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1550 Highview Ave íü þ ý þýýüûúûùúûøø ÷üüýýøÿÿì öõö ô îí ÿ þý üûúùø÷õÿá åÿ ûùø÷ õ õÿá ÿôáê÷ò ÿ ãûÿ åÿûÿåäû÷ø Ú üñû ò÷ òÿððò ñû ÿò ÿú òÿçæ ÷ ÿýæ æ ò ý ÿ÷çåæ æÿ÷æ ÿç å úò ÿ ñû úøÿ æòøðòÿç ÿöèÙèííçíçí ô÷ üû ð èçîçî Þûýç óò ñõ ÷÷ ê ô ô øÿð ø îåûøêåõÿã ð êÿ ïôþ ïô ëâéâ ð úø ðð ðÿ÷÷ÿððæ òÿ ò÷øð÷÷úü æïÿüûÿåøæþ ä ÿç ÷÷á òü û ÿÿûøü û Address 1550 Nighvicw AvPnua ZlP 5512? LAt 1 $1]C I SUb Nader Addition THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of rooF test caps from ihe pfumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor CoPY ? (e3"3 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consimdion Reauirements RemodeURepair Requiremenis 3 registered site surveys showing sq. fl. of lot, sq. fl. of house; and all rooFed areas 2 copies of plan (20% marimum lot coverege allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes, poured found design, etc. 1 site survey for additions & decks 1 set of Energy Calculations Addifion -indicafe if on-site sepficsystem 3 copies of Tree Presenralion Plan if lot planed aFter 7!1l93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) 41-; e° ? ?6?use ......... Certal'SurveyRecd Y ?N Free Pres PIan REbtl Y% YV??. Tree Pres I?eqwred '? * N <-. .._ Ores3fe BepticS4jsiem _.. ?_ Y N Date 3 /J_7_ / d 5 Construction Cost Site Address ?/rf C-? Unit/Ste # Description of Work Multi-Family Bldg _ Y44/ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner ?UO?S/ Telephone#(lpJ2)?II?or2?9?i Contractor N ?D F-2 Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catezorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y_ N If so, 255yo plan review Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the informati g?is comn[e-a?ate; that the work will be in conformance with the ordinances and codes of the City of agan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of ans. A'4D? ?.?? A I s rmted Name OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling 0 OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ) ? 04 02-plex ? 10 OS-plex x 18 Deck ? 23 Porch (screenlgazebo) 0 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Yor_ N ? 25 Miscellaneous Work Types ? 31 New K 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code Y T SAC Units # of Units # of Bldgs Type of Const 1 I(,? _ Foodngs (new bldg) _ Footings (deck) - r? y/efo rpAj _ Foo[ings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing - _ Fireplace _ R.I. _ Air Test _ Final Insulation Width REQUIItED INSPECTIONS FinaUC.O. ? FinallNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: ?4-Z..- , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? y ? 30 Accessory Bidg ? 31 Ext. Alt - Multi ? 33 EM. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors 'Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered 1 ?? 7 !i1/e L?' ?f ?i? ? ? ? .y (."> 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 96 "-?,O. S-C) New Conslruction ReauiremenGS RemodeVReoair Reauirements OHice Use Onlv 3 registered sHe surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas 2 wpies of plan Cert o( Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 sel of Energy Galcula4ons for heated additions Trea Pres Plan Recd _ Y _ N, 2 copies af plan showing beam & wintlow sizes; poured found desgn, etc. 1 site survey for additions & decks Trea Pres Requi2d _ Y _ N lsetofEnergyCalculations Addifion - indicafeiloo-sitesepNcsystem On-sifeSeplicSyslem _ Y _N 3 Copies af Tree Preservation Plan if lot platted aker 711/93 Rim Joist Delail Options selec[ion sheel (bldgs with 3 or less unils Date _LZ_ / S / C??4 Si[eAddress ? ?sp 141 VIPI4/ Construction Cost '- ?Le, UniUSte # Description of Work ???N? 2?dT ?4 Fo2 Fu7_6(1? DM?? Multi-Family Bldg _ Y?L N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Fue-??? ?? ? Telephone # (?(2_) 2/!? 5 Contractor Address Sta[e City Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catecorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (q submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a fee applies. / /y Licensed Plumber Mechanical Contractor Sewer/Water Contractor r plan? _ Y _ ? Telephone #( Telephone # ( N If so, 25% plan review I hereby apply for a Residential Building Permit aha acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ' ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ?-.. R ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg X 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ;4 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 'O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair K 33 Alteration X ? 37 Demoiish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg ) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code _N 3T Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const V6 Width REQUIRED INSPECTIONS Footings(new bldg) _ Final/C.O. ? Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile O[her Roof Ice & W ater F inal Pool _ Ftgs _ AidGas Tests Final _ _ Framing _ _ _ Siding _ S[ucco _ Stone _ Br ick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall r--- Approved By: ?:2, , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total [Oj1&L ?pp* S oWLy CTI'Y USE ONLY LOT - LBL I PERMIT #: J 9-3(p(o SUBD. RECEIPT #: ?-D RECEIPT DATE: 9 2000 MECHANICAL PERMIT (RESIDENTIAL) czxY os Eaax+x 3830 PIIAT IINOB RD EAGAN IMt 55122 651-681-4675 Date: Complete this section onlv if you aze insfalling HVAC in a single family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) ? 15. 0 b 3tate Surcharge .50 Total $ -S? !• S C) Complete this section onlv if you are remodeline, addine to, or repairine an ezcisting single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration Fumace Air exchanger Fee State Surcharge Total _ Repair _ Othet _ Air cooditioning Other Reminder: Call for inspections SITE ADDRESS: OWNER NAME: L INSTALLER NAME: STREET ADDRESS: $ 30.00 .50 $ 30.50 PHONE #: - I c nI r ? PHONE #: - RGJ?SJD 'L ( A CODE) ?? CITY: STA7'E: ! - W??/ I ZIP: OF CITY USE ONLY L BL PERMIT #: SUBD. RECEIPT#: APPROVED BY: , INSPECTOR RECEIPT DATE: 2000 NEC8ANICAL PLRMIT (CObMRCIAL) CITY OF EAGAN 3830 PILOT 1QiOB RD EP,GAN, MN 55122 651-681-4675 Please complete for: all wmmercialfindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE WORK 1'YPE: New constructlon Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping R'hen ins[alling/removing underground tank, calf 651-681-4675 jor inspection by ftre marshaf and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee Contract price: $ x 1%_$ (Base Fee) State surchazge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLl): WAS TfERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE CITY U5E ONLY L ? BL ' RECEIPT#: I ? ( 9 SUBD. `C?-RECEIPTDATE: ? - a6 ov PERMIT# ? l a?I 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3630 PILOT IINOB RD EAGAN, bID7 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACFi f/ TATAI Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x Z- Floor drain 3.00 x = $ -3 G2S piping Outlet ' minimum - 1 3.00 x = $ 73 Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ 3 Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System newlrefurbisnea • requires MPC Itc. 75.00 x = $ Septic S stem abandonment 30.00 x = $ RPZ new installatioNrepair/rebuild 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Unde round s rinkler rf dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x f = $ Water softener if dwelling under construction 5.00 x = $ Water softener If ezisUng dwelling 30.00 X = $ Waterturnaround 30.00 x $ State Surcharge .50 -> --> -> $ .50 TOtal Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------------------•------•---- -----------•----------------------------•-------------------------•----------------------------. _... _.... i hereby adcnowledge that I have read this applicaGon, state thet the infortnation is Corted, and agree to comply with all applicable City of Eagan ordinances. tt is the applicanPs responsibility to notity the property owner tnaf the Cky of Eagan assumes no liabiliry for any damages caused by the City during ita nortnal operational and maintenance adivkies to the facilities wnstructed under this pertnil wkhin Cfty properiylright-oT-wayleasement. SITE ADDRESS: ' (n?._ OWNER NAME: : FAC'efs` ? CS G t ? L TELEPHONE #: . (AREFaf?ODEY(2,_ yg,r INSTALLER NAME: (M-?- I? h" b? h TELEPHONE / (AR CODE) STREET ADDRESS: / 3- v? CITY: STATE: ZIP: ? SIGNATU PERMITTEE 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) "'J CITY OF EAGAN ? ? ? ?.. 3830 PiLOT KNOB RD - 55122 ?- ??jg g S 851-681-4675 New L'onsfrucfion Reaulremenh Remodel/Reoatr Reauiremen}s? / D 9 reglatered aXe surveys ahowing aq. X. of lot, aq. R, ol house 2 coptes ol plcn and QII rooled areas (2046 mmdmum lot coveraae Wlowed) i set ol energy calculatlons for healed addfllom ? 2 copies ol plans (show becm S. wlndow slzes; poured Ind. deaign; etc.) t sXe auney for exlerlor addRiona A. tlecks D 1 sef of energy calculaHons . ? 3 cop7es W fise preservaHon plon B loi platted afler 717/93 DATE: ? ???4 ? CONSTRUCTION COST: DESCRIPTION Of WORK: hPw STREET ADDRESS: =LSSO 111G #j/I eft? AYe _ ? lOT: BLOCK: SUBD./P.I,D. #: I?Iu ?1 ? - PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: Phone #: 05'/ ) 9n 5-1 2- 2/ Laai First - Sheet Address: A?4 , Ci1y ?EF''z?ft-n State: m?J Zip: 55/Z I Company: IV ???? C?55d?. Phone#: G(2l ?31-so Sq (area code) Sheet Address: 72 5o Y? " 14License # Exp. City State: M N.., Zip: 5 Company: HQJ?? Er AS 5 15'c , Name: Telephone #: area code ( ,? (2_. ) g 3/ - So 5-2+ Stree7 Address:??,?_ Regisfration #: 210 5 0 Ctty State: Zip: Sewer d, waFer licensed plumber (reauired for new conslruetion onlvl: 'PenaNy applies when address change and lot ehange Fs requested once permR is issued. ?I hereby acknowledge fhat I hd`ve read Thls appllceflon, stade that the IMortnaFion is cortecf, and agree to eomply wiFh all applicabl Stale of MinneaWa Stafutes and CMy of Eagan Ordinances. ?- _ Signahne W Applicanf: 1 OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ' Tree Preservation Plan Received _ Yes _ No _ Not Required OFFiCE USE ONLY BUItDING PERMIT TYPE r ? 01 Foundation ? 06 4-plex ? 11 10-plex O 16 Firepiace ? 21 Porch (3-sea.) 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ ptex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-piex ? 09 7-plex p 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? OS 3-plex ? 10 8-plex O 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE X? 31 New °? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration 0 37 Demolish Bidg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair O 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) lv'? Basement sq. ft. ? 7 S -? Census Code /0 I (AI{owable) Main level sq. ft. i 7 S 2 SAC Code 01 UBC Occupancy L-? -&=;E?q, ft. No. of Units I_ Zoning sq. ft. F_ 16 ? No. of Bldgs _L_ # of Stories sq. ft. 3I yN MC/ES System Length sq. ft. City Water Width Footprint sq. ft. 2 67,3 Booster Pump PRV Fire Sprinklered APPROVALS Planning Building (S G Engineering Variance Permit Fee Valuation: $ )'OSS , 2Sr0 Surcharge ' Pian Review License io I?S2 14- Y IS o 26?2trU MC/ES SAC , ? = a?Ca4l ? 5 y City SAC WaterConn. Ny k5y ? =?z?s?6 Water Meter Acct. Deposit SNV Permit -? ? ? F?tiS ? ? 2 6 ?- t6 a 1 '?81 6 ? S/W Surcharge ' Treatment PI. ;s Park Ded. Trails Ded. Other Copies Totai: SAC Units % SAC .. . . C y.?. , e ... , . -. • ? * ''`? ? ' .. ??.T? w st' ada? r, . ? ? ? ... '. ' 2r ' ? ", a :a.7,a?vC •.:i5i1 ?-"IGf{t1'fCt^f tk ,: ? ,3C1.:{?? ?n.?n.':)!"!''k '1ii:•t9 H.??`a'?:''??N: ?5' 4 0^`•. :15 t?,.? ? ; _r?kat?;,un ?.?Jrt1iQ??f IauiV ?A i's..;?E8l.t?5l?;?H3.t;F????'? .' i?SY89.? :.g.e6 '_'?t7': ?:.=r:i? F#?'iLrl'?I"•.'?w G ;Lt1?5[!-_ 3i-:,* '?lrJ? Oi 3r???,3•3??f} 'HaL."WItM F _ p,S, f.`=.Fmkt'.'lE:AF R ? +FEg.L'lCY, ?• , ?C'X?:??'?' 3` "?i?k?1?' 'eP;?kii`I.??C'i ?+'1F,?','iC+1Y?•Y.?'.?'6.'`n?? .: ..: ? • e " _ 2? r : - ?,? ? . ' .. .` ' . . . . .. . . .n;: - . . „ ? . . . ' , • ' •4 ? .? ?3. . ? . '•`J, : . . crrr ar >YEsV TWAG1? ,. , wi, u • = - ? .:?• . , .. C"!? 3rf?,.'3'r?20 l;i,.`,0 N?C?+"iV'nY??s1 ?An 1fi.Q f.??3?hYiTl,i'1.?14,j.?i 1'? , y w0»??( f" , F A ?• t?c`.i_.?; . _ , . Y7?,:g1 'trr -:??;?:, ?Sry 1 `?:: • , . ?; „,? ;,u. .. u? f;).J`-t ; : . . . ' ?d1$:;:x'?i';J', <?:'':'?h ?%'..;' k3''`Cny??:? r :?7:'T:•,,:. ? e . . - . - . ° . .. . ' _ 1999 BUILDINC ? New Conahucfion Reauhemenh PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KNOB RD - 55122 ?7S?O .?4 l 651•681-4675 Remodet/Reoalr ReaulremeMs ? 3 registered sNe surveys showing sq. fl, of lot, sq. H. oF house 2 copief ol plan and all rooled areas (20% maximum lof coveraae allowed) 1 set of energy calculatloro for healed addiNOns ? 2 coples of plans (show beam 8 window sizes; poured Ind. design; etc.) 1 sMe survey for extedor addNlons R decW ? 1 sM of eoetgy calculallons ? 3 copies ot hee preservaNon plan B lot plaHed aMer 7/1193 DATE: CONSTRUCTION COST: ? Il oco DESCRIPTION OF WORK: ? STREET ADDRESS: I SSb L?, /. Lr 9l/ ?p? A ?-e , ?A-Gr l? n? M N?5 12- LOT: ? BLOCK: SUBD./P.I.D.A: Name: NC?I?Y S?°lC?Y ADC-7'?? 4('rrhone#: $-J2 2 ? PROPERTY Las? FUst OWNER Sireet Address: ?k,?e City i2?j /'9-" State: 44 iip: S 5/2 ? `?fz) )-72-3783 t°Ptl, S4 Company: 5 5oc Phone#{Ce?2 ?31-50 (areacode) ?61Z)'172-3783 CONTRACTOR Sheet Addreu:72 5e2 fIXry Yo1e ? ? 3 License # Exp. City F ??n State: M N _ Zip: 5 ARCHITECT/ ENGINEER Company: N u °`y z?`5 5 d c Name: Telephone #: area code ( '/'(Z ) F3 ? ?So s.!j Stree'tAddress: !'?f?..e 4,ReglshaHon212 5? City State: Sewer & water Iicensed plumher (reaulred for new conshuclion onlvl: Penalty applies when address change and lot change Is requesfed once permN ts (ssued. Zip: I hereby acknowledge that I have read this applicatbn, state thaf the informatlon Is coQect, and agree to comply wHh all applicabl StaFe of Minnesota Statutes and CNy of Eagan Ordinances. Slgnalure of AppllcaM: ? .? -- _-- - - .? OFFICE USE ONLY ?. Certificates of Survey Received _ Yes ?"o ? Tree PreservaGOn Plan Received _ Yes ?Zo _ Not Required-? OFFICE USE ONLY '• BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ;q- 02 SF Dwelling O 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of plex ? OS 6-plex 0 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 _ 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 5torm Damage ? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to applicant for demol ition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code ?P r (Allowable) Main level sq. ft. I E F ? SAC Code a? UBC Occupancy ^? ? u-I 2wd P, sq. ft. 1303 No. of Units I_ Zoning ?- r sq. ft. riN 3 No. of Bldgs f # of Stories ?,o- 6sw?,- sq. ft. MC/ES System Length `7S sq. ft. City Water Width 56 Footprint sq. ft. Z6ti S Booster Pump PRV Fire Sprinklered APPROVALS Planning Bu ilding C) G Engineering Variance Permit Fee Valuation: $ :z o z? `+3 Surcharge Plan Review L a w L ? tt "` l License MC/E5 SAC : !b ?i 7,K 1 S = 2 S? ISS City SAC Water Conn. `? =?? ? 6?Y ? WaterMeter i6?? y sN ? Acct. Deposit S/WPermit 91h0l S/W Surcharge 1.3 0 3 x SL( Treatment Pl. ParkDed. Trails Ded. c??13 ,?1L Y /SG Other Copies Total: ' ? - y SAC Units % SAC exrntoa Exvaov[ rHVr+u M&xsxtr,AMci PAGe 1 srAXaUo WonMEM ? ? O ? . r? ?.: ,; I U31 NI Slte Adaress 1550 A 414V/,!Fb? AVE. 6A`c,4-NOM+er t\I?12-1`5r7DkAY Concrae_.r N G?f??? ? /?5 5 oc., Ptwna?e?2)f,3/-Sc?,Cau 2o/9q Bu17o1ng 7ype (ctecz one) jz„l, One md i.o Faaily Orrlltnq CLter i Assaoiy (pescrlDe typi ira? TaDte 3 or I Aren (A) 11-Yalw U: A snar etteulatloni on iaae 2) (5oFt1 insutatM Ana 1 GR I 0•0 22' 3 ?• 33 Frsina Area I ??P !•? I O.O ? I 4-4 1 ? e a Stvllahu T?iw I ? OUrr (deserib* .I t Ott+er fdescrt0el I , I Tati, s 1 Sc? ?{ """` ( 41• 74 2 Arerjoe U-W1w (ILrAI fAl frm l1n 1' 22'{ 0,0 ]? Reavired U-Vatue (froe tez2) 0.0 'GCe re*Wew insui:ua Area I 3..5I S- ; o. o+. ' /q-o. p(P Framiea Ares I 3?'?• j? p•0 j 31• C? wndows. rroe 1047 •? a. 35 3GG'•4 ooon. TYc= - 4,3 ? o.o-7 I 4•41 Rim Jaist Area ( 318 ? 0:04 15-92 ? Ftnvlaca vatl I 168 - f.a+ I I lp-72 = Famdatl ort Ya11 (aao.e araee) 3 20 e e Fem+ea:4en-iunaa.s swc F?Ti o pct?R -?-s.i-. 0,35 I 2`?• ?(- Qt7+er (deserfbel I Id4u L. L2}(4 BhsMT. O.o 7 pa,e• reescrlbe FRAMIPI4/?'Efi?X¢B?+T ?j7:5.! 0.13 ? I(•3? Ottier (QescrlDe) I I ( \ 4 I Totats rPS?'? ?= i?e?2 S •?? S I Arersae U-Yalue. (ltsAl/!A) froe Line l =?? I ?•/O/ ?? 6 I Aeaulrrd U-Va1ue ffrna ceztl *'?'?* •?'1 '?'?'?? It Ltne 2 is greatsr tlan L1ne 3, or llne i qrcater Vun Line 6. caoleu sht follanne ta detersine alternative U-Yalue far mul ezeirlo*' e++reiooe• $ 7 l Area (Line 7) + Arta (Ltnt 4). ?- c a I uz1 (Line t)+ W(line 4). • • I*?''''''* 7J0. Z 4. z • I'''"'"'"« I Q'5•53 9 Ar I ea (Line 1) z U•Yalue. (Line 3) 0 ? ? 10 I Arca (_tne 4) : U-Yalue (Line 6) _z • I s'?'"?t I723,?vq ? 11 ('9Wqe;'. line 9* Ltne 10 I?r I772. 22 o '-' i l2 I:.?[ernac!ve V-Yalue. Line ll/Ltar 7 1 I! :tne 8 is grea:er nan L:ne 11, •Irer tsleaaltti as reGUind sa Ltne 8 does nac t:ce-4 Ltne 11. LOT SURVEY CNECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: /0T2 , /g'"'e DATE OF SURVEY: 10'?S - ?q LATEST REVISION: /O'?o DOCUMENTSTANDARDS /? o • Registered Land Surveyor sgnature and company v ? ? • Building Permif Applicant CK o ? • Legal descnption ? ? . Address q? ? • North arrow and scale q? ? ? a • House type (rembler, walkout, split wlo, spiR entry, lookout, etc.) ? ? • Directional drainage atrows vdth slope/gredient 96 ? ? • Proposedlexa.sting sewer and water services & invert elevation q/ ? ? • Street name ? ?p ? ? ? . priveway • Lot Square Foohage ?? ? • Lat Coverege ELEVATIONS Ewstina /? ? • Sewer service (or Proposed) Wf/ o ? • Properry corners o? ? Top ot curb at the driveway S ? Elevations of any exassting adjacent homes ?? Adequate fooUng depth of structures due to adjacent utiliry Venches ?/ ? ? Prooosed • Garage floor m? ? ? y • Firstfloor lk l ti U i d ? ? a on (wa ou ? Lowest exposed e eva w n ow) ? ? ? • Property corners o? ?? • Front and rear of home at the iottndalion ? PONOING AREA fif apnlicaWel ? ? • Easement line ? r? ? • NWL ? ? ? • HWL ? ? ? v . Pond # designaUOn ? o • Emergency Ovefiow Elevation ? ? ? / ? ? ?X ? ? r7 a ? r? ?' ? DIMENSIONS • Lot IinesBearings & dimensions • Right-of-way and sVeet width (to back of curb) • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requinng permanentfootings) • Show all easemenLS of recard and any City uGliGes within those easemenfs • Setbacks of proposed shucture and sideyard setback of adjacent ewsting strudures • Retaining wall requirements, if any X?) j/ Reviewed: /(1 -. / Date March 19BB CNNGIBLD6PqMf.FM AFF[DA VIT OF EXEMPTION FROM STATE CONTRACTOR LICENSE State of Minnesota ) ss Affidavit of Nader Nooryshokry ) (Burlding Permit Applicanl) County of Dakota Nader Nooryshokry , being first duly sworn, upon oath, deposes and states the (BuiJding Permit Appficana) the following: 1. This Affidavit is submitted in connection with the building permit application made by Nader Nooryshokry (Building Permit Applicanr) for a proposed work project located at 1550 Highview Avenue , Eagan, Minnesota. I acknowledge and understand that Minnesota Statutes, s325.84, requires all residential building contractors/remodelers to obtain a license from the Minnesota Department of Commerce, unless othenvise exempt under the statute. I am exempt from the residential building contractor license requirement pursuant to Minnesota Statute s326.84, Subd. 3, for reason(s) indicated below (check those that apply): a. I am the owner of the residential real estate on which the home shall be buiit and I will do the work myself or jointly with my own employees or agents that I am building such home as my own personal residence and intend to permanently live therein. b. I am an azchitect or engineer engaging in professional pracrice as defined in Minnesota Statutes, Chapter 326. c. My annual gross receipts aze less than $15,000, d. My contracts on individual projects in aggregate do not exceed $2,500. e. I am a mechanical contractor, plumber, or an electrician. f. I am a speciality contractor, remodeler, or material supplier involved only in part of the proposed improvement to the residential real estate. 4. I aclmowledge and understand that the statements in this Affidavit aze made under oath and if I make any statement in this Affidavit that I lmow to be false or incorrect, I understand that I could be subjecY to criminal prosecution or denial or revocation of the building permit or both. FURTHER YOUR AFFIANT SAYETH NOT. Dated: l " (Bui ing Pe it Applicm N ? =OTAB.L1 OiA,,zo0.5 ?# Subscribed ajid s to b ore me /?y??Y ? ? FiCa_<s1-? Notary Public Nader Noorvsho 7250 York Avenue South Suite 123 Edina. MN 55435 (Print/Type Applicant's Name and Address) of House Location Por: P9504 rrysho]cry 3hc.ray 13 P9504N1 = Plot Eile P4V 55121 ' DELMAR H. SCHWANZ . UNO SVRVEYORS. INC. ReqiflereE UnOer laws of Tne Slsla ol Minnafole - MIea._6?2/4z3-1769 14750SOUTHROBf9amT,Q.PIjA IT MOUNT._ n .. Grrv z ?- " !iOpE'Sty AddteSS: SURVEYOR' CERTIFICATE 0 m 1550 Highview Avenue \ 776.2 7B .7 . 784.7 " 90.00 N '59'5 "E " 783.4 ? CURB STOP ?i saaitary Service .r,ocatio 1 - - - - - - 7e1.6 hs i , ! Inv. elevation at p ylline I 0 = 873.5 (proposed) 7e .21 787.3 + p ?n 790.3 m 5 ? + I79 '0 SCd12: 1 irt = 30 feet - ? 7ee.s I I ) G w .6 ? li 38 , y?.Z + 5 s? ?i 78 .5 zl 786 I - - - ( Nn - I ? 1\ / + N o ='Iron pipe N . .5 ? I •?? I ryH ???/ 788.9 13 7.2792.8 o O= ti?? hub at bldc ? Ii( GARAGE N y oPfset 114 79 .3 ? Pf Gy p `?1. Z . 13 t? h /Iq3 c Ex15t1RCJ SjJOt 2l ?_?- prcpDSed elev. +PROPOSED - 87. HOUSE + Proposed'directi a 6.2 N I x ?' of drainage STING i 'Z4.5!- d' . I 69 ? ?? I I787.2 ?t area = 18.448 OUSE ? 96.8 O 7 d ?? o? /2 ,,.,..rV I SrnuarE' f1 ,? ? ??at a ._ , House and garage ara a ?? ? '?? ? -il<?° ??? I /` v= 2,686 squaze feet q ? Ltio e Type: 2 story ? f, V S7b'3 .76 '.E. WdlkOllt m o 6 2 rLb-"?1- + ? » .si- 7a:.-2?_ ?ZL7` FLNaj?f BLOCK 1 UTIIITY EASEMENTSI-- ?m ORAINAGE AND 576'31 '7f"E ? ?QB.sr- I Y =y 30.O0 589'37' 13'W propert-y Description: r 5? yti~?S ?oi Lot 1. Block 1. NADAK ADDITION, accordi to the record plat thereof, Dalcota Countyl Mtnnesota. Also sha.rin9 the location of a proposed ? I p house thereon- o proposed garage floor elev. ;J / ?`°" ? ,? ., Proposed top of bloclc elev. J(9?a4e) f5-^ 'by? Proposed lowest level elev. a. .i. d.?., il,,.. 4? r , ..::.. r , y, f*', li:a.c:1:1i`l ii`???1J. .:aii?•.S.LVrn-t Q?.iDn1a6'T. ._.... ii: - ? 1I i / I hereby certlly that Ihis su ey, plen. or report was ?i ? ? c .. prepTfpd bY mP OI pf1A9r filY QI/CGI SV{1BlYISIqf1 A(Id ' Ihnt I nm a duly qeglslered Land Surveyor under ???,/ I h r ?, ' a?- ?? , ??? r ,,> ?"/ ?il;;r'?"' Ihe lawe of the State of Mmnesota. Sv1- WVr1NZ ? ?Delmar H? Schwenx oalPn 10-25-99 t "Minnesole Regietretion No. 8625 Revised 10-26-99 er •• . :? ?..pian. > Revised 11-10-99 ?angea ria. •,.. „ .... is• of House I,ocation For: P9504 A JTy3t101CL]? . ?ghway 13 P9504N1 = Plot File [MI 55121 = = DELMAR H. SCHWANZ . LANOSURVEVORS.INC. ReqieunJ UnCer Lew. ol Tl+e SOIe ol MinnefoL " 1475050U7HROB59'4T14.P.lk1 T MOUNT_MIWtjoL?n65i/423-17fi9 n r r?rrv-t - 1V !io[erty AddreSSZ ' SURVEYOFi' CERTIFICATE ? 1550 HlghVlew Avenue \ m 776.2 N 78 .7 .784 J " 90.00 N J-59-5 "E 783.4 CURB STOP ? _ - - - _ - - _ _ _ - ? I SBILLtdL]7 SeIV1C2 IACclt10 ? + ?79 .1 Inv. elevation at p lline 791 6 0 ;I = 873.5 (ProposeH) I 787.3 7B .2? ? g °m + °0 5 I 790.3 7e8.a F9 ?0 Scalee 1 in = 30 feet w ? 78 .5 21 5 Q I ?786.6 ' m + i? ? ='Iron pipe 788.9 13 7.2792.8 N GAAAGE N o - Woo?dffh?tat bldg ° ? p7?? ? N 79 .3 N ? I o w /19 ? = Ecistittg spot el o I ' `,! !3 4 i rn a?. PflOPOSED ?1?p,T? ?r-Proposed elev. ? I ? HOUSE + ?n -b?' ? ?- n? PLOpOSed d1TfCt1 ? 786, z N ) x " of dr@lllage S1ING i<^4.s± ? - I /5•69 w 787.2 Lot area = 18.448 OUSE B6.B t V ° 7 s9uare ft House and garaqe area ?q Z ? ? \ = 2.686 sq,am feet f 576,37 }'J f` ? House TYPe=walkout' --L"bT_1- + - ? _ ?a N 77 .fii-y 781:a? \13 I 15? ? BLOCK 1 UTILITY EASEMNTSf-- ?(,.Ti ??N?Sn? IC ORAINAGE ANO S76•3 1 .11 ? ? - ....... . -- p v ? ? 48. s!- 30 . oo ` 9Y4 = S89037'13"W I v 41 property Description: ?? 5 I J?ti/ /s rL? Lot 1. Bloclc 1. NAD21R ADDITICRI, accordinc to to the record plat thereof, Dakota 5? CAURty, MinnPSntd. / I ph2Q? . 0P Also showiix3 the location of a proposed t1CA]Se thPS£OIl. _ j'? Proposed garage floar elev. ,'i.U Proposed top of bloclc elev. (gazage) rroposea lowest level elev. ZIGA.v E;2114Z R.nvG DEPT. ? ?. .; I hereby ceitlly Ihat Ihi3 su ey. plan. or repart . w _ es prnpareC by me or unAer my Airecf eupervleion and i Ihat I em e duly Registered Lend Surveyor under the lawa ol Ihe Slete ol Minnesota_ DFi_M,1.a H. 10-25-99 - `"'H??VA??Z j ?oelmar H. Schwanz - ' DeteA = ? = ! c Minneeota Regiahetlan No. 8625 ? Revised 10-26-99 T6623 : T!? Revised 11-10-99 Changed tltiWSL-..plan. . Certilicate of ficwse La:ation Nor: Nadar Nooiyshol¢y -• - ? . •2840 nighway 13 Fagan, NQI.. 55121 - °? DELMAR H. SCHWANZ - LANO 9URV[YORB. INC. AegU1nW VnUn Uws el The Sltll ol Minneeot. 11750 SOUTH Property Address: 1550 Hiqhview Avenue 7672/423-1789 651 FICATE 776.2 ? 7 7 784. 90.00.N '59'54'E I / P9504 P9504N1 = Plot Fi1e pO ? 783.4 -'' 0 0 CURB STOP ? - - - - - - - - - - - ? ShcLitdL]/ $PrV1C@ jOC31".1 I + 179 . S Imr. elevation at properly iline 791. , 873.5 (Proposed) = 787.3 78.21 5°o 790.3 -? ? + ?79 '0 78,8 le: 1 = 30 feet ? w + I 786.6 ? I .5 21 5 V .s tP-I - - - - - + 13 + Cv Iran pipe r 1 788.9 79.2792. N 11 ° q? 4,?r ?-a htlb dt bIC?. o ? e7.e GARAGE ? ? offset 14.33 ? 79 .3 N 13.9 1 o FSsistinq. spot elev 87. 1 + RoPOSeo i `? ? j= ? elev. I / g HWSE ??? 1- n y PLOF70Sed a1L0CtlOR 2 I w ~ of drainage STING 0 "% ? I Lot arna = 18,448 DUSE 86.8 O 7. ?? _33_ B? 6 C9S - 15 787 2 ft. B?B B.5 ?e I i ?53? square f??a?ea Zo ? _ fI ? '2g 2e 36 t} House TyQe:walkout + ? ni 7 • 7e::a ? BLOCK 1 UTILITY EASE NT t yl?? 1) G RAINAGE AND S76•31, 48.6 ,` a o 30 . 00 IY6 'r S89037' 13'M py4.?2 i?/ .?LP PYOj]ETL?7 D23G2'1?7Y10?1. ' A/s Lot 1. Black 1. NDlDAR AoDITION, accozr2ing to the reooirl plat theceof. Dakota '? ? ? I p?/ g Camty. Minnesota. Also showing the location of a proposed hwse thereon. Proposed 9araye floor elev. -- .. ? Proposed top of block elev. (9ara9e) Proposed lowmt level elev. I nereAy cei(Ily Ihat Ihle sur?ey. Olan. or repoM was prepared by me or untlai my tlirotl tupervl0lon and Ihat 1 em a duty Fiegislered Lend Surveyor un0er Ine iews ol lne Slele ol Minnegola. Deied 10-25-99 Revised 10-26-99 • '?''?.A_ /? !/?/ ? //:? ? ? ./(? i,,,/rt'?. DELPo1AF'i H. .:? = X 1 f SCHIYANZ Oelmar H. Schwen: - i:=' Minneaole Regfatratlon No. 8825 - 3525 ?.€. ...?,. ? ' Certi£icate of House Iocatioa? For: Nadar Nooryshokry ` 2840 Nighway 13 Eagan, M55121 = - DELMAR H. SCHWANZ . LANDSUAVEVORS.INC. He9ifbrW UnEer Urs el Tns SU1a o1 Minnnol? `14750 SOUTH ROBfiRT'TA,pU, ,-RpSEMOUNT. MINNESD7A 55f Property Addresse 1550 Highview Avenue FICATE 776.2 ? 7Bp .7 90.00 N '59'58'E M2/423-1769 951 784.7 0 m P9504 P9504N1 = Plot File .. n0v / 0 783.4 ? !0 ? CUFB STOP 7 Sd[Iltdi'y SeTV1C2 IACdt10 I 791.6 ?79 .1 Inv. elevation at p I line ? = 873.5 (Propos?3 7e .zl ?o 15 m + p ,n 5 1 790.3 d ? 1 -? I I7ee.e ??s o scale: 1' = 30 feet ? I w 7e6.6 ?• ?? •3B Z 7e .e 21 2`?`- ? 5 ? v .5 ?- g - - ? N - + N ? :, IrOII jJlje ? r '?p M1(? 1?• ? 788.9 13 79 .2792.8 N + P1// ? ? N •?f N?-??ffset hub at bldg. GARAGE ? N 79 .3 I' /11 Eci.stiTra spot elev Z Q N m PFOPOSED 13 -` ? i u)praPased elev. a?. ? I OO HOUSE ?? ?•direction 39 7e6.2 N? of drainage STING b7 ? w ouse 86. 8o7 d t?6 ? z , 15 787'2 Iot area ° 18,448 square ft. House and garage area Z ? = 2,686 square feet ? ? 3?Za Zo E^'?'?S76,3 6}.t ?s House TYPe°y I walkout °° N66 r?` + e ` ? -i? L? N n .d'_ 7e!1?2-, ?? yZ BLOCK 1 UTILITY EAS EEM TSI, ?, ?RAINAGE ANO ? 7g.3j 2o,? / ,'' I P ^--_?ae.-s,-_ '_ - 6gb. . ? yp pjO.F- ?/ ?/p /0(Ji 30.00 S89'37' i3'W Ptoperty Description: ? i V,,? Iat 1, Block 1, t?[N?R A?ITI(Rl, ac cording to the rec,?ord plat theteof, Dakota County Minnesota. Also showi rig the loration of a proposed tnuse thereon. Proposed garage floor elev. Proposed taQ of bloclc elev. (4ara9e) Proposed lowest level elev. //'/0 i hereCy certlry that Ihis aup/ey. plan. or revort was prepAred by me or un0et my tlirBCl iuDervi010n en0 lhat I am a duly Registeretl Lend Surveyor untler Ihe lawe of Ihe Slale af Minnelofa. DateA 10-25-99 Revised 10-26-99 Revised 11-10-99 cha[ged house plan. j, ? f Oelmef H_ Schwanz ?- Minneeote Regfetration No. 8625 .? ? i ? . ì ÿþý þýý üùüûÿÿ úýýÿññêí÷ø÷ õ äå þýö üûúù ø ÷ ÷ù ø õ ÷ ã üÛ ã ù ø ãûêû ü õûóú ô ó õûóú üÛ æ î ý ñàô ÿþýóñ ññ ó â÷üÝö÷áçëåëåà õú üûìþ é çëäëä ôññó öòø øø òìóø ûóúþõ õ ì ñàôëý×þìí í ÿþãõñÿþãõ âáññ ì ú þ ììí ì øø ìì êó þ óø ìøøú ü êã üû ò êÿþî ë øøö ó üþû û üþû