area as a perant Box C mus[ be less than or tqual to Box D of wall arca (Box C). Box A x 100 = I? C t Box B F. The building must not exceed the maximum window and door ara as a perantage of overall exposed wa11 arra listed bciow for the combinaCon of framing technique, R-value of insularion within the iasulated caviry, s6eathing R-value, and window U-factor. Othet compournu must meet t6e requiraneats of this subpart. ramipp Cavity i ailaion MAXIMIJA•i WINDOW AND DOOR AREA AS A PERCENT OF OVERALL EXPOSED VYALL Window U-Factor Shrathine 049 036 .31 .27 STANDARD R-13 ?R-7 13.4% 17.81/6 213% 24.3°h STANDARD R-15 >R-S 12.9'/0 17.1% 20.1% 23.4% $1'ANDARD R-18 <R-S 11.1% 16.00/o 18.8% 22.00/o STANDARD R-18 >R-5 13.5% 18.66/9 21.8% 25.3% ADVANCED R-18 <R-5 11.1% 17.1% 20.1% 23.40/a ADVANCED R-18 ?R-5 13.5% 19.2% 22.5% 26.1% STANDARD R-21 <R-5 11.80/0 17.00/a 19.90/0 23.1% STANDARD R-21 ?R-S 14.01/9 19.3% 22.5% 26.1% pDVANCID R 21 <R-S 11.8% 18.1% 21.2°h 24.6% ADVANCID R-21 >_R-S 14.0% 19.90/0 23.21/6 26.90/a Subp. 3. Performance criteria The combined thermal transmittance (U, ) Factors for Kalls, rooflceilings, and floors over unheated spaces must be less than or equal to: A. 0.110 Btu/h ft°F for walls; B. 0.026 Btu/h ft°F for raoUceilings; and C. 0.04 Btu/6 ft°F for floots. STAT AUTH: MS § 216C.19 HIST: 18 SR 2361 7670.0480 Repealod, l8 SR 2361 G?FF ? CC ? ? i L?c (SEE ATTACHMENTS) CU i j Development Lot Number Address Builder Block Number Tree Protection Requirements: f, Tree Fencing ?_ Oak Tree Pruning (Immediately seal wounds during April 1 to July 31) ' Therapeutic Pruning Retaining Wall Other: Reqlacement Trees Not Required As Foilows: ftq Attachments: Yes ? o No ?m,e Additional Notes: J H:\ghove\2000fi1e\Veepres\Tree Preservation Plan Summary-2000 * * P106\IEER ? engineering ? tpTil l i, zooi Mr. Gregg Hove Supervisor of Forestry Ciry of Eagan 3501 Coachman Point Eagan, Minnesota 55122 Civil Engineers • Land Planners • Land Surveyors • Landscape Architects RE: Preliminary Tree Certification Lot 10, Block 2, Delosh Addition Eagan, MN (Dakota County) For: Ventura Homes Dear Sir: Tius letter is to verify the status of significant trees located on Lot 10, Biock 2, Delosh Addition. During a site visit on April 10, 2001, it was noted that tree clearing had already begun on the site. Four significant red oak trees had been removed off site (see graphic for size and location). Aloug the north property line aze three significant trees listed as off site that will need to be pruned before construction takes place. Tree #28 (18" Scotch Pine) will need major crown removal in order for the house/gazage to be built. The other option would be to remove these three trees due to their proximity to the proposed house, but since they are located on adjacent properties that may not be pernuted. The house has been staked. Tree fence will need to be placed outside the dripline of all significant trees to be saved. Future grading and construction should not have a negative effect on these trees. Ifyou have any questions, please call me at (651) 681-1914. Sincerely, PIONEER ENGINEE G, P.A. G'.. n J. rndt Urban Forester cc: Ventura Homes 2422 Enterprise Drive • Mendota Heights, Minnesota 55120 •(651) 681-1914 • Fax 681-9488 625 Highway 10 N.E. • Blaine, Minnesota 55434 •(763) 783-1880 • Fax 783-1883 ,* » i` PIONEE * enginei * „ * * HW? F?7EA ?,Z972 R p. CA?YE?R.1? - 31 ?•1X 3'701 R FLLV SCALE:1"=40' 880 FAX:783-1883 ?-_ _______ ___x 10? 24 \ aS '?r ?_y ?0 23 ? 22 ?27 . 20 e 5a.o? ? ? ; . _ 0? ig? A qJ ? ?? a 1 9 ? O ? ? 1 A ' s ia SIGNIFICANT TREES NO '1'YPB ATES ? ? o\ 1 iJ' RED OM SAOE - - _- --__ t z is' REO oac save 3 15 REO ON( ' SAVE ? a 15 RED Qac SAVE 5 13' RED OhY SAVE 8 16" RED OAK SAyE (8340) 485.30 ]a_l? i 8 ---- .-_ i-_ ----E6a.o?x965.3 --- i 863.8 o x i i 6ARAGE i np i m62r ?z •' Qi B6a.2 a -. \ .3 i7 mi 1 aso.s ; SIGN;FICAN'I'WOODLANDS I ? ------------ J 0 O(0 i N 0 ? -0 134.32 -' Z ) 17' RED OnK REMOVEO N89'45?ZB?E 8 9 17 15 REO OAK REO OAK SAVE REYOVE 10 13' RED OAk REMOVE il 18- RED OAK (2) REMOVEp 12 13 REO Ouc S,?yE 13 12' REO Oa( SnVE 14 15 REO Q4K SAVE 15 ta' ' RED Oac SAVE SITE SUMMARY 16 t] 15 10" RED OAI( RED OAN $pVE SAVE 18 18' ' RED OPJC REMOYEO ]'Q7?$S$qyg: 19 (76%) 19 20 1a 13' REO OP1C REO Oac SnvE SAVE TAEESREMOVB: 2($.0%) 21 P2 1B' ia' REO OAK (2) RED OAN SeOE SAOE '?'j«$ pgMOVCO: 4 (1 6A7>) 23 16' RED ON( SAVE 1'OTALTREES: 25 (700%) ]a 18' RED dV( y,vE 25 1S' RED Onx REMOVED 28 13' OUN(ING 15PEH OFF SRE 27 15' BUCK LHERM OPf SRE 28 te' $COiCM PINE OIF SITE rvEE05 i0 BE PRUNEO FOR CIEARANCE OF n0U5E I hereby cartify that this plan was preporetl by me or untler my Ofrect supervieian antl thot i am on Urban For¢yler. SICNEO: PIONEER ENGINEE ING, P.A. BY: ? OaTE: LI-I[ I Ken ArnOt, an Fwes(er 21•Z.00 853J (853J)I O U 6 TREE HAS BEEN RECENTLY REMOVED FROM SITE 14O x873.8 x876.3 x8]6.2 l875.]I z5.3 BJ'e.] I10 I I I "?W LO J5, g ?10 ? p? ?N ]5. 8]5.t 5.6)? I I t? I i I i i i ?? on+?.?s - - - - - - - - - - - 15 .4 / ?Na ,5 876.487i ,y ?cS' /s k+j°?y9 9 5850.OOfipW TREE PROTECTION FENCE ADDI'fiONAL NOTES: . x0 TREE ItNEHiORY wlS AVMABLE FOR THIS OEVELOPMENi •NO FlLL SHOULD BE P1ACE0 AGYNST THE TRUN14 Ou 1HE ROOT CROWN. OR WITMIN THE OPoP-LINE ARFA OF AN! tREES TW1i P4E TO BE 54VED. •CIRE NUSi BE TAItEN ip PRMM LWNCE IN THE 501L CXFW51liY DUE TO CONCRETE WASHq1T OND LENUCE OR SRLI.WE Of ttl%IC NATERIN.$ SIICH AS PNMS OR fUELS. • PRUMNC OF ONt iREES MUS1 N0T TM(E PVCE tROM AiR0. IS TO JVLY 1. •iF WODUOiNG OP ON( iREES OCWR, A NON-i0%K WOUNO DRESSINC NUST BE MPUEO IMNGDNTEb. EXGV/.TORS MUST wK A NON-i0%IC TREE WOUND DRESSINC WIiN iHEM N OEVELOPMEM SRE). • iREE PROiELiION fENCE IS ttI BE PUCED OURIDE lxE DFIPUNE 0( lHE TREE. •TREES WERE YISl1PLlY LOGiED BT FIONEEH ENGiNEEWNG OATE: SICNATURE OF OWNER xats enteronae o.i.a umaotc Heiqnb. MN 55120 (851) 681-1914 fA%:867-9488 Certificatefor: VENTURA HOMES LOT 10, BLOCK 2, DELOSH ADDITION 2887 HIGHRIDCE TERRACE EAGRN. MirvNE50TA (DAKOTA COUNTY) TREE CERTIFICATION -_________ __ _______ i-TREE LINE i 199112.OI , ? t ? 0 /\ e [9? O ? ?? ? ?-/n ? Lv' 0 ? i.q/ ? ? V ? 0 C4/ ? ? C? Ll ? LA/ ? ? R? ? ? ? n ? ?? ? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTYLEGAL: I?lLI K. 2 De?, sLi 1'72 a!'? DATE OF SURVEY: -3-/3 -0i R LATEST REVISION: DOCUMENTSTANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and scale . House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposed/existing sewer and water services & inveR elevation • Street name • Driveway • LotSquare Footage • Lot Coverage ELEVATIONS Existin L,?? _, . Sewer service (or Proposed) Cu? ? ? . Property corners ? G ? • Top of curb at the driveway and property line extensions C? C C . Elevations of any existing adjacent homes ??? . Adequate footing depth of structures due to adjacent utility trenches Prooosed Ca? ? ? • Garage floor LR?/ ? ? • First Floor L d l i lk U i d ? ? n . owest expose e evat on (wa ou w ow) C3??/ ? ? • Property comers (3 G ? . Front and rear of home at the foundation PONDING AREA (if aoolicable) ? ¢K ? • Easement line ? EK G • NWL ? P/ ? • HWL ? VJ7 • Pond # designation n ? ? • Emergency Overflow Elevation ?? ? L9' ? I I IiY CI !::I '? ? Ci V7/? CI lY ? ? DIMENSIONS -/3 D • Lot lines/Bearings & dimensions • Right-of-way and street width (to back of curb) • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) • Show all easements of record and any City utilities within those easements • Setbacks of proposed structure and sideyard setback of adjacent existing structures • Retaining wall requirements, if any Reviewed: Name A city oF eaqan t+'? f Name: Date: ?...t -q " d ( Site Address: ZDO? J) bC Telephone#: -2I09DDD Rim Joist Detail Optioos As out(ined in the nerv Energy Code, buildiags constructed with three units or less require that rim joists be put up according to detail optioos shown betow. Please circle/highlight the option you will be using. 6 # 8 Other : Site address: siock Subd. ? On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. X This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR _ This struclure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLUhNCE GAS ELEC MANl1FACTURER MODEL BTU'S VENTINGTYPE Water Heater A D?/ ? S µ qa z?O a (f? LMU Urin7- Fumace x g,e Akr7. 3 SD !/YjflU 031,0D-f o rnwwlVexr- Dryer kE1J VYIOe-e 14 f( q l 2O O 1fJ DO AIM2 v U EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED ves No Kitchen kitchen J?SD Bathroom 1 ? C.,- 0n? M-tar oeOA-4 3 D x Bathroom 2 G? writp tc I! 940 fi SD Bathroom 3(U Gal 14 it i! 40 3b Bathroom 4 Other FIREPLACE S LOCATION GAS WOOD MANUFACTURER MOOEL 8TU'S VENTING oiRECT ATMOS Arn.e4e. 3 D 38'e MAKE-UP AIR MODEL TYPE CFM's a- 2v j-- -? P-v ?3 I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. l?a•G--b?t.Y2?+? ? 1--1??fl ? Sigqatqrep Date Company Name AA This form is the responsibility of the General Contractor. ? ? ? c? -L ?-, ? ? ? ? ? **'** * PIONI ?a- _nQ rn Certificate of Survey for: LOT AREA = 50,547 sq. ft. HOUSE AREA = 2,972 sq. ft. DRIVEWAY AREA = 3,704 sq. ft. COVERAGE =13.27, HOUSE TYPE=RAMBLER, WALKOUT 851.1 PROPOSED HOUSE ELEVATION LOWEST FLOOR ELEVATION: 158•(p TOP OF BLOCK ELEVATION: 'Ec07• 1/ GARAGE SLAB ELEVATION: V0710 T08 0 LOOKOUT EIEVATION: X 000.00-TENDTMEXISTING ELEVATION ( 000.00 ) DENOTES PROPOSED ELEVATION --- DENOTES DRAINAGE ANO UTIUTY EASEMENT DENOTES ORAINAGE FLOW DIRECTION • OENOiES YONUMENT -B- OENOTEi ')FFSET HUB 6-53f•o) N89'45'26°E ? •! 9 WE HEREBY CERTIFY TO VENTURA HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: ?.? LOT 10, BLOCK 2, DELOSH ADDITION y" OAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED 8Y ME OR UNDER MY DIRECT SUPERVISION THIS 13TH DAY OF MARCH, 2001. SCALE : 1 INCH = 40 FEET - - ---- - BAT - ?i 101058.00 - NOTE: PROPOSED GRADES SHOM4! PER GRAUINC GLAN BY: OEVELOPMENT ENC. N01E: BUILDING DulEN510N5 SHONN ME FOR NpRIZOHTAI AND VfRTICAL LOChT10N OF SIRUCNRES ONLY. SEE ARCHIIECTUAL pLONS FOFt BUILDINC AND FWNDATON DIMENSIONS N07E: NO SVEqFlC Sq1,5 IN4ESTGA7ION HAS BEEN COUVLETED ON 7lu5 LOT BY 1H[ SURVEYOF. 7HE SUI7ABILI7Y OF SOILS TO SUPPoRT THE SPEqFlC Mq)SE PROPOSED I5 NOT THE RESPONSIBILITV 0F THE SURVEVOR. NOTE: THIS CERTFlCATE OOES NOT PURPORT TO SNOW EASEMENTS OTHER THAN iHOSE SHOVM ON THE RECOROED PLAT. NOTE: CONTRACTOR A1UST YERIFY OFIVEWAY OESIGN. N07E: BEARINGS SHOwN ARE BASEO ON AN ASSUMEO DATUM APR 13 RECI' M 485.30 ? 876.7 260.14 875.3 ------------------------- + --? 3 00-p a? 10 I x 866.1 W ? I x d 868.7 u r x 873.8 x 876.3 x 876.2 ? 875 E _ J ,o / •? ? oK?o. I 850.3 3 I ? JS °° ? ? N 0 n S4.JZ -' - 212.00 853.7 Z ? 8 6 F? hl 0R0 tl¦ Ll4!t Staflan leettewrad D 4 876.4 EXISTING 876.5 HOUSE W g S89'45'26"W a 150.00 ; ?V???? . L???? ? ?... .';1_1, ^ T.T v ? 875.1 ? 1 S. 5 00 r ? ? , ? i i i I 1 ? SANITAR I Y SEWER BY OTHERS SIG Pn PIONEER ENGI IEE?BIDF?, P.A. --- -_ BY: C. Larson, L5. Reg. No. 19828 i n+s • Cr.k rnaNOes • wmswsc ueoaacrs 2422 Enterprise Orive Mendota Heights, MN 55120 (851) 881-1914 FAX;681-948B 625 Highwoy 70 N.E. Blaine, MN 55434 (612) 783-1880 FAX:783-1883 VENTURA HOMES 2887 HIGHRIDGE TERRACE CLIENT-HAYES BENCH MARK TOP OF PIPE - ELEV.=865.09 i , r i 'i N89'45'26"E I ? 867.3 ,- 74.17 --J ?- N ? - - - - - - - 859.3 x 48.67x 4. 6 x 865.3 o 25.50 p? 8f?.f; -o o DRI?VEWSA? / o GARAGE ? n o ° i''iW ? ? p \???-yc L? /v .5 \ 858.6 OO a/ 12.D N?• \?? 858.0 @3 X ? -A c^G n o ? -or, 1 O °? tcv 38.33 857.0 858.5 29.84 \ i?\ i'n i 854.44F ? ? ?gzs.s? - c FiENCH MARK 7Op OF PIPE ?i tLcV.=857.77 i ' tfl ?0?? I ---------------O , I o ? N I N W U ? W ? 0 ? ?IDENTIAL a ? ? F? 9? S?? 0,I1 !3L R a gUILDINC PERMIT APPLICATION y?15a' CITYOPEAGAN Mp-"/Sm- 70-5Q 3830 PILOT KNOB RD - 55122 651-681-4675 ! p^151 C? b ? 10.50 New Constmction Revuirements IS? p,,/??-- ? py ? RemodellReoair Reauirements . 7 registered site surveys showing sq. R. of lot, sq. ft. of hoL?€ 3nd2il P6bred areas `. 2 mpies of plan - - - - - - - - - (20% maximum Ict coverage allowed) . i set o( Energy Calculatlons for heated addifions 1 ? • 2 copies of plan showing beam & window sizes; poured found design, etc.) . i site survey for extenor addilions ,5,2 & decks 09 ? • 1 set of Energy Calculations / * 3 copies of 7ree Preservation Ptan il lot platted affer 711193 /? t • Rim Joist Deiail Options seleclion sheet (61dgs with 3 or less units) 1 Q+I?{ \. ??1 J ! DATE - l-!D VALUATION (EXCLUDING LAND) 22-? F) ?? ? JOB SITE ADDRESS Z i?9:j 1 I-,b4:?1 IF MULTI-FAMILY BUILDING, HOW MANY NITS? PROPERTY OWNER QIJ?- TYPE OF WORK FIREPLACE(S) _0 1_2 _3 APPLICANT PHONE # (y?T_?(p? ADDRESS ZIPCODE PAGER # CELL PHONE #JQS 1-2'-E8 AX # ? NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MIV NESOTA 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: fq(A W1 eWi-b k4une #: ?I 3? - l 21 S PluinUing Systcin Includes: Wa[er SoF[ener _ La?c?i Sp ? kler Fee: $90.00 'vVater Heater No. of R.I. Baths ? ??.,No. of Balhs Mechanical Contractor:0'-2 P11.(m4'/1/1k1 "PAne # ' I Vlech.uiical Sysucm Includes: Air Conctitioning Fee: $70.00 Heat Rccovery System Sewer/Water Contractor: _ la exoko"?jj ob Phone 4 YD_ ?_ I All above information must be submitted prior to processing of application. II n I?? k„_Q e( iii ?w I hereby acknowiedge ihat I have read this application, state that the information is correct, nd agree 1 all opplicable State of Minnesota Statutes and City of Eagan Ordinances. gy Signature of Applicant t Certificates of Survey Received Tree Preservation Plan Received _ Not Required Updated t101 OFFICE USE ONLY ? Ot Foundation p 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex O OS 03-plex ? 06 04-plex f 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Porch(screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDaors 'Demolition (Entire Bldg anly) • Give PCA handout to applicant Valuation ? i 0a(J Occupancy - ? MC/ES System Census Code /G l Zoning ? City Water SAC Units Stories ? Booster Pump N6r. of Units ? Sq. Ft. PRV Nbr. of Bidgs Length oa'? a Fire Sprinklered Type of Const Width s6? ? Footings (new blde) _ Footings (deck) Footings (addition) jp Foundation 40 Drain Tile Roof ?- Ice & Water X! Final ?G Framing Fireplace R.I. Air Test Final ? Insulation _ Other _ Pool Ftgs Air/Gas Tests _ Final _ Siding Smcco Stone _ Windows (new/replacement) Approved ByLid_, Buiiding Inspector Base Fee Surcharge Plan Review MC/ES SAC city sac Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Ga2ge ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N 8 S?T zeezv)-- zs ? ?'l#1-?v G&d?-L ?g k ?l? `17 8?l? a? REQUIRED INSPECTIONS FinaVC.O. Final/No C.O. Plumbing ? HVAC G _ ! 7 .? ?D 2D5'bfcl?- / .nl?O ? ? ? l?d m m = l 026(0 ? 30 City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: /0 rro Permit Fee: Date Received: 6 -/1.17 - Staff: -/ I Staff: ' J 5 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: O OWNERS S/— V92C7 Name: �jPL)� �A e� Phone: 6 -Zi Address / City / Zip: 2 1 \` cj h f -, air -P I E' Y V et c se Applicant is: Owner YContractor Description of work: X d PE OFWORK� _ Construction Cost: lVi 5 vC7 Multi -Family Building: (Yes / No �') CONTRACTOR R P 0c, H Contact: t G,C� Company: 0Oete.."' }E.T'�,cx Address: Of 120 ,141 Y-Pcz-.c.) Q.ci2 £0 City: cdqa +2 GYav-,- State: W Zip: SS Q / ( Phone: ' 1- /- 2-32' 9 73 License #: G 09'Z0 -. 5 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Plans and supporting documents that you submit are considered to be public infortr►etion Portions of •61/7 Ormation maybe classified as non public if you provide specific reasons that would permit the City to conclude'.that they are trade secrets.:- LL CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances 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. Exter = work thorized by a building permit issued in accordance with the Minn d. sof peri ' issuance. lica is Printed Name clr\et r& -�, vY e Building Code must be completed within 180 x pplicant's Signature Page 1 of 3