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
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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
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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
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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