1618 Johnny Cake Ridge La?' ????, a?
?°?? ( BUILDINCR ERMIT APPLICATION
CITY OF EAGAN fino -
3830 PILOT KNOB RD - 55122
651-687-4675 Po-
New Construction ReaulremeNs
. 3 registered site suneys showing sq. ft of l04 sq• ft• of house; an?ll roofed areas
(20% maximum lol cove2ge albwed)
• 2 copies of plan show(ing beam & wirWaw sizes; poured found design, etc.)
• 1 set of Energy Calculafions
• 3 copies of Tree Preserva6on Plan'rf lot platted after 711193 ,y
• RimJOistDetailOpfionsselectionsheat(bldgswith3orfessunits)
}QT
DATE
JOB SITE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? /_
PROPERTY OWN
TYPE OF
APPLICA
REPLACE(S) _ 0 l 1_ 2
PHONE#
ADDRESS ,FC r N? f'L-. ,- S- W ? ZIP CODE 3-572/
PAGER # CELL PHONE # Z O S?Y/ FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
?--?
E
C ?
nergy
ode Category MINNESOTA RUI.I:S 7670 CATLGO
(check one) Residential Ventilation Category 1 Workshe22 20
71.603
1
Energy Envelope Calculations Su6mitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: Phone #: CS_d
_ f L 2. t L i
Plumbing System Includes: 7Iater SofCener ? Iawn Sprinkler Tee: $90.00
'
? Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor. 14 ? v-i Ar. Phone # W2 r5 r °
Mechanical 5ystem Includes: Air Conclitioning Fce: $70.00
_ Heat Recovery System
Sewer/Water Contractor. A A_" ( Phone #-7(9? YT aF 3V
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the in rmati D correct, and agree to comply
with all appiicable State of Minnesota Statutes and City of Eagan i rs.
Signature W Applicant
?
Certificates of Survey ReceivecL ? Tree Preservation Plan Re _ i ed _ ot Required ?
?()(.0
ts?O'tsFS
`l0 "?;o
90 'r?b
RemodeUReoair Reauirements
• 2 wpies ot plan m ?-
• 1 setof Energy Calculations for heated additions-? 1i acl l'
• 1 site survey forexlenor additions & decks
• Indirate if home served by septic system for addi9ons
3 y 30 3 ?°??
9-`f ??-
VALUA'ION 4115. "ru
47o (? ? ?
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 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 EM. 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
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 WindowslDoors
? 34 Replacement 'Demolition (Entire 81dg only) - Give PCA handout to applicant
Valuation Occupancy -U!y MC/ES System
Census Code
??- Zoning _eA
City Water
SAC Units C2/? Stories Booster Pump
Nbr. of Units Sq. Ft. PRV J(Ks
Nbr. af Bldgs Length O? Fire Sprinklered
Type of Const V A) W idth ?i S/
REQUIRED INSPECTIONS
? Footings (new bldg) X FinallC.O.
_ Footings (deck) Fina]/No C.O.
Footings (addition) _ Plumbing
? Foundarion 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 (newheplacement)
? Insularion ? Retaining Wall
Approved By T Z , Building Inspector
,?-
8ase Fee
Surcharge 61"0-73
Plan Review 07V
MC/ES SAC
City SAC
Water Supply & Storage
n ?
S&W Permit & Surcharge r iL
Treatment Plant
. /
Plumbing Permit J f
Mechanical Permit t J
?
License Search
Copies
Other
Total
y '
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Dakata r r'a.' tdznnaeotat '
";n"'I.RUC'T"tON'TXPV' Sing,ie Pamily
C;p.,,.,. 5-12-2000'
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i''' ??• DIAPd03Tt7 `W/PORCff m.2
IAYFQRiNATIODt:.'-.
nr
PA55$9
rr.,,.i i ? nrZ UA .. $26 ? ?:`i': • . - .
•,,:,, i,.;?.,? ,.. 409 - -''.. ..,_..
y 1P¢
a eS_ .
y,
P. Pa •0 ;
CheckC by Dn te
?-.`.ter. Than Coda
Aroa or Cavity Cpnt. Glaziag/Door
_ Perimote, R-value R-value U-VAILR
.. _""?"?.,.._......""'_...,.?_..'_'__...._..""_"_-......-_.."'_..,_'__'.."'_..__
18&7 64.0 . 0.0
T.7nad Frame," 16" O.C. 1975 19.0 2.0
t
µ7indoms"o`r poors, Abovs dra9e 279 0.350
??r)•,.,? ?; 38 0.350
AL?"? E'i,00RS: UhhAated, 42.0" izi?su]., 206 1010
1
HV:,r: gQUIPMENP: P'urn3ce, 92.0 AF[M
-°-- --...--'--- ??t'?- ---------------'-^-------- ----- -----------
C'mNPLZANCE STAT'EMErTDe ?.x,ha pro?oeed,buildiny deaxgr?' escribed+herY ie
con:?istent with ?7l? 7:ilane, `&peoificatiema;`rid otheY'aa].eulationa
sur.mi.tted ?rith'?t1' appl' catioh ? The•prnppsed b'uildfng has beea
deGigned tC fia e' trten Of s?'he .Minneaottt ;&ei
ArY
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. ? LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
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PROP 1
ERTY LEGAL UC/
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00
DATE OF Sl1RVEY: ?'/S a 2
LATEST REVISION:
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m
ci DOCUMENTSTANDARDS
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?" ? • Registered Land Surveyor signature and company
?/ C i_ • Building Permit Applicant
? • Legal description
??,?, ? • Address
[F?,7 • North arrow and scale
a? ^ L
! . House type (rambler, walkout, split w/o, split entry, lookout, etc.)
/ • Directional drainage arrows with slope/gradient °/a
R
?C ? . Proposed/existing sewer and water services & inveR elevation
ri/ ? ? • Street name
? ?
? E? • Driveway
L
t S
F
? ? • o
quare
ootage
C?o ? • LotCoverage
ELEVATIONS
Existina
'?! C C • Sewer service (or Proposed)
Y? ? - • Property comers
?-?/ • Top of curb at the driveway and property line eMensions
? Y? • Elevations of any existing adjacent homes
??? • Adequate footing depth of structures due to adjacent utility trenches
?' ;? ?_ • Waterways (pond, stream, etcJ
Prooosed
?/? C • Garagefloor
?u ? C . Basement floor
C • Lowest exposed elevation (walkouUwindow)
? ? - • Property corners
C?u G • Front and rear of home at the foundaUon
PONDING AREA (if aoolica6le)
? _? ? . Easement line
? V' G • NWL
? id'/? • HWL
0 • Pond # designa6on
? ?il C • Emergency Overtlow Elevation
;? r.
i? ;7
.?,
DIMENSIONS
• Lot lineslBearings & 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 requirements, "
Reviewed:
OK
.
. • ? ? Surveyor's Certificate
SURVEY FOR :PULTE HOMES
DESCRIBED AS :Lot 31, Block 1, OAKBROOKE 6TH ApDITION, City of Eagan, Minnesota ond reservtng
easements of record.
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932.5
L 0 T SQ. F00 TA GE
HSE SQ. FOOTAGE
L O T CO l/ERA GE _
# ,7ss,
PROPOSED ELEVATIONS
Top of Foundation = 934.5
Garage Floor = 933.4
Basement Floor = 926.5
Aprox. Sewer Service = 922.5
Proposed Elev. _?
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = • SCALE: 7 inc h m 30
I HERE6Y CERTIFY 7FiAT THIS
HEDLUND OF THE BWNDARIES OF iHE
BY ME OR UNDER MY DIRECT
PL.4NNING ENGINB'h'R7NG SURVBYINC SHOW IMPROVEMENTS OR EN((
2005 Pin Oak Drive Q?.
T' ?Z \
Eagan, MN 55122 ,
DATE V/-/-
Phone: (651) 405-6600
Fax: (657) 405-6606 q-?p
= 3,960
= 2, 36 7
60%
Rm0v0 ??MMED
BENCHMARK,
MIN. SETBACK RE4UIREMENTS
Front - House Side -
Rear - Garage Side-
JDB N0:
ENrnnoN 02R-533
SURVEYED
PORT TO BDOK: PAGE
VS
CAD FILE:
SURVEYOR
t 14376 Oakbrooke 5
RESIDENTIAL BUILDING CID
Permit Apphcation
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouirements RemodeUReoair Reauirements Offce Use OnN
3 registered site surveys showing sq. R of IoL sq. fL of house: and all roofed a2as 2 copies of plan _ Cert ol Survey Recd
(20Mo maximum lot wverage allowed) t set of Eneqy Calculations for heatad additions Tree Pms PWn Recd
2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey foi addidons & decks Tree Pres Nol Reqd
1 set of Energy Calalations Addition - indicafe i/on-site sepfic system _ Onsite Sepfic System
3 copies of Tree Preservatbn Plan if lol platted after 7!1l93
Rim Joist Defail Optians selectbn sheet (bldgs wAh 3 or less unBs ?I b c 'Aj
i
Date 25?_ / (
Site Address / Q?
co-et
/11 ConstrucGon Cos[ mO
- laiA5X Unit/Ste #
Description ot Work b`?tClt_
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner Telephone # ( )
Contractor
Address pr5-
State ?W City
-Zip 5-Sf a? Telephane #(cOl Z ) 3toR-9?Pb 7
-?
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Worksheet
(J submisslon type) Submitted
. Energy Envelopa Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone #( ) _
Telephone #(
Telephone #(
r f? f2
- ."
U nm I
u - u
B
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 M?T
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.
Go? ? ? d? ?
Applicant's Printed Name Applic s Signature
OFFICE USE ONLY
Sub Types
? 01 FoundaGon ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 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 )Y- 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plb9_YOr_ N ? 25 Miscellaneous
Work Types
.?
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 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 (EnBre Bldp) - Give PCA handout to appliwnt
Valuation Occupancy MC/ES System
Census Code
v' Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
FinaUC.O.
Y FinaVNo C.O.
/? Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By 7-Z , 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
? ?G/G Z L U Z.?l?
? 0 ?
PERMIT# RECEIPTDATE:
8005 RESiDENTlAL PLUbI$INfi PEiiM1T APPLICATION
crrY oF EAea?x
S$SO PII.OT KPOB {iD
gAHAN, MA 55122
651-8$1-4675
Please complete for
SITE ADDRESS
OWNER NAME: : _
INSTALLER NAME:
STREET ADDRESS
CITY: )n'"IMl
single family dwellings, townhomes and condos when permits are required for each unit,
6ackflow preventer for irrigation system
U 4
#: ii,?- 3 1E,207
(AREA CODE)
b 2
TELEPHONE #: ? / ), S-2 z/
(AREA CODE)
STATE: ffv)l ZIP: IS Zld
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ A6andonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter'rf needed -$11S)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: f/water softener water heater $ 15.00
State Surcharge $ 50
n
rotal $ I,5
I herebyacknowledge Mat I have read this application, state that the information is correct, and agree.'to,qomplywith all applica6le Cityof Eagan ordinances. It
is the applicant's responsibility to no6fy the property owner that the City of Eagan assumes no liahiliryfor any tlamagescaused;6y-.tl5d City during its normal
operational and malntenance activities to the facilities wnstruc[ed under this permit withi Ity rope /d 4ofp-y?gayle?a/??err?/nt.
^" L .?? ??
SIGNATURE OF PERMITTEE 1l02
Siteaddress: 161 ?a?t??ot(/1 Block 0/ Subd. (0cf ELfao(!?-
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, 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 structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
? OR
This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'5 VENTING TYPE
Water Heater
d ?? b5?a5/r?' -B
Fumace 6a3 -o2 ?- J eG
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL .
CFM's VENTED
rES No
Kitchen kitchen y?? f.v,t;,
Bathroom 1 ,n ?el P44 $ f -DS ?Q- Sb c?
eathroom2 ik ,? it FNi- C?5 Vp f 57D ?
Bathroom 3
Bathroom 4 ? ? ? ? ? ??Sp ?v ?
Other
FIREPLACE 5
LOCATION
GAS
WODD
MANUFACTURER
MOOEL
8TU'S VENTING
DIREC7 ATMOS
l ?
I hereby acknowledge lhat the above informadon is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
Signature
CompanyName
1j(.of03
Date
' This form is the responsibility of the Generai Contractor.
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA104826
Date Issued: 06/12/2012
~A~ of EREH Permit Category: ePermit
Site Address: 1618 Johnny Cake Ridge La
Lot: 31 Block: 1 Addition: Oakbrooke 6th
PID: 10-53765-01-310
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 Gail P Jelinek
5866 Blackshire Path 1618 Johnny Cake Ridge Lane
Inver Grove Heights MN 55076 Eagan MN 55122
(651) 688-6368
1 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:EA127885
Date Issued:10/17/2014
Permit Category:ePermit
Site Address: 1618 Johnny Cake Ridge La
Lot:31 Block: 1 Addition: Oakbrooke 6th
PID:10-53765-01-310
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 -
Gail P Jelinek
1618 Johnny Cake Ridge Lane
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:EA128126
Date Issued:10/27/2014
Permit Category:ePermit
Site Address: 1618 Johnny Cake Ridge La
Lot:31 Block: 1 Addition: Oakbrooke 6th
PID:10-53765-01-310
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 -
Gail P Jelinek
1618 Johnny Cake Ridge Lane
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:EA145755
Date Issued:09/25/2017
Permit Category:ePermit
Site Address: 1618 Johnny Cake Ridge La
Lot:31 Block: 1 Addition: Oakbrooke 6th
PID:10-53765-01-310
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 -
Gail P Jelinek
1618 Johnny Cake Ridge Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature