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1554 Johnny Cake AlcoveAddress 1 S S G T n h n n Y /' a ti a A 1 r n:i a Zlp 5512 LAt 18 Blk 3 Sub Oakbrooke Sth THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEC110N. Date: cj •?• 0 2 Yes No Inspector: Final grade (6" from siding) ? Permanent steps (gazage) ? Permanent steps (main entry) ? ? Permanent driveway Permanent gas ? Sod/Seeded grass TraiUcurb damage Porch Basement futish Deck Please verify with lhe bailder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division a[ 6814645 before working in rightof-way or inshlling underground sprinkler system. ? White - City Copy Yellow - Resident Copy Piak - Contractor Copy PERMIT # i! 1'?) RECEIPT DATE: 2002 RESID£NTIAL PLU14IiiINC PEftMIT A#'PIICATION CITY OF EAfiAN S$SO PILOT KNOB RD PAfiRN, MN 551 EE 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: (AREA TELEPHONE #: ' ? (AREA CODE) Crry: /7,1:i es STATE: /1V11 ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consuitant fees may apply . MODIFICATIONlALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: ? _ RPZ: new installation/repair/rebuild $ 30.00 lawn irrigation system 1 8 2002 rj C By ReplacemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge $ 50 $ ? rotal - complywith all applipble Cityof Eagan ordinances. It I hereby acknowledge that I have read this application, state lhatthe information is correct4tyl is the applicanYs responsibilityto notity Ne property owner that the City of Eagan assumor any dama by the City during its normal oparational and maintenance activities to the 4cilities constructed under this permit ' wa SI PER MITTEE 1102 BUILDINGRPERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New ConsWCtion Reauiremenb • 3 registered site surveys showing sq. ft of lat sq. ft. of house; aiM all roofed a2as (20% mazimum lot coverage allmved) • 2 wpies of plan showing beam 6 window s¢es; pou2d found design, etc.) • 1 set of Enerqy Cakulatlons • 3 copies of Tree Preservafion Plan if lot platted after 711193 • Rim Joist Delail Optians selecUon sheet (bldgs wilh 3 or less units) DATE Co1ZSI0L _ Water Softener Water Heater 3/1/ No. of Baths SITE ADDRESS kff ????Gi v? n? ? MULTI-FAMILY BLDG _ Y X N ? TYPE OF WORK 1=:,,,;/4 FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS TELEPHONE # 9S1-F?J-- 6 CELL PHONE # PROPERTY OWNER TELEPHONE# .lu M- ----------------------------------------------------------°------------°------------------°- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNES01'A RUL.ES 7670 CA17EGORY 1 MINNLS01'A RULGS 7672 (J submission type) . Residentlal Ventiiation Category 1 Worksheet SubmiUed • New Energy Code Worksheet Su6mitted • Energy Envelope Calculations Submitted Plumbing Contractor: ___ Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Confractor: _ Air Conditioning _ Heat Recovery System STATE /'.V ZIP SS/1-z Phone # Fee: $70.00 ?r?3 ? oT m - --------------°------ -°--------------- ----°---------------- --------- ------ -- I hereby acknowledge that I have read this application, state that the inf Bry with all applicable State of Minnesota Statutes and City of Eagan Ordina -? Signafure of Applicant ----'----'--'-----___.._.------- ------------- ------ ----- __----- ----- _----------- ------ ___ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ VALUATION / If 6- D D Phonc # _ L,awn Sprinkler No. of R.I. Baths RemodeUReoair Reauirements • 2 copies of plan . 1 set of Energy Cakulatians for heated additions • lsitesurveyforezterioradditions&decks • IndiCate ii iroma served by septic system for add0ions -------------- ;e to compiy Not Required _ `7 o . " ? '? ,'°_ ? Fee: $90.00 Updated 4I02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex 0 07 OS-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex x 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 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 EM. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy -?? MC/ES System Census Code y 3 y Zoning City Water SAC Units Stories Booster Pump N6r. of Units Sq. Ft. PRV Nbr. of Bidgs / T Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. Footings(deck) FinaUNo C.O. = Footings (addition) ? Plumbing _ Foundation v HVAC Drain Tile Other Roof Ice & Wa[er Final Pool Ftgs Air/Gas Tests _ Final Framing _ Siding Stucco _ Stone Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) ? Insulation _ Retaining Wall Approved By -r -2i , Building 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 L/? ? ?' `?/i ? f f ?- ?o?? Total PERMIT# 2S-0 5 `i V RECEIPT DATE: 2002 RESIDENTIAL PLUM$1Rfi PERM1T APPLiCATION crrY og EAem S$SO PQ.OT KNO$ ftD gAfll4A, MIY 5512E 651-6$7-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: CITY: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC ficense) $ 100.00 includes $40.00 Countyfee Note: Additional consultant fees may apply • MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING: K-Adding fixtures to lower levels or roam additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit (+ 518" meter if neede d -$118) I ^ Other. nJ cA..u?, ??- "?i ; ?- \. _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigatien sysYem ReplacemenUadditional: _ water softener _ water heater $ 15.00 ? - ? State Surcharge ? QLU?1Z 1 ?? $ .50 ? Total ? ? 50.50 I hereby acknowledge [hat I have read ihis applicadon, state tha[ the intormation is correct, and agree to complywith all applicable Ciryof Eagan ordinances. It Is Ne applicanYs responsi6illly W notify the property owner that the City of Eagan assumes no Iiability for any damages caused by the City during its normal operatianal and maintenance actlvitles to the faGlitfes constructed under this permif wi hi Ci y pro erty/rightrof-waylease ?{yi¢ 5 Vao:Q?z IGNATURE OF PERM EE 1/02 TELEPHONE #: (AREA CODE) Site address: ofj,,,l,Ju va IW-ot ?r 81ock 3 Subd. Cs?Z626-? On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, antl ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submittetl prior to issuance of a Certificate of Occupancy. _ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR NZ This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE WaterHeater A"'I 0 s0 4 -3 Fumace ? CZ3 - ZIFG ° Ss?" Dryer ?/ . P'?j' " -1313 6 EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES NO Kitchen kitchen Bathroom 1 &-411- ,C-25- VQ L,.-- Bathroom 2 ? - 05? U SO ? Bathroom 3 S-v - & ? Bathroom 4 -SO Other FIREPLACE S LOCATION GAS W00D MANUFACTURER MODEL BTU'S VENTING DIRECT ATMOS l 7? Am ? P.e?? co?a ? -6 Z7.Oc0 MAKE-UP AIR MODEL TYPE CFM's I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. .a.?.i !gnata ?p ??? flamr? CompanyName S° 7?Z- Date This form is the responsibility of the General Contractor. 7 7 ? RE5IDENTIAL ? -70 BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD - 55122 ? 651-681-4675 New Canatruction Reauirements RemodellReuairReauirements • 3 registered sile suNeys showing sq, ft of lot sq• ft• of house; anc611 roofed areas • 2 copies of plan (20%maximum btcoverage albwed) • 1 set of Eneigy Calculations forheated additlons • 2 copies o( plan showiig heam & window sizes; pouretl found design, etc.) • 1 site survey for exterior addNOns & decks • 1 setof Energy Calculations . Indicafe if home served by sep6c system for addNOns • 3 copies otTree PreservaUon Plan if lot plaried after 711193 • RimJoistDetailOptionsseledionsheet(bldgswifh3orlessuniLs) DATE y/aa/r 2- _ VAWAfION JOB SITE ADDRES$ /LO IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ?!4 PROPERTY OWNER /?IiJ Cnt-?R TYPE OF WORK Y?v ?1c Po ?,,,, ; r FIREPLACE(S) _ 0_ 1_ 2 APPLICANi PK L4c- ivllv C? r,O PHONE# 6.51 &s'a-S.zco ADDRESS 8 IS ,tJa rrL, S,.'. ? l Yn ZIP CODE SS I2 1 PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMP Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Sut - Energy Envelope Calculations Submitted _ MINNESOTA RULF.S 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor. _ Air Condirioning Heat Recovery System Phone # Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is corr t, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi nc Signafure W Applicant Water Sohener Water Heater No. of Baths Phone #: _ Lawn Sprinkler Fee: $90.00 _ No. of R.I. Baths Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY . ... .. ? ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 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 X18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-p{ex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding -A 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy IL 3-4.? MC/ES System Census Code ? Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinklered Type of Const y/ W idth REQUIRED INSPECTIONS Footings (new 61dg) FinaUC.O. ? Footings (deck) ?c Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fratning _ Siding Stucco Stone _ Fireplace _ R.I. _ Aic Test _ Final Windows (newlreplacement) _ Insulation _ _ Retaini?nv Wall 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 Approved By_? ------------------------------------------- (J t& uL 2f 626-o Building Inspector ? ?O ? Surveyor's Certificate SURVEY FOR :PULTE HOMES DESCRIBED l4s :Lot 18, Block 3, OAKBROOKE 5TH ADDIION, City of Eagan, Minnesota and reserving easements of record. 7A,5?'? G? 0 9?l N90°00'00"E 10.10 x 939. M 9.9 Alz?cp,? ? .i ? I ti7?`ai.oo _ la _ I I ? ?I N Gora9° $ (.? o ? 1 S, ?n ° 10.00 21.00 I ? ? o ^ I I QN?. ProPosed N 3 r ? 2-story 9p,W w?o 'o o (I? ? O ? I? 0 V- p 1 i 2.14 0.31 I 13.69 0 18.00 o o I ° •P' x 93(o 0 33.3 311o peck 3.. . ?' I I x9?2?3 i I 2.0 I I I I? 5 ? I I x43oN ? 43e.3 ? J LOT SQ. FOOTAGE = 12 864S'2?4p'0 2`\?'-?? ,a HSE SQ. FOOTAGE , 914 e 95?22 = 1 g?b L 0 T CD 1/ERA GE = , 15q' x Q?? # 18232 PROPOSED ELEVATIONS BENCHM ARK, Top of Foundation = 441Z.5 Garage Floor = (AL17,1 Basement Floor = q33.5 Aprox. Sewer Service = 430.5 Proposed Elev. MIN. SETBACK REQLIIREMENTS Existing Elev. _ Drainage Directions = Front - House Side - Denotes Offset Stake = • SCALE: i Inch = 30 feet Rear - Garage Side- JOB N0: HEDL(JND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION O1R-629 OF THE BOUNDARIES OF THE A80VE OESCRIBED PROPERTY AS SURVEYED . BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE: PLANNING 6NCINEBR/NC SURV6Y/NC SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT x4t?, 200 5 Pin Oak Drive ?/?J Eagan, MN 55122 OATE `? ' CAD FILE: Phone: (651) 405-6600 LDENSE NUMBER 14376 oR Oakb?ooke 5 Fax: (651) 405-6606 MINNESOTA LIC i i MNchPr.k COMPLIANCE REPORT I MinnPSnta Enarav Code I Permit # MNcher.k Snflware Versinn 3.0 I I I CheckPd hv/DatP I" COUNTY: Daknta STATE: Minnesota ZONE: 2 CONSTRl1CTION TYPE: Single Family DATE: 1-11-2002 DATE OF PLANS: 7/25/00 TITLE: Oakbrooke Sterling with Lookout COMPLIANCE: PASSES Reauired UA = 532 Your Hnme = 403 242% Better Than Code Area or Cavitv Cnnt. Gl27ina/Door Perimater R-Value R-ValuP U-Value UA -- ---------------------------------------------------------------------------- CEll-INGS 1218 38.0 0.0 37 WALLS- Wnod Frame. 16" O.C. 2673 190 20 150 BSMT Conr.. 9.0' ht/8.3' ha/A.0' insul 1047 11.0 0.0 61 GLAZING- Windnws or Dnnrs. Ahnve Grade 402 0.350 141 DOnRS 38 0.350 13 FLOORS: Over Outside Air 48 38.0 0.0 1 HVAC EC)UIPMENT- Furnar.e. 92.0 AFUE CnMPLIANCE STATEMENT- The nrnnosPd huildinn desinn desr.rihPd here is r.onsistPnt with the huilrfina nlans. snar.ificatinns. and nther r.alr.ulatinnS suhmitted with the nermit annlicatinn. The nronosed huildinn has heen designed to meet the ?quire ents of th inne ta Energy Code. Builder/Designer ?-?t?-<X?-- ?.L1.? Date r? J 0 ? • LOT SURVEY CHECKLIST fOR RESIDENTIAL BUILDING PERMR APPLICATION PROPERTYLEGAL: La'f I?IU6,?, ? OpKbrn?Kc?, 3? DATE OF SURVEY: LATEST REVISION: 0 ? c A U DOCUMENTSTANDARDS Y a O Z D Q [/ ? ? • Regis[ered Land Surveyor sgnature and company d 0 ? ? • Building PertnRApplicant ? i/ ? ? 0 • Legaldescription Add G. P/ • ress N h ? ? • ort arrow and scale d? ? • House type (rambler, walkout, splR wlo, split entry, bokout, etc.) d? ? • Directional drainage arrows with slope/gradient % a ? ? • Proposedlexisting sewer and water services & invert elevation H/ ? ? • Street name q' ? ? • Driveway q^ ? ? • Lot Square Footage t?' ? f ? ? • Lot Coverage B h H ? ? • enc mark ELEVATIONS Existinq ?0 ? • Sewer service (or Proposed) ? ? • Property comers g ? ? • Top of curb at the driveway and property line ex[ensions ?Wl ? • Elevations of any existing adjacent homes ? tt?? ? " • Adequate footing depth of structures due to adjacent utifiry Venches ? LR ? • Waterways (pond, stream, etc.) / Prooosed CY ? ? • Garage fioor ? ? ? • Firstfloor m? ? ? • Lowest exposed elevation (walkouNwindow) [5' ? ? • Property comers or'o ? • Front and rear of home at the foundation / PONDING AREA (if aoolicable) ? d?/ ? • EasementGne ? M/? • NWL ? d ? • HWL ? ? • Pond # designation ? ? • Emergency Overflow Ekvation DIMENSIONS / f3/? ? • Lot IineslBearings & dimensans Cf/ ? C? ? ? ? • Right-0f-way and sVeet width (to back of curb) P d h h 2' h t • ropose ome dimensions including any proposed decks, overhangs greater t an , porc es, e c. (i.e. all strucWres requiring pertnanent footings) Sh ? l ? • ow all easements of record and any City utilities within those easements El /? ' ? • Setbacks of proposed sWCture and sideyard setback of adjacent existing structures ? ? ? • Retaining wall requirements, if any Reviewed: Surveyor's Certificate SURVEY FOR :PULTE HOMES DESCRIBED AS :Lot ,a, Block 3, OAKBROOKE 5TH ADDIION, City of Eagon, Minnesota and reserving easements of record. JAN I I I ' REC'G ; nyCS-- (OD GNI. ? N f ? 3 II ? O II / o I, '-- I lx43z.9 111 Garo9a N90000'QQ"E ? 10.10 x P39.9 I I? > e?? .00 _ -a -- I N I N yd8 I 0 21,00 ? proposed ? I Z-Story a ylPcw w/o o ? oeck X "13W6 0 0 0 -P?: O N I O ? (l? i " 436.a .__-- sILT FENeE? I 1 i 5 I 43d-3 ? ? J L0T SQ. F00TAGE = 12,864S?z4p'o2E 9522 HSE SQ. F00 TA GE = 1, 914 k 9?? L 0 T CO I/ERA GE __? 15% # ,8232 PROPOSED ELEVATIONS Top of Foundation = Q412,6' " Garage Floor = ol-?z,i Basement Floor = 43b.z Aprox. Sewer Service = q-16 5 Proposed Elev. _? Existing Elev. _ Drainage Directions = Denotes Offset Stake = • BENCHMARK,•MIN. SETBACK REQUIREMENTS Front - House Side - SCALE: 1 inch = 30 feet Rear - Garage Side- HEDLUND ' HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF THE BOUNDARIES OF iHE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNOER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO PLANNING BNC7N6dRINC SURV6YINC SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS OWN. 2005 Pin Oak Drive ?.(1? • Eagan, MN 55122 oATE Phone: (651) 405-6600 ? D. LINDGREN, LAND RVEYOF FaX: (651) 405-6606 MINNESOTA LICENSE NUMBER 14376 N0: 01 R-629 Oakbrooke 51 b t !' ? ?? t ? :7 - D -2- . ^`r? City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 -- ----------- i For?(??ice'; lise i j PermH#: ? ? C, ,.?:? I pyrtnit Fee: ? Date Received ? i ? ? Staff: ? I -----------------f 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: / S Y Tenant: J?? r' t "T-Y-) m e I 5 Suite RESIDENTlOWNER Name: Phone: Address 1 City I Zip: Applicant is: _ Owner _ Contractor TYPE OF WORK Description of work: pk_?' Qf'of Construction Cost: 7 c0o Multi-Family Building: (Yes _! No I-) CONTRACTOR Name: License #: 1050 qq 1 3? Address: `?i ` P(L State:h'7? Zi 5 S Y I?a OV ? 5 P ? ? - City: Phone: (? Q- 2-910 _7_25?0 ContactPerson: N,4'114?1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet C8Y0g01'y Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit 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.fhat gou submit are considerealto be public informaGon. :Portions of ' w the informaSon may be dassified as non-pubfic if you provide specific reasons thaf would permitthe Cify fo ' conclude fhat the are:frade secrefs. ' I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ortllnances ana coaes or cne ?ny ul 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 lhe work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 14?L4rfL-- _ t X k? , x ApplicanYs Printed Name Appl ? iYs Signature Page 1 of 3 L 3 ?•t-i? ?-I g?f °/ ? P 4 S to1aia RESIDENTIAL Mp 'dWl BUILDING PERMIT APPLICATION PP gb?? ' CITY OF EAGAN N 3830 PILOT KNOB RD - 55122 651-681-4675 a. l ? ? QI NewConsWClionReauiremen8 &?} RemodeUReodrReaulrements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; end sll rooted areas • 2 copies of pian (20% maximum Io1 cove29e allowed) • 1 set of Eneigy Caladations for heated additioris • 2 copies ol plan showing 6eam & windaw saes; poured found design, etc.) • 7 sae survey tor exterior additbns & decks • 1 set ol Energy Calculations • Indipte if home served by septic system for addilbns • 3 copies of Tree Preservation Plan if bt platled after 717/93 • Rim Joisl Detail Options selecUon shcet (61dgs wilh 3 w less uniLs) DATE J/>> /o 7)- JOB SITE ADDRESS ?y S`? So?r ? n v C 1*5,aoa.qs '7O.so 70,50 ?- ,S? 30 > kS, cl iS..tw /-l7-ca If MULTI-FAMILY BUILDING, HOW MANY UNITS? N?ik PROPERTY OWNER I? )-I*-, /-"s Dk lj'!N Ce? • D TYPEOFWORK "New C"s$rkc.+io., _ FIREPLACE(S) _0_Y 1 _2 APPLICANT f? ti.t ?o+-ws o?- iV71) C?rIO PHONE# G5 ADDRESS bcJ /°LU ZIPCODE -SS l11 PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY energy Code Category MINNESOTA RULF.S 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _X MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. va ?Ic,j ID )u v" to;? Phone #: 9S" a? L19 ;L --:?1? I Plumbing System Includes: Water Softener _ Iawn Sprinkler Fee: $90.00 ? Water Heater ?C No. of R.I. Baths '3 No. of Baths Mechanicai Conhactor. 11 ,r ,n s v` 16- 4e.4't- +? Phone # ys? Z Sy `1- C900S- Mechanical System Includes: _-?4 Air Conditioning Fee: $70.00 _ Heat Recovery System wer/Water Coniractor m S -L-n • Phone # 7 [+Q-r,-r ?.I ?j P-?- a4 3sr . e , - _ Ali above informatlon must be submitted prior to processing of applicatlon. Cerhficates of Survey Received _ Tree Preservation Plan Received I hereby acknowledge that I have read this application, state that the in1 with all applicable State of Minnesota Statutes and City of Eagan Ordi Signafure of AppOcant ? VALUATION )rmation is correct, and agree to comply ?nce r.Not R :equ ?ired `??'?I . c' - ' ?i Updated VO1 ??-`^ ?1 ? ?noa , ? OFFICE USE ONLY ? 01 Foundation ?( 02 SF Dweliing ? 03 01 of _ plex O 04 02•plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteratlon ? 34 Replacement O 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch(screened) ? 24 Storm Damage 0 25 Miscellaneous ? 30 Accessary Bldg ? 31 Ext. Alt - Multi C] 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bidg. O 42 Demolish (Foundation) ? 45 Fire Repair 0 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation tv Uv C.? Occupancy -u ? MC/ES System Census Code I o I Zoning P0 City Water SAC Units ?r Stories ?_ Booster Pump ? Nbr. of Units Sq. Ft. rr PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width ? Footings (new bldg) _ Footings (deck) Footings (addition) Foundatiou Drain Tile Roof Ice & Water Final x Framing Fireplace _X R.I. Air Test ? Final ? Insulation Other _ Pool _ Ftgs _ Air/Gas Tests _ _ Siding Stucco Stone _ Windows (new/replacement) Approved By -r L , Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC W ater Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? 07 OS-plex O 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage O 10 08-plex ? 18 Deck ? 11 10-plex ? 19 LowerLevel ? 12 12-plex Plbg_Y or_ N REQUIRED INSPECTIONS ?C FinaUC.O. _ FinallNo C.O. _ Plumbing _ HVAC -.- ?? ? L? , _,._.• 0 ?s; 77y / For Office Use Permit _1"t City of Ea a~ Permit Fee: C'm 3830 Pilot Knob Road I Date Received: Eagan MN 55122 Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Zl-0~ /IS5 C iGe i4L ~c,~c Date: Site Address: Tenant: 5 ~D1 t PUTL-2. m t_ 15TH L Suite RESIDENT / OWNER Name: Phone: Address / City I Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: P n WF Construction Cost: 7 0C ` 00 Multi-Family Building: (Yes / No CONTRACTOR CDC'b+ License Address: q q l City: 51 ° t-OV t $ I'6/L~L_ State:hM"J Zip: Phone: G iL- Zi0 - _7_2s0 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted ('l submission type) • Energy Envelope Calculations Submitted 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. 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 IA~L~L N44' x I. Applicant's Printed Name Appi t' Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA113323 Date Issued:09/03/2013 Permit Category:ePermit Site Address: 1554 Johnny Cake Alcove Lot:18 Block: 3 Addition: Oakbrooke 5th PID:10-53764-03-180 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Scott W Hintermeister 1554 Johnny Cake Alcove Eagan MN 55122 (651) 454-3371 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature