1570 Johnny Cake AlcoveAddiOSS I5%0 Johnnv (;ake Alcove Zip $$12a
Lot 14 Blk j Sub Oakbrooke Sth
THESE ITEMS WERE / WERE NOT COMPLETE AT TEE TIME OF THE FINAL INSPECI'ION.
Date: /?_ .. p Yes No Inspector:
Final grade (6" from siding)
Pecmanent steps (gazage)
Permanent steps (main entry)
Permanent driveway x
Permanent gas x
Sod/Seeded grass
TraiUcurb damage K
Porch ?
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing syscem and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contad engineering divisiop at 6814645 before working in rightof-way or installing underground sprinkler syscem. ?
White - City Copy Yellow • Resident Copy Pink - Cantrac[or Copy
RESIDENTIAL BUILDING
` - Permit Application
City Of Eagan
, 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion Reguirements RemodeVReoairReauirements
3 reg'stered site surveys showing sq. ft ot lot sq. ft of house; and all roofed areas 2 copies of pWn
(20% maximum bt coverage allmved) 1 set of Eneigy Calculatbns for heated additlons
2 copies of plan showing 6eam & window sizes; poured fouM design, etc. t site survey tar addi6ons 8 decks
i set of Eneqy Cakulations Additian - indicate if on-sife seph'c system
3 mpies af Trea Preservation Plan it lot platted atter 711793
Rim Joist Detail Options selecGon sheel (bldqs wiN 3 or less units
In0.0o
0?ffice US?e OnN
CeROtSurveyRecd9?? ?
Tree P2s Plan Retd
Tree Pres Nat Reqd
_ On-site Sep6c System
Date 09 /
SiteAddress 1570 Constructio¢ Cost
TGHNMY Cor1tf ,44CO?rG UnitlSte #
M/NNSSoT4 SSlz.?-
Description of Work /7a?--K
Multi-Family Bldg _ Y a' N Fireplace(s) _ 0 _ 1 - 2
PropertyOwner 7-0Z;'b +^Vii--4/AMr. Telephone#(65/ ) 90s-49/9
Contractor I
I
I
Address
State City I
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residentfal Ven6lation Category 1 Worksheet • PJew Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculatlons Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and 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.
roDD Wl L..4IAM5 --7, B. -?
ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Owelling ? 08 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 Ilk 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 30 Accessary Bldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
rw 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCemeM - 'Demolition (Entire Bidg) - Give PCA handout to applicant
Valuation [?l7 Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const VA)_ Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
A Footings (deck) )r
- FinaUNo C.O.
_ Footings (addition) . r Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _
_ Final _ Windows (new/replacemen[)
_ Insulation _ Retaining Wall
Approved By TZ , 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
pa'clG li( ? ?1
-f ?v
?
PULTE HOMES OF MINNESOTA
RECAP SHEET
DATE: 11/8/01
JOB NO:
COMMUNITY:
ADDRESS:
MODEL:
BUYER:
SALES REP:
0320-314-03 LOT: 14 BLOCK: 3
Oakbrooke Single Family ADDITION: PHASE 3
1570 Johnny Cake Alcove CITY: Eagan STATE: _
STERLING MODEL#: 18232 ELEVATION: 1 GARAGE:
TODD & ANNA WILLIAMS PHONE #: 612-825-1753 PHONE #: 0
JolayneMoberg PHONE#:651-686-2862
UNIT: 0
MN ZIP:55122
0 LEFT
1 18232 STERLING r M
1 00000 Lot Premium
1 11000 FULL BASEMENT-LOOKOUT
1 18015 ELEVATION #1
1 22001 3RD CAR GAR-EL#1
1 19021 FULL VIEW ALUM COMB DOOR
1 25000 DBLE. INTERIOR DOOR
'I 25016 HMLK DRS WIP.F.BIRCH/MAPLE
1 28044 CABINETS - MAPLE
1 28056 42 UPPERS - MAPLE
1 14000 BASE CARPET ADJUSTMENT
1 14007 1ST CARPET PAD UPGRADE
1 14002 2ND CARPET UPGRADE
1 15000 BASE VINYL ADJUSTMENT
1 21008 GASFIREPLACE - BRIQUETfE
1 23007 3 TON AIR CONDITIONER
1 23012 HUMIDIFIER
1 40036 WOOD FLOOR KITCH/DINETTE
1 40037 WOOD FLOOR FOYER
1 40039 WOOD FLOOR HALL
1 99000 N.S.O-MANNINGTON FLOORS IN THE DINING ROOM
1 40040 WOOD FLOOR BATH #3
5 17024 CEILING ELECTRIC OPENING ALL BEDS, LOFT, FR
1 26043 WOOD RAILING - 2ND FLOOR
1 31011 LAUNDRY TUB SNGL COMPRTMNT Laundry Room
1 15092 CERAMIC TILE BATH #2
2 32001 CAT 5 PHONE OUTLET KIT, MSTR
3 32002 CAT 5 MEDIA OUTLET MSTR, FMRM, LOFT
1 23019 HONEYWELLT8600 SETBACKSTAT
1 29006 CAST IRON KITCHEN SINK
1 10000 PROFILE PKG. - ELEC. RANGE, DW & MW
r , c.=, v.-
1U,-??-2039 14:42 =liL?E HGMES
MA7akieck COMFLTANCE REPOAT
Mlnnasata gnergy code
N,Ncheek 8oftware versiwn 3.0
GVi7N'PY: Dak.ota
gTATE: MinnOeata
Zl7hE: 2
CAN3TRUCTT414 TYpE: Single Family
DATE: 7-27-2000
1]ATF, tIF PIJAt3S: '1/2K/00
TI'I'.Fa'«: Q2kYJY00kC $tflr21T_g With LOOkOt1C
Cq:2PLIAIvCE: PASSE9
Chec ed by Aste
RBgu'lred CTA = 532
Your Aome p 463
24.2t HeCCei T1xaT: Code axea ar Cavity Cont. f3lazing/Doar
Perimeter R-Vat°:.ue R-Value U-Valua
--------------_•`-_
-------------------
CHILiF?1C?9___.._.......------ - 1218 36.0 0•0 1
d7A:.18: Wood Frame, 1E" C.C. 2673 19.0 2•0
gSMT; Gon.G. 9.01 ht/8.3' bg!9.0' insul 1047 11.0 Q•Q o.350 ?
OLA7TIJ4: wi,ridaws ar Daara, Ai?ove C?rade 402 0.350
Da:?RE7
`z•L'JOR'3: bvdr OLlteide Air 48 38.0 0.0
HVAC EQ'JIHN1ERTMi: Furnaca. 92.0 ArVE
CO.MPL27u+TCE ?aTATENIENa'??lThe-proFosed buil3-!ng?design d.esc.t'1b+sd hexe ig
consigteXaG With the buildin9 plans, gprcifiG&tians, aad aGher calculaeians
s+:bmitCe3 wi.th the perrnit a liCaLipn. The proposeci buii8ing has beexi
d.seignad to e?re?---k?inneaata HnOrgy ccde.
3uildexineeig4a
Da ce Z/:9
T6TRt F,0"?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILOING PERMIT APPLICATION
PROPERTY LEGAL: L e+ 14 13f s c K 3 /jat ?.' S--I'h
DATE OF SURVEY: iD ";z 9- a l
LATEST REVISION:
d
rn
c
?
v
DOCUMENTSTANDARDS
Y a
o z a
a
F7/ ? ? • Registered Land Surveyor signature and company
?9' ?
?
? ? • Building PertnRApplicant
/ ? . Legal description
¢ ? ? • Address
? ? ? • North arrow and scale
W// ? ? • House type (rambler, walkout, spld wlo, splk entry, lookout, etc.)
d?
? ? • Directional drainage arrows with slope/gradient °k
? ? . Proposed/existing sewer and water services & invert elevation
? ?
? ? • SVeet name
? ? • Driveway
? ? • Lot Square Footage
?
? ? • Lot Coverage
? ? • Benchmark
ELEVATIONS
Existinq
do 0
0 posed)
d/o
d/? ? • Sewer service (or Pro
0?? • Elevations of any existing adjacent homes
?/? • Adequate footing depth oi structures due to adjacent utility trenches
? FX ? • Waterways (pond, stre
am, etc.)
• Property comers
• Top of curb at the driveway and property line eMensans
/ Prooosed
?" ? ? • Garage Floor
?/ ? ? • First floor
[?'/ ? ? • Lowest exposed elevation (walkouUwindow)
0 ? • Property corners
[a' ?? • Front and rear of home at the foundation
PONDING AREA (if auolicable)
?
? ? • Easement line
? i5 ? • NWL
? ? • HWL
? 6'/ ? • Pond # designation
? f? ? • Emergency Overfbw Elevation
/ DIMENSIONS
CY ? ? • Lot GneslBearings & dimensions
?
Y ? • Rightof-way and street wbth (to back of curb)
0 0 • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. all sUuctures requiring pertnanent footings)
GX ? ? • Show all easements of record and any City utilfties within those easemenls
Q
v ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
o ? • Retaining wall requi2ments, ifany
Reviewed:
1 . -SurAyor's Ceroficate
SURVEY FOR :PULTE HOMES
DESCRIBED AS :Lot 14, Block 3, OAKBROOKE 5TH ADDRIbAI, City of Eagan, Minnesoto and reserving
eosements of record.
L 0 T SQ. FO 0 TA GE
HSE SQ. FD 0 TA GE
L 0 T CO l/ERA GE _
?
}/ 18232
PROPOSED ELEVATIONS
Top of Foundation = a3ca.5
Garage Floor =R3b.l
Basement Floor -927,5
Aprox. Sewer Service =azy.s±
Proposed Elev. = Cj
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = .
-Q.2
SCALE: 1 Inch - 30 feet
ti
.?
;a
j qz4.e
425,0
BENCHMARK,
ca *9oi3
Eleu: 923, `A
MiiV. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
JOB N0:
HEDLUND I HEREBY CERTIFY iHAT 7HI5 IS A TRUE AND CORRECT REPRESENTA110N 01R-520
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNOER MY DIRECT SUPERVISION ANO OOES NOT PURPORT TO BDOK: PACE:
PLANNlNC BNGINBBRINC SURV6YINC SHOWIMPROVEMENiS OR ENC CHMENTS, EXCEPT AS OWN.
2005 Pin Oak Driva •
Eagan,MN 55122 DATE (I1 CAD FILE:
Phone: (651) 405-6600 R . UNOGREN, LAND RVEYOR
Fox: (657) 405-6806 J/ z,?l ? INN TA LICENSE NUMBE 14376 Oakbrooke
= 1210,35
= 1,99q?,
7V /0 930,5
klt-
Surveyor's Certificate
SURVEY FOR :PULTE HOMES
DESCRIBED AS :Lot 14, 81ock 3, OAKBROOKE STH ADD(fCaJ, City of Eagan, Minnesota and reserving
easements of record.
NOV 0 8 ntC'D
LOT
HSE
cor
SQ. F00 TA GE
SQ. F00 TA GE
CO t/ERA GE _
? Y µ I1 i
V E?
= 12,035
= 1, 91
9 D, 2
16% 9?s
. . . . ., . ... , .. -_..? .:': "n
# 18232
PROPOSED ELEVATIONS
Top of Foundation = 93(b,5
Garage Floor = 43t0.1
Basement Fioor =9z-7.5
Aprox. Sewer Service =qzq.st
Proposed Elev. _ ?
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = .
SCALE: t Inch - 30 feat
.?
?'-
ti
-%a
,1 924.8
QZ$,O
r°
r.,.
BENCHMARK,
cP ? 9oi3
Eleu_ 923.`09
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
JOB N0:
HEDLUND I HEREBY CER7IFY THAT 1HIS IS A TRUE AND CORftECT REPRESENTATION 01R-520
OF THE BOUNOARIES OF iHE ABOVE DESCRIBED PROPERTY AS SURVEYEO
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANNJNG EN49INd'd'RIN6! SURYrYjNG SHOW IMPR04EMENTS OR ENC CHMENiS, EXCEPT AS OWN.
2005 Pln Oak Drive ?Q/?QL •
Eugon, MN 55122 DATE CAD FILE:
Phone: (651) 405-6600 F R A. LINDGREN, LANO RVEYOR
Fux: (651) 405-8806 INN TA LICENSE NUMBE 14376 Oakbrooke
nt?
?
?.SEI
?T?n
?
?
0
?
?e`:a
Sile address 1??0 ??/NA/N (14 ?+L Lot 3/f Block 0-3 Subd. &"""rodtc?
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protec6on, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
_ This sWcture: is consWcted to meet minimum requirements of Ihe Mn Energy Code, Chapter 7670
OR
This struclure: wfll be consWcted to meet more restrictive requirements of Chapters 7672 or 7674
APPLUINCE GAS ELEC MANUFAC7URER MODEL BTU'S VENTING TYPE
Water Heater vll- o? 110?e 1?5-
Fumace V?
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YEs NO
Kitchen kitchen
Bathroom 1 80 L.,.
Bathroom 2 IlIQ 80
?
Bathroom3 v S-d S-i-y r/
Bathroom 4
.
Other
F.;iEPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTII'S VENTING
aJtECT ATMOS
?t?"itI ?f ?0 6iD0 ~T1P ? ?900
I hereby acknowledge that the a6ove information is correct and agree to comply with the Minnesata Energy Code and City of Eagan
requirements.
Si Date
CompanyName
* 7his form is the responsibility of the General ConVactor.
<?; RESI NT AL I I C? ci
ILDING PERMIT APPLICATION
CITY OF EACAN 'JYl p
? 1! t _? r?-?,?3830 PI651-68/46 5- 55122 P P
NewConsWdion Reauiremenis
• 3 regisiereC site surveys showing sq. R of bt sq. R W Iwuse; and all rocfed areas
(2(1°G macimum bt coverage allowed)
. 2 copies of plan showing heam & window sizes; pwred fourW design, etc.)
• 1 set of Energy Calc lations
• 3 copies of Tree Preservation Plan il lot platteC after 711193
• Rim Jaist Detail Optlons selection sheet (bldgs with 3 or Igss units)
DATE
?lac.l ?
-lU,11??o
A U.?
RemodeUReoairReauiremants - 5
. 2 coPw ot PWn
. 7 set of Energy Calalatiora for heated addiUons
• isMSUrveyforexterioradditions6decks
lq ?g9
VALUATION (EXCLUDING LAND)
.iJB $ITE ADDRESS /570 ,.S oLInn?t 6-1ti '4lcovc-
IF MULTI-FAMIIY BUILDING, HOW MANY UNITS? /U,IX_
PROPERTY OWNER P" Ife. ?Io.?.t r o-C fy/'.{/ Care
TYPEOF WORK /Ucw CoK t?r..?-t+o? FIREPLACE(S) _0 gl _2 _3
APPLICANT Pu li-c. ZA2...?s o? /17.(I Co?12 PHONE# Gs1???s?2-s?oo
ADDRESS f!S /Jlofi-??st- P*rlcw?v IVv ZIPCODE SS"121
?
PAGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residentlal Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
? MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Piumbing Contractor: V4 1 jc o Pl u wr b? ncl Phone #: CcSI ?<1P?2 '? l? J
Plumbing System Includes: ' Wa[er Softe er _ Lawn Sprinkler ee: $90.00
X Wa[er Heater ! No. of R.I. Baths
3 No. of Baths ^
MechanicalContractor: RGrHs?%/k fkqii,.?
Alechanical5ystem Includes: _2C Air Conditioning
_ Heat Recovery• System
Sewer/Water Conhactor. f'e Z?'-o 6 e4-"ra I
All above information must be submitted prior to processing of application.
Phone #
Fee: $70.00
Phone,#,1 ? Tl?l ?/e2!ff-a93fr
?
I hereby acknowledge ihat I have read this application, state that the information"
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Stgnafure of ApplicanT
Certificates of Survey Received _ Tree Preservation Plan Received _
Not Required _
with
Updated 1l01
OFFICE USE ONLY
? 01 Foundation
A 02 SF Dwelling
O 03 01 of_ plex
? 04 02-plex
? OS 0&plex
? 06 04-plex
? 07 OS-plex ? 13 76-plex
? OB 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg,_Y or _ N
O 20 Pool
0 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Stortn Damage
O 25 Miscelianeous
? 30 Accessory Bldg
? 31 Ext. Alt- Multi
O 33 EM. Alt - SF
O 36 Multi
*? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition 0 36 Move Bidg. ? 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 JZ3-l ?- MC/ES System
Census Code 101 Zoning ? City Watei
SAC Units _o Stories Booster Pump
Nbr. of Units Sq. Ft. d D'? 0 PRV ?
Nbr. of Bldgs Length q 2..0 Fire Sprinkfered
Type of Const Width a ?11! 0 '
REQUIRED INSPECTIONS
? Footings (new bldg) FinallC.O.
_ Footings (deck) _ FinaVNo C.O.
Footings (addition) _ Plumbing
? Foundation _ HVAC
? Drain Tile
Roof Ice & Water Final Other
Y Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _Y R.I. _)( Au Test Y
Final Siding Stucco _ Stone
?
Insulation =
? Windows (new/replacement)
Approved By / 7- , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
coPfes
Other
Total
6IIf5llt ) 170 X I
IiA4pv l 17 0 Y s y
?? I a 9d? y %C;p -11F?(
?J I
171S-5a
63(/QO
? 7.2
10
I
I 5-7j q/`1
For Office Use
I Permit 45 I
City of Eo 111~ 11 W 1 D I 7
I I
Permit Fee.
'
3830 Pilot Knob Road JUL
Eagan MN 55122
( Date Received: ~ I
Phone: (651) 675-5675
I L
Fax: (651) 675-5694 Staff -------------~--J
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 7 o Site Address:. t 7 C ak- C L C p V-`~
Tenant:
Suite
RESIDENT/ OWNER Name: Phone:
Address / City / Zip: ~-y
CONTRACTOR Name: License Otp ~W1
Address: Zt! O Mt&Sk7 ( •
City: ~~iZ7rr~ State:n Zip: Phone: q-5" `4 D--S-7-71 Contact Person:
TYPE OF WORK -New _Replacement -Repair _Rebuild _ Modify Space _ Work in R.O.W.
Description of work: L
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / ` PVB) Main _ Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge)`
'Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES
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 lans.
X- 'S Lt,P- X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: _ Under Ground Rough-In Air Test _Gas Test Final
I For Office Use City of Eata
Permit
Ila I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
13 1
Date: ' f Site Address: /`~4`I V (.4'4K~CM
Tenant: l W~ `l L I t~~`'~j Suite
RESIDENT / OWNER Name: ✓liL~ ' G l t`at.i~✓t Phone:
Address / City / Zip: lc~*VIAV au t~~ x)
Applicant is: Owner 41 Contractor
TYPE OF WORK Description of work: ~'Y~~/✓ / f
Construction Cost: Multi-Family Building: (Yes / No )
CONTRACTOR Name: 1~tk '19 ' License
Address:
City: JC\o &3°- -c State: / V Zip:`7
Phone: 0: 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
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 the 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.
XG~ 3eyl6c)n rJ~E 0W C
Applicant's Printed Name pplica Sig ure
Page 1 of 3
J1 JUL 3 1 2009
V C4~6A~ccolc"-~-,
DO NOT WRITE BELOW THIS LINE t`J
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building"
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%~J Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation, HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: j~ , Building Inspector
RESIDENTIAL FEES
Base Fee F4--517e-
Surcharge
Plan Review 0
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117547
Date Issued:10/18/2013
Permit Category:ePermit
Site Address: 1570 Johnny Cake Alcove
Lot:14 Block: 3 Addition: Oakbrooke 5th
PID:10-53764-03-140
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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: 8,000.00
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 -
Todd B Williams
1570 Johnny Cake Alcove
Eagan MN 55122
Redstone Builders LLC
4084 Oakbrooke Alcove
Eagan MN 55122
(612) 236-8888
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152838
Date Issued:11/02/2018
Permit Category:ePermit
Site Address: 1570 Johnny Cake Alcove
Lot:14 Block: 3 Addition: Oakbrooke 5th
PID:10-53764-03-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Todd B Williams
1570 Johnny Cake Alcove
Eagan MN 55122
(651) 285-5256
Centerpoint Energy
1240 W River Pkwy
Minneapolis MN 55454
(612) 321-5597
Applicant/Permitee: Signature Issued By: Signature