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1632 Johnny Cake Ridge WaFd?? C? I 2007 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 rrewcmmhcbm aeWrwoft 3 registmetl sile aimeSs sMwin9 sQ. R. of Id, s9. ft of house; arM Oj mofel areas (2(Nk maumum bt ooverage elbµed) i Sctla Report'rf popoaed buddiig's b be pleced on disU6ed sotl 2 coPies MFlan sAavirg tceam & vrindow sim; Vaured foiaid clesfgn, etc. 1 eat of Enevgy CekWaoan9 3 c*'et a(Tre9 Preserve6on Plen if IM plebd afler 711793 RimJoistD" 0ptionsselectionsheat (6utldingswtlh3wie$urrits) Minnegesco medteiNCal ventileW fam ROMOdORemtr Reau'vrmmis 2 copies of Plan shmvmg footings, beams.laft t setd ErergyCelculationsfortea0edadd'Aiars 1 stte surrey for edd'Nons & dedcs Addifinn - indkate Am-sile septic syslan Telephone #( Pians are considered ublic information unless ou state the are trade secret and the reason. Date ? / -u??o / O'? r ConstrucBonCost Site Address 1(o ? a. iT0 k n n+ .? C c AAC.F R--+ A c? Q A U Unit/3te # _ _ --- i a Descripdon of Work C z') h S-Mv.? '-*t U fl O't ap- cv- Multi-FamityBidg _ Y? N Fireplace(s) _ 0 _x 1 _ 2 cj 0.5 Property Owner (Lin {- t, 4- ('vlGt I} FVGI%vA ?cR'" Telephone #((P S I) u Sq -54 7 a-- Contractor SC ( ? Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CON$TRUCTING A NEW BUILDIhG - Minnesota Rules 7570 Catewrv 1 Minnesob Rules 7672 Enefgy Code CategofY • Rasidentlal Veridlatlon Category 1 Walcsheet • New Energy Code Workeheel (J submission type) $ubmitted Su6milted • Errergy Emrelope Calcuta6one Submitted In the last 12 months, has the City of Eagan issued a permit fa a similar pldn based on a master plan8 _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechonical Conhactor ? 19= G77 / 12 Sewer/water Contractor 0 C T(9 5 2007 / 3n Telephone #( ) Telephone #( I herehy apply for a Residential Building Pernut and acknowtedge that the information is complete and accurate; that the work wi(I be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand tfiis is not a permit, but only an application for a permit, and wark 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. ApplicanPs Printed Nanne ApplicanYs Signature DO NOT WRITE BELOW THIS LINE Sub Tvues ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait-Multi ? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 33 Ext.Alt - SF ? 04 02-plex ? 10 08-plex ]? 18 ` Deck ? 23 Porch (screeNgazeholpergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex v ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex . ? 25 Miscellaneous Work Tvoes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding I)( 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof 0 46 Windows/Doors ? 34 Replacement 'Demolition (Entire eldg) - Give PCA handout to applicant DBSCfIqtlOfl: Water Damage _ Yes Valuation 36W Occupancy Z2G 1 MCES System - Plan Review 44k 100% or _ 25% a°'' Census Code L43y Zoning ` f p City Water SAC Units Stories - Booster Pump ? # of Units Sq. Ft. PRV # of Bldgs Length /40 Fire Sprinklered ? Type of Const 7,M W dth / 9 REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock ? FooSngs(deck) FinaVC.O. _ Footings (addition) ? FinaVNo C.O. _ Foundation HVAC Drain Tile O[her Roof Ice & Water Final Pool Ftgs Air/Gas-Tests Final _ Framing ' _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector Base Fee / JV ? Surcharge Plan Review MCIES SAC Ciry SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies rUava?/ Other ? Total Surveyor's SURVEY FOR :PULTe DESCRIBED AS : Lat 9, Blo¢§?•,6, OAk reserwng eosements REV?EV!! U 3 JOHNN' RIDGE e ? ? 939.IT? O ?o , i ? ? Exist Home i - TOB = 936.5 ? .. ; B ? y?&. tiI I' ? k SY a ? ? ? t ? ? ?.;;?.?'•?;;; ?? ? x., ..? Plan # 18052 PROPOSED ELEVATION Certifieate y o( Eagon, Dokota County, Minnsoto and IL=37. R=60. 36'05 , Y iR ? \ . `ty ? ? ?T FENe ?' ? 938,8 Prop Hse. TOB = 940.0 p ! N Gorage o 439? 1 0 n ? ^ ? 10.00 20. 7 9r '? ! N Proposed p g' 2-Story ! o g•pcw d/I 2 ! 9335 / ? ? ? ? i .' r ? r ? J 51r? ?578'Z? 50"W 54 1 \\1 \ ?V \g \ ? I POND BP-25 NWL-g26,0 HVrLm926J _ /68 4q Top of Foundation I = qqo,o Goroge Floor ?43q.t, Basement Floor 931,0 Aprox. Sewer Service =42q.s± Proposed Elev. Existing Elev. _ Drainage Directions = Denotes Offset Stake = . ? 0•21 S '? LOT SQ. F00TAGE = 14,079 42.° HSE. SQ. FOO TAGE = 1,819 LOT COVERAGE = 131'o BENCHMARK, ??t?el Poi?t Eleu= q52.15 MIN. SETBACK REQUIREMENTS Front-25 House Side -25 SCALE: 1 inch = 30 feet Reor - Garage Side- JOB N0: H?????? 1 HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 99R-430 OF THE 80UNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND OOES NOT PURPORT TO BOOK: PACE: PLANN/NC 6NC/N66R/NC SURVBYlNC $HOw IMPRpVEMENTS OR ENCROACHUENTS. EXCEPT SHOWN. 2005 Pin Ook Drive Eogan, MN 55122 OATE ] 1i CAD fILE: Phone: (657) 405-6600 IFR D. LINDGREN, LA SURVEYOR Fox: (651) 405-6606 YNN TA UCENSE NUMBER 14376 OAKBROOKE n 51 4netPi +?K?k'? ??:(rit?qy?i?k?Cy;3kk?7k?:MYF%x?CW?Y€?k?ktaio?C?c7kv?$;v?X G CTY (?F FP;nN Cfi9NT'_Y't• ir CL-'F'NI\?Al t+!Il: ;11:,0 P1Tt - W/191'95 7:.MA; i2:27a37 m; NArc:: P,1z+,P c7.^c`;? 922tl 16:32 lottnny G'al. 32;.0 3006 1632 Johnny f.al< 3866 9379 032 jonr+ny c,K 3K?;? 9001 1632 ; orinny Cak %2i'.^, 922L1 iE,3s?. ;'ahnny Cak ?444` ` ?ClM A632 Johnny Ca r.; 2115 :JCOt M32 JnttihnX Qk $7419220 032 Jot,ony Ca;., 2155 9001 ±E.;S2 Johnny C::ik 306$ 32cp i.E3r Johnny Cal; C't3iM% L16cR M .1AN :?0. t:i ] ,;245r'S xra.oo 8f.1`.a.74 ip,:,0 S0•(10 i?:50 4':,8. Clf.? ?W. rr? _; NUE ?k?' ';"1i?'i]:(?L'rE Y[7K ,7?K?7K?9n'7kJ#?kk??? ??,ic`,?t`g??k $t`riCk:'K:im%S7k7K1K?i:;!nl(Af? W%k* r•nR'rr.Nu17 ' CSN OF E;r;AN ? CASh:CE:R; MS- „ TERMTNFi KOe 7E0 DITS 4003/19' TSNF_a 12:23a38 IUa ? NFaM'i ? Pi11te ' 3716 92aL7 032 Johnny C;k ' iih.O?J 37i3 9?2f1 t632 Johnny Cak. `;0.']0 ??ti` 9?2!7 032 .q4inny Czk 1823.00 . . . . . .-,4.. rotal r,eceipt Amount: 49f315.49 CR1i8?J"?3 ? IST'R IDa lAN WV". 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 S.1-4 9 651•681-4675 ^ ,{ ^ C??k New Conshuefion Reauhements _ Remodel/Reoalr ReauRemeMs D 3 regislered aRe surveys showing sq. M. W lot, sq. H. of house 2 copies ot plan and SII rooled areas (20% maximum bt coveraae allowed) 1 fet oi energy calculaNOns tor healed addRions D 2 coples of phns (show beam a window skes; poured (nd. design; etc.) 1 sHe aurvey for exleda addiNons 3 dec W D 1 seT of energy calculaNona ? 3 eopbs W hee preservalton plan tl bi plaNed alfer 7/1/93 DATE: GI30I`!q CONSTRUCTION COST: DESCRIPTION OF WORK: AE-616447 5 L STREETADDRESS: 16302 36h4YI?C,4ICE kIjr?e (.l/AY , LOT: 9 BLOCK: 6 SUBD./P.I.D. #: D/We'(001(E Name: Phone #: PROPERTY Lan Fint OWNER Street Address: City State: Zip: Company:10211tf- G78" CAr? Phone#: 06?) 4Q-6'3Wb CONTRACTOR (area code) /? 3 f SfreetAddreu:23S?,?%n?b-A ht=s k ii? 6Jih.a0 'a Licensetk la)l Exp. `1/y5 Ciy A/JNOh /Ir„'}'3 State: /viiv Zip: ARCHITECT/ /?y? q ENGINEER Company: `S?1'Vl?/75 4'?ov'L Name: Telephone #: area code ( Shee1 Address: Registration #: Cffy Stafe: Zip: Sewer 3 water Ileensed plumber (reauired for new conshucHon onlv): *)V p/ U? n,):h16 6 /?J`f ti a -a) D I PenaHy applies when address change and bt change is requested once permN is issued. . I hereby acknowledge ihat I hwe read fhb appiicaflon, stafe that the InformaHon Is conect, and agree Yo comply wNh ail applicabl Stpte of Minnesota Statutes ond City of Eagan Ordinances. ? • Signature of ApPlicanh OFFICE USE ONLY Certificates of Survey Received ?.QJ Yes _ No Tree Preservation'Plan Received _ Yes _' No L?o NotRequired ? OFFICE USE ONLY BUILDING PERMIT TYPE . ? , ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ,K02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea. ? 03 1 of _ plex . ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ?g 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bidg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Inte(or) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) / Basement sq. ft. ?(7 l 7_ Census Code /0 / (Allowable) Main level sq. ft. I l7 e'? 7 SAC Code 0/ UBC Occupancy - / sq. ft. ?t(7,5* No. of Units Zoning - sq. ft. 17 No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width L Footprint sq. ft. ?07 Booster Pump ' PRV e 3 Fire. Sprinklered APPROVALS Planning Bui lding ? Engineering Variance Permit Fee Valuation: Surcharge lReview )0 q zx Lcen MC/ES SAC 2x City SAC Water Conn. /Z-J Water Meter ? Acct. Deposit _ S/W Permit S!W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: .` SAC Units % SAC ?=/9G,e ? •. . ' EXTERIOR ENVELOPE AVERAGE "0'1 COMPUTATION OIJtI[R: u?TL. m?N? S Or IIA^I SITE AOQRESS: A?>,? `SOhYIYI`J C-f`IC? ?164 c oZ¢7 PHONE:1Sz-szoo ? / s 'DATE: COIITRACTOR: /'? rL fYo....e ? P?•=%N''? DETERHINE WORKItIG SOUARE FOOTAGE OF EACH: ]. TOTAL EXPOSED tdALL AftEA, ,,,,,,, sq f t x"U" e' . 2 9o t I /q y4/ Sq f L X1 'UI I I a /'7 • ? 2. TOTAL ROOf/CEILING AREA, ? a s ....... 3. TOTAL EXPOSED 1JALL AREA CALLULATIONS: Totat exposed wall area above floar,,,,,,,, Z 3 o? sq ft -Tt)? a) Total wall wlhdow area: • . DOUPLE glazed,,,,,, 3 o z sq ft x"U" _ .4±9 */y9 98 ? glazed...... "-' sq ft x b} 'Total door area ........, y7 sq ft x?'?" ?2.? c) Total slidllig glass doar area: ' ' • ' (7WFiLE 9lazed...... 4.10 sq ft xIItlII glazed...... sg ft x "U'i d) .7oca1 flreplace wall area sq ft x"U" ° e) Total wall framtng area „„ pp n 2 ?.16 . (Average 10:!)............ Z. 30 sq ft x U !z f) Totai net wall area above • floor (InsulBted)....... /682 sq ft x."U" •C+? ° ??•O/ io•.z/ g) Total r(m Jolst area...... ZY`l sq ft x"U" •211 ° - Total foundatlon area (Expased).......... 9 ? sq ft • h) Total foundatlon 14 9 ??U?? wtndow area.............. Sq fc x - t) Total net faundatfon 7'6 /oo sq ft x"ll" •??? _' -- area abave grade........ _ TOTAL a) thru 1) ? Z90.99 3. If ltem 93 is the same as, or less than item ,41, you have met [he intent of 2 tiC 1R 1.16008 A and 0. • Page 1. TOTAL EXPOSED ROOF/CEILItIf CALCULATIONS: Total exposed roof/celling area........ /qYsq ft J) Tatal skyllaht area....... sq ft x"U" ° k) Ta[al roof/celllnq framing ' area (Averaqe 109,)...... / yN sq ft x"U" . QZ? ° 3• ?°/ 1) 'Total net insulated roof/celitnq area....... 1300 sq ft x"U" OZZ ° Z 8 6 y, TOTAL J) thru 1) 3z•3`? If to[ai of dh is the same as, or less than.#2, you have met the intent of 2 PICAR 1.16008 A and 0. .. , ALTERtlATE BU1LDIflf ENVELOPE DESIfN To ut(lize the total envelope system method, the values established by the sum of items 43 and k4 shail.noi oe greater [han the sum or items N.l and #2. • 1. 4 9o. s? + z. 37.sy = 3z8. os 3. 290.:.9.9 +4. 32.3y = 33 C E R T I F I CA T I 0 N I here6y certtfy that 1 have calculated the "U" factors and "R" values here(n and [hat the bulldinq here descrlbed meets or exceeds the State of Nlnnesota Energy Conservatlon Act. rlqnature (Date) Pagr. 2 %X? ?i JilS `13Z A B ' C IC E 0 1IL,:.4; i.=. „=;;..i?rv? J iviN v 'i vwlU CONSTRUCTfDtI N VALBE WALL FRAHINC SECTION: --(1 uALL SECTION (INSULATED) 3 6 RIH JOIST SECTIQII: ----{ 1 Interior 4 FOUNDATION INSULATIOtI REQUIRED: ' Min. R-5 on entire wall OR U° 1/R °__,f' 1 Min. R-10 dawn ta frost.depth - ? ? a FDUNDATIDN SECTION: = '• 1 Interior air film n.hA ••p. ?• z fL-11 fi,l7r r?AY_ l.t?' ?'?, s.::• 3 t3" ('ni le - I.ZB_ •' '-'.°' 4 Exterlor air firm 0.17 °•? -° =:a G (5 - . 'Q:?•-' ??, . (6 d• I' d Tf1TAL R ' 11 ? U - I/R ° IV7v SLAB ON GRAOE 1? q ,v 'a a c n• . .: ,• -,,•, tip? a -Q -? c1. ••a'4 , ,'? f t? , 't' • ? ; d','. •` ? , L. ; •q , .- .,.a ,• ?•'Q •' d. ?•Q., •Q,... • •?? :.?' • ?,. 411' . ? • ) 9• q' • Q' . . d'• a . . 4•? ,• , ,Q Heated Slabs: Minimum R= 8: 5 Unheated Slabs: Minimum R = 6.2 Q.? q `.'6 Q.+a •?,,- q ; ? ??^ ,? p• •??.... . 1,•..? ? Page 3 U - 1/R U- 1/R- Atn?A[A- ? . ? ? CONSTRUCTION R VALUC• CElLING SELTION (INSULATED): I Interior afr fitm n. A 1 2 5/5" 51tFS"(gol'.1C ? 3 i ? --r i 44200 4 Exterior air film still) n,Fi TDTAL R ; U- 1/Re.0 22L CEiLING FitAHING SECTION: 1 2 3 4 S CEILING SEf,T10N (IfIS(JLATED): 1' Intertor air film A.61 2 3 4 Exterior air ilm still 071 TOTAL R = U? 1/R= VEIVTED CEILINr FRAHIHr SECTIOH: 1• Interior air fiim Q.61 z 3 4 Exterior air film still n. I 5 lnches soft waod TO7AL R = U= 1/R= 1 Instde air film n•A1 2 3 4 S Outside air film n•17 TOTAL R = U- 1/R= Page 4 . U a T/R°=1 . PROPERTYLEGAL: ?I SGOGK , DATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS "/ -z9-917 Vo ? • Registered Land Surveyor signature and company D?'o ? • BuildingPertnftApplicant cy?o ? • Legaldescription m/? ? • Address q/ ? • North arrow and scale . o • House type (rambler, walkout, spld wlo, split entry, lookout, etc.) ? o ? • DirecGonal drainage arrows wiN slope/gradient °k m,'o ? • Proposed/epsting sewer and water services & invert elevation P-?? a • Streetname Er/ ? ? • Driveway V / ? ? • Lot Square Footage c? ? ? • Lot Coverage ELEVATIONS Emtina ? ? • Sewer service (or Proposed) ? • Properly corners p-" ?? • Top of curb at the driveway s" ?? • Elevations of any exisOng adjacent homes t] C'-?o Adequa[e footing depth of structures due to adjacent u61ity trenches Prooosed 1641 ? • Garage floor p/o ? • Firstfloor V? ? • Lowest exposed elevation (walkout/window) N-? ? ? • Properry corners V? ? • Front and rear of home atthe foundation V? ? b' ? ? E?/ ? ? mXo ? ? M? ? 2/? ? 2/? ? m/ ? o a ? ? ? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILOING PERMIT APPLICATION PONDING AREA ('d aoolicaWe) • Easement line • NWL • HWL • Pond # designation - Emergency Overflow Elevation DIMENSIONS • Lot IinesBearings & dimensions • Right-of-way and street width (to back of curb) • Proposed home dimensians induding any proposed decks, overhangs greater than 2', porches, etc. (i.e. all strudures requiring permanent footings) • Show all easements of record and any Cily utiliUes within those easements • Setbacks of proposed structure and sideyard set6ack of adjacent ebs5ng struc[ures • Retaining wall requi•°m°^'° "°^y Reviewed: March 1999 CRAIGBLOCGRMT.FM I( ? Surveyor's Certifieate SURVEY FOR :PULrE DESCRIBED AS : Lot s, elogr?,e, oAKaaooKE,?y of Eogon, Dakota County, Minnsota and reserving erosements o( r?cord. ?o ?o f)01 .,, , i Exist Home i 93 T08 m 936.5 ? n \i n ,?.(l/JIJ t ? ` ' NI I y ?J ? L I_i 1 I j 93 68 ? Plon # 18052 PROPOSED ELEVATI N 163 Ah JOHNN AY RIDGE . 1=37. ? =36* 05o ? ? I O ? / ro ao ?s 9313 934.5 938.5 r 3' - 0 32.00 N N ? I? N Goto9e o 439• ? 10.00 20. I I 9s I N Proposed 2-Story ! 0 0'pcw d/1 / ! ! 1 1 ! I , ?. r I 51_ S"7B'2,50„W 54.58_? S?yg6 j Top of Foundation qqo.o Garage Floor -qgq,(, Basement Floor -431,0 Aprox. Sewer Service =9z4.s± Proposed Elev. _ ? Existing Elev. Drainage Directions = - Denotes Offset Stake = . HEDL?lHD PLANN/NC BNC/NE6RlNC SURV6Y/NC 2005 Pin Ook Drive Eogon, MN 55122 Phone: (651) 405-6600 Faz: (651) 405-6606 LOT SQ. FOOTAGE HSE. SQ. FOOTAGE LOT COVERAGE _ SCALE: i inch = 30 feel POND BP-29 NWLm926.0 HWL-926.7 BENCHMARK, = 14, 0 79 = 1,819 137 Control Poink Eleo= q52.?5 MIN. SETBACK REQUIREMENTS Front-25 House Side -25 Rear - Garoge Side- I HEREBY CERTIFY 7HA7 THIS IS A TRUE ANO CORRECT REPRESENiA710N OF THE BOUNDARIES OF THE A80VE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, E%CEPT SHOWN. oATE _9,14,?t ?• FR 0. LINpGREN, LA SURVEYOF / NN 7A LICENSE NUMBER 14376 N0: 99R-430 FILE: OAKBROOKE 3s.a • ':?, .? ?\ '•Y ?0} ? ? ?T FENC' L? \ 9?'8 ??\\\a Prop Hse. TOB = 940.0 \ \5 \ RECEIVED S;-7P 3 0 1999 ; ?., [ i: ?j ? (P CITY USE ONLY L SUBD. Num11.C l _ RECEIPT #: RECEIPT DA7E: - I v' PERMIT # 3Ia5 "1 1999 PLUM$INfi PEftMIT (ftESIDENTIAL) crrY oF Eta,4iv 3830 Paor tcrio$ ttn ERfiAN, MN 5512E (651) 6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x 4?- _ $ Floor drain 3.00 x = $ Gas i in oUtlOt " minimum - t - 3.00 x = $ ? Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laundr tra 3.00 x = $ ) Lavator 3.00 x G = $ Minimum fee aiterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ h! Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Watercloset 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e 50 --> ----> ----> $ 50 Total --> --? ----> ----> $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ----------------------------- --------------------- ------------------ --------------------------------------- ----- ----- ---- -- I hereby acknowledge that I have read this applicatioq state that Ne information is correcl, antl agree to comply with all applicable Ciry of Eagan ordinances. It is the applicant's responsibility to nolify the property owner that lhe City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/rightof-wayleasemenL SITE ADDRESS: OWNER NAME: : TELEPHONE #: (AREA CODE) SIGNATURE OF PERMITTEE (? CITY USE ONLY LOT 1 BL ? RECEIPT #: I ?? l I U SUBD. RECEIPT DATE: ? ?- I 7r -- I q MECHAMCAL PERMIT # 1999 MEcHAvtcAL PERMrr (REsWEvT[AL) CfCYOE £AfiAN S$SO PILOT KPOB ftD £l4fiAN EtN 55122 G Date: (651) 691-4675 Complete this seceon on[v if you are installing HVAC in a singie family dwelling, townhome or condo under construction and not owner /occunied. • HVAC: 0-100 M B T U ADDTTIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea.) r ? 30.00 6.00 800 State Surchazge .50 Total $ 3'?J ?- Complete this secrion onlv if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New Alteration Repair _ Other Reminder: Ca11681-4675 for inspections. Fumace _ Air conditioning _ Air exchanger pther $ 30.00 State Surchazge .SO Minimum Total Due $ 30.50 SITE ADDRESS: OWNERNAME: PHONE#: Z?7g Sd?U RFA INSTALLERNAME G[..?i?Q,u? e pHONE#.C?`d' AREA CODE) STREET ADDRESS: / ??1? ? CITY: <=-?•?.U STATE:,4?? ZIP. `S3-3 79 _ SIGYATURE OF P ITTEE ?v Z' City of Eagan 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 #: / 1 G- 32' Permit Fee: Date Received: g'-27'(3 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner Type of Work Contractor Name: /14cA ,,,,kr•, Phone: Address / City / Zip: 47/2- , kr / A/,, Applicant is: Owner . Contractor Description of work: 'o Construction Cost: /t{ooa. Multi -Family Building: (Yes / No ) Company: /j -X/ Address: ,$3(j-- 777-14% State: //TA/ Zip: J -3"D 5 Contact: City: Phone: - .f 6/3/ License #: Cit 6YJCPV Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Mechanical Contractor: Phone: Phone: aSewer & 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII 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. Exterior work authorized by a building permit issued in accordance with the Minnesota Sta/Building Code must be completed within 180 days of permit issuance. x Applicant's Printed Name x PP rcant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA131294 Date Issued:06/12/2015 Permit Category:ePermit Site Address: 1632 Johnny Cake Ridge Wa Lot:9 Block: 6 Addition: Oakbrooke PID:10-53760-06-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Matthew J Franken 1632 Johnny Cake Ridge Way Eagan MN 55122--420 Kleve & Jc Mechanical 13075 Pioneer Trail Eden Prairie MN 55347 (952) 941-4211 Applicant/Permitee: Signature Issued By: Signature Date: City of aaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenant: RECEIVED AN 1 1 1016 Use BLUE or BLACK Ink For office Use PermI#:) 5L (p 7 0 Perini Fee: (DO . 00 Date Received:I — t t — (1.0 StafF_10 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION 1 iL I i tt site Address: 1 (.0 3 aa,frukumoccukt �td Suiite #: Name: " C( aYQ./ft IC/LA/Phone: 10 1 "I d 1— a state_ 1/V1 Zip: 5L10 lPhone: 7 15 - 3k10-8.6177 Contact T VYK) Scho.b ' Email: Gro 1, k CiL(�'�(i @, GL�" • f7el- _New Replacement Repair ` Rebuild �t cify " ,tom, � r� �.' �t-� " _I Space � Work in R.O.W Description of work: kklA,� x Would %1,,e4 -e 4 RESIDENTIAL Water Heater Lawn irrigation ( RPZ / PVB) Septic System New _Abandonment 1 RESIDENTIAL FEES: a $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* (incudes State Surcharge) *Water Tumaround (add $210.00 if a 518" meter is required) 115.00 Septic System New (incudes County fee and State Surcharge) (R TOTAL FEES'$ l[ F"L CALL BEFORE YOU DIG. Call Gopher Stafe One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to cg to receive locates of underground ut hes. wwwaopherstateonecafl.orct I hereby acknowledge that this khformation is complete and accurate; that the work wa be "kr conformance with the ordinances and codes of the City of Eagan; that t understand this is not a perm but only an aprftation for a perm#, and work is not to start without a permt that the work wfi be in accordance wkh the approved plan in the case owork which requires a review and approval of plans. XWater Softener _ Add Plumbing Fixtures ( Main I_ Lower Level) Water Turnaround Tim Schohe_r Applicant's Printed Name x PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA143123 Date Issued:06/02/2017 Permit Category:ePermit Site Address: 1632 Johnny Cake Ridge Wa Lot:9 Block: 6 Addition: Oakbrooke PID:10-53760-06-090 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Matthew J Franken 1632 Johnny Cake Ridge Way Eagan MN 55122--420 Silver Tree Plumbing & Heating Llc 3185 Terminal Drive - Suite 200 Eagan MN 55121 (651) 319-4200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA144269 Date Issued:07/19/2017 Permit Category:ePermit Site Address: 1632 Johnny Cake Ridge Wa Lot:9 Block: 6 Addition: Oakbrooke PID:10-53760-06-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Matthew J Franken 1632 Johnny Cake Ridge Way Eagan MN 55122--420 (612) 701-8068 Home Depot At Home Services 2455 Paces Ferry Rd Atlanta GA 30339 (952) 345-6057 Applicant/Permitee: Signature Issued By: Signature