1566 Johnny Cake Alcove1-- = i ? ?31 a c? 3 ?-i- ?f ? L-1 ? i0?i ? 1? 3. I?
ESIDENTIA
BUILDING PERMIT APPLICATION
• CITY OF EAGAN m P ?-} ?V_1 Q ? U' ?
3830 PILOT KNOB RD - 55122
651•68'I-4875 q U
NewConsWCtionReaulremeffts ?.? RemlellReoairReavirements
• 3 registered sile surveys showirg sq. R ot IoC sq. R M house; and all roofed areas • 2 mpies of plan ?
(20% masimum bt coverage allaxed) . 1 set of Energy Calalations for heated add'rtiore
• 2 copies of plan showing beam 8 windax sizes; pou2d found de5ign, etc.) . 1 site survey for exterior addi6ons & decks
• 1sHOtEneigyCaclauons
• 3 oopies o( Tree Preservation Plan'rf bt platted atter 711193
• Rim Joist Detail Options selection sheet (61dgs wilh 3 w less wiCS)
DATE vi i /o 'Z
VALUATION (EXCLUDING LAND)
1- 1 g,aag.
.iJ6 SITE ADDRESS /Slo /o Ta Li Kn v/'o ?cr .?Ic o ??-
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER A,?r o-f f77/U Coi?
TYPE OF WORK Cv.. s fr?. ?-l-?v? FIREPLACE(S) _0 Z1_2 _3
APPLICANT PHONE# ?o5'I/e/S1-S?o?
ADDRESS S' 1 S ti? r-? ?, r.vcs -I- }?« c lc .S? ° t-r l ?! n ZIP CODE s S 1?--1
PAGER #
PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA 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. V'?? ? c P1 ?? b,%, i Phone #: 9Sa? Ll S?
Plumbing System Includes: _ Water Softener _ Lawn Spririkler Fee: $90.00
_1( Water Heater I No. of R.I. Baths
3. No. of Baths
Mechanical Contractor. Q ur V, 1 G Phone # 9SJ 0 7 6/ - o 0 o S^
Dlechanical System Includes: ? :lir Conditioning° Fee: $70.00
Heat Recovery System
Sewer/WaterContractor. f-Ye 6?w ? Phone# 743I
All a6ove information must be submitted prior to processing of applicaGon.
I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances. _
? I
Signature of Appllcant
Certificates of Survey Received Tree Preservation Plan Received Not Required'
?J' - -: -- ?- Updated 1/07
OFFICE USE ONLY
?.
? 01 Foundation
1? 02 SF Dwelling
?O 03 01 af _ plex
O 04 02-plex
? OS 03-plex
O 06 04-piex
? 07 OS-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 16 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-piex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Stortn Damage
? 25 Miscellaneous
? 30 AAr,essory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
O 36 Multi
y 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 AddiGon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' 0 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Damolition (Entire Bldg only) • Give PCA handout to applicant
Valuation MOOO Occupancy A3---U4- MC/ES System
Census Code Zoning fto City Watei AL16
SAC Units Stories 02_ Booster Pump
Nbr. of Units Sq. Ft. ?? PRV ?
Nbr. of Bldgs ? Length S" ? Fire Sprinklered
Type of Const -hSL Width 7
Footings (new bldg)
_ Footings (deck)
Footings (addition)
? Foundation
Drain Tile
Roof Ice & Water Final
?C Framing
? Fireplace )? R.I.y A'u Test _XFinal
Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
? FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
_ HVAC
?1 gZ-?, I
Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By ? Z , Building Inspector
-------------- ----- --------------------------_-_____ ?_-
$3 y
?o. qc?
y S' 7f
? ? ?-'% G-v?"10L - 5-?Zy 9 ? ?! s.?
+?( fL,yO I
Address 1566 Johnny Cake Alcove Zip 55122
I Sub Oakbrooke Sth Addition
Lot _15 Blk _?
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: /:?7 Yes No Inspector: °
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Petmanent driveway
Permanent gas
Sod/Seeded gtass
TraiUcurU damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roo test caps from the plumbing system and [he shuboff of water supply ro
the oufside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightrof-way or imtalling underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
b5i /73
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
S .? a4 50
Date U6_ I 0-7)_
Site Street Address ` Ca?f c
Unit # -
Property Owner ? Qn a{?d "I( t L 7;QwQ,r Teiephone # (1061) ?
Contractor
Address City Telephone # ( )
State
Zip
The Applicant is: ? Owner _ Contractor _Other
Alterations to existing dwelling
? Add plumbing fixtures (excludes water softener andlor water heater--complete next
section if installing these appliances).
Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Ather: $ 50.00
Water Softener _ Water Neater
_ new _ replacement $ 15.00
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work wili be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, worlc is not to start without a permit and work will be in accordance with the approved plan in
the eVent a plan is required to be reviewed and approved.
J??? o?m 2at -
ApplicanYs Printed Name Ap i ant's S?
2005 RESIDENTIAL BUILDING PERMIT APPLICATION i
t(- I(?? ?.
City OfEagan ? v y
3830 Pilot Knob Road, Eagan MN 55122 3?(
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmction Reauirements RemodellReoair ReauiremeNS Offise•k)se'Onlv
ey Recd -, Y I+1
3 registered site surveys showing sq. fl. of lot, sq, ft. of house; and all roofed areas 2 copies of plan Cerl nF$wrv
(20% maimum l01 coverage allowedJ 1 set of Energy Calculations for heated additions TreePfes Plan Reod -- Y?N:
2 copies of plan showing beam & window sizes; poured found design, eta 1 site survey for additions & decks TreePres Rgquved N
isetofEnergyCalculations Addition - indicateifon-sitesepticsystem t3n-site3epfic&ystefn3 copies of Tree Preservation Plan if lot platted afler 711193
Rim Jois1 Detail Oplions seleclion sheet (buildings with 3 or less units)
Date b,? / ?E) / b'"rJ Construction Cost
SiteAddress \5?io 3bywh?p C(J,YQ A,clv(') Unit/Ste #
Description of Work LC)Wp L-Q vQ Anl,5V' 1
Multi-Family Bldg _ Y4 N Fireplace(s) _ 0 ? 1 _ 2
Propcrty Owner Telephone # ( ?GJ I ) Raan
Contractor
Addresa City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minneso[a Rules 7672
Energy Code CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
submission type) Submitted Submilted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone # (
Mechanical Conhactor Telephone #( lT)7-r?
Sewer/Water Contractor
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the informatio 3is complnd?te;
that the work will be in conformance with the ordinances and codes of the City of ?gan 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.
,5ILL ?io???n2.aK
Applicant's Printed Name Appl'c nt's Si i ture
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (&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 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6gXYor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Adddion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
,? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation ? Occupancy R3 MCES System
Census Code A/ 3 f Zoning ? City Water -
SAC Units ^ Stories Booster Pump . ?
# of Units - Sq. Ft. PRV -?
# of Bldgs Length -? Fire Sprinklered --
Type of Const Width
REQUII2ED INSPECTIONS
Foo[ings (new 61dg) FinaVC.O.
_
_ Footings(deck) ? FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundation ? HVAC
Drain Tile Other
Roof _ Ice & Water Air/Gas Tes[s
Final
Pool
Ftgs Final
Framing _ _
_
_
Bri
Siding
Stucco
Stone ck
?
Fireplace X R.L ;t Air Test -f =
_
_
_
Final Windows
Insulation Retaining Wall
Approved By:
Building Inspector
Base Fee V
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
7D sp-
RESIDENTIAL
BUILDING PERMIT APPLfCAT10N
u CITY OF EAGAN
? 4 1 1? 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
.
New Construction Reuuiremants
. 3 registered sAe surveys showirg sq. K. of IoC sq. R. oi house; and all roofed areas
(20% maximum lot coverege allovred)
• 2 copies of plan showing beam & window sizes; pou2d found desgn, etc.)
. 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 7l1193
• Rim Joist DeWil Options selection sheet (Wdgs with 3 or Iess units)
DATE ?0!1 '0?L
+
?
RemodeUReoair Reauirementa
. 2 copies of plan
. 7 set of Energy Calculations for heated additions
. i site survey for extenor addAions & decks
. Indicate it home served by sep[ic system for adddions
VALUATION
SITE ADDRESS ?r? 'I?lA_?'`Cil?(Q , MULTI-FAhAILY BLDG _ Y
>> ?
TYPE OF WORK FIREPLACE(S) •_ 0(.? 1
.?
APPLICANT 'V?V.9'1 F
STREET ADDRESS t'(lV, CC \}IUY ? Clfl?_
TELEPHONE #?9?011AQCELL PHONE #0S1' L(II' R IC) FAX #
ATE
G?_ N
_ 2
PROPERTYOWNER?k,?l ???Ic4 U'02'm/2'CPL TELEPHONE#( gq-V 1'9180,
-------------------------------------------------------------------...------
COMPIETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDIN --------°---------
NLY
U
Energy Code Category MINNESOTA RULNS 7670 CA'1'EGORY I 1?II
? RULES 7672
(d submission type) • Residential Ventilation Category 1 Worksheet Sub i ?UL 1•'? w ne ode Worksheet Su6mitted
• Energy Envelope Calculations Submitted ?
SY
+
Plumbing Contractor: ___ ___------- _? ____
_ ione # -
Plumbing system includes: Water Sottener Lawn Sprinl:ler Fee: $90.00
? Water Heatcr No. of R.I. Baths
No. of Badis
Mechanicol Contractor: Phone #
Mcchanical syslem includes: _ Air Condilioning Fee: $70.00
_ Heal Recovery System
Sewer/Water Contractor: Phone #
------------°°-----°----°--°------------------°-----------------°..._..._...---°--------°------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and ogree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Appllcant
---- _----------------- ------------ ..__----- ------------ __--------- -------------------------'----------------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 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 08-plex [t 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscelianeous
IR 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg on1y) - Give PCA handout ta applicant
Pz0 0e)
V
aluation - Occupancy Z 3 MC/ES System
Census Code y3? Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED IN SPECTIONS
Footings(new bidg) FinaVC.O.
k Footings (deck) ? FinaVNo C.O.
_ Footings (addition) Plumbing
_ Foundation HVAC
? Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool Ftgs Air/Gas Tes[s Final
_ Framing Siding Stucco Stone
Fireplace _ R.I. _ pir Test _ Final Windows (new/replacement)
_ Insula[ion _ Re[aining Wall
Approved 8y , 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
Total
-V 7,q .00
.
Surveyor's Certificate
SURVEY FOR :PULTE HOMES
DESCRIBED AS :Loc 15,.81ock 3, OAKBRODKE STH ADDIION, City of Eagan. Minnesota ond reserving .
eosements of record.
ol?
- - - - - - " 9as.q
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Exist. Home
TOB = 9367 r -
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<=
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HSE SQ. F00 TA GE
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PROPOSED ELEVATIONS
Top of Foundation = 939.5
Garage Floor = 939.1
Basement Floor =930,5
Rprox, Sewer Service =q2z5*-
Proposed Elev. = 0
Existing Elev. _
Drainage Directions =
Denotes Offset Stoke = •
SCAI,E: 1 inch - 30 feet
Front - House Side -
Rear - Garage Side-
JOB N0:
HEDLUND I NEREBY CERTIFY 7HAT THIS 15 A TRUE AND CORRECi REPRESENTATON 021R-01l
OF THE BOVNDARIES OF THE ABOVE DESCRIBED PROPERN AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PACE:
PLANN/NC dNGINSdR1NC SURV6YINC SHOW IMPROVEMENTS OR ENCROACMMENTS, E%CEPT AS WN.
2005 PIn Oak Drive
Ecgan, MN 55122 OATE _j_/-Z/^
llZ CAO FILE:
Phona: (651) 405-6600 R 0. UNDGREN, LAND 5 VEYOR Oak6rooke 5
Fox: (651) 405-6606 UCENSE NUMBER 14376
? ? R.2 s•?
OO 8•.
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Carage
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ProposeZ? d ?
N Story q
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v, ? I ?U? ?zWb 9so.o
yKv c, Diiv ?
I? ? II
I II
I? I
? ` II
sL ? I
S?2o4p ? ? ? ?
= 10, 716
= 1,730
169"
BENCHMARK, rNH & Snc
Eleo : qq2,°4
MIN. SETBACK REOUIREMENTS
?
? 93J
E
1
?
937.2
938.2
r------
O
I Exlst Home
?j TOB = q91.0
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931,b -- ----
?==
F--
NNcheck COMPLIANCE REPORT
Minnesota Enerav Code
MNcheck Software Veraion 3.0
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single,,Family
DATE: 9-26-2001
TITLE: OAKBROOKE ST. 7AMES, WALKOUT, ELEVATION #1
COMPLIANCE: PASSES
Reauired UA = 547
Your Home = 430
21.4% Better Than Code
Permit #
Checked bv/Date
Area or Cavitv Cont. Glazina/Door
Perimeter
----------------- R-Value R-Value U-Value UA
----------------------------
CEILINGS 1291 -----------------
44.0 0.0 ------------ -----
35
WALLS: Wood Frame, 16" O.C. 2495 19.0 2.0 140
WALLS: Wood Frame. 16" O.C. 307 10.0 2.0 25
BSMT: Conc. 9.0' ht/8.3' ba/9.0' insul 738 11.0 0.0 43
BSMT: Conc. 3.5' ht/3.1' ba/3.5' insul 70 11.0 0.0 5
GLAZING: Windows or poors, Above Grade 478 0.350 167
DOORS 38 0.350 13
FLOORS: Over Outside Air 88 38.0 0.0 2
HVAC EOUIPMENT: Furnace. 92.0 AFUE
-----
-
-
----------------------------- --------
COMPLIANCE STATEMENT: The prooosed buildina -----------------
desiQn described ------------
here is -----
consistent with the buildina Alans, specifications, and other calculations
submitted with the per t anplication. The lDroposed buildina has been
designed to meet the.ui,omen" Q€,the P?inn esota Energy Code.
Builder/Designerf ;-al ' Date
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMR APPLICATION
• PROPERTYLEGAL: Loi" 15- flock, ;s O6Kb,-,n ke
DATE OF SURVEY: /" 7' e-<
ro
?
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m
t
U
LATEST REVISION:
DOCUMENT STANDARDS
Y a O
o z a
d? ? . Registered Land Surveyorsignature and company
? ? • Buiiding PermitApplicant
h? ? o • Legal description
? ?
? ? • Address
? ? • North arrow and scale
E? ?
? ? • House type (rembler, walkou4 split w/o, spl8 entry, lookout, etc.)
? ? • Directional drainage arraws wilh sbpelgradient °h
?? ? • Proposed/epstlng sewer and water services & invert elevation
a ? . street name
p ? ? • Driveway
? ?
? ?
? •
. Lot Square Footage
Lot Coverage
m ? ? • BenchmaAc
ELEVATIONS
Existina
/? ? • Sewer service (or Proposed)
d ? o • Property comers
?? ? • Top of curb at the driveway and property line extensions
CJ? o? • Elevations of any existing adjacent homes
? u? ? • Adequate footing depth of sW ctures due to adjacent utility trenches
? &( ? • Waterways (pond, sVeam, etc.)
/ Prooosed
Y7/ ? ? • Garage floor
fY ? ? • Firstfloor
? o ? • Lowest exposed elevation (walkout/window)
M' ? • Property comers
?? ? • Front and rear of home at the foundation
PONDING AREA (if aooliqble)
? LW ? • Easement Iine
? d O • NWL
? m' ? • HWL
? ly/ ? • Pond # designation
a d? • Emergency Overflow Elevation
DIMENSIONS
?o o • Lot lineslBearings & dimensbns
?D ? • Rghtof-way and street width (to 6adc of curb)
?? • Praposed hame dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring pertnanent footings)
/J?? • Show all easements of record and any City ublities within those easements
?? • Setbacks of proposed structure and sideyard setback of adjacent existing structures ?
d?? • Retaining wall requirements, if any /
?-_,- D';L' rc-??S?GG
Reviewed: iL- OP,
Name T- / Date
Surveyor's Certificate
SURVEY FOR :PULTE HOMES
DESCRIBED AS :Loc 15, Block 3, OAKBROOKE 5TH ADDIION, City of Eagan, Minnesota and reserving
easements of record.
?
------ 935R
i
Exist. Home
TOB = 93(.7
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?--
L 0 T SQ. F00 TA GE
HSE SQ. F00 TA GE
L O T C01/ERA GE _
// ,829i
PROPOSED ELEVATIONS
Top of Foundation = q39.5
Garage Floor = 439,1
Basement Floor =q3o.5
Aprox. Sewer Service =az7,5'
Proposed Elev. _ C=::)
Existing Elev. -
Drainage Directions =
Denotes Offset Stake = •
.?
?
0
7
? ,, ? ? ml \
? 2 OC
? 94Q fO Corage
(0 I I 22.00
Propoaed
t ? 2-Storoy e
9'pew w?
\
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? 43f
8 93?
?
?
q38.2
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2 Ezist. Home
? T08 =cjq1.0
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II
I? II
I? II
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= 10, 716
= 1, 730
16%
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9?!------
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?
7.7 ?
BENCHMARK,. rNH e s,<
Ele o: 94 2.°?'
MIN. SETBACK REQUIREMENTS
SCALE: 7 inch = 30 feet
Front - House Side -
Rear - Garage Side-
JOB N0:
HEDLUND
PLANNING BNG7NBERINC SURV6Y/NC
2005 Pin Oak Drlve
Eagon, MN 55122
Phone: (657) 405-6600
Fox: (651) 405-6606
I HEREBY CERTIFY THAT THIS IS A TRUE ANC) CORRECT REPRESENTAl10N
OF 7HE BOUNDARIES OF THE ABOVE DESCRIBEO PROPERTY AS SURV'EYEO
BY ME OR UNDER MY DIRECT SUPERIISION ANO DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCR ACHMENTS, EXCEPT AS S?PWN.
?.
oATE _1_,3-42
D. IINOGREN, IAND 5 VEYOF
UCENSE NUMBER 14376
02R-Oit
FILE:
Ookbrooke 5
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1566 Johnny Cake Alcove
Lot: 15 Block: 3 Addition: Oakbrooke 5th
PID:10- 53764- 150 -03
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684 -4647
Permit closed without required inspection(s). Letter sent to applicant on 4/3/2009. (pf)
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Matthew J McCall
1566 Johnny Cake Alcove
Eagan MN 55122 -5501
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Building
EA085428
08/20/2008
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114076
Date Issued:09/10/2013
Permit Category:ePermit
Site Address: 1566 Johnny Cake Alcove
Lot:15 Block: 3 Addition: Oakbrooke 5th
PID:10-53764-03-150
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Laura Gillespie
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Matthew J Mccall
1566 Johnny Cake Alcove
Eagan MN 55122--550
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119384
Date Issued:11/26/2013
Permit Category:ePermit
Site Address: 1566 Johnny Cake Alcove
Lot:15 Block: 3 Addition: Oakbrooke 5th
PID:10-53764-03-150
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Matthew J Mccall
1566 Johnny Cake Alcove
Eagan MN 55122--550
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120249
Date Issued:01/28/2014
Permit Category:ePermit
Site Address: 1566 Johnny Cake Alcove
Lot:15 Block: 3 Addition: Oakbrooke 5th
PID:10-53764-03-150
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Matthew J Mccall
1566 Johnny Cake Alcove
Eagan MN 55122--550
Polar Builders Inc
49 Riverwoods Ln
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature
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3830 Pilot Knob Road
Eagan MN 55122 ' OCT O 9 ZO�� � �� j Date Received:����� � �
Phone:(651)675-5675 ' - �^:��' I I
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2014 RESIDENTIAL BUILDlNG PERMIT APPLICATION
Date: /G� J�" �� Site Address: /.�5 f �o o /J/!I/ '-�a/`�G H/Cv✓�.. Unit#:
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# If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �
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COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING '
�
iIn the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? �
� � I
� _Yes _No If yes,date and address of master plan: �
;
� Licensed Plumber: Phone: �
�
± Mechanical Contractor: Phone:
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Sewer&Water Contractor: Phone: �
NOTE:Plans and supporting documents that you submif are considered to be public enformation. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
��� conclude that��th�are trade secrets. �
CAI.L BEFORE YOU DIG. Cali 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. wuvw.popherstateonecall.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 oniy an application for a permit, and work is not to start without a permit; that the work wiil be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X �� 7%��;� / �-
Applicant's Printed Name Ap IicanYs Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126389
Date Issued:10/09/2014
Permit Category:ePermit
Site Address: 1566 Johnny Cake Alcove
Lot:15 Block: 3 Addition: Oakbrooke 5th
PID:10-53764-03-150
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Carbon monoxide detectors are required by law in ALL single family homes . umprovements to the home require smoke
detectors in all bedrooms. If the window opening is altered or you are installing Bay or Bow windows, please call for a
framing inspection. PLEASE CALL 651-675-5675 FOR A FINAL INSPECTION AFTER INSTALLATION - THANK YOU!!
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Matthew J McCall
1566 Johnny Cake Alcove
Eagan MN 55122--550
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146737
Date Issued:11/13/2017
Permit Category:ePermit
Site Address: 1566 Johnny Cake Alcove
Lot:15 Block: 3 Addition: Oakbrooke 5th
PID:10-53764-03-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
John Fuehrer
1566 Johnny Cake Alcove
Eagan MN 55122
(701) 290-9911
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature