1621 Johnny Cake Ridge LaBiIRNSVILLE
Heating & Air Conditioning, L.L.C.
12481 RSade /stand Ave S, Snvage, MN 55378 • 952-894•0005
Orstet Test Report for Job# qg&3
,.
AddfeSS 1,42,91 s/J Cjty t'-r-'!;/tn/
OccUpant Date of Install 3-3-0-3
Type of HT. HA -',( HW Space HT Unit HT
Ot)er
Make U.)-) +-? ?,,,
Model t?,
Serial •?? ?'G3,?j 1 ?' t'?, 4-1 `7
Input
Pilot Type HOT SURFACE 1GNITOR
Pressure C02 6,. 7'
Input CFH ??a 02 A'? v
Stack Temp 1 W C0If x
Date Tested 5- S I - 0
Company BURNSV
Technician i-.( c)
HEATING & AIR CONDITIONING
RE5IDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Kuob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construcfion ReouiremenLS RemaleUfteoair Reouiremenis
3 registe2d site surveys showing sq. ft o( lol sq, ft. of house; and all roofed areas 2 copies of plan
(20%mauimum lot coverage allrnved) 1 set of Energy Calwlations tor haaled additlons
2 copies of plan showing beam & wiMow sizes; poured found design, etc. 1 sile survey for addidons & decks
1 set of Energy Calculatlons Addifion - irdicete 8ansife sep6'c system
3 copies of Tree Preserva6on Plan if lot platted after 711N3
Rim Joist Detail Opfions selection sheet (bidgs wiN 3 or less units
-S ?7 d,6 )'
Office UseOnN VC ---)o 03
Cert of Survey Recd _ Y_ N
TreePresPlanRecd _Y _N
TreePresReqd _Y _N
On-siteSepticSystem _Y _N
Dat? 1D3
Site Add ess /p /)y Construction Cost
61,06 e AJ /) 15? UniUSte #
Description ot Work /",)E/L
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner AW Telephone
Contractor ? D.d % V . i
Address ?2I
State /4/i,v?
' City
Zip Telephone # (E?a ) J/ r?
Gs-I qs7 0»3 0YCY-?)-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category . Residentlai Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J su6mission type) Submitted Submitted
• 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
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 pe it, and work is not to start without a
permit that the work will be in accordance with the approved plan in the work hich requires a review and
approval of plans.
ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-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 Ga2ge ? 22 Porch/Addn. (4-sea.)
0 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
P11 33 Alteration
1
? 34 Replacement
? 30 Accessory Bldg
? 31 Ext. Ait - Multi
? 33 Ext. AIt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation o L, P L-) Occupancy
Census Code ? f 4V Zoning
SAC Units Stories
Nbr. of Units , Sq. Ft.
Nbr. of Bidgs / Length
Type of Const ON/ Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundarion
Drain Tile
Roof Ice & Water Final
? Framing -
Fireplace R.I. Air Test Final
?c Insulation
/I ' -v( 4e--
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUII2ED INSPECTIONS
FinaUC.O.
? FinallNo C.O.
Plumbing
? HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By ! L , Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
,?/ 70 -
PLUMBING (RESIDENTIAL) 50
(1? Permit Applicarion
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pemuts aze required for each unit
Date? (9 /; -7 /_0,7
Site Add
ess 1(F Ai( V 0 40h ?
4
lQ
C
Q
'
r
, Unit #
l
/
l.
! CS
.P
?? ?1?S!')'lXY`?
P
t
O
16MVW
roper
y
wner
, Telephone # ( )
-
Contractor N147 A e Gl?' S( 1'
Address City
State Zip Telephone # ( )
The Applicant is _ Owner ? Contractor _ Other
Septic System New _ Refilrbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant tees may apply.
Altera ' ns To Ezisting Dwelling Unit, Including _
Adding fxtures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
_ Water Wmaroun
d
(+ 5/8" meter if needed -$121.00)
f?
?
p
_ Other: ?C,? iA1 F_Q ..Q.uA2 Q'?.??7 d?
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
State Surcharge $ .50
Total ?--} 5-d
$ J (/,' X
I hereby apply for a Residential Plumbing Permit and aclaowledge chat the information is complete and accurate; that the work will
be in conformuice with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an applicafion for a permit, and work is not to start without a pemut that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plaos.
/?- J-a h e c?? y
Applicant's Printed Nam Applicant's i ature
RESIDENTIAL BUILDING
Permit Application
City OfEagan
3830 Pilot I{nob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
--(:) ?
NewConsWCtionReauirements RemodeVReoairReuuirements Office UseOnlv
3 registeied site surveys showirg sq. fL of IoL sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(200/o maximum bt caverage allmved) 1 sat of Eneyy CakulaUons for heated additlons Tree Pres PWn Rerd
2 capies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addiUons & decks Tree Pres Not Reqd
1 set of Energy Calculafions Adddion - indicate ilon-site sepfis syslem _ On-5ite Septic Syslem
3 copies of Tree Preservation Plan if bt platted aher 717193
Rim Joist DeTail Optlons selection sheel (bldgs with 3 or less units
Date
Site Address I10? ?
TChrv?: Construction Cost
(6 (Ct Unit/Ste #
Description of Work hrE'?
Multi-Family Btdg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner ? Telephone # ( )
Contractor R)
Address
State City
TS /xjT Telephone #(?C f Z) 3(a I"9-?0-7
Zip -?°-r
-°
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheef
(J submission rype) Submitted Submitted
• Energy Envelope Calwlatloo,5u"itted
Licensed Plumber ?V?R J? 1 Telephone #(
,? 012003
Mechanical Contractor Telephone #(
Sewer/Water Contractor v" % 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 [his 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.
ApplicanYs Printed Name Applicant' ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 DSplex ? 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 ? 18 Deck ? 23 Porch(screen/gazebo)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ 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) ? 44 Siding
J
r? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair
?El 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ESSystem
Census Code N 3 y 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)
?C Footings(deck)
_ Footings(addirion) ,
Foundarion
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
FinallC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ AirlGas Tests _ Final
_ Siding Smcco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By / e-- , 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
? ?,? _
Site address; Lot ?Z? 9lockCLL Subd. ?• ?S y?'? ?
On A,pnl 15, 2000 the Minnesota Energy Cade, Category I 6uilding Requirements for insulatlon protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
subm(tted prior to issuance of a Certificate of pccupancy.
T This sVucture: Is constructetl to meet minlmum requlraments of fhe Mn Energy Code, Chapter 7670
OR
? This structure: yyH, ba conatructed to meet more reatricUve requirementa of Cheplera 7872 or 7674
APPI.UWCE GAS ELEC MANUFACTURER MOpEI. 8TU'8 tlENTINRTYPE
Water Hoeter ?,J?
? \A74 ?-
Furnace
[MK _ ? 1 "?C- p°'D )iec.
Oryer
El(FfAUST SYSTHM
l.OCATION
? TYPE
MODEL
CFWs VENTED
YEs No
Kttchon kitchen
BeUiraom 1 4.•r V? b I?
Bathroom 2
Mfdl "
(:O v0
Bathroom 3
Bathroom 4
Other
FIRCPIACE S
LdCATIQN
OAS
WOOD
MANUFACTURHR
MODEL
Q'i'U'S VENTING
DIRECT ATN109
?j•fD Ci7o TR"Fj 2
I hereby acknawiedge that the abova informa6on Is correct end agree to comply with the Minne9ote Energy Code and City of Eagan
requirements.
:! ?. v-; ? -
5' lur? e
Company Name
.--/11 -?%l
Dat6 ' f
" Thls farm is the reaponsibility of the General ConVactor.
L&t 2 y ?&&C_k
Ouk6U*e. U`N-`-
5-7 as3
???? ?? ( SkT
RESIDENTIAL
,y?P 5 -lI -rTu
BUILDING PERMIT APPLICAT?ON
GTY OF EAGAN P j-1 I S?
3830 PILOT KNOB RD, EAGAN MN 55122
`t'74S.3a
q0.?
651-681-4675 75 New Conetruction Reouiremants
• 3 registered site surveys showing sq. R. of bt, sq. ft. of house: and all mofed areas q
(20 % maximum lot coverage allowed) a\
• 2 copies oi plan showing beam S window s¢es; poured found desyn, etc.)
• 1 set of Energy Calculations /{J
• 3 ccpies of Tree Preservation Plan if lot platted aker 7I1,93 yZ(
• Rim Joisl Detail Oplions selection sheet (bldgs wiM 3 or less units)
DATE ?I'ZZ,?pv
SITE ADDRESS Ait`aI ,?52>14n?1 V'
TYPE OF WORK nlr,O _(Ons{Y'ACWe
APPLICANT I tr
STREET ADDRESS H IS
TELEPHONE # /- 0 -45 CELL PHONE #
PROPERiY OWNER
TELEPHONE #
-------------------------------------------------------------- -................................
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
r,
1 cCategr? ? 'Code-aBry ?yfINVF.S01':1 RUL1:5 7670 C:1"CF.GORY ! ?IT?'NLSO'f:1 R[ "LGS i(iiY
'?mission type) Residential Ventilation Category 7 Worksheet Submitted • New Enerqy Code Worksheet Submittetl
2 2 2C?1_ ?? . Energy Envelope Calculatlons SuGmitted
Plum 1b0ig=G-ant??#or: ?j ?I? I _ Phaie # q?? ??2-?1!?-? _
Plumbing system includes: _ Water Soft? Lawn Sprinkler Pee: $90.00
Water Hca[er vo. of R.I. Ba[hs
` No. of Baths
MechanicalContractor: 90r?I5UtJ18 Phone# 95;R--4? 9L/-000s
Mcch.mic>il systcm inclu(tcs: Air Condiuoni , C'cc: y70.00
-- Hcat Rccovcry 5ystcin
Sewer/Water Contractor: /YG1YO 4!j?? ?Ci'dict? Phone # 71P3 -'112A a"`?3$
-------°------------ ° ----° -------------------------------------------- - - --- ---° ----- ° --------------------------------
I hereby acknowledge that I have read this application, state thai the information is correct, and agree to comply
with oll applicable State of Minnesota Statutes and City of Eagan Ordin(Aces. I
Slgnafure of Applicant
OFF[CF, USE ONLY
Certificates of Survey Received '?;)
Not Required 4::?p
Updated 4%02
Tree Preservation Ptan Received _
?41U?o
RemodellReoair Reouirements r? n }-
• 2 copies of pian
• 1 set of Eneryy CalculaGOns for heatetl adAitions
• 1 site survey for extenor additiore & decks -)-C. o a. Intlicate if home served by septic system for additions
VALUATION I?iO?v
MULTI-FAMILY BIDG _Y XN
_ FIREPLACE(S) _ 0IX 1 _ 2
Co4d4n _ STATE dAv ZlPA0Q:R,1
77 F A X # G5"/-
?? ??7
OFFICE USE ONLY
? 01 Foundation
*)? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
f? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 OS-plex ? 13 16-plex
? 08 06-plex ? 76 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 ExL Alt - Multi
? 33 Ext. AIt - SF
? 36 MWti
11 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demalish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
•Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Cen sus Code 1421 Zoning ? City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. /?i (o ZS PRV
Nbr. of Bldgs Length ? Fire Sprinklered
Type of Canst 1? IAJ_
vT? Width ?
REQUIRED IN SPECTIONS
? Footings ( new 61dg) FinaUC.O.
? Footings(deck) _ FinaWo C.O.
Foonngs ( addition) _ Plumbing
_X Faundatio n _ HVAC
Drain Tile Other
?/ Roof Ice & Water Final Pool Ftgs AiriGas Tests _ Final
A Framing Siding Stucco Srone
Fireplace -)( R.I. -)K Air Test _
?( Final Windows (nzw/replacement)
? Insula[ion ?
?? Retaining Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Suroharge
Treatmen[ Pfant
Plumbing Permit
Mechanical Permit
license Search
Copies r a?
Other
Total
Rpproved By ? 2, , Building Inspector
------- - -------------------
?,? 1?6D
?
Y? ? l?wyv f? r'g p X.5??1
J!.?
?)j"n t?, l? /ydr V .`Zl -.-:;
71 T?a
,,. _ ..:._ _ . _ _ ,.--.?s......
Jt ? o .?
,?
/
?
Mldrl:• !' COMPLIANCE REPOR'P
Mi,,,,. 1?nyrgy Cf-.)de
MAI" 11 - [ttvaV0, r?inn 3.0
COtr il . i,:,lcr,r:a
? STT.?i?l?, ? t7; r?rto s ot:Ft
zorn; ;
COI1.,? ? OPd 7'YPL:: Sinale Family
n, , . 2000
`DnU: ri,r1NP: 8J3/00
l,J,r,,I i'l,i!-,'I'11L 4dALK0(i'C ELhVn9't(V if?.
C(?r.t: i. ',t,'t?: PF1^SES
grrtu i i --•1 (?'\ -- ?3R6
Yr)ii} i,.,ni , -. 265
26. i, r•=r Than Code
CP l t . i ? . . . -
4•IRW Frame , 16" O.C.
14701i Fr.ame , 16" O.!'•
T3SIIi 9 .0' ht'./E3. 3' bg/9.0'
_F}SP•1'! : + ?•nr. 3.5' ht/3. 1' bg/3.5?
43i ll!lpvr? aY Donr.'a, d1hr:>ve,
Pip , i
Permit ##
Ch.ecked by%Dat=
Ar.ea or. Cavity Cont. Glazing/Door
PerimeCer R-Va].ue R-Value U-Val.ue
_..----1342----44.0 0.0 1
1986 19.0 2.0
169 ].0.0 2.0
insul 1.12 11• 0 0.0
insul 20 1D.0 0.0 0.350 1.
(:rada ?.94
38 0.350
iPMtNT: Pi.i.r.riace, 92.0 nF'UI?
--- ----- ------ -- ---------- ----------------------------
??p?:+,i \w!V STA`i.'rMRNTi Ttie proposed building design described here ie
t- r<.nr_ with the building plans, specificationa, a1id other calculations
reciuirements t of n the T Minnesota e Energy dCodehas been
ksz?i?i?? j j to 1 mkeet n permit
de
Bui 1,?, r /I)PSlgner
Date ??. ?Z
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERPIT APPLICATION
PROPERTY LEGAL: l??? p T} /
DATE OF SURVEY:
LATEST REVISION:
d
rn
c
a
t
U
Ya
O} v
Q
DOCUMENTSTANDARDS
? ? • Registered Land Surveyor signature and company
P? ? ? • Building PermitApplicant
?? ? • Legaldescription
?-/ ?
py/ ? ?
? •
• Address
NoRh arrow and scale
LY110 0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
Ef /? ? . Directional drainage arrows with slopelgradient %
? ? • Proposedlexisting sewer and water services & invert elevation
p? ? ? • Street name
/ 0 ? • Driveway
fd/ O ? • Lot Square Footage
?f ? ? • Lot Coverage
ELEVATIONS
?
Ip?/?
?
• Existina
Sewer service (or Proposed)
?/ ? ? • Property comers
iX/ ? ? . Top of curb at the driveway and property line extensions
fL ?/ ? • Elevations of any existing adjacent homes
b K/ ? • Adequate footing depth of sWctures due to adjacent utility Uenches
? 21 ? . Waterways (pond, stream, etc.)
/ Prooased
E7 ? ? • Garage floor
?/? ? . Basementfloor
t? ? ? • Lowest exposed elevation (walkouUwindow)
? • Property comers
V0 • Front and rear of home at the foundation
PONDING AREA (if applicable)
? Pf/ ? • Easement line
? R3'/ ? • NWL
? ?f/ ? • HWL
? 1 0 • Pond # designation
? ?jo • Emergency Overflow Elevation
? 19' ? • Pond/Wetland bufferdelineation
/ DIMENSIONS
¢?'/ 0 ? . Lot Iines/Bearings & dimensions
H/?? • Right-of-way and street width (to back of curb)
PX ?? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. all structures requiring permanent footings)
Df/ ?? . Show all easements of record and any City uGlities within those easements
I? ?? • Setbacks of proposed structure and sideyard setback of adjacent e'sting structures
?? ? . Retaining wall requirements, if any
Reviewed:
Name Date
G:/FORMS/8uilding Permit Application
• Surveyor's Cert?ficate
k .-
SURVEY FOR :PULTE HOMES ??? 25i7f??n
U
DESCRIBED AS :Lot 28, Block i, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving
easements of record.
?'-
Y -?2.5?
.? :
vocane
N75a41'p8..w >.,l'ENvG
? o
'•? $'c o° P\° m^°?, f O?
y$o q ^ ? ?
x N ? ? 11.1) ?1!
o (o "' h
5QJ 47 1.
•? o
o ?
V. 1 e? Exist VH me ```
o? R?ui? ;? TOB = 935.1
' LOT SQ. FOOTAGE
HSE. SQ. F00TAGE
LOT COVERAGE _
V,o
/ 930.7
1621
JOHNNY CAKE
RIDGE LANE
931.6
= 3,080
= 1, 686
54%
1?
a
:
/J 17934a
PROPO4?5 ELEVATIONS
Top of Foundation = 933.5
Garage Floor - 932,4
Basement Floor = 924.5
Aprox. Sewer Service = 921.5
Proposed Elev. - ?
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = • scnLe: i inc h = 30 feet
HEDL UND I HEREBY CERIIFY 7HAT 1HI5 IS A'
OF 7HE BWNDARIES OF THE ABOVE
BY ME OR UNDER MY DIRECT SUPEfi
PLANNlNC d'NCINB6R/NC SURVdY/NC SHOW IMPROVEMENTS OR ENCROACH
2005 Pin Oak Orive r r I9 oz ?
Eogon, MN 55122 DA7E ?/1?/__ -
Phone: (651) 405-6600
Fax: (651) 405-6606 f??rj_Gr2 rv-/5
BENCHMARK,
CP J/ 9012 TNH
EL= 931.19
MIN. SETBACK REQUIREMENTS
Front -
Rear -
House Side -
Garage Side-
dorirkffk
S SFIi0N 02R-747
O:PROPER7Y
DiDOES NOT
ICEPT :A}'
YED
TO BOOK: PAGE
SURVEYOR
; 14376 Oakbrooke 5
s4'?.
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105981
Date Issued: 08/06/2012
Permit Category: ePermit
Site Address: 1621 Johnny Cake Ridge La
Lot: 28 Block: 1 Addition: Oakbrooke 6th
PID: 10-53765-01-280
Use:
Description:
Sub Type: e-Reroof
Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Krech Exteriors Inc Mary M Wannigman
5866 Blackshire Path 1621 Johnny Cake Ridge Lane
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:EA127823
Date Issued:10/15/2014
Permit Category:ePermit
Site Address: 1621 Johnny Cake Ridge La
Lot:28 Block: 1 Addition: Oakbrooke 6th
PID:10-53765-01-280
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 -
Mary M Wannigman
1621 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:EA128129
Date Issued:10/27/2014
Permit Category:ePermit
Site Address: 1621 Johnny Cake Ridge La
Lot:28 Block: 1 Addition: Oakbrooke 6th
PID:10-53765-01-280
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 -
Mary M Wannigman
1621 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
1,111
C!tyofEaaali
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: �% (1 . c d
Date Received:
Staff:
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Io / 6, Site Address:
Tenant:
W
Phone:
Suite #:
Address / City / Zip: 162A r.,� LA
Name: J0\v\rm -LAC, License #: F( (, t °I 06
Address:
l Y9') o `7 S s�'
City: .k'LLOo,,Nt-r
State: V\ Zip: O Z Phone: Ip t? - 6.9 30
Contact:
New _ Replace
Description of work:
Re air
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
Rebuild Modify Space _ Work in R.O.W.
F ,�:� 1,` rvt i IY-4t12 `'
Water Softener
Add Plumbing Fixtures ( Z Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call 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. www.gopherstateonecall.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 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.
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COt PLATE TNI �"k1-EA ONLY IF CONSTRA UCTING A NEW UJTL3 �
the last 12 months,has the City of Eagan issued a permit for a simPar plan based on a master plan?
"Yes
NaA
if yes,date and address of master plan,.
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Sewer&Water Contractor:
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Cl*,,DOiNO�4t&V-F TE4 ELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ 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 Z/ &0o, Occupancy i2c I MCES System
Plan Review Code Edition SAC Units
(25%_100%� Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) 'W Final/No C.O. Required
Foundation >' HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
u Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
_ - 5 /'"""ej` P't r' Other:
Reviewed By: ' �t M k , Building Inspector
RESIDENTIAL FEES -
Base Fee
Surcharge
Plan Review
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:Plumbing
Permit Number:EA174006
Date Issued:12/17/2021
Permit Category:ePermit
Site Address: 1621 Johnny Cake Ridge La
Lot:28 Block: 1 Addition: Oakbrooke 6th
PID:10-53765-01-280
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Mary Melissa J Wannigman
1621 Johnny Cake Ridge Ln
Eagan MN 55122
(651) 214-8449
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature