1743 Galaxie CtCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1743 Galaxie Ct
Lot: 2 Block: 1 Addition: Galaxie Hill Oaks
PID:10- 28720 - 020 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Midwest Roofing Siding Windows
6451 Sycamore Ct N
Maple Grove MN 55369
(763) 427 -9696
PERMIT
City of Eaan
Construction Type:
Occupancy:
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.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
Cory P Whalen
1743 Galaxie Ct
Eagan MN 55122- -264
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA088734
04/15/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1743 Galaxie Ct
Lot: 2 Block: 1 Addition: Galaxie Hill Oaks
PID:10- 28720 - 020 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Fee Summary:
Contractor:
Al's Master Plumbing
1424 3rd Street North
Minneapolis MN 55411
(612) 822 -5292
e - Water Softener
New
Water Softener
Meter Size Meter Type Manufacturer
Laura Foschiatti
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Serial Number Remote Number
Comments: Permit closed without required inspection(s). Letter sent to applicant on 1 -6 -2010. (pf)
Owner:
Cory P Whalen
1743 Galaxie Ct
Eagan MN 55122- -264
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4087
$0.50 9001.2195
$50.50
Plumbing
EA090297
07/22/2009
ePermit
Line Size
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
.
Washfica#e vf Cccupancv
Gsit4 of Wagan
I"Srbncat ef sNiiiixg anoectiox
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this strruture was in coinpliance with the various
anrtinances of the City regulating building construction or use. For the following:
uuaass;fmmiofL SF D1iG Bldg. Pa,,,;, No. 28812
O-sS-y 1ype R-3 U-1 zcming pwtiKy R-1 Type Const. Vfl
Owiw of 8,,;k;,,g UNIBILT INC -Aamm 451b nertnTs ttn nLr+r+u7MTpp, MN
8,jk;,,g Ad&,= 1743 GALAXIE CT Lnca1iry l.7 Rt f'1i-AY7 A u,. J n.YS
Daw' 7
e ar.?
POST iN A CONSPICUOUS PLACE
, , .. INSPECTION RECORD ;
•?z C1TY OF EAGAN PERMIT TYPE: f:
3830 Pilot Knob Raad o :.:?? ? .' '
Permit Number:
Eagan, Minnesota 55122-1897 Date issued:
(612) 681-4675
SITEADDRESS: APPLICANT: ?
4 . nl Ax if ??- I l?t; , ?? ? ? Iv? •?
tAxif IiI t i „Ar'; ( f,t.?? 4.?00
PERM17 SUBTYPE:
j J!-,1
TYPE OF WORK:
raa ta
INSPECTION ,. . ..
? i?l? ..? ? f:1 , ? . . I?.? 1.? 1 I! !. 1 •
12F:FIA•kK. ?? . •.;7?4! t't fIM!"tt i: GlU. •. t tiRlF A
•4
Permit No. Permit Holder Uate Telephone #
ELEC7FilC Q 9 ?
PLUMBING ? 1r'G 5? S•??BQ
HVAC
Inspectfon oata Insp. Comments
FOOTINGS
OC
FOUND
FRAMING
RdOFING
ROUGH
PLUMBING
PLBG
AIR TEST
-
1) 7- -014
e -i
ROUQH
HEATING
?
GAS SVC
TEST
? p
iNSUL ? I L- 9- G L
GYP BOARD
FIHEPLACE
7
`-G
FIREPLACE
AiR TEST ?
FINAIPLBG ?ra?-? d1,IY
FINAIHTG l( ?r
ORSAT
TEST
BLDG FINAL
!??
?
?/1 ?1???'l?w ;..sjV
o? C•A,.?
?.?
vr-/ LMiC SY,7
BSM7 R.I.
BSM7 FINAL
DECK FTG
l
DECK FIN; L
or
;
Address 1743 GALAXIE CT
Zip 5512 -t-
LAt z Blk 1 $ub GALAXIE HILL OAKS THESE ITEMS WERE! WERE NOT COMPLECE AT THE TIME OF THE FINAL INSPECI'fON.
.
Date: /? p?a rj''f Yes No Inspector: ?
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry) el"
Permanent driveway
Permanent gas
?
Sod/Seeded grass
TraiUcurb damage ?
Porch ./?
Basement finish
Deck
Please verify with the builder the removal of roof cest caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exisu:
Contact engineering division at 681-4645 before working in rightof-way or installing undergmund sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contracror Copy .
CITY OF EAGAN
?•??'j ?? 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
RemotlellReaair Reauirements
y7s9.?p
U49 ?'?
? 3 registered site surveys ? 2 copies af plan
? 2 copies ot plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addRions 8 decks)
? 1 energy calculetions - ? 1 energy calculations (or heated addilions
? 3 coples of tree preservation plan M bt plaped eRer 7l1193
required: _ Yea _ No
DATE: CONSTRUCTION COST: -01 g 9"
DESCRIPTION OF WORK:
STREET ADDRESS: / 7?z?L 44 1-6- 2-T
LOT '7, BLOCK ? SUBD./P.I.D. #: ?L-Q4,4- #/ LL F?,Q-(LS
Ie ?
PROPERTY Name: u"o 1 /i / L7- Phone
OWNER `""
5treet Address
City: 9LiP b4.t ria G? State: ? Zip:??`?
CONTRACTOR Company: 5 Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT! Company: :54-ot-t 9- Phone
ENGINEER
Name: Registration #:
Street Address?
City: State: Zip:
Sewer 8 water licensed plumber: ge+ Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicabie State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received 4-
Tree Preservation Plan Received X
T
REC ENED
Yes _ No S E P 0 5 1996
Yes _ No ---------------
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
iz? 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
0"'37 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
? 38 Move
? 37 Demolition
Const. (Actuai)
(Ailowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Pianning ?N Basement sq. ft. ?351(?
dn/ Main level sq. ft. l407
2-3,J-+ 2sq. ft. ios S
2-1 sq, ft. -?ss
2 ?- sq. ft.
Sy 1 sq. ft.
Footprint sq. ft. 2 r U
uilding M-S Engineering MGWS System ?
City Water ?
Fire Sprinklered
PRV
Booster Pump
Census Code. i_u i
SAC Code
Census Bidg i
Census Unit c
Variance
Permit Fee Valuation: $ 1(08, vwo.
Surcharge
Plan Review
License ?y, 2. 6 = 3Gf3. f(a
J
?-7 tJ x 3c? _ -711
MCNVSSAC i-2?.9 x 3r ? ?i31 10.-7 1 14 .2S-
City SAC , 3 x 3?.?,5 _ 3y y7 s ?----'
Water Conn. - 24 '7 s s. z 5?u_ z, 0
Water Meter
Acct. Deposit 3- 3 3 x' q 3, z'
?
S!W Permit - IS-
y
S/W Surcharge
Treatment PI. ?y?LJ- $`
Road Unit
Park Ded.
7 "-1SH ' -7 5Q
TrailsDed.
Other
Copies
TOtal: ;3 . q u 3? ° ki 3i
% 5AC ?3 y 30. ? S- = 3G4. 7 S
SAC Units - 'z"" -
? -- _-
?
tt?SS ?? Y
sy S?GI70
? L 2JU ?,
'??r- 1 t. 7, 0 Z. 2?
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION y?>'v t5D
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122 -74
651-675-5675
pc,?J
Please compiete for modifications to existing residential dwellings.
`-"l 1 0 4
': 9 I
D
t
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o
a
1
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3
Site Street Address /7
Unit#
:
Property Owner /-J'aze 1?/ L. ?/ ? Telephone #( )
Contractor l
'C
?/ Te e
?)
hone #(?
?
j
p
/?_
Address IL??J ?Q ;6CF%?LL4? 2 City State_ZZJI ZipL?
The Applicant is: _ Owner ZContractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 518" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ replacement _ additional
Law Ih rrigatibn System RPZI new
rebuild
re
air $ 30
00
_
p
_ .
State Surcharge nFm ? T Q lJ TM
? $ 50
r
LM JUL 3 0 2004 ?j
?, ?
?
Total $
IBy- •-?
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance th the approved plan in
the event a plan is re ired to be reviewed and approv d.
?'?/1 ?2+ S?i ?Ci I (, +,
ApplicanYs Printed Name ApplicanYs Signature
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons6uIXion Reauirements
3 regislered site surveys shovring sq. ft. of lot, sq. R. of house; and all roofed areas
(20% maximum lol coverage allowed)
2 cropies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculalbns
3 cop'ies of Tree Preservatlon Plan tt lot platted after 711193
Rim Joist Dehail Optbns selection sheet (bldgs wilh 3 or less units
RemodeVReoair Reauirements
2 copies of plan
7 set of Energy Calalalions for heated additions
i site survey for addilions & decks
Addition - indicate if?de sep[ic system
--P Il
33/ aS'
Office Use Onlv
Cert of Survey Recd
Tree Pres Plan Reod
Tree Pres Not Reqd
_Onsite Septlc Sy em
v\.
Date / 0 l2 I2jD03 Constructiou Cost rrr,*cr
SiteAddress / 7-Y3 Ai¢4,4 X/F e.oriicT EA('Aiv 3'? /a a UniUSte #
Description of Work /A! r ii,r,6v /(9 e :? Z
I
Multi-Family Bldg _ YIZ
N Fireplace(s) _ 0 2
Property Owner y- /?7.g,eY )CL E/N Telephone #(6_e-/ ) lo ? 7 c1l% j
Contractor /?HV/oS LUN STiZV? T/Oh?
Address /`/YCJaZ/ Eey/J L r¢A/N' City
State 4;4,A/ Zip Telephone il (9!S-'2) Al
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventllation Category t Worksheet • New Enargy Code Worksheet
(? submission lypa) ' Submitted Submitted
• Energy Envelope Calculations Su6miked
Licensed Plumber
Mechanical Contractor
Telephone #(
Telephone #(
Sewer/Water Contractor
? pl OCT 0 3 2003 ;i
uu ?
I hereby apply for a Residential Building Permit and acknowledge that the in ormationmplete and accurate;
that the work will be in conformance with the ordinances and codes of the Ify_of Eagan=aucL-t1ie=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 ofplans.
- -i
App icanYs Printed Name
??
App ' ant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex A( 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 08-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
x 32 Additian
? 33 Alteration
? 34 Replacement
Valuation ?2&
Census Code 01_
SAC Units ?
Nbr. of Units ?
Nbr. of Bldgs ?
Type of Const ?
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 MuIG Misc.
? 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) - Give PCA handout to applicant
Occupancy R "' 3 MC/ES System -
Zoning n -r City Water ?
Stories ?-- Booster Pump ?
Sq. Ft. !oZ PRV -?
Length /16_ Fire Sprinklered ?
Width 3f-
_ Footings (new bldg)
_ Footings(deck)
_ Footings(addition)
Foundarion
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinaVC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
? Pool ?P Ftgs _y Air/Gas Tests YFinal
_ Siding Shtcco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By
-36L-±-L
Building Inspector
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
v
?
? GENERAL INFORMATION
u
o z ?
k ? {* Applicant - name, address, phone & faY numbers, signature
,?X ? ? Property owner name
IW ? +0 Legai description and address of property
fil ? ? North arrow, scale (1" = 30' or 40') and date
;K ? -"- Location and name of ail streets adjacent to property
0, 0 -W- Site Plan drawn to scale showing location of house, pooi and other existing or proposed
StttlChllCS %nCllar'173 Gr'?t7
? ? -Q- Directional drainage azrows (existing and proposed)
ELEVATIONS
Existina
? V- Housecomers o<,f
? NJOb Property corners << <, h k
?0 -49? On property lines at poim of ineasured dimension to pool (see below)
?V ? If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Prooosed
gk ?'WO' Finished pool deck comers
? U ? Top of retaining walls (if any) and at each different elevation (if it changes)
% ? 0 Pool bottom (or mam depth)
DIAAENSIONS
Exis in
OC ? ? All pmperty/lot lines
Prooosed
'k9 ? ? Pool
18'. ?tl- Pool plus integrated deck/patio
??ff- Shortest distance from outside edge of pool deck to lot lines and house
Reviewed:
Name Date
G:/lECHfJR 2002/Pool Pctmit Checkli#
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-. - - ??•.•-.? - _ 30.00. ' i6.01
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Scale: 1" = 30'
1743 Galaxie Court
' DESCRIPTION
i hereby certify that this survey, plan, or Lot 2, Block 1,
report was prepared by me or under my direct GALAXIE HILL OAKS
supervision and that I am a duiy Registered Dakota Caunty, Minnesota
Lond Surveyor under the Laws of the State
of nesota. Plat bearings shown
o Denotes iron monument
(/K/y'tr?
Date 31_ U6- )99( Reg. No. 8140 ? Existing j Proposed
'--
OCI -I j{rLG'tl
ww m ftw.? -
"L 11?-
SUBD.
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
RECEIPT #: M-?5
DATE: ?00&
? townhomes and condos when permits are required for each unit
FIXTURES ggCH ? TOTAL
Shower 3.00 x _L = 3 ?
Water Closet 3.00 x
Bath Tub 3.00 x Z = 6°-
Lavatory 3.00 x 5 = 15 °°
Kitchen Sink 3.00 x 3 e'=
Laundry Tray 3.00 x :7?
Hot Tub/Spa 3.00 x -B-
Water Heater 3.00 x
Floor Drain 3.00 x 2
Gas Piping Outlet * minimum -1 3.00 x bp°-
Rough Openings 1.50 x
Water Softener 5.00 x ? _ -
Private Disposal ` Dakota Cty. license 50.00 = -
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00 = --
Afterations ' to existing 20.00 = -
Water Turn Around 20.00 -
STATE SURCHARGE .50
TOTAL S y di?i-
SITE
7 y3 6.v?lv-K / eo ti-z-
OWNER NAME: uN ! 3 vt I c- T Ca.,) S T.
INSTALLER NAME: IzLI'4`I ?) '^"2 ?ry C' 14-
STREET
CITY: ?-'A v"r,o STATE: /1& ziP: 55 .3 7
CITY USE ONLY
, BL ?
T '1"LJ /.??i ?"
PHONE #: ( 6! Z ) 44/5' W ?7,L-
., ?
CITY USE ONLY ?,,
L _? BL ?_ RECEIPT #: ?CL`5
SUBD zj&u loaL DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please cOmpiete for: ? single family dwellings
!? ? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $,26:80?
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outiets (minimum of 1 required @$3.00 each) _/2.?
? State Surcharge .50
TOTAL -5-s-S-0
SITE
OWNER
cmr:
PHONE #:
PHONE #: ( ) ?
??-e-
INSTALLER NAME: SEASONAL CONTRQL INC. 7620 yn a e ve. o.
STREET ADDRESS: BIGhfialti, MN 55423
866-1310
I. - --?
r:t rv C:r- r-'Ar,nN
f;Af;Nr1=F't.z =., IIii:F2r1SA!AI_ N(3s 24
LA"C'!_:: 03/1b/96 l':I:t4'i.i:i: 13:0030
lu;:
NE„ME;; t.;rtzBi:t.r :i:rac
2^c.°;r; 5)001 :1743 t,Pd_.A:x]:F r..'T 4,754.::38
Tri'r,;9.':. figc`.ctl:ip1; Ftinount;;, 49I54.38
c- oE,b R5c,
USEr.: !On nAncv
%C?XYF7k 9I•#yM1?'n:k*yF'M?KXCktY?Sh'<Mh(Y,s i;! 'Mm?+Y,+W>K? m>kYn?k>KYFS: 'h.':%rM1k
. PERMIT ?
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 028812
(612) 681-4675 Date Issued: 0 9/ 16 / 9 6
SITE ADDRESS:
1743 GALAXIE CT
LOT: 2 BLOCK: 1
GALAXIE HILL OAKS
P.I.N.: 10-28720-020-01
DESCRIPTION:
aBuildin'g,,Permit Type
?,==Building W?,r?k Type
^` ? UBCOecupanc? ?
Construction Type
Zaning
Building LB:ngttt ?
Bu?j.Jdir,tg Wt3dth„-;
Square Feet:
-'Cens.us
SF DWG
NEW
R-3 U-1
VN
R-1
84
39
2,141
101 1 - FAM. DETACH
REMARKS:
S&W PLUMBER - WESTpNKA
FEE SUMMARY:
VALUATION $168,000
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Lic. Search Fee
Subtotal
$1,227.25
$613.63
$84.00
$900.00
100
1
$5.00
$2,829.88
MISC FEES $1,923.50
COPIE5 $1•00
• Total Fee $4,754.38
CONTRACTOR: - Applicant - ST. Lzc.OWNER:
UNIBILT INC 17234280 8081163 UNIBILT INC
4516 DAKOTA RD 4516 DAKOTA RD
BLOOMINGTON MN 55438 BLOOMINGTON MN 55438
(612) 723-4200 (612)723-4200
T hei-eby ackpowledge ,that,Z have read,,this application and state that t'he ,
informaCion is carrect and agree to comply with aii applica6le State olf Mn;.
Statutes and Gity ot Eagan Ordinances:
. . _ . _ .. _,.` '_ . .._... . ...ci .?_ -. . _ . ..- •- 94/41NTIfj RMITEE SIGNAT ? ISS D B: GNA PE??
CERTiFlCATE OF SURVEY
for
xh?JNIBILT. INC.
t9(p?0 / N89'45'31"W
? 95.00
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S89'42'52"E
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L? L A G, A N'
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DEPr.
Scale: 1" = 30'
1743 Galaxie Court
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepared 6y me or under my direct
supervision and that I am a duly Registered
Land Surveyor under the Laws of the State
of Mianesota.
Date U 31 RU6- 199L Reg. No. 8140
Lot 2, Block 1,
GALAXIE HILL OAKS
Dakota County, Minnesota
?lat bearings shown
o Denotes iron monument
? Existing j Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Su ite 206
Burnsville, MN 55306
(612) 435-1966
?- - I
I
?
U4-5-96
LOT SURVEY CHECKUST FOR RESIDENTIAL
BUJLDING PERMIT APPLIC9.TIOy
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DATE OF SURVEY:
LATEST REVISION:
G
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal descriptlon
• Address
• North arrow and scale
• House iype (rambler, walkout, split w/o, spl8 entry, lookout, etc.)
• Directional drainage aROws with slope/gradient %
• Proposed/eristing sewer and water services & invert elevatlon
• Street name
• Driveway
ELEVATIONS
Existina
2? ? ? • Sewer service (or Proposed)
R? ? 13 • Property comers
p-? o ?
0 •
• Top of curb at the driveway
Elevations of any ebsting adjacent homes
Prooosed
¢--? o • Garage floor
P.- ? ? • First floor
ckl- ? ? • Lowest expased elevatlon (walkouUwindow)
[r' O ? • Property corners
1r-'13 ? • Front and rear of home at the faundatian
PONDING AREA fif aoolicabiel
o [;K'o • Easement line
? o/ ? • NWL
? EY ? • HWL
? • Pond # designation
0 Q? ? • Emergency Overflow Elevation
pIMENSIONS
er' o ? • Lot IinesBearings & dimensions
AR o • Right-0f-way and street width (to back of curb)
er' ? ? • Proposed home dimensions inciuding any proposed decks, overhangs greater than 2',
? porches, etc. (.e. all structures requiring permanent footings)
? • Show all easemenLs of record and any City udlities within those easements
? • Setbacks of proposed structure and sideyard setback of adjacent e»assting structures
? ? • Retaining wall requirements, if any/,**"
Reviewed:
PROPERTY LEGAL:
Name
January 1986
cxuc1weqL0cartnrr. FM
L?"J&
9ENCH M6RN- TOP OF SANITARY Mn AFIINOz. as FEET a `
SOUTH OF NEW CENTERUNE, Oa CENTEeLI'.VE OF
G6LA%IE AVE.-9a92 r
NOTES: PLA24
1. Gll SERVICES ARE EXTErvDED TO THE EASfMENT IINE OF I
TnE 10T5 TO BE SERVICED.
2./+lL WATER $ERVICES 4RE OF I' TrPE 'K' COPPER. ,
3.AlL SANITARY SEwER SERVICES ARE'OF a" DI4MLTER I
PVC SDR 26.
?L? ?'i
9.'. S" INDICl+TES SANITARY SEk'ER SERVILE INVERT •«y e
DRIVE /
ELEVATION 4T PF.UPERTY LINE.
T
P
F
T
P
f+
KM
"
'
ION ON TO
p
CURO S
O
BOX.
-
INDIG4TES ELEVA
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-- INV.°942.2
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CUT OfF STUO AT MH
SEE FECORO PLaN N0.750U
0 20
- --- ----------?; : - -------? SAN/TARY SEWcR
2
WATEh', & STREET PLANS FOR:
GA L A X/ E H/L L. OA KS
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? OR4INAGE 8 UTIUTY EASEMEN75I
i I
? L
CALAXIE HILL OAKS
T[A3CA ENGIIIEERIN6
Marsclia0 Ra.?d Busimu Center
327 MatS[hall Roatl, SuiM 200
Shakopee, MN 55379 Phone 6457997
1 twimr «M1ilr wt uJS Wan wu ana W me «we. mr d.ea Hw ?s?at ane wi I am
e RcgivseC Pmfezs'vul Enpneer n me Siaw d M14mesda
lawrrnca E. SamslaQ P.E.
Cinl Erp?, Mm Reg. No.6710 SMet_d _
y W. G A L A X I E C 0 U R T NOTE: See Specifications for Standard DETAI[S. oe-ivya
X.
PRIVATE STREET
x-u-ca
J
Q i a?e - s i..c
1. - ao f
a I ? 65
1P1=962.74 d.oz?94
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wa., s L: 7Q ir-as-?6
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V P I• 951 ZQ ?j°c?? zs x?.w. m..r +o m? ae np.
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M • 0.40
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iM Pi. ? BSI.? IQCl^0) ? / / .
0r36 _i7C-9 MHO _ 2.0^ < ::z tER LINE
.
?.s• xiw.. eo.,. m*w oe riw
90'BENq??
b be? ?
33?^
. INV. • 941.0
40 60 80 100 120
INV = 952.6
TOI BI1. lR-O}NI
i.es
MH Q
--
STA.1.25
e ? 5• 950.0 Op,K
W?*50* PEO / I
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W=96'43 967.1 NORTH
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,aY OF UTILIiY LOCAT
,^.710NS. THIS DATA I? ?
PURPOSES ONLY .., :
UvIiVG IT SHOULO VERIFY
:1-1 0N ON THESITE. ,
0
? ,??...? 9..,. ess
r ? 950
I ?ulnum c?.m r?u m.uro 1.s• winL. cowc mM
e.v. ro eropww w• etrm a eio. ?
? 945
wCTER IiNE CLSS 52 ' ?
6"ELBjW= fi'DIP ?
/ ?--- 6°-90• BENO
940
EXIS7ING G.V. 8 00X
SEE RECORD PLAN NO. 316, SNEET 12 OF 25
935
CONTRnCTOR:BROWNdCfi15, INC. RECORD PLQN:12-94
' AS BVILT I $HEET ONLY
IBO 200 220
'60 CITY PROJECT N0. 94•J I 2
FOURELi FOLlHllvi-TIIJS 4583927
`4 x 2'_0"
UOWEL AT
51_0.1
NpTE.S FLOOR DIAPHP,AG1°1 ---? FLODR JOIST
? - TO RE NAIL_ED FiOR HY QTHERS
1. MAXIMUM WALL uENG7N DIAFHRAGM SHEAR,
IJII'MOUT A CCIIqTRDL CCAUSED BY FiORIZ.
I
JUINT = =iJ'-ii" -HEAR ,.U") TO BE
?. r! 0 CG' TEM AND FL?OP, DCi ERMSNED B't
SLA3 T? 3E IN ?LACE GP.
U ncF.CRE
WALL BRACe
.
3ACk;F'IL! ING '??a ? E? SIMPSON A34
,
? 11',lL7U PLATE W/ Q ANCHqR W/4
3, SPECIAL FtE'JIE'v REQ, FOP MIN `?> A.B. WITH Sb NAILS
I
HIGHE.R \JALLS, ONf 4ITHIN 12" EACN I.EG
EACH ENU N.S, & F.S.
j MATERIALS
--- -
1/
„ w x 12" A
B ?F JDIST
"
2
.
. @ 16
a
C.
CONCRE7E: 3000 PSI @ 28 DAYS W/t1) NUT & WASNER 3 .
AGGP.EGRTE FTr, - 1118" MAX A 32" O.C. ?R SIMPSON ,
WAI.L- - 3%4" MAX MA6 AIdCHdR @ 32" ?.C.
Rf_INFORCTPdG: ASTM A615 GP.FlDE 60
SOIl.. GRANt!1_AR & L.I13I-7CLAY
EG!UIVALENT 711JID °P.ES:>URE ,
!Teq) = 35 PCF
HEAVYCLAY -
?
EDUIVALENT FLUID Pf?ESSURE
:Teq i= 45 F'C:F
SLdf=E
,
? ,•
? g
'
uR.ADE AWA
Y
i ?
" FRGM FDN.
?
HIIH WALL
H - -0
'
a s ???
req ?; ' 45 35
. i 45
VEF;T,?4?7 4@
72 #?3Q72 ttdE7c
STL..
2J:_
' f
4 267 344
)I
(PLF ?
9'_r" FiIGN WALL
r }.._
(IN)
??eF)
`,I7?i.
(PLFi ?_._?--•
I 35
aR.24
252
r-8
45
`aeiF
452
10
35
ttae7
352
10.
45
ttae7c:
452
- POURED FGUhJDATIO'la INC,
8836 UPPEP, 89i" ' "? •
r_pTTAGE, GR[7vE M " =^?16
°
4 tt4
HORZ
P. 01
x
9.
t
-2" CLR
FLOOR
SGAB
4 4 ?
4
• O DRAIN
7ILE
SEC i IC1N
a
R" x 20" F7G <MIM ?J ".
F7G TQ BE SIZED''` ?-
BASED ON SOIL
GQNUITIONS @ EACH SITE
3 DETERMINED BY OTHERS
'A/ /?1 L L
oo H. Dahlmeier
a -
B•---{ C?? Engineering Inc. S= 1
p ef ' -ILaree SoulOVerd 6I2..172-4746 1_20_94
JHD . ? , fN 58364 Fex 619472-6103 ?
r-nr_u iaa`.tiSyiT
Z//?/- 1115 VY
NO T E:i
1. MAXIMUM WALL LENG7H
v/ITH OlIT A CptdTRpl
JOIN7 = 20'-0"
AND c?_'OR
c. FLOCIR '"S+EPS
`_LAB 7C BE iN PIACE OR
',/r,LL kRaCcn BEToPC
BACKF-ILL?NG.
_MATENIALS
CONCREIE 3000FST @ 88 DAYS
AGGRFGATE F'7G - 1 1!2" MAX
WALL. - 3/4 " tIAX
REINFORCING; ASTht A6I5 GP.ADE 60
F4OCIR DIAPHRAGM
BY pTHERS
r. _ T-CATED
WpDD PLATE 'W/
1•1IN (2) A.B. 4/ITH
i7NE WITHIN !c"
?-ACH END
?
112 " 2 x. 12" ;
A.B. I
W/<U NUT & WF+SHER
P 48° O,C. ?R SIMPSON
MA6 ANCHOR @ 48" ?,C.
P.02
FLOdR JOIST
BY ?THERS
5 - lOd NAILS
T? NAIL
J[]!ST T?
PLATE
`
1
?
I ?
V
SLaPE
GRAUE AWAY ?
FRpM FDN, ?-
I? . . o
tt4
DDWEL AT
CdMPACTED
BACKFILL1
.
8" x 20" FTG (MIN) .J .. O
F7G TO BE SIZEA
BASED ?N Spil. LJ DRAIN
CONDITIONS @ EACH SITE rILE
& DETERMINED BY OTHERS
wAI,-L SECTZON
POURED ftlUIJpATIbNS INC. 94
8836 iJPPER 89TH ST,
C07TAGt. GRC]VE MN 55Q16
J. H. Dafllmeier
`?=EJ1 Engineering Inc. S _ 2
Z"06 (`ommerca Bonlavnrd 612r472-4746 1_20-94
.do• ?a MN 56364 Fex 812.492-6108
FOUF.'ED FOUflDG1TIYJ5 4583927
CUNCRETE WFlLL q REINFdRCEMENT
o?E S-'1 & 5--2.
C r 8" WIDE GRAllE HEAM ?
:M[NIMUM DEPTH 24"?
`---r, ?_ "4 AT HOTTpM
?:xTEr?v ?'-o" _0F- GRADE BEAM
+ . INTO HIGH `+'AtL
CONCRETE FOQTINu
r_orqcReTE FDOTING
?
C C[7MPACTED FiLL
i /
/
MAX114UM SFAN 4'-0"
SEE S-1 S S^2 FOR
FqOTING AND wALL
cor+sraucrmN.
C[7MPACTED FILL
GRADE BEAM / STEP FOCTING
P.O=
- aMUSSnN Na. ? J. H. Dahimeier -
POURED FCJUNDA7IONS INC. 940U4 EngineeYing lna
ow?w+ gL S ` 3
8836 UPPER 997H ST. C 1^20^94
rR[IVF MN 5`?JO16 ?UE-g' Z906 ommerce Bnulaverd 612d7&4746
C C17 T AG ?, JE{U Mouna, MN 65864 Faz 612-972-6109
7?G 3
J?fl-T? ' ?4?-?? u s T? o,/ 9 96
DETERHINE 1JORKING SQUARE FOOTAGE OP EACH:
1. TOTAL E%POSED 1JALL AREA,,,,,,,, 3710 I sq ft x"U"
2. TOTAL ROOF/CEILING AREA,,,,,,,, L/, D O sq ft X"U" 3. 70TAL EXPOSED NALL AREA CALCULATIONS: • •
Total exposed wall
area abore floor,,,,,,,, 3 L? sq ft
a)
Total walY wlndow area: t
4lazed....... 40 3 sq ft x I-Uli . 7? r 1' 9-3
glazed...... aq ft x "U" ?
b) Total -ioor area .......... 9 sq f[ x "U"
C) Total sliding glass door a reat
YP? glazed...... aq ft x "U" . • 4!
glazed...... sq ft x "U"
d) Total f(repiace wall area S-'/- sq ft x "U" .?Q
? e) Total wa11 framing erea
(Average 109,)...........
3?Q
sq
ft
x
?'U"
•?q'?}, Z
f) Total net wall area above
floor (Insulated)....... sq ft x "U" . 0?? ¦ ???e?
.
g} Total rim Jo1st area...... 'Z 4do aq ft x "U" .?'? ¦ / O, ]
Total foundation
area (Exposed)........ . 7 ? sq ft
h} Total foundation
Nindow area ............. sQ ft x "U" ?
1) Total net foundatlon
.area ebove grade........
73
.sq
ft
x
"U"
a4076 n ?
3• • TDTAL a) thru I) a ? •
• If Item N3 Is the same as, or iess than Item pi, you have met the tntent of
_ 2 MCAR 1.16008 A and O._
1 Yage 1
•4. TOTAL EXPOSED Ft/)OF/f,E1LIMG CALCUI.A'r10N5:
Totaf expnsed
roof/ceiling area..... ... ?, 00 sq
ft
J) Total skyllahC area....... sq ft x "U" _id
kj Total roof/celling framtng
area (Averaqe 109) „.,,, ? 1?4Q sq
ft x
"U"
. e-7 Z-
1) Total net Tnsulated
rooF/callinq area......:?? gq
rt x
"U"
?
p, TOTAL J)
thru 1) .Z. .A
if total of d'h Ts the same as, or less than N2, you have mat the I,ntent of
2 MCAR 1 .16008. J1 ar.d a. "
ALTERNATE BUIIDIPIG
To utilTze the total envelope system method,
of ttems !?3 and #4 shall not be greatcr than
_
1. + 2.
3. ____._ ?T...._ + 4 • _.?..._.?.
.
ENVEL.OPE DESIf,N the values establlshed by thB sum
the sum uf iCcros H1 and 02.
---- ? - - -
..
C E R T I F t C A T I D N
1 hereby eertTfy that I have caiculated the "U" fectors and "R"
, values heretn and that the butldlnn hero described meets or exeeeds tha State
of Mtnhesota Energy Conservation Act. c?nutur3
°!
?
NSTRUCTION " R VALUE
AMING SECTION:
I.n[erlor air film 0.61
L
m
u • t/R - a9g
??.
.
D,1
?
• WALL SECTION (INSULATED)
-(1
RIM JOIST SECTION:
--(1 Interior
FOUNOATiON iNSULATIpN REQUIRED: •
Min. R-5 on entire wall OR U- 1/R
p a...,4 Min. R-10 down to frost depth ..
FOUNDATION SECTION:
°?? p"• '? 1 Interior atr fTlm ?,R$
••A. A• 4-gef
?•; s..:..• 3 l'.w..is
4 Exte?or r? m q,17
- • - • . ;e;• ( 5
? q:4•- '? ,, (6
a? :;.0' 4 . TOTAL R-
TrIP9T u - 1/R • vo7G
SLAA ON GRADE.
?,6 •4ti' 11', ? ? ..
A ,. ;.'
. \.4 ? '4 • y• /vA
a?• .
•'? Heated Sla6s:
•? ?.?.•'Q? Minimum R = 8:5
?.•4; Unheated STabs: -
0 . ; Minimum R ¦ 6.2
4,..
, r' ? . ? • •4`; . .. ?. .
?"??•? ,?{; ' '?. - 4-j.
+ 1 f q? 04 f
:. a ?
` d;r, ••. .• •, , ,. .,?.,;
? ? • 4. • Q.
:? '•,?q? ' '??'????? ? ' .
'.ado .. • ? ?
,. ., . .•
,
•- ,
. ?? ??•Q,• iv
;a,,?.• ?:.
.
.?..?..:-.. - ?
U ' 1/R ? .G?Lfz
.
'
.
.
¦
1-
H
VENTED
,
• CONSTRUCTION .?r R VALUC
CEILINf. SECTION (INSULATED)e1..••,Jj
- 1 ?nterior afr fllm n,61
, 2 •' DP-y?c?9E.L _ . SG
3 rBSptG c.*r ' Sa, -
• 4 Extertor alr f11m stiii n.Rl
; T07AL R =S/ .7 Sf
U- 1/R
CEILING FRAHiN6 SECTION:
1 Interior alr film 0,61
2
3 z. ' .' ,?6c,FS g .
4 Interlor air film st 1 (1 .61
5 inches so t wooA
TOTAL R ? y.7 9
U •:.i./R ? . o2s'
CEILING SECTION (INSULATED):
1' Interior alr film 0,61
2 3 •
4 F.xter or a r lm sti I 071
TAL R ?
U ' T/R r
?
CEILING FRAMIdf: SECTION: :
1• InterTor s(r fTlm 0,61
2 3
4 Exterior air film still n. 1
5 nches so C wood
TOTAL R -
U- 1/R-
.. .
B_1-
SUBD?j?/,Q,?? ?
NEW RECEIPT 11 7'„?y2 f
RECEIPI DATE ry/?jr7
DATE /I
TO
JOB
OWNEB Uy / - g / [J
PLEASE BE ADVISED THAT THEkE IS A FEE SHORTAGE ON THE ABOVE
a
ELECTRICAL INSTALLATION IN THE AMOUNT OF $_
SHORTAGE MUST BE PAID WITHIN 14 DAYS.
0 - 30 AMP !:ik(:T7TTC =
31 - 100 AMP CIRCUITS =
0 - 100 AI•fP SERVICE _
? 101 - 200 AMP SERVICE
?
_ TOTAL FEE DUE
ES '
L
S FEE RECEIVED `
TOTAL FEE SHORTAGE DUE _ ` s
PERMIT ll
ORIG RECEIPT li
RECEIPT
PLEASE RETURN A COPY OF THIS FO_RM WITH YOUR REMITTANCE.
6 `? .? s7 ??7
THANK YOU!
'7av-7?
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consimclion Reauirements
3 registered sife surveys showing sq. h. of lol, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Jolst DeNail Options selection sheel (buildings with 3 or less units)
Minnegasco mechanical ventilation fornt
RemodeVFieoair Reauiremenis
2 copies of plan showing foofings, 6eams, joisls
1 set o( Energy Calculations for heated additions
1 site survey for additions B decks
Additian - iridicate if on-site sepfic system
ew. a5
_.... __...........Dfifv
?tfice-Use?
.
Gert dSuNeYReed ?_Y _N
iree Pres Plen Reatl .... .. Y_N;
Tree Pres ftequired 'f [J
0?-siteSeplic5ystem Y _N
Date O_3 (CI .
Construction Cost'tlnl
I??
SiteAddress /7?3 GA/?4XlE. ?
?,1 ?ST O S`11oit/Ste #
?? ,J
Description of Work ??i UCG? /\?fi1 ??-
Multi-Family Bldg _ YXN Fireplace(s) _ 0 _ 1 _ 2
Pruperty Owner ?L7 (? q- MA/L! T 1 LE//V Telephone #(6S/) ??7-
Contractor ?ic-c-S LL C,
Address ? ti . ? ? .So? sh??(LE. ?C_.?? CiTy (v/-li%E. 11? A2 /-AKtc
State Zip Tclephone # ( &(} 7rS- (9511
65 / -373- i16o
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mumesota Rules 7670 Catceorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category t Worksheet . New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Conhactor
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
permit; that the work will be in accordance with the
approval of plans.
Applicant's Printed Name
an application for a permit, and work is not to start without a
approved plan in the case of work which requires a review and
?t ? nat re'
Pebruary 23, 2006
Dale Klein
1743 Galaxie Ct
Eagan, MN 55122
The following Proposal is based on the testing and reports submitted to the owner by others, field
observations and conversation with the owner.
Section 1. SCOPE OF WORK
A. General
1. The work described herein invohes work related to remediation of the
exterior envelope at the above referenced home.
2. Address issues relating to the following:
a. Moisture intrusion
b. Window installation
a Flashing details
Sectian 2. CONSTRUCTION PROCBSS
A. Mobilization
1. Provide on site temporary bathroom facilities.
2. Provide necessary scaffolding and staging.
3. Provide necessary permits.
4. Provide necessary roll-off containers for debris removal.
5. lnitiate material purchases.
B. Demolition
1. Cover and protect landscape that abuts home.
2. Remove vents, lights, and other accessory items from affected areas at
exterior walls. Store for reinstallation.
3. Remove existing stucco on all elevations.
4. Remove windows, including interior trim. Store windows and trim for
reinstallation.
5. Remove damaged: sheathing, framing, and insulation.
C. Instal lation:
l. Install CDX plywood sheadiing, framing, and insulation where previously
removed.
2. Install air barrier at all air bypasses.
3. Reinstall existing windows. Slant sill, provide a membrane pan system
within the rough opening and damming stop at interior. Windows will be
installed following manufacturers current recotnmended installation.
4. Reinstall existing window trim.
5. Install appropriate flashings at exterior of windows.
6. Install HazdiPlank siding (Includes HardiShake accents at gables) with 2
layers of Grade D Kraft paper, drainage mat, kick-out flashings, Miratec
exteriortrim detailing and Sherwin Williams Duration paint.
7. Install new window/door wraps using Miratec trim boards.
8. Apply caulking as necessary.
9. Install existing vents, lights and other accessory items removed from the
exterior wall. All exterior penetrations will be at'fixed to a flashed trim
board, except utility connections.
10. Seal aIl penetrations in exterior envelope.
11. In[erior painting and drywall:
a. Patch and repair drywall damaged during window process, stucco
removal, or testing.
b. Paint interior walls as necessary up to corner to corner of exterior
wall only.
a Giiamel and/or stain window trim per original finish.
12. Wash windows inside and out.
13. Clean up and remove all debris.
D. Options:
L Add $27 per square foot to convert Hardiplaiik to manufactured stone (St.
Croix Stone Company).
E. Exclusions:
I, Owner will be responsible for moving, storagc, and relocating furniture and
personal belongings.
2. Remediation of any hazardous or biological materials within the interior of
the home.
3. We have not included removal or replacement of window treatments,
pictures, wall hangings, or other items from exterior walls. It will be the
responsibility of the owner to remove and replace these items.
III? IIII ??I'1 Illllllf II I I11h111IIIII 827QUm erSsiry Ave., Rm? 9-?i1 eASt.IPauP MNT5?St0? ????
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Home Duplex Apt. Bldg. Other: New Addn
mmerciol Indusirial Form Remad Re air
1 Air Cand. Htg. Equip. Water Htr. Load Mgmt. Other:
D er Ran e Elec. Heot Tem . Service
above }he work covered by this requesL Enter remarks in fhis spoce ond on tha back of fhe white copy only.
l?-fa- v 775h., A -
Cal<ulate Inspetlion Fee - This Inspection Request wlll not be accepfed wiihout the correct fee:
(hher Fee $ $ervice Enfrance Sae Fee S Circui?/Feeders Fee
Mo6ile Home Park Stall 0 fo 200 Amps 0 fo 100 Amps
Sheet Ltg./TraRic $ig. Above 200 Amps 100 Amps
Transformer/Genemtor INSVECTOq'SUSEON
? TOTAL
$ign/Outline Ltg. Xfmr. ??
? .
Alarm/Remote Conhol 50
$wimming Pool
I hero6 cefi ihai I Ine echd the *OWEEs?o descnbed herein on the daks red
Irtigotion Boom Rooghln - Dol/?+'1
Speciallnspecfion
Invesfigativa fee F1O°? ome
THIS INSTALLATION MAY BE ORDERED DISC CTED IF P D WITHIN 18 MO HS.
3 36? 8 7[1 OFFICE US ONLY This mquest void 18 monlhs Irom wlidofian dak pnnkd i this 60
57 7aa
d
PLEASE PRINT OR TYPE C
i
Reqaest DoM Ro?gh-in Inspen?on requlred2 ea ? No Inzpectmn Olher Than Rough-Im 0 Ready iIl CoII
?You mosl mll fie Inspeclor whe reody) re eody:
I, licensed conimdor ? owner here6y request inspedion of t a ove ele
Ja6 s(Seeei, Bo., or R nle N.? Gty ^
Li
Sedictn No. Township Nome or No. Ranga No. Fire No. Counp
Ocmpant Phone No .
wri
Power)pplier Pddmzs ?
Elecm Conhodor (Compony Name) Contmcro ' se No.
^ Mmrcr Lic Nn (Plont Elxt Only)
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Maili Pddreu (Contmcror 12n, r Pedormmg Insmllanon)
Signarorc (C ntrad r Owrier PeAoimirg Insfallation) PhoM No.
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Request Dat
_ - ? Fira No. Rough,ln In eclion Repuiretl
(VOU usl 911 inspedar,1,hen reatly)
`ey LJ No Inspection Olher T an aughln
? Reatly Now Will Nolity Inspeclor
?ate Reatl
I' licensed contractor ?owner hereby request inspection of above electrical work at:
Job Atltlress (Sireet, Boa or R ute No.) , Ciry
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1
Section No. ownship N me or No. Range No. Cou
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Occupent(PRINT? Phone No.
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Power 5 'ar /+ddre
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Elec cal Conlracto (Company NamQ) ??
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1^% ConuactoYs Lica?n\se qNo.qG
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Mailing qtltlress (COnlraclor QF'Qwner Making Installalion)
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Aut rizetl SignaWre (COnVactodOwner Making Installation)
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(4 3 a
MMNESOTA STATE BOARD OF ELECTRICITV
? THI$ INSPECTION REOUEST WILL NOT
Gdgga-Mitlway Bltlg. - qoom $-128
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I BE ACCEPTED BY THE STATE BOAND
1811 Unlvarslty Ava., SL Paul, MN 55109 I UNLESS PROPER INSPECTION FEE IS
Phone 16121 66]-0800 ? . ENCLOSEO.
UEST FOR ELECTRICAL INSPECTION ee-oooaras
? See insimMions lor completing Nis form on back of yellow copy.
"X" Be/ow Work Covered by This Request
Ne A Type of Building Appliances Wired Equipment Wired
Home Range ? Temporary Service
Duplex Water Heater lectric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnaca Other S ecify)
Farm Air Conditioner
Other (specify) Contrador'S Remarks'
Compute Inspection Fee Be/ow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Am s
Transformers Above 200 Am s Above 100 -Amps
$IgfIS Inspector's Use Onry: TOTAL
Irrigation Booms
S ecial Ins ection
Alarcn/Communicaiion RDERED
THIS INS7AlLATION MAY BE O DISCONNECTED IF NOT
Othar Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if Rough-in Date
cert
y that the above inspection has
been made. Finai oan
;Z-
OFFICE USE ONLY
Thls repuesl witl 16 monlhs fmm
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179454
Date Issued:10/05/2022
Permit Category:ePermit
Site Address: 1743 Galaxie Ct
Lot:2 Block: 1 Addition: Galaxie Hill Oaks
PID:10-28720-01-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Cory P Whalen
1743 Galaxie Ct
Eagan MN 55122--264
Ashco Exteriors Inc
11164 Zealand Ave N
Champlin MN 55316
(763) 225-8333
Applicant/Permitee: Signature Issued By: Signature