1614 Johnny Cake Ridge LaPLUMBING(RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Faxnily Dwellings
Townhornes and Condos when permits aze required for each unit
/ 0J ?
Date
L
_
--
Site Address Unit #
Property Owner Telephone #( A 0?
Contractor rJ (t) 1 ? al(if.tJG(?jJ
Address City 174e,f )4
SYate Y'4 11 ? Zip Telephone #
The Applicant is _ Owner Contractor _ Other
Septic Sys[em New _ Refurbished Submit 2 sets of plans antl MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Eaisting Drvelling Unit, Including $ 50
00
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater .
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter'rf needed -$121.00)
Other:
_ RPZ ^ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ adtlitional
r_
O
State Surcharge
JkiV 1 4 2003 .50
Total sv
BY
I herehy apply for a Residenrial Plumbing Permit and aclmowledge 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 with the Plumbing Codes; that I understand this is not a
permit, but only an application for a pernnt, and work is not to start wiihout a pernilr, that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
?o? Lt .
Applicant's Printed Name App icant's Signature
sneedarass: G/y r)0H.,2411 - Il„x Lot-').3 eiook--L suba. o4rad,,t,r6?"
AA
On April 15, 2006 the Minnesota Energy Code, Category I Builtling Requirements for insufation protection, air
tightness, and ventilation, was acioptetl. As a result, the Cify of Eagan is requiring that the foflawing information be
submitted prior to issuance of a Certificate of Oacupancy.
?. This structure: Is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
! OR
' This structure: wlli be construc4ed to meet more restrickive requirements of Chapters 7672 or 7674
APPL{ANCE GAS E4EC MANUFACTURER PAOqEI 9TU'S VENTINGTYPE
Water Heater
u, ? ... Y S
Fumace
Dryer
----
EXHAUBT SYSTEM
LOCA'eIQN
TYPE
MODEL
CPM's VENTED
YES No
Kitchen kitchen
Bathroom1 T t)
Bathroom 2
? -Q s VC)
Bathroam 3
Bathroom 4
Other
FIREPL4CE &
LOCATlON
GAS
WOOD
MANUF TURER
MODEL
BTU'S VENTING
OIRCCT kib103
zo 7-7
,
I
MAKE•UP A1R MODE4 TYPE CPA7's
r-
I hereby acknowiedge that the a6ove information is oorrect and agree to comply with the Minnesata Energy Code and City of Eagan
recfuirements_
Dal
' This `orm is the rosporslbliity of the General ConVactcr.
'7S?_?E DENTIAL(- S
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-687•4675
RIL ubk-1 b_1
I'c1C. ?; S5? l
pL ?????3
70. `_?b
y ? Sz
New Conalruction Reouirementa RemodellReoair Reouirements
• 3: egrsieiea sde surveys showing sq. ft. of lot, sq. R. of house; aM all ruofed areas . 2 copies of plan
(20°io mazimum lot coverage ailoweA) . 1 set of Eneryy Calcula6ons for heated additions
• ? cooies of plan showing 6eam 3 window sizes; poured found design, eta) . i sile survey for extenor additions 8 tlecks
. 1 sel of Energy Calculatbns . Indicate if home serveC 6y septic system for addi[ions
. 3 ca0ies of Tree Preservation Plan if lol pla@ed aRer 711i93 ????= j
^
• Rim Jo6t Oetatl Oplions selection sheet (bldgs with 3 or less units) ? j
DATE 0IIa2q 1DZ VALUATION
-?
SITE ADDRESS 1614 6Gt MULTI-FAMILY BLDG _ Y x N
TYPE OF WORK C FIREPLACE(S) _ 0?x 1 _ 2
/_ // L33, /? (?Ja k b roo Ics? ?tt.
APPLICANT vl?c
STREET ADDRESS 9/5- 11I6/(gW??? CITY?N _STATE 1144ZIP
TELEPHONE #?S CELL PHONE # Gr2 3?9 a6o7 FAX #
PROPERTY OWNER
-------------------------------------------------------------------- ? Q- SEP?2 5 7?JJZ_. l
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Plumbing Contractor: Phone k &1 2
? ---------------
Plumbing system includes: ?Vater`Softencr Ia?rTi Sprinkler C'r e: -? $900?.00
?Vater Heater No. of R.I. Baths
No, of Baths
COMPLETE THiS SECTION FOR "NEW" RESIDENTIAL GS ONLY JS ?
By -_- -
Energy Code Category _ ??[IV"\t:tiOT.? RGLES 7670 C:ATGGORY 1 ?' N[IV'?;LSOT:1 RI "LLS 7(ii`l
(v submission type) • Residential Ventiiation Category 1 Worksheet Submitted • New Energy Code Worksheet SuCmittetl
• Energy Envelope Calculations Submitted
Mechanical Contractor: j?0'111SV/11<_ 14A4?
Mcch.miril ,cstcm includc,: Air Condiuun ;
-- Heal Rccocci} Sys(ciu
Sewer/WaterContractor: /?Iriri? ????LS
Phone#
Fec: S70.00
Phone #
---------------------------------------°-----°-----°----------° °-------------------......---------------------...-•--
I hereby acknowledge that I have read this application, state that ihe information is conect, and agree to comply
with all applicable State of Minnesata Sfatutes and City of Eagan Ordinances. ,
Signafure of Applicanf
OFFICE USE ONLY
Certificates of Surv `y Re eived >C1 Tree Preservation Plan Received _ Not Required ?
,t'o `Od?
Updatea 4t02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
)4 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plez ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 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 Miscellaneous
x 37 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/Ooors
? 34 Replacement `Demolition (Entire Bldg anly) - Give PCA handout to applicant
Valuati
n (? D O MC/ESS
t
o ccupancy ys
em
Census Code ? Zoning City Water
SAC Units _0? Stories ? Booster Pump
Nbr. of Units Sq. Ft. PRV V?„?
Nbr. of Bldgs ? Length ?c`7_f Fire Sprinklered
Type of Const ?[kJ Width '35,/
REQUIRED INSPECTIONS
?
Footings (new bld-) -x FinaL'C.O.
_ Foofings (deck) _ Finallti'o C.O.
Footings (addi[ion) _ Plumbing
? Foundadon _ HVAC
Drain Tile Other
Roof Icz & Water Final Pool Ftgs AiriGas Tzsr Final
? Framing Siding Stucco Stone
?- Fireplace 4 R.I. _)(,Air Test ]{ Einal Windows (newheplace ment)
? Insulation ? Retaining Wall
Approved By TZ , Building Inspector
Base Fee
surcnarge SL )m
Plan Review
.?^
0 r
MGES SAC
CitY SAC
W ater Supply 8 Storage '
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies ?Z_??-
.,
q`/7F/ ?
,
? U1 j
Other
Total
JUL-27-20W'41 pwn 'WCME?` ' P.a2i02
41N^hrck COMPL2ANC8 REPORT
n^I.nn?eora Enesgy CodA
r,n-.1,- -t,
So£tware Vere3.on 3.0
C AckAd by-Tte
<"': ?J1;la'r.' ? DaiSOtfA
s N+11k ! rtinneooCa
i,'?.F : 2
nf,n.ITPL?cTibN TYPE: 8:tngle Family
nnr?: 7-2^.-2000
nnTF nF pLAUS: 7/27/00
TT'Tt 71: DIAMOND WALKt7UT 6L8VATION #a
r,CMP7,1l+PdC.E : 8A98&5
A^,lnixw3 VA s 493
YojY Home m 371
27.5* Aetter Than Code
Axea oY Cavity Cont. alaaing/Door
Perimeter R-<lalue R-Value U-Value
---------------------------------------------------------------------------
C;EII.iDTC?8 1887 44.0 0.0
u7?Zi,LS? vlaod Frame, 1E" O.C. 2297 19.0 2.0 1
41}1?,I,9: 4tood £rame, 16° O.C. 247 10.6 2.0
ASM'F? Cana. 9.0' ht/8.3' b919.0' ineul 152 11.0 6.9
F?8r4T: Conc. 3.51 ht/3.1' bg/3.51 inevl 20 10.0 0.0
Gz,JAZING: VPindows or 17oore, Above arade 406 0.360 1
00QRQ 38 0.360
Mrac 5:;;,2uuIPMENT: Furnace, 52.0 aFUE
------------------------------------------------------------------------------
CoF?Fi,IANCE STATSMENT: The progosed building d.esign deecribed hare ie. -
cor.siatent with the building plana, apecificatioas, and other c.alcu].etiona
st,,bmitted with the permit applioatian. The propoaed building has been
designed to mebE iremei}?e nneeota Eaergy Code.
a-j ilder/Designer bate ; a
T[I'(FaL F.0c
PULTE HOMES OF MINNESOTA ?
JOB INITIATION ORDER
DATE: 6l24/2002 se-Jun page 1
JOB NO: 0550-433-01 LOT: 33 BLOCK: 1 UNIT: 43301
COMMUNITY: OAKBROOKE PATIO HOMES ADDITION: 5TH
ADDRESS: 1614 Johnny Cake Ridge Lane CITY: EAGAN STA7E: MN ZIP: 55122
MODEL NAME: DIAMOND MODEL#: 17951 ELEVA710N: 1 GARAGE: RIGHT
BUYER NAME: Ahmed Sundrani
ADDRESS: 3055 Eagandale Place CITY: Eagan S7A7E: MN
HOME PHONE: 651-365-8021 WORK: 651-994-9450 x103 WORK:
SALES REP.: KATHEE SHELDON PHONE: 651-686-4643
rhollzfla oWte<om
QTY OPTION pESCRIPTION LOCATION EACH PRICE>
1 17951 DIAMOND-SLAB $ 221,990 $ 221,990
1 18015 ELEVATION #1 $ - $
1 25015 CLNST.DRS W/PF OAK $ 750 $ 750
1 31001 LAUNDRY CABINETS - BASE $ 295 $ 295
1 14004 CARPET PAD UPGRADE $ 300 $ 300
1 14002 2ND CARPET UPGRADE $ 1,425 $ 1,425
1 15026 VINYL UPG.#1 - BATHS #1 $ 225 $ 225
7 15031 UPGRD VINYL KITCHEtJ $ 340 $ 340
1 15090 CERAMIC TILE FOYER $ 1,625 $ 1,625
3 17024 CEILING ELECTRIC OPENING EACH BR $ 100 $ 300
1 23005 2 TON AIR CONDITIONER $ 1,800 $ 1,800
2 32002 CAT 5 PHONE / CABLE / SATELLITE BR#2  $ 765 $ 330
1 17006 OMIT RANGE/RUN 220V ELECT. $ (250) $ (250)
1 10055 SPACEMKR MICROWAVE $ 625 $ 625
1 10096 VENTED KITCHEN FAN TO OUTSIDE $ 250 $ 250
1 36038 WATER SOFTENER $ 950 $ 950
1 21021 GAS FIREPALCE / CERAMIC / WOOD MANTLE $ 4,150 $ 4,150
1 13077 WHIRLPOOL TUB $ 1,075 $ 1,075
1 29006 CAST IRON KITCHEN SINK $ 450 $ 450
TOTAL: $236,630
NOTES:
STAIN: MEDIUM
THIS CONSTITUTES A CONTRACT BETWEEN THE SELLER AND THE PURCHASER (S) FOR THE ABOVI= ITEMS.
APPROVED BY BIJYER (S):
APPROVED BY BUYER (S):
APPROVED BY SUPERINTENDENTAPPROVED BY SALES:
ZIP: 55121
Buiiders License # 0001371
PULTE HOMES OF MINNESOTA
CHANGE ORDER # 1
DATE: 8/7/2002
JOB NO: 0550-433-01 LOT: 33
COMMUNITY: OAKBROOKE PATIO HOMES ADDITION: 5TH
ADDRESS: 1614 Johnny Cake Ridge Lane CITY: EAGAN
MODEL NAME: DIAMOND MODEL#: 17951 ELEVATION 1
BUYERS NAME: SOLD REVERTS TO SPEC
STATE: MN ZIP:55122
GARAGE: RIGHT 0
ADDRESS: CITY: STATE:
HOME PHONE: WORK: WORK:
SALES REP.: KATHEE SHELDON PHONE: 651-686-4643
ZIP:
rholtz(doWte.cam
: QTY OPTIQN DESCRIPTION LOCATION EACH ' PRIGE
TOTAL FROM PREVIOUS JIO $236,630
-1 10055 SPACEMKR MICROWAVE $ 625 $ (625)
-1 10096 VENTED KITCHEN HOOD FAN $ (250) $ (250)
-1 13077 WHIRLPOOL TUB $I 1,075 $ (1,075)
-1 14002 2ND CARPET UPGRADE $ 1,425 $(1,425)
-1 14004 CARPET PAD UPGRADE $ 300 $ (300)
-1 15026 VINYL UPG.#1 - BATHS #1 $ 225 $ (225)
-1 15031 UPGRD VINYL KITCHEN $ 340 $ (340)
-1 15090 CERAMIC TILE FOYER $ 1,625 $ (1,625)
-1 17006 OMIT RANGElRUN 220V ELECT. $ (250) $ 250
3 17024 CEILWG EIECTRIC OPENING $ 100 $ (300)
-1 18015 ELEVATION #1 $ - $ -
-1 21021 GAS FIREPLACE - CERAMIC W/WOOD $ 4,150 $ (4,150)
-1 23005 2 TON AIR CONDITIONER $ 1,800 $ (1,800)
-1 25015 CLNST.DRS W/PF OAK $ 750 $ (750)
-1 29006 CAST IRON KITCHEN SINK $ 450 $ (450)
-1 31001 LAUNDRY CABINETS - BASE $ 295 $ (295)
-2 32002 CAT 5 PHONE / CABLE / SATELLITE $ 165 $ (330)
-1 36038 WATER SOFTENER gl 950 $ (950)
TOTAL: $221,990
NOTES:
L
LL
THIS CONSTITUTES A CONTRACT BETWEEN THE SELLER AND THE PURCHASER (S) FOR THE ABOVE ITEMS.
APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED BY SUPERIfVTENDENT:
APPROVEO BY SALES:
8-AOg
BLOCK: 1 UNIT:4:S301
Builders License # 0001371
PULTE HOMES OF MINNESOTA
CHANGE ORDER # 2
DATE: 8/24/2002
JOB NO: 0550-433-01 LOT: 33 BLOCK: 1
COMMUNITY: OAKBROOKE PATIO HOMES ADDITION: 5TH
ADDRESS: 1614 Johnny Cake Ridge Lane CITY: EAGAN
MODEL NAME: DIAMOND MODEL#: 17951 ELEVATION 1
BUYERS NAME: Charles & Linda Pommier
ADDRESS:
HOME PHONE:
SALES REP.:
26-AUg
UNIT: 43301
STATE: MN
GARAGE: RIGHT
15550 Galaxie Avenue #404 CITY: Apple Valley STATE: MN
952-953-9172 WORK:651-457-4174 WORK:0
KATHEE SHELDON PHONE: 651-686-4643
ZIP: 55122
0
ZIP: 55124
rhollzapu0e.com
QTY OPTION DESCRIPTION LOCATION EACH P.RICE
TOTAL FROM PREVIOUS CHANGE ORDER 1 $221,990
1 10055 SPACEMKR MICROWAVE $ 625 $ 625
1 10087 UPGRADE RANGE SMOOTH TOP $ 575 $ 575
1 10096 VENTED KITCHEN HOOD FAN $ 250 $ 250
1 10104 REFRIGER,4TOR - W/ ICE MAKER $ 1,100 $ 1,100
1 10118 WASHER W/ ELECTRIC DRYER $ 1,125 $ 1,725
1 14001 1ST CARPET UPGRADE $ 950 $ 950
1 14002 2ND CARPET UPGRADE $ 1,425 $ 1,425
1 15026 VINYL UPG.#1 - BATHS #1 $ 225 $ 225
1 15031 UPGRD VINYL KITCHEN $ 340 $ 340
1 15032 VINYL UPG.#1-LAUNDRY $ 100 $ 100
1 15090 CERAMIC TILE FOYER $ 1,625 $ 1,625
3 17024 CEILING ELECTRIC OPENING EACH BR $ tOD $ 300
1 18015 ELEVATION #1 $ - $ -
1 21021 GAS FIREPLACE - CERAMIC W/WOOD $ 4,150 $ 4,150
1 22027 INSULATEO.H.DOOR-2CAR $ 225 $ 225
1 23005 2 TON AIR CONDITIONER $ 1,800 $ 1,800
1 25015 CLNST.DRS W/PF OAK $ 750 $ 750
1 31001 LAUNDRY CABINETS - BASE $ 295 $ 295
3 32002 CAT 5 PHONE / CABLE / SATELLITE $ 165 $ 495
1 36038 WATER SOFTENER $ 950 $ 950
TO'TAL: $239,295
NOTES:
STAIN: CIDER
THIS CONSTITUTES A CONTRACT BETVJEEN THE SELLER AND THE PURCHASER (S) FOR THE ABOVE ITEMS.
APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED BY SUPERINTENOENT:
APPROVED BY SALES:
Builders License # 0001371
PULTE HOMES OF MINNESOTA
CHANGE ORDER # 3
DATE: 8/25/2002
JOB NO: 0550-433-01 LOT: 33
COMMUNITY: OAKBROOKE PATIO HOMES ADDITION: 5TH
ADDRESS: 1614 Johnny Cake Ridge Lane CITY: EAGAN
MODEL NAME: DIAMOND MODEL#: 17951 ELEVATION t
BUYERS NAME: Charles & Linda Pommier
ZIP: 55122
0
ADDRESS: 15550 Galaxie Avenue #404 CITY: Apple Valley STATE: MN
HOME PHONE: 952-953-9172 WORK: 651-457-4174 WORK: 0
SALES REP.: KATHEE SHELDON PHONE: 651-686-4643
rhallz(aZOUlte.cor
QTY OPTION DESCRIPTION LOCATION EACH PRICE
TOTAL FROM PREVIOUS CHANGE ORDER 2 $239,295
-1 14001 1ST CARPET UPGRADE $ 950 $ (950)
1 14004 CARPET PAD UPGRADE $ 300 $ 300
1 22025 GARAGE DR OPENER/2 CONTRLS $ 400 $ 400
NOTES:
TO iAL:
THIS CONSTITUTES A CONTRACT BETWEEN THE SELLER AND THE PURCHASER (5) FOR TNE ABOVE ITEMS.
APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED BY SUPERINTENDEN7:
APPROVED BY SALES:
26-Aug
BLOCK: 1 UNIT:43<301
STATE: MN
GARAGE: RIGHT
ZIP: 55124
Builders License # 0001371
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5,..
' LOT SURVEY CHECKLIST FOR RESIDENTIAL
, BUILDING PERMITAPPLICATION
PROPERTYLEGAL: LOT 33 8/erk //? L?sdakC Gf?_
DATE OF SURVEY:
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LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyorsignature and company
• Building Permit Applicant
• Legal description
• Address
. North arrow and scale
• House type (rambler, walkout, split wlo, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/existing sewer and water services & invert elevation
• Street name
• Driveway
. Lot Square Footage
• Lot Coverage
ELEVATIONS
/ Existina
fd' ? ? • Sewer service (or Proposed)
d ? ? . Property comers
r2? ?? . Top of curb at the driveway and property line exAensions
??? . Elevations of any existing adjacent homes'
??? • Adequate footing depth of structures due to adjacent utility trenches
? V? • Watenvays (pond, stream, etcJ
Prooosed
V0 C • Garage floor
G ? • Basement floor
? ? ? • Lowest exposed elevation (walkout/window)
? g( ? . Property comers
GY ? C • Front and rear of home at the foundation
PONDING AREA (if aoolicable)
? ? ? • Easement line
? ? ? . NWL
? ? ? . HWL
? ? • Pond # designation
? L? ? • Emergency Overflow Elevation
?Y/ ? ?
i?Y ? ?
F? ? ?
?O ?
u? ? ?
DIMENSIONS
• lot Iines/Bearings 8 dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
• Show all easements of record and any City utilities within those easements
• Setbacks of proposed structure and sideyard setback of adjacent existing structures
• Retaining wall requiremei " '"
Reviewed:
, Surveyor's Certificate
SURVEY FOR :PULTE HOMES
DESCRIBED AS :Lot 33, Block 1, OAKBROOKE 6TH ADDITION, City of Eagon, Minnesota and reserving
easements of record.
SEP 2 5 REC'0
S a l'.... j
,. . ' .. . . _wtiX mzPT.
1;6>4
JGyHNY CAKE
I?/ID E LANE /
/ no V G°IICe Ms \
sS p6
972.4 '?J
?O O oQ° n?G?oD h0
Qt?p?,p p.
/L o'o o(
3:1 Marjmum
e o
or Retaining ?NaII?Wpj
Be ROqUlf9d ?G9 ti? 3z
0
S1zT
93, L I- ?fjuc15
LOT SQ. FOOTAGE = 3,960
? o
HSE SQ. F00 TA GE = 2,36 7
L O T CO l/ERA GE = 6 0%
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...v:=.?.
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# 17951
PftOPOSED ELEVATIONS
Top of Foundation =933.5
Garage Floor =932.4
Basement Floor =Slab on Grade
Aprox. Sewer Service =921.5
Proposed Elev.
Existing Elev.
Drainage Directions =-
Denotes Offset Stake = •
4
954.2
[O}?,,
8 l
y4 y
?
?O
BENCHMARK,
CP # 9012 TNH
EL= 931.19
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
JOB N0:
HEDLUND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 02R-597
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERN AS SUftVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANNING BNGINBBRINC SURYBYlNC SHOW IMPROVEMENTS Oft ENCROACHMENTS, EKCEPT AS SH N'N.
2005 Pin Ook Drive ?p
Eagan, MN 55122 DnTE ?/JJ2/D-1- ' CAD FILE:
Phone: (651) 405-6600 J Y. INDGREN, LAND SU EVOR
Fox; (651) 405-6606 9' ESOTA UCENSE NUMBER 14 76 Opkbrooke 5
SCALE: 1 inch = 30 feet
1
I Fer Office Use
a _ ~7 I
.
tat i Permit
I ~ Permit Fee: city of Eap j
1A 1
3830 Pilot Knob Road JUL 1 3
MN 55122 ~ Date Received:
Eagan `
I
Phone: (651) 675-5675 I Staff: I
I
Fax: (651) 675-5694 L
2009 MECHANICAL PERMIT APPLICATION
Date: 7 /.r Site Address:
Suite
Tenant:
Name:,< Phone:
RESIDENT / OWNER Jy-f
Address f City / Zip..
CONTRACTOR Name: License
Address:
State: ✓.rTiG Zip:,
City: -
Phone: Contact Person:
TYPE OF WORK New _,L-Replacement Additional Alteration Demolition
Description of work: f
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE New Construction Interior Improvement
Furnace
Install Piping Processed
Air Conditioner
Air Exchanger Gas Exterior HVAC Unit
_ Under / Above ground Tank (-install Remove)
_ Heat Pump When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ -`'C, TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
$ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2;000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
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 fora 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.
Applicants Printed Name Applic -cfni s Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test -in-floor Heat -Final
Exterior HVAC Screening Inspection
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA104828
' Date Issued: 06/12/2012
titj of Elin Permit Category: ePermit
Site Address: 1614 Johnny Cake Ridge La
Lot: 33 Block: 1 Addition: Oakbrooke 6th
PID: 10-53765-01-330
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
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.
Fee Summary: BL - Base Fee $4K $103.25 0801.4085
Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195
Total: $105.25
Contractor: Applicant - Owner:
Krech Exteriors Inc Charles J Pommier
5866 Blackshire Path 1614 Johnny Cake Ridge La
Inver Grove Heights MN 55076 Eagan MN 55122
(651) 688-6368
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127824
Date Issued:10/15/2014
Permit Category:ePermit
Site Address: 1614 Johnny Cake Ridge La
Lot:33 Block: 1 Addition: Oakbrooke 6th
PID:10-53765-01-330
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 -
Charles J Pommier
1614 Johnny Cake Ridge La
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA128122
Date Issued:10/27/2014
Permit Category:ePermit
Site Address: 1614 Johnny Cake Ridge La
Lot:33 Block: 1 Addition: Oakbrooke 6th
PID:10-53765-01-330
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Lisa Nyberg
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 -
Charles J Pommier
1614 Johnny Cake Ridge La
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152971
Date Issued:11/13/2018
Permit Category:ePermit
Site Address: 1614 Johnny Cake Ridge La
Lot:33 Block: 1 Addition: Oakbrooke 6th
PID:10-53765-01-330
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Charles J Pommier
1614 Johnny Cake Ridge La
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature