1640 Johnny Cake Ridge WaAddress 1640 .Tohnny Cake Ridge Way ZIp $$129_
LAt 7 Blk 6 Sub Oakbrooke
THESE 1'TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: 7_13_00 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage) ?i
Petmanent steps (main entry) X
Petmanent driveway
Permanent gas x
Sod/Seeded grass
TraiUcurb damage
Porch k
Basement finish X
Deck
Please verify wit6 the builder [he removal of roof test pps ftom the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exis[s.
Confact engineering division at 6814645 before working in rightvf-way or installing underground sprinkler system. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
2004 RESIDENTIAL BUII.DING PERMIT APPLICATTON
City Of Eagan
/ 3830 Pilot I{nob Road, Eagan MN 55122
Telephoue # 651-675-5675 FAX # 651-675-5694
?V-7 o.o ?
New CoreWCfion Reauiremenfs RemodeVReoair ReauiremenLs ?`i?`(llse?'n
3 registered site surveys showing sq. ft of bt, sq. ft of house; and all roofed areas 2 copies of plan ??
(20% maximum lotcoverege allowed) 1 set of Energy Calculations ior heated additans
2 copies of plan showing beam & windovr sizes; poured found design, etc. 1 sRe survey for additions & decks 7?te?
i set of Energy Calculations Addmon - indicate if on-sde septic sysfem
3 mpies of Tree Preservation Plan if bt pWtted after 711/93
Rim Joisf Detail Optlons selection sheet (bldgs with 3 or less untts
Date q Coostruction Cost ^4 ? ? ? ?ed9• 00
SiteAddress i Unit/Ste # '-
a.•?i- iYL / Z. Z-
Description ot Work PZr! i ,ti
MuUi-Family Bldg _ YYN Fireplace(s) X 0 _ 1 _ 2
PropertyOwner 7? m `$ ivtirty Telephone#(6fl) 405-"'323?I
Contractor c1
Li /l WA-.rnc?° SG
-
Address
City
?
T &W 149-V
State /v Zip Telep6one # ( ji12_ ) 2-01-/fa i 6
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mimmesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _
fee applies.
Licensed Plumber Telephone #(
°/
Mechanical Contractor ??i cl, Telephone #(
Sewer/Water Contractor Telephone # (
N If so, 25% plan review
I hereby apply for a Residential Building 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 the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
JG??lvi cA a 5c4???,74-/-'
+
_??j Applicant's Printed Name
Applic Ys Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 D2-plex
? 05 03-plex
? 06 04-plex
work rypes
? 31 New
? 32 Addition
);( 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex ? 20 Pool
0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex Plbg_Yor,& N ? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish Interior
? 36 Move Building ? 42 Demolish Foundation
? 37 Demolish Building* ? 43 Reroof
`Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy R -3 MCES System
Zoning 100 City Water
Stories Booster Pump
Sq. Ft. PRV
Length - Fire Sprinklered
Width
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Mul6 Misc.
? 44 Siding
? 45 Fire Repair
? 46 Windows/Doors
Valuation ?, eve
Census Code </3k
SAC Units --
# of Units
# of Bldgs ?
Type of Const ?
_ Footings (new bldg)
_ Footings(deck)
_ Footings (addirion)
_ Foundation
Drain Tile
? Roof _ Ice & Water _ Final
Framing
Fireplace _ R.I. _ Au Test _ Final
? Insularion
?
Approved By:
REQUIRED INSPECTION5
FinaUC.O.
it FinaUNo C.O.
Plumbing
? HVAC
Other
_ Pool Ftgs Au/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
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
'70 1?1-
CITY OF EAGAN
??. -w ?
CASHIER: JS ?O? ITERMINAL NO: 794
DATE: 04/06/00 TIME: 11:14:21
ID:
NAME: PULTE MASTER BUILDER
2252 9220 1640 JHNNY CK R 30.00
3210 9001 1640 JHNNY CK R 1,251.35
?866 9379 1640 JHNNY CK R 100.00
3430 9001 1640 JHNNY CK R 0.25
43422 9001 1640 JHNNY CK R 813.38
2275 9220 1640 JHNNY CK R 1,089.00
3446 9001 1640 JHNNY CK R 11.00
2155 9001 1640 JHNNY CK R 0.50
3743 9220 1640 JHNNY CK R 50.00
2155 9001 1640 JFIIQNY CK R 73.00
**************?**?*
CITY OF EAGAN
? `i- W '-f 03 I `?
CASHIER: JS TE MINAL NO: 794
DATE: 04/06/00 TIME: 11:14:21
ID:
NAME: PULTE MASTER BUILDER
2252 9220 1640 JHNNY CK R 30.00
•3210 9001 1640 SHNNY CK R 1,251.35
3866 9379 1640 JHNNY CK R 100.00
3430 9001 1640 JHNNY CK R 0.25
-3422 9001 1640 JHNNY CK R 813.38
2275 9220 1640 JHNNY CK R 1,089.00
3446 9001 1640 JHNNY CK R 11.00
2155 9001 1640 JHNNY CK R 0.50
3743 9220 1640 SHNNY CK R 50.00
2155 9001 1640 JHNNY CK R 73.00
CR125651
USER ID: JAN
** CONTID7I
** CONTINi
*****************+********************,
,r*t***??***?*:???*******?*??,c** CONTIN[
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 794
DATE: 04/06/00 TIME: 11:14:23
ID:
NAME: PULTE MASTER BUILDER
3868 9220 1640 JHNNY CK R 492.0(
3716 9220 1640 JHNNY CK R 114.0(
3713 9220 1640 JHNNY CK R 50.0(
3865 9220 1640 JHNNY CK R 840.0(
Total Receipt Amount: 4,914.4£
CR125651
USER ID: JAN
- •++++++++f?t:f++++++*+******x**?,
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
crn or eacAre
3830 PILOT KNOB RD • 55122
851-687-4874
1) t_?.9 I`-I.H ?-
New ConMnieMm ReaWre meMs
D 3 regiatared Nft wrvays showinp tq. IL ot bF, n R d hasa 2 ooplas d plm
and A roofetl areas (2096 mmdmum bt eoveraae allowedf i tOt of erwryy edcWatlont lor Mafed addlXar
> 2 copies of Pkns fshow bearn a whWOw aizeA Pared hW. deilyn; ete.) t flfe wnaY fat exteAor a0<flMOns & dacks
D 1 tet of enerpy codculotloru .
D S coplae oi hee presenatlaf plan M bf plalptl adlw 711/9S
DATE: 41 7/O 6 CONSIRUC110N C05f:
DESCRIPtIONOfWORK: C,57?tn_hl{1
SiREETADDRESS: j 6
C
LOT: '? BLOCK: v SUBD./P.I.D.#: 0AK,6 4=
Name: Phone i:
PROPERTY Lasf Fliaf
OWNER
Sheef Address:
Cly Sfate: Zip:
Company. /oU 1 f-L r7 oYhCS orlxkv 60 ?p Phone
(area code)
cormRncroa sheer naarem I3s1,1ac,ir/e9ti hVs ?? uoense •Z3 7 J Fxp:?J3//&t
. ciy 99 7Umdbl-ti f}afs swre: mv uP: ?s?2 6
ARCHITECT/
ENGINEER Company: S?7 ?/ ??? / S????i Name:
Telephone #: ( )
Sfreet Addreaa: ReglsfraHon #:
CMY Slate: Lp:
Sewedwater Iicensed plumber (N Ingtallira sewerMrater): ptpne #: 62 ) hR 'V Z 1
1 hereby aeknowledpe ihat I have read fhis appOoaHon. stafe Mwl lhe 6Nomwtbn is cortecf, <md ayree b camply wilh a1 appicabte Stade
of Mfnnesofa Sfatutea and CNy of Eapan Ordinancea.
Sipralure of ApppeanY. ?? ?
OFFICE USE ONLY
Certiflcates of Survey Received ?Yes _ No
- ;;?aic 2 3
Tree Preservatlon Plan Received - Yes _ No Not Required __ ?
l 3z3
OFF{CE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation O 07 05-plex
;?k 02 SF Dwelling p 08 06-plex
O 03 01 of _ plex 0 09 07-plex
O 04 02-plex O 10 08-plex
0 OS 0-plex p .11 10-plex
O 06 04-pleX O 12 12-plex
WORK TYPE
? 31 New
32 Addition
O 33 Alteration
O 34 Repair
O 13 16-plex O 21 Porch (3-sea.) 0 31 Ext Alc - Muld
O 17 Garage O 22 Porch/Addn. (4-sea.) p 33 Ext Alt - SF
0 18 Deck O 23 Porch (screened) O 36 Multl
0 19 Lower Level ? 24 Stortn Damage
albp Yw_N O 25 M(scellaneous
O 20 Pool O ' 30 Accessory BWg. '
O 36 Move Bidg. O 43 Reroof
0 37 Demolish (Bldg)' p 44 Siding
O 38 Demolish (Interlor) p 45 Fire Repair
13 42 Demolish (Foundation) p 46 Windows/Doors
• Give PCA handout to applicant for demoliHon permit
GENERAL INFORMATION
sAC code
No. of Units
No. of Buildings _L
Const. (Actuai) ?
(Ailowable) ni'-'-`-
UBC Occupancy o?
Zoning _
# Of $tOf18S
Length
Width
Basement sq. ft.
Main level sq. ft.
,9 N17 sq. ft.
A t sq.ft.
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVALS
?
-??C.3
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
/ O/
Planning Building D5A9:5/ Engineering Variance
Permit Fee Valuation: $OL-A
Surcharge
Plan Review
License
WaterAConn. 109,9- '
W ater Meter
Acct. Deposit )dVD
S/W Permit
S!W Surcharge 71 L'? y
Treatment PI.
Park Ded.
TrailS Ded.
Other
Copies ?-
1 y. y?
rotai: 19
. SAC Units
% SAC
JOB INITIATlON ORDER
Pulte Homes of
Minnesata Corporation
1355 Mendota Helghls Road, Suile 300
Mendota Heights, MN 55120.1112
Phone: (651) 452-5200 Fax: (651) 452-5727
CONTRACTOFVSUPPLI ER:
JOB NO. . L J L?- v .1 o C?1 (2 ,- LEGAL OESCRIPTION: LOT BLOCK ('51_ UNfT
conTnuNm: i'.?? F?hc:()f5sc -?F / noari
BUROINO ADDRE/55': J'
l. O •C2^ •?C4c. - CRY: r<<?« STATE: Z?:
MODELWIME: Y.HL/L.ff--r MODELNUMBER: ELEVATION:OARpOE: rlE RIGHf
DATE OF ORDER: L'L\
?
CI7Y: 6-li-q?L:'? STA7E: A?21P: SSI-A3
APPROVED BY BUYER (S):
EdUAL f10USING
OPPOflTUNI7Y
Builder's License q0001371 This constitutes a contract between the Setler and the Purchaser(s) for the above items.
' JOB INITIATION ORDER
Pulte Homes of
Minnesota Corporation
1355 Mendota HeigM1ts Road, SWIe 300
Mendola Heights, MN 55120-1112
Phone: (651) 452-5200 Fax: (651)452-5727
joHmo. 03 2- 0 /? I D'/Ca/ LEOAL DESCRIPTION: LOT ?_ ?OCK _??? UNfT
CONMUNRY: /? ,jCs1? L?? ??cTIX - Sf AOOITION:
BVILDINO PDO
NpDEL NAME:
BWER'S NAME: ,/ /)(
CURREMADDR 55G:?
HOhEPHONE:
SALES REPR€SENTATIVE
° c2 1 I '-} BVSINESS PHONE:
---- ILOT
?
TOTAL
m .
Builder's License #0001371
TION #
CRY: STATE: ZIP:
ELEVATION: 3? OAR,4GE: L ftIGHT
F:1
DATE OF ORDER:a /, ?
q7Y: STA7EL?• n•, ZIP: 5?--1
BUSINE55 PHONE:
X--?-?-----`? ?
)S
APPROVED BY BUYER (5): =r`j
APPROVED BY SALES: Z'- f / d o
RELEASED TO START CONST.: eouai riousixc
OPPOR7UNI7Y
This constitutes a contract belween the Seller and the Purchaser(s) for ihe above items.
MaR-16-2030 10:26
F. a2i'[,.?y
_ . C
NIIdch6ck COMPLIANCE REBORT
Minneaot
E
C `
a
nergy
oda Perm t '
NRicheck software vereion 3.0
.?
- C eckec y DaCe
CDIID7TY: Dakota
5TATg; Mirineaptp
20h*E ; 2
CON9TRUCTION TYPE: Single Family
DATE: 3-16-2000
DATE OF PLANS: 3/16/00
TITLE: FALKIRK W/0 EL. #2
COMPLIAN?CE : PA9SES
Required\UA - 50B
Your Home `;7 407
19.94 Better Than Cqde
axea oz Cnvity Cont. Glazfng/Door,
,
--------------------------- Perimeter R-Value R-Va:.ue U-Value
'
--------
CETLINGS ---------
1444 -----------------
44.0 0.0 -
-------------
WALLS: Wood Frame, 16" O.C. 2327 19.0 2.0 3
WALLS; Wood Frame, 161, O.C.
283
10,0 2.0 .
BSMT: Conc. 9.01 ht/a,3' bg/9.0, in aul 402 11_0 0.0
GLAZING: Windpws or poora, Above Grade 485 0.350 1
D(JORS 38 0.350
FLOORS: 4ver Uncoaditioned space 352 38.0 0.0
FiVAC EQUIPMENT; Furnace, 92.0 SFUE
---- ------
------------------------
COMPLIANCE STATEMENT; The propo6ed ----------
building ---------
deaige described
here is
consistent with the building glans, speoificatione, and ethex calculations
submiCte3 wiCh Che perm;t applica*_ion. The propoaed building tu.s been
designed to me ? e Miyae?sota Energy Code.
Builder/Dasigne
Dar_e
TOTqL P.82
.
? LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
, n PROPERTY LEGAL La a 7
U
DATE OF SURVEY: 3-1 -0
?
W LATEST REVISION: ?i - 7? '610
?
o DOCUMENTSTANDARDS
O
? a
? ? Registered Land Surveyor signature and company
?
?a ? : Building Permit Applicant
m?p ? . Legal description
? ? ? - Address
m" ? ? • North arrow and scale
? ? : Hause type (ramWer, walkout, split w/o, split enVy, lookout, etc.)
? Directional dreinage anows with slope/gtadient %
? ? . Proposed/ebsling sewer and water services 8 invert elevadon
? ? • Streetname
?jo ? ? Driveway
? Lot Square Footage
?' ? ? • Lot Coverage
ELEVATIONS
Eastina
?o ? • Sewer service (or Proposed)
? e ? • Properry comers
p' ? ? • Top of curb at the driveway
xv'? y • Elevations of any ebstng adjacent homes
? 9? ? Adequate footing depth of structures due to adjacent utiftty Venches
Prooosed
?/o o • Garagefloor
;" ?
o ?
? • Firstfloor
l
d
L
t
d
ti
lk
U
i
? ? n
owes
expose
e
eva
on (wa
ou
w
ow)
? o Property corners
d? ? • Front and rear of home at the foundafion
? &/?
o m/ ?
? ID/ ?
? ?
?
W' p ?
d?p ?
p/ ? ?
?o ?
0
p
? o? ?
PONDING AREA /'A aodicable
• Easement line
• NWL
• FiVUL
• Pond # designaton
• Emergency Ovefiow Elevation
DIMENSIONS
• Lot Iines/Bearings 8 dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions induding any proposed decks, overhangs greater than 2, porches, etc.
(i.e. all structures requiring permanent tootings)
• Show all easements of record and any City uWiEes within thase easements
• Seffiacks of proposed structure and sideyard setback of adjacent ebsting sVuctures
• Retaining wall r--.. -----'- ' --°
Reviewetl:
Mareh 1999
CRAKiIBL00PRMi.FM
Surveyor's Certificate
SURVEY FOR :PULrE
DESCRIBED AS : Lot 7, Block 6, OAKBROOKE, City of Eogan, Dakota County, Minnsota and
reserving easements of record.
4
R ?9?? E \ED
;.,
t .? ? S38'48'43"E ?
}' 8.9 .y° d
E:?G:^,?d 3"',i'" rL-?x>yqT,. ?? '• 9:9.sv a GZ
.?. 1.?'.Li .4ea?1.11•AiS' ??:??1.. ?i ^ .? ?v t"?1 ?
i ° \ ? \ p • \
i ?? ? ? jalr ? 12y ?
Euist Home ?
TOB = 9J1.0
? ?
l?
93?-
? I ? p II
o) P.
9 ., ? ? o O w
?•?` ,
?
i ? ?o?
i oo1 ?
.
•??aZ 2 ,1? i? oo Iw °oo
/
9Z).yy `? ?
. ,
/
?? •- ? < -
/
/
Y
\
.o.R
Plon # 18052
PROP05ED ELEVATIONS
Top of Foundation = 935.6
Garoge Floor - y3y,e.
Bosement Floor -gZ-7.o
Aprox. Sewer Service = 4z3.4±
Proposed Elev. _ (:_?:D
Existing Elev.
Droinoqe Directions = -
Denotes Offset Stoke = .
?? yy
?
r y p/ ? 9;?'i_7
i
FGp??
me.C
/ i
i ?
? ? i ??\\ C
? V
i [O
? Exist .•??,,p•'p ,V.?
?r ? TOB = +?+?
L^? v `i
i
i
,
,
;
?J
4k
LOT SQ. FOOTAGE = 11,657
HSE. SQ. FOOTAGE = 1,819
LOT COVERAGE = 15%
e
iewcv Scw?c2
cv 6a
a?, z.o3d
63 ?. F
=V1J. ? HSE .
=42?1•l.6 f
SCALE: 7 inch . 30 feet
-BENCHMARK,
7'Aly Lu-?- /o? rl 13 1K4
62c 937.zy
MIN. SETBACK REQUIREMENTS
Front-25 House Side -
Rear -t5 Goroge 5ide-
JOB N0:
HEDL(lN1? ' HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OOR-101
OF THE BOUNOARIES OF THE ABOVE OESCRIBED PROPERTY AS SUftVEYED
BY ME OR UNDER MY OIRECT SUPERVISION ANO DOES NO7 PURPORT TO BOOK: PAGE:
PLANN/NG 6NC/N86R/NC SURVBY/NC SHOW IMPROVEMENTS OR ENCROACHlAENTS, EXCEPT AS N.
2005 Pin Ook Drive Q
Eagan, MN 55122 DATE CAD F4E:
PhOne: (651) 405-6600 F E LINDGREN, LAND 6FJRVEYOR
(651) 405-6606 INNE A LICENSE NlIMBER 14376 OAKBROOKE
?u •-
?? \
cirr use oNLv \ ?J
L BL ? RECEIPT #: I d H? D ?y /
SUBD. L4C/ RECEIPTDATE: 3-?I'C7b
PERMIT# 40014
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN \
3830 PILOT IINOH RD
EAGAN, 2MI 55122 \v
651-681-4675
Please compiete for: ? single family dwellings f(/ 1
? townhomes and condos when pertnits are required for each unit J
D backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floordrain 3.00 x = $
Gas piping outlet ' minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tra 3.00 x = $
Lavatory 3.00 x = $
SBpGC SyStBRI ' new/refurbished " requires MPC Ilc. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new installation/repair/rebuild 30.00 x = $
Rough o ening 1.50 x = $L,
Shower 3.00 x $
Underground sprinkler if dwelling is under construction 3.00 x = $
Undergroundsprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x $
Water softener if dwelling under construcUon 5.00 x = $
Water softener if existlng dwelling 30.00 X = $
Waterturnaround 30.00 x $
State Surcharge .50 -> -> -> $ .50
Total -> _? -> --> $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------------------------------------- •----------------------------- •-------------------• -• -----------------------------------
I hereby adcnowledge that I have 2ad this application, state that the informatian is eortect, and agree to mmply with aA applicable Ciry of Eagan ordinances.
It is the applicanYs responsibility to notify tha property owner Mat the Cily of Eagan assumes no liability for any damages caused by the City during its
nortnal operational and maintenance aQivities to the facilities construGed under this permil wkhin City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
TELEPHONE #: -
(AREA CODE)
TELEPHONE #: 20- G
/j , ,., (AREA ODE)
STREETADDRESS: n(((1?"///i/(1rJl l
cirr:
SIGNATURE OF PERMITfEE
CITY USE ONLY
LOT ! BL ? PERMIT #: F v V c)1 J
SUBD. G a k??(ac ku RECEIPT #: S
RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
0
Date: /°cZ(D???
Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
3. o0
.50
$
Complete this section onlv if you aze remodeline, adding to, or repairina an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, altemtion, or repair.
New Alteration
_ Fumace
Air exchanger
Repair _ Other
_ Air conditioning
Other
Fee $ 30.00
State Surchazge .SU
Total $ 30.50
Reminder: Call for inspections
SITE ADDRESS: I
OWNER NAME: rl) ttQ :?-(jyyLQs ' PHONE #: V,l - ll5or2 -5 o`LOo
(AREA CODE)
INSTALLER NAME: PHONE #: ?S.`?. -^r?'(?j'? ?S
STREET ADDRESS: I n? U yS I IW\I`? Cl w'1 CJC., ?fi `J„ (APEA CODE)
CITY:
cxTSr os Encnx
3830 PILOT IQN0B RD
EAGAfI DII7 55122
651-681-4675
/y3
STATE:"A) ZIP: S53-70
SIGNATURE OF PERMI E
r
,
6 ^?
.,. i . ,i?`S . ?? ?{ i??' • ?? ?ry? ?4
yk r? ?
T?,'?F fESx? Ak ty?$ ? 1}t .„?i?T?i
h'11 ??
?' C? ? Ildf ' R, ir? ?i Uon rotection, efrd''?1.???Y?I ? ?-: ?u F ?
?
dghtness; and.venUlBtlw4s'aA04 ,m-uft,.thd CNy of ?sganis t?puir?lg q1?t thp folng information bgi ?y
submitted prbr to 6uanCe of a Certiffc,?te of Ocaipancy.
?
_ This stnutura: (g caWrucled to maet min(mum requirements of the Mn Energy Code, Chapter 7670
OA
:Xa This structure: iw 11 be consuucted to meet more rastdctlve requlrements ot Chapters 7672 or 7874
C.?eA.
?8F
».
? .
B
. _.. . . . ., .:.. i???s ....
APPWINCE OAS ELEC MANUFACTURER MODEL BTU'S k
VENTING TYPE .4.
Weter Fl9eter
4
FU108C6;?? y?
c.
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EXHAUST SYSTEM :.
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? `TYPE
MODEL "
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Bathroom 4
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DIFiECT ATIWB
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I hereby adarowledge that 1hs ebove: infomlatbn la eorred
requirements.
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Company Name
? Thfs form Is the responsibiliry of the aenerel Contractor.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110872
Date Issued:05/31/2013
Permit Category:ePermit
Site Address: 1640 Johnny Cake Ridge Wa
Lot:7 Block: 6 Addition: Oakbrooke
PID:10-53760-06-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
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 .
Pat Addy
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 -
Thomas E Kramer
1640 Johnny Cake Ridge Wa
Eagan MN 55122
Greenguard Construction Inc
2915 Waters Road, Suite 101
Eagan MN 55121
(651) 289-7000
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
For Office Use
~ Permit City of Ea~a~ I 669
8 ; C
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received: I i
Phone: (651) 675-5675 I~ I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: yU Jf Unit
Name: /o.z+rc'r Phone:
Resident/
Owner Address / City / Zip: 1 yO b a /d :r V~
Applicant is: Owner Contractor
I Description of work:
Type of Work
Construction Cost: Z 3- '4oe Multi-Family Building: (Yes / No K
~ Company: Contact: ,149:;;r'r
Contractor Address: _06~ 1112-- City: yZ~4z~
State: 421--l Zip: 5-3735 Phone:
License fo ~iU 01 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: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of f
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 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.org
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 State Building Code must be completed within 180
days of permit issuance.
x %~~7Gtlv~ /y%°~h 7 x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
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3830 Pilot Knob Road � I�� � i
E�gan MN 55122 I Date Received: •�"� �
Phone: (651�675-5675 j � I
Fax: (651)675-5694 I Staff: � I
L----------------�—I
20�� ���IC��h�`TI�L ��IIL�II�C� F'E�I�IT' APPLl�ATi��
i�ate: Site Addriess: Unit tl:
- - .W,.....�
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:
Name: Ir Phone; 1�� C� �.�, ��� �
' ���iC���l$� j�
{���,�� Address/City 1�ip: � t_.J ���- _
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� Applicant is: ' Owner V Contractor
,: _. ...__ , . ,��
Y ��,y, , ��� � � , , � :YN '!
� Description of work: r ��`�.1.�i! �`(y��+.�1_�� � �i�"��C__ � ..'������'��'�
; T°ype �f�dc�Tk r������_'�' �� 4..�
.._...- �" ���w..,�.
' Construction Cost: M�ulti-Family Building� (Yes 1 tJo� �'
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�
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Campany������---���'�t lrt��C� �(l� _Contact��'"� �r�����'`'�`�
� r��r ` 1r I �
t CU�Ytt�Ct�@' Address: .,t��c� O��V�-- ���: ����� �
5tate:�Zi � ��I�ne: ��mail�����������I����C���°
� � }
;
Ucense#: ' Lead Certificate�� �'"" t
� If the project is exempt from lead certification, please explain why: (see P�age 3 for additional inf mation)
, � ��
�
; connp�.E�E rw�� AR�a �N�v i� co�srr�uc�i�� � ��w �uiLDi��
� In tlie I�st 12 manths, has the City of Eagan issued a permit for a similar plan based on a master plan?
j _Yes _No If yes,date and address of master plan:
� Lice�rr�ed f�lumber: Phone: Y
� �lechani�a!Contractor. Phone:____
i �
= Sewer�Water Cantractor: Phane: �
� �tC�T�': Pians and�upportir�g docutn�nts thaf you submi�are crrn�ide�real ta b��ut�lic intormatic�n. �r��ie��r���LL s
�� �
; fh�infarmatlon rtra�y b�classified a�n�n:,publf��f,�ou prQvld���Oeclfi�re�asarrs ti�at would permif�tr��i�y�c,
: +�anc/ude�h�t i�ey�re trade s�cret's. �
C141YL ����RE_�OU DIG. Call Gopher State One i,all at(651}45d-0002 fat protection against underground utility damage. CaII��houEd
before you intend Ya diy to receive locates of underground utilities. www.gopherstateanecall.or��
I hereby acknowledge that fhis information is complete and accurate; that fhe work will be in ronPormance with the ordinances and cedes�f thz City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start wilhout a permit; that the woric wsli I�� in
accordance�aith the appraved plan in tfie case of work which requires a review and approval of plans.
Exterior v�ork aothorized by a building permit issued in accordance with the INinnesota S,tale Building Code must be complet�d within�180
dsys of permit issuance.
x`�"IY�� �� �r�..�.�.� x � ��
Applicant's Printed Name ,4 lican�t's Signa ure
P�ge 1 c•,f 3
)3/17/2015 11 : 34 T0 : 16516755694 FROM:612354415�� Page: 3
` , - ���(� ��L�.�1�� ��-l°�� t���� (,Ja.
DO NOT WRITE BELOW THIS ILINE � � ���� �"'
SUB TYPES
Foundation Fireplace Po�ch(3Seascn) _ Exterior Alte�ation(Single Fam�ly�
_ Single Family _ Garege _ Porch(4�eason) _ Exterior Alteration(Multij
__ Multi _ Deck _ Parch(ScreenlGazebolPergola) _ Miscelianeous
__ 01 of_Plex _ Lou�rer Level _ Pool _ Accessory Building
WORK TYPES ��`� �'���� �"��
__ New _ Interior Improvement _ Siding _ Demolish Buildir�g'
__ Ar�dition _ Move Building _ Reroof _ Demolish Interior
_ . Alteration _ Fir+e Repair Windows _ Demolish Foundation
, Replace _ Repair � Egress Windc�w _ Water Damage
__ Retaining Wall 'Demolftion of entiire bailding-give PCA handout to applicant
DESCRIPTION
Valuation ������ Occupancy � MCES System
Plan Review Code Edition !�"'+����` SAC Units
(25%_100%,� Zoning City Water
Census Code Stories Booster Rump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction �'�_ Width
f
REQUIRED INSPECTIONS
Foatings(New Building) Meter Size�:
Footings(Deck) Final!C.O�. Required
__ Footings(Addition) �Finai!No�CA.Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice 8 Water _Final Pool:_F�ootings AirlGas Tests _Final
_� Framing Drain Tile
Fireplace:_Rough in Air Test _Final Siding:_ Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings�Backfill_Final
Sheetrock Radon Cointrol
Fire Walls Fire Suppi�ession:_Rough In_Final
Braced Walls Erosion C�ontrol
Other.
�
Reviewed By: � ' "" .Building Inspectoir
RESIDENTIAL FEES
Base Fee � ,�v�� +'�„���.''"�
Surcharge ��� �� �� � �
Plan Revlew
MCES SAC
City SAC
Utility Connection Charge
S8W Permit 8�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3